Ngaba uHernias ukhathaza?

Umxholo

• Iindidi zehernias
• Ngaba i-hernias ibuhlungu?
• Ingqolowa ye-Inguinal
• I-hernias yabasetyhini
• Iimpawu ze-Umbilical
• Iimpawu zeHiatal
• I-hernia engabonakaliyo
• Iingxaki
• Uyiphatha njani i-hernia?
• Utyando oluvulekileyo
• Utyando olungenayo oluncinci
• Olunye ukhetho
• Yise kude

Iimpawu zeHernia, kubandakanya iintlungu, zinokwahluka ngokuxhomekeka kuhlobo lwehernia onayo. Ngokwesiqhelo, uninzi lwe-hernias azibandakanyi iimpawu, nangona ngamanye amaxesha indawo ejikeleze i-hernia yakho inokuba novakalelo.

Unokuziva ungamawele ngamaxesha athile okanye uziva utsala. Njengoko i-hernia yakho ikhula, ukungakhululeki kunokukhula ngokunjalo.

Iindidi zehernias

I-Hernias ibandakanya ukuphuma kwangaphakathi okanye ilungu lomzimba elityhalwa kwimisipha okanye kwizihlunu. Ezona ntlobo zixhaphakileyo zibandakanya:

• Ingqolowa ye-Inguinal. Eyona nto ixhaphakileyo ifunyanwa emadodeni, ezi zinto zenzeka xa ithumbu okanye, kunqabile, isinyi sisolulela kwi-groin nge-canal inguinal.
• I-hernia yobufazi. Nangona ingaqhelekanga, ii-hernias zobufazi zihlala zididekile kunye ne-inguinal hernias kuba zivela kwindawo efanayo ngezizathu ezifanayo. Nangona kunjalo, ezi zibandakanya i-bulge ebonakala kwisisu esisezantsi, kwi-groin, kwi-hip, okanye ethangeni eliphezulu.
• IHernatal hernia. Oku kwenzeka xa inxenye yesisu isolulela esifubeni ngokuvuleka kwidayaphragm.
• I-hernia eyi-umbilical. Ezona zixhaphake kakhulu kwiintsana, ezi zinto zenzeka xa inxenye yamathumbu ityhala isisu ngeqhosha lesisu.
• I-hernia engabonakaliyo. Kulabo benziwa utyando lwesisu, iipesenti ezingama-33 ziya kuphuhlisa i-hernia engacacanga. Kwakhona kwaziwa ngokuba yi-ventral hernias, ezi zinto zikhula xa izicubu ezivaliweyo kunye nezihlunu zingaphinde zinamathele ngokupheleleyo, zivumela izakhiwo zangaphakathi ukuba ziphume kwindawo ebuthathaka.

Ngaba i-hernias ibuhlungu?

Ingqolowa ye-Inguinal

Olona phawu luxhaphakileyo lwe-inguinal hernia yi-bulge kwi-groin, enokubonakala ngaphandle kwesilumkiso ngenxa yoxinzelelo olugqithisileyo, njenge:

• ukuphakamisa okunzima
• Ukuthimla okunobundlobongela, njengokugula komzimba
• ukukhohlela okungapheliyo, njengokutshaya
• ukuxina xa uchama okanye ukuhamba amathumbu
• ukwanda koxinzelelo lwangaphakathi esiswini

Ezi bulges zihlala zibonakala ngokubonakalayo kwindawo ethe tye kwaye kunokubangela iintlungu okanye ukungonwabi kwi-groin yakho xa:

• Ukugoba
• ukuphakamisa
• ukukhohlela
• ehleka

Ezinye iimpawu zibandakanya:

• ukutshisa okanye ukuqaqanjelwa kwindawo ye-bulge
• Ukutsala nzima kwimvakalelo yakho
• uxinzelelo, ubuntununtunu, okanye ubuthathaka kwi-groin yakho
• ukudumba nokungahambi kakuhle kumatyhalarha ukuba ukuhla kwehla kuye kungena kwisingxobo samatyhalarha

I-hernias yabasetyhini

I-hernias yabasetyhini, ngakumbi encinci okanye encinci, ayinakho ukubonisa naziphi na iimpawu. Nangona kunjalo, ezinkulu zinokubangela iintlungu okanye ukungonwabi xa umi, uphakamisa izinto ezinzima, okanye ukuba ziyavela ethangeni eliphezulu okanye esinqeni.

Iimpawu ze-Umbilical

Kwiintsana ezine-umbilical hernias, i-bulge inokuvela kuphela xa ikhala okanye ikhohlela. Ezi zihlala zingenantlungu ebantwaneni, kodwa i-hernias yomntu omdala inokubangela ukungonwabi esiswini.

Iimpawu zeHiatal

I-hernias ze-Hiatal zihlala zincinci kangangokuba kukho ithuba lokuba ungaziva. Nangona kunjalo, ezinkulu zinokubangela ukuvulwa kwidayaphragm yakho ukuba ibe nkulu, nto leyo ekwenza ukuba ubenokuchaphazeleka ngakumbi kwamanye amalungu anwenwela esifubeni.Oku kunokuziva ngathi kukutshiswa sisilonda.

Ezinye iimpawu zibandakanya:

• uxinzelelo lwesisu, kubandakanya ukucudisa okanye ukujija imvakalelo
• iintlungu zesifuba
• i-acid reflux ngenxa yokonyuka kokugcinwa kwesisu esiswini
• ubunzima bokuphefumla okanye ukugwinya
• ukuqunjelwa

Ukugcinwa kwesisu esiswini kunokubangela nezilonda zesisu, ezinokuopha kwaye zikhokelele kubalo lwegazi olusezantsi.

I-hernia engabonakaliyo

I-hernias enganyanzelekanga ixhomekeke kubungakanani bokubanjwa. Bahlala bekhula ngaphakathi kweeveki ezintathu ukuya kwiinyanga ezintandathu emva kwenkqubo kodwa zinokwenzeka nangaliphi na ixesha.

I-bulge okanye i-protrusion kwindawo ye-incision luphawu oluqhelekileyo kodwa ukuba izicwili okanye amathumbu amaninzi abambekile kwindawo ebuthathaka, kunokubangela iintlungu ezinzima xa izicwili ziphulukana nokunikezelwa kwegazi. Olu ngxamiseko lonyango kwaye lufuna ukhathalelo kwangoko.

Iingxaki

I-Hernias inokuba sengozini yeengxaki ezininzi ukuba ishiywe inganyangwa, enje:

• Uxinzelelo kwizicubu okanye izihlunu ezingqongileyo
• ukuvalelwa okanye ukukhunjulwa i-hernia
• isithintelo samathumbu
• ukufa kwezicubu

I-hernia evalelweyo yenzeka ukuba i-hernia ibambeke eludongeni lwesisu, oko kunokubangela isisu okanye ukuphazamiseka.

Xa i-hernia ikrwitshiwe, oko kuthetha ukuba ukuphuma kwegazi emathunjini kunqunyulwe. Le yimeko esongela ubomi kwaye ifuna ukulungiswa ngokukhawuleza.

Iimpawu zezi ngxaki zibandakanya:

• ifiva
• iintlungu ngequbuliso eziqhubeka zisiba mbi
• isicaphucaphu okanye ukugabha
• iqhubu elijika libe mnyama, njengombala ubomvu okanye mfusa
• ukungakwazi ukupasa irhasi okanye ukwenza intshukumo yamathumbu

Uyiphatha njani i-hernia?

Utyando lolona nyango kunokwenzeka ukuba kunciphiswe i-hernias enkulu okanye ebuhlungu. Ugqirha wakho unokucebisa utyando njengenyathelo lokuthintela, ukuqinisekisa ukuba akukho zingxaki kamva. Iinketho zotyando zivela kotyando oluncinci olungenasifo ukuvula utyando.

Utyando oluvulekileyo

Utyando oluvulekileyo lubandakanya ukusikwa okuncinci, ukutyhala izihlunu eziphumayo ukuba zibuyele emzimbeni wakho kunye nokukhusela ukusikwa ukuze izicubu zingaphindi zibuye zibuye zibuye zibuyele emzimbeni.

Oku kuhlala kufuna ugqirha ukuze omeleze indawo ye-herniated nge-mesh. Nje ukuba izicwili zikwindawo efanelekileyo, ukusikwa kuvaliwe ngemithungo okanye ngestap.

Le nkqubo yenziwa ngesiqhelo nge-anesthesia yendawo, i-anesthesia ngokubanzi, okanye i-sedation.

Ukuphumla kuyacetyiswa, nangona kunjalo, kuya kufuneka ujikeleze ukukhuthaza ukujikeleza okufanelekileyo kunye nokuphucula ukubuyela kwimeko yesiqhelo. Lumka ungazisebenzisi kakhulu, kuba isenokuba ziiveki ezimbalwa de ube ubuyela kumanqanaba akho esiqhelo omsebenzi.

Kuxhomekeka kwindawo ye-hernia yakho, ugqirha wakho uza kukunika imiyalelo ethile malunga nezinto onokuzenza kunye nokuba ungabuyela nini ekuzilolongeni nakweminye imisebenzi yesiqhelo.

Utyando olungenayo oluncinci

Utyando olungenayo kancinci, ekwabizwa ngokuba yi-laparoscopy, lubandakanya uthotho lwezinto ezincinci ezenziwayo. Irhasi isetyenziselwa ukunyusa indawo echaphazelekayo, eyenza ukuba kube lula kugqirha ukuba abone izakhiwo eziza kunyangwa.

Enye ityhubhu enekhamera encinci iya kuthi ke ifakwe kwenye yezi ndlela, ezinye zisebenze njengendawo yokungena yezixhobo zoogqirha.

Le nkqubo yenziwa ngesiqhelo ngeanesthesia ngokubanzi. Abo banelungelo lotyando olungenelelayo oluncinci bathambekele ekubeni namava okubandezeleka emva kokuphuma, kunye nokunqongophala okuncinci.

Unokwazi ukubuyela kumanqanaba omsebenzi ngokukhawuleza kunabo bavulekileyo.

Olunye ukhetho

Olunye ukhetho kukulinda ulindile, apho ulinda khona ukuze ubone ukuba iimpawu zakho zehernia ziyahamba okanye ziya zisiba mbi.

I-hernia truss okanye i-binder esiswini nayo inokuba luncedo. Ezi zi-brace ezixhasayo eziyilelwe ukugcina i-hernia isendaweni kwaye iyithintele ukuba ibe mandundu.

I-Brace ayinakusoloko iluncedo kwaye inokubangela ezinye iingxaki, ke thetha nogqirha wakho malunga nale ndlela yonyango ngaphambi kokuba uyilandele.

Yise kude

Nangona iintlobo ezininzi ze-hernia zingabonwa njengeziyingozi, azibi bhetele ngokwazo kwaye zingakhokelela kwiimeko ezisongela ubomi ukuba ziyekwe zinganyangwa.

Thetha nogqirha wakho ukuba ucinga ukuba uhlangabezana naziphi na iimpawu ze-hernia. Banokubonelela ngesisombululo esenzelwe wena kwimeko yakho.

Kuya kufuneka ufune unyango kwangoko ukuba ufumana naziphi na iimpawu zentsimbi ekrwitshiweyo okanye evalelweyo, enjengebunzi eliqaqambe kakhulu kwaye ukuba ibomvu ibomvu okanye imfusa.