Ngaba wakha waziva iqhuma elingaphambili lesisu sakho eliphuma lize liphinde libuyele ngaphakathi? Usenokulibona xa uhleka, ukhohlela, uphakamisa into enzima, okanye usiya kwigumbi lokuhlambela. Abantu abaninzi bacinga ukuba oku kuqhelekile kwaye abayinaki. Kodwa kungaba luphawu lwemeko ebizwa ngokuba yi-ventral hernia . Ungakhathazeki, siza kugcina yonke into ilula.
Yintoni i-hernia yesisu?
Ngamafutshane, oku kwenzeka xa ilungu (elifana namathumbu) okanye izicubu ezingaphakathi kwesisu ziphuma ngemisipha yesisu. Igama elithi 'ventral' lithetha 'umphambili' okanye 'indawo ejikeleze isisu'.
Cinga ngezihlunu zethu zesisu njengodonga oluqinileyo. Ngaphakathi kolu donga, amalungu anjengamathumbu ethu agcinwe ngokukhuselekileyo. Ukuba ngesizathu esithile, olu donga luba buthathaka ndaweni ithile, kuvela umngxuma. Emva koko, ngenxa yoxinzelelo olungaphakathi kwesisu, loo malungu atyhalelwa ngaphandle kuloo mngxuma. Yiloo nto siyibiza ngokuba yi-hernia.
Ziziphi iintlobo eziphambili ze-ventral hernias?
Ezi hernias zinokwahlulwa zibe ziintlobo ezininzi eziphambili ngokuxhomekeke apho zenzeka khona. Ezi zezona sizibona rhoqo.
| Uhlobo lwe-hernia | Apho kwenzeka khona kunye nenkcazo |
|---|---|
| I-Epigastric Hernia | Oku kwenzeka ngaphezulu kwethambo lesifuba sakho, kwindawo ephakathi kwethambo lesifuba sakho kunye nethambo lesifuba sakho. Kuqheleke kakhulu ukuba kubonakale esiswini esingaphezulu. |
| I-Umbilical Hernia | Oku kuvela kwindawo ebuthathaka ngokwendalo ejikeleze umlomo. Kudla ngokuba sisiphene sokuzalwa kwiintsana ezincinci. Nangona kunjalo, sinokuvela nakubantu abadala. |
| I-Hernia yokusika | Oku kwenzeka kumgca wokusika apho kwenziwe khona utyando lwangaphambili. Esi sisiphumo esiqhelekileyo esinokwenzeka emva kotyando lwesisu. |
Zithini iimpawu zoku?
Uphawu lokuqala nolucacileyo lwe-ventral hernia kukudumba okanye iqhuma eliphuma kwindawo ethile ngaphambili kwesisu. Oku kusenokungabonakali rhoqo. Kusenokubonakala kuphela xa izihlunu zesisu zixinene ngexesha lemisebenzi ethile. Umzekelo:
- Ngelixa ehleka
- Xa ulila
- Xa ukhohlela
- Xa ingwenya ihamba
- Xa uzama ukuya kwindlu yangasese
- Xa ugoba phambili
- Xa uphakamisa ubunzima
- Xa uzilolonga
Abanye abantu banokuziva i-hernia. Isenokuvakala ngathi kukutsalwa kancinci, ukuqaqanjelwa, okanye intlungu ebukhali xa iphuma, itsalwa , okanye ityhalwa. I-hernia ebuhlungu luphawu lokuba iyakhula kwaye isengozini yokuvalelwa xa iphuma.
Ukuba unentlungu apho i-hernia yakho ikhona, musa ukucinga ukuba yinto eqhelekileyo. Qiniseka ukuba uthetha nogqirha wakho ngayo.
Ngamanye amaxesha, xa i-hernia ibangela iingxaki, iimpawu ezifana nezi zinokubakho:
- Isicaphucaphu nokuhlanza
- Ubomvu okanye ukurhawuzelela kwindawo ye-hernia
- Intlungu ebuhlungu
Zithini izizathu ze-hernia ye-ventral?
I-hernia ibangelwa bubuthathaka kwimisipha okanye kwizicubu zomzimba. Obu buthathaka bunokubakho ngezizathu ezahlukeneyo. Ngamanye amaxesha yinto ekhoyo ekuzalweni. Ngamanye amaxesha inokubangelwa yinto efana nengozi okanye utyando. Ngamanye amaxesha inokubangelwa bubuthathaka obuhamba kancinci kancinci ngokuhamba kwexesha.
Nazi ezinye zezizathu eziqhelekileyo:
- Ubuthathaka bokuzalwa: Abanye abantwana banokuzalwa benamabala abuthathaka eludongeni lwesisu (umz., i-umbilical hernia).
- Ukutyeba okungapheliyo: Njengoko ubunzima bomzimba busanda, izihlunu zesisu zihlala ziphantsi koxinzelelo, nto leyo enokuzityhafisa.
- Ukulimala kwesisu: Ukonakala kwemisipha yesisu ngenxa yengozi.
- Utyando lwesisu: Ukuba inxeba alipholi kakuhle emva kotyando okanye ukuba izihlunu ezikuloo ndawo ziba buthathaka.
- Ukukhulelwa nokubeleka: Ngexesha lokukhulelwa, izihlunu zesisu zinokuba buthathaka ngenxa yokuzolula.
- Ukukhwehlela okungapheliyo: Ukukhwehlela okungapheliyo ngenxa yeemeko zempilo ezifana ne-asthma kunye ne-COPD kunokubangela uxinzelelo olukhulu esiswini.
- Ukuqunjelwa okungapheliyo: Ukusoloko ufuna ukuya kwigumbi lokuhlambela kwandisa uxinzelelo esiswini.
- Ukwenyusa iintsimbi:Le ngozi ikwasebenza nakwabo benza imisebenzi efuna ukuphakanyiswa okanye ukutyhalwa rhoqo.
- Ukwaluphala: Izihlunu ziyabuthathaka ngokwendalo njengoko sikhula.
Ngaba oku kungaba yingozi? Zithini iingxaki?
Ewe, ezinye iihernias zinokuba yingozi ukuba azinyangwa. Iihernias ezininzi ziyaphuma ziphinde zibuyele ngaphakathi. Kodwa njengoko zisenza njalo, izicubu ezijikeleze umngxuma ziyaba buthathaka. Ekuhambeni kwexesha, umngxuma uba mkhulu, kwaye ihernia iba nkulu. Kulapho ke iingxaki ziqala khona.
Kukho iingxaki ezimbini eziphambili:
1. Ukuvalelwa: Khawuthelekelele, inxalenye yamathumbu ephumileyo ayinakubuyela ngaphakathi ize ibambeke kuloo mngxuma. Oku kubizwa ngokuba 'kukuvalelwa'. Xa oku kusenzeka, amathumbu anokuvaleka. Kunokubangela intlungu enkulu kunye nokuhlanza.
2. Ukulahlekelwa ligazi (Ukuqhina): Le yeyona meko iyingozi kakhulu nengxamisekileyo . Ukunikezelwa kwegazi kwindawo eqhina emathunjini kunokunqunyulwa ngokupheleleyo. Emva koko izicubu ziqala ukufa. Le inokuba yimeko esongela ubomi. Ukuba ufumana iimpawu ezinje ngentlungu eqatha, umkhuhlane, kunye nokutshintsha kombala we-hernia, kufuneka uye kwigumbi likaxakeka (ETU) esibhedlele ngoko nangoko.
Ugqirha uyifumana njani le nto?
Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho. Emva koko uza kukwenza ulale ebhedini aze ahlole isisu sakho.
- Baza kukucela ukuba ukhohlele uze wenze ngathi uphakamisa ubunzima ukuze babone ukuba ithumba liza kuphuma na.
- Bakwajonga ukuba ingatyhalelwa na ngesandla. Oku kubizwa ngokuba yi-'reducible' hernia. Ukuba ayinakutyhalelwa, yi-'reducible' hernia.
- Ngamanye amaxesha, i -ultrasound scan , i-CT scan , okanye i-MRI zinokuyalelwa ukuqinisekisa ukuxilongwa.
Ngaba yonke i-hernia ifuna utyando?
Uninzi lwee-hernias zesisu ekugqibeleni ziya kufuna utyando. Kodwa kusenokwenzeka ukuba ayingongxamiseko. I-hernia encinci engenazimpawu kwaye inokubuyiselwa ngokulula ayisiyongozi inkulu.
Kodwa khumbula, ii-hernias ziba mandundu ngokuhamba kwexesha, kwaye azipholi zodwa. Ngoko ke kungcono ukuba zilungiswe ngaphambi kokuba zibe nkulu kwaye zibangele iingxaki. Utyando olukhethwayo luhlala lukhuselekile kunotyando olungxamisekileyo.
Ugqirha angakucebisa utyando kwiimeko ezilandelayo:
- Ukuba i-hernia ayinakutyhalwa ngesandla.
- Ukuba uneempawu ezifana neentlungu ezingapheliyo.
- Ukuba inkulu ngokwaneleyo ukuba ibambeke .
- Ukuba imeko yakho yempilo iyonke ivumela utyando.
Ziziphi iindlela zotyando?
Injongo ephambili yotyando kukuvala umngxuma eludongeni lwesisu nokuqinisa indawo ukuze i-hernia ingaphindi ivele. Kukho iindlela ezintathu eziphambili zokwenza oku.
| Indlela yotyando | Inkcazo |
|---|---|
| Utyando Oluvulekileyo (Ukulungiswa Okuvulekileyo) | Le yindlela yendabuko. Kwenziwa umsikelo omkhulu kancinci ngaphezulu kwe-hernia kwaye i-hernia ilungiswa ngqo apho. Le ndlela isetyenziswa kwiimeko ezinkulu nezinzima. |
| Utyando lweLaparoscopic (Ukulungiswa kweLaparoscopic) | Oku kukwabizwa ngokuba 'lutyando lwe-keyhole'. Kwenziwa ngokwenza imingxunya emininzi emincinci esiswini, ukufaka ikhamera (i-laparoscope) kwenye, kunye nokufaka izixhobo ezikhethekileyo kwezinye imingxunya. Imingxunya mincinci, ngoko ke iphola ngokukhawuleza. |
| Ukulungiswa kweRobhothi | Oku kufana nendlela ye-laparoscopic, kodwa apha ugqirha ulawula izixhobo ngenkqubo yekhompyutha esebenzisa ingalo yerobhothi. Oku kuvumela utyando oluchanekileyo ngakumbi. |
Yintoni 'i-mesh' esetyenziswa ngexesha lomsebenzi?
Xa kulungiswa i-hernia, kusetyenziswa i -mesh ekhethekileyo ukuqinisa izihlunu ezibuthathaka. Oku kufana nokuvala umngxuma eludongeni kunye nokufaka i-plaster cast ukuqinisa indawo. Oku kunciphisa kakhulu umngcipheko wokuba i-hernia iphinde yenzeke kwindawo efanayo.
Ayizizo zonke iihernia ezifuna i-mesh. Iihernia ezincinci zisenokungafuni i-mesh. Nangona kunjalo, kwiihernias zokusika, ezixhaphakileyo emva kotyando, i-mesh isetyenziswa rhoqo. Oku kungenxa yokuba izicubu azikaze zibe namandla ngokupheleleyo njengoko zazinjalo ngaphambi kotyando.
Ukuba utyando alunakwenzeka, ngaba kukho ezinye iindlela?
Eyona ndlela yokulungisa ngokupheleleyo i-hernia kukuhlinzwa. Nangona kunjalo, abanye abantu basenokungakwazi ukuhlinzwa ngenxa yezinye iingxaki zempilo (ezifana nesifo sentliziyo). Kwaba bantu, ugqirha wakho unokucebisa ukuba kusetyenziswe i-brace ekhethekileyo (i-corset, i-binder, okanye i-truss) ukunceda ukugcina i-hernia isendaweni yayo. Nangona kunjalo, oku kulawula i-hernia okwethutyana kuphela kwaye akuyinyangi.
Umyalezo Wokuya Ekhaya
- Ukuba umphambili wesisu sakho uvuvukala njengeqhubu, ingakumbi xa ukhohlela okanye uphakamisa into enzima, isenokuba yi-ventricle hernia. Musa ukoyika, bona ugqirha uze uyihlole.
- Ayizizo zonke ii-hernias ezingxamisekileyo, kodwa ekuhambeni kwexesha zinokuba nkulu kwaye zibangele iingxaki eziyingozi.
- Unyango oluchanekileyo lwe-hernia lutyando. Kukhuselekile ukwenza utyando ngaphambi kokuba kubekho iingxaki.
- Ukuba ufumana iintlungu eziqatha, ukubomvu, isicaphucaphu, kunye nokuhlanza kwindawo ene-hernia, isenokukrwitshwa. Le yimeko engxamisekileyo. Yiya kwigumbi likaxakeka lesibhedlele (ETU) ngokukhawuleza.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha (njengokungaphakamisi izinto ezinzima) kanye emva kotyando ukuze kuthintelwe ukuba i-hernia ingabuyi.
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