Izimbangela Zobuhlungu Ezihlala Zinde Kangaphezu Kwezinyanga ezintathu
Enye yezinkinga ezikhungathekisayo zokuhlinzwa kwe- hernia yinto ebuhlungu obungapheliyo engenzeka ngezinye izikhathi. Kokubili ukuhlaziywa nokuhlukumeza kunikezwe ukuthi ukuhlinzekwa kwakuhloswe ukukhulula ubuhlungu, hhayi ukungeza kuwo.
Ngenhlanhla, kuwo wonke amacala ambalwa, ubuhlungu abuyena unomphela futhi ekugcineni buzozixazulula ngokwakho. Kuthatha isikhathi esingakanani kuncike ekudeni komuntu, uhlobo lohlinzekwa elisetshenzisiwe, indawo kanye nosayizi we-herniation, nempilo ejwayelekile yomuntu ngamunye.
Ukuqonda i-Post-Herniorraphy Neuralgia
Ubuhlungu obungapheli bokubeletha kwe-hernia, eyaziwa nangokuthi i-post-herniorrhaphy neuralgia, ichazwa njengobuhlungu obuhlobene nesisindo obuqhubekayo izinyanga ezingaphezu kwezintathu futhi akuhambisani nanoma yimuphi omunye umphumela.
Akuyona yonke into engavamile isimo, ikakhulukazi kulabo abaye bakuthola ukuhlinzeka ngamakhemikhali . Kuye ngokuthi yikuphi ukutadisha okubhekayo, izigameko zingaba ngaphansi kwamaphesenti angu-9 noma ngaphezulu kwamaphesenti angama-62. Kwezinye izimo, ubuhlungu bungaba nzima kakhulu ukuphazamisa ukuhamba, ukuhlala, noma ukulala.
Ubuhlungu buvame ukubangelwa uma izinzwa zilimazekile noma ziboshwe ku-sutures, okuyisisekelo, noma imishini yokuhlinzwa. Ubuhlungu obumphumela bubizwa ngokuthi yi- neuropathy futhi bungabonakalisa ngezinhlungu zokudubula kanye / noma ukushisa, ukugubha, ukukhukhuma, noma izikhonkwane ezithinta izinaliti.
Ubuhlungu bungase kube somatic , okusho ukuthi kuhlobene nesikhumba, imisipha, noma izicubu kunokuba izinzwa.
Uma noma yikuphi kwalokhu kuhlanjululwa ngesikhathi sokuhlinzwa, kungabangela ukukhwehlela, ukucindezela, noma ukudonsa ukuzwa, ngokujwayelekile ngokunyakaza. Isikhathi nokuzivocavoca ngokuvamile kuyindlela engcono kakhulu yokunqoba ubuhlungu balolu hlobo. Akuvamile ukuhlala isikhathi eside.
Ingozi ye-Postoperative i-Hernia Neuralgia
Ingozi yokuhlala neuralgia engapheli emva kokuhlinzwa kwe-hernia ingahluka kodwa ingafaka:
- Iminyaka yobudala
- Ukuba owesifazane (nakuba kungekho muntu oqinisekile ukuthi kungani)
- Ukuhlinzwa ngemva kweminyaka emithathu edlule
- Ukuhlinzwa okuqhutshwayo ukulungisa ukuhlinzwa okwedlule
- Ukubandakanyeka kwesibindi se-Iliohypogastric esinikeza izinzwa emasosheni nasezindaweni zomzimba
- Ukulungiswa kwe-anterior (eduze ne-midline) hernia
- Ukutheleleka noma ezinye izinkinga zokuthunyelwa komzimba
- I-neuropathy ekhona ngaphambili
Kulezi zinsuku, iminyaka ibonakala iyisici esikhulu kunazo zonke. Eqinisweni, ucwaningo olulodwa lwathola ukuthi amaphesenti angu-58 abantu abangaphansi kweminyaka engu-40 ayelokhu ephikisana, ubuhlungu be-postoperative buthemia obuqhathaniswa namaphesenti angu-14 ngaphezu kuka-60. Lokhu kungenzeka ngenxa yokuthi abantu abasha basebenza kakhulu kunabantu abadala.
Ukwelapha i-Postoperative i-Hernia Neuralgia
Ukugula okungapheli kokubeletha kwe-hernia kuvame ukwelashwa ngokungahambisani nezidakamizwa ezingaphezu kwe- anti-inflammatory non-steroidal (NSAIDS) njenge-ibuprofen noma naproxen. Ubuhlungu obunzima bungadinga imithi yokwelapha i- opioid .
Uma lezi zihluleka ukunikeza usizo, udokotela angase ancoma ukukhishwa kwe- radiofrequency lapho kutholakala khona umshini kagesi owenziwe amagagasi omsakazo.
Inguqulo engavumeleki encane yalokhu ibizwa ngokuthi i- block nererve futhi ihilela ukusetshenziswa komjovo we-anesthetic ukusika okwesikhashana izibonakaliso zobuhlungu.
Izwi elivela
Ngesikhathi ubuhlungu obungapheliyo ngemuva kokuphazamiseka kungaphazamisa impilo yakho kanye nekhwalithi yokuphila, kubalulekile ukukhumbula ukuthi akuvamile ukuhlala unomphela. Ezingxenyeni ezingamaphesenti angama-30, ubuhlungu buzophela ngaphandle kwezinyanga eziyisithupha. Ngemuva kweminyaka emihlanu, iziguli ezingaphansi kwamaphesenti amathathu zihlala zithintekayo.
Nakuba imithi ingakwazi ukukhulula izimpawu eziningi, ukuzivocavoca kungathuthukisa ukujikeleza nokuguquguquka, okubili kungasiza ukunciphisa ubuhlungu esikhathini eside. Ukuhlala namanje ngeke. Ngaphezu kwalokho, ukuchitha lawo amakhilogremu angaphezulu kungasiza ekunciphiseni ukucindezeleka okuhlobene nesisindo, ikakhulukazi endaweni yokugaya noma endaweni ye-pelvic.
Ekugcineni, ukukhetha okuhle kokuphila ngeke kukwenze ube nempilo enhle, kungenza ngcono isimo sakho sengqondo futhi sikunikeze izindlela zokubhekana nokuhlupheka okuqhubekayo.
Imithombo:
> Hakeem, A. noShanmugam, V. "Izindlela ezikhona manje ekuxilongweni nasekuphatheni ubuhlungu be-post-herniorraphy ubuhlungu obungapheli." I-World J Yokuhlinzwa Okumnandi. 2011; 3 (6): 73-81. I-DOI: 10.4240 / wjgs.v3.i6.73.
> Somaiah, A. no-Spence, R .. "Ukuhlunguphazeka Okungapheli Ngemva Kokuhlinzwa Kwase-Hernia - I-Consent Informed Issue." Ulster Med J. 2007; 76 (3): 136-40.PMCID: PMC2075594