Konke Ofuna Ukukwazi Nge-Hernia

-Delile

• Izimpawu ze-hernia
• Ukubuyiselwa kweHernia
• Izimbangela zeHernia
• Ukuxilongwa kweHernia
• Ukuhlinzwa kweHernia
• Ukubuyiselwa
• Izinhlobo zeHernia
• Ingulube ye-Inguinal
• IHernatal hernia
• I-hernia eyi-umbilical
• I-Ventral hernia
• Ukwelashwa kweHernia
• Ikhambi lasekhaya laseHernia
• Ukuzivocavoca umzimba kweHernia
• I-Hernia ezinganeni
• Ukukhulelwa kweHernia
• Izinkinga zeHernia
• Ukuvimbela i-Hernia

I-hernia yenzeka lapho isitho sidlulela embotsheni yemisipha noma yezicubu eziyibambile. Isibonelo, amathumbu angahle anqamule endaweni ebuthakathaka odongeni lwesisu.

Ama-hernias amaningi avela esiswini phakathi kwesifuba sakho kanye nezinqulu, kepha futhi angavela ezindaweni zethanga eliphezulu nezimbambo.

Ama-hernias amaningi awasongeli impilo ngokushesha, kepha awazihambeli ngokwawo. Kwesinye isikhathi bangadinga ukuhlinzwa ukuvikela izinkinga eziyingozi.

Izimpawu ze-hernia

Uphawu oluvame kakhulu lwe-hernia yi-bulge noma isigaxa endaweni ethintekile. Isibonelo, esimweni se-hernia enguinal, ungaqaphela isigaxa ngapha nangapha kwethambo lakho le-pubic lapho kuhlangana khona imbilapho nethanga lakho.

Ungathola ukuthi isigaxa siyanyamalala lapho ulele phansi. Kungenzeka ukuthi uzwe i-hernia yakho ngokuthinta lapho umile, ugoba noma ukhwehlela. Kungaba khona ukungakhululeki noma ubuhlungu endaweni ezungeze isigaxa.

Ezinye izinhlobo ze-hernia, njenge-hernias yokuzalwa, ingaba nezimpawu ezithile. Lokhu kungafaka izinto ezifana nesilungulela, inkinga yokugwinya, nobuhlungu besifuba.

Ezimweni eziningi, i-hernias ayinazo izimpawu. Ungahle ungazi ukuthi unayo i-hernia ngaphandle kokuthi ibonakale ngesikhathi sokuhlolwa ngokomzimba noma kwezokwelapha ngenkinga engahlobene.

Ukubuyiselwa kweHernia

Kubalulekile ukuqaphela izimpawu ze-hernia nokubona udokotela wakho uma usola ukuthi unaso. I-hernia engalashwa ngeke ihambe yodwa. Udokotela wakho angahlola i-hernia yakho futhi anqume ukuthi ingelashwa kanjani kangcono.

I-Hernias ingadala izinkinga ezisongela impilo. Kubalulekile ukuthi ufune usizo oluphuthumayo uma uhlangabezana nezimpawu ezifana nesicanucanu noma ukuhlanza, umkhuhlane, noma ubuhlungu obungazelelwe.

Ukunakekelwa kwezokwelapha kusenesikhathi kanye nokushintsha kwendlela yokuphila kunganciphisa izimpawu. Kodwa-ke, ukuhlinzwa ukuphela kwendlela yokwelapha i-hernia ngempumelelo. Kunezinhlobo ezahlukene zokuhlinzwa ezitholakalayo ukulungisa i-hernias, futhi udokotela wakho ohlinzayo angakweluleka ukuthi yikuphi okulungele isimo sakho.

Isibikezelo sokuhlinzwa kokulungiswa kwe-hernia ngokuvamile sihle kakhulu, kepha kungancika kubunjalo be-hernia, izimpawu zakho, nempilo yakho yonke. Kwezinye izimo, i-hernia ingahle ibuye ngemuva kokulungiswa.

Izimbangela zeHernia

I-Hernias ibangelwa inhlanganisela yobuthakathaka bemisipha nobunzima. Ngokuya ngesizathu sayo, i-hernia ingakhula ngokushesha noma isikhathi eside.

Ezinye izimbangela ezivamile zobuthakathaka bemisipha noma ubunzima obungabangela i-hernia zifaka:

• isimo sokuzalwa esenzeka ngesikhathi sokukhula esiswini futhi esikhona kusukela ekuzalweni
• ukuguga
• ukulimala noma ukuhlinzwa
• ukukhwehlela okungapheli noma ukuphazamiseka okungapheli kwesifo samaphaphu (COPD)
• ukuvivinya umzimba kanzima noma ukuphakamisa izinsimbi ezisindayo
• ukukhulelwa, ikakhulukazi ukukhulelwa kaningi
• ukuqunjelwa, okubangela ukuthi ukhwantabalise lapho unyakaza amathumbu
• ukukhuluphala ngokweqile noma ukukhuluphala
• uketshezi esiswini, noma ama-ascites

Kukhona nezinto ezithile ezingakhuphula ubungozi bokuthuthukisa i-hernia. Kubandakanya:

• umlando womuntu siqu noma womndeni wama-hernias
• ukuba mdala
• ukukhulelwa
• ukukhuluphala ngokweqile noma ukukhuluphala
• ukuqunjelwa okungapheli
• ukukhwehlela okungapheli (mhlawumbe ngenxa yokwanda okuphindaphindayo kwengcindezi yesisu)
• i-cystic fibrosis
• ukubhema (okuholela ekwenzeni buthakathaka izicubu ezixhuma)
• ukuzalwa ngaphambi kwesikhathi noma ngesisindo sokuzalwa esiphansi

Ukuxilongwa kweHernia

Ukuthola isimo sakho, udokotela wakho uzoqala ahlole ngokomzimba. Phakathi nalokhu kuhlolwa, udokotela wakho angazizwa ngokuqhuma endaweni yakho yesisu noma ye-groin ekhula lapho umi, ukhwehlela noma ucindezela.

Udokotela wakho uzobe esethatha umlando wakho wezokwelapha. Bangakubuza imibuzo ehlukahlukene, kufaka phakathi izinto ezifana nokuthi:

• Uqale nini ukuqaphela ukuqhuma?
• Uke wahlangabezana nezinye izimpawu?
• Ngabe ucabanga ukuthi bekukhona okuthile ikakhulukazi okungenzeka ukuthi kubangele ukuthi kwenzeke?
• Ake ungitshele kancane ngempilo yakho. Ngabe umsebenzi wakho ubandakanya ukuphakamisa okunzima? Ingabe uzivocavoca kanzima? Unomlando wokubhema?
• Unomlando womuntu siqu noma womndeni wama-hernias?
• Ngabe uke wahlinzwa endaweni yesisu sakho noma yesisu sakho?

Udokotela wakho futhi uzosebenzisa izivivinyo ze-imaging ukusiza ekuhloleni kwabo. Lokhu kungafaka izinto ezifana:

• i-ultrasound yesisu, esebenzisa amagagasi omsindo aphakeme kakhulu ukwakha isithombe sezakhiwo ezingaphakathi komzimba
• I-CT scan, ehlanganisa ama-X-ray nobuchwepheshe bekhompyutha ukukhiqiza isithombe
• I-MRI scan, esebenzisa inhlanganisela yamazibuthe aqinile namagagasi omsakazo ukwenza isithombe

Uma kusolwa i-hernia yokubeletha, udokotela wakho angasebenzisa ezinye izivivinyo ezibavumela ukuthi bahlole indawo yangaphakathi yesisu sakho:

• I-Gastrografin noma i-barium X-ray, okuwuchungechunge lwezithombe ze-X-ray zomgudu wakho wokugaya ukudla. Izithombe ziqoshwa ngemuva kokuthi uqede ukuphuza uketshezi oluqukethe i-diatrizoate meglumine ne-diatrizoate sodium (Gastrografin) noma isisombululo se-barium esiwuketshezi. Zombili ziveza kahle ezithombeni ze-X-ray.
• I-Endoscopy, ebandakanya ukufaka ikhamela encane enamathiselwe kumbhobho phansi komphimbo wakho nakumphimbo nasesiswini sakho.

Ukuhlinzwa kweHernia

Uma i-hernia yakho ikhula kakhulu noma ibangela ubuhlungu, udokotela wakho ohlinzayo anganquma ukuthi kungcono ukuhlinza. Bangalungisa i-hernia yakho ngokuthunga umgodi odongeni lwesisu oluvaliwe ngesikhathi sokuhlinzwa. Lokhu kuvame ukwenziwa ngokufaka imbobo nge-mesh yokuhlinzwa.

I-Hernias ingalungiswa ngokuhlinzwa okuvulekile noma kwe-laparoscopic. Ukuhlinzwa nge-laparoscopic kusebenzisa ikhamera encane kanye nemishini yokuhlinza eyenziwe ngemishini yokulungisa i-hernia kusetshenziswa ukusikeka okumbalwa kuphela. Kubuye kungalimazi kakhulu izicubu ezizungezile.

Ngesikhathi sokuhlinzwa okuvulekile, udokotela ohlinzayo usika imbobo eduze kwesiza se-hernia, abese ephusha izicubu eziqubukayo zibuyele esiswini. Bese bethunga indawo beyivala, kwesinye isikhathi beyiqinisa ngocingo lokuhlinzwa. Ekugcineni, bavala imbobo.

Akuwona wonke ama-hernias alungele ukuhlinzwa nge-laparoscopic. Uma i-hernia yakho idinga ukulungiswa kokuhlinzwa okuvulekile, udokotela wakho ohlinzayo uzosebenzisana nawe ukuthola ukuthi yiluphi uhlobo lokuhlinzwa olulungele isimo sakho.

Ukubuyiselwa

Ngemuva kokuhlinzwa kwakho, ungahle uzwe ubuhlungu ngasendaweni yokuhlinzwa. Udokotela wakho ohlinzayo uzokunika imithi ezosiza ukudambisa lokhu kungakhululeki ngenkathi ululama.

Qiniseka ukuthi ulandela ngokucophelela imiyalo kadokotela wakho ohlinzayo ehilela ukunakekelwa kwesilonda. Xhumana nabo ngokushesha uma ubona noma yiziphi izimpawu zokutheleleka ezinjengomkhuhlane, ubomvu noma amanzi esizeni, noma ubuhlungu obulokhu buthuthuka ngokuzumayo.

Ukulandela ukulungiswa kwe-hernia, ungahle ungakwazi ukuhamba ujwayelekile amasonto ambalwa. Uzodinga ukugwema noma yimuphi umsebenzi onzima. Ngokwengeziwe, kufanele ugweme ukuphakamisa izinto ezisinda ngaphezu kwamakhilogremu ayi-10 ngalesi sikhathi. Lokhu cishe kuyisisindo segalani lobisi.

Ukuhlinzwa okuvulekile kuvame ukudinga inqubo ende yokutakula kunokuhlinzwa okwenziwa nge-laparoscopic.Udokotela wakho ohlinzayo uzokwazisa ukuthi ungabuyela nini enkambisweni yakho ejwayelekile.

Izinhlobo zeHernia

Kunezinhlobo ezahlukahlukene ze-hernias. Ngezansi, sizohlola okunye okuvame kakhulu.

Ingulube ye-Inguinal

Ama-hernias angama-Inguinal uhlobo oluvame kakhulu lwe-hernia. Lokhu kwenzeka lapho amathumbu edlula endaweni ebuthakathaka noma edabula odongeni lwesisu esingezansi, imvamisa emseleni ongaphakathi. Lolu hlobo luye lwande kakhulu emadodeni.

Umsele we-inguinal utholakala emgodini wakho. Emadodeni, yindawo lapho kudlula khona intambo yesidoda kusuka esiswini kuya esikhaleni. Le ntambo iqinisa amasende. Kwabesifazane, umsele we-inguinal uqukethe umgudu osiza ukubamba isibeletho endaweni.

Lezi hernias zivame kakhulu emadodeni ngoba amasende ehla ngomsele we-inguinal ngemuva nje kokuzalwa. Umsele kufanele uvale cishe ngokuphelele ngemuva kwabo. Kwesinye isikhathi umsele awuvaleki kahle, ushiye indawo ebuthaka. Hlola okwengeziwe ngama-hernias angama-inguinal.

IHernatal hernia

I-hernia yokubeletha ivela lapho ingxenye yesisu sakho iphuma nge-diaphragm esifubeni sakho. I-diaphragm ishidi lemisipha elikusiza ukuthi uphefumule ngokungenelela nokudonsela umoya emaphashini. Ihlukanisa izitho esiswini sakho nalezo esifubeni sakho.

Lolu hlobo lwe-hernia luvame kakhulu kubantu abangaphezu kweminyaka engama-50 ubudala. Uma ingane inale nkinga, imvamisa ibangelwa ukukhubazeka kokuzalwa okuzelwe.

Ama-hernias ase-Hiatal cishe njalo abangela i-reflux ye-gastroesophageal, okuyilapho okuqukethwe esiswini kuvuza emuva emuva ku-esophagus, kubangele ukuzwa okuvuthayo. Thola eminye imininingwane ngama-hernias okuzala.

I-hernia eyi-umbilical

I-hernias ye-umbilical ingenzeka ezinganeni nasezinsaneni. Lokhu kwenzeka lapho amathumbu abo eqhuma odongeni lwabo lwesisu eduze kwenkinobho yabo yesisu. Ungaqaphela ukuqhuma ngaphakathi noma eduze kwenkinobho yesisu yengane yakho, ikakhulukazi lapho ikhala.

I-hernia ye-umbilical iwukuphela kohlobo oluvame ukuhamba lodwa njengoba imisipha yodonga lwesisu iba namandla, imvamisa lapho ingane ineminyaka engu-1 noma 2 ubudala. Uma i-hernia ingahambanga neminyaka engu-5 ubudala, ukuhlinzwa kungasetshenziswa ukuyilungisa.

Abantu abadala bangaba nama-hernias embilical. Lokhu kungenzeka kusukela ekucindezelweni okuphindaphindiwe esiswini ngenxa yezinto ezifana nokukhuluphala, ukukhulelwa, noma uketshezi esiswini (ascites). Funda imininingwane eyengeziwe mayelana ne-hernias ye-umbilical.

I-Ventral hernia

I-hernia ye-ventral yenzeka lapho izicubu ziqhuma ngokuvula emisipha yesisu sakho. Ungaqaphela ukuthi usayizi we-ventral hernia uyancipha lapho ulele phansi.

Yize i-ventral hernia ingaba khona kusukela ekuzalweni, itholakala kakhulu ngesikhathi esithile ngesikhathi sokuphila kwakho. Izici ezijwayelekile zokwakheka kwe-ventral hernia zifaka izinto ezinjengokukhuluphala, umsebenzi onzima nokukhulelwa.

I-Ventral hernias nayo ingenzeka endaweni yesikhumba sokuhlinzwa. Lokhu kubizwa ngokuthi i-hernia enganqamuki futhi kungenzeka ngenxa yesibazi sokuhlinzwa noma ubuthakathaka bemisipha yesisu endaweni yokuhlinzwa. Qhubeka ufunde ukuze uthole okuningi mayelana ne-ventral hernias.

Ukwelashwa kweHernia

Ukuphela kwendlela yokwelapha ngempumelelo i-hernia kungukulungiswa kokuhlinzwa. Kodwa-ke, ukuthi udinga ukuhlinzwa noma cha kuya ngosayizi we-hernia yakho nobukhulu bezimpawu zakho.

Udokotela wakho angafuna ukumane aqaphe i-hernia yakho ngezinkinga ezingaba khona. Lokhu kubizwa ngokulinda okulindile.

Kwezinye izimo, ukugqoka i-truss kungasiza ekunciphiseni izimpawu ze-hernia. Lesi yisembatho sangaphansi esisekelayo esisiza ukubamba i-hernia endaweni yayo. Kufanele uhlale ubona udokotela wakho ukuze aqiniseke ukuthi i-truss ilingana kahle ngaphambi kokuyisebenzisa.

Uma une-hernia yokubeletha, imishanguzo yokuthenga kanye nemithi kadokotela eyehlisa isisu i-asidi ingakunciphisa ukukhathazeka kwakho futhi ithuthukise izimpawu. Lokhu kufaka ama-antacids, ama-H-2 receptor blockers, kanye ne-proton pump inhibitors.

Ikhambi lasekhaya laseHernia

Ngenkathi amakhambi asekhaya engeke elaphe i-hernia yakho, kunezinto ezithile ongazenza ukusiza ngezimpawu zakho.

Ukwandisa ukungena kwakho kwe-fiber kungasiza ekunciphiseni ukuqunjelwa okungadala ukuphazamiseka ngesikhathi sokuhamba kwamathumbu, okungakhulisa i-hernia. Ezinye izibonelo zokudla okunefayibha ephezulu zibandakanya okusanhlamvu okuphelele, izithelo nemifino.

Izinguquko zokudla zingasiza futhi ngezimpawu ze-hernia yokubeletha. Zama ukugwema ukudla okukhulu noma okusindayo, ungalala phansi noma ugobe ngemuva kokudla, futhi ugcine isisindo somzimba wakho sisebangeni eliphilile.

Ukuvimbela i-acid reflux, gwema ukudla okungakubangela, njengokudla okubabayo nokudla okususelwa kutamatisi. Ngokwengeziwe, ukuyeka ugwayi nakho kungasiza.

Ukuzivocavoca umzimba kweHernia

Ukuzivocavoca umzimba kungasebenza ukuqinisa imisipha ezungeze i-hernia futhi kukhuthaze ukwehla kwesisindo, kusize ukunciphisa ezinye izimpawu.

Uphenye imiphumela yohlelo lokuzivocavoca kubantu abakhuluphele obekufanele bahlinzwe ngokulungiswa kwe-herral hernia. Kubhekwe ukuthi abantu abaphothule uhlelo lokuzivocavoca baba nezinkinga ezimbalwa ngemuva kokuhlinzwa.

Kubalulekile ukukhumbula ukuthi ezinye izinhlobo zokuzivocavoca umzimba, njengokuphakamisa izinsimbi noma ukuzivocavoca okucindezela isisu, zingakhuphula ingcindezi endaweni ye-hernia. Lokhu empeleni kungadala ukuthi i-hernia ikhule kakhulu. Kuyafana nokuzivocavoca okwenziwa ngokungafanele.

Uma une-hernia, ngaso sonke isikhathi kungcono ukuxoxa ngokuzivocavoca nodokotela wakho noma owelapha ngokomzimba. Bangasebenza eduze nawe ukukwazisa ukuthi yikuphi ukuzivocavoca okuhle okufanele ukwenze nokuthi ungakwenza kanjani kahle ukuvimbela ukucasula i-hernia yakho.

I-Hernia ezinganeni

Phakathi kwezingane zizalwa zine-hernia ye-umbilical. Lolu hlobo lwe-hernia lubuye luvame kakhulu ezinganeni ezizalwa ngaphambi kwesikhathi noma ezizalwe zinesisindo esiphansi sokuzalwa.

Ama-hernias embilical avela eduze kwenkinobho yesisu. Zakha lapho imisipha ezungeze umgodi oshiywe yinkaba ingavali kahle. Lokhu kubangela ukuthi ingxenye yamathumbu iphume.

Uma ingane yakho ine-hernia ye-umbilical, ungayiqaphela kakhulu lapho ikhala noma ikhwehlela. Imvamisa, ama-hernias ezinkaba ezinganeni awanabuhlungu. Kodwa-ke, lapho izimpawu ezifana nobuhlungu, ukuhlanza, noma ukuvuvukala endaweni ye-hernia kwenzeka, kufanele ufune usizo oluphuthumayo lwezokwelapha.

Bheka udokotela wezingane wengane yakho uma uqaphela ukuthi ingane yakho ine-hernia ye-umbilical. Ama-umbilical hernias ngokuvamile ayahamba lapho ingane ineminyaka engu-1 noma 2 ubudala. Kodwa-ke, uma inganyamalali lapho ineminyaka engu-5, ukuhlinzwa kungasetshenziswa ukuyilungisa. Funda kabanzi mayelana nokulungiswa kwe-hernia ye-umbilical.

Ukukhulelwa kweHernia

Uma ukhulelwe futhi ucabanga ukuthi une-hernia, qiniseka ukubona udokotela wakho. Bangayihlola futhi babone ukuthi ngabe ibeka ubungozi yini empilweni.

Imvamisa, ukulungiswa kwe-hernia kungalinda kuze kube ngemuva kokubeletha. Kodwa-ke, uma i-hernia encane ekhona ngaphambi noma ngesikhathi sokukhulelwa iqala ukuba nkulu noma ibangele ukungakhululeki, ukuhlinzwa kungalulekwa ukuthi kuyilungise. Isikhathi esithandwayo sokwenza lokhu kuphakathi ne-trimester yesibili.

I-Hernias ebilungiswa phambilini ingabuya nokukhulelwa kamuva. Lokhu kungenxa yokuthi ukukhulelwa kubeka ubunzima kwizicubu zomzimba zesisu okungenzeka ukuthi zenziwa buthaka ngokuhlinzwa.

I-Hernias nayo ingenzeka ngemuva kokulethwa kokuhlinzwa, okwaziwa nangokuthi isigaba se-C. Ngesikhathi sokulethwa kwe-cearean, kwenziwa imbobo esiswini nasesizalweni. Ingane bese ihanjiswa ngalezi zigcawu. I-hernia engaguquguquki kwesinye isikhathi ingavela endaweni yokulethwa kokuhlinzwa. Thola imininingwane ngama-hernias avela ngemuva kokulethwa kokuhlinzwa.

Izinkinga zeHernia

Ngezinye izikhathi i-hernia engalashwa ingaholela ezinkingeni ezingase zibe nzima. I-hernia yakho ingakhula futhi ibangele izimpawu eziningi. Kungabeka ingcindezi enkulu kakhulu kwizicubu eziseduze, ezingadala ukuvuvukala nobuhlungu endaweni ezungezile.

Ingxenye yamathumbu akho nayo ingabanjwa odongeni lwesisu. Lokhu kubizwa ngokuthi ukuvalelwa. Ukuvalelwa kungavimbela isisu sakho futhi kubangele ubuhlungu obukhulu, isicanucanu, noma ukuqunjelwa.

Uma isigaba esibhajwe emathunjini akho singakutholi ukugeleza kwegazi okwanele, ukuklinyeka kwenzeka. Lokhu kungadala ukuthi izicubu zamathumbu zitheleleke noma zife. I-hernia eklinyiwe isongela impilo futhi idinga ukunakekelwa kwezokwelapha ngokushesha.

Ezinye izimpawu ezingakhombisa ukuthi udinga ukufuna usizo oluphuthumayo lwe-hernia zifaka:

• iqhubu eliguqula umbala ube bomvu noma onsomi
• ubuhlungu obuvele bube buhlungu ngokuzumayo
• isicanucanu noma ukuhlanza
• imfiva
• ukungakwazi ukudlulisa igesi noma ukunyakaza kwamathumbu

Ukuvimbela i-Hernia

Awukwazi njalo ukuvimbela i-hernia ekuthuthukiseni. Kwesinye isikhathi isimo esivele sizuzwe njengefa noma ukuhlinzwa kwangaphambilini kuvumela i-hernia ukuthi yenzeke.

Kodwa-ke, ungenza ukulungisa okulula kokuphila ukukusiza ukuthi ugweme ukuthola i-hernia. Lezi zinyathelo zihlose ukunciphisa inani lobunzima obubeka emzimbeni wakho.

Nawa amathiphu ambalwa wokuvikela i-hernia:

• Yeka ukubhema.
• Bona udokotela wakho uma ugula ukuze ugweme ukungenisa ukukhwehlela okungapheli.
• Gcina isisindo somzimba esinempilo.
• Zama ukungahambisani ngenkathi unyakaza amathumbu noma uchama.
• Yidla ukudla okwanele okune-fiber eningi ukuvimbela ukuqunjelwa.
• Yenza izivivinyo ezisiza ukuqinisa imisipha yesisu sakho.
• Gwema ukuphakamisa izinsimbi ezisindayo kuwe. Uma kufanele uphakamise okuthile okusindayo, goba emadolweni hhayi okhalweni noma emuva.