I-hernia engaqondakali eyenzekayo lapho kwenzeka ubuthakathaka emisipha yesisu kuvumela izicubu zesisu ukuba ziqhubekele ngaphakathi kwe-muscle. I-hernia ibonakala njengenqwaba ngaphansi kwesikhumba futhi ingaba buhlungu noma ithenda kumathinti.
Endabeni ye-hernia engaqondakali, ubuthakathaka emisipha bubangelwa ukuqhuma okwenziwa ngaphambi kokuhlinzwa kwesisu.
Ukudweba isithombe esicacile: ngesikhathi sokuhlinzwa, ukufakwa komzimba kwenziwa emisipha eyenza isisu. Ngesizathu esithile, leso sidumbu asiphilisi, ngakho-ke igebe livuleka njengoba imisipha iqinisa futhi ikhululeke phakathi nemisebenzi. Esikhundleni seqhwa eliqinile, eliqinile lemisipha, unesicathulo semisipha esinomkhawulo omncane kuso.
Ngemva kwesikhashana, izicubu ezingaphansi ziyabona ukuthi kunendlela yokubalekela emisipha futhi ziqala ukuvotela phakathi kokuvula, kuze kube lapho zingase zizwe khona ngaphansi kwesikhumba. I-hernia engaqondakaliyo incane ngokwanele ukuthi kuphela i-peritoneum, noma i-lining of the stundity, esiswini. Ezimweni ezimbi izingxenye zezingxenye zingase zihambe emgodini emisipha, kodwa lokhu akuvamile kakhulu.
Sibutsetelo
Umlando wezinhlinzeko eziningi zamathumbu ungandisa ingozi ye-hernia engaqondakali, njengoba ukuhlanganiswa ngalunye kuhlinzeka ngethuba elisha lokwakheka. Uma i-hernia iqala esiswini futhi isiguli singakaze senziwe ukuhlinzwa, akusiyo i-hernia engaqondakali.
Isiguli esithola isisindo esibalulekile ngemuva kokuhlinzwa kwesisu, siyakhulelwa, noma sihlanganyela emisebenzini eyenza ukwanda kwengcindezi yesisu (njengokuphakama okukhulu) kusengozini enkulu ye-hernia engaqondakali.
Ukucwiliswa kubuthakathaka, futhi kuningi kakhulu okuthandwa yi-hernia, ngenkathi kusekhona ukuphulukisa. Ngenkathi i-hernias engaqondakali ingahlakulela noma ikhulise izinyanga noma iminyaka ngemuva kokuhlinzwa, cishe kungenzeka izinyanga ezintathu kuya kwezi-6 emva kokuhlinzwa.
Ukuxilongwa
I-hernias engabonakali ingase ibonakale ivela futhi isinyamalale, ebizwa ngokuthi "i-hernia" yokunciphisa. I-hernia ingase ingabonakali ngaphandle kokuthi isiguli sihileleke emsebenzini okwandisa ingcindezi yesisu, njengokukhwehlela, ukukloloda, ukuxosha ukuba nokunyakaza kwamathumbu, noma ukuphakamisa into enzima.
Ukubonakala kwe-hernia kwenza kube lula ukuxilongwa, ngokuvamile okudinga ukuhlolwa ngaphandle kokuhlolwa komzimba odokotela. Udokotela angase akucele ukuthi ukhwehlele noma ubheke phansi ukuze ubone i-hernia ngenkathi "iphelile."
Ukuhlolwa kwansuku zonke kungenziwa ukuze kunqume ukuthi yimuphi umzimba womzimba owuqhuma emisipha. Uma i-hernia inkulu ngokwanele ukuvumela okungaphezu kwendwangu yesigumbi esiswini, ukuhlolwa kungadingeka.
Ukwelapha
I-hernia engaqondakali ingase ibe encane ngokwanele ukuthi ukulungiswa kokuhlinzwa kuyindlela yokukhetha, hhayi isidingo. Uma i-hernia inkulu, ibangela ubuhlungu, noma ikhula njalo, ukuhlinzwa kungase kuphakanyiswe.
Enye indlela yinkinga, ingubo efana nebhande lesisindo noma ibhande, elisebenza ngokucindezela njalo endaweni yakhe.
Ngabe Kuyini Ukuphazamisa Hernia Okuphuthumayo?
I-hernia ephoqelelwe endaweni "ngaphandle" ibhekiselwa njengenkosikazi yakhe eboshiwe.
Nakuba i-hernia eboshiwe ingase ingabi isimo esiphuthumayo, kufanele kudingeke ukunakekelwa kwezokwelapha, njengoba kungase kube ngokushesha okuphuthumayo.
I-hernia eboshiwe iba yisimo esiphuthumayo uma iba "i-hernia ecacisiwe," lapho izicubu ezixoshwa khona zibulawa yindlala yegazi. Ukungenakunqunywa, i-hernia elinezintambo zingabangela ukufa kwezicubu ezikhukhumezayo.
I-hernia ekhonjisiwe ingabonakala ngombala obomvu obomvu noma obomvu wezicubu ezinamandla. Kungase kuhambisane nobuhlungu obunzima, kodwa akusiyo njalo ubuhlungu. Ukudabuka, ukuhlanza, isifo sohudo, nokuvuvukala kwesisu kungaba khona.
Cabanga nje ngokuthi i-hernia iyalingana nokuthayipha uchungechunge oluseduze komunwe wakho uze luphenduke lububende futhi lusizi futhi awukwazi ukukhipha ucingo. I-hernia ekhonjisiwe yisimo esiphuthumayo sezokwelapha futhi sidinga ukungenelela okusheshayo ukuze kuvikelwe umonakalo emathunjini nezinye izicubu.
Ngabe Kunesidingo Esithile Sokuhlinzeka Ngokweqile KwamaHernia Okudingekayo?
I-hernia engekho emthethweni ingadinga ukuhlinzwa uma:
- Uqhubeka ukwandisa ngokuhamba kwesikhathi
- Kakhulu kakhulu
- Kuyinto engapheli ngokungahambi kahle
- I-bulge ihlala ngisho nalapho isiguli sikhululekile noma silele phansi
- I-hernia ibangela ubuhlungu
Kwezinye zalezi zimo, isinqumo sokuthi uhlinzekwa yini kuwe. Ungase ufune ukuhlinzwa uma uzizwa ungakhululekile noma ukhathazekile ngokuthi i-hernia ibheka kanjani, isibonelo. Kungcono ukuxoxa ngokuhlinzwa ukuze uthole imininingwane futhi uqonde inqubo nokuthi yikuphi ukubukeka kubukeka.
Ukuhlinzwa
Ukuhlinzeka ngokuvuthwa kwe-hernia kwenziwa ngokujwayelekile ngokusebenzisa i- anesthesia ejwayelekile futhi kwenziwa ngesineke . Ukuhlinzwa kuvame ukusetshenziswa ngendlela yokusebenzisa i- laparoscopic , usebenzisa ukucubungula okuncane kunokwenziwa kwendabuko, nokuningi okukhulu, okuvulekile . Ukuhlinzwa kwenziwa ngudokotela ohlinzayo jikelele noma ochwepheshe bekolon-rectal .
Lapho sekuhlinzekwa i-anesthesia, ukuhlinzwa kuqala ngokuchotshozwa ohlangothini lwe-hernia. I- laparoscope ifakwe ekufakweni okukodwa, kanti enye isichazamazwi isetshenziselwa ezinye izinto zokuhlinzwa. Udokotela ohlinzayo wabe esehlukanisa ingxenye yesigcawu esiswini esiswini. Lezicubu zibizwa ngokuthi "i-hernia sac." Udokotela ohlinzayo uyabuyisela esimweni sayo esifanele bese eqala ukulungisa ukukhubazeka kwemisipha.
Uma i-defect in the muscle incane kungenzeka ukuthi i- sutured ivaliwe. I-sutures izohlala endaweni enomphela, ivimbele ukuthi i-hernia ingabuyeli. Ngenxa yeziphambeko ezinkulu, udokotela ohlinzayo angase abe nomuzwa wokuthi ukukhwabanisa akukwanele. Kulesi simo, i-graft graft izosetshenziselwa ukumboza umgodi. I-mesh ingunaphakade futhi ivimbela i-hernia ukuba ibuye, nakuba isici sihlala sivulekile.
Uma indlela ye-suture isetshenziselwa ukukhubazeka okukhulu kwemisipha (cishe ubukhulu bekota noma ngaphezulu), ithuba lokuphindaphindiwe landa. Ukusetshenziswa kwemifino emanzini amakhulu kunesidingo sokwelashwa, kodwa kungase kungabi kufanele uma isiguli sinomlando wokwenqaba izimila zokuhlinza noma isimo esivimbela ukusetshenziswa komshini.
Uma isikhunta sisekhona noma isisindo sesithunywe, i-laparoscope isusiwe futhi ukucubungula kungavalwa. I-incision ivaliwe ivaliwe nge-sutures esuswe ekuvakashelweni okulandelwayo nodokotela ohlinzayo, lapho i-glue ekhethekile isetshenziselwa ukubamba ukufakwa komshini kuvaliwe. Amabhandeshi amancane anama-ster-strips angasetshenziswa futhi.
Ukubuyisela
Iningi le-hernia iziguli liyakwazi ukubuyela emsebenzini walo ojwayelekile ngaphakathi kwamasonto amabili kuya kwamane. Isisu sizoba nesisa, ikakhulukazi ngesonto lokuqala. Ngalesi sikhathi, ukufakwa komzimba kufanele kuvikelwe ngesikhathi somsebenzi okwandisa ingcindezi yesisu ngokufaka isicelo eqinile kodwa ingcindezi emnene emgqeni wokungena . Lokhu kubaluleke kakhulu ezigulini ze-hernia ezingaqondakali, njengoba zibhekiswe emkhakheni we-incnia futhi zingase zibe engozini kwenye indawo kulezi zindawo ezintsha zokucubungula.
Imisebenzi lapho ukufakwa komshini kufanele kuvikelwe kuhlanganisa:
- Ukuphakama kusuka endaweni ehlezi
- Sneezing
- Ukushaya
- Ukuwa phansi ngesikhathi sokunyakaza kwamathumba. Thintana nodokotela wakho ohlinzayo uma unqanyuliwe ngemuva kokuhlinzwa , isitoreji esitokisini singabekwa.
- Ukuvota
- Ukuphakamisa izinto ezinzima
Imisebenzi eminingi ebalwe yimisebenzi ozoyenza nsuku zonke, ngakho-ke ukugwema bonke kungenzeki. Noma kunjalo, kunesithakazelo sakho ukuziphatha ngokucophelela ukuvimbela izinkinga ezengeziwe. Qinisekisa ukuthi ugcina umzila ovulekile wokuxhumana nodokotela wakho uma usola ukuthi kukhona okungahambanga kahle.
> Imithombo:
> Izikhungo Zikazwelonke Zempilo. Ukuhlinzwa kwe-Inguinal Hernia. 2015.