Umbilical Hernia

-Delile

• Yini i-hernia ye-umbilical?
• Yini ebangela i-hernias ye-umbilical?
• Ziyini izimpawu ze-hernia ye-umbilical?
• Udokotela uhlola kanjani i-hernias ye-umbilical
• Ngabe zikhona izinkinga ezihambisana ne-umbilical hernias?
• Ngabe i-umbilical hernias ingalungiswa?
• Ngaphambi kokuhlinzwa
• Ngesikhathi sokuhlinzwa
• Ukululama ekuhlinzweni
• Izingozi zokuhlinzwa
• Uyini umbono wesikhathi eside we-hernias ye-umbilical?

Yini i-hernia ye-umbilical?

Umthambo uxhuma umama nombungu wakhe ngenkathi usesibelethweni. Izintambo zezinsana zidlula embobeni encane phakathi kwezicubu zazo zodonga lwesisu. Ezimweni eziningi, umgodi uyavaleka ngemuva nje kokuzalwa. I-hernia ye-umbilical yenzeka lapho izingqimba zodonga lwesisu zingahlangani ngokuphelele, futhi amathumbu noma ezinye izicubu ezivela ngaphakathi kwesisu kuqhuma endaweni ebuthakathaka ezungeze inkinobho yesisu. Cishe amaphesenti angama-20 ezingane zizalwa zine-hernia ye-umbilical.

Ama-hernias embilical ngokuvamile awanabuhlungu futhi awabangeli ukungakhululeki. Cishe amaphesenti angama-90 ama-hernias ezinkaba ekugcineni azovala ngokwawo, ngokusho kukaJohn Hopkins Medicine. Uma i-hernia ye-umbilical ingavali ngesikhathi ingane ineminyaka engu-4 ubudala, kuzodinga ukwelashwa.

Yini ebangela i-hernias ye-umbilical?

I-hernia ye-umbilical yenzeka lapho ukuvuleka kwesicubu sesisu esivumela ukuthi inkaba idlule kuyo kwehluleka ukuvala ngokuphelele. I-hernias ye-umbilical ivame kakhulu ezinganeni, kepha futhi ingenzeka nakubantu abadala.

Izingane zase-Afrika-zaseMelika, izingane ngaphambi kwesikhathi, kanye nezinsana ezizalwe ngesisindo esiphansi zisengozini enkulu kakhulu yokuthola i-hernia ye-umbilical. Akukho mehluko ngokwenzekayo phakathi kwabafana namantombazane, ngokusho kweCincinnati Children's Hospital Centre.

I-hernia ye-umbilical kubantu abadala ivame ukwenzeka lapho kufakwa ingcindezi eningi engxenyeni ebuthakathaka yemisipha yesisu. Izimbangela ezingaba khona zifaka:

• ukukhuluphala ngokweqile
• ukukhulelwa njalo
• ukukhulelwa okuningi (ukuba namawele, amawele amathathu, njll.)
• uketshezi oluningi emgodini wesisu
• ukuhlinzwa esiswini
• ukukhwehlela okungapheli, okunzima

Ziyini izimpawu ze-hernia ye-umbilical?

Ama-hernias embilical angabonakala lapho ingane yakho ikhala, ihleka, noma ihlunga ukusebenzisa indlu yangasese. Uphawu lwe-telltale ukuvuvukala noma ukuqhuma eduze kwendawo yenkaba. Lesi sibonakaliso singase singabi khona lapho ingane yakho ikhululekile. Ama-hernias amaningi ezinkaba awanabuhlungu ezinganeni.

Abantu abadala nabo bangathola ama-hernias embilical. Uphawu oluyinhloko luyafana - ukuvuvukala noma ukuqhuma eduze kwendawo yenkaba. Kodwa-ke, i-hernia ye-umbilical ingadala ukungaphatheki kahle futhi ibe buhlungu kakhulu kubantu abadala. Ukwelashwa ngokuhlinzwa kuyadingeka.

Izimpawu ezilandelayo zingakhombisa isimo esibi kakhulu esidinga ukwelashwa:

• ingane isezinhlungwini ezisobala
• ingane ivele iqale ukuhlanza
• i-bulge (ezinganeni nakubantu abadala) ithambile kakhulu, iyavuvukala, noma ibala

Udokotela uhlola kanjani i-hernias ye-umbilical

Udokotela uzokwenza ukuhlolwa ngokomzimba ukuthola ukuthi ngabe usana noma umuntu omdala unayo i-hernia ye-umbilical. Udokotela uzobona ukuthi i-hernia ingabuyiselwa emuva emgodini wesisu (ukunciphisa) noma ngabe ibhajwe endaweni yayo (eboshiwe). I-hernia eboshiwe iyinkinga engaba yimbi kakhulu ngoba ingxenye ebhajwe kokuqukethwe kwe-herniated ingahle incishwe ukunikezwa kwegazi (oklinyiwe). Lokhu kungadala ukulimala kwezicubu unomphela.

Udokotela wakho angathatha i-X-ray noma enze i-ultrasound endaweni yesisu ukuqinisekisa ukuthi azikho izinkinga. Bangaphinde ba-oda ukuhlolwa kwegazi ukubheka ukutheleleka noma i-ischemia, ikakhulukazi uma amathumbu eboshiwe noma eklinyiwe.

Ngabe zikhona izinkinga ezihambisana ne-umbilical hernias?

Izinkinga ezivela ezinkabeni ze-umbilical azivamile ukwenzeka ezinganeni. Kodwa-ke, izinkinga ezingezekile zingenzeka ezinganeni nakubantu abadala uma intambo iboshiwe.

Amathumbu angenakubuyiselwa emuva odongeni lwesisu kwesinye isikhathi awatholi ukunikezwa kwegazi okwanele. Lokhu kungadala ubuhlungu futhi kubulale nezicubu, okungaholela ekuthelelekeni okuyingozi noma ngisho nasekufeni.

I-hernias yesisu ebandakanya amathumbu aklinyiwe idinga ukuhlinzwa okuphuthumayo. Xhumana nodokotela wakho noma uye egumbini lezimo eziphuthumayo ngokushesha uma amathumbu evinjelwa noma eklinya.

Izimpawu ze-hernia ye-umbilical ekhunjiwe zifaka:

• imfiva
• ukuqunjelwa
• ubuhlungu obukhulu besisu nobumnene
• isicanucanu nokuhlanza
• isigaxa esikhulayo esiswini
• ububomvu noma okunye ukushintsha kombala

Ngabe i-umbilical hernias ingalungiswa?

Ezinganeni ezincane, i-hernia ye-umbilical ivame ukwelashwa ngaphandle kokwelashwa. Kubantu abadala, ukuhlinzwa kuvame ukuphakanyiswa ukuze kuqinisekiswe ukuthi azikho izinkinga ezenzekayo. Ngaphambi kokukhetha ukuhlinzwa, odokotela bavame ukulinda kuze kufike i-hernia:

• kuba buhlungu
• likhulu kunesentimitha elilodwa ububanzi
• ayinciphi ngonyaka owodwa noma emibili
• ayipheli lapho ingane ineminyaka emithathu noma emi-4 ubudala
• ibanjwa noma ivimbe amathumbu

Ngaphambi kokuhlinzwa

Uzodinga ukuzila ukudla ngaphambi kokuhlinzwa, ngokwemiyalo kadokotela ohlinzayo. Kepha ungaqhubeka uphuza iziphuzo ezicacile kuze kufike emahoreni amathathu ngaphambi kokuhlinzwa.

Ngesikhathi sokuhlinzwa

Ukuhlinzwa kuzohlala cishe ihora. Udokotela ohlinzayo uzokwenza imbobo eduze kwenkinobho yesisu endaweni yesigaxa. Ngemuva kwalokho bazodudula izicubu zamathumbu emuva ngodonga lwesisu. Ezinganeni, zizovala ukuvulwa ngemithungo. Kubantu abadala, bavame ukuqinisa udonga lwesisu ngemesh ngaphambi kokuvala ngemithungo.

Ukululama ekuhlinzweni

Imvamisa, ukuhlinzwa kuyinqubo yosuku olufanayo. Imisebenzi yesonto elizayo noma elandelayo kufanele ikhawulelwe, futhi akufanele ubuyele esikoleni noma emsebenzini ngalesi sikhathi. Kuphakanyiswa izindawo zokugeza zezipanji kuze kudlule izinsuku ezintathu.

I-tape yokuhlinza phezu kwesikhumba kufanele iwele yodwa. Uma kungenjalo, linda ukuthi isuswe lapho kuqokwa khona ukulandelela.

Izingozi zokuhlinzwa

Izinkinga azivamile, kepha zingenzeka. Xhumana nodokotela wakho uma ubona lezi zimpawu ezilandelayo:

• ukutheleleka endaweni yesilonda
• ukuphindaphinda kwe-hernia
• ikhanda
• ukuba ndikindiki emilenzeni
• isicanucanu / ukuhlanza
• imfiva

Uyini umbono wesikhathi eside we-hernias ye-umbilical?

Iningi lamacala ezinganeni lizozixazululela ngokwabo ngeminyaka engu-3 noma engu-4.Uma ucabanga ukuthi ingane yakho ingaba ne-hernia ye-umbilical, khuluma nodokotela wezingane. Funa ukunakekelwa okuphuthumayo uma ingane yakho ibonakala inezinhlungu noma i-bulge ivuvukala kakhulu noma ibala. Abantu abadala abanesigaxa esiswini kufanele nabo babone udokotela.

Ukuhlinzwa kwe-Hernia kuyindlela elula futhi ejwayelekile. Ngenkathi konke ukuhlinzwa kunezingozi, izingane eziningi ziyakwazi ukubuyela emakhaya zisuka ekuhlinzweni kwe-hernia kwe-umbilical kungakapheli amahora ambalwa. IMount Sinai Hospital incoma ukulinda emasontweni amathathu ngemuva kokuhlinzwa ukuze usebenze kanzima. Akunakwenzeka ukuthi i-hernia izophinde yenzeke uma isincishiswe kahle futhi ivaliwe.