Siyakwamukela kule ngosi ekhethekile kakhulu yokuhlinzwa kodonga lwesisu. Ukuqonda ukuthi i- inguinal hernioplasty ihilelani kubalulekile kulabo abafuna ikhambi eliqinisekile, eliphephile, nelisebenzayo lesimo sabo.
Njengochwepheshe abanezizinda zemfundo, siyazi ukuthi ubuhle kule nqubo abugcini nje ngokuvala iphutha, kodwa futhi nokwakhiwa kabusha okunembile kokwakheka komzimba kusetshenziswa izinto eziphilayo zesimanje.
Ngaphambi kokuhlola imininingwane yobuchwepheshe yokulungiswa okungenazingcindezi noma indlela inqubo yethu yokuhlinzwa yesimanje eqinisekisa ngayo ukululama okusheshayo okungenazinhlungu ezingapheli, ngiyakumema ukuthi ukhulule ukucindezeleka ezandleni zakho futhi uphefumule ngokuthula; ukunemba kobuchwepheshe kuyisisekelo sokuthula kwakho kwengqondo.
Ngaphansi kwesiqondiso sezemfundo sikaDkt. Jorge Delgado, sizohlaziya le nqubo yegolide ekuhlinzeni kwanamuhla. Kuyindlela evamile yokuhlinzwa esetshenziselwa ukulungisa ama-hernias e-inguinal, isimo esivame ukubangelwa ubuthakathaka odongeni lwemisipha ye-groin.
Imibuzo ebuzwa njalo
Ingabe i-mesh iphephile noma umzimba ungayenqaba?
Izimila ze-mesh zanamuhla zenziwe ngezinto ezihambisana ne-bio (njenge-polypropylene) umzimba ozihlanganisa njengesikafula. "Ukwenqatshwa" akuvamile kakhulu; okungenzeka kube ukutheleleka noma ukusabela okuncane kwendawo, kodwa ukusetshenziswa kwezimila ze-mesh kuyindinganiso yegolide yomhlaba wonke yokuphepha kwayo okuphezulu nokusebenza kwayo kahle.
Ukuhlinzwa kanye nokulaliswa esibhedlela kuthatha isikhathi esingakanani?
I-hernioplasty ye-inguinal ivame ukuhlala phakathi kwemizuzu engama-45 kuya kwengama-90, kuye ngokuthi iyinkimbinkimbi kangakanani nokuthi ithinta uhlangothi olulodwa noma uhlangothi olulodwa. Ngokuvamile inqubo yokulaliswa esibhedlela eyenziwa ngaphansi kwe-anesthesia yesifunda ene-sedation noma idinga ukuhlala isikhashana, okusho ukuthi isiguli singabuya ekhaya ngalolo suku noma ngemva kwamahora angama-24 okubhekwa.
Ngingaphinde ngiqale nini ukuzivocavoca noma ukuphakamisa izinsimbi?
Ukululama kuyashesha, kodwa kudinga ukuqapha. Isiguli singahamba futhi senze imisebenzi elula zingakapheli amahora angu-48-72. Kodwa-ke, ukuze uthole izivivinyo ezinamandla noma ukuphakamisa izinto ezisindayo, kutuswa ukulinda amasonto angu-4 kuya kwangu-6 ukuqinisekisa ukuthi i-mesh ihlanganiswe ngokugcwele nezicubu endaweni enesici.
Ingabe ukuhlinzwa okuvulekile kungcono kunokuhlinzwa kwe-laparoscopic?
Zombili zinhle kakhulu, kodwa ukukhetha kuncike esimweni. I-Laparoscopy ivelele ngokusika kwayo okuncane, ubuhlungu obuncane ngemva kokuhlinzwa, kanye nokubuyela emsebenzini ngokushesha, okwenza kube kuhle kakhulu kuma-hernia amabili noma aphindaphindayo. Ukuhlinzwa okuvulekile kusasebenza kahle kakhulu futhi kuyindlela ekhethwayo yeziguli ezithile ngokusekelwe emlandweni wazo wezokwelapha.
Kulesi sihloko, sizohlola imininingwane yale nqubo, sibheke ukusetshenziswa kwayo nezinhlobo zayo, kanye nenqubo yokululama. Sizoxoxa nangezingozi ezingaba khona kanye nezinye izindlela zokwelashwa esikhundleni salokhu kuhlinzwa.
Kungakhathaliseki ukuthi unguchwepheshe wezempilo noma ucabangela lokhu kuhlinzwa wena noma othandekayo wakho, lesi sihloko, "esibhalwe ngabantu, sabantu," sizokunikeza ulwazi olubalulekile mayelana nomhlaba we-hernioplasty.
Leli yithuba lokukumema ukuthi uphuze inkomishi yetiye eliluhlaza, i-antioxidant enambitheka kamnandi equkethe i-enzyme yemvelo eyi-100% evuselela imizwa, ekhuthaza ukugxilisa ingqondo okukhulu kanye nokugcinwa kolwazi ukuze umuntu athuthuke.
Ulwazi olufanayo olusha lugcizelela ukubaluleka kwendlela yokubhekana nobuhlungu endaweni ye-groin, ukufuna usizo lwezokwelapha ngohlelo lwezempilo lukahulumeni noma oluzimele kanye nokugwema ukuzihlola noma ukuzelapha, okungaholela ezinkingeni.
Ake sithole okwengeziwe ngalesi sici esisha esijabulisayo!
I-hernioplasty ye-Inguinal
Kuyinkinga yempilo ebangelwa ubuthakathaka ezingqimbeni zangaphakathi zodonga lwesisu endaweni ye-groin. Kubonakala njengokuvuvuka okubonakalayo ekupheleni kosuku lomsebenzi futhi kuyanyamalala uma ulele ngomhlane. Lokhu kudinga ukungenelela kokuhlinzwa, kungaba ngokuhlinzwa okuvamile okuvulekile noma i-laparoscopy engangenisi kakhulu.
I-Inguinal hernioplasty inqubo yokuhlinzwa esetshenziselwa ukulungisa ama-inguinal hernias, uhlobo oluvame kakhulu lwe-abdominal wall hernia. Le nqubo inengozi ephansi futhi yenziwa ngempumelelo enkulu ngochwepheshe bezokwelapha abaqeqeshiwe.
Ukuvama kokuhlinzwa kwe-hernias ye-inguinal kuye kwanda eminyakeni yamuva nje; empeleni, izibalo zibonisa ukuthi cishe abantu abangu-20 kwabayi-1.000 bathola ukwelashwa kwalesi simo minyaka yonke.
Izilinganiso zibonisa ukuthi e- United States abantu abangaphezu kwesigidi bahlushwa yi-abdominal wall hernias , okwenza kube ngenye yezimo zempilo ezivame kakhulu ezidinga ukulungiswa ngokuhlinzwa.
Phakathi kwezimbangela zalokhu kwanda kukhona ukukhuluphala ngokweqile, ukuguga, kanye nemisebenzi ethile edinga ukuphakamisa izinto ezisindayo noma ukuzikhandla lapho ukhipha indle, ngenxa yesimo sokubola ngenxa yokuqunjelwa.
Izimpawu ze-hernia ye-inguinal zingafaka ukungakhululeki kanye nokuvuvukala kwe-groin noma isisu. Uma kungelashwa, kungavela izinkinga ezifana nokuklinywa noma ukuvaleka kwamathumbu; zombili lezi zimo zidinga ukungenelela okuphuthumayo kokuhlinzwa.
Inhloso eyinhloko ukulungisa ubuthakathaka odongeni lwesisu; i-inguinal hernioplasty izonciphisa izingozi ezinkulu zempilo uma yenziwa ngokushesha, ngesikhathi, nangokuhambisana nohlelo.
Ake siqhubeke nokuhumusha kokuhlinzwa. Ukuze siqonde kahle, sisebenzisa ulimi olusha nolwansuku zonke. Ngakho-ke, manje sizophendula imibuzo ephakanyiswe yiziguli kanye nabangane bazo egumbini lokubonisana kanye nasemagumbini ezimo eziphuthumayo esibhedlela:
I-hernioplasty ilungile impela
Izimila ze-mesh zanamuhla zenziwe ngezinto ezihambisana ne-bio (njenge-polypropylene) umzimba ozihlanganisa njengesikafula. "Ukwenqatshwa" akuvamile kakhulu; okungenzeka kube ukutheleleka noma ukusabela okuncane kwendawo, kodwa ukusetshenziswa kwezimila ze-mesh kuyindinganiso yegolide yomhlaba wonke ngenxa yokuphepha kwayo okuphezulu nokusebenza kwayo kahle.
I-Hernioplasty inqubo yokuhlinzwa eyenziwa ukulungisa i-hernia, isimo esenzeka lapho isitho sangaphakathi noma izicubu ziphuma endaweni ebuthakathaka emisipheni noma ezicutshini ezizungezile.
Uma kwenzeka i-hernia ye-inguinal , ukuvuvukala kutholakala endaweni ye-groin. Ukuhlinzwa kuhlose ukulungisa lokhu kuvuvukala nokuqinisa udonga lwesisu endaweni ethintekile ukuze kuvinjelwe ukuphinda kuvele.
Kuyinqubo evamile ekuhlinzeni okuvamile futhi ibalulekile ekusebenzeni kochwepheshe bezempilo ezibhedlela noma emitholampilo yezempilo, yomphakathi noma yangasese, elapha iziguli ezine-hernias yodonga lwesisu.
Ukulungiswa kwe-inguinal hernia kuyadingeka ngoba isimo asithuthuki ngokwaso futhi singabangela ubuhlungu, ukungakhululeki, nezinye izimpawu. Ukuvuvukala kwe-groin, okubonakaliswa yi-inguinal hernia, kubangelwa ukuhlanganiswa kobuthakathaka bemisipha kanye nokucindezeleka.
Ubuthakathaka bungaba yisifo sokuzalwa noma bukhule ngokuhamba kwesikhathi, futhi ukukhandleka kungabangelwa yizici ezifana nokuphakamisa izinto ezisindayo, ukukhwehlela okuqhubekayo, noma ukukhandleka ngesikhathi sokuhamba kwamathumbu.

Ngaphandle kokuhlinzwa, i-hernia ye-inguinal ingabangela izinkinga ezinkulu, njengokuboshwa noma ukuklinywa kokuqukethwe kwe-hernia, ngokuphazamisa ukugeleza kwegazi nokudala ukulimala kwezicubu.
Ukuxilongwa Okuhlukile:
Ingabe ubuhlungu be-hernia noma ubuhlungu be-groin?
I-inguinal hernioplasty inqubo yokuhlinzwa yokulungisa ama-hernia esiswini noma embotsheni engezansi. Ukuxilongwa okuhlukile kubalulekile lapho kuhlolwa izimpawu zesiguli; ochwepheshe bezokwelapha kumele bahlukanise phakathi kobuhlungu bembotsheni obubangelwa yi-hernia nezinye izimo ezingaba khona, njengesifo sikaCrohn, i-appendicitis, noma amatshe ezinso.
Ukulungiswa kwe-hernia ye-inguinal kungenziwa kusetshenziswa amasu okuhlinzwa avulekile, amasu e-laparoscopic, noma ngaphandle kwe-mesh (ama-rhaphies, okungukuthi, nge-sutures), kuye ngohlobo lwe-hernia okufanele ilashwe.
Nganoma yikuphi kwalokhu okukhethwa kukho, izicubu ezintsha zisetshenziselwa ukumboza izikhala odongeni lwemisipha ye-hernia elungisiwe, futhi iziguli zivame ukuthola ukululama okusheshayo ngaphandle kokungakhululeki okuningi.
Kubalulekile ukuthi iziguli ziqonde ukuthi, yize inqubo izonciphisa izimpawu zazo zamanje, zingase zibe sengozini yokuthola ama-hernia amaningi esikhathini esizayo. Ukuxilongwa okuhlukile kudlala indima ebalulekile ekunqumeni ukwelashwa okufanele nokuqinisekisa imiphumela eyanelisayo nehlala njalo kubo bonke abathintekayo.
Ukusetshenziswa kwe-hernioplasty
Ukusetshenziswa okuyinhloko kwe-hernioplasty ukulungisa ama-hernia nokuvimbela ukuphinda kwawo , ikakhulukazi esifundeni se-inguinal. Ngaphezu kokunciphisa izimpawu zomzimba kanye nokungakhululeki okuhambisana ne-hernia, ukuhlinzwa kusiza ukuvimbela izinkinga ezingaba khona ezingavela esimweni esingelashwanga.
Ngokuqinisa indawo ethintekile yodonga lwesisu, i-hernioplasty inikeza ikhambi lesikhathi eside leziguli ezine-inguinal hernias, ezivumela ukuthi ziphinde ziqale imisebenzi yazo evamile ngaphandle kwengozi yokuthi i-hernia ibangele izinkinga ezengeziwe.
Okunye ukusetshenziswa kwe-hernioplasty kusesimweni se-hernias ephindaphindayo, lapho ukulungiswa kokuhlinzwa kwangaphambilini kwehlulekile ukuvimbela ukuphinda kwayo. Ezimweni ezinjalo, kungadingeka ukushintsha indlela yokuhlinzwa kanye nendlela yokuqinisekisa ukulungiswa okuphumelelayo nokuhlala isikhathi eside.
Isinqumo sokwenza i-hernioplasty ephindaphindwayo sisekelwe emlandweni wezokwelapha wesiguli, izici ze-hernia ephindaphindwayo, kanye nezimbangela ezingaba khona zokwehluleka kokuhlinzwa kwangaphambilini.
📌KUBALULEKILE: Lokhu okuqukethwe kungokwezinjongo zolwazi kuphela. Ukuze uthole iseluleko sezokwelapha noma ukuxilongwa, xhumana nochwepheshe wezempilo endaweni yakini.
Izinhlobo ze-hernioplasty
Kunezinhlobo ezimbili eziyinhloko ze-hernioplasty: i-open kanye ne-laparoscopic . Ukukhetha indlela yokuhlinzwa kuncike ezintweni eziningana, okuhlanganisa ubukhulu nendawo ye-hernia, umlando wezokwelapha wesiguli, kanye nolwazi kanye nezinto ezithandwa ngudokotela ohlinzayo.
Kubalulekile futhi ukucabangela ukusetshenziswa kwe-hernioplasty uma kuwukuhlinzwa okuhleliwe, uma kuqhathaniswa nokuhlinzwa okunezinkinga ezinde kanye nokuba khona kwezimpawu zezinkinga, njengokuklinywa , lapho kufakwa khona imithungo ebizwa ngokuthi i-herniorrhaphy.
Ukuze uthole inhloso yesibili, beka i-mesh phakathi kwezinyanga ezi-3 nezi-6 ngaphandle kokubonisa izimpawu zokutheleleka; qhubeka nokuhlinzwa kwe-hernioplasty.
Vula i-hernioplasty
I-open hernioplasty, eyaziwa nangokuthi ukulungiswa kwendabuko, inqubo yokuhlinzwa evamile neqondile yokwelapha i-inguinal hernia. Ihilela ukwenza ukusika okukodwa, okubanzi embotsheni, lapho izicubu eziphumayo ziphinde zibekwe khona futhi udonga lwesisu luqiniswa nge-mesh noma i- sutures zokwenziwa.
Indlela evulekile ivumela udokotela ohlinzayo ukuthi afinyelele ngqo i-hernia kanye nezicubu ezizungezile, okwenza ifaneleke ezinhlotsheni ezahlukene ze-hernia, kufaka phakathi ezinkulu noma eziyinkimbinkimbi.
Nakuba ukusikwa okuhlobene ne-hernioplasty evulekile kukhulu kunendlela ye-laparoscopic, lena yindlela yokuhlinzwa esungulwe kahle futhi ephumelelayo yokulungisa ama-hernias e-inguinal.
I-Laparoscopic hernioplasty
I-Laparoscopic hernioplasty, eyaziwa nangokuthi ukuhlinzwa okuncane okungavamile noma ukubhoboza , iyindlela ehilela ukwenza izimbobo eziningana ezincane lapho kufakwa khona ikhamera encane kanye nezinsimbi zokuhlinza ezikhethekile.
Udokotela ohlinzayo wenza ukulungisa ngenkathi ebuka indawo okuqondiwe kuyo kusikrini futhi usebenzisa amathuluzi okubeka i-mesh nokuqinisa udonga lwesisu olubuthakathaka. Le ndlela inikeza izinzuzo zokusikwa okuncane, ubuhlungu obuncane ngemva kokuhlinzwa, kanye nokululama okusheshayo uma kuqhathaniswa ne-open hernioplasty.
Kuwusizo ikakhulukazi kuma-hernia e-inguinal amabili kanye nokunciphisa ingozi yobuhlungu obungapheli kanye nokungakhululeki ngemva kokuhlinzwa ezigulini ezine-hernias enkulu kanye nokubandakanyeka okuphawulekayo kwezicubu ezizungezile.
"Imfihlo" Ye-Mesh
I-Inguinal hernioplasty inqubo yokuhlinzwa eyenzelwe ukulungisa ama-inguinal hernias. Lolu hlobo lokuhlinzwa luvame kakhulu futhi luveze imiphumela emihle ezigulini eziningi.
UDkt. Delgado manje usebenzisa le nto ngenxa yamandla ayo, ukuguquguquka kwayo, kanye nokusebenza kwayo isikhathi eside uma kuqhathaniswa ne-raffia yendabuko. Akuyona nje ikhambi lesikhashana; kudala isikafu sezinto eziphilayo.
Ucwaningo luye lwabonisa ukuthi, uma kuqhathaniswa nezinye izimbobo, izimbobo zepulasitiki zidlula izimbobo ze-raffia (izimbobo ezinentambo ye-raffia), okwenza kube yindlela engcono kakhulu yokunciphisa umuzwa womzimba wangaphandle kulolu hlobo lokuhlinzwa.
Nakuba ezinye iziguli zingase zizizwe zisaba ukwenza lokhu kuhlinzwa, ukwazi ukuthi izinto ezithuthukisiwe zisetshenziselwa ukwenza lula ukululama kwazo kungabanika ukuthula kwengqondo.
Ukuvuselelwa kwe-Hernioplasty
Isikhathi sokululama ngemva kokuhlinzwa kwe-hernioplasty singahluka kuye ngohlobo lokuhlinzwa, isimo sempilo yesiguli jikelele, kanye nokuba khona kwezinkinga ezingaba khona.
Ngokuvamile, iziguli ezithola i-laparoscopic hernioplasty zithola isikhathi esifushane sokululama kanye nobuhlungu obuncane ngemva kokuhlinzwa kunalezo ezithola i-open hernioplasty.
Ngemva kokuhlinzwa kwe-hernioplasty evulekile , iziguli zingadinga ukunciphisa imisebenzi yazo yomzimba amasonto ambalwa, kanti labo abaye benza inqubo ye-laparoscopic bangaqhubeka nemisebenzi yabo evamile, okuhlanganisa umsebenzi nokuzivocavoca okulula, ngokushesha.
Kungakhathaliseki ukuthi iyiphi indlela yokuhlinzwa, kubalulekile ukuthi iziguli zilandele izincomo zikadokotela wazo ngemva kokuhlinzwa, ezihlanganisa ukunakekela indawo yokusikwa, ukugwema ukuphakamisa izinto ezisindayo, kanye nokuya emihlanganweni yokulandelela ukuqinisekisa ukuthi ukululama kuyaqhubeka njengoba kulindelekile.
Ngesikhathi sokuqala kokululama, iziguli zingase zizwe ukungakhululeki, ukuvuvukala, kanye nokuhamba okulinganiselwe, okungalawulwa ngemithi yokunciphisa ubuhlungu kanye nokunakekelwa okufanele kwamanxeba.
Kujwayelekile ukuthi iziguli zandise kancane kancane izinga lazo lomsebenzi njengoba zilulama, kodwa kufanele zigweme ukuzikhandla ngokomzimba noma ukuphakamisa izinto ezisindayo phakathi nesikhathi esibekiwe.

Ukulandela lezi ziqondiso kubalulekile ekuphulukisweni okuphumelelayo kwendawo yokuhlinzwa nokuvimbela izinkinga. Iziguli kufanele futhi ziqaphele izimpawu eziyisixwayiso zezinkinga ezingaba khona , njengobuhlungu obukhulu, ukuvuvukala okuphindaphindiwe, noma umkhuhlane , futhi zithole usizo lwezokwelapha uma zibhekana nazo.
Izingozi ze-hernioplasty
Njenganoma iyiphi inqubo yokuhlinzwa, i-hernioplasty inezingozi ezithile, okuhlanganisa ukutheleleka, ukusabela okungekuhle ekubulaweni yizinzwa, kanye nokwakheka kwama-seroma noma ama-hematomas.
Kwezinye izimo, kunengozi yokulimaza izakhiwo ezizungezile, njengemithambo yegazi noma imizwa, yize lokhu kungavamile futhi kuvame ukuhlobene nezici zomzimba zomuntu ngamunye wesiguli.
Izingozi ezithile ezihambisana ne-hernioplasty evulekile zifaka phakathi amathuba aphezulu obuhlungu obungapheli kanye nokuba ndikindiki endaweni ye-groin, kanti indlela ye-laparoscopic ingaba nengozi encane yokulimala ngenxa yokusetshenziswa kwezinsimbi zokuhlinza ezikhethekile kanye nokubekwa kwe-mesh.
Kubalulekile ukuthi iziguli zixoxe ngalezi zingozi ezingaba khona nodokotela wazo ohlinzayo kanye nodokotela wezinzwa ngaphambi kwenqubo futhi ziqinisekise ukuthi ziyayiqonda kahle inqubo yokululama.
Ngaphezu kwezingozi ezijwayelekile zokuhlinzwa, kunezici ezithile ezingandisa amathuba okuba nezinkinga ngemva kokuhlinzwa kwe-hernioplasty. Lokhu kungafaka phakathi izimo zezokwelapha ezikhona kakade, njengesifo sikashukela noma ukukhuluphala ngokweqile, umlando wokubhema, kanye nokuba khona kwama-hernia amakhulu, aphindaphindayo, noma ahlukene.
Ngokuhlola ngokucophelela nangokubhekana nalezi zingozi zomuntu ngamunye, ithimba lokuhlinzwa lingathatha izinyathelo ezidingekayo zokunciphisa ingozi yezinkinga futhi lenze ngcono ukuphepha nokusebenza kahle kwenqubo ye-hernioplasty.
Yini okufanele uyigweme ngemva kokuhlinzwa kwe-hernioplasty
Uma sebehlinzwe i-hernioplasty, iziguli kufanele ziqaphele imisebenzi ethile kanye nokuziphatha okukhuthaza ukuphulukiswa nokunciphisa ingozi yezinkinga.
Kubalulekile ukugwema ukuphakamisa izinto ezisindayo, ukwenza umsebenzi onzima womzimba, noma ukufaka isisu ekucindezelekeni ngokweqile, njengoba lezi zenzo zingaphazamisa ukulungiswa futhi zibangele ukuthi i-hernia ibuye.
Ngaphezu kwalokho, iziguli kufanele zilandele imiyalelo kadokotela wazo ohlinzayo mayelana nokuqhubeka nemisebenzi yansuku zonke, njengokushayela nokubuyela emsebenzini, kanye nokuhlonipha imikhawulo yokuzivocavoca umzimba.
Uma iziguli zilalela lezi zincomo futhi zenze izinguquko ezidingekayo endleleni yazo yokuphila, zingaba negalelo ekululameni okubushelelezi nokungalindelekile ngemva kokuhlinzwa kwe-hernioplasty.

Esikhathini sangemva kokuhlinzwa, kubalulekile futhi ukuthi iziguli zibe khona kuzo zonke izikhathi zokulandelela ezihleliwe futhi zitshele ithimba lazo lezokunakekelwa kwempilo nganoma yiziphi izinkinga noma izinguquko esimweni sazo sempilo.
Ngokuthola ukuqapha kanye nesiqondiso njalo, iziguli zingaqiniseka ukuthi noma yiziphi izinkinga ziyahlonzwa futhi zixazululwe ngokushesha, nokuthi inqubo yokululama iyaqhubeka njengoba kulindelekile.
Ukuxhumana okuvulekile nokusebenzayo nabahlinzeki bezempilo kuyisici esiyisisekelo sokunakekelwa ngemva kokuhlinzwa futhi kunegalelo empumelelweni ye-hernioplasty.
Ezinye izindlela zokwelashwa ngaphandle kwe-hernioplasty
Kwezinye izimo, ukulungiswa kwe-hernia kungenziwa ngezindlela ezingezona ezokuhlinzwa, njengokusebenzisa izingubo zokusekela noma ukushintsha indlela yokuphila ukuze kuncishiswe ingcindezi yangaphakathi kwesisu.
Kodwa-ke, lezi zindlela zivame ukusebenza kuphela ezinhlotsheni ezithile ze-hernia futhi zingase zinganikezi ikhambi elihlala njalo, ikakhulukazi kuma-hernia e-inguinal.
Kubantu abangafaneleki ukulungiswa ngokuhlinzwa, kunganconywa ukuqapha ngokucophelela i-hernia kanye nokuphathwa kwezimpawu ezihambisana nayo.
Kubalulekile ukuthi abantu abane-hernias baxoxe ngesimo sabo esithile nochwepheshe wezempilo ukuze banqume indlela efanele nephumelelayo yokwenza izinto ezidingweni zabo.
Uma kudingeka ukuhlinzwa, ezinye izindlela zokusebenzisa i-hernioplasty yendabuko zifaka phakathi amasu afana nokulungisa okungenazingcindezi kanye nokusebenzisa ama-meshes athile noma izinto zokufakelwa.
Ukukhethwa kwendlela efanele kakhulu kuncike ezicini zomuntu ngamunye ze-hernia, umlando wezokwelapha wesiguli, kanye nokuhlangenwe nakho kukadokotela ohlinzayo.
Ngokuxoxa ngokugcwele nethimba lokuhlinzwa nokuhlanganyela ngenkuthalo enkambisweni yokwenza izinqumo, iziguli zingaziqonda ngokucacile izinketho ezitholakalayo futhi zifake isandla ekwakhiweni kohlelo lokwelashwa oluhambisana nezintandokazi zazo kanye nemigomo yezempilo.
I-Inguinal hernioplasty ( 1) inqubo esetshenziselwa ukwelapha ama-inguinal hernias, okwenzeka lapho izicubu zesisu ziphuma odongeni lwesisu. Kuye ngokuthi i-hernia inzima kangakanani, odokotela abahlinzayo bangenza le nqubo besebenzisa indlela evulekile noma inqubo ye-laparoscopic engangenisi kakhulu. Lokhu kokugcina kuhlukaniswe kabanzi ngokuthi:
- I-TAPP (i-Transabdominal Preperitoneal). Ifinyelela emgodini wesisu, idale i-peritoneal flap ukuze ibeke i-mesh, bese iyivala. Inzuzo: Umbono omuhle kakhulu wokwakheka komzimba, ofanele izimo ezimbili, eziphindaphindayo noma eziyinkimbinkimbi (eziphuthumayo).
- I-TEP: (ngaphandle kwe-peritoneal ngokuphelele). Isebenza esikhaleni esiphakathi kwemisipha ne-peritoneum ngaphandle kokungena emgodini wesisu. Inzuzo: ingozi ephansi yokulimala kwesisu, okulungele ama-hernia amabili.
Zombili lezi zindlela ziphephile futhi ziyasebenza, zinezinkinga ezincane kanye nezikhathi zokululama okusheshayo. Ukuhlinzwa kwe-inguinal hernioplasty kudinga amasu anekhono ukuvimbela ukuphinda kwenzeke, futhi zombili i-TAPP kanye ne-TEP zingafinyelela le miphumela ngamathuluzi afanele.
Ukuhlaziywa kwenani
Indlela yomfundisi oholayo:
Inani eliyisisekelo lalokhu okuqukethwe lisekudluliselweni kwezindinganiso . UDkt. Delgado akagcini nje ngokuchaza "yini" kodwa futhi "kungani" ngemuva kokukhethwa kwendlela ngayinye. Lokhu kuqina kwezemfundo kuphakamisa okuqukethwe kwendatshana elula enolwazi kube yireferensi yobungcweti.
Ukwenza Ngokwezifiso Kobuchwepheshe:
Umehluko omkhulu usekuqondeni ukuthi ayikho inqubo eyodwa ye-hernioplasty esebenza kuwo wonke umuntu. Njengochwepheshe, ngigcizelela ukubaluleka kokukhetha phakathi kwezindlela ezivulekile nezindlela ze-laparoscopic (TAPP/TEP) ngokusekelwe kuphrofayili yesiguli, ukuqinisekisa ukuthi i- inguinal hernioplasty ilungiselelwe isiguli ngasinye ukuqinisekisa impumelelo yesikhathi eside.
Isiphetho
Ngamafuphi, i-hernioplasty iyindlela yokuhlinzwa evamile nebalulekile esetshenziselwa ukulungisa ama-hernias e-inguinal nokuqeda izimpawu ezifana nobuhlungu nokungakhululeki. Ingenziwa kusetshenziswa izindlela ezivulekile noma ze-laparoscopic, ngezikhathi ezahlukene zokululama.
I-inguinal hernioplasty , ngokungangabazeki, iyindlela engcono kakhulu ongayitshala empilweni yakho uma unesifo se-hernia. Ungavumeli ukwesaba ukuhlinzwa kuthinte inhlalakahle yakho; ubuchwepheshe bamanje buqinisekisa izinqubo eziphephile nezisheshayo.
Kubalulekile ukulandela izincomo zangemuva kokuhlinzwa ukuze ululame ngempumelelo. Nakuba kunezingozi ezithile ezihlobene nokuhlinzwa, kuseyindlela ephephile nephumelelayo yokwelapha ama-hernias e-inguinal. Siyabonga ngokufunda nokuphawula kubhulogi ye-Digestive Health!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. I-Inguinal Hernioplasty.
📌 Ukufundwa okunconyiwe:
🩺 Ingabe i-hernia ye-inguinal iyingozi?
🩺 Ukwelashwa kwe-hernia ye-inguinal ephindaphindayo
🩺 I-hernia ye-Inguinal enamafutha amaningi

