Sanibonani ngemfudumalo, bafowethu be-inthanethi, futhi siyakwamukela kubhulogi yezempilo yokuvimbela, lapho sisheshe sifudumale khona ngombuzo othi: Ingabe i-hernia ye-epigastric iyabuhlungu?
Thola izimpawu zayo kanye nokwelashwa kwayo, ubhekane nezimbangela ezivame kakhulu, ukungakhululeki kanye nokwelashwa okutholakalayo kwe-hernia ye-epigastric.
I-hernia ye-epigastric yisimo lapho izicubu ezinamafutha ziphuma khona endaweni ebuthaka yemisipha yesisu, okubangela ukungakhululeki noma ubuhlungu endaweni ethintekile.
Izimpawu zingase zihlanganise ukuvuvuka okubonakalayo, izinkinga zesisu, kanye nobuhlungu. Ukuxilongwa kuvame ukwenziwa ngokuhlolwa ngokomzimba kanye nokuhlolwa kwezithombe. Izindlela zokwelapha zifaka phakathi ukubonwa noma ukulungiswa kokuhlinzwa, kuye ngobukhulu kanye nobunzima be-hernia.
Lesi sihloko sihlose ukuhlinzeka ngolwazi lokusiza abantu baqonde ukuthi kungani benjalo "kubhalwe ngabantu, ngenxa yabantu" futhi welaphe lesi simo.
Ngaphandle kokuchitha isikhathi, kufanelekile ukuphefumula ngokujulile, ubambe imizuzwana emi-4 bese uqhubeka nokukhipha umoya kancane ukuze ususe ubuthi. Phinda lo msebenzi izikhathi ezi-4. Lena yindlela engcono kakhulu yokukunikeza umthombo omuhle kakhulu wamandla abalulekile, futhi yilokhu kufakwa komoya-mpilo kwe-neuronal okuvumela ukugxila okuphezulu kwengqondo nokugcinwa kolwazi ukuze uthuthuke.
Lolu lwazi olusha lokuvimbela impilo yokugaya ukudla luzokhuthaza isimo sengqondo sokuthatha isinyathelo futhi luvimbele ukuwela ezinhlosweni ezimbi. ukuzihlola noma ukuzelapha, izenzo ezimbili ezimbi ezibambezela ukuvakashela uchwepheshe wezokwelapha ezibhedlela zomphakathi noma ezizimele noma emitholampilo yezempilo ukuze kungabi esinye isibalo sezinkinga.
Ingabe i-hernia ye-epigastric iyabuhlungu?
Ama-hernia e-epigastric uhlobo lwe-hernia yodonga lwesisu olungaphambili oluvela ngaphezu kwenkaba, olubangelwa lapho izicubu ezinamafutha noma izitho zomzimba zidlula endaweni ebuthakathaka emisipheni ye-rectus abdominis.
Nakuba izimo eziningi ze-epigastric hernias zingabangeli ubuhlungu, abanye abantu bangase babe nokungakhululeki okuncane noma ukuqaqamba ngenxa yokucindezeleka kanye nokwelulwa kwezicubu ezikuzungezile.
Lokhu kungaba yiqiniso ikakhulukazi uma i-hernia iba nkulu noma uma ingxenye yamathumbu ivaleleka ngaphakathi kuyo.
Izinkinga ezinjengokuklinywa, ukuvaleka, kanye nokuvuvukala azivamile, kodwa zingavela ngaphansi kwezimo ezithile, okuholela ebuhlungwini obukhulu kanye nezimpawu ezifana nokucasuka nokuhlanza.
Ukwelashwa kwe-hernia ye-epigastric kuvame ukuhlanganisa ukuguqulwa kwendlela yokuphila ukuze kuncishiswe izici eziyingozi, njengokukhuluphala ngokweqile kanye nokuphakamisa izinsimbi, kulandelwe ukulungiswa kokuhlinzwa uma kudingeka.
Ukuvama kwezinga lomhlaba wonke, ngezibalo, kusikisela ukuthi ama-hernias kaningi emadodeni okuyinto kwabesifazane futhi eyenzeka kaningi kubantu abaneminyaka engu-50-70, ngenxa yokungawuvivinyi umzimba kanye nemiphumela yokubhema, i-nicotine ivimbela ukwakheka kwe-collagen, kanye nezikhathi zokukhwehlela njalo, okuyizinto ezenza buthaka imisipha yodonga lwesisu.
Ekugcineni, nakuba ama-hernia amancane epigastric angase angabonakali kubantu abaningi, kubalulekile ukuthi labo ababhekene nanoma yibuphi ubuhlungu noma ukungakhululeki bafune usizo lwezokwelapha ngokushesha okukhulu.
Uma i-hernia incane ayibangeli ukungakhululeki, kodwa njengoba isikhathi sihamba futhi ukuchayeka ezintweni eziyingozi kuyaqhubeka umgodi ukhula njalo futhi kungeniswa izakhi zomgodi wesisu, njengamafutha angaphambi kokubeletha noma ingxenye yamathumbu amancane, bese kuvela izifo.
Iyini i-hernia ye-epigastric?
I-hernia ye-epigastric iwukuphuma kokuqukethwe esiswini ngobuthakathaka, isici, noma ukuvulwa odongeni olungaphezulu lwesisu. Lolu hlobo lwe-hernia luvela phakathi kwethambo lesifuba nenkaba, e-epigastrium, okuyingxenye ephakathi ephezulu yesisu.
Imbangela evame kakhulu ye-hernia ye-epigastric yi- ubuthakathaka emgqeni omhlopheI-linea alba iyibhande eliqondile lezicubu ezinemicu elihamba ngaphambili kodonga lwesisu. Ubuthakathaka noma imbobo ku-linea alba ivumela ukwakheka kweqhubu, elivame ukuba nezicubu ezinamafutha noma, kwezinye izimo, ingxenye yamathumbu.
Lokhu kungaholela ekuvuvukeni okuphawulekayo esifundeni se-epigastric futhi, kwezinye izimo, kungabangela ukungakhululeki noma ubuhlungu endaweni ethintekile, ngenxa yobukhulu obuvumela ukungena kwezinto ezivela emgodini wesisu.
Ama-hernia e-epigastric ngokuvamile abangelwa ubuthakathaka bemisipha yesisu, okungabangelwa yizici ezahlukene. Phakathi kwazo, Ukuphakamisa izinto ezisindayo, ukukhwehlela okuqhubekayo, ukukhuluphala okukhulu, ubuthakathaka obukhona kakade bodonga lwesisu, noma ukukhulelwa okuningi.
Kwezinye izimo, i-hernia ingaba ukuba khona ngesikhathi sokuzalwa ngenxa yobuthakathaka bokuzalwa be-linea alba, ikakhulukazi ekuzalweni ngaphambi kwesikhathi noma okwenzeka ngesikhathi sokukhulelwa. Ukuqonda izimbangela eziyisisekelo kanye nezici eziyingozi ze-epigastric hernias kubalulekile kokubili ekwelashweni nasekuvinjelweni kwazo.
Izimpawu ezivamile ze-hernia ye-epigastric
Izimpawu ze-a I-epigastric hernias ingahluka kumuntu nomuntukodwa zivame ukufaka phakathi ukuba khona kweqhubu noma iqhubu elibonakalayo esifundeni se-epigastric, elingavela futhi linyamalale lapho umuntu eshintsha isikhundla.
Ezinye izimpawu ezivamile zingase zihlanganise ukungakhululeki noma ubuhlungu endaweni lapho kuqubuke khona iqhubu, ikakhulukazi ngesikhathi semisebenzi ecindezela isisu, njengokuphakamisa izinto ezisindayo noma ukwenza umzamo ongazelelwe.
Ngaphezu kwalokho, abanye abantu abane-hernia ye-epigastric bangase babe nezinkinga zesisu, njenge isilungulela, i-acid reflux, noma ukuqunjelwaokungabangelwa ukuphuma kokuqukethwe esiswini kanye nemiphumela yako ohlelweni lokugaya ukudla.
Kubalulekile ukuqaphela ukuthi, kwezinye izimo, ama-hernia epigastric angaba nezimpawu, okusho ukuthi umuntu angase angabi nazo izimpawu ezibonakalayo ngaphandle kokuba khona kweqhubu ngokwalo.
Lapho exilonga i-hernia ye-epigastric, udokotela uvame ukwenza ukuhlolwa okuphelele ngokomzimba (ukuhlolwa, ukulalela, ukuthambekela, ukushaya) kwendawo yesisu, enaka kakhulu indawo ye-epigastric.
Kwezinye izimo, udokotela angase futhi acele ukuhlolwa kwezithombe, njenge- i-ultrasound noma i-computed tomography scan (CT), ukuthola umbono ocacile we-hernia kanye nezici zayo.
Lezi zinyathelo zokuxilonga zibalulekile ukuze kutholakale ubukhulu be-hernia, okuqukethwe yi-protrusion, kanye nokwelashwa okungcono kakhulu, ikakhulukazi uma kune-hernia enkulu noma eyinkimbinkimbi ye-epigastric, ukuze kutholakale ukuthi kungani ibuhlungu.
Izimbangela ze-hernia ye-epigastric
Imbangela eyinhloko ye-epigastric hernia ubuthakathaka be-linea alba, okungabangelwa yizici ezahlukahlukene, njengokuzikhandla okuqhubekayo, ukuphakamisa izinto ezisindayo, noma ubuthakathaka obukhona odongeni lwesisu.
Kwezinye izimo, abantu bangase bathambekele kakhulu ekuthuthukisweni kwe-epigastric hernia ngenxa yezici zokuzalwa, njengokukhubazeka kwemvelo kwe-linea alba okuvela kusukela ekuzalweni.
Ezinye izinto ezingabangela ingozi yokukhula kwe-hernia ye-epigastric zingafaka: Ukukhuluphala ngokweqile, ukukhulelwa okuningi, umlando wokuhlinzwa kwesisu, noma isimo esibangela ukucindezeleka okukhulu emgodini wesisu..
Ukuqonda izimbangela ezingaba khona kanye nezici eziyingozi ze-hernia ye-epigastric kubalulekile kokubili ekuvimbeleni kwayo kanye nasekuthuthukiseni uhlelo lokwelashwa olufanele ngokusekelwe ezimweni zomuntu ngamunye ezihlukile.
Ukuxilongwa kwe-hernia ye-epigastric
Ukuxilongwa kwe-hernia ye-epigastric kuvame ukuqala ngokuhlolwa ngokomzimba okuphelele lapho uchwepheshe wezempilo ezohlola khona indawo yesisu ukuze athole ukuthi kukhona iqhubu noma iyiphi indawo ethambile noma engakhululekile.
Kwezinye izimo, i-hernia ingase ibonakale kakhulu futhi ibonakale kalula, kanti kwezinye izivivinyo ezengeziwe, njenge-ultrasound noma i-CT scan, zingadingeka ukuqinisekisa ukuxilongwa nokuhlola ubukhulu kanye nohlobo lwe-hernia.
Lezi zivivinyo zezithombe zinganikeza ulwazi oluningiliziwe mayelana ne-hernia, izakhiwo ezizungezile, kanye nanoma yiziphi izinkinga ezingaba khona, ziqondise uchwepheshe wezempilo ekuthuthukiseni indlela efanele yokwelapha.
Ukuxilongwa okuphelele nokunembile kubalulekile ekwelapheni ngempumelelo i-epigastric hernia kokubili emkhakheni womphakathi kanye nowangasese kanye nokunciphisa ingozi yezinkinga ezinkulu.
Izinkinga ezingaba khona ze-hernia ye-epigastric
Nakuba ama-hernia epigastric angase avele ekuqaleni enezimpawu ezincane noma angabonakali, izinkinga zingavela uma zingelashwanga lapho kuqala ukungezwani.
Enye yalezi zinkinga yi- ingozi yokuboshwaLokhu kwenzeka lapho ingxenye yezicubu eziphumayo ibambeka odongeni lwesisu, okubangela ukwanda okukhulu kobuhlungu kanye nethuba lokuvaleka.
Uma ukuphakelwa kwegazi ezicutshini ezivalelekile kuphazamisekile, i-hernia ingaqhubekela esigabeni esithuthukile. ukuklinywa, okuyinto a isimo esiphuthumayo sokuhlinzwa.
Ukuklinywa kwe-hernia kungaholela ekufeni kwezicubu ezithintekile futhi kudinga ukungenelela okusheshayo ukuze kubuyiselwe ukugeleza kwegazi futhi kugwenywe imiphumela emibi kakhulu futhi engaba yingozi empilweni.
Ukuqonda nokubhekana ngokushesha nezinkinga ezingaba khona ze-hernia ye-epigastric kubalulekile ekulondolozeni impilo nenhlalakahle yesiguli, kanye nokufeza ukululama okuhle kanye nokuphulukiswa kwezicubu.
Ukwelashwa kwe-epigastric hernia
Uma kukhulunywa ngokuhlinzwa i-hernia ye-epigastric, indlela yokusebenza ingahluka kuye ngobukhulu be-hernia, ubukhulu bezimpawu, kanye nempilo yomuntu ngamunye ngaphambi kokuhlinzwa.
Kwezinye izimo, i-hernia encane, engenazimpawu e-epigastric ingaphathwa ngesu lokulinda eliqaphile, lapho uchwepheshe wezempilo eqapha i-hernia nganoma yiziphi izinguquko futhi umuntu enze izinguquko zendlela yokuphila ukuze anciphise ingozi yokuthi i-hernia ibe yimbi kakhulu.
Kodwa-ke, kuma-hernia amakhulu noma anezimpawu ze-epigastric, ukungenelela kokuhlinzwa kunganconywa ukulungisa indawo ebuthaka yodonga lwesisu nokuvimbela ukuphuma kokuqukethwe kwesisu.
Indlela yokuhlinzwa yokulungisa i-epigastric hernia ivame ukuhilela ukusetshenziswa kwengxenye ye- i-mesh yokwenziwa ukuqinisa izicubu ezibuthakathaka nokunciphisa ingozi yokuthi i-hernia ibuye ivele, okubizwa ngokuthi i-hernia ephindaphindayo.
Ngesikhathi sokuhlinzwa, izicubu ezivele zibuyiselwa ngokucophelela endaweni yazo evamile ngaphakathi kwesisu, futhi iphutha lodonga lwesisu liyalungiswa, ngokuvamile ngokubeka nokubopha i-mesh endaweni ebuthaka.
Lokhu kusiza ekuhlinzekeni ukwesekwa okwengeziwe endaweni elungisiwe, kunciphisa amathuba okuthi i-hernia iphinde ivele. Ukusetshenziswa kwe-mesh ekulungiseni i-hernia kuyindlela evamile nephumelelayo eye yabonakala inegalelo emiphumeleni emihle yesikhathi eside.
Kwezinye izimo, amasu angangenisi kakhulu angasetshenziswa, njengokuthi ukuhlinzwa kwe-laparoscopic, ukulungisa i-hernia ye-epigastric, enikeza izinzuzo ezingaba khona zokusikwa okuncane, ukungakhululeki okuncane ngemva kokuhlinzwa kanye nesikhathi esifushane sokululama.
Amathemba okululama kanye nokubikezela
Isibikezelo sabantu abalungiswa ngokuhlinzwa kwe-epigastric hernia ngokuvamile siyinto enhle kakhulu, lapho iningi leziguli lithola umphumela owanelisayo kanye nokuthuthuka okukhulu kwekhwalithi yempilo yabo.
Ngemva kokuhlinzwa, kuvamile ukuzwa ukungakhululeki okuthile ngemva kokuhlinzwa, futhi ithimba lezokunakekelwa kwempilo lizonikeza isiqondiso ngokuphathwa kobuhlungu, ukunakekelwa kwamanxeba, kanye nokuqala kabusha kancane kancane kwemisebenzi evamile.
Ezimweni eziningi, abantu bangalindela ukululama okuphelele futhi babuyele esimisweni sabo esijwayelekile, okuhlanganisa umsebenzi kanye nemisebenzi yomzimba, emavikini ambalwa ngemva kwenqubo.
Ukunamathela emiyalweni yangemva kokuhlinzwa enikezwe yithimba lezokwelapha, okuhlanganisa nezincomo zomsebenzi womzimba, imikhawulo yokuphakamisa izinsimbi, kanye nokuqokwa okulandelayo, kubalulekile ukuze ululame kahle futhi ngendlela eyanelisayo ngemva kokulungiswa kwe-epigastric hernia.
Kubalulekile ukuqaphela ukuthi ukusetshenziswa kwe-mesh yokwenziwa ekulungiseni i-hernia kube yintuthuko enkulu emkhakheni wokuhlinzwa kwe-hernia, njengoba kunikeza ukwesekwa okukhulu endaweni ethintekile futhi kunciphisa ingozi yokuphinda kwe-hernia.
Isinqumo sokusebenzisa i-mesh ekulungiseni i-hernia sisekelwe ezimweni zezokwelapha ezihlukile zomuntu, ubukhulu nendawo ye-hernia, kanye nendlela yokuhlinzwa esetshenziswayo.
Ngokuhlinzeka ngohlaka lokuvuselelwa kwezicubu zemvelo nokukhuthaza ukuqina kodonga lwesisu, i-mesh ingaba ithuluzi eliwusizo lokufeza ukulungiswa kwe-hernia okuhlala isikhathi eside futhi okuphumelelayo, okukhiqiza imiphumela emihle yesikhathi eside esigulini.
Ukuvimbela i-epigastric hernia
Nakuba kungenakwenzeka ukuvimbela zonke izimila ze-epigastric hernias, kunezinyathelo ezithile abantu abangazithatha ukuze banciphise ingozi yokuba nalesi simo.
Lokhu kungafaka phakathi Ukuzijwayeza amasu okuphakamisa izinto ngokuphephileGcina isisindo somzimba esinempilo futhi uphathe ngempumelelo izimo ezingabangela ukukhwehlela okuqhubekayo noma ukucindezeleka kwesisu okwandisiwe.
Kubantu abanokuthambekela okwaziwayo kobuthakathaka bodonga lwesisu, njengokuthi Las abesifazane abakhulelwe izikhathi ezininganaOchwepheshe bezempilo bangase batuse ukuvivinya umzimba okuthile ukuze kuqiniswe imisipha yesisu futhi kunikezwe ukwesekwa okwengeziwe endaweni.
Ngokuthatha indlela yokubhekana nempilo yesisu kanye nenhlalakahle iyonke, abantu banganciphisa izici ezithile eziyingozi zokuthuthukisa i-epigastric hernia futhi banikele ekuqineni nasekuqineni kodonga lwesisu isikhathi eside.
Nini ukufuna ukwelashwa
Uma umuntu esola ukuthi angase abe ne-hernia ye-epigastric noma ezwa izimpawu ezifana nokuvuvuka okuqhubekayo noma okubuhlungu esiswini esingaphezulu, kubalulekile ukuthi ahlolwe udokotela ngokushesha.
Ngaphezu kwalokho, uma i-hernia eyaziwayo ye-epigastric iba buhlungu noma ithambile, noma uma ukuba khona kweqhubu kuhambisana nezinye izimpawu ezikhathazayo ezifana isicanucanu nokuhlanza noma ukungakwazi ukuzikhulula, kubalulekile ukufuna usizo lwezokwelapha ngokushesha.
Ukubona nokwelapha izimpawu zesimo ngesikhathi esifanele Ukuxilongwa okunembile kwe-hernia ye-epigastric kubalulekile ekusebenziseni ukwelashwa okufanele. futhi kuncishiswe ingozi yezinkinga ezingase zihlotshaniswe ne-hernia.
Ngokufuna ukuhlolwa kwezokwelapha ngesikhathi esifanele nangokulandela isiqondiso sochwepheshe bezempilo, abantu bangathatha izinyathelo zokwelashwa ukuze baphathe ama-hernia epigastric futhi bathole umphumela omuhle empilweni yabo kanye nenhlalakahle yabo.
Isiphetho
Ngamafuphi, okubaluleke kakhulu, I-hernia ye-epigastric iyisimo okubonakala ngokuvuvukala endaweni yesisu, okubangelwa ubuthakathaka bemisipha yodonga lwesisu.
Izimpawu ezivamile zifaka phakathi ukuvuvukala noma ukungakhululeki endaweni ethintekile, futhi izinketho zokwelapha zisukela ekubonweni kuya ekulungisweni kokuhlinzwa, kuye ngokuthi i-hernia inzima kangakanani. Kubalulekile ukufuna usizo lwezokwelapha uma kukhona izimpawu ezibonakala zivimbela izinkinga ezingaba khona.
Manje yithuba lokwabelana ngolwazi lwezempilo lokuvimbela mayelana ne-epigastric hernias ngokusebenzisa izinkundla zokuxhumana ukuze abantu abaningi bazuze kukho futhi ndawonye singavimbela izinkinga ezidinga ukwelashwa okuphuthumayo, okuyilapho kuvela khona izinkinga ezinkulu kakhulu.
Ungakhohlwa ukushiya imibono neziphakamiso zakho kubhulogi. Ngiyabonga ngesikhathi sakho futhi sizokubona esitolimendeni esilandelayo!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. Ingabe I-Epigastric Hernia Iyalimaza?