Wake wazizwa uneqhubu elincane esiswini noma embotsheni yakho? Ikakhulukazi uma uphakamisa into esindayo, ukhwehlela, noma ucindezela kakhulu endlini yangasese, ingaphuma iphinde ibuye lapho ulala isikhashana. Yilokhu abaningi bethu abakubiza ngokuthi 'ubuhlungu besisu', kodwa ngokwezokwelapha kubizwa ngokuthi i-hernia. Nakuba abanye abantu besaba lapho bezwa leli gama, kuyisimo esivamile kakhulu. Ngakho-ke namuhla sizoxoxa ngakho konke ngendlela elula ongayiqonda.
Iyini ngempela i-hernia?
Kalula nje, i-hernia iwukuphuma kwesitho noma izicubu emzimbeni wethu ngokusebenzisa ubuthakathaka noma imbobo odongeni lwemisipha oluyizungezile.
Cabanga ngale ndlela. Imoto inethayi, futhi ngaphakathi kwayo kunepayipi. Manje, uma kukhona indawo ebuthakathaka endaweni ethile ethayi, kwenzekani uma ufutha ithayi? Ipayipi liphuma njengebhamuza elincane kuleyo ndawo ebuthakathaka, akunjalo? Yilokho okwenzekayo. Udonga lwesisu lufana nethayi. Izitho ezingaphakathi, njengamathumbu, zifana nepayipi. Uma udonga lwesisu lubuthakathaka, izitho ezingaphakathi ziyaphuma. Yilokhu esikubiza ngokuthi i-hernia.
Lokhu kungenzeka ezingxenyeni ezahlukene zomzimba.
- Ngaphansi kwesifuba sakho, ngokusebenzisa i-diaphragm.
- Endaweni ye-groin, ngokusebenzisa ingxenye engezansi yodonga lwesisu.
- Phakathi nesisu, ngaphesheya kwenkaba noma ngaphezulu/ngaphansi kwayo.
- Kusukela enxebeni elivela ekuhlinzweni kwangaphambilini.
Yiziphi izinhlobo eziyinhloko ze-hernias?
Ama-Hernia ahlukaniswe ngezinhlobo ezahlukene kuye ngokuthi indawo kanye nembangela yokwenzeka kwawo. Kungenzeka ukuthi uke wezwa ngezinye zalezi. Ake sibheke ithebula elingezansi ukuze siqonde lezi zinhlobo eziyinhloko ngokucacile.
| Uhlobo lwe-Hernia | Incazelo elula |
|---|---|
| I-Hernia ye-Inguinal | Lolu uhlobo oluvame kakhulu. Cishe u-75% wazo zonke izimila ezihuquzelayo zilolu hlobo. Luvame kakhulu kwabesilisa. Lokhu kwenzeka lapho ingxenye yamathumbu iphuma embotsheni. |
| I-Femoral Hernia | Lolu uhlobo oluvela endaweni yesisu, kodwa aluvamile kangako. Luvela ethangeni eliphezulu. Lubonakala kaningi kwabesifazane. |
| I-Hiatal Hernia | Lokhu futhi kuvame kakhulu. Yilapho ingxenye engenhla yesisu isunduzela phezulu esifubeni ngembobo e-diaphragm, udonga olukhulu oluhlukanisa isifuba nesisu. Lokhu kungaba imbangela yezimpawu ezifana nesilungulela kanye ne-gastritis abantu abaningi ababhekana nazo. |
| I-Hernia Yokusika | Kumuntu oke wahlinzwa isisu ngaphambilini, indawo lapho kwenziwa khona ukuhlinzwa ingase ibe buthaka ngokuhamba kwesikhathi, okuholela ekubeni ne-hernia. Lokhu kubhekwa njengomphumela ongemuhle ongenzeka ngemva kokuhlinzwa esiswini. |
| I-Hernia ye-Umbilical | Lokhu kwenzeka lapho ingxenye yamathumbu iphuma enkabeni (i-scrotum). Lokhu kuvame kakhulu ezinganeni ezisanda kuzalwa. Ezimweni eziningi, lokhu kuzothuthuka ngokwako njengoba umntwana ekhula. |
| I-Hernia ye-Diaphragmatic yokuzalwa | Lokhu kuyiphutha elikhulu lokuzalwa. Uma i-diaphragm ingavali kahle ngesikhathi umntwana ekhula esibelethweni, izitho ezisesiswini ziyasunduza ziye esifubeni, ziphazamise ukukhula kwamaphaphu. Lesi yisimo esidinga ukwelashwa okuphuthumayo. |
Ziyini izimpawu ze-hernia?
Akuzona zonke izimpawu ze-hernia ezibangela ukuvuvukala, kodwa kunezinye izimpawu ezivamile ezingabonakala.
Uphawu oluyinhloko yiqhubu noma ukuvuvukala okubonakalayo . Lokhu akubonakali ngaso sonke isikhathi.
- Uma uphakamisa isisindo.
- Uma ukhwehlela kakhulu, uma uthimula
- Uma uchama endlini yangasese
- Ngesikhathi ngimi
Ngezikhathi ezinjengalezi, uzobona leli qhubu liphuma. Uma ulala phansi futhi, noma uma ucindezela iqhubu ngomunwe wakho, liyabuyela ngaphakathi.
Ngaphezu kwalokho, ungase uzizwe ucindezelekile, usinda, noma ubuhlungu obungajabulisi endaweni. Kodwa-ke, amanye ama-hernia, njenge-hernia yokubeletha, awabonakali. Kodwa-ke, angabangela izimpawu ezifana nobuhlungu besifuba obuqhubekayo kanye nobunzima bokugwinya.
Into ebaluleke kakhulu ukuthi uma ubona iqhubu elinjengaleli, noma ngabe lizingenela lodwa, kufanele nakanjani ubonane nodokotela wakho bese ulihlola.
Yiziphi izinto ezingabangela i-hernia?
Manje sesiyazi ukuthi i-hernia ibangelwa ubuthakathaka odongeni lwemisipha. Ngakho-ke kunezizathu eziningana zokuthi kungani lobu buthakathaka bungenzeka, noma ingcindezi ngaphakathi esiswini inganda futhi ibangele ukuthi i-hernia iphume.
- Ukuphakamisa izinto ezisindayo okuqhubekayo: Abantu abenza imisebenzi yokuphakamisa izinto ezisindayo basengozini enkulu ngoba ingcindezi esiswini ihlala iphezulu.
- Ukukhwehlela Okungapheli: Ukukhwehlela okuqhubekayo kwabantu abane-asthma nababhemayo kubeka ingcindezi engapheli ezindongeni zesisu.
- Ukuqunjelwa: Ukuzikhandla njalo lapho uya endlini yangasese kwandisa nokucindezeleka esiswini.
- Ukukhuluphala ngokweqile: Njengoba isisindo somzimba sikhula, ingcindezi odongeni lwesisu nayo iyanda.
- Ukukhulelwa: Udonga lwesisu lunganwebeka futhi lube buthaka, ikakhulukazi uma unezingane eziningi.
- Ukuhlinzwa kwangaphambilini: Kunethuba elikhulu lokuba buthakathaka kwemisipha endaweni lapho kwenziwa khona ukuhlinzwa kwesisu.
- Ukuguga: Imisipha iba buthaka ngokwemvelo njengoba siguga.
Lezi yizizathu eziyinhloko ezenza abantu abadala babe nama-hernia. Kukhona nezizathu eziningana ezenza izingane zingaba nama-hernia kusukela zizalwa. Isibonelo, ukuzalwa ngaphambi kwesikhathi kanye nezinye izinkinga zokuzalwa kungabangela ama-hernia.
Ingabe i-hernia ingaba yinto engathi sína? Kufanele ukhathazeke nini?
Lena yingxenye ebaluleke kakhulu. Ngokuvamile, i-hernia ayiyona ingozi. Kodwa kunezimo ezimbili lapho ingaba yingozi khona.
1. Ukuboshwa: Ingxenye yamathumbu ephumile ayikwazi ukubuyela ngaphakathi futhi inamathele ngaphandle. Uma lokhu kwenzeka, indawo ingaba buhlungu kakhulu, ivuvuke, futhi ingabangela ukuhlanza. Kungabangela futhi ukunyakaza kwamathumbu kuvimbeke (ukuvinjelwa kwamathumbu).
2. Ukuklinywa: Lokhu kuyingozi nakakhulu. Uma igazi eliya engxenyeni evinjiwe yamathumbu linqamuka, leyo ngxenye izoqala ukufa (i-Necrosis noma i-Gangrene). Lesi yisimo esisongela ukuphila esidinga ukuhlinzwa okuphuthumayo.
Ngakho-ke, uma une-hernia, qaphela kakhulu ngalezi zimpawu ezilandelayo. Uma kwenzeka noma yikuphi kwalokhu, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
| Izimpawu eziyisixwayiso ezidinga ukunakekelwa okuphuthumayo | |
|---|---|
| Ubuhlungu obungazelelwe, obukhulu, nobandayo endaweni lapho i-hernia ivele khona. | Yiya esibhedlela ngokushesha. |
| Isicanucanu nokuhlanza. | Bonana nodokotela ngokushesha. |
| I-hernia ibomvu, insomi, noma imnyama. | Lesi yisimo esiphuthumayo! Yiya ku-ETU ngokushesha. |
| Imfiva . | Bonana nodokotela ngokushesha. |
| I-nut eyayikwazi ukufakwa ngaphambili, manje ayikwazi ukufakwa nhlobo. | Yiya esibhedlela ngokushesha. |
Iphathwa kanjani i-hernia?
Udokotela uzokuxilonga bese enquma ukwelashwa ngemva kokuqinisekisa ukuthi une-hernia. Ngezinye izikhathi, bangase benze nokuhlolwa okufana nokuskena kwe-ultrasound.
Ngokuvamile, ikhambi elihlala njalo le-hernia ukuhlinzwa . Ngoba, ngokungafani ne-umbilical hernias ezinganeni ezincane, ezinye i-hernia azizipholi zodwa. Ngokuhamba kwesikhathi, cishe ziyakhula futhi zibe nezinkinga.
Kodwa-ke, uma i-hernia yakho incane kakhulu futhi ingabangeli ubuhlungu noma ukungakhululeki, udokotela wakho angase athathe indlela "yokulinda nokubuka". Kodwa-ke, ukuhlinzwa kungenzeka kakhulu ekugcineni.
Ukuhlinzwa kwenziwa kanjani?
Ukuhlinzwa kulula kakhulu. Ingxenye yesitho esiphushelwe ngaphandle ibuyiselwa endaweni yayo bese udonga lwemisipha olubuthakathaka luyaqiniswa. Lokhu ngezinye izikhathi kwenziwa ngezithungo noma kusetshenziswa i-mesh ekhethekile ebizwa ngokuthi "i-Surgical mesh" ukuze kuqiniswe indawo.
Manje kunezindlela ezahlukene zokwenza lokhu kuhlinzwa:
- Ukuhlinzwa Okuvulekile: Ukuhlinzwa kwenziwa ngokwesiko, ngokusika okukhulu kancane.
- Ukuhlinzwa kwe-Laparoscopic: Lokhu kubizwa nangokuthi 'ukuhlinzwa kwe-keyhole.' Kwenziwa ngokusika okuncane okumbalwa bese kufakwa ikhamera, ngakho-ke kuphola ngokushesha futhi akubuhlungu kakhulu.
- Ukuhlinzwa Kwerobhothi: Lokhu kufana nokuhlinzwa kwe-laparoscopic, kodwa udokotela ohlinzayo wenza ukuhlinzwa esebenzisa ingalo yerobhothi.
Udokotela wakho uzochaza ukuthi iyiphi indlela engcono kakhulu kuwe. Lokhu kuyindlela yokuhlinzwa evamile kakhulu futhi ephumelelayo emhlabeni namuhla. Ngakho-ke ungesabi ngokungadingekile.
Umlayezo Wokuya Nawe Ekhaya
- I-Hernias iyisifo esivame kakhulu, ngakho ungesabi uma uthola ukuthi unayo.
- Uma kukhona into efana neqhubu eliphumayo bese libuyela ngaphakathi uma ukhwehlela noma uphakamisa into esindayo, kungaba yi-hernia.
- Njengoba ama-hernia engaphili ngokwawo futhi angakhula ngokuhamba kwesikhathi, kubaluleke kakhulu ukubona udokotela.
- Uma uzwa ubuhlungu obukhulu endaweni ye-hernia, ukuhlanza, noma ukushintsha kombala we-hernia , kuyisimo esiphuthumayo. Ungachithi isikhathi bese uya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Ukuhlinzwa kwe-hernia sekuthuthukile kakhulu futhi kuphephile. Ngakho-ke ungesabi ukwelashwa. Khuluma nodokotela wakho ngakho konke bese ubuza noma yimiphi imibuzo onayo.
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