Ingabe kukhona iqhubu elikhule endaweni ohlinzekwe kuyo? Kungaba yi-hernia yokusikwa!

Uyakhumbula ukuthi uhlinzwe esiswini sakho, okungukuthi, ngemva kokuhlinzwa, ngezinye izikhathi uke waphawula ukuthi isilonda sesilonda sibukeka njengesigaxa esincane esiphumayo? Noma ingabe lokhu kwenzeke kothile omaziyo? Isikhathi esiningi lokhu akusikho okufanele ukhathazeke ngakho, kodwa kubaluleke kakhulu ukuqaphela lokhu. Lokhu yilokho esikubiza ngokwezokwelapha ngokuthi i-Incisional Hernia , noma ngesiSinhala,

Kuyini lokhu (i-Incisional Hernia)? Masikuqonde kalula!

Ake sithi uke wahlinzwa, okungukuthi, ukuhlinzwa, esiswini sakho ngesizathu esithile. Kungaba ukuhlinzwa okwenziwa ngokusikwa okukhulu, esikubiza ngokuthi i-laparotomy . Noma kungaba ukuhlinzwa okwenziwa ngokusikwa okuncane okumbalwa (ukuhlinzwa kwe-laparoscopic) , noma kungaba yindlela entsha (ukuhlinzwa kwerobhothi) .

Kungakhathaliseki ukuthi ukuhlinzwa kwenziwa kanjani, imisipha esiswini iba buthaka kancane ngemva kokuhlinzwa. Kufana nalapho indawo encane endwangu idabuka khona. Bese kuthi, amathumbu angaphakathi kwesisu, noma izingqimba zamafutha esiswini, aphume ngalezo misipha ezibuthakathaka. Aphuma kanjalo, futhi abukeke njengeqhubu elincane noma ukuvuvukala ngaphansi kwesikhumba endaweni lapho ukuhlinzwa kwenziwe khona. Yilokhu esikubiza ngokuthi i-Incisional Hernia.

Lesi yisimo esivame kakhulu. Izifundo zibonisa ukuthi cishe abantu abangu-20 kwabayi-100 abaye bahlinzwa kakhulu esiswini, njenge-laparotomy, bazoba ne-hernia. Futhi, le hernia ingavela ngokushesha ngemva kokuhlinzwa, noma ingavela ezinyangeni noma ngisho neminyaka kamuva.

Esikhathini esiningi, lawa (ama-Hernias aqotshiwe) awayona inkinga enkulu yezokwelapha. Kodwa-ke, ngezinye izikhathi uma le hernia iba nkulu, ingaholela ezinkingeni ezinkulu. Ngakho-ke, kubalulekile ukuqaphela lokhu.

Ukwelashwa okuvamile kwalokhu ukwenza olunye ukuhlinzwa ukuze kubuyiselwe izingxenye zamathumbu eziphume esiswini futhi kuqiniswe imisipha ebuthaka.

Yiziphi izimpawu ze-Incisional Hernia? Uyibona kanjani?

Uma i-hernia incane, cishe ububanzi noma ubude obungamasentimitha angu-5, ungase ungaboni zimpawu. Kodwa-ke, uma i-hernia inkulu, isibonelo, ingaphezu kwamasentimitha angu-10, ungase uzwe ubuhlungu. Futhi, iqhubu noma ukuvuvukala kungase kubonakale kahle endaweni yesibazi sokuhlinzwa.

Lobuhlungu ngezinye izikhathi bungazwakala njengobuhlungu obuhlabayo obubukhali, noma bungazwakala njengobuhlungu obukhulu obuhlabayo. Lobuhlungu bungaba bukhulu kakhulu uma uphakamisa into esindayo, ukhwehlela, noma uthimula.

Lokho kubukeka okunamaqhubu kungabonakala kakhulu uma usukuma noma uma ucindezela imisipha yesisu sakho (isibonelo, lapho uzikhandla uma uqunjelwe).

Kungani lokhu (i-Incisional Hernia) kwenzeka? Yiziphi izici ezikuthintayo?

Njengoba sesixoxile ngaphambili, imbangela eyinhloko yobuthakathaka bemisipha yesisu ngemva kokuhlinzwa kwesisu ukubuthakathaka kwemisipha yesisu. Le ngozi iphezulu kakhulu ngemva kokusikwa okukhulu (i-laparotomy). Kodwa-ke, lesi simo singavela futhi ngemva kokuhlinzwa okwenziwe ngokusikwa okuncane, njengokuhlinzwa kwe-laparoscopic noma kwe-robotic.

Ngemva kokuhlinzwa, le misipha ithatha isikhathi ukululama, noma ukuphola. Imisebenzi ethile kanye nezimo zezokwelapha kungabambezela lesi sikhathi sokuphola futhi kwandise ingozi ye-hernia yokusikwa. Lokhu kufaka phakathi:

• Ukuba matasa kakhulu ngokushesha ngemva kokuhlinzwa: Lokhu kusho ukwenza umsebenzi onzima noma ukwenza izinto ezicindezela umzimba ngaphandle kokuphumula okufanele.
• Isifo Sikashukela: Abantu abanesifo sikashukela baye baphuza ukuphola kwenxeba.
• Ukukhuluphala ngokweqile: Le ngozi iphakeme nakubantu abakhuluphele ngokweqile.
• Izifo zamaphaphu: Ikakhulukazi kubantu abanezifo ezibangela ukukhwehlela okuqhubekayo, njenge -COPD (Isifo Esingapheli Sokuvimbela Amaphaphu) , ukukhwehlela njalo kubeka ingcindezi emisipheni yesisu.
• Ukusetshenziswa isikhathi eside kwemithi yokucindezela amasosha omzimba noma ama-corticosteroids.
• Ukutheleleka kwendawo yokuhlinzwa: Ubuthakathaka bemisipha bungenzeka futhi ngenxa yezinto ezifana nokutheleleka kwenxeba.

Ingancishiswa kanjani le ngozi?

Eqinisweni, into engcono kakhulu ongayenza ukunikeza umzimba wakho isikhathi osidingayo ukuze ululame. Zinike isikhathi sokuphumula izinsuku ezimbalwa ngemva kokuhlinzwa. Gwema ukuphakamisa izinsimbi noma ukwenza imisebenzi enzima isikhashana. Kungcono ukubuza udokotela wakho ohlinzayo ukuthi ungaqhubeka nini nemisebenzi evamile.

Yiziphi izinkinga ezingaba khona ngenxa ye-Incisional Hernia?

Nakuba kungavamile, ngezinye izikhathi i-hernia yokusikwa ingaholela ezimweni ezibucayi. Enye i-hernia evalelwe . Lokhu kwenzeka lapho ingxenye yamathumbu engene ku-hernia ingakwazi ukubuyela esiswini bese ibanjwa phakathi kwemisipha.

Esinye isimo esiyingozi i-hernia eklinyiwe . Kulesi simo, ingxenye yamathumbu eklinyiwe ingaphansi kwengcindezi enkulu futhi ilahlekelwa ukuhamba kwegazi. Uma lokhu kwenzeka, leyo ngxenye yamathumbu iqala ukufa. Kwezokwelapha, lokhu sikubiza ngokuthi i-necrosis .

I-hernia evalelwe kanye ne-hernia eklinyiwe yizimo zezokwelapha ezimbi kakhulu ezidinga ukwelashwa ngokushesha. Kulezi zimo, ungase uzwe ubuhlungu obungazelelwe, obukhulu endaweni ye-hernia, futhi isikhumba kuleyo ndawo singashintsha umbala. Isikhumba singase siphenduke sibe mnyama bese siba mnyama. Uma unalezi zimpawu, kufanele uye ekamelweni lezimo eziphuthumayo esibhedlela ngokushesha.

Odokotela bazi kanjani ukuthi une-Incisional Hernia?

Uma uya kudokotela, bazoqala ngokukuhlola ngokomzimba . Bangase bakucele ukuthi uhlale phansi, bese besukuma, bese bebheka noma yiziphi izigaxa noma amaqhubu angase ahambe. Bazobuza nangezinye izimpawu ongase ube nazo bese bezama ukuthola ukuthi unesifo esifana ne-hernia evalelwe. Ngezinye izikhathi bangase benze ne -CT scan .

Iphathwa kanjani i-Incisional Hernia?

Ukwelashwa kuncike ezimpawini zakho. Isibonelo, uma une-hernia encane engebuhlungu noma engakukhathazi, ungase ungadingi ukwelashwa. Kodwa-ke, i-hernia yokusika ingakhula ngokuhamba kwesikhathi. Njengoba i-hernia ikhula, ingozi yezinkinga iyanda. Ngakho-ke, uma i-hernia yakho inkulu noma ibangela izimpawu, udokotela angase ancome ukuhlinzwa kokulungisa i-hernia .

Lokhu kuhlinzwa kungenziwa njengokulungiswa kwe-hernia evulekile noma njengokuhlinzwa kokulungisa i-hernia nge-laparoscopic. Kuzo zombili izinqubo, ingxenye yamathumbu noma izicubu ezingaphakathi kwe-hernia ibuyiselwa esiswini ukuze kuqiniswe imisipha yesisu ebuthakathaka. Ngezinye izikhathi, kusetshenziswa isakhiwo esifana ne-mesh ukuqinisa le misipha. Lokhu kunciphisa ingozi yokuthi i-hernia iphinde ivele.

Kuthatha isikhathi esingakanani ukuphulukiswa?

Isikhathi sokululama siyahlukahluka kumuntu nomuntu. Iningi labantu lingabuyela emisebenzini yalo evamile zingakapheli izinsuku ezimbalwa. Kodwa-ke, wonke umuntu uhlukile, ngakho-ke kungcono ukubuza udokotela wakho ohlinzayo ukuthi kuzothatha isikhathi esingakanani nokuthi yini ongayilindela.

Kufanele ngimbone nini udokotela ngemva kokuhlinzwa?

Izinkinga ezincane ngezinye izikhathi zingavela ngemva kokuhlinzwa ukuze kulungiswe i-hernia eqoshiwe. Ngakho-ke, uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo, yazisa udokotela wakho ngokushesha:

• Uma inxeba liphuma igazi.
• Uma ubona izimpawu zokutheleleka: umkhuhlane, uketshezi olufana nobovu oluphuma esilondeni.

Yini okufanele ilindelwe umuntu one-hernia eqoshiwe?

Ukuhlinzwa kokulungisa i-hernia enkulu (esikiwe) kuvame ukwelapha ngokuphelele lesi simo. Kodwa-ke, ngezinye izikhathi i-hernia ingaphinde ivele.

Ungaphila isikhathi esingakanani ne-Incisional Hernia?

Uma i-hernia yakho ingaboshiwe, ungaphila nayo isikhathi eside. Kodwa-ke, i-hernia eboshiwe ingaklinywa. Uma lokho kwenzeka, ingaba yisimo esibucayi sezokwelapha esingasongela ngisho nokuphila .

Kungaba yinto engalindelekile ukuthi umuntu athole i-hernia yokusikwa ngemva kokuhlinzwa kwesisu. Kungaba yinto ekhathazayo ngempela ukucabanga ukuthi ngemva kokuhlinzwa ngenxa yesimo esisodwa, kuzovela enye inkinga. Kodwa-ke, lesi simo esisha asidingi njalo ukuhlinzwa futhi. Kodwa-ke, njengoba i-hernia enkulu yokusikwa ingadala izinkinga ezinkulu, uma uneqhubu noma ukuvuvukala lapho uhlinzwe khona, kufanele nakanjani ubone udokotela futhi uthole iseluleko. Uzokutshela ukuthi yini engcono kakhulu ongayenza.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

• I-hernia yokusika i-incision yilapho izingxenye zamathumbu, njengamathumbu, ziphuma endaweni yokusika ngemuva kokuhlinzwa kwesisu.
• Lokhu ngokuvamile akuyona into ephuthumayo enkulu , kodwa ngezinye izikhathi kungaba yinto enkulu.
• Uma kukhona iqhubu, ukuvuvukala, noma ubuhlungu endaweni yesibazi sokuhlinzwa, funa iseluleko sikadokotela.
• Uma ubuhlungu bukhula lapho uphakamisa izinsimbi noma ukhwehlela, lokho nakho kuyimpawu.
• I-hernia eboshiwe noma eklinyiwe iyisimo esiphuthumayo sezokwelapha. Ingabangela ubuhlungu obukhulu kanye nokushintsha kombala.
• Ukwelashwa kuvame ukuba ukuhlinzwa.
• Ukuphumula ngokwanele ngemva kokuhlinzwa nokulandela imiyalelo kadokotela wakho kubaluleke kakhulu ukuze ululame ngokushesha.

Uma ufuna ukwazi okwengeziwe ngalokhu, noma uma unenkinga, ungangabazi ukukhuluma nodokotela. Hlala uphilile!

I- Hernia, i-hernia yokusika, i-hernia yangemva kokuhlinzwa, ukuhlinzwa kwesisu, i-hernia yokusika, ukuphuma kwamathumbu, ukuhlinzwa kwe-hernia