Hernias i nā ʻīlio

ʻO ka hapanui pinepine, loaʻa nā hernias i nā ʻīlio, ʻaʻohe predisposition wahine. Aia nā ʻano ʻano: no ka laʻana, ʻoi aku ka nui o nā dachshunds ma mua o nā ʻīlio ʻē aʻe i loaʻa i ka hernias intervertebral.

Nā kumu o ka helehelena

Hoʻokaʻawale ʻia nā ʻano hernia a pau i ka congenital a loaʻa. I nā kumu o ka ulu ʻana o ka hernias congenital, hiki i nā kumu hoʻoilina ke pāʻani i kahi kuleana. Loaʻa nā hernias, ma ke ʻano he kānāwai, ʻo ia ka hopena o nā hōʻeha (diaphragmatic hernia), kekahi ʻano o ka overstrain (inguinal hernias) a i ʻole e ala mai ma muli o nā hiʻohiʻona o ka ʻōnaehana musculoskeletal a me ka ukana ma ke kuamoʻo (intervertebral hernias).

Ōuli

ʻO nā hōʻailona o kahi hernia e pili ana i kona wahi a me ke alo o nā pilikia. ʻO ka hernias congenital ka pinepine asymptomatic, hiki iā mākou ke ʻike i kahi puʻupuʻu maʻamau i loko o ka holoholona (e like me ka hernia umbilical - ma ka ʻāpana umbilical) a i ʻole ʻike ʻole ʻia kekahi mau hemahema (me ka hernia diaphragmatic). ʻO kēlā hernia, ma ke ʻano he intervertebral, he maʻi orthopedic a hōʻike ʻia e ka ʻeha nui i ka wā e hele ai a hoʻoikaika.

ʻO nā ʻano a me nā hiʻohiʻona o kahi o nā hernias

Ma muli o ka wahi, ʻike ʻia nā ʻano hernias:

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

Ma hope aʻe, e nānā mākou i nā kikoʻī i nā hiʻohiʻona o kēlā me kēia hernias i helu ʻia.

Hernia ma ka ʻōpū (umbilical)

Kiʻi o kahi hernia umbilical (loaʻa pū i nā ʻīlio)

ʻO ka hernia umbilical i nā ʻīlio he puka maʻi ma ka paia o ka ʻōpū kokoke i ka piko, kahi e puka ai ka ʻeke hernial (maʻa mau ka omentum, akā i kekahi manawa ka ʻōpū). Ma keʻano he kūlana, he hernia ma ka'ōpū i loko o ka'īlio he mea hikiʻole ke hoʻoponopono a koi aku i ka lāʻau lapaʻau. I kekahi mau hihia, e like me ka hoʻokumu liʻiliʻi, ʻōlelo nā kauka i ka nānā ʻana i ka hernia: inā laki ka ʻīlio, a laila ʻaʻole e piʻi ka nui o ka hernia me ka makahiki a ʻaʻole hiki ke hana ʻia.

Hernia inguinal

ʻO ka hernia inguinal i loko o ka ʻīlio he kūlana kahi e hoʻoheheʻe ai nā ʻōpū o ka ʻōpū ma o ke kahawai inguinal ākea a i ʻole ke apo inguinal. Hiki ke hana ʻia kahi hernia i loko o ka ʻīlio ma ka ʻāʻī ma muli o kahi pathology congenital (kahi apo inguinal nui loa - he hoʻoilina kēia pathology!), A i ʻole ma muli o ka hōʻeha a i ʻole overstrain / nāwaliwali o nā ʻiʻo o ka pā o ka ʻōpū. (no ka laʻana, i nā wahine hāpai).

Hoʻokaʻawale ʻia nā hernias inguinal i:

• hiki ke hoemi;
• alakaʻi ʻole ʻia;
• hemahema.

ʻO ka hernia inguinal hiki ke hoʻemi ʻia he protrusion o ke ʻano o ka ʻōpū subcutaneous i loko o ka ʻāpana inguinal (ma kekahi ʻaoʻao a i ʻole symmetrical bilateral), hiki ke ʻike a nalowale. Me ka hoʻokumu ʻole ʻia, ʻaʻole hele ka protrusion ma kahi ʻē; i ka hapanui o nā hihia, ʻo ka hoʻonui ʻana i ka nui o ka hoʻokumu ʻana he ʻano. Me ka hernia strangulated, e ʻike ka holoholona i nā hōʻailona koʻikoʻi o ka ʻeha, colic, a ʻaʻole hiki ke hele i ka lua.

He pōʻino ka hernias inguinal no ka mea, ma waho aʻe o ka omentum, hiki i nā mea koʻikoʻi ke komo i loko o ka ʻeke hernial: ʻōpū, ʻōpū, ʻōpū.

ʻO ka hernia strangulated he mea weliweli loa ia no ke olakino a me ke ola o kahi holoholona: ʻaʻole i komo wale nā ​​ʻano i ka canal inguinal, akā ua hoʻopiʻi ʻia hoʻi, ʻoki ʻia e nā paia o ka ʻeke hernial, wili ʻia, no laila ua hoʻopau ʻia ke kahe koko. a hiki i ka tissue necrosis ke hiki mai, ʻo ia hoʻi, necrosis o ke kino. ʻO nā hōʻailona o kahi hernia inguinal strangulated:

• ka luaʻi;
• ʻeha nui;
• ho'āʻo pinepine e mimi;
• ke kūʻana o ke koko i ka mimi;
• nele i ka makemake ʻole;
• aupuni hookaumaha.

Pono kēia kūlana i ka ʻokiʻoki pilikia.

perineal

He mea nui e hoʻokaʻawale i kahi hernia inguinal mai kahi hernia perineal. ʻO ka hernia o ka perineum he prolapse o ka omentum, ka ʻiʻo retroperitoneal a i ʻole nā ​​ʻāpana pelvic ma o kahi kīnā o ka diaphragm pelvic. Loaʻa i kēia pathology kahi kāne a me ka makahiki predisposition: ʻoi aku ka pinepine i nā kāne (ma 95% o nā hihia), ʻoi aku ma mua o ʻelima mau makahiki. Aia kekahi mau ʻano predisposed - ʻo ia nā pahu pahu, collies a me Pekingese. ʻO ka mea pōʻino, ʻaʻole ʻike ʻia ke kumu o kēia maʻi, no laila, ʻōlelo ʻia nā kumu hoʻoilina i ka hoʻomohala ʻana o ka pathology. Ua manaʻo ʻia ʻo ka nāwaliwali congenital o ka ʻōnaehana muscular o ke pelvis, a me nā maʻi o ka prostate gland, constipation mau a me nā maʻi o ka rectum, hiki ke alakaʻi i kahi hernia perineal.

Hoʻokumu ʻia ka hōʻailona ma nā hōʻailona lapaʻau. ʻO ka hōʻailona nui o ka hernia perineal he ʻano like me ka tumo o kahi ʻano palupalu i ka perineum, hiki ke unilateral a i ʻole symmetrical bilateral. No ka wehewehe ʻana i ka maʻi maʻi, ua ʻōlelo ʻia kahi ultrasound abdominal a / a i ʻole x-ray ʻōpū me ka ʻokoʻa.

E like me ka hernia inguinal, mālama ʻia ka hernia perineal ma ke ʻoki wale ʻana.

Diaphragmatic

ʻO ka hernia diaphragmatic ke komo ʻana o nā ʻōpū o ka ʻōpū i loko o ka lua o ka umauma ma o kahi puka pathological (congenital a i loaʻa paha) i ka diaphragm.

ʻO ka hernia diaphragmatic he mea hoʻopiʻi pinepine ia o ka trauma (hāʻule mai kahi kiʻekiʻe, nā ulia kaʻa, nā ʻeha komo, ka ʻeha o ka ʻōpū o ka ʻōpū), he maʻi hoʻoweliweli ola a no laila pono ke hōʻoia mua a me ka mālama ʻana. I ka manawa like, ʻo ka hernia congenital diaphragmatic, ma kahi ʻē aʻe, ʻaʻole paha e hopohopo i ka holoholona a he ʻike ulia paha i ka wā o kahi x-ray a i ʻole ultrasound o ka ʻōpū o ka ʻōpū.

ʻO nā hōʻailona o kahi hernia diaphragmatic penei:

• pokole o ka hanu;
• hanu me ka waha hamama;
• ʻano hanu o ka ʻōpū;
• i kekahi manawa, hiki i ke kunu.

Hiki i kēia mau mea ke komo i ka canal hernial mai ka ʻōpū o ka ʻōpū i ka umauma:

• akepaʻa;
• ʻōpū liʻiliʻi;
• ʻōpū;
• ʻāpala;
• pahu pahu;
• pancreas;
• kakaʻikahi - ka ʻōpū nui a me ka ʻōpū hāpai.

ʻO ka paʻakikī o ka hernia diaphragmatic i nā ʻīlio e pili pū ana me ka paʻakikī i ka hana maʻamau o ka puʻuwai a me nā māmā (ua hoʻopaʻa ʻia lākou e nā mea hernial), a me ka paʻakikī i ka hana o nā ʻōpū o ka ʻōpū i hāʻule i loko o ka umauma. ka mea e alakaʻi i ka congestion i loko o lākou a hiki i necrosis (tissue make).

ʻO nā ala nui no ka hoʻomaʻamaʻa ʻana i kēia pathology penei:

• Ultrasound o ka ʻōpū o ka ʻōpū;
• x-ray o ka umauma a me ka ʻōpū o ka ʻōpū me ka hoʻokomo ʻana i nā mea hoʻohālikelike;
• i nā hihia paʻakikī, hoʻohana ʻia ʻo CT - computed tomography. 

intervertebral

ʻO ka hernia intervertebral i loko o nā ʻīlio kekahi o nā maʻi maʻamau i loko o ke kuamoʻo, e alakaʻi ana i ka ʻehaʻeha o nā holoholona. ʻO nā ʻano i hoʻohālikelike ʻia he dachshunds waena a ʻoi paha, a me Pekingese a me Shih Tzu. ʻAʻole ʻike ʻia ka predisposition sex.

No ka hana ʻana i kahi hōʻailona, ​​e hoʻopili:

• moʻolelo moʻolelo;
• helu helu helu (CT), MRI;
• CT myelography (ka hui pū ʻana o nā ʻano ʻelua i luna).

ʻO ka mea pōʻino, ʻo nā x-ray kahi ala diagnostic pono ʻole, no ka mea hiki ʻole ke ʻike ʻia kēia pathology ma nā x-ray o ka spine.

Aia nā hernias intervertebral o nā ʻano mua a me ka lua. ʻO ka ʻano XNUMX hernias ʻoi aku ka maʻamau a me ka hopena i ka paʻi ʻana o ka spinal cord, ka hopena i ka pōʻino neurological koʻikoʻi i ka ʻīlio. ʻO nā hernias o ka ʻano ʻelua he pathology maʻamau, paʻakikī lākou e ʻike i ka pathology a ʻaʻole hiki ke alakaʻi i nā hōʻailona maʻi.

ʻO ka hoʻomaʻamaʻa ʻana i kēia mau pathologies he hana ʻokiʻoki wale nō.

Lapaau Hernia i na ilio

E like me ka mea i ʻōlelo ʻia ma mua, ʻo ka mālama ʻana i kahi hernia e hana wale ʻia ma o ke kaʻina hana. Ma mua o ka hana ʻana, pono ia e hana i kahi hoʻokolokolo piha o ka holoholona (nā hoʻāʻo koko maʻamau a me ka biochemical, ultrasound o ka puʻuwai a me ka ʻōpū o ka ʻōpū) e nānā i ka nui o ka hana ʻoki a me ka loiloi i nā pilikia anesthetic. Hana ʻia ka hana i kēlā me kēia makahiki a ma lalo o ka anesthesia wale nō.

Ka wehe 'ana i ka hernia

Ma mua o ka wehe ʻana i ka hernia, pono e nānā ke kauka i ka wehe ʻana o ka hernial, inā hiki, e hoʻihoʻi i nā ʻōpū i hāʻule i ka ʻōpū o ka ʻōpū, e hōʻoia i ka paʻa. Inā loaʻa ka hewa o nā kino a ua necrosis kekahi hapa o lākou, pono e wehe ʻia kēia wahi. Ma hope o kēlā, hoʻopaʻa ʻia ka wehe ʻana o ka hernial.

Me ka mālama ʻana i ka manawa i ke keʻena, ʻaʻole nui ka manawa o ka hana, ʻoi aku ka maikaʻi o ka prognosis no ka hoʻōla. I nā kūlana kiʻekiʻe, i ka wā i hana mua ʻia ai ka hewa a me ka hoʻopau ʻana i nā ʻōpū prolapsed, e hilinaʻi ka prognosis i ka wikiwiki o ke kamaʻilio ʻana i ke kauka, nā ʻano o ke ʻano o ka pathology a me nā ʻano pilikino o ka ʻīlio.

Ka mālama ʻana i ka hernia i nā ʻīlio

ʻO nā hiʻohiʻona o ka mālama ʻana i nā hernias i nā puppies ʻo ia ka liʻiliʻi o ka mea maʻi a me ka pono o ka hana. ʻO ka pinepine, ʻike ʻia kahi hernia ma ka ʻōpū i nā puppies, a ma muli o kona nui a me nā hopena o ka ultrasound, hoʻoholo ke kauka i ka ʻōlelo aʻoaʻo o ka ulia pōpilikia a i ʻole i hoʻolālā ʻia. I nā hihia o kahi hernia umbilical liʻiliʻi i loko o kahi ʻīlio a ʻaʻohe hoʻopiʻi olakino, i nā manawa he nui, ʻōlelo ke kauka e kali me ka hana no ka liʻiliʻi o 6-8 mau mahina - i kēia makahiki wale nō, hiki i ka pipi ke hana i ka ʻoki castration a hiki ke hiki. e hoʻohui i nā hana ʻelua. Inā loaʻa ka hernia inguinal i ka ʻīlio, ma ka ʻaoʻao ʻē aʻe, ua ʻōlelo ʻia e hana i ka hana ma hope o ka loaʻa ʻana.

ʻO ka hōʻailona no ka hōʻoki ʻana i ka pilikia ʻo ka localization o ka hernia, nā hōʻailona maʻi (ʻeha, pilikia ʻole no ka ʻīlio, strangulation o ka hernia) a me ka nui o ka hoʻokumu ʻana.

Nā hana pale

ʻO ka pale ʻana i ka hernia he:

• ʻaʻole i komo i ka hānai ʻana i nā holoholona i loaʻa i ka hernia, no ka mea aia kahi ʻano hoʻoilina o kā lākou ulu ʻana;
• pale ʻeha;
• He mea maikaʻi e nānā i nā holoholona i ka veterinarian i hoʻokahi manawa i ka makahiki, e hana i kahi ultrasound o ka ʻōpū o ka ʻōpū e haʻalele i ke alo o nā pathologies huna huna.

ʻAʻole ka ʻatikala he kāhea e hana!

No ka ʻike kikoʻī hou aku o ka pilikia, manaʻo mākou e hoʻopili i kahi loea.

E nīnau i ke kauka

October 5 2020

Hana hou ʻia: Pepeluali 13, 2021