Sawubona futhi wamukelekile kubhulogi yezempilo yokugaya ukudla. Sekuyisikhathi sokufunda enye yezinkinga zempilo, okuyi-recurrent epigastric hernia, eyaziwa nangokuthi i-recurrent epigastric hernia, isimo lapho i-hernia iphinda ivele khona ngemva kokwelashwa ngaphambilini.
Lesi sihloko sizoxoxa ngezimbangela, izimpawu, kanye nezinketho zokwelapha ezibuyekeziwe zalesi simo, "esibhalwe ngabantu, ngabantu . "
Yithuba lokuphuza inkomishi yoshokoledi omnyama ovela ezitshalweni eziphilayo, oxutshwe emanzini (hhayi obisini) bese uwuhlanganisa nokunambitheka okuhle kwama-cranberry abomvu, ama-antioxidants amabili ane-neurostimulant yemvelo engu-100% efinyelela ukugxilisa okukhulu kanye nokugxila kolwazi ukuze umuntu athuthuke.
Le ndlela entsha ikhuthaza isimo sengqondo sokuthatha isinyathelo, ivimbela umuntu ukuba angabi yizisulu zemiphumela emibi yokuzihlola noma ukuzelapha. Le mikhuba ibambezela ukufuna usizo lwezokwelapha eqenjini lodokotela uma iqhubu liphinde livele esifundeni se-epigastric, esitholakala phakathi kwesisekelo se-sternum nenkaba. Ake sihlole okwengeziwe kwalolu lwazi oluthakazelisayo mayelana nempilo yokugaya ukudla!
I-hernia ephindaphindayo ye-epigastric
Ama-hernia e-epigastric aphindaphindayo avame ukungajwayelekile. Kodwa-ke, angabangelwa izinkinga eziningana, njengokuphulukiswa okungekuhle kokulungiswa kwe-hernia yangaphambilini, ukubekwa okungalungile kwezinto zokuthunga, noma ukucindezeleka okukhulu kuma-suture ngesikhathi sokulungiswa.
Uphawu oluvame kakhulu lwe-hernia epigastric ephindaphindayo ubuhlungu esifundeni esingaphezulu sesisu, obungabhebhethekiswa yimisebenzi efana nokuphakamisa izinto ezisindayo noma ukuzikhandla . Ezinye izimpawu zifaka phakathi ukuvuvukala okungakhululeki endaweni ye-hernia kanye nobunzima bokugaya ukudla.
Uma ingelashwa, la ma-hernia angaholela ezinkingeni ezinkulu kakhulu, njengokuklinywa kwamathumbu, ukunqwabelana koketshezi ngokweqile, kanye nokuvaleka kwamathumbu.
Kwezinye izimo, kungadingeka ukuthi kusetshenziswe ukuhlinzwa kabusha ukuze kulungiswe noma yimuphi umonakalo wangaphakathi obangelwa yi-hernia ephindayo ye-epigastric.
Ukuqonda i-hernia ephindaphindayo ye-epigastric
Uma sikhuluma nge-hernia ephinda ivele e-epigastric, sibhekisela esimweni lapho i-hernia e-epigastric eyayilungisiwe ngaphambili igcina iphinda ivele khona.
I-hernia ye-epigastric, ngokuvamile, iwukuphuma kwezicubu endaweni ebuthaka yodonga lwesisu, futhi uma kwenzeka i-hernia ephindaphindayo, kusho ukuthi ukulungiswa kokuqala kokuhlinzwa kwehlulekile ukuvimbela izicubu ukuthi zingaphinde ziphume.
Lolu hlobo lwe-hernia luvame ukutholakala phakathi kwesisu, phakathi kwenkaba kanye nengxenye engezansi ye-sternum, futhi lubonakala ngokuphuma kwamafutha e-peritoneal, i-omentum noma amathumbu amancane.
Kunezici eziningana ezingabangela ukuphinda kwe- hernia ye-epigastric . Enye yezimbangela eziyinhloko ubuthakathaka obuqhubekayo bemisipha yodonga lwesisu , okungenzeka ukuthi ayizange ilashwe noma ilungiswe ngokwanele ngesikhathi sokuhlinzwa kokuqala.
Ngaphezu kwalokho, kwezinye izimo, ukusetshenziswa kwe-mesh yokuhlinzwa ekulungiseni i-hernia yokuqala kungenzeka ukuthi akuphumelelanga, okwandisa amathuba okuthi i-hernia iphinde ivele.
Iqiniso lokuthi izicubu azipholi ngokuphelele futhi zingaphinde zibuye amandla azo ngemva kokuhlinzwa kokuqala lingasiza ekuphindeni kwe-hernia. Ukuqonda lezi zimbangela kubalulekile ekubhekaneni nasekuphatheni ngempumelelo ama-hernia aphindaphindayo e-epigastric.
Izimbangela zokubuyela emuva
Kunezici eziningana ezingabangela ukuphinda kwe-hernia ye-epigastric. Enye yezimbangela eziyinhloko ukungalungiswa kahle kodonga lwesisu , okungaholela ebuthakathakeni obuqhubekayo bezicubu kanye nengozi eyengeziwe yokuthi i-hernia ibuye futhi.
Kwezinye izimo, ukusetshenziswa kwe-mesh yokuhlinzwa ekulungiseni i-hernia yokuqala kungenzeka ukuthi akuphumelelanga, kungaba ngenxa yohlobo lwe-mesh esetshenzisiwe, indawo yayo, noma ezinye izici zobuchwepheshe.
Izici zempilo yesiguli ngasinye, njengokuguga noma izimo ezithile zezokwelapha, zingathinta impumelelo yokulungiswa kwe-hernia yokuqala futhi zithonye amathuba okuphinda kwenzeke.
Imisipha ebuthakathaka
Esinye sezici ezinkulu ezibangela ukuphinda kwe-hernia ye-epigastric ubuthakathaka bemisipha yesisu. Uma imisipha yodonga lwesisu ingaqinile ngokwanele, kwakheka ubuthakathaka obungokwemvelo obungaholela ekuphindeni kwe-hernia.
Lobu buthakathaka bemisipha bungaba ngenxa yezizathu ezahlukahlukene, njengenqubo yokuguga yemvelo , ukuthambekela kwezakhi zofuzo ebuthakathakeni bezicubu ezixhumene, noma ukuhlinzwa kwesisu kwangaphambilini noma ukulimala okuye kwathinta amandla nobuqotho bemisipha.
Ezimweni ze-hernia epigastric ephindaphindayo, kubalulekile ukwelapha nokuqinisa imisipha ebuthakathaka ukuze kuvinjelwe i-hernia ukuthi ingaphindi ivele.
Umonakalo ku-mesh yokuhlinzwa
Esinye isici esibalulekile ekubuyeni kwe-epigastric hernias ukulimala noma ukwehluleka kwe-mesh yokuhlinzwa esetshenziswa ekulungisweni kwe-hernia yokuqala. I-mesh kungenzeka ukuthi ishintshile, yashintsha ukwakheka, noma yonakele ngokuhamba kwesikhathi, okwenza kube yingozi ikhono layo lokusekela ngempumelelo izicubu zesisu ezibuthakathaka.
Lokhu kungaba ngenxa yezizathu eziningana, njengokusabela komzimba ngokwemvelo ku-mesh, ukubekwa okungalungile, noma ukusetshenziswa kwezinto ze-mesh ezingafanele noma ezisezingeni eliphansi.
Ukubhekana nezinkinga zokwelashwa okubuyekeziwe okuhlobene nobuqotho be-mesh yokuhlinzwa kubalulekile ekuvimbeleni ukuphinda kuvele i-hernia nokuqinisekisa impumelelo yesikhathi eside yokulungiswa kokuhlinzwa.
Ukubona izimpawu ze-hernia epigastric ephindaphindayo
Izimpawu ze-hernia ephindayo ye-epigastric zifana neze-hernia yokuqala futhi zingase zihlanganise ukuba khona kokuvuvuka noma ukuvela okubonakalayo esiswini esingaphezulu, ikakhulukazi phakathi kwe-sternum nenkaba.
Leli qhubu lingavela futhi linyamalale kuye ngokuthi umuntu umi kanjani emzimbeni noma ukuthi uzikhandla kangakanani, futhi ubukhulu balo bungahluka. Abanye abantu bangase babe nokungakhululeki, ubuhlungu, noma umuzwa wokucindezeleka endaweni ethintekile, ikakhulukazi lapho bephakamisa izinto ezisindayo, bekhwehlela, noma bezikhandla.
Kubalulekile ukunaka lezi zimpawu bese uya kudokotela wendawo noma ezibhedlela zomphakathi noma ezizimele noma emitholampilo yezempilo edolobheni ukuze kuhlolwe kahle futhi kwelashwe i-hernia e-epigastric esolwayo.
Amaqhubu esifundeni sesisu
Enye yezibonakaliso eziyinhloko ze-hernia ephindaphindayo epigastric ukuvela kweqhubu elibonakalayo noma elizwakalayo esiswini esingaphezulu, phakathi kwenkaba ne-sternum.
Lokhu kuqubuka kumelela ukuvela kwezicubu ezingaphansi endaweni ebuthaka yodonga lwesisu futhi kungabonakala kakhulu ngesikhathi semisebenzi ekhulisa ingcindezi yangaphakathi kwesisu.
Ukuqaphela nokuqapha ukuba khona kwalesi simila kubalulekile, njengoba kuyisici esibalulekile se-hernia ye-epigastric, ikakhulukazi uma kucatshangelwa ukuthi kungenzeka ukuthi siphinde sivele ngemva kokuhlinzwa kwangaphambilini.
Ukungakhululeki noma ubuhlungu
Abantu abane-hernia epigastric ephindaphindayo bangase babe namazinga ahlukahlukene okungakhululeki, ukuthamba, noma ubuhlungu esifundeni esingaphezulu kwesisu, okungase kuqhubeke noma kwenzeke ngesikhathi semisebenzi ethile.
Kwezinye izimo, ukuphuma kwe-hernia kungabangela ubuhlungu bendawo noma umuzwa wokucindezeleka njengoba izicubu ezizungezile zelulwa noma zisuswa.
Kubalulekile ukubheka noma yiziphi izimpawu zobuhlungu ezintsha noma ezishintshayo bese uzibika kuchwepheshe wezempilo ukuze ahlolwe ngokuphelele, njengoba ukubhekana nokungakhululeki okuhlobene ne-hernia kuyisici esibalulekile sokuphathwa nokwelashwa kwayo.
Ukuxilongwa nokuhlola
Ukuxilongwa kwe-hernia ephindaphindayo epigastric kuvame ukuhilela ukuhlolwa ngokomzimba okuphelele nguchwepheshe wezempilo, lapho kuhlolwa khona ngokucophelela umlando wezokwelapha wesiguli, izici ze-hernia, kanye nezimpawu ezihlobene nayo.
Kwezinye izimo, izifundo zokuthatha izithombe ezifana ne-ultrasound noma i-magnetic resonance imaging (MRI) zingasetshenziswa ukubona ngeso lengqondo i-hernia kanye nokuqukethwe kwayo ngokucacile, ikakhulukazi uma ukuphuma kwayo kungabonakali kalula noma uma kudingeka ukuhlola kabanzi ubukhulu be-hernia.
Lezi zinyathelo zokuxilonga zibalulekile ukuqinisekisa ukuba khona kwe-hernia epigastric ephindaphindayo nokuhlela ukuphathwa kwayo okuphumelelayo nokwelashwa.
Ukuhlola ngokomzimba
Ukuhlolwa ngokomzimba okuphelele, okuhlanganisa nokuhlolwa okuningiliziwe kodonga lwesisu kanye nanoma yiziphi izindawo ezibonakala zikhukhumele noma zivuvukele, kuyisici esiyisisekelo senqubo yokuxilonga i-hernia ephindaphindayo epigastric.
Uchwepheshe wezempilo ezibhedlela noma emitholampilo yezempilo yomphakathi noma yangasese uzothinta futhi ahlole isisu ngokucophelela ukuze abone indawo, ubukhulu kanye nezici ze-hernia.
Noma yiziphi izimpawu ezihlobene, njengobuhlungu noma ukungakhululeki, nazo zizohlolwa ukuze kunikezwe isithombe esiphelele sezokwelapha futhi kuqondiswe ukuthuthukiswa kwendlela efanele yokwelapha. Lokhu kuhlolwa okuphelele kubalulekile ukuze kuhlukaniswe i-hernia ephindaphindayo ye-epigastric kwezinye izimbangela ezingaba khona zokuvela kwesisu kanye nokungakhululeki.
izifundo ze-imaging
Kwezinye izimo, uchwepheshe wezempilo angancoma ukusetshenziswa kwezifundo zezithombe, njenge-ultrasound noma i-magnetic resonance imaging, ukuthola izithombe ezinemininingwane ze-hernia ephindaphindayo ye-epigastric kanye nokuqukethwe kwayo.
Lezi zifundo zisiza ukubona ngeso lengqondo i-hernia ngokunembe kakhudlwana, ikakhulukazi uma ubukhulu bayo, indawo, noma izicubu ezihilelekile zingenakunqunywa ngokuphelele ngokuhlolwa ngokomzimba kuphela.
Ngokuqonda ngokucacile izici ze-hernia ephindaphindayo, ithimba lezokunakekelwa kwempilo lingenza izinqumo ezinolwazi mayelana nokwelashwa okufanele kakhulu kanye namasu okuhlinzwa ukuze kuxazululwe lesi simo ngempumelelo.
Izindlela zokwelapha i-hernia ephindaphindayo ye-epigastric
Ukuphathwa kanye nokwelashwa kwe-hernia ephindaphindayo e-epigastric ngokuvamile kudinga indlela ephelele ebhekana nezimbangela eziyisisekelo zokuphinda kwesifo futhi ihlose ukulungisa ngempumelelo i-hernia nokuvimbela ukuqhubeka kwayo.
Enye yezindlela eziyinhloko zokwelapha i-hernia ephindaphindayo e-epigastric ukulungiswa kokuhlinzwa, okungase kuhilele ukusetshenziswa kwamasu athuthukile, njengokulungiswa kwe-hernia ye-laparoscopic, ukuze kuthuthukiswe imiphumela yokungenelela nokunciphisa amathuba okuthi i-hernia iphinde ivele.
Ukungenelela ngokuhlinzwa
Uma kukhulunywa ngokuhlola i-hernia ephindaphindayo ye-epigastric, ukuhlinzwa kuvame ukuba yindlela eyinhloko nephumelela kakhulu yokulungisa indawo ebuthaka yodonga lwesisu nokuqeda izimpawu ezihambisana ne-hernia.
Ngesikhathi sokulungiswa kokuhlinzwa, izicubu ezivelele ziyabekwa kabusha, bese kuthi isici esingaphansi kodonga lwesisu siqiniswe futhi sivalwe ukuze kuvinjelwe ukuphinda kuvele.
Ezimweni ze-hernias epigastric ephindaphindayo, ukusetshenziswa kwe-mesh yokuhlinzwa ukunikeza ukwesekwa okwengeziwe kanye namandla endaweni elungisiwe kuyindlela evamile futhi enenzuzo, ikakhulukazi lapho kukhulunywa ngezinto ezibangele ukuphinda kwalesi sifo ekuqaleni.
Ukukhetha indlela efanele yokuhlinzwa, njengokuhlinzwa okuvulekile noma kwe-laparoscopic, kusekelwe ezicini zomuntu ngamunye ze-hernia kanye nempilo yesiguli iyonke, futhi kunqunywa ngokubonisana nodokotela ohlinzayo ukuze kuqinisekiswe imiphumela yokulungisa engcono kakhulu.
Ukuphathwa okungenakho ukuhlinzwa
Kwezinye izimo, amasu okuphatha okungewona okuhlinzwa, njengokusebenzisa ingubo yokusekela noma i-truss, anganconywa ukusiza ekunciphiseni izimpawu ze-hernia ephindaphindayo ye-epigastric, ikakhulukazi ezimweni lapho ukungenelela kokuhlinzwa kungase kungenzeki khona ngokushesha noma isimo sempilo sesiguli sibeka engcupheni enkulu yokuhlinzwa.
Nakuba lezi zindlela ezingezona ezokuhlinzwa zinganikezi ukwelashwa okuqondile noma okwelaphayo kwe-hernia, zinganikeza impumuzo kanye nokusekelwa kwezimpawu ngenkathi isiguli kanye nethimba lezokunakekelwa kwempilo bebambisana ukuhlela nokusebenzisa isu lokwelapha elifanele kakhulu neliphumelelayo le-hernia epigastric ephindaphindayo.
Ngiyethemba ukuthi lesi sifinyezo esiphelele sinikeze ulwazi oluwusizo ngezimbangela, izimpawu, kanye nokwelashwa kwe-hernia epigastric ephindaphindayo, okunika abantu amandla okwenza izinqumo ezinolwazi mayelana nokunakekelwa kwabo kwezempilo kanye nenhlalakahle.
Isiphetho
Njengephuzu lokugcina elibalulekile, i -hernia ye-epigastric ephindaphindayo ingabangelwa ubuthakathaka bemisipha yesisu noma ukulimala kwe-mesh yokuhlinzwa , okuholela ezimpawini ezifana nokuvuvuka okubonakalayo kanye nokungakhululeki okufana nokuphazamiseka kokugaya ukudla.
Ukuxilongwa kuhilela ukuhlolwa ngokomzimba kanye nezifundo zezithombe, kanti izinketho zokwelapha zifaka phakathi ukulungiswa kokuhlinzwa. Kubalulekile ukuhlala usesikhathini ngentuthuko yakamuva ekwelapheni lesi simo.
Manje sekuyisikhathi sokwabelana ngolwazi lwezempilo lokuvimbela mayelana nokuvuvukala kwe-epigastric hernias okuphindaphindiwe ezinkundleni zokuxhumana, ukuze ndawonye sikwazi ukuqwashisa ngemva kokuhlinzwa kokuqala kwe-epigastric futhi sivimbele izinkinga ezinkulu.
Ukugona okufudumele futhi ngiyabonga ngokuvakashela kwakho ngomusa kanye nokuphawula ku-Blog Yezempilo Yokugaya Ukudla!
UDkt. Jorge Delgado Surgeon. I-Epigastric Hernia Ephindaphindayo.