Yonke into ofuna ukuyazi malunga neHernia

Umxholo

• Iimpawu ze-hernia
• Ukubuyiswa kweHernia
• IHernia ibangela
• Ukuxilongwa kweHernia
• Utyando lweHernia
• Ukuchacha
• Iindidi zeHernia
• Ingqolowa ye-Inguinal
• IHernatal hernia
• I-hernia eyi-umbilical
• I-hernia yaseVentral
• Unyango lweHernia
• Iyeza lasekhaya laseHernia
• Ukuzilolonga kweHernia
• UHernia kwiintsana
• Ukukhulelwa kweHernia
• Iingxaki zeHernia
• Uthintelo lweHernia

I-hernia yenzeka xa ilungu lityhala ngokuvula kwimisipha okanye kwithishu ebambe indawo yayo. Umzekelo, amathumbu anokugqobhoza kwindawo ebuthathaka eludongeni lwesisu.

Uninzi lwe-hernias zenzeka esiswini phakathi kwesifuba sakho kunye nesinqe, kodwa zinokubonakala nakumathanga aphezulu nakwiindawo zokugcoba.

Uninzi lwe-hernias alukhawulezi ukusongela ubomi, kodwa azihambi ngokwazo. Ngamanye amaxesha banokufuna utyando ukuthintela iingxaki ezinobungozi.

Iimpawu ze-hernia

Olona phawu luqhelekileyo lwe-hernia yi-bulge okanye iqhuma kwindawo echaphazelekayo. Umzekelo, kwimeko ye-hernia ye-inguinal, unokuthi uqaphele iqhuma kwicala ngalinye lethambo lakho le-pubic apho ukudibana kwakho kunye nomlenze wakho kudibana khona.

Ungafumanisa ukuba iqhuma liyanyamalala xa ulele phantsi. Kusenokwenzeka ukuba uve i-hernia yakho ngokuphatha xa umile, ugoba okanye ukhohlela. Ukuphazamiseka okanye iintlungu kwindawo ejikeleze iqhuma nazo zinokubakho.

Ezinye iintlobo ze-hernia, ezinjenge-hiatal hernias, zinokuba neempawu ezithile. Oku kunokubandakanya izinto ezifana nokuqaqamba kwentliziyo, ingxaki yokuginya, kunye nentlungu esifubeni.

Kwiimeko ezininzi, i-hernias ayinayo impawu. Awukwazi ukuba unayo i-hernia ngaphandle kokuba ibonakalise ngexesha lovavanyo lomzimba okanye lonyango ngengxaki engahambelaniyo.

Ukubuyiswa kweHernia

Kubalulekile ukuqaphela iimpawu ze-hernia kwaye ubone ugqirha wakho ukuba ukrokrela ukuba unayo. I-hernia enganyangekiyo ayizukuhamba yodwa. Ugqirha wakho unokuvavanya i-hernia yakho kwaye anqume ukuba inganyangwa njani.

I-Hernias inokubangela iingxaki ezisongela ubomi. Kubalulekile ukuba ufune ukhathalelo olungxamisekileyo ukuba ufumana iimpawu ezinjengokugabha okanye ukugabha, umkhuhlane, okanye iintlungu ngequbuliso.

Unonophelo lonyango kwangoko kunye notshintsho kwindlela yokuphila kunokunciphisa iimpawu. Nangona kunjalo, utyando kuphela kwendlela yokunyanga i-hernia. Kukho iintlobo ezahlukeneyo zotyando ezikhoyo ukulungisa i-hernias, kwaye ugqirha wakho wotyando unokukucebisa ukuba yeyiphi efanelekileyo kwimeko yakho.

Ukuxelwa kwangaphambili kotyando lokulungisa i-hernia kuhlala kulungile kakhulu, kodwa kunokuxhomekeka kubume be-hernia, iimpawu zakho, kunye nempilo yakho iyonke. Ngamanye amaxesha, i-hernia inokuphinda ibuye emva kokulungiswa.

IHernia ibangela

I-Hernias zibangelwa kukudityaniswa kobuthathaka bemisipha kunye noxinzelelo. Kuxhomekeka kwisizathu sayo, i-hernia inokukhula ngokukhawuleza okanye ngaphezulu kwexesha elide.

Ezinye zezizathu eziqhelekileyo zokuba buthathaka kwemisipha okanye uxinzelelo olunokukhokelela kwi-hernia kubandakanya:

• imeko yokuzalwa eyenzeka ngexesha lokukhula kwesibeleko kwaye ikho kwasekuzalweni
• ukwaluphala
• Umonzakalo ekwenzakaleni okanye kotyando
• ukukhwehlela okungapheliyo okanye ukuphazamiseka okungapheliyo kwemiphunga (COPD)
• umthambo onzima okanye ukuphakamisa iintsimbi ezinzima
• ukukhulelwa, ngakumbi ukukhulelwa okuninzi
• ukuqhina, nto leyo ebangela ukuba uxineke xa unyakaza isisu
• ukutyeba kakhulu okanye ukutyeba kakhulu
• ulwelo esiswini, okanye i-ascites

Kukho izinto ezithile ezinokunyusa umngcipheko wokuphuhlisa i-hernia. Ziquka:

• Imbali yobuqu okanye yosapho ye-hernias
• ukuba mdala
• ukukhulelwa
• ukutyeba kakhulu okanye ukutyeba kakhulu
• ukuqhina okungapheliyo
• ukukhwehlela okungapheliyo (kunokwenzeka ngenxa yokuphindaphindeka kokunyuka koxinzelelo esiswini)
• icystic fibrosis
• ukutshaya (okukhokelela ekwenzeni buthathaka kwezicubu ezinxibelelanayo)
• ukuzalwa ngaphambi kwexesha okanye ubunzima bokuzalwa obuphantsi

Ukuxilongwa kweHernia

Ukuchonga imeko yakho, ugqirha wakho uya kuqala enze uvavanyo lomzimba. Ngethuba loviwo, ugqirha wakho unokuziva ukuba unesibindi kwisisu sakho okanye kwindawo yokugaya ekhula xa umi, ukhohlela, okanye uxinzelelo.

Ugqirha wakho uya kuthatha imbali yakho yonyango. Banokubuza imibuzo eyahlukeneyo, kubandakanya izinto ezinje:

• Uqale nini ukuqaphela le ngqumba?
• Ngaba ukhe wazifumana ezinye iimpawu?
• Ngaba ucinga ukuba kukho into ngokukodwa enokubangela ukuba yenzeke?
• Ndixelele kancinci malunga nendlela yakho yokuphila. Ngaba umsebenzi wakho ubandakanya ukuphakamisa okunzima? Ngaba uzilolonga ngokuqatha? Ngaba unembali yokutshaya?
• Ngaba unayo imbali yobuqu okanye yosapho ye-hernias?
• Ngaba ukhe wenza naluphi na utyando kwindawo yesisu sakho okanye isinqe sakho?

Ugqirha wakho uya kuthi asebenzise iimvavanyo zokucinga ukunceda ekufumaneni isifo. Oku kunokubandakanya izinto ezinje:

• isisu se-ultrasound, esisebenzisa amaza aphezulu esandi ukwenza umfanekiso wezakhiwo ngaphakathi emzimbeni
• I-CT scan, edibanisa i-X-ray kunye nobuchwephesha bekhompyuter ukwenza umfanekiso
• Iskena seMRI, esisebenzisa indibaniselwano yamagnet enamandla kunye namaza erediyo ukwenza umfanekiso

Ukuba ukrokrela i-hernia yokubeleka, ugqirha wakho unokusebenzisa ezinye iimvavanyo ezibavumela ukuba bavavanye indawo yangaphakathi yesisu sakho:

• I-Gastrografin okanye i-barium X-ray, engothotho lwemifanekiso ye-X-ray yendlela yakho yokwetyisa. Imifanekiso irekhodwe emva kokuba ugqibile ukusela ulwelo oluqukethe i-diatrizoate meglumine kunye ne-diatrizoate sodium (Gastrografin) okanye isisombululo se-barium engamanzi. Zombini zibonisa kakuhle imifanekiso yeX-reyi.
• I-Endoscopy, ebandakanya ukufota ikhamera encinci eqhotyoshelwe kumbhobho ezantsi emqaleni nasemngxunyeni nakwisisu.

Utyando lweHernia

Ukuba i-hernia yakho ikhula ngakumbi okanye ibangela iintlungu, ugqirha wakho ugqirha unokuthatha isigqibo sokuba kungcono ukusebenza. Banokulungisa i-hernia ngokuthunga umngxunya eludongeni lwesisu luvalwe ngexesha lotyando. Oku kudla ngokwenziwa ngokudibanisa umngxunya ngocingo lokuhlinzwa.

I-Hernias inokulungiswa kunye nokuhlinzwa okuvulekileyo okanye kwe-laparoscopic. Utyando lwe-Laparoscopic lusebenzisa ikhamera encinci kunye nezixhobo zoqhaqho ezenziweyo ezincinci ukulungisa i-hernia kusetyenziswa nje izinto ezimbalwa ezenziweyo. Kukwonakalisa kancinci izihlunu ezingqongileyo.

Ngethuba lotyando oluvulekileyo, ugqirha wotyando wenza ukusikwa kufutshane nendawo ye-hernia, emva koko atyhalele izicwili ezibuyela esiswini. Baye ke bayithunge indawo evaliweyo, ngamanye amaxesha bayomelele ngombala wokuhlinzwa. Ekugqibeleni, bavala ukusikwa.

Ayizizo zonke i-hernias ezifanelekileyo kutyando lwe-laparoscopic. Ukuba i-hernia yakho ifuna ukulungiswa okuvulekileyo, ugqirha wakho uya kusebenza nawe ukufumanisa ukuba loluphi uhlobo lotyando olulungele imeko yakho.

Ukuchacha

Emva kotyando lwakho, unokufumana iintlungu kwindawo yotyando. Ugqirha wakho uya kukuyalela amayeza ukunceda ukunciphisa obu buhlungu ngelixa uchacha.

Qiniseka ukuba ulandela ngononophelo imiyalelo yogqirha wakho ebandakanya ukhathalelo lwenxeba. Nxibelelana nabo ngokukhawuleza ukuba ubona nayiphi na imiqondiso yosulelo enjengomkhuhlane, ukuba bomvu okanye ukuhambisa amanzi kwindawo leyo, okanye iintlungu eziba mandundu ngesiquphe.

Ukulandela ukulungiswa kwe-hernia, ungeke ukwazi ukuhamba ngokuqhelekileyo kwiiveki ezimbalwa. Kuya kufuneka uphephe nawuphi na umsebenzi onzima. Ukongeza, kuya kufuneka uphephe ukuphakamisa izinto ezinobunzima obungaphezu kweepawundi ezili-10 ngeli xesha. Oku phantse kubunzima begaloni yobisi.

Ukuhlinzwa ngokuvulekileyo kuhlala kufuna inkqubo yokubuyisela ixesha elide kunokuhlinzwa kotyando lwe-laparoscopic. Ugqirha wakho uza kukuxelela xa ungabuyela kwindlela yesiqhelo.

Iindidi zeHernia

Kukho iintlobo ezahlukeneyo ze-hernias. Ngezantsi, siza kuhlola ezinye zezona ziqhelekileyo.

Ingqolowa ye-Inguinal

I-hernias ye-Inguinal lolona hlobo luqhelekileyo lwe-hernia. Oku kwenzeka xa amathumbu etyhoboza kwindawo engenamandla okanye ekrazula kudonga lwesisu esisezantsi, rhoqo kumjelo we-inguinal. Olu hlobo luxhaphake kakhulu emadodeni.

Umsele we-inguinal ufumaneka kwi-groin yakho. Emadodeni, yindawo apho idlula khona intambo yesisu ukusuka kwisisu ukuya kwisingxobo samatyhalarha. Le ntambo igcina amasende. Kwabasetyhini, umjelo we-inguinal uqulethe i-ligament enceda ukubamba isibeleko endaweni.

Ezi hernias zixhaphake kakhulu emadodeni kuba amasende ehla nge-inguinal canal kungekudala emva kokuzalwa. Umsele kufuneka uvalwe phantse ngasemva kwabo. Ngamanye amaxesha umjelo awuvaleki kakuhle, ushiye indawo ebuthathaka. Jonga ngakumbi malunga ne-inguinal hernias.

IHernatal hernia

I-hernia yokubeleka yenzeka xa inxenye yesisu sakho ikhupha i-diaphragm kwisifuba sakho. I-diaphragm yiphepha lezihlunu ezikunceda ukuba uphefumle ngokungena kunye nokutsalela umoya emiphungeni. Yahlula amalungu asesiswini sakho kulawo asesifubeni sakho.

Olu hlobo lwe-hernia luxhaphake kakhulu kubantu abangaphezulu kweminyaka engama-50 ubudala. Ukuba umntwana unale meko, oko kubangelwa sisiphene sokuzalwa komntwana.

I-Hiatal hernias phantse ihlala ibangela i-reflux ye-gastroesophageal, kulapho imixholo yesisu ivuza ibuyele umva kwi-esophagus, ibangele uvakalelo oluvuthayo. Fumana ulwazi oluthe kratya kwi-hernias yokuzalwa.

I-hernia eyi-umbilical

I-hernias ye-Umbilical inokwenzeka ebantwaneni nakwiintsana. Oku kwenzeka xa amathumbu abo eqhuma eludongeni lwesisu kufutshane neqhosha lesisu. Unokwazi ukubona i-bulge ngaphakathi okanye kufutshane neqhosha lesisu somntwana wakho, ngakumbi xa ekhala.

I-hernia ye-umbilical kuphela kohlobo oluhlala luhamba lodwa njengoko izihlunu zodonga lwesisu ziba namandla, ngesiqhelo xa umntwana eneminyaka eyi-1 okanye 2 ubudala. Ukuba i-hernia ayizange ihambe nge-5 yeminyaka ubudala, utyando lunokusetyenziswa ukuyilungisa.

Abantu abadala banokuba ne-hernias ye-umbilical. Oku kunokwenzeka kuxinzelelo oluphindaphindeneyo esiswini ngenxa yezinto ezinje ngokutyeba kakhulu, ukukhulelwa, okanye ulwelo esiswini (ascites). Funda iinkcukacha ezongezelelweyo malunga ne-umbilical hernias.

I-hernia yaseVentral

I-hernia ye-ventral yenzeka xa izicubu ze-bulges zivuleka kwimisipha yesisu sakho. Unokuqaphela ukuba ubungakanani be-herral ventral hernia buyancipha xa ulele phantsi.

Nangona i-hernia ye-ventral inokubakho kwasekuzalweni, ifunyanwa ngokuxhaphakileyo ngexesha elithile ebomini bakho. Izinto eziqhelekileyo ekubunjweni kwe-hernia yangaphakathi zibandakanya izinto ezinje ngokutyeba kakhulu, umsebenzi onzima kunye nokukhulelwa.

I-hernias ye-Ventral inokwenzeka nakwindawo yokuhlinzwa. Oku kubizwa ngokuba yi-incisional hernia kwaye kunokwenzeka ngenxa yokuqhaqha kotyando okanye ubuthathaka bemisipha yesisu kwindawo yotyando. Qhubeka nokufunda ukuze ufumane okungakumbi malunga neherralas zangaphakathi.

Unyango lweHernia

Ekuphela kwendlela yokunyanga i-hernia ngokufanelekileyo kukulungiswa kotyando. Nangona kunjalo, nokuba ufuna utyando okanye hayi kuxhomekeke kubungakanani be-hernia yakho kunye nobukhulu beempawu zakho.

Ugqirha wakho unokufuna ukubeka iliso kwi-hernia yakho malunga neengxaki ezinokwenzeka. Oku kubizwa ngokuba kukulinda ulindile.

Ngamanye amaxesha, ukunxiba i-truss kunokunceda ukunciphisa iimpawu ze-hernia. Esi sisambatho sangaphantsi esixhasayo esinceda ukubamba i-hernia endaweni yayo. Kufuneka uhlale ubona ugqirha wakho ukuze aqiniseke ukuba i-truss ihambelana ngokufanelekileyo ngaphambi kokuyisebenzisa.

Ukuba une-hernia yokubeleka, i-over-the-counter kunye namayeza amayeza anciphisa isisu esiswini anokunciphisa ukungonwabi kwakho kunye nokuphucula iimpawu. Oku kubandakanya i-antacids, i-H-2 receptor blockers, kunye neproton pump inhibitors.

Iyeza lasekhaya laseHernia

Ngelixa amayeza asekhaya engayi kuyinyanga i-hernia yakho, kukho izinto onokuzenza ukunceda kwiimpawu zakho.

Ukwandisa ukutya kwakho ifayibha kunokunceda ekuqobeni ukuqhina okunokubangela uxinzelelo ngexesha lokuhamba kwamathumbu, okunokunyusa i-hernia. Eminye imizekelo yokutya okune-fiber ephezulu kubandakanya ukutya okuziinkozo, iziqhamo kunye nemifuno.

Utshintsho ekudleni lunokunceda kunye neempawu ze-hernia yokuzalwa. Zama ukunqanda ukutya okukhulu okanye okunzima, musa ukulala phantsi okanye ukugoba emva kwesidlo, kwaye ugcine ubunzima bomzimba wakho kuluhlu olusempilweni.

Ukuthintela i-acid reflux, kunqande ukutya okunokubangela oku, njengokutya okunezipayisi kunye nokutya okwenziwe ngetumato. Ukongeza, ukuyeka umdiza kunokunceda.

Ukuzilolonga kweHernia

Ukuzivocavoca kunokusebenza ukomeleza izihlunu ezijikeleze i-hernia kunye nokukhuthaza ukunciphisa umzimba, ukunceda ukunciphisa iimpawu ezithile.

Uphando ngeziphumo zenkqubo yokuzilolonga kubantu abatyebe kakhulu ekufuneka beyokuhlinzwa utyando lwe-herralal hernia. Kwaqatshelwa ukuba abantu abagqibe inkqubo yokuzilolonga babeneengxaki ezimbalwa emva kotyando.

Kubalulekile ukuba ukhumbule ukuba ezinye iintlobo zokuzilolonga, ezinje ngokunyusa okanye ukwenza umthambo oxinisa isisu, zinokunyusa uxinzelelo kwindawo yehernia. Oku kunokubangela ukuba i-hernia ikhule ngakumbi. Kuyafana nokuzilolonga okwenziwe ngendlela engafanelekanga.

Ukuba unayo i-hernia, kusoloko kungcono ukuxoxa ngokwenza umthambo nogqirha okanye ugqirha wakho. Banokusebenza ngokusondeleyo kunye nawe bakukwazise ukuba yeyiphi imithambo efanelekileyo yokwenza kunye nendlela yokwenza ngokufanelekileyo ukukhusela ingqumbo yakho.

UHernia kwiintsana

Phakathi kweentsana zizalwe nge-umbilical hernia. Olu hlobo lwe-hernia luxhaphake kakhulu kwiintsana ezizalwe ngaphambi kwexesha okanye ezizalwe zinesisindo esiphantsi sokuzalwa.

I-hernias ye-Umbilical yenzeka kufutshane neqhosha lesisu. Ziyakheka xa izihlunu ezijikeleze umngxuma oshiywe yintsimbi zingavali kakuhle. Oku kubangela ukuba inxalenye yamathumbu iphume.

Ukuba umntwana wakho une-hernia ye-umbilical, unokuyiqaphela ngakumbi xa elila okanye ekhohlela. Ngokwesiqhelo, i-umbilical hernias ebantwaneni ayinazintlungu. Nangona kunjalo, xa iimpawu ezinjengeentlungu, ukugabha, okanye ukudumba kwindawo ye-hernia kwenzeka, kuya kufuneka ufune unyango olukhawulezileyo.

Jonga ugqirha wabantwana bomntwana wakho ukuba uphawula ukuba umntwana wakho une-umbilical hernia. I-hernias ye-Umbilical iyahamba xa umntwana eneminyaka eyi-1 okanye 2 ubudala. Nangona kunjalo, ukuba ayinyamalali kwiminyaka eyi-5, utyando lunokusetyenziselwa ukuyilungisa. Funda ngakumbi malunga nokulungiswa kwe-hernia embilical.

Ukukhulelwa kweHernia

Ukuba ukhulelwe kwaye ucinga ukuba unayo i-hernia, qiniseka ukubona ugqirha wakho. Banokuyivavanya kwaye baqwalasele ukuba ngaba zibeka iingozi kwezempilo.

Rhoqo, ukulungiswa kwe-hernia kunokulinda kude kube semva kokuhanjiswa. Nangona kunjalo, ukuba i-hernia encinci ekhoyo ngaphambi okanye ngexesha lokukhulelwa iqala ukuba nkulu okanye ibangele ukungonwabi, utyando lunokucetyiswa ukuba luyilungise. Ixesha elikhethiweyo lokwenza oku kuxa lekota yesibini yesibini.

I-Hernias esele zilungisiwe ngaphambili zinokubuya zikhulelwe kamva. Kungenxa yokuba ukukhulelwa kubeka uxinzelelo kwizicubu zesisu esiswini ezinokuthi zibuthathaka ngotyando.

I-Hernias inokuthi yenzeke emva kokuhanjiswa kwe-cearean, ekwabizwa ngokuba licandelo le-C. Ngexesha lokuhanjiswa kwe-cearean, kuqhutywa isisu kwisisu nakwisibeleko. Usana emva koko luziswa ngezi zinto zibanjiweyo. I-hernia engacwangciswanga ngamanye amaxesha inokuvela kwindawo yokuhanjiswa kwe-cesarean. Fumana iinkcukacha malunga ne-hernias eyenzeka emva kokubeleka.

Iingxaki zeHernia

Ngamanye amaxesha i-hernia enganyangekiyo inokubangela iingxaki ezinokubakho. I-hernia yakho inokukhula kwaye ibangele ezinye iimpawu. Inokubeka uxinzelelo kakhulu kwizicubu ezikufuphi, ezinokubangela ukudumba kunye nentlungu kwindawo ejikelezileyo.

Inxalenye yamathumbu akho inokubanjiswa nakudonga lwesisu. Oku kubizwa ngokuba kukuvalelwa. Ukuvalelwa kunokuthintela isisu sakho kwaye kubangele iintlungu ezinzima, isicaphucaphu, okanye ukuqhina.

Ukuba icandelo elibanjiweyo lamathumbu akho alifumani gazi laneleyo, ukukrwitshwa kuyenzeka. Oku kunokubangela ukuba intsholongwane yamathumbu isuleleke okanye ife. I-hernia ekrwitshiweyo isongela ubomi kwaye ifuna unyango kwangoko.

Ezinye iimpawu ezinokubonisa ukuba ufuna ukufuna unyango olungxamisekileyo kwi-hernia yakho kubandakanya:

• ukudumba okujika umbala ube bomvu okanye mfusa
• iintlungu ezikhula ngesiquphe
• isicaphucaphu okanye ukugabha
• ifiva
• ukungabinakho ukupasa irhasi okanye ukuhamba kwamathumbu

Uthintelo lweHernia

Awunakuhlala uthintela i-hernia ekuphuhliseni. Ngamanye amaxesha imeko esele izuzwe njengelifa okanye utyando lwangaphambili luvumela i-hernia ukuba yenzeke.

Nangona kunjalo, ungenza uhlengahlengiso kwindlela yokuphila elula ukukunceda ukuba uphephe ukufumana i-hernia. La manyathelo ajolise ekunciphiseni isixa soxinzelelo obeka kuso emzimbeni wakho.

Nazi iingcebiso ezimbalwa zokuthintela i-hernia:

• Yeka ukutshaya.
• Jonga ugqirha wakho xa ugula ukuze uphephe ukukhohlela okungapheliyo.
• Gcina ubunzima bomzimba obusempilweni.
• Zama ukungangxami ngelixa ushukuma okanye xa uchama.
• Yitya ukutya okune-fiber eninzi ukuthintela ukuqhina.
• Yenza umthambo onceda ukomeleza izihlunu zesisu sakho.
• Kunqande ukuphakamisa iintsimbi ezinzima kakhulu kuwe. Ukuba kufuneka uphakamise into enzima, guqa ngamadolo akho hayi esinqeni okanye ngasemva.