Qhov Tseem Ceeb – Hernia vs Hemorrhoid
Ib tus hernia yog qhov protrusion ntawm ib lub cev los yog ib feem ntawm lub cev los ntawm qhov tsis xws luag nyob rau hauv lub phab ntsa ntawm cov kab noj hniav nyob rau hauv uas nws nyob, mus rau hauv ib tug txawv txav txoj hauj lwm. Hemorrhoids tuaj yeem txhais tau tias yog ib qho quav ntawm mucous daim nyias nyias thiab sub mucosa uas muaj varicosed tributaries ntawm lub qhov quav vein superior thiab lub davhlau ya nyob twg ceg ntawm lub qhov quav cov hlab ntsha. Raws li lawv cov lus txhais tau hais meej meej, hauv hemorrhoids, lub hnab ntim cov hlab ntsha thaum, nyob rau hauv hernias, lub hnab ntim nrog cov kabmob lossis ib feem ntawm cov kabmob. Qhov no yog qhov sib txawv tseem ceeb ntawm hernia thiab hemorrhoid.
Hernia yog dab tsi?
Ib tug hernia yog qhov protrusion ntawm ib lub cev los yog ib feem ntawm lub cev los ntawm ib tug tsis xws luag nyob rau hauv lub phab ntsa ntawm cov kab noj hniav nyob rau hauv uas nws yog nyob rau hauv ib tug txawv txav txoj hauj lwm. Nyob rau hauv feem ntau ntawm cov mob, cov malformations tshwm sim vim lub anatomical defects tshwm sim raws li diverticula ntawm lub peritoneal kab noj hniav thiab yog li ntawd yog them los ntawm ib txheej ntawm parietal peritoneum.
Type of Hernia
Muaj ntau hom hernias xws li,
- Inguinal
- Nyob zoo
- Kev txiav txim siab
- Ventral
- Epigastric
Daim duab 01: Inguinal Hernia
Aetiology
Raws li tau hais dhau los, qhov tsis muaj zog ntawm lub cev hauv lub plab hnyuv yog qhov ua rau hernias. Cov kev qaug zog no tuaj yeem yog los ntawm qhov tshwm sim los yog tau txais yam.
Qhov kev pheej hmoo ntawm cov txheej txheem vaginalis thiab qhov tsis tiav ntawm qhov caws pliav yog qhov tshwm sim ntawm qhov tshwm sim ntawm hernias.
Iatrogenic ua rau xws li cov txheej txheem tsis zoo ua raws li kaw qhov kev phais mob tuaj yeem ua rau thaj tsam nyob ib sab ntawm phab ntsa ntawm cov kab noj hniav, ua rau muaj qhov tsis zoo ntawm kev muaj herniations. Qee zaum thaum cov txheej txheem phais, tuaj yeem ua rau cov hlab ntsha puas tsuaj, ua rau tuag tes tuag taw ntawm cov leeg innervated los ntawm lawv. Qhov no kuj tuaj yeem ua rau hernias.
Lwm Yam Uas Muaj Thib Ob ntawm Hernias
- hnoos ntev
- cem quav ntev
- Kev cev xeeb tub
- mob plab raws li hauv ascites
- Cov leeg mob plab tsis muaj zog hauv cov xwm txheej xws li rog rog thiab mob qog noj ntshav
Nyob ntawm qhov xwm txheej, hernias tuaj yeem faib ua peb pawg loj xws li,
- Irreducible
- Txhob Cia Siab
Reducible Hernias
Cov ntsiab lus ntawm lub hnab hernial tuaj yeem raug thawb rov qab mus rau hauv kab noj hniav.
Tshuaj Kho Mob
pab tsis mob uas ploj mus pw
Irreducible Hernias
Cov ntsiab lus tsis tuaj yeem raug thawb mus rau hauv cov kab noj hniav vim yog tsim cov adhesions ntawm hernial sac thiab cov qauv hauv nws.
Tshuaj Kho Mob
Usually asymptomatic
Strangulated Hernia
Strangulation ntawm hernial sac yog qhov teeb meem loj tshaj plaws uas cuam tshuam nrog hernias. Qhov no cuam tshuam cov ntshav muab rau hauv nruab nrog cev thiab lwm yam khoom nkag hauv lub hnab. Qhov tshwm sim hypoxia thiab tsub zuj zuj ntawm metabolic pov tseg ua rau muaj kev mob hnyav. Yog tias tsis kho lub hnab ntim tuaj yeem tawg thiab cov khoom pov tseg tso tawm tuaj yeem ua rau septicemia.
Hemorrhoids yog dab tsi?
Nyob rau hauv qhov kev xav ntawm anatomical, hemorrhoids tuaj yeem txhais tau tias yog ib qho quav ntawm mucous membrane thiab sub mucosa uas muaj varicosed tributaries ntawm lub qhov quav vein superior thiab lub davhlau ya nyob twg ceg ntawm cov hlab ntsha zoo dua.
Anatomical Basis
Qhov quav qhov quav muaj peb lub cushions ua los ntawm cov mucosal thiab sub mucosal Cheebtsam. Lub sub mucosal txheej ntawm lub qhov quav kwj dej muaj cov ntshav loj los ntawm lub network ntawm capillaries thiab lwm cov hlab ntsha me me. Cov hlab ntsha no tuaj yeem ua rau congested thiab loj, uas ua rau muaj qhov txawv txav ntawm qhov quav cushions rau hauv lub lumen ntawm lub qhov quav kwj dej uas peb txheeb xyuas tias hemorrhoids.
Himorrhoids sab hauv
Cov varicosities ntawm cov tributaries ntawm cov hlab ntsha ntawm qhov quav uas zoo tshaj plaws los ntawm cov mucous membrane yog hu ua hemorrhoids sab hauv lossis pawg. Cov ceg ntoo uas nyob hauv 3', 7' thiab 11' txoj haujlwm thaum saib hauv txoj haujlwm lithotomy yog qhov tshwj xeeb tshaj plaws kom tau hemorrhoids. Cov hlab ntsha ntawm lub qhov quav zoo tshaj yog tsis muaj valve thiab tswj tsis tau cov ntshav ntws los ntawm nws. Nyob rau hauv tas li ntawd, nws yog nyob rau hauv lub feem ntau dependable cheeb tsam ntawm lub capillary network ntawm lub qhov quav kwj dej. Cov kev pab cuam no ua rau muaj kev pheej hmoo ntawm cheeb tsam no kom tau hemorrhoids.
Muaj peb theem ntawm sab hauv hemorrhoids.
- First degree - pawg nyob hauv lub qhov quav
- Thib ob - pawg extrude los ntawm lub qhov quav thaum lub sijhawm tso quav tab sis rov qab mus rau lawv qhov qub txeeg qub teg tom qab
- Thib peb - pawg nyob sab nraum lub qhov quav
Cov hemorrhoids sab hauv tsis ua rau mob vim lawv yog innervated los ntawm autonomic afferent nerves.
Caus
- Tsev neeg keeb kwm ntawm hemorrhoids
- Txhua yam kab mob uas ua rau muaj ntshav siab siab
- cem quav ntev
Hemorrhoids sab nraud
Cov hemorrhoids sab nraud yog varicosities ntawm cov hlab ntsha hauv qhov quav hauv nws cov chav kawm raws qhov qhov quav. Cov venous malformations yog them los ntawm cov mucous daim nyias nyias ntawm qis ib nrab ntawm lub qhov quav kwj dej los yog ntawm daim tawv nqaij overlying cheeb tsam anorectal. Tsis zoo li cov hemorrhoids sab hauv, cov hemorrhoids sab nraud yog innervated los ntawm cov ceg ntawm cov hlab ntsha hauv qhov quav thiab yog li ntawd lawv mob heev thiab rhiab heev. Thrombosis ntawm sab nraud hemorrhoids thiab lawv cov ulceration tom qab yog cov teeb meem tshwm sim.
Qhov tshwm sim ntawm hemorrhoids hauv tus neeg mob hnub nyoog qis dua 20 xyoo yog qhov tsis zoo.
Daim duab 02: Sab hauv thiab sab nrauv hemorrhoids
Symptoms
- Per qhov quav los ntshav
- Nyob rau ntawm qhov palpable ntawm lub qhov quav
- Qhov kev hnov ntawm ib yam dab tsi tawm hauv qhov quav tom qab defecation.
- Muaj peev xwm muaj cov yam ntxwv ntawm cov hlau tsis muaj ntshav liab vim ntshav poob
Qhov txawv ntawm Hernias thiab hemorrhoids yog dab tsi?
Hernias vs Hemorrhoids |
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| A hernia yog qhov protrusion ntawm ib lub cev los yog ib feem ntawm lub cev los ntawm qhov tsis xws luag nyob rau hauv lub phab ntsa ntawm cov kab noj hniav nyob rau hauv uas nws yog nyob rau hauv ib tug txawv txav txoj hauj lwm. | Hemorrhoids tuaj yeem txhais tau tias yog ib qho quav ntawm cov mucous membrane thiab submucosa uas muaj varicosed tributaries ntawm lub qhov quav vein superior thiab lub davhlau ya nyob twg ntawm cov hlab ntsha ntawm qhov quav. |
| Sac | |
| Lub hnab ntim khoom nruab nrog cev lossis cov khoom nruab nrog cev. | Lub hnab muaj cov hlab ntsha. |
Summary – Hernias vs Hemorrhoids
Hernias yog ib yam mob uas pom nyob rau hauv cov chaw phais mob. Lawv yog cov protrusions ntawm ib lub cev los yog ib feem ntawm lub cev los ntawm ib tug tsis xws luag nyob rau hauv lub phab ntsa ntawm kab noj hniav nyob rau hauv uas nws yog nyob rau hauv ib tug txawv txav txoj hauj lwm. Ntawm qhov tod tes, hemorrhoids yog ib qho quav ntawm mucous daim nyias nyias thiab sub mucosa uas muaj varicosed tributaries ntawm lub qhov quav vein superior thiab lub davhlau ya nyob twg ceg ntawm lub qhov quav cov hlab ntsha. Yog li ntawd, nyob rau hauv hernias, lub hnab ntim khoom muaj cov khoom nruab nrog cev lossis cov khoom nruab nrog cev thaum nyob hauv hemorrhoids lub hnab tsuas muaj cov hlab ntsha xwb. Nov yog qhov sib txawv ntawm hernia thiab hemorrhoid.
Download PDF Version of Hernias vs Hemorrhoids
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Hernia thiab Hemorrhoid
