Une bundu mudumbu mako, muhudyu, kana muguvhu here? Rinonzwa sekunge rinokura here, kunyanya kana uchikosora, uchisimudza zvinorema, kana kuseka? Saka ungangove uine hernia. Kunyangwe vanhu vazhinji vasingade kutaura nezvazvo, chirwere ichi chinowanzoitika. Saka nhasi, ngatitaurei nezve hernias nekuvhiyiwa kwayo, kuti tiwane mhinduro dzemibvunzo yako yese.
Zvichitaurwa zviri nyore, chii chinonzi kuvhiyiwa kwehernia?
Hernia inobuda mumuviri wedu kuburikidza nenzvimbo isina kusimba mumadziro emhasuru inoichengeta panzvimbo yayo. Yakafanana nechimwe chinhu chiri mubhegi chakazara zvakanyanya uye chinobuda nepaburi diki. Izvi zvinowanzoitika mudumbu nemumahudyu.
Kuvhiyiwa kweHernia Repair Surgery , kana sekudanwa kwazvinoitwa navanachiremba, ``Herniorrhaphy,'' inzira yekuvhiya inosanganisira kudzosa nhengo kana tishu panzvimbo yayo uye kusimbisa nekusona madziro asina kusimba. Dzimwe nguva, mesh yakakosha, inonzi ``Surgical Mesh,'' inoshandiswa kusimbisa madziro. Kuvhiyiwa uku ndiko kwakanakisa uye kunowanzo shandiswa pakurapa hernia.
Ndiani anoda kuvhiyiwa uku?
Haasi ese mahernia anoda kuvhiyiwa nekukasika, asi mazhinji acho anoda kuvhiyiwa nekuti anokura zvishoma nezvishoma nekufamba kwenguva uye anokonzera zviratidzo zvakaita sekurwadziwa uye kusagadzikana.
Semuenzaniso, kana hernia yegumbo ikawedzera kukura yopinda mudumbu, inogona kukonzera kuzvimba, kurwadziwa, uye kuoma kuita zvepabonde. Uyewo, kana nhengo, senge ura, ikabatwa muhernia, inogona kumisa kufamba kweropa uye kukonzera matambudziko akakomba. Saka, kana uine zviratidzo kana kuti uri panjodzi yekusangana nematambudziko, chiremba wako anogona kukukurudzira kuvhiyiwa.
Ndeapi marudzi ekuvhiyiwa kwehernia aripo?
Kune mhando nhatu huru dzekuvhiyiwa kwehernia. Chiremba wako achasarudza nzira yakakunakira, zvichienderana nerudzi rwehernia yako uye mamiriro ehutano hwako.
| Rudzi rwekuvhiyiwa | Maitiro ekuzviita (zviri nyore) |
|---|---|
| Kuvhiyiwa Kwakavhurika | Iyi ndiyo nzira yechinyakare. Kuchekwa kamwe chete kwenguva refu (masendimita mashoma) kunogadzirwa panzvimbo yehernia, nyama yakabudikira inodzoserwa mukati, uye madziro emhasuru asina simba anosonerwa pamwe chete. Kazhinji, mesh yakakosha inoshandiswa kuisimbisa. |
| Kuvhiyiwa kweLaparoscopic | Izvi zvinonziwo "kuvhiyiwa kwekiyi." Panzvimbo pekucheka kukuru kumwe chete, kucheka kudiki katatu kana kane kunogadzirwa. Chubhu diki ine kamera (laparoscope) inopinzwa kuburikidza nekucheka kumwe chete uye mukati munotariswa nemonitor. Zvishandiso zvekuvhiya zvinopinzwa kuburikidza nezvimwe zvichemo kugadzirisa hernia. |
| Kuvhiyiwa kweRoboti | Uku zvakare rudzi rwekuvhiya kwe laparoscopic. Zvisinei, pano chiremba anovhiya achishandisa ruoko rwerobhoti. Chiremba anogara pamberi pechiratidziro chekombuta uye anodzora tekinoroji yerobhoti. Izvi zvinobvumira kuvhiya kwakanyatsonaka uye kwakanyatsojeka. |
Unogadzirira sei usati wavhiyiwa?
Chiremba wako ndiye achasarudza kana uri munhu akakodzera kuvhiyiwa uye kuti ndeipi nzira yekuvhiyiwa yakakunakira. Mushure meizvozvo, vachakupa mazano, akadai se:
- Nhoroondo yako yese yehutano ichabvunzwa. Zvakakosha kuziva kana uine pamuviri kana kuti une zvimwe zvirwere.
- Unofanira kuudza chiremba wako nezvemishonga yese yaunotora, kusanganisira mavhitamini nezvimwe zvinogadzirwa nemiti. Ungangokumbirwa kuti urege kutora mishonga inobvisa ropa mazuva mashoma usati wavhiyiwa.
- Kuongororwa ropa kana kumwe kuongorora kunogona kuitwa kuti zvionekwe kana uri mutano hwakanaka hwekuvhiyiwa.
- Uchakumbirwa kutsanya (kurega kudya nekunwa) kwemaawa akati wandei usati wavhiyiwa.
- Zvakakoshawo kuronga pachine nguva kuti mumwe munhu akuendese kumba mushure mekuvhiyiwa.
Pazuva rekuvhiyiwa, uchapihwa mushonga weanesthesia kuitira kuti usazonzwa kurwadziwa. Kuvhiyiwa kweLaparoscopic kunoitwa pasi peanesthesia yakajairika (kukuisa pahope). Mukuvhiyiwa kwepachena, unogona kupihwa anesthesia panzvimbo iri kuvhiyiwa chete uye unogona kuitwa wakamuka. Zvisinei, usatya kurwadziwa.
Chii chinoitika mushure mekuvhiyiwa? Uye zvinotora nguva yakareba sei kuti munhu apore?
Kuvhiyiwa kwakawanda kwehernia kunonziKuvhiyiwa kwevarwere vasiri muchipatara. Izvi zvinoreva kuti unogona kudzokera kumba manheru iwayo. Kana kuri kuvhiyiwa kwakaoma, uchafanira kugara muchipatara kwezuva rimwe kana maviri.
Nguva yekupora inosiyana zvichienderana nerudzi rwekuvhiyiwa kwawakaitwa uye rudzi rwemuviri wako.
- Kazhinji, mukati memazuva mashoma, unogona kutanga kuita mabasa asingashande nesimba, akadai sebasa remuhofisi.
- Zvinotora mavhiki mashoma usati wadzokera kumabasa anorema akadai sekusimudza masimbi.
- Unogona kuita maekisesaizi akareruka , akadai sekufamba netsoka, kubva pazuva rakatevera kuvhiyiwa. Asi hazvina kunaka kushanda nesimba panguva imwe chete. Unofanira kuwedzera mashandiro ako zvishoma nezvishoma.
Zvakanaka kutaura nachiremba wako kuti uzive kuti unoda nguva yakawanda sei yekuzorora, zvichienderana nerudzi rwebasa rako.
Pane njodzi nematambudziko here? Ngatizivei!
Kufanana nekuvhiyiwa kupi zvako, kuvhiyiwa kwehernia kunogona kuva nenjodzi diki. Asi idzi hadziwanzoitika. Zvakakosha kuziva.
| Matambudziko anogona kuitika mushure mekuvhiyiwa | |
|---|---|
| Matambudziko enguva pfupi |
|
| Matambudziko enguva refu | |
| Mamiriro ezvinhu anoda kutarisirwa nekukurumidza (ona chiremba nekukasika kana kuenda kuETU) | |
| Fonera chiremba: |
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| Enda kuETU (Emergency Treatment Unit) nekukasika: | |
Zvakajairika kunzwa kutya zvishoma paunenge uchifunga nezvekuvhiyiwa kwehernia. Asi yeuka, uku kuvhiyiwa kunobudirira uye kwakachengeteka kunoitwa pasi rese. Nehunyanzvi hutsva (nzira dze laparoscopic, mhando dzakanakisisa dze mesh), mhedzisiro mushure mekuvhiyiwa yakanaka kwazvo. Nguva yekupora ipfupi. Saka, usatya kutaura nachiremba wako kuti uwane kurapwa kwakakunakira.
Mharidzo Yekuenda Nayo Kumba
- Kurapa kwakabudirira uye kwakajairika kwehernia kuvhiyiwa.
- Kune mhando dzakasiyana-siyana dzekuvhiya, dzinosanganisira kuvhiya kwakavhurika, laparoscopic, uye robotic. Chiremba wako ndiye achasarudza nzira yakakunakira.
- Kuvhiyiwa kweLaparoscopic kunoita kuti mavanga asanyanya kuwanda, marwadzo asanyanya kuwanda, uye kuti kupora kuwedzere nekukurumidza.
- Tevedzera mirairo yachiremba wako mushure mekuvhiyiwa. Dzivisa kusimudza zvinhu zvinorema uye kuita mabasa anorema kwenguva yakati.
- Ngwarira zviratidzo zvekunyevera zvakaita sefivha, kurwadziwa kwakanyanya panzvimbo yakachekwa, kuzvimba, uye urwa. Kana ukaona chimwe chinhu chakadai, zivisa chiremba wako nekukasika.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinonzi Kushaya Simba kweMutsara? Uku kuneta kwakajairika here?
Uku hakusi kuneta/kurara kwakajairika zvachose! 'Kushaya simba kwemhasuru' izwi rekurapa rinoreva kuti zvisinei nekuti pfungwa dzako dzakasimba sei, ruoko/gumbo/mhasuru yako yakakura haigone kunzwa zvaunotaura uye simba/simba rayo rinoderedzwa ne100% (Kuderera kwesimba remuviri), uye idambudziko rine njodzi zvikuru retsinga/tsandanyama rinoita kuti zvisakwanise kubata kapu, kukwira masitepisi/kusimuka pachigaro.
💬 Ndezvipi zvikonzero zvikuru zvinoita kuti nhengo/tsandanyama dzemunhu dzingoerekana dzarasikirwa nekushanda zvakanaka kana kuti zvishoma nezvishoma (Muscle Weakness)?
Pane zvikonzero zviviri zvikuru zveizvi: 1) 'Kukuvadzwa kwakanyanya kweuropi netsinga' - nekuda kwestroke, multiple sclerosis, kana herniated disc. 2) 'Chirwere chetsandanyama netsinga' - nekuda kwehuwandu hwakaderera hwepotassium muropa (Hypokalemia), neuropathy nekuda kwechirwere cheshuga chakakomba, matambudziko ethyroid, uye myasthenia gravis.
💬 Ndeapi mamiriro ezvinhu anotyisidzira hupenyu hwako apo unofanira kukurumidza kuenda kuchipatara che emergency usina kutora mavhitamini kana muviri/tsandanyama dzako dzisina simba?
Njodzi huru uye yakakomba! Kana munhu akapora kamwe kamwe, mukati memaminitsi kana kunyange ipapo, 1) akasangana ne'kushaya simba kwemuviri/chiso chimwe chete', kuoma mitezo zvachose, uye kutaura kusina kujeka, zvechokwadi 'kurohwa' kweuropi (rufu mukati memaawa matatu)! 2) Kana kuoma mitezo kukatanga mumakumbo uye kukasvika pachipfuva kwemaawa akati wandei (Guillain-Barre syndrome) uye munhu wacho asingakwanise kufema, amburenzi inofanira kufonerwa pasina kumirira kechipiri!
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