Ingabe une-hernia efana nale? Ake sifunde nge-Obturator Hernia!

Wake wezwa nge-"Obturator Hernia"? Mhlawumbe leli gama lizwakala lingavamile. Kodwa futhi uhlobo lwe-hernia. Kodwa luyivelakancane, ikakhulukazi kwabesifazane abaneminyaka ephakathi kuka-70 no-90. Ngakho-ke namuhla sizoxoxa ngokuthi iyini le-obturator hernia, ukuthi ikhula kanjani, yiziphi izimpawu, nokuthi yiziphi izindlela zokwelapha. Kalula nje, ngizochaza lezi zinto ngendlela ongayiqonda.

Iyini le Obturator Hernia?

Kalula nje, i-obturator hernia iyi-hernia esesinqeni sethu, ingxenye yethambo lesinqe elingaphakathi kwesinqe, enesikhala esincane kuyo, esibizwa ngokuthi i-obturator canal , lapho kuphuma khona ingxenye yamathumbu noma amafutha esiswini. Cabanga ngayo njengomoya omncane ophuma emgodini omncane ebhaluni.

Le obturator foramen ifana nendlela encane ephakathi kwamathambo ethu esinqeni. Ngokuvamile, imizwa nemithambo yegazi kudlula kuyo. Kodwa-ke, lapho imisipha yethu yephansi lesinqe , imisipha engaphakathi kwesisu esingezansi esiza ukubamba izitho zethu zangaphakathi iba buthakathaka, ingxenye yamathumbu, ikakhulukazi amathumbu amancane , futhi ngezinye izikhathi amathumbu amakhulu, ingadlula kuleyo ndlela.

Lokhu kungaba yisimo esiyingozi. Ngoba ingxenye yamathumbu ephuma kanje ingabhajwa phakathi kwemisipha yephansi le-pelvic noma ngaphakathi komsele wokuvimbela ukuvuvukala. Uma lokho kwenzeka , kungavimbeka amathumbu . Lokho kusho ukuthi indlela yamathumbu iyavaleka. Lesi yisimo esidinga ukwelashwa okuphuthumayo. Kungase kudingeke nokuba uhlinzwe ngokushesha ukuze kulungiswe lokhu.

Ziyini izimpawu zalokhu? Ingabe nawe unazo lezi?

Izimpawu ze-obturator hernia zingase zingabonakali ngokushesha, kodwa qaphela lezi zinto ezilandelayo:

• Ubuhlungu besisu: Lokhu kuvame ukuqala ohlangothini olungezansi kwesokudla lwesisu bese kusakazeka kuso sonke isisu.
• Ukuqunjelwa: Ubunzima bokuya endlini yangasese.
• Isisu esivuvukile: Ukuzwa sengathi isisu sivuvukile.
• Ukucanuzela nokuhlanza: Ukuzizwa ugula futhi uhlanza.
• Ubuhlungu endaweni yethanga: Lolu uphawu oluthile. Ubuhlungu buqala endaweni ye-groin busakazeke phansi ohlangothini lwangaphakathi lwethanga. Ngezinye izikhathi lobu buhlungu bungazwakala kuze kufike edolweni. Lokhu kubizwa nangokuthi uphawu lwe-Howship-Romberg . Lokhu kusho ukuthi ubuhlungu bubangelwa ingxenye yamathumbu evalekile ecindezela i-obturator nerve.

Uma unesinye noma ngaphezulu salezi zimpawu, ikakhulukazi uma usukhulile, kuwumqondo omuhle ukubona udokotela.

Kungani kwenzeka le hernia ye-obturator? Yiziphi izinto ezibangela ingozi?

Njengoba ngishilo ngaphambili, imbangela enkulu ubuthakathaka bemisipha yephansi le-pelvic. Ngakho-ke kunezinto eziningana ezingabuthakatha le misipha, okwandisa ingozi yokuthola i-obturator hernia:

• Ubudala: Njengoba siguga, yonke imisipha emzimbeni wethu, okuhlanganisa nemisipha yephansi le-pelvic, iyabuthaka. Futhi, ulwelwesi olumboza ukuvulwa komsele we-obturator luyashintsha ngokuguga. Zombili lezi zinto zandisa ingozi yokuthi ingxenye yamathumbu iphume. Yingakho kuvame kakhulu kubantu asebekhulile.
• Ukuqunjelwa okungapheli: Uma kufanele uzikhandle futhi kufanele uye endlini yangasese njalo, kubeka ingcindezi enkulu emisipheni yakho yaphansi kwe-pelvic. Ngokuhamba kwesikhathi, le misipha ingaba buthakathaka. Cabanga ngakho njengokuphakamisa imithwalo esindayo ngaso sonke isikhathi.
• Isifo samaphaphu esingamahlalakhona (i-COPD): Abantu abanezifo ezifana ne-COPD bavame ukukhwehlela. Uma lokhu kukhwehlela kwenzeka, ingcindezi engaphakathi kwesisu iyanda. Lokhu kucindezela kuthinta nemisipha ye-pelvic, okungaba buthakathaka.
• Ukuba nesisindo esingaphansi kwesisindo: Ikakhulukazi uma wehlisa isisindo ngokuzumayo njengoba ukhula, inani lamafutha azungeze i-obturator duct liyancipha. Lokhu kwandisa amathuba okukhula kwe-hernia ngaphakathi kwe-duct. Uma i-BMI yakho (Body Mass Index) ingaphansi kuka-18.5, ubhekwa njengonesisindo esingaphansi kwesisindo.
• Ukuzalwa kaningi: Imisipha yephansi lesisu yomama ababelethe izingane eziningi ingase ibe buthaka kancane.

Uma enye noma ngaphezulu yalezi zinto isebenza kuwe, kufanelekile ukuthatha izinyathelo zokuphepha ngokumelene ne-obturator hernia.

Yiziphi izinkinga ezingabangelwa yilokhu?

Uma i-obturator hernia ingelashwa kahle, kungaba nezinkinga eziyingozi.

1. I-hernia eboshiwe: Yilapho i-hernia ivaleleka phakathi kwemisipha ye-pelvic futhi ingaphinde ibuyele. Lokhu kungaholela ekuvalekeni kwamathumbu , okuwukuvinjelwa kwamathumbu amancane.

2. I-hernia evalekile: Lesi yisimo esiyingozi kakhulu. Ingxenye yamathumbu ngaphakathi kwe-hernia ilahlekelwa ukugeleza kwegazi. Kufana nomuntu oklinya intamo yakho. Uma ingatholi igazi, izicubu zamathumbu ziyaqala ukufa. Lokhu kubizwa ngokuthi i-necrosis . Lesi yisimo esiphuthumayo esisongela impilo.

Okubalulekile: Uma uzwa ubuhlungu obukhulu esiswini ngokuzumayo, isicanucanu, noma ukuhlanza, kungaba uphawu lwe-hernia eklinyiwe. Uma lokhu kwenzeka , kufanele uye esibhedlela ngokushesha.

Odokotela bakubona kanjani lokhu?

Uma uya kudokotela, uzoqala ngokukubuza ngezimpawu zakho. Bese bezokwenza ukuhlolwa ngokomzimba. Bangase benze nokuhlolwa okufana nalokhu:

• Ukuhlolwa kwe-Howship-Romberg:Kulesi sivivinyo, udokotela uzoshukumisa ilunga lakho lesinqe bese ebuza ukuthi uzwa ubuhlungu ngaphakathi kwethanga lakho.
• Ukuhlolwa kweHannington-Kiff: Kulokhu kuhlolwa, udokotela uthinta kancane izindawo ezithile zethambo lakho lesifuba (i-tibia) noma ithambo lethanga (i-femur). Lokhu kwenzelwa ukuhlola ukuthi imisipha ye-hip iyafinyela yini.

Ngemva kwalezi zivivinyo, kungenziwa i-CT scan (i-Computed Tomography scan) ukuqinisekisa ukuthi kukhona i-obturator hernia. Lokhu kungabonisa ngokucacile indawo kanye nosayizi we-hernia.

Iphathwa kanjani?

Ukwelashwa okuwukuphela kwaphakade kwe-obturator hernia ukuhlinzwa . Ukuhlinzwa kwenziwa ukuze kulungiswe i-hernia.

Ngesikhathi sokuhlinzwa, udokotela ohlinzayo wenza i-incision encane esiswini sakho esingezansi noma endaweni ye-groin bese esondela ku-hernia emseleni we-obturator. Ngemuva kwalokho, izingxenye eziphumayo zamathumbu zibuyiselwa emgodini wesisu bese indawo ebuthakathaka odongeni lwesisu iyalungiswa. Ngezinye izikhathi, into efana ne-mesh ingasetshenziswa ukuqinisa indawo ebuthakathaka.

Lokhu kuhlinzwa kungenziwa ngezindlela eziningana:

• Ukuhlinzwa okuvulekile: Ukuhlinzwa kwenziwa ngokusikwa okukhulu ngendlela yendabuko.
• Ukuhlinzwa kwe-Laparoscopic: Ukuhlinzwa okwenziwa ngokusika okuncane nje, kusetshenziswa ikhamera namathuluzi athambile. Lokhu kubizwa nangokuthi "ukuhlinzwa kwe-keyhole."
• Ukuhlinzwa kokulungisa i-hernia yerobhothi: Lokhu kufana nendlela ye-laparoscopic, kodwa udokotela ohlinzayo wenza ukuhlinzwa esebenzisa ingalo yerobhothi.

Udokotela ohlinzayo uzochaza ukuthi iyiphi inqubo yokuhlinzwa engcono kakhulu kuwe.

Uma kukhona isimo esiphuthumayo, njenge -hernia ye-obturator eklinyiwe , futhi amathumbu onakele, kungase kudingeke ukuhlinzwa okwengeziwe. Lokhu kungafaka phakathi i-colectomy ukuze kususwe ingxenye yamathumbu eyonakele.

Ingabe zikhona izinkinga ngemva kokuhlinzwa?

Izinkinga ezincane ezifana nalezi zingavela ngemva kokuhlinzwa kwe-hernia, kodwa azenzeki kuwo wonke umuntu.

• Ukopha
• Ukulimala kwe-obturator nerve (lokhu akuvamile kakhulu)
• Ukutheleleka endaweni yokuhlinzwa

Ithimba lakho lezokwelapha lizokwazisa ngalokhu.

Kuzothatha isikhathi esingakanani ukuphulukiswa?

Isikhathi sokululama ngemva kokuhlinzwa singahluka kumuntu nomuntu. Kuncike ezintweni ezifana nalezi:

• Uhlobo luni lokuhlinzwa kwe-hernia olwenziwayo: Isibonelo, isikhathi sokululama ngemva kokuhlinzwa kwe-laparoscopic sifushane kunesemva kokuhlinzwa okuvulekile.
• Kungakhathaliseki ukuthi uke wahlinzwa nge-colectomy (ukususwa kwengxenye yamathumbu akho): Uma kunjalo, kungathatha isikhathi eside ukuphulukiswa.
• Impilo yakho iyonke: Uma unesifo esifana nokungondleki kahle noma ezinye izifo ezifana ne -COPD , kungathatha isikhathi eside ukululama.

Kodwa-ke, ngenxa yokuthi isimo somuntu wonke sihlukile, udokotela wakho ohlinzayo uzochaza ukuthi yini ongayilindela nokuthi ungaqhubeka nini nemisebenzi yakho evamile.

Kuzokwenzekani esikhathini esizayo ngalesi simo?

Ngemva kokuhlinzwa kwe-hernia, i-obturator hernia cishe izophola futhi izimpawu zizophela. Kodwa khumbula, lokhu kuhlinzwa kwelapha i-hernia kuphela. Uma unezinye izimo eziyisisekelo, njengokungondleki kahle noma i-COPD, ezandisa ingozi yakho yokuthola i-hernia, uzodinga ukunakekelwa kwezokwelapha okuqhubekayo nokusekelwa. Kubalulekile ukulawula lezo zimo.

Kufanele uye nini kudokotela? Kufanele uye nini esibhedlela ngokushesha?

Uma unesihlungu esiswini noma emathangeni, ungasinaki bese ubona udokotela ukuze akunike iseluleko. Lezi zimpawu zingase zibe izimpawu ze-obturator hernia noma zingase zingabi izimpawu zayo. Kodwa kubalulekile ukuthola imbangela.

Kuyisimo esiphuthumayo! Yiya esibhedlela ngokushesha uma unalezi zimpawu:

• Ubuhlungu besisu obukhulu kakhulu, obungazelelwe.
• Ukucanuzela noma ukuhlanza.

Lokhu kungaba izimpawu ze-hernia ye-obturator eklinyiwe , isimo esidinga ukwelashwa okuphuthumayo.

Izinto ezibaluleke kakhulu okufanele uzikhumbule

Njengoba sikhula, singase sicabange ukuthi kuyinto evamile ukuba imizimba yethu ishintshe. Singase silahle izinhlungu ezincane esiswini noma emathangeni ethu ngokuthi "indlela izinto ezenzeka ngayo ngokuguga." Kodwa-ke, lezi zimpawu zingaba umphumela we-hernia ye-obturator. Nakuba lezi kuyizinhlobo ezingavamile ze-hernia, zingavela, ikakhulukazi kwabesifazane abaseminyakeni yabo yama-70, yama-80, kanye neyama-90.

Ngakho-ke, uma unezimpawu ezifana nobuhlungu besisu, khuluma nodokotela. Kungase kungabi yi-obturator hernia. Kodwa ukwabelana ngezimpawu zakho kanye nokukhathazeka kwakho nodokotela kuyisinyathelo sokuqala sokuba ngcono. Ungakhathazeki, odokotela balapha ukuzokusiza.

Ngiyethemba ukuthi lolu lwazi luzokusiza. Uma uneminye imibuzo, ungangabazi ukubuza udokotela. Hlala uphilile!

I- Hernia, I-Obturator Hernia, Ukwehla Kwamathumbu, Ubuhlungu Besinqe, Ukuhlinzwa, Impilo Yasebekhulile, I-Obturator Hernia