Chinese medicine treatment:
A prescription: the right amount of female cloves. Usage: Grinding into fine powder, bottling and sealing.
Usage: 1: Take a proper amount of powder to fill the umbilical fossa, fix it, and change the dressing once every two days. Generally, it works for 4 ~ 6 times. At the same time, it is necessary to eliminate the pathogenic factors that easily lead to increased abdominal pressure.
Usage 2: Take 2 copies, stick them on the soles of feet and navel respectively, cover them with cotton, and fix them with adhesive tape, and change them every half month 1 time.
The second prescription: 3 grams of Cimicifuga, 0/5 grams of Astragalus membranaceus/kloc, and 0/5 grams of Jujube/kloc. Usage: decoct in water.
Three prescriptions: Astragalus membranaceus 15g, Cimicifuga foetida 3g, Longan 10g, Ginseng 4g (Codonopsis pilosula 15g) and Glycyrrhiza uralensis 2g. Usage: decoct in water.
Four directions: fennel 10g. 2 live crucian carp (60-90g), usage: steamed or decocted without salt, 1 time, 5-6 times a day.
Five recipes: 5 litchi stones, orange stones 10g, fennel 3g, fennel 3g. Usage: The above medicinal materials are grinded into powder, and 6g is taken with brown sugar and boiled water twice a day.
Treatment of hernia by western medicine
A, non-surgical treatment:
Smaller umbilical hernia, if the diameter is less than 1.5cm, can heal itself with the development of abdominal wall within 2 years.
In view of the rare umbilical hernia incarceration in infants, non-surgical treatment can be given first.
(1) adhesive tape sticking method:
Take a medical adhesive tape with a width of about 5 cm and a length of 6- 10 cm longer than the waist circumference of the sick child, cut it into a tongue shape about 5 cm in front of one end, and cut a horizontal opening in the middle of the other section for the opposite side to insert. After insertion, the waist and back with adhesive tape can be padded with gauze.
Be sure to stick it well when pasting, and the hernia sac should be empty or invaginated. Generally, it should be replaced every 1-2 weeks/time, and it can be used continuously for 3-6 months. An elastic band (elastic band) can be added around to prevent the adhesive tape from slipping.
The above operations should be completed by medical personnel because it is difficult to stick adhesive tape and there are many complications.
(2) Elastic abdominal belt method: This method is especially suitable for newborns and infants.
You can wear an elastic abdominal belt during the day, loosen it when you sleep, and adjust the tightness frequently. This method is simple to operate, which can not only prevent the umbilical hernia from bulging excessively, but also ensure the child's dietary intake and abdominal development elasticity.
Second, the surgical treatment:
Children over 2 years old who have not recovered from umbilical hernia should be treated by surgery.
The specific operation method is to make a corresponding arc incision at 1 ~ 2 cm below umbilical hernia, and expose the anterior sheath of rectus abdominis muscle on both sides with free flap. Incise the abdominal white line and hernia sac. If there is no complete hernia sac, cut the peritoneum. Retract the intestine, take out the hernia sac, and sew the peritoneal margin at the hernia ring. The transverse fascia of abdomen was sutured horizontally, then the white line of abdomen was sutured vertically, and the umbilical ring was closed to repair the weak area of abdominal wall. Finally, the flap with umbilical hole was sutured in situ.
Precautions after operation: diet
1, fasting including boiling water is required within four hours after operation.
2. After four hours, if the gastrointestinal peristalsis is normal, you can drink boiled water first. If there is no discomfort such as vomiting, you can eat soft and digestible food.
3. In order to prevent postoperative constipation and possible slight fever, please drink more boiled water and eat more fiber-rich foods such as vegetables and fruits.
Activity aspect
1. In principle, you can move normally, but you should avoid excessive abdominal movement, such as severe cough, crying, squatting posture, difficulty in defecation and strenuous exercise.
2. In order to avoid bladder swelling, remember not to hold your urine, but if you can't urinate or can't urinate for more than six to eight hours, you should report it to the medical staff in time and deal with it.
Wound appearance
1. After the operation, the wound must not get wet with water, so don't take a bath for the time being. You can clean your body by cleaning the bathtub. After about five or six days, depending on the wound healing, you can resume normal bathing.
Please keep the wound clean and dry at any time, and change the medicine on time according to the doctor's advice.
If the wound appears bleeding, redness, swelling, fever, pain, exudation and high fever, please go back to the hospital immediately.
other
1. Please take painkillers on time, which can moderately relieve the discomfort of wound pain.
2. Follow the doctor's advice to the hospital for a follow-up visit.
3. If you find a fever of more than 38 degrees, or the wound has secretions, redness, wound dehiscence and severe scrotum swelling, please come to the hospital immediately.
4. If male patients find abnormal scrotal swelling or hernia recurrence, please inform the medical staff immediately.