Ukwelashwa kwe-hernia ye-Inguinal: Umhlahlandlela osebenzayo wokuhlinzwa

Siyakwamukela ngemfudumalo kubhulogi yethu, msebenzisi we-inthanethi othandekayo, ozinikele ekuhlinzweni okukhethekile kodonga lwesisu. Ukuthola ukwelashwa okuphumelelayo kwe-hernia ye-inguinal kuyisinyathelo esibaluleke kakhulu sokubuyisela izinga lempilo yakho nokuvimbela izinkinga ezinkulu.

Njengochwepheshe, siyaqonda ukuthi ukusebenza kahle akukalwa kuphela ngokunyamalala kweqhubu, kodwa ngokululama okungenabuhlungu kanye nengozi encane yokubuya kwe-hernia.

Ngaphambi kokuhlola ukuthi kungani ukuhlinzwa kuyisixazululo esiwukuphela kwaso noma ukuthi inqubo yethu yokuhlinzwa yesimanje isebenzisa kanjani amasu athuthukile e-laparoscopic ukuze ikubuyisele emisebenzini yakho ngesikhathi esinqunyiwe, ngiyakumema ukuthi ukhulule ukucindezeleka ezandleni zakho futhi uphefumule ngokuthula; ubuhle bezokwelapha bulapha ukuzokunakekela.

Ngaphansi kwesiqondiso sikaDkt. Jorge Delgado, sizohlaziya indlela eya enhlalakahleni yakho. Lokhu kuhilela ukulungisa ngokuhlinzwa indawo ebuthakathaka odongeni lwesisu eduze kwe-groin. Kuye ngokuthi i-hernia inzima kangakanani, odokotela bangase batuse ukulungiswa okuvulekile noma indlela ye-laparoscopic engangenisi kakhulu.

Imibuzo evamile

Ukugcina isisindo esinempilo, ukuzijwayeza amasu okuphakamisa afanele, nokugwema ukuzikhandla ngesikhathi sokuhamba kwamathumbu nakho kusiza ekuvimbeleni ama-hernia.

Kubalulekile ukubonisana nodokotela ukuze uthuthukise uhlelo lokwelashwa oluqondene nawe futhi uqaphe noma yiziphi izinguquko ezimpawu; lezi yizici ezibalulekile zempilo yokuvimbela "ebhalwe ngabantu, ngenxa yabantu".

Ukwelashwa okuphumelelayo kwe-hernia ye-inguinal

I-hernia ye-inguinal yisimo esivamile esingelashwa ngempumelelo uma sitholakala kusenesikhathi. Ukusabalala kwayo kubantu abadala kuyanda ngokuguga futhi kuvame kakhulu kwabesilisa ngenxa yokwehluka komzimba. Ukuvama kwale hernia phakathi kwabesilisa kuyamangalisa , kanti izibalo zibonisa ukuthi ibathinta izikhathi ezingaphezu kuka-25 kunabesifazane.

Izimbangela eziyinhloko ze-inguinal hernias yizinkinga zokuzalwa (njengokuzalwa unesisindo esiphansi kanye nokuzalwa ngaphambi kwesikhathi) kanye nokuzikhandla ngokomzimba, njengokuphakamisa izinto ezisindayo noma ukukhwehlela kakhulu.

Izimpawu ngokuvamile zihlanganisa ukuvuvuka okubonakalayo, ubuhlungu noma ukungakhululeki, ikakhulukazi lapho ugoba noma uphakamisa izinto, kanye nokuvuvukala endaweni ethintekile. Uma kungelashwa, kungavela izinkinga ezifana nokuvaleka kwamathumbu noma ukuklinywa kwe-hernia, okudinga ukuhlinzwa okuphuthumayo.

Ukwelashwa okuphumelelayo kwama-hernias e-inguinal ukulungiswa kokuhlinzwa , okungenziwa nge-laparoscopically noma kusetshenziswa amasu endabuko, kuye ngesimo sesiguli. Ezigulini eziningi, le nqubo yokuhlinzwa inikeza isikhathi sokululama okusheshayo, amanxeba amancane, kanye nokuphazamiseka okuncane empilweni yansuku zonke.

Descripción

I-hernia ye-inguinal yenzeka lapho ingxenye yamathumbu isunduza ngemisipha yesisu iye embotsheni. Lokhu kungabangela ukuvuvuka okubonakalayo endaweni ethintekile futhi kuholele ekungakhululeki noma ebuhlungwini, ikakhulukazi lapho ucindezela noma uphakamisa izinto.

Ama-hernia e-inguinal angathinta abantu babo bonke ubudala futhi avame kakhulu ezinsaneni ezisanda kuzalwa nakubantu abadala. Angavela kokubili kwabesilisa nabesifazane, yize evame kakhulu kwabesilisa.

Imbangela eqondile ye-hernia ye-inguinal ivame ukuba yinhlanganisela yengcindezi kanye nendawo evulekile noma ebuthakathaka emisipheni yesisu. Lokhu kucindezela kungaba ngenxa yokuzikhandla ngokomzimba, ukuphakamisa izinto ezisindayo, noma ukukhwehlela isikhathi eside.

Ama-hernia e-inguinal ahlotshaniswa nezici zofuzo ezifaka isandla ebuthakathakeni bezicubu ezixhumene, kanye nokuba khona koketshezi esiswini lapho ezalwa, okungakhuthaza ukukhula kwawo.

Izimpawu ze-hernia ye-inguinal zingase zihlanganise ukuvuvukala embotsheni noma emathunjini , umuzwa oshisayo noma obuhlungu endaweni yokuvuvukala, ubuhlungu lapho uphakamisa izinto, ukuqunjelwa okungapheli , kanye nokuvuvukala okubonakala nokunyamalala, ikakhulukazi lapho ucindezela noma ukhwehlela.

Kwezinye izimo, i-hernia ye-inguinal ingase ingabi nazimpawu, futhi okuwukuphela kwesibonakaliso sokuba khona kwayo kungaba ukuvuvuka okubonakalayo. Kwezinye izimo, i-hernia ingase inciphe , okusho ukuthi ingaphindiselwa emuva esiswini.

Kodwa-ke, uma i-hernia inganciphi noma uma kunezimpawu zezinkinga, njengobuhlungu obukhulu, isicanucanu, noma ukuhlanza, kubalulekile ukufuna usizo lwezokwelapha ngokushesha ezibhedlela noma emitholampilo yezempilo ngokusebenzisa uhlelo lwezempilo lukahulumeni noma oluzimele.

Izimpawu

Ukungakhululeki okuvela ku-hernia ye-inguinal kungahlukahluka kuye ngobukhulu bayo kanye nomuntu ngamunye. Abanye abantu abane-hernia bangase bangabi nazimpawu, kanti abanye bangase babone ukuvuvukala embotsheni.

Lokhu kuqubuka kungabonakala kakhulu lapho umile, ulele, noma uzikhandla. Ngaphezu kokuqubuka okubonakalayo, abantu abane-hernia ye-inguinal bangase babe nokusha noma ubuhlungu endaweni yokuqubuka, ikakhulukazi lapho bephakamisa izinto ezisindayo noma bezikhandla.

Ezinye izimpawu zingase zihlanganise ubuhlungu noma ukungakhululeki embotsheni, umuzwa wokusinda endaweni ethintekile, kanye nokuvuvukala ngezikhathi ezithile eduze kweqhubu. Kwezinye izimo, i-hernia ingabangela nokuvuvukala noma iqhubu embotsheni yesisu, okuyinto evame kakhulu ezinganeni nakubafana.

Nakuba amanye ama-hernia e-inguinal angase angabi buhlungu, amanye angabangela ukungakhululeki, ikakhulukazi lapho kwenziwa imisebenzi ecindezela indawo yesisu, njengokuphakamisa izinto ezisindayo, ukuma isikhathi eside, noma ukukhwehlela okuqhubekayo.

Kubalulekile ukubona udokotela uma usola ukuthi une-hernia ye-inguinal, ikakhulukazi uma ubona noma yiziphi izinguquko ngobukhulu noma ukuqina kweqhubu, noma uma ukuthola kunzima noma kungenzeki ukubuyisela i-hernia ngaphakathi.

Kwezinye izimo, ama-hernia e-inguinal angaholela ezinkingeni ezinkulu , njengokuboshwa noma ukuklinywa kwamathumbu , okungabangela ubuhlungu obukhulu, isicanucanu nokuhlanza. Lezi zinkinga zidinga ukunakekelwa kwezokwelapha okusheshayo kanye nokungenelela kokuhlinzwa.

Ukuxilongwa

Ukuxilonga i-hernia ye-inguinal kuvame ukuhilela ukuhlolwa ngokomzimba ochwepheshe bezempilo, lapho kungahlolwa khona indawo nobukhulu beqhubu. Uchwepheshe wezempilo angabuza ngomlando wezokwelapha wesiguli, ukuqala nobude bezimpawu, kanye nanoma yiziphi izici ezibonakala zimbi noma ziqeda ubuhlungu bazo.

Kwezinye izimo, izifundo zokuthatha izithombe, njenge -ultrasound (1) noma i-computed tomography scan, zivame ukunconywa ukuze kubonwe i-hernia futhi kukhishwe ezinye izimbangela ezingaba khona zezimpawu. Lezi zivivinyo zokuthatha izithombe zinganikeza ulwazi oluningiliziwe mayelana nosayizi nendawo ye-hernia futhi zisisize, njengochwepheshe bezempilo, ukuthuthukisa uhlelo lokwelashwa olufanele.

Uma kwenzeka ama-hernia ebuntwaneni, ochwepheshe bezempilo bangacabangela nempilo yonke yengane kanye nentuthuko yayo lapho benquma ukwelashwa okufanele kakhulu.

👉 ISAZISO ESIBALULEKILE: Lokhu okuqukethwe kungokwezinjongo zolwazi kuphela. Ukuze uthole iseluleko sezokwelapha noma ukuxilongwa, xhumana nochwepheshe wezempilo endaweni yakini.

Ukwelashwa kokuhlinzwa

Ukwelashwa okuvame kakhulu nokuphumelela kakhulu kwe-hernia ye-inguinal ukuhlinzwa. Umgomo oyinhloko wenqubo yokuhlinzwa ukulungisa indawo ebuthaka yodonga lwesisu nokuvimbela i-hernia ukuthi ingaphinde ivele.

Kunezindlela ezimbili eziyinhloko zokuhlinzwa zokulungisa i-hernia ye-inguinal: ukuhlinzwa okuvulekile kanye nokuhlinzwa kwe-laparoscopic. Ukuhlinzwa okuvulekile kuhilela ukwenza ukusika okukhulu embotsheni ukuze kufinyelelwe futhi kulungiswe i-hernia, kuyilapho ukuhlinzwa kwe-laparoscopic kwenziwa ngokusika okuncane kusetshenziswa ikhamera encane kanye nezinsimbi ezikhethekile.

Ngesikhathi sokuhlinzwa kokulungiswa kwe-hernia ye-inguinal, udokotela ohlinzayo uzosunduza izicubu ezivelelayo zibuyele esiswini futhi aqinise indawo ebuthaka yodonga lwesisu. Lokhu kuvame ukwenziwa ngokubeka i-patch yokwenziwa ye-mesh phezu kwesici, enikeza ukwesekwa okwengeziwe kwezicubu ezizungezile.

Ukusetshenziswa kwe-mesh kusiza ukuqinisa indawo elungisiwe futhi kunciphise amathuba okuthi i-hernia iphinde ivele. Kwezinye izimo, udokotela ohlinzayo angasebenzisa ne-sutures noma ezinye izindlela zokubopha i-mesh endaweni yayo. Ukukhetha indlela yokuhlinzwa kanye nendlela yokuhlinzwa kuzoncika ezintweni eziningana, okuhlanganisa ubukhulu nendawo ye-hernia, impilo yesiguli iyonke, ulwazi lukadokotela ohlinzayo, kanye nezincomo zakhe.

Ukulungiswa okuvulekile

Ukulungiswa kwe-hernia evulekile kuyindlela yendabuko yokuhlinzwa kwe-hernia ye-inguinal. Kuhilela ukusikwa okukhulu endaweni ye-groin ukuze kufinyelelwe izicubu ezivelele kanye nodonga lwesisu olubuthakathaka.

Okulandelayo, odokotela abahlinzayo bazosunduza izicubu ezivele esiswini bese belungisa i-hernia nge-sutures, futhi ezimweni eziningi, nge-mesh yokwenziwa. Ukusetshenziswa kwe-mesh kusiza ukuqinisa indawo elungisiwe futhi kunikeza ukwesekwa okwengeziwe kwezicubu ezizungezile.

Ukulungiswa kwe-hernia evulekile kungenziwa ngaphansi kwe-anesthesia ejwayelekile noma yendawo, futhi ukukhetha i-anesthesia kuzoncika kulokho okuthandwa yisiguli, ubukhulu be-hernia, kanye nezincomo zikadokotela ohlinzayo. Nakuba ukululama ngemva kokulungiswa kwe-hernia evulekile kuvame ukuthatha amasonto ambalwa, inqubo izinzile futhi inezinga eliphezulu lempumelelo.

Ukulungiswa kwe-Laparoscopic

Ukulungiswa kwe-hernia nge-laparoscopic kuyindlela yokuhlinzwa engadingi ukungenelela okuningi ehilela ukwenza izimbobo eziningana ezincane esiswini nokusebenzisa amathuluzi akhethekile kanye nekhamera encane ukuqondisa ukulungiswa.

Inzuzo eyinhloko yokulungiswa kwe-laparoscopic ukuthi inikeza ukululama okuncane futhi ihlotshaniswa nengozi ephansi yezinkinga uma kuqhathaniswa nokuhlinzwa okuvulekile. Udokotela ohlinzayo uzobeka i -patch encane ene-mesh phezu kwe-hernia defect bese eyibopha nge-sutures noma i-glue ekhethekile.

Ukulungiswa kwe-hernia nge-laparoscopic kuvame ukwenziwa ngaphansi kwe-anesthesia ejwayelekile, futhi ukusikwa okuncane okusetshenziswa kule nqubo kuvame ukuholela ebuhlungwini obuncane ngemva kokuhlinzwa kanye nokubuyela ngokushesha emisebenzini evamile yesiguli.

Linda ukusebenza

Kwezinye izimo, uma i-hernia ye-inguinal incane futhi ingabangeli ukungakhululeki okukhulu noma izinkinga, uchwepheshe wezempilo angancoma isikhathi sokuqapha okusebenzayo, okwaziwa nangokuthi "ukulinda ngokuqapha," esikhundleni sokuhlinzwa ngokushesha.

Le ndlela ivame ukufaneleka kubantu abane-hernia encane, engenazimpawu, noma kulabo abanezinye izinkinga zempilo ezibalulekile ezenza ukuhlinzwa kube yingozi enkulu.

Ngesikhathi sokuqapha okusebenzayo, uchwepheshe wezempilo uzoqapha i-hernia ukuze athole noma yiziphi izinguquko futhi eluleka isiguli ukuba sifune usizo lwezokwelapha ngokushesha uma kuvela izimpawu ezintsha noma izinkinga.

Nakuba ukulinda ngokuqapha kungaba yindlela efanelekile kubantu abathile, kubalulekile ukuqaphela ukuthi ukuhlinzwa kuwukuphela kokwelashwa okuqinisekile (3) kwe-hernia ye-inguinal, njengoba lesi sifo singathuthuki ngokwaso futhi ingozi yezinkinga inganda uma ingelashwa.

Prevención

Nakuba kungezona zonke izimila ezibangela ukuvuvukala kwebele ezingavinjelwa, kunezinyathelo eziningana abantu abangazithatha ukuze banciphise ingozi yokuzithola noma yokuzibangela ukuvuvukala.

Ukugcina isisindo esinempilo, ikakhulukazi ngokulandela ukudla okulinganiselayo okucebile nge-fiber yokudla kanye nokuzibandakanya emisebenzini evamile yomzimba, njengokugijima, ukubhukuda, ukugibela ibhayisikili, noma ukulandela uhlelo lokuzivocavoca , kusiza ukunciphisa ingcindezi odongeni lwesisu futhi kunciphise ingozi yokuthola i-hernia.

Ngaphezu kwalokho, ukugwema ukuphakamisa izinsimbi ezisindayo noma ukuzikhandla, ikakhulukazi ngesimo noma ngendlela engafanele, kunganciphisa namathuba okuthola i-hernia.

Kubantu abavame ukulimala esiswini noma emisipheni, ukusebenzisa imishini yokuzivikela efanele ngesikhathi semisebenzi yomzimba nokuqeqeshwa kungasiza ekuvimbeleni ukulimala endaweni yesisu kanye nemisipha engaphansi.

Ngakolunye uhlangothi, ukubhekana nezimo ezinjengokukhwehlela okungapheli noma ukuqunjelwa kungasiza ekunciphiseni ukucindezeleka odongeni lwesisu futhi kunciphise ingozi yokwakheka kwe-hernia.

ukunakekelwa kwangemva kokuhlinzwa

Ngemva kokulungiswa ngokuhlinzwa kwe-hernia ye-inguinal, kubalulekile ukulandela imiyalelo yomhlinzeki wakho wezempilo yokunakekelwa nokululama ngemva kokuhlinzwa. Lokhu kungafaka phakathi ukuphuza imithi yobuhlungu enqunyiwe, ukulandela imihlahlandlela ethile yokunakekelwa kwenxeba, kanye nokugwema umsebenzi onzima noma ukuphakamisa izinto ezisindayo isikhathi esithile (okungenani izinyanga ezi-5 kuya kwezi-6).

Iziguli zelulekwa futhi ukuthi ziqaphe indawo yokuhlinzwa ukuze zithole noma yiziphi izimpawu zokutheleleka, ukuvuvukala, noma izinguquko ezingavamile futhi zibike noma yiziphi izimpawu eziphathelene nomhlinzeki wazo wezempilo.

Nakuba isikhathi sokululama singahluka kumuntu nomuntu, abantu abaningi bangaqhubeka nemisebenzi yabo evamile zingakapheli amasonto ambalwa behlinzwe, futhi ukuphulukiswa okuphelele kwendawo yokuhlinzwa nezicubu ezizungezile kwenzeka zingakapheli izinyanga ezimbalwa.

Ukulandela ukudla okunempilo nokulinganiselayo, ukuhlala unamanzi anele , kanye nokwandisa kancane kancane umsebenzi womzimba njengoba kunconywa kungathuthukisa ukululama futhi kusize ekuqiniseni imisipha yesisu, kunciphise ingozi yokuphinda kuvele i-hernia.

Ukuhlaziywa kwenani

Indlela Engenazo Izingcindezi:

Inzuzo eyisisekelo ilele ekuchazeni i-physiology yokulungisa. UDkt. Delgado unezela inani ngokuchaza ukuthi ukwelashwa okuphumelelayo "akunakucindezeleka" (2), okuvimbela izicubu ukuthi zingadabuki futhi, into engafezwa kuphela ngokwazi kahle i-inguinal anatomy.

Ukuqina Kwezemfundo:

Umehluko usebufakazini. Njengoprofesa oqeqeshiwe , uDkt. Delgado ufundisa ukuthi ukwelashwa kumele kwenziwe ngabanye: okusebenzayo kumdlali ovelele kungase kuhluke esigulini esinezifo eziningi ezihambisana nakho, futhi lokhu kulungiswa komuntu siqu kuyimbangela yokwelapha okuseqophelweni eliphezulu.

Isiphetho

Ekuphetheni, iphuzu elibalulekile mayelana nokulungiswa kwe-hernia ye-inguinal ukuthi kuyisimo esibucayi esidinga ukucatshangelwa ngokucophelela kanye nokwelashwa okuphumelelayo ukuze kugwenywe izinkinga zesikhathi eside futhi kuthuthukiswe ikhwalithi yokuphila.

Ukuhlinzwa kuseyindlela ethembeke kakhulu yokwelapha i-hernia ye-inguinal, kodwa ezinye izindlela zokwelapha zinganikeza iziguli impumuzo yesikhashana ezimpawini.

Into ebaluleke kakhulu ukuthi abantu abahlushwa yi-hernia ye-inguinal bakhulume nodokotela wabo ukuze bathole ikhambi elingcono kakhulu lomuntu ngamunye.

I-hernia ye-inguinal idinga ukunakekelwa kwezokwelapha okusheshayo, futhi ukwelashwa okuphumelelayo kakhulu ukuhlinzwa, ngezinketho ezifaka ukulungiswa okuvulekile kanye namasu angangenisi kakhulu. Ukuvimbela ngemikhuba enempilo nakho kubalulekile ekuphatheni lesi simo.

Kubalulekile ukubonisana nochwepheshe wezempilo ukuze uthole ukuxilongwa kanye nokwelashwa komuntu ngamunye. Sixhumane nomphakathi ukuze sabelane ngolwazi lwezempilo lokuvimbela mayelana nama-hernias e-inguinal ngokusebenzisa izinkundla zokuxhumana, ukuze ndawonye, ​​imindeni, abangani, nabanye bakwazi ukufunda ngokungezwani futhi bagweme izinkinga ezinkulu.

Ngiyabonga ngokuphawula kwakho kanye neziphakamiso zakho zebhulogi yezempilo yokugaya ukudla. Ngikufisela okuhle kakhulu, futhi sizobonana ngesikhathi esizayo!

UDkt. Jorge Delgado, Udokotela Ohlinzayo. Ukwelashwa okuphumelelayo kwe-hernia ye-inguinal.

📌 Ukufundwa okunconywayo: Ukuqonda ukuthi siyisebenzisa kuphi indlela yokwelapha

📌 Ukufundwa okunconywayo: Izinzuzo zokuhlinzwa okungangenisi kakhulu

📌 Ukufundwa okunconywayo: Lokho esikugwemayo ngokwelashwa okuphumelelayo