Iyini i-Femoral Hernia
Sibutsetelo
I- hernia hernia yenzeka lapho ubuthakathaka emisipha ye-groin kuvumela ukuthi amathumbu adlule. Isibonakaliso sokuqala se-female hernia ngokuvamile siyi-bulge engacacisiwe endaweni yokugunda noma endaweni yesigcawu. Ngokuvamile into eqhubeka ngokuhamba kwesikhathi, hhayi into umuntu azalwa nayo.
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 lungabonakala kuphela uma kuhlinzwa kuqala.
I-hernia hernia ingase ibe yincane ngokwanele ukuthi kuphela i-peritoneum, noma i-lining of the stomaid cavity, iqhubekela phambili edongeni lomzimba . Ezimweni ezimbi kakhulu, izingxenye zamathumbu zingadlulela emgodini emisipha.
Izimbangela
Ukuphindaphinda noma ukuqhubeka njalo ukunyakaza kwamathumbu kungabangela i-hernia, njengoba ingakwazi ukuxubha ukuze iguze, njengoba kwenzeka kaningi ngezinkinga ze-prostate . Ukukhwehlela okungapheli , kusuka kwesifo sephaphu noma ukubhema, kungandisa amathuba okuthuthukisa i-hernia. Ukukhuluphala ngokweqile kungandisa ingozi yokuthuthukisa i-hernia kodwa ukulahlekelwa isisindo kungavimbela i-hernia ukuba ikhule noma ikhule ngobukhulu.
Izingozi Zezingozi
Ama-female hernias ajwayelekile kakhulu kwabesifazane, nakuba angakhula emadodeni nasezingane. Abesifazane nabesifazane abakhulile abancane kakhulu noma abancanyana basengozini enkulu yokuthuthukisa i-hernia hernia.
Izimpawu
I-hernia hernia ngeke ikwazi ukuphulukisa ngokwayo futhi idinga ukuthi ukuhlinzwa 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 efana nokuhlunga ukuze kube nokunyakaza kwamathumbu noma ukunyundela kungase kushukumise emathunjini amaningi endaweni eyakhelwe kuyo, okwenza i-hernia ibonakale ikhula okwesikhashana
Uma Kuyisimo Esiphuthumayo
I-hernia ephoqelelwe endaweni "ngaphandle" ibhekiselwa njengenkosikazi yakhe eboshiwe. Lokhu kuyinkimbinkimbi evamile yezinsikazi ze-females 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 obunzima, kodwa akusiyo njalo ubuhlungu. Ukudabuka, ukuhlanza, isifo sohudo nokuvuvukala kwesisu kungaba khona.
Ukwelapha
Ukuhlinzwa kwe-femoral hernia kwenziwa ngokujwayelekile 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. Ukuchotshozwa kungavalwa ngenye yezindlela eziningana. Kungavalwa ngama-sutures asusiwe ekuvakashelweni okulandelwayo nodokotela ohlinzayo, uhlobo olukhethekile lweglue elisetshenziselwa ukubamba ukuchotshozwa kuvaliwe ngaphandle kwe-sutures, noma amabhandeki amancane anama-ster-strips.
Ukubuyisela
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:
- Ukuhamba esikhundleni sokulala ukuya endaweni ehlezi, noma kusuka endaweni ehlezi ukuma
- Sneezing
- Ukushaya
- Ukuwa phansi ngesikhathi sokunyakaza kwamathumba
- Ukuvota
Umthombo
> U-Femoral Hernia. Izikhungo Zempilo Zesizwe http://www.nlm.nih.gov/medlineplus/article/001136.htm