Ukulungiswa kwe-hernia ye-Inguinal

Ukulungiswa kwe-hernia ye-Inguinal luqhaqho ukulungisa i-hernia kwi-groin yakho. I-hernia sisihlunu esikhupha kwindawo ebuthathaka eludongeni lwesisu. Amathumbu akho anokukhupha ngaphandle kule ndawo ibuthathaka.

Ngexesha lotyando ukulungisa i-hernia, izicubu ezixineneyo zityhalelwa ngaphakathi. Udonga lwakho lwesisu luyomelezwa kwaye luxhaswe ngemisonto (yomthungo), ngamanye amaxesha umnatha. Olu lungiso lunokwenziwa ngotyando oluvulekileyo okanye lwe-laparoscopic. Wena kunye nogqirha wakho unokuxoxa ukuba loluphi uhlobo lotyando olulungele wena.

Ugqirha wakho uya kuthatha isigqibo sokuba loluphi uhlobo lweanesthesia oza kuyifumana:

• I-anesthesia ngokubanzi liyeza eligcina ulele kwaye ungenazintlungu.
• I-anesthesia yommandla, ekuphazamisa ukusuka esinqeni ukuya kwiinyawo zakho.
• I-anesthesia yendawo kunye neyeza ukuze uphumle.

Kutyando oluvulekileyo:

• Ugqirha wakho usika kufutshane nengqele.
• I-hernia ibekwe kwaye yahlulwe kwizicubu eziyingqongileyo. Ingxowa ye-hernia iyasuswa okanye i-hernia inyanzeliswe kancinci kwisisu sakho.
• Ugqirha ke uvale izihlunu zakho zesisu ezibuthathaka ngemithungo.
• Rhoqo isiqwenga semingxunya sikhutshelwe endaweni ukomeleza udonga lwesisu. Oku kulungisa ubuthathaka eludongeni lwesisu sakho.
• Ekupheleni kokulungiswa, ukusika kuthungiwe kuvaliwe.

Kutyando lwe-laparoscopic:

• Ugqirha wenza ukusika okuncinci kathathu ukuya kwesihlanu kwisisu sakho esisezantsi.
• Isixhobo sonyango esibizwa ngokuba yi-laparoscope sifakwa kwesinye sezicucu. Ubungakanani yityhubhu encinci, ekhanyisiweyo kunye nekhamera ekugqibeleni. Ivumela ugqirha abone ngaphakathi kwesisu sakho.
• Irhasi engenabungozi yimpompo esiswini sakho ukwandisa isithuba. Oku kunika ugqirha igumbi elingaphezulu ukuba abone kwaye asebenze.
• Ezinye izixhobo zifakwa ngokusikwa kwezinye. Ugqirha usebenzisa ezi zixhobo ukulungisa i-hernia.
• Ukulungiswa okufanayo kuya kwenziwa njengokulungiswa kotyando oluvulekileyo.
• Ekupheleni kokulungiswa, ubungakanani kunye nezinye izixhobo ziyasuswa. Ukusikwa kuthungiwe kuvaliwe.

Ugqirha wakho unokucebisa ukuba utyando lwe-hernia ukuba unentlungu okanye i-hernia iyakukhathaza ngexesha lomsebenzi wemihla ngemihla. Ukuba i-hernia ayikubangeli ngxaki, ngekhe ufune utyando. Nangona kunjalo, ezi hernias zihlala zingahambi zodwa, kwaye zinokuba nkulu.

Ngamanye amaxesha isisu sinokubanjiswa 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 kweminye imithambo yegazi okanye amalungu
• Ukonakala kwemithambo-luvo
• Ukonakala kwamasende ukuba isitya segazi esidityaniswe kuwo senzakele
• Intlungu yexesha elide kwindawo esikiweyo
• 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 ukuthatha amayeza okucoca igazi. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin), naprosyn (Aleve, Naproxen) nezinye.
• Buza ugqirha wakho otyandayo ukuba zeziphi iziyobisi ekusafuneka uzithathe ngosuku lotyando.

Ngomhla wotyando:

• Landela imiyalelo malunga nokuba uyeke nini ukutya nokusela.
• Thatha amayeza ugqirha wakho oxelele ukuba uthathe ngamanzi amancinci.
• Fika esibhedlele ngexesha.

Uninzi lwabantu luyakwazi ukuphuma ebhedini iyure okanye ngaphezulu emva kolu tyando. Uninzi lunokugoduka kwangolo suku, kodwa abanye banokufuna ukulala esibhedlele ubusuku bonke.

Amanye amadoda anokuba neengxaki zokudlula kumchamo emva kotyando lwe-hernia. Ukuba unengxaki yokuchama, unokufuna i-catheter. Le ityhubhu ecekeceke eguqukayo efakwe kwisinyi sakho ixesha elifutshane ukukhupha umchamo.

Ukulandela 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 enokunyusa uxinzelelo kwi-groin kunye nesisu. Hambisa kancinci ukusuka ekulaleni ukuya kwindawo ehleliyo.
• Ukuphepha ukuthimla okanye ukukhohlela ngamandla.
• Ukusela ulwelo oluninzi kunye nokutya ifayibha eninzi ukuthintela ukuqhina.

Landela nayiphi na eminye imiyalelo yokuzikhathalela ukunceda ukukhawulezisa ukubuyela kwimeko yesiqhelo.

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

UHerniorrhaphy; Hernioplasty - inguinal

• Ukulungiswa kwe-hernia ye-Inguinal - ukukhutshwa

I-Kuwada T, uStefanidis D.Ulawulo lwe-hernia ye-inguinal. Ku: UCameron JL, uCameron AM, ii-eds. Unyango lwangoku lonyango. Umhla we-12. IPhiladelphia, PA: Elsevier; Ngo-2017: 623-628.

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