Ingaba uneqhuma esiswini sakho esisezantsi? Ngaba lingaba yi-perineal hernia?

Ngaba wakha waziva into engaqhelekanga, ebuhlungu, okanye ukudumba okuncinci esiswini sakho esisezantsi okanye ezimpundu ngelixa uhleli okanye umile? Usenokuba awuzange ucinge ukuba le isenokuba yi-hernia, kodwa yimeko eyahlukileyo kancinci, engaqhelekanga. Namhlanje siza kuthetha ngemeko enjalo, ebizwa ngokuba yi-perineal hernia. Ungakhathazeki, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.

Yintoni i-hernia ye-perineal? Masiyiqonde ngokulula!

Kulungile, ngoku masibone ukuba la magama mabini athi "perineal hernia" athetha ukuthini. Oku kuya kucaca kuwe.

• Yintoni "iPerineal"?

Ngamafutshane, indawo yesikhumba phakathi kwempundu yakho (apho uthulula khona indle) kunye nezitho zakho zangasese (apho i-vagina yakho ikwabasetyhini kunye ne-scrotum yakho ikwamadoda) ibizwa ngokuba yi-perineum. Le yinxalenye yomgangatho wethu we-pelvic. Umgangatho we-pelvic yingqokelela yemisipha kunye nezicubu eziphantsi kwesisu sethu, phakathi kwemilenze yethu, kwaye zixhasa ezinye zezitho zethu zangaphakathi (ezifana nesinyi, isibeleko, kunye namathumbu).

• Yintoni "iHernia"?

I-hernia iyenzeka xa inxalenye yelungu, izicubu ezinamafutha, izihlunu, okanye i-fascia, eyi-tissue exhasayo , iba buthathaka ize iphume kuloo ndawo ibuthathaka . Ifana nebhaluni ephuma kancinci kancinci kwindawo enye xa uyifutha. Okanye, ifana nodonga olusecaleni lwetayara elidala oluphumayo.

Emva koko, i-perineal hernia yimeko apho izihlunu zomgangatho we-pelvic kwindawo ye-perineum ziba buthathaka, nto leyo evumela inxalenye yelungu okanye izicubu ezikwisisu ukuba zityhale. Oku kusenokuvela njengesiphumo esingaqhelekanga sotyando lwe-pelvic. Kunokubangelwa zizifo ezithile okanye iingozi. Kunqabile kakhulu, kukho iimeko ezizalwa nazo.

Ngaba kukho iintlobo ze-perineal hernias?

Ewe, oogqirha bahlula ezi hernias ze-perineal zibe zezi ntlobo zilandelayo ziphambili:

• Iihernias ezifunyenweyo: Ezi zenzeka emva kwengozi, ukugula, okanye ukukhulelwa.
• I-Congenital hernia: Le yinto engaqhelekanga kakhulu. Yimeko eyenzeka xa umntu ezalwa.
• I-Hernia yesibini: Olu lolona hlobo luqhelekileyo lwe-hernia. Ivela emva kotyando.

Ixhaphake kangakanani le hernia ye-perineal?

IiHernias zixhaphake kakhulu. Zinokwenzeka nakubantu banoma yiphi na iminyaka. Uhlobo oluqhelekileyo lwehernia lubizwa ngokuba yi-inguinal hernia, oluxhaphake kakhulu kumadoda. Khawucinge nje, malunga nomntu omnye kwabathathu eMelika uza kuba nehernia ebomini bakhe.

Nangona kunjalo, ii-hernias ze-perineal zizinto ezingaqhelekanga kakhulu . Zivela kwipesenti encinci yabantu abenza utyando lwe-pelvic, ukusuka kwi-0.34% ukuya kwi-7%. Abafazi banamathuba amaninzi okufumana olu hlobo lwe-hernia .

Kutheni le nto i-hernia ye-perineal isenzeka? Zithini izizathu?

Eyona nto ibangela i-perineal hernia kukonakala kwemisipha yomgangatho we-pelvic kunye nezicubu ezixhasayo ezibizwa ngokuba yi-fascia, ezinokuba buthathaka okanye zoluleke. Lo monakalo ungabangelwa zezi zinto zilandelayo:

• Utyando olukhulu: Ingakumbi iinkqubo ezivulekileyo ezibandakanya ukunqunyulwa okukhulu esiswini esisezantsi. Olu tyando lunokubangela ukukrazuka nokunwebeka okukhulu kwemisipha kunye nezicubu zomgangatho we-pelvic. Njengoko ezi misipha kunye nezicubu zibuthathaka emva kotyando, umngcipheko wokuqhekeka kwamalungu omzimba uyanda. Le hernia idla ngokuvela phakathi kweenyanga ezi-6 kunye neminyaka emi-5 emva kotyando.
• Ukwenzakala
• Ezinye Izifo
• Ukukhulelwa

Cinga ngayo njenge-mesh. Loo mesh ibamba isinyi sethu, i-rectum, i-prostate kumadoda, isibeleko, kunye ne-vagina kubasetyhini, ithintela ukuba bangawi. Ukuba loo mesh iba buthathaka naphi na, kulapho le hernia ivele khona.

Zeziphi iintlobo zotyando ezonyusa umngcipheko we-perineal hernia?

Kukho utyando oluthile olunyusa umngcipheko wokufumana olu hlobo lwesibini lwe-perineal hernia. Makhe sijonge imizekelo embalwa:

• Ukususwa kwesisu: Olu lutyando lomhlaza we-rectal okanye umhlaza we-anal. I-rectum, i-anus, kunye nenxalenye yamathumbu amakhulu ebizwa ngokuba yi-sigmoid colon ziyasuswa. Oku kungenziwa nge-laparoscopically (ngokusikwa okuncinci okumbalwa) okanye kuvuleke (ngokusikwa okukhulu). Zombini ezi ndlela zinomngcipheko we-hernia.
• Ukususwa okuphantsi ngaphambili (iproctectomy): Olu tyando lususa yonke okanye inxalenye ye-rectum ngomsikelo osezantsi kwesisu ngenxa yomhlaza. Lukwalunyango lwesifo samathumbu esidumbileyo (IBD).
• Ukukhupha isisu esiswini:Olu tyando lususa i-rectum kunye namalungu akufutshane afana nesinyi, i-prostate, okanye isibeleko. Ukongeza kumhlaza we-rectal, olu tyando lwenziwa nakumhlaza we-prostate kumadoda kunye nomhlaza wesibeleko, umhlaza wesibeleko, umhlaza wangasese, kunye nomhlaza we-vulvar kubasetyhini.
• Utyando lwe-prostate: Olu tyando lomhlaza we-prostate lubandakanya ukususwa kwe-prostate gland. Lungenziwa ngeendlela ezimbini: i-open radical prostatectomy kunye ne-laparoscopic prostatectomy.

Ngubani osengozini enkulu yokuba ne-hernia ye-perineal?

Kukho izinto ezithile ezinokunyusa umngcipheko wokufumana le hernia:

• Ukuba ngumfazi: Njengoko bekutshiwo ngaphambili, abafazi basengozini enkulu.
• Unyango lomhlaza: Izinto ezifana ne-chemotherapy kunye nonyango lwe-radiation.
• Ukuba nembali yokutshaya .
• Ukususwa kwesibeleko: Oku kuthetha utyando lokususa isibeleko.
• Iithumba ezisemathunjini okanye umhlaza .
• Ukusetyenziswa kwe-immunosuppressants .

Ngawaphi amalungu omzimba anokuchaphazeleka yi-perineal hernia?

Xa umgangatho we-pelvic ubuthathaka emva kwengozi okanye utyando, iindawo zala malungu zinokutyhalelwa kwisisu:

• Isinyi
• Amathumbu amakhulu
• I-Omentum (Le yingqokelela yamafutha egubungela izinto ezifana namathumbu ethu, isibindi, kunye nesisu)
• Ndibonise uthando
• Isibeleko

Zithini iimpawu ze-hernia ye-perineal?

Abanye abantu abane-hernia ephuma kwi-perineal basenokungabi nazimpawu. Nangona kunjalo, abanye banokufumana iintlungu okanye ukungakhululeki xa behleli . Ezinye iimpawu ziquka:

• Ubunzima bokuchama okanye bokukhupha indle .
• Ukuziva utsalwa okanye ukungakhululeki esiswini esisezantsi xa umi.
• Ukuvaleka kwamathumbu amancinci okanye ukuvaleka kwamathumbu amakhulu (amathumbu amakhulu). (Le yimeko embi kakhulu.)
• Leyo idumbileyo ebonakalayo empundu enye .

Khawuthelekelele, uNimal, emva kotyando olukhulu, ukufumanisa kunzima kakhulu ukuhlala iintsuku ezimbalwa. Uziva ngathi kukho into etyhala ngaphakathi ezinqeni zakhe, njengebhola. Ekuqaleni, wayecinga ukuba yintlungu evela kwinxeba. Kodwa xa wayibonisa ugqirha, waqonda ukuba yi-perineal hernia.

Ifunyanwa njani i-perineal hernia?

Xa usiya kugqirha, uza kukuhlola. Usenokukwazi ukuva i-hernia sac xa uyichukumisa. Okanye usenokukwazi ukuyibona.

Ukuqinisekisa ukuxilongwa, ungacelwa ukuba wenze i-CT scan okanye i-MRI . Ezi scan zinokubona ngokucacileyo ukuba yintoni engaphakathi.

Iphathwa njani le nto?

I-hernia ye-perineal ifuna utyando ukuze inyangwe. Olu tyando lubandakanya ukubuyisela ilungu elihluthweyo endaweni yalo kunye nokuthunga izihlunu ezibuthathaka okanye i-fascia. Ngamanye amaxesha, kusetyenziswa i-mesh okanye i-muscle flap yokwenziwa ukuqinisa umgangatho we-pelvic.

Kukho iindlela ezininzi zotyando lwe-hernias:

• I-Laparoscopy: Le yinkqubo apho kufakwa khona ityhubhu encinci enekhamera eqhotyoshelweyo, ebizwa ngokuba yi-laparoscope, kunye nezinye izixhobo ngokusebenzisa imingxunya embalwa emincinci. Ikwabizwa ngokuba "lutyando lwe-keyhole."
• Utyando lwerobhothi: Olu lutyando oluphambili oluqhutywa kusetyenziswa i-laparoscope kunye nerobhothi.
• I-Transabdominal: Kule meko, utyando lwenziwa ngokwenza i-incision esiswini apho kukho i-hernia.
• I-Transperineal: Kule meko, utyando lwenziwa ngokusikwa okuncinci kwindawo ye-perineum.

Ugqirha uza kugqiba ukuba loluphi utyando olulungele wena.

Ngaba i-perineal hernias ingathintelwa?

Nangona ingenakuthintelwa ngokupheleleyo, kukho izinto onokuzenza ukunciphisa umngcipheko.

Ungaziqinisa izihlunu zakho zomgangatho we-pelvic ngokwenza umthambo weKegel .

Utyando olubangela i-hernia yesibini ye-perineal ludla ngokuba lutyando olusindisa ubomi noluyimfuneko. Ngoko ke alunakuphepheka. Nangona kunjalo, emva kotyando, kubaluleke kakhulu ukulandela imiyalelo kagqirha ngokuchanekileyo . Ukuba ulandela imiyalelo malunga nendlela yokuqala ukuzilolonga nokuphakamisa iintsimbi, unganciphisa umngcipheko wokuba ne-hernia.

Umntu one-perineal hernia uphila njani?

Uninzi lwexesha, utyando lwe-perineal hernia luyaphumelela . Akunakwenzeka ukuba ube nezinye iingxaki okanye iingxaki. Ungaphumla njengoko ugqirha wakho ekuxelela kwaye kancinci kancinci ubuyele kwimisebenzi eqhelekileyo.

Ndifanele ndimbone nini ugqirha?

Ukuba ufumana naziphi na kwezi mpawu, qiniseka ukuba ubona ugqirha:

• Ukuba unesiqhuma okanye iqhuma kwi-perineum okanye ezimpundu zakho .
• Ukuba kukho utshintsho kwindlela yokuchama okanye ukuhamba kwamathumbu (njengobunzima, ukufuna ukuya rhoqo).
• Ukuba uziva iintlungu okanye ukungakhululeki xa uhleli okanye umi .

Ingakumbi ukuba usandul’ ukwenziwa utyando lwe-pelvic kwaye unengxaki yokuhlala okanye ukuma, qiniseka ukuba ubona ugqirha kwaye uhlolwe. Isenokuba yi-perineal hernia.

Ndimele ndibuze ntoni kugqirha wam?

Xa usiya kugqirha, kungcono ukubuza le mibuzo:

• Kutheni ndifumene le hernia ye-perineal?
• Luhlobo luni lotyando olundicebisayo?
• Ndingenza ntoni ukuthintela ukuba i-hernia ingaphuhli kwixesha elizayo?
• Ngaba kufuneka ndixhalabele iimpawu zeengxaki ?

Isishwankathelo kunye nezinto ekufuneka uzikhumbule

Ngoko ke, i-perineal hernia yimeko apho ilungu okanye izicubu ezivela esiswini zityhala i-perineum ngenxa yobuthathaka kwimisipha yomgangatho we-pelvic. Nangona le yimeko engaqhelekanga, inokubakho ngenxa yezifo ezithile, iingozi, okanye ukukhulelwa, ingakumbi emva kotyando lwe-pelvic. Iimpawu ziquka iintlungu xa uhleli, ukudumba, kunye nobunzima bokukhupha/ukuchama. Unyango olungcono loku kukulungisa i-hernia ngotyando kunye nokuqinisa imisipha ebuthathaka.

Eyona nto ibalulekileyo kukuba ukuba unale mpawu, ungazityesheli kwaye ubone ugqirha ngoko nangoko ukuze akunike icebiso. Ukufunyanwa kwangoko kwenza unyango lube lula kwaye ungaphila ngokukhawuleza. Ungakhathazeki, kukho unyango olufanelekileyo loku!

I- Hernia yePerineal, iHernia, umgangatho wePelvic, utyando, iimpawu, unyango, i-Rectum, i-Hernia yePerineal