Yini i-hernia ye-umbilical, izimpawu, ukuxilongwa nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Izimpawu ze-hernia ye-umbilical enganeni
• I-hernia embilical ekukhulelweni
• Ngubani onamathuba amaningi okuba naye
• Ukuxilongwa kwenziwa kanjani
• Lapho i-hernia ye-umbilical ingaba nzima
• Yelashwa kanjani

I-umbilical hernia, ebizwa nangokuthi i-hernia embilicus, ihambelana nokuqhamuka okuvela esifundeni se-umbilicus futhi kwakheka ngamafutha noma ingxenye yamathumbu akwazile ukudlula emisipheni yesisu. Lolu hlobo lwe-hernia luvame kakhulu ezinganeni, kepha futhi lungavela nakubantu abadala, futhi lungabonwa lapho umuntu egxila esifundeni sesisu lapho behleka, bephakamisa isisindo, bekhwehlela noma besebenzisa indlu yangasese ukuphuma, ngokwesibonelo.

Isikhathi esiningi i-hernia enkabeni ayiholeli ekubonakaleni kwezimpawu, kepha uma inkulu kakhulu umuntu angazizwa ubuhlungu, ukungakhululeki kanye nesicanucanu, ikakhulukazi lapho ephakamisa izinsimbi, ephoqa imisipha yesisu noma emi isikhathi eside isikhathi. Yize i-hernia ye-umbilical ingathathwa njengebucayi, kubalulekile ukuthi ihlonzwe futhi yelashwe ukuze kuvinjelwe izinkinga. Funda kabanzi mayelana ne-hernias.

Izimpawu eziyinhloko

Isibonakaliso esiyinhloko nesibonakaliso esikhomba i-hernia ye-umbilical ukuba khona kwenqwaba endaweni yenkaba engadala ubuhlungu nokungahambi kahle. Ngaphezu kwalokho, lapho i-hernia inkulu, kungenzeka ukuthi ezinye izimpawu nezimpawu, ezifana nesicanucanu nokuhlanza, zingavela lapho kwenziwa imizamo nokubonakala kwezigaxa ezincane ezithintekayo lapho umuntu emi, kepha ezinyamalalayo lapho ulele phansi .

Izimpawu ze-hernia ye-umbilical enganeni

Ngokuvamile, izingane ziba nezimpawu ezifanayo nezabantu abadala, kanti i-hernia ivela ikakhulukazi ngemuva kokuwa kwesiphunzi senkaba ngemuva kokuzalwa. I-hernia ivame ukubuyela kokujwayelekile iyodwa ize ibe neminyaka engu-5 ubudala, kepha kubalulekile ukuthi ingane ihlolwe ngudokotela wezingane uma inenkinga ye-umbilical.

Ngisho nangaphandle kokukhombisa izimpawu zobuhlungu, izingane kufanele ziyiswe kudokotela wezingane ukuze zihlole ubunzima benkinga, ngoba uma inzima futhi ingalashwa, i-hernia ingakhula futhi ibhajwe esibalweni senkaba, okuholele ekuboshweni kwe-hernia ye-umbilical, engabeka ingane impilo engcupheni, edinga ukuhlinzwa ngokushesha.

Imvamisa, ukwelashwa kwe-hernia ye-umbilical ezinganeni kungenziwa ngokubeka ibhandishi noma ibhandishi ukucindezela inkaba emgodini wesisu. Kodwa-ke, uma i-hernia ye-umbilical inkulu kakhulu noma inganyamalali kuze kube yiminyaka engu-5, udokotela wezingane angancoma ukuthi ahlinzwe ukuxazulula inkinga.

I-hernia embilical ekukhulelweni

I-hernia ye-umbilical ekukhulelweni ivame kakhulu kwabesifazane ababene-hernias lapho besezingane, ngoba ukwanda kwengcindezi ngaphakathi kwesisu sowesifazane okhulelwe kubangela ukuvuleka emisipheni yesisu, ebivele isintekenteke, ivumela ukuqhuma kwengxenye encane.

Ngokuvamile, i-hernia ye-umbilical ayiyona ingozi enganeni, ayithinti impilo kamama, futhi ayithiyi ukubeletha. Ngokuya ngosayizi we-hernia, udokotela ohlinzayo ojwayelekile noma udokotela ohlinzayo wesisu angancoma ukusetshenziswa kwe-brace ngesikhathi sokukhulelwa futhi uzohlola ukuthi kungenzeka yini ukuthi ahlinzwe ukulungisa i-hernia ye-umbilical ngemuva kokubeletha noma ngesikhathi sokuhlinzwa.

Ngubani onamathuba amaningi okuba naye

Ezinye izinto zingavuna ukwakheka kwe-hernias ye-umbilical, njengomlando womndeni we-hernias, i-cystic fibrosis, i-cryptorchidism, izingane ezisanda kuzalwa, ukukhulelwa, ukukhuluphala ngokweqile, izinguquko ku-urethra, i-dysplasia yokuthuthuka kwe-hip nemizamo eyeqile yomzimba. Ngaphezu kwalokho, ukubonakala kwe-hernia ye-umbilical kuvame kakhulu kubafana abamnyama nasezinganeni.

Ukuxilongwa kwenziwa kanjani

Ukuxilongwa kwe-hernia ye-umbilical kwenziwa ngokuhlolwa kwezimpawu nezimpawu ezethulwe ngumuntu, ngaphezu kokubheka kanye nokubamba kwesifunda se-umbilicus. Ngaphezu kwalokho, udokotela angancoma ukwenza i-ultrasound yodonga lwesisu ukuze ahlole ubukhulu be-hernia futhi ahlole ubungozi bezinkinga.

Lapho i-hernia ye-umbilical ingaba nzima

I-hernia ye-umbilical akuyona imvamisa eyimbangela yokukhathazeka, kepha uma ibambeka, isimo esibizwa ngokuthi yi-umbilical hernia incosion, esenzeka lapho amathumbu ebhajwe ngaphakathi kwe-hernia futhi engasakwazi ukubuyela esiswini, ukuhlinzwa kufanele kwenziwe ngokushesha. Ngenxa yalokhu, wonke umuntu one-hernia ye-umbilical kufanele ahlinzwe ukuyikhipha.

Kuyaphuthuma ukwenza lo msebenzi ngoba ingxenye yamathumbu ebinamathele kungenzeka ukuthi ithikameze ukujikeleza kwegazi, ngokufa kwezicubu, okudingeka zisuswe. Le nkinga ingathinta abantu abane-hernias emikhulu noma emincane esiswini, futhi ayinakubikezelwa, futhi kungenzeka kubantu abane-hernia usuku olungu-1 noma iminyaka eminingi.

Izimpawu zokuthi i-hernia ye-umbilical iboshiwe ubuhlungu obukhulu benkaba obuhlala amahora amaningi. Amathumbu angayeka ukusebenza futhi isisu singavuvukala kakhulu. Isicanucanu nokuhlanza nakho kuvame ukuba khona.

Yelashwa kanjani

Ukuhlinzwa kwe-umbilical hernia, okubizwa nangokuthi i-herniorrhaphy, kuyindlela ephumelela kunazo zonke yokwelapha i-hernia ye-umbilical futhi kwenziwa ngenhloso yokuxazulula inkinga nokugwema izinkinga, njengokutheleleka kwamathumbu noma ukufa kwezicubu ngenxa yokushintshwa kwegazi esifundeni.

Lolu hlobo lokuhlinzwa lulula, lungenziwa ezinganeni ezisukela eminyakeni engu-5 ubudala futhi lwenziwa lutholakale yi-SUS. I-Herniorrhaphy ingenziwa ngezindlela ezimbili:

1. I-Videolaparoscopy, ukuthi kwenziwa ngaphansi kwe-anesthesia ejwayelekile futhi kwenziwa ukusikwa okuncane oku-3 esiswini ukuvumela ukungena kwekhamera encane nezinye izinsimbi zezokwelapha ezidingekayo ukulungisa isimo;
2. Sika esiswini, okwenziwa ngaphansi kwe-epidural anesthesia futhi kwenziwa imbobo esiswini ukuze i-hernia iphushelwe esiswini bese udonga lwesisu luvalwa ngemithungo.

Imvamisa ngesikhathi sokuhlinzwa, udokotela ubeka i-mesh noma i-mesh yokuvikela ukuze kuvikelwe i-hernia ukuthi ingaphinde yenzeke futhi ibe nokuqiniswa okukhulu kodonga lwesisu. Qonda ukuthi ukutakula kunjani ngemuva kokuhlinzwa.