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

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Izimbangela ezingenzeka nokuthi ungazivikela kanjani
• Yelashwa kanjani
• Izinkinga ezingenzeka

I-incisional hernia uhlobo lwe-hernia olwenzeka endaweni yesibazi yokuhlinzwa esiswini. Lokhu kwenzeka ngenxa yokungezwani ngokweqile nokuphulukiswa okunganele kodonga lwesisu. Ngenxa yokusikwa kwemisipha, udonga lwesisu luyantengantenga, futhi lwenza amathumbu, noma esinye isitho esingezansi kwesiza sokusika, kube lula ukunyakaza nokucindezela indawo yesibazi, okuholele ekwakhekeni kokuvuvukala okuncane kuleso sifunda.

Yize i-incisional hernias iyinkinga evamile kunoma ngubani ohlinzwa esiswini, zivame kakhulu kubantu abanokukhuluphala, abanesifo sesilonda, noma abanenkinga yempilo edlule, njengesifo sikashukela, isifo samaphaphu, noma yikuphi ukugula. lokho kwandisa ingcindezi ngaphakathi esiswini.

Noma nini lapho kuba nokusola ukuthi i-hernia esike yaqalwa iyakhula ngemuva kokuhlinzwa, kubaluleke kakhulu ukuya esibhedlela noma uthintane nodokotela owenza ukuhlinza, ukuze i-hernia ihlolwe futhi ukwelashwa kuqale ngokushesha okukhulu.

Izimpawu eziyinhloko

Uphawu oluvame kakhulu lwe-hernia engaguquguquki ukubonakala kokuvuvukala eduze kwesibazi esivela ekuhlinzweni kwesisu, kepha, kujwayelekile nokuthi ezinye izimpawu ezihambisanayo zivele, njenge:

• Ubuhlungu noma ukungahambi kahle endaweni ye-hernia;
• Isicanucanu nokuhlanza;
• Imfiva engaphansi kuka-39ºC;
• Kunzima ukuchama;
• Izinguquko ekuhambeni kwamathumbu, ukuqunjelwa noma isifo sohudo.

I-hernia e-incisional ivame ukuvela ezinyangeni ezi-3 kuya kwezi-6 ngemuva kokuhlinzwa, kepha ingavela ngaphambi kwaleso sikhathi. Ngaphezu kwalokho, futhi kuyisiko ukuthi i-hernia ibonwe kalula lapho imile noma ithola isisindo, futhi ingahle inyamalale lapho ihleli futhi ikhululekile.

Ungakuqinisekisa kanjani ukuxilongwa

Ezimweni eziningi, i-hernia engafakwanga ingatholwa ngudokotela ojwayelekile noma udokotela ohlinzayo, ngokubheka kuphela izimpawu nokuhlola umlando womtholampilo. Ngakho-ke, kuyelulekwa ukuthi noma nini lapho kukhona okusolwayo kwe-hernia, uye esikhungweni sezeMpilo Somndeni noma wenze isikhathi sokubonana nodokotela ohlinzayo owenza ukuhlinza.

Izimbangela ezingenzeka nokuthi ungazivikela kanjani

I-hernia ye-incisional ingenzeka noma ngabe ikuphi lapho kunokusikeka emisipheni yodonga lwesisu ngakho-ke, kujwayelekile ngemuva kokuhlinzwa esiswini. Kodwa-ke, kunezici ezithile ezibonakala zandisa ubungozi bokuthuthukisa lolu hlobo lwe-hernia, njenge:

• Ukuba nokutheleleka endaweni yesibazi;
• Ukhuluphele ngokweqile noma ukhuluphele;
• Ukuba ngumuntu obhemayo;
• Sebenzisa eminye imithi, ikakhulukazi ama-immunosuppressants noma ama-steroids;
• Ukuba nezinye izinkinga zempilo, njengesifo sikashukela, ukwehluleka kwezinso noma isifo samaphaphu.

Isincomo esihle kakhulu sokwehlisa ubungozi bokusungula i-hernia engacwangi, ngaphezu kokugwema izinto eziyingozi, ukulinda isikhathi esinconywe ngudokotela ngaphambi kokuqala imisebenzi engabeka ingcindezi esiswini, kufaka phakathi ukukhulelwa.

Yelashwa kanjani

Ukwelashwa kwe-hernia yokusika kufanele njalo kuhlolwe kanye nodokotela, kuya ngesimo sempilo jikelele, ukwakheka nendawo ye-hernia. Kodwa-ke, uhlobo lokwelashwa olusetshenziswa kakhulu ukuhlinzeka, lapho udokotela angavula khona isibazi futhi noma enze ukusikeka okuncane esikhunjeni ukufaka inetha elisiza ukuqinisa imisipha yodonga lwesisu, ukuvimbela izitho ukuthi zingadluli nokwenza isisindo phezu kwesibazi.

Ama-hernias amakhulu ngokuvamile anzima ukwelashwa ngakho-ke adinga ukuhlinzwa okudala, lapho kuvuleka khona isibazi futhi. Ama-hernias amancane, ngakolunye uhlangothi, angalashwa nge-laparoscopy, lapho udokotela enza ukusikeka okuncane azungeze i-hernia ukuyilungisa, ngaphandle kokudinga ukuvula isibazi sokuhlinzwa kwangaphambilini futhi.

Izinkinga ezingenzeka

Uma ingalashwa kahle, i-hernia engagundi ingagcina iklinye amathumbu, okusho ukuthi kunegazi elincane elinomoya-mpilo ofinyelela engxenyeni ebanjiwe. Uma lokhu kwenzeka, isimo esibi sokufa kwezicubu zamathumbu singavela.

Ngaphezu kwalokho, noma ngabe i-hernia incane ngosayizi, ngokuhamba kwesikhathi, kungenzeka ukuthi izokwanda ngosayizi, izimpawu eziya ziba zimbi futhi zenze ukwelashwa kube nzima kakhulu.