ʻO Diaphragmatic Hernia i nā ʻīlio - Kumu, nā ʻōuli a me nā lāʻau

Mea Kākau: Laura McKinney
Lā O Ka Hana: 9 Apelila 2021
HōʻAno Hou I Ka Lā: 26 Iune 2024
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Ke pilikia ka ʻīlio i kahi hana traumatic, e like me ka holo ʻana i luna, ka hāʻule ʻana, a i ʻole ka pā ikaika ʻana e hana i kahi kīnā diaphragm e ʻae iā ia e hele o ka ʻōpū viscera no ka hakahaka o ka umauma, puka mai kahi hernia diaphragmatic. ʻO kēlā ʻano maʻi hiki ke hānau ʻia. I kēia mau hihia, hānau ʻia ka ʻīlio pēpē me ka hernia, kahi e hoʻonā wikiwiki ai i ka hiki, ʻoiai he manawa ka manawa no ka hernia e lilo ai i mea mālama.

E hoʻomau i ka heluhelu ʻana i kēia ʻatikala PeritoAnimal e ʻike pono i ka mea Diaphragmatic hernia i nā ʻīlio - nā kumu, nā ʻōuli a me nā lāʻau, e hoʻomaopopo maikaʻi ai e pili ana i kēia hana e hiki ai i kā mākou ʻīlio ke hoʻomanawanui. Heluhelu maikaʻi.


He aha ka hernia diaphragmatic

Kū ka hernia diaphragmatic ke kū ʻole kahi kūleʻa i ka diaphragm, ʻo ia ka hoʻokaʻawale musculotendinous ma waena o ka ʻōpū a me ka lua o ka thoracic, ka mea e kaupalena a hoʻokaʻawale i nā mea ʻoniʻoki ke komo i ka hanu o ka holoholona. Aia kēia hemahema i kahi puka e ʻae ai i ka hele ma waena o nā lua ʻelua, no laila, lawe ʻia ma ke ʻano he hopena ka hele ʻana o nā ʻōpū o ka ʻōpū i ka lua o ka thoracic.

ʻElua ʻano o ka hernia diaphragmatic i nā ʻīlio: congenital a me traumatic.

Hernia diaphragmatic hernia

ʻO kēia ʻano hernia i nā ʻīlio kahi i hānau ʻia ai nā ʻīlio me ia. Loaʻa kēia i ka lawa ʻole a kūpono ʻole paha o ka diaphragm i ka wā embryogenesis. Hiki ke hoʻohālikelike ʻia kēlā hernia e like me:


  • Hernia Peritoneopericardial: ke komo i loko o ka ʻōpū i ka ʻeke pericardial o ka puʻuwai.
  • hernia pleuroperitoneal: ke komo nā mea i loko o ka pleura space of the lung.
  • Hiatus hernia: ke hele ka esophagus distal a me kahi o ka ʻōpū i loko o ka hiatus esophageal o ka diaphragm a komo i ka lua o ka umauma.

Hernia diaphragmatic traumatic

Kū kēia hernia ke a kaʻina kūwaho traumatic, e like me ka holo ʻana i luna, ke hāʻule ʻana mai kahi kiʻekiʻe, a i ʻole ka haki ʻana, e haki ka diaphragm.

Kaukaʻi ʻia i ke koʻikoʻi o ka hōʻino ma muli o ka haki ʻana o ka diaphragm, e ʻoi aku ana ka liʻiliʻi o ke kaʻina hana, e ʻae ana i ka hele ʻana o nā mea o ka ʻōpū e keʻakeʻa i nā hana nui a ka ʻīlio, e like me ka hanu ʻana.


ʻO nā ʻōuli hernia diaphragmatic i nā ʻīlio

Hōʻike nā hōʻailona olakino i kahi ʻīlio me hernia diaphragmatic hanu nui e ka compression a ka ʻōpū viscera e hoʻokau ai ma nā akemāmā, e paʻakikī ana i ka hanu pono ʻana. Pono e noʻonoʻo ʻia ʻaʻole e ʻike ʻia nā hernias hānau a hiki i ka wā o ka ʻīlio i kahi makahiki, me nā ʻōuli liʻiliʻi a pinepine pinepine pinepine ʻole.

ʻO nā hihia koʻikoʻi nā mea o nā hernias traumatic, kahi e hōʻike mau ai ka ʻīlio tachycardia, tachypnea, cyanosis (ke kala ʻulaʻula o nā membrane mucous) a oliguria (hoʻemi i ka hana mimi).

No laila, ke nā ʻōuli o kahi ʻīlio me hernia diaphragmatic he:

  • Dyspnoea a paʻakikī i ka hanu ʻana.
  • Hoʻoikaika Anaphylactic.
  • ʻO ka maikaʻi ʻole o ka paia umauma.
  • Ka ea ma ka lua o ka pahu.
  • Ka hoʻoliʻiliʻi o ka pulmonary distension.
  • Edema pulmonary.
  • Hewa ka ʻōnaehana Cardiovascular.
  • Nā arrhythmias Cardiac.
  • ʻO Tachypnoea.
  • Nū leo hanu.
  • Lethargy.
  • ʻO Thoracic borborygmus.
  • Hoʻonui i ka haʻalulu o ka piko o ka puʻuwai ma kekahi ʻaoʻao o ka umauma ma muli o ka hoʻoliʻiliʻi o ka puʻu puʻuwai e ka herniated ʻōpū viscera.
  • Fluid a viscera paha i ka lewa pleura.
  • Palpitation ʻōpū.
  • ʻO ka luaʻi
  • Gastric dilation.
  • Oliguria.

ʻIke hernia Diaphragmatic i nā ʻīlio

ʻO ka mea mua e hana ai i ka hōʻoia o kahi hernia diaphragmatic i nā ʻīlio e hana xrays, ʻo ka pahu hoʻi, e nānā ai i ka poino. I ka 97% o nā ʻīlio, ʻike ʻia kahi silhouette piha ʻole o ka diaphragm a ma 61%, ʻike ʻia nā puka lou i piha i ke kinoea i ka lua o ka pahu. Hiki ke ʻike ʻia nā ʻike i loko o ka pleura space, a hiki ke lilo i hydrothorax ma muli o ka pleural effusion i nā hihia i hala iho nei a i ʻole he hemothorax me ka hemorrhage i nā hihia mau hou aku.

E loiloi i ka hiki hanu, ka kālailai kinoea arterial a hoʻohana ʻia ka nonimetvasive pulse oximetry e hoʻoholo ai i nā ea ʻole / perfusion imbalances me ka alveolar-arterial oxygen ʻokoʻa. Pēlā nō hoʻi, ka ultrasound ʻae e ʻike i nā ʻōpū o ka ʻōpū i ka umauma umauma a i kekahi manawa hiki ke hoʻoholo i kahi o ka hemahema diaphragm.

E hōʻoia i ka noho a me ka ʻole o hernia i nā ʻīlio, ʻenehana ʻokoʻa e like me ka lawelawe ʻana o barium a i ʻole pneumoperitoneography a me ka peritoneography ʻokoʻa maikaʻi me ka hoʻohālikelike iodined. Hoʻohana wale ʻia kēia inā hiki i ka ʻīlio ke hoʻomanawanui iā ia a inā ʻaʻole e wehewehe ʻia nā hoʻokolohua kiʻi.

ʻO ka hoʻāʻo gula no ka hōʻoia ʻana hernia diaphragmatic i nā ʻīlio ua helu ʻia ʻo tomography, akā ma muli o ke kumu kūʻai kiʻekiʻe, manaʻo ʻole ʻia ia.

Mālama Canine Diaphragmatic Hernia

Hana ʻia ka hoʻoponopono ʻana o ka hernia diaphragmatic i nā ʻīlio me a ʻoki kino. Ma kahi o 15% o nā ʻīlio e make ma mua o ke kaha ʻana, a koi ʻia ka mālama ʻana i ka haʻalulu ma mua o ka hana no ke ola. ʻO ka poʻe i hana koke ʻia, ʻo ia hoʻi, i ka lā mua o ka trauma, loaʻa kahi helu make nui, ma kahi o 33%. Inā hiki ke kali iki a hiki i ka manawa e ʻae ai kāna hana cardiorespiratory, ʻoi aku ka maikaʻi o ke kali iki ʻana a hiki i ka paʻa ʻana o ka holoholona a hoʻemi ʻia ka makaʻu anesthetic.

He aha ke kahakaha hernia diaphragmatic i nā ʻīlio?

ʻO ka hana ʻoki e hoʻonā ai i kēia hernia i kahi ʻīlio celiotomy a i ʻole incision ma waena o ka midline ventral e nānā i ka ʻōpū o ka ʻōpū a hiki i ke diaphragm holoʻokoʻa. Ma hope iho, pono e hoʻopakele ʻia ka viscera kiki ʻia o ka hakahaka o ka umauma e hoʻokumu hou i kā lākou lako koko i ka hiki wawe. Pono e neʻe hou ʻia ka viscera herniated i ka lua o ka ʻōpū. I kekahi manawa, inā nui loa ka wai a ua nui ka hopena o lākou, pono e hemo i ka ʻāpana necrotic. ʻO ka hope, pono e paʻa ka diaphragm a me ka ʻili i nā papa.

Ma hope o ke kaha ʻana, pono e kuhikuhi ʻia nā lāʻau, no ka mālama ʻana i ka ʻeha, e like me nā opioid, a mālama ʻia ka ʻīlio i kahi palekana, kahi noho mālie, hānai maikaʻi ʻia a hoʻoulu ʻia hoʻi.

Hōʻikeʻike

ʻO ka make mai ka hernia diaphragmatic i nā ʻīlio ma muli o ka hypoventilation ma muli o ke kaohi ʻana o nā māmā e ka viscera, haʻalulu, arrhythmia a me nā insufficiencies multiorgan. Eia nō naʻe, ʻo ka hapa nui o nā ʻīlio e hana ana i ke kūkulu hou ʻana o ka diaphragm e ola a hiki iā lākou ke hoʻōla piha i ko lākou ola ma mua o ka ulu ʻana o ka hernia.

I kēia manawa ua ʻike ʻoe i nā mea āpau e pili ana i kēia ʻano hernia i nā ʻīlio, hoihoi paha ʻoe i kēia mau ʻatikala ʻē aʻe e pili ana i nā hernias like ʻole i nā ʻīlio.

  • Inguinal hernia i nā ʻīlio: ʻike a me ka lāʻau
  • Herniated Disc i nā ʻīlio - Nā ʻōuli, ka mālama ʻana a me ka hoʻōla ʻana
  • Hernia Umbilical i nā ʻīlio: nā kumu, nā hōʻailona a me nā lāʻau
  • Perineal hernia i nā ʻīlio: ʻike a me ka lāʻau

E nānā pono hoʻi e nānā i kēia wikiō e pili ana i 10 mau ʻano hana canine.

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Inā makemake ʻoe e heluhelu hou aku i nā ʻatikala e like me ʻO Diaphragmatic Hernia i nā ʻīlio - Kumu, nā ʻōuli a me nā lāʻau, paipai mākou iā ʻoe e komo i kā mākou ʻāpana pilikia olakino ʻē aʻe.