Ingabe ingane yakho ine-hernia ye-inguinal? Ake sixoxe ngalokhu ngokuningiliziwe!

Wake waphawula iqhubu elincane noma ukuvuvukala embotsheni yengane yakho, lapho isisu namathanga kuhlangana khona? Ngezinye izikhathi kuvela lapho ingane ikhala, ikhwehlela, noma izizwa isinda esiswini, bese inyamalala. Ukubona lokhu kungaba yinto eyesabekayo futhi ekhathazayo kuwe njengomama noma ubaba. Kuvamile ukucabanga ukuthi, "O, yini inkinga ngomntanami?" Ngakho-ke, namuhla sizoxoxa ngokuthi yini ebangela lokhu, ingabe kuyingozi, nokuthi yini okufanele uyenze uma kwenzeka.

Iyini i-Inguinal Hernia?

Kalula nje, i -hernia ye-inguinal uhlobo lwe-hernia oluvela embotsheni yengane yakho. Igama elithi "inguinal" lisho imbotsheni. Imbotsheni yindawo ephakathi kwesisu (isisu) sengane yakho namathanga.

I-hernia ye-inguinal yenzeka lapho ingxenye yamathumbu engane yakho idlula endaweni ebuthakathaka odongeni lwesisu sayo, ngomsele we-inguinal . Lo msele we-inguinal uyindlela encane, efana ne-culvert egijima isuka esiswini sengane yakho iye ezithweni zayo zangasese.

Ngokuvamile, umsele we-inguinal uvaleka ngokuphelele ngaphambi kokuba umntwana azalwe. Kodwa ngezinye izikhathi awuvaleki ngokuphelele. Uma lokho kwenzeka, kushiywa imbobo encane lapho. Leyo mbobo yilapho ingxenye yamathumbu omntwana ingaphuma khona. Khona-ke ungase uqaphele noma uzwe ukuvuvukala okungavamile noma iqhubu embotsheni yomntwana, noma esikhumbeni sengane uma ingane ingumfana. Ungase uqaphele lokhu kuvuvukala kuphela lapho ingane ikhala, ikhwehlela, noma izama ukuzikhulula.

Esikhathini esiningi, le hernia ye-inguinal iyenzeka ohlangothini olulodwa lwe-groin. Ivame kakhulu ohlangothini lwesokudla kunesobunxele. Kodwa-ke, cishe ezimweni eziyi-10%, le hernia ingenzeka kuzo zombili izinhlangothi ze-groin.

Ubani okungenzeka kakhulu ukuthi athole lokhu?

Lesi simo esibizwa ngokuthi i-inguinal hernia asikwazi ukwenzeka kuphela ezinsaneni, ezinganeni ezindala, kodwa nakubantu abadala. Kodwa-ke, phakathi kwezingane, sivame kakhulu ezinganeni ezingaphansi kweminyaka engu-6. Ama-90% ezinsana ezisanda kuzalwa athola le hernia kubafana. Futhi, izinsana ezisanda kuzalwa zingase zibe namathuba amaningi okuthola le hernia ye-inguinal.

Sivame kangakanani lesi simo?

Phakathi kuka-1% no-5% wezingane zesilisa eziphilile nezihlala isikhathi eside ziba ne-hernia ye-inguinal. Kodwa izingane ezingafika ku-30% ezingazalwa ngaphambi kwesikhathi zingazalwa nale hernia. Ngakho-ke uma ingane yakho inayo, khumbula ukuthi awuwedwa.

Ingabe le hernia ingaba yingozi?

Yebo, ngezinye izikhathi lokhu kungaba yingozi. Uma ingane yakho ine-hernia ye-inguinal, ukuhlinzwa okulula kungenziwa ukuze kulungiswe.Kumele kwenziwe. Uma lokhu kungelashwa, kungavela izinkinga ezinkulu, nakuba kungavamile. Ake sibone ukuthi ziyini:

• I-hernia eboshiwe: Yilapho ingxenye yamathumbu ngaphakathi kwe-hernia ibanjwa khona. Cabanga ngayo njengepayipi elibhajwa phakathi lapho ukhipha amanzi. Uma lokhu kwenzeka, ngisho nodokotela akakwazi ukuyibuyisela esiswini. Lesi yisimo esibi kakhulu, njengoba singaholela esimweni esilandelayo esiyingozi kakhulu.
• I-hernia eklinyiwe : Uma i-hernia iklinyiwe, into embi kakhulu engenzeka yile. Lokhu kwenzeka lapho ukuhlinzekwa kwegazi endaweni yamathumbu eklinyiwe kunqanyulwa ngokuphelele. Cabanga ukuthi kwenzekani uma igazi linqanyulwa kunoma iyiphi ingxenye yomzimba wethu? Leyo ngxenye iqala ukufa. Ngokufanayo, uma amathumbu enqanyulwa igazi, izicubu ezikuleyo ngxenye zingafa (ukufa kwezicubu). Lesi yisimo esibi kakhulu, esibuhlungu esidinga ukunakekelwa okuphuthumayo kwezokwelapha . Kungaba yingozi empilweni.

Okubalulekile: I-hernia eklinyiwe noma i-hernia enegazi elinqanyuliwe eliya emathunjini kuyisimo esiphuthumayo sezokwelapha! Ngakho-ke, kubaluleke kakhulu ukuqonda kahle izimpawu.

Ziyini izimpawu zalokhu?

Uma ingane yakho ine-hernia ye-inguinal, uphawu oluyinhloko ukuvuvukala ngaphansi kwesikhumba esinqeni noma emasendeni. Lokhu kungase kubukeke njengeqhubu elincane.

• Lokhu kungaba kukhulu ngemva kokuba umntwana ekhala, ekhwehlela, noma ethimula.
• Lokhu kuvuvukala ngezinye izikhathi kuyafika kudlule. Okusho ukuthi, ngezinye izikhathi kuba khona, ngezinye izikhathi akukho.
• Lokhu kungase kunciphe noma kunyamalale ngokuphelele lapho umntwana ephumule noma elele.
• Lokhu kuvuvukala kungaba kolunye uhlangothi lwe-groin noma kuzo zombili izinhlangothi.

Ezinye izimpawu zingase zihlanganise:

• Ubuhlungu nokungakhululeki okuphela ngokuphumula.
• Ukuzwa isisindo noma ingcindezi endaweni yesinqe.
• Ukuvuvukala kwamasende kubafana.
• Umuzwa wokushisa endaweni yokuvuvukala.
• Kwabantwana abancane, izinto ezifana nokungafuni ukudla, ukukhala njalo, kanye nokungaphumuli .

Kodwa-ke, uma ingane yakho ine -hernia evalelwe noma i-hernia eklinyiwe , kuyisimo esiphuthumayo sezokwelapha. Uma kukhona noma yiziphi izimpawu ezilandelayo, kufanele uyise ingane yakho kudokotela ngokushesha:

• Ubuhlungu obukhulu kakhulu noma ubuhlungu obungabekezeleleki uma ucindezelwa.
• Indawo yokuvuvukala izovela ibomvu, imnyama, futhi mhlawumbe iluhlaza okwesibhakabhaka/onsomi (ukubukeka okulimele).
• Angikudli nhlobo ukudla, angiphuzi ubisi.
• Imfiva.
• Isicanucanu nokuhlanza (ikakhulukazi uma ukuhlanza kuluhlaza noma kuphuzi).
• Igazi endle ('indle enegazi') noma isisu esigcwele ngaphandle kokukhipha indle.

Kungani izingane ezincane zithola le hernia?

Ukuze uqonde ukuthi kungani, udinga ukwazi okuncane ngendlela umntwana akhula ngayo esibelethweni. Wonke umntwana uzalwa enomgodi ofana nomhubhe obizwa ngokuthi umsele we-inguinal . Lokhu kuholela kusukela esiswini somntwana kuya endaweni yokuzala.

Enganeni yesilisa, amasende akhe aqala ukukhula ngaphakathi esibelethweni. Bese kuthi, ngesikhathi sokukhula kwengane, la masende ehla ngomsele we-inguinal aye esikhumbeni.

Ngokuvamile, lo msele we-inguinal uvaleka ngokuphelele ngaphambi kokuba umntwana azalwe. Kodwa-ke, njengoba kushiwo ngaphambili, ngezinye izikhathi awuvaleki kahle. Bese kushiywa imbobo encane esuka esiswini iye emseleni we-inguinal. Leyo mbobo yilapho ingxenye yamathumbu omntwana yehla khona bese yakha i-hernia.

Amantombazane awanamathuba amaningi okuthola ama-hernia e-inguinal, kodwa nawo angawathola. Lokhu kungenxa yokuthi amantombazane nawo anomsele we-inguinal. I-hernia ye-inguinal entombazaneni ingabandakanya ingxenye yesimiso sakhe sokuzala, njengesibeletho.

Udokotela ukubona kanjani lokhu?

Udokotela ngokuvamile angaxilonga i-hernia ye-inguinal ngokuhlola umntwana ngokomzimba. Udokotela uzobheka okulandelayo:

• Uma umntwana ekhala noma ekhala, ingabe kukhona ukuvuvukala embotsheni noma emathunjini?
• Baphinde bahlole ukuthi ukuvuvukala kuyaphela noma kuyancipha yini uma ingane iphumule.
• Uma ingane isikhulile kancane, udokotela angase acele ingane ukuthi ime noma ikhwehlele ukuze ahlole ukuthi kukhona yini ukuvuvukala.
• Udokotela angase azame futhi ukucindezela i-hernia ngesandla bese eyibuyisela esiswini (ungazami ukwenza lokhu ekhaya).

Akuvamile kakhulu, ukuhlolwa kwe-ultrasound kungenziwa ukuqinisekisa ukuxilongwa noma ukuhlola ezinye izinkinga.

Yiziphi izindlela zokwelapha lokhu?

Uma ingane yakho ine-hernia ye-inguinal, kudingeka ukuhlinzwa ukuze ilungiswe. Le hernia ngeke iphole yodwa. Ukuhlinzwa kuyindlela yokwelapha ehlala njalo kuphela.

Lokhu kuhlinzwa kuvame ukuthatha isikhathi esingaphansi kwehora. Isikhathi esiningi, kuyinqubo yokulaliswa esibhedlela . Lokhu kusho ukuthi ungayithatha ingane yakho uye nayo ekhaya ngosuku olufanayo nokuhlinzwa.

Ngaphambi kokuhlinzwa

Udokotela obulala izinzwa udokotela onikeza ingane yakho umuthi wokubulala izinzwa ojwayelekile.Udokotela obulala izinzwa udokotela ogxile ekulawuleni ubuhlungu nokugcina iziguli ziphephile ngesikhathi sokuhlinzwa. Uma umntwana enikezwa i-anesthesia ejwayelekile, imisipha yengane iyakhululeka bese umntwana elala. Ingane ayizizwa ubuhlungu ngesikhathi sokuhlinzwa.

Ngesikhathi sokuhlinzwa

Udokotela ohlinzayo wenza ukusika okuncane (ukusikwa) esinqeni somntwana. Lokhu kusikwa kuvame ukuba ngamasentimitha angu-1-2. Ingxenye yamathumbu ehlungiwe ibe isibuyiselwa ngokucophelela esiswini. Okulandelayo, imbobo emgudwini we-inguinal iyathungwa ivalwe ukuze kuvinjelwe ukuthi i-hernia ingabuyi. Ukusikwa komntwana kuvalwa ngezithungo ezincibilikayo kanye nezingcezu ezincane ze-tape engangeni manzi noma i-dressing.

Ngemva kokuhlinzwa

Ngemva kwamahora ambalwa ngemva kokuhlinzwa, lapho ingane yakho iphuza uketshezi kahle, futhi ithimba lezokwelapha lanelisekile, ungase ukwazi ukuyisa ingane yakho ekhaya. Kodwa-ke, uma ingane yakho yazalwa ngaphambi kwesikhathi noma inezinye izimo zezokwelapha, kungadingeka ukuthi uhlale esibhedlela ubusuku bonke ukuze ihlolwe.

Ungayinakekela kanjani ingane ngemva kokuhlinzwa?

Ngemva kokuhlinzwa, umntwana angase abe nobuhlungu nokungakhululeki. Lokhu kuyinto evamile. Ubuhlungu buzophela cishe ngesonto elilodwa noma amabili. Udokotela angase akunike imithi yobuhlungu , njenge-paracetamol. Mnike njengoba kudingeka.

• Ukugoqa: Ungageza ingane yakho ngesiponji kusukela ngosuku olulandela ukuhlinzwa. Kodwa-ke, ungayigezi esitsheni izinsuku ezimbili noma ezintathu, ngoba akukuhle ukumanzisa inxeba. Udokotela uzokutshela ukuthi ungageza nini kahle.
• Inxeba: Izingcezu ezincane zetheyiphu ezimboze imivimbo yengane yakho zizozikhipha kancane kancane. Ungazikhiphi ngesandla. Uma zingazikhiphi zodwa, udokotela uzozisusa ngesikhathi sokuqokwa kodokotela ozayo cishe emavikini ayishumi.
• Imisebenzi: Vumela ingane idlale ngendlela evamile. Uma isezinhlungwini, izoyeka. Uma kuyingane endala, yicele ukuthi iyeke ukudlala izinsuku ezimbalwa.

Ingane izokwazi nini ukuba ngcono?

Ingane ingabuyela ekudleni okuvamile ngokushesha nangokulula ngangokunokwenzeka. Eminye imisebenzi evamile ingaqalwa kabusha cishe ngesonto elilodwa noma amabili. Izinsana ezincane ziyalulama ezinsukwini ezimbalwa.

Ingabe ikhona indlela yokuvimbela ukuthi le hernia ingakheki?

Ngeshwa, uma ingane yakho izalwa inomgodi emgudwini we-inguinal, i-hernia ingavela nganoma yisiphi isikhathi. Ayikho indlela yokuvimbela le hernia ukuthi ingaveli. Lokhu akulona iphutha lomuntu.

Kufanele uphinde uye kudokotela nini?

Kujwayelekile ukuthi ingane yakho ibe nokuvuvukala nokuzwela eduze kwesilonda ngemva kokuhlinzwa. Lokhu kungase kuhlale amasonto ambalwa. Kodwa-ke, uma ubona noma yiziphi izimpawu ezilandelayo , shayela udokotela wakho noma umyise esibhedlela ngokushesha:

• Umchamo wenganeUma ungakwazi ukuchama ('Awukwazi ukuchama') amahora angu-6-8.
• Amanabukeni amanzi ambalwa kunokujwayelekile.
• Uma umkhuhlane uphakeme kuno-100.4°F (38°C).
• Uma ukuvuvukala okuzungeze imbobo kukhula kakhulu, noma uma kukhona ukubomvu okuningi.
• Uma indawo ezungeze imbobo ibomvu, kufudumele, futhi kukhona uketshezi olufana nobovu.
• Uma isilonda siqhubeka nokopha.
• Uma ubuhlungu buqhubeka buba bubi kakhulu futhi bungakwazi ukulawulwa ngisho nange-paracetamol.
• Uma uhlanza ngokuphindaphindiwe.

Uyini umehluko phakathi kwe-Inguinal Hernia ne-Umbilical Hernia?

Lezi zombili izinhlobo ze-hernia, kodwa indawo kanye nokwelashwa kuhlukile.

• I-hernia ye-umbilical yi-hernia ekhula eduze kwenkaba yomntwana. Lokhu kwenzeka lapho izicubu ezinamafutha noma ingxenye yamathumbu iphuma ngembobo odongeni lwesisu eduze kwenkaba. I-hernia ye-umbilical ngezinye izikhathi iphola yodwa phakathi nonyaka noma emibili. Akudingeki ukuhlinzwa njalo.
• I-hernia ye-inguinal ivele eduze kwe-groin. Idinga ukuhlinzwa nakanjani, ngoba ngeke iphole yodwa.

Uyini umehluko phakathi kwe-hernia ye-inguinal kanye ne-hydrocele?

Abazali ngezinye izikhathi bangase badideke ngazo zombili lezi zinto ngoba ziyizivuvu ezibonakala eduze kwamasende ezingane zesilisa.

• I-hydrocele iyisikhwama esigcwele uketshezi esisesinqeni noma emathunjini omntwana. I-hydrocele ibukeka njenge-hernia ye-inguinal. Kodwa akukho zicubu ngaphakathi kwe-hydrocele, uketshezi kuphela. Cishe oyedwa kwabayi-10 abafana abasanda kuzalwa une-hydrocele. Esikhathini esiningi, lokhu kuzophela ngokwako phakathi nonyaka wokuqala. Uma ingane yakho ine-hydrocele, futhi ingabi buhlungu, ukuhlinzwa akudingekile ngokushesha.
• Ku -hernia ye-inguinal , ingxenye yamathumbu kungenzeka ukuthi ingene kuleyo sac. Amantombazane amancane awatholi ama-hydroceles, kodwa angayithola i-hernia.

Okokugcina, izinto okufanele uzikhumbule

Uma uthola ukuthi ingane yakho esanda kuzalwa ine-hernia ye-inguinal, ungase uzizwe ukhathazekile kakhulu futhi wesaba. Kuyinto evamile kakhulu. "Kwenzekeni kumntanami?" umuzwa abazali abavame ukuwuzwa. Kodwa khumbula, i-hernia ye-inguinal ivame kakhulu ezinganeni nasezinganeni.

Uma ubona iqhubu embotsheni yengane yakho, ungalishayi indiva, yisa ingane yakho kudokotela ngokushesha. Ama-hernia e-inguinal angase esabe ukuzwa nokubona, kodwa ayinto evamile yokuxilonga futhi angelashwa kalula. Yebo, ingane yakho izodinga ukuhlinzwa ukuze kulungiswe inkinga. Kodwa ngokuvamile inqubo elula nesheshayo. Kufanele ukwazi ukubona ingane yakho igijima futhi idlala futhi ezinsukwini ezimbalwa noma emavikini ambalwa.

Ngakho-ke ungesabi ngokungadingekile, kodwa into ebaluleke kakhulu ukuqaphela izimpawu nokufuna iseluleko sezokwelapha ngesikhathi. Landela imiyalelo kadokotela wakho ngqo. Khona-ke ingane yakho izolulama ngokushesha!

I - hernia ye-Inguinal, i-hernia yengane, i-hernia ye-groin, i-Hernia ye-Inguinal, i-hernia yengane, ukuhlinzwa kwe-hernia, amathumbu aphumile