Ngaba kukho iqhuma elivele kwindawo otyando kuyo? Isenokuba yi-hernia enqunyiweyo!

Uyakhumbula ukuba utyando lwesisu sakho, oko kukuthi, emva kotyando, ngamanye amaxesha uye waphawula ukuba isilonda senxeba sibonakala ngathi sisilonda esincinci esiphumayo? Okanye ngaba oku kwenzeke kumntu omaziyo? Ixesha elininzi oku akuyonto ibalulekileyo, kodwa kubaluleke kakhulu ukukwazi oku. Oku kubizwa ngokuba yi-Incisional Hernia ngokwezonyango , okanye ngesiSinhala,

Yintoni le (Incisional Hernia)? Masiyiqonde ngokulula!

Khawucinge ukuba ukhe wenziwa utyando, oko kukuthi, utyando, esiswini sakho ngesizathu esithile. Isenokuba lutyando olwenziwa ngomsikelo omkhulu, esiwubiza ngokuba yi-laparotomy . Okanye isenokuba lutyando olwenziwa ngomsikelo omncinci (utyando lwe-laparoscopic) , okanye inokuba yindlela entsha (utyando lwerobhothi) .

Kungakhathaliseki ukuba utyando lwenziwa njani, izihlunu esiswini ziyabuthathaka kancinci emva kotyando. Kufana nokuba indawo encinci kwilaphu ikrazukile. Emva koko, amathumbu angaphakathi kwesisu, okanye iileya zamafutha esiswini, aphuma ngezo zihlunu zibuthathaka. Ziphuma ngolo hlobo, zize zibonakale njengeqhubu elincinci okanye ukudumba phantsi kolusu kwindawo apho utyando lwenziwe khona. Oku sikubiza ngokuba yi-Incisional Hernia.

Le yimeko eqhelekileyo kakhulu. Izifundo zibonisa ukuba malunga nabantu abangama-20 kwabayi-100 abaye benza utyando olukhulu lwesisu, olufana ne-laparotomy, baya kuba ne-hernia. Kwakhona, le hernia inokwenzeka kwangoko emva kotyando, okanye inokuvela emva kweenyanga okanye iminyaka.

Ixesha elininzi, ezi (Incisional Hernias) aziyongxaki enkulu yezonyango. Nangona kunjalo, ngamanye amaxesha ukuba le hernia iba nkulu, inokukhokelela kwiingxaki ezinkulu. Ngoko ke, kubalulekile ukuqaphela oku.

Unyango oluqhelekileyo loku kukwenza olunye utyando lokubuyisela iindawo zamathumbu eziphume zibuyele esiswini nokuqinisa izihlunu ezibuthathaka.

Zithini iimpawu zeHernia eqhotsiweyo? Uyibona njani?

Ukuba i-hernia incinci, imalunga neesentimitha ezi-5 ububanzi okanye ubude, usenokungaziboni naziphi na iimpawu. Nangona kunjalo, ukuba i-hernia inkulu, umzekelo, ingaphezulu kweesentimitha ezili-10, unokuva iintlungu. Kwakhona, iqhuma okanye ukudumba kunokubonakala ngokucacileyo kwindawo yesilonda sotyando.

Le ntlungu ngamanye amaxesha ingavakala njengentlungu ebukhali yokuhlaba, okanye ingavakala njengentlungu ebuhlungu kakhulu. Le ntlungu inokuba qatha ngakumbi xa uphakamisa into enzima, ukhohlela, okanye uthimla.

Loo mbonakalo ifana namaqhuqhuva inokubonakala ngakumbi xa usukuma okanye xa ucinezela izihlunu zesisu sakho (umzekelo, xa uzibhokoxa xa uqunjelwe).

Kutheni le nto (i-Incisional Hernia) yenzeka? Zithini izinto eziyichaphazelayo?

Njengoko besikhe sathetha ngaphambili, unobangela oyintloko wobuthathaka bemisipha yesisu emva kotyando lwesisu kubuthathaka kwemisipha yesisu. Lo mngcipheko uphezulu ngakumbi emva kokusika okukhulu (i-laparotomy). Nangona kunjalo, le meko inokwenzeka nasemva kotyando olwenziwe ngokusika okuncinci, njengotyando lwe-laparoscopic okanye lwe-robotic.

Emva kotyando, ezi zihlunu zithatha ixesha ukuba ziphinde ziphile, okanye ziphile. Imisebenzi ethile kunye neemeko zonyango zinokulibazisa eli xesha lokuphiliswa kwaye zonyuse umngcipheko we-hernia yokusikwa. Ezi ziquka:

• Ukuba nomdla kakhulu emva kotyando: Oku kuthetha ukwenza umsebenzi onzima okanye ukwenza izinto ezicinezela umzimba ngaphandle kokuphumla ngokwaneleyo.
• Isifo seswekile: Abantu abanesifo seswekile baye balibazisa ukuphola kwamanxeba.
• Ukutyeba kakhulu: Lo mngcipheko uphezulu nakubantu abatyebe kakhulu.
• Izifo zemiphunga: Ingakumbi kubantu abanezifo ezibangela ukukhwehlela okungapheliyo, njenge -COPD (Chronic Obstructive Pulmonary Disease) , ukukhwehlela rhoqo kubeka uxinzelelo kwizihlunu zesisu.
• Ukusetyenziswa ixesha elide kwe-immunosuppressants okanye ii-corticosteroids.
• Usulelo kwindawo yotyando: Ubuthathaka bemisipha bunokubakho ngenxa yezinto ezifana nosulelo lwenxeba.

Ingancitshiswa njani le ngozi?

Enyanisweni, eyona nto ingcono onokuyenza kukunika umzimba wakho ixesha olifunayo lokuphola. Zithobe iintsuku ezimbalwa emva kotyando. Kuphephe ukuphakamisa iintsimbi okanye ukwenza imisebenzi enzima okwethutyana. Kungcono ukubuza ugqirha wakho ukuba ungaqhubeka nini nemisebenzi eqhelekileyo.

Ziziphi iingxaki ezinokubakho zeHernia eqatywe ngentsimbi?

Nangona ingaqhelekanga, ngamanye amaxesha i-hernia yokusika inokubangela izifo ezinzulu. Enye yi -hernia evalelwe . Oku kwenzeka xa inxalenye yamathumbu engene kwi-hernia ivaleleka phakathi kwemisipha kwaye ingakwazi ukubuyela esiswini.

Enye imeko eyingozi kukuba ne-hernia ekrwitshiweyo . Kwimeko enjalo, inxalenye yamathumbu ekrwitshiweyo iphantsi koxinzelelo olukhulu kwaye ilahlekelwa kukuhamba kwegazi. Xa oku kusenzeka, loo nxalenye yamathumbu iqala ukufa. Kwizonyango, sibiza oku ngokuthi yi-necrosis .

I-hernia evalelweyo kunye ne-hernia ekrwitshiweyo ziimeko zempilo ezinzulu ezifuna unyango olukhawulezileyo. Kwezi meko, unokufumana iintlungu eziqatha ngequbuliso kwindawo ye-hernia, kwaye ulusu olukuloo ndawo lunokutshintsha umbala. Ulusu lunokuba mhlophe emva koko lube mnyama. Ukuba unale mpawu, kuya kufuneka uye kwigumbi likaxakeka esibhedlele ngoko nangoko.

Oogqirha bazi njani ukuba une-Incisional Hernia?

Xa usiya kugqirha, baya kuqala bakuhlole ngokwasemzimbeni . Basenokukucela ukuba uhlale phantsi, baze bame, baze emva koko bajonge naziphi na iziqwenga okanye amaqhuma anokuba ehambahamba. Baya kubuza nangezinye iimpawu onokuba nazo baze bazame ukufumanisa ukuba unayo na imeko efana ne-hernia evalelweyo. Ngamanye amaxesha banokwenza ne -CT scan .

Iphathwa njani i-Incisional Hernia?

Unyango luxhomekeke kwiimpawu zakho. Umzekelo, ukuba une-hernia encinci engabuhlungu okanye engakukhathaziyo, usenokungadingi unyango. Nangona kunjalo, i-hernia yokusika inokukhula ngokuhamba kwexesha. Njengoko i-hernia ikhula, umngcipheko weengxaki uyanda. Ke ngoko, ukuba i-hernia yakho inkulu okanye ibangela iimpawu, ugqirha unokucebisa utyando lokulungisa i-hernia .

Olu tyando lunokwenziwa njengonyango lwe-hernia evulekileyo okanye njengotyando lokulungisa i-hernia nge-laparoscopic. Kuzo zombini ezi nkqubo, inxalenye yamathumbu okanye izicubu ezingaphakathi kwi-hernia zibuyiselwa esiswini ukuze kuqiniswe izihlunu zesisu ezibuthathaka. Ngamanye amaxesha, isakhiwo esifana ne-mesh sisetyenziselwa ukuqinisa ezi zihlunu. Oku kunciphisa umngcipheko wokuba i-hernia iphinde ivele.

Kuthatha ixesha elingakanani ukuphiliswa?

Ixesha lokuchacha liyahluka kumntu nomntu. Uninzi lwabantu lunokubuyela kwimisebenzi yalo yesiqhelo kwiintsuku ezimbalwa. Nangona kunjalo, wonke umntu wahlukile, ngoko ke kungcono ukubuza ugqirha wakho ukuba kuza kuthatha ixesha elingakanani kwaye yintoni onokuyilindela.

Ndifanele ndimbone nini ugqirha emva kotyando?

Iingxaki ezincinci ngamanye amaxesha zinokwenzeka emva kotyando lokulungisa i-hernia ekrwitshiweyo. Ngoko ke, ukuba ufumana nayiphi na kwezi zilandelayo, yazisa ugqirha wakho ngoko nangoko:

• Ukuba inxeba liphuma igazi.
• Ukuba ubona iimpawu zosulelo: umkhuhlane, ulwelo olufana nobovu oluphuma enxebeni.

Yintoni ekufuneka ilindelwe ngumntu one-hernia eqhotsiweyo?

Utyando lokulungisa i-hernia enkulu (esikiweyo) ludla ngokuyiphilisa ngokupheleleyo le meko. Nangona kunjalo, ngamanye amaxesha i-hernia inokuphinda ivele.

Ungaphila ixesha elingakanani neHernia enesilonda?

Ukuba i-hernia yakho ayivalelwanga, ungaphila nayo ixesha elide. Nangona kunjalo, i-hernia evalelweyo ingakrwitshwa. Ukuba oko kuyenzeka, ingakhula ibe yimeko enzima yezonyango enokuba yingozi nakubomi .

Kungangalindelekanga ukuba kubekho i-hernia yokusikwa emva kotyando lwesisu. Kunokuba buhlungu kakhulu ukucinga ukuba emva kotyando lwesinye isifo, kuza kuvela enye ingxaki. Nangona kunjalo, le meko intsha ayisoloko ifuna utyando kwakhona. Nangona kunjalo, ekubeni i-hernia enkulu yokusikwa inokubangela iingxaki ezinkulu, ukuba uneqhuma okanye ukudumba apho wenze khona utyando, ngokuqinisekileyo kuya kufuneka ubone ugqirha kwaye ufumane ingcebiso. Uza kukuxelela ukuba yeyiphi into engcono onokuyenza.

Izinto ezibaluleke kakhulu ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

• I-incisional hernia iyenzeka xa iindawo zamathumbu, ezifana namathumbu, ziphuma kwindawo yokusikwa emva kotyando lwesisu.
• Oku akusoloko kuyinto engxamisekileyo enkulu , kodwa ngamanye amaxesha kunokuba yinto enzulu.
• Ukuba kukho iqhuma, ukudumba, okanye intlungu kwindawo yesilonda sotyando, funa ingcebiso kagqirha.
• Ukuba intlungu iyanda xa uphakamisa iintsimbi okanye ukhohlela, loo nto nayo iluphawu.
• I-hernia evalelwe okanye ekrwitshiweyo yimeko engxamisekileyo yezonyango. Ingabangela iintlungu eziqatha kunye nokutshintsha kombala.
• Unyango ludla ngokuba lutyando.
• Ukuphumla ngokwaneleyo emva kotyando kunye nokulandela imiyalelo kagqirha wakho kubaluleke kakhulu ukuze uphile ngokukhawuleza.

Ukuba ufuna ukwazi okungakumbi ngale nto, okanye ukuba uneengxaki, ungathandabuzi ukuthetha nogqirha. Hlala uphilile!

I- Hernia, i-hernia yokusika, i-hernia emva kotyando, utyando lwesisu, i-hernia yokusika, ukuhla kwamathumbu, utyando lwe-hernia