Ingabe i-hernia esiswini? Singakhuluma nge-hernia yesisu?

Wake wakubona ukuqubuka okuncane kuphuma engxenyeni ethile yesisu sakho? Mhlawumbe uyakubona lapho uphakamisa into esindayo, uma ukhwehlela, noma mhlawumbe kuvele kubuyele emuva ngemva kwesikhashana. Yilokhu esikubiza ngokuthi i-hernia. Namuhla sizokhuluma ngohlobo lwe-hernia oluvela ngaphambili kwesisu, olwaziwa ngokwezokwelapha ngokuthi i-ventral hernia . Akukho okufanele ukwesabe, sizokhuluma ngalokhu ngokuningiliziwe, ngendlela ongayiqonda.

Iyini i-hernia yesisu?

Kalula nje, i-ventral hernia iwukuphuma kwesitho sangaphakathi noma izicubu ngaphambili kwesisu sakho, okungukuthi, ngemisipha yodonga lwesisu. Igama elithi "ventral" lisho "ingaphambili" noma "uhlangothi lwesisu." "I-hernia" yilapho isitho noma izicubu ezivame ukuba ngaphakathi komgodi womzimba zidlula endaweni ebuthakathaka, imbobo, odongeni lwalowo mgodi. Kufana nembobo encane esikhwameni esidala, futhi ezinye zezinto ezingaphakathi zizama ukuphuma. Iningi le-hernia (hhayi zonke) livela odongeni lwesisu.

Yiziphi izinhlobo ze-hernia yesisu?

Ama-hernia asesiswini angavela ezindaweni ezahlukene odongeni olungaphambili lwesisu sakho. Kunezinhlobo eziningana eziyinhloko kuye ngokuthi zenzeka kuphi:

• Ama-hernia e-Epigastric: Lokhu kwenzeka engxenyeni engenhla yesisu sakho, phakathi kwethambo lesifuba sakho (sternum) kanye nenkaba yakho. Abanye abantu bangase bazizwe sengathi bavuvukele kancane kule ndawo.
• Ama-hernia e-umbilical: Lawa ama-hernia ayenzeka eduze kwenkaba. Inkaba iyindawo ebuthakathaka ngokwemvelo. Lolu hlobo lwe-hernia ngezinye izikhathi luba khona lapho kuzalwa (ezalwa). Kodwa-ke, lungenzeka nakubantu abadala.
• Ama-hernia aqaqanjelwayo: Lawa akhethekile kancane. Avela lapho uke wahlinzwa khona ngaphambilini esiswini sakho, okusho ukuthi lapho kwaqaqanjelwa khona ngokuhlinzwa. Lokhu kuwumphumela ovamile ongase uvele ngemva kokuhlinzwa kwesisu. Lokhu kungenxa yokuthi imisipha kuleyo ndawo iba buthakathaka ngemva kokuhlinzwa.

Ziyini izimpawu ze-hernia yesisu?

Ngokuvamile uphawu lokuqala lwe-hernia yesisu luwukuvuvukala okubonakalayo endaweni ethile ngaphambili kwesisu . Lokhu kungase kungabonakali ngaso sonke isikhathi. Kungase kuvele uma wenza izinto ezithile noma lapho imisipha yesisu sakho iqina ngenxa yesimo. Isibonelo:

• Uma uhleka
• Uma ukhala
• Uma ukhwehlela
• Uma uthimula
• Ukuzikhandla ukuze ukhululeke ngenkathi uya endlini yangasese
• Uma ugoba phambili
• Uma uphakamisa isisindo
• Uma uzivocavoca

Abanye abantu bangakuzwa lokhu kuhlushwa. Kungase kuzwakale sengathi kuyadonsa, kuyacindezela, noma kuyacindezela lapho kuphuma, noma lapho benyakaza. Kungase kuzwakale sengathi kuyadonsa, noma kungase kuzwakale njengobuhlungu obungajabulisi, noma kungase kuzwakale njengobuhlungu obubukhali njengokugwazwa yinaliti.Kungenzeka. Uma uzwa ubuhlungu obunje, kusho ukuthi i-hernia inkulu kancane, futhi kunengozi enkulu yokuthi izoboshwa esikhundleni sokuphindela emuva lapho iphuma.

I-hernia eyinkimbinkimbi ingaba nezinye izimpawu:

• Isicanucanu nokuhlanza
• Ubomvu noma ukuqubuka okufana ne-eczema endaweni ye-hernia

Yiziphi izimbangela eziyinhloko ze-Ventral Hernia?

I-hernia iphuma ebuthakathakeni odongeni lwemisipha noma lwezicubu oluyimboza. Lobu buthakathaka bungenzeka ngezizathu eziningana:

• Lobu buthakathaka bungaba yindawo ebuthakathaka yokuzalwa/isici sokuzalwa. Okusho ukuthi, kungase kube nobuthakathaka odongeni lwesisu lapho kuzalwa.
• Ezinye izifo zezicubu ezixhumene nazo zingabangela ubuthakathaka bemisipha.
• Esinye isizathu ukuthi imisipha iba buthaka ngokwemvelo njengoba iminyaka ikhula .
• Ukukhuluphala okungapheli kubangela ukucindezeleka okuqhubekayo odongeni lwesisu.
• Ubuthakathaka bemisipha bungenzeka ngenxa yokulimala noma ukuhlinzwa kwesisu .
• Ukukhulelwa nokubeletha yizikhathi lapho imisipha yesisu icindezeleka kakhulu.
• Ukukhwehlela okuqhubekayo (isib. ngenxa yezimo ezifana ne-asthma kanye ne-bronchitis kwabanye abantu).
• Izinkinga zokuphefumula ezingapheli (isb., i-COPD noma i-emphysema).
• Ukuqunjelwa okungapheli noma ukuzikhandla njalo ukuze ukhulule indle.
• Le ngozi iphakeme nakulabo abasebenza emisebenzini ehilela ukuphakamisa noma ukusunduza njalo . Isibonelo, umuntu osebenza embonini yokwakha kufanele aphakamise izinto ezisindayo ngaso sonke isikhathi. Lokhu kubeka ingcindezi engapheli emisipheni yesisu. Ngokuhamba kwesikhathi, i-hernia ingavela endaweni ebuthakathaka.

Ngokuvamile, i-hernia ikhula ngenxa yokuhlanganiswa kwezimbangela ezingaphezu kweyodwa.

Yiziphi izinkinga ezingaba khona ngenxa ye-hernia yesisu?

Ama-hernia amaningi aqala ukuphuma bese ephindela ngaphakathi. Kodwa njengoba ephuma ephuma kanje, izicubu ezizungeze imbobo ziba buthakathaka. Ngokuhamba kwesikhathi , imbobo ingaba nkulu, kanti ne-hernia nayo ingaba nkulu . Lokho kusho ukuthi izitho eziningi ziyaphuma. Yilapho izinkinga ziqala khona.

I-hernia cishe izokhula ibe nkulu bese "iboshwa" ngaphakathi kwaleyo mbobo.

Uma ibambeka, i-hernia iyasunduza, kuvele ubuhlungu, futhi isitho okukhulunywa ngaso singavaleka. Cabanga ngamathumbu avalekile, okusho ukuthi ukudlula kwendle kungayeka. Okuyingozi nakakhulu ukuthi uma igazi eliya kuleyo ngxenye ebambekile linqamuka (ukuklinywa) , leso sitho singafa (ukufa kwezicubu). Lesi yisimo esibi kakhulu futhi singasongela impilo.

Indlela yokuxilonga i-hernia yesisu?

Udokotela uvame ukuthola i-hernia yesisu ngesikhathi sokuhlolwa komzimba. Uma kungabonakali ngokushesha, udokotela wakho uzokucela ukuthi uzibambe ngezindlela ezahlukene noma wenze izinto ezithile (njengokukhwehlela noma ukucindezela isisu sakho) ukuze abone ukuthi i-hernia iyaphuma yini.

Ngezinye izikhathi ukuhlolwa kwezithombe kungenziwa ukuze kubonwe kahle i-hernia. Lokhu kungafaka phakathi i-ultrasound yesisu, i-CT scan, noma i-MRI.

Uma udokotela ebona i-hernia, uzoyizwa futhi abone ukuthi i-hernia ingabuyiselwa yini. Lokhu kuzosiza ekunqumeni ukuthi iyingozi kangakanani nokuthi kudingeka ukwelashwa ngokushesha kangakanani. Udokotela uzobuza nangezimpawu zakho, umlando wakho wezokwelapha, kanye nanoma yiziphi ezinye izinto ezingase zibe imbangela ye-hernia:

• Uqale nini ukukubona lokhu?
• Ingabe lokhu kushintshile ngokuhamba kwesikhathi? (Ingabe kwaba kukhulu, ingabe ubuhlungu buyanda?)
• Hlobo luni lobunzima obhekene nalo ngenxa yalokhu?
• Yiziphi ezinye izifo ezingamahlalakhona onazo?
• Usebenzaphi?
• Kunjani ukudla kwakho, ukuzivocavoca, kanye nendlela yakho yokuphila?

Ingabe i-hernia yesisu idinga ukulungiswa?

Iningi lama-hernias e-ventral lizodinga ukulungiswa ngesikhathi esithile , kodwa akuzona zonke ezidinga ukulungiswa ngokushesha. Uma ungenazo izimpawu ezinkulu futhi ungabuyisela i-hernia emuva, cishe akukho bungozi obusheshayo.

Kodwa khumbula, ama-hernias avame ukuba mabi kakhulu ngokuhamba kwesikhathi . Uma lokho kwenzeka, angaba yingozi kakhulu futhi kube nzima ukuwalungisa.

Okubaluleke kakhulu: I-hernia engenakuphonswa emuva (i-hernia eboshiwe) iyisimo esiphuthumayo futhi kufanele ibikwe ngokushesha emnyangweni wezimo eziphuthumayo esibhedlela (ETU) .

Kunini lapho i-hernia yesisu idinga ukuhlinzwa?

Odokotela abahlinzayo batusa ukulungiswa kwe-hernia ye-ventral ezimweni ezilandelayo:

• Uma i-hernia ingenakukwazi ukubuyiselwa (ayinciphisi).
• Uma unezimpawu ezifana nobuhlungu obungapheli ngenxa yalokho.
• Uma inkulu ngokwanele ukuba ibambeke noma ibangele ezinye izinkinga .
• Uma isimo sakho sempilo sikuvumela ukuthi uhlinzwe .

Uma ingane encane ine-hernia yesisu futhi ingapholi yodwa phakathi neminyaka embalwa, udokotela uzoncoma ukulungiswa ngokuhlinzwa ukuze igweme ukuba nkulu futhi ibangele izinkinga.

Indlela yokulungisa i-hernia ye-ventral?

Umgomo oyinhloko wokuhlinzwa kwe-ventral hernia ukuvala imbobo odongeni lwesisu sakho nokuvimbela i-hernia ukuthi ingabuyi.Ukuhlinzwa kubuyisela isimo namandla odonga lwesisu, kuvala imbobo, futhi kubuyisele imisipha endaweni yayo. Ngokuvamile, odokotela abahlinzayo basebenzisa i-mesh yokuhlinzwa ukuqinisa udonga.

Ingabe Ukuhlinzwa Kwe-Ventral Hernia Kuwukuhlinzwa Okukhulu?

Ukuhlinzwa kwe-Ventral hernia kuyindlela evamile kakhulu, ngokuvamile elula . E-United States kuphela, kwenziwa ukuhlinzwa okunjalo okungaba ngu-350,000 minyaka yonke. Ezimweni eziningi, odokotela abahlinzayo bangasebenzisa izindlela ezingangenisi kakhulu . Lokhu kusho ukuthi kungenziwa ngokusika okuncane, okusho isikhathi esincane sokululama. Kodwa-ke, abanye abantu, ikakhulukazi uma i-hernia inkulu kakhulu noma iyinkimbinkimbi, kungadingeka ukuthi bahlinzwe kakhulu okubizwa ngokuthi ukuhlinzwa kwesisu okuvulekile .

Udokotela wakho ohlinzayo uzonquma inqubo yokuhlinzwa efaneleka kakhulu i-hernia yakho. Kunezindlela eziningana eziyinhloko:

• Ukulungiswa kwe-hernia evulekile esiswini: Lena yindlela yendabuko. Udokotela ohlinzayo usika isikhumba phezu kwe-hernia, avule indawo, bese elungisa i-hernia ngqo. Le ndlela ingadingeka uma i-hernia iyinkimbinkimbi kakhulu.
• Ukulungiswa kwe-hernia ye-ventral nge-Laparoscopic: Lena inqubo engangenisi kakhulu. Udokotela ohlinzayo wenza izimbobo eziningana ezincane "ze-keyhole" esiswini sakho, ezingaba yisigamu sesentimitha ubude. Ikhamera encane ebizwa ngokuthi i-laparoscope ifakwa ngesimbobo esisodwa. Izithombe ziboniswa esikrinini. Izinsimbi ezinde nezincane zifakwa ngezinye izimbobo futhi ukuhlinzwa kwenziwa ngenkathi ubheka isikrini.
• Ukulungiswa kwe-hernia ye-ventral eyi-robotic: Lena enye inqubo engangenisi kakhulu. Iphinde isebenzise ukusikwa okuncane, izinsimbi ezinde, kanye ne-laparoscope. Umehluko ukuthi udokotela ohlinzayo ulawula izinsimbi ngokusebenzisa uhlelo lwekhompyutha esebenzisa ingalo eyi-robotic.

Ingabe yonke i-hernia ye-ventral idinga i-mesh?

Cha, akuwona wonke ama-hernia e-ventral adinga i-mesh . Ikakhulukazi uma engama-hernia amancane e-epigastric noma e-umbilical. Kodwa-ke, ama-hernia amaningi okusika adinga i-mesh . Lokhu kungenxa yokuthi akhiwa ngezicubu ezisikiwe ekuhlinzeni kwangaphambilini. Ngemva kokuhlinzwa, izicubu zemisipha azikaze zibe namandla njengangaphambili. Ukuhlinzwa kokulungisa i-hernia nakho kuyayibuthakathaka futhi. Ngakho-ke, i-mesh inikeza amandla engeziwe.

Odokotela abahlinzayo banezinhlobo ezahlukene ze-mesh yokuhlinzwa ongakhetha kuzo:

• I-mesh yokwenziwa: Lezi zenziwe ngezinto ezenziwe ngumuntu, ezihlala njalo. Lezi uhlobo lwe-mesh oluhlala isikhathi eside olusetshenziswa ukwenza izimila. Njengoba izicubu ezintsha zikhula zizungeze i-mesh, i-mesh ingena ngaphakathi kwezicubu, idale ungqimba oluqinile, oluhlala njalo olungaphuki ngokuhamba kwesikhathi njengezicubu.
• I-mesh yezinto eziphilayo: Lezi zenziwe ngezicubu zomuntu noma zesilwane (isb., isikhumba sesilwane). Azihlali isikhathi eside njenge-mesh yokwenziwa, kodwa mancane amathuba okubangela ukutheleleka. Nakuba ingozi yokutheleleka iyonke iphansi, abanye abantu basengozini enkulu yokutheleleka kunabanye. Ngakho-ke i-mesh yezinto eziphilayo ingaba iphephile kulabo bantu.
• I-mesh yokwenziwa emuncwa yizinto eziphilayo: Lena i-mesh yesikhashana. Inikeza ukwesekwa kwesikhashana ngenkathi ukuhlinzwa kuphola. Ngemva kokuba imuncwe umzimba, izicubu zesilonda ziyakheka futhi ziqinise udonga.

Ingabe zikhona izinketho ezingadingi ukuhlinzwa ze-hernia yesisu?

Eqinisweni, ukuhlinzwa kuyindlela kuphela yokulungisa ngokuphelele i-hernia yesisu. Kodwa-ke, abanye abantu bangase bangakwazi ukuhlinzwa ngenxa yezinye izimo zempilo. Uma une-hernia enkulu engenakulungiseka ngokuhlinzwa, udokotela wakho angase asikisele ukusebenzisa ukwesekwa okukhethekile (njenge-corset, i-binder, noma i-truss) ukuze abambe i-hernia endaweni yayo. Lokhu ngeke kuphulukise i-hernia, kodwa kungasiza ekunciphiseni ukungakhululeki futhi kuvimbele ukuthi ibanjwe.

I-hernia yesisu iyingozi kangakanani?

Iningi lama-hernias e-ventricular awabi mandundu ekuqaleni, kodwa angaba mandundu ngokuhamba kwesikhathi. Yingakho odokotela bencoma ukuthi alungiswe ngaphambi kokuba afike kulelo qophelo.

Imiphumela yokuhlinzwa okukhethwayo, eyenziwa ngaphambi kokuba kuvele izinkinga, ihlala ingcono kunokuhlinzwa okuphuthumayo, okwenziwa ngemva kokuba kuvele izinkinga.

Kwenzekani ngemva kokuhlinzwa kwe-ventral hernia?

Iningi lokuhlinzwa kwe-hernia lilula, futhi isikhathi sokululama siyashesha. Ama-hernia ayinkimbinkimbi angadinga ukuhlinzwa okukhulu futhi angathatha isikhathi eside ukuphola. Into ebaluleke kakhulu ukuqaphela ukuthi ungabeki ingcindezi noma ukucindezeleka ku-hernia ngesikhathi senqubo yokuphola. Kubalulekile ukulandela imiyalelo kadokotela wakho ukuze uvimbele ukuthi i-hernia ingaphinde ivele. Phakathi kuka-10% no-20% wama-hernia e-ventral angaphinde avele ngemva kokuhlinzwa.

Kunezizathu eziningi zokuthi kungani ungase ube ne-hernia yesisu. Ngokuvamile, ikhula kancane kancane, eminyakeni edlule. Uma wazi ukuthi into oyenzayo nsuku zonke (isib. ukuphakamisa izinsimbi, ukuquleka njalo) ibeka ingcindezi emisipheni yesisu sakho, ungase ukwazi ukushintsha lowo mkhuba noma uthole ukwelashwa kwesimo esingamahlalakhona esingasiza ekulawuleni ukukhula kwalesi simo.

Kodwa akuzona zonke izimila ezingavinjelwa. Uma uthola eyodwa, khumbula ukuthi awuwedwa. Zivamile kakhulu, futhi kunjalo nangokuhlinzwa ukuze zilungiswe. Udokotela wakho uzokweluleka ukuthi kufanele ulungise nini i-hernia yakho. Ungase ungayidingi ngokushesha, kodwa kungcono ukuyilungisa ngaphambi kokuba ibe nkulu kakhulu.

Izinto ezibalulekile okufanele uzazi (Umyalezo Wokuya Ekhaya)

Nokho, ngithemba ukuthi kulokho esikuxoxile, usuthole ukuqonda okuhle nge-Ventral Hernia. Nazi ezinye izinto okufanele uzikhumbule:

• I-hernia yesisu iwukuphuma kwezitho zangaphakathi endaweni ebuthakathaka odongeni olungaphambili lwesisu. Lokhu kungenzeka enkabeni, ngaphansi kwesifuba, esiswini esingaphezulu, noma endaweni yokuhlinzwa kwangaphambilini.
• Izimpawu zingase zihlanganise ukuvuvukala kwesisu, ikakhulukazi uma ukhwehlela noma uphakamisa izinto ezisindayo. Kungase kube nobuhlungu.
• Ngisho noma inkinga ingabonakali inkulu ekuqaleni, ingakhula ibe nkulu, ibe yinkimbinkimbi kakhulu, futhi ibe yingozi ngokuhamba kwesikhathi. Ngakho-ke akuwona umqondo omuhle ukuyishaya indiva.
• Uma unalezi zimpawu futhi uzizwa sengathi i-hernia yakho iyakhula, kungcono ukubona udokotela ukuze akunike iseluleko.
• Ezimweni eziningi, lokhu kungelapheka ngokuphelele ngokuhlinzwa. Ngakho-ke ungesabi, thola ukwelashwa ngesikhathi esifanele.

Uma uneminye imibuzo mayelana nalokhu, qiniseka ukuthi ukhuluma nodokotela womndeni wakho noma udokotela ohlinzayo. Hlala uphilile!

I- Hernia yasesiswini, i-hernia yesisu, izimpawu ze-hernia, ukuhlinzwa kwe-hernia, izimbangela ze-hernia, i-hernia yesisu, ukuvuvukala kwesisu