Indawo ye-Inguinal: i-anatomy, izifo ezinokwenzeka kwaye unyango lwabo. Inguinal hernia

Ummandla wengqungquthela ungomnye wemimandla enqamlekileyo yomntu wonke, okungekho ngaphantsi kweminye imimandla yomzimba, inokuthethelela kuzo zonke iintlobo zezifo. Esinye sezifo ezixhaphakileyo sisona saso. Ukuboniswa kwesi sifo kuninzi amadoda kunye namakhwenkwe amancinci, ngenxa yempawu ezithile ze-anatomical.

Anatomy. Ukwahlukana kwimeko yesigxina nendoda

Ukuqonda oko kuchazwa kwingingqi ye-inguinal, kuyimfuneko ukucacisa imida yayo. Ukususela kumbono we-anatomy, ummandla we-inguinal unobunxantathu kwaye uhlanjululwa ukusuka ngaphantsi nangaphandle ngaphandle kwe-ligu inguinal, ukusuka ngaphakathi ngecala langaphandle le-rectus abdominis muscle, kwaye ukusuka phezulu ngasentla umgca ophakathi kwendawo ephezulu ye-iliac spines.

Isakhiwo esibalulekileyo se-anatomical isinalinal canal. Itholakala kwingxenyana engezantsi ye-groin endaweni, kufuphi ne-inguinal ligament engentla. Ingqungquthela engumngcipheko yindawo ye-5-7 cm. Amadoda anentambo ye-spermatic kule ndawo, kwaye abafazi banomlenze ojikelezayo we-uterus. Ukuvulwa komngcipheko wengqungquthela ye- inguinal yindandatho engasinalumqobo, kwaye umphumo omnye uyindandatho enzulu.

Kufuneka kuqondwe ukuba indawo engumgudu wamadoda kunye nabasetyhini ihlelwe ngeendlela ezahlukeneyo. Ukongeza kokungafani kwisakhiwo somngcipheko we-inguinal, into ebalulekileyo yinkwele yeenwele. Kubasetyhini, lingaphantsi kwela madoda. Utshintsho lwezinwele ngokubhekiselele kwintlobo engatshintshiyo ingabonisa iintlobo zeengxaki ze-endocrine.

Musa ukulibala malunga neemeko ezibalulekileyo kwisakhiwo sezitho zesini kunye namabhinqa.

Kwindawo yokuhluma kwesinye isakhiwo esibalulekileyo - i-lymph nodes. Baye bavutha izifo ezahlukahlukeneyo, kwaye ungaziziva. Kule nto, kuyimfuneko ukususa i-fold inguinal kunye ne-perpendicular ukuya kwi-inguinal ligament yokuqalisa. Iimpawu ze-lymph elula ezikwindawo engumngcipheko zivame ukubhekwa njengesiqhelo.

Ukunyusa okuqhubekayo nokungenakubuhlungu kweellimdidi kungabonakalisa i-origns okanye i-neoplasms embi (umhlaza). Okwangoku, umhlaza wesifo unomdla kubantu abancinci ngakumbi, ngoku eli lixesha liphakathi kweminyaka eyi-15-45. Kula mabhinqa, enye yezona zinto ezibangela ukufa kukuba ngumhlaza wesibeleko. Umhlaza womlomo wesibeleko uvela emva kweminyaka engama-65 ubudala.

Izizathu zezifo kwi-groin

Ngokuqhelekileyo zonke izifo zethu ziqala ngentlungu. Ayikho indawo kunye neendawo zokulima. Indawo yembonakalo engathandekiyo ibonisa uhlobo oluthile lwezifo.

Ubuhlungu kwi-groin ngakwesokudla okanye ngasekhohlo kunokubonisa izifo ezininzi. Oku kungaba yimiphumo yokuvuvukala, njenge-adnexitis, i-proctitis, i- endometritis, i- appendicitis, i-parametritis. Zininzi zazo, i-lymph nodes inguinal inokukhuliswa.

Adnexitis

Isi sifo esichaphazelayo sesifo se-fallopian and ovaries, esiphumo sokungenwa kwintsholongwane ngegazi okanye ngegciwane lomzimba. Ngenxa yesi sifo, ukubola kwabesetyhini kunokuba ngumthombo wentlungu. Ngaloo mqondiso, isigulane siphakamisa izinga lokushisa, umjikelezo wokuya esikhathini uyaqhekeza, ngamanye amaxesha kuvela umkhuhlane omhlophe. Ngokuqhelekileyo, umfanekiso unokufana ne-appendicitis.

Appendicitis

Nge-appendicitis ephawulekayo kunye neproctitis, iklinikhi inokufana ne-adnexitis, nayo iphantsi kwindawo ekunene. Oku kuhambelana nesithuba esithile soluhlomelo okanye, kwimeko yeproctitis, iimpawu zomonakalo kwi-rectum. Nge-appendicitis, intlungu kwi-groin ngakwesokudla iyona nto impawu.

Parametritis

Oku kuvuvukala kwe-cellulose ejikeleza isisu. Njenge-adnexitis, isasazekayo. Esi sifo sisoloko sihambelana nokulimala okubuhlungu, emva koko usulele ukusuleleka kwintsholongwane. Ukulimala kulo mzekelo kunokukhipha isisu, ukuphulwa kwebhubhu ye-uterine, ukungenelela kwezonyango ezahlukeneyo. Ngokuxhomekeke kubukhulu kunye nobukhulu belihlunu, umfazi unesifo somkhuhlane, intloko, njl njl.

Izifo ezidluliselwa ngesondo

Ukuqhubeka nomxholo wezifo ezithathelwanayo, umntu akanakunceda ukukhumbula izifo ezithathelwana ngesondo. Ngethuba lethu, i-gonorrhea, i-syphilis, i-chlamydia, i-ureoplasmosis kunye nabanye abaninzi abazange baphelelwe ukufaneleka kwayo. Ezi zifo zingabonakalisa njengemfiva, ukubetheka, ubomvu kwi-groin ibonakale, kunye nezinye iimpawu kuxhomekeke kwi-pathogen.

Ezinye izizathu

Kodwa akusizo zonke izifo ezonakalisa ulusu kunye nezitho ze-groin zisasazeka ngesondo. Ezinye zingeniswa emva kokuvavanyelwa kwegazi, apho imigaqo yococeko ayengalandelwa, okanye ukusuleleka kungenziwa ngumnxeba wekhaya. Umzekelo wosulelo olo luhlu lwe-epidermophyte - izifo apho isikhumba sichaphazelwa yi-fungus. Usulelo oluqhelekileyo lwenzeka xa usebenzisa itilu eqhelekileyo, kwiibhagi, imvula, ngeelinen yelinen.

Iibangela zokubomvu kwi-groin

Ubomvu kwi-groin akusoloko kusisigxina sezifo ezithathelwanayo. Izimbangela zingabangela ukuphazamiseka okubangelwa ngumgubo okhethiweyo okanye ezinye izitya. Enye yezona zizathu eziqhelekileyo ziyakucasula emva kokuphazamiseka kwindawo yokushicilela. Ukuze ugweme ubomvu kunye nama-vesicle, kuyimfuneko ukulungiselela kakuhle inkqubo, sebenzisa i-agent ekhuthaza ukukhupha.

Kwamadoda, indawo engamanzi ingabomvu ngenxa yokugqoka iimpahla zangaphantsi ezingenakunqwenelekayo, ezenziwa rhoqo ngezinto ezinokungahambi kakuhle. Ngokuqhelekileyo le ngxaki ibakhathaza abantu ehlobo, kushushu. Ubomvu buya kuba: ukusuka kwincinci, engekho i-erythem ephazamisayo, enokugqithisa kakhulu, ngokugqithisa okukhulu kunye neengqungquthela. Le ngxaki ihamba kunye nevumba elimnandi kwaye liyicasula kakhulu.

Abasetyhini banokuxhatshazwa yizinto eziphazamisayo ezifana namadoda, kodwa ngokuthe ngancinane. Ngokuqhelekileyo i-groin yabasetyhini iyakubetha ngenxa ye-neurodermatitis. Isizathu salesi sifo sinengxaki kwinkqubo yesantya ephakathi. Kwakhona, ukuphepha ubomvu, abafazi kufuneka bahlale becocekile kakhulu. UkuBomvu kungabangela i-psoriasis. Uphononongo lubonisa ukuphakanyiswa okuphezulu kwi-psoriasis kumabhinqa angama-blonde.

Ubomvu kwindawo yokuhluma - ingxaki efanayo phakathi kwabantwana, ngokukodwa kwiminyaka yokufikelela unyaka. Izizathu eziphambili - utshintsho olungathandabuzekiyo lwabafana, i-diapers, ukugqitywa okuqinileyo komntwana, okubangela ukugqithisa, kunye nezambatho ezingenakunqwenelekayo ezingahambelani nobukhulu bomntwana. Musa ukulibala malunga neempembelelo ezinokuthi zingabangelwa zizicubu, isepha engafanelekanga, ukutya okuncedisayo, nokuba nobisi lwebele.

Hernia. Yintoni na kuphi?

Ingxaki eqhelekileyo yindoda. Iyini i -hernia inguinal? Oku kukukhutshwa kwamalungu kwisigxina se-canalinal canal. Esi sifo sithandwa ngabantu, ngenxa yeengxowa ezixhamlayo zengxowankulu kwiphondo le-inguinal ring, kunye nangenxa yeendandatho ezingenangqondo ezingaphezulu, ngokuphindwe kabini kunabesifazane.

I-Hernias inokufumaneka kunye nokuzalwa komntwana. Uphi uhlobo lwengqungquthela yakhe yohlobo lokuzalwa? Kuqhelekile ukuba amakhwenkwe angaphambi kwexesha eliqhelekileyo, elidla ngokudibanisa ne-ovulation engafanelekanga. Kusemfuneko ukuhlula phakathi kwe-oblique kunye ne-hernias ngqo. Ukugqithisa ukugqithisa kwindandatho engaphakathi kunye nokuhamba kunye nomsele ongasisigxina, kungenxa yoko kuthethwa ngelo gama. I-hernia eqhelekileyo ibunjwa ngendandatho engaphandle, ehambelana nobuthathaka bodonga lwesisu. Ama-hernias angama-congenital angaba yi-oblique, eqondekileyo okanye i-groin-scrotal, kwaye ifunyenwe, ngokubanzi, imigca eqondekileyo.

Esi sifo sinokubangela intlungu kwi-groin ekhohlo, esitshisa ngakwesobunxele okanye ekunene kwindawo ye-groin, kwaye xa uthintwa yindawo ebuhlungu umntu unokuziva ekhunjulwe okanye "ukuphuza". Ubungakanani bobuninzi bungabakho bobukhulu obuhlukeneyo: ukusuka kwiqanda le-quail ukuya kwelinye elimangalisayo, elixhomekeke kubuthathaka beendonga kunye nokunyanzelwa kwenkqubo.

Ukutshatyalaliswa kwamanqanaba okuqala kunokuphela kwexesha, kwaye kubonakale kuphela ngokusebenza ngokomzimba okanye emva kwabo. Isikhwama se-hernial sinokubonakala kwaye sinyamalale ngokuxhomekeke kwisithuba somzimba. Ukuba ukrokrela i-hernia engumngcipheko, kukho intlungu ebukhosini obukhohlo, kwaye kufuneka uhlale unxibelelana nodokotela ukuze ugweme iingxaki. Ukususela kwimiphumo, i-stool feces iyakwazi ukuchongwa, nto leyo ingakhokelela ekuthintekeni kwamathumbu emathunjini, ukuvuvukala kwetekisi, ukuvuvukala kwe-hernia ngokwayo. Kodwa inkcenkcesha eyona yingozi kakhulu kukuphambuka kwe-hernia, ekuye kwezinye iimeko kukhokelela ekufeni kwesigulane.

Xa kubonakala impawu engentla apha, i-alamu zilandelayo zingazibandakanya nazo:

• Ubukho beemfesi kwi-stool;
• Ukuhlanza amaninzi kwimvelaphi ephakathi (emva kokuhlanza akukho ncedo luya);
• Ukunyuka okukhawulezayo kwintlungu.

Oku kubonisa ukuphulwa kwe-hernia. Ukuba indawo engumngcipheko inika iimpawu ezinjalo, kufuneka ukhumbule oku kulandelayo: ungazami ukulungisa iziqulatho ze-hernial, kufuneka ubize i-ambulensi ukuze ufikelele esibhedlele.

Ukuxilongwa kwe-hernias

Isiseko sokuxilongwa - ukuhlolwa. Kwezinye iimeko kukho imfuneko yokuqhuba i-ultrasound ye-hernia okuyiyo okanye i-herniography - ukuhlolwa kwe-X-ray ye-hernia. Kwindoda, kucetyiswa ukuba kwenziwe ukuxilongwa ngokuhlukileyo kwi- hernia ye-femine (i-hernia iya kuba ngaphantsi kwe-liginal inguinal) kunye ne-varicocele (i-dropsy testis).

Unyango lwe-hernia

Impumelelo yonyango kunye nomngcipheko weengxaki ngokuthe ngqo kuxhomekeke kwisigulane - kungekudala uye esibhedlela, kungcono kuye. Ingxaki kukuba abantu abaninzi abaxhalabele ngesifo, ngenxa yokubunjwa kwamanani amancinci kwaye kubonakala ngezikhathi ezithile, abantu abangayithobeliyo.

Unyango luhlala lukhawuleza. Kuqhutyelwa umsebenzi wokususa i-hernia inguinal kumadoda nakwabasetyhini phantsi kwegama le-hernioplasty, naye uyimifanekiso yakhe. Ngethuba lokusebenza, oogqirha bachitha i-hernia kwaye bavavanya izitho ezilapho. Ukuba zilungile, zibuyiselwa kwindawo yazo, kwaye zomeleza udonga lwesisu. Ukuba izitho zonakaliswe, ziyakuthi zisuswe. Ngethuba lokusebenza, ugqirha unyanzelekile ukuba uhlolisise i-contents ye-hernial ngolu hlobo lulandelayo:

• Umbala;
• Ubungqina be-pulsation;
• Ukuhamba kwePeristaltic.

Ngoku ku-hernioplasty ngokuqhelekileyo isebenzisa iminatha ekhethekileyo, okukuvumela ukuba unciphise ingozi yeengxaki kunye nokukhusela i-hernias ephindaphindiweyo. Kwezinye iimeko, utyando lokususa i-hernia inguinal kumadoda okanye kwabasetyhini kuqhutyelwa ngaphandle "kwezinto eziziwayo" - ngokuqhuba ukusebenza kwe-laparoscopic. Kwiveki yokuqala emva kwayo, kufuneka ubaleke ukusebenzisa iimveliso zerhasi, kwaye kwiinyanga ezi-3-4 ezilandelayo, thintela ukunyamekela komzimba.