Uma udokotela wakho ekutshela ukuthi une-hernia, angakutshela nokuthi kuzofakwa "i-mesh" ngesikhathi sokuhlinzwa. Uma uzwa lokhu, ungase uzizwe wesaba kancane, "Iyini le mesh? Kulungile uma ingaphakathi emzimbeni?" Imibuzo eminingi ingase ifike engqondweni. Ungakhathazeki, lokhu kuvamile kakhulu. Namuhla, ake sixoxe ngokuthi iyini le mesh yokuhlinzwa, noma `(Surgical Mesh)`.
Kalula nje, iyini le mesh yokuhlinzwa?
I-mesh yokuhlinzwa iyindwangu eqinile ye-mesh. Isetshenziselwa ukuqinisa izicubu ezibuthakathaka noma ezonakele emzimbeni wethu, ikakhulukazi esiswini (esiswini) noma endukwini. Cabanga ngakho njengokuthi uma sinomfantu omncane odongeni lwethu, sifaka udoti othile kuwo, futhi ngezinye izikhathi sifaka into efana ne-mesh ukuze siyiqinise bese siyiplasta. Ngamanye amazwi, uma sithela ukhonkolo, sifaka i-wire mesh ukuze siyiqinise, akunjalo? Yilokho okwenzekayo ngale mesh.
Ngesikhathi sokuhlinzwa, udokotela ohlinzayo wenza i-incision emzimbeni wakho bese efaka le mesh. Ngemuva kwalokho, njengoba umzimba wakho uphola, izicubu zakho zikhula kancane kancane zibe mesh. Njengomuthi okhula ngentambo yocingo. Ngemuva kwalokho, indawo ebuthakathaka iyaqiniswa kakhulu. Lokhu ngezinye izikhathi kubizwa ngokuthi "i-Abdominal Mesh" noma "i-Hernia Mesh".
La manetha enziwe ngezinto ezinjani?
Lezi meshes zokuhlinzwa zingenziwa ngezinto ezahlukahlukene. Ezinye zenziwe ngokwenziwa, ezinye zenziwe ngezicubu zezilwane. Udokotela wakho uzokhetha uhlobo olufanele kakhulu kuye ngesimo sakho.
| Uhlobo lwe-mesh | Incazelo elula |
|---|---|
| I-mesh yokwenziwa engangeni emzimbeni (Okwenziwayo okungamuncwa) | Lezi yizona ezisetshenziswa kakhulu. Le mesh inamathela unomphela emzimbeni. Yenziwe ngezinto ezifana ne- (Polypropylene) . |
| I-mesh yokwenziwa emuncayo (Okwenziwayo okungamuncwa) | Lolu hlobo lwe-mesh luyancibilika futhi lumuncwa ngumzimba ngokuhamba kwesikhathi. Esikhundleni salo, umzimba ukhula izicubu ezintsha neziqinile. |
| Amanethi ezinto eziphilayo (Eyebhayoloji) | Lezi zenziwe ngezicubu ezihlanziwe ezivela ezilwaneni ezinjengezinkomo noma izingulube. Lezi zimuncwa emzimbeni ngokuhamba kwesikhathi. |
| Amanethi axubile (Inhlanganisela) | Amanethi enziwe ngokuhlanganisa uhlobo olulodwa noma ngaphezulu kwalolu olungenhla. |
Indlela lezi meshes ezilukwa ngayo nayo iyahlukahluka. Ezinye ziyaguquguquka, njengejezi esilithungayo (`(elilukiwe)`). Ezinye zilukiwe (`(elilukiwe)`). Ziqinile kakhulu. Udokotela wakho ohlinzayo uzonquma ukuthi yiluphi uhlobo oludingayo.
Le mesh ifakwa kanjani emzimbeni ngesikhathi sokuhlinzwa?
Yilokhu okuvame ukwenzeka ngesikhathi sokuhlinzwa kwe-hernia:
1. Ukwenza i-incision: Ekuhlinzeni okuvulekile, kwenziwa i-incision eyodwa engamasentimitha ambalwa. Ekuhlinzeni kwe-laparoscopic, kwenziwa i-incision eziningana ezincane.
2. Ukulungiswa kwe-Hernia: Izicubu noma isitho esihlungiwe sibuyiselwa endaweni yaso yokuqala.
3. Ukuthunga indawo ebuthakathaka: Ungqimba lwemisipha olubuthakathaka luvalwa ngezithungo (`(i-sutures)`).
4. Ukubeka i-mesh: Okulandelayo, i-mesh ibekwa phezu, ngaphansi, noma phakathi kwemisipha ukuze kuqiniswe indawo lapho kuthungwe khona izithungo.
5. Ukuvala i-incision: Ekugcineni, i-incision yesikhumba ivalwa ngezithungo.
Into ebaluleke kakhulu ukuthi le mesh isetshenziselwa ukunciphisa ingozi yokuphinda kwe-hernia. Uma ufaka nje izitishi ngaphandle kwe-mesh, ngokuhamba kwesikhathi izitishi zingakhululeka futhi i-hernia ingabuya.
Yiziphi izinzuzo nezingozi zokusebenzisa i-mesh yokuhlinzwa?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezinzuzo kanye nezingozi ezincane.
Inzuzo enkulu ukuthi lokhu kuyindlela yokwelapha ephumelela kakhulu futhi ephephile yama-hernia. Futhi, uma sekufakwe i-mesh, amathuba okuthi i-hernia iphinde ivele mancane kakhulu.
| Izingozi zokusebenzisa inethi (ziphansi kakhulu) | |
|---|---|
| Ukutheleleka | Njenganoma yikuphi ukuhlinzwa, kunengozi encane yokutheleleka. |
| Ukuphindaphindeka kwe-Hernia | Akuvamile kakhulu ukuthi i-hernia ibuye uma i-mesh engenakumuncwa iphuka noma ingaxhumani kahle nezicubu. |
| Ukulimala kwezinye izitho zomzimba | Akuvamile kakhulu, i-mesh ingalimaza izitho zomzimba ezifana namathumbu noma esinyeni. |
| Ubuhlungu obungapheli | Ngezinye izikhathi, ukulimala kwemizwa endaweni yokuhlinzwa kungabangela ubuhlungu besikhathi eside noma ukuba ndikindiki. |
Lezi zingozi ziphansi kakhulu. Udokotela wakho uzolinganisa lezi zingozi nezinye izingozi zokungahlinzwa (isibonelo, isimo esiphuthumayo njengokuvaleka kwamathumbu) ukuze akwenzele isincomo esingcono kakhulu.
Yini okufanele ngiyenze ukuze ngilulame ngokushesha?
Kunezinto eziningana ongazenza ukuze usize ululame ngokushesha ngemva kokuhlinzwa.
- Gwema ukuzikhandla uma uya endlini yangasese. Ukuze ugweme ukuqunjelwa, phuza amanzi amaningi, udle imifino, futhi udle ukudla okune-fiber eningi.
- Phuza amanzi amaningi. Kubaluleke kakhulu ukuphuza okungenani izingilazi zamanzi ezingu-8-10 ngosuku.
- Phuza imithi yokubulala izinhlungu enikezwe udokotela njengoba eyalelwe. Ungabubekezeleli ubuhlungu.
- Hamba ngezinyawo isikhathi esifushane nsuku zonke. Ukuhamba kuthuthukisa ukujikeleza kwegazi, kusiza amanxeba ukuba aphole ngokushesha, futhi kwenza ukuhamba kwamathumbu kube lula.
- Gwema ukuphakamisa izinsimbi. Gwema ukuphakamisa izinsimbi noma ukwenza ukuzivocavoca okunzima izinyanga ezimbalwa kuze kube yilapho udokotela wakho ekuyala.
Kufanele ngiphinde ngimbone nini udokotela?
Uma unezinye zezimpawu ezilandelayo ngemva kokuhlinzwa, shayela udokotela wakho noma uye esibhedlela ngokushesha.
- Uma kukhona ubuhlungu obukhulu, obungabekezeleleki .
- Uma ubona izimpawu zokutheleleka . Isibonelo:
- Ukubomvu okukhulu kanye nokuvuvukala okuzungeze indawo yokusikwa.
- Imfiva .
- Ubomvu obuphuzi noma obuluhlaza obuvela endaweni yokusikwaUma uketshezi olufana nolwe.
- Ubuhlungu obukhulu esiswini njengokuqunjelwa , uhudo, kanye nokuqunjelwa .
Kuvamile ukuzizwa wesaba lapho ucabanga ngokuhlinzwa kwe-hernia. Kodwa khumbula, i-surgical mesh iyithuluzi eliphephile nelisebenzayo elisetshenziswa kabanzi emhlabeni wonke ukuvimbela i-hernia ukuthi ingabuyi. Udokotela wakho uzoncoma ikhambi elingcono kakhulu lesimo sakho.
Umlayezo Wokuya Nawe Ekhaya
- I-mesh yokuhlinzwa iyithuluzi lokuvikela elivame ukusetshenziswa elisetshenziselwa ukuqinisa izicubu ezibuthakathaka ezimweni ezifana ne-hernias.
- Lokhu kunciphisa kakhulu ingozi yokuphinda kuvele i-hernia.
- Udokotela wakho ohlinzayo uzonquma uhlobo lwe-mesh (engamuncwa noma engamuncwa) olulungele wena.
- Ukuze ululame ngokushesha ngemva kokuhlinzwa, kubaluleke kakhulu ukugwema ukuphakamisa izinto ezisindayo, ukuphuza amanzi amaningi, nokulandela imiyalelo yezokwelapha.
- Uma unezimpawu ezifana nobuhlungu obukhulu, umkhuhlane, noma ukuphuma kobomvu esilondeni ngemva kokuhlinzwa, bona udokotela wakho ngokushesha.
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