Ukulungiswa kwe-hernia yaseVentral

Ukulungiswa kwe-hernia ye-Ventral yinkqubo yokulungisa i-herral hernia. I-herralral hernia yisingxobo (isingxobo) esenziwe kumngxunya ongaphakathi wesisu sakho (isisu) esityhala ngomngxunya eludongeni lwesisu.

I-hernias ye-Ventral ihlala isenzeka kwindawo yokusika okudala kotyando (ukusikwa). Olu hlobo lwe-hernia lukwabizwa ngokuba yi-incisional hernia.

Uya kufumana i-anesthesia ngokubanzi kolu tyando. Oku kuyakwenza ulale kwaye ungabinazintlungu.

Ukuba i-hernia yakho incinci, unokufumana ithambo lomqolo okanye le-epidural kunye namayeza okuphumla. Uya kuba uvukile, kodwa awunazintlungu.

• Ugqirha wakho uza kwenza utyando esiswini sakho.
• Ugqirha wakho uya kuyifumana i-hernia kwaye ayihlukanise nezicubu eziyingqongileyo. Emva koko imixholo ye-hernia, enjengamathumbu, iya kuthi inyanzeliswa ukuba iphinde ibuyele esiswini. Ugqirha uya kusika amathumbu kuphela xa onakele.
• Izitishi ezomeleleyo ziya kusetyenziselwa ukulungisa umngxunya okanye indawo ebuthathaka ebangelwa yi-hernia.
• Ugqirha wakho ugqirha unokubeka isiqwenga semingxunya kwindawo engenamandla ukuyomeleza. I-Mesh inceda ukuthintela i-hernia ukuba ingabuyi.

Ugqirha wakho angasebenzisa i-laparoscope ukulungisa i-hernia. Le yityhubhu encinci, ekhanyisiweyo kunye nekhamera ekugqibeleni. Ivumela ugqirha abone ngaphakathi kwesisu sakho. Ugqirha ufaka i-laparoscope ngokusebenzisa ukusika okuncinci esiswini sakho kwaye ufake izixhobo ngamanye amancinci. Olu hlobo lwenkqubo luhlala lunyanga ngokukhawuleza, kwaye ngaphandle kwentlungu kunye nokuqaqanjelwa. Ayizizo zonke i-hernias ezinokulungiswa ngoqhaqho lwe-laparoscopic.

I-hernia yeVentral ixhaphake kakhulu kubantu abadala. Zihlala zikhula ngokuhamba kwexesha kwaye kunokubakho ngaphezulu kwesinye ngenani.

Izinto zomngcipheko zibandakanya:

• Ukusikwa okukhulu kwesisu
• Ukutyeba kakhulu
• Seswekile
• Ukucoca xa usebenzisa igumbi lokuhlambela
• Ukukhohlela kakhulu
• Ukuphakamisa okunzima
• Ukukhulelwa

Ngamanye amaxesha, ii-hernias ezincinci ezingenazimpawu 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. Ukunikezelwa kwegazi kule ndawo kunokunqunyulwa (ukukhawulwa). Unokufumana isicaphucaphu okanye ukugabha, kwaye indawo e-bulging inokujika iblue okanye umbala omnyama ngenxa yokulahleka kwegazi. Olu ngxamiseko lonyango kwaye kufuneka kwenziwe utyando olungxamisekileyo.

Ukuthintela le ngxaki, ogqirha bahlala becebisa ukuba kulungiswe i-herral hernia.

Fumana unyango ngokukhawuleza ukuba unayo i-hernia engabi yincinci xa ulala phantsi okanye i-hernia ongenakukwazi ukuyibuyisela kuyo.

Imingcipheko yokulungiswa kwe-hernia yokulungisa i-ventral ihlala iphantsi kakhulu, ngaphandle kokuba isigulana sinazo nezinye iingxaki zonyango.

Umngcipheko wokuba ne-anesthesia kunye notyando zezi:

• Impendulo kumayeza
• Iingxaki zokuphefumla, ezifana nenyumoniya
• Iingxaki zentliziyo
• Ukopha
• Amahlwili egazi
• Usulelo

Umngcipheko othile woqhaqho lwe-hernia yengozi kukulimala kwamathumbu (amathumbu amancinci okanye amakhulu). Oku kunqabile.

Ugqirha wakho uya kukubona kwaye akunike imiyalelo.

Ugqirha wamayeza uza kuxoxa ngembali yakho yezonyango ukuba uthathe isigqibo malunga nenani elifanelekileyo kunye nohlobo lweanesthesia oza kuyisebenzisa. Unokucelwa ukuba uyeke ukutya nokusela iiyure ezingama-6 ukuya kwezi-8 ngaphambi kotyando. Qiniseka ukuba uxelela ugqirha okanye umongikazi malunga nawaphi na amayeza, i-aleji, okanye imbali yeengxaki zokopha.

Kwiintsuku ezininzi ngaphambi kotyando, unokucelwa ukuba uyeke ukuthatha:

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

Uninzi lolungiso lwe-herralal herral lwenziwa ngaphandle kokunyanga. Oku kuthetha ukuba uya kugoduka kwangolo suku. Ukuba i-hernia inkulu kakhulu, kuya kufuneka uhlale esibhedlele kangangeentsuku ezimbalwa.

Emva kotyando, iimpawu zakho ezibalulekileyo ezinjenge-pulse, uxinzelelo lwegazi kunye nokuphefumla ziya kujongwa. Uya kuhlala kwindawo yokubuyisela kude uzinze. Ugqirha wakho uya kukunika amayeza entlungu ukuba uyawafuna.

Ugqirha wakho okanye unesi unokukucebisa ukuba usele ulwelo oluninzi kunye nokutya okune-fiber-rich. Oku kuya kunceda ukuthintela ukuxinana ngexesha lokuhamba kwamathumbu.

Nciphisa kwakhona umsebenzi. Vuka uhambehamba izihlandlo ezininzi ngemini ukunceda ukuthintela amahlwili egazi.

Emva kotyando, kukho umngcipheko ophantsi wokuba i-hernia ibuye. Nangona kunjalo, ukunciphisa umngcipheko wokufumana enye i-hernia, kufuneka ugcine indlela yokuphila esempilweni, njengokugcina ubunzima obusempilweni.

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

UMiller HJ, uNovitsky YW. I-Ventral hernia kunye neenkqubo zokukhutshwa kwesisu. Ku: Ewe CJ, ed. Utyando lwe-Shackelford lwe-Alimentary Tract. Ngomhla we-8. IPhiladelphia, PA: Elsevier; 2019: isahluko 52.

IWebb DL, iStoikes NF, iVoeller GR. Vula i-hernia yokulungisa i-ventral ngokulungelelanisa umnatha. Ku: Rosen MJ, ed. IiAtlas zoLwakhiwo lweeNdonga zesisu. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; 2017: isahl 8.