Ngesikhathi udokotela ekutshela ukuthi une-hernia, kumelwe ukuthi wazizwa wesaba kancane ngokuthi kufanele uhlinzwe, akunjalo? Abantu abaningi bacabanga ukuthi uma bethi ukuhlinzwa kwe-hernia, kusho into eyenziwa ngokusikwa okukhulu esiswini. Kodwa manje ezokwelapha sezithuthuke kakhulu. Kunezindlela ezintsha neziphephile kakhulu zokuhlinzwa ezisebenzisa ubuchwepheshe berobhothi ngaphandle kokusikwa okukhulu okwakungenzeka.
Kuyini ukuhlinzwa kwe-hernia yerobhothi?
Kalula nje, i-hernia iyisitho esingaphakathi emzimbeni wethu, isibonelo ingxenye yamathumbu, ephuma ngemisipha lapho kufanele ibe khona. Ekuhlinzeni kwerobhothi, isitho esivele sivele sibuyiselwa endaweni yaso, bese indawo ebuthakathaka phakathi kwaleyo misipha iqiniswa futhi ivalwe.
Kodwa into ekhethekile ngalokhu ukuthi udokotela akakuthinti ngqo umzimba wakho. Usesimisweni sekhompyutha (i-Console) eduze kombhede wakho. Ubheka isikrini futhi ulawula izingalo zerobhothi zobuchwepheshe obuphezulu (i-Robotic Arms) ukuze enze lokhu kuhlinzwa. Le ndlela ihluke kakhulu ekuhlinzeni okuvulekile . Ekuhlinzeni okuvulekile, kwenziwa i-incision eyodwa enkulu. Kodwa ekuhlinzeni kwerobhothi (ngezinye izikhathi okubizwa ngokuthi i-laparoscopy ) , kwenziwa imigodi emithathu noma emine kuphela emincane kakhulu .
Lena ikhamera encane (i-laparoscope) efakwa ngembobo eyodwa, okuvumela izitho zomzimba ngaphakathi komzimba ukuthi zibonakale ngokucacile futhi zikhuliswe ngobukhulu obuthathu (3D). Lokhu kuvumela udokotela ukuthi enze ukuhlinzwa ngokunemba okukhulu nangokunembile . Ngenxa yokuthi ukusikwa kuncane, ukuphuma kwegazi kuncane, ubuhlungu buncane, futhi kuphulukiswa ngokushesha.
Yiziphi izinhlobo zama-hernias ezingelashwa ngokuhlinzwa kwerobhothi?
Lobu buchwepheshe besimanje bungasetshenziswa ukwelapha yonke into kusukela kuma-hernia amancane kuya ekuhlinzweni okukhulu okwakha kabusha lonke udonga lwesisu. Izinhlobo zama-hernia ezivame ukwelashwa ngale ndlela zibhalwe kuthebula elingezansi.
| Uhlobo lwe-Hernia | Incazelo elula |
|---|---|
| I-Hernia ye-Inguinal | Ingxenye yamathumbu noma izicubu ezinamafutha eziphuma endaweni yesinqe. |
| I-Femoral Hernia | Ingxenye yezicubu zesisu ephuma endaweni yethanga, ngaphansi nje kwe-groin. |
| I-Hiatal Hernia | Ingxenye engenhla yesisu icindezelwa esifubeni nge-diaphragm. |
| I-Hernia Yokusika | Ukuphuma kwesitho esiphakathi kwesibazi esivela ekuhlinzweni kwangaphambilini. |
| I-Hernia ye-Umbilical | Ingxenye yamathumbu ephuma endunu. |
Ngingakulungiselela kanjani lokhu kuhlinzwa?
Lona umbuzo obaluleke kakhulu. Ukuhlinzwa kwerobhothi akufanele wonke umuntu. Ukuthi lokhu kuhlinzwa kufanelekile yini kuwe noma cha kunqunywa ingxoxo ecophelelayo nodokotela wakho. Uzocabangela ngqo lezi zinto ezilandelayo:
- Usayizi we-hernia yakho.
- Yeka ukuthi ukuhlinzwa kuzoba nzima kangakanani.
- Ingabe lokhu ukuhlinzwa kwakho kokuqala kwe-hernia, noma ingabe okwedlule kuyisiphetho?
- Indlela i-anesthesia ejwayelekile ekuthinta ngayo.
- Kungakhathaliseki ukuthi kuyadingeka yini ukususa ezinye izinto ezifana nezibazi kanye nokuhlinzwa.
Ngezinye izikhathi, udokotela angabona i-hernia encane, efihliwe (i-hernia engabonakali) ngesikhathi sokuhlinzwa engatholakali ngisho nasezikrinini. Kungumqondo omuhle ukuxoxa nodokotela kusengaphambili ukuthi yini okufanele uyenze uma kutholakala into efana nale.
Kwenziwa kanjani ukuhlinzwa?
Ungesabi ukuhlinzwa. Uma usuzazi izinyathelo ezihilelekile, ukwesaba kwakho kuzonyamalala.
1. I-Anesthesia: Okokuqala, uzonikezwa i-anesthesia ejwayelekile, ezokulalisa ngokuphelele ukuze ungezwa ubuhlungu.
2. Ukusikwa: Udokotela uzobe esesika kathathu noma kane esiswini.
3. Ukufakwa kwekhamera: Ikhamera encane ebizwa ngokuthi i-laparoscope ifakwa ngenye yezimbobo. Lokhu kuvumela izitho ezingaphakathi ukuthi zibonwe kahle ku-3D kusikrini.
4. Ukwanda kwesisu: Okulandelayo, kufakwa inani elincane legesi ye-carbon dioxide engenangozi esiswini ukuze ifuthwe. Lokhu kudala isikhala ngaphakathi, okwenza kube lula ukwenza ukuhlinzwa.
5. Ukuhlinzwa: Udokotela manje usebenzisa ingalo yerobhothi elawulwa yikhompyutha ukulungisa i-hernia. Lokhu kungase kuhilele ukuthungwa noma ukusetshenziswa kwe-mesh ekhethekile ukuqinisa indawo.
6. Ukuvalwa: Uma umsebenzi usuqediwe, imivimbo emincane ivalwa ngezithungo ezincibilikayo noma izithungo ezivamile.
Isikhathi esidingekayo salokhu kuhlinzwa siyahlukahluka kuye ngohlobo lwe-hernia. Nakuba ukuhlinzwa okulula kungathatha cishe imizuzu engama-30, ukuhlinzwa okuyinkimbinkimbi kungathatha amahora amaningana.
Yiziphi izinzuzo zokuhlinzwa kwerobhothi?
Le ndlela inezinzuzo eziningana uma kuqhathaniswa nokuhlinzwa okuvulekile.
- Ukubona okucacile: Udokotela angabona ngaphakathi ku-3D, kucace kakhulu kunezithombe ze-2D zokuhlinzwa okuvamile kwe-laparoscopic. Lokhu kwenza ukuhlinzwa kube okunembe kakhulu.Kungenziwa.
- Ukunemba: Izandla zamarobhothi zingahamba ngokukhululeka, ngobunono, futhi ngaphandle kokudlikiza kunesandla somuntu.
- Izibazi ezincane: Esikhundleni sesibazi esikhulu sokusikwa, kunezibazi ezimbalwa ezincane kuphela.
- Ubuhlungu obuncane: Kunobuhlungu obuncane kakhulu ngemva kokuhlinzwa kunangemva kokuhlinzwa okuvulekile.
- Ukululama okusheshayo: Ungalulama ngokushesha futhi uqalise imisebenzi evamile.
Ingabe zikhona izingozi noma izinkinga?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile. Kodwa-ke, inqubo ephephile kakhulu. Ezinye zezinkinga ezingaba khona zifaka:
- Ukopha .
- Ukusabela ekubulaweni yizinzwa.
- Ukuqongelela koketshezi (i-Seroma) noma ukuqongelela kwegazi (i-Hematoma) endaweni yokuhlinzwa.
- Ukutheleleka kwenxeba.
- Ukulimala kwezicubu noma izitho ezizungezile (lokhu akuvamile kakhulu).
- Ukuphinda kuvele i-hernia.
Kuvamile ukuba nobuhlungu amasonto ambalwa ngemva kokuhlinzwa, kodwa uma ubuhlungu buqhubeka isikhathi esingaphezu kwezinyanga ezintathu , kufanele nakanjani utshele udokotela wakho.
Yini okufanele ngiyilindele ngemva kokuhlinzwa?
Udokotela wakho uzokunikeza iseluleko esiqondile ngesikhathi sakho sokululama.
- Ukuphuma esibhedlela: Ezimweni eziningi, ungaya ekhaya ngalolo suku. Kodwa-ke, uma une-operation eyinkimbinkimbi, kungadingeka uhlale esibhedlela cishe usuku lonke. Ungashayeli imoto endleleni eya ekhaya , bese uhamba nomunye umuntu.
- Isikhathi sokululama: Ngokuvamile, uzokwaziswa ukuthi ugweme ukuphakamisa izinto ezisindayo noma umsebenzi onzima amasonto amabili kuya kwamane.
- Ukubuyela emsebenzini: Ungaqhubeka nomsebenzi olula, njengomsebenzi wasehhovisi, ezinsukwini ezimbalwa. Kodwa-ke, ukuphakamisa izinto ezisindayo kungathatha isikhathi eside.
Kufanele ngimbone nini udokotela?
Uma unezinye zalezi zimpawu ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha:
- Uma unomkhuhlane, ubanda futhi uqhaqhazela.
- Uma ungakwazi ukuphuma umoya noma ukuphuma kwesisu.
- Uma ubomvu buphuma esilondeni.
- Uma inxeba libomvu, livuvukile, lishisa, futhi libuhlungu.
- Uma igazi liphuma enxebeni phezu kwebhandeji.
Kubaluleke kakhulu: Uma uzwa ubuhlungu, ukuvuvukala okungazelelwe, ukubomvu, noma ukufudumala emlenzeni wakho (ikakhulukazi ngemuva kwedolo) , okungaba uphawu lokuqhekeka kwegazi emlenzeni wakho ( Deep Vein Thrombosis – DVT ), hamba ngokushesha esibhedlela esiseduze noMnyango Wezimo Eziphuthumayo (ETU).
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-hernia yerobhothi kuyinqubo yesimanje nephephile eyenziwa ngokusika okuncane, kusetshenziswa ikhamera ye-3D kanye nengalo yerobhothi.
- Le ndlela ayibuhlungu kakhulu, iphola ngokushesha, futhi ayishiyi izibazi ezinkulu njengokuhlinzwa okuvulekile okuvamile.
- Ukuhlinzwa akwenziwa yirobhothi, kodwa kwenziwa udokotela onolwazi olawula ubuchwepheshe berobhothi. Ngakho-ke asikho isidingo sokwesaba.
- Khuluma nodokotela wakho ngokucophelela mayelana nokuthi lokhu kuhlinzwa kulungile yini kuwe kanye nemiyalelo okudingeka uyilandele ngemva kokuhlinzwa.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile (umkhuhlane, ubuhlungu obukhulu, ukuvuvukala kwenxeba) ngemva kokuhlinzwa, funa iseluleko sezokwelapha ngokushesha.
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