Yu tink se wan lump dɔn kɔmɔt na di say we dɛn du di ɔpreshɔn? I kin bi wan incisional hernia!

Yu mɛmba se dɛn bin dɔn du ɔpreshɔn pan yu bɛlɛ, dat min se afta dɛn dɔn du yu ɔpreshɔn, sɔntɛnde yu dɔn notis se di skata na di wund tan lɛk smɔl smɔl tin we de kam ɔp? Ɔ dis dɔn apin to pɔsin we yu sabi? Bɔrku tɛm dis nɔr kin wɔri bɔt, bɔt i rili impɔtant fɔ no bɔt dis. Dis na wetin wi kin kɔl insishɔnal Ɛnia , ɔ insay Sinhala,

Wetin na dis (Incisional Hernia)? Lɛ wi ɔndastand am simpul wan!

Imajin se dɛn dɔn du ɔpreshɔn pan yu bɛlɛ, dat na ɔpreshɔn, fɔ sɔm rizin. I kin bi ɔpreshɔn we dɛn kin du tru wan big say we dɛn kɔt, we wi kin kɔl laparotomy . Ɔ i kin bi ɔpreshɔn we dɛn kin du tru sɔm smɔl smɔl say dɛn we dɛn kɔt (laparoskopik ɔpreshɔn) , ɔ i kin bi nyu we (rɔbɔt ɔpreshɔn) .

I nɔ mata aw dɛn du di ɔpreshɔn, di mɔsul dɛn na di bɛlɛ kin wik smɔl afta di ɔpreshɔn. I tan lɛk we smɔl ples na wan klos rɔtin. Dɔn, di intestinal dɛn we de insay di bɛlɛ, ɔ di layers we gɛt fat na di bɛlɛ, de push kɔmɔt tru dɛn mɔsul dɛn de we wik. Dɛn kin push kɔmɔt lɛk dat, ɛn dɛn kin tan lɛk smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Dis na wetin wi kin kɔl Incisional Hernia.

Dis na wan sik we kin rili kɔmɔn. Stɔdi dɔn sho se lɛk 20 pan ɔl 100 pipul dɛn we dɛn dɔn du big ɔpreshɔn pan dɛn bɛlɛ, lɛk fɔ pul laparotomy, go gɛt ɛnia. Dɔn bak, dis hεnia kin apin jɔs afta di ɔpreshɔn, ɔ i kin apin sɔm mɔnt ɔ ivin sɔm ia afta dat.

Bɔrku tɛm, dɛn tin ya (Incisional Hernias) nɔto big mɛdikal imejensi. Bɔt sɔmtɛm if dis hεnia big, i kin mek yu gɛt siriɔs prɔblɛm. So, i impɔtant fɔ mek wi no bɔt dis.

Di tritmɛnt we dɛn kin yuz fɔ dis na fɔ du ɔda ɔpreshɔn fɔ put di pat dɛn na di insay we kɔmɔt bak na di bɛlɛ ɛn mek di mɔsul dɛn we wik strɔng.

Wetin na di sayn dɛm fɔ Incisional Hernia? Aw yu no am?

If di hεnia smɔl, i wayd lɛk tu inch (5 sɛntimita) ɔ i lɔng, yu nɔ go notis ɛni sayn. Bɔt if di hεnia big, fɔ ɛgzampul, pas 4 inch (10 sɛntimita), yu kin fil pen. Dɔn bak, yu kin si wan lump ɔ swel klia wan na di say we di ɔpreshɔn ska de.

Dis pen kin fil sɔmtɛm lɛk shap shap pen we yu de chuk yu, ɔr e kin fil lɛk wae yu de bit yu bad bad wan. Dis pen kin tranga mɔ wae yu es sɔmtin wae ebi, yu kɔf, ɔr sniz.

Dat lumpy appearance kin bi mɔ prominɛnt we yu tinap ɔ we yu put prɛshɔn pan yu bɛlɛ mɔsul dɛm (fɔ ɛgzampul, we yu de strɛs we yu kɔnstipɛt).

Wetin mek dis (Incisional Hernia) kin apin? Wetin na di tin dɛn we kin afɛkt am?

As wi bin dɔn tɔk bifo tɛm, di men tin we kin mek di bɛlɛ mɔsul wik afta dɛn dɔn ɔpreshɔn di bɛlɛ na we di bɛlɛ mɔsul wik. dis risk kin hεvi spεshal afta dεn dכn kɔt am big (laparotomy). Bɔt dis sik kin apin bak afta dɛn dɔn du ɔpreshɔn wit smɔl smɔl say dɛn we dɛn kɔt, lɛk laparoskopik ɔ rɔbɔt ɔpreshɔn.

Afta dɛn dɔn du di ɔpreshɔn, dɛn mɔsul dɛn ya kin tek tɛm fɔ mek dɛn wɛl, ɔ fɔ wɛl. Sɔm aktiviti ɛn mɛrɛsin kɔndishɔn kin delay dis tɛm fɔ wɛl ɛn i kin mek yu gɛt incisional hernia. Dɛn tin ya na:

• Fɔ du tin tumɔs kwik afta dɛn dɔn du di ɔpreshɔn: Dis min se yu fɔ du ebi ebi wok ɔ du tin dɛn we de mek yu bɔdi strɛs we yu nɔ rɛst fayn.
• Dayabitis: Pipul wae gɛt shuga kin delay fɔ wɛl.
• Fat pasmak: Dis risk kin pasmak bak fɔ pipul dɛm wae gɛt bɔrku bɔdi pasmak.
• Lɔng sik dɛn: Ɛspɛshali fɔ pipul dɛn we gɛt sik dɛn we kin mek pɔsin kɔf ɔltɛm, lɛk COPD (Chronic Obstructive Pulmonary Disease) , we pɔsin kɔf bɔku tɛm, i kin put prɛshɔn pan di mɔsul dɛn na di bɛlɛ.
• Yuz fɔ lɔng tɛm fɔ imyunɔsuprɛsant ɔ kɔtikosterɔyd.
• Infεkshכn dεm na di sayt we dεn de du di כpεrayshכn: di mכsul dεm kin wik bak bikoz fכ tin dεm lεk wund infεkshכn.

Aw dɛn go ebul fɔ ridyus dis prɔblɛm?

Infakt, di bɛst tin we yu go du na fɔ gi yu bɔdi di tɛm we i nid fɔ wɛl. Tek am izi fɔ sɔm dez afta di ɔpreshɔn. Nɔ es wet ɔ du tin dɛn we go mek yu strɛs fɔ sɔm tɛm. I bɛtɛ fɔ aks yu dɔktɔ we de mɛn yu ɔspitul ustɛm yu go ebul fɔ bigin fɔ du tin dɛn we yu nɔ bin de du.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt Incisional Hernia?

Pan ɔl we i nɔ kin apin so ɔltɛm, sɔntɛnde, incisional hernia kin mek pɔsin gɛt siriɔs sik. Wan pan dɛn na wan sik we dɛn kɔl ɛnia we dɛn kin put na jel . dis na we wan pat pan di intestinal we dכn slip insay di hεnia nכ kin go bak insay di bכdi εn i kin trכp bitwin di mכsul dεm.

Wan ɔda tin we de mek pɔsin sɔfa na we i gɛt strangulated hernia . insay dis kes, di pat we dεn strangulet na di intestin de כnda siriכs prεshכn εn i de lכs bכdi fכ fכlכ. We dis kin apin, da pat de na di intestinal kin bigin fɔ day. Insay mɛrɛsin, wi kin kɔl dis (nɛkrɔsis) .

Wan hεnia we de na jel εn wan εnia we dεn strangulet na siriɔs mεdikal kכndyushכn dεm we nid fכ trit kwik kwik wan. Insay dɛn kayn tin ya, yu kin fil pen wantɛm wantɛm na di say we di hεnia de, ɛn di skin na da say de kin chenj in kɔlɔ. Di skin kin tɔn blak ɛn afta dat i kin dak. If yu gɛt dɛn sik ya, yu fɔ go na ɔspitul imejensi rum wantɛm wantɛm.

Aw dɔktɔ dɛn go no gud gud wan if yu gɛt Incisional Hernia?

We yu go to dɔktɔ, dɛn go du fɔs fɔ chɛk yu bɔdi . Dɛn kin aks yu fɔ sidɔm, dɔn dɛn tinap, dɔn dɛn go luk fɔ ɛni lumps ɔ bɔmp we go de muv rawnd. Dɛn go aks bak bɔt ɔda sayn dɛm wae yu kin gɛt ɛn tray fɔ no if yu gɛt wan sik lɛk inkarcerated hernia. Sɔntɛnde dɛn kin du CT skan bak .

Aw dɛn kin trit Incisional Hernia?

Di tritmɛnt dipen pan di sayn dɛm we yu gɛt. Fɔ ɛgzampul, if yu gɛt smɔl hεnia we nɔ de mek yu fil pen ɔr de mɔna yu, yu nɔ go nid tritmɛnt. Bɔt, wan incisional hernia kin big as tɛm de go. As di hεnia de big, di risk fכ komplikεshכn dεm de go כp. So, if yu hεnia big ɔr de mek yu gɛt sɔm sayn dɛm, dɔktɔ kin se yu fɔ du ɔpreshɔn fɔ mek yu hεnia fayn .

Dɛn kin du dis ɔpreshɔn as opin hεnia ripa ɔ as laparoskopik εnia ripa ɔpreshɔn. insay di tu prosidכs dεm, dεn kin put di pat pan di intestinal כ tisu insay di hεnia bak insay di bכdi fכ mek di bכdi mכsul dεm we wik. Sɔntɛnde, dɛn kin yuz wan tin we tan lɛk mɛsh fɔ mek dɛn mɔsul dɛn ya strɔng. Dis kin ridyus di risk fɔ mek yu gɛt hεnia bak.

Aw lɔng i kin tek fɔ mek i wɛl?

Di tɛm fɔ wɛl kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Bɔrku pipul kin kam bak to dɛn nɔrmal tin fɔ du insay sɔm dez. Bɔt ɔlman difrɛn, so i go fayn fɔ aks yu dɔktɔ aw lɔng i go tek ɛn wetin fɔ ɛkspɛkt.

Ustɛm a fɔ go to dɔktɔ afta dɛn dɔn du mi ɔpreshɔn?

Sɔntɛnde, smɔl smɔl prɔblɛm dɛn kin apin afta dɛn dɔn du di ɔpreshɔn fɔ mek dɛn ripɛnt wan insishɔnal ɛnia. So, if yu gɛt ɛni wan pan dɛn tin ya, tɛl yu dɔktɔ wantɛm wantɛm:

• If di wund de blɔd.
• If yu si sayn dɛm fɔ infekshɔn: fiva, wata we tan lɛk pus we de kɔmɔt na di wund.

Wetin pɔsin we gɛt incisional hernia fɔ ɛkspɛkt?

Bɔku tɛm, ɔpreshɔn fɔ mek dɛn ripɛnt wan big (incisional) hεnia kin mɛn di sik kpatakpata. Bɔt sɔntɛnde, di hεnia kin kam bak.

Aw lɔŋ yu kin liv wit Incisional Hernia?

If yu nɔr de na jel, yu kin liv wit am fɔ lɔng tɛm. Bɔt, wan hεnia we dɛn put na jel kin bi strangulated. If dat apin, i kin bi siriɔs sik we kin ivin mek pɔsin in layf de pan denja .

I kin bi se yu nɔ bin de ɛkspɛkt fɔ gɛt insishɔnal hεnia afta dɛn dɔn ɔpreshɔn di bɛlɛ. I kin rili mek wi at pwɛl fɔ tink se afta dɛn dɔn du ɔpreshɔn fɔ wan sik, ɔda prɔblɛm go kam. Bɔt dis nyu sik nɔ kin nid ɔpreshɔn bak ɔltɛm. Bɔt bikɔs big incisional hernia kin mek siriɔs prɔblɛm dɛn, if yu gɛt lump ɔ swelling usay dɛn bin ɔpreshɔn yu, yu fɔ rili go to dɔktɔ ɛn gɛt advays. I go tɛl yu wetin na di bɛst tin fɔ du.

Di tin dɛn we impɔtant pas ɔl fɔ mek yu mɛmba (Take-Home Message) .

• Insishɔnal hεnia na we sɔm pat dεm na di intestinal, lεk di intestinal dεm, kכmכt tru di say we dεn insishכn afta dεn dכn כpεrayshכn na di bεlε.
• Bɔku tɛm dis nɔto big imejensi , bɔt sɔntɛnde i kin siriɔs.
• If wan lump, swel, ɔ pen de na di say we di ɔpreshɔn ska de, go to dɔktɔ.
• If di pen go bɔku we yu de es di wet ɔ we yu de kɔf, dat na sayn bak.
• Ɛnia we dɛn put na jel ɔ we dɛn strangulet na mɛdikal imejensi. I kin mek pɔsin fil pen bad bad wan ɛn in kɔlɔ kin chenj.
• Bɔku tɛm, di tritmɛnt na ɔpreshɔn.
• Fɔ rɛst bɔku tɛm afta dɛn dɔn du di ɔpreshɔn ɛn fɔ fala wetin yu dɔktɔ tɛl yu fɔ du, rili impɔtant fɔ mek yu wɛl kwik kwik wan.

If yu want fɔ no mɔ bɔt dis, ɔ if yu gɛt ɛnitin fɔ wɔri bɔt, nɔ shem fɔ tɔk to dɔktɔ. Stay wit wɛlbɔdi!

` Ɛnia, insishɔnal hεnia, hεnia afta ɔpreshɔn, bɛlɛ ɔpreshɔn, insishɔnal hεnia, bכwel prolaps, hεnia ɔpreshɔn