Wake wazizwa sengathi uneqhubu embotsheni yakho, ikakhulukazi uma uphakamisa into enzima noma ukhwehlela? Noma uzizwa ubuhlungu obukhulu noma obudonsayo kuleyo ndawo? Abantu abaningi bayesaba futhi banamahloni ukukhuluma ngalokhu. Kodwa lokhu kungaba yisimo esibizwa ngokuthi 'i-hernia' esisibona kakhulu. Ungakhathazeki, namuhla sizokhuluma kalula ngokuthi iyini le hernia ye-inguinal, ukuthi kungani yenzeka, nokuthi yini okufanele uyenze ngayo.

Kalula nje, iyini le hernia?

Cabanga ngesikhwama esinembobo encane kuso. Okuqukethwe yisikhwama kuzophuma ngaleyombobo, akunjalo? I-hernia iyinto efana naleyo. I-hernia yilapho izicubu engxenyeni ethile yomzimba wethu, isibonelo, ucezu lwamathumbu esiswini noma ungqimba lwamafutha, ziphuma endaweni ebuthakathaka emisipheni ezungezile.

I-hernia ye-inguinal iyi-hernia lapho izicubu ezivela esiswini ziphuma khona endaweni ebuthakathaka odongeni olungezansi lwesisu oluhlukanisa isisu ne-groin. Ibizwa nangokuthi i-groin hernia ngoba yenzeka endaweni ye-groin. Lolu uhlobo oluvame kakhulu lwe-hernia.

Kunezinhlobo ezimbili eziyinhloko ze-hernias ye-inguinal:

Ama-hernia e-inguinal angahlukaniswa ngezinhlobo ezimbili eziyinhloko ngokusekelwe endleleni akhiwa ngayo. Kunezinhlobo ezithile ezicashile phakathi kwalezi ezimbili.

Ubani othinteka kakhulu yilesi simo?

Ama-hernia e-inguinal avame kakhulu kwabesilisa . Ngokwezibalo, oyedwa kwabesilisa abayishumi uba noyedwa kwabesifazane.

Kungani amadoda ekuthola okwengeziwe?

Kalula nje, kungenxa yesakhiwo somzimba. Uma umntwana womfana esesibelethweni, amasende akhe aqale atholakale esiswini. Bese ehla ngomsele we-inguinal aye esikhumbeni. Le ndlela yokungena yamasende ibuthakathaka ngokwemvelo. Yingakho i-hernia ivame ukwenzeka. Ngezinye izikhathi, le ndlela yokungena ayivaleki ngokuphelele ngemva kokuzalwa.

Imisele yabesifazane ye-inguinal imincane. Futhi ngenxa yokuthi i-ligament eqinile idlula kuyo ukuze isekele isibeletho, indawo iqinile. Kodwa-ke, abesifazane bangaba nama-hernia e-inguinal, ikakhulukazi uhlobo 'olungaqondile' oluzalwa nalo futhi olungenzeka emantombazaneni amancane.

Ingabe i-hernia ye-inguinal iyisimo esibucayi?

I-hernia ingase ingabi yingozi kakhulu ekuqaleni. Kodwa uma ingelashwa, isimo singaba sibi kakhulu ngokuhamba kwesikhathi. Imbobo emisipheni iyakhula ibe nkulu, bese kuphuma izicubu eziningi.

Ingozi enkulu ukuthi ingxenye yezicubu ephumayo (isb., amathumbu) ayikwazi ukubuyela emuva (ekuboshweni) . Lokhu kungabangela ubuhlungu. Okuyingozi nakakhulu ukulahlekelwa igazi eliya ezicutshini ezibanjiwe (ukuklinywa) . Uma lokhu kwenzeka, izicubu zizoqala ukufa (ukubola kwesikhumba) futhi izifo ezinkulu zingase zenzeke. Lesi yisimo esidinga ukwelashwa okuphuthumayo.

Ngakho-ke, uma uzwa ubuhlungu nokungakhululeki ngenxa ye-hernia, udokotela wakho uvame ukuncoma ukuhlinzwa ukuze kulungiswe ngaphambi kokuba isimo sibe sibi kakhulu.

Ziyini izimpawu zalokhu?

Akuzona zonke i-inguinal hernias ezibangela izimpawu. Ngezinye izikhathi izimpawu ziyafika zidlule. Ungase ubhekane nezinto ezifana nalezi:

Uma kwenzeka ezinganeni ezincane, uma zikhala, ungabona iqhubu liphuma embotsheni yazo. Liyanyamalala uma zilele.

Ziyini izimbangela ze-hernia?

Kunezizathu eziningana zokuthi kungani kungase kube nobuthakathaka noma ithumba odongeni lwesisu.

• Ubuthakathaka bokuzalwa: Njengoba kushiwo ngaphambili, lokhu kuyimbangela enkulu ye-`(Indirect Hernia)`.
• Ukukhwehlela noma ukuthimula isikhathi eside: Izinto ezifana ne-asthma kanye nokukhwehlela komuntu obhemayo zingabeka ingcindezi eqhubekayo esiswini.
• Ukuqunjelwa: Ukuzikhandla njalo ukuze uthuthe kungawenza buthaka udonga lwesisu.
• Ukuphakamisa izinsimbi: Ukuphakamisa izinsimbi okungalungile, ukuvivinya umzimba okuthwala izinsimbi, kanye nemisebenzi enzima.
• Ukukhulelwa: Ukucindezeleka odongeni lwesisu ngesikhathi sokukhulelwa.
• Ukukhuluphala ngokweqile: Ukwanda kwamafutha esiswini kubeka ingcindezi engapheli odongeni lwesisu.
• Ukuhlinzwa kwangaphambilini: I-hernia ingavela ngenxa yesibazi esibuthakathaka ngemva kokuhlinzwa kwesisu.
• Ukuguga: Njengoba sikhula, izicubu zomzimba wethu ziba buthaka ngokwemvelo.

Ungayixilonga kanjani i-hernia ye-inguinal?

Ngokuvamile, udokotela uzokuhlola ngokomzimba.Ungabona ukuthi une-hernia ngokuyibuka. Udokotela uzokucela ukuthi ukhwehlele noma uzikhandle ngenkathi uhlola indawo yakho yangaphakathi. Uma i-hernia iphuma, izobonakala kahle.

Udokotela uphinde ahlole ukuthi ifindo lingaqiniswa yini ngesandla bese libuyiselwa ngaphakathi, noma ukuthi linamathele yini.

Ngezinye izikhathi, uma i-hernia ingabonakali kahle, kungacelwa ukuthi kwenziwe i-ultrasound ukuze kuqinisekiswe. Akuvamile kakhulu ukuthi kudingeke i-CT scan.

Yikuphi ukwelashwa okungcono kakhulu?

Uma izingane ezincane nabesifazane bene-hernia ye-inguinal, odokotela batusa ukuhlinzwa ngokushesha okukhulu ngoba ingozi yezinkinga iphezulu.

Kwamanye amadoda ane-hernia encane, engenazimpawu, udokotela wawo angase atuse indlela "yokulinda nokubuka". Kodwa-ke, iningi lamadoda ekugcineni lizodinga ukuhlinzwa.

Ukuhlinzwa kulula kakhulu. Izicubu ezisusiwe zibuyiselwa ngaphakathi esiswini bese kuthi imbobo odongeni lwemisipha ithungwe. Ngezinye izikhathi, into efana ne-mesh yokwenziwa isetshenziswa ukuqinisa indawo ebuthaka. Le nqubo ibizwa ngokuthi i-hernioplasty .

Izinhlobo zokuhlinzwa

Manje kunezindlela ezimbili eziyinhloko zokwenza lokhu kuhlinzwa.

1. Ukuhlinzwa Okuvulekile: Lena yindlela yendabuko. Kwenziwa ukusikwa okuncane nge-groin, bese i-hernia ilungiswa ngokungena endaweni.

2. Ukuhlinzwa kwe-Laparoscopic: Lokhu kwaziwa nangokuthi 'ukuhlinzwa kwe-keyhole'. Ukuhlinzwa kwenziwa ngezimbobo eziningana ezincane esiswini, lapho kufakwa khona ikhamera namathuluzi athambile. Le ndlela ishiya izibazi ezimbalwa, ayibuhlungu kakhulu, futhi iphola ngokushesha.

Udokotela wakho uzonquma ukuthi iyiphi inqubo yokuhlinzwa engcono kakhulu kuwe.

Kwenzekani uma i-hernia ingelashwa?

Ama-hernia e-inguinal awapholi ngokwawo. Ngokuvamile ayaba mandundu ngokuhamba kwesikhathi. Njengoba kushiwo ngaphambili, kungavela izinkinga ezinkulu, njengokuvaleka noma ukuklinywa kwamathumbu. Lezi yizimo eziphuthumayo ezisongela ukuphila.

Kuyingozi kakhulu ukushiya i-hernia ingelashwa, ikakhulukazi ezinganeni. Njengoba ikhula, i-hernia ingakhula ngokushesha. Ngakho-ke uma usola ukuthi ingane yakho ine-hernia, bona udokotela ngokushesha.

Ingabe i-hernia ingavinjelwa?

Nakuba ama-hernia azalwa nawo engenakuvinjelwa, kunezinto eziningana esingazenza ukunciphisa ingozi yokuthola ama-hernia lapho sesikhulile.

• Phakamisa izisindo ngendlela efanele: Uma uphakamisa isisindo, goba amadolo akho bese uphakamisa ngamandla emilenze yakho, hhayi umhlane wakho.
• Lawula isisindo sakho: Gcina isisindo somzimba siphilile, ikakhulukazi ngokunciphisa amafutha esiswini.
• Gwema ukuqunjelwa: Yidla ukudla okuningi okune-fiber (izithelo, imifino) futhi uphuze amanzi amaningi.
• Gwema ukubhema: Ukukhwehlela okungapheli okubangelwa ukubhema kuyimbangela enkulu ye-hernias.
• Vivinya umzimba ngendlela efanele: Yenza izivivinyo eziqinisa imisipha yesisu sakho.

Uma unalezi zimpawu, xhumana nodokotela ngokushesha!

Uma une-hernia noma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemuva kokuhlinzwa, iya esibhedlela noma ubonane nodokotela wakho ngokushesha. Lezi zingaba izimpawu ze-hernia eklinyiwe noma elahlekelwe yigazi layo.

• Ubuhlungu obukhulu, obungabekezeleleki endaweni yesinqe noma esiswini.
• Isicanucanu nokuhlanza.
• Umkhuhlane, ukubanda, nokuthuthumela.
• I-hernia ibomvu, insomi, noma imnyama.
• Ukungakwazi ukukhipha indle noma ukukhipha umoya.
• I-hernia eyayingalawuleki ngaphambili manje ayilungiseki.

Lezi yizimo eziphuthumayo zezokwelapha. Ngakho-ke, ezimweni ezinjalo, kufanele uye e -Emergency Treatment Unit (ETU) yesibhedlela ngokushesha okukhulu.