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What Is Hernia?!is Danger For Us?

What Is Hernia?!is Danger For Us?

introduction

A hernia is an abnormal protrusion of an internal organ through an abnormal opening in the cavity wall. A combination of increased pressure inside the body and weakness in the wall is responsible for this condition. In this condition, internal organs or parts of organs protrude and form swelling, which increases with coughing and lifting weight, and with defecating and urinating. When lying down, the swelling goes inward, except in the case of a strangulated and irreparable hernia.

Causes:-

1, weakness in body wall:–

a) Congenital weakness.

b) Acquired weakness due to injury, muscle wasting, purulent lesions in the wall and presence of weak natural openings, obesity, sedentary lifestyle, repeated pregnancy.

c) Surgical operation with improper suturing or sepsis of the operated site.

2) Increased pressure in the body.

a) Chronic constipation.

b) Recurring cough.

c) weightlifting.

d) stricture of the urethra.

Common sites for hernias:–

Hernias can appear anywhere in the body. However, there are some common sites for hernias. Because of the presence of hard bony coverings, the chest wall is usually unaffected. Hernias in the lower back are also rarely sheeths due to spinal and back muscles and tough ligaments. The most common site for hernias is the abdominal wall. Compared to other parts, the abdominal wall is weak due to the presence of some natural openings. There are some areas where the abdominal muscles are weaker and thin and all of these factors present a chance for rupture. Common sites for hernias are as follows.

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a) hernia:

Here the abdominal contents protrude through the inguinal canal (passageway in the lower abdominal wall just above the inguinal ligament. It can be seen on both sides). This type is common in men. Initially, the swelling only comes with exertion and goes away when lying down. Later, the large part of the intestine may come out, which may not go back easily.

b) femoral hernia:

This hernia is more common in women. Here the abdominal contents pass through the femoral canal, which can be seen just below the junction of the thigh and lower abdominal wall (inside the femoral triangle). The contents descend and exit through the opening of the saphenous veins on the thigh, forming a lump under the skin.

 

c) umbilical hernia:

This is common in children. The navel is the weaker part of the abdomen. The contents of the abdomen may appear as a bulge-like swelling when crying and defecation.

d) incisional hernia:

These hernias are seen at operated sites. Due to improper suturing or sepsis, the operated site becomes weak,and resulting in a hernia.

e) Epigastric hernia:

Here the hearing takes place in the epigastrium. It’s a rare species.

f) lumbar hernia:

Here the hernia occurs in the lumbar region on either side of the lumbar spine (in the lumbar triangle). This is also a rare form.

g) obturator hernia:

This is a rare type of hernia. Here the content enters the pelvic bone through the obturator foramen.

Complications of Hernia:–

1) Strangulation:

If the hernial orifice is narrow, abdominal contents may not flow back easily, and later blood flow to the hernia tissues may be blocked due to narrowing. This can lead to the death of the protruding intestine.

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2) Intestinal Obstruction:

This occurs when the entire portion of the intestine protrudes into the hernial sac. The narrow hernial orifice blocks the passage of the intestine.

3) Infection and Peritonitis:

If strangulation occurs with death of part of the intestine, the infection spreads to the abdomen, causing peritonitis.

Treatment of hernias:–

Initial treatment: In the early stages of a hernia, the following steps may be useful

1) How to use the hernia belt:

Specific types of hernia belts are available for each type of hernia. This prevents protrusion and reduces pain.

2) Constipation, recurrent cough, urinary tract obstruction, etc. should be treated.

3) Fat reduction increases the strength of the abdominal wall.

4) Abdominal exercises to increase muscle tone.

5) Consume plenty of leafy greens, fruit, and a high-fiber diet for easy bowel movements.

6) Try other systems like homeopathy, herbal medicine and ect

If the above steps do not bring relief, consult a general surgeon for surgical treatment.

surgical treatment.

The following operations are performed depending on the type and type of hernia.

1) Hertniotomy: In this operation, the contents of the hernial sac are pushed into the abdomen and the neck of the sac is ligated with transfixation ligature and the sac is cut off.

2) Herniorrhaphy: Here, together with the herniotomy, the posterior wall is repaired.

3) Hernioplasty: This operation is performed when a herniotomy is not possible due to a wide sac neck. Here the repair is carried out with the help of non-resorbable materials such as tantalum gauze, polypropylene mesh or stainless steel mesh.

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