I-hernia ye-inguinal yangakwesokudla yisimo sezokwelapha lapho ingxenye yamathumbu noma ezinye izitho noma izicubu zesisu ziphuma khona endaweni ebuthakathaka e-groin. Ingabangelwa yizici ezahlukahlukene, njengobuthakathaka bemisipha yodonga lwesisu noma ukwanda kwengcindezi yesisu.
Lesi sihloko sizokhuluma ngezimbangela nezimpawu ezivamile. "kubhalwe ngabantu, ngenxa yabantu" kanye nokwelashwa okutholakalayo kwama-hernia e-inguinal. Ukuqonda le miqondo ebalulekile kubalulekile kunoma ubani obona izimpawu noma ofuna iseluleko sezokwelapha ngalesi simo.
I-Hernia entanyeni yesokudla
I-hernia engonweni yesokudla yisimo esivamile esenzeka lapho ingxenye yamathumbu noma izicubu zesisu iphuma endaweni ebuthakathaka odongeni lwesisu. Lolu hlobo lwe-hernia lungabangela ukungakhululeki, futhi kwezinye izimo, izinkinga ezinkulu uma lungelashwa kahle futhi ngokushesha.
Kubalulekile ukuqaphela izimpawu nokufuna isiqondiso sezokwelapha ukuze kutholakale ukuxilongwa nokwelashwa okufanele. Ngokunakekelwa okufanele, iziguli eziningi zingalulama ngokugcwele futhi ziqhubeke nemisebenzi yazo yansuku zonke. Asikwenze!
Ukuqonda i-hernia ye-inguinal
I-hernia ye-inguinal yisimo esibonakala ngokuphuma kokuqukethwe kwesisu endaweni ebuthakathaka emisipheni ye-groin noma endaweni ye-inguinal.
Kwenzeka lapho ingxenye yamathumbu noma izicubu zamafutha zangaphakathi zikhula zibe yindawo ebuthaka yodonga lwesisu. Ngokuvamile kubonakala njengeqhubu ohlangothini lwethambo le-pubic futhi kungaba yinto evelele kakhulu. ukugqama lapho umi.
Ukuthuthukiswa kwe-hernia ye-inguinal kungabangelwa yinhlanganisela yezici, njengobuthakathaka obukhona kakade bodonga lwesisu kanye nokwanda kwengcindezi ngaphakathi kwesisu.
Esinye sezakhiwo ezibalulekile zomzimba ezihilelekile ekuthuthukisweni kwe-hernia ye-inguinal yilesi umsele we-inguinalokukhona kokubili kwabesilisa nabesifazane.
- Kwabesilisa, lo msele we-inguinal uyindlela yentambo yesidoda futhi ubhekwa njengendawo yemvelo yobuthakathaka.
- Kwabesifazane, i-ligament eyindilinga ebamba isibeletho idlula emgudwini ofanayo futhi ingaba yimbangela ebangela ukuthuthukiswa kwe-hernia ye-inguinal.
I-hernia ye-inguinal ingahlukaniswa ngezinhlobo ezimbili eziyinhloko: eqondile nengaqondile.
- Una i-hernia engaqondile ye-inguinal Ngokuvamile kuzalwa futhi kwenzeka lapho ukuvulwa kwendandatho ye-inguinal kungavaleki ngokuphelele lapho kuzalwa, okuvumela indlela yokuphuma kwezicubu.
- Ngakolunye uhlangothi, a i-hernia eqondile ye-inguinal Kuvame kakhulu kubantu abadala futhi kuwumphumela wobuthakathaka kancane kancane kwemisipha yesisu.
Ukuqonda uhlobo oluthile lwe-hernia ye-inguinal kubalulekile ekunqumeni indlela yokwelapha ephumelela kakhulu.
Izimbangela ze-hernia ye-inguinal
Izimbangela ze-hernias ye-inguinal ziyahlukahluka, futhi kunezici eziningana ezihilelekile ekukhuleni kwazo. zombili izici zofuzo njengokuhlobene nendlela yokuphila.
Njengoba kushiwo ngaphambili, izimbangela ezivelele kakhulu zifaka phakathi ukuthambekela kokuzalwa, njengokwehluleka kwendandatho ejulile ye-inguinal ukuvala ngaphambi kokuzalwa. Lokhu kukhubazeka kokuzalwa kudala ukuthambekela kokuvela kokuqukethwe esiswini kanye nokukhula kwe-hernia ye-inguinal ekugcineni.
Ngaphezu kwengxenye yokuzalwa, ezinye izici zingasiza ekwakhekeni kwe-hernia ye-inguinal. faka imisebenzi noma izimo ezibangela ukwanda kwengcindezi ngaphakathi kwesisu, njengokuphakamisa izinto ezisindayo, ukukhwehlela okuqhubekayo, noma ukuzikhandla lapho ukhipha indle.
Ngokuhamba kwesikhathi, lezi zenzo zingasebenzisa amandla amakhulu emisipheni yesisu, ekugcineni zidale izindawo ezibuthakathaka lapho i-hernia ye-inguinal ingenzeka khona.
Ngaphezu kwalokho, inhlanganisela yobudala, ukuthambekela kwezakhi zofuzo, kanye nobulili besilisa kwandisa amathuba okuthola i-hernia ye-inguinal.
Kwezinye izimo, ukuthuthukiswa kwe-hernia ye-inguinal kungahlotshaniswa nobuthakathaka obukhona odongeni lwesisu, okungaba umphumela wokusika noma ukulimala kokuhlinzwa kwangaphambilini.
Lokhu kugcizelela ukubaluleka kokuthatha izinyathelo zokuphepha nokugwema imisebenzi engase ukuzivocavoca Ukucindezeleka okukhulu emisipheni yesisuikakhulukazi kubantu abangase babe sengozini enkulu yokuthola i-hernia.
Amaphuzu abuthakathaka odongeni lwesisu
La Ukwakheka kwe-hernia ye-inguinal kuhlobene ngokwemvelo enamaphuzu abuthakathaka odongeni lwesisu, ikakhulukazi esifundeni somsele we-inguinal. Le ndawo yokwakheka, ebalulekile ekwehleni kwamasende esikhumbeni ngesikhathi sokukhula kombungu, ingase ihlale isengozini yokuthuthukisa i-hernia lapho isikhulile.
Ukuba khona kobuthakathaka bemvelo kule ngxenye yodonga lwesisu kugcizelela ukubaluleka kwale ndawo ekuguleni kwe-hernias ye-inguinal. Ngaphezu kwalokho, ukuvuleka kwemvelo kanye nezindlela zodonga lwesisu, okuhlanganisa nomsele we-inguinal, kusebenza njengendawo ebalulekile yokuthuthukiswa kwe-hernia ye-inguinal.
La maphuzu asengozini angathuthukiswa kakhulu yizici ezifana nokucindezeleka okungapheli kanye nokwanda kwengcindezi yangaphakathi kwesisu, okuthuthukisa ubuthakathaka bemisipha ezungezile futhi kuvumele ukuphuma kokuqukethwe kwesisu.
Ngakho-ke, ukuqonda nokubhekana namaphuzu athile obuthakathaka odongeni lwesisu kubaluleke kakhulu ekwelapheni nasekuvimbeleni ama-hernias angama-inguinal.
Kubalulekile futhi ukuqaphela ukuthi, nakuba abanye abantu bengase babe nesifo sofuzo sokuthuthukisa i-hernia ye-inguinal, ukuba khona kwe-hernia izici zengozi eziguquguqukayo, njengalezo ezihlobene indlela yokuphila kanye nomsebenzi, kungathinta kakhulu amathuba okuthola lesi simo.
Ngokubona nokunciphisa lezi zici eziyingozi, kungenzeka ukuqinisa udonga lwesisu ngendlela eqhubekayo futhi kuncishiswe amathuba okuthola i-hernia ye-inguinal.
Ukwanda kwengcindezi yesisu
Esinye isici esibalulekile ekuthuthukisweni kwe-hernia ye-inguinal umqondo wokwanda kwengcindezi yesisu, okungabangelwa yizici nemisebenzi ehlukahlukene.
Izenzo ezingapheli neziqhubekayo ezibangela ukwanda kwengcindezi yangaphakathi kwesisu, njengokuphakamisa izinto ezisindayo, ukukhwehlela okuqhubekayo ngenxa yokubhema noma ukukhuluphala, kungabangela ukuqhubekela phambili kwe-hernia ye-inguinal.
Ukwanda okuphindaphindiwe kwengcindezi ngaphakathi kwesisu kungacindezela kancane kancane izindawo ezibuthakathaka zodonga lwesisu, okubangela ukuba izicubu zangaphakathi ziphume futhi kuholele ekubonakalisweni kwezimpawu ezihlobene ne-hernia.
Ngakolunye uhlangothi, izimo ezithile zezokwelapha ezibonakala ngokukhuphuka okungapheli kwengcindezi yangaphakathi kwesisu, njengokuqunjelwa Futhi i-benign prostatic hyperplasia (BPH) emadodeni ingabangela abantu ukuthi bahlulwe yi-inguinal hernia.
Kulezi zimo, ukwanda okuqhubekayo kwamandla angaphakathi kwesisu kusebenza njengesicindezelo esiqhubekayo ekuqineni kodonga lwesisu, okungaholela ekuthuthukisweni kwe-hernia.
Ngokubhekana nokulawula izici eziyisisekelo ezibangela ukwanda kwengcindezi yesisu, kungenzeka ukunciphisa umthwalo emisipheni yesisu nokunciphisa ingozi yokuthola i-hernia ye-inguinal.
Ukuqonda nokubhekana nezimbangela eziningi kanye nezici ezibangela i-inguinal hernias, ikakhulukazi lezo ezihlobene nobuthakathaka obungokwemvelo kanye nokuguquguquka kwengcindezi odongeni lwesisu, kubalulekile kokubili ekwelashweni okusebenzayo kanye nendlela yokuvimbela lesi simo sezokwelapha esivamile.
Izimpawu ze-hernia ye-inguinal
Ama-hernia e-inguinal ngokuvamile abonakala ngezimpawu ezihlukile ezingahluka ngobukhulu futhi zibonise ukuba khona kwalesi simo. Ukuqaphela lezi zimpawu kubalulekile ekwenzeni kube lula ukungenelela kanye nokwelashwa kwabantu abathintekile yi-inguinal hernia.
Okulandelayo ngezinye zezimpawu ezivame kakhulu ezihlobene nalolu hlobo lwe-hernia, okuhlanganisa nalezo ezibonakala ngqo embotsheni yesokudla, ezingase zibonise ukuba khona kwe-hernia ye-inguinal:
- Esinye sezimpawu eziphawulekayo ze-hernia ye-inguinal ukuvuvuka okubonakalayo endaweni ye-groin, ikakhulukazi lapho umile, okungase kubonakale kakhulu uma ukhwehlela noma ucindezela. Lokhu kuvuvuka, okubonisa ukuphuma kwezicubu zangaphakathi, kungabonakala futhi kuzwakale, okuvumela ukuhlonza i-hernia kusengaphambili.
- Ngaphezu kokuba khona kokuvuvukala okubonakalayo nokuthintayo, abantu abane-hernia ye-inguinal bangase babe namazinga ahlukahlukene okungakhululeki, ubuhlungu, noma umuzwa wokushisa embotsheni ethintekile.
- Lokhu kungakhululeki kungahluka kusukela kokuncane kuya kokukhulu futhi kungase kube kubi kakhulu ngokusebenza ngokomzimba noma ukuma isikhathi eside, okubonisa ukuthi kungenzeka ukuthi kukhona i-hernia ye-inguinal kanye nezimpawu ezihambisana nayo.
Kubalulekile ukuqaphela ukuthi, yize amanye ama-hernias angama-inguinal engase angabi nazimpawu futhi kuphela okutholakale ngesikhathi sokuhlolwa ngokomzimba okuvamileEzinye zingase zibonakale zinezimpawu ezahlukene futhi ngezinye izikhathi ezikhubazayo.
Lezi zimpawu zibaluleke kakhulu uma kukhulunywa nge-hernia ye-inguinal yangakwesokudla futhi kufanele zishukumisele abantu ukuthi bafune ukuhlolwa kwezokwelapha okusheshayo kanye nokungenelela ukuze baphathe lesi simo ngempumelelo.
Ukuxilongwa kwe-hernia ye-inguinal
Njengoba kunikezwe isithombe somtholampilo esihlukahlukene kanye nezimpawu ezingaba khona ze-inguinal hernias, inqubo yokuxilonga yalesi simo ivame ukuhilela ukuhlolwa okuphelele okuhlanganisa kokubili ukuhlolwa ngokomzimba kanye, kwezinye izimo, izifundo zezithombe.
Okulandelayo yizingxenye eziyinhloko zendlela yokuxilonga ukuhlola nokuqinisekisa ukuba khona kwe-hernia ye-inguinal:
- Isici esiyinhloko sokuxilonga i-hernia ye-inguinal ukuhlolwa okuningiliziwe ngokomzimba, okungafaka phakathi ukuhlola i-groin ethintekile ukuhlola ukuthi ikhona yini i-bulge, kanye nokwenza imisebenzi, njengokuhlolwa kokukhwehlela, ukuze kuvele i-hernia.
- Ngaphezu kwalokho, umhlinzeki wezempilo angase abambe indawo ye-inguinal ukuze abone ubukhulu, ukuhambisana, kanye nokuncishiswa kwe-hernia, konke okufaka isandla ekuhlolweni kwezokwelapha okuphelele kwalesi simo.
Kwezinye izimo lapho ukuhlolwa ngokomzimba kunganikezi iziphetho ezicacile noma kudinga ukucaciswa okwengeziwe, izifundo zezithombe, ezifana i-ultrasound noma i-magnetic resonance imaging (MRI), ukuze kunikezwe umbono oningiliziwe wendawo ye-inguinal kanye ne-hernia okusolwa ukuthi ikhona.
Lezi zindlela zokuthwebula izithombe ezingangenisi uhlamvu zinganikeza ukuqonda okubalulekile ngezici zomzimba ze-hernia, zisize ekusunguleni ukuxilongwa okuqondile nokuthuthukisa isu lokwelapha elifanele.
Ngokuhlanganisa ulwazi olutholwe kulezi zinto zokuxilonga, ochwepheshe bezempilo bangaqinisekisa ngempumelelo ukuba khona kwe-hernia ye-inguinal. ukuhlukanisa kwezinye izimbangela ezingaba khona zokungakhululeki kwemisipha yesisu futhi ulungise indlela ethile yokwelapha lesi simo ngokusekelwe ezicini ezithile zesiguli kanye nezidingo zomuntu ngamunye.
Ukwelashwa kwe-hernia ye-Inguinal
Ukwelashwa kwe-hernia ye-inguinal kugxile ekubhekaneni nephutha eliyisisekelo lokwakheka komzimba kanye nokuvimbela izinkinga ezingaba khona ezihlobene nalesi simo.
Nakuba ama-hernia amancane, angenazo izimpawu, angaqala ngokwelashwa ngesu lokulinda eliqaphile kanye nokulandelela okuvamile, ukungenelela okuyinhloko nokuqondile kwama-hernia e-inguinal, ikakhulukazi lawo abangela izimpawu eziqhubekayo, ukulungiswa kokuhlinzwa.
Okulandelayo yizinto ezibalulekile kanye nezindlela zokwelashwa kwe-hernias ye-inguinal:
Ukulungiswa kokuhlinzwa kwe-hernia ye-inguinal, eyaziwa nangokuthi i-herniorrhaphy noma i-hernioplasty, inqubo eyenziwa njalo ehlose ukuqinisa indawo ebuthaka yodonga lwesisu nokubeka kabusha izicubu eziphumayo emgodini wesisu.
Lokhu kungenelela kuvame ukunconywa ukuvimbela ingozi yezinkinga, ukunciphisa izimpawu, kanye nokuxazulula imbangela eyisisekelo ye-hernia. Kungenziwa ngokusebenzisa ukuhlinzwa okuvulekile kwendabuko noma indlela ye-laparoscopic engangenisi kakhulu, ehilela ukusikwa okuncane kanye namasu okuhlinzwa akhethekile okufinyelela nokulungisa i-hernia.
- Kumongo we ukulungiswa okuvulekile Nge-hernia ye-inguinal, inqubo yokuhlinzwa ivame ukuhilela ukwenza i-incision e-groin ethintekile, lapho izicubu eziphumayo zicindezelwa khona esiswini, futhi kungafakwa i-mesh yokwenziwa (i-hernioplasty) ukuqinisa indawo ebuthaka yodonga lwesisu.
- Ngakolunye uhlangothi, ukulungiswa kwe-laparoscopic Ukulungiswa kwe-hernia ye-inguinal kuhilela ukufakwa kwe-laparoscope kanye nezinye izinto ezikhethekile ngokusebenzisa ukusikwa okuncane odongeni lwesisu, okuvumela ukubona nokulungisa i-hernia kusetshenziswa i-mesh yokwenziwa ngaphansi kwesiqondiso sobuchwepheshe obuthuthukisiwe bokuthwebula izithombe.
Ukukhethwa kwendlela yokuhlinzwa efaneleke kakhulu yokulungisa i-hernia ye-inguinal kunqunywa ngokusekelwe ezicini eziningana, okuhlanganisa ubukhulu nendawo ye-hernia, umlando wezokwelapha wesiguli, kanye nolwazi lukadokotela ohlinzayo.
Zombili izindlela ezivulekile kanye nezindlela ze-laparoscopic zibonise imiphumela emihle ekwelapheni ama-hernias e-inguinal, futhi ukukhetha indlela ethile kwenziwa ngokwezifiso ukuze kuthuthukiswe ukulungiswa kanye nenhlalakahle yesiguli yesikhathi eside.
Ukuhlinzwa kokulungisa i-hernia
Isinqumo sokuhlinzwa ukuze kulungiswe i-hernia ye-inguinal inqubo ebalulekile neyodwa eqondiswa ukuba khona kwezimpawu, ingozi yezinkinga ezingaba khona, kanye nesimo sempilo sesiguli sonke.
Ukungenelela kokuhlinzwa ngokuvamile kunconywa ezimweni ze-hernias ye-inguinal enezimpawu, kanye nasezimweni lapho ingozi yezinkinga, njengokuba kungenzeka i-hernia eboshiwe noma eklinyiweKubalulekile.
Izici ezilandelayo zichaza kabanzi ngezinto ezibalulekile kanye nezindlela ezihlobene nokwelashwa kokuhlinzwa kwe-hernia ye-inguinal:
Ngesikhathi sokulungiswa kwe-hernia ye-inguinal ngokuhlinzwa, izicubu eziphumayo noma ingxenye yamathumbu ibekwa kabusha ngokucophelela emgodini wesisu, futhi inkinga yodonga lwesisu engaphansi ixazululwa ngokucophelela. imithungo yokuhlinzwa engamuncwa (i-herniorrhaphy) ukuvimbela ukuphinda kwe-hernia.
Le nqubo ivame ukuhilela ukusetshenziswa kwe-mesh yokwenziwa ukuze kunikezwe ukwesekwa okwengeziwe endaweni ebuthaka, kunciphisa amathuba okuphindeka kwe-hernia futhi kukhuthaze ukuqina kwesakhiwo sodonga lwesisu isikhathi eside.
Kubalulekile ukuqaphela ukuthi isikhathi kanye nemininingwane ethile yenqubo yokuhlinzwa yokulungisa i-hernia ye-inguinal kuthonywa yizici ezahlukahlukene, njengokuthi isimo sempilo yesiguli jikelele, ukuba khona kwanoma yisiphi isimo sezokwelapha esihambisana naso kanye nohlobo lwe-hernia uqobo.
Indlela yokusebenzisana phakathi komuntu ngamunye kanye nethimba lezokunakekelwa kwempilo, ehlanganisa izingxoxo eziningiliziwe zangaphambi kokuhlinzwa, ukuhlela ukuhlinzwa komuntu siqu, kanye nokunakekelwa okuphelele kwangemva kokuhlinzwa, idlala indima ebalulekile ekwenzeni ngcono ulwazi kanye nemiphumela yokwelashwa yokulungisa i-hernia ye-inguinal.
Ngokuhlinza ngesikhathi esifanele nangokuqondile ukuze kulungiswe i-hernia ye-inguinal, abantu bangabhekana ngempumelelo nephutha lomzimba eliyisisekelo, banciphise izimpawu ezihambisanayo, futhi banciphise kakhulu ingozi yezinkinga ezingaba khona, ekugcineni bakhuthaze ukululama okwanelisayo kanye nokubuyiselwa kwendlela yokuphila enempilo nesebenzayo.
Isiphetho
Endaweni yokuphela kwento ebalulekile, I-hernia e-groin yangakwesokudla yisimo esingathinta kakhulu izinga lempilo. kulabo abaphethwe yiso. Kubalulekile ukuqaphela izimpawu nokufuna usizo lwezokwelapha olufanele ukuze kugwenywe izinkinga.
Ukuvimbela kanye nokwelashwa ngesikhathi kubalulekile ekugcineni impilo enhle. Uma unolwazi noma imibuzo ngalesi sihloko, sikumema ukuthi ushiye amazwana kubhulogi. Umbono wakho ubalulekile futhi ungasiza abanye ngokusebenzisa izinkundla zokuxhumana ohambweni lwabo oluya empilweni engcono. Sizobonana kusibuyekezo sezindaba esilandelayo!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. I-Hernia Engxenyeni Engakwesokudla.