Ingaba yi-hernia esiswini? Singathetha nge-hernia yesisu?

Ngaba wakha wayibona iqhubu elincinci liphuma kwindawo ethile yesisu sakho? Mhlawumbi uyalibona xa uphakamisa into enzima, xa ukhohlela, okanye mhlawumbi libuyela emva kwexesha elithile. Oku sikubiza ngokuba yi-hernia. Namhlanje siza kuthetha ngohlobo lwe-hernia oluvela ngaphambili kwesisu, olubizwa ngokuba yi -ventral hernia ngokwezonyango. Akukho nto yokoyika, siza kuthetha ngale nto ngokweenkcukacha, ngendlela onokuyiqonda.

Yintoni i-hernia yesisu?

Ngamafutshane, i-ventral hernia kukuphuma kwesitho sangaphakathi okanye izicubu ngaphambili kwesisu sakho, oko kukuthi, kwizihlunu zodonga lwesisu. Igama elithi "ventral" lithetha "umphambili" okanye "icala lesisu." "I-hernia" kuxa isitho okanye izicubu ezihlala zingaphakathi kwingxobo yomzimba zityhala kwindawo ebuthathaka, umngxuma, eludongeni lwaloo mngxuma. Kufana nomngxuma omncinci kwingxowa endala, kwaye ezinye zezinto ezingaphakathi zizama ukuphuma. Uninzi lwe-hernias (hayi zonke) luphuma eludongeni lwesisu.

Ziziphi iintlobo ze-hernia ye-ventral?

I-Ventral hernias inokwenzeka kwiindawo ezahlukeneyo eludongeni olungaphambili lwesisu sakho. Kukho iintlobo ezininzi eziphambili kuxhomekeke apho zenzeka khona:

• I-Epigastric hernias: Ezi zenzeka kwinxalenye ephezulu yesisu sakho, phakathi kwesifuba sakho (sternum) kunye nenkaba yakho. Abanye abantu banokuziva ngathi banamaqhuqhuva amancinci kule ndawo.
• Iihernias ze-Umbilical: Ezi ziihernias ezenzeka ngeenxa zonke zenkaba. Inkaba yindawo ebuthathaka ngokwendalo. Olu hlobo lwehernia ngamanye amaxesha lubakho xa umntwana ezalwa (ezalwa). Nangona kunjalo, lunokwenzeka nakubantu abadala.
• Iihernias zokusika: Ezi zikhethekile kancinci. Zenzeka apho ukhe watyandwa khona ngaphambili esiswini sakho, oko kuthetha ukuba apho utyandwe khona ngotyando. Esi sisiphumo esiqhelekileyo esinokwenzeka emva kotyando lwesisu. Oku kungenxa yokuba izihlunu ezikuloo ndawo zibuthathaka emva kotyando.

Zithini iimpawu ze-hernia yesisu?

Amaxesha amaninzi uphawu lokuqala lwe-ventral hernia kukuba kukudumba okubonakalayo ngaphambili kwesisu . Oku kusenokungabonakali rhoqo. Kusenokubonakala xa usenza izinto ezithile okanye xa izihlunu zakho zesisu ziqina ngenxa yendlela ezime ngayo. Umzekelo:

• Xa uhleka
• Xa ulila
• Xa ukhohlela
• Xa uthimla
• Ukuzilolonga ukuze ukhululeke xa usiya kwindlu yangasese
• Xa ugoba phambili
• Xa uphakamisa ubunzima
• Xa uzilolonga

Abanye abantu banokuyiva le hernia. Ingavakala ngathi iyatsala, iyatyhala, okanye iyacinezela xa iphuma, okanye xa beshukuma. Ingavakala ngathi iyatsala, okanye ingavakala ngathi yintlungu ebuhlungu, okanye ingavakala ngathi yintlungu ebukhali efana nenaliti ekuhlabayo.Inokwenzeka loo nto. Ukuba ufumana iintlungu ezinje, oko kuthetha ukuba i-hernia inkulu kancinci, kwaye kukho umngcipheko omkhulu wokuba "ivalelwe" endaweni yokuba iphinde ibuyele ngaphakathi xa iphuma.

I-hernia enzima ngakumbi inokuba nezinye iimpawu:

• Isicaphucaphu nokuhlanza
• Ubomvu okanye ukurhawuzelela okufana ne-eczema kwindawo ye-hernia

Ziziphi izizathu eziphambili ze-Ventral Hernia?

I-hernia iphuma kubuthathaka obukwizihlunu okanye eludongeni lwezicubu oluyigqumayo. Obu buthathaka bunokubakho ngezizathu ezahlukeneyo:

• Obu buthathaka busenokuba yindawo ebuthathaka yokuzalwa/isiphene sokuzalwa. Oko kukuthi, kunokubakho ubuthathaka eludongeni lwesisu xa uzalwa.
• Ezinye izifo zezicubu ezidityanisiweyo zinokubangela ubuthathaka bemisipha.
• Esinye isizathu kukuba izihlunu ziyawohloka ngokwendalo xa ukhula .
• Ukutyeba kakhulu okungapheliyo kubangela uxinzelelo oluqhubekayo eludongeni lwesisu.
• Ubuthathaka bemisipha bunokwenzeka ngenxa yokwenzakala okanye utyando lwesisu .
• Ukukhulelwa nokuzala ngamaxesha apho izihlunu zesisu ziphantsi koxinzelelo olukhulu.
• Ukukhwehlela okungapheliyo (umz. ngenxa yeemeko ezifana ne-asthma kunye ne-bronchitis kwabanye abantu).
• Iingxaki zokuphefumla ezingapheliyo (umz., i-COPD okanye i-emphysema).
• Ukuqhinwa okungapheliyo okanye ukuzibhokoxa rhoqo ukuze ukhululeke.
• Lo mngcipheko uphezulu nakwabo basebenza kwimisebenzi equka ukuphakamisa okanye ukutyhala rhoqo . Umzekelo, umntu osebenza kwishishini lokwakha kufuneka aphakamise izinto ezinzima ngalo lonke ixesha. Oku kubeka uxinzelelo oluqhubekayo kwimisipha yesisu. Ekuhambeni kwexesha, i-hernia inokukhula kwindawo ebuthathaka.

Amaxesha amaninzi, i-hernia ikhula ngenxa yokudibanisa ezinye zezi zizathu.

Ziziphi iingxaki ezinokubakho ngenxa ye-hernia yesisu?

Iihernias ezininzi ziyaqala ziphume zize ziphinde zingene. Kodwa njengoko zingena ziphuma ngolu hlobo, izicwili ezijikeleze umngxuma ziba buthathaka. Ngokuhamba kwexesha , umngxuma unokuba mkhulu, kwaye ihernia inokuba nkulu nayo . Oko kuthetha ukuba amalungu amaninzi ayaphuma. Kulapho ke iingxaki ziqala khona.

I-hernia inokuba nkulu ize "ivalelwe" ngaphakathi kuloo mngxuma.

Xa ibambekile, i-hernia iyatyhala, kuvele iintlungu, kwaye ilungu elichaphazelekayo linokuvaleka. Khawucinge ngamathumbu avalekileyo, oko kuthetha ukuba ukuhamba kwendle kunokuyeka. Okuyingozi ngakumbi kukuba ukuba igazi eliya kuloo ndawo ibambekileyo liyanqanyulwa (ukukrwitshwa) , elo lungu linokufa (ukufa kwezicubu). Le yimeko enzulu kakhulu kwaye inokuba yingozi ebomini.

Indlela yokuxilonga i-hernia yesisu?

Ugqirha uhlala efumana i-hernia yesisu ngexesha lovavanyo lomzimba. Ukuba ayibonakali kwangoko, ugqirha wakho uya kukucela ukuba uzibambe ngeendlela ezahlukeneyo okanye wenze izinto ezithile (ezifana nokukhohlela okanye ukucinezela isisu sakho) ukuze abone ukuba i-hernia iyaphuma na.

Ngamanye amaxesha uvavanyo lwemifanekiso lunokwenziwa ukuze kubonwe kakuhle i-hernia. Oku kungabandakanya i-ultrasound yesisu, i-CT scan, okanye i-MRI.

Ukuba ugqirha ubona i-hernia, uya kuyiva aze abone ukuba i-hernia ingabuyiselwa na. Oku kuya kunceda ekuqinisekiseni ukuba inzulu kangakanani kwaye kufuneka unyango ngokukhawuleza kangakanani. Ugqirha uya kukubuza nangeempawu zakho, imbali yakho yezonyango, kunye nazo naziphi na ezinye izinto ezinokubangela i-hernia:

• Uqale nini ukuyibona le nto?
• Ingaba oku kutshintshile ekuhambeni kwexesha? (Ngaba kuye kwaba kukhulu, ngaba intlungu iyanda?)
• Luhlobo luni lobunzima ojongene nalo ngenxa yoku?
• Ziziphi ezinye izifo ezingapheliyo onazo?
• Uyintoni umsebenzi wakho?
• Injani indlela otya ngayo, umthambo, nendlela ophila ngayo?

Ngaba i-hernia yesisu kufuneka ilungiswe?

Uninzi lwee-hernias zesisu ziya kufuna ukulungiswa ngaxa lithile , kodwa ayizizo zonke ezifuna ukulungiswa ngoko nangoko. Ukuba awunazo iimpawu ezinkulu kwaye unokutyhala i-hernia kwakhona, mhlawumbi akukho mngcipheko ukhawulezileyo.

Kodwa khumbula, ii-hernias zinokuba zimbi ngakumbi ngokuhamba kwexesha . Xa oko kusenzeka, zinokuba yingozi ngakumbi kwaye kube nzima ukuzilungisa.

Okubaluleke kakhulu: I-hernia engenakutyhalelwa emva (i-hernia evalelwe) yingxamiseko kwaye kufuneka ibikwe ngoko nangoko kwicandelo lezonyango ezingxamisekileyo esibhedlele (ETU) .

Xa i-hernia yesisu ifuna utyando, kufuneka iqale nini?

Oogqirha bacebisa ukulungiswa kwe-hernia yesisu kwezi meko zilandelayo:

• Ukuba i-hernia ayinakubuyiselwa (ayinciphisi).
• Ukuba uneempawu ezifana neentlungu ezingapheliyo ngenxa yoko.
• Ukuba inkulu ngokwaneleyo ukuba ibambeke okanye ibangele ezinye iingxaki .
• Ukuba imeko yakho yempilo ngokubanzi ikuvumela ukuba wenze utyando .

Ukuba umntwana omncinci une-hernia yesisu kwaye ayipholi yodwa kwiminyaka embalwa, ugqirha uya kucebisa ukuba alungiswe ngotyando ukuze angakhuli aze abangele iingxaki.

Ungayilungisa njani i-hernia yesisu?

Injongo ephambili yotyando lwe-ventral hernia kukuvala umngxuma eludongeni lwesisu sakho nokuthintela i-hernia ukuba ingaphindi iphume.Olu tyando lubuyisela imo kunye namandla odonga lwesisu, luvale umngxuma, kwaye lubuyisele izihlunu endaweni yazo. Rhoqo, oogqirha basebenzisa i-mesh yotyando ukuqinisa udonga.

Ngaba utyando lwe-Ventral Hernia lutyando olukhulu?

Utyando lwe-Ventral hernia luyinkqubo eqhelekileyo, edla ngokuba lula . E-United States kuphela, kwenziwa utyando olumalunga nama-350,000 minyaka le. Kwiimeko ezininzi, oogqirha banokusebenzisa iindlela ezingaphantsi kakhulu . Oku kuthetha ukuba kungenziwa ngokusikwa okuncinci, nto leyo ethetha ukuba ixesha lokuchacha lincinci. Nangona kunjalo, abanye abantu, ingakumbi ukuba i-hernia inkulu kakhulu okanye inzima, banokufuna utyando olukhulu olubizwa ngokuba lutyando lwesisu oluvulekileyo .

Ugqirha wakho uza kugqiba ukuba yeyiphi inkqubo yotyando efanelekileyo kwi-hernia yakho. Kukho iindlela ezininzi eziphambili:

• Ukulungiswa kwe-open ventral hernia: Le yindlela yendabuko. Ugqirha usika ulusu phezu kwe-hernia, avule indawo, aze alungise i-hernia ngokuthe ngqo. Le ndlela inokuba yimfuneko ukuba i-hernia inzima ngakumbi.
• Ukulungiswa kwe-hernia ye-ventral nge-Laparoscopic: Le yinkqubo engaphantsi kakhulu. Ugqirha wenza imingxunya emininzi emincinci "ye-keyhole" esiswini sakho, malunga nesiqingatha se-intshi ubude. Ikhamera encinci ebizwa ngokuba yi-laparoscope ifakwa nge-incision enye. Imifanekiso iboniswa kwiscreen. Izixhobo ezinde, ezincinci zifakwa ngezinye izigcawu kwaye utyando lwenziwa ngelixa ujonge isikrini.
• Ukulungiswa kwe-hernia ye-ventral eyiRobotic: Le yenye inkqubo engangenisi mandla kangako. Ikwasebenzisa imingxunya emincinci, izixhobo ezinde, kunye ne-laparoscope. Umahluko kukuba ugqirha otyandayo ulawula izixhobo ngenkqubo yekhompyutha esebenzisa ingalo yerobhothi.

Ngaba yonke i-hernia ye-ventral ifuna i-mesh?

Hayi, ayizizo zonke iihernias zesisu ezifuna i-mesh . Ingakumbi ukuba ziihernias ezincinci ze-epigastric okanye ze-umbilical. Nangona kunjalo, iihernias ezininzi ezisikiweyo zifuna i-mesh . Oku kungenxa yokuba zenziwe ngezicubu ezisikiweyo kutyando lwangaphambili. Emva kotyando, izicubu zemisipha azikaze zomelele njengangaphambili. Utyando lokulungisa i-hernia nalo luyayenza buthathaka kwakhona. Ke ngoko, i-mesh inika amandla ongezelelweyo.

Oogqirha botyando baneentlobo ezahlukeneyo ze-mesh yotyando abanokukhetha kuzo:

• I-mesh eyenziweyo: Ezi zenziwe ngezinto ezenziwe ngumntu, ezihlala ixesha elide. Ezi zezona ntlobo ze-mesh ezihlala ixesha elide ezisetyenziselwa ukwenza ii-implants. Njengoko izicubu ezintsha zikhula zijikeleze i-mesh, i-mesh ingena ngaphakathi kwizicubu, idala umaleko oqinileyo nohlala ixesha elide ongaqhekekiyo ngokuhamba kwexesha njengezicubu.
• I-biological mesh: Ezi zenziwe ngezicubu zomntu okanye zesilwanyana (umz., ulusu lwesilwanyana). Azihlali ixesha elide njenge-synthetic mesh, kodwa zinomngcipheko omncinci wokosuleleka. Nangona umngcipheko wokosuleleka uphantsi, abanye abantu basengozini enkulu yokosuleleka kunabanye. Ngoko ke i-biological mesh inokuba yeyona ikhuselekileyo kwabo bantu.
• I-mesh yokwenziwa efunxwa yi-bioabsorbable: Le yi-mesh yexeshana. Inika inkxaso yexeshana ngelixa utyando luphola. Emva kokuba ifunxwe ngumzimba, izicubu zesilonda ziyakheka kwaye zomeleze udonga.

Ngaba kukho naziphi na iindlela ezingasetyenziswanga ngotyando ze-ventricle hernia?

Enyanisweni, utyando lolona hlobo lokulungisa ngokupheleleyo i-hernia yesisu. Nangona kunjalo, abanye abantu basenokungakwazi utyando ngenxa yezinye iimeko zempilo. Ukuba une-hernia enkulu engenakulungiseka ngotyando, ugqirha wakho unokucebisa ukuba usebenzise inkxaso ekhethekileyo (efana ne-corset, i-binder, okanye i-truss) ukuze ubambe i-hernia endaweni yayo. Oku akuyi kuyiphilisa i-hernia, kodwa kunokunceda ukunciphisa ukungonwabi kunye nokuthintela ukubanjwa kwayo.

Ingakanani ingozi ye-ventricle hernia?

Uninzi lwee-hernias zesisu azibi zimbi ekuqaleni, kodwa zinokuba zimbi ngakumbi ngokuhamba kwexesha. Yiyo loo nto oogqirha becebisa ukuba zilungiswe ngaphambi kokuba zifikelele kwelo nqanaba.

Iziphumo zotyando olukhethwayo, ezenziwa ngaphambi kokuba kubekho iingxaki, zihlala zingcono kunotyando olungxamisekileyo, olwenziwa emva kokuba kubekho iingxaki.

Kwenzeka ntoni emva kotyando lwe-ventral hernia?

Uninzi lweenkqubo zotyando lwe-hernia zilula, kwaye ixesha lokuchacha likhawuleza. Ii-hernias ezintsonkothileyo zinokufuna utyando olukhulu kwaye zinokuthatha ixesha elide ukuphola. Eyona nto ibalulekileyo kukuqaphela ukuba ungafaki uxinzelelo okanye uxinzelelo kwi-hernia ngexesha lokuphiliswa. Kubalulekile ukulandela imiyalelo kagqirha wakho ukuthintela ukuba i-hernia ingaphindi ivele. Phakathi kwe-10% kunye ne-20% yee-hernias ze-ventral zinokuphinda zivele emva kotyando.

Zininzi izizathu zokuba kutheni usenokuba ne-ventricle hernia. Ihlala ikhula kancinci kancinci, kangangeminyaka emininzi. Ukuba uyazi ukuba into oyenzayo yonke imihla (umz., ukuphakamisa iintsimbi, ukuquleka rhoqo) ibeka uxinzelelo kwimisipha yesisu sakho, unokukwazi ukutshintsha loo mkhwa okanye ufumane unyango lwesifo esingapheliyo esinokunceda ukulawula uphuhliso lwale meko.

Kodwa ayizizo zonke iihernias ezinokuthintelwa. Ukuba uzifumana, khumbula ukuba awuwedwa. Zixhaphakile kakhulu, kwaye kunjalo nangotyando lokuzilungisa. Ugqirha wakho uza kukuxelela ukuba kufuneka ulungise nini ihernia yakho. Usenokungayidingi kwangoko, kodwa kungcono ukuba uyilungise ngaphambi kokuba ibe nkulu kakhulu.

Izinto ezibalulekileyo ekufuneka uzazi (Umyalezo oya nawo ekhaya)

Ndiyathemba ukuba kwizinto esizithethileyo, ufumene ukuqonda okuhle ngeVentral Hernia. Nazi ezinye izinto ekufuneka uzikhumbule:

• I-ventral hernia kukuphuma kwamalungu angaphakathi kwindawo ebuthathaka eludongeni olungaphambili lwesisu. Oku kungenzeka enkabeni, ngaphantsi kwesifuba, esiswini esingaphezulu, okanye kwindawo yotyando lwangaphambili.
• Iimpawu zingabandakanya ukudumba kwesisu, ingakumbi xa ukhohlela okanye uphakamisa izinto ezinzima. Kunokubakho nentlungu.
• Nokuba ingxaki ayibonakali ngathi yinto enkulu ekuqaleni, inokukhula ibe nkulu, ibe nzima ngakumbi, kwaye ibe yingozi ngokuhamba kwexesha. Ngoko ke ayisiyongcinga ilungileyo ukuyityeshela.
• Ukuba unezi mpawu kwaye uvakalelwa kukuba i-hernia yakho iya isiba nkulu, kungcono ukubona ugqirha ukuze akunike ingcebiso.
• Kwiimeko ezininzi, oku kunokunyangeka ngokupheleleyo ngotyando. Ngoko ke ungoyiki, fumana unyango ngexesha elifanelekileyo.

Ukuba unemibuzo engaphezulu malunga noku, qiniseka ukuba uthetha nogqirha wosapho lwakho okanye ugqirha wotyando. Hlala usempilweni!

I- Fentral hernia, i-hernia yesisu, iimpawu ze-hernia, utyando lwe-hernia, izizathu ze-hernia, i-hernia yesisu, ukudumba kwesisu