I-hernia eboshiwe: Izingozi, izimpawu, kanye nesikhathi sokuhlinzwa

Sawubona, msebenzisi we-inthanethi, futhi wamukelekile kule bhulogi enolwazi mayelana nempilo yokugaya ukudla. Uma une-hernia futhi uqaphele ukuthi iqhubu alisabuyi endaweni yalo, ungase ubhekane ne... i-hernia eboshiwe.

Ngaphambi kokuba ukukhathazeka kunqobe, ngiyakumema ukuthi ukhulule ukucindezeleka ezandleni zakho bese uphefumula ngokuthula; ulwazi luyisitha sakho esingcono kakhulu njengamanje.

Ngaphansi kwesiqondiso sochwepheshe sikaDkt. Jorge Delgado, uzoqonda ukuthi kungani i-hernia eboshiwe iyisibonakaliso umzimba wakho osithumelayo ukuvimbela inkinga enkulu kakhulu. Ukuphepha kwakho kuncike ekusebenzeni ngokuhlakanipha nangokushesha.

Indlela yokuqonda izimbangela kanye nokwelashwa kwalesi simo esivamile sesisu: lapha siveza lokho okudingeka ukwazi nsuku zonke.

Ama-hernia ayinkinga evamile yezempilo evame ukwenzeka ezingxenyeni ezahlukene zomzimba, okuhlanganisa nodonga lwemisipha yesisu.

Nakuba ama-hernia amaningi angelashwa kalula, i-hernia evalelwe iyindlela yokwelapha. isimo esibucayi kakhulu okudinga ukunakekelwa ngokushesha.

Kulesi sihloko sezempilo yokuvimbela, sizoxoxa ngokungakhululeki, izimbangela, kanye nezinketho zokwelapha ama-hernia aboshwe, nokuthi singawavimbela kanjani ukuthi angenzeki. "kubhalwe ngabantu, ngenxa yabantu".

Uma uhlangabezana nanoma yiziphi izimpawu ze-hernia, kubalulekile ukufuna usizo lwezokwelapha lwendawo, ngenethiwekhi yezempilo yomphakathi noma yangasese, kuye ngokuthi ukuphi, ngokushesha okukhulu.

I-Hernia eboshiwe.

I-hernia evalelwe yisimo sezokwelapha esenzeka lapho isitho noma izicubu zibhajwa endaweni engavamile emzimbeni, okungabangela ubuhlungu nezinkinga ezinkulu. Kubalulekile ukuqaphela izimpawu kusenesikhathi futhi ufune usizo lwezokwelapha olufanele.

Nakuba kungathinta abantu bobudala obuhlukene, kuvame kakhulu kulabo abanobuthakathaka bemisipha yodonga lwesisu. Ukuqonda lesi simo kunikeza isisekelo esibalulekile sokuthuthukisa impilo nenhlalakahle.

I-hernia evalelwe yisimo esibi lapho izicubu zibhajwa khona ngaphakathi kwesikhwama se-hernial.

Lolu hlobo lwe-hernia luvame ukubonakala kubantu abadala, futhi imibiko ilinganisela ukuthi luphakathi kuka-3% no-4%. yawo wonke amacala i-hernia kubantu abadala.

I-hernia evalelwe ingabangelwa yizici ezahlukahlukene, njengokukhwehlela okungapheli, ukukhandleka ngesikhathi sokunyakaza kwamathumbu okunzima ngenxa isimo sokuqunjelwa okubolile, ukuphakamisa izinto ezisindayo kanye neminye imisebenzi yomzimba.

Izimpawu ze-hernia evalelwe zifaka phakathi ubuhlungu obukhulu kanye nokungakhululeki endaweni ye-hernia, kanye nesicanucanu nokuhlanza.

Uma i-hernia eboshiwe ingelashwa ngokushesha, ingaholela ezinkingeni ezinkulu, njenge-necrosis noma ukufa kwezicubu ngenxa yokugeleza kwegazi okulinganiselwe.

Kubalulekile ukuthi noma ubani osola ukuthi unesifo se-hernia esivalelwe afune usizo lwezokwelapha ngokushesha uma ezwa izimpawu ezihambisana nalesi simo. Ukuxilongwa kusenesikhathi kanye nokwelashwa kungasiza ekuvimbeleni izinkinga ezinkulu kakhulu ukuthi zingabi khona.

I-hernia iboshiwe

Kuyingxenye yamathumbu noma i-omentum ebhajwe esikhwameni se-hernial, lapho, ngenxa yokuntuleka kokunyakaza kwamathumbu, kukhona ukungakwazi ukukhipha igesi noma indle, futhi ngesikhathi esifanayo, kuyisinyathelo sokuqala esibhekene nenkinga enkulu futhi, ngezinye izikhathi, ebulalayo, njenge-hernia eklinyiwe.

Ingabe i-hernia eboshiwe iyingozi?

Lezi zimpawu zibonisa ukugeleza kwegazi okuphazamisekile kanye nokucindezelwa kokuqukethwe esiswini, okubonisa i-hernia evalelwe, futhi akufanele kunganakwa.

Kulezi zimo, kubalulekile funa ukuhlolwa kwezokwelapha okusheshayo kanye nokwelashwa ngokusebenzisa ochwepheshe bezokwelapha bezibhedlela noma imitholampilo yezempilo yase uhlelo lokunakekelwa kwempilo lukahulumeni noma oluzimele ukuze kuncishiswe lesi simo futhi kuvinjelwe ezinye izinkinga.

Kubalulekile ukuqaphela ukuthi a I-hernia eboshiwe iyisimo esiphuthumayo sezokwelapha nokuthi ukuba khona kwalezi zimpawu kufanele kubangele ukuhlolwa okusheshayo nguchwepheshe wezempilo emakamelweni ezimo eziphuthumayo.

Ukungalaphi i-hernia eboshiwe ngesikhathi kungaholela ekuthuthukisweni kwe-a i-hernia eklinyiwe, eyodwa inkinga enkulu okwenzeka lapho ukuhlinzekwa kwegazi ezicutshini ezibanjiwe kunqanyulwa.

Isizathu sokuthi kungani i-hernia iboshwa

Lena inkinga yezokwelapha engaba nemiphumela emibi kakhulu, ngisho nesongela impilo. Ama-hernias ayenzeka lapho isitho noma izicubu zisunduza odongeni lwemisipha oluqukethe wona. Uma izicubu zibhajwa futhi zingenakuphindiselwa emuva, zihlukaniswa njenge-hernia evalelwe.

Izici eziningana eziyingozi zingabangela lesi simo, njengokukhwehlela okungapheli, ukuphakamisa izinto ezisindayo noma ukuzikhandla, ubuthakathaka bemisipha yesisu ngenxa yokuguga noma ukukhuluphala, kanye nokulimala endaweni.

Ukwelashwa kuvame ukuhilela ukulungiswa kwe-hernia ngokuhlinzwa ukuze kugwenywe izinkinga ezinkulu, njengokuvaleka kwamathumbu noma ukuvuvukala kwamathumbu noma ukuklinywa.

Isikhathi sibaluleke kakhulu lapho kusingathwa i-hernia eboshiwe, njengoba ukwelashwa okusheshayo kuyadingeka ukuze kulondolozwe impilo nenhlalakahle yesiguli.

I-hernia ye-umbilical eboshiwe

Kuyisimo esibi futhi esingasongela impilo esenzeka lapho iluphu yamathumbu idlula odongeni lwesisu bese inamathela esikhwameni se-hernial.

Lolu hlobo lwe-hernia luvame ukubonakala njengokuvuvukala eduze kwenkaba futhi lungabangela ubuhlungu obukhulu, isicanucanu, ukuhlanza, ukuvuvukala kwesisu, kanye nokungakwazi ukukhipha igesi noma indle.

Uma kungelashwa ngokushesha, kungabangela izinkinga ezifana ne-tissue necrosis ngenxa yokuklinywa, ukutheleleka, ukubhoboka kwamathumbu, i-sepsis, i-gangrene ye-hernial sac, ngisho nokufa.

Ukwelashwa kuqukethe inqubo yokuhlinzwa yokunciphisa i-hernia nokulungisa udonga lwesisu.

Ezimweni lapho izingxenye zamathumbu ezivalelwe zonakele noma zifile (izicubu ezifile), kuyadingeka ukususa ingxenye yamathumbu ngaphambi kokulungisa i-hernia.

Inqubo ivame ukwenziwa ngaphansi kwe-anesthesia ejwayelekile, zingakapheli amahora ambalwa kusukela kutholakale ukuthi ikhona yini imbangela ukuze kutholakale imiphumela emihle kakhulu.

Izimpawu nezimpawu:

Uma ubhekene ne-hernia, ikakhulukazi eboshiwe, kubalulekile ukuqaphela ukungakhululeki nezimpawu ezingase zibonise ukuba khona kwalesi simo sesisu.

Esinye sezibonakaliso ezivame kakhulu ukuba khona kwe- ukuvuvuka noma iqhubu elibonakalayo endaweni ethintekile, okubonisa ukuthi ukuphuma kwezicubu noma isitho ngengxenye ethile buthaka wodonga lwesisu.

Lokhu kuqubuka kubonakala kakhulu emisebenzini yansuku zonke ekhulisa ingcindezi yangaphakathi kwesisu ukuze ikwazi ukwenziwa, njengokuthi ukuphakamisa izinsimbi, ukukhwehlela, noma ukuzikhandla ngenkathi ukhipha indle.

Ngaphezu kokubonakaliswa ngokomzimba kokuvuvukala, abantu abane-hernia eboshiwe bangase babe nomuzwa ubuhlungu noma ukungakhululeki endaweni lapho kuvele khona iqhubu.

Lobuhlungu bungasukela kobuncane kuya kobukhulu futhi bungahambisana ukuzwela okukhulu, ukubomvu, noma umuzwa wokusinda esiswini.

Ngaphezu kwalokho, ukungakhululeki kwe-hernia evalelekile kungabonakala njengezinguquko ekusebenzeni kwamathumbu, njengokuqunjelwa, okubangelwa ukuminyana kwamathumbu ngaphakathi kodonga lwesisu.

Kwezinye izimo, lokhu kuncipha kungabangela ukuvaleka kwamathumbuI-hernia eboshiwe iyinkinga engaba yingozi edinga usizo lwezokwelapha ngokushesha. Ezinye izimpawu ze-hernia eboshiwe zifaka: isicanucanu, ukuhlanza, kanye nokuvuvukala kwesisu.

Ukuxilongwa Okuhlukile

Hlukanisa phakathi kokubonakaliswa kwe-a i-hernia elula, i-hernia evalelwe, kanye ne-hernia eklinyiwe Kubalulekile ukunquma inkambo efanele yesenzo nokuqinisekisa umphumela ongcono kakhulu wesiguli.

Ngakho-ke, ukuqonda nokuqaphela izimpawu ezithile ze-hernia eboshiwe kubaluleke kakhulu ekuvimbeleni ukuqhubekela phambili kwi-hernia eklinyiwe nokunciphisa izingozi ezihambisana nayo.

Uma kwenzeka i-hernia eboshiwe, ukufuna usizo lwezokwelapha ngokushesha kubalulekile ukuze kugwenywe imiphumela engaba khona ye-hernia eboshiwe. i-hernia engelashwanga.

Ukungenelela ngesikhathi esifanele kochwepheshe bezempilo abafanelekile kungasiza ekunciphiseni izimpawu, futhi uma kwenzeka i-hernia eklinyiweKungavimbela ukuwohloka kwezicubu ezithintekile futhi kugweme izinkinga ezisongela ukuphila.

Abantu ababhekene nokungakhululeki kwe-hernia eboshiwe, noma labo abasola ukuthi kukhona i-hernia, kufanele babeke phambili ukufuna ukuhlolwa kwezokwelapha okusheshayo futhi, uma kudingeka, balungele ukwelashwa okufanele ukubhekana nalesi simo nokunciphisa ingozi yokuphinda kwenzeke noma ezinye izinkinga.

Ngaphezu kwalokho, ekwelapheni i-hernia eboshiwe, kubalulekile ukuba nolwazi lochwepheshe abanolwazi oluningi ekuhloleni nasekuphatheni i-hernia.

Ukuthembela emtholampilo othuthuke kakhulu kanye nokutholakala kokubonisana kwamahhala kokulandelela ngonyaka wokuqala kunganikeza iziguli isiqinisekiso sokuthola ukunakekelwa okuphelele nokuqhubekayo phakathi nokwelashwa kwazo.

Ngaphezu kwalokho, inketho yokuxhasa ngezimali ingasiza ekwenzeni ukunakekelwa kwezokwelapha okudingekayo kutholakale kalula, kugqamisa ukuzibophezela ekuqinisekiseni ukuthi iziguli zithola ukunakekelwa nokwelashwa ezikudingayo ngaphandle kwezithiyo zezimali ezingadingekile.

Le ndlela ebanzi, ehlanganisa ulwazi lwezokwelapha, ukwesekwa, kanye nokufinyeleleka, iqinisa ukubaluleka kokubhekana ne-hernia eboshiwe ngesiqondiso esivela eqenjini lezempilo elithembekile nelinolwazi.

Ukuxilongwa nokwelashwa

Ukuxilongwa nokwelashwa kwe-hernia eboshiwe kudinga ukuhlolwa okuphelele nguchwepheshe wezempilo, okuvame ukuhilela ukuhlolwa ngokomzimba futhi, kwezinye izimo, Izifundo ze-imaging, njenge-ultrasound, ukuhlola uhlobo kanye nobukhali besimo sezicubu zangaphakathi kwesisu.

Ukugxila kokuqala kwenqubo yokuxilonga ukuthola ukuthi kukhona i-hernia evalelwe, ukuyihlukanisa nezinye izinhlobo ze-hernia, kanye hlola izinkinga ezingaba khona, njengokuklinywalokho kungase kuvele.

Uma ukuxilongwa sekuqinisekisiwe, kunconywa indlela efanele yokwelashwa, evame ukuhlanganisa ukuphatha ukuphuma nokulungisa udonga lwesisu olubuthakathaka, ukuze kuvinjelwe ukuphinda kuvele isifo.

Ukwelashwa kwe-hernia eboshiwe kungahlanganisa: ekuqaleni emizamweni yokunciphisa ngesandla, inqubo lapho uchwepheshe wezempilo ephatha ngokucophelela izicubu eziphumayo kuze kube yilapho zifakwa endaweni yazo evamile.

Kodwa-ke, ezimweni lapho ukunciphisa ngesandla kungenzeki noma kungafaneleki, noma uma i-hernia iyaphindaphindaKunganconywa ukungenelela kokuhlinzwa ukuze kulungiswe futhi kuqiniswe udonga lwesisu kusetshenziswa i- ucezu lwe-mesh lokuhlinzwa.

El indlela yokuhlinzwa ye-hernia eboshiwe Kungahlukahluka kuye ngesimo sempilo somuntu, usayizi nendawo ye-hernia, kanye nokuba khona kwanoma yiziphi izici eziyinkimbinkimbi, futhi kuvame ukushintshwa ukuze kuhlangatshezwane nezidingo nezimo ezithile zesiguli.

Ukulungiswa kwe-hernia ngokuhlinzwa kuhilela ukubuyisela izicubu ze-herniated endaweni yazo efanele kanye nokusebenzisa i-sutures. i-mesh yokuhlinzwa noma ezinye izindlela zokuqinisa ukunikeza ukwesekwa okwengeziwe endaweni ebuthaka yodonga lwesisu, inqubo ebizwa ngokuthi i-hernioplasty.

Le nqubo ihlose ukunciphisa ingozi yokuphinda kwenzeke futhi ikhuthaze ubuqotho besikhathi eside bodonga lwesisu, ngaleyo ndlela inciphise amathuba okuba nama-hernias esikhathini esizayo.

Ngaphezu kwendlela yokuhlinzwa ye-hernia, izinyathelo zokwenza ngcono ukunakekelwa kwangemva kokuhlinzwa nokusekela ukululama kwesiguli ziyizingxenye ezibalulekile zendlela yokwelapha ephelele.

Lokhu kungafaka phakathi ukuqapha ngemva kokuhlinzwa, isiqondiso mayelana nomsebenzi kanye nokunyakaza, kanye nokuhlinzekwa kosizo lokulandelela ngemva kokuhlinzwa ukuze kuqashwe futhi kukhuthazwe inqubo yokuphulukiswa.

Njengengxenye yenqubo yokwelapha, abahlinzeki bezempilo bangase bahileleke nasekufundiseni iziguli. ukubanikeza ulwazi nezinsiza ezidingekayo ukuze Thatha ukunakekelwa kwabo.

Ngakho-ke, qaphela izimpawu eziyisixwayiso ezingaba khona zezinkinga bese wenza izinqumo ezinolwazi ukuze usekele impilo yakho kanye nenhlalakahle yakho.

Le ndlela yokusebenzisana phakathi kochwepheshe bezempilo neziguli inika amandla abantu ukuthi badlale indima ebalulekile ekwelashweni kwabo futhi banikele empumelelweni iyonke yohambo lokwelapha.

Ngokukhuthaza umuzwa wokubambisana kanye nomthwalo wemfanelo owabiweUkwelashwa kwe-hernia eboshiwe kudlulela ngale kokuxazulula isimo esibucayi futhi kuhlose ukukhuthaza impilo yesikhathi eside kanye nekhwalithi yokuphila komuntu ngamunye.

Ukuvimbela nokunakekelwa kokulandelela

Ngemva kokwelashwa ngempumelelo kwe-hernia eboshiwe, ukunaka ekuvimbeleni nasekunakekeleni okulandelayo kubalulekile ukuze kuncishiswe ingozi yokuphinda kwenzeke futhi kuhlangatshezwane nezidingo zempilo yesisu zomuntu ngamunye.

Lokhu kungabandakanya ukwamukela izinguquko zendlela yokuphila, njengokuthi Gcina isisindo somzimba siphilile futhi wenze umsebenzi womzimba ojwayelekile. futhi ugweme imisebenzi ebeka umthwalo omkhulu emisipheni yesisu, ukuze unciphise amathuba okuba nama-hernia aphinde avele.

Ngaphezu kwalokho, ukusebenzisa amasu okuphakamisa aphephile futhi afanele, ukubhekana nanoma yiziphi izimo ezifaka isandla ekuthuthukisweni kwama-hernia, kanye nokulandela iziqondiso zangemva kokuhlinzwa ezibekwe ochwepheshe bezempilo kungasiza kakhulu ekuvimbeleni ama-hernia esikhathi esizayo.

Ukuqashwa njalo kokulandelela, njengalokho okunikezwa ngonyaka wokuqala, kunikeza ochwepheshe bezempilo amathuba abalulekile okuqapha ukululama komuntu, ukubhekana nanoma yiziphi izinkinga noma intuthuko entsha, kanye nokuqondisa amasu esikhathi eside okugcina udonga lwesisu oluqinile noluqinile.

Lokhu kubonisana kusebenza njengendlela yokusekela nokuqapha okuqhubekayo, okuvumela ochwepheshe bezempilo ukuthi bangenelele ngokuzikhandla uma kwenzeka noma yiziphi izinguquko noma izinkinga ezingathinta impilo yesisu somuntu.

Ngokuya kulezi zikhathi zokulandelela, iziguli zingazuza ekunakekelweni okuqhubekayo kanye nokuthula kwengqondo kokubhekwa kochwepheshe njengoba ziqhubeka nezigaba ezahlukene zokululama nangale kwalokho.

Ngokugcizelela ukubaluleka kwezinyathelo zokuvimbela, ukwesekwa okuqhubekayo kanye nokuphathwa okusebenzayo kwempilo yesisuIndlela ephelele yokwelapha i-hernia eboshiwe idlulela ngale kokuxazulula isimo esibucayi futhi ihlose ukukhuthaza inhlalakahle yesikhathi eside kanye nekhwalithi yokuphila komuntu ngamunye.

Ngokuhlanganisa imfundo yesiguli, isiqondiso somuntu siqu, kanye nokulandelela ngokucophelela, abantu bangahlakulela indlela ehlakaniphile nenolwazi lokugcina impilo yesisu nokunciphisa ingozi yokuphindaphinda kwama-hernia, ngaleyo ndlela babeke isisekelo sekusasa elinamandla nenhlalakahle enkulu.

I-hernia evalelwe uhlobo lokuqhekeka kodonga lwesisu okungaba yingozi kakhulu futhi kudinga ukunakekelwa kwezokwelapha ngokushesha. Kwenzeka lapho izicubu noma izitho zibhajwa embotsheni ye-hernia, zivimbele ukuthi zibuyele emuva.

Ukuvimbela kubalulekile kulesi simo futhi indlela engcono kakhulu yokukufeza lokhu ukwamukela imikhuba yokuphila enempilo.

Lokhu kusho ukugwema ukukhuluphala ngokweqile, ukunciphisa amazinga okucindezeleka, ukuzivocavoca njalo, njengokugijima, ukubhukuda, ukugibela ibhayisikili noma landela uhlelo lokufaneleka komzimba, dla ukudla okunempilo okucebile nge-fiber yokudla futhi kuqinise imisipha.

Le mikhuba ngeke isize kuphela ekunciphiseni ingozi yokuthola i-hernia kwasekuqaleni, kodwa futhi inganciphisa kakhulu amathuba okuba i-hernia iboshwe.

Uma ukhathalela impilo kanye nenhlalakahle yomzimba wakho, ukuvimbela kuyindlela yokuphila, futhi ukwenza izinqumo ezihlakaniphile manje kungasiza iminyaka eminingi ezayo.

Ukuhlaziywa kwenani

Umkhawulo Wesimo Esiphuthumayo:

Inani eliyisisekelo yi- imfundo mayelana nesikhathiUDkt. Delgado wengeza inani ngokuhlukanisa ukuboshwa (ukuboshwa) kwe ukuklinywa (ukulahlekelwa ukugeleza kwegazi).

Umehluko Wothisha:

Como uthisha oqashwe ngokugcweleUdokotela uphumelela kakhulu ukuvimbela ukulimala kwamathumbuUmehluko wayo yi- izindlela zokuhlinzwa eziphuthumayoUchwepheshe ofundisa ukuhlinzwa uyazi ukuthi ukunciphisa i-hernia evalelwe ngamandla amaningi kungaba yingozi.

Indlela yabo iqinisekisa ukuthi, ngokusebenzisa ukuhlinzwa kwe-laparoscopic okuphuthumayoUkuqina kwezicubu kuyahlolwa ngaphambi kokubeka i-mesh, okuqinisekisa ukuthi ikhambi alisheshi nje kuphela, kodwa futhi liqinisekile futhi liphephile.

Isiphetho

Ngamafuphi, ama-hernia ayisimo esivamile futhi esingaba yingozi esidinga ukunakekelwa kwezokwelapha ngokushesha.

Kungakhathaliseki ukuthi kuyi-hernia encishiswayo, evalelwe, noma eklinyiwe, izimpawu nezimbangela zingahluka, kodwa isidingo sokuxilongwa nokwelashwa okufanele sihlala sifana.

Kubalulekile ukufuna izinsizakalo zochwepheshe abanolwazi futhi ubeke phambili ukwethembeka kanye nolwazi lomtholampilo odumile wendawo noma wasedolobheni. Njengoba kunezinketho zezimali kanye nokubonisana kwamahhala kokulandelela okutholakalayo, kubalulekile ukubhekana nanoma yiziphi izinkinga noma ukungakhululeki okuhlobene ne-hernia ngaphambi kokuba kube kubi kakhulu.

Into ebaluleke kakhulu ukufuna usizo lwezokwelapha ngokushesha ngama-hernia aboshwe noma aklinyiwe, ukuze kuvinjelwe izinkinga ezingaba khona futhi kuqinisekiswe ukuthi uyalulama ngokuphephile nangokunempilo.

Manje sekuyisikhathi sokubambisana ngokwabelana ngolwazi lwezempilo lokuvimbela mayelana nama-hernia ezinkundleni zokuxhumana. Sisonke, singaqinisekisa ukuthi umndeni, abangani, kanye nabantu abaningi emhlabeni wonke bayazuza, bayayibona inkinga, futhi bathathe isinyathelo ngokushesha.

Manje sizoqhubeka nokuphendula imibuzo evame ukubuzwa yiziguli kanye nabangane bazo ngesikhathi sokubonisana nodokotela noma emakamelweni ezimo eziphuthumayo esibhedlela:

imibuzo ejwayelekile ukubuzwa

Siyabonga ngokuvakashela, ukuphawula kwakho, kanye neziphakamiso zakho mayelana nezinto ezintsha zokufunda.  Ibhulogi: Impilo Yokugaya Ukudla! Kuze kube yisikhathi esizayo.

UDkt. Jorge Delgado, Udokotela Ohlinzayo. I-Hernia Eboshiwe.

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