Ngaba wakha waziva iqhuma elincinci kwindawo yakho yamathumbu xa ukhohlela, uphakamisa into ethile, okanye uhleli nje? Mhlawumbi kubuhlungu kancinci, okanye kuvakala ngathi kubunzima. Abantu abaninzi bayoyika kwaye baneentloni ukuthetha ngayo. Kodwa le yinto esiyibiza ngokuba yi-'hernia', ngakumbi 'i-inguinal hernia'. Ungakhathazeki, le yimeko eqhelekileyo kakhulu. Masithethe ngayo ngokweenkcukacha, ngendlela onokuyiqonda.
Ngamafutshane, yintoni i-hernia ye-inguinal?
Cinga ngezitho ezingaphakathi kwesisu sethu (umzekelo, amathumbu, ii-fat pads esiswini) njengezifana nomoya okwibhaluni. Ezi zitho zibanjwe ngokuqinileyo zimisipha ezikudonga lwesisu sethu. Njengerabha ebhaluni. Ngoku, ukuba olu donga lwezihlunu luba buthathaka ndaweni ithile, okanye ukuba kuvela umngxuma omncinci, iqhekeza lesicwili esingaphakathi kwesisu linokuphuma apho. Yiloo nto siyibiza ngokuba yi-hernia .
I-Inguinal hernias zenzeka ngaphakathi okanye kufutshane nomjelo we-inguinal, indawo apho isisu nemilenze zidibana khona. Olu lolona hlobo luqhelekileyo lwe-hernia.
Ngaba kukho iintlobo ze-hernia? Zithini ngokuthe ngqo nokungathanga ngqo?
Ewe, ii-hernias ze-inguinal zinokwahlulwa zibe ziintlobo ezimbini eziphambili. Kukho umahluko omncinci kwindlela ezi zinto zimbini ezenzeka ngayo.
| Uhlobo lwe-hernia | Ingcaciso elula |
|---|---|
| I-Hernia ethe ngqo ye-Inguinal | Olu luhlobo oluqhele ukwenzeka kubantu abadala. Ekuhambeni kwexesha, izihlunu zesisu ziyabuthathaka kwaye uxinzelelo kuzo (ezifana nokukhwehlela okanye ukuphakamisa iintsimbi) lubangela ukuba i-hernia iphume ngqo eludongeni lwezihlunu. Oku akuyonto ekhoyo xa umntu ezalwa. |
| I-Hernia ye-Inguinal engathanga ngqo | Le yimeko edla ngokubakho xa umntwana ezalwa. Ngexesha lokukhulelwa, xa umngxuma ophezulu womngxuma ungavaleki kakuhle, i-hernia iphuma kuyo. Oku kuqhelekile phakathi kweentsana. |
Ngubani ochaphazeleka kakhulu yile meko?
Oku akumangalisi, kuba amadoda anamathuba aphindwe kalishumi okufumana olu hlobo lwe-hernia kunabasetyhini. Isizathu yindlela imizimba yethu eyilwe ngayo. Amasende endoda akhula ngaphakathi esibelekweni ngexesha lokukhulelwa. Emva koko ahamba ngomjelo we-inguinal ukuya kwi-scrotum. Ngoko ke, ngokwemvelo, kushiyeka indawo encinci ebuthathaka kule ndlela. Ekuhambeni kwexesha, le ndawo ibuthathaka inokuba yi-hernia.
Oku akuvamile kakhulu kubasetyhini . Oku kungenxa yokuba umjelo wabo we-pelvic uncinci kwaye i-ligament eqinileyo (i-ligament ejikelezayo) idlula kuyo. Ke ngoko, loo ndawo inamandla ngokwendalo.
Lilonke, ama-75 kwi-100 hernias ehlabathini yi-groin hernias. Indoda enye kwabane (25%) iya kuba nale meko ebomini bayo. Phakathi kwabasetyhini, izinga liphantsi kancinci, malunga nama-2 kwi-100 (2%). Linokubonwa nakubantwana, ingakumbi iintsana ezingekafiki ixesha.
Ngaba i-hernia ye-inguinal ingaba yingozi?
Okokuqala, ayizizo zonke ii-hernias eziyingozi ngoko nangoko. Nangona kunjalo, ingxaki ngale nto kukuba ii-hernias zinokuba mandundu ngokuhamba kwexesha. Njengoko indawo ebuthathaka eludongeni lwezihlunu ikhula, izicubu ezininzi ziqala ukudumba.
I-hernia ayisiyonto eba ngcono xa ikhona. Ihlala ikhula ngokuhamba kwexesha.
Ingozi ephambili kukuba inxalenye yesicwili ephumileyo (umzekelo, amathumbu) inokubanjwa (ukuvalelwa entolongweni) kwaye ayikwazi ukubuyela kuyo. Xa oku kusenzeka, le nxalenye iyaqina kwaye ukuhamba kwegazi kuyo kungayeka. Oku sikubiza ngokuba kukukrwitshwa . Le yimeko eyingozi kakhulu, engxamisekileyo. Ke ngoko, ukuba sele uziva iintlungu kunye nokungonwabi ngenxa yehernia, ugqirha wakho uya kucebisa ukuba wenze utyando ukuze uyilungise ngaphambi kokuba imeko ibe mandundu.
Zithini iimpawu zoku? Uzibona njani?
Ngamanye amaxesha kusenokungabikho zimpawu konke konke. Okanye, iimpawu zinokufika ziphele. I-hernia ingaphuma ize iphinde ibuyele ngaphakathi. Jonga ukuba uyayibona na enye yezi:
- Iqhuma elincinci, elifana nethumba, kwelinye icala lendawo yakho yangaphakathi, okanye ithambo lesisu.Ingaba iyaphuma? (Kumadoda, oku kunokufikelela kwi-scrotum).
- Ngaba uziva ubunzima okanye uxinzelelo kuloo ndawo?
- Ngaba uziva iintlungu xa uphakamisa iintsimbi, ukhohlela, ugoba, okanye usebenzisa indlu yangasese?
- Ngaba ngamanye amaxesha uziva utshile kwaye uhlaba ? Le ntlungu inokuhamba ukusuka emqolo ukuya emlenzeni.
- Kubantwana abancinci, xa bekhala, basenokuziva ngathi kukho iqhuma elisezinqeni zabo. Liyanyamalala xa belele.
Zithini izizathu eziphambili ze-hernia?
I-hernia ibangelwa kukudibana kwezinto ezimbini: indawo ebuthathaka eludongeni lwesisu kunye noxinzelelo kulo. Kukho izinto ezininzi ezinokubangela oku:
- Ubuthathaka bokuzalwa: Njengoko bekutshiwo ngaphambili, oku kunokuchaphazela ngakumbi abafana.
- Ukukhohlela okanye ukuthimla ixesha elide: Izinto ezifana ne-asthma kunye nokukhohlela komtshayi zinokubangela uxinzelelo oluqhubekayo esiswini.
- Ukuzibhokoxa rhoqo ukuya kwindlu yangasese ngenxa yokuqhinwa: Oku kukwangunobangela omkhulu wokwenza buthathaka udonga lwesisu.
- Ukuphakamisa izinto ezinzima okanye ukuzilolonga kakhulu: Ingakumbi ukuphakamisa izinto ezisindayo ngendlela engafanelekanga.
- Ukutyeba kakhulu (ukwanda kwamafutha esiswini): Ubunzima obugqithisileyo esiswini buhlala bubeka uxinzelelo eludongeni lwesisu.
- Ukukhulelwa: Ukukhulelwa nokuzala abantwana nako kunokwenza buthathaka udonga lwesisu.
- Ukwaluphala: Izihlunu ziyawohloka ngokwendalo xa zikhula.
- Utyando lwangaphambili: Indawo ebuthathaka ingavela ecaleni kwesilonda apho kwenziwe khona utyando lwesisu.
Ziziphi iingxaki ezinokubakho ngenxa ye-hernia enganyangwanga?
Le yinxalenye ebaluleke kakhulu. I-hernia inokuba yingozi ukuba ikhona nje.
| Ingxaki | Intsingiselo |
|---|---|
| Ukwandiswa ngokuhamba kwexesha | I-hernia inokuba nkulu, nto leyo ebangela ukungonwabi okukhulu kunye nentlungu. Kumadoda, isinqe se-scrotum sinokudumba. |
| Ukuvalelwa entolongweni | Inxalenye yamathumbu ephumileyo ayinakubuyiselwa. Oku kubangela iintlungu eziqatha. |
| Ukuvaleka kwamathumbu amancinci | Ukutya nomoya azikwazi ukudlula emathunjini avaliweyo, nto leyo ebangela iintlungu ezinzulu zesisu, ukuhlanza, kunye nokuqhina. |
| Ukuqhinwa | Le yingxamiseko yezonyango. Ukunikezelwa kwegazi kwizicubu ezichaphazelekayo kuyanqanyulwa. Oku kubangela ukuba izicubu zife (gangrene). Oku kunokuba yingozi ebomini. |
Yintoni omawuyenze ukuba ukrokrela ukuba une-hernia?
Ukuba uneempawu ze-hernia, into yokuqala neyona ilungileyo yokwenza kukubona ugqirha wakho . Musa ukuba neentloni okanye ukulibazisa. Iqhuma elisesinqeni sakho akuthethi ukuba une-hernia. Isenokuba yi-lymph node evuvukileyo, i-lipoma, okanye enye imeko. Yiyo loo nto kubalulekile ukubona ugqirha wakho ukuze ufumane ukuxilongwa ngokuchanekileyo .
Ugqirha uza kukuhlola.
- Baza kukucela ukuba ukhohlele kwaye uzihluze ukuze babone ukuba i-hernia iya kuphuma na.
- Baza kuzama ukucinezela i-hernia ngezandla zabo baze babone ukuba bangayibuyisela na ngaphakathi.
- Ngamanye amaxesha, banokuyalela into efana ne- ultrasound scan ukuqinisekisa ukuxilongwa.
Yeyiphi indlela engcono yonyango lwe-hernia?
Utyando lolona nyango lubalaseleyo noluhlala luhleli kwiihernias ezininzi ze-inguinal. Utyando ludla ngokucetyiswa ngoko nangoko, ingakumbi ukuba i-hernia ikwiibantwana nakwabasetyhini, njengoko umngcipheko weengxaki uphezulu.
Kwindoda ene-hernia encinci kakhulu engenazo iimpawu, ugqirha ngamanye amaxesha unokucebisa indlela "yokulinda nokubukela". Nangona kunjalo, uninzi lwamadoda ekugqibeleni luya kufuna utyando.
Nangona 'ibhanti ye-hernia' (i-truss) esetyenziswa ngabanye abantu inokuthintela okwethutyana ukuba i-hernia ingaphumi, ayisosisombululo esihlala sihleli.
Nangona kuthiwa lutyando, ukwenza njani oku?
Eyona njongo iphambili yotyando lwe-hernia kukubuyisela izicubu eziphumayo ngaphakathi esiswini kunye nokuvala indawo ebuthathaka okanye umngxuma eludongeni lwezihlunu. Ngamanye amaxesha i-mesh yokwenziwa isetyenziselwa ukuqinisa le ndawo ibuthathaka. Oku kubizwa ngokuba yi -Hernioplasty .
Olu tyando luhambele phambili kakhulu ngoku. Kukho iindlela ezimbini eziphambili.
| Indlela yotyando | Inkcazo |
|---|---|
| Utyando lweLaparoscopic | Oku kukwabizwa ngokuba 'lutyando lwe-keyhole'. Olu tyando lwenziwa ngokwenza imingxunya embalwa esiswini kunye nokufaka ikhamera kunye nezixhobo ezithambileyo. Akukho zizilonda zingako, iintlungu zingako, kwaye kuphola ngokukhawuleza. |
| Utyando Oluvulekileyo | Le yindlela yesintu. Utyando lwenziwa ngokwenza umsikelo othe tye node kwindawo ene-hernia. Le ndlela isetyenziselwa ii-hernia ezinkulu okanye ezintsonkothileyo. |
Ugqirha wakho uya kugqiba ukuba yeyiphi indlela efanelekileyo kuwe.
Ngaba kukho iindlela zokuthintela ukwakheka kwe-hernia?
Nangona i-hernia yokuzalwa ingenakuthintelwa, kukho izinto ezininzi onokuzenza ukunciphisa umngcipheko wokuba ne-hernia kamva ebomini.
- Xa uphakamisa iintsimbi, goba amadolo akho uze uwaphakamise ngokufanelekileyo. Musa ukuwaphakamisa ngomqolo okanye ngesisu sakho.
- Lawula ubunzima bakho, ingakumbi ukunciphisa amafutha esiswini.
- Ukuba une-constipation, yifumane unyango. Yitya ukutya okune-fiber (iziqhamo, imifuno) kwaye usele amanzi amaninzi.
- Ukuba uyatshaya, yeka. Ukukhohlela ngenxa yokutshaya yeyona nto ibangela ii-hernias.
- Yenza umthambo oqinisa izihlunu zesisu sakho. Nangona kunjalo, ukuba sele une-hernia, qhagamshelana nogqirha wakho ngaphambi kokuba wenze umthambo.
Kuphantsi kweziphi iimeko apho kufuneka ubone ugqirha ngokukhawuleza?
Ukuba une-hernia, kunokuba yingxamiseko ukuba ufumana naziphi na kwezi mpawu zilandelayo:
- Ukuba i-hernia iba buhlungu kakhulu, ibe bomvu, kwaye idumbe .
- Ukuba i-hernia ayinakufakwa .
- Ukuba ufumana ukuhlanza, isicaphucaphu, okanye iintlungu eziqatha zesisu .
- Ukuba ufumana umkhuhlane .
- Ukuba awukwazi ukuya kwigumbi lokuhlambela uze ukhuphe umoya ,
Ukuba unayo nayiphi na kwezi mpawu , yiya kwigumbi likaxakeka (ETU) lesibhedlele ngaphandle kokulibazisa . Oku kungaba luphawu lwe-hernia ekrwitshiweyo.
Umyalezo Wokuya Ekhaya
- I-hernia ye-inguinal yimeko eqhelekileyo kakhulu. Musa ukuba neentloni okanye uyoyike.
- Ukuba uziva iqhuma, iintlungu, okanye ubunzima emqolo wakho, qiniseka ukuba ubonana nogqirha wakho. Musa ukuyityeshela nje loo nto.
- Unyango olungcono noluhlala luhleli kwiihernias ezininzi lutyando. Olu lutyando oluphumelele kakhulu ngoku.
- Ukuba i-hernia ivalekile kwaye ufumana iimpawu ezifana nentlungu enzima kunye nokuhlanza, yingxamiseko. Yiya kwiSebe leNgxamiseko lesibhedlele (ETU) ngokukhawuleza.
- Indlela yokuphila esempilweni (ukulawula ubunzima, ukuphakamisa iintsimbi ngokufanelekileyo, ukuphepha ukuqhina) kunokunciphisa umngcipheko wokuba ne-hernia.
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