Yintoni i-hernia eyingozi?

Umxholo

• Yintoni i-hernia eyingozi?
• Ziintoni iimpawu?
• Ibangelwa yintoni?
• Ngubani ofumana i-herastas parastomal hernias?
• Ilungiswa njani?
• Ngaba zikhona iingxaki?
• Ukuhlala ne-hernia eyingozi

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Yintoni i-hernia eyingozi?

I-parastomal hernias yenzeka xa inxenye yamathumbu akho inamathela kwi-stoma. I-stoma luvulo olwenziwe ngasesuswini, amathumbu amancinci, okanye ikholoni ekuvumela ukuba udlulise inkunkuma uyifake engxoweni. Ngamanye amaxesha kuye kufuneke xa abaguli beneengxaki zesisu ezibathintelayo ukuba bangabinazintsholongwane ziqhelekileyo.

Ukuya kuthi ga kwiipesenti ezingama-78 zabantu baphuhlise i-herastas parastomal hernia emva kotyando ukwenza i-stoma, ihlala ingaphakathi kweminyaka emibini yotyando.

Ziintoni iimpawu?

I-parastomal hernias ihlala ikhula kwaye ikhula kancinci. Njengoko ikhula, ungaqaphela:

• iintlungu okanye ukungonwabi malunga ne-stoma yakho
• ingxaki yokugcina isixhobo sakho se-stoma sisendaweni
• Ukujikeleza istoma sakho, ngakumbi xa ukhohlela

Ibangelwa yintoni?

Ukuba ne-stoma ngamanye amaxesha kunciphisa izihlunu zakho zesisu, kubangele ukuba bashiye i-stoma. Le nkqubo inokukhokelela kwi-hernia ye-parastomal. Zininzi ezinye izinto ezinokuthi zibe negalelo kuphuhliso lwe-hernia parastomal, kubandakanya:

• ukungondleki
• ukutshaya
• ukukhwehlela okungapheliyo
• ukuqhina okungapheliyo
• Ukusetyenziswa kwecorticosteroid
• usulelo emva kotyando lwe-stoma
• ukutyeba kakhulu

Ngubani ofumana i-herastas parastomal hernias?

Abanye abantu banomngcipheko ophezulu wokuphuhlisa i-hernia parastomal. Izinto ezinobungozi eziqhelekileyo zibandakanya:

• ubudala
• ukutyeba kakhulu, ngakumbi ukuba uthwala ubunzima esinqeni sakho, esiswini, okanye kwindawo yenyonga
• umhlaza
• isifo seswekile
• igazi elonyukayo
• izifo zokuphefumla

Umngcipheko wakho nawo uyonyuka ukuba ubukhe wanodonga lwesisu esibuhlungu.

Ilungiswa njani?

Kwiimeko ezininzi, i-parastomal hernias iyanyangeka ngokutshintsha indlela ophila ngayo, njengokunciphisa umzimba okanye ukuyeka ukutshaya. Ukunxiba ibhanti lenkxaso esiswini, njengale, kunokunceda ekuthomalaliseni iimpawu.

Nangona kunjalo, malunga neparastomal hernias zinzima ngokwaneleyo ukuba zifuna ukulungiswa kotyando.

Kukho iindlela ezininzi zokulungiswa kotyando lwe-hernia parastomal, kubandakanya:

• Ukuvala i-stoma. Le yeyona ndlela ilungileyo yokulungisa i-hernia parastomal. Kukhetho kuphela kwiqela elincinci labantu abanesifo esaneleyo sempilo eshiyekileyo sokuphinda babambe isiphelo esenza i-stoma.
• Ukulungisa i-hernia. Kolu hlobo lotyando, ugqirha wotyando uvula udonga lwesisu ngaphezulu kwe-hernia kwaye athunge izihlunu kunye nezinye izicwili kunye ukunciphisa okanye ukuvala i-hernia. Olu tyando luphumelela kakhulu xa i-hernia incinci.
• Ukuhambisa i-stoma. Ngamanye amaxesha, i-stoma ene-parastomal hernia inokuvalwa kwaye kuvulwe i-stoma entsha kwenye indawo yesisu. Nangona kunjalo, i-hernia entsha ye-parastomal inokubumba ijikeleze i-stoma entsha.
• Unxweme. Ukufakwa kwe-Mesh kungoku lolona hlobo luqhelekileyo lokulungiswa kwe-hernia yokulungisa. Nokuba yeyiphi eyenziweyo okanye ye-biological mesh enokusetyenziswa. Umnatha webhayoloji uhlala uthathelwa ingqalelo ukhululekile, kodwa kubiza kakhulu. Kule hlobo lokulungiswa, i-hernia iyalungiswa kusetyenziswa ubuchule obufanayo nakwezinye iirandi. Emva koko, umnatha ubekwa nokuba kungaphezulu kwe-stoma elungisiweyo okanye ngaphantsi kodonga lwesisu. Ekugqibeleni, umnatha ubandakanya izicubu ezijikelezileyo. Oku kudala indawo eyomeleleyo esiswini kwaye kunceda ukuthintela i-hernia ekubeni iphinde yakheke.

Ngaba zikhona iingxaki?

Kwezinye iimeko ezinqabileyo, amathumbu anokubanjiswa okanye agqwethe kwi-hernia. Oku kuthintela amathumbu kwaye kunokukhokelela ekuphulukaneni nokunikezelwa kwegazi. Oku kwaziwa njengokuqhawuka, imeko ebuhlungu kakhulu. Ukukrwitshwa kufuna uqhaqho olungxamisekileyo ukukhupha amathumbu kunye nokubuyisela ukuhanjiswa kwegazi, ukuze indawo ethintelweyo yamathumbu ingonakali kwaphela.

Ukuhlala ne-hernia eyingozi

I-parastomal hernias yingxaki eqhelekileyo yee-colostomies kunye neileostomies. Kwiimeko ezininzi, zi-asymptomatic okanye zibangela ukungonwabi okuncinci kwaye zinokulawulwa ngokukuko ngokutshintsha kwendlela yokuphila. Kwiimeko apho utyando luyimfuneko, ukulungiswa kwe-hernia ngenkxaso ye-mesh lolona nyango lusebenzayo.