I-Epigastric hernia: kuyini, izimpawu, izimbangela kanye nokwelashwa

-Delile

• Izimbangela ezingaba khona
• Ziyini izimpawu
• Yelashwa kanjani
• Imiphumela emibi yokuhlinzwa

I-epigastric hernia ibonakala ngohlobo lomgodi, olwakhiwa ngenxa yokwehla kwemisipha yodonga lwesisu, ngenhla kwenkaba, okuvumela ukuphuma kwezicubu ezingaphandle kwalolu vulo, njengezicubu ezinamafutha noma ingxenye yamathumbu, okwakhekayo iqhubu elibonakala ngaphandle kwesisu.

Ngokuvamile, i-epigastric hernia ayizibangeli ezinye izimpawu, noma kunjalo, kwezinye izimo, ungahle uzwe ubuhlungu noma ungakhululeki esifundeni, njengalapho umuntu ekhwehlela noma ephakamisa izinsimbi, ngokwesibonelo.

Ukwelashwa kuqukethe ukuhlinza, lapho izicubu ziphinde zifakwe emgodini wesisu. Ngaphezu kwalokho, i-mesh nayo ingabekwa ukuqinisa udonga lwesisu.

Izimbangela ezingaba khona

I-epigastric hernia ibangelwa ukuncipha kwezicubu zodonga lwesisu. Ezinye zezinto ezingaba nomthelela ekwenzeni buthakathaka kwalezi zicubu ukukhuluphala ngokweqile, ukuzijwayeza izinhlobo ezithile zemidlalo, ukwenza umsebenzi osindayo noma ukwenza imizamo emikhulu, isibonelo.

Ziyini izimpawu

Ezimweni eziningi, i-hernia ye-epigastric ayinasifo, kunokuvuvukala kuphela esifundeni esingenhla kwenkaba. Kodwa-ke, kwezinye izimo, ubuhlungu nokungahambi kahle kungenzeka esifundeni, njengokukhwehlela noma ukuphakamisa izinsimbi, ngokwesibonelo.

Ngaphezu kwalokho, uma i-hernia ikhula ngosayizi, amathumbu angaphuma odongeni lwesisu. Ngenxa yalokho, kungahle kube nokuvinjelwa noma ukuklinywa kwamathumbu, okwenza izimpawu ezifana nokuqunjelwa, ukuhlanza kanye nohudo, futhi kulezi zimo, kuyadingeka ukuthi uhlinzwe ukuze kulungiswe lokho.

Yazi ukuthi ungahlukanisa kanjani i-hernia ye-epigastric kusuka ku-hernia ye-umbilical.

Yelashwa kanjani

Ezimweni eziningi, i-epigastric hernia kufanele iphathwe lapho inezimpawu, ukuze kugwenywe izinkinga.

Ukuhlinzwa kungenziwa nge-anesthesia yendawo, lapho incane, noma ejwayelekile futhi iqukethe ukuphinda kungeniswe kanye nokushintshwa kwezicubu eziphuma emgodini wesisu. Ngemuva kwalokho, udokotela uhlanganisa ukuvulwa, futhi angabeka futhi imeshi esifundeni, lapho i-hernia inamandla amakhulu, ukuze kuqiniswe udonga lwesisu futhi kuvimbele i-hernia ukuthi ingabumbi futhi.

Imvamisa, ukululama ekuhlinzweni kuyashesha futhi kuphumelele, futhi umuntu uyakhishwa cishe ngosuku noma ezimbili kamuva. Ngesikhathi sokululama, umuntu kufanele agweme ukwenza imizamo nokwenza imisebenzi ejulile.Udokotela angaphinde anikeze imishanguzo ye-analgesic ne-anti-inflammatory ukudambisa izinhlungu zangemva kokuhlinzwa.

Imiphumela emibi yokuhlinzwa

Ngokuvamile, ukuhlinzekwa kubekezeleleka kahle, kubangele kuphela ubuhlungu obuphansi nokulimala endaweni yokusika. Kodwa-ke, yize kuyivelakancane, ukutheleleka kungenzeka esifundeni futhi, cishe ku-1 kuye ku-5% wamacala, i-hernia ingaphinda yenzeke.