Ingabe i-hernia yakho iklinyiwe? Iyini? Ingabe iyingozi? Ake sithole!

Cishe uke wezwa 'nge-hernia', akunjalo? Ngezinye izikhathi sizwa ukuthi omunye wezihlobo zethu noma abangani bakhe usenayo. Esikhathini esiningi, lapho sizwa nge-hernia, abanye abantu bacabanga ukuthi akuyona into enkulu kangako. Kodwa-ke, ama-hernia nawo anohlangothi oluyingozi, futhi yilapho i-hernia iba 'yi-strangulated'. Namuhla, sizokhuluma ngalokho okwenzekayo lapho i-hernia iba yi-strangulated, okusho ngokwezokwelapha, lapho kuvela i-hernia (eyi-strangulated) . Lokhu akuyona into okufanele ithathwe kalula, ngoba lesi yisimo esiphuthumayo esingathinta impilo.

Iyini ngempela i-hernia eklinyiwe?

Kalula nje, i-hernia yilapho izicubu ezingaphakathi kwesisu sethu, ngezinye izikhathi amathumbu, ziphuma endaweni ebuthakathaka odongeni lwesisu. Ibukeka njengeqhubu elincane uma ulibuka ngaphandle, futhi ungalizwa. Ngezinye izikhathi ungalicindezela leli qhubu libuyele ngaphakathi, noma lizobuyela ngaphakathi lodwa.

Kodwa, le hernia ivinjiwe, okusho ukuthi ukugeleza kwegazi kuleyo ngxenye ephumayo yezicubu, ikakhulukazi engxenyeni yamathumbu, kuyayeka . Uyazi, zonke izicubu emzimbeni wethu zidinga umoya-mpilo ukuze ziphile, nokuthi umoya-mpilo uthwalwa yigazi. Ngakho-ke lapho ukugeleza kwegazi kuma, lezo zingxenye zezicubu azitholi umoya-mpilo. Khona-ke lezo zicubu ziqala ukufa . Odokotela bakubiza lokhu ngokuthi (i-Necrosis) . Lokhu kufa kwezicubu kungabangela izimo ezimbili eziyingozi kakhulu:

1. (I-Gangrene ): Lokhu kusho ukuthi izicubu zibolile.

2. (I-Sepsis ): Lokhu kusho ukuthi amagciwane asakazeke emzimbeni wonke futhi izinhlelo zomzimba ziqala ukungasebenzi kahle.

Zombili lezi zimo zisongela ukuphila. Kodwa, qiniseka, akuwona wonke ama-hernia aboshwa kanje. Kuthatha isikhathi ukuthi lokho kwenzeke. Sizoxoxa ngokuthi lokho kwenzeka kanjani ngesikhashana.

Wazi kanjani ukuthi i-hernia ivalekile? Ziyini izimpawu?

Uma une-hernia futhi usola ukuthi iklinyiwe, qaphela lezi zimpawu:

• Iqhubu esiswini noma embotsheni yakho lingaba buhlungu kakhulu. Ungase ungakwazi ukulifaka ngaphambili, kodwa ungase ungakwazi ukwenza kanjalo manje.
• Kuza isicanucanu nokuhlanza.
• Ubuhlungu obukhulu esiswini noma embotsheni. Lobuhlungu buyanda kancane kancane futhi abunciphi.
• Umbala wesikhumba uyashintsha lapho kukhona khona iqhubu. Indawo ingaba bomvu, nsomi, noma ibe mnyama kunokujwayelekile.

Into ebaluleke kakhulu: Uma unezinye zalezi zimpawu, kufanele uye esibhedlela ngokushesha ngaphandle kokuchitha isikhathi.

Kuthatha isikhathi esingakanani ukuthi i-hernia iboshwe?

Lesi yisimo esiyingozi kakhulu. Ingxenye yamathumbu ebhajwe ku-hernia ingalahlekelwa igazi layo bese iqala ukufa zingakapheli amahora amane. Yingakho ukwelashwa okusheshayo kubaluleke kangaka.

Kungani i-hernia inamathela kanje? Iyini imbangela?

Okokuqala, ake siqonde ukuthi i-hernia yakheka kanjani. Isisu sethu sizungezwe udonga olwenziwe ngemisipha. Ezinye izingxenye zalolu donga zingaba buthakathaka. Bese kuthi, izicubu ezingaphakathi kwesisu, izingxenye zamathumbu, njll., ziphume zidlule kuleyo ndawo ebuthakathaka. Yilokho esikubiza ngokuthi i-hernia. Bese kuthi, ibukeke njengeqhubu elivela ngaphandle.

Manje, ngezinye izikhathi le hernia ephumile ayikwazi ukubuyela futhi ingabhajwa kuleyo ndawo ebuthakathaka. Lokhu kubizwa ngokuthi (i-Incarcerated Hernia) . Kuleli qophelo, igazi lisageleza, ngakho akuyona inkinga enkulu. Kodwa-ke, njengoba le hernia eboshiwe ikhula kancane kancane, ingcindezi evela emisipheni yesisu ingacindezela imithambo yegazi eya ezicutshini ezingaphakathi kwe-hernia. Njengalapho ucindezela ipayipi lamanzi kakhulu, amanzi ayayeka ukugeleza. Yilapho ukugeleza kwegazi kuyeka ngokuphelele, futhi i-hernia iba yisimo esiyingozi esibizwa ngokuthi "i-hernia eklinyiwe."

Cabanga nje, uMalume uSumanapala edolobhaneni lakithi wayene-hernia embotsheni yakhe kusukela esemncane. Akazange ayinake kakhulu. Wacabanga, "Yilokho kanye okwenzekayo." Wabuye wenza umsebenzi onzima. Ngolunye usuku, waba nobuhlungu besisu obungabekezeleleki futhi waqala ukuhlanza. Indawo lapho iqhubu lalikhona esiswini sakhe yaba bomvu futhi yaba buhlungu. Yilapho odokotela bathi, "I-hernia ibambekile futhi idinga ukuhlinzwa ngokushesha." Ngenhlanhla, wayiswa esibhedlela ngokushesha, ngakho wasinda. Kodwa ukube kwakuphuzile kancane... angikwazi ngisho nokucabanga.

Udokotela uhlonza kanjani ngokunembile i-hernia eklinyiwe?

Uma uya esibhedlela, udokotela uzoqala ngokukuhlola ngokomzimba . Bazokubuza ngezimpawu zakho kanye nanoma yiziphi izifo oke waba nazo ngaphambilini. Bese benza ezinye izivivinyo, ezifana nalezi:

Ukuhlolwa kokuxilonga lesi sifo

• Inani Eliphelele Legazi (i-CBC) kanye ne-Basic Metabolic Panel (i-BMP) : Lokhu kuhlola inani lamaseli amhlophe egazi egazini lakho (ukuhlola ukutheleleka) kanye nezinye izinto ezibalulekile egazini lakho.
• I-CT Scan (I-Computed Tomography - I-CT scan) : Lokhu kungasibona kahle isimo se-hernia, kungakhathaliseki ukuthi izingxenye zamathumbu zivaliwe noma zonakele.
• I-Ultrasound Yesisu : Lokhu kunganikeza nombono othile nge-hernia kanye nezicubu ezizungezile.

Uphatha kanjani i-hernia eklinyiwe?

Ukwelashwa okuyinhloko nokuwukuphela kwakho kwe-hernia eklinyiwe ukuhlinzwa . Ngokuvamile, kubizwa ngokuthi ukuhlinzwa kokulungisa i-hernia evulekile .

Kulokhu, udokotela ohlinzayo wenza ukusika okuncane lapho kukhona khona i-hernia bese ebeka ngokucophelela izicubu ezivalelekile ngaphakathi esiswini. Bese kuthi indawo ebuthaka odongeni lwesisu ivalwe ngezitishi. Ngezinye izikhathi, isakhiwo esifana ne-mesh sisetshenziswa ukuqinisa imisipha.

Kodwa-ke, uma i-hernia ibanjwa futhi ingxenye yamathumbu incishiswa igazi bese yonakala bese ifa, khona-ke ingxenye yamathumbu eyonakele kuzodingeka isuswe.Kungase kudingeke ukuthi uhlinzwe ngokuhlinzwa kwamathumbu amancane noma ngokuhlinzwa ngokuhlinzwa kwamathumbu amakhulu . Lokhu ukuhlinzwa okukhulu.

Ingabe zikhona izinkinga zokuhlinzwa kwe-hernia?

Njenganoma yikuphi ukuhlinzwa, ukuhlinzwa kokulungisa i-hernia eklinyiwe kunezingozi ezithile, noma izinkinga. Kodwa-ke, lokhu akwenzeki kuwo wonke umuntu.

• Ukulimala kwemithambo yegazi, ezinye izitho zomzimba, noma izicubu eziseduze nendawo yokuhlinzwa.
• I-Hematoma (ukuqongelela kwegazi ngaphansi kwesikhumba) endaweni yokuhlinzwa.
• Ukuqongelela koketshezi ngaphansi kwesikhumba endaweni yokuhlinzwa (i-Seroma).
• Ukutheleleka Kwendawo Yokuhlinzwa .

Uma kwenzeka into efana nale, odokotela bazokunikeza ukwelashwa okudingekayo.

Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa?

Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa ngemva kokuhlinzwa. Isikhathi esithathayo ukuze ululame ngokuphelele ngemva kokuhlinzwa ukuze kulungiswe i-hernia eklinyiwe siyahlukahluka kuye ngomuntu nomuntu. Kuya ngesimo sakho kanye nohlobo lokuhlinzwa.

Ngokuvamile uzokwazi ukuqhubeka nemisebenzi yakho yansuku zonke zingakapheli izinsuku ezimbalwa ngemuva kokuhlinzwa kwe-hernia. Kodwa-ke, ukuphakamisa okunzima kuzoba yinto engavunyelwe okwesikhashana. Uma ukuphakamisa kubalulekile emisebenzini yakho yansuku zonke, khuluma nodokotela wakho ohlinzayo ngakho. Uzokutshela ukuthi kuzohlala isikhathi esingakanani kuphephile ukuphakamisa izinsimbi.

Kodwa-ke, njengoba ngishilo ekuqaleni, uma uhlinzwe ukuze kususwe ingxenye yamathumbu eyonakele, kungathatha amasonto ayisithupha ukululama. Udokotela wakho uzochaza ukuthi yini okufanele uyilindele, yini okufanele uyenze, nokuthi yini okungafanele uyenze ngesikhathi sokululama kwakho.

Yini ongayilindela uma une-hernia eklinyiwe?

I-hernia eboshiwe ivame ukuphela ngemva kokuhlinzwa. Kodwa-ke, kungenzeka ukuthi i-hernia ibuye futhi. Uma uke wahlinzwa i-hernia ngaphambili futhi unezimpawu ze-hernia futhi, bona udokotela ngokushesha. Uma i-hernia entsha itholakala futhi yelashwa ngokushesha, ingavinjelwa ukuthi iboshwe.

Lingakanani izinga lokusinda komuntu one-hernia eklinyiwe?

Lokhu kungase kuzwakale kuyesabisa, kodwa kubalulekile ukwazi iqiniso. Uma uthola ukwelashwa ngokushesha, amathuba akho okusinda ayanda. Kodwa lokho kungahluka kuye ngempilo yakho jikelele, ubudala, nokuthi ngabe kwadingeka yini ukuthi kukhishwe ingxenye yamathumbu akho noma cha.

Uma ingelashwa, lesi simo siyingozi kakhulu. Uma i-hernia eklinyiwe ibangela i-sepsis (ukutheleleka okusabalala emzimbeni wonke) noma i-gangrene (ukufa kwezicubu), ingaba yingozi.

• Ezimweni ze -gangrene ebangelwa ukutheleleka ngamagciwane, ukufa kungavela zingakapheli amahora angu-48 .
• I-Sepsis iwukusabela ngokweqile komzimba wethu ekuthelelekeni. Uma ingelashwa, ingaholela ekushayweni okukhulu kwe-sepsis.Uma kwenzeka isimo, okungukuthi, ukushaqeka kwe-septic, ukufa kungenzeka zingakapheli amahora ayi-12 .

Yingakho ngithi njalo, uma unezimpawu ze-hernia eklinyiwe, hamba uye esibhedlela ngokushesha .

Ingabe i-hernia ingavinjelwa ukuthi ingaboshwa?

Yebo, kungavinjelwa! Lezi yizindaba ezinhle kakhulu. Uma ucabanga ukuthi une-hernia, khuluma nodokotela ngayo. Uzokuhlola futhi akutshele ukuthi udinga ukuhlinzwa noma cha. Amanye ama-hernia awavalelwa ngokushesha, kodwa amanye avame ukuvalelwa. Ngakho-ke, kungcono ukufuna iseluleko kudokotela. Ngemuva kwalokho i-hernia ingalungiswa ngaphambi kokuba ivalelwe noma iklinywe.

Kufanele ngimbone nini udokotela?

Uma une-hernia, qiniseka ukuthi ubona udokotela ukuze uxoxe ngokwelashwa.

Kodwa-ke, uma ucabanga ukuthi i-hernia yakho iklinyiwe, okusho ukuthi unalezi zimpawu, iya ekamelweni lezimo eziphuthumayo esibhedlela esiseduze ngokushesha. Noma shayela u-1990 (inombolo yezimo eziphuthumayo).

• Ubuhlungu obungazelelwe, obukhulu.
• Ukushintsha kombala wesikhumba esizungeze iqhubu esiswini noma endukwini (kuqala kube mhlophe, bese kuba mnyama noma kube bomvu/bubende).

Okokugcina, into ebaluleke kakhulu okufanele uyikhumbule (Umyalezo Wokuya Ekhaya)

I-hernia elula ivame kakhulu futhi esikhathini esiningi, ayiyona ingozi kakhulu. Kodwa-ke, i-hernia eklinyiwe iyisimo esiphuthumayo sezokwelapha esingavamile kodwa esiyingozi kakhulu, esisongela ukuphila.

Uma ucabanga ukuthi une-hernia, ungangabazi ukukhuluma nodokotela ngayo. Ungahlali nje lapho uzibuza, "Kuyini lokho?" Udokotela wakho uzochaza ukuthi kungenzeka kangakanani ukuthi i-hernia yakho iboshwe nokuthi yini ongayenza ukuze uyivimbele. Ukuthatha isinyathelo esisheshayo kungasindisa impilo yakho.

I- Hernia, I-Hernia Eklinyiwe, Ukuklinywa Kwamathumbu, Ukuhlinzwa Kwe-Hernia, Ukwelashwa Okuphuthumayo, Ubuhlungu Besisu