-Delile
- Yini i-hernia e-diaphragmatic
- I-hernia ye-diaphragmatic ezalwa nayo
- I-hernia ehlukumezayo edabukisayo
- Izimpawu ze-hernia ezi-diaphragmatic ezinjeni
- Ukuxilongwa kwe-hernia ye-diaphragmatic ezinjeni
- Ukwelashwa kweCanine Diaphragmatic Hernia
- Ngabe ukuhlinzwa kwe-hernia e-diaphragmatic ezinjeni kuqukethe ini?
- Isibikezelo
Lapho inja ihlupheka ngenqubo ebuhlungu, njengokugilikwa, ukuwa, noma ukushaywa kanzima ngokwanele ukudala iphutha le-diaphragm eliyivumela ukuthi ukudlula kwe-viscera yesisu emgodini wesifuba kwenzeka i-hernia e-diaphragmatic. Ukuphazamiseka okunjalo nakho kungazalwa. Kulezi zimo, umdlwane uzalwa ne-hernia, okufanele ixazululwe ngokushesha okukhulu, yize kwesinye isikhathi kuthatha isikhathi ukuthi i-hernia ibonakale kubanakekeli.
Qhubeka ufunde le ndatshana yePeritoAnimal ukuze wazi kahle ukuthi kuyini I-hernia e-diaphragmatic ezinjeni - izimbangela, izimpawu nokwelashwa, ukuqonda kangcono ngale nqubo izinja zethu ezingangena kuyo. Ukufunda okuhle.
Yini i-hernia e-diaphragmatic
I-hernia e-diaphragmatic yenzeka lapho ukwehluleka kuvela ku-diaphragm, okuyi ukuhlukaniswa kwemisculotendinous phakathi kwesisu nesisu se-thoracic, esikhawulela futhi sihlukanise izitho ngenkathi singenela ekuphefumuleni kwesilwane. Lokhu kwehluleka kuqukethe imbobo evumela ukuthi ukudlula phakathi kwalezi zimbobo zombili, ngakho-ke, kuletha njengomphumela ukudlula kwezitho zesisu emgodini wesifuba.
Kunezinhlobo ezimbili ze-hernia e-diaphragmatic ezinjeni: i-congenital ne-traumatic.
I-hernia ye-diaphragmatic ezalwa nayo
Lolu hlobo lwe-hernia ezinjeni lunye lapho izinja zizalwa khona nalo. Lokhu kungenxa yokuthuthuka okunganele noma okungalungile kwesifo se-diaphragm ngesikhathi se-embryogenesis. I-hernia enjalo ingahlukaniswa njenge:
- I-hernia ye-Peritoneopericardial: lapho okuqukethwe esiswini kungena esikhwameni se-pericardial senhliziyo.
- i-hernia e-pleuroperitoneal: lapho okuqukethwe kungena esikhaleni sokuncenga sephaphu.
- UHiatus hernia: lapho i-distal esophagus nengxenye yesisu kudlula kwi-hiopha esophageal ye-diaphragm bese ingena emgodini wesifuba.
I-hernia ehlukumezayo edabukisayo
Le hernia yenzeka lapho a inqubo yangaphandle ebuhlungu, njengokugilikelwa phansi, ukuwa phezulu, noma ukuchotshozwa, kubangela ukuqhekeka kwediyaphragm.
Ngokuya ngobukhulu bomonakalo odalwe ukuqhekeka kovalo, le nqubo izoba nkulu kakhulu noma kancane, ivumele ukwedlula kokuqukethwe okungaphezulu kwesisu okuzophazamisa imisebenzi ebalulekile yenja, njengokuphefumula.
Izimpawu ze-hernia ezi-diaphragmatic ezinjeni
Izimpawu zomtholampilo ezilethwa yinja ene-diaphragmatic hernia ikakhulukazi zokuphefumula ngokucindezelwa okusetshenziswa i-viscera yesisu emaphashini, okwenza kube nzima ukuphefumula kahle. Kumele futhi kubhekwe ukuthi i-hernias yokuzalwa kungenzeka ingabonakali kuze kube yilapho inja ifinyelela eminyakeni yobudala, inezimpawu ezingekho zimbi futhi ezivame ukuba ngezikhathi ezithile.
Amacala abucayi yilawo we-hernias ehlukumezayo, lapho inja ivame ukuletha khona tachycardia, tachypnea, cyanosis (umbala oluhlaza okwesibhakabhaka kolwelwesi lwamafinyila) futhi oliguria (ukwehla kokukhiqizwa komchamo).
Ngakho-ke, i- izimpawu zenja ene-hernia e-diaphragmatic yilezi:
- I-Dyspnoea noma ukuphefumula kanzima.
- Ukushaqeka kwe-Anaphylactic.
- Ukungasebenzi kodonga lwesifuba.
- Umoya emgodini wesifuba.
- Ukuncipha kwe-distension pulmonary distension.
- I-edema yamaphaphu.
- Ukungasebenzi kwesistimu yenhliziyo.
- Ama-arrhythmias enhliziyo.
- Tachypnoea.
- Kuthuliswe imisindo yokuphefumula.
- Imikhuba emibi.
- Thoracic borborygmus.
- Ukwanda kokushaqeka kwethiphu yenhliziyo kolunye uhlangothi lwesifuba ngenxa yokuhlanganiswa kwethiphu yenhliziyo yi-viscera yesisu esiswini.
- I-Fluid noma i-viscera esikhaleni sobuningi.
- Ukushaya isisu kwesisu.
- Ukuhlanza.
- Ukwehla kwesisu.
- Oliguria.
Ukuxilongwa kwe-hernia ye-diaphragmatic ezinjeni
Into yokuqala okufanele yenziwe ekutholeni i-hernia e-diaphragmatic ezinjeni ukwenza izikisi, ikakhulukazi esifubeni, ukuhlola umonakalo. Kuzinja ezingama-97%, kubonakala umfanekiso ongaphelele we-diaphragm futhi ku-61%, kutholakala izihibe zamathumbu ezigcwele igesi esifubeni. Okuqukethwe esikhaleni sokucela kungabonakala, okungaba yi-hydrothorax ngenxa ye-pleural effusion ezimeni zamuva noma i-hemothorax enesifo sokopha ezimeni ezingapheli.
Ukuhlola amandla okuphefumula, i- ukuhlaziywa kwegesi emithanjeni kanye ne-oinetry ye-pulse oximetry esetshenziselwa ukucacisa ukungalingani kwe-ventilation / perfusion ne-alveolar-arterial oxygen oxygen. Ngokufanayo, i- i-ultrasound ivumela ukukhomba izakhiwo zesisu esiswini sesifuba futhi kwesinye isikhathi ingakwazi nokunquma indawo enesici se-diaphragm.
Ukuqinisekisa ubukhona noma ukungabikho kwe-hernia ezinjeni, amasu wokuqhathanisa njengokuphathwa kwe-barium noma i-pneumoperitoneography nokuqhathanisa okuhle kwe-peritoneography enokuqhathaniswa kwe-iodine. Lokhu kusetshenziswa kuphela uma inja ingakubekezelela futhi uma izivivinyo ze-imaging zingacacisi.
Ukuhlolwa kwegolide kokuxilongwa i-hernia e-diaphragmatic ezinjeni i-computed tomography, kepha ngenxa yentengo yayo ephezulu, ngokuvamile ayibhekwa.
Ukwelashwa kweCanine Diaphragmatic Hernia
Ukulungiswa kwe-hernia e-diaphragmatic ezinjeni kwenziwa nge-a ukuhlinzwa. Cishe i-15% yezinja ziyafa ngaphambi kokuhlinzwa, futhi ukwelashwa kokushaqeka kuyadingeka ngaphambi kokuhlinzwa ukuze zisinde. Labo abahlinzwa ngokushesha, okungukuthi, phakathi nosuku lokuqala lokuhlukumezeka, banezinga eliphezulu lokufa, cishe ngama-33%. Uma kungenzeka ukulinda isikhathi eside kuze kube yilapho umsebenzi wayo we-cardiorespiratory ukuvumela, kungcono ukulinda isikhashana kuze kube yilapho isilwane sisimama futhi nokwehla kwengozi yokubulala izinzwa.
Ngabe ukuhlinzwa kwe-hernia e-diaphragmatic ezinjeni kuqukethe ini?
Umsebenzi wokuhlinzwa wokuxazulula le hernia enjaweni uqukethe i-celiotomy noma imbobo ngokusebenzisa i-ventral midline ukubona ngeso lengqondo umgodi wesisu nokufinyelela kulo lonke uvalo. Ngemuva kwalokho, i-viscera eklinyiwe yomgodi wesifuba kumele ihlengwe ukuze kutholakale igazi labo ngokushesha okukhulu. I-viscera ye-Herniated nayo kufanele ihanjiswe kwenye indawo emgodini wesisu. Kwesinye isikhathi, uma ukuchelela kube nzima kakhulu futhi kuthinteke kakhulu, ingxenye ye-necrotic kufanele isuswe. Ekugcineni, i-diaphragm ne-lesion lesion kufanele ivalwe ngezendlalelo.
Ngemuva kokuhlinzwa, kufanele kunikezwe imishanguzo, ikakhulukazi yokwelapha ubuhlungu, njengama-opioid, futhi inja kufanele igcinwe endaweni ephephile, ethule, eyondlekile futhi enamanzi amaningi.
Isibikezelo
Ukufa okubangelwa i-hernia e-diaphragmatic ezinjeni kungenxa ye-hypoventilation ngenxa yokucindezelwa kwamaphaphu yi-viscera, ukushaqeka, i-arrhythmias kanye nokuntuleka kwamakhono amaningi. Kodwa-ke, izinja eziningi ezakhiwa kabusha nge-diaphragm ziyasinda futhi ziyakwazi ukubuyisa ngokuphelele ikhwalithi yempilo yazo ngaphambi kokuba i-hernia iqale.
Manje njengoba usukwazi konke ngalolu hlobo lwe i-hernia ezinjeni, ungahle ube nentshisekelo kulezi ezinye izindatshana ezimayelana nama-hernias ahlukahlukene ezinja:
- Ingulube inguinal ezinjeni: ukuxilongwa nokwelashwa
- I-Disc Herniated in Dogs - Izimpawu, Ukwelashwa Nokululama
- I-hernia embilical ezinjeni: izimbangela, izimpawu kanye nokwelashwa
- I-Perineal hernia ezinjeni: ukuxilongwa nokwelashwa
Futhi qiniseka ukuthi ubheka le vidiyo mayelana nezinkinga zokuziphatha kwe-canine eziyi-10:
Lo mbhalo wenzelwe imininingwane kuphela, kwaPeritoAnimal.com.br asikwazi ukunquma ukwelashwa kwezilwane noma ukwenza noma yiluphi uhlobo lokuxilongwa. Siphakamisa ukuthi uthathe isilwane sakho uye kudokotela wezilwane uma kungenzeka ukuthi unanoma yiluphi uhlobo lwesimo noma ukungaphatheki kahle.
Uma ufuna ukufunda izindatshana eziningi ezifana ne- I-diaphragmatic Hernia ezinjeni - Izimbangela, Izimpawu kanye nokwelashwa, sincoma ukuthi ufake isigaba sethu sezinye izinkinga zezempilo.