Sanibonani ngemfudumalo futhi wamukelekile kwiwebhusayithi ezinikele ekwaziseni ulwazi lokuvimbela impilo yokugaya ukudla. Ake siqonde ngqo ephuzwini futhi sihlaziye ama-hernia e-femoral kwabesifazane. Lena inkinga yezempilo evamile ethinta abesifazane nabesilisa. Ama-hernia e-inguinal kanye ne-femoral ayizinhlobo ezimbili ezivame kakhulu, kanti ama-hernia e-femoral avame kakhulu kwabesifazane.
Kulesi sihloko, sizoxoxa ngezimbangela, izimpawu, kanye nezinketho zokwelapha ama-hernia e-femoral kwabesifazane, kanye nomehluko phakathi kwama-hernia e-femoral ne-inguinal. Ukuqonda la ma-hernia — abhalwe ngabantu, kubantu — kanye nokwelashwa kwawo kubalulekile ukusiza ekuvimbeleni izinkinga nokukhuthaza ukululama okuphumelelayo.
Kunconywa ukuthi ume futhi uphefumule ngokujulile ukuze ubambe umoya-mpilo imizuzwana emi-4, bese uqhubeka nokukhipha umoya kancane. Phinda lo msebenzi izikhathi ezi-4. Lena yindlela engcono kakhulu yokunikeza ama-neurons umthombo omuhle kakhulu wamandla abalulekile.
Bazophendula ngezinga eliphezulu lokugxila kwengqondo kanye nokugcina ulwazi ukuze bathuthuke, okuzonquma isimo sengqondo sokubhekana nezinqumo ezimbi, njengokuzethemba noma ukwelapha ngokwakho.
Izenzo ezimbili ezimbi ezibambezela usizo lwezokwelapha ezibhedlela noma emitholampilo yezempilo ngohlelo lokunakekelwa kwempilo lukahulumeni noma oluzimele, okuholela ezinkingeni ezifana nokuboshwa noma ukuklinywa kokuqukethwe kwesikhwama se-hernia. Ngaphandle kokuchitha isikhathi, ake sihlolisise ngokujulile!
I-Femoral Hernia Kwabesifazane.
Siqala ngomehluko okhona phakathi kwebhande le-pelvic lowesilisa nowesifazane, elesibili linendandatho yaphansi emise okweqanda enomgodi omkhulu womsele wokuzalwa, kanti ububanzi bendandatho ye-pelvic buncane futhi bubheke phambili kowesilisa.
Lona omunye wemehluko owenza isifunda se-femoral sibe banzi kwabesifazane kunakwabesilisa futhi ngenxa yalokho indawo yemvelo yobuthakathaka, yingakho kuvame kakhulu i-femoral noma i-crural hernia kwabesifazane.
I-hernia ye-femoral uhlobo lwe-hernia oluthinta kakhulu abesifazane. Ibonakala ngokuvela kokuqukethwe kwesisu endaweni eseduze nethanga, okungaba buhlungu futhi kungakhululeki kusukela ekuqaleni kokudabuka odongeni lwesisu ngomsele we-femoral, otholakala ngaphansi komsipha we-inguinal endaweni ye-groin.
Ukuvama kwayo kuvame ukuba nzima ukukukala ngenxa yokungahlonzwa kwayo kahle ezimweni eziningi njenge-hernia ye-inguinal noma ye-groin, kodwa izifundo ziphakamisa ukuthi imelela cishe u-5% wazo zonke i-hernia ezinkulu.
Izimbangela ezivame kakhulu zalolu hlobo lwe-hernia ukukhulelwa, ukukhuluphala ngokweqile, kanye nokuphakamisa isisindo ngaphandle kwezinyathelo zokuphepha, okufaka ingcindezi odongeni lwesisu, okubangela ukuqhekeka noma ukuvuleka ezingeni lemithambo ye-medial femoral.
Izimpawu zifaka phakathi ukuvuvuka okubonakalayo ohlangothini lwethanga, ukungakhululeki kanye nobuhlungu lapho wenza imisebenzi yomzimba njengokugoba, ukukhwela izitebhisi noma ukuphakamisa izinsimbi; nokho, kubalulekile ukuqaphela ukuthi abanye abantu abanazo izimpawu.
Uma ingatholakali futhi ingelashwa isikhathi eside, i-femoral hernia ingaholela ezinkingeni ezinkulu, njengokuboshwa nokuklinywa. Ukusabalala kwe-femoral hernia kwabesifazane kugcizelela ngokukhethekile ukubaluleka kokuqaphela izimpawu nokuzelapha ngokushesha uma kudingeka.
Ukuqonda i-hernia ye-femoral:
I-crural hernia, eyaziwa nangokuthi i-femoral hernia, yenzeka lapho i-loop encane yamathumbu amancane kanye nokunye okuqukethwe esiswini kudlula odongeni olubuthakathaka esiswini esingezansi, okubangela ukuvuvukala ethangeni eliphezulu eduze kwe-groin.
Lolu hlobo lwe-hernia luvame kakhulu kwabesifazane futhi luvame ukuvela empilweni ephakathi nangemuva. Indawo lapho kuvela khona ama-hernia e-femoral yaziwa ngokuthi i-femoral canal , futhi itholakala eduze komphetho wesisu ongezansi.
Umsele we-femoral uyindlela eyenzeka ngokwemvelo evumela imithambo yegazi eyinhloko ukuthi igijime isuka esiswini iye ethangeni . Ukuqonda imininingwane yalolu hlobo lwe-hernia kubalulekile, ikakhulukazi kwabesifazane, abasengozini enkulu yokuyithola.
Njenganoma yiluphi uhlobo lwe-hernia, i-hernia ye-femoral ikhula ngenxa yokuhlanganiswa kwengcindezi kanye nobuthakathaka bodonga lwesisu . Lokhu kungabangelwa yizici eziningana, okuhlanganisa ukukhuluphala, ukukhulelwa okuningi, kanye nokuphakamisa izinto ezisindayo njalo.
Ukwanda kwengcindezi esiswini okubangelwa yizici ezishiwo kungabangela ukuphuma kwezicubu (i-omentum) noma isitho (amathumbu) ngomsele we-femoral, okuholela ku-femoral hernia.
Ukuqonda izimbangela ezingaba khona kanye nezici eziyingozi zokukhula kwalolu hlobo lwe-hernia kubalulekile ekuthatheni izinyathelo zokuzivikela kanye nokwelashwa kusenesikhathi.
Izici zobungozi
Ngokuphathelene nama-hernia e-femoral, izici eziningana zingaba nomthelela ekukhuleni kwawo, ikakhulukazi kwabesifazane. Ezinye zezinto eziyinhloko ezibangela i-hernia ye-femoral kwabesifazane ukukhuluphala kuhlanganiswe nendlela yokuphila yokuhlala phansi , okufaka ingcindezi eyengeziwe esiswini, okwenza kube lula ukuthi ingxenye yamathumbu iphume.
Ngaphezu kwalokho, ukuzikhandla ngokomzimba ngesikhathi sokukhulelwa nokubeletha nakho kungenza buthaka kakhulu imisipha yesisu, okwenza abesifazane bathambekele kakhulu ekuthuthukisweni kwe-hernia ye-femoral.
Ngakolunye uhlangothi, umehluko wokwakheka kwesinqe sowesifazane kanye nomsele we-femoral wenza ukwenzeka kwe-femoral hernia kuvame kakhulu kwabesifazane kunakwabesilisa.
Esinye isici esibangela ukwanda okukhulu kwama-hernia e-femoral kwabesifazane ukuthambekela kokuba nama -hips abanzi , okungaholela emgudwini obanzi we-femoral futhi, kanye nokunyakaza okungazelelwe, okuzenzakalelayo, ngenxa yalokho kwandisa amathuba okuba ne-hernia kule ndawo ethile.
Kubalulekile futhi ukuqaphela ukuthi inqubo yokuguga yemvelo kanye nobuthakathaka bemisipha yesisu nakho kungandisa ingozi yokuba ne-femoral hernia ekugugeni.
Ngokuqaphela lezi zici eziyingozi, abesifazane bangakulungela kakhudlwana amathuba okuthuthukisa i-femoral hernia futhi bathathe izinyathelo zokuphepha ezidingekayo zokunciphisa lezi zingozi.
Izimpawu ze-hernia ye-femoral
Izimpawu ze-hernia ye-femoral zingahluka kuye ngohlobo lwayo kanye nokuqina kwayo, kodwa ngokuvamile zihlanganisa ukuvuvuka okubonakalayo noma ukuvuvukala ethangeni elingenhla, eduze kwe-groin.
Lokhu kuqubuka kungaba buhlungu futhi uma kuthintwa futhi kubangele ukungakhululeki noma umuzwa wobuthakathaka endaweni ethintekile. Kwezinye izimo, abantu abane-hernia ye-femoral bangase babe nomuzwa obuhlungu nongajabulisi ongaba mubi kakhulu ngokusebenza ngokomzimba noma ukuzikhandla.
Kubalulekile ukuqaphela lezi zimpawu, kanye nanoma yibuphi ubuhlungu noma ukungakhululeki ngesikhathi semisebenzi efana nokuphakamisa izinto ezisindayo noma ngisho nokuma isikhathi eside , njengoba lokhu kungabonisa ukuthi kukhona i-hernia ye-femoral.
Ngaphezu kwalokho, akuvamile ukuthi abantu abane-hernia ye-femoral babe nomuzwa wokucindezeleka noma ukusinda ethangeni eliphezulu . Kwezinye izimo, i-hernia ye-femoral ingabangela nobuhlungu obungazelelwe, obubukhali endaweni yezinsini, ikakhulukazi lapho ukhwehlela noma ucindezela ngesikhathi sokuhamba kwamathumbu.
Uma ingelashwa ngokushesha nangendlela efanele, i-femoral hernia ingaholela ezinkingeni ezinkulu, njengokuvaleka kwengxenye yamathumbu, isimo esaziwa ngokuthi i -hernia eklinyiwe.
Lokhu kungabangela ukuvaleka kokugeleza kwegazi emathunjini athintekile, okuholela ekulimaleni kwezicubu kanye nesidingo sokungenelela okuphuthumayo kokuhlinzwa.
Ukuqaphela lezi zimpawu nokufuna usizo lwezokwelapha ngokushesha ezibhedlela noma emitholampilo yezempilo ngokusebenzisa uhlelo lwezempilo lukahulumeni noma oluzimele kubalulekile ekwelapheni ngempumelelo ama-hernia ayinkimbinkimbi e-femoral.
Ukuhlukanisa phakathi kwe-hernia ye-femoral ne-inguinal
Kubalulekile ukuhlukanisa phakathi kwe-femoral kanye ne-inguinal hernias, njengoba zihluka endaweni yazo yomzimba kanye nezindawo ezithile ze-groin ezithintayo.
Ngenkathi ama-hernia e-femoral ephuma ngomsele we-femoral ethangeni eliphezulu, ama-hernia e-inguinal ayenzeka emseleni we-inguinal , otholakala odongeni lwesisu olungezansi.
Kwabesifazane, umsele we-inguinal uyindlela yokungena kwe-ligament eyindilinga , futhi mkhulu futhi ubonakala kakhulu kwabesilisa. Ukuqonda lo mehluko kubalulekile, njengoba kuvumela ukuhlolwa okunembile kohlobo kanye nohlobo lwe-hernia, okwenza kube lula ukuthuthukiswa kohlelo lokwelashwa olufanele oluhambisana nezimo zomuntu ngamunye.
Ngaphezu kwalokho, izimpawu kanye nokuvezwa kwama-hernia e-femoral kanye ne-inguinal kungaba nomehluko omncane . Ngenkathi ama-hernia e-femoral evame ukubonakala njengokuvuvukala ethangeni eliphezulu, ama-hernia e-inguinal avela njengokuvuvukala e-groin noma e-scrotum kwabesilisa.
Ukuhlukanisa phakathi kwalezi zinhlobo ezimbili ze-hernia kubalulekile ukuqinisekisa ukusetshenziswa kwamasu okwelapha asebenza kahle futhi aqondiswe ngqo. Ngokukwazi ukuhlukanisa phakathi kwawo, ochwepheshe bezempilo banganikeza ukunakekelwa okukhethekile nokuthuthukisiwe kubantu abane-hernia ye-femoral noma ye-inguinal, okuthuthukisa imiphumela yokwelashwa kanye nokwaneliseka kwesiguli.
Ukuxilongwa kwe-hernia ye-femoral
Ukuxilongwa kwe-hernia ye-femoral kuvame ukuhilela ukuhlolwa okuphelele, okuhlanganisa umlando wezokwelapha onemininingwane kanye nokuhlolwa ngokomzimba okucophelelayo ukuze kutholakale ukuthi ikhona yini i-hernia.
Izifundo zokuthatha izithombe, njenge -ultrasound noma i-magnetic resonance imaging (MRI), zingasetshenziswa futhi ukuthola umbono oningiliziwe we-hernia kanye nezici zayo ezithile, okusiza ekuxilongweni okunembile kanye nokuthuthukiswa kwendlela yokwelapha eyenzelwe wena.
Kubalulekile ukuthi abantu, ikakhulukazi abesifazane, abasengozini enkulu yokuthola ama-hernia e-femoral, bahlanganyele ngenkuthalo enkambisweni yokuxilonga futhi badlulisele noma yiziphi izimpawu noma ukukhathazeka okufanele kudokotela wabo , njengoba le ndlela yokubambisana iyisisekelo sokuqinisekisa ukutholakala kwe-hernia ye-femoral ngesikhathi esifanele nangokunembile.
Kwezinye izimo, ukuvezwa kwe-hernia ye-femoral kungachazwa kalula, futhi kungaba yinselele yokuxilonga, ikakhulukazi uma kucatshangelwa ekuxilongweni okuhlukile kwezinye izifo zesisu noma ze-inguinal.
Kodwa-ke, ngenqubo yokuxilonga ehlelekile nehlanganisa imikhakha eyahlukene, ehlanganisa ukubamba iqhaza kodokotela bokunakekelwa okuyisisekelo, odokotela abahlinzayo abajwayelekile kanye nochwepheshe be-radiology, i-hernia ye-femoral ingabonakala ngempumelelo futhi ichazwe ngokunembile.
Lokhu kuvula indlela yokuqala ngokushesha inkambo efanele yokwelashwa, ngaleyo ndlela kuncishiswe ingozi yezinkinga ezingaba khona futhi kuthuthukiswe impilo engcono kanye nenhlalakahle iyonke.
Ukwelashwa ngokuhlinzwa kwe-hernia ye-femoral
Indlela eyinhloko nephumelela kakhulu yokwelapha i-hernia ye-femoral, kokubili kwabesifazane nabesilisa, ukulungiswa kokuhlinzwa. Ukungenelela kokuhlinzwa kwe-hernia ye-femoral, okwaziwa nangokuthi i -femoral herniorrhaphy , kuhilela ukuhlelwa kabusha ngokucophelela kokuqukethwe kwesisu okuphumayo kanye nokuvalwa kwesici sodonga lwesisu nge-sutures ukuvimbela ukuphinda kuvele.
Ukuvalwa nokuqinisa indawo ende kuvame ukufezwa kusetshenziswa ucezu lwe-mesh yokwenziwa, inqubo ebizwa ngokuthi i-crural hernioplasty, ukuze kunikezwe ukwesekwa okwengeziwe kwezicubu ezibuthakathaka, kunciphisa amathuba okuthi i-hernia ibuye futhi kukhuthaze ukuphulukiswa okuhle kakhulu.
Kubalulekile ukuthi abantu, ikakhulukazi abesifazane abane-femoral hernias, babe nengxoxo ebanzi nomhlinzeki wabo wezempilo kanye nodokotela ohlinzayo oqeqeshiwe ukuze baqonde imininingwane yenqubo yokuhlinzwa, izinzuzo zayo ezingaba khona, kanye nezingozi ezihlobene nayo.
Ngokuzibandakanya ngenkuthalo enkambisweni yokwenza izinqumo kanye nokwaziswa kahle ngokwelashwa kokuhlinzwa, abantu bangabhekana nokulungiswa kokuhlinzwa kwe-hernia ye-femoral ngokuzethemba kanye nokuqonda okucacile kwalokho okufanele bakulindele, ngaleyo ndlela banikele ekuhlangenwe nakho kokwelashwa okubushelelezi nokwanelisayo.
Ukusetshenziswa kwe-mesh ekulungiseni i-hernia
Ukusetshenziswa kwe -prosthetic mesh ekulungiseni ukuhlinzwa kwe-femoral hernias sekuyindlela eyamukelekayo futhi evame kakhulu ngenxa yezinzuzo zayo ezihambisana nayo.
Ukwengezwa kwe-mesh kusiza ekuhlinzekeni ukwesekwa okuqinile kwezicubu zesisu ezibuthakathaka, kunciphisa kakhulu ingozi yokuphinda kwe-hernia kanye nesidingo sokungenelela okulandelayo kokuhlinzwa.
Ngaphezu kwalokho, ukusetshenziswa kwe-mesh kuvumela ukusetshenziswa kwezindlela zokuhlinzwa ezingangenisi kakhulu, njenge-laparoscopy, ezihlotshaniswa nokusikwa okuncane, ukungakhululeki okuncane ngemva kokuhlinzwa, kanye nokululama okusheshayo.
Ngokuqonda nokwamukela ukusetshenziswa kwe-mesh ekulungiseni i-hernia ye-femoral, ochwepheshe bezempilo kanye nabantu ngabanye bangasebenza ukuze bathole imiphumela emihle kakhulu maqondana nokwelashwa kwe-hernia yesikhathi eside kanye nenhlalakahle yesiguli iyonke.
Kubalulekile ukuqaphela ukuthi isinqumo esithile sokusebenzisa i-mesh ekulungisweni kokuhlinzwa kwe-hernia ye-femoral sinqunywa ngabanye futhi sisekelwe ezicini eziningana, njengobukhulu be-hernia, isimo sempilo sesiguli sonke, kanye nendlela yokuhlinzwa esetshenziswayo.
Abahlinzeki bezempilo, ngokubambisana nabantu abalungiswa i-hernia, bahlola ngokucophelela lezi zici ukuze banqume inkambo efanele nezuzisayo yesenzo mayelana nokusetshenziswa kwe-mesh, baqinisekise ukuthi uhlelo lokwelapha luhambisana nezidingo nezimo ezithile zesiguli ukuze kutholakale imiphumela emihle kanye nekhwalithi yokuphila ethuthukisiwe.
Izinkinga kanye nokululama
Nakuba ukulungiswa kokuhlinzwa kwe-hernia ye-femoral kuvame ukuphephile futhi kuyasebenza, akunazo izingozi nezinkinga ezingaba khona.
Ezinye zezinkinga ezivamile ezihambisana nokuhlinzwa kokulungisa i-hernia, okuhlanganisa ukusetshenziswa kwe-mesh, zingafaka phakathi ukuqala kobuhlungu obungapheli, ukutheleleka endaweni yokuhlinzwa, kanye, ngokungavamile, ukufuduka kwe-mesh.
Kodwa-ke, ngentuthuko kwezobuchwepheshe bokuhlinzwa kanye nokunakekelwa ngemva kokuhlinzwa, ukwanda kwalezi zinkinga kuncishiswe kakhulu, futhi ukuphepha kanye nokusebenza kahle kwezinqubo zokulungisa i-hernia kuthuthukiswe kakhulu.
Ngemva kokuhlinzwa ukuze kulungiswe i-hernia ye-femoral, abesifazane nabesilisa belulekwa ukuba balandele uhlelo lokululama oluhlelekile noluhamba kancane kancane, olungafaka imikhawulo yokuphakamisa izinto ezisindayo nokwenza imisebenzi ethile yomzimba ngesikhathi sokuqala sokululama.
Ngokulandela lezi ziqondiso zangemuva kokuhlinzwa kanye nokuhlanganyela ngenkuthalo enkambisweni yokululama, abantu bangakhuthaza ukuphulukiswa okuhle kakhulu, banciphise ingozi yezinkinga, futhi kancane kancane babuyele emisebenzini yabo evamile benamandla abuyiselwe esiswini kanye nokusebenza.
Njenganoma iyiphi inqubo yokuhlinzwa, ukululama ekulungisweni kwe-femoral hernia kuyisigaba esibalulekile esidinga ukunakwa ngokucophelela eziqondisweni zabahlinzeki bezempilo ukuqinisekisa ukushintshela okubushelelezi nokwanelisayo endleleni yokuphila enempilo, engena-hernia.
Isiphetho
Ukuze sifingqe izinto ezibalulekile, ama-hernias e-femoral kwabesifazane ngokuvamile abangelwa yizici ezifana nokukhuluphala noma ukuphakamisa izinto ezisindayo, futhi angabangela ubuhlungu nokungakhululeki endaweni ye-groin.
Ngokungafani nama-hernia e-inguinal, angadinga ukuhlinzwa kanye nokusetshenziswa kwe-prosthetic mesh ukuze kulungiswe. Ukufuna ukwelashwa ngesikhathi kungasiza ekuvimbeleni izinkinga futhi kukhuthaze ukululama okusheshayo.
Sekuyisikhathi sokwabelana ngolwazi lwezempilo lokuvimbela mayelana nama-hernias e-femoral ezinkundleni zokuxhumana ukuze ndawonye sikwazi ukusiza abantu abaningi ukuthi bazuze futhi banciphise izinkinga.
Ukugona okufudumele futhi ngiyabonga ngokufunda nokuphawula ku-Blog Yezempilo Yokugaya Ukudla! Kuze kube yisikhathi esizayo!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. I-Femoral Hernia Kwabesifazane.