Emseleni Inguinal kunye neempawu zayo yokwakheka

umsele Inguinal umsantsa ethile, elahliweyo eludongeni esezantsi esiswini, ezizezi ngaphezu lungu inguinal. Xa abantu, kuba iqulathe intambo spermatic kunye abafazi lungu Round esibelekweni. isiteshi ulwalathiso ROOTN nakanjani. Ngentla ithambo zikawonke wonke, ezizezi kwisebe ayo aphezulu likwindawo ring division umphezulu ubudoda. Kancinci ngezantsi - ngekhonkco enzulu inguinal. Kwaye therebetween lomsele inguinal yi obliquely yokuxazulula.

emseleni Inguinal, indlela ezakhiwe ngayo oko kunokuba nzima, uye iindonga ezinjalo: a ngaphambili (aponeurosis elibhalwe ngokumileyo zangaphandle kwezihlunu esiswini) nangesemva (ifascia zisecaleni esiswini), kwaye ezantsi (kumkhombe lungu inguinal) kunye eliphezulu (ungqameko olungezantsi izihlunu elibhalwe ngokumileyo yangaphakathi kunye ungqameko olungezantsi abdominis transversus ).

Ubude umsele inguinal lingaphantsi ngaphezu kweesentimitha ezintlanu. Le esiswini malunga isiteshi khonkcweni lwangaphakathi inguinal (nzulu), ukuba ibekwe ngaphezu lungu inguinal phezu kumgama ngeesentimitha ezimbini ukusuka malunga phakathi lungu. Kule ndawo, ekuzezi: iZiko uhlobo lisikwe, apho Imicu lwangaphandle izihlunu elibhalwe ngokumileyo esiswini eziphambukileyo, na isangqa phezulu inguinal. Ibizwa njalo ngenxa yokuba oko kuza kwi phezulu lungu inguinal, hayi kanye mandithi, iya kummisa phezu inxalenye yayo medial.

Mfuleni ungasuki kancinci engaphandle edge aponeurosis izihlunu esiswini yinto lungu inguinal, kwizicwili ekhonza imisipha elibhalwe ngokumileyo esiswini kunye esisu transversalis ifascia. Ukuba akha udonga esezantsi umjelo.

Le aponeurosis kwemisipha lwangaphandle elibhalwe ngokumileyo, nto leyo edla kakhulu eyenza udonga ngaphambili asiyonto idiskhi yokugcina ulwazi, kunye enemingxuma. Kodwa ke udonga phezulu ukhandwa abaliqela kungqameko asezantsi ezinqamlezayo kunye nezihlunu zangaphakathi elibhalwe ngokumileyo esiswini.

Ekubeni ungqameko olungezantsi esihlunwini lwangaphakathi elibhalwe ngokumileyo kumadoda ezahlulwe sisithuba singabalulekanga ezithile izihlunu bundle, kusekwe isihlunu njengoko amaqanda podnimatel. It uyazifezekisa amaqanda, ewushiya lomsele inguinal kwikroba lokuvula ekhoyo lwangaphandle. Udonga isibuko oluthi luqokelelane ngokusebenzisa ifascia ezinqamlezayo esiswini, ihlanganiswa elo lungu inguinal, nkqu kunye Umatshini, yaye udini lwalo diff.

ring Surface ubudoda ibekwe ngaphezu lungu inguinal, i hole okweqanda kunokuba kuphela ngenxa umahluko imicu emilenzeni ezimbini: osecaleni medial. Eyokuqala kubo zimilile ezantsi tubercle zikawonke wonke kunye yesibini - le symphysis, nangasekhohlo okulungileyo ngaphambili. Oku kuthetha ukuba phambilana ivela symphysis, emjelweni inguinal (Umqala wamantla ayo) uza kuba banzi.

Bulelani kuphela kule phawu inika ithuba yokufumanisa ukuthambekela ukuvela nophuhliso lwe hernias inguinal. Kakade ke, intle lula ukufumanisa usebenzisa-X-reyi. Kwicala osecaleni uqhoqhoqho okuzenzela kokukhona ukuqhagamshela esikule phakathi kwemilenze clock inguinal.

Hole, ayinazo ezingaqhelekanga,, kufuneka ikwazi ukuhamba ngencam Ucikicane. Maxa ubukhulu ezinkulu, oko abahlelwa bebadala. Lo mngxuma kakhulu lula uphando ngokuhlola. Ukuba Ucikicane (kwincam yayo) afuthe isikhumba isingxobo samatyhalarha, uze yokuxazulula, kusenokwenzeka ukuba ukuvavanya igalelo ngqo kwi emjelweni inguinal, leyo eludongeni zikwimeko oluqhelekileyo okunempilo zisoloko ikwimo entle.

ring anzongonzongo ngentla kancinci nasemiphakathweni le lungu ophakathi inguinal kakhulu malunga 1 sentimitha. It has a uhlobo imingxunya ukundikhulula, ngenxa yokuba vnutrivaginirovannaya ezinqamlezayo ifascia esiswini. Kubhaliwe ibekwe ngeenxa okanye intambo spermatic (ngabantu), okanye macala ligquba imilo esibusazinge wesibeleko (kwabasetyhini).

Kungenxa ejelo xa Ithemba inguinal naso (ROOTN), imixholo yawo uvikivwa kulo isingxobo samatyhalarha, nto leyo ekhokelela nemiphumo engathandekiyo.