- What is the umbilical hernia?
- When is a bandage recommended with an umbilical hernia?
- What contraindications exist for bandage application?
- Binding functions
- Features and different types of bandages
- Terms of Use
- Care
- Related Videos
Bandage is an orthopedic product used to support the muscles of the abdominal wall. He is considered to be a corset, but unlike a corset in the understanding of women (for pulling the waist), he does not change the figure.
The hernia is formed in adults due to the separation of muscular fusion around the center of the navel. This can happen naturally by increasing senile weakness and atrophy, increasing the abdomen or by surgical intervention affecting the integrity of the abdominal cavity.
A bandage for the umbilical hernia can be shown to a newborn, it is recommended by pediatricians in the care of an infant. Why it is impossible to get rid of a hernia in another way, how long a person will have to wear a bandage, we will understand after studying the indications and contraindications to surgical treatment.
What is the umbilical hernia?
Before birth, the fetus communicates with the mother's body through arteries and veins passing through a wide umbilical ring. It does not limit the cavity of the abdomen, but even adds a place for intestinal loops, which differ advanced development.
In labor, the umbilical cord is ligated. The kid becomes completely independent. However, not every baby has enough room to grow holes with developing muscles. This especially affects premature babies, as well as newborns from families with hereditary diseases.
In such cases, under the skin around the navel, there is an enlarged ring of uncombined muscles, through which an enlarged navel protrudes. In an adult human umbilical hernia is formed with a significant increase in pressure on the junction of the periapical muscles. This is possible due to:
- increase in the abdomen during pregnancy, a significant increase in weight ("beer" belly in men);
- in patients with ascites (the accumulation of fluid in the peritoneal cavity) of various etiologies, the stomach reaches a large size;
- in the elderly from severe coughing thrusts, smokers "creep" muscle connections that have lost the necessary elasticity.
If in childhood children do not hurry up with the direction of the operation, since most of the hernias disappear on their own with proper care, massage, the adult patient should not hope for self-healing, it is necessary to take measures against the umbilical hernia.
Not all kinds of bandages and compression products are shown with a hernia, in this case there is no seal-applicator in the navel region
When is a bandage recommended with an umbilical hernia?
To wear a bandage for children with an underdeveloped umbilical muscle ring is recommended until the age of three. By this period the muscles of the child will be strong enough. A newborn can wear a bandage only when the navel is fully healed.
A special female bandage for pregnant women is shown to future mothers:
- with multiple pregnancies;
- diseases of the spine (osteochondrosis);
- varicose veins on the legs;
- forced long standing in the workplace;
- frequent delivery with a weak abdominal wall;
- greater weight of the fetus and polyhydramnios;
- low fetal position;
- transferred by the operation of cesarean section.
Rid of an adult human from the umbilical hernia can only be surgically done. But the operation is not always shown. Contraindications concern patients:
- patients with diabetes mellitus;
- with severe obesity;
- with severe pathology of the heart and other organs;
- in elderly and senile age.
What contraindications exist for bandage application?
It is impossible to wear a bandage without a doctor's recommendation. There are contraindications with which it is necessary to be considered:
- if on a stomach an incurable wound, cuts;
- Diseases of the skin with localization on the waist, abdomen, in places where the material is properly adhered;
- in case of severe heart failure;
- with a large size of the hernial canal;
- if there are suspicions of infringement.
Binding functions
The most dangerous complication of any hernia is the infringement of the intestinal loops with the vascular bundle and part of the omentum. In the absence of necessary care, necrosis develops with subsequent peritonitis. Unfavorable outcome can occur suddenly against the backdrop of a rise in severity, a cough. Hernial gates narrow and contract the umbilical ring.
Operative treatment - the main method of eliminating the hernia of the navel
In such cases, only the timely removal (excision) of the hernial sac helps. In order not to bring a patient with a hernia to a complication, he is offered a bandage. As a preventive measure after surgical interventions on the abdomen, doctors also recommend wearing a bandage to support a weakened abdominal wall, reducing pain during the rehabilitation period.
Some doctors consider it possible to use the treatment for the initial stages of hernia formation. The support of the press prevents or completely stops the further increase in protrusion.
To patients with obesity, the bandage helps to move, wear their belly, facilitates the burden on the spine. And, on the contrary, the patient with a sharp weight loss is recommended to support the bandage, because they have too weak muscles.
In bariatric surgery, when removing a large amount of fatty tissue in patients and for treating obesity as a cosmetic procedure, temporary wearing of the bandage is recommended.
In the treatment of patients with ascites, it is necessary to resort to the removal of fluid from the peritoneal cavity by a special puncture. Simultaneously, up to 10 liters are produced. At the same time, staff squeezes the contracting abdomen with a folded sheet. This is necessary to prevent falling blood pressure. After the procedure, a tightening bandage is highly recommended.
For patients of any age, supporting the abdominal wall helps to solve problems with digestion, improve intestinal tone, and provide peristalsis. A special indication is the prevention of muscle discrepancies in athletes-siloviki. This applies to men and women weightlifters, various extremals associated with the severity.
Features and different types of bandages
What kind of product is most suitable in a particular case should be solved with the attending physician. The bandage looks like a wide belt. It is made of elastic fabrics, but the best qualities are natural cotton with the addition of elastane.
The product must meet the requirements of the consumer:
- when placed under clothing - tight fit;
- no discomfort during movement;
- good ventilation for "breathing" the skin;
- sufficient fixation without slipping;
- the ability of the fabric to absorb sweat;
- frequent washing to prevent the appearance of irritation and infection of the skin.
Children's products should be made of hypoallergenic tissue. The least dense are rubberized wide belts with a fastener. They stretch after 2-3 months and require replacement.
More robust bandage products with gasket-seals and a special applicator for the navel zone. At purchase it is necessary to know the size and to be guided in width of a hernial aperture. For larger sizes, additional fixing inserts are used.
Patients are more likely to like Velcro fasteners than tie, lacing, hooks or buttons
Postoperative bandage is in the form of high panties, on it hooks and other fasteners should not coincide with surgical sutures. This is annoying and delivers additional soreness. Some varieties allow you to manipulate without removing the product.
Do not try to make a bandage yourself. It is difficult to comply with all requirements. Newborn children can recommend a special plaster, but on condition that it does not irritate the baby's skin.
For pregnant women, the design is determined by the type:
- The antenatal bandage has a large height with supporting pads at the bottom;
- postpartum - evenly pulls the abdomen, restore the woman's posture;
- Universal - suitable both before and after delivery, allows you to change the configuration.
Terms of Use
The child is put on a bandage for 3-4 hours, makes a half-hour break, then you can repeat the use. At night they remove it. The tissue is placed under the back, trying on the seal on the navel. Each time the skin of the baby is checked. There should be no diaper rash, rash and irritation.
For adults, wearing a bandage is recommended immediately after sleeping without getting up. You can wear it over your underwear. Applicator is fixed over the place of protrusion of the navel. A gentle massage movement of the hernia refreshes, and the bandage is tightly fixed on the body. It is necessary to check that it does not hang, but does not press.
It is recommended to wear a bandage 8 hours in a row. Shoot at night. In the postoperative period, the doctor gives detailed instructions. After the rehabilitation period, it can be replaced with corrective underwear. If the bandage is uncomfortable or painful, remove it and consult a doctor.
A dense velcro fastener allows him to move safely, lie on his stomach, crawl
Care
Do not forget that the bandage is considered a personal item, so it can not be transferred for a while to another person. Washing is carried out manually, spinning is prohibited, so as not to damage the material. Also you can not use bleaching agents.
You do not need to buy bandages on the market or in questionable kiosks, but in specialized stores. Here you will pay for the products of the required quality. You should avoid cheap offers and fakes. They can be useless or dangerous to humans.
Ideally, the first fitting of the bandage product should take place under the supervision of the doctor. The patient should not hesitate to ask questions. In violation of the rules of wearing the product does not facilitate, and aggravates the pathology.