Whaturama pito i roto i te tamariki: pokanga me te whakanohonoho

he maha o wahi ngoikore taiepa puku Anterior he (hei tauira, mowhiti pito, te Alba linea, mowhiti inguinal me al.), nei e taea te hanga e whaturama. He aha te mea te reira? Hernias - te putanga o whēkau me te kopa i ratou wāhi noa i roto i apertures i hanga noatia ranei rite ki te hua o ngā tukanga pathological.

Ko te etiology o whaturama pito

Ko te auau o te takanga o tenei mate ko te 4%. Kei te pāngia te reira, te tikanga i te wā o te hou.

He aha i hanga te he whaturama pito? Ko te matua take - takahi marutanga pito whakaora i muri i te hurihanga o te taura puta. kia puta Te tikanga katinga mowhiti pito, me te oti katinga o te motu. Heoi, whai wāhi te hanganga o tenei wāhi āhuatanga ki te herniation putanga.

katia pai mowhiti pito te anake i te raro, te wahi whakamatauria, iatuku pito, me te tau mahani mimi. hiahiatia e raraunga Mātauranga anake i te wā o te whanaketanga embryonic, i muri i whanau, e whakakapi ratou e kiko tūhonohono mātotoru.

Na roto i te tihi o te mowhiti pito whakawhānui pito Vienna, e, i muri i whanau, me te waiho i raro ki te whakakapinga i te kiko kaiota. Heoi, kotahi Vienna kore e taea e te nuinga te whakarato i te hanganga o te taua wahi kiko tūhonohono whānui, me te mātotoru rite te raro o te whakakai. I tua atu, ki te mea i reira he hypoplasia fascia puku, e te tikanga kia whakaū mowhiti pito, riro tona wahi o runga o te wahi mo te hanganga o hernias pea pai.

Ka rite ki te mea i hanga te whaturama?

Pathogenesis tetahi herniation i runga i te rerekētanga i waenganui i te kaha taiepa puku, me te nui haere te pēhanga i roto i te kōhao puku, me e whakatairanga te okana putanga tua atu. Ngoikoretanga he mowhiti hernial.

He aha te mea te kōhanga o te ahua o te whaturama pito i roto i te tamariki?

1. Prematurity.
2. taimaha Light.
3. ngoikore uaua.
4. Kōroke.
5. Mare.
6. Tahurihuri kau, auau tangi.

pikitia haumanu me tātaritanga

whaturama pito - porotaka mātauranga i roto i te rohe o te pito. Ka taea e āhuatanga rerekē nui. Ko te tikanga i roto i te tūranga e takoto ina he marino, me te kore karanga te tamaiti, riro whaturama whaiaro. Ko te kupu e taea ki te palpate te mowhiti pito wetekina.

A, no te te noho i te tamaiti e tu ana ina karanga ia, ai whakapataritari he hua i roto i te pēhanga i roto i te kōhao puku ranei, riro kitea ano te whaturama.

Tetahi hūhi ai tenei māuiuitanga. Ko te raruraru matua - he koha Paku. Ehara i te mea e tika ana, Heoi, wareware te mōrearea tonu-hakari o te hara. Ahakoa, ki te kōrero tatou e pā ana ki omphalocele, i roto ia ratou he onge tenei pōauautanga.

Aha ki te mahi i te mea e te whaturama tamaiti?

Pehea Ko te whaturama pito i roto i ngā tamariki? Pokanga ranei tikanga momo - i he pai? Whakamātauria ki matau.

Tonu kia tuhia te reira e faatiti'aifarohia tata ki 60% o te raruraru e takitahi i roto i te tukanga o te tipu me te whanaketanga o te tamaiti. Kia aroha mai, e kore te mea tonu tenei te take.

Ko te raruraru rawa noa tenei - he whaturama pito i roto i ngā tamariki, maimoatanga kahore pokanga he taea me, ano, me te whakatinanatanga tika o nga tūtohutanga tōtika. O te akoranga, i te tetahi tau.

Me pēhea te ki te kia tukinotia whaturama pito i roto i ngā tamariki? Mahi - e kore te mea anake te tikanga. kia tīmata koe ki te rerekē rawa:

1. mirimiri Daily me taka porepore. Kia tino ki te hoatu i te tamaiti i runga i tona puku. He pai ki te mahi i te reira i mua i te kai. Ka tukua tenei mahi ohie putanga i te whēkau e mutu ai i runga i te hau, me te whakapai ake nakunaku, a reira, ka whai iti te tamaiti ki te manukanuka hoki o colic intestinal. I tua atu, i roto i te tūranga e pängia ana whakaongaongatia hua uaua āhua o te taiepa puku mārōrō, i te mea pai mo te maimoatanga o hernias pito. No iti tōtika mahi - stroking porohita huri noa te pito i roto i te ahunga tākaraka.
2. Whakatika i te pūwhera whaturama i roto i te āhua whakaiti. E kore e pera i mua tūtohutia ki hiritia te pātene te raima kopu mo te torutoru ra, ki nga tirotiro o te whaturama tonu i roto i te kōhao puku, e kore kua ngawha haere i. Heoi, e whangai ropu-āwhina ki mukākā te kiri ki te whakamahi roa, me te meinga te tikanga hūhi, e te tikanga e ka waiho tonu mänatunatu te tamaiti. He nui ake tōtika me te maitai atu hoki ki te tamaiti te whakamahi i te takai motuhake, i te mea te whitiki rapa ki te thickening i mua o te pito. Ko kaua kuiti ia, na e kore e pokanoa ki te mahi o te tamaiti ki te neke a tawhio noa, ka tūhura i te ao, whakaukia ana ki te Velcro, e taea te ngāwari nekehia atu, ka mau, i te reira e taea te murua te mea e tika ana. E hanga potae hou i ngā rauemi hypoallergenic, kia kore ratou e mukākā te kiri, i roto i te rerekē ki piripiri te raima.
3. tauturu hoki mahi kauhoe ki te whakapakari i te uaua o te taiepa puku.

I aha tau ko te mahi?

A, no te pāngia ki te whaturama pito i roto i ngā tamariki, maimoatanga (pokanga i roto i ngā) kia whakamana i roto i te wā, me te i te tetahi whanganga tau. Whakatika ki te 5 tau, hei tauira, te tono anake ki ngā tikanga momo, rite whakahuatia i runga ake. Pokanga ki te tango i te whaturama pito i roto i ngā tamariki whakamana te i runga i te tau o te 5 tau. Kei te korero tenei o te maimoatanga hāparapara āta whakamaheretia. kia kore rawa tatou e wareware e kia iti haere ai tetahi whaturama, ara pito, te hanga i te hiahia mō te mahi akiaki (o te akoranga, ka tae mai te reira ki te tiaki ora, te rohe tau e kore tatau).

7 tau - te tau toharite ina mahi te nuinga pokanga pito whaturama tamariki. taea e koe, o te akoranga, me muri mai. Ko he reira pai ki te whakatika i te raruraru i mua i te reira i katoa tīmata ki tau puta ngākau nuitanga hou, me runaruna, ki te faataime i e mo te torutoru nga ra e noho i roto i atu me te ake uaua te hōhipera. Na hiki te wa katoa te mahi e hoki te wā o ta'engata, i te whaturama ake e taea takahi ki runga ki a tipu i te koha iti Paku i roto i te ora-riri.

He aha ngā momo o te pokanga e wātea ana?

Tohatoha 2 rōpū ngā mahi e whakamahia ana i roto i te maimoatanga o te hernias pito:

1. Mānukanuka tukanga ka katia te kopa hernial rohe (pokanga Mayo Sapezhko, LEXER).
2. Whakamahi o implants horihori (mātiti) ki te kati i hē pakitara puku. tohua pokanga te mo te maimoatanga o te hernias rahi nui ki te pakeketanga o, na roto i tenei tuhinga, e kore e e whakaaro tenei tikanga.

whaturama pito i roto i te tamariki: i te mahi Mayo

whakamana te kokoti e i roto i te ahunga wahi e pito hake. Cross tapahia-i te aponeurosis kiri taupoki abdominis. whakatuwheratia pūwhera Hernial te me kua rumakina ona tirotiro ki te kōhao puku, pepa peritoneum kōpako hanga te taiepa putea, stapled.

Hei whakapakari i te toi me te matahoki ārai hanga duplikatury (paparanga rua) aponeurosis, t. E. Ko tōna stapled pepa kia e tahuri te raro i runga i te tihi. Next, sutured te patunga i roto i papa. Duplikatury te kupu i hanga i roto i te aronga hake.

Kei te maha whakamahia tenei mahi i muri i te taiohitanga me i te aroaro o te whaturama he nui.

Operation o Sapezhko

Taputapu o tenei mahi ko rite ki te tikanga Mayo. Ko te rerekētanga ko e kawea te tapahia, me te hanga duplikatury i roto i te aronga wä roa. Mai te wāhi Paku o tirohanga kia reira atu rerehua, engari mo te kaha, ko tenei tikanga Mayo mahi iho. Duplikatury i roto i te ahunga hake nui iti i raro ki te mana o te pēhanga kōtuitui-puku, e te tikanga e te mōrea o te hohokitanga i muri i te mahi o Mayo i raro.

Pehea Ko te whaturama pito i roto i ngā tamariki? Mahi o Mayo me Sapezhko - tikanga pai hoki ngā pakeke. Hei whakakore i te whaturama i roto i ngā tamariki taitamariki, te tikanga nui rawa mō o Lexer.

whaturama pito i roto i te tamariki 7 tau o te tau. Operation o Lexer

I raro i herniation whakamana kokoti heitiki-āhua. Whakaititia te whaturama, superimposed mowhiti pito kei runga i te suture putea string tightened te a reira faaore te mowhiti hernial. sutured te patunga i roto i papa.

Kei te pera waiwai tukinotia reira me te whaturama pito i roto i ngā tamariki. Ko te mahi o nga whakataunga i te pai nui (he kokoti iti, whakaora nohopuku) - tikanga LeXeR whakaahuatia i runga. I tēnei wā, Heoi, e tango te whanaketanga te whakanui ake pokanga minimally urutomo.

tango Laparoscopic o hernias

Ko te tikanga hōu mō te tango i te whaturama pito, me te te whakatūnga o te rawatia ētehi mata, ki te tika tenei. I roto i tenei take, e kore e rapua e tetahi vahi nui, kua kawea whawhe katoa i roto i te poka o te taiepa puku te whakamahi i ngā taputapu motuhake.

Tenei tikanga he pai nui, hua Paku pai, he ora tere o te manawanui i muri i te pokanga.

Ko te wāhanga whakanohonoho

Tamaiti i muri i te pokanga ki te tango i te whaturama pito kia tino mau tohutohu katoa o te rata haere ki te karo i fifi mate hohokitanga ranei.

1. Dieting, rawa i roto i te wiki tuatahi. Faaore kai pakeke, me te taimaha. Ko te tino hiahia ki broths, he inu me te tiēre. Etahi taea te kai e i roto i te rua o nga wiki, ko tenei kia meatia āta.
2. mahi Tikanga. Tino ngā i roto i te mahi ā-tinana e taea e kore mua atu i te kotahi marama i muri i te pokanga.
3. Mau i te awhi postoperative i roto i te take mamae i te tamaiti i taumaha.
4. Mirimiri - e rua hoki nga kohungahunga (whakaahuatia ana i runga).

Hei whakarāpopoto

kia kore tatou e wareware i he whai hua te nuinga anake maimoatanga wā. I roto i te marama tuatahi e ono o te ora ki te mahi ki te whaturama pito e kore ko te tauira māmā atu i roto i te tau, ina tīmata te tamaiti ki te ngokingoki kaha, e kore ia e hiahia ki te takoto i runga i tona kopu, a whakakeke mirimiri.

I muri i te 5 tau o maimoatanga momo hei whai hua ana. A, no te whakaora koe he whaturama pito i tenei tau kia kia whakaaro e pā ana ki te mahi.