Hernias mu agalu

Nthawi zambiri, hernias amapezeka agalu, palibe chilakolako chogonana. Pali makhalidwe amtundu: mwachitsanzo, dachshunds nthawi zambiri kuposa agalu ena amadwala intervertebral hernias.

Zoyambitsa maonekedwe

Mitundu yonse ya hernias imagawidwa kukhala yobadwa nayo komanso yopezedwa. Pazifukwa za chitukuko cha congenital hernias, zobadwa nazo zimatha kukhala ndi gawo. Anapeza hernias, monga ulamuliro, ndi zotsatira za kuvulala (diaphragmatic chophukacho), mtundu wina wa overstrain (inguinal hernias) kapena kuwuka chifukwa cha structural mbali ya minofu ndi mafupa dongosolo ndi katundu pa msana (intervertebral chophukacho).

zizindikiro

Zizindikiro za chophukacho zimadalira malo ake ndi kukhalapo kwa zovuta. Congenital chophukacho nthawi zambiri asymptomatic, tingathe kuona chotupa zachilendo nyama (mwachitsanzo, ndi umbilical chophukacho - m`dera la umbilical) kapena sazindikira chilema chilichonse (ndi diaphragmatic chophukacho). Nthenda yotereyi, monga intervertebral imodzi, ndi matenda a mafupa ndipo amawonetsedwa ndi ululu wopweteka pamene akuyenda ndi kuyesetsa.

Mitundu ndi mawonekedwe a malo a hernias

Kutengera ndi malo, mitundu iyi ya hernias imadziwika:

• nthenda ya umbilical;
• inguinal chophukacho;
• diaphragmatic chophukacho;
• intervertebral chophukacho.

Kenako, tisanthula mwatsatanetsatane mbali zonse za hernias zomwe zalembedwa.

Hernia pamimba (umbilical)

Chithunzi cha umbilical hernia (chimapezekanso mwa ana agalu)

The umbilical chophukacho agalu ndi pathological kutsegula m`mimba khoma pafupi Mchombo, kudzera hernial thumba protrudes (nthawi zambiri amakhala omentum, koma nthawi zina matumbo). Monga lamulo, chophukacho pamimba pa galu sichikhoza kukonzedwa ndipo chimafuna chithandizo cha opaleshoni. Nthawi zina, monga mapangidwe ang'onoang'ono, madokotala amalimbikitsa kuyang'anira chophukacho: ngati mwana wagalu ali ndi mwayi, ndiye kuti chophukacho sichidzawonjezeka kukula ndi msinkhu ndipo sichikhoza kuchitidwa opaleshoni.

Inguinal chophukacho

Mphuno ya inguinal mu galu ndi chikhalidwe chomwe ziwalo za m'mimba zimadutsa mumsewu waukulu wa inguinal kapena mphete ya inguinal. Chophukacho mu galu mu groin chikhoza kupangidwa mwina chifukwa cha congenital pathology (mphete yayikulu kwambiri ya inguinal - matenda awa ndi obadwa nawo!), Kapena chifukwa cha kuvulala kapena kupitirira malire / kufooka kwa minofu ya khoma la m'mimba. (mwachitsanzo, m'matumbo apakati).

Inguinal hernias amagawidwa m'magulu awiri:

• kuchepetsa;
• osayendetsedwa;
• osowa.

Reducible inguinal chophukacho ndi protrusion mtundu wa subcutaneous chotupa mu inguinal dera (mbali imodzi kapena symmetrical bilateral), amene angaoneke ndi kutha. Ndi mapangidwe osalamulirika, kutulukako sikupita kulikonse; nthawi zambiri, kuwonjezeka kwa kukula kwa mapangidwe ndi khalidwe. Ndi chophukacho strangulated, Pet adzakhala ndi zizindikiro pachimake ululu, colic, ndipo sangathe kupita kuchimbudzi.

Inguinal hernias ndi yoopsa chifukwa, kuwonjezera pa omentum, ziwalo zofunika zimatha kulowa m'thumba la hernial: chiberekero, matumbo, chikhodzodzo.

A strangulated chophukacho ndi owopsa kwambiri kwa thanzi ndi moyo wa chiweto: ziwalo osati kulowa inguinal ngalande, komanso infringed, kufinyidwa ndi makoma a hernial sac, anapotozedwa, chifukwa cha chimene magazi amasokonekera. ndipo minofu necrosis ikhoza kuchitika, ndiko kuti, necrosis ya chiwalo. Zizindikiro za strangulated inguinal chophukacho ndi:

• kusanza;
• kupweteka kwakukulu;
• kuyesera kukodza pafupipafupi;
• kupezeka kwa magazi mkodzo;
• kusowa chilakolako;
• dziko loponderezedwa.

Matendawa amafunika opaleshoni yadzidzidzi.

perineal

Ndikofunikira kusiyanitsa inguinal chophukacho ndi perineal chophukacho. Chophukacho cha perineum ndi prolapse wa omentum, retroperitoneal minofu kapena m`chiuno ziwalo kudzera chilema mu m`chiuno diaphragm. Matendawa ali ndi chikhalidwe cha jenda ndi zaka: nthawi zambiri amapezeka mwa amuna (mu 95% ya milandu), nthawi zambiri kuposa zaka zisanu. Palinso mitundu ina yokonzekera - awa ndi boxers, collies ndi Pekingese. Tsoka ilo, chomwe chimayambitsa matendawa sichidziwika, chifukwa chake, zotengera zomwe zimayambitsa chitukuko cha matenda zimaperekedwa. Amakhulupirira kuti kobadwa nako kufooka kwa minofu ya m'chiuno, komanso matenda a prostate gland, kudzimbidwa kosatha ndi matenda a rectum, kungayambitse chophukacho.

Matendawa amatengera zizindikiro zachipatala. Chizindikiro chachikulu cha chophukacho ndi chotupa chofanana ndi mapangidwe amtundu wofewa mu perineum, mwina unilateral kapena symmetrical bilateral. Kuti mumvetse bwino matendawa, ndi bwino ultrasound m'mimba ndi / kapena m'mimba x-ray ndi zosiyana.

Monga inguinal chophukacho, perineal chophukacho amachitira kokha opaleshoni.

Diaphragmatic

Diaphragmatic chophukacho ndi malowedwe a ziwalo za m'mimba kulowa pachifuwa patsekeke kudzera pathological (wobadwa kapena anapeza) dzenje mu diaphragm.

Diaphragmatic hernia nthawi zambiri imakhala vuto la kuvulala (kugwa kuchokera pamtunda, ngozi zagalimoto, mabala olowera mkati, kupwetekedwa mtima kwa m'mimba), ndi vuto loika moyo pachiswe ndipo motero limafuna kutulukira msanga ndi chithandizo cha opaleshoni. Panthawi imodzimodziyo, congenital diaphragmatic hernia, m'malo mwake, sichingayambitse vuto lililonse kwa chiwetocho ndipo chimapezeka mwangozi pa x-ray kapena ultrasound ya m'mimba.

Zizindikiro za diaphragmatic hernia ndi:

• kupuma movutikira;
• kupuma ndi pakamwa lotseguka;
• kupuma kwa m'mimba;
• nthawi zina pakhoza kukhala chifuwa.

Ziwalo zotsatirazi zitha kulowa mu ngalande ya hernial kuchokera pamimba kupita pachifuwa:

• chiwindi;
• matumbo aang'ono;
• m'mimba;
• ndulu;
• bokosi lopangira zinthu;
• kapamba;
• kawirikawiri - matumbo akuluakulu komanso chiberekero chapakati.

Kuopsa kwa diaphragmatic chophukacho mwa agalu kumalumikizidwa ndi vuto la magwiridwe antchito amtima ndi mapapo (amapanikizidwa ndi zomwe zili mu hernial), komanso ndizovuta pakugwira ntchito kwa ziwalo zam'mimba zomwe zidagwera pachifuwa, zomwe zimabweretsa kusokonekera mwa iwo komanso ngakhale necrosis (imfa ya minofu).

Njira zazikulu zodziwira pathology iyi ndi:

• Ultrasound ya m'mimba patsekeke;
• X-ray pachifuwa ndi m'mimba patsekeke ndi kumayambiriro osiyana wothandizira;
• muzochitika zovuta, CT imagwiritsidwa ntchito - computed tomography. 

intervertebral

Intervertebral hernia mu agalu ndi imodzi mwa matenda omwe amapezeka kwambiri mumsana, zomwe zimayambitsa kusapeza bwino kwa ziweto. Mitundu yoyembekezeredwa ndi dachshunds yazaka zapakati kapena akale, komanso Pekingese ndi Shih Tzu. Kugonana sikudziwika.

Kuti muzindikire, gwiritsani ntchito:

• myelography;
• computed tomography (CT), MRI;
• CT myelography (kuphatikiza njira ziwirizi).

Tsoka ilo, ma X-ray ndi njira yosafunikira yodziwira matenda, chifukwa matendawa sangawonekere pafupipafupi pa x-ray ya msana.

Pali intervertebral hernias amtundu woyamba ndi wachiwiri. Mitundu ya XNUMX hernias imakhala yofala kwambiri ndipo imayambitsa kukanikizana kwa msana, zomwe zimapangitsa kuti galu awonongeke kwambiri. Hernias amtundu wachiwiri ndi matenda osowa kwambiri, ndizovuta kuzindikira matenda ndipo sangatsogolere ku zizindikiro zodziwika bwino zachipatala.

Chithandizo cha izi pathologies ndi kokha opaleshoni alowererepo.

Chithandizo cha Hernia mu Agalu

Monga tanenera kale, chithandizo cha chophukacho ikuchitika kokha mwa kuchitapo opaleshoni. Opaleshoni isanachitike, ndikofunikira kuyeza chiweto chonse (kuyezetsa magazi kwanthawi zonse ndi biochemical, ultrasound yamtima ndi pamimba) kuti muwone kukula kwa opaleshoniyo komanso kuwunika kuopsa kwake. Opaleshoni ikuchitika pa m`badwo uliwonse ndipo kokha pansi opaleshoni.

Kuchotsa hernia

Asanachotse chophukacho, dokotala amayang'ana kutseguka kwa hernial, ngati kuli kotheka, amabwezeretsa ziwalo zakugwa m'mimba, ndikuwonetsetsa kuti zili bwino. Ngati panali kuphwanya kwa ziwalo ndipo gawo lina la iwo lidakhala ndi necrosis, derali liyenera kuchotsedwa. Pambuyo pake, kutsegula kwa hernial kumapangidwa.

Ndi chithandizo chanthawi yake ku chipatala, opaleshoniyo sitenga nthawi yochuluka, zomwe zimatsimikizira kuti achire ndi abwino. Pazifukwa zapamwamba, pamene kuphwanya ndi kusokonezeka kwa ziwalo zowonongeka zachitika kale, matendawa adzadalira kuthamanga kwa kukaonana ndi dokotala, makhalidwe a njira ya matenda ndi makhalidwe a galu.

Chithandizo cha chophukacho mu agalu

The peculiarities mankhwala a hernias mu ana agalu monga yaing'ono zaka wodwalayo ndi expediency wa opaleshoni. Nthawi zambiri, chophukacho pamimba amadziwika mwa ana agalu, ndipo malinga ndi kukula kwake ndi zotsatira za ultrasound, dokotala amasankha pa advisability mwadzidzidzi kapena anakonza opaleshoni. Pankhani yaing'ono ya umbilical chophukacho mu mwana wagalu ndipo palibe zodandaula za thanzi, nthawi zambiri dokotala amalimbikitsa kuyembekezera ndi opaleshoni kwa miyezi 6-8 - pa msinkhu uwu, chiweto chikhoza kale kuchitidwa opaleshoni yodula ndipo zidzatheka. kuphatikiza ntchito ziwiri. Ngati galuyo ali ndi inguinal chophukacho, M'malo mwake, tikulimbikitsidwa kuchita opaleshoni mwamsanga pambuyo anapeza.

Chizindikiro cha opaleshoni yadzidzidzi ndi malo a chophukacho, zizindikiro zachipatala (kupweteka, kusokonezeka kwa mwana wagalu, kukanidwa kwa chophukacho) ndi kukula kwa mapangidwe ake.

Njira zopewera

Kupewa hernia kumaphatikizapo:

• osaloledwa kuswana ziweto zomwe zinali ndi chophukacho, monga pali cholowa chitsanzo cha chitukuko chawo;
• kupewa kuvulaza;
• Iwo m'pofunika kufufuza ziweto kwa veterinarian kamodzi pachaka, kuchita ultrasound wa pamimba patsekeke kusaganizira kukhalapo kwa zobisika mkati pathologies.

Nkhaniyi sikupempha kuchitapo kanthu!

Kuti mudziwe zambiri za vutoli, timalimbikitsa kulankhulana ndi katswiri.

Funsani vet

October 5 2020

Kusinthidwa: February 13, 2021