Iimpawu zesisu esiswini kunye nezizathu eziphambili

Umxholo

• Iimpawu eziphambili
• Iingxaki kunokwenzeka hernia esiswini
• Yintoni ebangela i-hernia yesisu
• Utyando lwe-hernia esiswini
• Unjani uchacha

I-hernia yesisu ibonakaliswa kukudumba kwelungu elithile esiswini ngaphandle komzimba, nto leyo edla ngokungabangeli zimpawu, kodwa kunokubangela iintlungu, ukudumba nokubomvu kwindawo leyo, ngakumbi xa kukho ukubanjiswa okanye ukujijwa kwamalungu ngaphakathi kwehernia.

I-hernia yesisu ibonakaliswa kukudumba kwelungu elithile esiswini ngaphandle komzimba, nto leyo edla ngokungabangeli zimpawu, kodwa kunokubangela iintlungu, ukudumba nokubomvu kwindawo leyo, ngakumbi xa kukho ukubanjiswa okanye ukujijwa kwamalungu ngaphakathi kwe-hernia.

Unyango lwe-hernia yesisu lwenziwa ngotyando ukubuyisela elo lungu lomzimba emva kwezihlunu zesisu. Utyando lulula, ngaphandle kwesidingo sokubulawa komntu ngokubanzi, kwaye, umntu uhlala esibhedlele usuku olu-1 kuphela.

Iimpawu eziphambili

Ubukho be-hernia yesisu buqapheleka ngenxa yobukho bokudumba okanye iqhuma kummandla wesisu, ubukhulu becala kwingingqi engaphezulu kwenkaba, ngaphakathi kwenkaba nakumphako. Oku kudumba kwenzeka xa imixholo yesisu, ihlala isisu, ikwazi ukugqitha isisu sesisu, yenze isaka le-hernia.

Ngokubanzi, imixholo yeengxowa ze-hernia inokungena ngaphakathi nangaphandle ngokukhululekileyo, ngaphandle kokubangela iimpawu, okanye ukubangela ukungakhululeki okuncinci. Nangona kunjalo, xa i-orifice yokuhamba kwamalungu iye incipha, oko kubizwa ngokuba kukuvalelwa okanye ukukrwitshwa kwehernia kwenzeka, okunokubonisa iimpawu, ezinje:

• Intlungu ebuhlungu kwindawo ye-hernia okanye esiswini;
• Ukudumba kunye nobomvu kwindawo hernia;
• Isicaphucaphu nokugabha.

Le meko inzulu, kwaye kufuneka inyangwe ngoqhaqho ngokukhawuleza, ngenxa yomngcipheko wokunqongophala kwegazi kumalungu, kubangela ukudumba, ukubola, usulelo kunye nokufa kweeseli, eyi-necrosis.

Iingxaki kunokwenzeka hernia esiswini

Nangona uninzi lwe-hernias zisonjululwa kuphela ngokulawula i-hernia kwisisu esiswini, kwezinye iimeko oku akunakwenzeka, kwaye kunokubangela iingxaki. Enye yeengxaki eziphambili kukukrwitshwa kwelungu kummandla wesisu, ixesha elininzi emathunjini, ngokuhla kwegazi eliya kwindawo, enokuthi ikhokelele kwi-necrosis.

Ukongeza ukukrwitshwa, kusenokubakho nokuvaleka kwamathumbu, apho imixholo yamathumbu ingenakudlula kwingingqi ye-hernia, enokubangela isicaphucaphu kunye nokugabha, ukongeza ekuqunjelweni.

Yintoni ebangela i-hernia yesisu

IHernia yenzeka xa kukho ukubuthathaka kwethishu yesisu, enokuthi ibe yimfuza, okanye enokuthi ivele emva kokunyuka koxinzelelo ngaphakathi esiswini, njengakwimisebenzi efuna umzamo omkhulu womzimba, ngenxa yokutyeba kakhulu okanye ukukhulelwa, umzekelo.

Ezona ntlobo ziphambili ze-hernia yesisu zezi:

• Inguinal, kwindawo ye-groin, lolona hlobo luqhelekileyo. Funda indlela yokuchonga nokunyanga i-hernia enguinal;
• Epigastric, engaphezulu kwenkaba, ekudibaneni phakathi kwezihlunu zesisu. Funda ngakumbi malunga nepigastric hernia;
• Umbilical, yeyona ixhaphakileyo kwiintsana, kwaye ihlala ibuyela umva ngaphandle kokufuna utyando kwiminyaka yokuqala yobomi. Jonga ukuba wenzeni xa unokubamba i-hernia ye-umbilical hernia;
• Incisional, yenzeka endaweni yotyando oludala, ngenxa yokuba buthathaka kwendawo apho kwenziwa khona umthungo.

Ukuchonga isisu esiswini, ugqirha unokwenza uvavanyo lomzimba oluvavanya ukudumba kwesisu, kodwa isiqinisekiso senziwa ngovavanyo lwe-ultrasound yesisu.

Utyando lwe-hernia esiswini

Olona nyango luphambili lwe-hernias luqhaqho, nangona kunjalo, kwezinye iimeko, banokuzibuyela ngokwabo, njengakwimeko yeencindi ezincinci okanye ihernias emntwaneni, ngakumbi umbilical.

Olu tyando lwenziwa kwiziko lotyando, kunye ne-anesthesia yendawo okanye yomqolo, kwaye inokwenziwa ngokuvulwa kwesisu okanye nge-videolaparoscopy, kwinkqubo ehlala malunga neyure e-1. Ke, amalungu atyhalwa kwaye aphinda afakwe kwisisu, kwaye ukuvulwa kuvaliwe nge-suture.

Xa izihlunu zesisu zibuthathaka kakhulu, kunokuba yimfuneko ukubeka umnatha ukomeleza ukhuselo kunye nokunciphisa amathuba okubakho kwe-hernia entsha.

Unjani uchacha

Ixesha lokuhlinzwa emva kotyando lwe-hernia esiswini ludla ngokwenzeka ngokukhawuleza, kwaye ngeentsuku ezi-1 ukuya kwezi-2 uyakhululwa esibhedlele. Iingcebiso zezi:

• Ukusetyenziswa kweyeza lokuthomalalisa iintlungu okanye lokuthomalalisa iintlungu, elimiselwe ngugqirha;
• Musa ukwenza iinzame ezifana nokuqhuba okanye ukuthwala ubunzima iintsuku ezi-7 ukuya kwezi-10;
• Buyela kuthethathethwano lokuhlaziya ngokutsha ugqirha kwiintsuku ezisi-7;
• Yenza imisebenzi ebonakalayo yomzimba, enjengemidlalo, emva kwenyanga e-1.

Uninzi lwexesha, i-hernia iyaphiliswa ngoqhaqho kwaye, ke, kukho umngcipheko omncinci wokubuya.