Ingaba unayo i-hernia efana nale? Masifunde nge-Obturator Hernia!

Ngaba wakha weva nge-"Obturator Hernia"? Mhlawumbi eli gama livakala lingaqhelekanga. Kodwa olu luhlobo lwe-hernia. Kodwa lunqabile kancinci, ingakumbi kubasetyhini abaneminyaka ephakathi kwama-70 nama-90. Ngoko ke namhlanje siza kuthetha ngokuba yintoni le hernia ye-obturator, indlela ekhula ngayo, zithini iimpawu, kunye nonyango. Kulula kakhulu, ndiza kuzichaza ezi zinto ngendlela onokuyiqonda.

Yintoni le Obturator Hernia?

Ngamafutshane, i-obturator hernia yi-hernia ekwi-pelvis yethu, inxalenye yethambo lesinqe elingaphakathi kwi-pelvis, enomnyango omncinci kuyo, obizwa ngokuba yi-obturator canal , apho inxalenye yamathumbu okanye amafutha esiswini aphuma khona. Cinga ngayo njengomoya omncinci ophuma kumngxuma omncinci kwibhaluni.

Le obturator foramen ifana nendlela encinci ephakathi kwamathambo ethu esinqeni. Ngokwesiqhelo, imithambo-luvo kunye nemithambo yegazi zidlula kuyo. Nangona kunjalo, xa izihlunu zethu zomgangatho wesinqe , izihlunu ezingaphakathi kwesisu esisezantsi ezinceda ekubambeni amalungu ethu angaphakathi endaweni yazo, ziba buthathaka, inxalenye yamathumbu, ingakumbi amathumbu amancinci , kwaye ngamanye amaxesha amathumbu amakhulu, zinokutyhala ngaloo ndlela.

Oku kungaba yimeko eyingozi. Kuba inxalenye yamathumbu ephuma ngolu hlobo inokunamathela phakathi kwemisipha yomgangatho we-pelvic okanye ngaphakathi kombhobho wombhobho wombhobho. Ukuba oko kuyenzeka , ukuvaleka kwamathumbu kunokwenzeka. Oko kuthetha ukuba indlela yamathumbu iyavaleka. Le yimeko efuna unyango olungxamisekileyo. Kusenokufuneka wenze utyando ngoko nangoko ukuze kulungiswe oku.

Zithini iimpawu zoku? Ngaba nawe unazo ezi?

Iimpawu ze-obturator hernia zisenokungabonakali ngoko nangoko, kodwa qaphela ezi zinto zilandelayo:

• Intlungu yesisu: Oku kudla ngokuqala kwicala lasekunene elisezantsi lesisu kwaye emva koko kungasasazeka kulo lonke isisu.
• Ukuqhinwa: Ubunzima bokuya kwindlu yangasese.
• Isisu esidumbileyo: Ukuziva ngathi isisu sidumbile.
• Isicaphucaphu nokuhlanza: Ukuziva ugula kwaye uhlanza.
• Intlungu kwindawo yethanga: Olu luphawu oluthile. Intlungu iqala kwindawo yempundu ize isasazeke ngaphakathi kwethanga. Ngamanye amaxesha le ntlungu inokuvakala yonke indlela ukuya edolweni. Oku kukwabizwa ngokuba yiHowship-Romberg sign . Oku kuthetha ukuba intlungu ibangelwa kukuvalwa kwenxalenye yamathumbu ecinezela umthambo we-obturator.

Ukuba unenye okanye ngaphezulu kwezi mpawu, ingakumbi ukuba umdala, kulungile ukubona ugqirha.

Kutheni le nto ibangela le hernia yokungabonakali kwesisu? Zithini izinto ezibangela umngcipheko?

Njengoko benditshilo ngaphambili, unobangela oyintloko kukuncipha kwemisipha yomgangatho we-pelvic. Ngoko ke kukho izinto ezininzi ezinokwenza buthathaka le misipha, nto leyo enyusa umngcipheko wokuba ne-obturator hernia:

• Ubudala: Njengoko sikhula, zonke izihlunu emzimbeni wethu, kuquka nezihlunu zomgangatho we-pelvic, ziyabuthathaka. Kwakhona, i-membrane egubungela ukuvulwa komjelo we-obturator iyatshintsha ngokuhamba kweminyaka. Zombini ezi zinto zinyusa umngcipheko wokuba inxalenye yamathumbu ivele. Yiyo loo nto ixhaphake kakhulu kubantu abadala.
• Ukuqunjelwa okungapheliyo: Xa kufuneka uzibhokoxe kwaye kufuneka uye kwigumbi lokuhlambela rhoqo, oku kubeka uxinzelelo olukhulu kwimisipha yakho yomgangatho we-pelvic. Ekuhambeni kwexesha, le misipha inokuba buthathaka. Cinga ngayo njengokuphakamisa ubunzima obunzima ngalo lonke ixesha.
• Isifo semiphunga esingapheliyo (i-COPD): Abantu abanezifo ezifana ne-COPD badla ngokukhwehlela. Xa kukho oku kukhwehlela, uxinzelelo olungaphakathi kwisisu luyanda. Olu xinzelelo luchaphazela nezihlunu ze-pelvic, nto leyo enokuzibuthathaka.
• Ukuba mncinci: Ingakumbi xa unciphisa ubunzima ngequbuliso njengoko ukhula, inani lamafutha ajikeleze umbhobho othintela ukudumba liyancipha. Oku kwandisa amathuba okukhula kwe-hernia ngaphakathi kombhobho. Ukuba i-BMI yakho (Body Mass Index) ingaphantsi kwe-18.5, uthathwa njengomncinci.
• Ukuzalwa kwabantwana abaninzi: Izihlunu zomgangatho we-pelvic zoomama abazale abantwana abaninzi zinokuba buthathaka kancinci.

Ukuba enye okanye ezingaphezulu kwezi zinto ziyasebenza kuwe, kuyafaneleka ukuthatha amanyathelo okhuseleko kwi-obturator hernia.

Zeziphi iingxaki ezinokubangela oku?

Ukuba i-obturator hernia ayinyangwanga kakuhle, iingxaki eziyingozi zinokwenzeka.

1. I-hernia evalelwe ngaphakathi: Kulapho i-hernia ivaleleka phakathi kwemisipha ye-pelvic kwaye ayikwazi ukubuyela kuyo. Oku kunokukhokelela kumathumbu avaliweyo , oku kukuvaleka kwamathumbu amancinci.

2. I-hernia eqho ...

Kubalulekile: Ukuba ngequbuliso uva iintlungu eziqatha zesisu, isicaphucaphu, okanye ukuhlanza, oko kungaba luphawu lwe-hernia ekrwitshiweyo. Ukuba oku kuyenzeka , kufuneka uye esibhedlele ngoko nangoko.

Oogqirha bayibona njani le nto?

Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho. Emva koko baza kwenza uvavanyo lomzimba. Banokwenza novavanyo olufana nolu:

• Uvavanyo lweHowship-Romberg:Kolu vavanyo, ugqirha uza kuyishukumisa i-hip joint yakho aze akubuze ukuba uziva na iintlungu ngaphakathi kwethanga lakho.
• Uvavanyo lweHannington-Kiff: Kolu vavanyo, ugqirha ucofa kancinci kwiindawo ezithile zethambo lakho le-shin (tibia) okanye ithambo lethanga (femur). Oku kwenzelwa ukujonga ukuba izihlunu zesinqe ziyafinyela na.

Emva kwezi mvavanyo, kunokwenziwa i-CT scan (i-Computed Tomography scan) ukuqinisekisa ukuba kukho i-obturator hernia. Oku kungabonisa ngokucacileyo indawo kunye nobukhulu be-hernia.

Iphathwa njani?

Unyango oluhlala luhleli lwe-obturator hernia lutyando . Utyando lwenziwa ukulungisa i-hernia.

Ngexesha lotyando, ugqirha wenza utyando oluncinci kwindawo esezantsi yesisu okanye kwindawo yemiqolo aze asondele kwi-hernia kumjelo wombhobho wombhobho. Emva koko, iindawo eziphumayo zamathumbu zibuyiselwa kwisisu kwaye indawo ebuthathaka eludongeni lwesisu iyalungiswa. Ngamanye amaxesha, into efana ne-mesh ingasetyenziselwa ukuqinisa indawo ebuthathaka.

Olu tyando lunokwenziwa ngeendlela ezahlukeneyo:

• Utyando oluvulekileyo: Utyando lwenziwa ngomsikelo omkhulu ngendlela yesintu.
• Utyando lweLaparoscopic: Utyando olwenziwa ngokusikwa okuncinci okumbalwa, kusetyenziswa ikhamera kunye nezixhobo ezithambileyo. Oku kukwabizwa ngokuba "lutyando lwe-keyhole."
• Utyando lokulungisa i-hernia yerobhothi: Oku kufana nendlela ye-laparoscopic, kodwa ugqirha wenza utyando esebenzisa ingalo yerobhothi.

Ugqirha uza kukuchazela ukuba loluphi utyando olulungele wena.

Ukuba kukho imeko engxamisekileyo, efana ne -strangulated obturator hernia , kwaye amathumbu onakele, kunokufuneka utyando olongezelelweyo. Oku kungabandakanya i-colectomy ukususa inxalenye eyonakeleyo yamathumbu.

Ngaba kukho naziphi na iingxaki emva kotyando?

Iingxaki ezincinci ezinje ngezi zinokwenzeka emva kotyando lwe-hernia, kodwa azenzeki kuwo wonke umntu.

• Ukopha
• Ukonakala kwi-obturator nerve (oku kunqabile kakhulu)
• Usulelo kwindawo yotyando

Iqela lakho lezonyango liza kukwazisa ngale nto.

Kuza kuthatha ixesha elingakanani ukuphiliswa?

Ixesha lokuchacha emva kotyando linokwahluka kumntu nomntu. Kuxhomekeke kwizinto ezifana nezi:

• Loluphi uhlobo lotyando lwe-hernia olwenziweyo: Umzekelo, ixesha lokuchacha emva kotyando lwe-laparoscopic lifutshane kunelo lasemva kotyando oluvulekileyo.
• Nokuba wenze i-colectomy (ukususwa kwenxalenye yamathumbu akho): Ukuba kunjalo, kungathatha ixesha elide ukuphola.
• Impilo yakho iyonke: Ukuba unesifo esifana nokungondleki kakuhle okanye ezinye izifo ezifana ne -COPD , kungathatha ixesha elide ukuba uphile.

Nangona kunjalo, ngenxa yokuba imeko yomntu wonke yahlukile, ugqirha wakho uza kukuchazela into onokuyilindela kunye nokuba ungaqhubeka nini nemisebenzi yakho yesiqhelo.

Kuza kwenzeka ntoni kwixesha elizayo ngale meko?

Emva kotyando lwe-hernia, i-obturator hernia inokwenzeka ukuba iphole kwaye iimpawu ziya kuphela. Kodwa khumbula, olu tyando luphilisa i-hernia kuphela. Ukuba unezinye iimeko ezifihlakeleyo, ezinje ngokungondleki kakuhle okanye i-COPD, ezonyusa umngcipheko wakho wokuba ne-hernia, uya kufuna unyango oluqhubekayo kunye nenkxaso. Kubalulekile ukulawula ezo meko.

Ufanele uye nini kugqirha? Ufanele uye nini esibhedlele ngoko nangoko?

Ukuba unentlungu engapheliyo esiswini okanye emathangeni, musa ukuyityeshela kwaye ubone ugqirha ukuze akunike ingcebiso. Ezi mpawu zisenokuba ziimpawu ze-obturator hernia okanye zingabi yizo. Kodwa kubalulekile ukufumana unobangela.

Yimeko engxamisekileyo! Yiya esibhedlele ngokukhawuleza ukuba unezi mpawu:

• Intlungu yesisu eqatha kakhulu, ekhawulezileyo.
• Isicaphucaphu okanye ukuhlanza.

Ezi zisenokuba ziimpawu ze-hernia ekrwitshiweyo , imeko efuna unyango olungxamisekileyo.

Izinto ezibaluleke kakhulu ekufuneka uzikhumbule

Njengoko sikhula, sinokucinga ukuba kuyinto eqhelekileyo ukuba imizimba yethu itshintshe. Sisenokuzithatha iintlungu ezincinci esiswini okanye emathangeni ethu njenge "indlela izinto eziba ngayo ngokwaluphala." Nangona kunjalo, ezi mpawu zinokuba ngumphumo we-obturator hernia. Nangona ezi ziintlobo ezingaqhelekanga ze-hernias, zinokwenzeka, ngakumbi kubasetyhini abakwiminyaka yabo yama-70, yama-80, kunye nama-90.

Ngoko ke, ukuba uneempawu ezifana neentlungu zesisu, thetha nogqirha. Isenokungabi yi-obturator hernia. Kodwa ukwabelana ngeempawu zakho kunye neenkxalabo zakho nogqirha linyathelo lokuqala lokuphola. Ungakhathazeki, oogqirha balapha ukukunceda.

Ndiyathemba ukuba olu lwazi luza kukunceda. Ukuba uneminye imibuzo, ungathandabuzi ukubuza ugqirha. Hlala usempilweni!

I- Hernia, i-Obturator Hernia, i-Bowel Prolapse, iintlungu ze-pelvic, utyando, impilo yabantu abadala, i-Obturator Hernia