Yini i-herniorrhaphy yangaphakathi futhi kwenziwa kanjani?

-Delile

• Ukulungiselela kufanele kube kanjani
• Kwenziwa kanjani ukuhlinzwa
• 1. Vula herniorrhaphy inguinal
• 2. I-herniorrhaphy ye-Inguinal nge-laparoscopy
• Ukunakekelwa ngemuva kokuhlinzwa
• Izinkinga ezingenzeka

I-herniorrhaphy ye-Inguinal ukuhlinzwa kokwelashwa kwe-hernia inguinal, okuyi-bulge endaweni ebusayo ebangelwa yingxenye yamathumbu eshiya udonga lwangaphakathi lwesisu ngenxa yokuphumula kwemisipha kule ndawo.

Lokhu kuhlinza kufanele kwenziwe ngokushesha lapho kutholakala i-hernia inguinal, ukuze kungabikho ukuklinyeka kwamathumbu lapho kushoda khona ukujikeleza kwegazi emathunjini okuholela ezimpawu zokuhlanza kanye namajaqamba amakhulu. Bona ukuthi yiziphi izimpawu ze-inguinal hernia.

Ngaphambi kokwenza i-herniorrhaphy inguinal, udokotela ohlinzayo angacela ukuhlolwa kwegazi nemifanekiso ukuze ahlole isimo sempilo yomuntu futhi, ngokuya ngosayizi we-hernia, comorbidities nobudala bomuntu, kuzokhonjiswa ukuhlinzwa okuvulekile noma kwevidiyo. Ngemuva kwenqubo yokuhlinzwa, kunconywa ukuphumula kwezinsuku ezintathu futhi ukushayela nokuthola isisindo kufanele kugwenywe amasonto ama-4 kuye kwayi-6.

Ukulungiselela kufanele kube kanjani

Ngaphambi kokwenza i-herniorrhaphy ye-inguinal, udokotela anga-oda uchungechunge lwezivivinyo, ezifana nokubalwa kwegazi, i-coagulogram, i-glucose yegazi nokuhlolwa kokusebenza kwezinso okuzosetshenziselwa ukuhlola izimo zempilo yomuntu.

Udokotela obulala izinzwa uzobuye ahlole nempilo yomuntu, ngaphezu kokuqoqa imininingwane mayelana nesisindo, ubude, ukungezwani komzimba nezinto ezithile kanye nemithi esetshenziswa ngokujwayelekile. Kunganconywa ukuthi kusetshenziswe imichilo yesisu kanye namabhande ukuhlanganisa i-hernia ye-inguinal kuze kube usuku lokuhlinzwa, ukugwema ukubhebhetheka kwalesi simo.

Ngosuku olungaphambi kokuhlinzwa, kuyadingeka ukugwema ukwenza imisebenzi yomzimba enamandla kakhulu futhi uma umuntu ethatha umuthi othile we-anticoagulant, osebenzela "ukuzaca" igazi, udokotela uncoma ukuthi uyeke ukuwuthatha ngaphambi kokuhlinzwa. Ngaphezu kwalokho, kunconywa ukuzila ukudla kusuka emahoreni ayisishiyagalombili kuya kwayi-12 we-inguinal herniorrhaphy.

Kwenziwa kanjani ukuhlinzwa

I-herniorrhaphy ye-Inguinal ingenziwa ngezindlela ezimbili ngokuya ngempilo yomuntu nobukhulu be-hernia:

1. Vula herniorrhaphy inguinal

Ezimweni eziningi, i-herniorrhaphy inguinal evulekile yenziwa ngaphansi kwe-anesthesia ye-epidural, esetshenziswa emithanjeni yomgogodla futhi isuse ukuzwela kuphela engxenyeni engezansi yomzimba, kepha, ingenziwa futhi ngaphansi kwe-anesthesia yendawo. Kulokhu kuhlinza, udokotela ohlinzayo usika, okubizwa ngokuthi ukusika, endaweni yokububula futhi abuyise ingxenye yamathumbu engaphandle kwesisu.

Ngokuvamile, udokotela ohlinzayo uqinisa imisipha endaweni ebusayo ngosizo lwemishini yokwenziwa, ukuvimbela i-hernia ukuthi ingabuyeli endaweni efanayo. Okuqukethwe yile ndwangu kwenziwa nge-polypropylene futhi kumuncwa kalula ngumzimba, okunengozi ephansi kakhulu yokwaliwa.

2. I-herniorrhaphy ye-Inguinal nge-laparoscopy

I-herniorrhaphy ye-Inguinal yi-laparoscopy ukuhlinzwa okwenziwa ngaphansi kwe-anesthesia ejwayelekile futhi kuqukethe inqubo lapho udokotela ohlinzayo enza ukusikeka okuncane esiswini, wethula i-carbon dioxide emgodini wesisu bese ebeka ithubhu elincane elinekhamera yevidiyo exhunyiwe.

Kusukela ezithombeni ezikhiqizwe kumonitha, udokotela ohlinzayo usebenzisa izinsimbi, njengezikebhe nesikele esihle kakhulu, ukulungisa i-hernia esifundeni se-inguinal, ngokubeka isikrini sokusekela ekugcineni kwenqubo. Isikhathi sokululama salolu hlobo lokuhlinzwa sithambekele ekubeni sifushane kunokuhlinzwa okuvulekile.

Abantu abenziwa ukuhlinzekwa nge-laparoscopic ngokuvamile bathola isikhathi esifushane sokululama. Kodwa-ke, udokotela anganquma ukuthi ukuhlinzekwa kwe-laparoscopic akuyona indlela engcono kakhulu uma i-hernia inkulu kakhulu noma uma umuntu eye wahlinzwa i-pelvic.

Ukunakekelwa ngemuva kokuhlinzwa

Ngemuva nje kwe-herniorrhaphy ye-inguinal, lo muntu angathola ukungakhululeki endaweni yokububula, kepha imishanguzo yokudambisa izinhlungu izonikezwa ngokushesha ngemuva kwenqubo. Isikhathi esiningi, umuntu owenza lokhu kuhlinzwa ulaliswa esibhedlela ngokwesilinganiso sosuku olungu-1 ukuze abhekwe.

Ukugwema izinkinga ekuhlinzweni, kunconywa ukuthi ubuyele emisebenzini ejwayelekile ngemuva kwesonto elilodwa, gwema ukushayela izinsuku ezi-5, okwenza kudingekile ukungazami ngokomzimba ngokweqile noma ukukhuluphala okungenani amasonto ama-4. Ukudambisa ukungakhululeki endaweni yokuhlinzwa, ungafaka i-ice pack amahora angama-48 okuqala, kabili ngosuku imizuzu eyi-10.

Ngaphezu kwalokho, udokotela angakhombisa ukusetshenziswa kwemichilo yesisu noma imichilo ukuvimbela i-hernia ukuthi ivele futhi kuze kube yilapho isiza selulame ngokuphelele, imodeli nesikhathi sokusetshenziswa kwe-brace kuzoncika ebukhulwini be-hernia inguinal nohlobo lokuhlinzwa kwenziwe.

Izinkinga ezingenzeka

Ngemuva kokuhlinzwa kuyadingeka ukunaka izimpawu zezinkinga ezifana nokuphuma kwegazi nokukhishwa kusuka ekusikeni, ngoba kungakhombisa ukutheleleka. Izinkinga ezihlobene nokubekwa kwe-mesh kungenzeka, njengokunamathela, ukuvinjelwa kwamathumbu, i-fibrosis noma okuhambisana nokulimala kwemizwa yezimbilapho, futhi lokhu kutholakala ikakhulu ngokuvela kobuhlungu endaweni yokuhlinzwa ngisho nangemva kwesonto elilodwa inqubo.

Enye inkinga engenzeka ngenxa ye-inguinal herniorrhaphy ukugcinwa komchamo, okuyilapho umuntu engakwazi ukukhipha isinye ngokuphelele, kepha-ke, lesi simo sincike ohlotsheni lwe-anesthesia ebisetshenziswa kanye nendlela esetshenzwe ngudokotela ohlinzayo. Bheka kabanzi ukuthi yini ukugcinwa komchamo nokuthi ukwelashwa kwenziwa kanjani.