- Umbilical hernia: unpleasant, but treatable
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Pregnant
Umbilical hernias occur most often after repeated pregnancies when stretched anterior abdominal wall. Weakens the abdominal wall and polyhydramnios, multiple pregnancy, large fruit - all contribute to the emergence of an umbilical hernia. But if all the doctor's recommendations umbilical hernia during pregnancy usually proceeds without complications.
Umbilical hernia can be congenital in nature, occur in childhood or in adult patients. In congenital umbilical hernia children watch often signs of a hernia
Hernia: Types and symptoms - which are the most dangerous?
disappear. Congenital umbilical hernia in girls prefer to operate with simultaneous strengthening of the anterior abdominal wall, because the girl is still a pregnancy and childbirth.
There is an umbilical hernia in adults, more common in women during pregnancy or after childbirth. This is because the muscles are stretched the anterior abdominal wall, and together with them and the umbilical ring, through which the hernial sac contained therein internal organs (usually intestinal loops) goes under the skin in the navel.
Umbilical hernia occurs in pregnant women is usually easy, and gives infringed complications are rare, however, this disease requires constant monitoring of the surgeon and the implementation of all its recommendations.
Umbilical hernia in pregnant women can manifest itself in the form of a small bulge in the umbilicus that results in a vertical position, lost in a horizontal position and easily reduce a hand of the woman. As a rule, it is a little worried about the woman, but it can worsen constipation, which is so characteristic for the state of pregnancy. Constipation occur due to the fact that the blood circulation of the abdominal region including the bowel, reducing its motor activity, and this leads to a slow advancement of feces through the intestine.
Of course, if the umbilical hernia increases the risk of thrombosis mesenteric blood vessels, but in practice it is a complication of an umbilical hernia is extremely rare. Also, rare cases of violation of umbilical hernia in pregnant women. They occur most often in some sort of physical activity sufficiently strong or strengthening of constipation and bowel feces overflow.
Infringement of umbilical hernia in pregnant women
Infringement of umbilical hernia in pregnant women is usually manifested by sudden onset of severe pain in the navel and the inability to straighten hernia. It is very important that the woman knew about the presence of her hernia, but it needs to occur regularly in the antenatal clinic - there will identify all diseases that can complicate pregnancy. In addition, there is a special feature - the inability to experience a boost in cough infringement.
But sometimes the symptoms of the disease can be smoothed, the pain is minor and a woman can take her for the pain of other origin, because pregnancy can occur different states. That is why a woman needs constant supervision of the surgeon, the implementation of all its recommendations. In addition, the surgeon will explain to the woman what signs (sometimes not too severe) can manifest infringement of umbilical hernia, and under what sign you need to call an ambulance. This is very important as strangulated hernia is better to operate as soon as possible, until it was necrosis of the internal organs.
When strangulated hernia in pregnant women may be signs of "acute abdomen". This concept includes a group of diseases of the abdominal cavity that occur acutely, can be life-threatening and require emergency surgery.
Such diseases include acute appendicitis, acute cholecystitis
Cholecystitis - heredity plays a role?
, Acute pancreatitis, intestinal obstruction and strangulated hernia, including the umbilical hernia. In addition to the danger to the mother acute abdominal disease adversely affect the course of pregnancy, causing its premature termination - miscarriages and premature births
Premature birth - Recognize the signals of the body in time
, It is also possible fetal death.
Diagnosis of infringement may be difficult because of the vagueness of symptoms, as well as full-term pregnancy, when signs of infringement of an umbilical hernia symptoms begin to overlap birth.
Strangulated umbilical hernia requires immediate surgery, which is performed under general endotracheal (with the arrival of painkillers and sleeping pills gaseous substances through a tube inserted into the trachea) anesthesia. Infringement of an umbilical hernia is not a reason for termination of pregnancy, surgery and postoperative period in this disease usually resolves without complications.
If there is no infringement of a hernia, then she will need to wear a special bandage and avoid high physical loads expressed.
Umbilical hernia during pregnancy, and even it is not an infringement of the tragedy - Today, there are special methods of operations for umbilical hernia in pregnant women, which avoid all possible complications.
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Older people
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