Izimpawu ze-hernia zesisu nezimbangela eziyinhloko

-Delile

• Izimpawu eziyinhloko
• Izinkinga ezingenzeka ze-hernia yesisu
• Yini ebangela i-hernia yesisu
• Ukuhlinzwa kwe-hernia esiswini
• Lulama kanjani

I-hernia yesisu ibonakala ngokuvuvukala kwesitho esithile esiswini ngaphandle komzimba, okuvame ukuthi kungabangeli zimpawu, kepha kungadala izinhlungu, ukuvuvukala nokubomvu endaweni, ikakhulukazi lapho kukhona ukubanjwa noma ukusonteka kwezitho ngaphakathi kwe-hernia.

I-hernia yesisu ibonakala ngokuvuvukala kwesitho esithile esiswini ngaphandle komzimba, okuvame ukuthi kungabangeli zimpawu, kepha kungadala izinhlungu, ukuvuvukala nokubomvu endaweni, ikakhulukazi lapho kukhona ukubanjwa noma ukusonteka kwezitho ngaphakathi kwe-hernia.

Ukwelashwa kwe-hernia yesisu kwenziwa ngokuhlinzwa ukufaka leyo ngxenye yesitho ngemuva kwemisipha yesisu. Ukuhlinzwa kulula, ngaphandle kwesidingo se-anesthesia ejwayelekile futhi, ngokuvamile, umuntu uhlala esibhedlela usuku olungu-1 kuphela.

Izimpawu eziyinhloko

Ukuba khona kwe-hernia yesisu kuyaqashelwa ngenxa yokuba khona kokuvuvukala noma isigaxa esifundeni sesisu, ikakhulukazi esifundeni esingenhla kwenkaba, ngaphakathi kwenkaba nasemgodini. Lokhu kuvuvukala kwenzeka lapho okuqukethwe yisisu, imvamisa amathumbu, kukwazi ukudlula imisipha yesisu, kwakheke isaka le-hernial.

Ngokuvamile, okuqukethwe kwesikhwama se-hernia kungangena futhi kuphume ngokukhululeka, ngaphandle kokubangela izimpawu, noma kubangele ukungakhululeki okuncane. Kodwa-ke, lapho i-orifice yokudlula kwezitho iba ncane, kwenzeka lokho okubizwa ngokuthi yi-hernia eboshiwe noma eklinyiwe, okungaveza izimpawu, njenge:

• Ubuhlungu obukhulu esizeni se-hernia noma esiswini;
• Ukuvuvukala nokubomvu endaweni ye-hernia;
• Isicanucanu nokuhlanza.

Lesi simo sibucayi, futhi kufanele silashwe ngokuhlinzwa ngokushesha okukhulu, ngenxa yengozi yokushoda kokujikeleza kwegazi ezithweni, okudala ukuvuvukala, ukubola, ukutheleleka nokufa kwamaseli, okuyi-necrosis.

Izinkinga ezingenzeka ze-hernia yesisu

Yize iningi le-hernias lixazululwa kuphela ngokuxhaphaza i-hernia kuya esiswini, kwezinye izimo lokhu akunakwenzeka, futhi kungaholela ezinkingeni. Enye yezinkinga ezinkulu ukuklanywa kwesitho esifundeni sesisu, isikhathi esiningi emathunjini, ukwehla kokujikeleza kwegazi kusayithi, okungahle kube nomphumela we-necrosis.

Ngaphezu kokuklinya, kungahle kube nokuvinjelwa kwamathumbu, lapho okuqukethwe kwamathumbu kungeke kudlule esifundeni se-hernia, okungadala isicanucanu nokuhlanza, ngaphezu kokuqunjelwa.

Yini ebangela i-hernia yesisu

I-Hernia yenzeka lapho kukhona ukuncipha kwezicubu zesisu, okungaba ufuzo, noma lokho kungavela ngemuva kokwanda kwengcindezi ngaphakathi esiswini, njengasemisebenzini edinga umzamo omkhulu womzimba, ngenxa yokukhuluphala noma ukukhulelwa, ngokwesibonelo.

Izinhlobo eziyinhloko ze-hernia yesisu yilezi:

• Inguinal, endaweni ye-groin, okuluhlobo oluvame kakhulu. Funda ukuthi ungabona kanjani futhi welaphe i-hernia enguinal;
• I-Epigastric, engaphezulu kwenkaba, lapho kuhlangana khona imisipha yesisu. Funda kabanzi mayelana ne-epigastric hernia;
• Umbilical, uvame kakhulu ezinganeni, futhi uvame ukubuyela emuva ngaphandle kokudinga ukuhlinzwa eminyakeni yokuqala yokuphila. Bona ukuthi yini okufanele uyenze uma kwenzeka i-hernia yenkaba;
• Incisional, kwenzeka endaweni yokuhlinzwa okuthile okudala, ngenxa yokwehla kwendawo lapho kwenziwa khona umthungo.

Ukuthola i-hernia yesisu, udokotela angenza ukuhlolwa komzimba okuhlola ukuvuvukala kwesisu, kepha isiqinisekiso senziwa ngokuhlolwa kwesisu nge-ultrasound.

Ukuhlinzwa kwe-hernia esiswini

Ukwelashwa okuyinhloko kwe-hernias ukuhlinzwa, noma kunjalo, kwezinye izimo, bangazibuyisela emuva ngokwabo, njengasendabeni yama-hernias amancane noma ama-hernias enganeni, ikakhulukazi enkabeni.

Ukuhlinzwa kwenziwa esikhungweni sokuhlinza, nge-anesthesia yendawo noma yomgogodla, futhi kungenziwa ngokuvulwa kwesisu noma nge-videolaparoscopy, ngenqubo ehlala cishe ihora elilodwa. Ngakho-ke, izitho ziyacindezelwa ziphinde zifakwe esiswini, futhi imbobo ivalwe nge-suture.

Lapho imisipha yesisu ibuthakathaka kakhulu, kungahle kudingeke ukuthi ubeke umugqa wokuqinisa ukuvikelwa futhi unciphise namathuba okwakhiwa kwe-hernia entsha.

Lulama kanjani

Isikhathi sokuhlinzwa sokuhlinzwa kwe-hernia esiswini ngokuvamile senzeka ngokululama okusheshayo, futhi ezinsukwini ezi-1 kuya kwezi-2 uyakhishwa esibhedlela. Izincomo yilezi:

• Ukusetshenziswa kwemithi ye-analgesic noma anti-inflammatory yezinhlungu, ebekwe ngudokotela;
• Ungenzi imizamo efana nokushayela noma ukuthwala isisindo izinsuku eziyi-7 kuya kwezingu-10;
• Buyela ekubonisaneni kokuhlola kabusha nodokotela ohlinzayo ezinsukwini eziyi-7;
• Yenza imisebenzi yomzimba enamandla kakhulu, efana nemidlalo, ngemuva kwenyanga engu-1.

Isikhathi esiningi, i-hernia iyelapheka ngokuhlinzwa futhi, ngakho-ke, kunengozi encane kakhulu yokubuya.