Ama-hernia e-inguinal asemaceleni amabili, lapho okuqukethwe yisisu kuvela khona endaweni ebuthaka yodonga lwesisu, kuyisimo esivamile esenzeka esifundeni se-inguinal.
Siyakwamukela, msebenzisi we-inthanethi osebenza naye. Ngemva kwalesi singeniso esifushane, sizoxoxa ngenye yezinkinga zempilo ezivame kakhulu emkhakheni wokuhlinzwa emhlabeni wonke, kanye nendlela yokubhekana nobunzima bokuthola nokuxazulula inkinga ukuze kuvinjelwe izinkinga ezinkulu. Lesi yisiphakamiso. "kubhalwe ngabantu, ngenxa yabantu".
Lokhu kungenzeka kokubili futhi kubangele ukuvela okubonakalayo Ubuhlungu bemisipha kanye nobuhlungu lapho umi. Kubalulekile ukuqonda izimbangela kanye nezinketho zokwelapha lesi simo ukuze ulondoloze impilo enhle.
Lesi sihloko sizoxoxa ngezimbangela, izimpawu, ukuxilongwa, kanye nokwelashwa ngokuhlinzwa kwama-hernias angama-inguinal amabili, kanye nezinyathelo zokuphepha kanye nokuthi kufanele ufune nini usizo lwezokwelapha.
Kubalulekile ukuqaphela ukuthi ama-hernia angelashwanga angadala izinkinga, okugcizelela ukubaluleka kokufuna usizo lwezokwelapha uma usola ukuthi ungaba ne-hernia.
I-Bilateral Inguinal Hernias
I-Bilateral inguinal hernias yisimo esivamile sezokwelapha esenzeka lapho izicubu, njengengxenye yamathumbu, Ziphuma ngobuthakathaka odongeni lwesisu kuzo zombili izinhlangothi yesifunda se-inguinal.
Lesi simo singadala ukungakhululeki, futhi kwezinye izimo, izinkinga ezinkulu uma singelashwa kahle. Kubalulekile ukuthi abathandi bezempilo kanye nomphakathi jikelele baziswe ngezimpawu kanye nezinketho zokwelapha ezitholakalayo. Ukutholwa kusenesikhathi kanye nokuphathwa okufanele kubalulekile ekuqinisekiseni ukululama okuphumelelayo.
Iyini i-hernia ye-inguinal yamabili?
I-hernia ye-inguinal ezinhlangothi zombili ibonakala ngokuphuma noma ukufuduka kwangaphandle kokuqukethwe kwesisu endaweni ebuthakathaka odongeni lwesisu. Luhlobo lwe-hernia oluvela esifundeni se-inguinal, esitholakala e-groin.
Isifunda se-inguinal sitholakala ohlangothini ngalunye lwesisu esingezansi, lapho sihlangana khona namathanga. Lolu hlobo lwe-hernia lungenza kuthinta kokubili amadoda nabesifazane, kepha kunjalo kaningi emadodeniUkuqonda isakhiwo somsele we-inguinal kanye nezimbangela zalesi simo kubalulekile ekuqondeni uhlobo lwe-bilateral inguinal hernias.
Uma ukhuluma nge-inguinal hernias, kubalulekile ukuqaphela ukuthi ukubaluleka komsele we-inguinalUmsele we-inguinal uyindlela etholakala engxenyeni engaphambili yodonga lwesisu.
Kwabesilisa, lo msele ubalulekile, njengoba kuyindawo abadlula kuyo intambo yesidoda kanye namasende kusukela esiswini kuya esikhumbeni. Kwabesifazane, i-ligament eyindilinga, esekela isibeletho, idlula emgudwini womsele bese ijoyina i-labia majora.
Ukuthuthukiswa kanye nezinkinga ezingaba khona ze-hernias ye-inguinal emaceleni amabili kuhlobene eduze nesakhiwo esiyingqayizivele kanye nomsebenzi womsele we-inguinal.
Ukubonisana nochwepheshe wezempilo kubalulekile uma usola ukuthi kukhona i-hernia ye-inguinal ezinhlangothi zombili. Ukuhlolwa okuphelele kwezokwelapha kubalulekile ukuze kutholakale inkambo efanele yesenzo.
Ukuhlolwa kwe-hernia ye-inguinal okusolwa ukuthi i-bilateral inguinal kungafaka phakathi ukubuyekezwa komlando wezokwelapha, ukuhlolwa ngokomzimba okuphelele, kanye, kwezinye izimo, ukuhlolwa kwezithombe ukuze kuqondwe kahle i-hernia kanye nendawo ezungezile.
Ngesiqondiso esivela kuchwepheshe wezokwelapha wendawo noma wasedolobheni, ngokusebenzisa uhlelo lwezempilo esidlangalaleni noma ngasese futhi ngokusho indawo yakho yomhlaba wonkeAbantu bangabhekana nezinkinga zabo futhi bathole izincomo ezenzelwe bona zokwelashwa kwama-hernias angama-inguinal amabili.
Izimbangela
Izimbangela ze-bilateral inguinal hernias zivame ukuhlotshaniswa nobuthakathaka bemvelo odongeni lwesisu, okungabangelwa yizici ezahlukahlukene. Kubalulekile ukuqaphela ukuthi lesi simo singavela ngenxa ye-a inhlanganisela yezinto ezizalwa nazo kanye nezinto ezitholwe.
Isibonelo, kwezinye izimo, ubuthakathaka bodonga lwesisu olufaka isandla ekuthuthukisweni kwe-hernia bungaba khona lapho kuzalwa, okuholela ekuthambekeni okukhulu kwe-hernia lapho umuntu esemdala.
Ngaphezu kwalokho, ezinye izici eziyingozi njengobulili besilisa, ukuguga, kanye nomlando womndeni we-hernias nakho kungandisa amathuba okuthola i-bilateral inguinal hernias.
Ezinye izimbangela ezingaba khona ze-bilateral inguinal hernias zingase zihlanganise ukwanda kwengcindezi ngaphakathi kwesisu, okungase kwenzeke ngenxa ukuphakamisa izinto ezisindayo, ukukhwehlela okuqhubekayo, noma ukuzikhandla ngesikhathi sokuhamba kwamathumbu.
Lezi zenzo zingabeka ukucindezeleka okukhulu emisipheni yesisu, okuthi, ngokuhamba kwesikhathi, kubangele izicubu noma izitho zomzimba ukuba ziphume endaweni ebuthaka yodonga lwesisu.
Ngaphezu kwalokho, izici ezibangela ukuwohloka kwezicubu ezixhumeneyo kanye namandla emisipha, njengokubhema, ukukhuluphala ngokweqile, kanye nesifo esingamahlalakhona sokuvimbela amaphaphuZingadlala indima ekuthuthukisweni kwama-hernia e-inguinal amabili.
Ukuqonda nokubhekana nalezi zimbangela eziyisisekelo kubalulekile ekwakheni uhlelo lokwelapha nokuvimbela olusebenzayo kubantu abane-bilateral inguinal hernias.
Izimpawu ezivamile
Ukungakhululeki okuvela kuma-hernia e-inguinal angama-bilateral kungahlukahluka kuye ngohlobo lwawo kanye nokuqina kwawo, kodwa kunezimpawu eziningana ezivamile abantu abangase bazibone.
Esinye sezibonakaliso eziyinhloko ukuba khona okubonakalayo kwe-protuberance noma i-bump endaweni ye-inguinal noma ye-scrotal, okungase kubonakale kakhulu lapho umi, ucindezela, noma uphakamisa izinto ezisindayo.
Ngaphezu kokuvela ngokomzimba, abantu abane-bilateral inguinal hernias bangase babe nenkinga ukungakhululeki, ukusinda noma ubuhlungu esiswini noma endukwini engezansiLe mizwa ingase ibe mibi kakhulu ngokusebenza ngokomzimba noma isikhathi eside sokuma.
Kubalulekile ukuqaphela lezi zimpawu ezivamile futhi ufune usizo lwezokwelapha uma uhlangabezana nanoma yiziphi zalezi zinkomba ukuze uthole ukuhlolwa okufika ngesikhathi nangokuphelele.
Kwezinye izimo, ama-hernia e-inguinal angama-bilateral angaba nezimpawu, okusho ukuthi abantu abazizwa bengakhululekile noma izimpawu zomzimba.
Kodwa-ke, kubalulekile ukukhumbula ukuthi, noma ngabe azikho izimpawu, Ukuba khona kwe-hernia kuthwala ingozi yezinkinga ezingaba khona futhi kungadinga ukungenelela kwezokwelapha okuphuthumayo.
Ngakolunye uhlangothi, izimpawu ze-inguinal hernias ezihambisana nezimpawu zingabangela ubuhlungu obuqhubekayo noma obuqhubekayo be-groin, ikakhulukazi ngesikhathi semisebenzi ekhulisa ingcindezi yangaphakathi kwesisu.
Kubalulekile ukuthi abantu baqonde kahle izimpawu ezivamile ezihambisana ne-bilateral inguinal hernias ukuze kube lula ukutholakala kusenesikhathi kanye nokwelashwa okufanele kwalesi simo.
Ukuxilongwa
El ukuxilongwa kwe-hernias ye-inguinal Amacala ahambisanayo ngokuvamile ahilela ukuhlolwa okuphelele okuhlanganisa ukubuyekezwa okuningiliziwe komlando wezokwelapha womuntu, ukuhlolwa ngokomzimba okuphelele, futhi, kwezinye izimo, izifundo zezithombe.
Ngesikhathi sokuhlolwa ngokomzimba, uchwepheshe wezempilo angase athinte ngokucophelela imbobo, isisu, kanye ne-scrotum ukuze abone noma yikuphi ukuvuvuka noma ubuthakathaka obungavamile. Lokhu kuhlolwa kubalulekile ekunqumeni indawo, usayizi, kanye nohlobo lwe-hernia.
Ezimweni ezithile, ukuhlolwa kwezithombe zokuxilonga kunganconywa, njengokuthi i-ultrasound noma i-magnetic resonance imaging (MRI), ukuthola umbono oningiliziwe we-hernia kanye nezakhiwo zayo ezizungezile, ikakhulukazi ezimweni lapho ukuxilongwa kungasekelwe kuphela ekuhlolweni ngokomzimba.
Kubalulekile ukuthi abantu ababhekene nenqubo yokuxilonga i-bilateral inguinal hernias bakhulume ngokukhululekile nganoma yiziphi izimpawu noma ukukhathazeka okuhlobene nodokotela wabo.
Ngokunikeza umbono ophelele womlando wabo wezokwelapha kanye nokuhlanganyela ngenkuthalo ekuhlolweni kokuxilonga, abantu bangafaka isandla ekuhlonzeni nasekuchazeni ngokunembile i-hernia.
Lokhu, kuvumela ithimba lezokunakekelwa kwempilo ukuthi lithuthukise uhlelo lokwelashwa oluqondile nolwenzelwe wena oluhambisana nezidingo nezimo ezithile zomuntu ngamunye.
Ukwelashwa kokuhlinzwa
Ukwelashwa ngokuhlinzwa kwe-inguinal hernias yomabili kuvame ukunconywa ukulungisa indawo ebuthaka yodonga lwesisu nokufaka esikhundleni sanoma yisiphi izicubu noma isitho esivele endaweni yaso yemvelo.
Enye yezindlela ezivamile zokulungisa i-hernia yilezi: ukuhlinzwa kwe-laparoscopic, okuyindlela engeyiningi kakhulu equkethe ukwenza ukulungiswa okudingekayo ngokusika okuncane kanye ne-laparoscope.
Le ndlela yokuhlinzwa ethuthukisiwe inikeza izinzuzo ezifana nokunciphisa ubuhlungu ngemva kokuhlinzwa, isikhathi esifushane sokululama ukululama okufushane kanye nokuncipha kwezibaziLokhu kwenza kube inketho evumayo kubantu abaningi abane-bilateral inguinal hernias.
Kwezinye izimo, kungaboniswa ukulungiswa kwe-hernia evulekileLokhu kuyiqiniso ikakhulukazi uma kune-hernia eyinkimbinkimbi noma enkulu. Le ndlela ihilela ukwenza i-incision enkulu endaweni ethintekile ukuze kufinyelelwe futhi kulungiswe i-hernia.
Ngesikhathi senqubo yokuhlinzwa, indawo ebuthaka yodonga lwesisu iyaqiniswa futhi noma yiziphi izicubu eziphumayo ziyabekwa kabusha, okunciphisa ingozi yokuphinda kuvele izinkinga ezihlobene.
Isinqumo sokulandela indlela ethile yokuhlinzwa senziwa ngokusekelwe empilweni yomuntu iyonke, izici ze-hernia, kanye nobuchwepheshe bukadokotela ohlinzayo, ngenhloso eyinhloko yokuqinisekisa imiphumela emihle kanye nokuqina kwesikhathi eside kodonga lwesisu.
Ngaphambi kokuhlinzwa kwe-hernia, abantu bayelulekwa ukuthi balondoloze ingxoxo evulekile necacile nethimba lakho lezokunakekelwa kwempilo ukubhekana nanoma yiziphi izinkinga, ukucacisa imininingwane yenqubo, nokulungiselela isigaba sangemva kokuhlinzwa.
Ngokuhlanganyela ngenkuthalo ekuhleleni nasekulungiseleleni ukuhlinzwa, abantu bangenza ngcono ulwazi lwabo lokuhlinzwa futhi banikele ekululameni okuphumelelayo nokulula ngemva kokulungiswa kwe-hernia ye-inguinal.
Izinkinga ezingaba khona zokungatholi ukwelashwa
Ukungalashwa kwe-bilateral inguinal hernias kungaholela ezinkingeni ezinkulu ezingathinta impilo yomuntu kanye nekhwalithi yempilo yakhe.
Enye ye izinkinga ezibucayi ze-hernias ezingelashwanga yiyona ingozi engaba khona yokuklinywa, okwenzeka lapho ingxenye yamathumbu ivimbekile futhi ukugeleza kwegazi layo kuphazamiseka.
Lokhu kungabangela ukulimala kwezicubu, ubuhlungu obukhulu, futhi kwezinye izimo, izimo ezisongela ukuphila ezidinga ukungenelela kwezokwelapha okuphuthumayo.
Ngokuqonda imiphumela engaba khona ye-hernias engalashwanga, abantu bangaqaphela ukubaluleka kokwelashwa ngesikhathi esifanele futhi bathathe izinyathelo zokunciphisa ingozi yezinkinga.
Ngaphezu kwengozi yokuklinywa, ama-hernia e-inguinal angama-two-inguinal angalashwa angaholela ukuphikelela kanye nokwanda kwezimpawu ezifana nobuhlungu, ukungakhululeki, kanye nokukhula okuqhubekayo kwe-hernia.
Lezi zimpawu eziqhubekayo zingathinta kakhulu ikhono labantu lokwenza imisebenzi yansuku zonke futhi zingaholela ekwehleni kwekhwalithi yokuphila iyonke.
Ukuze kugwenywe ukwanda okungenzeka kwezimpawu kanye nezingozi ezihlobene nazo, kubalulekile ukuthi abantu abane-bilateral inguinal hernias bafune ukuhlolwa kwezokwelapha ngesikhathi esifanele futhi balandele izindlela zokwelapha ezifanele ezinconywe udokotela wabo.
Ukululama ngemva kokuhlinzwa ngemva kokuhlinzwa kwe-hernia
Ukululama ngemva kokuhlinzwa ngemva kokuhlinzwa kwe-hernia, okuhlanganisa nokulungiswa kwe-hernia ye-inguinal engumbili, kuyisigaba esibalulekile esidinga ukunakwa eziqondisweni ezithile kanye nezincomo.
Ngemva kokuhlinzwa, odokotela bangase beluleke iziguli ukuthi ziqale kancane kancane imisebenzi elula kanye nokunyakaza, kuyilapho zigwema ukucindezeleka okukhulu endaweni yesisu.
Ukulandela uhlelo lokululama oluqondene nawe, olungafaka phakathi izivivinyo ezithile, izincomo zokudla, kanye nokunakekelwa kokusikwa, kubalulekile ekukhuthazeni ukuphulukiswa okuhle kakhulu nokubuyisela amandla nokusebenza odongeni lwesisu.
Ngesikhathi sokululama, labo abathintekile bangase babe nokungakhululeki okuncane, ukuvuvukala, noma imikhawulo yesikhashana emisebenzini ethile.
Kubalulekile ukugcina ukuxhumana okuseduze nethimba lezokunakekelwa kwempilo ukuze kuxazululwe noma yiziphi izinkinga nokuqinisekisa ukuthi intuthuko yokululama isendleleni efanele.
Ngokulandela imiyalelo enqunyiwe ngemva kokuhlinzwa kanye nokuya emihlanganweni yokulandelela ehleliwe, abantu bangasondela esigabeni sangemva kokuhlinzwa ngokuzethemba futhi banikele ekululameni okwanelisayo nokulula kokulungiswa kwe-hernia ye-inguinal.
Izinyathelo Zokuqapha Nge-Bilateral Inguinal Hernias
Abantu abane-bilateral inguinal hernias bayelulekwa ukuthi bathathe izinyathelo ezithile zokuqapha ukuze banciphise ingozi yokwandisa izimpawu kanye nezinkinga ezingaba khona.
Lezi zinyathelo zokuphepha zingase zihlanganise ukugwema ukuphakamisa izinto ezisindayo, ikakhulukazi ezigabeni zokuqala zokululama ngemva kokuhlinzwa, kanye nokuthatha izinyathelo zokuvimbela ukuqunjelwa, njengoba ukuzikhandla ngesikhathi sokuhamba kwamathumbu kungandisa ingcindezi yangaphakathi kwesisu.
Ngaphezu kwalokho, ukugcina isisindo somzimba esinempilo, ukuhlanganyela emisebenzini evamile yomzimba, kanye nokufaka ukudla okune-fiber eningi ekudleni kungasiza ekuvimbeleni ukuqunjelwa futhi kunciphise amathuba okuphindeka kwe-hernia.
Ngokuhlanganisa lezi zinyathelo zokuphepha ngendlela yabo yokuphila, abantu bangahlanganyela ngenkuthalo ekwelashweni kwesikhathi eside nasekuvimbeleni izinkinga ezihlobene nama-hernia e-inguinal amabili.
Nini lapho kufanele ufune usizo lwezokwelapha nge-hernia engaba khona
Uma umuntu esola ukuthi kukhona i-hernia ye-inguinal ehambisana nezinhlangothi ezimbili noma ezwa izimpawu ezifana nokuvuvuka okubonakalayo embotsheni, ukungakhululeki okuqhubekayo, noma ubuhlungu bendawo ngesikhathi sokuzilolonga, kubalulekile ukufuna usizo lwezokwelapha ngokushesha.
Ukuhlolwa kusenesikhathi kanye nokuxilongwa kwe-hernia okusolwayo kungasiza ekuthuthukiseni uhlelo lokwelashwa oluphelele ngesikhathi esifanele, kubhekane nezidingo zomuntu ngamunye kanye nokwenza ngcono imiphumela yokwelashwa kwe-hernia.
Ngokubonisana nochwepheshe wezempilo lapho kuqala i-hernia, abantu bangabhekana nezinkinga zabo ngendlela ephumelelayo, bahlole amasu okwelashwa afanele, futhi bathathe izinyathelo ezidingekayo zokubeka phambili impilo yabo yesisu kanye nenhlalakahle iyonke.
Kubalulekile ukuqaphela ukuthi ukwelashwa kwe-hernia ye-inguinal okusolwayo noma okuqinisekisiwe kufanele kube ngcono kakhulu ngokusebenzisana ngokubambisana nethimba lezempilo elifanelekile, elihlanganisa abahlinzeki bezempilo abanolwazi ekuxilongweni, ekwelashweni, kanye nasekunakekelweni kwe-hernias ngemva kokuhlinzwa.
Ngokufuna ukunakekelwa kwezokwelapha ngesikhathi esifanele kanye nokuhlanganyela ngenkuthalo ekwelashweni okunconywayo kanye nezinqubo zokulandelela, abantu bangakwazi ukuhamba ohambweni lokwelashwa kwe-hernia ngokusekelwa okuphelele kanye nesiqondiso somuntu siqu, okuholela embonweni omuhle wesikhathi eside ngempilo yabo yesisu kanye nekhwalithi yokuphila.
Ukuze uthole ulwazi olwengeziwe kanye nezinsizakusebenza ezihlobene nezimbangela, izimpawu, kanye nokwelashwa kwama-hernias amabili e-inguinal, abantu bakhuthazwa ukuthi hlola imithombo ethembekile, njengezincwadi zezokwelapha, Basevele besebenzisa amapulatifomu atholakalayo ukufinyelela izinto zemfundo nokuxhumana nochwepheshe bezempilo abangochwepheshe emkhakheni wokwelashwa kwe-hernia.
Ngokukhuthaza indlela yokubhekana nama-hernias e-inguinal ahlukene, abantu banganikwa amandla ngolwazi nokusekelwa okudingekayo ukuze benze izinqumo ezinolwazi futhi babeke phambili impilo yabo yesisu kanye nenhlalakahle iyonke.
Isiphetho
Ngamafuphi, maqondana nezinto eziza kuqala, Ama-hernia e-inguinal asemaceleni amabili ayisimo esivamile esingabangela ukungakhululeki nobuhlungu..
Ukuqonda izimbangela, izimpawu, kanye nezinketho zokwelapha kubalulekile ekuphatheni lesi simo ngempumelelo. Ukwelashwa ngokuhlinzwa kungadingeka kuma-hernia anezimpawu, futhi ukufuna usizo lwezokwelapha kubalulekile ekuxilongweni nasekulashweni okufanele.
Ukulandela izinyathelo zokuphepha nokuvumela ukululama okufanele ngemva kokuhlinzwa kungasiza ekuvimbeleni izinkinga. Ukwaziswa nokuthatha izinyathelo zokuphepha ezidingekayo kungasiza abantu ngokusebenzisa amanethiwekhi omphakathi ukugcina impilo isezingeni elihle naphezu kokuba khona kwama-hernia amabili e-inguinal.
UDkt. Jorge Delgado, Udokotela Ohlinzayo. Ama-Hernia Angaphakathi Kwezinsini Zombili.