Ukulungiswa kwe-Ventral hernia

Ukulungiswa kwe-Ventral hernia kuyinqubo yokulungisa i-ventral hernia. I-hernia ye-ventral yisikhwama (isikhwama) esakhiwe kusuka ulwelwesi lwangaphakathi lwesisu sakho (isisu) esidlulela emgodini odongeni lwesisu.

I-Ventral hernias ivame ukwenzeka endaweni yokusika okudala okuhlinzwa (imbobo). Lolu hlobo lwe-hernia lubizwa nangokuthi i-incisional hernia.

Cishe uzothola i-anesthesia ejwayelekile yalokhu kuhlinzwa. Lokhu kuzokwenza ulale futhi ungabi nezinhlungu.

Uma i-hernia yakho incane, ungathola umgogodla noma i-epidural block nomuthi wokukuphumuza. Uzobe uvukile, kepha awunazinhlungu.

• Udokotela wakho ohlinzayo uzokwenza ukusika kokuhlinzwa esiswini sakho.
• Udokotela wakho ohlinzayo uzothola i-hernia futhi ayihlukanise nezicubu ezizungezile. Lapho-ke okuqukethwe kwe-hernia, okufana namathumbu, kuzobuyiselwa emuva ngesineke esiswini. Udokotela ohlinzayo uzosika amathumbu kuphela uma elimele.
• Imithungo eqinile izosetshenziselwa ukulungisa umgodi noma indawo ebuthakathaka ebangelwe i-hernia.
• Udokotela wakho ohlinzayo angase abeke nocezu lwemeshi endaweni ebuthakathaka ukuze luqine. I-Mesh isiza ukuvimbela i-hernia ukuthi ingabuyi.

Udokotela wakho ohlinzayo angasebenzisa i-laparoscope ukulungisa i-hernia. Leli tube elincanyana, elikhanyisiwe elinekhamera ekugcineni. Ivumela udokotela ohlinzayo abone ngaphakathi kwesisu sakho. Udokotela ohlinzayo ufaka i-laparoscope ngokusebenzisa ukusika okuncane esiswini sakho bese ufaka izinsimbi ngokunye ukusikeka okuncane. Lolu hlobo lwenqubo luvame ukuphilisa ngokushesha, futhi ngaphandle kobuhlungu obuncane kanye nesibazi. Akuwona wonke ama-hernias angalungiswa ngokuhlinzwa kwe-laparoscopic.

I-Ventral hernias ijwayelekile kubantu abadala. Zivame ukuba zikhulu ngokuhamba kwesikhathi futhi kungahle kube nokuningi kokukodwa ngenombolo.

Izici zobungozi zifaka:

• Ukusikwa okukhulu kwesisu
• Ukukhuluphala ngokweqile
• Isifo sikashukela
• Ukujula lapho usebenzisa indlu yangasese
• Ukukhwehlela okuningi
• Ukuphakamisa okunzima
• Ukukhulelwa

Kwesinye isikhathi, ama-hernias amancane angenazimpawu angabukwa. Ukuhlinzwa kungabeka izingozi ezinkulu kubantu abanezinkinga ezinkulu zezokwelapha.

Ngaphandle kokuhlinzwa, kunengozi yokuthi amanye amanoni noma ingxenye yamathumbu izobambeka (iboshwe) kwi-hernia bese kuba nzima ukuhlehlela emuva. Lokhu kuvame ukuba buhlungu. Ukunikezwa kwegazi kule ndawo kunganqanyulwa (ukuklinywa). Ungahle ube nesicanucanu noma uhlanze, futhi indawo eqhumayo ingashintsha ibe luhlaza okwesibhakabhaka noma umbala omnyama ngenxa yokulahleka kokutholakala kwegazi. Lesi yisimo esiphuthumayo sezokwelapha futhi kudingeka ukuhlinzwa okuphuthumayo.

Ukugwema le nkinga, odokotela abahlinzayo bavame ukuncoma ukuthi kulungiswe i-ventral hernia.

Thola ukunakekelwa kwezokwelapha ngokushesha uma une-hernia enganciphisi lapho ulele noma i-hernia ongeke ukwazi ukuyibuyisela emuva.

Izingozi zokulungiswa kwe-ventral hernia zivame ukuba phansi kakhulu, ngaphandle uma isiguli sinezinye izinkinga ezinkulu zezokwelapha.

Izingozi zokuthola i-anesthesia nokuhlinzwa yilezi:

• Ukusabela emithini
• Izinkinga zokuphefumula, njenge-pneumonia
• Izinkinga zenhliziyo
• Ukopha
• Amahlule egazi
• Ukutheleleka

Ingcuphe ethile yokuhlinzwa kwe-ventral hernia ukulimala kwamathumbu (amathumbu amancane noma amakhulu). Lokhu akuvamile.

Udokotela wakho uzokubona futhi akunikeze imiyalelo.

Udokotela obulala izinzwa uzoxoxa ngomlando wakho wezokwelapha ukunquma inani elifanele nohlobo lwe-anesthesia ongayisebenzisa. Ungacelwa ukuthi uyeke ukudla nokuphuza amahora ayisithupha kuya kwangu-8 ngaphambi kokuhlinzwa. Qiniseka ukuthi utshela udokotela noma umhlengikazi wakho nganoma imiphi imithi, ukungezwani nezinto ezithile, noma umlando wezinkinga zokopha.

Ezinsukwini ezimbalwa ngaphambi kokuhlinzwa, ungacelwa ukuthi uyeke ukuthatha:

• Izidakamizwa ze-Aspirin kanye ne-nonsteroidal anti-inflammatory (NSAIDs), njenge-ibuprofen, Motrin, Advil, noma i-Aleve
• Eminye imithi enciphisa igazi
• Amavithamini athile nezithasiselo

Iningi lokulungiswa kwe-hernia ye-ventral lenziwa ngokugula okungalalisiwe. Lokhu kusho ukuthi cishe uzobuyela ekhaya ngosuku olufanayo. Uma i-hernia inkulu kakhulu, kungadingeka ukuthi uhlale esibhedlela izinsuku ezimbalwa.

Ngemuva kokuhlinzwa, izimpawu zakho ezibalulekile ezifana nokushaya kwenhliziyo, umfutho wegazi nokuphefumula kuzobhekwa. Uzohlala endaweni yokutakula uze uzinze. Udokotela wakho uzokunika umuthi wezinhlungu uma uwudinga.

Udokotela wakho noma umhlengikazi angakweluleka ukuthi uphuze uketshezi oluningi kanye nokudla okune-fiber-rich. Lokhu kuzosiza ukuvimbela ukuhlupheka ngesikhathi sokuhamba kwamathumbu.

Lula emuva emsebenzini. Sukuma uhambe uzungeze izikhathi eziningana ngosuku ukusiza ukuvimbela amahlule egazi.

Ngemuva kokuhlinzwa, kunengozi ephansi yokuthi i-hernia ingabuya. Kodwa-ke, ukunciphisa ubungozi bokuthola enye i-hernia, udinga ukugcina impilo enempilo, njengokugcina isisindo esinempilo.

Malangoni MA, Rosen MJ. UHernias. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Si-abiston Textbook of Surgery. Umhla ka-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 44.

UMiller HJ, uNovitsky YW. I-Ventral hernia nezinqubo zokukhishwa kwesisu. Ku: Yeo CJ, ed. Ukuhlinzwa kukaShackelford kwe-Alimentary Tract. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 52.

I-Webb DL, iStoikes NF, iVoeller GR. Vula i-ventral hernia repair nge-onlay mesh. Ku: Rosen MJ, ed. I-Atlas Yokwakhiwa Kwodonga Kwesisu. Okwesibili. IPhiladelphia, PA: Elsevier; I-2017: isahluko 8.