Incindiwe hernia: yintoni na, iimpawu, oonobangela kunye nonyango

Umxholo

• Iimpawu eziphambili
• Indlela yokuqinisekisa ukuxilongwa
• Izizathu ezinokubakho kunye nendlela yokuphepha
• Unyango lwenziwa njani
• Iingxaki ezinokwenzeka

I-hernia engafakwanga luhlobo lwe-hernia eyenzeka kwindawo enesibetho yotyando esiswini. Oku kwenzeka ngenxa yoxinzelelo olugqithisileyo kunye nokunyanga okungonelanga kodonga lwesisu. Ngenxa yokusikwa kwezihlunu, udonga lwesisu lubuthathaka, kwaye lwenza amathumbu, okanye naliphi na elinye ilungu elingaphantsi kwesiza sokusikwa, kube lula ukushukuma kwaye ucofe indawo enesibetho, ekhokelela ekwenziweni kokudumba okuncinci kuloo mmandla.

Nangona i-incisional hernias iyinto eqhelekileyo kuye nabani na ohlinzwa esiswini, zixhaphake kakhulu kubantu abatyebe kakhulu, abanesifo senxeba, okanye abanengxaki yempilo yangaphambili, njengesifo seswekile, isifo semiphunga, okanye nasiphi na isigulo. oko kwandisa uxinzelelo ngaphakathi kwesisu.

Nanini na xa kukho urhano lokuba i-hernia eqhubekekayo iyakhula emva kotyando, kubaluleke kakhulu ukuba uye esibhedlele okanye ubonane nogqirha owenze utyando, ukuze i-hernia ivavanywe kwaye unyango luqale ngokukhawuleza.

Iimpawu eziphambili

Olona phawu luxhaphakileyo lwe-hernia yokusika kukubonakala kokudumba ecaleni kwesibetho sotyando lwesisu, nangona kunjalo, kuqhelekile ukuba ezinye iimpawu ezinxulumene nazo zivele, ezinje:

• Ubuhlungu okanye ukungahambi kakuhle kwindawo ye-hernia;
• Isicaphucaphu nokugabha;
• Umkhuhlane ongaphantsi kwama-39ºC;
• Ubunzima bokuchama;
• Utshintsho ekuhambeni kwamathumbu, ukuqhina okanye urhudo.

I-hernia ye-incisional ihlala ivela kwiinyanga ezi-3 ukuya kwezi-6 emva kotyando, kodwa inokubonakala ngaphambi kwelo xesha. Ukongeza, kukwalisiko ukuba i-hernia ibonwe ngokulula xa umile okanye utyeba, kwaye inokuthi inyamalale xa uhleli kwaye uphumle.

Indlela yokuqinisekisa ukuxilongwa

Kwiimeko ezininzi, i-hernia yokusika inokuchongwa ngugqirha oqhelekileyo okanye ugqirha wotyando, ngokujonga nje iimpawu kunye nokuvavanya imbali yezonyango. Yiyo loo nto kucetyiswa ukuba nanini na xa kukho ukukrokra kwe-hernia, yiya kwiZiko lezeMpilo loSapho okanye wenze idinga nengcali yotyando.

Izizathu ezinokubakho kunye nendlela yokuphepha

I-hernia ye-incisional inokwenzeka nakweyiphi na imeko apho kukho ukusika kwiimisipha zodonga lwesisu kwaye, ke, kuqhelekile emva kotyando esiswini. Nangona kunjalo, kukho izinto ezithile ezibonakala ngathi zonyusa umngcipheko wokuphuhlisa olu hlobo lwe-hernia, ezinje:

• Ukuba nosulelo kwindawo enesibetho;
• Ukutyeba kakhulu okanye ukutyeba kakhulu;
• Ukuba ngumsi;
• Sebenzisa amanye amayeza, ngakumbi ii-immunosuppressants okanye ii-steroids;
• Ukuba nezinye iingxaki zempilo, ezinje ngeswekile, ukusilela kwezintso okanye isifo semiphunga.

Eyona ngcebiso intle yokunciphisa umngcipheko wokuphuhlisa i-hernia engacwangciswanga, ukongeza kuthintelo lomngcipheko, kukulinda ixesha elicetyiswe ngugqirha ngaphambi kokuqala imisebenzi enokuthi ibeke uxinzelelo esiswini, kubandakanya nokukhulelwa.

Unyango lwenziwa njani

Unyango lwe-hernia yokusika kufuneka ihlale ihlolwa kunye nogqirha, kuxhomekeke kwisimo sempilo ngokubanzi, i-anatomy kunye nendawo ekuyo. Nangona kunjalo, uhlobo lonyango olusetyenziswa kakhulu lutyando, apho ugqirha anokuphinda avule isikhumba kwakhona okanye enze ukusika okuncinci kulusu ukufaka umnatha onceda ukomeleza izihlunu zodonga lwesisu, ukuthintela amalungu ukuba angadluli kwaye enze ubunzima ngaphezulu kwesiva.

I-hernias ezinkulu ngokubanzi kunzima ngakumbi ukuzinyanga kwaye ke kufuneka zenziwe utyando lwakudala, apho kuvulwa khona isiva kwakhona. I-hernias ezincinci, kwelinye icala, zinokunyangwa nge-laparoscopy, apho ugqirha enza amanxeba amancinci ajikeleze i-hernia ukuyilungisa, ngaphandle kokufuna ukuvula isikhumba kutyando lwangaphambili kwakhona.

Iingxaki ezinokwenzeka

Xa ingaphathwa kakuhle, i-hernia engagqitywanga inokugqibela ngokukrwatshaza amathumbu, oko kuthetha ukuba kukho igazi elincinci elinomoya-mpilo ofikelela kwinxalenye ebanjiweyo. Xa oku kusenzeka, imeko enzulu yokufa kwezicubu zamathumbu inokukhula.

Ukongeza, nokuba i-hernia incinci ngobukhulu, ngokuhamba kwexesha, kunokwenzeka ukuba iyonyuka ngobukhulu, isiba mandundu kweempawu kunye nokwenza unyango lube nzima ngakumbi.