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Apa itu? Hernia pada anak

Hernia pada anak Apa itu?

Hernia pada anak, Apa itu? Testis awalnya berkembang di bagian belakang rongga perut janin.

Kemudian mereka turun ke skrotum. Selama perjalanan mereka keluar dari perut mereka menyeret dengan mereka lengan peritoneum, selaput tipis yang melapisi rongga perut.

Lengan ini hadir di kedua sisi, kiri dan kanan. Setelah testis di tempatkan di skrotum saat lahir, hubungan seperti lengan dengan rongga perut ini akan tertutup. Jika tidak menutup, maka cairan dari perut bisa menetes ke perpanjangan peritoneum untuk menghasilkan balon seperti pembengkakan di skrotum.

Ini adalah hidrokel. Jika sambungan dengan rongga perut lebih lebar, maka lengkung usus pun turun ke bawah menghasilkan pembengkakan di selangkangan yang disebut hernia. Hernia dan hidrokel sangat umum terjadi pada anak-anak.

Baca juga: Manfaat Skema Tabungan Lansia

Apa saja gejalanya?

Orang tua akan melihat pembengkakan di selangkangan atau skrotum. Pembengkakan bisa datang dan pergi. Biasanya lebih menonjol ketika anak menangis atau tegang, atau di kemudian hari.

Ini karena faktor apa pun yang meningkatkan tekanan perut cenderung meningkatkan pembengkakan. Karena menangis meningkatkan pembengkakan, orang tua sering merasa bahwa pembengkakan adalah penyebab rasa sakit.

Ini tidak benar, karena pembengkakan tidak menyebabkan ketidaknyamanan pada anak selama pembengkakan masuk dan keluar. Terkadang pada hernia, usus keluar tetapi gagal masuk kembali ke dalam dan terjebak di kantung hernia.

Ini menghasilkan pembengkakan lembut yang menyakitkan dan anak menjadi mudah tersinggung dan muntah. Ini adalah keadaan darurat, dan jika anak tidak segera dioperasi, loop usus bisa mati dan harus diangkat.

Apa pengobatannya?

Hydrocoeles umumnya hadir pada bayi. Dalam beberapa dari mereka, kantung menghilang dengan sendirinya dalam satu atau dua tahun pertama kehidupan.

Oleh karena itu, hidrokel tidak perlu di operasi selama usia ini kecuali jika menjadi sangat besar dan tidak menunjukkan tanda penutupan spontan. Hernia di sisi lain perlu di operasi sedini mungkin setelah di agnosis di buat.

Ini karena usus buntu. Operasi di lakukan dengan anestesi umum dan biasanya berlangsung selama 30-45 menit. Selama operasi, koneksi dengan rongga perut diikat. Operasi untuk hernia dan hidrokel identik dan di sebut herniotomi.

Bayi dapat menyusu segera setelah operasi dan tidak ada batasan khusus untuk aktivitas tidak seperti operasi serupa pada orang dewasa.

Operasi di lakukan sebagai prosedur penitipan anak dan masuk ke rumah sakit tidak di perlukan kecuali pada bayi yang sangat kecil.

Dengan teknik baru pembalut tahan air memungkinkan bayi di mandikan dan luka di perbaiki dengan jahitan yang dapat di serap yang tidak perlu di lepas. Saat ini tidak ada peran pengobatan hernia pada anak menggunakan teknik laparoskopi yang begitu populer di orang dewasa.

Apa saja komplikasinya?

Bahkan bayi kecil dapat di operasi dengan aman karena hernia, tetapi ini perlu di lakukan oleh ahli bedah yang memiliki pengalaman mengoperasi bayi.

Kadang-kadang mungkin ada sedikit pembengkakan di skrotum setelah operasi, tetapi ini mereda dalam waktu sekitar satu minggu.

Dalam 2% kasus hernia dapat muncul kembali. Pada 10% anak-anak, hernia dapat berkembang di sisi yang berlawanan, bukan karena operasi tetapi karena komunikasi mungkin ada di sisi itu juga tetapi tidak bermanifestasi lebih awal. Jika ini benar-benar terjadi, maka pihak lain juga akan membutuhkan operasi.

baca juga: Krim Niacinamide Terbaik

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