HERNIA
Basic locales for hernia:- –
Hernia can happen anyplace in the body. However there are some basic locales for hernia. Because of the nearness of hard covering trunk divider is regularly not influenced. Hernia in the lower back is additionally uncommon because of spine and back muscles and intense tendons and sheaths. The regular site for hernia is stomach divider. Contrasted with different parts the stomach divider is powerless because of the nearness of some regular openings. There are a few ranges wherein the muscular strength are weaker and thin and every one of these variables make a possibility for herniation. The basic locales for hernia are taking after.
an) Inguinal hernia:
Here the stomach substance distend through the inguinal trench (entry in the lower stomach divider simply over the inguinal tendon. It is seen on either side).This sort is normal in guys. At first the swelling comes just while straining and backpedals while resting. Later the huge part of digestive system may turn out which may not backpedal effortlessly.
b) Femoral hernia:
This sort of hernia is more in females. Here the stomach substance go through the femoral waterway which is seen just underneath the intersection between the thigh and lower stomach wall(Inside the femoral triangle).The substance pass downwards and turns out through saphenous opening in the thigh and structures a swelling under the skin.
c) Umbilical hernia:
This is basic in youngsters. The umbilicus is the weaker piece of the midriff. The substance of the stomach area may project as a knob like swelling while crying and crapping.
d) Incisional hernia:
These hernias are seen in worked locales. Because of uncalled for suturing or sepsis the worked site gets to be distinctly feeble bringing about hernia.
e) Epigastric hernia:
Here the hearniation happens in the epigastria. It is an uncommon sort.
f) Lumbar hernia:
Here the hernia show up in the lumbar region on either side of the lumbar spine(in the lumbar triangle).This is likewise an uncommon sort.
g) Obturator hernia:
This is an uncommon sort of hernia. Here the substance go through obturator foramen in the pelvic bone.
Difficulties of hernia:- –
1) Strangulation:
On the off chance that the hernial hole is thin the stomach substance may not backpedal effectively, and later the blood stream to the herniated tissues might be hindered because of constricition. This can bring about death of jutted digestive system.
2) Intestinal impediment:
This happens when the entire bit of the digestive tract is distended into the hernial sac. The restricted hernial opening will obstruct the entry of guts.
3) Infection and peritonitis:
In the event that there is strangulation with death of a segment of digestive tract there will be spread of contamination to the mid-region bringing about peritonitis.
Treatment of hernia:- –
Starting treatment: In the underlying phases of hernia the accompanying strides might be valuable
1) Use of hernia belt:
Extraordinary sorts of hernia belts are accessible for each kind of heania. This will keep the projection and will decrease torment.
2) Constipation, repetitive hack, urinary block and so forth ought to be dealt with.
3) Fat diminishment will build the quality of stomach divider.
4) Abdominal activities to expand the muscle tone.
5) Take a lot of verdant vegetables, products of the soil abstain from food for simple solid discharges.
6) Try different frameworks like Homeopathy, Herbal drug and so forth
In the event that no help by the above strides counsel a general specialist for surgical administration.
Surgical treatment.
The accompanying operations are done depending up on the sort and nature of hernia.
1) Hertniotomy : In this operation the substance of hernial sac is pushed into the guts and neck of the sac is ligated with transfixion ligature and the sac is cut off.
2) Herniorrhaphy: Here alongside herniotomy the back divider is repaired.
3) Hernioplasty: This operation is done if herniotomy is unrealistic because of wide neck of the sac. Here the repair is finished with the assistance of non absorbable materials like tantalum bandage, polypropylene work or stainless steel work.