Ukulungiswa kwehernia yabasetyhini

Ukulungiswa kwe-hernia yabasetyhini kukuhlinzwa ukuze kulungiswe i-hernia kufutshane nomqala okanye ithanga eliphezulu. I-hernia yobufazi sisihlunu esikhupha kwindawo ebuthathaka kwi-groin. Ngokwesiqhelo eli candelo liyinxalenye yamathumbu.

Ngexesha lotyando ukulungisa i-hernia, izicubu ezixineneyo zityhalelwa ngaphakathi. Indawo ebuthathaka ithungwe ivaliwe okanye yomelezwa. Olu lungiso lunokwenziwa ngotyando oluvulekileyo okanye lwe-laparoscopic. Wena kunye nogqirha wakho unokuxoxa ukuba loluphi uhlobo lotyando olulungele wena.

Kutyando oluvulekileyo:

• Unokufumana i-anesthesia ngokubanzi. Eli yeza likugcina ulele kwaye ungenazintlungu. Okanye, unokufumana i-anesthesia yengingqi, ekuphazamisayo ukusuka esinqeni ukuya kwiinyawo zakho. Okanye, ugqirha wakho ugqirha unokukhetha ukukunika i-anesthesia yendawo kunye neyeza ukuze uphumle.
• Ugqirha wakho usika (ukusika) kwindawo yakho ye-groin.
• I-hernia ibekwe kwaye yahlulwe kwizicubu eziyingqongileyo. Ezinye zezicubu ze-hernia ezongezelelweyo zinokususwa. Eminye imixholo ye-hernia icinezelwe ngenyameko ngaphakathi esiswini sakho.
• Ugqirha ke uvale izihlunu zakho zesisu ezibuthathaka ngemithungo.
• Rhoqo isiqwenga semingxunya sikhutshelwe endaweni ukomeleza udonga lwesisu. Oku kulungisa ubuthathaka eludongeni.
• Ekupheleni kokulungiswa, ukusikwa kuthungiwe kuvaliwe.

Kutyando lwe-laparoscopic:

• Ugqirha wenza i-3 ukuya kwi-5 yokusika okuncinci kwi-groin yakho kunye nesisu esisezantsi.
• Isixhobo sonyango esibizwa ngokuba yi-laparoscope sifakwa kwesinye sezicucu. Ubungakanani yityhubhu encinci, ekhanyisiweyo kunye nekhamera ekugqibeleni. Ivumela ugqirha abone ngaphakathi kwesisu sakho.
• Ezinye izixhobo zifakwa ngokusikwa kwezinye. Ugqirha usebenzisa ezi zixhobo ukulungisa i-hernia.
• Ukulungiswa okufanayo kuya kwenziwa njengakwindlela yotyando oluvulekileyo.
• Ekupheleni kokulungiswa, ubungakanani kunye nezinye izixhobo ziyasuswa. Ukusikwa kuthungiwe kuvaliwe.

I-hernia yobufazi ifuna ukulungiswa, nokuba ayibangeli zimpawu. Ukuba i-hernia ayilungiswa, ithumbu linokubanjiswa ngaphakathi kwi-hernia. Oku kubizwa ngokuba yi-hernia evalelweyo, okanye ekrwitshiweyo. Unokucima ukunikezelwa kwegazi emathunjini. Oku kunokuba sisongelo lobomi. Ukuba oku kuyenzeka, kufuneka utyando olungxamisekileyo.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

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

Iingozi zolu tyando zezi:

• Ukonakala kwimithambo yegazi eya emlenzeni
• Ukonakala kwimbilini ekufuphi
• Umonakalo kufutshane namalungu okuzala, kubafazi
• Intlungu yexesha elide
• Ukubuya kwehernia

Xelela ugqirha wakho okanye umongikazi ukuba:

• Wena okanye unokukhulelwa
• Uthatha nawaphi na amayeza, kubandakanya iziyobisi, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo

Ngexesha leveki ngaphambi kotyando lwakho:

• Unokucelwa ukuba uyeke okwethutyana ukuthoba igazi. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin, Jantoven), naproxen (Aleve, Naprosyn) nezinye.
• Buza ugqirha wakho otyandayo ukuba zeziphi iziyobisi ekusafuneka uzithathe ngosuku lotyando.

Ngomhla wotyando:

• Landela imiyalelo malunga nokuba uyeke nini ukutya nokusela.
• Thatha la mayeza ugqirha wakho akuxelele ukuba uthathe ngesiphuzo esincinci samanzi.
• Fika esibhedlele ngexesha.

Uninzi lwabantu lunokugoduka kwangolo suku lunye noluhlinzwa. Abanye kufuneka balale esibhedlele ubusuku bonke. Ukuba utyando lwakho lwenziwe njengongxamiseko, kungafuneka uhlale esibhedlele iintsuku ezimbalwa ngaphezulu.

Emva kotyando, unokuba nokuvuvukala, ukutyumka, okanye ukukhathazeka malunga neziganeko. Ukuthatha amayeza eentlungu kunye nokuhamba ngononophelo kunokunceda.

Landela imiyalelo malunga nokuba ungasebenza njani ngelixa uchacha. Oku kunokubandakanya:

• Ukubuyela kwimisebenzi elula ngokukhawuleza emva kokugoduka, kodwa kuthintelwe imisebenzi enzima kunye nokuphakamisa okunzima iiveki ezimbalwa.
• Ukuphepha imisebenzi enokonyusa uxinzelelo kwindawo ye-groin. Hambisa kancinci ukusuka ekulaleni ukuya kwindawo ehleliyo.
• Ukuphepha ukuthimla okanye ukukhohlela ngamandla.
• Ukusela ulwelo oluninzi kunye nokutya ifayibha eninzi ukuthintela ukuqhina.

Iziphumo zolu tyando zihlala zilungile. Kwabanye abantu, i-hernia iyabuya.

Ukulungiswa kweFemorocele; UHerniorrhaphy; Hernioplasty - lobufazi

I-Dunbar KB, Jeyarajah DR. I-hernias zesisu kunye ne-gastric volvulus. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 26.

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.