Ngaba uziva iqhuma phantsi kwesisu sakho, ecaleni kwesisu sakho, xa usukuma? Kodwa xa ulala, liyaphela. Lisenokungabi buhlungu naxa ulichukumisa. Ngaba wakha wehlelwa yinto efana nale? Oku akuyonto yokungayinaki nje. Kuba nangona kusenokubonakala ngathi yinto encinci, ngamanye amaxesha kunokujika kube yimeko enzima. Namhlanje sithetha ngemeko ebizwa ngokuba yi-'Spigelian Hernia', abantu abaninzi abangazange bayive, kodwa kubaluleke kakhulu ukuyazi.
Yintoni iSpigelian Hernia?
Ngamafutshane, olu luhlobo lwe-hernia. Cinga ngalo mfanekiso, amalungu angaphakathi kwesisu sethu, njengamathumbu, akhuselwe ludonga oluqinileyo olwenziwe ngezihlunu. Silubiza olu donga lwesisu. Ngamanye amaxesha, ukuba kukho ubuthathaka kolu donga, uxinzelelo olungaphakathi kwesisu lubangela ukuba inxalenye yamathumbu, okanye iqhekeza lezicubu ezinamafutha, ityhale kuloo ndawo ibuthathaka. Yiloo nto siyibiza ngokuba yi-hernia.
'I-spigelian hernia' kukuphuma kwamathumbu kwindawo ethile ebuthathaka kwimisipha engaphambili kwesisu. Ihlala isenzeka ngaphantsi kweqhosha lesisu, kwicala lasekunene okanye lasekhohlo. Ngokungafaniyo nezinye ii-hernia, le ngamanye amaxesha inokuba nzima ukuyibona kuba ayibonakali ngaphandle.
Zithini iimpawu zoku?
Uphawu oluphambili kwiimeko ezininzi kukudumba okanye ukudumba okubonakala esiswini, njengoko besitshilo ngaphambili. Nangona kunjalo, oku akusoloko kubonakala. Abanye abantu banokuba nale hernia ngaphandle kweempawu.
| Uphawu | Inkcazo |
|---|---|
| Iqhina esiswini esisezantsi | Iqhuma elivela ecaleni, ngaphantsi kwenkaba. Libonakala xa usukuma, ukhohlela, okanye uphakamisa into enzima. Libuyela ngaphakathi xa ulala. |
| Intlungu yesisu esisezantsi | Intlungu isenokuza idlule. Le ntlungu inokwanda, ingakumbi xa uphakamisa izinto ezinzima okanye uzibhokoxa ngelixa usebenzisa indlu yangasese. Ngamanye amaxesha, ingavakala ngathi yindawo ebuhlungu xa uyichukumisa. |
| Ukungabikho kweempawu | Ezinye iihernias ezincinci zeSpigelian zisenokungabi buhlungu okanye zingabi naqhuma libonakalayo. Zisenokufunyanwa ngengozi ngexesha lokuhlolwa ngesinye isizathu. |
Kutheni i-hernia ithanda olu hlobo?
Isizathu esiphambili soku kubuthathaka kwezihlunu esiswini. Kukho izizathu ezininzi zokuba ezi zihlunu zibe buthathaka.
- Ukwaluphala: Njengoko sikhula, izihlunu zomzimba wethu ziyabuthathaka ngokwemvelo.
- Ukukhulelwa: Ngexesha lokukhulelwa, izihlunu zodonga lwesisu zinokuba buthathaka ngenxa yokuzolula.
- Ukulimala kwesisu: Ukuba ubetheke kakhulu esiswini okanye wenze ingozi, izihlunu zingonakala kwaye i-hernia inokwenzeka.
Ukongeza, ezinye iimeko eziqhubeka nokunyusa uxinzelelo ngaphakathi esiswini nazo ziyandisa umngcipheko wokuba ne-hernia. Khawucinge ngento eyenzekayo ukuba uqhubeka uvuthela umoya kwibhaluni. Kunjalo kanye.
Izinto ezonyusa uxinzelelo lwangaphakathi esiswini:
- Ukukhwehlela okungapheliyo: Ukukhwehlela okungapheliyo, ingakumbi kubantu abaneengxaki ezifana ne-COPD , kudla ngokubeka uxinzelelo kwizihlunu zesisu.
- Ukuqunjelwa okungapheliyo: Ukuchama rhoqo, ukucindezela umchamo xa usiya kwigumbi lokuhlambela, kwandisa uxinzelelo lwesisu.
- Isifo sesibindi: Ezinye izifo zesibindi zibangela ukuba isisu sigcwale lulwelo. Oku sikubiza ngokuba yi-ascites . Oku kukwabangela uxinzelelo olukhulu.
- Ukutyeba kakhulu: Njengoko ubunzima bomzimba busanda, uxinzelelo eludongeni lwesisu luyanda.
- Ukuphakamisa izinto ezisindayo: Abantu abenza imisebenzi efuna ukuphakamisa izinto ezisindayo rhoqo nabo basengozini.
Ziziphi iingxaki ezinokubakho?
Nangona idla ngokuqala njengeqhubu elincinci elingenabuhlungu, kukho iimeko ezintathu apho le hernia inokuba yingozi khona. Kubaluleke kakhulu ukuzazi ezi zinto.
1. Ukuvaleka kwamathumbu: Inxalenye yamathumbu ephume kwi-hernia iyavaleka, nto leyo ethintela ukutya kunye nenkunkuma ukuba ingadluli kuyo.
2. Ukuvalelwa: Inxalenye yamathumbu ephumileyo iyabhajwa kwaye ayikwazi ukubuyela ngaphakathi. Oku kunokubangela iintlungu eziqatha.
3. Ukukrwitshwa: Le yeyona meko iyingozi kakhulu nengxamisekileyo . Ukuba imithambo yegazi ehambisa igazi kwindawo evalekileyo yamathumbu iyaxinwa kwaye ukuhanjiswa kwegazi kuyeka, loo nxalenye yamathumbu iqala ukufa. Oku sikubiza ngokuba yi-mesenteric ischemia kwezonyango. Le yimeko esongela ubomi efuna utyando olungxamisekileyo.
Ukuba ngequbuliso uba nentlungu eqatha apho i-hernia yakho ikhona, ukuba awukwazi ukuphinda ubambe iqhina, ukuba liba bomvu okanye limfusa, okanye ukuba uqala ukuhlanza, oko kusenokuba yingxaki engxamisekileyo.
| Ukuba unale mpawu, yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko! | |
|---|---|
| 🔴 | Intlungu enzima, enganyamezelekiyo kwindawo apho i-hernia ikhoyo. |
| 🔴 | Ukudumba kwesisu esisezantsi kunye nokuxinana. |
| 🔴 | Ukuqhinwa kakhulu (kwanokuthintela ukuhamba komoya). |
| 🔴 | Isicaphucaphu nokuhlanza. |
| 🔴 | Ulusu olukwindawo yeqhubu lujika lube bomvu, lube mfusa, okanye lube mnyama. |
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha, uza kuqala akubuze umbuzo oneenkcukacha ngeempawu zakho. Emva koko uza kuhlola isisu sakho.
- Uvavanyo lomzimba: Ugqirha uza kukucela ukuba ume, ukhohlele, okanye uzihluze ukuze abone ukuba iqhuma liyavela na.
- Indlela yokusebenzisa iValsalva: Oku kuquka ukubamba umphefumlo wakho, ukuvala umlomo nempumlo yakho, nokucinezela isisu sakho. Njengoko ubuya kwenza xa usiya kwindlu yangasese. Oku kwandisa uxinzelelo esiswini sakho, nto leyo enokubangela ukuba i-hernia ibonakale ukuba unayo.
- Uvavanyo lweMifanekiso: Ngamanye amaxesha, ukuba i-hernia ayibonakali ngokucacileyo, i -CT scan (i-Computed Tomography scan) okanye i- ultrasound scan ingacetyiswa ukuqinisekisa oko.
- I-Laparoscopy:Kwezinye iimeko ezingaqhelekanga, ukuqinisekisa ukuxilongwa, kunokwenziwa umngxuma omncinci esiswini kwaye kufakwe ikhamera ukuze kuhlolwe loo ndawo.
Wenza ntoni njengonyango?
Unyango olungcono nolusetyenziswa kakhulu kwi-Spigelian hernia lutyando , njengoko olu hlobo lwe-hernia lungaphili ngokwalo kwaye luthwala umngcipheko weengxaki eziyingozi esizixubushileyo ngaphambili.
Ngexesha lotyando, inxalenye yamathumbu ephumileyo ibuyiselwa esiswini kwaye indawo ebuthathaka okanye umngxuma kwisihlunu uyavalwa. Ngamanye amaxesha, into efana ne-mesh isetyenziselwa ukuqinisa indawo.
Olu tyando lunokwenziwa ngeendlela ezahlukeneyo. Ugqirha wakho uza kukuchazela ukuba yeyiphi indlela efanelekileyo kuwe.
Umyalezo Wokuya Ekhaya
- Ukuba uneqhuma elibonakala kwicala elingezantsi lesisu sakho xa umi kwaye linyamalale xa ulele, oko kungaba luphawu lwe-Spigelian hernia.
- Nokuba akukho ntlungu ekuqaleni, musa ukuyityeshela le meko, kuba inokukhokelela kwiimeko ezinzulu ezifana nokuvaleka kwamathumbu.
- Ukuba ngequbuliso ufumana iintlungu eziqatha, ukudumba, ukuhlanza, okanye ukuqhina kwindawo ene-hernia, yingxamiseko leyo. Yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngokukhawuleza.
- Unyango olungcono loku lutyando. Ngoko ke ukuba unale mpawu, qiniseka ukuba ubonana nogqirha kwaye ufumane ingcebiso.
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