Ingabe udokotela ukutshelile ukuthi une - hernia ? Uma kunjalo, kungenzeka ukuthi ukutshelile ukuthi udinga ukuhlinzwa ngayo, nokuthi ngaleso sikhathi, kuzofakwa "i-mesh" (into efana ne-net) ukuze kuqiniswe indawo ebuthakathaka esiswini. Lapho abanye abantu bezwa igama elithi "mesh", baqala ukwesaba kancane, becabanga ukuthi, "Lokhu kuzofaka ini emzimbeni wami?" Lokho kuvamile kakhulu. Ngakho-ke namuhla, ake sithole izimpendulo zayo yonke imibuzo mayelana nalokhu, kuyini, kungani kusetshenziswa, nokuthi yiziphi izinzuzo nezingozi. Ake sixoxe ngakho konke kalula.
Kalula nje, iyini i-mesh yokuhlinzwa?
I-mesh yokuhlinzwa uhlobo lwenethi eqinile. Isetshenziselwa ukuqinisa izicubu ezibuthakathaka noma ezonakele emizimbeni yethu, ikakhulukazi esiswini noma emiseleni. Cabanga ngakho njengokuthunga indwangu eqinile ngaphansi kwendwangu endala, ephukile.
Le mesh ifakwa udokotela ohlinzayo ngokusikwa emzimbeni wakho. Ngemuva kwalokho, njengoba umzimba wakho uphola, izicubu zakho zikhula ngaphakathi kwemesh bese zibanjwa yiyo. Kufana nezimpande zomuthi eduze kodonga ezibamba udonga futhi ziluqinise, noma njenge-wire mesh esetshenziselwa ukuqinisa ukhonkolo. Lokhu kunikeza imisipha ebuthakathaka amandla amaningi.
Lezi ngezinye izikhathi zibizwa nangokuthi:
- I-mesh yesisu
- I-Hernia mesh
Kungani usebenzisa le mesh?
I-mesh yokuhlinzwa ivame ukusetshenziselwa ukwelapha i-hernia. I-hernia yisimo lapho isitho noma izicubu zomzimba wethu zidlula endaweni ebuthakathaka odongeni lwemisipha . Cabanga ngale ndlela: uma kukhona imbobo encane ethayini, ipayipi liphuma njengebhamuza, akunjalo? Kuyinto efana naleyo.
Odokotela abahlinzayo bangamane bathunge indawo ebuthaka ivalwe. Kodwa-ke, ngokuhamba kwesikhathi, ngokucindezela kwemisebenzi yansuku zonke , imithungo izophinde ikhululeke, futhi i-hernia cishe izophinde ivele endaweni efanayo.
Yingakho odokotela abahlinzayo besebenzisa i-mesh. Uma i-mesh ifakwa, imisipha ebuthakathaka ithola amandla engeziwe. Ngakho-ke, ingozi yokuphinda i-hernia inciphe kakhulu.
Lolu hlobo lwendwangu lwenziwe ngalo le mesh?
Kunezinhlobo eziningana ze-mesh yokuhlinzwa. Zingahlukaniswa ngezigaba ezimbili eziyinhloko ngokusekelwe ezintweni ezenziwe ngazo: ezokwenziwa kanye nezebhayoloji. Lezi zingafika ngezindlela ezilukiwe noma ezithungiwe.
Ake siqonde lezi zinhlobo ngokucacile kusukela kuthebula elingezansi.
| Uhlobo lwe-Mesh | Incazelo |
|---|---|
| I-mesh yokwenziwa engamuncwa | Lezi yizona ezisetshenziswa kakhulu. Isibonelo, zenziwe ngezinto ezibizwa ngokuthi (i-Polypropylene) . Lezi zihlala njalo emzimbeni, azincibiliki. Zinikeza amandla ahlala njalo. |
| I-mesh yokwenziwa emuncwayo | Lolu hlobo lwe-implant luyancibilika futhi lumuncwa ngumzimba ngokuhamba kwesikhathi. Njengoba luncibilika, izicubu ezintsha neziqinile ziyakhula endaweni yalo. Lezi azihlali emzimbeni unomphela. |
| I-Biological Mesh (i-Biologic) | Lezi zenziwe ngezicubu zezilwane (zengulube noma zenkomo). Kodwa-ke, amaseli akulezo zicubu asuswa ngokuphelele, kushiye uhlaka lwe-collagen kuphela. Nalokhu kuyamuncwa ngumzimba ngokuhamba kwesikhathi. |
| I-Composite Mesh | Lezi zinhlobo ze-mesh ezenziwe ngokuhlanganisa uhlobo olulodwa noma ngaphezulu olushiwo ngenhla. |
Udokotela wakho ohlinzayo uzonquma ukuthi yiluphi uhlobo lwe-mesh olukulungele. Uzokuchazela izinzuzo kanye nokungalungi kohlobo ngalunye.
Ukufaka kanjani lokhu emzimbeni ngesikhathi sokuhlinzwa?
Lokhu kuncike ohlotsheni lokuhlinzwa kwe-hernia okwenzayo. Ngokuvamile, udokotela ohlinzayo uzolandela lezi zinyathelo:
1. Ukufaka ukusika:Ukuhlinzwa okuvulekile kwendabuko kusebenzisa ukusikwa okukodwa okungamasentimitha ambalwa. Ukuhlinzwa kwe-Laparoscopic noma ukuhlinzwa kwerobhothi kusebenzisa ukusikwa okuncane okuningana.
2. Ukulungiswa kwe-Hernia: Izicubu noma isitho esihlungiwe siyabuyiselwa endaweni yaso bese imbobo emisipheni ebuthakathaka ivalwa ngokuthunga.
3. Ukubeka i-mesh: Okulandelayo, ukuze kuqiniswe indawo eyayithungwe, i-mesh ibekwa ngaphansi, ngaphezulu, noma phakathi kwezingqimba zemisipha.
4. Ukuvala i-incision: Ekugcineni, i-incision noma i-incisions ezenziwe ngaphandle komzimba zivalwa ngezithungo.
Yiziphi izinzuzo kanye nezingozi ezingaba khona zale mesh?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezinzuzo kanye nezingozi ezincane kakhulu. Kodwa khumbula, ezimweni eziningi, izinzuzo zokwelashwa zidlula kakhulu izingozi.
Inzuzo eyinhloko
Inzuzo enkulu yalokhu ukuthi amathuba okuthi i-hernia iphinde ivele mancane kakhulu. Uma uyithunga nje ngaphandle kwe-mesh, ingaphinde yenzeke. Kodwa uma ufaka i-mesh, kubonakala sengathi iyisisombululo esihlala njalo senkinga. Futhi, lena yindlela yokwelapha ephephile kakhulu futhi ephumelelayo.
Izingozi ezingaba khona
Amathuba okuthi le ngozi yenzeke mancane kakhulu , kodwa kubalulekile ukuqaphela.
- Ukutheleleka : Njenganoma yikuphi ukuhlinzwa, ukusikwa kungatheleleka .
- Ukuphinda kwe-hernia: Akuvamile ukuthi i-mesh engamuncwa ingaqhekeka noma ikhululeke, okubangela ukuba imisipha iphinde iqhekeke.
- Ukulimala kwezitho ezizungezile: Akuvamile kakhulu, i-mesh ingangena ezithweni ezifana namathumbu noma esinyeni , okubangela umonakalo othile.
- I-mesh ayibophi nezicubu: Ngezinye izikhathi, i-mesh ingase ingabophi nezicubu zomzimba njengoba kulindelekile futhi iqine.
Ngaphezu kwalezi zingozi, kunezingozi eziningana ezivamile kunoma yikuphi ukuhlinzwa.
- Izinkinga ezihlobene nokubulala izinzwa.
- Ukopha ngokweqile.
- Ubuhlungu noma ukungakhululeki kwesikhathi eside okubangelwa ukulimala kwemizwa endaweni lapho kwenziwa khona ukuhlinzwa.
Into ebalulekile ukuthi udokotela ohlinzayo anqume ukulungisa i-hernia nge-mesh ngoba izingozi zokungakwenzi lokho zikhulu kakhulu. Isibonelo, i-hernia engelashwanga ingabangela ukuvaleka kwamathumbu noma ukuklinywa kwamathumbu, okungabangela ukuthi amathumbu angasebenzi kahle. Uma lokhu kwenzeka, kuyisimo esiphuthumayo nesisongela ukuphila.
Yini okufanele ngiyenze ukuze ngilulame ngokushesha ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, kuzodingeka uthathe izinyathelo zokuphepha uze ululame ngokugcwele. Isikhathi sokululama sizohluka kuye ngohlobo lwe-hernia yakho kanye nohlobo lokuhlinzwa okwenziwe. Ngokuvamile uzokwazi ukubuyela emisebenzini evamile cishe ngesonto.
Lezi zinto zizokusiza ukuthi ululame ngokushesha:
- Gwema ukuzikhandla lapho uya endlini yangasese: Qaphela ukuthi ungaqunjelwa.
- Phuza amanzi amaningi kanye noketshezi: Lokhu kuzovimbela ukuqunjelwa futhi kusize umzimba ukuthi usebenze kahle.
- Sebenzisa imithi yobuhlungu njengoba nje udokotela wakho ekuyalele: Uma ubuhlungu sebulawulekile, kuzoba lula ngawe ukuhamba nokunyakaza kancane.
- Hamba kancane nsuku zonke: Ukuhamba kancane ngangokunokwenzeka kusukela ngosuku olulandela ukuhlinzwa kuzothuthukisa ukujikeleza kwegazi futhi kusize inxeba ukuthi liphilise ngokushesha.
- Gwema ukuphakamisa izinsimbi: Gwema ukuphakamisa izinsimbi noma ukwenza ukuzivocavoca okunzima izinyanga ezimbalwa kuze kube yilapho udokotela wakho ekuyala.
Kufanele ngimshayele nini udokotela?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemuva kokubuyela ekhaya uvela ekuhlinzweni, kufanele ushayele udokotela wakho ucingo ngokushesha . Ngezinye izikhathi kungadingeka uye eMnyangweni Wezimo Eziphuthumayo (ETU) esibhedlela esiseduze nawe.
| Isibonakaliso | Izinto okufanele uziqaphele |
|---|---|
| Ubuhlungu obukhulu | Ubuhlungu obukhulu obungenakulawuleka noma obungabekezeleleki ngisho nangemithi yobuhlungu. |
| Izimpawu zokutheleleka | Umkhuhlane, isikhumba esibomvu, esinsomi, esinsundu noma esimnyama esizungeze indawo yokusikwa, ukuvuvukala okukhulu, kanye noketshezi oluphuzi olufana nobovu oluphuma endaweni yokusikwa. |
| Izinkinga zamathumbu | Izimpawu eziqhubekayo njengokuqunjelwa okukhulu, uhudo, ukuqunjelwa, kanye nokuqunjelwa ngokweqile. |
Kujwayelekile ukuzizwa ukhathazekile kancane uma ucabanga ngokuhlinzwa kwe-hernia. Kodwa-ke, i-surgical mesh iyithuluzi lezokwelapha elisebenza kahle kakhulu futhi elisetshenziswa kabanzi elivimbela ama-hernia ukuthi aphinde avele. Udokotela wakho ohlinzayo uzokunikeza ikhambi elingcono kakhulu lesimo sakho. Ngakho-ke ungesabi ukuxoxa nganoma yimiphi imibuzo onayo nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-mesh yokuhlinzwa iyithuluzi elifana ne-mesh elisetshenziselwa ukuqinisa imisipha ebuthakathaka ezimweni ezifana ne-hernias.
- Ukusebenzisa i-mesh kunganciphisa kakhulu ingozi yokuthi i-hernia iphinde ivele.
- Kunezinhlobo eziningana ze-mesh. Ezinye zihlala njalo, kanti ezinye ziyancibilika ngokuhamba kwesikhathi. Udokotela wakho uzonquma ukuthi yiluphi uhlobo olukufanele.
- Landela imiyalelo kadokotela kahle (hhayi ukuphakamisa izinsimbi, ukuphuza uketshezi oluningi, ukuhamba) ukuze ululame ngokushesha ngemva kokuhlinzwa.
- Uma ubona noma yiziphi izimpawu ezingavamile ngemva kokuhlinzwa, njengobuhlungu obukhulu, umkhuhlane, noma ukuphuma kobomvu esilondeni, yazisa udokotela wakho ngokushesha.
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