Miv tuaj yeem muaj tus mob diaphragmatic hernia. Nyob rau hauv nws, cov hnyuv cov ntsiab lus nkag mus rau hauv lub thoracic kab noj hniav vim tsis ua hauj lwm nyob rau hauv lub continuation ntawm lub diaphragm, uas tej zaum yuav congenital los yog vim raug mob. Yog li ntawd, cov miv cuam tshuam yuav nthuav tawm cov tsos mob los ntawm compression ntawm lub ntsws thiab lub plawv. Kev kuaj mob yog tsim los ntawm kev kuaj cov duab thiab kev kho mob yog phais.
Ntawv nyeem tsab xov xwm no ntawm peb lub xaib kom paub ntau ntxiv txog diaphragmatic hernia hauv miv, tsos mob thiab kev kho mob.
Dab tsi yog diaphragmatic hernia hauv miv?
A diaphragmatic hernia tshwm sim thaum muaj qhov tsis sib xws hauv lub diaphragm vim muaj qhov tsis xws luag, uas tso cai rau cov rog lossis plab plab xws li lub siab, tus po, lub plab lossis txoj hnyuv mus rau hauv lub hauv siab kab noj hniav, qhov twg peb pom, ntawm lwm cov qauv, lub ntsws thiab lub plawv.
Cov diaphragm yog cov leeg nqaij zoo koom nrog ua pa. Nws tso cai rau lub siab tsis zoo thaum nws sib cog lus thiab qhov curvature ntawm nws lub dome yog txo, txav nws lub hauv nruab nrab rov qab, uas ua rau kom lub ntim ntawm lub thoracic kab noj hniav thiab lub ntsws nthuav mus ua pa. Ntawm nruab nrab ntawm cov kab noj hniav thiab lub plab, ua tus cais thiab tiv thaiv lub plab zom mov kom nkag mus rau hauv cov kab noj hniav.
Types of diaphragmatic hernia in miv
Diaphragmatic hernias hauv miv tuaj yeem yog ob hom:
- Traumatic diaphragmatic hernia: Tom qab tshuab, ntog lossis sib ntaus, kev puas tsuaj sab hauv tuaj yeem tshwm sim, suav nrog kev tawg ntawm lub diaphragm, ua rau hernia thiab kev sib txuas lus ntawm lub thoracic thiab plab kab noj hniav.
- Congenital peritoneum-pericardial diaphragmatic hernia: muaj kev sib txuas lus ntev ntev ntawm lub pericardial kab noj hniav (txheej uas nyob ib ncig ntawm lub plawv) thiab lub peritoneum. (txheej txheej uas npog lub plab viscera), uas feem ntau muaj keeb kwm yug los. Qhov no txhais tau hais tias miv yug nrog hernia, uas, nyob rau hauv ntau zaus, tsis pom symptomatologically. Lub siab thiab lub gallbladder abnormalities feem ntau pom nyob rau hauv cov tsos mob.
Ua rau diaphragmatic hernia hauv miv
Thaum cov diaphragmatic hernias uas cov menyuam mos thaum yug los muaj congenital origin, cov uas tshwm sim tom qab yug me nyuam yog ntawmkev mob tshwm sim Nyob rau hauv miv, lawv feem ntau tshwm sim los ntawm kev huam yuaj, xws li poob los ntawm qhov siab loj, raug khiav los yog ntaus los ntawm ntug ntawm ib tug nto.
Nws yuav tsum tau muab sau tseg tias lub diaphragm nyob rau hauv cov me nyuam miv yog ib tug nyias thiab tseem underdeveloped qauv, uas ua rau nws ntau zaus thiab yooj yim rau tawg, uas yuav ua rau kom lub discontinuity uas tso cai rau cov kab mob ntawm lub plab mus rau lub plab. hauv siab, ua rau hernia.
Symptoms of diaphragmatic hernia in miv
Miv uas muaj diaphragmatic hernia feem ntau yuav tshwm sim clinical respiratory signs, xws li los ntawm kev mob ua pa me me mus rau qhov ua tsis taus pa tseem ceeb nrog kev ua pa hnyav thiab raug mob xws li Raws li lub hauv siab phab ntsa tsis ua hauj lwm, muaj huab cua, kua, los yog viscera nyob rau hauv lub pleural qhov chaw, pulmonary edema, plawv tsis ua hauj lwm, thiab poob siab.
Miv feem ntau qhia ua pa , nrog qhov siab tshaj plaws ntawm cov tav thiab kos hauv plab. Tsuas yog 10% ntawm cov miv muaj mob plawv arrhythmias. Lwm yam kev kuaj mob muaj raws li hauv qab no:
- Txo cov suab paj nruag.
- Vim.
- Anorexy.
- Dysphagia.
- Daj, uas yog daj daj ntawm cov mucous daim nyias nyias, tuaj yeem tshwm sim yog tias daim siab herniated, raws li daim siab tsis ua haujlwm.
Feline diaphragmatic hernia diagnosis
Diagnosis tiav by the chest X-ray kom pom cov kab mob herniated nyob rau hauv lub hauv siab kab noj hniav thiab ntsuam xyuas qhov hnyav ntawm hernia. Ultrasound yuav siv tau rau qee qhov kev sib txawv ntawm cov plab hnyuv siab raum thiab lub hauv siab auscultation los ntsuam xyuas cov suab tsim. Feem ntau, lub suab dull ntawm percussion qhia tias tus po thiab daim siab tau hloov lawm. Thaum muaj kua dej nyob rau hauv lub pleural kab noj hniav thiab yog hais tias lub suab yog tympanic, lub herniated organ feem ntau yog cov hnyuv thiab plab.
Tshuaj rau diaphragmatic hernia hauv miv
Congenital diaphragmatic hernias ua tau los tsis tau nyob ntawm seb lawv tsim cov tsos mob thiab/los yog cov organic tsis ua hauj lwm hauv miv. Ntawm qhov tod tes, hauv kev raug mob diaphragmatic hernias, tib txoj hauv kev los daws cov tsos mob yog los ntawm kev phais kho dua tshiab ntawm diaphragm.
Surgery and postoperative period of diaphragmatic hernia in miv
Txhawm rau ua cov txheej txheem phais no, sedation thiab siv tshuaj loog yog qhov tsim nyog, uas tsis tau qhia tias thaum miv tau decompensated heev tom qab raug mob, vim lawv tuaj yeem ua rau muaj kev pheej hmoo. Vim li no, thawj kauj ruam yog txhawm rau kom tus mivnrog oxygen therapy, thoracotomy kom tshem tawm cov kua los yog cua los ntawm qhov chaw pleural, thiab kev kho mob.
Kev ua haujlwm aims rebuild the diaphragm and return the herniated viscera to their normal position nyob rau hauv lub plab kab noj hniav. Tom qab ntawd, miv yuav tsum tau pw hauv tsev kho mob rau lub sijhawm luv luv thiab muab tshuaj los tswj qhov mob thiab mob. Txawm hais tias muaj cov teeb meem rov qab los, xws li pneumothorax lossis pulmonary edema, feem ntau miv ua haujlwm rau diaphragmatic hernia muaj qhov ua tau zoo thiab rov zoo sai
