I-hernia engaqondile: Izimbangela, izimpawu kanye nokuhlinzwa okuphambili

Siyakwamukela kule ndawo ekhethekile kakhulu eku-inthanethi yokuhlinzwa kodonga lwesisu. Ukuqonda ukuthi yini a i-hernia engaqondile Kudinga ukubuyela ekwakhekeni kwethu kwemvelo, ngoba kungenxa yobuthakathaka bokuzalwa obuvumela ukudlula kwezicubu ngomsele we-inguinal. 

Ngaphambi kokuhlola ukuthi kungani kuvame kakhulu emadodeni noma ukuthi ukuhlinzwa okusezingeni eliphezulu kusebenzisa kanjani ama-meshes obuchwepheshe obuphezulu ukuvala unomphela lesi sici, ngiyakumema ukuthi uphumule izandla zakho futhi uphefumule ngokuthula; ukunemba kobuchwepheshe kuyisiqinisekiso sakho esingcono kakhulu sempumelelo.

Ngaphansi kwesiqondiso sezemfundo sikaDkt. Jorge Delgado, sizohlaziya indlela eya ekululameni kwakho okuphelele; ake siqonde ngqo ephuzwini, ngaphandle kokuchitha isikhathi, mayelana nama-hernia angaqondile e-inguinal. Lokhu kwenzeka lapho izitho zesisu zidlula endaweni ebuthakathaka e-groin. Uma ingelashwa, ingabangela ukungakhululeki nobuhlungu.

Ukukhathazeka okuvamile

Kulesi sihloko sizoxoxa ngezimbangela, izimpawu kanye nokwelashwa okuphelele kwalolu hlobo lwe-hernia "kubhalwe ngabantu, ngenxa yabantu"kanye nokuthi ukuhlinzwa kungadingeka nini nokuthi kungavinjelwa kanjani.

I-Hernia Engaqondile.

Isici esichazayo salolu hlobo ukuthi luzalwa lukhona; lukhona kusukela ekuzalweni ngenxa yokungavalwa kahle kwendandatho ejulile ye-inguinal ngemva kokudlula kwezakhiwo zomzimba ngomsele we-inguinal, kokubili kwabesifazane, ngomsipha oyindilinga, kanye nakwabesilisa, ngentambo yesidoda. Ngokungafani ne-hernia eqondile ye-inguinal, ubuthakathaka butholakala odongeni olungaphansi noma phansi komsele we-inguinal.

I-hernia engaqondile uhlobo lwe-hernia ye-inguinal eyenzeka lapho okuqukethwe yisisu, njengamafutha kanye/noma ingxenye yamathumbu, kuphuma ngembobo ebuthaka odongeni lwesisu. Kuvame kakhulu kwabesilisa nasezinganeni, yize kungenzeka nakwabesifazane.

Ukuvama kwayo kuyahlukahluka kusuka kubantu abahlukahlukene kuya kwabanye, kanti izibalo zisukela phakathi 0.5% kanye no-5% ngonyaka kubantu abadala kuze kufike ku 20% ezinsaneni nasezinganeni.

Izimbangela eziyinhloko ze-hernia engaqondile zifaka phakathi ukuthambekela kokuzalwa (ukuzalwa unesisindo esingaphansi noma ngaphambi kwesikhathi), ukucindezeleka okukhulu odongeni lwesisu ngenxa yemisebenzi efana nokuphakamisa izinto ezisindayo noma ukuzikhandla ngesikhathi sokuhamba kwamathumbu, kanye nokukhubazeka komzimba okukhona lapho kuzalwa.

Izimpawu zivame ukufaka ubuhlungu noma ukungakhululeki esiswini noma endaweni yengquza engenhla okuqhubeka nokuba kubi kakhulu ngomsebenzi; iqhubu noma iqhubu endaweni ethintekile; isicanucanu; ukuhlanza; ukuncipha kwesifiso sokudla; ​​ukuqunjelwa; kanye nokungagayeki kahle kokudla.

Ngoba ayelashwa, Izinkinga zivame ukuvela, njenge- i-hernia eboshiwe, lapho ingxenye yamathumbu inamathela khona futhi ingakwazi ukubuyela endaweni yayo yokuqala; i-hernia eklinyiwe, lapho ukuhlinzekwa kwegazi endaweni ethintekile kunqanyulwa khona, okubangela ukufa kwezicubu; noma ukuvaleka kwamathumbu, okudinga ukuhlinzwa.

Kubalulekile ukuthi abantu ababhekana nanoma yiziphi zalezi zimpawu bafune usizo lwezokwelapha ngokushesha okukhulu ezibhedlela noma emitholampilo yezempilo, kungaba ngohlelo lwezempilo lukahulumeni noma oluzimele.

Ukuqonda i-hernia ye-inguinal

Uma kukhulunywa ngama-hernial sacs odongeni lwesisu, i-inguinal hernia ingenye yezinhlobo ezivame kakhulu. Kwenzeka uma izicubu ezithambile (ngokuvamile ingxenye yolwelwesi olumboze umgodi wesisu noma amathumbu) Iphuma endaweni ebuthakathaka kwemisipha yesisu.

Uma kwenzeka i-hernia ye-inguinal, ukuphuma kwenzeka eduze komsele we-inguinal, otholakala phansi kwesisu. Umsele we-inguinal Kuyindlela yemvelo ekhona kubo bonke abantu ngesikhathi sokukhula kwabo futhi ivame ukuvala ngaphambi noma ngemva kokuzalwa.

Nokho, kwezinye izimo, umgudu ungase ungavaleki kahle, okungaholela ekukhuleni kwe-hernia ye-inguinal kamuva lapho umuntu esekhulile.

Ama-hernia e-inguinal, ngokwemvelaphi yawo, ahlukaniswa kabanzi ngokuthi aqondile futhi angaqondile, futhi ukuhlukaniswa kwawo kusekelwe endaweni lapho kuvela khona. mayelana ne-inguinal noma i-Poupart ligament, okuyibhande lezicubu ezixhumanisayo elisuka emgogodleni we-iliac ophakeme ngaphambili liye ku-tubercle ye-pubic.

Kubalulekile ukwazi umehluko phakathi kwe-hernia ye-inguinal eqondile nengaqondile.

• Endabeni a i-hernia eqondile ye-inguinalUkuvela kwenzeka ngephuzu elibuthakathaka emisipheni yesisu, elihambisana nodonga oluphansi noma olungezansi lomsele we-inguinal, futhi ngokuvamile kubonakala ohlangothini olulodwa lwethambo le-pubic.
• Ngokuphambene nalokho, i-hernia engaqondile ye-inguinal Kuhilela ukuvela kwendandatho ye-inguinal noma i-deep foramen, imbobo esezansi yomsele we-inguinal ukuze kudlule izakhiwo zesifazane (njenge-ligament eyindilinga) kanye nezakhiwo zesilisa (njengentambo yesidoda).

I-hernia ye-inguinal engaqondile ivame ukuba yisimo sokuzalwa (esikhona ezinganeni ezizalwa zinesisindo esiphansi noma ezinsaneni ezingaphambi kwesikhathi), okusho ukuthi ingaba khona kusukela ekuzalweni futhi ibangelwa ukuvuleka okungavamile odongeni lwesisu.

Lo mehluko obalulekile ubalulekile ekunqumeni indlela yokwelapha ephumelela kakhulu yohlobo oluthile lwe-hernia ye-inguinal evezwayo.

Izimbangela ze-hernia ye-inguinal

Izimbangela ze-inguinal hernias zivame ukuhlotshaniswa nobuthakathaka bemisipha yodonga lwesisu, ikakhulukazi engxenyeni engezansi yesisu, okungathonywa yizici ezahlukahlukene.

Endabeni ama-hernia angaqondile e-inguinalNjengoba kushiwo ngenhla, lesi simo singase sibe ngenxa yesici sokuzalwa esibonakala ngokuvalwa okunganele komsele we-inguinal endaweni ejulile ye-foramen.

Lokhu kuthambekela kokuzalwa kudala ubuthakathaka obungaqhubeka kuze kube yilapho umuntu esemdala futhi kuholele ekukhuleni kwe-hernia engaqondile ye-inguinal impilo yonke.

Endabeni ama-hernias aqondile e-inguinalUbuthakathaka bemisipha yesisu buvame ukubangelwa yinhlanganisela yezici ezifana ukuguga okungenamsebenzi, ukuphakamisa okunzima okuqhubekayo noma ukwanda okuqhubekayo kwengcindezi emgodini wesisu ngenxa Izici ezinjengokukhuluphala ngokweqile, ukukhwehlela okungapheli, kanye nokuqunjelwa okungakhululeki.

Ukuqonda nokubhekana nalezi zici eziyisisekelo kubalulekile ekwakheni uhlelo lokwelapha nokuvimbela olusebenzayo lwe-hernias ye-inguinal, okuhlanganisa naleyo yodonga lwesisu.

Ukubona izimpawu ze-hernia ye-inguinal

Kubalulekile ukuqaphela izimpawu ze-hernia ye-inguinal, njengoba kungaholela ekuhlolweni kwezokwelapha kanye nokungenelela ngesikhathi. Isibonakaliso esivamile se-hernia ye-inguinal ukuvuvuka okubonakalayo endaweni ye-groin.

Lokhu kuqubuka kungabonakala kakhulu lapho umile noma ngesikhathi semisebenzi ekhulisa ukucindezeleka kwesisu, njengokuphakamisa izinto ezisindayo noma ukuzikhandla ukuze ukhulule.

Kwezinye izimo, iqhubu lingahambisana nokungakhululeki, ubuhlungu, noma umuzwa wobuthakathaka embotsheni. Kungenzeka futhi ukuthi i-hernia ye-inguinal ayinazimpawuOkusho ukuthi, iqhubu kufanele libe uphawu olulodwa olubonakalayo futhi akufanele libangele ukungakhululeki okubonakalayo.

Kodwa-ke, ezimweni eziningi, ikakhulukazi njengoba i-hernia iqhubeka, abantu bangase babe nokungakhululeki okwandayo, ubuhlungu, noma umuzwa wokucindezeleka endaweni ethintekile.

Nakuba umuntu ngamunye engase abe nezimpawu ngendlela ehlukile, akuvamile ukuthi ukungakhululeki okuhlobene ne-hernia ye-inguinal kukhule ngokuma, ukuzikhandla, noma ukuphakamisa izinto ezisindayo bese kuncipha ngokuphumula noma ukulala ngomhlane.

Kwezinye izimo, i-hernia ye-inguinal engalashwa ingaholela ezinkingeni ezifana nokucindezelwa kwengxenye yamathumbu, isimo esaziwa ngokuthi i-hernia eboshwe noma eboshwe.

Lokhu kunga ukubangela ukuvimba kokudlula kwendle kanye nokungakhululeki okukhulu kwesisu, okubangelwa ukuvuleka kwesisu kanye nobunzima bokuphefumula, okudinga ukunakekelwa kwezokwelapha kanye nokungenelela okuphuthumayo ohlelweni lokunakekelwa kwempilo lukahulumeni noma oluzimele, ngokwendawo okuyo, futhi ugweme izinkinga ezinkulu.

Ukubhekana nezimpawu kanye nezici eziyingozi ezihambisana ne-hernia ye-inguinal ngokushesha kubalulekile ekunciphiseni ingozi yezinkinga kanye nokusungula uhlelo lokwelashwa olufanele.

Ukuxilongwa nokwelashwa kwe-hernia ye-inguinal

Ukuxilongwa kwe-hernia ye-inguinal kuvame ukuhilela ukuhlolwa okuphelele okungase kuhlanganise nokubuyekezwa ngokucophelela komlando wezokwelapha womuntu siqu, ukuhlolwa ngokomzimba, futhi, kwezinye izimo, izifundo zezithombe.

Ngesikhathi sokuhlolwa ngokomzimba, umhlinzeki wezempilo angahlola ngokucophelela indawo ethintekile ukuze ahlole ukuthi ikhona yini iqhubu, kanye nokubheka izimpawu zokuthamba, ukungakhululeki, noma ukuvela.

Kwezinye izimo, izifundo zezithombe, njenge-ultrasound noma i-computed tomography (CT) scan, zingasetshenziswa ukuthola umbono oningiliziwe we-hernia kanye nomthelela wayo ongaba khona ezakhiweni ezizungezile.

Uma sekutholakale ukuthi ukuxilongwa sekuqinisekisiwe, ukwelashwa okufanele futhi, ngaphezu kwakho konke, okuhleliwe kungatholakala, okwenza umehluko uma kuqhathaniswa nokuhlinzwa okuphuthumayo kwe-hernia ye-inguinal.

Kwezinye izimo, ikakhulukazi uma i-hernia incane futhi ingabangeli ukungakhululeki okukhulu, inqubo inganconywa. indlela yokulinda eqaphilengokulandelela njalo ukuze kuqashwe noma yiziphi izinguquko ku-hernia kanye nokubonakala kwezimpawu.

Kodwa-ke, uma kwenzeka ama-hernia amakhulu, abuhlungu noma lawo anobungozi bezinkinga, ukuhlinzwa okuhleliwe kungase kube ngcono ngenxa yezizathu ezishiwo.

El Inhloso eyinhloko yokuhlinzwa kwe-hernia ye-inguinal Kuhilela ukubeka kabusha noma yiziphi izicubu eziphumayo nokulungisa ngempumelelo indawo ebuthakathaka yodonga lwesisu, okuvame ukufezwa yi- ukuhlinzwa okuvamile okuvulekile noma amasu e-laparoscopic okungekuhle kakhuluindlela yakhe ethize incike ezicini zomuntu ngamunye ze-hernia kanye nempilo ejwayelekile yesiguli.

Ukulungiswa kwe-hernia ye-Inguinal inqubo yokuhlinzwa eyenziwa njalo evame ukuhlotshaniswa nemiphumela emihle.

Kodwa-ke, njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi ezingaba khona kanye nokwenzeka kwezinkinga okufanele zicatshangelwe ngokucophelela futhi zixoxwe ngazo nethimba lezempilo.

Ngemva kokulungiswa ngokuhlinzwa, isikhathi sokululama nokuvuselelwa kubalulekile ukuze kuthuthukiswe umphumela wokuphulukiswa ngokuphulukiswa kwezicubu ngendlela efanele nokunciphisa amathuba okuphindeka kwesifo.

Lokhu kungase kuhilele imikhawulo emisebenzini ethile yansuku zonke, ukubuyela kancane kancane ekuzikhandleni okuvamile ngokomzimba, kanye nokunakekelwa ngokucophelela kwamanxeba ukuze kuthuthukiswe ukuphulukiswa.

Ngokulandela iziqondiso ezinconywayo kanye nokuhlanganyela ohlelweni lokuvuselelwa olunqunyiwe, abantu bangakhuthaza ukululama okubushelelezi nokwanelisayo ngemva kokulungiswa kwe-hernia ye-inguinal.

Nini okufanele ucabangele ukungenelela kokuhlinzwa

Isinqumo sokwenza ukuhlinzwa ukuze kulungiswe i-hernia ye-inguinal sisekelwe ezicini ezahlukene, njengobukhulu be-hernia, ukuba khona kanye nobukhali bezimpawu, isimo sempilo jikelele, umlando wezokwelapha womuntu, kanye nokwenzeka kwezinkinga.

Ngokuvamile, uma i-hernia ye-inguinal ibangela izimpawu eziqhubekayo, ikhula ngobukhulu, noma kungenzeka kube nezinkinga ezinkulu, ukulungiswa kokuhlinzwa kuvame ukunconywa.

Ngaphezu kwalokho, kubantu abasengozini enkulu yezinkinga ngenxa yohlobo lwe-hernia, njenge-a i-hernia eboshiwe noma ukuklinywa, kungase kudingeke ukungenelela okuphuthumayo kokuhlinzwa ukunciphisa ingozi yemiphumela emibi kakhulu.

Isinqumo sokulungiswa kwe-hernia, kungaba ngokuhlinzwa okuvamile noma amasu angangenisi kakhulu, kufanele senziwe ngokubonisana eduze nomhlinzeki wezempilo ofanelekayo, ngemuva kokuhlolwa okuphelele kwezimo ezithile kanye nokucabangela izinzuzo nezingozi ezingaba khona.

Kubalulekile futhi ukuqaphela ukuthi, kwezinye izimo, njengakuma-hernia amancane, angenazimpawu, uchwepheshe wezempilo angancoma indlela yokulinda eqaphile, ikakhulukazi lapho izingozi zokuhlinzwa zingase zibe zinkulu kunezinzuzo.

Ezimweni ezinjalo, abantu bazokwelulekwa ukuthi baqaphe i-hernia, banake noma yiziphi izinguquko ezimpawu, futhi bashintshe indlela yabo yokuphila ukuze banciphise ingozi yokuthi ibe yimbi kakhulu.

Lezi zinguquko zingafaka phakathi ukugwema ukuphakamisa izinto ezisindayo, ukulawula izici ezikhulisa ingcindezi yangaphakathi kwesisu, kanye nokwenza izinguquko zokudla ezinhlotsheni zokudla eziphezulu noma ezinye izinguquko zendlela yokuphila ukuze kuthuthukiswe impilo yesisu kanye nemisipha.

Ngokubhekana nezici eziyingozi ezaziwayo kanye nokwenza izinqumo ezinolwazi ngokubambisana nochwepheshe wezempilo, abantu bangathatha indima ebalulekile ekuphatheni i-hernia encane, engenazimpawu, okungenzeka igweme noma ilibazise isidingo sokungenelela kokuhlinzwa.

Izingozi, izinkinga kanye nokululama

Njenganoma iyiphi inqubo yokuhlinzwa, ukulungiswa kwe-hernia ye-inguinal kunezingozi ezithile kanye nokwenzeka kwezinkinga, okumele kucatshangelwe ukuze kuqashelwe futhi kwenziwe ngokufanele.

Lokhu kungafaka phakathi izingozi ezijwayelekile zokuhlinzwa, njengemiphumela emibi yokubulala izinzwa, ubuhlungu bangemva kokuhlinzwa, kanye nokwenzeka kokutheleleka noma ukwakheka kwamahlule egazi.

Ngokuqondene nokulungiswa kwe-hernia, kukhona futhi ithuba elincane lezinkinga, njengokubuyela kwe-hernia, ubuhlungu obungapheli noma ukungakhululeki endaweni ethintekile, noma ukulimala kwezakhiwo ezizungezile.

Kubalulekile ukuthi abantu abacabangela ukulungiswa kwe-hernia baxoxe ngakho ngokugcwele nomhlinzeki wabo wezempilo ukuze baqonde ngokucacile izingozi ezingaba khona kanye nezinyathelo ezingathathwa ukunciphisa amathuba alezi zinkinga.

Ngemva kokulungiswa kwe-hernia, isigaba sokululama yisikhathi esibalulekile esidinga ukunakwa ekunakekelweni nasekuvuselelweni ngemva kokuhlinzwa. Lokhu kungafaka phakathi ukuthatha imithi enqunyiwe, ukuhlonipha imikhawulo yemisebenzi kanye nokuvuselela kancane kancane umsebenzi womzimba, phansi ukulawula nokuqapha.

Ngokuhlanganyela ngenkuthalo enkambisweni yokululama nokulandela imiyalelo yethimba lezokunakekelwa kwempilo, abantu bangakhuthaza ukululama okubushelelezi nokuphumelelayo, ekugcineni kuncishiswe ingozi yezinkinga futhi kukhuthazwe impumelelo yesikhathi eside yokulungiswa kwe-hernia.

Njenganoma iyiphi inqubo yezokwelapha, isinqumo sokulungiswa kwe-hernia, izingozi ezingaba khona, kanye nendlela elindelekile yokululama kufanele kuhlolwe ngokucophelela futhi kuqondwe ngokubambisana nomhlinzeki wezempilo othembekile ukuqinisekisa imiphumela emihle kakhulu neqondene nomuntu ngamunye.

Izindlela zokuvimbela i-hernia ye-inguinal

Nakuba kungase kungenzeki ukuvimbela ukuthuthukiswa kwe-hernia ye-inguinal Kuzo zonke izimo, kunezinyathelo ezithile ezingasiza ekunciphiseni ingozi yokuthi kwenzeke.

Lezi zinyathelo zingase zihlanganise ukugcina isisindo somzimba esinempilo, ukwenza umsebenzi ojwayelekile womzimba njengokubhukuda, ukugibela ibhayisikili, ukugijima, noma landela uhlelo lokufaneleka komzimba ukukhuthaza imisipha yesisu eqinile neqinile, nokusebenzisa izindlela ezifanele zomzimba, ikakhulukazi lapho uphakamisa izinto ezisindayo.

Uma kwenzeka kubantu abanesifo sofuba noma labo abaye balungiswa i-hernia, ukusetshenziswa kwalezi zinyathelo zokuvimbela kubaluleke kakhulu ukunciphisa ingozi yokuphinda i-hernia futhi kukhuthaze impilo yesisu yesikhathi eside.

Ngokuthatha indlela yokubhekana nezici eziyingozi ezingashintshwa kanye nokwenza izinqumo ezinolwazi ezikhuthaza ukuqina nobuqotho bodonga lwesisu, abantu bangadlala indima ebalulekile ekunciphiseni ubungozi babo be-hernia ye-inguinal kanye nomthelela wayo ongaba khona enhlalakahleni iyonke.

Kubalulekile ukuqonda kahle izimbangela, izimpawu, kanye nokwelashwa okuphelele kwe-hernias ye-inguinal ukuze uqondise abantu emasu okuphatha afanele futhi asebenzayo.

Kungakhathaliseki ukuthi ngezinyathelo zokuvimbela, izindlela ezingezona ezokuhlinzwa, noma ukungenelela kokuhlinzwa, ukwelashwa kwe-inguinal hernias kufanele kusetshenziswe njengenqubo eyenzelwe wena futhi enolwazi oluhle, ngenhloso yokunciphisa izimpawu, ukunciphisa ingozi yezinkinga, kanye nokwenza ngcono amandla kanye nempilo iyonke yodonga lwesisu.

Ukuhlaziywa kwenani

Ukunemba Kwesimo Semvelo:

Inzuzo eyisisekelo ulwazi. UDkt. Delgado wengeza inzuzo ngokuchaza ukuthi, njengoba itholakala eceleni kwemithambo ye-epigastric, indlela eya ku-a i-hernia engaqondile Kudinga ukuhlukaniswa ngokucophelela kwesikhwama se-hernial ukuze kuvikelwe izakhiwo zentambo yesidoda.

Umbono Kathisha:

Umehluko omkhulu usekuvimbeleni. Njengochwepheshe kanye noprofesa wokuhlinzwa, uDkt. Delgado ufundisa ukuthi, nakuba kuyisimo sokuzalwa naso, ukuxazulula kwaso lapho umuntu esemdala, ngaphansi kwezindinganiso zesimanje, kuvimbela izinkinga ezinkulu njengokuklinywa.

Isiphetho

Ekugcineni, ama-hernia angaqondile angelashwa ngokubhandishwa noma ngokuqapha uma emancane futhi engabangeli ukungakhululeki. Kodwa-ke, angathuthuka futhi abangele ubuhlungu kanye nokuthamba uma engelashwa.

Izindlela zokwelapha zifaka phakathi ukuhlinzwa, okufanele kucatshangelwe uma i-hernia ibangela ukungakhululeki noma ilimaza ukusebenza kwezitho zomzimba. Kubalulekile ukuqaphela izingozi nezinkinga ezingaba khona zokuhlinzwa, kodwa amasu afanele okululama nokuvimbela anganciphisa kakhulu lezi zici.

Kunconywa ukubonisana nochwepheshe wezempilo ukuze uthole indlela eqondene nawe yokuphatha nokuvimbela ama-hernia angaqondile. Siyabonga ngokuvakashela kanye nokuphawula kwakho kubabukeli bebhulogi: Impilo Yokugaya Ukudla!

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

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