Siyakwamukela ngemfudumalo kubhulogi yezempilo yokugaya ukudla! Sekuyisikhathi sokuqala ingxoxo yethu ngama-hernia e-inguinal kwabesifazane. Lesi sihloko sikhuluma ngama-hernia e-inguinal kwabesifazane, okuhlanganisa izimbangela zawo, izimpawu, kanye nezinketho zokwelapha.
I-hernia ye-inguinal yenzeka lapho ingxenye yamathumbu noma ezinye izitho zesisu iphuma endaweni ebuthakathaka odongeni lwesisu iye emgodini wesisu.
Sizohlola izimbangela ezivamile kanye nezici eziyingozi zalesi simo, kanye nokwelashwa okuhlukahlukene okutholakalayo, okuhlanganisa izinketho zokuhlinzwa "ezibhalwe ngabantu, zabantu" kanye nokunakekelwa ngemva kokuhlinzwa. Sizophinde sinikeze amathiphu okuvimbela kanye nezindlela zokuphatha izimpawu.
Manje ngiyakumema ukuba uphuze inkomishi yetiye eliluhlaza, i-antioxidant enamandla equkethe ne-enzyme yemvelo eyi-100% ye-neurostimulant, i-L-theanine, efinyelela ukugxila okuphezulu kwengqondo kanye nokugcinwa kolwazi ukuze ithuthuke.
Lokhu okusha okufanayo kunquma isimo sengqondo sokuthatha isinyathelo ukuze ugweme ukuba isisulu esilula sezinhloso ezimbi zokuzethemba noma ukwelapha ngokwakho.
Izenzo ezimbili ezimbi ezibambezela ukuvakashela udokotela ezibhedlela noma emitholampilo yezempilo ngohlelo lwezempilo lukahulumeni noma oluzimele endaweni yakini noma edolobheni ukuze kutholakale ukuxilongwa kanye nokuhlela ukuhlinzwa okuqondile.
Sekuyisikhathi sokubhekabheka lolu hambo lwe-hernias ye-inguinal kwabesifazane!
Kwabesifazane, i-hernia ye-inguinal.
Ama-hernia e-inguinal ayinkinga evamile phakathi kwabesifazane, yize ukuvama kwawo kuphansi kakhulu kunakwabesilisa. Izilinganiso zisikisela ukuthi ama-hernia e-inguinal angu-2 kuya ku-4% kuphela ayenzeka kwabesifazane, futhi kulelo nani elincane labantu, u-1 kuya ku-3% kuphela ozodinga ukuhlinzwa.
Imbangela eyinhloko yalesi simo kukholakala ukuthi ihlobene nezici zomzimba, njengokulimala kwezicubu okuhlobene nokubeletha noma ubuthakathaka bemisipha yaphansi kwe -pelvic, okuholela ekwandeni kokucindezeleka kwangaphakathi kwesisu.
Izimpawu ezivame kakhulu ukuvuvuka okubonakalayo embotsheni noma odongeni lwesisu, ubuhlungu lapho ucindezela, ukuvuvukala, umuzwa oshisayo ozungeze ukuvuvuka, kanye nobuhlungu endaweni ethintekile. Abesifazane abane-inguinal hernias bangase babe nokuphazamiseka kokuya esikhathini kanye nobuhlungu obungapheli besisu ngenxa yokucindezelwa kwezitho eziseduze, njengesinyi kanye nesibeletho.
Uma ingelashwa ekuqaleni kokungakhululeki, la ma-hernia angaholela ezinkingeni ezinkulu zezokwelapha, njengokuvaleka kwamathumbu kanye nokuklinywa kwezicubu okungadinga ukuhlinzwa okuphuthumayo.
Kubalulekile ukuthi abesifazane abahlangabezana nanoma yiziphi zalezi zimpawu bafune usizo lwezokwelapha ngokushesha ukuze bakwazi ukuxilongwa kahle futhi baphathwe.
I-pelvis ebanzi yabesifazane inengozi enkulu yokuba nobuthakathaka odongeni lwe-inguinal, lapho izakhiwo zesisu, okuhlanganisa amathumbu amancane, i-omentum, kanye, ezimweni ezingavamile, isinyi, zingaphuma khona. Ngakho-ke, ukuhlolwa kwayo kanye nokwelashwa okuqondile, okuwukuhlinzwa, kubaluleke kakhulu.
Ziyini izimpawu ze-hernia ye-inguinal kwabesifazane?
Umbuzo othakazelisayo okufanele uhlolwe kulesi sihloko esithakazelisayo nesifinyelelekayo, esibhalwe ngolimi lwansuku zonke, ukhuluma ngenkinga yezempilo yabesifazane evamile edinga ukuhlaziywa kanye nesixazululo esiqondile ngokungenelela kokuhlinzwa. Ukungakhululeki kuyahlukahluka, ngakho ake sihlolisise ngokujulile:
Isingeniso ku-hernia ye-inguinal
I-hernia ye-inguinal yenzeka lapho izicubu , njengengxenye yamathumbu, ziphuma endaweni ebuthaka yesisu. Lesi simo sivame ukubonakala njengokuvuvukala endaweni ye-groin futhi singabangela ukungakhululeki, ikakhulukazi ngesikhathi sokusebenza ngokomzimba.
Ama-hernia e-inguinal angatholakala , ngokuvamile ngenxa yokuzikhandla ngesikhathi sokuhamba kwamathumbu noma ukuphakamisa izinto ezisindayo, noma ukuzalwa , okubangelwa ukuvalwa okungaphelele komsele we-inguinal ngesikhathi sokuthuthukiswa.
Ukwelashwa okuqondile kwama-hernias e-inguinal kuvame ukwenziwa ngokungenelela kokuhlinzwa, inhloso eyinhloko ukubuyisela izicubu ezivele esiswini nokulungisa indawo ebuthaka yodonga lwesisu.
Enye yezinhlobo ezivame kakhulu ze-hernias, i-inguinal hernias ivame kakhulu kwabesilisa kunakwabesifazane . Kodwa-ke, uma kukhulunywa nge-inguinal hernias kwabesifazane, ukuvezwa, izimbangela, kanye nezimpawu kungahluka, ngaleyo ndlela kudingeke ukuhlolwa okuthile kulo mongo.
Kubalulekile ukuqonda izici ezihlukile ze-inguinal hernias kwabesifazane ukuqinisekisa ukuxilongwa okuphumelelayo, ukwelashwa, kanye nokunakekelwa kwalesi simo ngemva kokuhlinzwa.
Uma kukhulunywa ngokukhula kwe-hernias ye-inguinal, abantu abathile bangase babe sengozini enkulu yalesi simo. Izici ezifana nomlando womndeni we-hernias, ukukhuluphala ngokweqile noma ukukhuluphala ngokweqile, ukukhwehlela okuqhubekayo, noma umlando wokuqunjelwa okungapheli kungandisa ingozi yokuthola i-hernia ye-inguinal.
Kwabesifazane, ukukhulelwa nokubeletha kuyizinto ezibalulekile ezibangela lokhu , njengoba izinguquko kanye nokwanda kwengcindezi esifundeni sesisu ngesikhathi sokukhulelwa kungenza babe sengozini enkulu yokuthuthukisa i-hernia ye-inguinal.
Izimbangela ze-hernia ye-inguinal kwabesifazane
Izimbangela ze-inguinal hernias kwabesifazane zinezici eziningi, zinezici ezahlukahlukene ezingasiza ekuthuthukisweni kwalesi simo. Esinye sezimbangela eziyinhloko ze-inguinal hernias kwabesifazane isakhiwo semvelo somsele we-inguinal, esibanzi kakhulu kwabesifazane kunabesilisa.
Lo mehluko ongaphakathi wenza abesifazane babe namathuba amaningi okuzwa ukuphuma kokuqukethwe esiswini ngomsele we-inguinal, ikakhulukazi lapho kufakwa ingcindezi eyengeziwe endaweni.
Ngaphezu kwalokho, izinguquko zomzimba ezenzeka ngesikhathi sokukhulelwa zingandisa kakhulu amathuba okuba abesifazane babe ne-hernia ye-inguinal.
Ukwanda kwesifunda se-pelvic kanye nokwelulwa kwemisipha nemisipha ukuze kuhlangatshezwane nombungu okhulayo kungenza buthaka udonga lwesisu, kudale isimo lapho ingxenye yamathumbu noma ezinye izicubu zingase ziphume khona ngomsele we-inguinal.
Ngaphezu kwalokho, isenzo sokubeletha ngokwaso, ikakhulukazi uma sihambisana nokubeletha isikhathi eside noma ukuzikhandla ngokweqile, singacindezela imisipha yesisu futhi sinikele ekuthuthukisweni kwe-hernia kwabesifazane.
Ezinye izici, njengokuqunjelwa okungapheli, ukuphakamisa izinto ezisindayo, noma ukuzikhandla ngesikhathi sokuhamba kwamathumbu, nazo zingadlala indima ekuthuthukisweni kwama-hernias e-inguinal kwabesifazane.
Lezi zenzo zingandisa ingcindezi ngaphakathi kwesisu, okungabangela ukuthi ingxenye yamathumbu idlule endaweni ebuthaka ezungeze umsele we-inguinal.
Nakuba izimbangela kanye nezici ezibangela i-inguinal hernias kwabesifazane zingase zihluke kwezabesilisa, indlela eyisisekelo yokuphuma kwezitho odongeni lwesisu olubuthakathaka isalokhu ifana.
Izimpawu ezivamile ze-hernia ye-inguinal kwabesifazane
Uma kukhulunywa nge-inguinal hernias kwabesifazane, ukungakhululeki kungahluka ngohlobo nangobukhali. Esinye sezibonakaliso eziyinhloko ze-inguinal hernia kwabesifazane ukuvuvuka okubonakalayo kuzo zombili izinhlangothi zethambo le-pubic , okungase kubonakale kakhulu lapho kwenziwa imisebenzi efana nokuma, ukukhwehlela, noma ukuzikhandla.
Lokhu kuqubuka, okuwumphumela wokuphuma kwengxenye yokuqukethwe kwesisu endaweni ebuthaka , kuyisici esivamile sama-hernias e-inguinal kokubili kwabesilisa nabesifazane.
Ngaphezu kokuvuvukala okubonakalayo, abesifazane abane-inguinal hernias bangase babe nokungakhululeki noma umuzwa wokucindezeleka embotsheni, ikakhulukazi lapho bephakamisa izinto ezisindayo, benza umsebenzi womzimba, noma bema isikhathi eside ; isibonelo, owesifazane osebenza esitolo sokudla, esitolo sezinto zokwakha, esitolo sezindwangu, njll.
Kwezinye izimo, kungase kube nobuhlungu noma imizwa yokusha endaweni ethintekile, futhi ukungakhululeki kungase kufinyelele esiswini esingezansi. Kubalulekile ukuqaphela ukuthi, kwezinye izimo, ama-hernias e-inguinal kwabesifazane angase angabi nazimpawu ekuqaleni, kanti ukukhukhumala kuwukuphela kwesibonakaliso esibonakalayo.
Kodwa-ke, njengoba i-hernia iqhubeka noma ezimweni ezandisa ingcindezi esifundeni sesisu, izimpawu ezifana nobuhlungu be-groin noma umuzwa wokuhudula zingase zibonakale kakhulu.
Ngakolunye uhlangothi, ezimweni lapho izicubu eziphumayo zivalelwa noma ziklinywa , kungase kuvele izimpawu ezingathi sína, njengesicanucanu nokuhlanza , kanye nokungakwazi ukukhipha igesi noma ukugoba.
Lokhu kubonisa izinkinga ezingaba nkulu futhi kudinga ukunakekelwa kwezokwelapha okusheshayo. Ukuqaphela nokuqonda izimpawu ezivamile, futhi ngezinye izikhathi ezicashile, ze-inguinal hernias kwabesifazane kubalulekile ukuze kube lula ukuxilongwa ngesikhathi esifanele kanye nokuphathwa okufanele kwalesi simo.
Ukuxilongwa kwe-hernia ye-inguinal kwabesifazane
Ukuhlolwa kwe-hernia ye-inguinal kwabesifazane kuvame ukuqala ngokuhlolwa okujulile, okuhlanganisa ukubuyekezwa okuningiliziwe komlando wezokwelapha womuntu kanye nokuhlolwa ngokomzimba okuningiliziwe.
Ngesikhathi sokuhlolwa ngokomzimba, uchwepheshe wezempilo ezibhedlela zomphakathi noma ezizimele noma emitholampilo yezempilo uzothinta ngokucophelela indawo yesisu ukuze athole ukuthi kukhona amaqhubu noma izindawo ezibuhlungu.
Kwezinye izimo, ukuphuma kwe-hernia kungase kubonakale kakhulu futhi kuzwakale kahle lapho umuntu ecelwa ukuba ame, akhwehlele, noma enze noma yisiphi esinye isenzo esikhuphula ingcindezi yangaphakathi kwesisu.
Ngaphezu kokuhlolwa ngokomzimba, izifundo zezithombe ezifana ne-ultrasound noma i-magnetic resonance imaging (MRI) zingasetshenziswa ukuhlola kangcono i-hernia ye-inguinal, ikakhulukazi uma ukuxilongwa kungabaza noma kukhona okutholakele okungajwayelekile.
Lezi zindlela zokuthwebula izithombe zinganikeza ulwazi oluningiliziwe mayelana nendawo kanye nosayizi we-hernia, kanye nezakhiwo ezihilelekile, okusiza ekuqondiseni indlela yokwelapha.
Ezimweni ezithile, njengalapho ukuxilongwa kungaqondile noma lapho umuntu eba nezimpawu ezibalulekile nezingaqondakali, izinqubo ezengeziwe zokuxilonga noma ukubonisana nochwepheshe bezokwelapha i-hernia kunganconywa ukuqinisekisa ukuhlolwa okunembile nokuphelele kwalesi simo.
Kubalulekile ukuthi abesifazane abasola ukuthi bangase babe ne-hernia ye-inguinal bavakashele ngokushesha udokotela wendawo noma wedolobha labo bese behlolwa ngokucophelela ukuqinisekisa ukuxilongwa nokunquma inkambo efanele kakhulu yesenzo.
Ukutholwa kusenesikhathi kanye nokuxilongwa kudlala indima ebalulekile ekubhekaneni ngempumelelo nama-hernias e-inguinal futhi kungathinta kakhulu amasu okwelapha kanye nemiphumela kwabesifazane abathintekile yilesi simo.
Ukwelashwa kwe-hernia ye-inguinal kwabesifazane
Ukuhlinzwa kwe-inguinal hernia kwabesifazane kungabandakanya izindlela eziningana, kuye ngezici ezithile ze-hernia, ukuba khona kwezimpawu, isimo sempilo somuntu ngamunye, kanye nezintandokazi zokwelapha.
Nakuba amanye ama-hernia, ikakhulukazi amancane futhi angenazo izimpawu , angaqala ukwelashwa ngesu lokulinda eliqaphile kanye nokuguqulwa kwendlela yokuphila, ukungenelela kokuhlinzwa ngokuvamile kubhekwa njengokwelashwa okuphumelelayo nokuqondile kwama-hernia e-inguinal kwabesifazane, ikakhulukazi lawo anezimpawu noma lawo angase abe yinkimbinkimbi.
Ukuhlinzwa kwe-hernia ye-inguinal kwabesifazane kungenziwa kusetshenziswa amasu avulekile endabuko noma izindlela ezingangenisi kakhulu, njengokuhlinzwa kwe-laparoscopic. Ngesikhathi senqubo yokuhlinzwa, izicubu eziphumayo zifakwa kabusha emgodini wesisu , futhi indawo ebuthaka yodonga lwesisu ivame ukuqiniswa futhi ilungiswe, ngokuvamile kusetshenziswa i-mesh yokuhlinzwa ukunikeza ukwesekwa okwengeziwe.
Isinqumo mayelana nendlela yokuhlinzwa efaneleke kakhulu sivame ukusekelwe ezicini eziningana, njengobukhulu nendawo ye-hernia, umlando wezokwelapha womuntu, kanye nolwazi lukadokotela ohlinzayo kanye nezinto azithandayo.
Ngokulungisa inkinga eyisisekelo yodonga lwesisu, ukulungiswa kokuhlinzwa kuhlose ukunciphisa ingozi yokuphindaphinda kwama-hernia nokunciphisa izimpawu ezihambisana nawo, okwenza abantu bakwazi ukuqhubeka nemisebenzi yabo evamile nokugcina inhlalakahle enhle.
Ezimweni lapho ingozi yokuhlinzwa ingase ibe ngaphezu kwezinzuzo ezingaba khona, noma ezimweni lapho impilo yomuntu iyonke ibangela ukukhathazeka okukhulu, uchwepheshe wezempilo angancoma indlela yokuphatha ngendlela elondolozayo.
Lokhu kuphathwa kugxila ekulawuleni izimpawu, ukulungiswa kwendlela yokuphila, kanye nokusetshenziswa kwezingubo zokusekela, njengebhande le-hernia, ukusiza ukunciphisa ukungakhululeki nokuvimbela i-hernia ukuthi ingabi yimbi.
Le ndlela eyenzelwe wena yenzelwe ukuhlinzeka ngokulawula izimpawu okuphumelelayo kanye nokusekela abantu abangafaneleki ukuhlinzwa, inikeza uhlaka oluhlelwe ngokwezifiso lokwelapha ama-hernias e-inguinal kwabesifazane ngokusekelwe ezidingweni zabo ezithile kanye nokucabangela impilo.
Ngemva kokwelashwa okufanele kwe-hernia ye-inguinal, kubalulekile ukuthi abesifazane balandele iziqondiso zokunakekelwa ezinconywayo futhi banamathele ohlelweni oluhlelekile lokululama ngemva kokuhlinzwa ukuze kukhuthazwe ukuphulukiswa, kuncishiswe ingozi yezinkinga, futhi kuthuthukiswe imiphumela yokwelashwa yesikhathi eside.
Lokhu kungase kuhilele ukuqala kabusha kancane kancane imisebenzi evamile, ukufaka ukuzivocavoca umzimba okuthambile, nokugwema ukufaka ukucindezeleka okukhulu endaweni yokuhlinzwa ngesikhathi sokuqala sokuphulukiswa.
Ngokuhlanganyela ngenkuthalo enkambisweni yokunakekelwa ngemva kokuhlinzwa kanye nokuya emihlanganweni yokulandelela ehleliwe, abesifazane bangasebenzisana nethimba labo lezokunakekelwa kwempilo ukuqinisekisa ukululama okubushelelezi nokwanelisayo ngemva kokwelashwa kwe-hernia ye-inguinal.
Ukuvimbela i-hernia ye-inguinal kwabesifazane
Ukuvimbela kubalulekile uma kukhulunywa ngokushintsha indlela yokuphila uma kukhulunywa ngama-hernias e-inguinal kwabesifazane. Ama-hernias e-inguinal, ayenzeka e-groin, avame kakhulu kwabesilisa, kodwa abesifazane nabo bangathinteka.
Ukuze kuncishiswe ingozi yokuthola lolu hlobo lwe-hernia, abesifazane kufanele banake imizimba yabo futhi baqinisekise ukuthi abaphili impilo yokuhlala phansi ebangela ukukhuluphala ngokweqile kanye nokukhuluphala ngokweqile.
Ukudla okunempilo okucebile nge-fiber yokudla, njengezithelo nemifino emisha, kanye nokuqinisa imisipha ngokuzilolonga umzimba kuyizinto ezimbili ezibalulekile ekuvimbeleni i-hernia ye-inguinal.
Abesifazane asebevele benobuthakathaka bemisipha odongeni lwesisu bangazuza ekuzivocavoceni okuqondiswe ngqo kuleyo misipha ohlelweni lokuzivocavoca njengengxenye yenqubo evamile.
Ngokwamukela lezi zinguquko zendlela yokuphila, abesifazane baba yizici ezibalulekile ekunakekelweni kwabo futhi bangasiza ekunciphiseni ingozi yokuthola i-hernia ye-inguinal, kanye nokuthuthukisa ikhwalithi yokuphila kwabo.
Isiphetho
Ama-hernias e-inguinal kwabesifazane aveza isethi yezinto ezihlukile, kusukela ezicini ezingaba nomthelela kanye nezimpawu ezahlukahlukene kuya ezicini ezihlukile ekuxilongweni nasekwelashweni.
Ngokuqwashisa ngezici ezihlukile ze-inguinal hernias kwabesifazane nokugcizelela ukubaluleka kwezindlela eziklanyelwe ukwelapha lesi simo, bobabili ochwepheshe bezempilo kanye nabantu ngabanye bangasebenza ukukhuthaza ukuqonda okuphelele kanye nokwelashwa okuphumelelayo kwe-inguinal hernias.
Ngokunika amandla abesifazane ukuthi bathathe ubunikazi benhlalakahle yabo, ekugcineni sifaka isandla ekuthuthukiseni impilo kanye nenhlalakahle yabesifazane abathintekile yilesi simo.
Kubalulekile ukubonisa ubumbano ngokwabelana ngolwazi mayelana nama-hernias e-inguinal kwabesifazane ezinkundleni zokuxhumana ukuze abantu abaningi bazuze kulolu lwazi olusha futhi bangabi nje esinye isibalo sezinkinga ezinkulu.
Ngiyabonga ngemibono neziphakamiso zakho ze-Digestive Health Blog. Izilokotho ezinhle, futhi sizobonana ngesikhathi esizayo!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. I-Inguinal Hernia Kwabesifazane.