{"id":61,"date":"2018-07-07T11:04:45","date_gmt":"2018-07-07T11:04:45","guid":{"rendered":"http:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/ca\/?p=61"},"modified":"2018-07-18T14:28:27","modified_gmt":"2018-07-18T14:28:27","slug":"hernia-umbilical-causes-simptomes-complicacions-i-tractament","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/ca\/hernia-umbilical-causes-simptomes-complicacions-i-tractament\/","title":{"rendered":"H\u00e8rnia umbilical: causes, s\u00edmptomes, complicacions i tractament"},"content":{"rendered":"

\"\"<\/a><\/p>\n

L’h\u00e8rnia umbilical<\/strong>\u00a0\u00e9s\u00a0l’h\u00e8rnia de paret abdominal<\/strong>\u00a0m\u00e9s freq\u00fcent.<\/span>\u00a0Com totes les h\u00e8rnies, consisteix en la sortida de contingut intraabdominal, recobert de membrana peritoneal, a trav\u00e9s d’un orifici a la\u00a0paret abdominal.<\/strong><\/span>\u00a0En aquest cas, com el seu nom indica, per un orifici a trav\u00e9s del melic.<\/span><\/span><\/p>\n

<\/p>\n

H\u00c8RNIA UMBILICAL AL NAD\u00d3<\/span><\/h2>\n

El melic \u00e9s el lloc d’inserci\u00f3 del cord\u00f3 umbilical en la fase embrion\u00e0ria que, despr\u00e9s del naixement, habitualment es tanca de forma natural.<\/span>\u00a0Si no tancar-se el orifici, es pot crear una\u00a0h\u00e8rnia umbilical<\/strong>\u00a0al nad\u00f3,<\/strong>encara que \u00e9s poc freq\u00fcent haver de ser operat a la inf\u00e0ncia.<\/span><\/p>\n

CAUSES DE L’H\u00c8RNIA UMBILICAL<\/span><\/h2>\n

Les principals\u00a0causes d’h\u00e8rnia umbilical en adults<\/strong>\u00a0estan relacionades amb:<\/span><\/p>\n

– Un\u00a0inadequat tancament de l’orifici umbilical<\/strong>\u00a0despr\u00e9s del naixement que es “arrossega” fins a l’edat adulta<\/span><\/p>\n

–\u00a0Realitzaci\u00f3 d’esfor\u00e7os f\u00edsics intensos<\/strong>\u00a0sense la cura adequada, que augmenten molt la pressi\u00f3 intraabdominal, que es transmet cap a la l\u00ednia mitjana de la paret abdominal i en concret cap al melic, trencant aquesta zona.<\/span><\/p>\n

– S\u00f3n\u00a0m\u00e9s freq\u00fcents en els persones amb obesitat,<\/strong>\u00a0que tenen per definici\u00f3 una pressi\u00f3 intraabdominal major i uns teixits en la seva\u00a0paret abdominal<\/strong>\u00a0m\u00e9s febles.<\/span><\/p>\n

SIGNES I S\u00cdMPTOMES DE L’H\u00c8RNIA UMBILICAL<\/span><\/h2>\n

Per fer el diagn\u00f2stic, els signes i s\u00edmptomes m\u00e9s freq\u00fcents de l’h\u00e8rnia umbilical s\u00f3n els mateixos que en totes les h\u00e8rnies.<\/span>\u00a0\u00c9s a dir:\u00a0l’aparici\u00f3 d’un bony a nivell umbilical<\/strong>\u00a0que varia de grand\u00e0ria (augmenta i dismunuye) i, en la major part de casos, la pres\u00e8ncia de\u00a0dolor a la regi\u00f3 afectada.<\/strong><\/span><\/p>\n

DIAGN\u00d2STIC DE L’H\u00c8RNIA UMBILICAL<\/span><\/h2>\n

Els\u00a0signes i s\u00edmptomes de l’h\u00e8rnia umbilical<\/strong>\u00a0s\u00f3n tan evidents i recognoscibles que normalment no cal altres prubas.<\/span>\u00a0No obstant aix\u00f2, en molt pocs casos, es fa necessari completar o afinar el diagn\u00f2stic amb una prova d’imatge com una\u00a0Ecografia.<\/strong><\/span><\/p>\n

COMPLICACIONS DE L’H\u00c8RNIA UMBILICAL<\/span><\/h2>\n

Les complicacions que pot ocasionar una\u00a0h\u00e8rnia umbilical<\/strong>\u00a0no tractada a temps poden ser greus o molt greus.<\/span>Pot evolucionar a la sortida de contingut de l’interior de l’abdomen i que no es torni a reintroduir, causant una\u00a0incarceraci\u00f3<\/strong>\u00a0.<\/span>\u00a0Si el que ha sortit per l’orifici \u00e9s intest\u00ed i no es reintrodueix en un temps adequat,\u00a0pot esdevenir una estrangulaci\u00f3,<\/strong>\u00a0que porti a una\u00a0perforaci\u00f3 intestinal,<\/strong>\u00a0un\u00a0peritonitis<\/strong><\/a>\u00a0i\u00a0un quadre infecci\u00f3s molt greu o letal.<\/strong><\/span>\u00a0Per aquest motiu \u00e9s molt important no arribar a aquest extrem, visitar un metge especialista i intervenir quir\u00fargicament com m\u00e9s aviat i de manera programada.<\/span><\/p>\n

TRACTAMENT DE L’H\u00c8RNIA UMBILICAL<\/span><\/h2>\n

El tractament d’aquesta patologia \u00e9s quir\u00fargic.<\/span>\u00a0Hi ha cirurgians que, si l’orifici de l’h\u00e8rnia mesura menys de 1,5-2 cm de di\u00e0metre, prefereixen suturar-per tancar-lo sense m\u00e9s\u00a0(herniorr\u00e0fia).<\/strong><\/span>\u00a0Nom\u00e9s utilitzen\u00a0una malla<\/strong><\/a>\u00a0(a m\u00e9s de la sutura) per refor\u00e7ar la zona quan aquest orifici \u00e9s m\u00e9s gran d’aquests 2cm (herniopl\u00e0stia<\/strong>).<\/span><\/p>\n

Encara que no existeix un consens clar sobre aquest punt, en general,\u00a0l’\u00fas sistem\u00e0tic de\u00a0la malla de refor\u00e7<\/a>\u00a0disminueix la possibilitat de recidiva<\/strong>\u00a0(que es torni a trencar).<\/span><\/p>\n

\n

\"\"<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

L’h\u00e8rnia umbilical\u00a0\u00e9s\u00a0l’h\u00e8rnia de paret abdominal\u00a0m\u00e9s freq\u00fcent.\u00a0Com totes les h\u00e8rnies, consisteix en la sortida de contingut intraabdominal, recobert de membrana peritoneal, a trav\u00e9s d’un orifici a la\u00a0paret abdominal.\u00a0En aquest cas, com el seu nom indica, per un orifici a trav\u00e9s del melic.<\/p>\n","protected":false},"author":2,"featured_media":55,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[27,29,30,24,26,31],"yoast_head":"\nH\u00e8rnia umbilical: causes, s\u00edmptomes, complicacions i tractament - Blog de Patolog\u00eda de la pared abdominal<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/ca\/hernia-umbilical-causes-simptomes-complicacions-i-tractament\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"H\u00e8rnia umbilical: causes, s\u00edmptomes, complicacions i tractament - 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