Yini i-hernia ephathekayo?

-Delile

• Yini i-hernia ephathekayo?
• Ziyini izimpawu?
• Kubangelwa yini?
• Ngubani othola ama-hernias parastomal?
• Ilungiswa kanjani?
• Ingabe zikhona izinkinga?
• Ukuhlala ne-hernia ephathekayo

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Yini i-hernia ephathekayo?

Ama-hernias e-parastomal ayenzeka lapho ingxenye yamathumbu akho iphuma nge-stoma. I-stoma ukuvulwa okwenziwe ngokuhlinzwa esiswini sakho, amathumbu amancane, noma ikholoni ekuvumela ukuthi udlulisele imfucuza esikhwameni. Lokhu kwesinye isikhathi kuyadingeka lapho iziguli zinezinkinga zamathumbu ezibavimbela ekubeni nokunyakaza kwamathumbu okujwayelekile.

Kuze kube ngamaphesenti angama-78 abantu abahlakulela i-hernia eyindlala ngemuva kokuhlinzwa ukudala i-stoma, imvamisa kungakapheli iminyaka emibili yokuhlinzwa.

Ziyini izimpawu?

Ama-hernias e-parastomal ngokuvamile akhula futhi akhule kancane kancane. Njengoba ikhula, ungaqaphela:

• ubuhlungu noma ukungaphatheki kahle ezungeze i-stoma yakho
• unenkinga yokugcina okokusebenza kwe-stoma kusendaweni
• ukuzungeza i-stoma yakho, ikakhulukazi lapho ukhwehlela

Kubangelwa yini?

Ukuba ne-stoma kwesinye isikhathi kunciphisa izicubu zakho zesisu, kubangele ukuthi basuke ku-stoma. Le nqubo ingaholela ku-hernia ephathekayo. Ezinye izinto eziningana zinganikela ekuthuthukiseni i-hernia ephathekayo, kufaka phakathi:

• ukungondleki
• ukubhema
• ukukhwehlela okungapheli
• ukuqunjelwa okungapheli
• ukusetshenziswa kwe-corticosteroid
• ukutheleleka ngemuva kokuhlinzwa kwe-stoma
• ukukhuluphala ngokweqile

Ngubani othola ama-hernias parastomal?

Abanye abantu banengozi enkulu yokuthuthukisa i-hernia epastomal. Izici ezivamile zobungozi zifaka:

• ukuguga
• ukukhuluphala ngokweqile, ikakhulukazi uma uthwala isisindo okhalweni, esiswini, noma okhalweni
• umdlavuza
• isifo sikashukela
• umfutho wegazi ophakeme
• izifo zokuphefumula

Ingozi yakho iyanda futhi uma uke waba ne-hernia yodonga lwesisu phambilini.

Ilungiswa kanjani?

Ezimweni eziningi, i-parastomal hernias iyelapheka ngezinguquko zendlela yokuphila, njengokunciphisa isisindo noma ukuyeka ukubhema. Ukugqoka ibhande lokusekela esiswini, njengaleli, kungasiza futhi ekunciphiseni izimpawu.

Kodwa-ke, mayelana ne-parastomal hernias inzima ngokwanele ukuthi ingadinga ukulungiswa kokuhlinzwa.

Kunezinketho eziningi zokulungisa i-herast parastomal, kufaka phakathi:

• Ukuvala i-stoma. Lokhu kuyindlela engcono kakhulu yokulungisa i-hernia ephathekayo. Kuphela inketho ngeqembu elincane labantu elinamathumbu anele anele ukunamathisela ekugcineni okwakha i-stoma.
• Ukulungisa i-hernia. Kulolu hlobo lokuhlinzwa, udokotela ohlinzayo uvula udonga lwesisu phezu kwe-hernia bese ethunga imisipha nezinye izicubu ndawonye ukunciphisa noma ukuvala i-hernia. Lokhu kuhlinzwa kuphumelela kakhulu lapho i-hernia incane.
• Kususwa i-stoma. Kwezinye izimo, i-stoma ene-parastomal hernia ingavalwa bese kuvulwa i-stoma entsha kwenye ingxenye yesisu. Kodwa-ke, i-hernia entsha ye-parastomal ingakha ezungeze i-stoma entsha.
• Mesh. Ukufakwa kwe-Mesh njengamanje uhlobo oluvame kakhulu lokulungiswa kwe-hernia parastomal. Kungasetshenziswa imeshini yokwenziwa noma yezinto eziphilayo. Umshini wezinto eziphilayo uvame ukubhekwa njengonethezeke kakhudlwana, kepha kubiza kakhulu. Kulolu hlobo lokulungisa, i-hernia iyalungiswa kusetshenziswa inqubo efanayo nakwezinye ukuhlinzwa. Ngemuva kwalokho, i-mesh ibekwa ngaphezulu kwe-stoma elungisiwe noma ngaphansi kodonga lwesisu. Ekugcineni, i-mesh ifaka phakathi izicubu ezizungezile. Lokhu kudala indawo eqinile esiswini futhi kusiza ukuvimbela i-hernia ukuthi ingabumbi futhi.

Ingabe zikhona izinkinga?

Kwezinye izimo ezingavamile, amathumbu angabanjwa noma asonteke e-hernia. Lokhu kuvimba amathumbu futhi kungaholela ekulahlekelweni kokutholakala kwegazi. Lokhu kwaziwa njengokuklinya, okuyisimo esibuhlungu kakhulu. Ukukhubazeka kudinga ukuhlinzwa okuphuthumayo ukuze uvule ithumbu futhi kubuyise nokutholakala kwegazi, ukuze ingxenye evinjiwe yamathumbu ingalimali unomphela.

Ukuhlala ne-hernia ephathekayo

I-Parastomal hernias iyinkinga evamile yama-colostomies kanye ne-ileostomies. Ezimweni eziningi, azinazimpawu noma zibangela ukungakhululeki okuncane futhi zingaphathwa ngempumelelo ngezinguquko zendlela yokuphila. Ezimweni lapho kudingeka khona ukuhlinzekwa, ukulungiswa kwe-hernia ngokuxhaswa kwe-mesh kuyindlela yokwelashwa esebenza kahle kakhulu.