Ingaba kukho iqhuma elincinci esiswini sakho esingaphezulu? Masithethe nge-epigastric hernia!

Ngaba wakha wabona, okanye waziva, ukudumba okuncinci okanye iqhubu esiswini esingaphezulu, ngakumbi ngaphantsi kwesifuba, ngaphezulu kwenkaba? Ngamanye amaxesha kunokubangela intlungu kancinci. Abantu abaninzi bayoyika xa bebona into efana nale. Ngoko ke namhlanje siza kuthetha ngenye into enokubangela oku, yi-epigastric hernia. Ungakhathazeki, masithethe ngale nto ngokulula.

Ngoko ke yintoni le hernia ye-epigastric?

Ngamafutshane, i-epigastric hernia luhlobo lwe-hernia oluvela kwinxalenye ephezulu, embindini wesisu sakho. Ngokukodwa, lwenzeka kwindawo engaphantsi kwesifuba sakho nangaphezu kweqhosha lesisu sakho. Olu luhlobo oluqhelekileyo lwe-hernia oluwela phantsi kodidi lwe-ventral hernias, oluvela eludongeni olungaphambili lwesisu. Ngamanye amaxesha, umntu unokuba ne-epigastric hernia engaphezulu kwesinye.

Ezi hernias zihlala zincinci kakhulu . Ezinye zimalunga nesiqingatha sesentimitha (malunga ne-1 sentimitha) okanye ubude be-stapler. I-hernia enkulu kancinci inokuba malunga ne-intshi enesiqingatha (malunga neesentimitha ezi-4) okanye ubukhulu be-walnut. Ukuba i-hernia incinci, usenokungaziboni naziphi na iimpawu. Nangona kunjalo, njengoko i-hernia ikhula, inokuvela njengeqhubu elibonakalayo nelibonakalayo.

Iihernias ze-epigastric azisoloko zingumcimbi onzima wempilo. Nangona kunjalo, iihernias ezinkulu ngamanye amaxesha zinokubangela iingxaki ezisongela ubomi , ngoko ke kubalulekile ukuqaphela oku.

Zithini iimpawu zale nto, gqirha?

Ngamanye amaxesha usenokungabi nazimpawu ukuba une-epigastric hernia. Okanye ungazibona ezi mpawu:

• Iqhuma elingaphantsi kwesikhumba: Iqhuma elincinci okanye ukudumba kunokubonakala phantsi kwesikhumba embindini wesisu sakho, ngaphezulu nje kwesifuba sakho nangaphantsi kwesifuba sakho. Oku kudla ngokubonakala ngakumbi xa umi, kodwa kunokuvakala ngathi kukho ukuxinana kancinci xa uhleli okanye ulele phantsi, okanye kunokunyamalala.
• Intlungu efana nokuxhuzula esiswini esingaphezulu: Usenokuziva unesicaphucaphu , okanye iintlungu ezibuhlungu embindini wesisu sakho. Le ntlungu ingabonakala isiya isiba mandundu njengoko usuku luqhubeka.
• Intlungu ebukhali: Usenokuba nentlungu ebukhali ngequbuliso, njengenxeba lokuhlatywa, xa ukhohlela, uphakamisa into enzima, okanye uye kwigumbi lokuhlambela.

Khawucinge nje, xa uvuka kusasa, akukho nto imbi ngawe, kodwa emini, uqaphela ukudumba okuncinci esiswini sakho esingaphezulu, kwaye ngokuhlwa, loo ndawo ibonakala ibuhlungu kancinci. Yiloo nto inokwenzeka.

Kutheni sifumana ii-hernias ngolu hlobo?

Le meko yenzeka xa iqhekeza lezicubu ezinamafutha esiswini sakho, okanye ngamanye amaxesha inxalenye yamathumbu akho amakhulu, lityhala nge "Linea Alba" yakho. Yintoni "Linea Alba"? Liqela elincinci lezicubu ezidityanisiweyo ezihamba ngaphambili, embindini, nasezantsi kwesisu sakho. Ukuba kukho ubuthathaka okanye isiphene kule "Linea Alba", loo zicubu ezinamafutha okanye inxalenye yamathumbu akho inokutyhala. Ukuba izihlunu zakho zesisu zibuthathaka, unokuba sengozini enkulu yokuba ne-Epigastric Hernia.

Abanye abantu banokuzalwa bene-hernia ye-epigastric. Oku kuthetha ukuba le hernia yenziwa ngexesha lokukhula kwe-fetus. Nangona kunjalo, rhoqo le hernia ikhula ngokuhamba kwexesha (i-acquired epigastric hernia). Inokwenzeka njengoko ukhula. Okanye, isenokukhula ngenxa yezinye iingxaki ezibeka uxinzelelo kwi-"Linea Alba" yakho okanye kwimisipha yesisu. Le hernia idla ngokuxhaphaka kakhulu kubantu abaphakathi kweminyaka engama-30 ukuya kwengama-50.

Zininzi izizathu zokuba i-epigastric hernia ivele. Nazi ezinye zezona ziphambili:

• Ukuncitshiswa kwe-"Linea Alba" njengoko iminyaka ikhula: Ngokuhamba kwexesha, le bhanti yezicubu ezidityanisiweyo iyancipha kwaye iyancipha.
• Ukukhohlela okungapheliyo: Ukuba ukhohlela okungapheliyo, ngalo lonke ixesha ukhohlela, kukho uxinzelelo olukhulu esiswini sakho.
• Ukuqhinwa: Isisu siba soma kwaye uxinzelelo ngaphakathi esiswini luyanda nokuba uzama ukuya kwindlu yangasese.
• Ukutyeba kakhulu: Njengoko amafutha omzimba esanda, uxinzelelo olungaphakathi esiswini luyanda ngokuzenzekelayo.
• Ukuphakamisa iintsimbi: Ukuphakamisa izinto ezinzima ngendlela engafanelekanga, ngaphandle kokulawula ukuphefumla ngokufanelekileyo.
• Ukukhulelwa: Ngexesha lokukhulelwa, njengoko umntwana ekhula, kukho uxinzelelo olukhulu kwisisu sikamama.

Ngaba oku kungaba yingozi? Ziziphi iingxaki ezinokubakho?

Nangona i-hernia encinci ye-epigastric idla ngokuba yinto engeyonto inkulu, kukho iingxaki ezimbini ezinokuba yingozi ngamanye amaxesha. Ezi yi-hernia evalelweyo kunye ne-hernia ekrwitshiweyo. Zombini ezi zithathwa njengezingxamisekileyo kakhulu kwezonyango . Zinokuba yingozi ebomini.

• I-Hernia evalelwe: Kulapho i-hernia ivaleleka khona phakathi kwezihlunu zesisu sakho. Xa oku kusenzeka, ayizi kubuyela yodwa, kwaye ayizi kubuyela nokuba uyityhala. Oku kunokubangela iintlungu eziqatha.
• I-Hernia Exineneyo: Oku kuyingozi nangakumbi. Ukuba igazi liya kuphuma kwindawo ethile ye-hernia exineneyo, loo ndawo iqala ukufa. Oku kunokubangela iintlungu eziqatha, umkhuhlane, isicaphucaphu, kunye nokuhlanza. Le yimeko ekufuneka ilungiswe ngoko nangoko ngotyando.

Eyona nto ibalulekileyo kukuba, ukuba ufumanisa ukuba une-hernia, qaphela ukuba kukho naziphi na iimpawu zokuba ivalelwe okanye ikrwitshiwe.

Ugqirha uyibona njani le nto?

Ukuba unezinye zeempawu ezikhankanyiweyo apha ngasentla, kungcono ukubona ugqirha. Ugqirha uza kuqala enze uvavanyo lomzimba. Oku kuthetha ukuba baza kuva iqhuma esiswini sakho, bakucele ukuba ukhohlele, baze bakuvumele ulale phantsi.

Ukongeza, uvavanyo lokufota olufana nolu lulandelayo ngamanye amaxesha lunokwenziwa ukuze kuchongwe ubungakanani obuchanekileyo, indawo, kunye nomxholo we-hernia:

• I-CT scan (i-Computed Tomography - i-CT scan): Oku kunokubonelela ngemifanekiso eneenkcukacha ze-hernia.
• Iskeni ye-MRI (I-Magnetic Resonance Imaging - i-MRI scan): Oku kufana ne-CT scan, kodwa kusebenzisa ubuchwepheshe obahlukileyo.
• I-Ultrasound: Uvavanyo olusebenzisa amaza esandi ukwenza imifanekiso yangaphakathi emzimbeni. Olu luvavanyo lokuqala oluyenziwa rhoqo.

Emva kwezi mvavanyo, ugqirha angakuxelela ngokuchanekileyo ukuba unayo na i-epigastric hernia kunye nemeko yayo.

Zithini iindlela zokunyanga oku? Iphathwa njani?

Unyango oluhlala luhleli lwe-epigastric hernia kukuba ilungiswe ngotyando (utyando lokulungisa i-hernia) . Oku kuthetha ukuba inxalenye ephumayo ibuyiselwa ngaphakathi, indawo ebuthathaka okanye umngxuma kwi-``Linea Alba``` iyathungwa, kwaye ngamanye amaxesha into efana ne-mesh isetyenziselwa ukuqinisa indawo.

Nangona kunjalo, ayizizo zonke ii-hernias ze-epigastric ezifuna utyando olukhawulezileyo. Ugqirha wakho unokugqiba ekubeni alinde elindile endaweni yotyando kwezi meko zilandelayo:

• Ukuba i-hernia incinci kakhulu (ingaphantsi kwe-intshi enye, malunga ne-1 sentimitha).
• Ukuba awunantlungu okanye isicaphucaphu esibangelwa yi-hernia.
• Ukuba awunangxaki inkulu ngaloo qhuma,
• Ukuba ugqirha ucinga ukuba umngcipheko weengxaki ezivela kwi-hernia uphantsi .

Kwimeko enjalo, ugqirha wakho uya kukuxelela ukuba ubuye ukuze uhlolwe ngamaxesha athile . Oko kuthetha ukujonga ukuba i-hernia iyakhula na okanye kukho iimpawu ezintsha ezibonakala.

Kuthatha ixesha elingakanani ukuchacha emva kotyando?

Kunzima ukukutsho ngqo oku, kuba kuyahluka kumntu nomntu. Zininzi izinto ezichaphazela oku, njengobudala bakho, ubungakanani be-hernia, uhlobo lotyando olwenziweyo, kunye nempilo yakho ngokubanzi.

Ngokwesiqhelo, ungaqhubeka nemisebenzi yakho yemihla ngemihla malunga neeveki ezimbini emva kotyando. Nangona kunjalo, ukuba wenza umsebenzi onzima, njengokuphakamisa iintsimbi, kungathatha iiveki ezine okanye ngaphezulu ukubuyela emsebenzini. Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo.Uza kukuxelela ukuba kufuneka uphumle ixesha elingakanani, ungaqala nini imisebenzi eqhelekileyo, kwaye ungaqala nini ukuphakamisa iintsimbi.

Ingaba oku kungabuya emva kotyando? (Outlook)

Iindaba ezimnandi zezokuba i-epigastric hernia inokunyangeka ngokupheleleyo ngotyando. Oko kuthetha ukuba iqhuma liya kunyamalala.

Nangona kunjalo, ngamanye amaxesha i-hernia ingaphinda ivele, okanye entsha ivele. Isizathu esiphambili soku kukuba izihlunu zakho zesisu okanye i-"Linea Alba" ziphinda zibekwe phantsi koxinzelelo, okanye zibe buthathaka kwakhona. Ungathetha nogqirha wakho malunga namathuba akho okufumana i-hernia kwakhona emva kotyando. Angakuxelela nento onokuyenza ukuthintela ukuba ingabuyi.

Ngaba ikho into esinokuyenza ukuthintela oku ukuba kungenzeki?

Nangona oku kungenakuthintelwa ngokupheleleyo, kukho izinto ezininzi onokuzenza ukunciphisa umngcipheko wokuba ne-epigastric hernia:

• Gcina ubunzima obusempilweni obufanela wena: Kubaluleke kakhulu ukulawula ubunzima bomzimba wakho, njengoko ukutyeba kakhulu sesona sizathu siphambili sokwakheka kwe-hernia.
• Nyanga iimeko ezibeka uxinzelelo kwizihlunu zesisu sakho: Ukuba unesikhwehlela esingapheliyo okanye ukuqhinwa, zinyange ngokufanelekileyo kwaye uzilawule.
• Lumka xa uphakamisa: Musa ukuzama ukuphakamisa izinto ezinzima ngaxeshanye. Ukuba wenza njalo, hlala ume ngendlela efanelekileyo, lawula ukuphefumla kwakho, kwaye ucele uncedo ukuba kunokwenzeka.

Sifanele siye nini kugqirha ngokuqinisekileyo?

Ukuba uneqhuma elifana neli ndilikhankanyileyo ngasentla esiswini sakho kwaye livakala ngathi liyakhula, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Kuba i-epigastric hernia ekhula inethuba eliphezulu lokuba yi-"Incarcerated Hernia" okanye "Strangulated Hernia" ngenxa yokuvalwa kwegazi.

Ukuba ufumana naziphi na kwezi mpawu zilandelayo, kufuneka kuthathwe njengengxamiseko yezonyango. Yiya esibhedlele esikufutshane ngoko nangoko, okanye ukuba useSri Lanka, fowunela iNkonzo yeeAmbulensi yaseSuwaseriya ka-1990:

• Intlungu entsha, enzima, ekhula ngokukhawuleza esiswini esingaphezulu.
• Isicaphucaphu nokuhlanza.
• Ulusu apho i-hernia ikhoyo luyatshintsha umbala (umzekelo, lunokuba bomvu, mfusa, luhlaza okwesibhakabhaka, okanye mnyama).

Ukuba ufumana ezi mpawu, ungalibazisi nomzuzu omnye . Ukufuna uncedo lwezonyango ngokukhawuleza kunokusindisa ubomi.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha, kungcono ukubuza le mibuzo:

• Gqirha, kutheni ndinayo le hernia?
• Ngaba oku kuya kuba kukhulu?
• Zeziphi izinto ezinokwenzeka ukuba oku kuya kusanda?
• Ngaba ndiyaludinga ngokwenene utyando? Akukho ezinye iindlela?
• Ukuba ndityandwa, yintoni endifanele ndiyilumkele emva koko?

Kubaluleke kakhulu ukubuza imibuzo efana nale uze uqonde kakuhle imeko yakho.

Ngaba i-hernia ye-epigastric ingabangela i-acid reflux?

Hayi. Iimpawu ezifana nokutshixiza kwentliziyo kunye ne-acid reflux zihlala zibangelwa lolunye uhlobo lwe-hernia olubizwa ngokuba yi-hiatal hernia. I-epigastric hernia ibangela intlungu ebuhlungu, ebukhali esiswini esingaphezulu. Ayibangeli zimpawu ze-acid reflux.

Ngoko ke, ukuba uneqhuma esiswini sakho esingaphezulu, ngaphantsi kwesifuba sakho nangaphezu kwembambo yakho, isenokuba yi-epigastric hernia. Nangona kunjalo, kunokubakho ezinye izizathu zeqhuma elinjalo. Ke ngoko, kungcono ukubona ugqirha ukuze ufumane unobangela ochanekileyo kwaye ufumane unyango olulungele wena.

Ngoko ke zeziphi izinto ezibalulekileyo ekufuneka sizikhumbule? (Umyalezo Wokubuyela Ekhaya)

Kulungile, ngoko ke, ngokwezinto esizithethileyo nge-Epigastric Hernia, nazi izinto ezibalulekileyo ekufuneka uzikhumbule:

• I-epigastric hernia sisiqhuma esincinci kwinxalenye ephezulu, embindini wesisu.
• Ixesha elininzi, oku akuyongozi, kodwa ukuba kuya kuba kukhulu, kunokubangela iingxaki ezifana nokuvaleka kunye nokulahleka kokunikezelwa kwegazi.
• Iimpawu zingabandakanya iqhuma, ukudumba, kunye nentlungu ebukhali. Abanye abantu basenokungabi nazo kwaphela iimpawu.
• Oku kunokubangelwa zizinto ezifana nokutyeba kakhulu, ukukhwehlela okungapheliyo, ukuqhina, ukuthwala izinto ezisindayo, kunye nokukhulelwa.
• Utyando lolona nyango luhlala luhleli, kodwa ayinguye wonke umntu ofuna utyando ngoko nangoko.
• Ukugcina ubunzima obusempilweni nokunciphisa izinto ezibeka uxinzelelo esiswini kunokunceda ukuthintela oku ukuba kungenzeki.
• Ukuba iqhuma liya likhula, okanye ukuba ufumana iimpawu ezifana nentlungu eqatha, isicaphucaphu, ukuhlanza, okanye umbala wolusu utshintsha, bona ugqirha ngokukhawuleza.

Ndiyathemba ukuba olu lwazi luza kukunceda. Ukuba uneengxaki, ungathandabuzi ukuthetha nogqirha. Hlala uphilile!

I - hernia ye-epigastric, i-hernia yesisu, i-hernia yesisu, i-linea alba, utyando lwe-hernia, ithumba lesisu, iintlungu zesisu