Ingulube inguinal: izimpawu, kanjani ukuhlinzwa nokululama

-Delile

• Izimpawu eziyinhloko
• Ungazi kanjani ukuthi i-hernia iboshiwe
• Ukuhlinzwa kwe-Inguinal Hernia
• Lulama kanjani
• Ungakuqinisekisa kanjani ukuxilongwa
• Yini ebangela i-hernia enguinal
• Izinkinga ezingenzeka
• Ungakuvimbela kanjani ukuvela kwe-hernia

I-hernia ye-Inguinal iyisigaxa esivela endaweni yezinhlungu, esivame kakhulu emadodeni, okuvamise ukwenzeka ngenxa yengxenye yamathumbu ephuma ngephuzu elibuthakathaka emisipheni yesisu.

Kunezinhlobo ezimbili eziyinhloko ze-hernia inguinal:

• I-hernia enguinal eqondile: kuvame kakhulu kubantu abadala nasebekhulile, okwenzeka ngemuva kokwenza imizamo eyandisa ingcindezi esiswini, njengokucosha izinto ezisindayo;
• I-hernia ye-inguinal engaqondile: kuvame kakhulu ezinganeni nasezinganeni, ngoba kwenzeka ngenxa yenkinga yokuzalwa evumela ukuthi ucezu lwamathumbu lungene endaweni yokubamba ngisho nase-scrotum.

Kuzona zozimbili lezi zimo, ukwelashwa kwenziwa ngokuhlinzwa, ukubuyisela amathumbu endaweni efanele nokuqinisa imisipha yesisu, ukuze ingaphinde yenzeke.

Izimpawu eziyinhloko

Izimpawu ezivame kakhulu ze-hernia inguinal yilezi:

• Isigaxa noma ukuvuvukala endaweni yomgogodla;
• Ubuhlungu bomzimba noma ukungakhululeki lapho umile, ugoba noma uphakamisa isisindo;
• Ukuzizwa usinda emgodini.

Ezinganeni, i-hernia ingaba nzima kakhulu ukuyikhomba ngoba kungahle kungabi khona ukuvelela emgodini lapho kuguqulwa inabukeni. Kodwa-ke, enye indlela yokuhlola ubukhona be-hernia ukubheka indawo yokubila ngesikhathi ingane ikhala noma ngesikhathi sokuhamba kwamathumbu noma ukukhwehlela, njengoba ingcindezi ebangelwa yile mizamo yenza ukuthi i-hernia ibonakale kakhulu.

Emadodeni, ngaphezu kwezimpawu ze-hernia zakudala, kungahle kube nobuhlungu obunzima obudlulela emasendeni.

Cishe kuzo zonke izimo ze-hernia, udokotela angadudula amathumbu angene esiswini, akhulule izimpawu, kepha ukuhlinzeka ngaso sonke isikhathi kuyadingeka ukulungisa inkinga. Lapho i-hernia ingabuyeli ngaphakathi kwesisu, kunengozi enkulu yokuboshwa, lapho amathumbu abhajwe khona nokufa kwezicubu kungenzeka.

Ungazi kanjani ukuthi i-hernia iboshiwe

Ukuze wazi ukuthi isisu sakho sinamathele, kubalulekile ukuthi wazi izimpawu ezifana nalezi:

• Ubuhlungu obukhulu kakhulu e-hernia;
• Ukuhlanza;
• Ukuhamba kwesisu;
• Ukungabikho kwendle;
• Ukuvuvukala kwesifunda se-inguinal.

Lolu hlobo lwenkinga luvame kakhulu ezinganeni, njengoba i-hernia ivame ukuba nzima ukuyikhomba, ngakho-ke, njengoba ukwelashwa kungaqalwa ngesikhathi, i-hernia iba yimbi ngokuhamba kwesikhathi. Ngakho-ke, kunconywa ukuthi uma kukhona ukusola kwe-hernia enganeni, thintana nodokotela wezingane ngokushesha ngangokunokwenzeka.

Ukuhlinzwa kwe-Inguinal Hernia

Ukuhlinzwa kwe-hernia inguinal, eyaziwa nangokuthi i-inguinal hernioplasty, iyindlela yokwelashwa engcono kakhulu, ekhonjiswa ikakhulukazi lapho iveza izimpawu. Ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia yomgogodla futhi kuhlala cishe amahora amabili.

Lolu hlobo lokuhlinzwa lungenziwa ngendlela yakudala, lapho kusikwa khona esifundeni se-hernia ukubeka amathumbu endaweni, noma nge-laparoscopy, lapho kusetshenziswa ukusikeka okuncane oku-3 kuphela, futhi kungabekwa imesh yokwenziwa noma cha, okusiza ukuqinisa imisipha yendawo nokuvimbela ukwakheka kwe-hernia entsha. Kodwa-ke, uhlobo lokuhlinzwa luxhomeke ekutheni hlobo luni lwe-hernia nesimo sempilo yesiguli.

Lulama kanjani

Ukubuyiselwa kuyashesha, kepha njengoba i-hernioplasty icishe yenziwa ngendlela yakudala, imvamisa kuyadingeka ukuhlala izinsuku ezi-1 kuye kwezi-2, ukuqinisekisa ukuthi izimpawu ezibalulekile zizinzile nokuthi ukutheleleka akuveli.

Lapho-ke, lapho ubuyela ekhaya kubalulekile ukunakekela, ikakhulukazi phakathi namaviki amabili okuqala, njenge:

• Gwema ukugoba umboko kuze kuphole isilonda;
• Ungabambi ngaphezu kuka-2 kg ngesisindo;
• Ungalali ngesisu sakho;
• Khulisa ukusetshenziswa kokudla okune-fiber eningi, ukugwema ukuqunjelwa kanye nomzamo wokuzikhulula.

Ngaphezu kwalokho, kuyalulekwa futhi ukuthi ngenyanga yokuqala kufanele ugweme ukwenza imizamo nokuhlala isikhathi eside, ngakho-ke ukushayela akunconywa.

Ungakuqinisekisa kanjani ukuxilongwa

Ukuxilongwa kwe-hernia kuvame ukwenziwa udokotela kuphela ngokubheka indawo. Kulokhu kuhlolwa komzimba, kuvame kakhulu ukuthi udokotela akucele ukuthi ukhwehle noma uphoqe isisu sakho, ukukhomba ukuthi ngabe i-hernia iyaqhamuka kakhulu, isize ukuyikhomba.

Kodwa-ke, kwezinye izimo, kungadingeka ukwenza ezinye izivivinyo zokuxilonga, njenge-ultrasound, ukuze kuqinisekiswe.

Yini ebangela i-hernia enguinal

IHernia esifundeni se-inguinal yenzeka lapho udonga lwesisu lubuthakathaka, luvumela amathumbu ukuthi acindezele imisipha futhi agcine ephuma ngaphansi kwesikhumba. Ngalesi sizathu, i-hernia ingenzeka kuphela lapho kunokuncipha kwemisipha esiswini, okuvame kakhulu kubantu abane:

• Ukwanda kwengcindezi yesisu, ngenxa yokukhwehlela okungapheli noma ukuqunjelwa;
• Ukukhubazeka kokuzalwa endaweni yesisu, esimweni sezingane;
• Abantu abakhuluphele ngokweqile nomfutho wegazi ophezulu
• Ababhemayo.

Ngaphezu kwalokho, i-hernia nayo ivame kakhulu ezinganeni noma kubantu asebekhulile, ngenxa yobuthakathaka bodonga lwesisu.

Izinkinga ezingenzeka

Inkinga enkulu ye-hernia yenzeka lapho ithumbu linamathela kakhulu odongeni lwesisu, ekugcineni lilahlekelwe ukunikezwa kwegazi. Uma lokhu kwenzeka, izicubu zamathumbu zingaqala ukufa, zidale ubuhlungu obukhulu, ukuhlanza, isicanucanu nobunzima bokuhamba.

Lezi zimo zivame ukwenzeka kwi-hernia engalashwa futhi kufanele ziphathwe ngokushesha esibhedlela ukuvimbela ukufa kwezicubu ngokuphelele. Uma lokhu kwenzeka, kungadingeka ukuthi uhlinzwe ukuze ususe ingxenye yamathumbu.

Ngaphezu kwalokho, njengomphumela we-hernia inguinal, kungahle kube nokuthuthuka kwe-hernia eyisiqholo, lapho i-hernia ifinyelela khona, okuyisicubu esizungezile futhi esivikele isende. Ngakho-ke, ngaphezu kokuklinyeka emathunjini, kungahle kube nezinguquko ekukhiqizeni nasekugcinweni kwesidoda, okuholele ekungatholini inzalo. Bona okuningi mayelana ne-hernia enkulu.

Ungakuvimbela kanjani ukuvela kwe-hernia

Akunakwenzeka ngaso sonke isikhathi ukuvimbela i-hernia ukuthi ivele, noma kunjalo, kunezinyathelo ezithile ezinganciphisa ubungozi, njenge:

• Ukuvivinya umzimba njalo, okungenani kathathu ngesonto, ukugcina imisipha iqiniswa;
• Yidla ukudla okunothile ngemifino kanye nenye ifayibha, ukunciphisa amathuba wokuqunjelwa okwandisa ukucindezela kwesisu;
• Gwema ukucosha izinto ezisindayo kakhulu, ikakhulukazi ngaphandle kosizo.

Ngaphezu kwalokho, ukuyeka ukubhema nokugcina isisindo somzimba esifanele nakho kuyasiza ukunciphisa ingcindezi esifundeni sesisu, kunciphisa amathuba we-hernia. Nakhu ukuthi ungasibala kanjani isisindo sakho esifanelekile.