Utshelwe yini ukuthi ufake i-mesh ku-hernia yakho? Ake sifunde ngale mesh yokuhlinzwa!

Nawe kungenzeka ukuthi utshelwe udokotela ukuthi "i-mesh" idinga ukufakwa i-hernia noma ukuqinisa indawo ebuthakathaka esiswini sakho. Kujwayelekile ukuzizwa ukhathazekile kancane uma uzwa lokho. Kodwa uma wazi kahle ukuthi iyini le "mesh" noma, njengoba odokotela beyibiza, i-surgical mesh nokuthi yenzani, ukwesaba kwakho nokungabaza kuzoncipha kakhulu. Ngakho-ke, namuhla, ake sixoxe ngale mesh yokuhlinzwa ngamagama alula.

Iyini le mesh yokuhlinzwa?

Kalula nje, i-mesh yokuhlinzwa iyi-mesh esetshenziselwa ukuqinisa izicubu zomzimba ezibuthakathaka noma ezonakele. Kufana nokusebenzisa indwangu entsha ukuqinisa endala. Ivame ukusetshenziselwa ukulungisa izindawo ezibuthakathaka esiswini sakho (esiswini) noma endaweni ye-groin.

Le mesh ivame ukwenziwa ngezinto zokwenziwa ezenziwe ngumuntu, kodwa ngezinye izikhathi yenziwa ngezicubu zezilwane. Udokotela ohlinzayo wenza i-incision emzimbeni wakho bese efaka imesh. Ngemuva kwalokho, njengoba umzimba wakho uphola, izicubu ezintsha ziyakhula zizungeze imesh. Cabanga ngayo njengomuthi okhula ocingweni lwensimbi, noma njengokugcwalisa usimende nxazonke kwe-rebar lapho kuthululwa ukhonkolo. Lena yindlela imesh eqinisa ngayo indawo.

Abanye abantu bakubiza ngokuthi "i-abdominal mesh", futhi ngenxa yokuthi isetshenziselwa ama-hernia, ibizwa nangokuthi "i-hernia mesh".

Iyini i-mesh yokuhlinzwa esetshenziselwa yona?

Odokotela bavame ukuncoma i-mesh yokuhlinzwa uma une -hernia . I-hernia imane nje iwukuphuma kwesitho noma izicubu emzimbeni wakho endaweni ebuthakathaka emisipheni noma kwezinye izicubu. Cabanga ngayo njengepayipi eliphuma endaweni ebuthakathaka ethayini.

Odokotela abahlinzayo bangavala lezi zindawo ezibuthakathaka ngezithungo. Kodwa-ke, ngezinye izikhathi, ngokuhamba kwesikhathi, ngenxa yokucindezeleka kwemisebenzi yansuku zonke, izithungo zingaphinde zikhululeke. Yilapho-ke i-mesh yokuhlinzwa isisiza khona. Inikeza amandla engeziwe endaweni evaliwe, isiza ukugcina imisipha ebuthakathaka ingaphinde ikhululeke.

Le mesh yokuhlinzwa yenziwe ngani?

I-mesh yokuhlinzwa yenziwe ngezinto ezahlukahlukene. Lokhu kungaba ama-polymer okwenziwa noma ama-biopolymer . Ama-polymer okwenziwa yizinto ezenziwa abantu emafektri, ngokuvamile ngophethiloli. Ama-biopolymer yizinto ezivela kumaseli aphilayo.

Izinto ezisetshenziswayo zingafaka:

• Ama-polymer okwenziwa adonswayo - iziboneloI-polyglycolic acid noma i-polycaprolactone .
• I-Biologic - i-collagen engenamangqamuzana etholakala ezinkomeni noma ezingulubeni.
• Inhlanganisela - Inhlanganisela yanoma yiziphi ezintathu zalezi zinto.
• Ama-polymer okwenziwa angamuncwa - isibonelo yi -polypropylene . Lena yiyo esetshenziswa kakhulu.

Le mesh iza ngezimo ezahlukene. Ezinye zilukiwe , ezinye zilukiwe .

I-mesh yokuhlinzwa ethungiwe yenziwe ngentambo eyodwa ehlanganisiwe. Ibukeka njengejezi elithungiwe. Lolu hlobo lwe-mesh luyaguquguquka futhi lunezimbobo, luvumela izicubu ukuba zikhule zibe yi-mesh.

I-mesh yokuhlinzwa elukiwe inezintambo ezilukiwe ngaphezulu, ngaphansi, nangaphandle komunye nomunye ngendlela yephethini yebhodi lokuhlola. Isebenza njenge-wire mesh esetshenziselwa ukuqinisa ukhonkolo emigwaqweni nasezindlini. Izakhiwo ze-mesh elukiwe ziyafana yonke indawo . Lokhu kusho ukuthi isikwele ngasinye ku-mesh singamelana nenani elifanayo lokucindezeleka kanye nengcindezi.

I-mesh yokuhlinzwa ihlala isikhathi esingakanani?

Lokhu kuyahlukahluka kuye ngohlobo lwe-mesh esetshenzisiwe.

Uma ubeka i -mesh engamuncwa emzimbeni wakho , izoqina unomphela futhi inamathele emisipheni noma ezicutshini zakho.

I-mesh emuncwayo ayihlali isikhathi eside. Ngokuhamba kwesikhathi, umzimba wakho uzoyimunca kancane kancane bese ukhulisa izicubu noma imisipha emisha endaweni yayo.

Uhlobo ngalunye lwe-mesh lunezinzuzo nezinkinga zalo. Udokotela wakho ohlinzayo uzokhetha uhlobo olukufanele futhi akuchazele izinzuzo nezinkinga zalo ngalunye. Ungabuza noma yimiphi imibuzo onayo ngaleso sikhathi.

Udokotela ohlinzayo uyifaka kanjani i-mesh yokuhlinzwa?

Lokhu kuzohluka kuye ngohlobo lokuhlinzwa kwe-hernia okwenzayo. Kodwa ngokuvamile, udokotela ohlinzayo uzokwenza okulandelayo:

1. Uma uhlinzwa ngokuvulekile , kuzosikwa okukodwa, okungamasentimitha ambalwa ubude. Ngaphandle kwalokho, uma uhlinzwa nge-laparoscopic noma nge-robotic , kuzosikwa izimbobo eziningana ezincane.

2. Okulandelayo, izicubu ezihlungiwe zibuyiselwa endaweni yazo bese indawo ebuthakathaka yomsipha ivalwa nge -sutures .

3. Bese, ukuze kuqiniswe indawo edaliwe , i-mesh yokuhlinzwa ibekwa ngaphansi, phakathi, noma ngaphezulu komsipha bese iqiniswa.

4. Ekugcineni, izimbobo ziyavalwa futhi ngezithungo.

Ibekwe kuphi i-mesh yokuhlinzwa?

Lokhu kuncike endaweni kanye nobunzima be-hernia yakho. Udokotela ohlinzayo angabeka i-mesh kulezi zindawo ezilandelayo:

• Phakathi kwamathumbu akho nodonga lwesisu.
• Phakathi kwezingqimba zemisipha yodonga lwesisu sakho.
• Ngaphandle kodonga lwesisu sakho.

Udokotela wakho uzochaza lokhu kuwe ngesikhathi sokubonisana ngaphambi kokuhlinzwa.

Yiziphi izinzuzo nezingozi ze-mesh yokuhlinzwa?

Inzuzo enkulu ukuthi i-mesh yokuhlinzwa ngokuvamile iyindlela yokwelapha i-hernia ephephile, esebenza kahle, futhi esetshenziswa kabanzi. Futhi, ingozi yokuthi i-hernia ibuye ngemva kokufakwa kwe-mesh iphansi kakhulu.

Kodwa-ke, njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezithile ezihilelekile. Nazi izingozi ezihlobene ne-surgical mesh :

• Ukutheleleka .
• I-mesh yokuhlinzwa yokwenziwa engamuncwa ngezinye izikhathi ingaqhuma futhi ibangele ukuthi imisipha iphinde ihlasele (ukuphinda kwe-hernia) .
• Akuvamile kakhulu, i-mesh ebekwe eduze kwezitho zomzimba ingaguguda ezinye izitho zomzimba, njengamathumbu noma esinyeni somchamo.
• I-mesh ayinamathele kahle ezicutshini zemisipha yakho.

Lezi zingozi ziphansi kakhulu . Kodwa-ke, ngaphambi kokuhlinzwa, wena nodokotela wakho kufanele nixoxe ngezinzuzo nezinkinga zokuhlinzwa nokungasebenzisi i-mesh. Ezimweni eziningi, udokotela ohlinzayo uzonquma ukulungisa i-hernia bese efaka i-mesh uma izingozi kuwe zinkulu kunezingozi zokungalungisi i-hernia nokungasebenzisi i-mesh. Isibonelo, uma une-hernia, ingaholela ezimweni ezimbi njengokuvaleka kwamathumbu noma ukuklinywa kwamathumbu , okungadinga ukuhlinzwa okuphuthumayo. Kodwa-ke, abantu abaningi balungisa i-hernia ngenxa yobuhlungu nomthelela ezingeni labo lokuphila.

Ezinye izingozi ezivamile zokuhlinzwa yilezi:

• Izinkinga ze-anesthesia .
• Ukopha ngokweqile .
• Ubuhlungu obungapheli noma ukungezwani endaweni yokuhlinzwa, okungenzeka ukuthi kungenxa yokulimala kwemizwa.

Kuzongithatha isikhathi esingakanani ukuthi ngilulame?

Lokhu kuzohluka kuye ngohlobo lwe-hernia, ubukhali bayo, kanye nohlobo lokuhlinzwa oye wakwenza. Kodwa ngokuvamile, uzokwazi ukubuyela emsebenzini noma esikoleni cishe ngesonto.Kodwa uma wenza umsebenzi onzima ngokomzimba, noma uma i-hernia yakho inkulu, kungase kudingeke uphumule isikhashana. Udokotela wakho ohlinzayo uzokhuluma nawe ngalokhu.

Kusukela ngosuku olulandela ukuhlinzwa, ungenza izivivinyo ezilula, njengokuhamba, ngangokunokwenzeka. Kufanele ulinde okungenani amasonto amabili ngaphambi kokwenza izinto ezifana nokugijima, ukugibela ibhayisikili, noma ukubhukuda. Kungadingeka ulinde izinyanga eziningana ngaphambi kokwenza izivivinyo ezinomthelela omkhulu, njengokugijima ngejubane, ukudlala imidlalo, noma ukuphakamisa izinsimbi.

Yini engingayenza ukuze isikhathi sokululama nge-mesh yokuhlinzwa sibe lula?

Ngemva kokuhlinzwa, ungenza okulandelayo ukuze kube lula ukululama kwakho:

• Gwema ukuzikhandla uma uya endlini yangasese.
• Phuza uketshezi oluningi, okuhlanganisa namanzi.
• Phuza imithi yobuhlungu njengoba udokotela wakho ekuyalele.
• Hamba ngezinyawo isikhathi esifushane nsuku zonke. Kuzokwenza ngcono ukujikeleza kwegazi lakho futhi kube lula ukukhipha indle nokuchama.

Kufanele ngimbone nini udokotela?

Ngemva kokufakwa kwe-mesh yokuhlinzwa, bona udokotela ngokushesha uma unezinye zalezi zimpawu:

• Ubuhlungu obukhulu .
• Izimpawu zokutheleleka : ukushintsha kombala kwendawo yokusikwa (obomvu, onsomi, onsundu, noma omnyama), umkhuhlane, noma uketshezi olufana nobomvu oluphuzi oluphuma esisikweni.
• Izimpawu ze-Irritable Bowel Syndrome : Ukuqunjelwa, uhudo, igesi kanye nokuqunjelwa.

Okokugcina, into ebaluleke kakhulu

Kujwayelekile ukuzizwa ukhathazekile futhi wesaba kancane uma uzohlinzwa i-hernia. Kodwa-ke, khumbula ukuthi i-surgical mesh iyithuluzi lezokwelapha elisetshenziswa kabanzi nelisebenzayo elinciphisa amathuba okuthi i-hernia ibuye. Udokotela wakho ohlinzayo uzokuchazela izinketho ezinhle kakhulu futhi akuncomele okungcono kakhulu ngokusekelwe esimweni sakho kanye nezintandokazi zakho. Bazokutshela nokuthi yini ongayilindela ngesikhathi sokululama kwakho nokuthi yini okufanele uyenze uma kuvela izinkinga. Uma unemibuzo noma ukukhathazeka, ungangabazi ukubuza udokotela wakho.

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