Hernias mumbwa

Kazhinji kazhinji, hernias inoitika mumbwa, hapana maitiro ekuita zvepabonde. Kune maitiro emhando: semuenzaniso, dachshunds kakawanda kupfuura dzimwe imbwa dzinotambura ne intervertebral hernias.

Zvikonzero zvekuonekwa

Mhando dzose dze hernia dzakakamurwa kuva congenital uye kuwanikwa. Muzvikonzero zvekugadzirwa kwe congenital hernias, zvinhu zvenhaka zvinogona kuita basa. Inowanikwa hernias, sekutonga, inokonzerwa nekukuvadzwa (diaphragmatic hernia), imwe mhando yekunyanyisa kudarika (inguinal hernias) kana kusimuka semugumisiro wezvimiro zvemusculoskeletal system uye mutoro pamusana (intervertebral hernias).

zviratidzo

Zviratidzo zvehernia zvinoenderana nenzvimbo yayo uye kuvapo kwematambudziko. Congenital hernias kazhinji asymptomatic, tinogona kungoona bundu risina kujairika mumhuka (somuenzaniso, ine umbilical hernia - munharaunda yembilical) kana kusaona chero kukanganisa zvachose (ine diaphragmatic hernia). Hernia yakadaro, se intervertebral imwe, inonzi orthopedic pathology uye inoratidzwa nekurwadziwa kwakanyanya pakufamba uye kushanda.

Mhando uye zvimiro zvenzvimbo ye hernias

Zvichienderana nenzvimbo, mhando dzinotevera dzehernias dzinozivikanwa:

• umbilical heniya;
• inguinal hernia;
• diaphragmatic hernia;
• intervertebral hernia.

Tevere, isu tichaongorora zvakadzama maficha eimwe neimwe yakanyorwa hernias.

Hernia padumbu (umbilical)

Mufananidzo weumbilical hernia (inowanikwawo mumapupi)

Umbilical hernia mumbwa ndiko kuvhura kwepathological mumadziro edumbu pedyo neguvhu, kuburikidza neiyo hernial sac inobuda (kazhinji ine omentum, asi dzimwe nguva matumbu). Sezvo mutemo, hernia pamimba mumbwa haigadziriswi uye inoda kurapwa kwekuvhiya. Mune zvimwe zviitiko, zvakadai sekuumbwa kuduku, vanachiremba vanokurudzira kutarisa hernia: kana puppy ine rombo rakanaka, ipapo hernia haizowedzere muhukuru nezera uye haigoni kuvhiyiwa.

inguinal hernia

The inguinal hernia mumbwa mamiriro ezvinhu apo nhengo dzedumbu dzinoputika kuburikidza nehupamhi inguinal canal kana inguinal ring. A hernia muimbwa mugodhi inogona kuumbwa kana semhedzisiro yecongenital pathology (yakanyanya kukura inguinal ring - iyi pathology inhaka!), Kana semhedzisiro yekukuvara kana kuwandisa / kupera simba kwemhasuru dzemadziro edumbu. (somuenzaniso, mumakumbo ane pamuviri).

Inguinal hernias yakakamurwa kuva:

• reducible;
• unguided;
• disadvantaged.

Reducible inguinal hernia is protrusion of the subcutaneous tumor in the inguinal region (kune rumwe rutivi kana symmetrical bilateral), inogona kuoneka nekunyangarika. Nekuumbwa kusingadzorwi, iyo protrusion haiendi chero kupi; muzviitiko zvakawanda, kuwedzera kwehukuru hwekuumbwa kune unhu. Iine hernia yakadzipwa, mhuka inovaraidza ichaona zviratidzo zvekurwadziwa, colic, uye inogona kusakwanisa kuenda kuchimbuzi.

Inguinal hernias ine ngozi nokuti, kunze kweiyo omentum, nhengo dzinokosha dzinogona kupinda mumucheka we hernial: chibereko, matumbo, dundira.

A strangulated hernia ine ngozi zvikuru kune hutano uye hupenyu hwechipfuwo: nhengo dzemuviri hadzingopindi mugero re inguinal chete, asi zvakare dzakakanganiswa, dzakadzvanywa nemadziro echisaga che hernial, dzakamonyoroka, semhedzisiro yekukanganiswa kweropa. uye tishu necrosis inogona kuitika, kureva, necrosis yenhengo. Zviratidzo zve strangulated inguinal hernia zvinosanganisira:

• kurutsa;
• kurwadziwa kwakanyanya;
• kuedza kakawanda kuita weti;
• kuvapo kweropa mumurini;
• kusava nenzara;
• nyika yakadzvinyirirwa.

Ichi chirwere chinoda kuvhiyiwa kwechimbichimbi.

perineal

Zvakakosha kusiyanisa inguinal hernia kubva kune perineal hernia. A hernia ye perineum iprolapse ye omentum, retroperitoneal tissue kana pelvic nhengo kuburikidza nekuremara mu pelvic diaphragm. Iyi pathology ine hunhu uye zera rekufungidzira: kazhinji inowanzoitika kune varume (mu95% yezviitiko), kazhinji yakakura kupfuura makore mashanu. Kune zvakare mhando dzakafanotemerwa - idzi mabhokisi, macollies uye Pekingese. Zvinosuruvarisa, chikonzero chechirwere ichi hachizivikanwi, saka, zvinhu zvenhaka mukukura kwechirwere zvinokurudzirwa. Zvinotendwa kuti kuberekwa kushaya simba kwemuscular system yepelvis, pamwe nezvirwere zveprostate gland, kusagadzikana kusingaperi uye zvirwere zve rectum, zvinogona kutungamirira kune perineal hernia.

Kuongororwa kunobva pane zviratidzo zvekliniki. Chiratidzo chikuru cheperineal hernia ibundu-rakafanana nekuumbwa kwechimiro chakapfava muperineum, inogona kunge iri unilateral kana symmetrical bilateral. Kujekesa kuongororwa, abdominal Ultrasound uye/kana abdominal x-ray ine musiyano inokurudzirwa.

Senge inguinal hernia, perineal hernia inorapwa chete nekuvhiyiwa.

Diaphragmatic

Diaphragmatic hernia ndiko kupinda kwenhengo dzemudumbu mugomba rechipfuva kuburikidza neburi repathological (congenital kana kuwanikwa) mudiaphragm.

Diaphragmatic hernia inowanzova dambudziko rekukuvara (kudonha kubva pakakwirira, tsaona dzemotokari, maronda anopinda mukati, blunt abdominal trauma), injodzi yehupenyu uye saka inoda kuongororwa nekukurumidza uye kurapwa. Panguva imwecheteyo, congenital diaphragmatic hernia, pane zvinopesana, inogona kunge isingakonzerese kunetseka kune inopfuyo uye kuve netsaona kuwanikwa panguva yakajeka x-ray kana ultrasound yedumbu remudumbu.

Zviratidzo zve diaphragmatic hernia zvinosanganisira:

• mweya wekufema;
• kufema nemuromo wakashama;
• abdominal rudzi rwekufema;
• apo neapo panogona kuita chikosoro.

Idzi nhengo dzinotevera dzinogona kupinda mugero re hernial kubva mudumbu remukati kuenda muchipfuva:

• chiropa;
• ura hudiki;
• dumbu;
• chirwatata;
• stuffing box;
• pancreas;
• kashoma - ura hukuru uye kunyange chibereko chine pamuviri.

Kuoma kwe diaphragmatic hernia mumbwa kunobatanidza zvose nekuoma mukushanda kwemoyo nemapapu (ivo vanomanikidzwa nezvinyorwa zve hernial), uye nekuoma mukushanda kwenhengo dzedumbu dzakawira muchipfuva, izvo zvinotungamirira mukusangana mukati mavo uye kunyange necrosis (kufa kwenyama).

Nzira huru dzekuongorora iyi pathology dzinosanganisira:

• Ultrasound yemudumbu wemudumbu;
• x-ray yechipfuva uye mudumbu mhango nekuiswa kweanosiyanisa vamiririri;
• mumatambudziko akaoma, CT inoshandiswa - computed tomography. 

Kupindirana

Intervertebral hernia mumbwa ndeimwe yezvirwere zvakajairika mumutsipa wepelinha, zvichiita kuti chipfuyo chisanyanya kunetseka. Mhuka dzakafanorongedzerwa ndeye dachshunds yezera repakati kana yakakura, pamwe nePekingese neShih Tzu. Kuita zvepabonde hakuonekwi.

Kuti uite diagnostic, shandisa:

• myelography;
• computed tomography (CT), MRI;
• CT myelography (kusanganiswa kwenzira mbiri dziri pamusoro).

Nehurombo, x-ray inzira isingafadzi yekuongorora, sezvo chirwere ichi chisingawanzo kuwanikwa pa x-ray yemuzongoza.

Kune intervertebral hernias yekutanga uye yechipiri mhando. Type XNUMX hernias yakawanda kwazvo uye inokonzeresa kudzvanywa kwepinal cord, zvichikonzera kukanganisa kwakanyanya kwetsinga kumbwa. Hernias yerudzi rwechipiri chirwere chisingawanzoitiki, chakaoma kuongorora chirwere uye chinogona kutungamirira kune zviratidzo zvekiriniki.

Kurapa kweizvi pathologies kungopindira kwekuvhiya.

Kurapa Hernia muImbwa

Sezvambotaurwa, kurapwa kwehernia kunoitwa chete kuburikidza nekupindira kwekuvhiya. Kuvhiya kusati kwaitwa, zvinosungirwa kuita ongororo yakakwana yemhuka (yakajairwa uye biochemical ropa bvunzo, ultrasound yemoyo uye abdominal mhango) zvese kuongorora chiyero chekuvhiya kupindira uye kuongorora njodzi yeanesthetic. Kuvhiya kunoitwa chero zera uye chete pasi peanesthesia.

Kubviswa kweHernia

Asati abvisa hernia, chiremba anongoongorora kuvhurika kwehernial, kana zvichibvira, anodzosera nhengo dzakadonha kugomba redumbu, kuve nechokwadi kuti dzakasimba. Kana pakanga paine kukanganisa kwenhengo uye chimwe chikamu chavo chakaitwa necrosis, nzvimbo iyi inofanira kubviswa. Mushure meizvozvo, iyo hernial kuvhura inoiswa sutured.

Nekurapwa kwenguva yakakodzera kukiriniki, kuvhiyiwa hakutore nguva yakawanda, kufungidzira kwekupora kwakanaka. Mune zviitiko zvepamusoro, kana kukanganisa uye kukanganisa kwenhengo dzakaputika zvatoitika, kufungidzira kunoenderana nekukurumidzira kuonana nachiremba, maitiro eiyo pathology uye maitiro ega embwa.

Kurapa hernia mumapupi

Izvo zvakasarudzika zvekurapa hernias mumapupi zvinosanganisira zera diki remurwere uye kugona kwekuvhiya. Kazhinji kacho, hernia padumbu inocherechedzwa muvana, uye zvichienderana nehukuru hwayo uye mhedzisiro ye ultrasound, chiremba anosarudza nezve kurudziro yekukurumidzira kana yakarongwa kupindira kwekuvhiya. Muzviitiko zvediki umbilical hernia mumwana uye pasina zvichemo zvehutano, kazhinji chiremba anokurudzira kumirira nekuvhiyiwa kweinenge mwedzi 6-8 - pazera rino, chipfuyo chinogona kutovhiyiwa uye zvinokwanisika. kubatanidza maitiro maviri. Kana iyo puppy ine inguinal hernia, pane zvinopesana, inokurudzirwa kuita oparesheni nekukurumidza mushure mekuwanikwa kwayo.

Chiratidzo chekuvhiyiwa kwechimbichimbi ndiko kugarisa hernia, zviratidzo zvekiriniki (kuvava, kusagadzikana kwembwanana, kudzipwa kwehernia) uye ukuru hwekuumbwa.

Matanho ekudzivirira

Kudzivirira hernia kunosanganisira:

• kusabvumirwa kupfuya mhuka dzine hernia, sezvo kune nhaka yemaitiro ekukura kwavo;
• kudzivirira kukuvara;
• zvinokurudzirwa kuti uongorore mhuka dzinovaraidza kune veterinarian kamwe chete pagore, kuita ultrasound yedumbu remukati kuti usabvisa kuvapo kwemukati memukati pathologies.

Chinyorwa hachisi kudana kuita!

Kuti uwane ruzivo rwakadzama rwedambudziko, tinokurudzira kubata nyanzvi.

Bvunza chiremba wemhuka

Gumiguru 5 2020

Yakagadziridzwa: Kukadzi 13, 2021