Usuku oluhle lokufunda okusha, kwansuku zonke okuhlobene nempilo yokugaya ukudla, ngakho-ke ake siqonde ngqo esihlokweni se-epigastric hernias evalelwe, isimo lapho imbobo emisipheni yesisu ngaphezu kwenkaba iholela ekuvuvukeni kwesisu esingaphezulu.
Lesi sihloko sixoxa ngezimpawu, ukuxilongwa, kanye nezinketho zokwelapha lolu hlobo lwe-hernia. Uma lungelashwa, lungabangela izinkinga. Ngakho-ke, kubalulekile ukuqaphela izimpawu. "kubhalwe ngabantu, ngenxa yabantu" futhi ufune usizo lwezokwelapha uma kudingeka. Siyakwamukela ku-Blog Yezempilo Yokugaya Ukudla!
Kungumqondo omuhle ukuphuza inkomishi yetiye eliluhlaza, i-antioxidant equkethe ne-enzyme yemvelo eyi-100% evuselela imizwa efinyelela ekugxilweni okuphezulu nasekugcinweni kolwazi olusha ukuze umuntu athuthuke.
Lokhu kuzokhuthaza isimo sengqondo sokuthatha isinyathelo futhi kusivimbele ekuweni yimiphumela elimazayo yokuzihlola noma yokuzelapha, okubambezela usizo lwezokwelapha ngohlelo lokunakekelwa kwempilo lukahulumeni noma oluzimele futhi kuvimbele izinkinga ezinkulu. Ake sibhekane nalokho okwaziwa nangokuthi i-hernia eboshiwe!
I-hernia ye-epigastric eboshiwe.
Kungenye yezinkinga ezesabekayo ezingase zenzeke, ngenxa yokungena kwamafutha angaphambi kwesisu noma i-viscus ku-hernia, okwenza ukubuyela kwayo emgodini kube nzima, yingakho ukungakhululeki futhi kuyancipha ngemva kokwenza imisebenzi eyenziwa ngabasebenzi bezokwelapha, uma kungancishisiwe sibhekene nokuklinywa.
I-hernia ye-epigastric evalelwe uhlobo lwe-hernia oluvela lapho kukhona ukudabuka odongeni lwesisu. Ivame ukubonakala kakhulu kwabesilisa, yize abesifazane nezingane nabo bengathinteka.
Ukuvama kwama-hernia epigastric atholakala ejele kuyahlukahluka kuye ngeminyaka nobulili, kanti ezinye izifundo ziphakamisa ukuthi kuze kube 11% wabantu abangaphezu kweminyaka engama-60 ubudala bayathinteka.
Izimbangela zalolu hlobo lwe-hernia zifaka phakathi ubuthakathaka kanye nokucindezeleka kodonga lwesisu, ukukhubazeka kokuzalwa (ukuzalwa ngaphambi kwesikhathi noma ukuzalwa kwesisindo esiphansi), ukulimala, ukukhuluphala ngokweqile, kanye nokuphakamisa izinto ezisindayo.
Izimpawu zivame ukuhlanganisa ukuvuvuka okubonakalayo ngaphezu kwenkaba, ubuhlungu noma ukungakhululeki lapho ukhwehlela noma ucindezela, isicanucanu nokuhlanza uma i-hernia ivaleka noma iklinywa.
I-Las izinkinga ezihlobene nalolu hlobo lwe-hernia Lokhu kufaka phakathi ukuvuvukala noma ukutheleleka kwezicubu ezizungeze i-hernia, ukuvaleka kwamathumbu ngenxa yokuboshwa noma ukuklinywa kwezicubu ezithambile ze-hernia, kanye nokufa uma kungelashwa isikhathi esithile.
Ukuxilongwa kuvame ukwenziwa ngokuhlolwa ngokomzimba noma ukuhlolwa kwezithombe njenge-ultrasound noma i-MRI. Ukwelashwa kuvame ukuhilela ukuhlinzwa ukuze kulungiswe iphutha lezicubu zodonga lwesisu. Ukuxilongwa kusenesikhathi kanye nokwelashwa kubalulekile ukuvimbela izinkinga ezinkulu.
Ukuqonda i-epigastric hernia
I-hernia ku indawo ye-epigastric Kwenzeka uma kukhona ubuthakathaka noma ukuvuleka kwemisipha nezicubu zodonga lwesisu olungaphambiliNgokukhethekile, ngaphezu kwenkaba nangaphansi kwe-sternum.
Lokhu kungabangela ukuthi izicubu ezinamafutha noma, kwezinye izimo, ingxenye yamathumbu amancane iphume endaweni ebuthaka, okubangela ukuvuvuka noma iqhubu elibonakalayo ebusweni besisu.
Ngokungafani nezinye izinhlobo ze-hernia, i-hernia ye-epigastric ayitholakali ebuthakathakeni bemvelo odongeni lwesisu futhi ngokuvamile kuvele emgqeni omhlophe, okuwumugqa oqondile wezicubu ezine-fibrous ohamba phakathi kwesisu.
Njengakwezinye izinhlobo ze-hernia, ukuthuthukiswa kwe-hernia ye-epigastric kuvame ukuhlotshaniswa ne-a ingcindezi eyengeziwe odongeni lwesisuLokhu kungaba ngenxa yezici ezahlukene, njengokuthi Ukukhuluphala ngokweqile, ukukhulelwa, ukukhwehlela okuqhubekayo, noma ukuphakamisa izinto ezisindayo ngokuphindaphindiwe konke kungabangela lokhu..
Ukucindezela okukhulu kungabangela ubuthakathaka bemisipha futhi kunikeze ithuba lokuthi izicubu ziphume.
Kwezinye izimo, umuntu angase abe nesifo esifana nalesi. ngenxa yesici sokuzalwa ku-linea albaAma-hernia e-epigastric avame kakhulu kwabesilisa, yize engenzeka kubantu banoma yimuphi ubudala noma ubulili.
Izimpawu ze-hernia epigastric eboshiwe
I-Los Izimpawu ze-hernia ye-epigastric zingahlukaKodwa-ke, uma umuntu eboshwe noma eklinyiwe, umuntu angase abhekane nezimpawu ezinzima nezibonakala kakhulu.
Esinye sezibonakaliso eziyinhloko ukuba khona kweqhubu noma iqhubu elibonakalayo nelizwakalayo esifundeni esiphakathi noma esifundeni se-epigastric sesisu, okuyindawo etholakala phakathi kwenkaba kanye nengxenye engezansi ye-sternum.
Lokhu kuqubuka kungabonakala kakhulu ngesikhathi semisebenzi ekhulisa ingcindezi yangaphakathi kwesisu, njengokukhwehlela, ukucindezela, noma ukuphakamisa izinto ezisindayo. Ngaphezu kwalokho, umuntu angase azwe ubuhlungu noma ukungakhululeki endaweni engenhla yesisu, ikakhulukazi lapho enza imisebenzi ebeka ingcindezi esiswini.
Uma kwenzeka i-hernia e-epigastric eboshiwe, izicubu eziphumayo zingabanjwa endaweni ebuthaka yodonga lwesisu, okuholela ezimpawini ezifana nalezi: Ubuhlungu obuqhubekayo nobuqhubeka bukhula, isicanucanu, kanye nobunzima bokukhipha igesi noma ukukhipha indle.
Kungase kube nezimpawu zokuvaleka kwamathumbu, njengokuqunjelwa, ukuqunjelwa, nokuhlanza. Kubalulekile ukuqaphela ukuthi i-hernia ye-epigastric evalelwe iyisimo esiphuthumayo sezokwelapha futhi, uma ingelashwa, ingaholela ekuklinyweni kwezicubu eziphumayo, okubangela ukuphazamiseka okukhulu kokugeleza kwegazi kanye nomonakalo ongaba khona wezicubu endaweni ethintekile.
Lokhu kungaba nemiphumela emibi kakhulu futhi kudinga ukunakekelwa kwezokwelapha okuphuthumayo kanye nokungenelela ezibhedlela noma emitholampilo yezempilo. uhlelo lokunakekelwa kwempilo lukahulumeni noma oluzimele.
Ukuxilongwa kwe-hernia ye-epigastric eboshiwe
Ukuxilongwa kwe-hernia ye-epigastric, ikakhulukazi uma ivalelwe, kuvame ukuqala ngokuhlolwa ngokomzimba okuphelele nguchwepheshe wezempilo. Udokotela angase ahlole ngokucophelela indawo yesisu ukuze athole noma yiziphi izigaxa noma izinkinga ezibonakalayo noma ezizwakalayo.
Kwezinye izimo, ukuxilongwa kungasekelwa ngokuhlolwa kwezithombe, njenge- i-ultrasound noma i-computed tomography scan (CT), ukuthola umbono oningiliziwe wendawo ethintekile nokunquma ubukhulu be-hernia.
Lezi zifundo zokuthwebula izithombe zingasiza ochwepheshe bezempilo ukuhlukanisa phakathi kwe-hernia epigastric engeyona inkimbinkimbi kanye ne-hernia evalelwe noma eklinyiwe, okubaluleke kakhulu ekunqumeni ukwelashwa okufanele kakhulu.
Ngesikhathi senqubo yokuxilonga, uchwepheshe wezempilo kuzodingeka futhi ahlole umlando wezokwelapha womuntu, izici eziyingozi, kanye nezici ezithile ze-hernia ukuze enze ukuhlolwa okuphelele kwalesi simo.
Kubalulekile ukuthi umuntu anikeze ulwazi oluningiliziwe mayelana nezimpawu zakhe, okuhlanganisa ukuqala kanye nobude bezinkinga ezihlobene ne-hernia.
Lolu lwazi, oluhlanganiswe nokutholakele kokuhlolwa ngokomzimba kanye nanoma yiziphi izifundo ezidingekayo zezithombe, luzoba yisisekelo sokuxilongwa okunembile kanye nokuthuthukiswa kohlelo oluthile lokwelashwa kwe-hernia ye-epigastric evalelwe.
Izinkinga ze-hernia ye-epigastric eboshiwe
Uma ubhekene ne-hernia eboshiwe e-epigastric, kubalulekile ukuqaphela izinkinga ezingase zivele uma kungadingeki ukungenelela okuphuthumayo kokuhlinzwa.
Enye yezinkinga ezinkulu kakhulu ingozi yokuklinywa, lapho igazi eliya engxenyeni yamathumbu noma izicubu eziphumayo linqamuka njengoba libhajwa ngaphakathi kwesikhwama se-hernial. Lokhu kungenza kubangela ischemia yezicubu, i-necrosis, kanye nokubhobokaezingaba yingozi futhi ezidinga ukulungiswa ngokushesha kokuhlinzwa.
Ngaphezu kokuklinywa, ama-hernia epigastric aboshwe angalashwa angaholela ebuhlungwini obukhulu nobuqhubekayo, ingozi eyengeziwe yokulimala kwezicubu, kanye namathuba aphezulu okutheleleka endaweni ethintekile.
Ukuhlehlisa ukwelashwa kwe-hernia eboshiwe kungaholela ekulungisweni kokuhlinzwa okuyinkimbinkimbi kakhulu. ukunamathela kwezicubu okungapheli kanye nesikhathi eside sokululama komuntu.
Kwezinye izimo, ukuba khona kwe-hernia epigastric evalelwe engelashwa kungandisa nengozi yokuphinda kwe-hernia, okugqamisa ukubaluleka kokwelashwa kusenesikhathi nangokuphumelelayo ukuze kuncishiswe amathuba okuba nezinkinga zesikhathi eside.
Ukwelashwa kwe-hernia ye-epigastric eboshiwe
Ukwelashwa kwe-hernia ye-epigastric evalelwe kuvame ukuhilela ukubhekana ne-hernia ngokunciphisa ngesandla, inqubo yokucindezela ngobumnene izicubu ezivelelayo zibuyele emgodini wesisu, noma ukungenelela kokuhlinzwa ukulungisa indawo ebuthaka yodonga lwesisu nokuvimbela i-hernia ukuthi ingaphinde ivele.
Ukukhetha indlela yokwelashwa kuncike ezintweni eziningana, njengempilo yomuntu iyonke, ubukhulu nendawo ye-hernia, kanye nokuba khona kwezinkinga ezifana nokuklinywa.
Ukunciphisa ngesandla noma ukunciphisa i-hernia
Ezimweni lapho i-hernia ye-epigastric evalelwe ingahlotshaniswa nokuklinywa noma izinkinga ezinkulu, ukunciphisa ngesandla kungenziwa njengesinyathelo sesikhashana sokubuyisela izicubu ezivelelayo nokunciphisa ukuvaleka.
Le nqubo ivame ukwenziwa uchwepheshe wezempilo oqeqeshiwe futhi ihilela ukuphatha ngobumnene okuqukethwe yi-hernia ukuze kuyibuyisele emuva emgodini wesisu ngembobo odongeni lwesisu.
Kubalulekile ukuqaphela ukuthi ukunciphisa ngesandla akuyona indlela yokwelapha i-hernia eboshiwe e-epigastric, nokuthi izinyathelo ezengeziwe, njengokulungiswa kokuhlinzwa, zingadingeka ukubhekana nenkinga eyisisekelo nokunciphisa ingozi yokuphinda kwenzeke.
Ngemva kokunciphisa okuphumelelayo ngesandla, uchwepheshe wezempilo uzomqapha ngokucophelela lowo muntu futhi angase ancome ukungenelela kokuhlinzwa kamuva ukuze kuvinjelwe ukuthi i-hernia ingaphinde ivele futhi anikeze ukwesekwa kwesikhathi eside odongeni lwesisu olubuthakathaka.
Isinqumo sokulandela ukwelashwa ngokuhlinzwa sizosuselwa ezimweni ezithile zomuntu ngamunye ekuhlolweni kwethimba lezokunakekelwa kwempilo ngesikhathi kuhloswe ukuthi kuhlinzekwe ukwelashwa okufanele kwe-hernia.
Ukwelashwa kokuhlinzwa
Ezimweni eziningi, ukwelashwa ngokuhlinzwa kuyindlela ephumelela kakhulu nehlala njalo yokwelapha i-hernia eboshiwe e-epigastric. Ngokuvamile kuhilela ukusetshenziswa kwamasu okuhlinzwa avulekile noma e-laparoscopic ukulungisa indawo ebuthaka yodonga lwesisu nokuvala isikhala lapho i-hernia iphuma khona.
Ngesikhathi sokuhlinzwa, izicubu noma isitho esihlungiwe sibuyiselwa ngokucophelela endaweni yaso efanele, bese udokotela ohlinzayo eqinisa indawo ethintekile nge-sutures noma i-mesh yokwenziwa ukunikeza ukwesekwa okwengeziwe kanye namandla odongeni lwesisu.
Ukukhetha phakathi kokulungiswa kwe-hernia evulekile noma i-laparoscopic kuncike ezicini zomuntu ngamunye ze-hernia kanye nokuhlolwa kokuhlinzwa kwethimba lezempilo.
Ukulungiswa kwe-hernia nge-laparoscopic, okuyindlela encane kakhulu, kuhilela ukufakwa kwezinsimbi zokuhlinza ezikhethekile kanye nekhamera encane ngokusebenzisa imicu emincane odongeni lwesisu.
Lokhu kuvumela udokotela ohlinzayo ukuthi abone izakhiwo zangaphakathi futhi enze ukulungiswa ngokunemba okukhulu. Ukulungiswa kwe-hernia evulekile, ngakolunye uhlangothi, kudinga ukusikwa okukhulu ngqo phezu kwendawo ye-hernia ukuze kufinyelelwe futhi kuqiniswe udonga lwesisu olubuthakathaka.
Imininingwane ethile yenqubo yokuhlinzwa kanye nokunakekelwa kwangemva kokuhlinzwa izoxoxwa nomuntu ngamunye njengengxenye yohlelo lokwelashwa oluphelele.
Ukululama ngemva kokuhlinzwa
Inqubo yokutakula ngemva kokwelashwa ukwelashwa kokuhlinzwa kwe-hernia ye-epigastric eboshiwe Lesi yisigaba esibalulekile ekwelashweni kwalesi sifo. Ngemva kokuhlinzwa, umuntu uzoqashwa ngokucophelela egunjini lokunakekelwa ngemva kokuhlinzwa ngaphambi kokudluliselwa egumbini elivamile lesibhedlela noma, kwezinye izimo, akhishwe ukuze aqhubeke nokululama ekhaya.
Ithimba lezokunakekelwa kwempilo lizohlinzeka ngemiyalelo ethile ngokunakekelwa kwamanxeba, umsebenzi womzimba, kanye nokuguqulwa kokudla okudingekayo ukuze kuthuthukiswe ukululama okubushelelezi nokuphumelelayo.
Kujwayelekile ukuzwa ukungakhululeki, ukuvuvukala, noma imikhawulo emincane yokunyakaza ezinsukwini ezimbalwa zokuqala ngemva kwenqubo, kodwa lokhu kuvame ukuphathwa ngokunakekelwa okufanele kanye nemithi.
Ukwenza imisebenzi yomzimba elula nokwandisa kancane kancane izinga lomzamo, ngaphansi kokuqondiswa yithimba lezempilo, kungasiza ekululameni okuqhubekayo nokuqhubekayo.
Kubalulekile ukuya emihlanganweni yokulandelela ehleliwe ukuze uchwepheshe wezempilo akwazi ukuqapha inqubo yokuphulukiswa, asuse izitishi noma ama-staple, futhi ahlole impumelelo iyonke yokulungiswa kokuhlinzwa.
Kwezinye izimo, ukusetshenziswa kwengubo yokusekela noma i-abdominal binder kunganconywa ukuze kunikezwe ukwesekwa okwengeziwe odongeni lwesisu ngesikhathi sokuqala sokululama.
Ngokulandela iziqondiso ezinconywayo kanye nokuya kuzo zonke izinkambo zokulandelela ezihleliwe, umuntu angenza ngcono ukululama kwakhe futhi athathe izinyathelo zokunciphisa ingozi yezinkinga zangemva kokuhlinzwa.
Njengengxenye yenqubo yokululama, ithimba lezokunakekelwa kwempilo lizophinde linikeze isiqondiso ngokubuyela kancane kancane emisebenzini evamile, njengomsebenzi, ukuzivocavoca, kanye nemisebenzi yansuku zonke. Isikhathi esithile sokuqhubeka nale misebenzi sizohambisana nentuthuko yomuntu kanye nohlobo lwezibopho zakhe zansuku zonke.
Ukuxhumana okuvulekile nokucacile nethimba lezokunakekelwa kwempilo kungasiza ekuxazululeni noma yikuphi ukukhathazeka noma ukungaqiniseki mayelana nenqubo yokululama futhi kungasiza ekushintsheni okuphumelelayo nokuphethwe kahle kokubuyela emisebenzini evamile yansuku zonke.
Ukubikezela i-hernia ye-epigastric eboshiwe
Isibikezelo se-hernia ye-epigastric evalelwe ngokuvamile siwusizo uma kufunwa ukungenelela kwezokwelapha noma kokuhlinzwa okusheshayo nokufanelekile. Ezimweni lapho i-hernia yelashwa kahle, umuntu angalindela ukukhululeka ezimpawini kanye nengozi encishisiwe yezinkinga ezingaba khona.
Ukulungiswa kokuhlinzwa, kungakhathaliseki ukuthi kwenziwa ngokusebenzisa amasu avulekile noma e-laparoscopic, kuklanyelwe ukubhekana nobuthakathaka obuyisisekelo bodonga lwesisu nokunikeza ukwesekwa kwesikhathi eside ukunciphisa amathuba okuphinda kwe-hernia.
Ngokulandela iziqondiso ezinconywayo zangemva kokuhlinzwa, okuhlanganisa umsebenzi womzimba, ukuguqulwa kokudla, kanye nokuya emihlanganweni yokulandelela, umuntu angafaka isandla emphumeleni omuhle nowanelisayo ekwelapheni i-hernia eboshiwe e-epigastric.
Kubalulekile ukugcina ukuxhumana okuvulekile nokusebenzayo nethimba lezokunakekelwa kwempilo, ukubika noma yiziphi izinguquko noma ukukhathazeka okungalindelekile ngesikhathi sokululama, nokunamathela ohlelweni lokulandelela olubekiwe ukuze kuvunyelwe ukuqapha okuqhubekayo kwendawo yokuhlinzwa kanye nokusebenza kahle kokungenelela.
Ngokuthatha indima ebalulekile ekululameni nasekulandeleni iseluleko sochwepheshe bezempilo, abantu bangalindela ukuthuthuka okuqhubekayo esimweni sabo kanye nesibikezelo esihle ngemva kokwelashwa ngokuhlinzwa kwe-epigastric hernia eboshiwe.
Ukuvimbela i-epigastric hernia
Nakuba kungase kungenzeki ukuvimbela zonke izimo ze-epigastric hernia, ikakhulukazi lezo ezihlobene nokuthambekela kokuzalwa noma izici zokukhula, kunezinyathelo ezithile abantu abangazithatha ukunciphisa ingozi yabo yokuthola i-epigastric hernia.
Lezi zindlela zokuvimbela zibaluleke kakhulu kubantu abangase babe nezici ezithile eziyingozi, njengalabo abanomlando womndeni we-hernias noma labo abahlela ukwenza imisebenzi engafaka ingcindezi odongeni lwesisu.
Isibonelo, ukugcina isisindo somzimba esinempilo, ukugwema ukubhema, kanye nokusebenzisa amasu okuphakamisa aphephile, ahilela ukuphakamisa izinto ezisindayo usebenzisa amandla emilenze esikhundleni samandla emisipha yesisu, kungasiza ekunciphiseni ingozi yama-hernia, okuhlanganisa nama-hernia e-epigastric.
Ezimweni lapho kukhona isimo sezempilo esicashile, njengokuthi ukukhwehlela okungapheli noma ukuqunjelwaUma isimo esingaphansi sinegalelo ekuthuthukisweni kwe-hernia ye-epigastric, ukufuna ukwelashwa okufanele kwesimo esiyinhloko kungaba yinto ebalulekile ekunciphiseni amathuba okwakheka kwe-hernia.
Ngaphezu kwalokho, abantu abake balungiswa i-hernia ngaphambilini noma abanezici ezaziwayo zengozi yokuthola i-hernia bangazuza ngokugqoka izingubo zokusekela noma amabhande, njengoba kunconywa uchwepheshe wabo wezempilo, ukuze banikeze ukwesekwa okwengeziwe odongeni lwesisu futhi banciphise ingozi ye-hernia ephindaphindayo.
Ngokuba matasa ngempilo yabo iyonke, ukubhekana nanoma yiziphi izici eziyingozi ezingashintshwa, kanye nokufuna usizo lwezokwelapha ngesikhathi esifanele ngezimpawu ezintsha noma ezikhathazayo, abantu bangadlala indima ebalulekile ekuvimbeleni nasekwelapheni kusenesikhathi ama-hernia epigastric.
Isiphetho
Ukuze kubekwe iphuzu lokugcina ohlwini lwezinto eziza kuqala, i-hernia ye-epigastric iyenzeka uma kukhona imbobo emsipheni wesisu ngaphezu kwenkaba futhi ingabangela ukungakhululeki kanye nokuvuvukala okubonakalayo.
Ukuxilongwa nokwelashwa ngokushesha, ngokunciphisa noma ukuhlinzwa, kubalulekile ukuvimbela izinkinga nokukhuthaza ukululama. Kubalulekile ukufuna usizo lwezokwelapha uma izimpawu ziba zimbi kakhulu noma uma kuvela noma yisiphi isimo esihlobene naso.
Ukunakekela impilo yakho iyonke nokwelapha izimo ezingaphansi kunganciphisa ingozi ye-epigastric hernia. Nginibingelela ngemfudumalo futhi ngiyabonga ngokuphawula kwakho kanye nesiphakamiso sakho ku-Blog ye-Digestive Health!
UDkt. Jorge Delgado Surgeon. I-Hernia Epigastric Eboshiwe.