IHernia: Yonke into ekufuneka uyazi - Nirogi Lanka

I-hernia yenzeka xa ilungu langaphakathi (njengenxalenye yamathumbu okanye isisu) lityhala kwindawo ebuthathaka kwimisipha okanye kwizicubu ezihlala ziyiqulathe. Cinga ngayo njengetyhubhu yetayara ephuma kwindawo ebuthathaka okanye ebhityileyo kwikhava yangaphandle; ngokufanayo, xa izihlunu okanye izicubu zakho zibuthathaka, ilungu linokuphuma.

Ngokusisiseko kufana nebhaluni evulekayo apho izinto zithe zanwebeka okanye zancinci khona.

Yintoni ebangela iHernia?

Kukho izizathu ezininzi eziphambili ze-hernias, esiza kuzihlola kunye:

Ubuthathaka bokuzalwa:

Abanye abantu bazalwa benamabala abuthathaka ngokwemvelo eludongeni lwesisu sabo. Oku kuyinxalenye nje yokukhula kwabo komzimba, nto leyo enyusa amathuba okuba ne-hernia.

Ukwaluphala:

Njengoko sikhula, imizimba yethu itshintsha ngokwendalo, kwaye izihlunu zinokuphelelwa ngamandla azo ngokuhamba kwexesha. Oku kubuthathaka kancinci kancinci kunokukhokelela ekwakhiweni kwe-hernia.

Ukuhluza:

• Ukuphakamisa Izinto Ezinzima: Ukuba umsebenzi wakho okanye ubomi bakho bemihla ngemihla bubandakanya ukuphakamisa izinto ezinzima—njengokwakha okanye umsebenzi wezandla—usenokuba sengozini enkulu.
• Ukuma Ixesha Elide: Imisebenzi efuna ukuma ixesha elide inokubangela uxinzelelo olongezelelekileyo kwezi ndawo.

Ukukhwehlela kunye nokuqhinwa:

• Ukukhwehlela Okungapheliyo: Ukukhwehlela okungapheliyo kubeka uxinzelelo oluphindaphindayo kwimisipha yesisu sakho, nto leyo enokubangela ukuba i-hernia ikhule.
• Ukuqhinwa : Ukuzibhokoxa ngexesha lokuhamba kwamathumbu kubangela uxinzelelo olukhulu esiswini; ukuba oku kwenzeka rhoqo, kunokubangela i-hernia.

Ukukhulelwa:

Ngexesha lokukhulelwa, umntwana okhulayo ubeka uxinzelelo olukhulayo esiswini, nto leyo ngamanye amaxesha enokubangela ukuba i-hernia ikhule.

Ukutyeba kakhulu:

Ukuthwala ubunzima obuninzi kubeka uxinzelelo oluqhubekayo noluphezulu kwimisipha yesisu sakho, nto leyo ebangela ukuba i-hernia ikhule.

Utyando lwesisu:

Ukuba ukhe wenza utyando lwesisu ngaphambili, i-hernia ngamanye amaxesha inokwenzeka kwindawo yokusikwa ukuba izicubu aziphili kakuhle. Kubalulekile ukulandela yonke imiyalelo yokhathalelo emva kotyando ukuze unciphise lo mngcipheko.

Iindawo Eziqhelekileyo ZeHernias

I-Hernias ibonakala kakhulu kwiindawo ezilandelayo:

Isisu:

I-Hernias inokwenzeka naphi na ngaphaya kodonga lwesisu.

I-Groin:

I-groin yindawo apho ithanga lidibana khona nesisu. I-Hernias ixhaphake kakhulu kule ndawo.

I-Diaphragm:

I-diaphragm luluqweqwe lwemisipha oluhlukanisa isifuba sakho nesisu sakho. Ngamanye amaxesha, inxalenye yesisu inokutyhala ngesithuba esikuloo msipha.

Iindawo Zotyando Zangaphambili:

I-Hernias inokuvela kwizicubu zesilonda sesisu esisikiweyo ngaphambili.

Iintlobo zeHernias

I-Hernias ihlelwa ngokwendawo ekuyo:

I-Hernia ye-Inguinal:

• Olu lolona hlobo luqhelekileyo lwe-hernia.
• Kwenzeka rhoqo kumadoda.
• Inxalenye yamathumbu iphuma ngomjelo we-inguinal, oyindlela engaphantsi kodonga lwesisu.

I-Hernia ye-Femoral:

• Olu hlobo lukwafumaneka nakwindawo engaphakathi kwesisu.
• Kwenzeka xa izicubu ezinamafutha okanye ilungu lomzimba liphuma ngomjelo we-femoral, ongaphantsi komjelo we-inguinal.
• Ezi zixhaphake kakhulu kubafazi.

I-Hernia yokukhulelwa:

• I-diaphragm inomngxuma omncinci (i-hiatus) apho i-esophagus (umbhobho wokutya) idlula khona. Kwi-hernia yokuzala, lo mngxuma uyavuleka, uvumela inxalenye ephezulu yesisu sakho ukuba inyukele phezulu kwisifuba.
• Oku kunokukhokelela kwi-acid reflux kunye ne-heartburn engapheliyo.

I-Hernia yeNkumba:

• Oku kwenzeka kufutshane neqhosha lesisu.
• Idla ngokuzalwa kwiintsana kwaye inokuzisombulula ngokwayo njengoko zikhula.

I-Hernia yokusika:

• Oku kwenzeka kwindawo apho kwakukho isilonda esiswini ngaphambili.
• Unyango olufanelekileyo emva kotyando lubalulekile ukuthintela olu hlobo lwe-hernia.

I-Hernia yesisu:

• Eli ligama eliqhelekileyo le-hernia ebonakala ngaphambili kwesisu.
• Iihernias ze-umbilical kunye ne-incisional zihlulwe phantsi kolu hlobo.
• Ezo zibonakala ngaphezulu kwenkaba zibizwa ngokuba yi -Epigastric Hernias .

I-Hernia yePerineal:

• Ezi azixhaphakanga kakhulu.
• Zenzeka ngenxa yobuthathaka kwimisipha yomgangatho we-pelvic, nto leyo evumela amalungu ukuba aphume aye kwindawo ye-pelvic.

Ziziphi iimpawu zeHernia?

Iimpawu ziyahluka kumntu nomntu; abanye abantu basenokungaziva ntlungu konke konke. Nangona kunjalo, unokubona oku kulandelayo:

• Ukudumba/Ukudumba: Ungabona ukudumba okubonakalayo kwindawo echaphazelekileyo yi-hernia. Kusenokungabikho rhoqo; ungabona ukuba kuya kucaca ngakumbi xa uphakamisa izinto ezinzima, ugoba, okanye ukhohlela.
• Intlungu/Ukungakhululeki: Usenokuba nomvakalelo woxinzelelo, imvakalelo yokutsalwa, okanye intlungu encinci kwindawo echaphazelekayo.
• Ukukhwehlela/Ukuhleka: Usenokufumanisa ukuba intlungu okanye ukungakhululeki kwakho kuyakhula xa ukhwehlela, uhleka, okanye uxinezeleka.
• Ukutshisa/Ukubuyela kwi-Acid Reflux: Ukuba une-hiatus hernia (i-hernia kwindawo yesifuba), unokufumana iimpawu ezifana nokutsha esifubeni sakho okanye i-acid reflux , apho umxholo wesisu ubuyela phezulu emqaleni wakho.

Ngaba iimpawu zahlukile kumadoda nakubafazi?

Ngokubanzi, iimpawu ziyafana. Nangona kunjalo, kumadoda, i -hernia ye-inguinal ngamanye amaxesha inokuchaphazelaAmasende . Kwabasetyhini, i-hernia ye-femoral isenokungabonakali rhoqo phezulu, kodwa inokubangela iintlungu ze-groin kwindawo ethile.

Ngaba ii-hernias ziyingozi? (Iingxaki)

Nangona ezinye ii-hernias zingenakubangela ukubandezeleka ngoko nangoko, zinokubangela iingxaki ekuhambeni kwexesha.

• Ukuvalelwa: Izicubu eziphumayo zinokubambeka zingakwazi ukubuyela endaweni yazo. Oku kudla ngokubangela iintlungu ezinkulu.
• Ukukrwitshwa (Ukuphazamiseka koNikezo lweGazi ): Ukuba i-hernia ibanjiwe, uniko lwegazi lunganqanyulwa. Oku kunokukhokelela ekufeni kwezicubu (necrosis/gangrene). Le yingxamiseko yezonyango. Nceda ufune uncedo ngokukhawuleza kwicandelo lakho lengxamiseko okanye ku-911.

Iingxaki ze-Hiatal Hernias:

Iingxaki ze-hiatal hernias zahlukile kancinci. Nangona zihlala zingabi namathambo, zinokubangela i-acid reflux engapheliyo. I-congenital diaphragmatic hernia (ekhoyo ukususela ekuzalweni) yimeko enzima enokuphazamisana nophuhliso olufanelekileyo lwemiphunga yomntwana.

Yintoni omele uyenze ukuba ufumana intlungu ye-hernia?

Ukuba uva iintlungu, kubalulekile ukubonana nogqirha. Ezinye iimeko zinokufana neempawu ze-hernia, ngoko ke kubalulekile ukuba uxilongwe ngobuchwephesha. Funa uncedo lwezonyango ngokukhawuleza ukuba ubona umbala utshintsha kwindawo, ukungabi nanto, umkhuhlane, okanye ukuba uqala ukuhlanza.

Ifunyanwa njani i-hernia? (Ukuxilongwa)

Kwiimeko ezininzi, ugqirha unokuxilonga i-hernia ngokuhlolwa ngokwasemzimbeni. Banokukucela ukuba ukhohlele okanye ugobe ukuze babone ukuba i-hernia iba nkulu na. Kwi-hernias enzulu, iimvavanyo zomfanekiso ezifana ne-CT scan okanye i-ultrasound zinokufuneka.

Iphathwa njani i-hernias? (Unyango)

Kudla ngokufuneka utyando ukuze kulungiswe i-hernia. Nangona kunjalo, ukuba i-hernia incinci kwaye ayibangeli iingxaki ezibalulekileyo, ugqirha wakho unokucebisa indlela "yokulinda nokulinda". Ekubeni i-hernia idla ngokukhula ngokuhamba kwexesha, kuyacetyiswa ukuba ilungiswe kwangethuba. I-hernia ye-umbilical kwiintsana idla ngokuziphelela.

Utyando:

Ngexesha lotyando, izicubu eziphumayo ziyatyhalelwa ngasemva, kwaye udonga lwemisipha olubuthathaka luthungwa luvalwe okanye luqiniswe nge-mesh yotyando. Oku kudla ngokwenziwa njengenkqubo engaphantsi kakhulu (i-laparoscopic) kusetyenziswa imingxunya emincinci, enceda ekuchacheni ngokukhawuleza ngaphandle kwentlungu ingako. Utyando lwerobhothi lukwayindlela yokukhetha kwezinye izigulana. Kwezinye iimeko, utyando oluvulekileyo lunokufuneka ngokuxhomekeke kubukhulu kunye nobunzima be-hernia.

Unyango lweHernia yeHiatal:

Ukuba i-hernia yokuzala ibangela i-acid reflux enzima, inkqubo ebizwa ngokuba yi-Nissen fundoplication inokwenziwa, apho inxalenye ephezulu yesisu ijikeleziswa kwi-esophagus esezantsi ukuze kuqiniswe ivalvu.

Iziphumo Ezingalindelekanga kunye Neengxaki Zonyango:

• Ukopha
• Usulelo lwenxeba
• Iimpendulo ze-allergy kumayeza
• Ubunzima bexeshana bokuchama
• Intlungu engapheliyo emva kokulungiswa kwe-hernia ye-groin (ngenxa yokurhawuzelelwa kwemithambo-luvo okunokwenzeka).

Iyintoni imbono? (Imbono/Ukuqikelela)

Wakuba uxilongiwe eNirogi Lanka, ugqirha wakho uza kuvavanya ubukhali be-hernia aze agqibe ukuba yintoni na omawuyenze—nokuba ufuna utyando olukhawulezileyo okanye ungalinda ngokukhuselekileyo.

Nangona utyando luyimfuneko eqhelekileyo, ezi nkqubo ziqhelekile kwaye zikhuselekile ngokubanzi. Izigulana ezininzi ziyakwazi ukubuyela ekhaya ngaloo mini inye. Nangona kukho ithuba elincinci (malunga ne-10%) lokuba i-hernia ibuyele kwakhona, unganciphisa umngcipheko wakho ngokuphepha ukuphakamisa izinto ezinzima kunye nokulawula ukukhwehlela okungapheliyo okanye eminye imisebenzi ecinezela udonga lwesisu sakho.

Ukuphila ne-hernia (Ukuphila nayo)

Ukuba ufunyaniswe une-hernia kodwa ulindele utyando, nceda uqaphele la manyathelo alandelayo okhuseleko:

• Umsebenzi: Ngokuxhomekeke kuhlobo lomsebenzi wakho, ukuba ubandakanya umsebenzi onzima okanye ukuma ixesha elide, kunokufuneka uhlengahlengise indlela oqhele ukwenza ngayo izinto. Kwezinye iimeko, ugqirha wakho unokucebisa ukuba utshintshe umsebenzi okanye wenze imisebenzi elula yexeshana.
• Ukuphakamisa Izinto Ezinzima: Kuphephe ukuphakamisa izinto ezinzima nanini na xa kunokwenzeka. Ukuba kufuneka uphakamise, sebenzisa indlela efanelekileyo: goba emadolweni akho, gcina umqolo wakho uthe nkqo, kwaye ugcine loo nto ikufutshane nomzimba wakho. Ukuphakamisa izinto ngendlela engafanelekanga kunokwenza i-hernia ibe mandundu kakhulu.
• Ukuqhinwa: Nyanga ukuqhinwa ngokukhawuleza. Ukuzilolonga ngexesha lokuhamba kwamathumbu kunokunyusa uxinzelelo lwesisu, nto leyo enokwandisa iimpawu zakho ze-hernia.
• Ukukhwehlela: Ukuba ukhwehlela rhoqo, funa unyango. Ukukhwehlela okungapheliyo kubeka uxinzelelo olungeyomfuneko eludongeni lwesisu sakho kwaye akuncedanga ukuphilisa i-hernia.
• Ibhanti Yokubopha/Yokubambelela: Ugqirha wakho unokucebisa ukuba usebenzise ibhanti yokubopha okanye ibhanti yokubopha ekumgangatho wezonyango ukuze unike inkxaso. Nangona oku kunokunceda ukulawula i-hernia ngokuthintela ukuphuma kwayo, nceda ukhumbule ukuba ayilonyango oluhlala luhleli.
• Iimpawu: Hlala ulumkile malunga ne-hernia yakho. Ukuba ubona naluphi na utshintsho, olufana nokunyuka kwentlungu, ukutshintsha kombala wolusu, okanye ukudumba kuyaqina okanye kuyaphela, funa uncedo lwezonyango ngokukhawuleza.

Imibuzo Ebuzwa Rhoqo (Ii-FAQ)

Inqaku lokugqibela:

IiHernias zixhaphakile, kodwa ngolwazi olufanelekileyo kunye nokhuseleko, ungazilawula ngokufanelekileyo. Apha eNirogi Lanka , sigxininisa ukuba ukuba ubona naziphi na iimpawu okanye utshintsho olungaqhelekanga, ukubonisana nogqirha wezempilo ngokukhawuleza lelona nyathelo libalulekileyo kwimpilo yakho yexesha elide.