Inguinal Hernia Ukwelashwa Kuchazwe
I- hernia ingungwini yenzeka lapho ubuthakathaka obunzima emisipha ye-groin buvumela ukuba amathumbu adlule. Isibonakaliso sokuqala se -hernia engamanzi ngokuvamile siyi-bulge engacacisiwe endaweni yokulima. I-hernia ingungeniso ingaba khona lapho izalwa noma ikhula ngokuhamba kwesikhathi.
Kungaba nzima ukubona ukuthi i-hernia iyi-hernia noma i-hernia inguinal. Zihlukaniswa kuphela ngendawo yazo ngokuphathelene nomgogodla we-inguinal.
I-hernia endaweni yokulima engaphezu komgogodla we-inguinal iyinhloko yayo engamanzi; ngezansi ligament, yiyona hernia hernia . Ngokuvamile kuthatha isazi ukuthola ukuthi uhlobo luni lwe-hernia lukhona, futhi uhlobo oluqondile lwe-hernia lungase lungaziwa kuze kufike ukuhlinzwa.
I-hernia ingungenwe kungenzeka ibe encane ngokwanele ukuthi kuphela i-peritoneum, noma i-lining yesigxobo esiswini, iqhubekela phambili edongeni lomzimba . Ezimweni ezimbi kakhulu, izingxenye zamathumbu zingadlulela emgodini emisipha.
Izimbangela
I-hernia ingungwini ibangelwa ubuthakathaka emisipha ye-groin. Kungaba khona ngesikhathi sokuzalwa ngenxa yesici esincane semisipha noma singathuthuka ngokuhamba kwesikhathi. Ukunciphisa ukuphindaphinda ukuze kube nokunyakaza kwamathumbu kungabangela i-hernia, njengoba ingakwazi ukuxubha ukuze ivule, njengoba kwenzeka njalo ngezinkinga ze-prostate . Ukukhwehlela okungapheli , kusuka kwesifo se-lungs noma ekubhemeni, kungaphinde kube nomthelela emthonjeni. Ukukhuluphala kungandisa amathuba okuthuthukisa i-hernia nayo.
Kwezinye iziguli, ukulahlekelwa isisindo kungavimbela i-hernia ukuba iqale noma ikhule ngobukhulu.
Ubani Osesengozini?
Ama-hernias angama-inguinal avame kakhulu emadodeni, nakuba akhona lapho ezalwa kuze kube ngu-5% kubo bonke abantwana. Abesifazane bangahlakulela ama-hernias angama-inguinal, kodwa abesifazane abakhulelwe banengozi enkulu yokuba ne-hernia ithuthuke.
Ukubukeka Nokunakekelwa
I-hernia ingungenwe ngeke ikwazi ukuphulukisa ngokwayo futhi idinga ukuthi ukuhlinzekwa kulungiswe. Ekuqaleni, i-hernia ingase ibe yincipha encane kuphela kodwa ingakhula kakhulu ngokuhamba kwesikhathi. Kungase kubonakale sengathi ikhula futhi ihlehlise ngemisebenzi ehlukile. Ukunyuka kwengcindezi yesisu ngesikhathi semisebenzi, njengokuncintisana ukuze kube nokunyakaza kwamathumbu noma ukunyundela, kungase kuqhubekele amathumbu amaningi endaweni eyakhelwe kuyo, okwenza i-hernia ibonakale ikhula okwesikhashana.
Ngabe Kuyinto Ephuthumayo?
I-hernia etholakalayo endaweni "ngaphandle" ibizwa ngokuthi "i-hernia eboshiwe." Lokhu kuyinkimbinkimbi evamile ye-hernias inguinal, kanti ngenkathi i-hernia eboshiwe engeyona eyiphuthumayo, kufanele iqondiswe, futhi kufanele kutholakale ukunakekelwa kwezokwelapha. I-hernia eboshiwe yinto ephuthumayo uma iba "i- hernia ecacisiwe ," lapho izicubu ezinama-bulges ngaphandle kwemisipha zibulawa yigazi layo. Lokhu kungabangela ukufa kwezicubu ezikhukhulayo phakathi kwe-hernia.
I-hernia ekhonjisiwe ingabonakala ngombala obomvu obomvu noma obomvu wezicubu ezinamandla. Kungase kuhambisane nobuhlungu obukhulu, kodwa akusiyo njalo ebuhlungu. Ukudabuka, ukuhlanza, isifo sohudo nokuvuvukala kwesisu kungaba khona.
Ukuhlinzwa
Ukuhlinzwa kwe-hernia inguinal ngokuvamile kwenziwa ngokusebenzisa i- anesthesia ejwayelekile futhi kungenziwa ngesifo sengqondo sokugula noma isiguli . 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. Lezi zicubu zibizwa ngokuthi "i- hernia bag ." Udokotela ohlinzayo ubuyela esikhwameni sakhe se-hernia endaweni yaso efanele ngaphakathi emzimbeni, bese uqala ukulungisa isici se-muscle.
Uma i-defect in 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. Ukufakwa komzimba kungavalwa ngezindlela ezimbalwa: kungavalwa nge-sutures esuswe ekuvakashelweni okulandelwayo nodokotela ohlinzayo, uhlobo olukhethekile lweglue elisetshenziselwa ukubamba ukufakwa okuvaliwe ngaphandle kwe-sutures noma amabhandeki amancane amancane abizwa ngokuthi "ama-ster-strips."
Ukuvuselela Ekukhuleni
Iningi le- hernia iziguli liyakwazi ukubuyela emsebenzini walo ojwayelekile ngaphakathi kwamasonto amabili kuya kwamane. Indawo izoba ithenda, ikakhulukazi ngesonto lokuqala. Ngalesi sikhathi, ukufakwa komzimba kufanele kuvikelwe ngesikhathi somsebenzi okwandisa ingcindezi yesisu ngokufaka isicelo eqinile kodwa ingcindezi emnene emgqeni wokungena .
Imisebenzi ekhombisa ukufakwa komzimba kufanele ivikelwe ihlanganisa:
- Ukusuka endaweni yokulala ukuya endaweni ehlezi noma kusuka endaweni ehlezi ukuma
- Sneezing
- Ukushaya
- Ukukhala
- Ukuwa phansi ngesikhathi sokunyakaza kwamathumba
- Ukuvota
Izwi elivela
Uma une-hernia, isinyathelo sokuqala sokwelashwa kufanele uxoxisane nodokotela ohlinzayo ovame ukulungisa ama-hernias angama-inguinal. Ukuhlinzwa kungahle kunconywe noma kungenakukhuthazwa, kuye ngokuthi kunzima kangakanani, izimpawu ezikhona, impilo yesiguli kanye nezimo eziyingozi esibhekene nesiguli.
Kwezinye iziguli ezinezibonakaliso ezincane, ingozi yokuhlinzeka ingase ingapheli izinzuzo zenqubo, kanti abanye bangase babe nomuzwa wokuthi inqubo iyadingeka ngokuphelele.
Umthombo:
Hernia. Izikhungo Zikazwelonke Zempilo.http: //www.nlm.nih.gov/medlineplus/ency/article/000960.htm