Ukulungiswa kwe-hernia embilical

Ukulungiswa kwe-hernia ye-Umbilical kulungiswa ukulungisa i-hernia ye-umbilical. I-hernia ye-umbilical yingxowa (isingxobo) esenziwe ngaphakathi kwangaphakathi kwesisu sakho (kwisisu esiswini) esityhalela emngxunyeni wodonga lwesisu kwiqhosha lesisu.

Uya kufumana i-anesthesia ngokubanzi (ilele kwaye ingenazintlungu) kolu tyando. Ukuba i-hernia yakho incinci, unokufumana umqolo, ibhloko yesifo, okanye i-anesthesia yendawo kunye namayeza okuphumla. Uya kuba uvukile kodwa awunazintlungu.

Ugqirha wakho uza kusika utyando phantsi kwesisu sakho.

• Ugqirha wakho uza kufumana i-hernia yakho kwaye ayihlukanise nezicubu eziyingqongileyo. Emva koko ugqirha wakho uya kutyhala ngobunono imixholo yamathumbu abuyele esiswini.
• Izitishi ezomeleleyo ziya kusetyenziselwa ukulungisa umngxunya okanye indawo ebuthathaka ebangelwe yi-umbilical hernia.
• Ugqirha wakho ugqirha unokubeka isiqwenga semingxunya kwindawo ebuthathaka (ihlala ingekho ebantwaneni) ukuyomeleza.

I-hernia ye-Umbilical inokulungiswa kwakhona ngokusebenzisa i-laparoscope. Le ityhubhu encinci, ekhanyisiweyo evumela ugqirha ukuba abone ngaphakathi kwesisu sakho. Ubungakanani buya kufakwa kwenye yokusikwa okuncinci. Izixhobo ziya kufakwa ngakwenye indlela yokusika.

Ukuba umntwana wakho wenza olu tyando, ugqirha wotyando uya kuxoxa ngohlobo lweanesthesia eza kufumana umntwana wakho. Ugqirha uya kuchaza nendlela oza kwenziwa ngayo utyando.

ABANTWANA

I-hernias ze-Umbilical ziqhelekile ebantwaneni. I-hernia xa izalwa ityhala iqhosha lesisu ngaphandle. Kubonisa ngakumbi xa umntwana ekhala kuba uxinzelelo lokulila lwenza ukuba i-hernia ikhuphe ngakumbi.

Kwiintsana, ingxaki ayihlali inyangwa ngotyando. Uninzi lwexesha, i-hernia ye-umbilical iyancipha kwaye ivale yodwa xa umntwana eneminyaka emithathu okanye emi-4 ubudala.

Ukulungiswa kwe-hernia embilical kunokufuneka kubantwana ngezi zizathu:

• I-hernia ibuhlungu kwaye inamathele kwindawo yokuqhuma.
• Ukuhanjiswa kwegazi emathunjini kuyachaphazeleka.
• I-hernia ayivalanga nge-3 okanye 4 ubudala.
• Isiphene sikhulu kakhulu okanye asamkelekanga kubazali ngenxa yendlela esenza ngayo ukuba umntwana abukeke. Ngaphandle kwezi meko, ugqirha uya kuphakamisa ukulinda ade umntwana abe ngu-3 okanye 4 ukuze abone ukuba i-hernia iyazivalela na.

ABADALA

I-hernias ze-Umbilical nazo ziqhelekile kubantu abadala. Ziyabonakala ngakumbi kubantu abagqithisileyo kunye nakwabasetyhini, ngakumbi emva kokukhulelwa. Zihlala zikhula ngokuhamba kwexesha.

Iimpawu ezincinci ezingenazimpawu ngamanye amaxesha zinokujongwa. Utyando lunokubangela umngcipheko omkhulu kubantu abaneengxaki zonyango.

Ngaphandle kotyando, kukho umngcipheko wokuba amanqatha okanye inxenye yamathumbu iyabambeka (ivalelwe) kwi-hernia kuze kube nzima ukubuyela umva. Oku kuhlala kubuhlungu. Ukuba ukunikezelwa kwegazi kule ndawo kunqunyuliwe (ukukrwitshwa), kufuneka kwenziwe utyando olukhawulezileyo. Unokufumana isicaphucaphu okanye ukugabha, kwaye indawo ejijekileyo inokujika iblue okanye umbala omnyama.

Ukuthintela le ngxaki, oogqirha bahlala becebisa ukuba kulungiswe i-hernia ye-umbilical kubantu abadala. Utyando lusetyenziselwa ii-hernias ezikhulayo okanye ezibuhlungu. Utyando lukhusela izicubu zodonga lwesisu olubuthathaka (fascia) kwaye luvale nayiphi na imingxunya.

Fumana unyango ngokukhawuleza ukuba unentlungu ebuhlungu, okanye i-hernia engabi ncinci xa ulele okanye ongenakukwazi ukungena kuyo.

Umngcipheko wotyando lwe-hernia ye-umbilical uhlala usezantsi kakhulu, ngaphandle kokuba umntu lowo unazo nezinye iingxaki zonyango.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Impendulo kumayeza okanye kwiingxaki zokuphefumla
• Ukopha, amahlwili egazi, okanye usulelo

Ubungozi bokuhlinzwa kotyando lwe-umbilical kubandakanya nayiphi na kwezi zinto zilandelayo:

• Ukonzakala kumathumbu amancinci okanye amakhulu (kunqabile)
• UHernia ubuya (umngcipheko omncinci)

Ugqirha wakho okanye ugqirha we-anesthesia (i-anesthesiologist) uya kukubona aze akunike imiyalelo kuwe okanye kumntwana wakho.

I-anesthesiologist iya kuxoxa ngembali yakho (okanye yomntwana) yonyango ukumisela inani elifanelekileyo kunye nohlobo lweanesthesia oza kuyisebenzisa. Wena okanye umntwana wakho unokucelwa ukuba uyeke ukutya nokusela iiyure ezingama-6 ngaphambi kotyando. Qinisekisa ukuba uxelele umboneleli wakho wezempilo malunga nawaphi na amayeza, i-allergies, okanye imbali yeengxaki zokopha.

Kwiintsuku ezininzi ngaphambi kotyando, unokucelwa ukuba uyeke ukuthatha:

• I-Aspirin okanye i-nonsteroidal anti-inflammatory drugs (ii-NSAID), ezinje nge-ibuprofen, i-Motrin, i-Advil, okanye i-Aleve
• Amanye amayeza okucoca igazi
• Iivithamini ezithile kunye nezongezo

Uninzi lwe-umbilical hernia ulungiso lwenziwa ngaphandle kwesigulana. Oku kuthetha ukuba uya kugoduka kwangolo suku. Olunye ulungiso lunokufuna ukuhlala ixesha elifutshane esibhedlele ukuba i-hernia inkulu kakhulu.

Emva kotyando, umboneleli wakho uya kujonga iimpawu zakho ezibalulekileyo (ukubetha, uxinzelelo lwegazi kunye nokuphefumla). Uya kuhlala kwindawo yokubuyisela kude uzinze. Umboneleli wakho uya kukunika amayeza entlungu ukuba uyawafuna.

Landela imiyalelo yendlela yokukhathalela ukusikwa kwakho okanye komntwana wakho ekhaya. Umboneleli wakho uya kukuxelela xa wena okanye umntwana wakho uqala kwakhona imisebenzi yakho yesiqhelo. Kubantu abadala, oku kuya kubakho kwiiveki ezi-2 ukuya kwezi-4. Abantwana banokubuyela kwizinto ezininzi kwangoko.

Kuhlala kukho ithuba lokuba i-hernia ingabuya. Kubantu abasempilweni, umngcipheko wokubuya kwayo uphantsi kakhulu.

Utyando lwe-umbilical hernia

• Ukuzisa umntwana wakho ukuba atyelele umntakwabo ogula kakhulu
• Unonophelo lwenxeba lotyando - luvulekile

• Ukulungiswa kwe-umbilical hernia - uthotho

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UCarlo WA, Ambalavanan N. Umbilicus. Ku: Kliegman RM, Stanton BF, St Geme JF, Schor NF, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla we-20. IPhiladelphia, PA: Elsevier; 2016: isahluko 105.

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.