Ukulungiswa kwe-inguinal hernia

Ukulungiswa kwe-hernia ye-Inguinal ukuhlinzekwa ukulungisa i-hernia ekuguleni kwakho. I-hernia izicubu eziqhamuka endaweni ebuthakathaka odongeni lwesisu. Amathumbu akho angaphuma ngale ndawo ebuthakathaka.

Ngesikhathi sokuhlinzwa ukuze kulungiswe i-hernia, izicubu eziqubukayo zibuyiselwa emuva. Udonga lwakho lwesisu luyaqiniswa futhi lusekelwa ngama-sutures (imithungo), futhi kwesinye isikhathi ludilike. Lokhu kulungiswa kungenziwa ngokuhlinzwa okuvulekile noma kwe-laparoscopic. Wena nodokotela wakho ohlinzayo ningaxoxa ngokuthi yiluphi uhlobo lokuhlinzwa olulungele nina.

Udokotela wakho ohlinzayo uzonquma ukuthi yiluphi uhlobo lwe-anesthesia oyoluthola:

• I-anesthesia ejwayelekile ngumuthi okugcina ulele futhi ungabi nezinhlungu.
• I-anesthesia yesifunda, ekundikindiki kusukela okhalweni kuya ezinyaweni.
• I-anesthesia yendawo nemithi yokukuphumuza.

Ekuhlinzeni okuvulekile:

• Udokotela wakho ohlinzayo usika eduze kwe-hernia.
• I-hernia itholakala futhi ihlukaniswe nezicubu ezizungezile. Isikhwama se-hernia siyasuswa noma i-hernia ibuyiselwa emuva esiswini sakho.
• Udokotela ohlinzayo ube esevala imisipha yakho yesisu ebuthakathaka ngemithungo.
• Imvamisa ucezu lwemeshi luthungelwe endaweni ukuqinisa udonga lwakho lwesisu. Lokhu kulungisa ubuthakathaka odongeni lwesisu sakho.
• Ekupheleni kokulungiswa, ukusika kuthungisiwe kuvaliwe.

Ekuhlinzeni kwe-laparoscopic:

• Udokotela ohlinzayo usika kathathu kuya kwemihlanu esiswini sakho esingezansi.
• Umuthi wezokwelapha obizwa ngokuthi yi-laparoscope ufakwa ngenye yokusikeka. Ububanzi buyishubhu encane, ekhanyisiwe enekhamera ekugcineni. Ivumela udokotela ohlinzayo abone ngaphakathi kwesisu sakho.
• Igesi engenangozi ifakwa esiswini sakho ukuze sandise isikhala. Lokhu kunikeza udokotela ohlinzayo indawo eyengeziwe yokubona nokusebenza.
• Amanye amathuluzi afakwa ngokusikwa okunye. Udokotela ohlinzayo usebenzisa la mathuluzi ukulungisa i-hernia.
• Ukulungiswa okufanayo kuzokwenziwa njengokulungiswa kokuhlinzwa okuvulekile.
• Ekupheleni kokulungiswa, ubukhulu namanye amathuluzi ayasuswa. Ukusikeka kuthungiwe kuvaliwe.

Udokotela wakho angase asikisele ukuhlinzwa kwe-hernia uma unezinhlungu noma i-hernia ikuhlupha phakathi nemisebenzi yakho yansuku zonke. Uma i-hernia ingakubangeli izinkinga, ungahle ungadingi ukuhlinzwa. Kodwa-ke, lezi hernias kaningi azihambi zodwa, futhi zingakhula zibe nkulu.

Kwesinye isikhathi 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 kweminye imithambo yegazi noma izitho
• Ukulimala kwezinzwa
• Ukulimala kwamasende uma umthambo wegazi oxhunywe kuwo ulimele
• Ubuhlungu besikhathi eside endaweni esikiwe
• 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 imithi yokwehlisa igazi. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin), naprosyn (Aleve, Naproxen), nezinye.
• Buza udokotela wakho ohlinzayo ukuthi yimiphi imishanguzo okufanele usayiphuza ngosuku lokuhlinzwa.

Ngosuku lokuhlinzwa:

• Landela imiyalo yokuthi ungakuyeka nini ukudla nokuphuza.
• Thatha imithi udokotela wakho ohlinzayo akutshele ukuthi uyiphuze ngesiphuzo esincane samanzi.
• Fika esibhedlela ngesikhathi.

Iningi labantu liyakwazi ukuvuka embhedeni ihora noma ngaphezulu ngemuva kwalokhu kuhlinzwa. Iningi lingaya emakhaya ngosuku olufanayo, kepha abanye bangadinga ukuhlala esibhedlela ubusuku bonke.

Amanye amadoda angaba nezinkinga zokudlulisa umchamo ngemuva kokuhlinzwa kwe-hernia. Uma unenkinga yokuchama, ungadinga ipayipi lokufaka amanzi ngomshini. Lena ishubhu elincane eliguquguqukayo elifakwa esinyeni sakho okwesikhashana ukukhipha umchamo.

Ukulandela 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 emgodini nasesiswini. Hambisa kancane usuka ekulaleni uye endaweni yokuhlala.
• Ukugwema ukuthimula noma ukukhwehlela ngamandla.
• Ukuphuza uketshezi oluningi nokudla imicu eminingi yokuvimbela ukuqunjelwa.

Landela noma imiphi eminye imiyalo yokuzinakekela ukusiza ukusheshisa ukutakula kwakho.

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

I-herniorrhaphy; I-Hernioplasty - inguinal

• Ukulungiswa kwe-Inguinal hernia - ukukhipha

I-Kuwada T, uStefanidis D. Ukuphathwa kwe-hernia enguinal. Ku: UCameron JL, uCameron AM, ama-eds. Ukwelashwa Kwamanje. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2017: 623-628.

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