Imbilapho: anatomy, izifo kunokwenzeka nokwelashwa kwazo. hernia inguinal

esifundeni Inguinal - yezindawo obuseduze kakhulu umuntu ngamunye, okuyinto, akukho esingaphansi nezinye izindawo emzimbeni wadalula zonke izinhlobo zezifo. Esinye sezifo ezivamile - kuyinto hernia inguinal. Ekuthonyweni isifo ikakhulukazi amadoda nabafana abancane, ngenxa ezinye izici yokwakheka.

Anatomy. Umehluko nokwakheka ukuxhuma owesilisa nowesifazane

Ukuze siqonde lokho okushiwo yi-ndawo imbilapho, kumele ichaze imingcele yayo. Ngamagama ukwakheka komzimba womuntu, esifundeni inguinal kuyinto esingunxantathu yobujamo likhawuliswe kusukela ngezansi nangaphandle umsipha inguinal, ngaphakathi onqenqemeni elingaphandle rectus abdominis imisipha, futhi phezu umugqa ungenisa phakathi phambi engenhla ameva iliac.

Kuvele isakhiwo ezibalulekile yokwakheka kuyinto umsele inguinal. Itholakala ezansi esifundeni inguinal, eduze ngaphezu umsipha inguinal. i-canal Inguinal kuyinto isikhala 5-7 cm. Amadoda kule ndawo sihamba intambo spermatic futhi abesifazane umsipha round kwesibeletho. Inlet canal inguinal - a olukha phezulu indandatho inguinal, kanye okukhipha - ezijulile indandatho inguinal.

Kufanele kuqondwe ukuthi indawo imbilapho kubantu besilisa nakubantu besifazane is ngokufanako. Ngaphezu umehluko isakhiwo umsele inguinal, into okuyiyona ebaluleke kakhulu ekhanda. Ngo abesifazane wokuthi imfushane kunalokho eyabantu. Izinguquko ezinweleni ukusatshalaliswa uhlobo uncharacteristic kungase kubonise ezihlukahlukene endocrine iziyaluyalu.

Ungakhohlwa mayelana umehluko omkhulu kule nokwakheka kwezitho zobulili zamadoda nabesifazane.

Imbilapho kungenye isakhiwo ezibalulekile --lymph. Bazenze nge ezihlukahlukene izifo, kodwa bangazizwa bebodwa. Ukuze wenze lokhu, susa crease inguinal futhi perpendicular umsipha inguinal uqale palpate. Kancane lakhulisiwe izindlala zamanzi imbilapho zivame kubhekwe kuyinsakavukela.

ukukhulisa Resistant nengebuhlungu of izindlala zamanzi zingase zibe Indlela izimila ingozi noma abulalayo (umdlavuza). Okwamanje, nomdlavuza wamasende sici kubantu abasha abaningi manje ukuthi iminyaka ephakathi kwengu-15-45. Ngo abesifazane, yezimbangela njalo iningi ukufa - umdlavuza we esibelethweni. Umdlavuza womlomo wesibeletho isivele zisencane amadala - emva kweminyaka 65.

Izimbangela izifo kule imbilapho

Ngokuvamile isifo yethu iqala nge ubuhlungu. Ayikho ngaphandle futhi imbilapho. Indawo emizweni ezingemnandi kubonisa zokugula ethize.

Ubuhlungu imbilapho niye kwesokunene noma kwesobunxele zingase zibe Indlela izifo eziningana. Lokhu kungaba ngenxa izinqubo ukuvuvukala ezifana adnexitis, proctitis, endometritis, acute appendicitis, parametritis. Lapho abaningi babo kungenziwa lakhulisiwe inguinal zamanzi.

adnexitis

Lokhu isifo ukuvuvukala futhi ezithathelwanayo amashubhu fallopian futhi ezikhiqiza amaqanda, okuyinto is phetho ukutheleleka ngegazi noma nge ipheshana zangasese. Ngenxa imbilapho izifo abesifazane kungaba umthombo ubuhlungu. Njengoba sihambisana nale uphawu lokushisa nesineke liphume, siyabhubha umjikelezo wokuya esikhathini, ngezinye izikhathi ubovu esithweni avele mhlophe. Sekukonke, isithombe kungase kube khona ukufana appendicitis oyingozi.

appendicitis acute

Ngo appendicitis acute, futhi proctitis umtholampilo kungaba afana adnexitis, futhi isebenze esandleni sokudla. Lokhu kungenxa ukulungiselwa okuthile isithasiselo noma esimweni proctitis, izici izilonda ingemuva. Ukuze appendicitis ivamile ubuhlungu imbilapho ngakwesokudla.

parametritis

Kuyinto ubovu ukuvuvukala izicubu ozungezayo kwesibeletho. Njengoba adnexitis, ke iyathelelwana. Lesi sifo ngokuvamile uhlanganiswa ukulimala kuhlukumeze impela, ngemva kwalokho kukhona ukutheleleka ngama-ejenti ezithathelwanayo. Ukulimala kulesi simo kungaba isinyathelo isisu, lesizalo tube ukudabuka, ezihlukahlukene kokungenela wezokwelapha. Kuye ububanzi kanye namandla we nokunqotshwa, owesifazane imfiva, ikhanda nokunye. D.

Izifo adluliswa ucansi

Iqhubeka isihloko ukubhebhetheka kwezifo ezithathelwanayo, akunakwenzeka kokukhumbula izifo, izifo ezithathelwana ngobulili. Esikhathini sethu, namanje awalulahlanga yabo ukuhlobana, isipatsholo, ugcunsula, chlamydia, ureoplazmoz nabanye abaningi. Lezi zifo zingase sibonakalise imfiva, ukulunywa, ububomvu e imbilapho, kanye nezinye izimpawu, kuncike lwegciwane.

Zikhona ezinye izizatho

Kodwa akuzona zonke izifo ezithinta isikhumba kanye nezinhlaka imbilapho, kuthiwa ngocansi. Abanye bangase owethulwa sekuhloliwe izifo zabesifazane, okuyinto musa ukulandela imithetho kwenhlanzeko, noma izifo singenzeka ngokuxhumana kwansuku zonke. Isibonelo ngegciwane ezinjalo kuba iqoqo msubathi - izifo lapho isikhumba ukhunta KWAMAGUNDANE. Ukutheleleka uqobo kwenzeka uma usebenzisa ithawula ezivamile, e zokugeza, eshaweni ezivalekile, phezu nelineni.

Ubangela ububomvu e imbilapho

Ububomvu e imbilapho akuyona inkinga njalo izimpawu zokugula. Izizathu ingase ibe ukusabela ezibangelwa powder kahle ekhethiwe noma ezinye izinto zokususa amabala. Esinye sezizathu esivame kakhulu ukucasuka ngemva depilation endaweni pubic. Ukuze ugweme ububomvu kanye vesicles kumele olungiselelwe inqubo, sebenzisa sedatives esikhunjeni.

In amadoda, endaweni imbilapho ungavula abomvu ngenxa egqoke Lingerie ungakhululekile, babevame eliphansi izinto. Ngokuvamile, le nkinga ekhathaza abantu ehlobo, lapho kushisa khona. Ububomvu kungaba kusuka ezincane ngaphandle kokuphazamisa erythema ukuze ngokuqinile silume, nge ukuqubuka ezinzima futhi vesicles. Lesi simo esiyingqayizivele sibangelwa kuhambisana nephunga kabi ecasulayo kakhulu.

Abesifazane ungakwazi futhi ziphazamisa nemibi efanayo la madoda, kodwa ngezinga elincane. Ngokuvamile imbilapho azalela ezinye zingase zibe bomvu ngenxa neurodermatitis. Imbangela yalesi sifo izinkinga kanye isimiso sezinzwa esiyinhloko. Futhi, ukuze ugweme ububomvu, abesifazane kumele zithobele azinabo ngaphezulu inhlanzeko obuseduze. Ububomvu kungabuye kubangelwa psoriasis. Ucwaningo lubonisa ukuthambekela ngaphezulu ukuze psoriasis e abesifazane blondes.

Ububomvu endaweni imbilapho - inkinga kunalokho njalo phakathi izingane, ikakhulukazi engu-unyaka owodwa. Izizathu eziyinhloko - namanabukeni okungazelele kokushintsha, amanabukeni, umntwana ezisonga eqinile, ukuze kukhona okweqile, futhi ungazizwa kahle, hhayi elihambisana ubukhulu ingane izingubo. Ungakhohlwa mayelana komzimba ukuthi kungase kubangelwe izinkinga izicubu insipho ezingafaneleki, izicupho, ngisho ubisi lwebele.

Ungenzenjani. Yini futhi kuphi?

Izimo zethu zihluke kakhulu inkinga evamile - kungcono umbhunu. Kuyini hernia inguinal? Lokhu protrusion kwezitho ku umgodi we-canal inguinal. Lesi sifo bethambekele ekubeni indoda ngenxa okuxekethile ezicutshini esiyingini inguinal, kanye ngenxa olukha phezulu indandatho enkulu inguinal cishe izikhathi ezimbili kunaleyo abesifazane.

Hernias kungaba azalwa naso futhi atholwe. Kuyini hernia inguinal, uhlobo azalwa naso? Kuyinto isici abafana ngaphambi kwesikhathi ukuthi zivame ezihlobene imisiwe prolapse wamasende. Namanje kubalulekile ukuhlukanisa phakathi hernia eqondile etshekile. Etshekile sihamba kule yangaphakathi inguinal indandatho kanye umsele inguinal iphelela eduze etshekile, yingakho, futhi lethiwa. kwakhiwa Direct hernia inguinal is ngokusebenzisa yangaphandle indandatho inguinal ehlangene nobuthakathaka odongeni kwamathumbu. hernias azalwa naso kungaba etshekile, iqonde noma inguinal-scrotal, futhi wathola ngqo ngokuyinhloko.

Lesi sifo angakhiqiza ubuhlungu imbilapho ngakwesokunxele, evutha kwesobunxele noma kwesokudla endaweni imbilapho, nalapho ngokuthinta indawo ezibuhlungu umuntu bangazizwa protrusion noma "iqhubu." usayizi protrusion zingahluka ngobukhulu kusuka amaqanda izigwaca ukuze umxhwele nakakhulu, kuye nobuthakathaka izindonga izinqubo egijima.

protrusion Ngokusobala emabangeni kokuqala ngezikhathi ezithile zinyamalale futhi avele ngesikhathi umsebenzi kuphela noma ngemva kwabo. Hernial sac angavela zinyamalale kuye isikhundla umzimba. Uma usola ukuthi i hernia inguinal uyazwelana nathi ebuhlungwini e imbilapho sakhe sobunxele ngenkathi qiniseka kudokotela zokugwema izinkinga. Of imiphumela bungabonakala yokujama tsi ka endleni, okungaholela wamathumbu isimiso, ukuvuvukala amasende, ukuvuvukala hernia kakhulu. Kodwa inkinga eziyingozi kakhulu kuyinto hernia strangulated, nakho ezimweni eziningi siholela ekufeni isiguli.

Lapho izici ngenhla echazwe nalokho angajoyina alamu elandelayo:

• khona igazi sezinyawo;
• ukuhlanza okuphindiwe umsuka central (emva ukuhlanza kufike impumuzo);
• waba ukwanda okukhulu kwezincwadi abagulela ukufa.

Lokhu kubonisa umbhunu strangulated. Uma endaweni imbilapho kunikeza lezi zimpawu ezilandelayo, kumele ukhumbule lokhu okulandelayo: Ungazami qondanisa okuqukethwe hernial, kudingeka ucele i-ambulensi esibhedlela ngokushesha.

ukuxilongwa hernia

Isisekelo ukuxilongwa - luhlolo. Kwezinye izimo kubalulekile ukuqhuba okuqukethwe ultrasound hernia noma herniography - X-ray Ukuhlola umbhunu. In amadoda, kuyancomeka ukuba afeze umehluko ukuxilongwa hernia femoral (hernia ingaphansi umsipha inguinal) kanye varicocele (hydrocele).

ukwelashwa hernia

Impumelelo ukwelashwa kanye ingozi yezinkinga incike nesineke - ngokushesha waya esibhedlela, ngcono ngaye. Inkinga iwukuthi abantu abaningi sifo hhayi ayinandaba, ngoba ukwakheka Ubukhulu amancane avele njalo ngalolo abantu bamshaya indiva.

Ukwelashwa uhlale kuhlinzwa. Olwenziwe eyohlinzwa ukuze ususe hernia inguinal kubantu besilisa nakubantu besifazane ngaphansi kwegama hernia ukulungisa, futhi herniography. Phakathi ukusebenza, odokotela abahlinzayo enqamula hernia abuye ahlole izidumbu lapho. Uma kunjalo kulungile, babuyela endaweni, bese uqinise odongeni kwamathumbu. Uma izitho zilimele, ischemic, zingabantu nokususwa. Phakathi ukuhlinzwa, udokotela ohlinzayo liyadingeka ukuhlola okuqukethwe hernial izici ezilandelayo:

• umbala;
• khona pulsations;
• ukunyakaza peristaltic.

Manje hernia ukulungisa wayevame ukusebenzisa amanetha ekhethekile kuncishiswe ingozi yokuthola futhi ugweme hernias okuphindaphindiwe. Kwezinye izimo, ukuhlinzwa ukhishwe umbhunu e abesilisa nabesifazane futhi agcinwe ngaphandle "ukusikeka" eyayidume - ngokusebenzisa ukuhlinzwa laparoscopic. Ngesonto lokuqala ngemva isidingo ugweme ukusetshenziswa ukudla igesi-obumba, nakwesilandelayo 3-4 izinyanga ukugwema umsebenzi okukhulu.