Abesifazane abane-hernias bangabhekana nobuhlungu be-pelvic iminyaka eminingi ngaphambi kokuxilongwa
I- hernia yezemidlalo yabesifazane ingahamba ingatholakali izinyanga, noma ngisho neminyaka. Umphumela: izinhlungu ezingapheliyo zokuhlunguphazeka kwesisu nesisu somzimba kungenzeka.
Uma indawo engodongeni lomzimba iba mncane, ibuthakathaka noma ihlukaniswe, ivumela izitho zangaphakathi, ezifana namathumbu amancane, ukuba ziqhume, lokhu kuyimithi yakhe futhi kubangela ubuhlungu obukhulu.
Izimpawu ze-Hernias kwabesifazane
Izimpawu ze-hernias kwabesifazane zihluke kakhulu kulabo abathola amadoda.
Omunye umehluko yindawo. Kwabesifazane, i-hernia ivame ukujula emzimbeni futhi ngakho-ke ibonakala kancane kunamadoda. Owesifazane ophethe i-hernia ngokuvamile uvame ubuhlungu obukhulu obungapheli noma obuhlungu obuhlungu obungapheliyo noma ubuhlungu obukhulu bokuhlaba ubuhlungu obusheshayo. Izimpawu ezinjalo ngokuvamile zikhomba udokotela ngendlela engafanele, futhi abesifazane baqala ukutholwa ukuthi banezinto ezivela endometriosis kuya kuma- cysts noma ama- fibroids.
Ukuthola i-hernia diagnosis efanele kunzima kakhulu kwabesifazane ngoba la ma-hernias ayencane kakhulu futhi ajulile esiswini. Ngenxa yalokhu, i-hernias yabesifazane ayivami ukudala noma yisiphi isikhumba esikhumbeni, okuyinto i-classic hernia engena emadodeni.
Ukubona i-Hernias kwabesifazane
Nakuba ama-hernias amaningi kubantu besifazane ekholelwa ukuthi avela kwezinye izinkinga, ukuqaphela ukuthi izimpawu ze-hernia ziyingqayizivele zingasiza ekutholeni ukuxilongwa okulungile kalula. Okucacile ukuthi ungaba kanjani lapho uchaza ukuzwa kwakho okubuhlungu okwe-hernia - okubandakanya ukushisa, ukukhonsa, nokububula emagqabeni noma ukugula - cishe uzothola ukuxilongwa okulungile ngokushesha.
Ukuchaza ukuthi yiziphi izimo ezibangela noma ukwandisa ubuhlungu noma okwenza kube yilapho kungasiza kakhulu udokotela. Imisebenzi eyenza ingcindezi yangaphakathi yomzimba ikhule, njengokuphakamisa izisindo noma ukuzivocavoca, ukukhwehlela, ukuhleka ngisho nokuhlushwa endlini yokugezela, ingabe bonke bangayisayina udokotela bazobona ukuthi kungenzeka ukuthi yi-hernia .
(Lesi seluleko siyasiza kunoma yiziphi izinhlungu ongazithola, hhayi nje ubuhlungu be-hernia.)
Ukuchaza ubuhlungu ngendlela evulekile noma ejwayelekile kwenza kube nzima kakhulu udokotela ukukhomba imbangela. Kubalulekile ukuchaza noma yibuphi ubuhlungu obuzwayo ngokusemandleni akho.
Uma lezi zimpawu ziholela ekutheni i-hernia ixilongwa ngabesifazane, i-MRI iyona ithuluzi elihle kakhulu lokuzicabangela ukusiza ukuqinisekisa ukutholakala.
Ukwelapha i-Hernias kwabesifazane
Izindlela zokwelashwa ezizimele zihlanganisa imithi kanye nokwelapha ngokomzimba futhi kungathuthukisa ukuphathwa kobuhlungu noma ukulawula izimpawu. Abahlinzeki bezitho zomzimba bangasebenzisa amasu okukhishwa kwama-myofascial ukusiza ukunciphisa noma ukunciphisa ama- muscle spasms okwandisa ubuhlungu be-hernia.
Uma ukwelashwa okulondoloziwe kungaphumeleli ukuthuthukisa izimpawu, ukuhlinzeka i- laparoscopic ngokuvamile kusetshenziselwa ukulungisa i-hernia. Le nqubo ilungisa indawo ebuthakathaka yodonga lwesisu. Abaningi besifazane baphulukisa ekuhlinzekeni kwama-laparoscopic masinyane-esikhathini esisodwa kuya kwamasonto amabili - futhi bayakwazi ukuqhubeka yonke imidlalo nemisebenzi ngaphandle kobuhlungu obuqhubekayo.
Imithombo:
I-Metzger DA, i-Ph.D., i-MD, i-Hernias yabesifazane: Ayingavamile noma Ayitholakali? [http://www.laparoscopytoday.com/2004/01/hernias_in_wome.html], i-Laparoscopy Namuhla, ngoJanuwari 01, 2004.
U-Farber AJ, uWilckens JH. Ezemidlalo ze-hernia: ukuxilongwa kanye nendlela yokwelapha. http://www.jaaos.org/cgi/content/full/15/8/507. J Am Acad Orthop Surg. 2007 Aug; 15 (8): 507-14.