I-Hernia: Konke Okudingeka Ukwazi - Nirogi Lanka

I-hernia yenzeka lapho isitho sangaphakathi (njengengxenye yamathumbu noma isisu) sidlula endaweni ebuthakathaka emisipheni noma ezicutshini ezivame ukuyiqukethe. Cabanga ngayo njengepayipi lethayi eliphuma endaweni ebuthakathaka noma encane ekhayeni langaphandle; ngokufanayo, lapho imisipha noma izicubu zakho zibuthakathaka, isitho singaphuma.

Empeleni kufana nebhaluni elivuleka lapho izinto sezinwebekile noma zincane khona.

Yini Ebangela I-Hernia?

Kunezimbangela eziningana eziyinhloko ze-hernias, esizozihlola ndawonye:

Ubuthakathaka Bokuzalwa:

Abanye abantu bazalwa benamabala abuthakathaka ngokwemvelo odongeni lwesisu sabo. Lokhu kumane kuyingxenye yokukhula kwabo komzimba, okwandisa amathuba okuba ne-hernia.

Ukuguga:

Njengoba sikhula, imizimba yethu ishintsha ngokwemvelo, futhi imisipha ingalahlekelwa amandla ayo ngokuhamba kwesikhathi. Lokhu kubuthakathaka kancane kancane kungaholela ekwakhekeni kwe-hernia.

Ukucindezela:

• Ukuphakamisa Izinto Ezinzima: Uma umsebenzi wakho noma impilo yakho yansuku zonke ihilela ukuphakamisa izinto ezisindayo—njengokwakha noma umsebenzi wezandla—ungase ube sengozini enkulu.
• Ukuma Isikhathi Eside: Imisebenzi edinga ukuma isikhathi eside ingabeka ingcindezi eyengeziwe kulezi zindawo.

Ukukhwehlela Nokuqunjelwa:

• Ukukhwehlela Okungapheli: Ukukhwehlela okuqhubekayo kubeka ingcindezi ephindaphindayo emisipheni yesisu sakho, okungagcina kuholele ekutheni kube ne-hernia.
• Ukuqunjelwa : Ukuzikhandla ngesikhathi sokuhamba kwamathumbu kubangela ingcindezi enkulu esiswini; uma lokhu kwenzeka njalo, kungase kubangele i-hernia.

Ukukhulelwa:

Ngesikhathi sokukhulelwa, ingane ekhulayo ibeka ingcindezi eyengeziwe esiswini, okungase ngezinye izikhathi kuholele ekukhuleni kwe-hernia.

Ukukhuluphala ngokweqile:

Ukuthwala isisindo esengeziwe kubeka ingcindezi engapheli, ephakeme emisipheni yesisu sakho, okuyisici esivame ukuba nomthelela ekukhuleni kwe-hernia.

Ukuhlinzwa Kwesisu:

Uma uke wahlinzwa isisu ngaphambilini, i-hernia ingenzeka ngezinye izikhathi endaweni yokusikwa uma izicubu zingapholi kahle. Kubalulekile ukulandela yonke imiyalelo yokunakekelwa ngemva kokuhlinzwa ukuze unciphise le ngozi.

Izindawo Ezivamile Ze-Hernias

I-Hernias ngokuvamile ibonakala ezindaweni ezilandelayo:

Isisu:

Ama-hernia angavela noma kuphi ngaphesheya kodonga lwesisu.

I-Groin:

Imbobo yindawo lapho ithanga lihlangana khona nesisu. Ama-hernia avame kakhulu kulesi sifunda.

I-Diaphragm:

I-diaphragm iyisicubu semisipha esihlukanisa isifuba sakho nesisu sakho. Ngezinye izikhathi, ingxenye yesisu ingadlula embotsheni yalo msipha.

Izindawo Zokuhlinzwa Zangaphambilini:

Ama-hernia angavela ngezicubu zesilonda sezinsini zesisu zangaphambilini.

Izinhlobo ze-Hernias

I-Hernias ihlukaniswa ngokuya ngendawo yayo:

I-Hernia ye-Inguinal:

• Lolu uhlobo oluvame kakhulu lwe-hernia.
• Kwenzeka kaningi emadodeni.
• Ingxenye yamathumbu iphuma ngomsele we-inguinal, okuwumhubhe odongeni lwesisu olungezansi.

I-Hernia Yesifazane:

• Lolu hlobo luphinde lwenzeke endaweni ye-groin.
• Kwenzeka lapho izicubu ezinamafutha noma isitho siphuma ngomsele we-femoral, otholakala ngaphansi komsele we-inguinal.
• Lokhu kuvame kakhulu kwabesifazane.

I-Hernia yesisu:

• I-diaphragm inesikhala esincane (i-hiatus) lapho kudlula khona i-esophagus (ipayipi lokudla). Ku-hernia yokubeletha, lesi sikhala siyavuleka, sivumela ingxenye engenhla yesisu sakho ukuthi inyukele phezulu esifubeni.
• Lokhu kungaholela ekuvuseleleni kwe-acid kanye nokushisa kwenhliziyo okuqhubekayo.

I-Hernia ye-Umbilical:

• Lokhu kwenzeka eduze kwenkinobho yesisu.
• Ngokuvamile kuzalwa ezinganeni futhi zingazixazulula zodwa njengoba zikhula.

I-Hernia Yokusika:

• Lokhu kwenzeka endaweni lapho kwakukhona khona isibazi sokuhlinzwa kwesisu kwangaphambilini.
• Ukunakekelwa okufanele ngemva kokuhlinzwa kubalulekile ukuvimbela lolu hlobo lwe-hernia.

I-Hernia yesisu:

• Leli igama elijwayelekile le-hernia ebonakala ngaphambili kwesisu.
• Ama-hernia e-umbilical kanye nama-hernia aqotshwe ahlukaniswe ngaphansi kwalolu hlobo.
• Lezo ezibonakala ngaphezu kwenkaba zibizwa ngokuthi i-Epigastric Hernias .

I-Hernia ye-Perineal:

• Lezi azivamile kakhulu.
• Kwenzeka ngenxa yobuthakathaka emisipheni yephansi le-pelvic, okuvumela izitho zomzimba ukuthi ziphume ziye esifundeni se-pelvic.

Ziyini Izimpawu Ze-Hernia?

Izimpawu ziyahlukahluka kumuntu nomuntu; abanye abantu bangase bangabi nankinga nhlobo. Kodwa-ke, ungase uqaphele okulandelayo:

• Ukuvuvuka/Ukuvuvuka: Ungase ubone ukuvuvuka okubonakalayo endaweni ethintekile yi-hernia. Kungase kungabi khona njalo; ungase ukubone kucaca kakhulu uma uphakamisa izinto ezisindayo, ugoba, noma ukhwehlela.
• Ubuhlungu/Ukungakhululeki: Ungase uzwe umuzwa wokucindezeleka, umuzwa wokudonsa, noma ubuhlungu obuncane endaweni ethintekile.
• Ukukhwehlela/Ukuhleka: Ungase uthole ukuthi ubuhlungu noma ukungakhululeki kwakho kuyaqina uma ukhwehlela, uhleka, noma ucindezela.
• Isishiso Senhliziyo/Ukubuyela Ebusweni Be-Acid: Uma une-hernia yokuphumula (i-hernia esifubeni), ungase ube nezimpawu ezifana nomuzwa wokushisa esifubeni sakho noma i-acid reflux , lapho okuqukethwe esiswini kubuyela phezulu emphinjeni wakho.

Ingabe izimpawu zihlukile kwabesilisa nabesifazane?

Ngokuvamile, izimpawu ziyafana. Kodwa-ke, kwabesilisa, i -hernia ye-inguinal ngezinye izikhathi ingathintaamasende . Kwabesifazane, i-hernia ye-femoral ingase ingabonakali ngaso sonke isikhathi ebusweni, kodwa ingabangela ubuhlungu bezinsini endaweni ethile.

Ingabe ama-hernia ayingozi? (Izinkinga)

Nakuba amanye ama-hernias engase angabangeli ukucindezeleka okusheshayo, angaholela ezinkingeni ngokuhamba kwesikhathi.

• Ukuboshwa: Izicubu eziphumayo zingase zibambeke futhi zingakwazi ukubuyela endaweni yazo. Lokhu kuvame ukubangela ubuhlungu obukhulu.
• Ukuklinywa (Ukuphazamiseka Kokunikezwa Kwegazi ): Uma i-hernia ibanjwa, ukuhlinzekwa kwegazi layo kungase kunqamuke. Lokhu kungaholela ekufeni kwezicubu (necrosis/gangrene). Lesi yisimo esiphuthumayo sezokwelapha. Sicela ufune usizo olusheshayo emnyangweni wakho wezimo eziphuthumayo noma ku-911.

Izinkinga ze-Hiatal Hernias:

Izinkinga ze-hiatal hernias zihlukile kancane. Nakuba ngokuvamile zingabi yizinsini, zingabangela i-acid reflux engapheli. I-hernia ye-diaphragmatic yokuzalwa (ekhona kusukela ekuzalweni) yisimo esibi esingaphazamisa ukukhula kahle kwamaphaphu engane.

Yini okufanele uyenze uma uzwa ubuhlungu be-hernia?

Uma uzwa ubuhlungu, kubalulekile ukubonana nodokotela. Ezinye izimo zingafana nezimpawu ze-hernia, ngakho-ke ukuxilongwa kochwepheshe kubalulekile. Funa usizo lwezokwelapha ngokushesha uma ubona ukushintsha kombala endaweni, ukungazweli, umkhuhlane, noma uma uqala ukuhlanza.

I-hernia itholakala kanjani? (Ukuxilongwa)

Ezimweni eziningi, udokotela angaxilonga i-hernia ngokuhlolwa ngokomzimba. Bangase bakucele ukuthi ukhwehlele noma ugobe ukuze babone ukuthi i-hernia iba sobala yini. Ukuze uthole ama-hernia ajulile, ukuhlolwa kwezithombe okufana ne-CT scan noma i-ultrasound kungadingeka.

I-hernia iphathwa kanjani? (Ukwelashwa)

Ukuhlinzwa kuvame ukudingeka ukuze kulungiswe i-hernia. Kodwa-ke, uma i-hernia incane futhi ingabangeli izinkinga ezinkulu, udokotela wakho angase ancome indlela "yokubuka nokulinda". Njengoba i-hernia ivame ukukhula ngokuhamba kwesikhathi, ukulungiswa kusenesikhathi kuvame ukukhuthazwa. I-hernia ye-umbilical ezinganeni ivame ukuzixazulula yodwa.

Ukuhlinzwa:

Ngesikhathi sokuhlinzwa, izicubu ezivelele ziyasunduzelwa emuva, bese udonga lwemisipha olubuthakathaka luthungwa luvalwe noma luqiniswe nge-mesh yokuhlinzwa. Lokhu kuvame ukwenziwa njengenqubo engangenisi kakhulu (i-laparoscopic) kusetshenziswa ukusikwa okuncane, okusiza ekululameni okusheshayo ngaphandle kobuhlungu obuncane. Ukuhlinzwa kwe-robotic nakho kuyindlela yokukhetha kwezinye iziguli. Kwezinye izimo, ukuhlinzwa okuvulekile kungadingeka kuye ngobukhulu kanye nobunzima be-hernia.

Ukwelashwa kwe-Hiatal Hernia:

Uma i-hernia yokubeletha ibangela i-acid reflux enzima, inqubo ebizwa ngokuthi i-Nissen fundoplication ingenziwa, lapho ingxenye engenhla yesisu izungezwe khona umphimbo ongezansi ukuze kuqiniswe i-valve.

Imiphumela Engemihle Nezinkinga Zokwelashwa:

• Ukopha
• Ukutheleleka kwenxeba
• Ukusabela kokungezwani komzimba nemithi
• Ubunzima besikhashana bokuchama
• Ubuhlungu obuqhubekayo ngemva kokulungiswa kwe-hernia ye-groin (ngenxa yokucasuka kwemizwa okungenzeka).

Uyini umbono? (Umbono/Isibikezelo)

Uma usuxilongiwe eNirogi Lanka, udokotela wakho uzohlola ubukhali be-hernia futhi anqume inkambo engcono kakhulu yokwenza—kungakhathaliseki ukuthi udinga ukuhlinzwa ngokushesha noma ungalinda ngokuphephile.

Nakuba ukuhlinzwa kuyinto evamile, lezi zinqubo zivamile futhi ngokuvamile ziphephile. Iziguli eziningi ziyakwazi ukubuyela ekhaya ngosuku olufanayo. Nakuba kunethuba elincane (cishe u-10%) lokuthi i-hernia iphinde ivele, unganciphisa ingozi yakho ngokugwema ukuphakamisa okunzima nokuphatha ukukhwehlela okungapheli noma eminye imisebenzi ecindezela udonga lwesisu sakho.

Ukuphila ne-hernia (Ukuphila Nayo)

Uma utholakale une-hernia kodwa ulinde ukuhlinzwa, sicela uqaphele lezi zinyathelo zokuphepha ezilandelayo:

• Umsebenzi: Kuye ngohlobo lomsebenzi wakho, uma kuhilela ukusebenza kanzima noma ukuma isikhathi eside, kungadingeka ulungise indlela osebenza ngayo. Kwezinye izimo, udokotela wakho angase akucebise ngokushintsha umsebenzi noma imisebenzi yesikhashana elula.
• Ukuphakamisa Okunzima: Gwema ukuphakamisa izinto ezisindayo noma nini lapho kungenzeka. Uma kufanele uphakamise, sebenzisa indlela efanele: goba emadolweni akho, gcina umhlane wakho uqondile, bese ugcina into iseduze nomzimba wakho. Ukuphakamisa okungalungile kungenza i-hernia ibe yimbi kakhulu.
• Ukuqunjelwa: Yelapha ukuqunjelwa ngokushesha. Ukuzikhandla ngesikhathi sokuhamba kwamathumbu kungandisa ukucindezeleka kwesisu, okwenza izimpawu zakho ze-hernia zibe zimbi kakhulu.
• Ukukhwehlela: Uma uhlushwa ukukhwehlela okuqhubekayo, funa ukwelashwa. Ukukhwehlela okungapheli kubeka umthwalo ongadingekile odongeni lwesisu sakho futhi akubangeli ukuphulukiswa kwe-hernia.
• Ibhande Lokubopha/Lokuvimba: Udokotela wakho angase asikisele ukusebenzisa ibhande lokubopha noma ibhande lokubopha elisezingeni lezokwelapha ukuze anikeze ukwesekwa. Nakuba lokhu kungasiza ekulawuleni i-hernia ngokuvimbela ukuphuma, sicela ukhumbule ukuthi akuyona ikhambi elihlala njalo.
• Izimpawu: Hlala uqaphile mayelana ne-hernia yakho. Uma ubona noma yiziphi izinguquko, njengobuhlungu obandayo, ukushintsha kombala wesikhumba, noma ukuvuvukala kuyaqina noma kuyaphela, funa usizo lwezokwelapha ngokushesha.

Imibuzo Evame Ukubuzwa (Imibuzo Evame Ukubuzwa)

Inothi Lokugcina:

Ama-Hernia avame kakhulu, kodwa ngolwazi olufanele kanye nezinyathelo zokuphepha, ungawaphatha ngempumelelo. Kwa- Nirogi Lanka , sigcizelela ukuthi uma ubona noma yiziphi izimpawu noma izinguquko ezingavamile, ukubonisana nochwepheshe wezempilo ngokushesha kuyisinyathelo esibaluleke kakhulu empilweni yakho yesikhathi eside.