Inguinal hernia: iimpawu, lunjani utyando kunye nokuchacha

Umxholo

• Iimpawu eziphambili
• Ukwazi njani ukuba i-hernia ivalelwe
• Utyando lwe-Inguinal Hernia
• Unjani uchacha
• Indlela yokuqinisekisa ukuxilongwa
• Yintoni ebangela hernia inguinal
• Iingxaki ezinokwenzeka
• Ungakuthintela njani ukubonakala kwehernia

I-hernia ye-Inguinal sisiqhuma esivela kummandla we-groin, esixhaphakileyo emadodeni, esihlala sidalwa yinxalenye yamathumbu ephuma kwindawo ebuthathaka kwimisipha yesisu.

Kukho iintlobo ezimbini eziphambili ze-hernia enguinal:

• Ingqungquthela ye-inguinal ngqo: ixhaphake kakhulu kubantu abadala nakubantu abadala, eyenzeka emva kokwenza iinzame ezonyusa uxinzelelo esiswini, njengokuchola izinto ezinzima;
• Ingqumbo ye-inguinal engathanga ngqo: ixhaphake kakhulu kwiintsana nasebantwaneni, kuba iyenzeka ngenxa yengxaki yokuzalwa evumela ukuba isiqwenga samathumbu singene kummandla we-groin nkqu nakwisirhashalala.

Kuzo zombini ezi meko, unyango lwenziwa ngotyando, ukubuyisela amathumbu kwindawo efanelekileyo kunye nokomeleza izihlunu zesisu, ukuze zingaphindi zenzeke.

Iimpawu eziphambili

Ezona mpawu zixhaphakileyo ze-inguinal hernia zezi:

• Isigaxa okanye ukudumba kwindawo ye-groin;
• Intlungu yentlungu okanye ukungonwabi xa umile, ugobile okanye uphakamisa ubunzima;
• Ukuziva ubunzima kwi-groin.

Kwiintsana, i-hernia kunokuba nzima ngakumbi ukuyichonga kuba akunakubakho protrusion kwi-groin xa utshintsha i-diaper. Nangona kunjalo, enye indlela yokuvavanya ubukho be-hernia kukujonga ukubila ngexesha umntwana elila okanye ngexesha lokuhamba kwamathumbu okanye ukukhwehlela, njengoko uxinzelelo olubangelwa yile mizamo lwenza ukuba i-hernia ibonakale ngakumbi.

Emadodeni, ukongeza kwiimpawu zakudala ze-hernia, kunokubakho nentlungu ebukhali ephuma kumasende.

Phantse kuzo zonke iimeko ze-hernia, ugqirha unokutyhala amathumbu kwisisu, ukhulule iimpawu, kodwa utyando lusoloko luyimfuneko ukulungisa ingxaki. Xa i-hernia ingabuyeli embindini wesisu, kukho umngcipheko omkhulu wokuvalelwa, apho amathumbu abanjwe khona kunye nokufa kwethishu kunokwenzeka.

Ukwazi njani ukuba i-hernia ivalelwe

Ukuze wazi ukuba isisu sakho sinamathele, kubalulekile ukuba wazi iimpawu ezinje:

• Intlungu ebuhlungu kakhulu kwi-hernia;
• Ukuphalaza;
• Ukuhamba kwesisu;
• Ukungabikho kwelindle;
• Ukudumba kommandla we-inguinal.

Olu hlobo lokuxakeka luhlala rhoqo kwiintsana, njengoko i-hernia ihlala kunzima ukuyichaza kwaye, ke, njengoko unyango lungaqalwa ngexesha, i-hernia iba mandundu ngokuhamba kwexesha. Ngoko ke, kucetyiswa ukuba xa kukho ukukrokra kwe-hernia emntwaneni, qhagamshelana nodokotela wezilwanyana ngokukhawuleza.

Utyando lwe-Inguinal Hernia

Utyando lwe-inguinal hernia, ekwabizwa ngokuba yi-inguinal hernioplasty, lolona hlobo lonyango lonyango, luboniswa ngakumbi xa lubonisa iimpawu. Utyando lwenziwa phantsi kwe-anesthesia yomqolo kwaye luhlala malunga neeyure ezi-2.

Olu hlobo lotyando lunokwenziwa ngendlela yeklasikhi, apho kunqunyulwa khona kwingingqi ye-hernia ukubeka amathumbu endaweni, okanye nge-laparoscopy, apho kusetyenziswa kuphela ukusikeka okuncinci oku-3, kwaye kunokubekwa umnatha wokwenziwa okanye hayi, enceda ukomeleza izihlunu zommandla kunye nokuthintela ukwenziwa kwe-hernia entsha. Nangona kunjalo, uhlobo lotyando luxhomekeke kuhlobo luni lwe-hernia kunye nemeko yezempilo yesigulana.

Unjani uchacha

Ukubuyisela kwimeko yesiqhelo kuyakhawuleza, kodwa njengoko i-hernioplasty iphantse yenziwa ngendlela yeklasikhi, kuhlala kufanelekile ukuba uhlale iintsuku ezi-1 ukuya kwezi-2, ukuqinisekisa ukuba iimpawu ezibalulekileyo zizinzile kwaye nosulelo aluveli.

Ke, xa ubuyela ekhaya kubalulekile ukukhathalela, ngakumbi kwiiveki ezimbini zokuqala, ezinje:

• Kuphephe ukugoba umboko ude uphole ngokupheleleyo;
• Musa ukubamba ngaphezulu kwe-2 kg ubunzima;
• Musa ukulala ngesisu sakho;
• Yandisa ukusetyenziswa kokutya okutyebileyo kwifayibha, ukunqanda ukuqhina kunye neenzame zokuzikhupha.

Ukongeza, kukwacetyiswa ukuba kwinyanga yokuqala kufuneka uphephe ukwenza iinzame kwaye uhlale ixesha elide, ke ukuqhuba akukhuthazwa.

Indlela yokuqinisekisa ukuxilongwa

Ukuxilongwa kwe-hernia kuhlala kwenziwa ngugqirha kuphela ngokujonga indawo. Kolu vavanyo lomzimba, kuqhelekile ukuba ugqirha akucele ukuba ukhohlele okanye unyanzele isisu sakho, ukuba uchonge ukuba i-hernia iyaphuma ngakumbi, inceda ukuyibona.

Nangona kunjalo, kwezinye iimeko, kunokuba yimfuneko ukwenza ezinye iimvavanyo zokuqonda isifo, ezinje nge-ultrasound, ukuqinisekisa.

Yintoni ebangela hernia inguinal

IHernia kwingingqi ye-inguinal yenzeka xa udonga lwesisu buthathaka, ivumela amathumbu ukuba abeke uxinzelelo kwimisipha kwaye aphele ephuma phantsi kolusu. Ngesi sizathu, i-hernia inokwenzeka kuphela xa kukho ukubuthathaka kwezihlunu esiswini, esixhaphake kakhulu kubantu abane:

• Ukwanda koxinzelelo lwesisu, ngenxa yokukhwehlela okungapheliyo okanye ukuqhina;
• Iziphene lokuzalwa kummandla esiswini, kwimeko abantwana;
• Abantu abanokutyeba kakhulu kunye noxinzelelo lwegazi
• Abatshayayo.

Ukongeza, i-hernia ikwenzeka rhoqo ebantwaneni okanye kubantu abadala, ngenxa yokuqina kwodonga lwesisu.

Iingxaki ezinokwenzeka

Eyona ngxaki iphambili ye-hernia yenzeka xa ithumbu linamathela kakhulu eludongeni lwesisu, ekugqibeleni lilahlekelwe ligazi. Xa oku kusenzeka, izicwili zamathumbu zingaqala ukufa, zibangele iintlungu eziqatha, ukugabha, isicaphucaphu kunye nobunzima bokuhamba.

Ezi meko zihlala zivela kwi-hernia enganyangekiyo kwaye kufuneka ziphathwe ngokukhawuleza esibhedlele ukuthintela ukubhubha okupheleleyo kwezicubu. Ukuba oku kuyenzeka, kungafuneka kwenziwe utyando ukuze kususwe inxalenye yamathumbu.

Ukongeza, njengesiphumo se-hernia enguinal, kunokubakho ukukhula kwe-hernia eyomeleleyo, apho i-hernia ifikelela kwisingxobo samatyhalarha, esisicwili esijikeleze kwaye sikhusele ityhalarha. Ke, ukongeza ukukrwitshwa kwamathumbu, kusenokubakho utshintsho kwimveliso nasekugcinweni kwesidoda, okukhokelela kukuzala. Bona ngakumbi malunga ne-hernia eyothusayo.

Ungakuthintela njani ukubonakala kwehernia

Akusoloko kunokwenzeka ukuthintela i-hernia ekubonakaleni, nangona kunjalo, kukho amanyathelo athile anokunciphisa umngcipheko, njenge:

• Ukuzilolonga rhoqo, ubuncinci ama-3 ngeveki, ukugcina izihlunu zomelele;
• Yitya ukutya okunotye imifuno kunye nezinye ifayibha, ukunciphisa amathuba okuqunjelwa okwandisa uxinzelelo lwesisu;
• Kunqande ukuqokelela izinto ezinzima kakhulu, ngakumbi ngaphandle koncedo.

Ukongeza, ukuyeka ukutshaya kunye nokugcina ubunzima bomzimba obulungileyo kukwanceda ukunciphisa uxinzelelo kwingingqi yesisu, ukunciphisa amathuba e-hernia. Nantsi indlela yokubala ubunzima bakho obufanelekileyo.