I-hernia ye-inguinal yisimo esivamile lapho...Okuqukethwe yisisu, njengamafutha noma amathumbu, kuphuma endaweni ebuthakathaka noma embobeni engaphakathi. Lolu hlobo lwe-hernia lungavela kuzo zombili izinhlangothi ze-groin futhi lubangele ukungakhululeki, ubuhlungu, kanye nokuvuvukala okubonakalayo.
Sanibonani ngemfudumalo, bafowethu be-inthanethi. Ngemva kwalesi sandulelo, ake siqonde ngqo esihlokweni se-bilateral inguinal hernias enesisekelo samafutha, isihloko okuxoxwa ngaso njalo.Kulesi sihloko, sizoxoxa ngezimbangela, izici eziyingozi, izimpawu, kanye nezinkinga eziphuthumayo ze-hernias ye-inguinal, kanye nezinketho zokuxilonga. "kubhalwe ngabantu, ngenxa yabantu" kanye nokwelashwa kwalesi simo.
I-Hernia Ye-Inguinal Ezinhlangothini Zombili Enesisekelo Esinamafutha
I-hernia ye-inguinal enamafutha amabili yisimo esenzeka lapho ingxenye yezicubu zamafutha ze-preperitoneal iphuma endaweni ebuthakathaka odongeni lwesisu ezinhlangothini zombili ze-groin. Lolu hlobo lwe-hernia lungenzeka kunoma ubani, yize luyi- kuvame kakhulu emadodeni.
Kubalulekile ukuqaphela izimpawu nokufuna usizo lwezokwelapha ngesikhathi, njengoba ukwelashwa okufanele kungavimbela izinkinga. Ukuqwashisa ngalesi simo kubalulekile ukuze kulondolozwe impilo enhle kanye nenhlalakahle.
Iyini i-hernia ye-inguinal?
I-hernia ye-inguinal yenzeka lapho izicubu, njengengxenye yamathumbu, ziphuma endaweni ebuthakathaka emisipheni yesisu. Kungase kubonakale njengokuvuvukala embotsheni, indawo ephakathi kwesisu nethanga.
Ama-hernia e-inguinal avame kakhulu kwabesilisa kunabesifazane futhi abangelwa ubuthakathaka bemvelo bodonga lwesisu, olukhona kusukela ekuzalweni.
Ukuvela ngokuvamile ukwenzeka ngomsele we-inguinalI-hernia iyindlela yokungena esiswini esingezansi. Lolu hlobo lwe-hernia lungaba yinto ekhathazayo kakhulu, njengoba lungaholela ezinkingeni ezisongela ukuphila.
Izimbangela ze-hernia ye-inguinal
Izimbangela ze-inguinal hernias zihlobene nezici ezithile eziyingozi kanye nokugcwala ngokweqile kodonga lwesisu. Imbangela evame kakhulu yi- ukuthambekela kokuzalwa ebuthakathakeni bemisipha nezicubu ze-groin, okungaba kubi kakhulu ngenxa yezici ezifana nokuguga noma ukuthwala isisindo okungapheli.
Ezinye izimbangela zingase zihlanganise inhlanganisela ukucindezeleka okwandisiwe ngaphakathi kwesisuindawo ebuthakathaka ekhona odongeni lwesisu kanye nokucindezeleka noma ukulimala okwengeziwe, njengokuphakamisa izinto ezisindayo noma ukukhandleka ngesikhathi sokuhamba kwamathumbu.
Lezi zici zingase zibe nomthelela ekuthuthukiseni i-hernia ye-inguinal ngokubeka ingcindezi endaweni ebuthakathaka, okubangela ukuthi ikhukhumale futhi okungenzeka ivumele ingxenye yamathumbu noma ezinye izicubu ukuba ziphume.
Kwabantu abadala, izici eziyingozi ezingaba nomthelela ekuthuthukisweni kwe-hernia ye-inguinal zifaka phakathi ukuba yindoda, njengoba amadoda enamathuba amaningi okuba namabala abuthakathaka odongeni lwesisu, kanye nokuguga, okungenza buthaka imisipha futhi kwenze udonga lwesisu lube sengozini enkulu ye-hernia.
Izici ze indlela yokuphilanjengokubhema, ukukhwehlela okungapheli, kanye nokuzikhandla ngokomzimba ngenxa yokuphakamisa izinto ezisindayo noma ukukhandleka ngesikhathi sokuya endlini yangaseseZingandisa futhi ingozi yokuba ne-hernia ye-inguinal.
Kwezinye izimo, zingase zingavinjelwa, njengalapho umuntu ezalwa naso noma lapho udonga lwesisu lubuthakathaka khona. izinsana, ukuzalwa ngaphambi kwesikhathi kanye nokuzalwa kwesisindo esiphansi Lezi yizici eziyingozi ezingaba nomthelela ekuthuthukisweni kwe-hernias ye-inguinal.
Izimpawu nezimpawu ze-hernia ye-inguinal
Isibonakaliso esiyinhloko se-hernia ye-inguinal ukubonakala kwe-a iqhubu lembobookungase kubonakale kakhulu uma umile, futhi kungahambisana ne- umuzwa wokusinda noma ubuthakathaka embotsheni.
Kwezinye izimo, ukuvela kungadlulela esinqeni noma, kwabesifazane, kufinyelele emazinyweni amakhulu. Ukuvela kungase ukuba buhlungu noma okucasulayo futhi kungaba kubi kakhulu lapho kwenziwa ukuzikhandla, kuphakanyiswa into esindayo, noma umuntu emi isikhathi eside.
Ezinye izimpawu zingase zihlanganise umuzwa ovuthayo noma obuhlungu endaweni yeqhubukanye nomuzwa wokucindezeleka noma ubuthakathaka embotsheni. Kwezinye izimo, i-hernia ye-inguinal ingase ivele ngokuhudula noma umuzwa ogcwele embotsheni.
Lezi zimpawu, ikakhulukazi ukuba khona kweqhubu kanye nanoma yikuphi ukungakhululeki okuhambisana nalo, kungaba kugqame kakhulu ngesikhathi noma ngemva komsebenzi futhi zingathuthuka uma uphumula futhi uphakamisa imilenze yakho.
Kwezinye izimo, i-hernia ye-inguinal ingase ihambisane ne-scrotum evuvukile noma ekhulisiwe emadodeni, noma ubuhlungu nokuvuvukala emasendeniKwezinye izimo, i-hernia ye-inguinal ingase ingabi nazimpawu, ikakhulukazi uma incane futhi ingaqhubeki noma ikhule.
Ezimweni ezinjalo, i-hernia ingatholakala ngesikhathi sokuhlolwa ngokomzimba okuvamile. Kodwa-ke, noma ngabe i-hernia ye-inguinal ingabangeli zimpawu, inamandla okukhula futhi ibe nezimpawu ezengeziwe ngokuhamba kwesikhathi.
Kwezinye izimo, kungaholela ezinkingeni, njengokuboshwa kwengxenye yamathumbu, isifo esaziwa ngokuthi njenge-hernia eklinyiweLokhu kungavimba ukugeleza kwegazi engxenyeni ethintekile yamathumbu, okubangela ubuhlungu obukhulu, isicanucanu, ukuhlanza, kanye nezinkinga ezisongela ukuphila.
Ukuxilongwa
Uma ehlola ukuthi kungenzeka yini ukuthi kukhona i-hernia ye-inguinal, uchwepheshe wezempilo uvame ukwenza ukuhlolwa ngokomzimba kwe-groin kanye nesisu, lapho angakucela ukuthi ume ukhwehlele, noma wenze ukunyakaza okuthile okungaveza ukuthi kukhona i-hernia.
Kwezinye izimo, ukuhlolwa okwengeziwe kokuxilonga, njenge-ultrasound noma izifundo ze-imaging, kunganconywa ukuqinisekisa ukuxilongwa nokuhlola ubukhulu be-hernia.
Lezi zivivinyo zingasiza ekunqumeni usayizi we-hernia kanye nendlela engcono kakhulu yokwelapha, ikakhulukazi uma i-hernia ingabonakali ngokushesha noma uma kuyi-hernia ephindaphindayo.
Ngokusekelwe emiphumeleni, udokotela wakho angakha uhlelo lokwelashwa olufanele futhi axoxe nawe ngezinketho ezitholakalayo, ecabangela izici ezifana nosayizi nendawo ye-hernia, impilo yakho iyonke, kanye nezinketho zakho zokwelashwa.
Kwezinye izimo, i-hernia ye-inguinal ayibangeli zimpawu, ikakhulukazi uma incane futhi ingaqhubeki noma ikhule. Ezimweni ezinjalo, i-hernia ingatholakala ngesikhathi sokuhlolwa ngokomzimba okuvamile.
Kodwa-ke, noma ngabe i-hernia ye-inguinal ingabangeli zimpawu, inamandla okukhula futhi ibe nezimpawu ezengeziwe ngokuhamba kwesikhathi. Kwezinye izimo, ingaholela ezinkingeni, njengokuklinywa kwengxenye yamathumbu, isimo.
Lokhu kungavimba ukugeleza kwegazi engxenyeni ethintekile yamathumbu, okubangela ubuhlungu obukhulu, isicanucanu, ukuhlanza, kanye nokwenzeka kwezinkinga ezisongela ukuphila.
Ukwelapha
Ukwelashwa kwe-hernia ye-inguinal kungase kuhilele ukuqapha, izindlela zokuphila, noma ukungenelela kokuhlinzwa, kuye ngobukhulu be-hernia, ukuba khona kanye nobukhali bezimpawu, kanye nezingozi ezingaba khona zezinkinga.
Kwezinye izimo, ikakhulukazi uma i-hernia incane futhi ingabangeli zimpawu, uchwepheshe wezempilo angancoma isikhathi sokulinda esiqaphilePhakathi nalesi sikhathi, uzokwaziswa ukuthi uqaphe i-hernia ukuze ubone izinguquko futhi ubike noma yiziphi izimpawu ezintsha noma ezikhathazayo.
Ngaphezu kwalokho, ungase welulekwe ukuthi uthathe izinyathelo zokunciphisa ukungakhululeki nokunciphisa ingozi yezinkinga, njengokugwema ukuphakamisa izinto ezisindayo noma umsebenzi onzima, noma sebenzisa izingubo zokusekela, ezaziwa ngokuthi amabhandeukusiza ukugcina i-hernia isendaweni yayo.
Uma i-hernia ibangela izimpawu ezibalulekile noma eziqhubekayo, noma uma ingabangela izinkinga, njenge-hernia eklinyiwe, uchwepheshe wezempilo angancoma ukulungiswa kokuhlinzwa okuhleliwe ukwelapha i-hernia.
Uhlobo lokuhlinzwa lungahluka kuye ngobukhulu nendawo ye-hernia, kanye nempilo yomuntu kanye nomlando wezokwelapha. Izinketho zokuhlinzwa zokulungisa i-hernia ye-inguinal zingafaka phakathi kufaka phakathi ukuhlinzwa kwe-laparoscopic okuvulekile noma okuncane.
Ngesikhathi senqubo yokuhlinzwa, izicubu eziphumayo zifakwa kabusha esiswini, futhi indawo ebuthaka yodonga lwesisu ivame ukuqiniswa futhi ilungiswe, isibonelo, nge ukusetshenziswa kwe-mesh yokuhlinzwa.
Lokhu kungasiza ekunciphiseni ingozi yokuphinda kwe-hernia futhi kusekele izicubu ezibuthakathaka njengoba ziphola. Udokotela wakho angenza izincomo ezithile futhi axoxe ngezinzuzo nezingozi ezingaba khona zokuhlinzwa, kanye nokuthi yini ongayilindela ngaphambi, ngesikhathi, nangemva kwenqubo.
Ngemva kokuhlinzwa kwe-hernia ye-inguinal, abantu abaningi bangakwazi kancane kancane qhubeka nemisebenzi evamile futhi bangase belulekwe ukuba benze umsebenzi womzimba olula, ngezinga elibekezelelekayo.
Udokotela wakho angakweluleka ngemikhawulo yokusebenza, ukunakekelwa kwamanxeba, kanye nezinyathelo zokukhuthaza ukululama okushelelayo.
Kwezinye izimo, ikakhulukazi ngezinqubo ezingangenisi kakhulu, Isikhathi sokululama singase sibe sifushane, futhi ubuhlungu nokungakhululeki ngemva kokuhlinzwa kungase kungabi sobala kangako., uma kuqhathaniswa nokuhlinzwa okuvulekile.
Kodwa-ke, inqubo ethile yokululama ingahluka kumuntu nomuntu, futhi kubalulekile ukulandela imiyalelo yomhlinzeki wakho wezempilo futhi ube khona emihlanganweni yokulandelela ukuze uqaphe intuthuko yakho futhi uqinisekise ukuthi i-hernia iyaphola njengoba kulindelekile.
Isiphetho
Kakade esigabeni sokugcina somsebenzi obalulekile, I-hernia ye-inguinal yezinhlangothi zombili enamafutha amaningi ingenzeka uma kukhona ubuthakathaka ezindongeni zesisu kanye nokugcwala ngokweqile ngokomzimba. Izimpawu eziyinhloko ukuvuvukala endaweni yembobo kanye nokungakhululeki noma ubuhlungu.
Ukuxilongwa nokwelashwa ngokushesha ngudokotela kubalulekile ekuphatheni lesi simo. Kungase kudingeke ukuhlinzwa ukuze kulungiswe i-hernia futhi kuvinjelwe ezinye izinkinga. Kubalulekile ukufuna usizo lwezokwelapha uma uhlangabezana nezimpawu ukuze ugweme izimo eziphuthumayo ezingaba khona.
Ukwabelana ngalolu lwazi nabantu obajwayele ezinkundleni zokuxhumana kubanika amandla okuzuza nokuthatha isinyathelo sokuvimbela izinkinga ezinkulu!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. I-Hernia Ye-Inguinal Ezinhlangothini Zombili Ene-Fatty Base.