Uyafuna ukwazi nge-hernia? (I-Hernia) Ake sixoxe ngalokhu kalula!

Wake wezwa igama elithi "Hernia"? Mhlawumbe omunye wamalungu omndeni wakho noma umngane wakhe wake waba nalesi simo. Noma mhlawumbe unolwazi oluthile ngaso. Iyini ngempela i-hernia, kungani yakheka, ingabe iyingozi, singayiqaphela kanjani, futhi yiziphi izindlela zokwelapha? Namuhla, sizokhuluma nawe ngendlela elula ongayiqonda. Njengokukhuluma nomngane.

Iyini i-hernia? Kalula nje...

Cabanga ngezitho zomzimba ezingaphakathi emzimbeni wakho, njengamathumbu akho, isibonelo, zivame ukuzungezwa udonga lwemisipha. Kufana nomoya osebhaluni. Manje uma kukhona ubuthakathaka endaweni ethile kulolu donga, noma umgodi omncane, ingxenye yesitho ngaphakathi izozama ukusunduza kulowo mgodi. Yilokho esikubiza ngokuthi i-hernia .

Lokhu kungenzeka ngokuzumayo, noma kungakhula kancane kancane ngokuhamba kwesikhathi. Ngezinye izikhathi, le hernia ingenzeka ngoba imisipha yethu ibuthakathaka njengoba siguga, noma ngemva kwengozi, ukuhlinzwa, noma ngezinye izikhathi ngenxa yobuthakathaka obukhona ekuzalweni.

Yiziphi izindawo ezivame kakhulu lapho kuvela khona ama-hernia?

Manje ungase uzibuze ukuthi la ma-hernia atholakala kuphi emzimbeni. Kunezindawo ezimbalwa eziyinhloko lapho angabonakala khona:

• Engxenyeni engezansi yesifuba sakho, ngokusebenzisa i-diaphragm.
• Endaweni ye-groin, okungukuthi, ngaphansi kwezinqe, ngodonga olungezansi lwesisu.
• Enkabeni engaphambili yesisu.
• Kusukela ekusikweni kokuhlinzwa kwangaphambilini.

Yiziphi izinhlobo ze-hernias ezikhona?

Ama-Hernia angafika ngezindlela eziningi. Ahlukaniswa ngokwezindawo avele kuzo kanye nembangela. Ake sibheke izinhlobo ezimbalwa eziyinhloko.

1. I-Inguinal Hernia

Lolu uhlobo oluvame kakhulu lwe-hernia . Cishe ama-75% ama-hernia alolu hlobo. Luvame kakhulu kwabesilisa. Okwenzekayo lapha ukuthi ingxenye yamathumbu ingena endleleni egeleza ethangeni ebizwa ngokuthi i-inguinal canal. Ngezinye izikhathi kungenzeka ukuthi uke wabona umuntu osekhulile eneqhubu elincane embotsheni yakhe, futhi yilokho okuyikho.

2. I-Femoral Hernia

Lolu futhi uhlobo lwe-hernia oluvela endaweni ye-groin, kodwa aluvamile kakhulu kune-hernia ye-inguinal. Luvela endaweni ebizwa ngokuthi i-femoral canal, etholakala ngaphansi kwe-inguinal canal. Izicubu ezinamafutha nezinye izinto zingaphuma kulokhu.

3. I-Hiatal Hernia

Lolu futhi uhlobo oluvamile lwe-hernia oluvela ngesikhathi sokuphila. Kukhona imbobo encane ku-diaphragm yethu, lapho umphimbo wethu wehla khona. Uma leyo mbobo iba nkulu futhi ingxenye engenhla yesisu isunduzela phezulu esifubeni, ibizwa ngokuthi `(Hiatal Hernia).` Lokhu kungabangela izimpawu ezifana nobuhlungu besifuba kanye ne-gastritis kwabanye abantu.

4. I-Congenital Diaphragmatic Hernia

Lokhu kuyiphutha elikhulu lokuzalwa.Lokhu kwenzeka uma i-diaphragm ingavali kahle ngesikhathi sokukhula komntwana osanda kuzalwa. Lokhu kuvumela izitho ezisesiswini ukuthi zingene esifubeni ngesikhathi zisakhula. Lokhu kungenza amaphaphu abe nendawo, kuthinte ukukhula kwawo.

5. I-Hernia Yokusika

I-hernia yokusika yisimo lapho ukusikwa okuvela ekuhlinzweni kwangaphambilini kuba buthaka ngokuhamba kwesikhathi futhi izicubu zivele kuyo. Lona umphumela ovamile ongase uvele kubantu abaye bahlinzwa esiswini.

6. I-Hernia Yesibeletho

Lokhu kwenzeka lapho ingxenye yamathumbu iphuma ngembobo odongeni lwesisu eduze kwenkinobho yesisu. Isikhathi esiningi, lawa "Umbilical Hernias" azalwa nawo. Kungenzeka ukuthi uke wabona ukuvuvuka okuncane enkingeni yesisu somntwana lapho ekhala noma ekhipha indle. Lokhu kungaba yimbangela.

7. I-Ventral Hernia

Noma iyiphi i-hernia ephuma odongeni lwangaphambili lwesisu ibizwa ngokuthi "i-Ventral Hernia." Lokhu kufaka phakathi i-umbilical hernias kanye ne-incisional hernias. I-ventral hernia ephuma ngaphezu kwenkaba ibizwa nangokuthi "i-Epigastric Hernia."

8. I-Hernia ye-Perineal

Lolu uhlobo olungavamile lwe-hernia . Luvela lapho isitho noma izicubu zingena emgodini wesisu ngesikhala esibuthakathaka noma imbobo phansi kwe-pelvic.

I-hernia ivame kangakanani?

Yebo, ama-hernia ayisifo esivame kakhulu . Kodwa-ke, ezinye izinhlobo zivame kakhulu kunezinye. Isibonelo:

• I-hernia ye-inguinal ithinta cishe abesilisa abangu-25%.
• Ama-hernias okubeletha athinta cishe ama-20% abantu baseMelika, kanye nama-50% abantu abangaphezu kweminyaka engama-50.
• Cishe u-15% wezingane ezisanda kuzalwa zine-hernia yokuzalwa, evame kakhulu yi-hernia ye-umbilical.
• Ama-hernia aqotshiwe acishe abe yi-10% yawo wonke ama-hernia.

I-hernia ingaba yingozi kangakanani?

Iningi lama-hernia alibi kakhulu , kodwa amanye angaba mabi kakhulu. Angaba mabi kakhulu ngokuhamba kwesikhathi.

I-hernia iba yingozi kakhulu lapho ingxenye ephume ingakwazi ukubuyela ngaphakathi futhi ibhajwe emgodini. Lokhu kubizwa ngokuthi "i-hernia eboshiwe". Lokhu kungabangela ubuhlungu obukhulu. Kwezinye izimo ezinzima, izicubu ezivalelekile zingalahlekelwa igazi lazo bese zifa (``Necrosis'' noma ``Gangrene''). Lokhu kuyisimo esiphuthumayo.

Ngenxa yokuthi ama-hernia ayawohloka ngokuhamba kwesikhathi, avame ukudinga ukulungiswa ngokuhlinzwa ngokushesha noma kamuva.

Ziyini izimpawu ze-hernia?

Akuzona zonke izimila ezibangela izimpawu, futhi uhlobo ngalunye lwezimila lungabangela izimpawu ezahlukene.

Uphawu oluyinhloko lwe-hernia yiqhubu noma ukuvuvukala okubonakalayo . Lokhu kungavela ngesikhathi semisebenzi ethile noma lapho kushintsha izikhundla zomzimba, bese kubuyela emuva ngezinye izikhathi.

Futhi, lapho i-hernia iphuma, kuba nobuhlungu obucindezelayo, obungaqinile, noma ubuhlungu obuhlabayo.Ungakuzwa. Kungaphuma uma uphakamisa into esindayo, uhleka, ukhwehlela, noma uzikhandla.

Ibukeka kanjani i-hernia?

Uma ungayibona, ibukeka njengeqhubu endaweni okungafanele ibe kuyo . Ungayibona esiswini noma ngaphezulu kwe-groin. Ngezinye izikhathi iyabonakala, ngezinye izikhathi ayibonakali. Kodwa-ke, amanye ama-hernia, njenge-'Femoral hernia' kanye ne-'Hiatal hernia', angaphakathi emzimbeni futhi awabonakali ngaphandle.

I-hernia izwakala kanjani?

Ungase ungezwa lutho nhlobo. Noma ungase uzizwe ubuhlungu obucindezelayo, obungacacile, noma ubuhlungu obubukhali njengoba i-hernia iphuma emgodini. Uma unalolu hlobo lokungakhululeki ngaso sonke isikhathi, kufanele ubonane nodokotela ngokushesha .

Ikakhulukazi kubantu abane-hernia yokubeletha, i-acid reflux yesikhathi eside ingenzeka. Kungazwakala njengesilungulela noma ukungagayi kahle kokudla.

Yiziphi izimpawu zokuqala ze-hernia?

Ungase ubone noma uzwe i-hernia iphuma endaweni efanayo lapho uhleli, ulele phansi, noma uzikhandla. Uma kwenzeka ingane encane, i-hernia ingaphuma lapho ikhala noma ikhipha indle, okubangela ukungakhululeki. Uma izimpawu ezifanayo zenzeka ngokuphindaphindiwe ngomsebenzi ofanayo, kunethuba elihle lokuthi i-hernia.

Ingabe izimpawu ze-hernia zihlukile kwabesifazane nakwabesilisa?

Ngokuvamile, akukho mehluko omkhulu. Kodwa kunezinye izinto ezihlukile. Isibonelo, i-groin hernia ngezinye izikhathi ingavela iye phansi iye ezithweni zangasese. Kwabesilisa abanama-testicles, okungukuthi, ukuvuvukala kwama-testicular kungase kubonakale. I-'Femoral hernia' ivame kakhulu kwabesifazane, futhi ingabangela ubuhlungu be-groin obungabonakali ngaphandle futhi obungatholakali.

Iyini imbangela eyinhloko ye-hernia?

Kalula nje, i-hernia yenzeka lapho isitho noma esinye izicubu sidlula ebuthakathakeni emisipheni yakho noma ezicutshini ezixhumeneyo, noma endaweni evulekile ekhona kakade .

Ngezinye izikhathi lobu buthakathaka noma ukuvuleka kuba khona lapho umuntu ezalwa. Kodwa kaningi, kukhula impilo yakhe yonke. Kungabangelwa ingozi enkulu noma ukuhlinzwa. Kodwa kaningi, kubangelwa ukucindezeleka okuphindaphindiwe . Iminyaka eminingi yokucindezeleka nokucindezeleka inganciphisa kancane kancane izicubu.

Yiziphi izinto ezingabangela i-hernia?

Ungase ube sengozini enkulu yokuthola i-hernia ngenxa yezizathu ezilandelayo:

• Uma unomsebenzi ohilela ukuphakamisa isisindo esiningi noma ukuma amahora amaningi. Cabanga nje, uMalume uKamal uphakamisa izikhwama zokudla esitolo nsuku zonke, usengozini enkulu.
• Uma ukhwehlela okungapheli , noma uma une-allergies ebangela ukuthimula njalo.
• Ukuqunjelwa okungapheli kanye nokucindezela ngesikhathi sokuhamba kwamathumbu noma ukuchama.
• Uma uke wahlinzwa isisu noma i-pelvic ngaphambilini .
• Ukukhulelwa , ikakhulukazi uma usukhulelwe izikhathi eziningi.
• Ukukhuluphala okungapheli (uma inkomba yesisindo somzimba (i-BMI) ingaphezu kuka-30).

Ingane yakho ingase ibe namathuba amaningi okuba ne-hernia yokuzalwa ngenxa yezizathu ezilandelayo:

• Uma ingane izalwa ngaphambi kwesikhathi .
• Uma unezimo ezifana ne-cystic fibrosis.
• Uma unesifo sokuxhuma izicubu.
• Uma une-dysplasia ye-hip yokuzalwa.
• Uma unezinsila ezingakhuli.
• Uma unezinye izinkinga ngohlelo lokuzala noma uhlelo lomchamo.

Yiziphi izinkinga ezingaba khona ngenxa ye-hernia?

Ngokuvamile, izinkinga ziqala lapho i-hernia ivalelwa futhi ingenakuphindiselwa emuva. I-hernia evalelwe ingaba buhlungu futhi ibe yingozi ngokuhamba kwesikhathi.

Uma ingxenye yamathumbu akho ivalekile, ingabangela ukuvaleka , okuvimbela ukudla noma umoya ukuthi ungadluli. Uma ukuphakelwa kwegazi ezicutshini ezivalekile kunqamuka (ukuklinywa) , kungabangela ukufa kwezicubu (i-necrosis noma i-gangrene). Lesi yisimo esiyingozi kakhulu.

Okubalulekile: Uma i-hernia ivalekile, ishintsha umbala, iba mnene, noma inezimpawu ezifana nomkhuhlane, isicanucanu, noma ukuhlanza, funa usizo lwezokwelapha ngokushesha!

Izinkinga ze-diaphragmatic hernias zihlukile kancane. Ngokuvamile, izitho eziphuma nge-diaphragm cishe azikwazi ukuvinjelwa. I-hiatal hernia ayivamile ukubangela izinkinga ezinkulu, ngaphandle kwe-acid reflux yesikhathi eside. Kodwa-ke, i-congenital diaphragmatic hernia (CDH) ihlala iyinkimbinkimbi ngoba ithinta indlela umntwana akhula ngayo. Izingane ezizalwa zine-CDH zigula kakhulu futhi zidinga ukunakekelwa okujulile.

Kufanele ukhathazeke nini ngobuhlungu be-hernia?

Kuhle ukubona udokotela nganoma yibuphi ubuhlungu be-hernia, njengoba bungaphambaniswa nezinye izimo zezokwelapha, noma ngabe kucatshangwa ukuthi yi-hernia.

Uma i-hernia yakho ishintsha umbala, iba mnene, noma ihambisana nezimpawu ezifana nomkhuhlane, isicanucanu nokuhlanza, funa iseluleko sikadokotela ngokushesha .

Uyibona kanjani i-hernia?

Esikhathini esiningi, kuye ngohlobo lwe-hernia, i-hernia ingatholakala ngokuhlolwa okulula ngokomzimba . Udokotela angase akwazi ukuyibona noma ukuyizwa. Noma bangase bakucele ukuthi ukhwehlele noma ushintshe indlela oma ngayo ukuze babone ukuthi iyaphuma yini. Kuye ngokuthi inzima kangakanani, udokotela angase azame ukuyinciphisa.

Amanye ama-hernia angadinga ukuthwetshulwa kwezithombe zezicubu ezithambile, njenge-CT scan, ukuze kutholakale ukuthi akhona yini.

Yiziphi izindlela zokwelapha i-hernia?

Iningi lama-hernia lidinga ukuhlinzwa , kodwa akuzona zonke ezidinga ukuhlinzwa ngesikhathi esisodwa.

Uma une-hernia encane, engeyimbi kakhulu ephuma ngezikhathi ezithile, udokotela wakho angase athathe "indlela yokulinda nokubuka".

Kodwa ngenxa yokuthi ama-hernia aya ngokuya eba mabi ngokuhamba kwesikhathi, odokotela batusa ukuthi alungiswe. Ngaphandle kwama-hernia e-umbilical ezinganeni ezincane, amanye ama-hernia awapholi ngokwawo .

Ukuhlinzwa kokulungisa i-hernia kuyindlela evamile , futhi ngokuvamile encane, ehilela ukubuyisela izicubu ze-herniated endaweni yazo nokuqinisa indawo ye-herniated ngezitishi noma nge-mesh ekhethekile.

Ngokuhlinzwa okuvamile kwe-hernia, odokotela abahlinzayo bavame ukusebenzisa " izindlela ezingangenisi kakhulu." Lokho kusho ukusikwa okuncane, ubuhlungu obuncane ngemva kokuhlinzwa, kanye nokululama okusheshayo.

• Ukuhlinzwa kwe-Laparoscopic : Lokhu kuhilela ukusebenzisa ithubhu elide nelincane elibizwa ngokuthi i-laparoscope, elinekhamera nokukhanya kolunye uhlangothi. Ukuhlinzwa kwenziwa ngokufaka amathuluzi okuhlinza amade nelincane ngembobo encane eyodwa ethubhu kanye nomunye umbobo omncane.
• Ukuhlinzwa kwerobhothi : Lokhu kufana ne-laparoscopy, kodwa udokotela ohlinzayo usebenzisa izingalo zerobhothi futhi ulawula imishini esebenzisa ikhonsoli yekhompyutha.
• Amanye ama-hernia adinga ukuhlinzwa okuvulekile kwendabuko .

I-hernia yenkaba ekhona lapho umntwana ezalwa ivame ukuvala yodwa njengoba ingane ikhula. Kodwa ngezinye izikhathi ayivali. Uma lokho kwenzeka, ingane kuzodingeka ihlinzwe ngokuhlinzwa kwe-hernia yenkaba.

Ama-hernias e-hiatal awadingi ukuhlinzwa, kodwa uma ebangela i-acid reflux eqhubekayo, angadinga ukwelashwa. Udokotela wakho angase ancome inqubo ebizwa ngokuthi i-Nissen fundoplication. Lokhu kuhilela ukugoqa ingxenye engenhla yesisu sakho engxenyeni engezansi yomhubhe wakho bese uyithunga ndawonye.

Kwenzekani uma i-hernia ingelashwa?

I-hernia encane ingase ingakubangela izinkinga ezinkulu. Kodwa ama-hernia avame ukuba makhulu ngokuhamba kwesikhathi . Imbobo iyaqhubeka nokuba buthaka futhi inwebeke, futhi izicubu eziningi ziyadlula kuyo. Uma izicubu eziningi ziphuma, kulapho amathuba okuba zivaleleke khona, okubangela ubuhlungu nezinye izinkinga.

Yimiphi imiphumela emibi noma izinkinga zokwelashwa?

Kunezingozi ezincane ezihlobene nanoma yikuphi ukuhlinzwa, njengokuphuma kwegazi ngokweqile, ukutheleleka, kanye nokusabela ekubulaweni yizinzwa. Abanye abantu bangase babe nobunzima bokuchama izinsuku ezimbalwa ngemva kokuhlinzwa. Cishe abantu abayi-10% abane-hernia ye-inguinal babika ubuhlungu obungapheli be-groin, mhlawumbe ngenxa yomonakalo wezinzwa.

Yini okufanele ngiyilindele uma ngine-hernia?

Udokotela wakho uzohlola ukuthi kukhulu kangakanani nokuthi kungaba kubi kangakanani ngokushesha. Amanye ama-hernia angase angadingi ukuhlinzwa okuphuthumayo, kodwa kwabaningi, ukuhlinzwa kuzonconywa ngesikhathi esithile.

Ukuhlinzwa kuvame ukuba inqubo elula, yokulaliswa esibhedlela , futhi isikhathi sokululama sifushane. Ukuhlinzwa kuvame ukuphumelela, kodwa cishe ezimweni eziyi-10%, i-hernia ingabuya ngesikhathi esithile, ikakhulukazi uma imbangela eyisisekelo iqhubeka ikhona.

Ngingazinakekela kanjani ngenkathi ngiphila ne-hernia?

Uma une-hernia, kufanele uzame ukuyivimbela ukuthi ingabi yimbi kakhulu , kungakhathaliseki ukuthi uyahlinzwa noma cha. Udokotela wakho angase akuncome ukuthi ushintshe imikhuba yakho noma uhlobo lomsebenzi wakho ukuze uvimbele i-hernia ukuthi ingangeni esikhaleni. Kwezinye izimo, ungase ucelwe ukuthi ugqoke ibhande elikhethekile (i-`Truss` noma i-`Hernia belt`) ukuze ulibambe ngesikhathi semisebenzi ethile. Naka izimpawu zakho nanoma yiziphi izinguquko oziqaphelayo.

Iyini "i-Sports Hernia"?

Igama elithi "Sports Hernia" empeleni liyigama elingalungile , ngoba akuyona i-hernia yangempela. Luhlobo lokulimala oluvame kakhulu kubadlali, ikakhulukazi esiswini esingezansi noma endaweni yezinsini. Libizwa kanjalo ngoba lezi yizindawo ezivame ukwakheka kuzo ama-hernia, futhi ngoba ukulimala kungabangela ubuhlungu besikhathi eside njenge-hernia. Kodwa-ke, lapha, izicubu aziphumi kwenye. Ngokuvamile kuba ukudabuka komsipha noma emisipheni okubangelwa ukunyakaza okungazelelwe.

Isifinyezo nezinto okufanele uzikhumbule

Nakuba ama-hernia evame kakhulu, amaningi awabi yingozi. Kodwa-ke, izinkinga zingavela. Ubuhlungu nezinye izinkinga zinganda ngokuhamba kwesikhathi. Qaphela i-hernia yakho bese ubona udokotela wakho ngaphambi kokuba ibe yingozi. Njengoba ama-hernia engaphili ngokwawo, avame ukudinga ukuhlinzwa ukuze alungiswe. Awuwedwa, futhi aphakathi kokuhlinzwa okuvamile okwenziwa emhlabeni.

Khumbula: Uma unemibuzo noma unemibuzo mayelana ne-hernia, kungcono ukubona udokotela ukuze akunike iseluleko. Ungathembeli nje kulokho okutholayo ku-inthanethi.

Ngithemba ukuthi lolu lwazi uluthole luwusizo! Hlala uphilile!

i - hernia, i-hernia, ukuwohloka kwamathumbu, i-hernia ye-inguinal, ukuhlinzwa kwe-hernia, izimpawu ze-hernia