Ingaba une-hernia evalelweyo? Ungakhathazeki, masithethe ngayo!

Ngaba wakha waphawula ukuba kuvela iqhuma elincinci esiswini okanye emqolo wakho lize libuyele ngaphakathi? Uninzi lwexesha, linokuba yi-hernia eqhelekileyo. Nangona kunjalo, ngamanye amaxesha le hernia inokunamathela ngendlela engenakutyhalelwa kuyo ngokulula. Yiloo nto siyibiza ngokuba yi-"incarcerated hernia." Le yimeko ekufuneka siyixhalabele kancinci. Kuba ayinyamalali nje. Ngoko ke, masithethe ngale nto namhlanje, ngokucacileyo nangokulula, ukuze uqonde.

Yintoni kanye kanye i-hernia evalelwe?

Ngamafutshane, i-hernia ekrwitshiweyo yi-hernia ephume kwimisipha yesisu sakho kwaye inamathele ngendlela yokuba ayikwazi ukubuyela kuyo. I-hernia eqhelekileyo iya kubuyela xa sityhala kancinci okanye silala phantsi. Kodwa le hernia ekrwitshiweyo ayiphindi ibuyele kuyo. Kufana nento ekrwitshiweyo emnyango.

Khawuthelekelele, unomngxuma omncinci eludongeni lwesisu sakho, kwaye into efana neqhekeza lamathumbu iphuma ngaphandle. Ngokwesiqhelo, ungayibuyisela. Kodwa kwi-hernia ekrwitshiweyo, ezo zihlunu ziyaqina kwaye zibambe indawo ephumayo endaweni yayo.

Naluphi na uhlobo lwe-hernia lunokubanjwa ngale ndlela, kodwa i-inguinal hernias kunye ne-femoral hernias zinokwenzeka ukuba zibanjwe ngale ndlela.

Le hernia ikrwitshiweyo ngamanye amaxesha inokwenzeka ngequbuliso nangokubi kakhulu (`(Acute)`). Okanye, kwabanye abantu, isenokuba ikhona okwethutyana kwaye ingabonakalisi zimpawu zibalulekileyo ekuqaleni (`(Chronic)`).

Zithini iimpawu ze-hernia ekrwitshiweyo? Uzibona njani?

Uphawu oluphambili lwe-hernia ekrwitshiweyo yindawo enamaqhuqhuva esiswini okanye emqolo engaphindi ingene. Oku kuthetha ukuba ikhona, nokuba uyijongile okanye ulele. Ukongeza koku, kukho nezinye iimpawu ezimbalwa ezinokubakho:

• Ukuva uzele, uqunjelwa: Usenokuziva ngathi kukho into ezalisa isisu sakho.
• Isicaphucaphu nokuhlanza: Kunye nokulahlekelwa ngumdla wokutya, isicaphucaphu nokuhlanza nako kunokubakho.
• Intlungu ebuhlungu esiswini okanye emqolo: Le ntlungu ingaqala ngequbuliso ize ikhule kancinci kancinci. Ngamanye amaxesha isenokunganyamezeleki.
• Ububomvu besikhumba phezu kwe-hernia: Ulusu phezu kwe-hernia ekrwitshiweyo lunokuba bomvu kwaye lusenokuziva lufudumele.
• Ukudumba kunye nentlungu xa uchukunyiswa kwindawo ye-hernia ekrwitshiweyo: Indawo enamaqhuqhuva isenokudumba kwaye ibe buhlungu xa uyichukumisa.

Okubaluleke kakhulu, i-hernia ekrwitshiweyo inokubangela ukuba ube nobunzima bokukhupha indle. Oku kungenxa yokuba i-hernia ekrwitshiweyo inokubangela ukuvaleka kwamathumbu ngokucinezela inxalenye yamathumbu.(`(Amathumbu avaliweyo`) anokwenzeka. Emva koko indle ayikwazi ukuhamba iye emathunjini. Oku kukwayinto engxamisekileyo.

Kutheni i-hernia ivalelwa ngolu hlobo? Zithini izizathu?

Eyona nto ibangela ukuba i-hernia ivalelwe kukuba izihlunu zesisu sakho ziphantsi koxinzelelo oluphezulu ngendlela engaqhelekanga. Olu xinzelelo longezelelweyo lubangela ukuba izihlunu ziqine, nto leyo eyenza i-hernia ivalelwe ngakumbi. Nazi ezinye zezinto ezinokubangela uxinzelelo olongezelelweyo kwizihlunu zesisu sakho:

• Ukuphakamisa iintsimbi: Xa uphakamisa ngequbuliso ubunzima ongenakubuthwala, cinga ngabo njengokuphakamisa ibhakede elinzima ngelixa usenza umsebenzi wasekhaya, okanye ngokungxama ukuphakamisa ubunzima obunzima ngelixa uzilolonga.
• Ukukhohlela okungapheliyo: Abanye abantu banesikhwehlela esingapheliyo esiqhubeka nokukhohlela. Oku kunokubangela uxinzelelo kwizihlunu zesisu xa bekhohlela.
• Ukuzikhandla ngexesha lokuhamba kwamathumbu ngenxa yokuqunjelwa: Ukuba uhlala uqunjelwe, uya kufumana uxinzelelo olukhulu esiswini sakho nokuba uzama ukuthutha amathumbu.
• Ukuqokelelana kolwelo ngaphakathi kwe-hernia: Ngamanye amaxesha ulwelo lunokuqokelelwa ngaphakathi kwe-hernia sac, nto leyo ebangela ukuba i-hernia ikhule. Nangona kunjalo, kusenokwenzeka ukuba ibanjwe.

Ukongeza, ukuba ukhe waba ne-hernia ngaphambili waza watyandwa ngenxa yayo, izicubu zesilonda zinokwenzeka kwindawo yotyando. Ukuba i-hernia entsha ivele kwindawo enye, izicubu zesilonda ezivela kutyando oludala zinokuthintela ukuba i-hernia entsha ingaphindi ibuyele kwaye ibambeke.

Ziziphi iingxaki ezinkulu ezinokubakho ngenxa ye-hernia ekrwitshiweyo?

Eyona ngxaki iyingozi ekufuneka siyiqwalasele apha yimeko ebizwa ngokuba yi-`(Strangulated hernia)`. NgesiSinhala, ithetha into efana ne-"strangulated hernia". Le yingxamiseko yezonyango efuna unyango olukhawulezileyo.

Khawucinge nje, apho i-hernia ibambeke khona, ukuhamba kwegazi ukuya kuloo tissue ibambekileyo, isitho somzimba, okanye inxalenye yamathumbu kuyeka ngokupheleleyo. Kufana nomntu okrwitsha intamo yakho. Emva koko loo nxalenye ayifumani ioksijini okanye izondlo. Ukuba oko kuyenzeka, loo tissue iqala ukufa. Oku kunokuba yingozi ebomini.

Ngoko ke, ukuba uneempawu ze-hernia ekrwitshiweyo, kubalulekile ukufuna iingcebiso zonyango ngokukhawuleza.

Ugqirha ufumanisa njani ngokuchanekileyo i-hernia ekrwitshiweyo?

Xa usiya kugqirha, uza kuqala enze uvavanyo lomzimba (`(uvavanyo lomzimba)`). Uza kukubuza ngeempawu zakho. Umzekelo, ukuba unako na ukukhupha isisu kunye nokuba kubuhlungu kangakanani.

Emva koko, ugqirha uza kuyibamba ngesandla indawo enamaqhuqhuva aze ayijonge ukuba iyabuyela na ngaphakathi. Ukuba ayibuyeli ngaphakathi, ugqirha uza kuyijonga njenge-hernia ekrwitshiweyo.

Ngamanye amaxesha, uvavanyo olufana ne-`(CT scan)` (`(Computed Tomography scan)`) lunokwenziwa ukuze kubonwe ukuba yintoni ngaphakathi kwi-hernia kunye nokuba iqine kangakanani. Oku kunokunika umfanekiso ocacileyo.

Uyinyanga njani i-hernia ekrwitshiweyo? Ngaba inganyangeka?

Ewe, ngokuqinisekileyo inganyangeka. Kodwa eyona nto ibalulekileyo kukuba i-hernia ekrwitshiweyo yingxamiseko yotyando . Oko kukuthi, ayinakunyangwa ngokuthatha amayeza okanye ezinye iindlela.

Unyango olulodwa loku kukulungisa i-hernia. Olu tyando lubandakanya ukufaka inxalenye yamathumbu okanye izicubu ezinamathele esiswini kunye nokuqinisa indawo ebuthathaka okanye umngxuma eludongeni lwesisu. Ngamanye amaxesha kusetyenziswa i-mesh ekhethekileyo koku.

Khumbula, le ayisiyonto unokuyinyanga ekhaya. Utyando luyimfuneko ngokuqinisekileyo.

Kuthatha ixesha elingakanani ukuphola emva kotyando?

Oku kuxhomekeke kwizinto ezininzi, kuquka uhlobo lotyando owalwenzayo kunye nempilo yakho iyonke. Kodwa ngokubanzi, uya kukwazi ukuqhubeka nemisebenzi yakho yesiqhelo kancinci kancinci kwiintsuku ezimbalwa.

Nangona kunjalo, ugqirha wakho uza kukunika imiyalelo yokuba kufuneka ungaphakamisi iintsimbi ixesha elingakanani, into omele uyenze nengamele uyenze. Kubaluleke kakhulu ukulandela loo miyalelo ngokuchanekileyo. Asinguye wonke umntu ophila ngendlela efanayo. Ngoko ke, buza ugqirha wakho ukuba ulindele ntoni kwimeko yakho kunye nento onokuyenza ukuze uncede uphilise ngokukhawuleza.

Ndifanele ndimbone nini ugqirha?

Ukuba ucinga ukuba une-hernia, ingakumbi ukuba uziva iqhuma esiswini okanye emqolo wakho elingangeni lodwa okanye elibuhlungu, bonana nogqirha ngokukhawuleza.

Musa ukucinga nje ukuba, "Yinto encinci nje, iza kulunga yodwa." Kuba, ukuba i-hernia ekrwitshiweyo ayinyangwa, inokukhokelela kwiimeko eziyingozi ezifana ne-`(i-hernia ekrwitshiweyo)` ekhankanyiweyo ngaphambili. Ngoko ke, ukuba unamathandabuzo, nokuba yinto encinci, kububulumko ukubona ugqirha kwaye ucele ingcebiso.

Ndingayibuza yiphi imibuzo ugqirha?

Xa usiya kugqirha, kungcono ukubuza imibuzo efana nale:

• "Gqirha, ucinga ukuba ndinayo le hernia ivalelwe?"
• "Yeyiphi eyona ndlela ilungileyo yokunyanga oku?"
• "Ngaba kuya kufuneka ndityandwe?"
• "Ndiza kukwazi ukusebenza ixesha elingakanani emva kotyando?"
• "Zeziphi izinto ezikhethekileyo ekufuneka ndiziqaphele emva kotyando?"

Buza imibuzo efana nale uze uqonde kakuhle imeko yakho.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Uneqhubu okanye iqhubu esiswini okanye emqolo wakho, alingeni ngaphakathi kuwe, mhlawumbi alibuhlungu... kodwa likhona. Ukuba ubona utshintsho olunje emzimbeni wakho, musa ukulutyeshela nje. Ngokuqinisekileyo yinto omele uthethe ngayo nogqirha.

Xa kuhlolisiswa, kunokuqinisekiswa ukuba yi-hernia evalelekileyo. Le hernia ayizukuphola ngokwayo ngaphandle konyango.Ukuba ayinyangwa, inokukhokelela kwiingxaki zempilo ezinzulu ngakumbi. Ngoko ke, ukuba uneqhuma elirhanelekayo nelikhathazayo, eyona nto ingcono onokuyenza kukuthetha nogqirha ngalo. Ungakhathazeki, ngonyango olufanelekileyo, le meko inokuphiliswa ngokupheleleyo.

I- Hernia Evalelwe Ejele, Iimpawu zeHernia, Utyando lweHernia, Isilonda Sesisu, Intlungu Yemiqolo, Unyango lweHernia