I-Hernia: kuyini, izimpawu nokuthi kufanele welashwe kanjani
-Delile
- 4. I-hernia embilical
- 5. I-hernia yabesifazane
- 6. Imisipha hernia
- 7. I-incisional hernia
- Izimbangela ze-hernia
- Izimpawu zeHernia
- Ukwelashwa okuyinhloko kwe-hernia
- 1. Ukuhlinzwa
- 2. Imithi
- 3. Ukuqaphela
IHernia yigama lezokwelapha elisetshenziselwa ukuchaza lapho isitho sangaphakathi sihamba sigcine siphume ngaphansi kwesikhumba, ngenxa yobucayi, obungenzeka kunoma iyiphi ingxenye yomzimba, njengenkaba, isisu, ithanga, imbilapho noma umgogodla, isibonelo isibonelo.
Olunye lwezinhlobo ezivame kakhulu ze-hernia yi-hernia inguinal, lapho ucezu lwamathumbu lungadlula odongeni lwesisu futhi lubonakale, njengeqhubu elincane noma ukuvuvukala, ngaphansi kwesikhumba esifundeni esisondelene.
Lapho kuvela i-hernia, idinga ukwelashwa futhi okuvame kakhulu ukuhlinzwa, nge-epidural anesthesia.
4. I-hernia embilical
I-hernia embilical ukudlula kwengxenye yamathumbu ngemisipha yesisu, okuvame ukudala ukuvuvukala endaweni yenkaba. Lolu hlobo lwe-hernia luvame kakhulu ezinganeni noma ezinganeni futhi ngokuvamile aludingi ukwelashwa okuthile.
5. I-hernia yabesifazane
I-hernia yabesifazane yenzeka lapho ingxenye yamathumbu ikwazi ukudlula emisipheni yesisu, esifundeni somsele wesifazane, futhi idale ukuphuma ethangeni noma emgodini.
Ngaphezu kwalokho, i-hernia yesifazane ingadala izimpawu zobuhlungu besisu, isicanucanu, ukuhlanza noma amajaqamba emathumbu, isibonelo.
6. Imisipha hernia
Ama-hernias emisipha angavela kunoma yisiphi isicubu somzimba, kepha ajwayelekile emilenzeni, esifundeni esiphakathi kwamadolo neqakala. Lolu hlobo lwe-hernia luvame kakhulu kwintsha nasebantwaneni abenza imisebenzi yomzimba enamandla.
7. I-incisional hernia
I-hernia eshubile ingenzeka esibangweni sokuhlinzwa kwesisu, izinyanga noma iminyaka ngemuva kokuhlinzwa, futhi imvamisa ayibangeli zimpawu, ukuvuvukala okuncane noma i-nodule esibondeni. Kodwa-ke, ngokuhamba kwesikhathi i-hernia yokusika ingakhuphuka, ibangele ubuhlungu endaweni. Kulezi zimo, ukuhlinzwa kungaboniswa.
Izimbangela ze-hernia
IHernia ingaba nezimbangela eziningana, kepha okuvame kakhulu yilezi:
- Ukuphakamisa izinsimbi ejimini noma emsebenzini;
- Phatha izikhwama ezinzima kakhulu njalo;
- Ukukhwehlela ngokweqile;
- Umzamo omkhulu;
- Yenza amandla amaningi ukuzikhulula;
- Yiba nokukhulelwa okuningana ngesikhathi esifushane.
I-Hernias ingavela nganoma yisiphi isikhathi, kepha ijwayelekile kubantu abadala. Ezinganeni, i-hernia ejwayelekile kakhulu i-hernia ye-umbilical, ebonakala cishe ezinyangeni eziyisithupha ubudala futhi imane inyamalale yodwa cishe eminyakeni engama-4 ubudala.
Izimpawu zeHernia
Ezinye zezimpawu ezingakhombisa ukuba khona kwe-hernia zingafaka:
- Qhuma esikhunjeni, kunoma yisiphi isifunda somzimba;
- Ukuvuvukala endaweni yokuqagela;
- Ubuhlungu esifundeni, ikakhulukazi ngemuva kokwenza imizamo;
- Ubuhlungu endaweni lapho uphuma noma ukhwehlela.
Kwezinye izimo ukuxilongwa kwe-hernia kungenziwa ngokuya ngezimpawu nange-palpation yendawo ukuze kutholakale ukuthi kukhona yini iqhubu noma ukuphuma ngaphansi kwesikhumba. Kodwa-ke, ukuqinisekisa ukuxilongwa, udokotela angacela i-ultrasound.
Uma indawo ye-hernia ivuvukala, ishintsha umbala noma uma ubuhlungu bukhulu kakhulu, kunconywa ukuba uye esibhedlela ngokushesha.
Ukwelashwa okuyinhloko kwe-hernia
Ukwelashwa kwe-Hernia kuncike ohlotsheni lwe-hernia futhi kufaka:
1. Ukuhlinzwa
Ukuhlinzwa kweHernia ukwelashwa okungcono kakhulu okutholakalayo, futhi kuqukethe ukubeka isitho endaweni yaso efanele, ukubeka isikrini esivikelayo uma kunesidingo ukuvimbela i-hernia ukuthi ingabuyi.
Ukuhlinzwa kungenziwa ezimweni ze:
- I-hernia embilical kubantu abadala;
- I-inguinal hernia;
- I-hernia yabesifazane;
- Imisipha hernia;
- I-incisional hernia;
- I-disc ye-Herniated engathuthuki ngokwelashwa komzimba.
Nge-hernia yokubeletha, ukuhlinzwa kungenziwa kuphela nge-laparoscopy ezimweni ezinzima kakhulu futhi ezingathuthuki ngokusetshenziswa kwemithi.
Umqondo omuhle ukuthi ahlinzwe ngokushesha lapho kutholakala i-hernia ukugwema izinkinga ezifana nokuklinywa kwesitho esenzeka lapho i-hernia ingabuyeli endaweni futhi ibambe ukujikeleza kwegazi endaweni.
2. Imithi
Imithi ye-Hernia, ikakhulukazi ama-discs e-herniated, ingafaka ukudambisa izinhlungu okufana ne-paracetamol noma i-dipyrone noma i-opioid enqunywe udokotela ezimweni zobuhlungu obukhulu.
Ezimweni ze-hernia yokubeletha, i-omeprazole noma i-esomeprazole ingasetshenziswa, ngokwesibonelo, ukunciphisa izimpawu zokusha esiswini kanye ne-reflux ye-gastroesophageal.
3. Ukuqaphela
Ukuqaphela kukhonjiswa ezimeni ze-hernia ye-umbilical ezinganeni nasezinsaneni, ngoba imvamisa azidingi ukwelashwa okuthile futhi zingalandelwa kuphela ngudokotela.
Ngaphezu kwalokho, ukwelashwa kwemisipha ye-hernia ukuphumula noma ukusetshenziswa kwamasheya okucindezela aboniswe ngudokotela, ukuhlinzwa kuboniswa kuphela futhi ezimweni zobuhlungu obukhulu