Ingaba umntwana wakho une-hernia ye-inguinal? Makhe sithethe ngale nto ngokweenkcukacha!

Ngaba wakha waphawula iqhuma elincinci okanye ukudumba kwimiqolo yomntwana wakho, apho isisu namathanga kudibana khona? Ngamanye amaxesha kubonakala xa umntwana ekhala, ekhohlela, okanye esiva esinzima esiswini, aze anyamalale. Ukubona oku kunokuba yinto eyoyikisayo kwaye ixhalabise kuwe njengomama okanye utata. Kuqhelekile ukucinga, "Owu, yintoni ingxaki ngomntwana wam?" Ngoko ke, namhlanje siza kuthetha ngento ebangela oku, ingaba kuyingozi, kwaye yintoni omawuyenze ukuba kuyenzeka.

Yintoni i-Inguinal Hernia?

Ngamafutshane, i -inguinal hernia luhlobo lwe-hernia olukhula kwi-groin yomntwana wakho. Igama elithi "inguinal" lithetha i-groin. I-groin yindawo ephakathi kwesisu somntwana wakho (isisu) namathanga.

I-hernia ye-inguinal yenzeka xa inxalenye yamathumbu omntwana wakho ityhala kwindawo ebuthathaka eludongeni lwesisu sakhe, ngomjelo we-inguinal . Lo mjelo we-inguinal yindlela encinci, efana ne-culvert edlula esiswini somntwana wakho ukuya kwizitho zakhe zangasese.

Ngokwesiqhelo, umngxuma we-inguinal uvaleka ngokupheleleyo ngaphambi kokuba umntwana azalwe. Kodwa ngamanye amaxesha awuvaleki ngokupheleleyo. Xa oko kusenzeka, kushiywa umngxuma omncinci apho. Loo mngxuma kulapho iqhekeza lamathumbu omntwana linokuphuma khona. Emva koko ungaqaphela okanye uve ukudumba okungaqhelekanga okanye iqhubu kwimiqolo yomntwana, okanye kwi-scrotum ukuba umntwana yinkwenkwe. Ungaqaphela kuphela oku kudumba xa umntwana ekhala, ekhohlela, okanye ezama ukuzithuma.

Ixesha elininzi, le hernia ye-inguinal iyenzeka kwicala elinye le-groin. Ixhaphake kakhulu kwicala lasekunene kunelasekhohlo. Nangona kunjalo, malunga ne-10% yamatyala, le hernia inokwenzeka kumacala omabini e-groin.

Ngubani onokuthi afumane oku?

Le meko ibizwa ngokuba yi-inguinal hernia ayinakwenzeka kuphela kwiintsana, abantwana abadala, kodwa nakubantu abadala. Nangona kunjalo, phakathi kwabantwana, ixhaphake kakhulu kubantwana abangaphantsi kweminyaka eyi-6. Ama-90% eentsana ezisandul’ ukuzalwa afumana le hernia kubafana. Kwakhona, iintsana ezisandul’ ukuzalwa ngaphambi kwexesha zinamathuba amaninzi okufumana le hernia ye-inguinal.

Ixhaphake kangakanani le meko?

Phakathi kwe-1% kunye ne-5% yeentsana ezingamaduna ezisempilweni nezizeleyo zivelisa i-inguinal hernia. Kodwa uninzi lwabantwana abazalwa ngaphambi kwexesha lufikelela kwi-30% banokuzalwa nale hernia. Ngoko ke ukuba umntwana wakho unayo, khumbula ukuba awuwedwa.

Ngaba le hernia inokuba yingozi?

Ewe, ngamanye amaxesha oku kunokuba yingozi. Ukuba umntwana wakho une-hernia ye-inguinal, utyando olulula lunokwenziwa ukuze lulungiswe.Kufuneka kwenziwe. Ukuba oku akunyangwa, iingxaki ezinkulu zinokwenzeka, nangona zingaqhelekanga. Makhe sibone ukuba zithini:

• I-hernia evalelwe: Kulapho inxalenye yamathumbu ngaphakathi kwi-hernia ibanjwa khona. Cinga ngayo njengetyhubhu ebhajwa phakathi xa ukhupha amanzi. Xa oku kusenzeka, nogqirha akanakuyityhala i-hernia iye esiswini. Le yimeko enzima, kuba inokukhokelela kwimeko elandelayo eyingozi.
• I-hernia ekrwitshiweyo : Xa i-hernia ikrwitshiweyo, eyona nto imbi kakhulu enokwenzeka yile. Kulapho unikezelo lwegazi kwindawo yamathumbu ekrwitshiweyo lunqanyulwa ngokupheleleyo. Khawucinge ukuba kwenzeka ntoni ukuba igazi linqanyulwa nakweyiphi na inxalenye yomzimba wethu? Elo candelo liqala ukufa. Ngokufanayo, ukuba amathumbu anqanyulwa igazi, izicwili ezikuloo nxalenye zinokufa (ukufa kwezicubu). Le yimeko embi kakhulu, ebuhlungu efuna unyango olungxamisekileyo . Inokuba yingozi ebomini.

Kubalulekile: I-hernia ekrwitshiweyo okanye i-hernia enegazi elinqunyulweyo emathunjini yingxaki yezonyango! Ngoko ke, kubaluleke kakhulu ukuqonda kakuhle iimpawu.

Zithini iimpawu zoku?

Ukuba umntwana wakho une-inguinal hernia, uphawu oluphambili kukudumba phantsi kolusu kwi-groin okanye kwi-scrotum. Oku kunokubonakala ngathi yiqhuma elincinci.

• Oku kunokuba nkulu emva kokuba umntwana ekhala, ekhohlela, okanye ethemla.
• Oku kudumba ngamanye amaxesha kuyafika kudlule. Oko kukuthi, ngamanye amaxesha kubakho, ngamanye amaxesha akukho.
• Oku kunokuncipha okanye kuphele ngokupheleleyo xa umntwana ephumle okanye elele.
• Oku kudumba kungaba kwicala elinye le-groin okanye kumacala omabini.

Ezinye iimpawu zingabandakanya:

• Intlungu kunye nokungonwabi okuphelayo ngokuphumla kancinci.
• Ukuziva ubunzima okanye uxinzelelo kwindawo yesinqe.
• Ukudumba kwamasende kumakhwenkwe.
• Ukutshisa kwindawo enokudumba.
• Kwiintsana ezincinci, izinto ezifana nokungafuni ukutya, ukukhala rhoqo, kunye nokungaphumli .

Nangona kunjalo, ukuba umntwana wakho une -hernia evalelwe okanye i-hernia ekrwitshiweyo , yingxamiseko yezonyango. Ukuba kukho naziphi na kwezi mpawu zilandelayo, kufuneka umse umntwana wakho kugqirha ngokukhawuleza:

• Intlungu enzima kakhulu okanye intlungu enganyamezelekiyo xa icinezelwe.
• Indawo yokudumba iya kubonakala ibomvu, imnyama, kwaye mhlawumbi iluhlaza okwesibhakabhaka/mfusa (imbonakalo etyumkileyo).
• Andityi kutya konke konke, andiseli ubisi.
• Ifiva.
• Isicaphucaphu nokuhlanza (ingakumbi ukuba ukuhlanza kuluhlaza okanye kutyheli).
• Igazi elikwisitulo ('indle enegazi') okanye ukuba nesisu esipheleleyo ngaphandle kokukhupha isitulo.

Kutheni abantwana abancinci befumana le hernia?

Ukuze uqonde isizathu, kufuneka wazi kancinci ngendlela umntwana akhula ngayo esibelekweni. Umntwana ngamnye uzalwa enomngxuma ofana nomngxuma obizwa ngokuba ngumngxuma we-inguinal . Oku kukhokelela ukusuka esiswini somntwana ukuya kwindawo yesini.

Kumntwana oyinkwenkwe, amasende akhe aqala ukukhula ngaphakathi esibelekweni. Emva koko, ngexesha lokukhula komntwana ongekazalwa, la masende ehla nge-inguinal canal aye kwi-scrotum.

Ngokwesiqhelo, le ngxunya ye-inguinal ivaleka ngokupheleleyo ngaphambi kokuba umntwana azalwe. Nangona kunjalo, njengoko bekutshiwo ngaphambili, ngamanye amaxesha ayivaleki kakuhle. Emva koko kushiyeka umngxuma omncinci ukusuka esiswini ukuya kumngxuma we-inguinal. Loo mngxuma kulapho inxalenye yamathumbu omntwana yehla khona ize yenze i-hernia.

Amantombazana awanamathuba amaninzi okufumana ii-hernias ze-inguinal, kodwa anokuba nazo. Oku kungenxa yokuba amantombazana nawo ane-inguinal canal. I-inguinal hernia kwintombazana inokubandakanya inxalenye yenkqubo yakhe yokuzala, njenge-ovary.

Ugqirha uyibona njani le nto?

Ugqirha udla ngokuxilonga i-inguinal hernia ngokuvavanya umntwana ngokwasemzimbeni. Ugqirha uza kujonga oku kulandelayo:

• Xa umntwana ekhala okanye ekhala, ngaba kukho ukudumba kwimiqolo okanye kwi-scrotum?
• Bajonga nokuba ukudumba kuyaphela okanye kuyancipha xa umntwana ephumlile.
• Ukuba umntwana mdala kancinci, ugqirha angamcela umntwana ukuba ame okanye akhohlele ukuze abone ukuba kukho ukudumba na.
• Ugqirha usenokuzama ukucinezela i-hernia ngesandla aze ayibuyisele esiswini (ungazami ukwenza oku ekhaya).

Kunqabile kakhulu, i-ultrasound inokwenziwa ukuqinisekisa ukuxilongwa okanye ukujonga ezinye iingxaki.

Zithini iindlela zonyango zoku?

Ukuba umntwana wakho une-hernia ye-inguinal, kufuneka utyando ukuze ilungiswe. Le hernia ayizukuphola yodwa. Utyando lolona nyango luphela noluhlala luhleli.

Olu tyando ludla ngokuthatha ngaphantsi kweyure. Uninzi lwexesha, luyinkqubo yokulaliswa ngaphandle kwesibhedlele . Oku kuthetha ukuba ungamsa umntwana wakho ekhaya ngaloo mini yotyando.

Ngaphambi kotyando

Ingcali yokubulala iintlungu ngugqirha onika umntwana wakho i-anesthesia jikelele.Ingcali yokubulala iintlungu ngugqirha ogxile ekulawuleni iintlungu nokugcina izigulana zikhuselekile ngexesha lotyando. Xa umntwana enikwa i-anesthesia jikelele, izihlunu zomntwana ziyakhululeka aze umntwana alale. Umntwana akaziva ntlungu ngexesha lotyando.

Ngexesha lotyando

Ugqirha wenza ukusika okuncinci (incision) kwimiqolo yomntwana. Olu kusika ludla ngokuba malunga ne-1-2 centimeters. Inxalenye yamathumbu ehluthwe kakuhle ibuyiselwa esiswini ngononophelo. Emva koko, umngxuma osemngxunyeni we-inguinal uyathungwa ukuze kuthintelwe ukuba i-hernia ingabuyi. Ukusika komntwana kuvalwa ngemithungo enyibilikayo kunye neziqwenga ezincinci zeteyipu engangeni manzi okanye i-dressing.

Emva kotyando

Emva kweeyure ezimbalwa emva kotyando, xa umntwana wakho esela ulwelo kakuhle, kwaye iqela lezonyango lanelisekile, unokukwazi ukumsa umntwana wakho ekhaya. Nangona kunjalo, ukuba umntwana wakho wazalwa ngaphambi kwexesha okanye unezinye iingxaki zempilo, kunokufuneka uhlale esibhedlele ubusuku bonke ukuze ujongwe.

Ungayinyamekela njani umntwana emva kotyando?

Emva kotyando, umntwana usenokuba neentlungu kunye nokungonwabi. Oku kuqhelekile. Iintlungu ziya kuphela kwiveki enye okanye ezimbini. Ugqirha angakunika amayeza entlungu , anjengeparacetamol. Mnike njengoko kufuneka.

• Ukusonga: Ungamhlamba umntwana wakho ngesiponji ukususela ngosuku olulandela utyando. Nangona kunjalo, ungamhlambi esityeni iintsuku ezimbini okanye ezintathu, kuba akulunganga ukumanzisa inxeba. Ugqirha uza kukuxelela ukuba ungahlamba nini ngokufanelekileyo.
• Inxeba: Iziqwenga ezincinci zeteyipu ezigquma imingxunya yomntwana wakho ziya kuzikhupha kancinci kancinci. Musa ukuzikhupha ngesandla. Ukuba aziphumi zodwa, ugqirha uza kuzisusa kwintlanganiso yokulandelela malunga neeveki ezilishumi.
• Imisebenzi: Vumela umntwana adlale ngendlela eqhelekileyo. Ukuba uneentlungu, uya kuyeka. Ukuba ngumntwana omdala, mcele ukuba ayeke ukudlala iintsuku ezimbalwa.

Umntwana uza kukwazi nini ukuba sempilweni?

Usana lunokubuyela kwindlela yokutya eqhelekileyo ngokukhawuleza nangokulula kangangoko kunokwenzeka. Eminye imisebenzi eqhelekileyo inokuphinda iqalwe kwiveki enye okanye ezimbini. Iintsana ezincinci ziyaphila kwiintsuku ezimbalwa.

Ngaba ikho indlela yokuthintela ukuba le hernia ingakheki?

Ngelishwa, ukuba umntwana wakho uzelwe enomngxuma kumjelo we-inguinal, i-hernia inokukhula nangaliphi na ixesha. Akukho ndlela yokuthintela le hernia ukuba ingaphumi. Oku akulotyala lomntu.

Ufanele ubuye nini ugqirha kwakhona?

Kuqhelekile ukuba umntwana wakho avuvuke aze athambe emva kotyando. Oku kungathatha iiveki ezimbalwa. Nangona kunjalo, ukuba ubona naziphi na kwezi mpawu zilandelayo , fowunela ugqirha wakho okanye umse esibhedlele ngoko nangoko:

• Umchamo womntwanaUkuba awukwazi ukuchama ('Awukwazi ukuchama') iiyure ezi-6-8.
• Amanabukeni amanzi ambalwa kunesiqhelo.
• Ukuba umkhuhlane ungaphezulu kwe-100.4°F (38°C).
• Ukuba ukudumba okujikeleze i-incision kuyanda kakhulu, okanye ukuba kukho ukubomvu okuninzi.
• Ukuba indawo ejikeleze inxeba ibomvu, kushushu, kwaye kukho ukukhupha okufana nobovu.
• Ukuba inxeba liyaqhubeka nokopha.
• Ukuba iintlungu ziya zisiba mandundu kwaye azinakulawulwa nokuba usebenzisa i-paracetamol.
• Ukuba uhlanza ngokuphindaphindiweyo.

Yintoni umahluko phakathi kweHernia ye-Inguinal kunye neHernia ye-Umbilical?

Ezi zombini ziintlobo ze-hernias, kodwa indawo kunye nonyango zahlukile.

• I-hernia ye-umbilical yi-hernia ekhula kufutshane nenkaba yomntwana. Oku kwenzeka xa izicubu ezinamafutha okanye isiqwenga samathumbu siphuma ngomngxuma eludongeni lwesisu kufutshane nenkaba. I-hernia ye-umbilical ngamanye amaxesha iphola yodwa kungekapheli unyaka okanye emibini. Utyando alufuneki rhoqo.
• I-hernia ye-inguinal yenzeka kufutshane ne-groin. Ngokuqinisekileyo ifuna utyando, kuba ayizukuphola yodwa.

Yintoni umahluko phakathi kwe-hernia ye-inguinal kunye ne-hydrocele?

Abazali ngamanye amaxesha banokubhideka zizo zombini ezi zinto kuba ziindumba ezinokubonakala zijikeleze amasende abantwana abangamakhwenkwe.

• I-hydrocele yingxowa egcwele ulwelo emqolo okanye kwi-scrotum yomntwana. I-hydrocele ifana ne-inguinal hernia. Kodwa akukho tissue ngaphakathi kwi-hydrocele, kukho ulwelo kuphela. Malunga ne-1 kwi-10 yamakhwenkwe asandul’ ukuzalwa ane-hydrocele. Uninzi lwexesha, ezi ziya kuphela ngonyaka wokuqala. Ukuba umntwana wakho une-hydrocele, kwaye ayibuhlungu, utyando alufuneki ngoko nangoko.
• Kwi -inguinal hernia , inxalenye yamathumbu isenokuba ingene kuloo ngxowa. Abantwana abancinci abangamantombazana abanayo i-hydroceles, kodwa banokufumana i-hernias.

Okokugqibela, izinto ekufuneka uzikhumbule

Xa ufumanisa ukuba umntwana wakho osandul’ ukuzalwa une-inguinal hernia, ungaziva uxhalabile kwaye uloyiko olukhulu. Yinto eqhelekileyo kakhulu. "Kwenzeke ntoni kumntwana wam omncinci?" yimvakalelo abazali abadla ngokuyiva. Kodwa khumbula, i-inguinal hernias ixhaphake kakhulu kwiintsana nakubantwana.

Ukuba ubona iqhuma emqolo womntwana wakho, musa ukulityeshela, mse kugqirha ngokukhawuleza. I-Inguinal hernias inokuba yinto eyoyikisayo ukuva nokubona, kodwa zizinto eziqhelekileyo ezixilongwayo kwaye zinokunyangwa ngokulula. Ewe, umntwana wakho uya kufuna utyando ukulungisa ingxaki. Kodwa ngokuqhelekileyo yinkqubo elula nekhawulezayo. Ufanele ukwazi ukubona umntwana wakho ebaleka edlala kwakhona kwiintsuku okanye kwiiveki ezimbalwa.

Ngoko ke musa ukoyika ngokungeyomfuneko, kodwa eyona nto ibalulekileyo kukwazi iimpawu kwaye ufumane ingcebiso kagqirha ngexesha. Landela imiyalelo kagqirha wakho ngokuchanekileyo. Emva koko umntwana wakho uya kuphila ngokukhawuleza!

I- Inguinal hernia, i-hernia yomntwana, i-groin hernia, i-Inguinal Hernia, i-hernia yosana, utyando lwe-hernia, amathumbu aphumayo