Ingabe uHernias Ulimaza?

-Delile

• Izinhlobo ze-hernias
• Ingabe i-hernias ibuhlungu?
• Ingulube ye-Inguinal
• Ama-hernias abesifazane
• Ama-hernias embilical
• Ama-hernias ase-Hiatal
• I-hernia engabonakali
• Izinkinga
• Uyiphatha kanjani i-hernia?
• Ukuhlinzwa okuvulekile
• Ukuhlinzwa okuncane okuhlaselayo
• Ezinye izinketho
• Ukudla okudlela endlini

Izimpawu ze-Hernia, kufaka phakathi ubuhlungu, zingahluka ngokuya ngohlobo lwe-hernia onayo. Ngokuvamile, ama-hernias amaningi ekuqaleni awafaki izimpawu, yize kwesinye isikhathi indawo ezungeze i-hernia yakho ingazwela.

Ungase futhi uzizwe amawele ngezikhathi ezithile noma umuzwa wokudonsa. Njengoba i-hernia yakho ikhula, ukungakhululeki nakho kungakhula.

Izinhlobo ze-hernias

I-Hernias ifaka isitho sangaphakathi esivelayo noma ingxenye yomzimba edudulwa ngemisipha noma izicubu. Izinhlobo ezivame kakhulu zifaka:

• Ingulube ye-Inguinal. Okuvame ukutholakala emadodeni, lokhu kwenzeka lapho ithumbu noma, kuyaqabukela, isinye sinwebeka emgodini ngomsele ongaphakathi.
• I-hernia yabesifazane. Yize kungajwayelekile kangako, ama-hernias esifazane avame ukudideka nama-inguinal hernias ngoba avela endaweni efanayo ngezizathu ezifanayo. Kodwa-ke, lokhu kubandakanya ukuvuvukala okuvela esiswini esingezansi, emgodini, enqulwini, noma ethangeni elingaphezulu.
• IHernatal hernia. Lokhu kwenzeka lapho ingxenye yesisu inwebeka esifubeni ngokuvuleka ku-diaphragm.
• I-hernia eyi-umbilical. Okuvame ukutholakala ezinganeni, lokhu kwenzeka lapho ingxenye yamathumbu idlulela esiswini ngenkinobho yesisu.
• I-hernia engabonakali. Kulabo abahlinzwa isisu, amaphesenti angama-33 azokwakha i-hernia engabonakali. Eyaziwa nangokuthi i-ventral hernias, lezi ziyathuthuka lapho izicubu nemisipha evaliwe kungabambeki ngokuphelele, kuvumela izakhiwo zangaphakathi ukuthi ziphume endaweni ebuthakathaka.

Ingabe i-hernias ibuhlungu?

Ingulube ye-Inguinal

Uphawu oluvame kakhulu lwe-hernia inguinal i-bulge ku-groin, engabonakala ngaphandle kwesixwayiso ngenxa yobunzima obedlulele, njenge:

• ukuphakamisa okunzima
• ukuthimula okunodlame, njengokungezwani nezinto ezithile zomzimba
• ukukhwehlela okungapheli, njengokubhema
• ukuhlunga lapho uchama noma unyakaza amathumbu
• ukwanda kwengcindezi yangaphakathi esiswini

Lawa ma-bulges athambekele ekubonakaleni ngokuma okuqondile futhi angadala ubuhlungu noma ukungaphatheki kahle emgodini wakho lapho:

• ukugoba
• ukuphakamisa
• ukukhwehlela
• ehleka

Ezinye izimpawu zifaka:

• ukushisa noma ukuqaqamba endaweni ye-bulge
• ukuzwa okuhudulayo okusindayo emgodini wakho
• ingcindezi, ukuzwela, noma ubuthakathaka ekuguleni kwakho
• ukuvuvukala nokungahambi kahle emasendeni uma ukuphuma kwehlela esikrinini

Ama-hernias abesifazane

Ama-hernias abesifazane, ikakhulukazi amancane noma aphakathi nendawo, angahle angavezi zimpawu. Kodwa-ke, ezinkulu zingadala ubuhlungu noma ukungakhululeki lapho umile, uphakamisa izinto ezisindayo, noma uma zivela ethangeni eliphezulu noma enqulwini.

Ama-hernias embilical

Ezinganeni ezinama-umbilical hernias, i-bulge ingavela kuphela lapho ikhala noma ikhwehlela. Lezi zivame ukuba zingenabuhlungu ezinganeni, kepha ama-hernias embilical abadala angadala ukungakhululeki esiswini.

Ama-hernias ase-Hiatal

Ama-hernias ase-Hiatal athanda ukuba mancane kangangokuba kunethuba lokuthi ungeke uzizwe nhlobo. Kodwa-ke, ezinkulu zingaholela ekuvulekeni kwesifo sakho futhi kukhule, okwenza ukuthi uthambekele kakhulu kwezinye izitho ezingena esifubeni. Lokhu kungazizwa njengesilungulela.

Ezinye izimpawu zifaka:

• ukucindezela kwesisu, kufaka phakathi ukucindezela noma ukusonteka imizwa
• ubuhlungu besifuba
• i-acid reflux ngenxa yokwanda kokugcinwa kwe-asidi esiswini
• ukuphefumula kanzima noma ukugwinya
• ukugaya ukudla

Ukugcinwa kwesisu esiswini nakho kungaholela kwizilonda zesisu, ezingopha futhi ziholele ekubalweni kwegazi okuphansi.

I-hernia engabonakali

I-hernias ye-incisional incike kubukhulu bokusikwa. Zivame ukukhula phakathi kwamasonto amathathu kuya ezinyangeni eziyisithupha ngemuva kwenqubo kepha zingenzeka nganoma yisiphi isikhathi.

Ukuqhuma noma ukuphuma endaweni okusikwe kuyona uphawu oluvame kakhulu kepha uma izicubu eziningi noma amathumbu enamathela endaweni ebuthakathaka, kungadala ubuhlungu obukhulu lapho izicubu zilahlekelwa ukunikezwa kwegazi. Lesi yisimo esiphuthumayo sezokwelapha futhi sidinga ukunakekelwa ngokushesha.

Izinkinga

I-Hernias ingahle ibe nezinkinga eziningi uma ishiywe ingalashwa, njenge:

• ingcindezi ezicutshini ezizungezile noma imisipha
• i-hernia eboshiwe noma eklinyiwe
• ukuvimbelwa kwamathumbu
• ukufa kwezicubu

I-hernia eboshiwe yenzeka uma i-hernia ibambeka odongeni lwesisu, okungaholela emathunjini noma ekukhubazekeni okuvalekile.

Lapho i-hernia iklinyiwe, kusho ukuthi ukugeleza kwegazi kuya emathunjini kunqanyuliwe. Lesi yisimo esisongela impilo futhi sidinga ukulungiswa ngokushesha.

Izimpawu zalezi zinkinga zifaka:

• imfiva
• ubuhlungu obungazelelwe obulokhu buqhubeka bube buhlungu
• isicanucanu noma ukuhlanza
• iqhubu eliguqukela kumbala omnyama, njengokubomvu noma okunsomi
• ukungakwazi ukwedlulisa igesi noma ukwenza ukuhamba kwamathumbu

Uyiphatha kanjani i-hernia?

Ukuhlinzwa yindlela yokwelashwa okungenzeka kakhulu yokususa ama-hernias amakhulu noma abuhlungu. Udokotela wakho futhi angancoma ukuhlinzwa njengendlela yokuvimbela, ukuqinisekisa ukuthi azikho izinkinga kamuva. Izinketho zokuhlinza ziqala kusukela ekuhlinzeni okuncane okuncane kuya ekuvulekeni kokuhlinzwa.

Ukuhlinzwa okuvulekile

Ukuhlinzwa okuvulekile kuhilela ukusikeka okuncane, ukusunduza izicubu eziphumayo zibuyele emzimbeni wakho nokuvikela ukusikeka ukuze izicubu zingaphindi futhi.

Lokhu kuvame ukuthi kudinge ukuthi udokotela ohlinzayo aqinise indawo ene-mesh. Lapho izicubu sezisendaweni yazo efanelekile, imbobo ivalwa ngemithungo noma ifakwe izitaki.

Le nqubo yenziwa ngokujwayelekile nge-anesthesia yendawo, i-anesthesia ejwayelekile, noma i-sedation.

Kunconywa ukuphumula, noma kunjalo, kufanele uhambe uzungeze ukukhuthaza ukusakazwa okufanele futhi uthuthukise ukululama. Qaphela ukuthi ungazisebenzisi ngokweqile, ngoba kusengaba amasonto ambalwa uze ubuyele emazingeni akho ejwayelekile omsebenzi.

Ngokuya ngendawo ye-hernia yakho, udokotela wakho ohlinzayo uzokunikeza imiyalo ethile yokuthi imiphi imisebenzi ongayenza nokuthi ungabuyela nini ekuzivocavoca nakweminye imisebenzi ejwayelekile.

Ukuhlinzwa okuncane okuhlaselayo

Ukuhlinzwa okuhlaselayo okuncane, okwaziwa nangokuthi yi-laparoscopy, kufaka phakathi uchungechunge lwezimbotshana ezincane. Kusetshenziswa igesi ukufuthelana nendawo ethintekile, okwenza kube lula ukuthi udokotela ohlinzayo abone izakhiwo ezizolashwa.

Enye ithubhu enekhamera encane izobe isifakwa kokunye ukusikwa, kuthi abanye basebenze njengezindawo zokungena zamathuluzi kadokotela ohlinzayo.

Le nqubo yenziwa ngokujwayelekile nge-anesthesia ejwayelekile. Labo abafanele ukuhlinzwa okuncane okungajwayelekile bavame ukuzwa ukungakhululeki okuncane kwe-post-op, kanye nokulimala okuncane.

Ungase futhi ukwazi ukubuyela emazingeni avamile omsebenzi ngokushesha kunalabo abahlinzwa ngokuvulekile.

Ezinye izinketho

Enye indlela ukulinda okulindile, lapho umane ulinde ukubona ukuthi izimpawu zakho ze-hernia ziyahamba noma ziba zimbi kakhulu.

I-hernia truss noma isibopho sesisu nakho kungasiza. Lawa ama-brace asekelayo enzelwe ukugcina i-hernia isendaweni futhi ayivimbele ukuba ibe yimbi kakhulu.

Ama-brace angahle angabi usizo njalo futhi angadala ezinye izinkinga, ngakho-ke khuluma nodokotela wakho ngale ndlela yokwelashwa ngaphambi kokuyilandela.

Ukudla okudlela endlini

Yize izinhlobo eziningi ze-hernia zingathathwa njengeziyingozi, azibi ngcono ngokwazo futhi zingaholela ezimweni ezisongela impilo uma ziyekwa zingalashwa.

Khuluma nodokotela wakho uma ucabanga ukuthi uhlangabezana nanoma yiziphi izimpawu ze-hernia. Bangakunikeza isisombululo esenzelwe wena esimweni sakho.

Kufanele ufune usizo lwezokwelashwa olusheshayo uma uhlangabezana nanoma yiziphi izimpawu zensumpa eklinyiwe noma eboshiwe, efana neqhubu elibuhlungu kakhulu futhi uma iqhubu libomvu noma nsomi.