Ama-hernia e-inguinal ayinkinga evamile yezempilo ebangelwa ubuthakathaka odongeni lwesisu oluvumela ingxenye yamathumbu ukuthi iphume. Lesi simo singakhula kamuva ekuphileni noma sibe khona kusukela ekuzalweni, lapho saziwa ngokuthi i-hernia yokuzalwa.
Siyakwamukela, msebenzisi we-inthanethi othandekayo! Ngemva kwalesi sifinyezo esifushane, namuhla sizohlaziya isihloko se-hernia ye-inguinal yokuzalwa, isimo esivamile esiqashelwa ezibhedlela nasemitholampilo yezempilo, ngaleyo ndlela, sigweme izinkinga ezinkulu.
Ukuhlinzwa ngokuvamile kuyindlela yodwa yokuxazulula lesi sifo, ngakho-ke kubalulekile ukuqonda izimbangela nezimpawu zaso. "kubhalwe ngabantu, ngenxa yabantu" kanye nezinketho zokwelapha.
Lesi sihloko sizohlanganisa lonke ulwazi olubalulekile mayelana nama-hernias e-inguinal azalwa nawo, okuhlanganisa ukuvimbela, ukunakekelwa, kanye nokululama ngemva kokuhlinzwa.
I-Hernia ye-Inguinal yokuzalwa
I-hernia ye-inguinal yokuzalwa yisimo esenzeka lapho ucezu lwezicubu, ngokuvamile amathumbu, luphuma ngobuthakathaka odongeni lwesisu endaweni ye-groin.
Lolu hlobo lwe-hernia luvame kakhulu ezinsaneni ezisanda kuzalwa futhi lungase lungabi nazimpawu ekuqaleni, yize lungabangela ukungakhululeki noma izinkinga ngokuhamba kwesikhathi. Ukuhlonza kusenesikhathi kanye nokwelashwa okufanele kubalulekile ukuqinisekisa inhlalakahle yesiguli.
Kubalulekile ukuthi abathandi bezempilo kanye nomphakathi jikelele baziswe ngalesi simo ukuze bakwazi ukubona izimpawu zaso futhi bafune usizo lwezokwelapha olufanele nolusesikhathini. isigaba esiphakathi sohlelo lokunakekelwa kwempilo lomphakathi noma oluzimele, ngokwendawo yakho yomhlaba wonke.
Ukuqonda ama-hernias e-inguinal
I-hernia ye-inguinal ikhula lapho izicubu ezithambile, ngokuvamile ingxenye yamathumbu, ziphuma endaweni ebuthakathaka emisipheni yesisu. Lesi simo singaba ukuba khona ngesikhathi sokuzalwa noma ukukhula ngokuhamba kwesikhathi.
- Endabeni a i-hernia ye-inguinal yokuzalwa, kwenzeka ngenxa imbobo odongeni lwesisu engavaleki ngendlela efanele ngaphambi kokuzalwaLokhu kuvula kungadala ubuthakathaka bemvelo, okwenza umuntu abe sengozini enkulu yokuba ne-hernia kamuva ekuphileni.
- Endabeni ama-hernia e-inguinal atholakeleZivame ukwakheka ngenxa yobuthakathaka obuqhubekayo bemisipha yesisu futhi ziba zimbi kakhulu okuvamile kwabesilisa abadala.
Kuzo zombili izinhlobo, ukuvela kuvame ukwenzeka ngomsele we-inguinal, otholakala e-groin.
- Kumuntu, umsele we-inguinal Kuyindlela yokungena kwentambo yesidoda kanye nemithambo yegazi esekela amasende.
- Kwabesifazane, umsele we-inguinal uqukethe umsipha oyindilinga obamba isibeletho endaweni yaso.
Isibonakaliso esivame kakhulu se-hernia ye-inguinal yilesi iqhubu noma iqhubu ohlangothini ngalunye lwethambo le-pubic, okungase kubonakale kakhulu uma umuntu emi, futhi kungavame ukusunduzwa emuva uma elele ngomhlane. Kwezinye izimo, ukuvuvukala kungase kungabonakali, kodwa Yebo, ungase uzwe ukungakhululeki nobuhlungu embotsheni..
Uma izicubu ezivuvukele zibanjwa futhi igazi lazo linqamuka, i-hernia ye-inguinal ibe isihlukaniswa ngokuthi "iboshiwe." Uma ingelashwa, i-hernia ye-inguinal eboshiwe. ibangela i-hernia eklinyiwe, isimo esibucayi esidinga usizo lwezokwelapha ngokushesha.
Lokhu kungaholela ekulahlekelweni kwegazi ezicutshini ezithintekile, okubangela umonakalo noma ukufa, futhi kudingeke ukuhlinzwa okuphuthumayo ukuze kuvinjelwe izinkinga ezisongela ukuphila.
Izimbangela ze-hernias ye-inguinal
Izimbangela ze-inguinal hernias zivame ukuhlotshaniswa nokuhlanganiswa kobuthakathaka bemisipha kanye nokucindezeleka. Ezinye zezinto ezivame ukuba yingozi yokuthuthukisa i-inguinal hernia zifaka: umlando womndeni walesi simo, the ukuzalwa ngaphambi kwesikhathi kanye nokuzalwa kwesisindo esiphansi, ngokuba yindoda futhi ukukhula kuya ngokuya kukhula.
Ngaphezu kwalokho, izinto ezandisa ingcindezi esiswini, njengokuphakamisa izinto ezisindayo, ukukhwehlela okuqhubekayo, noma ukuqunjelwa, nazo zingaba nomthelela ekwakhekeni kwe-hernia ye-inguinal. Ukuqonda nokubhekana nalezi zici eziyingozi kuyisihluthulelo. kubalulekile ekwelapheni nasekuvimbeleni ama-hernias e-inguinal.
Kwama-hernias azalwa nawo, ukuvalwa Imbangela eyinhloko yokungapheleli komsele we-inguinal ngaphambi kokuzalwaUma kwenzeka ama-hernia atholakele, avame ukuvela ngenxa yokucindezeleka kanye nokuba buthaka kwemisipha yesisu.
Lokhu kungenzeka ngezizathu ezahlukahlukene, njengokuphakamisa izinto ezisindayo, ukukhwehlela okuqhubekayo, noma ukuzikhandla ngokomzimba; lezi yizizathu okufanele uzikhumbule ngesikhathi sokuhlolwa kwezokwelapha.
Nakuba bobabili abesilisa nabesifazane bengaba nama-hernias angama-inguinal, lesi simo Kuvame kakhulu kwabesilisa, ngokuvamile ngenxa yokuba khona kobuthakathaka bemvelo bodonga lwesisu oluhlobene nokwehla kwamasende esinqeni ngesikhathi sokuthuthukiswa kwangaphakathi kwesibeletho.
Ngokuvamile, kubalulekile ukuqonda kahle izimbangela eziyisisekelo, kokubili ekwelapheni nasekuvimbeleni ama-hernias angama-inguinal.
Izinhlobo ze-hernias ze-inguinal
Kunezinhlobo ezimbili eziyinhloko ze-hernias ye-inguinal: eqondile nengaqondile.
- I-Las ama-hernia angaqondile e-inguinal Lezi yizona ezivame kakhulu futhi zivame ukuzalwa nazo, ezenzeka lapho umgodi ojulile noma imbobo Umsele we-inguinal awuvaleki ngendlela efanele ngaphambi kokuzalwa.
- I-Las ama-hernias aqondile e-inguinalNjengoba zingavamile, zivame ukutholakala futhi zenzeke lapho ubuthakathaka odongeni olungezansi lwesisu noma phansi komsele we-inguinal buvumela ingxenye yokuqukethwe kwesisu ukuthi iphume.
Ukuhlukanisa phakathi kwalezi zinhlobo ezimbili kubalulekile, njengoba kungathinta indlela yokwelashwa kanye nendlela esetshenziswayo ngesikhathi sokulungiswa kokuhlinzwa. Enye indlela yokuhlukanisa ama-hernias angama-inguinal ukuthola ukuthi ancishisiwe, avalelwe, noma aklinyiwe.
- Una i-hernia encishiswayo Ingabuyiselwa esiswini, kanti i-hernia evalelwe ayikwazi.
- Endabeni a i-hernia eklinyiweUkunikezwa kwegazi ezicutshini ezihlungiwe kuyanqanyulwa, okungabangela ukulimala kwezicubu noma ukufa.
Lokhu kuhlukaniswa kubalulekile, njengoba kuqondisa ukuphuthuma kanye nendlela yokwelapha i-herniaikakhulukazi uma kwenzeka ukuhlinzwa kwe-hernia eklinyiwe, okuyisimo esiphuthumayo sezokwelapha.
Izimpawu nokuxilongwa
Izimpawu ze-hernia ye-inguinal zingasukela ekuvuvukeni okubonakalayo embotsheni kuya ekungakhululeki nasebuhlungwini, ikakhulukazi lapho ugoba, ukhwehlela, noma uphakamisa izinto ezisindayoKwezinye izimo, i-hernia ye-inguinal ingenzeka. Kungase kungabi nazimpawufuthi ukuvela kutholakala kuphela ngesikhathi sokuhlolwa ngokomzimba okuvamile.
Ukuxilongwa okunembile kuvame ukwenziwa ngokuhlanganiswa kokuhlolwa ngokomzimba kanye nomlando wezokwelapha. Ukuhlolwa kwezithombe, njenge-ultrasound noma i-computed tomography (CT) scan, kungayalwa ukuze kutholakale ubukhulu kanye nobunzima be-hernia.
Ukuqonda nokuqaphela izimpawu kubalulekile ekuqinisekiseni ukungenelela ngesikhathi kanye nokuvimbela izinkinga ezingaba khona ezihlobene ne-hernia ye-inguinal engelashwa.
Izimpawu ezivamile ze-hernia ye-inguinal zifaka phakathi ukuvela kwezicubu ezinhlangothini zombili zethambo le-pubicokungase kubonakale kakhulu uma umile futhi kungakhululeka uma ulele phansi.
Kwezinye izimo, ukuvuvukala kungaba buhlungu noma kube buhlungu uma kuthintwa, futhi kungase kuhambisane nomuzwa wokucindezeleka noma ubuthakathaka embotsheni. Kwabanye abantu, ama-hernia e-inguinal angavela nobuhlungu noma ukushisa endaweni yokuvuvukala.
Kubalulekile ukuqaphela ukuthi, kwezinye izimo, i-hernia ye-inguinal ingavela nezimpawu ezingathi sína, njengokuphazamiseka kokugaya ukudla njengokucanuzela kwenhliziyo nokuhlanza noma ukungakwazi ukukhipha igesi noma ukukhipha indleLokhu kungabonisa ukuthi kukhona i-hernia eklinyiwe futhi kudinga usizo lwezokwelapha ngokushesha.
Ukwelashwa ngokuhlinzwa kwe-hernias ye-inguinal
Ukwelashwa okuhleliwe kokuhlinzwa kuvame ukunconywa kuma-hernias e-inguinal, ikakhulukazi ukuvimbela ukwenzeka kwezinkinga ezingaba khona njengokuboshwa noma ukuklinywa.
El Umgomo oyinhloko wokuhlinzwa kwe-inguinal hernia ukuhlela kabusha izicubu ezivuvukele. endaweni futhi kuqiniswe udonga lwesisu, kungaba nge-sutures (herniorrhaphy) noma nge-surgery mesh (hernioplasty) enikeza ukwesekwa okwengeziwe.
Enye yezindlela zokuhlinzwa ezivame ukusetshenziswa ukulungisa i-hernia ye-inguinal iwukuhlinzwa. ukuhlinzwa kwe-laparoscopic, okuyindlela engeyinhle kangako ehilela ukusetshenziswa kwekhamera encane namathuluzi okuhlinzwa akhethekile ukwenza inqubo ngokusika okuncane esiswini.
Uma kwenzeka i-hernia ye-inguinal eboshiwe noma eklinyiwe, ukuhlinzwa okuphuthumayo kuyadingeka ukuze kukhululwe izicubu ezibanjiwe futhi kubuyiselwe ukugeleza kwegazi. Uma ingelashwa, i-hernia eklinyiwe ingaholela ekufeni kwezicubu zamathumbu ezithintekile futhi iholele ezinkingeni ezinkulu, ngisho nezisongela ukuphila.
Kubalulekile ukubhekana nesidingo sokuhlinzwa ngokushesha, ikakhulukazi uma kwenzeka i-hernia iklinyiwe.
Nakuba ithuba lokuhlinzwa lingaba yinto esabekayo, ukulungiswa kwe-hernia ye-inguinal kuyindlela evamile futhi ephephile ngokuvamile, futhi ukusetshenziswa kwezindlela ezingangenisi kakhulu Kungasiza ekululameni okusheshayo nokungabuhlungu kakhulu kwesiguli.
Imibuzo evame ukubuzwa mayelana ne-hernias ye-inguinal
Uma kukhulunywa ngokubhekana nama-hernia e-inguinal, kunemibuzo eminingana evamile abantu abangase babe nayo lapho befuna ukunakekelwa kwezokwelapha. Lokhu kungafaka phakathi imibuzo mayelana nezimbangela ezingaba khona zezimpawu zabo, izinketho zokwelapha ezitholakalayo, kanye nomphumela olindelekile wokungenelela okunconywayo.
Iziguli zingacela nolwazi mayelana nokusetshenziswa kwe-mesh yokuhlinzwa ekulungiseni i-hernia. izingozi ezingaba khona kanye nezinkinga ezihlobene nokuhlinzwakanye nenqubo yokululama elindelekile ngemva kokuhlinzwa.
Ukuxhumana okuvulekile nokucacile nochwepheshe wezempilo kungasiza ekuxazululeni lezi zinkinga nokuqinisekisa ukuthi isiguli sinolwazi oluhle futhi sikulungele ukwenza izinqumo mayelana nokwelashwa nokunakekelwa kwaso.
Kubalulekile ukuthi abantu baxoxe ngokukhululekile nganoma yimiphi imibuzo noma ukukhathazeka abanakho mayelana ne-hernia yabo ye-inguinal nochwepheshe wezempilo. Lokhu kungasiza ekuthuthukiseni ukuqonda kangcono isimo, izinketho zokwelapha ezitholakalayo, kanye nemiphumela engaba khona.
Kwezinye izimo, usesho umbono wesibili Kungaphinde kunikeze umuntu umbono obanzi ngesimo sakhe kanye nokwelashwa okunconywayo.
Ukufinyelela olwazini oluthembekile nolunembile, kuhlanganiswe nokuxhumana okuvulekile nabahlinzeki bezempilo, kubalulekile ekunikeni amandla abantu okwenza izinqumo ezinolwazi mayelana nempilo yabo kanye nokuphathwa kwe-hernia ye-inguinal.
Ukuvimbela kanye nokunakekelwa ngemva kokuhlinzwa
Nakuba kungase kungenzeki ukuvimbela ukuthuthukiswa kwe-hernia ye-inguinal yokuzalwa, kunezinyathelo ezingathathwa ukunciphisa ingozi ye-hernia etholakele.
Lokhu kungafaka phakathi gcina isisindo esinempiloGwema imisebenzi engase icindezele imisipha yesisu futhi ibhekane nanoma yikuphi ukukhwehlela okuqhubekayo noma ukuqunjelwa. Ngemva kokuhlinzwa kokulungiswa kwe-hernia ye-inguinal, kubalulekile ukuthi abantu balandele iziqondiso zangemuva kokuhlinzwa ezinikezwa yithimba labo lezempilo.
Lokhu kungafaka phakathi ukuthatha izinyathelo zokuthi Ukuze uvimbele ukuqunjelwa, qhubeka kancane kancane nomsebenzi womzimba. futhi uqaphele noma yiziphi izinguquko noma ukukhathazeka endaweni yokuhlinzwa.
Ngokulandela lezi zincomo, abantu bangakhuthaza ukululama okushelelayo futhi banciphise ingozi yezinkinga ngemuva kokulungiswa kwe-hernia ye-inguinal. Ngemva kokuhlinzwa kwe-hernia ye-inguinal, Inqubo yokululama iyisigaba esibalulekile ekwelashweni kwesifo sonke.
Kubalulekile ukuthi abantu balandele imiyalelo yangemva kokuhlinzwa enikezwa yithimba labo lezokunakekelwa kwempilo, okuhlanganisa nesiqondiso ngokunakekelwa kwamanxeba, umsebenzi womzimba, kanye nokuqhubeka nemikhuba evamile yansuku zonke.
Ukulandela le miyalelo kungasiza ekukhuthazeni ukuphulukiswa, ukunciphisa ukungakhululeki, nokunciphisa ingozi yezinkinga. Kwezinye izimo, isikhathi sokuvuselelwa noma ukwelashwa ngokomzimba singanconywa ukusiza ukubuyisela amandla nokuguquguquka kwemisipha yesisu.
Ngokuhlanganyela ngenkuthalo enkambisweni yokululama nokulandela imiyalelo yabahlinzeki bezempilo, iziguli zingathuthuka ngokuhamba kwesikhathi futhi zinciphise amathuba okuphindeka kwe-hernia noma ezinye izinkinga zangemva kokuhlinzwa.
Ngaphezu kwalokho, abantu abaye balungiswa i-hernia ye-inguinal kufanele baqaphele noma yiziphi izimpawu zezinkinga ezingaba khona, njenge ubuhlungu obuqhubekayo, ukubomvu, noma ukuvuvukala endaweni yokuhlinzwa. Kubalulekile ukwazisa ithimba lezempilo nganoma yiziphi izinkinga noma izinguquko zezimpawu ukuze zixazululwe ngokushesha.
Ngokuhlanganyela ngenkuthalo ekunakekelweni kwabo ngemva kokuhlinzwa nokugcina ukuxhumana okuvulekile nabahlinzeki babo bezempilo, abantu bangadlala indima ebalulekile ekuvikeleni impilo yabo kanye nenhlalakahle yabo ngemva kokwelashwa ngokuhlinzwa kwe-hernia ye-inguinal.
Isiphetho
Ngamafuphi, into ebaluleke kakhulu ukuqonda izimbangela, izimpawu, kanye nezinketho zokwelapha. Ukuvimbela i-hernia ye-inguinal yokuzalwa kubalulekile ukuze kuthuthukiswe impilo enhle.
Ngokunakekelwa okufanele kanye nokungenelela kokuhlinzwa, abantu bangathola impumuzo futhi baphathe ngempumelelo lesi simo esivamile sesisu. Ukubonisana nodokotela kanye nokwamukela izinyathelo zokuvimbela kanye nokunakekelwa kwangemva kokuhlinzwa kungasiza ekunciphiseni ingozi yezinkinga futhi kuqinisekise ukululama okuphumelelayo.
Ukuba nolwazi kanye nokuthatha isinyathelo kuqala kungathuthukisa kakhulu umphumela wokwelapha i-hernia ye-inguinal yokuzalwa. Uma uthole lolu lwazi mayelana ne-hernia luthakazelisa, sicela wabelane ngalo ezinkundleni zakho zokuxhumana ukuze abantu abaningi emhlabeni wonke bazuze futhi bagweme izinkinga. Siyabonga ngokuphawula kwakho kubalaleli be-Digestive Health Blog. Kuze kube yisikhathi esizayo!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. I-Congenital Inguinal Hernia.