Inguinal hernia i na keiki:ʻoki kino, ka hopena, mea, lalau mai

Eia naʻe, i loko o keia la ka Pediatrics pinepine diagnosed hernia inguinal keiki. Ana o kekahi manawa o ka wale e hiki iaoia o ka lapaau. O ka holo ana, keia pathology mea he nui, ae hoʻomaopopoʻia no nā mākua. I mea no ke aha la he nui i hoihoi i ka ninau e pili ana i ka mea he hernia, a me ka mea mau i nā maomeka o kona ho okumu. Pehea pilikia hiki e ka maʻi a me ka ohe. Kaumaha kēia lapaau? He aha ke kumu maʻi, a pehea ia ua pu ma ka oihana hoailona? Nā pane i kēia mau nīnau e e hoihoi 'a me ka pono i na mea he nui heluhelu.

He aha mea he hernia?

Kēia pathology ua manaoia e e 'ano, he pono ole i ka pediatricʻoki kino. An inguinal hernia mea he protrusion o ka abdominal Contents mai ma ka inguinal Canal. Kūloko nā loko, e like me ka loop o ka uuku naʻau liʻiliʻi, nā ovaries, nui omentum, nei iluna ma ka abdominal Muscle pa.

Ua Ua olelo mai i ua diagnosed ia pathology oi pinepine i kane nā pēpē i, a no ia i ka pūʻulu me ka māhuahua pilikia o premature keiki. Ma ka hapanui o na hihia, ka hernia mea hiki ke diagnose 'ano koke - ka mea ku pono e like me ka mea uuku nani i loko o ka groin wahi, no ka nui nō i ka hernial eke lilo pono. Hernia pono lapaau ana, o ka oi aku ina mea i diagnosed ma ka koke ke kahua. Eia naʻe e hou aku e makaikai i na kumu a me symptoms o keia maʻi.

I ka papa kuhikuhiE kumu o inguinal hernia i loko o ke keiki

He nui na makua i noi mai e pili ana i ke kumu i ke keiki hernia ikeia. Nā kumu ma ka mea i e loaʻokoʻa. Eia mea he papa inoa o ka loa e like me ka kamepiula kumumea:

• he mea hypoplasia o ka abdominal paʻano pinepine lilo.
• 'Ākena Makaʻu nā physical stress. O ka holo ana, ina ua e kamailio ana i ke keiki, ua i pili i ka physical hana a kaumaha punohu i ka stress. I ka wā o ka abdominal paia nawaliwali protrusion o ka abdominal lua e hana ana i ka hopena o ka loa me ka puʻu a me ka luaʻi.
• I kekahi manawa, i ka hernia o ka hopena o abdominal trauma, a me ka wā o ka fetal? Acaeoey.
• Kēia pathology paha ia i ka hopena o ka oi kaumaha i loko o nā keiki.

Ke pathogenesis o ka maʻi

E like me ua oleloia, he hernia ua diagnosed hou pinepine i loko o keiki, ma muli o ke 'o ka anatomical? Acaeoey. Testes fetal initially aia i loko o nā puʻupaʻa. Kokoke i ka hanau ana, ka mea, mai loko o ka scrotum, huki hapa o ka peritoneum. Penei, heʻano o ka eke ma ka scrotum, i ua muli ma ka connective'aʻaʻa. Maʻamau eke ulu ma ka manawa o ka hanau ana. Akā, i kekahi manawa, no ka mea kumu keia ua i hanaia. Ke alo aku o ka eke maoli ka likelihood o bulging o na nā loko.

Eia hou, i ka inguinal Canal i loko o nā kāne mea nui hou ma mua ia o na wahine, i kekahi maoli i ka pilikia o ka herniation. Like no ka kaikamahine, ka mea, i ka pathology ua pili, e like me ka rula, me ka nawaliwali o ka connective'aʻaʻa, e like me physical overexertion. Ua mea waiwai 'ana i kumumanaʻo i ka hernia hiki e congenital, a olalo e hoʻomōhala ma hope o ka hanau ana. Protrusions e ikea me kekahi (i hookuu i ka akau), a ma na aoao elua. I kekahi manawa, na keiki i diagnosed postoperative inguinal hernia, ma ka mea relapse hihia ka wā pono ka hanaia ina hana o ka palena haʻahaʻa.

He aha i na symptoms o ka maʻi ua pu e?

Sazu i ke kumukuai o uaʻike nō ia i nā symptoms e pono e kaukaʻi ma ke degere o ka protrusion. Nō kāu, ka hernia mea he uuku, ka'ololaha, triangular hoʻokino eke kekahi manawa ke aupuni 'ole suprapubic paha mawahoʻaoʻao o ka pubis. Convexity ana i oi kekahi 'i loko o ka pololei kulana. Hernia a me ka piʻi pū me ka hoomahuahua i loko o abdominal puʻe, a i, no ka laʻana, ma ka scream a me ka uwēʻana.

ka mea, i kekahi manawa ke kumu no eha paroxysmal külana. Soreness hana i ke keiki manao, ua make pinepine ke hea nei, hiamoe poorly. hiki i nā symptoms nā nausea, lilo o ka ikaika loa ka makemake, ka luaʻi.

I ka wa e hele mai ai i na keiki, i ka inguinal hernia mea hiki ke neʻe ma ke ala e hiki aku o ka scrotum (kapaʻia he kēlā hernia). Ma ia mau hihia, ma laila i e ka mahuahua ma ka scrotal haanou ana i loko o ka perineum.

Ano, i ko oukou ike ana pehea e ho oholo i ka inguinal hernia i loko o nā keiki. Ke hana nei,ʻaʻole e pono i loko o nā hihia. Eia naʻe, ina e hai i ka hōʻailona, a laila, i ke kamaiki e koke hōʻike i ka surgeon. I ka mua o kaʻike, a me ka lapaʻau ua hoʻomaka ', i ka emi likelihood o complications.

Complications i kupu mai ma luna o ke kāʻei kua o ka hernia

I ka mea, he inguinal hernia - mea he nui pilikia. Inā ke keiki ka palapala hōʻoia no 'inikua kōkua i hoʻolako' ia ma ka manawa o ka protrusion o abdominal nā loko ua lilo hou hai. E kū'ē i ke kāʻei kua o ka pathology i hihia hoʻi i loko maʻamau koko, i hiki aku ai i ke kali hou aku a pololei ole ulu keʻena ma lalo nei. I keiki, ka meaʻilihune ke e ka hernia pathology o reproductive kahua.

Aka hoi, o ka noho pilikia loa complication o inguinal hernia o kona hōʻole. Kēia kahua Ua pili me ka iniki ana o nā'aʻaʻa a me ka hoʻohuikau 'o ka maʻamau koko pele i loko o ka ua hui. Ma hoʻi, i kēia kahua Ua fraught me'aʻaʻa necrosis, li nui, ke koko kaʻapu kōheoheo, a no laila, ma luna o. D.

ʻaihue a me kona symptoms

Strangulated hernia - ke kulana mea noho pilikia, o ka oi aku ina ia mea he uuku keiki. Ma na hoopii,ʻoki kino ka pono. Hoʻonāukiuki strangulated hernia e mahuahua abdominal puʻe, no kekahi laʻana, i malama ia i ka ikaika scream a me ka uwe ana, physical exertion, me ka puʻu, ka luaʻi, a me ka e like. D.

Kau i ke alo o ka hoʻokaeʻili wale. Hernial sac lilo hou convex a me ka paakiki i ka hoʻopā. Palpation ke kumu eha. Ke keiki i restless, pinepine ke hea nei, screams. Pinepine, i ka ili a puni o ka hernia i lepaʻano. A me keia e hele mai, a systemic symptoms, pakahi aku la ke kuni, tiredness, lilo o ka ikaika loa ka makemake, ka luaʻi, drowsiness, irritability. Inā e hai mau symptoms i loko o kāu keiki, oe e koke lawe aku ia ia i ka haukapila me ka nele o ke akamai malama ke alakai i ka papakaukau necrosis, eha hawewe, a no laila, ma luna o. D.

Hoikehonua, ano o kaʻike,

Manao i ke alo o nā maʻi hiki i ka wā o kekahi mau nana. Hernial sac i hiki i loko o ka pono kulana, e like me ka wā o ka puʻu, a kahea a me ka 'ole. D. Palpation kauka ke haha no ke kahua o ka pahee laholio. Ma ke ala, i kekahi manawa i ka hernia i ia i ka pono - i na nā loko hoʻi i loko. Maoli ai, e lawe mai i ke kaʻina hana hoʻomalu, a me ka amenable ole a pau i ka manipulation convexity. Inā he hapa o ka naʻau liʻiliʻi i ka loko o ke eke, e hiki ke lohe i ke kiʻiona kalaka kani.

Ma hope, e like me ka rula, lawe ultrasound abdominal ole pelvic nā loko (no kaikamahine). Wale ma hope i ke kauka ke hooholo inaʻoki kino ua pono e wehe i ka hernia.

Ma ia hihia, ina ua hoʻoholo ihola i ka hoʻomalu, e hooponopono i keʻoki kino, he oi piha 'inikua keia hookolokolo ana i ka loaʻa o mau koko a me ka mimi hoao no erythrocyte sedimentation ana a me ke koko clotting. I kekahi manawa, aiiieieoaeuii e paa ana ia ergography - X-Ray examinations o ka naʻau liʻiliʻi me ka kūikawā Akä naÿe hope paha. E like me ka rula, hoʻohana like me ka Akä naÿe barium slurry. Ke kaʻina hana, e hooholo i ke alo o anomalies paha abnormalities i loko o ka nui liʻiliʻi ulu ana.

He nui ka hoʻokō ano o ka 'inikua lapaʻau?

Koke ia E e mai la oia i ka makeʻe kulana Inc mea hiki wale nō i loko o hihia ma ka abnormality i 'akomi i loko o ke kakahiaka kahua o ka hoʻonaʻauao. Wahi a ka 'ikepili helu, ma ka keiki maʻi hiki i kekahi manawa e? Ee meʻoki lāʻau lapaʻau kaʻina hana.

Muli o kona kulana pinepine, kauka waiho aku aahu i ka kūikawā koo aku groin. Kona pohole ma hope o hernia ua vpravlena. Kēia manaʻo kākoʻo i ka abdominal paia, a paʻa i ka na nā loko mai o ka protrusion. E like me ka rula, groin lole wili koʻu manaʻo i ke ao. Aka hoi, ka mea hiki ke waiho ia no ka po, a, ina i ke keiki nei, no ka laʻana, e ae mai nocturnal cough.

Ka lole wili mea,ʻaʻole i kekahi koho eʻoki kino, akā, wale he pokole ana. Little hoʻomanawanui iki mai no hoi i hoakaka ia ka pololei, a me ka lomilomi kūikawā gymnastics. Kēia mau kaʻina hana i ke hoʻololi, e hooikaika i ka abdominal pa. Ina no ka iapaau ana i hāʻawi mai i ka maikaʻi hopena, i ka noho ana o ke keiki e pono ai e e ua hoʻonānā pono, e like me ka pahiki kiʻekiʻe o relapse i ka mua 4 makahiki o ke ola.

Inguinal hernia i na keiki:ʻoki kino

I kekahi manawa, me kaʻoki lāʻau lapaʻau 'uao i loko o ia mau maʻi wale hiki ole ke hana. Kēia kaʻina hana ua ana hana ma waena o nā makahiki o 6-12 mahina. Ke gist o ka mea nani poe noonoo ole. Me ke kōkua o kūikawā hana lapaau hoʻokaʻawale i ka hernial sac, a me ka abdominal lua. Ma keia hihia, e pono e hōʻoia 'ia ka na nā loko, he ma wahi. ʻoki kino i mālama 'ia ma lalo o kekahi mau anesthesia a mau ma kahi o 30 min. Ia ka leo o ka ʻoki kino inguinal hernia. Reviews hōʻike i ke kaʻina hana e haawi maikai maoli hopena.

Maoli ai, ma keia hihia, ia meaʻano nui e loaʻa i ka surgeon maikai. I loko nō o ka mea i 'ike loea hou ma keia hihia, kŘpa a mea, ke kahuna lapaau e komo ai i kekahi mau Hawaiʻi. I kekahi manawa, ka mea wale ala i malamaia lakou nei, inguinal hernia - hana. kāki no ka kaʻina hana mea ole pela kiʻekiʻe (mai 18 000 a hiki i 48 000 rubles.), a pana aku au i ka mea i loko o na Ho 'Oponopono.

Laparoscopy like i kekahi koho i piha-puhiʻoki kino

I kekahi manawa, e like me ka makemake i ka loinaʻoki kino i ke kauka ia kekahi i kekahi kaʻina hana i kapaia "laparoscopic inguinal hernia? Aiiio." ʻano hana o keia manipulation mea me ka nui loa okoa. He He paʻa hana, a ua lawe mai ka hoʻohana 'ana kūikawā lako a pan. Hernia ia lŘlŘ ma ekolu uuku puncture i loko o kaʻili. Ma hope iho o kēia'aʻaʻa ua hoi i ke ea me ka kūikawā mea hoʻonoho o ka ikaika hei, i kokua pale relapse i loko o ka wā e hiki mai.

Laparoscopy inguinal hernia i kona pono. Ma kekahi, i kēia ke kaʻina hana no ka emi traumatic, a ua hoolilo i ka bebe i ka hoʻopulapula wā nui maʻalahi. Ma ka kekahi lima, i kēiaʻano o ka hana mea,ʻaʻole e hiki i loko o nā hihia. No ka laʻana, he mea hiki ole ke hoonoho iʻeluaʻaoʻao hernia. Mai laparoscopy pono kūikawā pono, kona waiwai e lilo aku, ua kiekie ae, a ua loaʻa i? Aaieou e kaumaha ana i keia hana, ia mea nui ka paʻakikī.

Ua mea hiki i ka lahui lapaʻau o ka inguinal hernia?

E like me ka olelo ma luna, ke kālā no lapaʻau e kaumaha ana kekahi mau aoao e hoʻonā i kēia pilikia like inguinal hernia i loko o nā keiki. ʻoki kino, ea, e aahu i ka lole wili - mea a pau e kokua i ka Makuakane i ka maʻi, a ninau kaʻawaʻawa loa hopena i loko o ka wā e hiki mai. Naʻe, nā mākua kekahi mau mea hoihoi i loko o ka ninau o ka mea 'o ia hoʻi no nā loina lapaau kaumaha ai oukou ia, a ina ka mea, ua pono e hana ia.

Koke ia mea kumukuai 'ana i kumumanaʻo i hale laau i loko o kekahi hihia ole e ia i loko o strangulated hernia ole i'ē aʻe complications. Ma ka kekahi lima, ma nā kuʻina kakahiaka o ka maʻi ke ho'āʻo kekahi o na ideas, mai kuʻuna healers. No ka laʻana, ka mea, ua manaoia ka hoʻokō kela la i keia he huihui 'ana o freshly hoomakaukau decoction o ka laau awahia.

I kekahi manawa kauka paipai hana compresses brine sauerkraut a noi i ka hernia kona a lahilahi. Eia hou, e hiki ke lawe i ka decoction o na lau o ka lāʻauʻoʻoi aku, gooseberry, larch wauke, he infusion o Tsvetkov Vasilka. Once hou ia mea ke kumukuai o ka hoʻomanaʻoʻana i ka hiki ole i keia mau dala e puku i ka piha-fledged Inc, a ua hana ia e pono i ke keiki me kauka o ka 'ae wale.