UHernia

I-hernia yingxowa eyenziwe ngumbumba wesisu (peritoneum). Ingxowa iza ngomngxunya okanye indawo ebuthathaka kubume obuqinileyo bodonga lwesisu olujikeleze umsipha. Olu luhlu lubizwa ngokuba yi-fascia.

Luhlobo luni lwe-hernia onayo kuxhomekeke apho ikhoyo:

• I-hernia yobufazi yimbumba kwithanga eliphezulu, ngezantsi nje kwe-groin. Olu hlobo luxhaphake kakhulu kwabasetyhini kunamadoda.
• IHiaatal hernia yenzeka kwindawo ephezulu yesisu. Inxalenye yesisu esingaphezulu siyatyhala esifubeni.
• I-hernia enganyanzelekanga inokwenzeka ngesikrelemnqa ukuba ukhe wahlinzwa esiswini ngaphambili.
• I-hernia eyi-umbilical sisandi esijikeleze iqhosha lesisu. Kwenzeka xa umsipha ojikeleze iqhosha lesisu ungavali ngokupheleleyo emva kokuzalwa.
• Ingqiniba hernia - a kukudumba apha ekucingeni. Kuqheleke kakhulu emadodeni. Inokuya yonke indlela iye ezantsi kwisingxobo samatyhalarha.

Ngokwesiqhelo, akukho sizathu sicacileyo se-hernia. Ngamanye amaxesha, i-hernias inokwenzeka ngenxa:

• Ukuphakamisa okunzima
• Ukucoca ngelixa usebenzisa indlu yangasese
• Nawuphi na umsebenzi ophakamisa uxinzelelo ngaphakathi esiswini

I-Hernias inokubakho ekuzalweni, kodwa i-bulge isenokungabonakali kude kube sebomini kamva. Abanye abantu banembali yosapho ye-hernias.

Iintsana nabantwana banokufumana i-hernias. Kwenzeka xa kukho ubuthathaka eludongeni lwesisu. Iimpawu ze-Inguinal ziqhelekile kubafana. Abanye abantwana abanazo iimpawu de babe badala.

Nawuphi na umsebenzi okanye ingxaki yezonyango eyonyusa uxinzelelo kwizicubu eludongeni lwesisu kunye nezihlunu kunokukhokelela kwi-hernia, kubandakanya:

• Ixesha elide (elingapheliyo) ukuqhina kunye nokutyhala nzima (ukuxina) ukuba nentshukumo yamathumbu
• Ukukhohlela okungapheliyo okanye ukuthimla
• Icystic fibrosis
• Iprostate eyandisiweyo, ukuxinana nokuchama
• Ubunzima obongezelelweyo
• Ulwelo esiswini (ascites)
• I-Peritoneal dialysis
• Ukungondleki
• Ukutshaya
• Ukunyanzelwa
• Amatyhalarha angaphantsi

Ngokuqhelekileyo akukho zimpawu. Abanye abantu baneentlungu okanye iintlungu. Ukungonwabi kunokuba mandundu xa umi, uxinana, okanye uphakamisa izinto ezinzima. Ekuhambeni kwexesha, esona sikhalazo sixhaphakileyo sisifo esibuhlungu nesikhulayo.

Xa i-hernia ikhula, inokubambeka ngaphakathi emngxunyeni ize ilahlekelwe ligazi. Oku kubizwa ngokuba kukukrwitshwa. Oku kubangela iintlungu kunye nokudumba kwindawo yokuqhawulwa. Iimpawu zingabandakanya:

• Isicaphucaphu nokugabha
• Ukungakwazi ukudlulisa irhasi okanye ukuhamba kwamathumbu

Xa oku kusenzeka, utyando luyafuneka kwangoko.

Umboneleli wezempilo uhlala ebona okanye eve i-hernia xa uhlolwa. Unokucelwa ukuba ukhohlele, ugobe, utyhale, okanye uphakamise. I-hernia inokuba nkulu xa usenza oku.

I-hernia (bulge) ayinakubonwa ngokulula kwiintsana nasebantwaneni, ngaphandle kwaxa umntwana elila okanye ekhohlela.

I-Ultrasound okanye i-CT scan inokwenziwa ukukhangela i-hernia.

Ukuba kukho ukuvaleka emathunjini, kuya kwenziwa i-x-ray yesisu.

Utyando kuphela kwonyango olunokulungisa i-hernia ngokusisigxina. Ugqirha lunokuba yingozi ngakumbi kubantu abaneengxaki zonyango ezinzulu.

Utyando lungisa izicubu zodonga lwesisu olubuthathaka (fascia) kwaye luvale nayiphi na imingxunya. Uninzi lwe-hernias luvaliwe ngemithungo kwaye ngamanye amaxesha ngamachaphaza e-mesh ukucoca umngxunya.

I-hernia ye-umbilical engaziphilisiyo xa umntwana eneminyaka emihlanu ubudala iya kulungiswa.

Iziphumo zesininzi se-hernias zihlala zilungile kunyango. Kunqabile ukuba i-hernia ibuye. I-hernias enganyanzelekanga kunokwenzeka ukuba ibuye.

Kwiimeko ezinqabileyo, ukulungiswa kwe-hernia inguinal kungonakalisa izakhiwo ezichaphazelekayo ekusebenzeni kwamatyhalarha endoda.

Omnye umngcipheko woqhaqho lwe-hernia ngumonakalo wemithambo-luvo, onokuthi ukhokelele ekubeni ndindisholo kwindawo ye-groin.

Ukuba inxenye yesilonda yabanjiswa okanye yakrwitshwa ngaphambi kotyando, ukungagqobeki kwamathumbu okanye isilonda esifileyo kunokubangela.

Shayela umnikezeli wakho ngokukhawuleza ukuba unayo:

• I-hernia ebuhlungu kunye nemixholo ayinakubuyiselwa kwisisu usebenzisa uxinzelelo olunobunono
• Isihlunu, ukugabha, okanye umkhuhlane kunye nentlungu ebuhlungu
• I-hernia ebomvu, emfusa, mnyama, okanye ibala

Fowunela umnikezeli wakho ukuba unayo:

• Intlungu yentlungu, ukudumba, okanye ukudumba.
• Ukudumba okanye ukudumba kwindawo yokuqaqamba okanye isisu, okanye oko kunxulunyaniswa nokusikwa kwangaphambili kotyando.

Ukuthintela i-hernia:

• Sebenzisa iindlela ezifanelekileyo zokuphakamisa.
• Ukunciphisa umzimba ukuba utyebe kakhulu.
• Nciphisa okanye unqande ukuqhina ngokutya ifibre eninzi, ukusela ulwelo oluninzi, ukuya kwigumbi lokuhlambela kwangoko xa unomdla, kunye nokuzilolonga rhoqo.
• Amadoda kufuneka abone umboneleli wawo ukuba axinzelelekile ekuchameni. Oku kunokuba luphawu lweprostate eyandisiweyo.

Hernia - inguinal; Hernia Inguinal; I-hernia ethe ngqo nengathanga ngqo; Ukuqhekeka; Ukukhubazeka; Ukuvalelwa

• Ukulungiswa kwe-hernia ye-Inguinal - ukukhutshwa

• Ingqolowa ye-Inguinal
• Ukulungiswa kwe-hernia ye-Inguinal - uthotho

UAiken JJ. Iingqungquthela ze-Inguinal. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahl. 373.

Malangoni MA, Rosen MJ. UHernias. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 44.