Wake wazizwa uneqhubu elincane endaweni yakho yamathumbu uma ukhwehlela, uphakamisa okuthile, noma umane uhleli? Mhlawumbe kubuhlungu kancane, noma kuzwakala sengathi kuyasinda. Abantu abaningi bayesaba futhi banamahloni okukhuluma ngakho. Kodwa yilokhu esikubiza ngokuthi 'i-hernia', ikakhulukazi 'i-hernia ye-inguinal'. Ungakhathazeki, lesi yisimo esivame kakhulu. Ake sixoxe ngakho ngokuningiliziwe, ngendlela ongayiqonda.
Kalula nje, iyini i-hernia ye-inguinal?
Cabanga ngezitho ezingaphakathi kwesisu sethu (isibonelo, amathumbu, ama-fat pad esiswini) njengezifana nomoya osebhaluni. Lezi zitho zibanjwe ngokuqinile yimisipha odongeni lwethu lwesisu. Njengerabha ebhaluni. Manje, uma lolu donga lwemisipha luba buthakathaka ndawana thize, noma uma kwakheka umgodi omncane, ucezu lwezicubu ngaphakathi kwesisu lungaphuma lapho. Yilokho esikubiza ngokuthi i-hernia .
Ama-hernia e-inguinal ayenzeka ngaphakathi noma eduze komsele we-inguinal, indawo lapho kuhlangana khona isisu nemilenze. Lolu uhlobo oluvame kakhulu lwe-hernia.
Zikhona yini izinhlobo ze-hernia? Ziyini eziqondile nezingaqondile?
Yebo, ama-hernia e-inguinal angahlukaniswa ngezinhlobo ezimbili eziyinhloko. Kunomehluko omncane endleleni lokhu okubili okwenzeka ngayo.
| Uhlobo lwe-hernia | Incazelo elula |
|---|---|
| I-Hernia Eqondile Ye-Inguinal | Lolu uhlobo oluvame ukwenzeka kubantu abadala. Ngokuhamba kwesikhathi, imisipha yesisu iba buthaka futhi ingcindezi kuyo (njengokukhwehlela noma ukuphakamisa izinsimbi) ibangela ukuthi i-hernia ivele ngqo odongeni lwemisipha. Lokhu akuyona into ekhona lapho kuzalwa. |
| I-Hernia Engaqondile Ye-Inguinal | Lesi simo sivame ukwenzeka lapho kuzalwa. Ngesikhathi sesigaba sokukhulelwa, lapho imbobo ephezulu yomsele we-inguinal ingavaleki kahle, i-hernia iphuma kuyo. Lokhu kuvamile ezinganeni. |
Ubani othinteka kakhulu yilesi simo?
Lokhu akumangazi, njengoba amadoda cishe enamathuba aphindwe kayishumi okuthuthukisa lolu hlobo lwe-hernia kunabesifazane. Isizathu yindlela imizimba yethu eklanywe ngayo. Amasende endoda akhula ngaphakathi kwesibeletho ngesikhathi sombungu. Bese ehamba ngomsele we-inguinal aye esikhumbeni. Ngakho-ke, ngokwemvelo, kushiywa indawo encane ebuthakathaka kule ndlela. Ngokuhamba kwesikhathi, le ndawo ebuthakathaka inamathuba amaningi okukhula ibe yi-hernia.
Lokhu akuvamile kwabesifazane . Lokhu kungenxa yokuthi umsele wabo we-pelvic umncane futhi umsipha oqinile (umsipha oyindilinga) osekela isibeletho udlula kuwo. Ngakho-ke, leyo ndawo inamandla ngokwemvelo.
Sekukonke, ama-hernia angu-75 kwangu-100 emhlabeni abangelwa ama-hernia asezimbotsheni. Indoda eyodwa kwabane (25%) izobhekana nalesi simo ngesikhathi sokuphila kwayo. Phakathi kwabesifazane, izinga liphansi kancane, cishe liyi-2 kwayi-100 (2%). Lingabonakala nasezinganeni, ikakhulukazi izingane ezizalwa ngaphambi kwesikhathi.
Ingabe i-hernia ye-inguinal ingaba yingozi?
Okokuqala, akuzona zonke izimbobo eziyingozi ngokushesha. Kodwa-ke, inkinga ngalokhu ukuthi izimbobo ezimbobo zingaba zimbi kakhulu ngokuhamba kwesikhathi. Njengoba indawo ebuthakathaka odongeni lwemisipha iba nkulu, izicubu eziningi ziqala ukukhukhumala.
I-hernia akuyona into evele ibe ngcono uma ikhona. Ivame ukuba nkulu ngokuhamba kwesikhathi.
Ingozi enkulu ukuthi ingxenye yezicubu eziphumile (isibonelo, amathumbu) ingabanjwa (ukuboshwa) futhi ayikwazi ukubuyela ngaphakathi. Uma lokhu kwenzeka, le ngxenye iba lukhuni futhi ukugeleza kwegazi kuyo kungayeka. Lokhu sikubiza ngokuthi ukuklinywa . Lesi yisimo esiyingozi kakhulu, esiphuthumayo. Ngakho-ke, uma usuvele uzwa ubuhlungu nokungakhululeki ngenxa ye-hernia, udokotela wakho uvame ukuncoma ukuthi uhlinzwe ukuze uyilungise ngaphambi kokuba isimo sibe sibi kakhulu.
Ziyini izimpawu zalokhu? Ukubona kanjani?
Ngezinye izikhathi kungase kungabi nazimpawu nhlobo. Noma, izimpawu zingase ziphume ziphele. I-hernia ingaphuma bese ibuyela ngaphakathi. Bheka ukuthi uyayibona yini enye yalezi:
- Isigaxa esincane, njengesimila, ohlangothini olulodwa lwendawo yakho yembobo, noma ithambo le-pubic.Ingabe iyaphuma? (Kwabesilisa, lokhu kungadlulela kuze kufike esikhumbeni).
- Ingabe uzizwa usinda noma ucindezelekile kuleyo ndawo?
- Ingabe uzwa ubuhlungu lapho uphakamisa izinsimbi, ukhwehlela, ugoba, noma usebenzisa indlu yangasese?
- Ingabe ngezinye izikhathi uzizwa umuzwa oshisayo nohlabayo ? Lobuhlungu bungahamba busuka esinqeni sehle ngomlenze.
- Ezinganeni ezincane, uma zikhala, zingase zizwe sengathi kukhona iqhubu embotsheni yazo. Liyanyamalala uma zilele.
Yiziphi izimbangela eziyinhloko ze-hernia?
I-hernia ibangelwa yinhlanganisela yezinto ezimbili: indawo ebuthakathaka odongeni lwesisu kanye nokucindezeleka kwalo. Kunezici eziningana ezingaba nomthelela kulokhu:
- Ubuthakathaka bokuzalwa: Njengoba kushiwo ngaphambili, lokhu kungabathinta kakhulu abafana.
- Ukukhwehlela noma ukuthimula isikhathi eside: Izinto ezifana ne-asthma kanye nokukhwehlela komuntu obhemayo kungabangela ukucindezeleka okuqhubekayo esiswini.
- Ukuzikhandla njalo ukuze usebenzise indlu yangasese ngenxa yokuqunjelwa: Lokhu futhi kuyimbangela enkulu yokwenza buthaka udonga lwesisu.
- Ukuphakamisa okunzima noma ukuvivinya umzimba ngokweqile: Ikakhulukazi ukuphakamisa izinsimbi ngendlela engafanele.
- Ukukhuluphala ngokweqile (ukwanda kwamafutha esiswini): Isisindo esiningi esiswini sihlala sibeka ingcindezi odongeni lwesisu.
- Ukukhulelwa: Ukukhulelwa nokubeletha izingane nakho kungenza buthaka udonga lwesisu.
- Ukuguga: Imisipha iba buthaka ngokwemvelo njengoba ikhula.
- Ukuhlinzwa kwangaphambilini: Kungase kuvele indawo ebuthakathaka eduze kwesibazi lapho kwenziwa khona ukuhlinzwa kwesisu.
Yiziphi izinkinga ezingaba khona ngenxa ye-hernia engelashwanga?
Lena yingxenye ebaluleke kakhulu. I-hernia ingaba yingozi uma ikhona nje.
| Inkinga | Incazelo |
|---|---|
| Ukwandiswa ngokuhamba kwesikhathi | I-hernia ingase ibe nkulu, okubangela ukungakhululeki okukhulu kanye nobuhlungu. Kwabesilisa, i-scrotum ingavuvukala. |
| Ukuboshwa | Ingxenye yamathumbu ephumile ayikwazi ukubuyiselwa. Lokhu kubangela ubuhlungu obukhulu. |
| Ukuvaleka kwamathumbu amancane | Ukudla nomoya akukwazi ukudlula emathunjini avinjiwe, okubangela ubuhlungu obukhulu esiswini, ukuhlanza, kanye nokuqunjelwa. |
| Ukuklinywa | Lesi yisimo esiphuthumayo sezokwelapha. Ukunikezwa kwegazi ezicutshini ezithintekile kuyanqanyulwa. Lokhu kubangela ukuthi izicubu zife (i-gangrene). Lokhu kungaba yingozi empilweni. |
Yini okufanele uyenze uma usola ukuthi une-hernia?
Uma unezimpawu ze-hernia, into yokuqala nengcono kakhulu okufanele uyenze ukubonana nodokotela wakho . Ungabi namahloni noma uhlehlise. Iqhubu elisesinqeni sakho akusho ukuthi une-hernia. Kungaba yi-lymph node evuvukele, i-lipoma, noma esinye isimo. Yingakho kubalulekile ukubonana nodokotela wakho ukuze uthole ukuxilongwa okunembile .
Udokotela uzokuxilonga.
- Bazokucela ukuthi ukhwehlele futhi uzikhandle ukuze babone ukuthi i-hernia izophuma yini.
- Bazozama ukucindezela i-hernia ngezandla zabo bese bebona ukuthi bangayibuyisela yini ngaphakathi.
- Ngezinye izikhathi, bangase bacele into efana ne- ultrasound scan ukuqinisekisa ukuxilongwa.
Yikuphi ukwelashwa okungcono kakhulu kwe-hernia?
Ukuhlinzwa kuyindlela engcono kakhulu nehlala njalo yokwelapha iningi le-hernias ye-inguinal. Ukuhlinzwa kuvame ukunconywa ngokushesha, ikakhulukazi uma i-hernia isezinganeni nakwabesifazane, njengoba ingozi yezinkinga inkulu.
Kwendoda ene-hernia encane kakhulu engenazo izimpawu, udokotela angase ancome ngezinye izikhathi indlela "yokulinda nokubuka". Kodwa-ke, iningi lamadoda ekugcineni lizodinga ukuhlinzwa.
Nakuba 'ibhande le-hernia' (i-truss) elisetshenziswa abanye abantu lingavimba okwesikhashana i-hernia ukuthi ingaphumi, akulona ikhambi elihlala njalo.
Ngisho noma kubizwa ngokuthi ukuhlinzwa, ukwenza kanjani lokhu?
Umgomo oyinhloko wokuhlinzwa kwe-hernia ukubuyisela izicubu ezivele ngaphakathi esiswini bese uvala indawo ebuthakathaka noma imbobo odongeni lwemisipha. Ngezinye izikhathi kusetshenziswa i-mesh yokwenziwa ukuqinisa le ndawo ebuthakathaka. Lokhu kubizwa ngokuthi i-Hernioplasty .
Lokhu kuhlinzwa sekuthuthuke kakhulu manje. Kunezindlela ezimbili eziyinhloko.
| Indlela yokuhlinzwa | Incazelo |
|---|---|
| Ukuhlinzwa kwe-Laparoscopic | Lokhu kubizwa nangokuthi 'ukuhlinzwa kwe-keyhole.' Ukuhlinzwa kwenziwa ngokwenza izimbobo ezimbalwa ezincane esiswini bese kufakwa ikhamera namathuluzi athambile. Kuncane izibazi, ubuhlungu buncane, kanye nokuphulukiswa okusheshayo. |
| Ukuhlinzwa Okuvulekile | Lena yindlela yendabuko. Ukuhlinzwa kwenziwa ngokwenza ukusika okuqondile, okude endaweni ye-hernia. Le ndlela isetshenziselwa ama-hernia amakhulu noma ayinkimbinkimbi. |
Udokotela wakho ohlinzayo uzonquma ukuthi iyiphi indlela engcono kakhulu kuwe.
Zikhona yini izindlela zokuvimbela ukwakheka kwe-hernia?
Nakuba i-hernia yokuzalwa ingenakuvinjelwa, kunezinto eziningana ongazenza ukuze unciphise ingozi yokuba ne-hernia kamuva ekuphileni.
- Uma uphakamisa izinsimbi, goba amadolo akho bese uziphakamisa kahle. Ungaziphakamisi ngomhlane noma ngesisu.
- Lawula isisindo sakho, ikakhulukazi ukunciphisa amafutha esiswini.
- Uma unesifo sokuqunjelwa, thola ukwelashwa. Yidla ukudla okune-fiber (izithelo, imifino) bese uphuza amanzi amaningi.
- Uma ubhema, yeka. Ukukhwehlela okuhlobene nokubhema kuyimbangela enkulu ye-hernias.
- Yenza izivivinyo eziqinisa imisipha yesisu sakho. Kodwa-ke, uma usuvele une-hernia, thintana nodokotela wakho ngaphambi kokuzivocavoca.
Kunini lapho udinga ukubonana nodokotela ngokushesha?
Uma une-hernia, kungaba yisimo esiphuthumayo uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo:
- Uma i-hernia iba buhlungu kakhulu, ibomvu, futhi ivuvukele .
- Uma i-hernia ingenakukwazi ukufakwa .
- Uma uzwa ukuhlanza, isicanucanu, noma ubuhlungu obukhulu esiswini .
- Uma uthola umkhuhlane .
- Uma ungakwazi ukuya endlini yokugezela bese ukhipha umoya ,
Uma unezinye zalezi zimpawu , iya egumbini lezimo eziphuthumayo (ETU) esibhedlela ngokushesha . Lokhu kungaba uphawu lwe-hernia eklinyiwe.
Umlayezo Wokuya Nawe Ekhaya
- I-hernia ye-inguinal iyisimo esivame kakhulu. Ungabi namahloni noma wesabe.
- Uma uzwa iqhubu, ubuhlungu, noma isisindo esinqeni sakho, qiniseka ukuthi ubona udokotela wakho. Ungamane nje ungakunaki.
- Ukwelashwa okungcono kakhulu nokuhlala njalo kwama-hernia amaningi ukuhlinzwa. Lokhu manje sekuyindlela yokuhlinzwa ephumelela kakhulu.
- Uma i-hernia ivalekile futhi ubona izimpawu ezifana nobuhlungu obukhulu nokuhlanza, kuyisimo esiphuthumayo. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Indlela yokuphila enempilo (ukulawula isisindo, ukuphakamisa isisindo ngendlela efanele, ukugwema ukuqunjelwa) kunganciphisa ingozi yokuba ne-hernia.
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