Ingabe uneqhubu esiswini sakho esingezansi? Ingabe kungaba yi-perineal hernia?

Wake wazizwa into engavamile, ebuhlungu, noma ukuvuvukala okuncane esiswini sakho esingezansi noma ezinqeni ngenkathi uhleli noma umile? Kungenzeka ukuthi awuzange ucabange ukuthi lokhu kungaba yi-hernia, kodwa kuyisimo esihlukile kancane, esingavamile. Namuhla sizokhuluma ngesimo esinjalo, esibizwa ngokuthi i-perineal hernia. Ungakhathazeki, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.

Iyini i-hernia ye-perineal? Masiyiqonde kalula!

Kulungile, manje ake sibone ukuthi la magama amabili athi "perineal hernia" asho ukuthini. Lokhu kuzocaca kuwe.

• Kuyini "i-Perineal"?

Kalula nje, indawo yesikhumba phakathi kwe-anus yakho (lapho uthulula khona indle) kanye nezitho zakho zangasese (lapho isitho sakho sangasese sikhona kwabesifazane kanye ne-scrotum yakho ikwabesilisa) ibizwa ngokuthi i-perineum. Lokhu kuyingxenye yephansi lakho le-pelvic. Iphansi le-pelvic liyiqembu lemisipha nezicubu ezitholakala ngaphansi kwesisu sakho, phakathi kwemilenze yakho, futhi ezisekela ezinye zezitho zakho zangaphakathi (njengesinye sakho, isibeletho, namathumbu).

• Iyini "i-Hernia"?

I-hernia yilapho ingxenye yesitho, izicubu ezinamafutha, imisipha, noma i-fascia, okuyizicubu ezisekelayo , iba buthakathaka bese iphuma kuleyo ndawo ebuthakathaka . Kufana nebhaluni eliqhuma kancane kancane endaweni eyodwa uma ulifutha. Noma, kufana nodonga oluseceleni lwethayi elidala oluqhumayo.

Bese kuthi, i-perineal hernia yisimo lapho imisipha yephansi le-pelvic endaweni ye-perineum iba buthakathaka, okuvumela ingxenye yesitho noma izicubu emgodini wesisu ukuthi idlule. Lokhu kuvame ukwenzeka njengomphumela ongavamile wokuhlinzwa kwe-pelvic. Kungabangelwa futhi izifo ezithile noma izingozi. Akuvamile kakhulu, kunezimo ezizalwa nazo.

Ingabe zikhona izinhlobo ze-perineal hernias?

Yebo, odokotela bahlukanisa la ma-hernias e-perineal ngezinhlobo ezilandelayo eziyinhloko:

• Ama-hernia atholakale: Lokhu kwenzeka ngemva kwengozi, ukugula, noma ukukhulelwa.
• I-hernia yokuzalwa: Lokhu akuvamile kakhulu. Yisimo esenzeka lapho umuntu ezalwa.
• I-Hernia Yesibili: Lolu uhlobo oluvame kakhulu lwe-hernia. Luvela ngemva kokuhlinzwa.

Ivame kangakanani le hernia ye-perineal?

Ama-hernia empeleni avame kakhulu. Angenzeka kubantu banoma yimuphi ubudala. Uhlobo oluvame kakhulu lwe-hernia lubizwa ngokuthi i-inguinal hernia, oluvame kakhulu kwabesilisa. Cabanga nje, cishe umuntu oyedwa kwabathathu e-United States uzoba ne-hernia empilweni yakhe.

Kodwa-ke, ama-hernia e-perineal ayisimo esingavamile kakhulu . Avela emaphesentini amancane abantu abenza izinqubo zokuhlinzwa kwe-pelvic, kusukela ku-0.34% kuya ku-7%. Abesifazane banamathuba amaningi okuthuthukisa lolu hlobo lwe-hernia .

Kungani kwenzeka le hernia ye-perineal? Ziyini izimbangela?

Imbangela eyinhloko ye-perineal hernia ukulimala kwemisipha yephansi lakho le-pelvic kanye nezicubu ezisekelayo ezibizwa ngokuthi i-fascia, ezingaba buthakathaka noma zinwebeke. Lo monakalo ungabangelwa yi:

• Ukuhlinzwa Okukhulu: Ikakhulukazi izinqubo ezivulekile ezihilela ukusikwa okukhulu esiswini esingezansi. Lokhu kuhlinzwa kungabangela ukudabuka okukhulu nokwelula kwemisipha nezicubu zephansi le-pelvic. Njengoba le misipha nezicubu ziba buthaka ngemva kokuhlinzwa, ingozi yokuwa kwesitho iyanda. Le hernia ivame ukwenzeka phakathi kwezinyanga eziyi-6 neminyaka eyi-5 ngemva kokuhlinzwa.
• Ukulimala
• Ezinye Izifo
• Ukukhulelwa

Cabanga ngakho njenge-mesh. Leyo mesh ibamba isinyi sethu, i-rectum, i-prostate kwabesilisa, isibeletho, kanye nesitho sangasese sangasese kwabesifazane, ivimbela ukuthi bangawi. Uma leyo mesh iba buthakathaka noma kuphi, yilapho le hernia ivele khona.

Yiziphi izinhlobo zokuhlinzwa ezandisa ingozi ye-perineal hernia?

Kunezindlela ezithile zokuhlinzwa ezandisa ingozi yokuthola lolu hlobo lwesibili lwe-perineal hernia. Ake sibheke izibonelo ezimbalwa:

• Ukususwa kwesisu: Lokhu ukuhlinzwa komdlavuza we-rectal noma umdlavuza we-anal. I-rectum, i-anus, kanye nengxenye yamathumbu amakhulu abizwa ngokuthi i-sigmoid colon kuyasuswa. Lokhu kungenziwa nge-laparoscopically (ngokusika okuncane) noma ngokuvula (ngokusika okukhulu). Zombili lezi zindlela zinengozi ye-hernia.
• Ukususwa okuphansi ngaphambili (i-proctectomy): Lokhu kuhlinzwa kususa yonke noma ingxenye ye-rectum ngokusika esiswini esingezansi ngenxa yomdlavuza. Futhi kuyindlela yokwelapha isifo samathumbu esivuvukalayo (IBD).
• Ukuphuma kwe-pelvic:Lokhu kuhlinzwa kususa i-rectum nezitho eziseduze njengesinyi, i-prostate, noma isibeletho. Ngaphezu komdlavuza we-rectum, lokhu kuhlinzwa kwenziwa futhi nomdlavuza we-prostate kwabesilisa kanye nomdlavuza wesibeletho, umdlavuza wesibeletho, umdlavuza wesitho sangasese sowesifazane, kanye nomdlavuza we-vulvar kwabesifazane.
• Ukususwa kwe-prostate: Lokhu kuhlinzwa komdlavuza we-prostate kuhilela ukususa i-prostate gland. Kungenziwa ngezindlela ezimbili: ukususwa kwe-prostate okuvulekile kanye nokususwa kwe-prostate okulaparoscopic.

Ubani osengozini enkulu yokuthola i-hernia ye-perineal?

Kunezici ezithile ezingandisa ingozi yokuthola le hernia:

• Ukuba ngowesifazane: Njengoba kushiwo ngaphambili, abesifazane basengozini enkulu.
• Ukwelashwa komdlavuza: Izinto ezifana ne-chemotherapy kanye nokwelashwa ngemisebe.
• Ukuba nomlando wokubhema .
• Ukususwa kwesibeletho: Lokhu kusho ukuhlinzwa kokukhipha isibeletho.
• Izimila ezitholakala emithanjeni noma umdlavuza .
• Ukusetshenziswa kwemithi yokucindezela amasosha omzimba .

Yiziphi izitho ezingathinteka yi-perineal hernia?

Uma iphansi le-pelvic libuthakathaka ngemva kwengozi noma ukuhlinzwa, izingxenye zalezi zitho zingasunduzelwa emgodini wesisu:

• Isinye
• Amathumbu amakhulu
• I-Omentum (Lolu ungqimba lwamafutha olumboza izinto ezifana namathumbu ethu, isibindi, kanye nesisu)
• Amathumbu amancane
• Isibeletho

Ziyini izimpawu ze-hernia ye-perineal?

Abanye abantu abane-hernia ye-perineal bangase bangabi nazimpawu. Kodwa-ke, abanye bangase babe nobuhlungu noma ukungakhululeki lapho behleli . Ezinye izimpawu zifaka:

• Ubunzima bokuchama noma ukukhipha indle .
• Umuzwa wokudonseka noma ukungakhululeki esiswini esingezansi uma umi.
• Ukuvaleka kwamathumbu amancane noma ukuvaleka kwamathumbu amakhulu (amathumbu). (Lesi yisimo esibucayi kancane.)
• Leyo enokuvuvukala okubonakalayo esinqeni esisodwa .

Cabanga nje, uNimal, ngemva kokuhlinzwa okukhulu, ukuthola kunzima kakhulu ukuhlala izinsuku ezimbalwa. Uzizwa sengathi kukhona okusunduza ezinqeni zakhe, njengebhola. Ekuqaleni, wayecabanga ukuthi ubuhlungu obuvela esilondeni. Kodwa lapho ekukhombisa udokotela, waqaphela ukuthi kwakuyi-hernia ye-perineal.

I-hernia ye-perineal itholakala kanjani?

Uma uya kudokotela, uzokuxilonga. Ungase ukwazi ukuzwa isikhwama se-hernia uma usithinta. Noma ungase ukwazi ukusibona.

Ukuze kuqinisekiswe ukuxilongwa, ungase ucelwe ukuba wenze i-CT scan noma i-MRI . Lezi zithombe zingabona ngokucacile ukuthi yini engaphakathi.

Kuphathwa kanjani lokhu?

I-hernia ye-perineal idinga ukuhlinzwa ukuze yelashwe. Ukuhlinzwa kuhilela ukubuyisela isitho esihlungiwe endaweni yaso kanye nokuthunga imisipha noma i-fascia ebuthakathaka. Ngezinye izikhathi, kusetshenziswa i-mesh yokwenziwa noma i-muscle flap ukuqinisa phansi kwe-pelvic.

Kunezindlela eziningana zokuhlinzwa ze-hernias:

• I-Laparoscopy: Lena inqubo lapho kufakwa khona ipayipi elincane elinekhamera enamathiselwe, elibizwa ngokuthi i-laparoscope, kanye nezinye izinto ngokusebenzisa izimbobo ezimbalwa ezincane. Ibizwa nangokuthi "ukuhlinzwa kwe-keyhole."
• Ukuhlinzwa kwerobhothi: Lokhu futhi kuyindlela yokuhlinzwa ethuthukisiwe eyenziwa kusetshenziswa i-laparoscope kanye nerobhothi.
• I-Transabdominal: Kulokhu, ukuhlinzwa kwenziwa ngokwenza i-incision esiswini lapho kukhona khona i-hernia.
• I-Transperineal: Kulokhu, ukuhlinzwa kwenziwa ngokusikwa okuncane endaweni ye-perineum.

Udokotela uzonquma ukuthi iyiphi inqubo yokuhlinzwa engcono kakhulu kuwe.

Ingabe ama-hernia e-perineal angavinjelwa?

Nakuba kungenakuvinjelwa ngokuphelele, kunezinto ezithile ongazenza ukuze unciphise ingozi.

Ungaqinisa imisipha yakho yaphansi kwe-pelvic ngokwenza izivivinyo ze-Kegel .

Ukuhlinzwa okubangela i-hernia yesibili ye-perineal kuvame ukuba ukuhlinzwa okusindisa impilo futhi okudingekayo. Ngakho-ke akunakugwenywa. Kodwa-ke, ngemva kokuhlinzwa, kubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo . Uma ulandela imiyalelo yokuthi ungaqala kanjani ukuzivocavoca nokuphakamisa izinsimbi, unganciphisa ingozi yokuthola i-hernia.

Umuntu one-perineal hernia ululama kanjani?

Esikhathini esiningi, ukuhlinzwa kwe-perineal hernia kuyaphumelela . Amathuba okuba nezinye izinkinga noma izinkinga mancane. Ungaphumula njengoba udokotela wakho ekutshela bese ubuyela kancane kancane emisebenzini evamile.

Kufanele ngimbone nini udokotela?

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, qiniseka ukuthi ubona udokotela:

• Uma uvuvukile noma unesimila ku-perineum noma ezinqeni zakho .
• Uma kukhona ushintsho ekuchameni noma ekuhambeni kwamathumbu (njengobunzima, isidingo sokuya njalo).
• Uma uzwa ubuhlungu noma ukungakhululeki ngenkathi uhleli noma umile .

Ikakhulukazi uma usanda kuhlinzwa i-pelvic futhi unenkinga yokuhlala noma ukuma, qiniseka ukuthi ubona udokotela bese uyahlolwa. Kungaba yi-perineal hernia.

Yini okufanele ngiyibuze udokotela wami?

Uma uya kudokotela, kuwumqondo omuhle ukubuza le mibuzo:

• Kungani ngithole le hernia ye-perineal?
• Hlobo luni lokuhlinzwa olungincomayo?
• Yini engingayenza ukuze ngivimbele i-hernia ukuthi ingakhuli esikhathini esizayo?
• Ingabe kufanele ngikhathazeke ngezimpawu zezinkinga ?

Isifinyezo nezinto okufanele uzikhumbule

Ngakho-ke, i-perineal hernia yisimo lapho isitho noma izicubu ezivela esiswini zidlula ku-perineum ngenxa yobuthakathaka emisipheni yephansi le-pelvic. Nakuba lesi kuyisimo esingavamile, singase senzeke ngenxa yezifo ezithile, izingozi, noma ukukhulelwa, ikakhulukazi ngemva kokuhlinzwa kwe-pelvic. Izimpawu zifaka phakathi ubuhlungu lapho uhleli, ukuvuvukala, kanye nobunzima bokukhipha indle/ukuchama. Ukwelashwa okungcono kakhulu kwalokhu ukulungisa i-hernia ngokuhlinzwa nokuqinisa imisipha ebuthakathaka.

Into ebaluleke kakhulu ukuthi uma unalezi zimpawu, ungazinaki bese ubona udokotela ngokushesha ukuze akunike iseluleko. Ukutholwa kusenesikhathi kwenza ukwelashwa kube lula futhi ungalulama ngokushesha. Ungakhathazeki, kunezindlela zokwelapha ezinhle zalokhu!

I- Hernia ye-Perineal, i-Hernia, i-Pelvic Floor, Ukuhlinzwa, Izimpawu, Ukwelashwa, i-Rectum, i-Perineal Hernia