Ingabe kukhona iqhubu elincane esiswini sakho esingaphezulu? Ake sixoxe nge-hernia ye-epigastric!

Wake wabona, noma wabhekana nokuvuvukala okuncane noma iqhubu esiswini esingaphezulu, ikakhulukazi ngaphansi kwethambo lesifuba, ngaphezu kwenkaba? Ngezinye izikhathi kungaze kube buhlungu kancane. Abantu abaningi bayesaba kancane uma bebona into efana nale. Ngakho-ke namuhla sizokhuluma ngembangela eyodwa engaba khona yalokhu, okuyi-epigastric hernia. Ungakhathazeki, ake sixoxe ngalokhu kalula.

Ngakho-ke iyini le hernia ye-epigastric?

Kalula nje, i-epigastric hernia uhlobo lwe-hernia oluvela engxenyeni ephezulu, ephakathi yesisu sakho. Ngokukhethekile, lwenzeka endaweni engaphansi kwethambo lesifuba sakho nangaphezu kwenkinobho yesisu sakho. Lolu futhi uhlobo oluvamile lwe-hernia oluwela ngaphansi kwesigaba se-ventral hernias, esenzeka odongeni olungaphambili lwesisu. Ngezinye izikhathi, umuntu angaba ne-epigastric hernia engaphezu kweyodwa.

Lawa ma-hernia avame ukuba mancane kakhulu . Amanye angaba yisigamu sesentimitha (cishe isentimitha elilodwa) noma ubude be-stapler. I-hernia enkulu kancane ingaba yisentimitha nesigamu (cishe amasentimitha amane) noma ubukhulu be-walnut. Uma i-hernia incane, ungase ungaboni zimpawu. Kodwa-ke, njengoba i-hernia ikhula, ingabonakala njengeqhubu elibonakalayo nelizwakalayo.

Ama-hernia epigastric ngokuvamile awayona inkinga yezempilo engathi sína. Kodwa-ke, ama-hernia amakhulu ngezinye izikhathi angaholela ezinkingeni ezisongela ukuphila , ngakho-ke kubalulekile ukuqaphela lokhu.

Ziyini izimpawu zalokhu, dokotela?

Ngezinye izikhathi ungase ungabi nazimpawu uma une-hernia ye-epigastric. Noma ungase ube nezimpawu ezifana nalezi:

• Iqhubu ngaphansi kwesikhumba: Iqhubu elincane noma ukuvuvukala kungavela ngaphansi kwesikhumba phakathi kwesisu sakho, ngaphezu kwethambo lesifuba sakho nangaphansi kwethambo lesifuba sakho. Lokhu kuvame ukubonakala kakhulu uma umi, kodwa kungase kuzwakale sengathi ligobile kancane uma uhleli noma ulele phansi, noma linganyamalala.
• Ubuhlungu obufana nokuqaqamba esiswini esingaphezulu: Ungase uzizwe unesicanucanu , noma ubuhlungu obungacacile esiswini esingaphezulu. Lobuhlungu bungase bubonakale buba bubi njengoba usuku luqhubeka.
• Ubuhlungu obukhulu: Ungase uzwe ubuhlungu obungazelelwe, obubukhali, njengenxeba lokugwazwa, uma ukhwehlela, uphakamisa into esindayo, noma uya endlini yokugezela.

Cabanga nje, uma uvuka ekuseni, akukho lutho olungalungile ngawe, kodwa emini, ubona ukuvuvukala okuncane esiswini sakho esingaphezulu, futhi kusihlwa, leyo ndawo ibonakala sengathi ibuhlungu kancane. Yilokho okungenzeka.

Kungani sithola ama-hernia kanje?

Lesi simo senzeka lapho ingxenye yezicubu ezinamafutha esiswini sakho, noma ngezinye izikhathi ingxenye yamathumbu akho amakhulu, idlula ku-"Linea Alba" yakho. Iyini i-"Linea Alba"? Kuyibhande elincane lezicubu ezixhumanisayo eliwela phansi ngaphambili, maphakathi, nangaphansi kwesisu sakho. Uma kukhona ubuthakathaka noma iphutha kule "Linea Alba", leso zicubu ezinamafutha noma ingxenye yamathumbu akho ingadlula. Uma imisipha yakho yesisu ibuthakathaka, kungenzeka kakhulu ukuthi ube ne-Epigastric Hernia.

Abanye abantu bangazalwa bene-hernia ye-epigastric. Lokhu kusho ukuthi le hernia yakheka ngesikhathi sokukhula kwengane. Kodwa-ke, ngokuvamile le hernia ikhula ngokuhamba kwesikhathi (i-acquired epigastric hernia). Kungenzeka njengoba ukhula. Noma, ingakhula ngenxa yezinye izinkinga ezibeka ingcindezi ku-"Linea Alba" yakho noma emisipheni yesisu. Le hernia ivame kakhulu kubantu abaneminyaka ephakathi kuka-30 no-50.

Kunezizathu eziningi zokuthi kungani i-hernia ye-epigastric ingakhula. Nazi ezinye zezizathu eziyinhloko:

• Ukuncipha kwe-"Linea Alba" njengoba iminyaka ikhula: Ngokuhamba kwesikhathi, leli bhande lezicubu ezixhumeneyo liyabuthaka futhi linciphe.
• Ukukhwehlela Okungapheli: Uma ukhwehlela okungapheli, njalo uma ukhwehlela, kuba nokucindezeleka okukhulu esiswini sakho.
• Ukuqunjelwa: Isisu siba soma futhi ingcindezi ngaphakathi esiswini iyanda ngisho noma uzama ukuya endlini yangasese.
• Ukukhuluphala: Njengoba amafutha omzimba enyuka, ingcindezi ngaphakathi esiswini iyanda ngokuzenzakalelayo.
• Ukuphakamisa izinsimbi: Ukuphakamisa izinto ezisindayo ngendlela engafanele, ngaphandle kokulawula ukuphefumula kahle.
• Ukukhulelwa: Ngesikhathi sokukhulelwa, njengoba umntwana ekhula, kuba nokucindezeleka okukhulu esiswini sikamama.

Ingabe lokhu kungaba yingozi? Yiziphi izinkinga ezingaba khona?

Nakuba i-hernia encane ye-epigastric ngokuvamile ingeyona into enkulu, kunezinkinga ezimbili ezingaba yingozi ngezinye izikhathi. Lezi yi-hernia evalelwe kanye ne-hernia eklinyiwe. Zombili lezi zibhekwa njengezimo eziphuthumayo zezokwelapha ezimbi kakhulu . Zingaba yingozi empilweni.

• I-Hernia Eboshiwe: Yilapho i-hernia ivaleleka phakathi kwemisipha yesisu sakho. Uma lokhu kwenzeka, ngeke ibuyele ngokwayo, futhi ngeke iphinde ibuyele ngisho noma uyicindezela. Lokhu kungabangela ubuhlungu obukhulu.
• I-Hernia Eklinyiwe: Lokhu kuyingozi nakakhulu. Uma ukugeleza kwegazi kuya engxenyeni ye-hernia eklinyiwe kunqanyulwa, leyo ngxenye iqala ukufa. Lokhu kungabangela ubuhlungu obukhulu, umkhuhlane, isicanucanu nokuhlanza. Lesi yisimo esidinga ukulungiswa ngokushesha ngokuhlinzwa.

Into ebaluleke kakhulu ukuthi, uma uthola ukuthi une-hernia, unake ukuthi zikhona yini izimpawu zokuthi iyavalelwa noma iyaklinywa.

Udokotela ukubona kanjani lokhu?

Uma unezinye zezimpawu ezishiwo ngenhla, kungcono ukubona udokotela. Udokotela uzoqala ngokukuhlola ngokomzimba. Lokhu kusho ukuthi bazozwa iqhubu esiswini sakho, bakucele ukuthi ukhwehlele, bese bekulalisa phansi.

Ngaphezu kwalokho, ukuhlolwa kwezithombe ezinjengalezi ngezinye izikhathi kungenziwa ukuze kutholakale usayizi oqondile, indawo, kanye nokuqukethwe kwe-hernia:

• I-CT scan (i-Computed Tomography - i-CT scan): Lokhu kunganikeza izithombe ezinemininingwane ze-hernia.
• Ukuskena kwe-MRI (I-Magnetic Resonance Imaging - Ukuskena kwe-MRI): Lokhu kufana nokuskena kwe-CT, kodwa kusebenzisa ubuchwepheshe obuhlukile.
• I-Ultrasound: Ukuhlolwa okusebenzisa amaza omsindo ukudala izithombe zangaphakathi lomzimba. Lokhu kuvame ukuba ukuhlolwa kokuqala okwenziwayo.

Ngemva kwalezi zivivinyo, udokotela angakutshela ngqo ukuthi une-hernia ye-epigastric nokuthi isimo sayo sinjani.

Yiziphi izindlela zokwelapha lokhu? Kuphathwa kanjani?

Ukwelashwa okuwukuphela kwesikhathi esihlala njalo kwe-hernia ye-epigastric ukuyilungisa ngokuhlinzwa (ukuhlinzwa kokulungisa i-hernia) . Lokhu kusho ukuthi ingxenye evelele ibuyiselwa ngaphakathi, indawo ebuthakathaka noma imbobo ku-"Linea Alba" iyathungwa, futhi ngezinye izikhathi into efana ne-mesh isetshenziswa ukuqinisa indawo.

Kodwa-ke, akuwona wonke ama-hernia epigastric adinga ukuhlinzwa ngokushesha. Udokotela wakho angase anqume ukwenza ukulinda okuqaphile kunokuhlinzwa ezimweni ezilandelayo:

• Uma i-hernia incane kakhulu (ingaphansi kwe-intshi, cishe isentimitha elilodwa).
• Uma ungenazo izinhlungu noma isicanucanu esibangelwa yi-hernia.
• Uma ungenankinga enkulu ngaleyo qhubu,
• Uma udokotela ecabanga ukuthi ingozi yezinkinga ezivela ku-hernia iphansi .

Uma kunjalo, udokotela wakho uzokutshela ukuthi ubuye uzohlolwa ngezikhathi ezithile . Lokho kusho ukuhlola ukuthi i-hernia iyakhula noma ukuthi izimpawu ezintsha ziyavela.

Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa?

Kunzima ukusho lokhu ngqo, ngoba kuyahlukahluka kuye ngomuntu nomuntu. Izinto eziningi zithinta lokhu, njengobudala bakho, ubukhulu be-hernia, uhlobo lokuhlinzwa okwenziwe, kanye nempilo yakho iyonke.

Ngokuvamile, ungaqhubeka nemisebenzi yakho yansuku zonke cishe emavikini amabili ngemva kokuhlinzwa. Kodwa-ke, uma wenza umsebenzi onzima, njengokuphakamisa izinsimbi, kungathatha amasonto amane noma ngaphezulu ukubuyela emsebenzini. Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.Uzokutshela ukuthi udinga ukuphumula isikhathi esingakanani, ukuthi ungaqala nini imisebenzi evamile, nokuthi ungaqala nini ukuphakamisa izinsimbi.

Ingabe lokhu kungabuya ngemva kokuhlinzwa? (Outlook)

Izindaba ezinhle ukuthi i-hernia ye-epigastric ingelapheka ngokuphelele ngokuhlinzwa. Lokho kusho ukuthi iqhubu lizonyamalala.

Kodwa-ke, ngezinye izikhathi i-hernia ingaphinde ivele, noma ingakheka entsha. Isizathu esiyinhloko salokhu ukuthi imisipha yakho yesisu noma i-"Linea Alba" icindezelwa futhi, noma iba buthakathaka futhi. Ungakhuluma nodokotela wakho ngamathuba akho okuthola i-hernia futhi ngemva kokuhlinzwa. Angakutshela nokuthi yini ongayenza ukuze uyivimbele ukuthi ingabuyi.

Ingabe kukhona esingakwenza ukuvimbela lokhu ukuthi kungenzeki?

Nakuba kungenakuvinjelwa ngokuphelele, kunezinto eziningana ongazenza ukuze unciphise ingozi yokuba ne-hernia epigastric:

• Gcina isisindo esinempilo esikufanele: Kubaluleke kakhulu ukulawula isisindo somzimba wakho, njengoba ukukhuluphala kuyimbangela enkulu yokwakheka kwe-hernia.
• Yelapha izimo ezicindezela imisipha yesisu sakho: Uma ukhwehlela noma uqunjelwa njalo, zitholele ukwelashwa ngendlela efanele bese uzilawula.
• Qaphela lapho uphakamisa: Ungazami ukuphakamisa izinsimbi ezisindayo ngesikhathi esisodwa. Uma wenza kanjalo, gcina ukuma okufanele, lawula ukuphefumula kwakho, futhi ucele usizo uma kungenzeka.

Kunini lapho kufanele nakanjani sibone khona udokotela?

Uma uneqhubu elifana naleli engikhulume ngalo ngenhla esiswini sakho esingaphezulu futhi uzizwa sengathi liyakhula, kufanele nakanjani ubone udokotela. Ngoba i-hernia ye-epigastric ekhula inethuba elikhulu lokuba yi-"Incarcerated Hernia" noma i-"Strangulated Hernia" ngenxa yokunqamuka kwegazi.

Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, kufanele kubhekwe njengesimo esiphuthumayo sezokwelapha. Yiya esibhedlela esiseduze ngokushesha, noma uma useSri Lanka, shayela i-Suwaseriya Ambulance Service ka-1990:

• Ubuhlungu obusha, obukhulu, obukhula ngokushesha esiswini esingaphezulu.
• Isicanucanu nokuhlanza.
• Isikhumba lapho i-hernia ikhona khona siyashintsha umbala (isibonelo, singaba bomvu, onsomi, luhlaza okwesibhakabhaka, noma simnyama).

Uma uhlangabezana nalezi zimpawu, ungephuzi ngisho nomzuzu . Ukufuna usizo lwezokwelapha ngokushesha kungasindisa impilo.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, kuwumqondo omuhle ukubuza le mibuzo:

• Dokotela, kungani nginale hernia?
• Ingabe lokhu kuzokhula?
• Yiziphi izinto ezingenzeka uma lokhu kuqhubeka nokuba kukhulu?
• Ingabe ngidinga ngempela ukuhlinzwa? Azikho ezinye izindlela?
• Uma ngihlinzwa, yini okufanele ngiyiqaphele ngemva kwalokho?

Kubaluleke kakhulu ukubuza imibuzo efana nalena nokuqonda kahle isimo sakho.

Ingabe i-hernia ye-epigastric ingabangela i-acid reflux?

Cha. Izimpawu ezifana nesilungulela kanye ne-acid reflux zivame ukubangelwa olunye uhlobo lwe-hernia olubizwa ngokuthi i-hiatal hernia. I-epigastric hernia ibangela ubuhlungu obungacacile nobubukhali esiswini esingaphezulu. Ayibangeli izimpawu ze-acid reflux.

Ngakho-ke, uma uneqhubu esiswini sakho esingaphezulu, ngaphansi kwethambo lesifuba sakho nangaphezu kwembambo yakho, kungaba yi-epigastric hernia. Kodwa-ke, kungaba nezinye izimbangela zeqhubu elinjalo. Ngakho-ke, kungcono ukubona udokotela ukuze uthole imbangela eqondile bese uthola ukwelashwa okufanele wena.

Ngakho-ke yiziphi izinto ezibaluleke kakhulu okudingeka sizikhumbule? (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke, kusukela kulokho esikhulume ngakho nge-Epigastric Hernia, nazi izinto ezibaluleke kakhulu okudingeka uzikhumbule:

• I-hernia ye-epigastric iyisiqhubu esincane engxenyeni ephezulu, ephakathi yesisu.
• Esikhathini esiningi, lokhu akuyingozi, kodwa uma kuba kukhulu, kungabangela izinkinga ezifana nokuvaleka kanye nokulahlekelwa igazi.
• Izimpawu zingase zihlanganise iqhubu, ukuvuvukala, kanye nobuhlungu obubukhali. Abanye abantu bangase bangabi nazimpawu nhlobo.
• Lokhu kungabangelwa izinto ezifana nokukhuluphala ngokweqile, ukukhwehlela okungapheli, ukuqunjelwa, ukuthwala izinto ezisindayo, kanye nokukhulelwa.
• Ukuhlinzwa kuyindlela yokwelapha ehlala njalo kuphela, kodwa akuwona wonke umuntu odinga ukuhlinzwa ngokushesha.
• Ukugcina isisindo esinempilo nokunciphisa izinto ezibeka ingcindezi esiswini kungasiza ekuvimbeleni lokhu ukuthi kungenzeki.
• Uma iqhubu likhula, noma uma uzwa izimpawu ezifana nobuhlungu obukhulu, isicanucanu, ukuhlanza, noma ukushintsha kombala wesikhumba, bona udokotela ngokushesha.

Ngiyethemba ukuthi lolu lwazi luzokusiza. Uma unenkinga, ungangabazi ukukhuluma nodokotela. Hlala uphilile!

i- hernia ye-epigastric, i-hernia yesisu, i-hernia yesisu, i-linea alba, ukuhlinzwa kwe-hernia, isimila sesisu, ubuhlungu besisu