Pre hernia symptoms?

summary

Hernia means that an organ or tissue in the human body leaves its normal anatomical position and enters another part through congenital or acquired weak points, defects or pores. The common hernias are umbilical hernia, direct inguinal hernia, indirect inguinal hernia, incisional hernia, recurrent hernia, white line hernia, femoral hernia, etc. Abdominal wall hernia is often caused by cough, sneezing, excessive exertion, abdominal obesity, forced defecation, pregnancy, excessive crying in children, and degenerative changes of abdominal wall strength in the elderly. It forces the free organs in the abdomen, such as small intestine, cecum, omentum, bladder, ovary, fallopian tube, to pass through normal or abnormal weak points or defects The pore enters another part. Pre hernia symptoms? Let's talk about it

Pre hernia symptoms?

Irreducible hernias (irreducible hernias): the contents of the hernia can not be returned or completely returned to the abdominal cavity, but do not cause serious symptoms, called irreducible hernias. Hernia contents repeatedly protrude, causing the neck of hernia sac to be damaged by friction and adhesion, which is the common reason for the hernia contents not to be accepted. The contents of this hernia are mostly greater omentum. In addition, some huge hernias with long course and large abdominal wall defects have lost the function of resisting the prominent contents because of the large amount of contents, and are often difficult to be accepted. In addition, a small number of hernias with a long course of disease, due to the falling force of the contents constantly entering the hernia sac, the peritoneum above the neck of the sac is gradually pushed towards the hernia sac, especially in the iliac fossa area. The combination of the retroperitoneum and the posterior abdominal wall is very loose, and it is easier to be pushed, so that the cecum (including appendix), sigmoid colon or bladder move down and become a part of the hernia sac wall. This kind of hernia is called sliding hernia, which also belongs to irreducible hernia.

Incarcerated hernia (incarcerated hernia): when the neck of the hernia sac is small and the intra-abdominal pressure suddenly increases, the contents of the hernia can be forced to expand the neck of the sac and enter the hernia sac, and then because of the elastic contraction of the neck of the sac, the contents will be stuck, so that it can not be recovered. This situation is called incarcerated or closed hernia. After incarceration of hernia, if the content is intestinal tube, the intestinal wall and its mesentery can be compressed at the neck of hernia sac, which first obstructs the venous return, leading to blood and edema of intestinal wall. The intestinal wall and its mesentery in hernia sac gradually thickens, and the color changes from normal light red to dark red gradually. There may be light yellow exudate accumulation in the sac. As a result, the compression of the bowel is aggravated and it is more difficult to recover. If the incarceration can be removed in time, the diseased bowel can return to normal.

Strangulated hernia (strangulated hernia) intestinal incarceration if not removed in time, the intestinal wall and mesentery pressure continues to increase, can reduce the arterial blood flow, and finally lead to complete occlusion, that is strangulated pain. At this time, the pulsation of mesenteric artery disappeared, the intestinal wall gradually lost its luster, elasticity and peristaltic ability, and finally became black and necrotic. The exudate of hernial sac became light red or dark red. In case of secondary infection, the exudate in the hernia sac is purulent. When the infection is serious, it can cause cellulitis in the outer mantle of hernia. The hernial sac with pyometra may be punctured by itself, or intestinal fistula may occur due to incision and drainage by mistake.

matters needing attention

(1) Avoid pushing, lifting or pulling heavy objects (2) reduce crying (3) drink more water and eat more high fiber food to promote smooth defecation and prevent constipation（ 4) Quit smoking, prevent respiratory tract infection and chronic cough.