Unonzwa bundu pasi pedumbu rako, padivi pedumbu rako, paunomira here? Asi paunorara pasi, rinopera. Ringasatomborwadzi kana ukaribata. Wakambosangana nechimwe chinhu chakadai here? Ichi hachisi chinhu chekungoregeredza. Nekuti kunyangwe chingaratidzika sechinhu chidiki, dzimwe nguva chinogona kuchinja kuva chirwere chakakomba. Nhasi tiri kutaura nezvechirwere chinonzi 'Spigelian Hernia', icho vanhu vazhinji vasati vanzwa nezvacho, asi chakakosha kuziva nezvacho.
Chii chinonzi Spigelian Hernia?
Zvichitaurwa zviri nyore, iyi imhando yehernia. Funga nezvazvo sekuti nhengo dziri mudumbu medu, sematumbu, dzakadzivirirwa nemadziro akasimba akagadzirwa netsandanyama. Tinodana izvi kuti madziro emudumbu. Dzimwe nguva, kana paine kusasimba mumadziro aya, kumanikidzwa mukati medumbu kunoita kuti chikamu chemudumbu, kana kuti chidimbu chenyama ine mafuta, chipfuure nepanzvimbo isina simba. Ndizvo zvatinodaidza kuti hernia.
'Spigelian hernia' kubuda kweura kuburikidza nenzvimbo isina kusimba mutsandanyama dziri pamberi pedumbu. Inowanzoonekwa pasi peguvhu, kurudyi kana kuruboshwe. Kusiyana nedzimwe hernia, iyi dzimwe nguva inogona kuoma kuiona nekuti haionekwe nekunze.
Ndezvipi zviratidzo zveizvi?
Chiratidzo chikuru muzviitiko zvakawanda ibundu kana kuzvimba kunoonekwa mudumbu, sezvatakambotaura. Zvisinei, izvi hazviwanzoonekwa. Vamwe vanhu vanogona kunge vaine hernia iyi vasina zviratidzo.
| Hunhu | Tsananguro |
|---|---|
| Pfundo riri mudumbu rezasi | Bundu rinoonekwa padivi, pasi peguvhu. Rinoonekwa paunomira, uchikosora, kana kusimudza chinhu chinorema. Rinodzokera mukati paunorara pasi. |
| Kurwadziwa kwedumbu rezasi | Marwadzo anogona kuuya oenda. Marwadzo aya anogona kuwedzera, kunyanya kana uchisimudza zvinhu zvinorema kana uchitamburira uchishandisa chimbuzi. Dzimwe nguva, zvinogona kunzwa sepanorwadza kana zvabatwa. |
| Kusavapo kwezviratidzo | Mamwe mahernia madiki eSpigelian anogona kunge asingarwadzi kana kuti asina bundu rinooneka. Anogonawo kuwanikwa netsaona panguva yekuongororwa kweganda nekuda kwechimwe chikonzero. |
Sei hernia ichida chimiro ichi?
Chikonzero chikuru cheizvi kushaikwa kwemhasuru dzemudumbu. Pane zvikonzero zvakawanda zvinoita kuti tsandanyama idzi dzishaye simba.
- Kukwegura: Sezvatinokura, tsandanyama dziri mumuviri wedu dzinopera simba.
- Kubata Pamuviri: Munguva yekuzvitakura, tsandanyama dzemadziro edumbu dzinogona kushaya simba nekuda kwekutambanudza.
- Kukuvara kwedumbu: Kana ukarohwa zvakanyanya mudumbu kana kuti ukaita tsaona, tsandanyama dzinogona kukuvara uye hernia inogona kuumbwa.
Pamusoro pezvo, mamwe mamiriro ezvinhu anoramba achiwedzera kumanikidzwa mukati medumbu anowedzerawo njodzi yekuve nehernia iyi. Fungidzira zvinoitika kana ukaramba uchifemera mweya mubharumu. Zvakafanana.
Zvinhu zvinowedzera kumanikidzwa kwemuviri mukati medumbu:
- Kukosora kusingaperi: Kukosora kusingaperi, kunyanya kuvanhu vane zvirwere zvakaita seCOPD , kunowanzoisa kumanikidzwa kwemhasuru dzemudumbu.
- Kuzvimba kwechinguva: Kuita weti kakawanda paunenge uchienda kuchimbuzi kunowedzerawo kumanikidzwa kwedumbu.
- Chirwere chechiropa: Zvimwe zvirwere zvechiropa zvinoita kuti dumbu rizare nemvura. Izvi tinozvidaidza kuti ascites . Izvi zvinorevawo kumanikidzwa kwakanyanya.
- Kufuta: Sezvo huremu hwemuviri huchiwedzera, kumanikidzwa kwemadziro edumbu kunowedzera.
- Kusimudza zvinhu zvinorema: Vanhu vanoita mabasa anoda kusimudza zvinhu zvinorema nguva nenguva vari panjodziwo.
Ndezvipi zvinetso zvinogona kuitika?
Kunyangwe kazhinji kacho kanotanga sebundu diki risingarwadzi, pane mamiriro matatu apo hernia iyi inogona kuva nengozi. Zvakakosha kuziva izvi.
1. Kuvharika kweMatumbu: Chikamu cheura chakabuda muhenia chinovharika, zvichiita kuti chikafu nemarara zvisapfuure nepachiri.
2. Kuiswa mujeri: Chikamu cheura chabuda chinonamira uye hachikwanise kudzokera mukati. Izvi zvinogona kukonzera kurwadziwa kwakanyanya.
3. Kudzipwa: Ichi ndicho chirwere chine njodzi zvikuru uye chinokurumidzira . Kana tsinga dzeropa dzinopa ropa kuchikamu cheura chakavharika dzikavharika uye ropa rikamira, chikamu ichocho cheura chinotanga kufa. Mukurapa tinochidana kuti (mesenteric ischemia) . Ichi chirwere chinotyisidzira hupenyu chinoda kuvhiyiwa nekukurumidza.
Kana ukangoerekana wava nekurwadziwa kwakanyanya panzvimbo ine hernia yako, kana usingakwanise kudzosa pfundo mukati, kana rikashanduka kuva dzvuku kana tsvuku, kana ukatanga kurutsa, zvinogona kunge zviri zvekukurumidzira.
| Kana uine zviratidzo izvi, enda kuchipatara cheEmergency Treatment Unit (ETU) nekukasika! | |
|---|---|
| 🔴 | Kurwadziwa kwakanyanya, kusingatsungiririki panzvimbo yehenia. |
| 🔴 | Kuzvimba kwedumbu repazasi uye kusimba. |
| 🔴 | Kuzvimba kwakanyanya (kutomisa kufamba kwemhepo). |
| 🔴 | Kusvotwa nekurutsa. |
| 🔴 | Ganda riri panzvimbo yebundu rinoshanduka kuva dzvuku, tsvuku, kana kuti rima. |
Unoona sei izvi, Chiremba?
Paunoenda kunoona chiremba, anotanga akubvunza mibvunzo yakadzama nezvezviratidzo zvako. Wobva aongorora dumbu rako.
- Kuongororwa kwemuviri: Chiremba achakukumbira kuti umire, ukosore, kana kuti uzvimanikidze kuti uone kana bundu racho richibuda.
- Maitiro eValsalva: Izvi zvinosanganisira kubata mweya wako, kuvhara muromo wako nemhino, uye kudzvanya dumbu rako. Sezvaungaita paunoenda kuchimbuzi. Izvi zvinowedzera kumanikidzwa mudumbu mako, izvo zvinogona kuita kuti hernia ioneke kana uine imwe.
- Miedzo yeMifananidzo: Dzimwe nguva, kana hernia isingaonekwe zvakajeka, CT scan (Computed Tomography scan) kana ultrasound scan zvinogona kukurudzirwa kuti zvisimbiswe.
- Laparoscopy: Kuvhiyiwa kweLaparoscopy:Muzviitiko zvisingawanzoitiki, kuti zvisimbiswe kuti chirwere chacho chakaonekwa, dumbu rinogona kuchekwa diki uye kamera inogona kuiswa kuti iongorore nzvimbo yacho.
Uri kuitei sekurapwa?
Kurapa kwakanakisa uye kunonyanya kushandiswa kweSpigelian hernia kuvhiyiwa , sezvo rudzi urwu rwehernia rusingapore rwega uye rune njodzi yematambudziko ane njodzi atakurukura kare.
Panguva yekuvhiyiwa, chikamu cheura chakabuda chinodzoserwa mudumbu uye nzvimbo isina simba kana buri mutsandanyama rinovharwa. Dzimwe nguva, chimwe chinhu chakaita semambure chinoshandiswa kusimbisa nzvimbo yacho.
Kuvhiyiwa uku kunogona kuitwa nenzira dzakasiyana-siyana. Chiremba wako achakutsanangurira nzira yakakunakira.
Mharidzo Yekuenda Nayo Kumba
- Kana uine bundu rinoonekwa pasi pedumbu rako paunomira ronyangarika paunorara, rinogona kunge riri chiratidzo cheSpigelian hernia.
- Kunyangwe pakutanga pasina kurwadziwa, usaregeredza chirwere ichi, sezvo chinogona kukonzera matambudziko akakomba akadai sekuvharika kwemudumbu.
- Kana ukangoerekana wanzwa kurwadziwa kwakanyanya, kuzvimba, kurutsa, kana kuvimbiwa panzvimbo ine hernia, idambudziko. Enda kuchipatara Emergency Department (ETU) nekukasika.
- Mushonga wakanakisa weizvi kuvhiyiwa. Saka kana uine zviratidzo izvi, enda kuna chiremba uwane mazano.
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