Yog tias koj muaj hnoos qeev, ib qho ntawm thawj cov tsos mob koj tuaj yeem pom yog qhov nce hauv koj lub plab lossis puab tais. Cov taub hau no tuaj yeem tsim los ntawm kev thawb cov hnyuv lossis nws cov ntsiab lus los ntawm cov leeg hauv plab. Inguinal hernias feem ntau yooj yim los tshuaj xyuas los ntawm kws kho mob thiab txoj kev kho tseem ceeb yog phais. Txawm hais tias hernias tsis muaj kev phom sij rau lub neej, teeb meem tuaj yeem tshwm sim yog tias tus kab mob tsis kho. Hauv qee qhov xwm txheej, cov ntshav xa mus rau ib feem ntawm txoj hnyuv tuaj yeem raug txiav tawm vim yog hnoos qeev. Qhov no ua rau cov hlab ntshav txhaws, mob hnyav uas yuav tsum tau phais mob sai sai txhawm rau tiv thaiv kev poob siab thiab txawm tias tuag. Kawm kom paub txog cov tsos mob ntawm tus txha nqaj qaum kom koj tuaj yeem tau txais kev kuaj mob thiab kho mob sai li sai tau txhawm rau tiv thaiv teeb meem.
Kauj ruam
Ntu 1 ntawm 3: Nrhiav Cov tsos mob Inguinal Hernia
Kauj Ruam 1. Saib cov tsos mob hernia nrog kev pab ntawm daim iav
Tshem tag nrho cov khaub ncaws hauv qab duav thiab saib hauv daim iav. Muab ob tug ntiv tes tso rau ntawm thaj chaw uas zoo li muaj quav quav. Yuam koj tus kheej kom hnoos thiab ceeb toom yog tias muaj cov qog tshwm sim hauv thaj chaw. Koj tuaj yeem tuav koj cov pa thiab lim (cog koj lub plab zoo li koj tab tom tuav lub plab tawm). Siv koj cov ntiv tes los xav txog qhov ua paug. Koj kuj yuav tsum nrhiav:
- Poob hauv qhov chaw puab tais. Yog tias yog, nws zoo li koj muaj tus mob hernia ncaj qha lossis tsis ncaj.
- O hauv plab qis uas nthuav tawm qis lossis txawm tias nkag mus rau hauv lub zais zis.
- Ib lub taub hau nyob hauv tus ncej puab hauv qab lub puab tsaig. Yog tias muaj, nws zoo li koj muaj tus mob hernia.
- Ib lub noob qes loj dua lwm qhov lossis o. Yog tias muaj, nws zoo li koj muaj tus mob hernia tsis ncaj.
- Kub hnyiab, ua rau mob, lossis mob hnyav. Qhov no qhia tau tias yog hernia vim tias koj cov hnyuv tau nyam thiab nyem, ua rau mob. Hu rau cov kev pabcuam thaum muaj xwm txheej tam sim yog tias koj tau ntsib tus mob no.
- Oval-puab o uas tsis nyob hauv thaj tsam scrotal. Qhov xwm txheej no qhia tau tias koj muaj tus mob hnoos qeev ncaj qha es tsis yog hnoos qeev.
Kauj Ruam 2. Txheeb xyuas tias cov quav tuaj yeem raug thawb rov qab
Xav tias yog hernia tuaj yeem txo qis, lossis thawb rov qab rau hauv qhov chaw. Sawv ntawm koj nraub qaum kom lub ntiajteb txawj nqus tuaj yeem yooj yim nruj ntawm tus txha nqaj qaum rov qab rau hauv qhov chaw. Maj mam nias lub taub hau nrog koj tus ntiv tes taw thiab thawb nws. Tsis txhob siv lub siab ntau dhau los tiv thaiv kom cov pob txha tawg los yog qhib. Yog tias koj tsis tuaj yeem txo qhov hnoos qeev, mus ntsib kws kho mob tam sim.
- Qhia rau koj tus kws kho mob yog tias koj muaj lossis hnov zoo li koj yuav ntuav, thiab lub plab tsis tuaj yeem thawb rov qab rau hauv qhov chaw. Qhov mob no tuaj yeem qhia qhov teeb meem hu ua strangulation.
- Koj yuav tsum mus ntsib kws kho mob tam sim yog tias koj mob plab lossis kub cev.
- Kev lim ntshav ntawm cov hnyuv thiab cov hlab ntshav uas muab rau lawv yuav tiv thaiv cov hnyuv kom tsis txhob muaj cov as -ham txaus. Yog li, cov nqaij hauv plab yuav tuag thiab tsis ua haujlwm. Koj yuav tsum tau phais kom tshem cov nqaij tuag kom cov hnyuv tuaj yeem hla cov zaub mov zom zaub mov dua.
Kauj Ruam 3. Mus kuaj lub cev
Tsis muaj teeb meem dab tsi ntawm tus hnoos qeev koj muaj, koj yuav tsum tau mus kuaj mob. Thaum nyob hauv chav kws kho mob kuaj mob, koj yuav raug nug kom tshem tag nrho cov khaub ncaws hauv qab lub duav. Tus kws kho mob yuav tshuaj xyuas koj lub plab thiab qhov chaw mos rau ib qho tsis sib xws thiab ua rau pom. Koj yuav raug hais kom ua lim hiam, piv txwv li hnoos, lossis cog koj lub plab thaum koj ua pa. Tus kws kho mob tseem yuav tshuaj xyuas seb puas tuaj yeem txo qis hernia los ntawm kev palpating thaj tsam nrog tus ntiv tes ntsuas.
Tus kws kho mob tuaj yeem sim hnov lub suab ntawm qhov tawm nrog lub tshuab raj. Yog tias tsis muaj lub suab, qhov no qhia tau tias cov nqaij tuag hauv plab lossis txhaws
Kauj Ruam 4. Kawm paub hom hnoos qeev
Muaj ntau hom hernias uas cuam tshuam rau lub plab lossis puab tais. Koj muaj ib yam ntawm cov hnoos qeev hauv qab no yog tias koj zoo li muaj cov hnoos qeev hauv plab lossis hauv puab tais:
- Indirect inguinal hernia: Hom hnoos qeev no yog yug los (yug me nyuam) uas ua rau cov hnyuv thiab/lossis cov kab mob hauv plab nkag mus rau thaj chaw uas tus txiv neej cov noob qes nqis los ua ntej yug. Feem ntau, thaj chaw no tsis kaw ua ntej yug nws thiaj ua rau tsis muaj zog.
- Ncauj ncaj qha hnoos qeev: Hom hnoos qeev no feem ntau tshwm sim los ntawm kev raug mob rau thaj tsam ntawm tus kab mob, piv txwv li los ntawm kev nyuaj siab ntau dua los ntawm kev nqa khoom hnyav, hnoos ntau zaus, tso zis nyuaj, lossis cev xeeb tub. Txoj hnyuv, hauv ob sab phlu, lossis cov rog hauv plab nkag mus rau cov leeg tsis muaj zog nyob ze ntawm lub puab tsaig thiab thaj chaw pubic, tab sis tsis dhau los ntawm lub zais zis lossis cov noob qes. Tus kab mob no feem ntau tshwm sim rau txiv neej hnub nyoog tshaj 40 xyoos, txawm hais tias poj niam kuj tuaj yeem ntsib nws.
- Femoral hernia: Hom hnoos qeev no feem ntau tshwm sim los ntawm cev xeeb tub lossis yug menyuam, tab sis nws kuj tuaj yeem tshwm sim rau txiv neej. Cov hnyuv hauv plab dhau los ntawm lub puab tais qis, qhov uas cov hlab ntsha muab cov ncej puab thiab ob txhais ceg hla. Cov teeb meem tshwm sim feem ntau nrog tus mob hernias femoral, yog li koj yuav tsum qhia koj tus kws kho mob paub yog tias koj cov tsos mob hloov pauv.
Ntu 2 ntawm 3: Kho thiab Rov Qab Los ntawm Tus Kab Mob Inguinal
Kauj Ruam 1. Tham nrog koj cov kev xaiv nrog koj tus kws kho mob
Kev phais yog qhov feem ntau thiab pom zoo kev kho mob rau kho hernia. Txawm li cas los xij, yog tias koj tsis muaj tsos mob thiab tus quav tuaj yeem raug thawb rov qab (txo), nws zoo tshaj yog tos. Xijpeem qhov kev txiav txim siab, koj yuav tsum mus ntsib kws kho mob kom paub txog kev tshaj lij. Yog tias koj xav kom phais, tab sis tus kws kho mob pom zoo ua lwm yam, koj muaj txoj cai thov rau kev phais vim yog qhov pom. Yog koj txiav txim siab yuav phais, teem sijhawm ntsib kws phais.
Yog tias koj tab tom npaj yuav phais, ua ntej tau txais cov txiaj ntsig ntawm kev sim hauv qab no: cov txiaj ntsig kev sim rau koj cov ntshav muaj txiaj ntsig (PT, PTT, INR, thiab CBC), electrolytes xws li sodium, potassium, thiab qib piam thaj, thiab ECG txhawm rau kuaj pom muaj lub plawv tsis xws luag. Teem sijhawm teem sijhawm nrog koj tus kws kho mob thawj zaug kom tau txais qee qhov kev kuaj thiab xa cov txiaj ntsig mus rau koj tus kws phais
Kauj Ruam 2. Kev phais laparoscopic
Ua ntej yuav phais laparoscopic, koj yuav tau muab tshuaj pleev ib ce hauv qhov ncauj los txo qhov mob thiab tsis xis nyob. Kev ua haujlwm yog ua los ntawm kev ua kom lub plab ua pa nrog cua kom cov ntaub so ntswg tau nthuav tawm ntau dua thiab ua haujlwm tau yooj yim dua. Tom qab ntawd, tus kws kho mob yuav siv qhov kev soj ntsuam phais mob raws li lub koob yees duab los qhia lwm qhov kev soj ntsuam uas tuaj yeem txiav, tshem tawm, thiab sutured. Kev sojntsuam yuav thawb lub plab hernia rov mus rau qhov chaw. Qhov kev sojntsuam tseem yuav muab cov ntaub qhwv kom ntxiv dag zog rau phab ntsa hauv plab thiab tiv thaiv kom tsis txhob muaj menyuam hauv plab rov qab los. Qhov phais me me los ntawm qhov kev sojntsuam yuav kawg yog sutured.
- Kev phais Laparoscopic tsis muaj kev cuam tshuam ntau. Qhov kev phais no tseem yuav ua rau me me caws pliav, ntshav me ntsis, thiab mob me me tom qab phais.
- Yog hais tias tus txha nqaj qaum yog ob sab, rov qab los, lossis poj niam, nws raug nquahu kom mus phais laparoscopic hloov chaw tsis yog qhib txheej txheem.
Kauj Ruam 3. Khiav txoj haujlwm qhib
Yog tias koj txiav txim siab qhib phais, tus kws phais yuav ua qhov txhab raws tus puab tais kom qhib thaj tsam. Tom qab ntawd, tus kws kho mob yuav ua rau tus kheej thawb lub plab cov khoom rov qab rau hauv qhov chaw thiab saib rau lub tiaj tiaj (fart) channel. Tom qab ntawd, tus kws kho mob yuav siv daim ntaub qhwv ib ncig ntawm cov leeg hauv plab tsis muaj zog lossis xaws cov leeg hauv plab ua ke. Qhov no yuav tiv thaiv kom tsis txhob hernia rov qab los. Thaum kawg, qhov txhab hauv puab tais yuav raug sutured.
- Yog tias koj muaj tus txha nqaj qaum loj lossis tab tom nrhiav rau qhov kev phais mob pheej yig dua, nws yog qhov zoo tshaj rau kev qhib phais.
- Koj raug qhia kom xaiv rau kev phais phais hloov pauv ntawm laparoscopic yog tias thaj chaw herniated tau ua haujlwm, lossis qhov no yog thawj zaug uas koj muaj tus kab mob hnoos qeev, txhaws loj txaus, lossis yog tias muaj txoj hauv kev kis mob.
Kauj Ruam 4. Saib xyuas koj tus kheej tom qab phais tas
Txij li thaum koj yuav hnov mob rau ob peb lub lis piam tom qab kev phais, koj yuav tsum tau noj cov tshuaj pleev mob los ntawm koj tus kws kho mob raws li cov lus qhia tau hais tseg. Koj kuj yuav tsum tau noj cov zaub mov muaj fiber ntau, lossis noj ob diav ntawm cov tshuaj Mis Nyuj Magnesia ob zaug ib hnub tom qab phais tas. Feem ntau, lub plab yuav siv sijhawm 1-5 hnub tom qab kev phais kom tuaj yeem tso quav ntxiv thiab cov zaub mov muaj fiber ntau yuav txhim kho kev ua haujlwm ntawm koj txoj hnyuv.
Txhawm rau daws qhov mob, koj tseem tuaj yeem tso pob khov nab kuab qhwv hauv cov phuam nyias rau ntawm thaj chaw ua haujlwm li 20 feeb
Kauj Ruam 5. Ntxuav lub qhov txhab
Cia cov ntaub qhwv npog qhov txhab rau 2 hnub. Koj tuaj yeem pom qee qhov los ntshav lossis tawm ntawm thaj chaw qhov txhab, uas yog qhov ib txwm muaj. Tom qab 36 teev, koj tuaj yeem da dej. Tshem cov ntaub qhwv ua ntej da dej thiab siv lub teeb nyem rau ntawm qhov txhab thaum ntxuav nws nrog xab npum. Thaum koj ua tiav, maj mam muab thaj tsam qhuav nrog phuam. Thov siv daim ntaub tshiab tso rau ntawm lub qhov txhab tom qab txhua tus da dej.
Tsis txhob tsau rau hauv pas dej lossis chaw da dej tsawg kawg 2 lub lis piam
Kauj Ruam 6. Txo kev tawm dag zog lub cev
Tsis muaj kev txwv kev kho mob lossis lub cev tom qab kev phais, tab sis thaj chaw ua haujlwm tseem ua tau zoo heev. Sim tsis txhob ua cov dej num uas ua rau koj lub plab nyob hauv ib lub lim tiam, xws li kis las, khiav, thiab ua luam dej.
- Koj yuav tsum tsis txhob nqa qhov hnyav ntau dua 4.5 kg rau 6 lub lis piam, lossis txog thaum pom zoo los ntawm koj tus kws kho mob. Nqa qhov hnyav hnyav tuaj yeem ua rau muaj menyuam mos tshiab nyob hauv ib cheeb tsam.
- Nws tau qhia kom tsis txhob tsav tsheb thawj ob lub lis piam tom qab phais tas.
- Koj tuaj yeem muaj kev sib deev tom qab koj hnoos qeev ntev li nws tsis mob lossis tsis xis nyob.
- Feem ntau tus neeg mob tau rov zoo thiab tuaj yeem rov mus ua haujlwm tsis pub dhau ib hlis tom qab mob herniorrhaphy.
Kauj Ruam 7. Paub txog cov teeb meem
Tham nrog koj tus kws kho mob yog tias koj pom ib qho ntawm cov tsos mob hauv qab no tom qab phais:
- Ua npaws (siab txog 38 degrees Celsius) thiab ua daus no. Qhov no yog vim muaj cov kab mob uas tau kis rau thaj chaw phais.
- Kev tso tawm ntawm thaj chaw phais uas hnov tsw phem lossis zoo li paug (feem ntau yog xim av/ntsuab). Cov kab mob sib kis ua rau tus ntxhiab tsw tsw ntxhiab, tso tawm tuab.
- Los ntshav los ntawm thaj chaw phais tas mus li. Tej zaum yuav muaj cov hlab ntshav uas tawg thiab tsis raug kaw thaum phais.
- Nyuaj tso zis. Cov kua dej ntau dhau thiab o tom qab phais yuav ua rau lub zais zis lossis zais zis. Qhov no tuaj yeem ua rau tso zis tso zis lossis zais zis tsis tuaj yeem ua kom huv.
- Qhov o los yog mob hauv cov qau uas mob zuj zus tuaj.
- Qhov teeb meem tshwm sim feem ntau yog hernia rov tshwm sim.
Ntu 3 ntawm 3: Tiv thaiv kom tsis txhob mob hnoos qeev
Kauj Ruam 1. Poob qhov hnyav
Yog tias koj rog lossis rog dhau, poob phaus los ntawm kev txo koj cov calories kom tsawg thiab ua kom lub cev qoj ib ce. Qhov hnyav dhau yuav ua rau thaj chaw tsis muaj zog hauv plab txhawb nqa qhov hnyav ntau dua li nws tuaj yeem ua tau. Qhov kev nce siab ntawm cov ntsiab lus tsis muaj zog ntawm lub plab tuaj yeem ua rau muaj kev pheej hmoo ntawm hernias.
Nco ntsoov tias qhov kev tawm dag zog tsis ntxiv dag zog rau koj lub plab phab ntsa. Ua kis las cuam tshuam me ntsis xws li taug kev, dhia, ua luam dej, thiab caij tsheb kauj vab
Kauj Ruam 2. Ua kom muaj fiber ntau ntxiv
Fiber pab txhim kho kev zom zaub mov thiab tshem koj cov hnyuv. Cov zaub mov nplua nuj nyob hauv fiber tseem yuav ua rau cov quav muag muag, yog li txo qhov hnyav thaum lub plab txav. Noj cov khoom noj uas muaj fiber ntau xws li mov ci tag nrho, txiv hmab txiv ntoo, thiab zaub. Koj kuj yuav tsum tau haus dej kom ntau txhua hnub kom ua rau koj lub plab ua haujlwm du.
Koj yuav tsum tau noj cov fiber ntau yog tias koj tab tom yuav phais kho tus mob hernia. Cov txheej txheem phais thiab siv tshuaj kho mob yuav ua rau koj lub plab qeeb. qhov no tuaj yeem ua rau cem quav thiab ua rau lub plab tsis zoo
Kauj Ruam 3. Kawm paub nqa yam khoom kom raug
Zam los yog ceev faj thaum nqa khoom hnyav. Koj tuaj yeem nqa 4.5 kg tom qab 6 lub lim tiam ntawm kev phais. Txhawm rau nqa qhov hnyav kom raug, khoov koj lub hauv caug kom qis koj lub cev. Tuav lub khoom kom txav ze rau koj lub cev, thiab tsa koj tus kheej siv koj lub hauv caug, tsis yog koj lub duav. Txoj kev no yuav txo lub nra thiab kev nyuab siab ntawm lub plab los ntawm kev nqa thiab khoov.
Koj tseem tuaj yeem hnav cov cuab yeej txhawb nqa ntawm lub duav. Cov cuab yeej no yuav txhawb nqa cov leeg hauv plab, tshwj xeeb tshaj yog thaum nqa qhov hnyav
Kauj Ruam 4. Txiav luam yeeb
Kev haus luam yeeb cuam tshuam ncaj qha rau hnoos ntev, uas tuaj yeem ua rau thiab ua rau mob hernias. Yog tias koj twb muaj tus mob hernia, koj yuav tsum nyob deb ntawm cov dej num uas tuaj yeem ua rau muaj tus txha nqaj qaum tshiab, ib qho yog haus luam yeeb.
Lub tswv yim
- Tsis txhob quav ntsej qhov quav yog tias koj tsis hnov mob. Ib qho hnoos qeev hauv plab tuaj yeem tsis mob.
- Cov teeb meem pheej hmoo ua rau tus menyuam hnoos qeev hauv cov neeg laus suav nrog hernias uas tau raug kev txom nyem thaum menyuam yaus, hnub nyoog laus, txiv neej lossis poj niam txiv neej Caucasian, hnoos ntev, cem quav ntev, mob plab phab ntsa, haus luam yeeb, lossis tsev neeg keeb kwm ntawm hernias.
- Feem ntau hernias tsuas yog kho tau nrog kev phais. Nug koj tus kws kho mob kom xa mus nrhiav kws phais neeg uas tuaj yeem kho koj.
- Yog tias koj yuav raug phais, tsis txhob noj lossis haus dab tsi tom qab ib tag hmo ntawm ib hnub ua ntej yuav phais. Qhov no yog ua los tiv thaiv kev cia siab (tshem tawm) ntawm cov khoom hauv plab mus rau hauv lub ntsws thaum nyob hauv kev ua kom loog.
- Sim tsis txhob haus luam yeeb vim nws tuaj yeem ua rau hnoos. Kev hnoos yuav ua rau cov leeg nqaij hauv plab sib cog lus.
Ceeb toom
- Kev qoj ib ce thiab ua rau lub plab zom mov tuaj yeem tshwm sim yog tias tsis kho qhov quav. Tus mob no txaus ntshai heev thiab tuaj yeem ua rau muaj kev phom sij rau lub neej.
- Yog tias koj hnov mob hnyav thaum kuaj, mus ntsib kws kho mob tam sim. Qhov no tuaj yeem tshwm sim los ntawm kev sib tw ntawm cov hlab ntshav uas muab cov noob qes. Yog li, cov ntshav ntws mus rau thaj chaw no yuav raug txo. Yog tias tsis kho lub sijhawm, tsis muaj ntshav ntws mus rau cov noob qes yuav ua rau lub cev puas tsuaj. Cov noob qes puas yuav tsum tau muab tshem tawm.
- Yog tias koj muaj keeb kwm ntawm tus mob hernias, nws yog ib qho tseem ceeb uas yuav tsum ua cov kev tiv thaiv cov lus tau hais los saud.
