Nyob rau ntawm cheeb tsam ntawm daim duab peb sab, ib tug txiv neej muaj ntau ntau cov canals, tendons and ligaments, uas ua si lub luag hauj lwm tseem ceeb ntawm txoj kev ua kom tseem ceeb ntawm lub cev. Nyob rau hauv rooj plaub uas cov ntaub so ntswg ntawm cov kab mob plab yog lub cev tsis muaj zog, kabmob nyob rau hauv qis seem ntawm lub plab kabmob (plab hnyuv looj, loj omentum) tawm ntawm lub femoral kwg thiab femoral hernia.
Cov tsos mob ntawm tus mob femoral hernia
Lub femoral hernia nyob rau hauv ob qho tib si poj niam thiab cov txiv neej muaj tib lub tsos mob. Nyob rau hauv thaum pib muaj ib tug siab tsis zoo siab nyob rau hauv qis dua plab thiab nyob rau hauv lub cheeb tsam ntawm sab hauv thighs. Thiab cov tsos mob ua rau lub cev muaj zog. Tom qab qee lub sij hawm, nyob rau ntawm daim tawv nqaij tshwm muaj tubercle, tshwj xeeb tshaj yog pom tshwm hauv qhov xwm txheej uas tsim nyog yuav tau thawb (thaum tuav lub zog, qhov ua rau defecation), thaum lub ploj poob yog yooj yim kho koj tus kheej. Tom qab manipulation, protrusion disappears, thaum ib tug yam ntxwv rumbling yog hnov. Qee lub sij hawm tej zaum yuav muaj o ntawm qhov nqig ntawm sab hauv ntawm lub cev qhov chaw hernia nyob, thiab nce siab.
Cov teeb meem ntawm tus kab mob muaj xws li:
- peritonitis - o ntawm peritoneum;
- strangulated femoral hernia, uas tuaj yeem ua rau cov necrosis ntawm cov kabmob;
- coprostasis - stasis ntawm feces nyob rau hauv intestine.
Nws yog ib qho tseem ceeb rau kev sib txawv ntawm cov kab mob femoral hernia los ntawm cov kab mob zoo sib xws (lipomas, thrombophlebitis , varicose veins, oncological formations, etc.) Ua li no:
- Xoo hluav taws xob ntawm lub qhov quav;
- Ultrasound ntawm lub zais zis, zes qe menyuam, hernia nws tus kheej;
- kev soj ntsuam los ntawm txoj kev siv herniography - X-ray txoj kab, uas yog qhov sib txawv ntawm cov khoom uas tau muab tso rau hauv lub qhov ntswg.
Kev kho mob ntawm femoral hernia
Cov kws kho mob hais tias: thaum kuaj tau tus kab mob uas tsis muaj kev phais mob tsis tuaj yeem ua! Nrog ib tug femoral hernia, ua haujlwm hernia yog ua raws li ib qho kev kho mob plated. Muaj ntau txoj kev ua haujlwm, tab sis txhua tus ntawm lawv
Nyob rau hauv kev phais yas nrog femoral hernia yog meant siv cov ntaub so ntswg peritoneal los tsim lub moj khaum thiab suturing femoral kwj dej nrog ib qho tshwj xeeb uas tsis yog-absorbable xov.
Yas tuaj yeem ua tau siv cov khoom siv hluavtaws. Hauv qhov no, lub femoral kwg tsis yog sutured.
Nrog rau tus kab mob strangulated femoral hernia, muaj cov kab mob median laparotomy, tswj kev tshem tawm ntawm txoj hnyuv.