Kev kho tus kab mob hernia

Kho qhov quav hernia yog ib qho txheej txheem los kho lub hernia ventral. Ib txoj hlab ntsha hauv plab yog lub hnab (hnab) tsim los ntawm qhov txheej hauv koj lub plab (plab mog) uas thawb los ntawm lub qhov ntawm lub plab phab ntsa.

Ventral hernias feem ntau tshwm sim nyob rau ntawm qhov chaw ntawm kev laus hlais tawm (phais). Hom khaub thuas no tseem hu ua phais plab hnyuv.

Tej zaum koj yuav tau txais tshuaj loog rau qhov kev phais mob no. Qhov no yuav ua rau koj tsaug zog thiab mob dawb.

Yog tias koj qhov mob pob txha me, koj yuav tau txais pob txha caj qaum lossis thaiv pob txha thiab tshuaj ua kom koj nyob ntsiag to. Koj yuav tsaug zog, tab sis tsis pub mob.

• Koj tus kws phais yuav txiav phais koj lub plab.
• Koj tus kws phais yuav pom lub hernia thiab muab nws cais ntawm cov ntaub so ntswg uas nyob ib ncig ntawm nws. Tom qab ntawd cov ntsiab lus ntawm hernia, xws li cov hnyuv, yuav maj mam muab thawb rov qab mus rau hauv lub plab. Tus kws phais yuav tsuas txiav cov hnyuv yog lawv tau raug mob.
• Kev siv tawv tawv yuav siv los kho lub qhov los yog qhov chaw qaug zog los ntawm tus neeg sawv cev mob.
• Koj tus kws phais yuav tuaj yeem tso ib daim npog ntawm qhov chaw tsis muaj zog kom nws ua kom nws lub zog loj. Mesh pab tiv thaiv kom txhob mob hernia rov qab los.

Koj tus kws phais yuav siv lub laparoscope kho nws lub qog. Nov yog ib txoj kab nyias nyias, taws teeb nrog lub koob yees duab tom kawg. Nws ua rau tus kws phais sab hauv pom koj lub plab. Tus kws phais mob ntxig lub laparoscope los ntawm kev txiav me me hauv koj lub plab thiab ntxig cov twj paj nruag los ntawm lwm qhov kev txiav me me. Hom kev ua no feem ntau kho sai, thiab nrog kev mob tsawg dua thiab caws pliav. Tsis yog txhua txhua hernias tuaj yeem raug kho nrog kev phais mob laparoscopic.

Qhov chaw mos hernias muaj kev ncaj ncees rau cov neeg laus. Lawv muaj peev xwm loj dua thaum lub sijhawm thiab yuav muaj ntau dua ib tus lej.

Yam txaus ntshai muaj xws li:

• Ib plab plab loj
• Ceeb thawj
• Mob ntshav qab zib
• Straining thaum siv chav da dej
• Kev hnoos heev
• Hnyav nqa
• Cev xeeb tub

Qee zaum, cov kab mob me me uas tsis muaj tsos mob tuaj yeem saib xyuas. Cov kev phais yuav ua rau muaj kev pheej hmoo siab rau cov neeg uas muaj mob loj.

Yog tias tsis muaj kev phais mob, nws muaj kev pheej hmoo tias qee qhov rog lossis qee qhov ntawm cov hnyuv yuav daig (raug kaw) hauv lub qhov quav thiab ua rau nws tsis tuaj yeem thawb rov qab rau qhov no. Cov ntsav cov ntshav rau thaj chaw no yuav dhau los ua hlais (leeg ntshav). Tej zaum koj tuaj yeem hnov ​​xeev siab lossis ntuav, thiab thaj chaw tawg tuaj yeem xiav lossis tsaus xim vim tsis muaj ntshav txaus. Nov yog kev khomob kub ntxhov thiab maj nrawm yog qhov xav tau.

Txhawm rau zam qhov teeb meem no, kws phais neeg feem ntau pom zoo kom kho lub pob pa pa tawm.

Tau txais kev kho mob tam sim ntawd yog tias koj muaj qhov mob ua pob uas tsis mob me dua thaum koj pw hauv qog lossis lub qhov ntsej mob uas koj tsis tuaj yeem rov qab nkag.

Cov kev pheej hmoo ntawm kev kho tus mob hernia feem ntau yog qis heev, tshwj tsis yog tus neeg mob tseem muaj lwm yam mob loj.

Kev phom sij ntawm kev ua kom loog thiab phais yog:

• Kev tshuaj tiv thaiv
• Cov teeb meem ua pa, xws li mob ntsws
• Lub plawv muaj teeb meem
• Ntshav
• Cov ntshav txhaws
• Kab mob

Ib qho kev pheej hmoo ntawm kev phais mob hnyuv tawm yog raug mob rau lub plab (txoj hnyuv me lossis loj). Qhov no tsis tshua muaj.

Koj tus kws kho mob yuav ntsib koj thiab muab cov lus qhia rau koj.

Tus tshuaj loog yuav tham txog koj li kev kho mob kom txiav txim qhov nyiaj yog thiab hom tshuaj loog siv. Koj yuav tau hais kom tsum noj thiab haus 6 mus rau 8 teev ua ntej kev phais mob. Nco ntsoov tias koj qhia koj tus kws kho mob lossis tus neeg tu mob txog txhua yam tshuaj, kev fab tshuaj, lossis keeb kwm ntawm teeb meem los ntshav.

Ob peb hnub ua ntej kev phais mob, tej zaum yuav kom koj tsum tsis txhob noj:

• Cov tshuaj aspirin thiab nonsteroidal anti-inflammatory tshuaj (NSAIDs), xws li ibuprofen, Motrin, Advil, lossis Aleve
• Lwm yam tshuaj ua ntshav ntxiv
• Qee cov vitamins thiab cov tshuaj ntxiv

Yuav luag txhua qhov kev kho mob lub ntsws. Qhov no txhais tau tias koj yuav rov mus tsev nyob tib hnub ntawd. Yog tias qhov mob hlwv loj heev, koj yuav tsum tau nyob hauv tsev kho mob ob peb hnub.

Tom qab phais, koj cov cim tseem ceeb xws li mem tes, ntshav siab, thiab ua pa yuav saib xyuas. Koj yuav tau nyob hauv thaj chaw rov ua haujlwm kom txog thaum koj ruaj khov. Koj tus kws kho mob yuav sau tshuaj rau qhov mob yog tias koj xav tau.

Koj tus kws kho mob lossis tus nais maum yuav qhia koj kom haus kua dej ntau nrog rau zaub mov muaj fiber ntau. Qhov no yuav pab tiv thaiv kom txhob raug mob lub sijhawm thaum tso quav.

Yooj yim rov qab mus ua si. Sawv thiab taug kev ncig ob peb zaug hauv ib hnub kom pab tiv thaiv cov ntshav txhaws.

Tom qab kev phais mob, nws muaj qhov pheej hmoo tsawg tias nws lub cev yuav rov qab tuaj. Txawm li cas los xij, txhawm rau txo kev pheej hmoo ntawm kev tau txais lwm tus mob hernia, koj yuav tsum tswj hwm kev noj qab haus huv zoo, xws li tswj lub cev nyhav.

Malangoni MA, Rosen MJ. Hernias. Hauv: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Phau Ntawv Kev Kho Mob. 20 tus ed. Philadelphia, PA: Elsevier; 2017: chaaj 44.

Miller HJ, Novitsky YW. Kev tso quav tawm tsam thiab lub plab tso tawm cov txheej txheem. Hauv: Yeo CJ, ed. Shackelford's Kev Phais Ncig Ntawm Lub Ciam Alimentary. 8 tus ed. Philadelphia, PA: Elsevier; 2019: chap 52.

Webb DL, Nyiam NF, Voeller GR. Qhib cov hlab cua ntsws kho nrog cov ntoo onlay. Hauv: Rosen MJ, ed. Atlas of Abdominal Phab Ntsa Vaj Huam Sib Luag. 2nd ed. Philadelphia, PA: Elsevier; 2017: chap 8.