IHernia

Iyini i-Hernia?

I-hernia yisimo lapho isitho sangaphakathi siphumela ngaphandle ngembobo eyenziwe ngephuzu elithambile emisipha yakho.

Siyini Isifo Se-Hernia?

I-Hernia iphumela ngaphandle komsipha noma izicubu odongeni olubuthaka lwe-cavity (isb: isisu noma i-pelvic floor) ukusuka endaweni yayo yasekuqaleni. Ngokuvamile, i-hernia ibonakala njengeqhubu eliphuma emgodini. Kungenzeka ezindaweni eziningi zomzimba. Izindawo ezivame kakhulu lapho i-hernia ibhekwa khona yisisu kanye isinqe, ubuhlalu, amathanga angaphezulu kanye nenkaba (indawo yenkinobho yesisu).

I-hernia yesisu kanye ne-inguinal yizona ezivame kakhulu. Amadoda ahlushwa yi-inguinal hernias kaningi kunabesifazane.

Yiziphi Izinhlobo Ze-Hernia?

I-Hernia ingaba yizinhlobo eziningi. Kodwa ezinye zezinhlobo ezivame kakhulu ze-hernia yilezi ezilandelayo:

I-Inguinal Hernia

Iwuhlobo oluvame kakhulu lwe-hernia. Ngokwezifundo zasentshonalanga, i-inguinal hernias yakha ama-75% azo zonke izimo ze-hernia. Kulesi simo, ingxenye yamathumbu iphumela odongeni lwesisu olubuthakathaka futhi ibonakala endaweni ye-groin noma i-inguinal. Lolu hlobo lwe-hernia lubangelwa imisipha ebuthaka ngenxa yokuguga, ukuvivinya umzimba okukhandlayo kanye nokukhwehlela okuphindaphindiwe. Ubuthakathaka besisu obuholela ku-hernia nakho kungaba umphumela wokulimala noma ukuhlinzwa kwesisu Lokhu kuyizinhlobo ezi-2:

• I-Inguinal Hernia eqondile
• I-Indirect Inguinal Hernia

I-Hiatal Hernia

Lokhu kwenzeka lapho ingxenye engenhla yesisu ishelela embotsheni ye-diaphragm (hiatus) lapho isophagus uyadlula. Ukwandisa ukucindezela kwemisipha ezungeze isisu kuholela ekuphusheni kwesisu ngokusebenzisa i-diaphragm.

I-Umbilical Hernia

I-hernia eyi-umbilical kwenzeka lapho ingxenye yamathumbu amancane iphumela enkabeni futhi ibonakala njengeqhubu enkabeni. Kuvame kakhulu ezinganeni ezisanda kuzalwa kanye nakwabesifazane abakhulelwe abaningi.

I-Femoral Hernia

Lawa ma-hernia awavamile futhi avela engxenyeni engenhla yethanga. Ingxenye yamathumbu ingena endaweni ebizwa ngokuthi i-femoral canal futhi ibonakala phezulu kwethanga. Ivame ukubonakala ku obese or abesifazane abakhulelwe ngenxa yesakhiwo se-pelvic esibanzi.

I-Obturator Hernia

Lolu uhlobo oluncane oluvamile lwe-hernias lwe-pelvic floor futhi ngokuvamile aluvezi ngaphandle njengeqhubu. Kubonakala kwabesifazane abanokulahlekelwa okukhulu kwesisindo nokukhulelwa okuningi.

Ezinye izinhlobo:

• I-Spigelian Hernia: Kwenzeka lapho amathumbu amancane ephumela ezingxenyeni zodonga lwesisu. Yaziwa nangokuthi i-lateral ventral hernia.
• I-Diastasis Recti: Kwenzeka lapho imisipha yesisu ihlukana futhi izitho zangaphakathi ziphumela phakathi kwazo.
• I-Hernia ye-Incisional: Ngokuvamile kwenzeka njengenkinga yokuhlinzwa kwesisu futhi kwenzeka endaweni lapho kuhlinzwa khona.
• I-Diphragmatic Hernia: Uma ingxenye yamathumbu noma ezinye izitho ezisesigabeni sesisu ziphumela ezimbotsheni ze-diaphragm, khona-ke ibizwa ngokuthi i-diaphragmatic hernia. Lokhu kungaba ukuzalwa noma umphumela wokulimala.

I-hernias eminingi ikhula ngemuva ukuzalwa. Lezi zibizwa ngokuthi ama-hernia atholakele. Kodwa amanye ama-hernia akhona izingane ezisanda kuzalwa futhi zibhekwa ngaphambi noma ngaphambi kokuzalwa. Lezi hernia zibizwa ngokuthi i-congenital hernia.

Kuye ngokuthi isuka kuphi izinhlobo ezahlukene ze-hernia zichazwe.

Izinkinga ze-Hernia

Ezimweni eziningi, i-hernia ayinaso isizathu esicacile sokwenzeka. Ngaphandle kwalezo zimo lapho i-hernia yakheka njengomphumela oyinkimbinkimbi wokuhlinzwa kwesisu, umuntu akakwazi ukusho ngokuqinisekile ukuthi kungani kwenzeka. Kubangelwa inhlanganisela yokwanda kwengcindezi ye-intra-abdominal kanye nomphumela wokuba buthakathaka kwemisipha noma i-fascia. Ngezinye izikhathi, lobu buthakathaka bemisipha bukhona ekuzalweni - okuyimbangela yokuzalwa. Kungase futhi kwenzeke kamuva ekuphileni ngenxa yemisebenzi noma izimo zezokwelapha ezibeka ingcindezi odongeni lwesisu. Lokhu kubandakanya:

• Ukukhwehlela okungapheli noma ukuthimula
• Kubi umsoco
• Uhudo or ukuqunjelwa
• Ukubhema
• I-cystic fibrosis
• Ukukhuluphala
• Ama-ascites okungukuthi iqoqo elingavamile loketshezi lwesisu.
• Ukuphakamisa izinto ezinzima
• I-prostate gland ekhulisiwe
• I-Peritoneal dialysis
• Ukuzikhandla ngokomzimba
• Kwenzeka njalo oluhlanzayo
• ukukhulelwa
• Ukuhlinzwa kwesisu
• Ukuzalwa ngaphambi kwesikhathi nesisindo esiphansi ngesikhathi sokuzalwa
• Ukulimala okubangela imivimbo ebukhali esiswini
• Izifo zamaphaphu lokho kubangela ukukhwehlela okuphindaphindiwe
• Ukuhluleka kokuvalwa kahle kodonga lwesisu kumntwana ngesikhathi sokukhula kwawo esibelethweni
• Ukuzikhandla ngokweqile ngesikhathi sokuchama nokuqunjelwa
• Umdlavuza wesinye
• Akulungile indlela yekuma

Izimbangela ze-hernia zihlukile ngezinhlobo ezahlukene. Ngayinye yezinhlobo ezithile ze-hernia ingaba nembangela ethile.

Izimbangela ze-Inguinal Hernia

Izimbangela ze-hernia inguinal zihlanganisa:

• Ukwandisa umsebenzi womzimba
• ukukhulelwa
• Ukukhwehlela okungapheli kanye abandayo
• Indawo ebuthakathaka ekhona ngaphambili odongeni lwesisu
• Ukuzikhandla ngesikhathi sokuphuma kwamathumbu kanye nokuchama

Izimbangela ze-Femoral Hernia

Nakuba imbangela yangempela ye-femoral hernia ingakaziwa, ingase ivele ngenxa yokuba buthakathaka komsele wesifazane. I-femoral canal iyisakhiwo esifana neshubhu engxenyeni engaphambili yethanga futhi iqukethe ama-lymph nodes kanye nezicubu ezixhunyiwe. Iba buthaka ngenxa yezizathu eziningana -

• Ukuqotshwa okungapheliyo
• Ukuphakamisa izinsimbi ezinzima
• ukhuluphele
• Ukukhwehlela okungapheli
• Zokubeletha
• Ukuchama kanzima

Izimbangela ze-Obturator Hernia

Inqubo yokuguga yemvelo ingaba esinye sezimbangela ezinkulu ze-obturator hernia. Njengoba inqubo yokuguga iphumela ekuxegisweni kwezicubu zemisipha kanye nezicubu ezinamafutha, amathumbu nokuqukethwe kwesisu kungadlula ku-pelvis kuya ethangeni ngokusebenzisa umsele we-obturator.

Abesifazane banamathuba amaningi okuthuthukisa i-obturator hernia uma beqhathaniswa nabesilisa. Kwabesifazane, labo asebebelethe izikhathi eziningi basengozini enkulu. Ezinye izimbangela ze-obturator hernia zihlanganisa ukulahlekelwa kwezicubu zomzimba, ukulahlekelwa isisindo kungazelelwe, nokungondleki.

Izimbangela ze-Umbilical Hernia

Izingane

Lolu hlobo lwe-hernia luvame kakhulu ezinganeni kodwa aluvamile ukwenzeka nakubantu abadala. Izingane ezizalwa ngaphambi kwesikhathi noma ezinesisindo esiphansi zisengozini yalolu hlobo lwe-hernia.

Abantu abadala

Kubantu abadala, i-umbilical hernia ingabangelwa ukucindezela okungazelelwe engxenyeni ebuthakathaka yemisipha yesisu. Izimbangela zale hernia kubantu abadala zihlanganisa:

• ukhuluphele
• Ukukhulelwa njalo
• Uketshezi oluningi lwesisu
• Ukuhlinzwa kwesisu
• Ukukhwehlela okungapheli
• Ukukhulelwa okuningi (amawele, amawele amathathu, njll.)

Izimbangela ze-Hiatal Hernia

Izifo ze-hiatal hernia zenzeka ngenxa yokulimala noma ukulimala okwenza buthaka izicubu zemisipha. . Izinto ezibangela umfutho onjalo omkhulu zihlanganisa:

• Ukushaya
• Ukuvota
• Ukuphakamisa izinsimbi ezinzima
• Ukucindezela ngesikhathi sokunyakaza kwamathumbu
• Kwezinye izimo, abantu bazalwa bene-hiatus enkulu eyenza isisu sihambe kalula.

Izimpawu

Uphawu oluvame kakhulu lweHernia yiqhubu elibuhlungu noma iqhubu engxenyeni ethintekile yomzimba. Ngokuvamile, ingaphindiselwa emuva esiswini. Ezimweni ezimbi kakhulu, iqhubu liyaqina futhi alikwazi ukuphindiselwa emuva. Ezinye izimpawu ezivamile zihlanganisa:

• Ubuhlungu noma ukungakhululeki ngokuvamile ngaphansi kwesisu - ikakhulukazi lapho uphakamisa, ukhwehlela, uthimula noma ugoba.
• Umuzwa osindayo noma uhlobo lokucindezela esiswini
• Umuzwa ovuthayo noma obuhlungu endaweni yeqhubu
• I-reflux ye-Acid lokho kuwukuzwa ukushisa okubangwa lapho i-asidi yesisu ibuyela emgomeni
• Ubuhlungu esifubeni
• Kunzima ukugwinya
• Isigaxa esibonakalayo endaweni ethintekile yomzimba wakho 
• Ukucasuka okuthile noma ubuhlungu endaweni ethintekile

Iziguli ezine-Hernias zingase zibe nezimpawu noma zingabonakali. Izimpawu ze-hernia zihlobene nobukhulu bayo, indawo, kanye nokuba khona kwezinkinga. Ezigulini ezingenazimpawu, iziguli zitholwa ngesikhathi sokuhlolwa okujwayelekile kwezokwelapha noma ngokomzimba ukuze kutholakale uphawu olungabalulekile noma olungahlobene noma inkinga.

Uhlobo ngalunye lwe-hernia lungabonakala ngeqoqo lezimpawu ezihlukahlukene, ngaphandle kwezimpawu ezivamile. Ezinye izimpawu ze-hernia ezisekelwe kuhlobo lwazo zimi kanje:

Izimpawu ze-Inguinal Hernia

Izimpawu ezivamile ezibonisa i-hernia inguinal zihlanganisa:

• Iqhubu nhlangothi zombili ze-pubic bone
• Ubuhlungu noma ukungakhululeki ku-groin
• Ubunzima emabeleni
• Ubuthakathaka emabeleni
• Ubuhlungu nokuvuvukala nxazonke amasende

Izimpawu ze-Femoral Hernia

Endabeni ye-hernia yabesifazane, iningi lama-hernias amancane alinakwa. Ama-hernias amakhulu kuphela angabonakala futhi angabangela ukungakhululeki. Kungase kube neqhubu endaweni ye-groin, eduze kwethanga elingaphezulu. Iqhubu lingase libonakale futhi libe libi nakakhulu lapho usukuma, uphakamisa izinsimbi ezisindayo noma ungaphansi kokucindezeleka kwanoma yiluphi olunye uhlobo. Ubuhlungu be-hip kungase kube uphawu olukhulu lwe-hernia yesifazane njengoba lawa ma-hernia aseduze kakhulu nethambo le-hip.

Ezimweni ezimbi kakhulu, i-femoral hernia ingaholela ekuvinjweni kwamathumbu futhi ibeke ukuphila komuntu engozini. Izimpawu ezikhombisa ukuklinywa noma ukuvinjwa kwamathumbu zihlanganisa:

• Ubuhlungu besisu obukhulu
• Ubuhlungu obuzumayo ku-groin
• I-nausea
• Ukuvota

Le hernia ingase iphazamise ukugeleza kwegazi emathunjini. Ngakho ukwelashwa okuphuthumayo kuyadingeka. Uma ibambezeleka, isimo singase sibulale.

Izimpawu ze-Obturator Hernia

Ukuvaleka kwamathumbu kuwuphawu olukhulu olubonisa i-obturator hernia. Kwezinye izimo, ukuvinjelwa kwamathumbu kuvela ngaphambi kokuba kutholakale i-hernia. Ukuqonda izimpawu zokuvaleka kwamathumbu kusiza umuntu ukuba abone i-obturator hernia. Ezinye izimpawu zokuvinjelwa kwamathumbu ngesikhathi se-hernia zihlanganisa:

• Ukuqhakaza esiswini
• Ubuhlungu
• ukuqunjelwa
• I-nausea
• Ukuvota
• Ubuhlungu obuphakathi kwethanga, obubizwa ngenye indlela njengophawu lwe-Howship-Romberg, kuwuphawu oluhlobene nalolu hlobo lwe-hernia.

Izimpawu ze-Umbilical Hernia

Ezinganeni, i-umbilical hernias ibonakala lapho zikhala, zihleka noma zizicindezela ngenkathi zichama. Ngokuma okukhululekile, le hernia ayibonakali. Izimpawu ezivamile ze-umbilical hernia ezinganeni zihlanganisa:

• Iqhubu eduze nendawo yenkaba
• Ubuhlungu
• Ukuhlanza kungazelelwe
• Kubantu abadala, izimpawu ze-umbilical hernia zihlanganisa:
• Iqhubu eduze nendawo yenkaba
• Ubuhlungu obukhulu nokungaphatheki kahle

Izimpawu ze-Hiatal Hernia

I-hernia enkulu yokuzala ibonisa izimpawu kodwa ezincane azinazo izimpawu noma izimpawu. Ezinye izimpawu ze-hernia enkulu yokuzala zihlanganisa:

• I-reflux ye-Acid
• isilungulela
• Ukuphindwaphindwa kokudla noma uketshezi emlonyeni
• Kunzima ukugwinya
• Ubuhlungu besisu
• Ukungakhululeki esifubeni
• Ukuphelelwa umoya
• Ukuphalaza kwegazi
• Indle enombala omnyama

Lawa ma-hernia angabangela ukopha emathunjini, okungaholela ekuhlanzeni igazi nendle emnyama.

Izingozi Zezingozi

I-Hernia ingenzeka kunoma ubani kodwa abantu abathile basengozini kakhulu kuyo kunomphakathi jikelele. Izinto ezibeka abantu engcupheni enkulu ye-hernia zihlanganisa:

• Ubulili - Uma kuqhathaniswa nabesifazane, amadoda anamathuba angu-8 okuthuthukisa i-hernia, ikakhulukazi i-inguinal hernia.
• Ubudala – Nakuba i-hernia ivamile ezinganeni nakubantu abadala, abantu abadala basengozini enkulu yayo njengoba izicubu ziba buthaka ngokuya ngeminyaka.
• Race - Abamhlophe baseMelika basengozini enkulu ye-hernia kunalabo bezinye izinhlanga.
• Umlando womndeni - Uma kwakukhona isihlobo esiseduze esasine-hernia, kungenzeka ukuthi sidlulele kwabanye emndenini.
• Ukubhema – Ukukhwehlela okubangwa ugwayi kungadala i-hernia.
• ukuqunjelwa – Ukuqunjelwa kubangela ukukhandleka ngesikhathi sokukhipha isisu.
• Ukuzalwa Ngaphambi Kwesikhathi – Ukuzalwa ngaphambi kwesikhathi kanye nesisindo somzimba esiphansi kungaholela ekutheni umntwana abe ne-hernia kamuva.
• Ukulungiswa Kwangaphambilini Kwe-Hernia – Umuntu, oke welashelwa i-hernia, usengozini enkulu yokuba nayo futhi.

Izici eziyingozi ze-hernia zihlanganisa izifo nezimo ezingenza buthaka imisipha noma zibangele ukwanda kwengcindezi ngaphakathi kwemigodi yomzimba. Izibonelo zezimo eziholela ekubeni imisipha ibe buthaka zihlanganisa:

• I-COPD (Isifo se-pulmonary esingamahlalakhona)
• ukukhulelwa
• Isifo se-Collagen vascular
• I-Peritoneal dialysis
• Ukuhlinzwa kwangaphambili okuvuliwe kwesisu kwe isithasiselo
• Ukukhuluphala
• Ukubhema

Ingabe zikhona Izinkinga?

Kwesinye isikhathi uma i-hernia inganakwa futhi ishiywe isikhathi eside ingelashwa, ingabangela izinkinga ezinkulu. I-hernia emzimbeni wakho ingakhula futhi ibangele izinkinga ngokufaka ubunzima ezicutshini eziseduze okuholela ebuhlungu obukhulu nokuvuvukala kulezo zicubu. Njengomphumela we-hernia, ngezinye izikhathi amathumbu akho angavaleleka odongeni lwesisu sakho okungabangela ubuhlungu obukhulu, ukuvuvukala, isicanucanu, ukuhlanza nokuqunjelwa.

Sifo

Ama-hernia amaningi afana ne-inguinal noma incisional hernias atholakala lapho udokotela ehlola umzimba. Ngezinye izikhathi i-hernias ibonakala uma umile noma ingazwakala lapho isiguli sibekezela phansi. Udokotela angase acele isiguli ukuthi sicindezele noma sikhwehlele futhi sizwe ukuvuvukala kwebele noma esiswini.

Udokotela uhlola isiguli esine-inguinal hernia endaweni yokuma. Udokotela uzobheka umfutho wokukhwehlela. Isiguli sicelwa ukuthi sikhwehlele futhi isikhwama singazwakala noma sibhekwe. Ukuhlolwa okufanele kwesisu kanye ne-pelvic kwesiguli kwenziwa kuye ngokuthi indawo yesaka.

• I-X-ray yesisu: Lezi zisetshenziswa uma kusolwa ukuvaleka kwamathumbu.
• I-Herniogram: Lena i-x-ray ekhethekile esiza ekuxilongeni ukuba khona kwe-hernia. Lokhu kuhlola akuvamile ukusetshenziswa njengoba kuhilela umjovo ngenaliti. Kule x-reyi, uketshezi lwe-radio-opaque olusetshenziswa kuma-x ray lujovwa emgodini wesisu womuntu okusolakala ukuthi une-hernia. Uma kunembobo odongeni lwesisu, uketshezi olujovwe luyangena embobeni. Lokhu kungabonakala ku-x-ray. Ezimweni zabantu abanomlando we-hernia empilweni yabo, lokhu kungaba usizo ukuhlonza ukuphinda kwenzeke.
• Ukuskena kwe-Ultrasound: An i-ultrasound yesisu kungase kube ngcono ku-hernia ye-femoral kanye ne-umbilical hernias. Iskena se-ultrasound esenziwe ukuze kuhlonzwe i-hernia siyefana naleso seskena esisetshenziswa kwabesifazane abakhulelwe ukuze kuqondwe ukuphila kahle kombungu. I-ultrasound scan inikeza isithombe esinethunzi, esimnyama nesimhlophe. Imiphumela ye-ultrasound scan incike ku-opharetha. Umsebenzisi onekhono angathola umbiko wokuskena onemininingwane. Ukuzwela kwe- i-ultrasound scan ekutholweni kwe-hernias ku-groin kuthiwa ingaphezu kuka-90% kuyilapho ukucaciswa kuphakathi kuka-82 - 86%.
• I-Endoscopy: Ikhamera encane exhunywe eshubhuni idluliselwa emphinjeni wakho, emphinjeni nasesiswini ukuze ibuke izakhiwo zangaphakathi zomgudu wokugaya ukudla. Lokhu kuwusizo esimweni se-hiatus hernia. Izithombe ze-hernia ezikhona ngaphakathi komzimba zingatholakala kusetshenziswa i-endoscopy.
• I-Barium enema: Uchungechunge lwezithombe ze-X-ray zomgudu wakho wokugaya esiswini zithathwa futhi zirekhodwe ngemva kokuphuza isixazululo se-barium. Lokhu kusiza ukubona umgudu wamathumbu.
• I-CT Scan kanye ne-MRI: I-CT scan isebenzisa ama-x-ray futhi yakha izithombe eziqhubekayo zengxenye ephambene yendawo eskeniwe. An Ukuskena kwe-MRI isivivinyo sesimanje esiye sabonakala siphumelela kakhulu ekuxilongeni. Lokhu kuhlola kusebenzisa inkambu kazibuthe eqinile ukuze kuxilongwe. Lezi zisetshenziswa ku-diaphragmatic hernias kanye nezinye izimila ezingabambeki noma ezingasoleki. Imininingwane yodonga lwesisu, indawo ye-anatomical ye-hernia sac, okuqukethwe okukhona esakeni, nezinye izinkinga ezihlobene ezifana nokuvinjwa nokuklinywa kungabonakala ngosizo lwalezi zikena. Ukusetshenziswa kwalezi zikena kusebenza kahle kakhulu ekuhlonzeni i-athletic pubalgia noma i-sports hernia engenzeka kunoma ibuphi ubudala.

Ukwelashwa

Inhloso yokulungiswa kwe-hernia ukubeka kabusha ithumbu le-herniated nokuqinisa imisipha ebuthakathaka yodonga lwesisu.

• I-Umbilical hernias ezinganeni ezingaphansi kweminyaka engu-4 ubudala ivamise ukuziphilisa ngokwazo.
• Ukwelashwa kwe-hiatus hernia kudinga izinguquko zendlela yokuphila njengokuncipha komzimba, kanye nemikhuba emihle yokudla. Ukwelashwa okubonakalayo kuhlanganisa nemithi enciphisa ukukhishwa kwe-asidi. Ezimweni ezimbi kakhulu, i-laparoscopic fundoplication ingenziwa
• Ngama-hernias amancane futhi angenakho ukungahambi kahle, odokotela batusa ukulinda. Ezinganeni, odokotela bangase bafake ingcindezi ngesandla ukuze banciphise iqhubu ngaphambi kokucabangela ukwelashwa kokuhlinzwa.
• Ukwelashwa kuyimpoqo ekuhlinzeni i-laparoscopic hernia enkulu futhi ebuhlungu.

Izinhlobo ezahlukene zokwelashwa kwe-hernia:

• Imithi
• Ukuhlinzwa
• Izinguquko zokuphila

Imithi

Imithi iyadingeka ukuze uthole i-hernia. Izidakamizwa ze-OTC kanye nemithi kadokotela iyalelwa ukuze kudambise izimpawu ze-hernia yokuzala. Imithi efana nama-antacid, ama-H2 receptor blockers, nama-proton pump inhibitors ngokuvamile anqunyelwe ukwelashwa.

Ukuhlinzwa

Ukuhlinzwa kuyindlela eyinhloko ezimweni eziningi ukukhulula ukungakhululeki nokuvimbela izinkinga ezinkulu.

Izinhlobo Ezimbili Zokuhlinzwa Ezinkulu Zokwelapha I-Hernia:

• Vula ukulungisa i-hernia
• Ukulungiswa kwe-Laparoscopic

Vula Ukulungisa I-Hernia

Ekulungiseni i-hernia evulekile, udokotela ohlinzayo wenza i-incision noma ukusikwa ku-groin futhi aphushe izicubu eziphumayo emuva esiswini. Lokhu kwenziwa ngemva kokufaka isicelo noma ukuphathwa kwe-anesthesia yendawo noma evamile. Ngemva kwalokhu, i-synthetic mesh iqiniswa ngemva kokuba udokotela ohlinzayo ethunga indawo ebuthaka. Lokhu kubizwa nangokuthi i-hernioplasty. Imbobo ivalwa ngemithungo noma ngeglue yokuhlinzwa. Umuntu owake walungisa i-hernia evulekile kwakungathatha amasonto ambalwa ukuze aqale kabusha imisebenzi evamile.

Ukulungisa I-Laparoscopic

Ekulungiseni i-laparoscopic, udokotela ohlinzayo usebenza ngokusikeka kwezimbobo ezincane ezimbalwa esiswini. Igesi isetshenziselwa ukugcwalisa isisu ukuze kubonakale ngokucacile izitho zangaphakathi. I-laparoscope noma ishubhu elincane eliqukethe ikhamera encane ngakolunye uhlangothi lifakwa ngokukodwa kokusikeka. Izitho zangaphakathi zibonakala ngekhamera esibukweni. Udokotela ohlinzayo usebenzisa amanye amanxeba ukulungisa i-hernia ebonakala emzimbeni.

Iziguli ezithola ukulungiswa kwe-laparoscopic zithola ukungakhululeki okuncane kakhulu uma kuqhathaniswa nalezo eziye zahlinzwa obala. Izibazi nazo zincane kakhulu noma zincane. Lezi ziguli zingaqala futhi imisebenzi evamile ngokushesha.

Le nqubo yatholwa iphumelela kubantu abaye baba ne-hernias iphindelela ngemva kokuhlinzwa kwendabuko kwe-hernia. Kubuye kwabonakala kuyisinqumo esihle kulabo abane-hernias ezinhlangothini zombili zomzimba.

Le nqubo kuthiwa inezinkinga ezincane uma yenziwa uchwepheshe onolwazi.

Ukwelashwa okuphumelelayo kwe-hernia ngokuhlinzwa kuncike ezintweni ezithile ezifana nalezi:

• Ubungoti bohlinzayo
• Ubukhulu be-hernia
• Isikhathi sokutakula esilindelwe
• Izindleko zokwelashwa

Izinguquko zokuphila

Izinguquko endleleni yokuphila ngeke zenze i-hernia ihambe kodwa ingadlala indima ephumelelayo ekugcineni isisindo somzimba sisebangeni elilawulwayo. Isisindo somzimba yisona sizathu esiyinhloko se-hernia. Ukushintsha ukudla, ukuvivinya umzimba, ukuyeka ukubhema kungathuthukisa izimpawu ngezinga elikhulu. Ukugwema ukudla okuthile okufana nezinongo nokudla okunzima kungavimbela umuntu ukuba abhekane ne-acid reflux kanye nesilungulela.

Ululama kanjani ku-hernia?

Uzonikezwa izikhombisi-ndlela ngemuva kokuhlinzwa. Ukudla okuhlanzekile nokwamukela indlela yokuphila enempilo kuzosiza ngempela ekululameni. Zama ukugwema ubunzima obuningi endaweni ethintekile. Uma kungenjalo, ingavela kabusha uma inganakekelwa kahle. Ukuphindaphinda kwe-Hernia emzimbeni kuxhunyaniswa nezici ezimbili eziyinhloko eziyingozi, ukubhema kanye nokukhuluphala ngokweqile.

Ingabe kukhona ukuzivocavoca kwe-hernia?

Kunezinto ezimbalwa ongazenza kahle:

• Thuthukisa ukuqina kwakho kwe-cardio-respiratory - Noma ikuphi ukuvivinya umzimba okubangela ukuba uphelelwe umoya futhi kubangele inhliziyo yakho ishaye ngokushesha kuzokusiza ukuba uthuthukise impilo yakho yonke futhi usheshise ukululama kwakho ngemva kokuhlinzwa. Ukugijima, ukugijima okulula noma ukubhukuda yizo zonke izinketho. Kodwa thintana nodokotela wakho kuqala.

• Yenza izitho zakho zibe namandla - Izinguquko ezincane, njengokusukuma esihlalweni ngaphandle kokusebenzisa izingalo zakho noma ukwenza ama-bicep curls ambalwa nge-lightweight (ithini likabhontshisi obhakiwe lisebenza kahle) lizokwenza umehluko omkhulu ekwakheni kabusha amandla.

Ungakwazi yini ukuba ne-hernia ngesikhathi sokukhulelwa?

Uma ulindele ingane futhi usola ukuthi une-hernia, thintana nodokotela ngokushesha. Bazokwazi ukwenza inhlolovo ukuze babone ukuthi ingabe ibeka ubungozi empilweni yakho. Ukulungiswa kwe-hernia nakho kuzohlehliswa kuze kube yilapho umntwana esezelwe. Nokho, uma i-hernia emnene eyenzeka ngaphambi noma ngemva kwayo ukukhulelwa isikhulile noma ibangela ubuhlungu, kungase kunconywe ukwelashwa ukuze kulungiswe. I-hernia eyayilungiswe ngaphambilini ingaphinde ivele ngesikhathi sokukhulelwa okulandelayo. Lokhu kungenxa yokuthi ukukhulelwa kubangela ubunzima ezicutshini zemisipha yesisu ezilinyazwe ukuhlinzwa.

Prevention

I-Hernia ibangelwa ubuthakathaka bemisipha, obungenakuvinjelwa njalo. Imisebenzi ethile ebangela ukwanda kwengcindezi emzimbeni ingagwenywa ukuze kuvinjwe i-hernia futhi kugwenywe ukuvusa i-hernia esivele ikhona. Amanye amathiphu asiza ekuvimbeleni okunjalo ahlanganisa:

• Ukwelapha ukukhwehlela okuvamile ngaphambi kokuba kubi nakakhulu – Ukukhwehlela okungapheli kungenza i-hernia ibe yimbi kakhulu. Ngakho-ke kubalulekile ukwelapha ukukhwehlela kusaqala ngaphambi kokuba kubangele i-hernia.
• Ukugcina isisindo somzimba esinempilo – Ukukhuluphala ngokweqile kwandisa umfutho wesisu. Lokhu kwandisa ingozi yokuthuthukisa i-hernia inguinal. Ukudla nokuzivocavoca kungasetshenziswa ukugcina isisindo esinempilo.
• Ukugwema ukuvivinya umzimba okukhandlayo - ukwanda okungazelelwe kokusebenza ngokomzimba kungabangela i-hernia ngakho-ke kufanele kugwenywe.
• Ukugwema ukwehla kwesisindo esisheshayo - Ukudla okunciphisa umzimba okuntula amaprotheni kungaholela ku-hernia. Lokhu kungenxa yokuthi ukudla okungenamaprotheni abalulekile kungenza buthaka imisipha yesisu. Imisipha ebuthaka iyimbangela ye-hernia.
• Ukusebenzisa izakhi zomzimba ezinhle - ukugoba emadolweni esikhundleni sangemuva ngenkathi uphakamisa izinsimbi kuzonciphisa umphumela wesisu.
• Ukugwema izinsimbi ezinzima - ukuphakamisa izinsimbi ezicindezela umzimba kungase kubangele ukwanda kwengcindezi esiswini.
• Gwema ukubhema – Ukubhema kubangela ukukhwehlela okungapheliyo, okubangela i-hernia. Ukugwema ukubhema kunciphisa ingozi ye-hernia.
• Yelapha ukuqunjelwa – Noma ikuphi ukukhandleka ngesikhathi sokukhipha amathumbu noma ukuchama kufanele kugwenywe njengoba kubangela ukwanda komfutho wesisu, okungase kubangele i-hernia.

Isiphetho

Ngakho-ke, njengoba usuwazi konke nge-hernia, ungasihlola kangcono isimo se-hernia uma ubhekene nayo. Kubaluleke kakhulu ukuthi usheshe uhlolwe udokotela wakho ngisho noma ungakubangeli buhlungu futhi ungaphatheki kahle. Futhi izinyathelo zangemuva kokuhlinzwa zibaluleke nakakhulu okufanele zilandelwe ukuze kuvinjelwe i-hernia ukuthi iphinde ivele.

Imibuzo Evame Ukubuzwa

Yiziphi izimpawu ze-hernia?

I-Hernia ingavela njengokuvuvukala endaweni lapho iqala khona. Amanye ama-hernia afihliwe futhi angabangela izimpawu ezifana nobuhlungu kanye ukuvinjelwa kwamathumbu.

Ingabe i-hernia iyingozi uma ingelashwa?

Yebo, uma ingelashwa ngesikhathi, i-hernia ingaholela ezinkingeni ezifana nokuvinjwa nokuklinywa (imithambo yegazi ehambisa igazi esithweni iyavaleka) isigebengu nokufa.

Ingabe ukuhlinzwa kwe-hernia kubuhlungu?

Bayi-10-13% kuphela abantu abazwa ubuhlungu ngemva kokuhlinzwa kwe-hernia. Uma ubuhlungu buphikelela, i-neuropathy kanye ne-ischemia kufanele kukhishwe.

Kuzothatha isikhathi esingakanani ukululama ekuhlinzweni kwe-hernia?

Ukululama ekuhlinzweni kwe-hernia ngokuvamile kuthatha isonto elilodwa kuya kwamabili. Gwema ukuphakamisa izinsimbi ezisindayo kanye nokuzivocavoca okukhandlayo ngemva kokuhlinzwa.