Siyakwamukela, msebenzisi we-inthanethi, kubhulogi enolwazi ngempilo yokugaya ukudla ngokugxila ekuvimbeleni ukuhlinzwa. Ngakho-ke, isihloko sithi: Ukuhlinzwa kwe-hernia ye-inguinal nge-laparoscopic kuyindlela encane evame ukusetshenziswa ukulungisa ama-hernia endaweni ye-groin.
Le ndlela yokuhlinzwa inikeza izinzuzo eziningi "ezibhalwe ngabantu, zabantu" futhi inconywa ezinhlotsheni ezithile zeziguli njengalezo ezine-hernias ephakathi kuya kwenkulu.
Kulesi sihloko, sihlanganisa konke okudingeka ukwazi ngalolu hlobo lokuhlinzwa, okuhlanganisa inqubo ngokwayo, ukululama kanye nokunakekelwa kwangemva kokuhlinzwa, kanye nemibuzo evame ukubuzwa mayelana nokungenelela.
Kungakhathaliseki ukuthi ucabangela lokhu kuhlinzwa noma usuvele ukuhlelile, lesi sihloko sizokunikeza ulwazi olubalulekile oluzokusiza ukulungiselela nokuqonda inqubo.
Ukuhlinzwa kwe-Laparoscopic Inguinal Hernia
Ukuhlinzwa kwe-hernia ye-inguinal nge-laparoscopic kuyindlela encane kakhulu evumela ukulungiswa kwe-hernias endaweni ye-groin ngokusebenzisa ukusikwa okuncane. Le ndlela inikeza izinzuzo eziningana, okuhlanganisa ubuhlungu obuncane ngemva kokuhlinzwa , ukululama okusheshayo, nokuhlala isikhathi esifushane esibhedlela.
Intuthuko kwezindlela zokuhlinzwa ze-laparoscopic yenze lolu khetho lwathandwa yiziguli kanye nodokotela abahlinzayo. Njengoba ulwazi ngalezi zindlela luqhubeka lukhula, abantu abaningi bangazuza ekuhlinzweni okuphephile nokuphumelelayo.
Iyini i-hernia ye-inguinal?
I-hernia ye-inguinal yenzeka lapho izicubu, njengengxenye yamathumbu, ziphuma endaweni ebuthakathaka emisipheni yesisu. Ngenxa yalokho, kuvela ukuvuvuka ebusweni besisu esingezansi futhi kungaba buhlungu kakhulu , ikakhulukazi lapho ugoba, ukhwehlela, noma uphakamisa izinto ezisindayo.
Kwezinye izimo, i-hernia ye-inguinal ingase ihlotshaniswe nobuthakathaka obukhona endaweni, kanti kwezinye kungaba umphumela wokucindezela okukhulu esiswini , njengalapho uphakamisa izinto ezisindayo, ucindezela endlini yokugezela, noma ngenxa yokuba khona koketshezi esiswini (ascites).
Ama-hernia e-inguinal avame kakhulu kwabesilisa kunabesifazane futhi angenzeka ohlangothini olulodwa noma zombili zesisu esingezansi. Nakuba kwezinye izimo angase angabangeli ukungakhululeki okukhulu, anamandla okuthuthukisa izinkinga ezingaba yingozi enkulu empilweni.
Ngenxa yalokho, ukungenelela kokuhlinzwa kuvame ukunconywa ukulungisa i-hernia nokuvimbela noma yiziphi izinkinga ezingaba khona, ngezinye izikhathi ezibulalayo.
Kunezinhlobo ezahlukene zezindlela zokuhlinzwa ezingasetshenziswa ukulungisa i-hernia ye-inguinal, enye yezindlela ezingangenisi kakhulu ukuhlinzwa kwe-laparoscopic.
Le ndlela ihilela ukusetshenziswa kwe-laparoscope, ipayipi elide nelincane elinokukhanya kanye nekhamera encane , evumela udokotela ohlinzayo ukuba enze izimbobo eziningana ezincane esikhundleni sokumboza okukodwa okukhulu, njengasekuhlinzeni okuvulekile. Ngalezi zimbobo ezincane, udokotela ohlinzayo angafaka amathuluzi amancane ukulungisa i-hernia.
Uma kwenzeka i-hernia ye-inguinal , isinqumo sokulungiswa ngokuhlinzwa, kungaba ngokuhlinzwa okuvulekile kwendabuko noma ngokuhlinzwa kwe-laparoscopic, ngokuvamile sisekelwe kubukhulu be-hernia, izimpawu umuntu azizwayo, kanye nempilo yesiguli iyonke.
Ngokukhethekile, ukuhlinzwa kwe-laparoscopic kunganconywa ezimweni ezithile, futhi kubalulekile ukuqonda izizathu ezithile zokuthi kungani le ndlela ikhethiwe nokuthi ihilelani.
Kungani kunconywa ukuhlinzwa kwe-laparoscopic?
Ukuhlinzwa kwe-laparoscopic kuvame ukunconywa ekulungiseni i-hernia ye-inguinal ngenxa yemvelo yayo encane yokuhlasela kanye namandla ayo okunciphisa ubuhlungu bangemva kokuhlinzwa , kufinyeze isikhathi sokululama, futhi kuthuthukise imiphumela yobuhle.
Ukusetshenziswa kwezimbobo ezincane namathuluzi okuhlinzwa akhethekile kuvumela indlela enembile neqondile yokulungisa i-hernia, kuyilapho kunciphisa ukulimala kwezicubu ezizungezile.
Ngaphezu kwalokho, inqubo ye-laparoscopic inikeza udokotela ohlinzayo umbono ocacile nokhulisiwe we-hernia kanye nezakhiwo zomzimba ezizungezile, okuvumela ukulungiswa ukuthi kwenziwe ngezinga eliphezulu lokunemba.
Lokhu kuboniswa okuthuthukisiwe, kanye nekhono lokuphatha amathuluzi ngobuchule obukhulu, kungaholela engcupheni ephansi yezinkinga kanye nethuba eliphansi lokulimaza izicubu noma izakhiwo eziseduze.
Ngaphezu kwalokho, kubantu abadinga ukulungiswa kwe -inguinal hernias ezinhlangothi zombili noma eziphindaphindayo, ukuhlinzwa kwe-laparoscopic kunganikeza izinzuzo ezithile kunokuhlinzwa okuvulekile.
Ukwehla kokulimala kwemisipha yodonga lwesisu kanye nemizwa kungabangela ukululama okusheshayo kanye nengozi ephansi yobuhlungu obungapheli ngemva kokuhlinzwa, okwenza kube inketho efanelekile kulabo abane-hernias kuzo zombili izinhlangothi zesisu esingezansi noma kulabo abane-hernias ephinde yavela ngemva kokulungiswa kokuhlinzwa kwangaphambilini.
Nakuba izinzuzo zokuhlinzwa kwe-laparoscopic inguinal hernia zinkulu kakhulu, kubalulekile ukuqaphela ukuthi akuwona wonke umuntu ongaba yilungu elifanele le ndlela.
Izici ezifana nosayizi nendawo ye-hernia , kanye nempilo yesiguli kanye nomlando wezokwelapha, kufanele zihlolwe ngokucophelela ukuze kutholakale indlela yokuhlinzwa efaneleke kakhulu yesimo sazo esithile.
Inqubo yenziwa kanjani?
Ukulungiswa kwe-hernia ye-inguinal nge-laparoscopic kuvame ukwenziwa ngaphansi kwe-anesthesia ejwayelekile, futhi kuhilela ukufaka i-laparoscope nge-incision encane enkabeni noma eduze kwayo.
Okulandelayo, umgodi wesisu ugcwala i-carbon dioxide ukuze kudalwe isikhala esivumela udokotela ohlinzayo ukuba abone indawo ngokucacile futhi asebenze kalula. Ngemva kwalokhu, kwenziwa eminye imicu emincane esiswini esingezansi, lapho kufakwa khona izinto zokuhlinza kanye ne-laparoscope.
Uma amathuluzi esekhona, udokotela ohlinzayo angahlinza ngokucophelela i-hernia nezicubu ezizungezile, futhi ingxenye ephumayo yamathumbu noma izicubu ezinamafutha ingabuyiselwa endaweni yayo ngobumnene.
Okulandelayo, kubekwa i-mesh yokwenziwa phezu kwendawo ebuthakathaka yodonga lwesisu bese iqiniswa nge-staples noma i-sutures eziklanywe ngokukhethekile. I-mesh iqinisa izicubu ezibuthakathaka , isize ekuvimbeleni i-hernia ukuthi ingaphinde ivele futhi inikeze ukwesekwa kwesikhathi eside odongeni lwesisu.
Uma kuqhathaniswa nokuhlinzwa okuvulekile kwendabuko, indlela ye-laparoscopic ihilela ukusikwa okuncane, okungaholela ebuhlungwini obuncane ngemva kokuhlinzwa, ukuhlala esibhedlela isikhathi esifushane, kanye nokululama okusheshayo.
Ukwehla kokulimala kwemisipha yodonga lwesisu kanye nemizwa kusho nokuthi abantu abalungiswa i-laparoscopic hernia bangase babuyele ngokushesha emisebenzini yabo evamile yansuku zonke kanye nengozi ephansi yokuthola ubuhlungu obungapheli endaweni yokusikwa.
Kubalulekile ukuqaphela ukuthi, nakuba indlela ye-laparoscopic inikeza izinzuzo eziningana ezingaba khona kunokuhlinzwa , imininingwane ethile yenqubo ingahluka kuye ngezici zomuntu ngamunye ze-hernia kanye nempilo yesiguli iyonke.
Njenganoma iyiphi inqubo yokuhlinzwa, kubalulekile ukuthi isiguli sibe nengxoxo ejulile nodokotela waso ukuze siqonde izinyathelo ezithile ezihilelekile enkambisweni nokuthi yini esingayilindela ngaphambi, ngesikhathi, nangemva kokuhlinzwa.
Izinzuzo zendlela yokungenelela kancane
Ukusetshenziswa kokuhlinzwa kwe-laparoscopic ukulungisa ama-hernias e-inguinal kunikeza izinzuzo eziningana ezingenza kube inketho ekhangayo kubantu abaningi kanye nendlela engcono kakhulu yodokotela abahlinzayo.
Indlela inqubo engangenisi kakhulu, ehilela ukusetshenziswa kwezimbobo ezincane kanye nezinsimbi ezikhethekile zokuhlinza, ihlotshaniswa nengozi ephansi yezinkinga zangemuva kokuhlinzwa, ubuhlungu obuncane bangemuva kokuhlinzwa, kanye nokululama okusheshayo.
Ngaphezu kwalokho, imiphumela yobuhle ethuthukisiwe , enezibazi ezincane nezingabonakali kangako , ingaba yinto ebaluleke kakhulu kwezinye iziguli.
Ngakolunye uhlangothi, ukubonakala okuthuthukisiwe okunikezwa yi-laparoscope kuvumela ukulungiswa kwe-hernia okunembe kakhulu nokuqondiswe ngqo , okunganciphisa ingozi yokulimaza izicubu nezakhiwo ezizungezile.
Lokhu, kungaholela engcupheni ephansi yokuthola ubuhlungu obungapheli kanye nezinye izinkinga zesikhathi eside, okwenza kube inketho evumayo kubantu abaningi.
Amandla okululama ngokushesha emisebenzini evamile yansuku zonke kanye nengozi ephansi yokuphinda kwenzeke kwesifo kunezela ekukhangeni kwendlela yokulungisa i-hernia ye-inguinal engangenisi kakhulu.
Kubalulekile ukuqaphela ukuthi, nakuba ukuhlinzwa kwe-laparoscopic kunikeza izinzuzo eziningi ezingaba khona, kungase kungabi kuhle kuwo wonke umuntu. Isinqumo sokulungiswa kwe-hernia ye-inguinal ye-laparoscopic kufanele sisekelwe ekuhlolweni okuphelele komlando wezokwelapha womuntu, impilo iyonke, kanye nezici ezithile ze-hernia.
Ngokusebenzisana eduze nethimba lokuhlinzwa elinekhono nelinolwazi, abantu ngabanye banganquma indlela efanele kakhulu yokulungisa i-hernia yabo ye-inguinal, becabangela izidingo nezimo zabo ezihlukile.
Yimiphi imigoqo eyenziwayo?
Ngesikhathi sokulungiswa kwe-hernia ye-inguinal ye-laparoscopic, udokotela ohlinzayo uvame ukwenza izimbobo ezintathu ezincane endaweni yesisu. Enye yalezi zimbobo isetshenziselwa ukufaka i-laparoscope , kanti eminye isetshenziselwa ukufaka amathuluzi okuhlinzwa akhethekile.
Lokhu kusikwa okuncane, okuvame ukuba ngaphansi kwesentimitha elilodwa ubude , kubangela izibazi ezincane futhi kungasiza ekwenzeni isiguli sibe nomuzwa okhululekile nongcono ngemva kokuhlinzwa.
Uma kuqhathaniswa nokusikwa okukhulu nokubanzi okuvame ukudingwa ukulungisa i-hernia evulekile, ukusikwa okuncane okusetshenziswa endleleni ye-laparoscopic kuhlotshaniswa nobuhlungu obuncane ngemva kokuhlinzwa, ingozi ephansi yokutheleleka , kanye nokululama okusheshayo.
Ngaphezu kwalokho, uhlobo oluqondile noluqondile lokusikwa kokuhlinzwa kwe-laparoscopic lungasiza ekulungisweni kwe-hernia okuphumelelayo nokuhlala isikhathi eside, ngengozi engaba phansi yokuphinda kuvele futhi amathuba aphansi ezinkinga ezingapheli ngemuva kokuhlinzwa.
Kubalulekile ukuthi abantu abacabangela ukuhlinzwa kwe-hernia ye-inguinal nge-laparoscopic baxoxe kabanzi ngemininingwane ethile yenqubo nethimba labo lokuhlinzwa, okuhlanganisa ubukhulu nendawo yokusikwa kanye nomthelela ongaba khona ekululameni kwabo kanye nomphumela wesikhathi eside.
Uma abantu beqonda kahle inqubo yokuhlinzwa, bazokwazi ukwenza izinqumo ezinolwazi mayelana nokunakekelwa kwempilo yabo futhi badlale indima ebalulekile ekukhuthazeni imiphumela emihle kakhulu yokulungiswa kwe-hernia yabo.
Ukunakekelwa kokululama nokwelashwa ngemva kokuhlinzwa
Isikhathi sokululama ngemva kokuhlinzwa kwe-laparoscopic inguinal hernia sivame ukuba sifushane futhi sihlotshaniswa nobuhlungu obuncane kanye nokungakhululeki ngemva kokuhlinzwa kunokuhlinzwa okuvulekile okuvamile.
Iningi labantu lingaya ekhaya ngosuku olufanayo nokuhlinzwa kwabo noma ngosuku olulandelayo, futhi ngokuvamile bangaqhubeka nemisebenzi elula zingakapheli izinsuku ezimbalwa. Kodwa-ke, kubalulekile ukulandela imiyalelo ethile yangemva kokuhlinzwa enikezwe yithimba lokuhlinzwa ukuqinisekisa ukululama okuphumelelayo nokulula.
Ngesikhathi sokuqala kokululama, kuvamile ukuzwa ubuhlungu obuncane, ukuvuvukala, kanye nokushayeka esiswini kanye nasezindaweni ezizungezile izimbobo. Ukusebenzisa amaphakethe eqhwa imizuzu engama-20 , ukuthatha imithi yokunciphisa ubuhlungu elwa nokuvuvukala, kanye nokuphumula ngokwanele kungasiza ekunciphiseni lezi zimpawu futhi kukhuthaze inqubo yokuphulukiswa komzimba.
Kubalulekile ukugwema ukuphakamisa izinsimbi ezisindayo nokwenza imisebenzi enzima amasonto ambalwa, njengoba lokhu kungase kucindezele isisu futhi kuphazamise ukuphulukiswa okufanele kwezindawo zokuhlinzwa.
Kuzohlelwa ama-aphoyintimenti okulandelela nethimba lokuhlinzwa ukuze kuqashwe inqubekela phambili yokululama kwakho futhi kuqinisekiswe ukuthi ukusikwa kuphola kahle.
Kwezinye izimo, ukusetshenziswa kwe-sutures ezincibilikayo kungasusa isidingo sokususwa kwe-suture. Ithimba lokuhlinzwa lizophinde linikeze isiqondiso sokuqhubeka kancane kancane nemisebenzi evamile kanye nokuzivocavoca, kanye nezincomo zokugcina indlela yokuphila enempilo nesekelayo ukuze kukhuthazwe amandla esisu esikhathi eside kanye nenhlalakahle iyonke.
Kuhlala isikhathi esingakanani?
Ukuhlinzwa kwe-laparoscopic kuyindlela yokuhlinzwa engadingi ukungenelela okuningi esetshenziselwa ukulungisa i-hernia ye-inguinal. Ithimba lokulungisa i-hernia ye-inguinal lizohlola isikhathi senqubo, esisukela kumaminithi angu-120 kuya kwangu-150. Akufanele wonke umuntu, njengoba kuncike kubukhulu be-hernia, impilo yesiguli iyonke, nokuthi ngabe kuyinkinga efana nokuklinywa.
Ukuhlinzwa kwe-Laparoscopic
Indlela ye-TEP (engaphandle kwe-peritoneal) ye-laparoscopic ivumela ukuhlinzwa kwe-inguinal hernia ukuthi kwenziwe ngobuhlungu obuncane, ukululama okusheshayo, kanye nezinkinga ezimbalwa.
Ekuhlinzeni kwe-TEP laparoscopic kwama-hernias e-inguinal, ukuhlukaniswa kwezicubu kwenziwa ngosizo lwekhamera encane namathuluzi amancane okuhlinza ukuze kwenziwe ngokuphephile nangokunembile.
Kuyindlela ephephile enobuhlungu obuncane ngemva kokuhlinzwa, ukululama okusheshayo, kanye nezinkinga ezimbalwa. Ifaneleka futhi ekulungiseni ama-hernia aphindaphindayo noma angomabili. Indlela ye-TEP ibonise imiphumela emihle ngemva kokuhlinzwa. Ukulandela izinyathelo ezifanele zokululama nokunakekelwa kubalulekile ukuze kube nomphumela ophumelelayo.
Isiphetho
Ngokuphathelene nephuzu lokugcina elibalulekile, ukuhlinzwa kwe-laparoscopic inguinal hernia kuziveza njengendlela ephumelelayo nengangenisi kakhulu yokwelapha lesi simo esivamile, okunikeza iziguli ukululama okusheshayo kanye nokungakhululeki okuncane ngemva kokuhlinzwa.
Uma ucabanga ngale nqubo noma wazi othile ongase azuze kuyo, sikukhuthaza ukuthi wabelane ngalesi sihloko ezinkundleni zokuxhumana. Ake sisize ekusakazeni ulwazi olubalulekile mayelana nempilo kanye nezinketho zokuhlinzwa ezingcono kakhulu ezitholakalayo!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. Ukuhlinzwa Kwe-Hernia Ye-Inguinal Laparoscopic.