Inguinal nzvimbo: kutomy, zvirwere zvinogoneka uye kurapa kwavo. Inguinal hernia

Nharaunda inonyanya kushandiswa ndeimwe yenharaunda dzepedyo dzevanhu vose, izvo, zvisingasviki kune dzimwe nzvimbo dzomuviri, zvinokanganisa zvirwere zvemarudzi ose. Chimwe chezvirwere zvakanyanya kufanana nenyuchi yaro. Kuratidzirwa kune chirwere ichi kazhinji varume nevakomana vaduku, zvichifunga nezvezvimwe zvinhu zvinowanzoitika.

Anatomy. Kusiyanana mune chimiro chevarume nevakadzi

Kuti unzwisise zvinorehwa nenharaunda yakagadziriswa, zvinokosha kuti uone miganhu yayo. Kubvira pakuona kwemaatomy, nzvimbo inogadzirisa ine chimiro chekatatu uye inotemwa kubva pasi nekunze nechokugadzirisa gumbo, kubva mukati nechokumucheto kwekunze kwe rectus abdominis muscle, uye kubva kumusoro nemutsara wakakonzerwa pakati peanterior superior iliac spines.

Chinhu chakakosha chemaatomical isungalinal canal. Inowanikwa munzvimbo yezasi yenzvimbo yekumera, pedo nemashoko ekutanga anonzi inguinal ligament. Nzira inoshandiswa mumugwagwa inzvimbo ye 5-7 cm.Varume vane tambo yepermatic munzvimbo ino, uye vakadzi vane denderedzwa yakazara yechibereko. Kuzarura kwemuganda wekugadzirira kunongedza ingiroin inenge isingasviki , uye iyo yakagadzirwa imwe inenge yakanyanyisa ring ring.

Inofanira kunzwisiswa kuti nzvimbo inowanikwa muvarume nevakadzi inorongwa nenzira dzakasiyana. Mukuwedzera kwekusiyana kwechimiro chekugadzira mvura, chinhu chinonyanya kukosha ndekwevhu. Madzimai, zvishoma kudarika zvevanhu. Kushandurwa kwebvudzi kufanana nemutauro uncharacteristic kunogona kuratidza zvakasiyana siyana zvinokonzera endocrine.

Usakanganwa pamusoro pezvakasiyana zvakasiyana muhutano hwezvikamu zvepabonde zvevarume nevakadzi.

Munzvimbo yekumera kune imwe nheyo inokosha - lymph nodes. Vanosvibiswa nezvirwere zvakasiyana-siyana, uye iwe unogona kuzviona iwe pachako. Nokuda kweizvi, zvakakosha kubvisa purogiramu yakakosha uye inopindirana kune inguinal ligament kuti utange kupera. Nhengo dzemuviri dzakanyanya kupararira munharaunda inowinini inowanzoonekwa inowanzo.

Kupfuurira uye kusuruvara kwekuwedzera kwe-lymph nodes kunogona kuratidza kuchena kana kuipa kwemapupa (kanzira). Parizvino, kenza yechechi inowirirana nevechidiki, zvino iye zvino iri mukati pemakore 15-45. Madzimai, chimwe chezvinhu zvinowanzokonzera rufu rufu rwekenza yevana. Chirwere chemukombomu chinoitika pazera remakore - shure kwemakore 65.

Zvinokonzera zvirwere mumugwagwa

Kazhinji zvirwere zvedu zvose zvinotanga nemarwadzo. Kwete chimwe chinhu uye nzvimbo inogomera. Nzvimbo yechitarisiko chekushushikana kusingafadzi kunoratidza humwe hutachiona.

Pain in groin kurudyi kana kuruboshwe ingaratidza zvirwere zvakawanda. Izvi zvinogona kuva mugumisiro wezvokuvhiringidza zvirongwa, zvakadai seadnexitis, proctitis, endometritis, yakaoma appendicitis, parametritis. Nezhinji vavo, inguinal lymph nodes inogona kuwedzerwa.

Adnexitis

Ichi chirwere chinoputira-chinopararira chet falpipian tubes uye mazai, iyo inoguma nekupinda kwehutachiwana kuburikidza neropa kana kuburikidza nerutivi rwenyama. Somugumisiro wechirwere, kugomera kwevakadzi kunogona kuva chinhu chinorwadza. Pamwe nechiratidzo ichi, murwere anokonzera kutonhora, kuenda kumwedzi kunopera, dzimwe nguva kuchena purulent kubuda kunooneka. Pakati pese, mufananidzo unogona kunge wakafanana nehuwandu hwekuwedzera.

Acute appendicitis

Nechirwere appendicitis uye proctitis, kliniki inogona kufanana neadnexitis, inowanikwawo munzvimbo yakarurama. Izvi zvinosanganiswa nemamiriro chaiwo ezvinyorwa kana, mune zvakaitika zveproctitis, zvinokonzera kukanganisa kwe rectum. Pamusoro pekuwedzera, marwadzo ari mumugwagwa uri kurudyi ndiwo unhu hwakawanda.

Parametritis

Iyi ndiyo purulent kuvimba kwe cellulose inopoteredza chibereko. Sezvakaita adnexitis, inopararira. Chirwere ichi chinowanzobatanidzwa nekukuvadzwa kunorwadza, mushure mokunge utachiona nehutachiona hunopinda huripo hunoitika. Kukuvadza munyaya ino kunogona kubvisa pamuviri, kuparara kwehutachiinhu, zvirongwa zvakasiyana-siyana zvezvehutano. Zvichienderana nehurefu uye hutsinye hwechirwere, mukadzi ane fever, musoro wemusoro, nezvimwewo.

Zvirwere zvinotapurirwa zvepabonde

Kuenderera mberi musoro wezvirwere zvinotapukira, mumwe haagoni kubatsira kubatsira kuyeuka zvirwere zvepabonde. Munguva yedu, gonorrhea, syphilis, chlamydia, ureoplasmosis nevamwe vazhinji havana kurasikirwa nehutano hwavo. Zvirwere izvi zvinogona kuratidza sefivha, kuchenesa, kubwinya mumugwagwa kunogona kuonekwa, pamwe nezvimwe zviratidzo zvichienderana nehutachiona.

Zvimwe zvikonzero

Asi kwete dzose zvirwere zvinokuvadza ganda uye nhengo dzomupuranga dzinoparadzirwa zvepabonde. Zvimwe zvinogona kupinda mushure mekuongorora kwechikadzi, umo mitemo yehutsanana isina kuteverwa, kana kuti hutachiona hunogona kuitika nehukama hwemhuri. Muenzaniso wehutachiona hwakadai ndeyekusiyana-siyana kwepidermophyte - zvirwere umo ganda rinokanganiswa nefungus. Utachiona hunowanzoitika kana uchishandisa chirabwe chairo, mumabhedha, mvura inonaya, kuburikidza nemucheka werineni.

Zvinokonzera kubwinya mumupura

Runyoro mukugomera haisi nguva dzose chiratidzo chezvirwere zvinotapukira. Zvinokonzera zvingave zvinokonzerwa neanorigs zvinokonzerwa nehuipi husina kusarudzwa kana zvimwe zvinokonzera. Chimwe chezvinhu zvinonyanya kukonzera kuvhiringidzika shure kwekushandiswa kwepasita munzvimbo ye pubic. Kuti urege kudzivirira uye vesicles, zvinokosha kuti ugadzirire zvakakodzera nzira yacho, shandisa zvinonyorera mavara paganda.

Mune varume, nzvimbo inogadzirisa inogona kuve yakatsvuka nemhaka yekupfekedza zvigadzirwa zvepurasitiki zvisina kunetseka, zvinowanzoitwa nezvinhu zvisina kunaka. Kazhinji kacho dambudziko iri rinovhiringidza vanhu muzhizha, munguva yechando. Rusununguko runogona kuva: kubva pane zviduku, zvisingaiti kuti ivhiri rive rinotyisa, rinopisa zvakanyanya uye vesicles. Ichi chinoshamisa chinoperekedzwa nekunhuhwirira kwakashata uye kunogumbura zvikuru.

Vakadzi vanogonawo kuvhiringidzika nematambudziko asina kufanana sevarume, asi nekushoma. Kazhinji kuwanda kwevakadzi kunogona kuputika nekuda kweeurodermatitis. Chikonzero chechirwere ichi chiri matambudziko ne-central central nervous system. Uyewo, kuti urege kudzivirira, vakadzi vanofanira kunyatsoona zvakakwana kuchena. Runyoro runogonawo kukonzerwa ne psoriasis. Zvidzidzo zvinoratidza chirevo chakakwirira kune psoriasis mumadzimai evakadzi.

Rusununguko mukugomera - dambudziko rinowanzovapo pakati pevana, kunyanya panguva yegore. Zvikonzero zvakakosha - kushanduka kusina nguva kwevana, mapepa, kusungirirwa kwakasimba kwomwana, kunokonzera kupisa, uye zvipfeko zvisina kunetsa zvisingafanani nekukura kwomwana. Usakanganwa nezvehutano hwehutachiona hunogona kukonzerwa nenyama, sipo isina kunaka, zvokudya zvakakwana, kunyange mukaka wemvere.

Hernia. Chii uye kupi kubva?

Dambudziko rinowanzovhiringidzika ndeyese. Chii chinonzi hernia inguinal? Iko kushandiswa kwezvikamu mukati memupata wegwenga. Ichi chirwere chinowanzosvibiswa nevarume, nekuda kwekunyanya kushandiswa kwechigunun'una munharaunda yechindori chinogadziriswa, uyewo nekuda kwerin'i rakawanda risina kunyorwa, rinenge kaviri kupfuura vakadzi.

Hernias inogona kuwanikwa uye kuberekwa. Chii chinonzi hernia yakakosha yemhando ye congenital? Izvo zvinowanzoitirwa vakomana vasati vasvika, izvo zvinowanzobatanidzwa nehutachiona husina nguva. Icho chichiri kudikanwa kusiyanisa pakati pekublique uye kurongedza hernias. Kupisa kunopinda mukati memhete yomukati uye kunofambisa mugwagwa unopinza, ndicho chikonzero chakave nezita iroro. Mutsara wakananga wakagadzirwa unowanikwa kuburikidza nemhete yakabuda kunze, iyo inobatanidzwa nekushaya simba kwemuviri mudumbu. Congenital hernias inogona kunge yakanyatsokwana, yakarurama kana inguino-scrotal, uye yakawana, chaizvoizvo, mitsara yakarurama.

Chirwere chacho chinogona kupa marwadzo mukunze kwemanheru, kupisa kuruboshwe kana kurudyi munzvimbo yeguruva, uye kana ukashungurudzwa nenzvimbo inorwadza munhu anogona kunzwa kunzwa kana "bump". Ukuru hwekudzivirira kunogona kuva kwehukuru hwakasiyana-siyana: kubva kumazai emhou kusvika kune chinoshamisa, chinoenderana nekushaya simba kwemasvingo nekuregererwa kwekuita.

Iko kushandiswa chaiyo mumatanho ekutanga kunogona kuparara nguva nenguva, uye kuonekwa chete nekuedza muviri kana shure kwavo. Bhuku rinopisa rinogona kuoneka uye rinopera zvichienderana nechinzvimbo chemuviri. Kana iwe unenge uchifungidzira hutano hwake huripo, kune marwadzo mukumera kwemanheru, uye iwe unofanira kugara uchingorangana nechiremba kuti urege kunetseka. Kubva pamigumisiro, zvigaro zvinogona kuonekwa, izvo zvinogona kutungamirira kumimba kudzivirira, kuvhiringidza kweteteti, kuvhiringidzika kwechikadzi pachako. Asi kukanganisa kwakaipisisa ndiko kukanganisa kwehupfumi, izvo mune zvimwe zviitiko zvinotungamirira kurufu rwemurwere.

Kana zviratidzo zviri pamusoro apa zvichioneka, malarms anotevera anogona kubatana navo:

• Kuvapo kwezvimedu muhombodo;
• Kugutsikana kwakasiyana-siyana kwepakati inotangira (mushure mekurutsa hapana zororo rinouya);
• Kukurira kuwedzera mukuora.

Izvi zvinoratidza kukanganisa kwemahara. Kana nzvimbo yakagadziriswa inopa zviratidzo zvakadaro, zvino unofanira kuyeuka zvinotevera: usaedza kugadzirisa zviri mukati maro, unoda kudana ambulensi yekuenda kuchipatara nokukurumidza.

Kuongororwa kwemakwenzi ake

Chikonzero chekuongorora - kuongorora. Mune zvimwe zviitiko zvakakosha kuitisa ultrasound ye hernia zviri mukati kana kuti herniography - X-ray kuongorora kwechimiro. Mune varume, zvinonzwisisika kuita kusiyanisa kuongorora pamwe nevakadzikadzi (hernia ichava pasi pe inguinal ligament) uye varicocele (dropsy testis).

Kuchengetedzwa kwechikafu

Kubudirira kwemishonga uye njodzi yezvinetso zvakananga zvichienderana nemurwere - nokukurumidza kuenda kuchipatara, zviri nani kwaari. Dambudziko nderokuti vanhu vazhinji havafungi nezvechirwere ichi, nokuti kuumbwa kwemadiki mashoma uye kunoonekwa panguva nenguva, izvo vanhu vasingateereri.

Mishonga nguva dzose inokurumidza. Kuvhiya kunoitwa kuti ibvise hutano hwaro huri pakati pevarume nevakadzi pasi pezita rechinonzi hernioplasty, iyewo anime. Munguva yekuvhiya, vanachiremba vanovhiya vanoridza hutano uye vanoongorora nhengo dziripo. Kana ivo vakarurama, vanodzorerwa kunzvimbo yavo, uye vosimbisa musikana wepamuviri. Kana nhengo dzakatadza, ischemic, dzinofanira kubviswa. Panguva yekuvhiya, chiremba anovhiya anosungirirwa kuongorora zvinenge zviri mukati maro nezviratidzo zvinotevera:

• Muvara;
• Kuvapo kwekutsvaga;
• Peristaltic movements.

Iye zvino mumakumbo ake anowanzoshandisa mhando yakasungirirwa, iyo inokubvumira kuderedza njodzi yezvinetso uye kudzivirira kudzokorora hernias. Mune zvimwe zviitiko, kuvhiyiwa kubvisa mishonga yakagadzirwa nevarume kana vakadzi kunoitwa kunze kwechinhu chinonzi "incisions" -kuita basa reparparcopic. Vhiki yokutanga mushure maro, iwe unofanirwa kurega kushandisa gesi-inogadzira michina, uye mumwedzi inotevera 3-4, usanyanya kuedza muviri.