Ukulungiswa kwe-hernia yabesifazane

Ukulungiswa kwe-hernia yowesifazane ukuhlinzwa ukuze kulungiswe i-hernia eseduze nomgogodla noma ithanga eliphezulu. I-hernia yesifazane izicubu eziqhamuka endaweni ebuthakathaka emgodini. Ngokuvamile lesi sicubu siyingxenye yamathumbu.

Ngesikhathi sokuhlinzwa ukuze kulungiswe i-hernia, izicubu eziqubukayo zibuyiselwa emuva. Indawo ebuthakathaka ithungwe ivaliwe noma iyaqiniswa. Lokhu kulungiswa kungenziwa ngokuhlinzwa okuvulekile noma kwe-laparoscopic. Wena nodokotela wakho ohlinzayo ningaxoxa ngokuthi yiluphi uhlobo lokuhlinzwa olulungele nina.

Ekuhlinzeni okuvulekile:

• Ungathola i-anesthesia ejwayelekile. Lo muthi okwenza uhlale ulele futhi ungabi nezinhlungu. Noma, ungathola i-anesthesia yesifunda, ekukhubaza ukusuka okhalweni kuya ezinyaweni. Noma, udokotela wakho ohlinzayo angakhetha ukukunika i-anesthesia yendawo nemithi yokuphumula.
• Udokotela wakho ohlinzayo usika (imbobo) endaweni yakho yokububula.
• I-hernia itholakala futhi ihlukaniswe nezicubu ezizungezile. Ezinye izicubu ze-hernia ezingeziwe zingasuswa. Konke okuqukethwe kwe-hernia kusunduzelwa emuva ngaphakathi esiswini sakho.
• Udokotela ohlinzayo ube esevala imisipha yakho yesisu ebuthakathaka ngemithungo.
• Imvamisa ucezu lwemeshi luthungelwe endaweni ukuqinisa udonga lwakho lwesisu. Lokhu kulungisa ubuthakathaka obudongeni.
• Ekupheleni kokulungiswa, ukusikeka kuthungwa kuvaliwe.

Ekuhlinzeni kwe-laparoscopic:

• Udokotela ohlinzayo wenza ukusikeka okuncane okuyi-3 kuye kokungu-5 esiswini sakho nasesiswini esiphansi.
• Umuthi wezokwelapha obizwa ngokuthi yi-laparoscope ufakwa ngenye yokusikeka. Ububanzi buyishubhu encane, ekhanyisiwe enekhamera ekugcineni. Ivumela udokotela ohlinzayo abone ngaphakathi kwesisu sakho.
• Amanye amathuluzi afakwa ngokusikwa okunye. Udokotela ohlinzayo usebenzisa la mathuluzi ukulungisa i-hernia.
• Ukulungiswa okufanayo kuzokwenziwa njengokuhlinzwa okuvulekile.
• Ekupheleni kokulungiswa, ubukhulu namanye amathuluzi ayasuswa. Ukusikeka kuthungiwe kuvaliwe.

I-hernia yesifazane idinga ukulungiswa, noma ngabe ayibangeli zimpawu. Uma i-hernia ingalungiswa, amathumbu angabambeka ngaphakathi kwe-hernia. Lokhu kubizwa ngokuthi yi-hernia eboshiwe, noma eklinyiwe. Inganqamula ukunikezwa kwegazi emathunjini. Lokhu kungasongela impilo. Uma lokhu kwenzeka, uzodinga ukuhlinzwa okuphuthumayo.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukusabela emithini
• Izinkinga zokuphefumula
• Ukopha, amahlule egazi, noma ukutheleleka

Izingozi zalokhu kuhlinzwa yilezi:

• Ukulimala kwemithambo yegazi eya emlenzeni
• Ukulimala kwesibindi esiseduze
• Ukulimala eduze kwezitho zokuzala, kwabesifazane
• Ubuhlungu besikhathi eside
• Ukubuya kwe-hernia

Tshela udokotela wakho ohlinzayo noma umhlengikazi uma:

• Ukhulelwe noma ungakhulelwa
• Uthatha noma yimiphi imithi, kufaka phakathi izidakamizwa, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela

Phakathi nesonto ngaphambi kokuhlinzwa kwakho:

• Ungacelwa ukuthi uyeke ukuthatha okwesikhashana izinciphisi zegazi. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin, Jantoven), naproxen (Aleve, Naprosyn), nabanye.
• Buza udokotela wakho ohlinzayo ukuthi yimiphi imishanguzo okufanele usayiphuza ngosuku lokuhlinzwa.

Ngosuku lokuhlinzwa:

• Landela imiyalo yokuthi ungakuyeka nini ukudla nokuphuza.
• Thatha izidakamizwa udokotela wakho ohlinzayo akutshele ukuthi uziphuze kancane.
• Fika esibhedlela ngesikhathi.

Abantu abaningi bangaya emakhaya ngosuku olufanayo nokuhlinzwa. Abanye badinga ukulala esibhedlela ubusuku bonke. Uma ukuhlinzwa kwakho kwenziwa njengesimo esiphuthumayo, kungadingeka ukuthi uhlale esibhedlela izinsuku ezimbalwa ngaphezulu.

Ngemuva kokuhlinzwa, ungahle ube nokuvuvukala, ukulimaza, noma ukukhathazeka lapho kusikwe khona. Ukuthatha imithi yezinhlungu nokuhamba ngokucophelela kungasiza.

Landela imiyalo yokuthi ungasebenza kanjani ngenkathi ululama. Lokhu kungafaka:

• Ukubuyela emisebenzini elula ngemuva kokuya ekhaya, kepha ukugwema imisebenzi enzima nokuphakamisa okunzima amasonto ambalwa.
• Ukugwema imisebenzi engakhuphula ingcindezi endaweni ye-groin. Hambisa kancane usuka ekulaleni uye endaweni yokuhlala.
• Ukugwema ukuthimula noma ukukhwehlela ngamandla.
• Ukuphuza uketshezi oluningi nokudla imicu eminingi yokuvimbela ukuqunjelwa.

Umphumela walokhu kuhlinzwa uvame ukuba muhle kakhulu. Kwabanye abantu, i-hernia iyabuya.

Ukulungiswa kwe-Femorocele; I-herniorrhaphy; I-Hernioplasty - eyabesifazane

Dunbar KB, Jeyarajah DR. I-hernias yesisu kanye ne-volvulus yesisu. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 26.

Malangoni MA, Rosen MJ. UHernias. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 44.