Traditional Culture Encyclopedia - Traditional festivals - Hernia What is it?

Hernia What is it?

"Hernia" is often referred to as "small bowel gas", refers to the abdominal tissue through the congenital or acquired formation of holes or weak areas to the surface of the body of the protruding material, medically referred to as "extra-abdominal hernia ".

Patients commonly inguinal (thigh root, below the abdomen), abdominal wall, navel, scrotum and other places raised a lump, pressure, lying down disappeared, long standing, walking, exertion, children crying, coughing hard when the symptoms are obvious. Accompanied by varying degrees of acidity, distension, pain, there are some patients without pain and discomfort.

Hernia composition hernia generally has the following components:

Hernia ring: that is, the weak or defective part of the abdominal wall of the population;

Hernia capsule: is the peritoneal wall through the hernia ring protruding capsule;

Hernia content: common for the small intestine, followed by the large omentum, sometimes peritoneal interlocutionary organs such as the cecum, can also be slipped into the hernia capsule.

Generally speaking, one is the abdominal congenital are weak and abnormal development or abdominal wall surgical incision infection, post-surgical healing of the pathological changes of the scar; two is the intra-abdominal pressure is too high, the cause of increased intra-abdominal pressure (such as infants and young children crying, adult overload weight, huge tumors, pregnancy, etc., extrusion of intra-abdominal organs out of the weak place, and so many other factors), the pathology of the factors is seen in high blood pressure, Diabetes mellitus, chronic cough, long-term constipation, prostate hypertrophy, hyperplasia caused by urinary obstruction, etc., in addition to hepatic ascites can be caused by a sustained increase in abdominal pressure, all of the above factors can induce the formation of hernia or cause hernia recurrence after surgery. From the Chinese medicine point of view, the cause of the cold evil invasion, trapped in the yang; heart and kidney yang deficiency, yin and cold and poor qi operation; blood flow blockage, etc., the cause is more complex.

Hernia, no matter where it is located, will have an impact on the patient's life, but also produce psychological unnecessary burden. With the passage of time, the hernia mass can gradually increase in size. If you have a huge inguinal hernia for a long period of time, only usually walking will appear to fall outside the discomfort, forked legs and can not walk straight back posture, itself and normal people of the same age have a difference. If the hernia becomes campanulated (small intestine stuck in the hernia ring) or strangulated, severe pain, nausea and vomiting can occur, and the intestinal tube can suffer serious or even life-threatening consequences due to ischemia, oozing and necrosis. Therefore, in order to improve the quality of life and prevent untoward events, early treatment of hernia is necessary.

Types of hernia common hernia according to anatomy is divided into: inguinal hernia; inguinal hernia; femoral hernia; umbilical hernia; incisional hernia (also divided into abdominal wall incisional hernia, perineal incisional hernia, that is, postoperative recurrent hernia; water hernia (syringomyelia) and the more rare white line hernia; closed hole hernia, lumbar hernia, meniscus line hernia. According to the pathology and clinical manifestations are divided into: reversible hernia; difficult reversible hernia; incarcerated hernia; strangulated hernia.

What are the current treatment options for hernia? Surgical treatment: divided into the traditional "hernia repair" "hernia ring filling tension-free hernia repair" and various other types of tension-free hernia repair, surgical effect is generally faster, bedridden for one week to two weeks after the operation can be down to the ground activities, but through years of clinical practice However, through years of clinical practice, a high recurrence rate exists after surgery, especially in elderly patients, accompanied by a variety of medical diseases, such as posterior ventricular wall tumor of the heart with arrhythmia, chronic leukemia, hemiplegia after cerebrovascular accident, Parkinson's disease, hypertension, diabetes mellitus, chronic bronchitis, asthma, long-term constipation, prostatic hypertrophy and hyperplasia, as well as physical factors, which make patients have to face the sequelae of surgical complications, self-care and nursing care during the postoperative recovery period. At the same time, it is still difficult to solve the problem of postoperative recurrence. In some patients, hernia still occurs one or more years after surgery, and even more so, the second or third operation is performed several months later, and still fails in the end. This type of situation is still relatively common in clinical practice.

Local sclerosing agent injection (injection) therapy:

In recent years there are experts. Because the injection is unknown medical silicone, similar to filler materials; through the hospital clinical application in recent years. Often appear hard block formation, difficult to be absorbed by the body, time is long hard block has not disappeared, at the same time can also slide, displacement, is a foreign body outside the body side effects.

Conservative treatment method:

This method is based on the theory of external treatment of internal disease in Chinese medicine (external treatment of internal disease is an important part of the motherland's medicine, which has a history of thousands of years, in which the local external application of traditional Chinese medicine in the clinic is very widely used), and the advantages of its effect is stable, painless, and no side effects.

The treatment of hernia can also be applied locally to the pressure, with a certain physical compression effect, to control the hernia free material sliding, falling off, persistent control, in order to reduce the impact of hernia contents on the hernia ring mouth. Through certain technical means, the hernia ring mouth can be effectively controlled to expand, gentle and effective treatment, such as the past Chinese medicine for infants and young children with hernia disease patients, is through a long period of time binding cloth tape, in the affected area of the pad with gauze wrapped coins or cotton balls, prompting the hernia ring mouth self-healing. Some patients eventually get rid of their hernia through this method, but because of the long binding time (half a year or a year), it is extremely inconvenient and difficult to fit every patient. However, this method provides a better clinical trial proof for the development of hernia belt.