Sanibonani ngemfudumalo, bafowethu be-inthanethi, futhi siyakwamukela kule bhulogi enolwazi ngempilo yokuvimbela, ngokugxila ngqo ezifweni zesimiso sokugaya ukudla ezidinga ukwelashwa kwezokwelapha noma kokuhlinzwa. Ngaphandle kokuchitha isikhathi, ake sifinyelele emnyombweni wendaba: ubuhlungu obushaqisayo be-hernias ye-inguinal.
Sonke sizwa ukungakhululeki nobuhlungu ekuphileni kwethu kwansuku zonke, kodwa uma kukhulunywa nge-inguinal hernias, kubalulekile ukuqaphela izimpawu nokufuna usizo lwezokwelapha.
Ama-hernia e-inguinal ayenzeka lapho ingxenye yezicubu zomzimba noma ingxenye yamathumbu amancane iphuma endaweni ebuthakathaka odongeni lwemisipha yesisu olungezansi, okubangela ukuvuvuka okubonakalayo nokunye ukungakhululeki.
Kulesi sihloko sizoxoxa ngezimbangela, izimpawu, kanye nezinketho zokwelapha ama-hernias e-inguinal ukuze sikusize uqonde kangcono lesi simo "esibhalwe ngabantu, sabantu" futhi wazi ukuthi kufanele ufune nini usizo lwezokwelapha.
I-hernia ye-inguinal yenzeka lapho izicubu, njengengxenye yamathumbu, ziphuma endaweni ebuthakathaka emisipheni yesisu. Ukuvuvuka okubangelwa yilokhu kungaba buhlungu, ikakhulukazi lapho ukhwehlela, ugoba, uphakamisa izinto ezisindayo, noma umi isikhathi eside.
Ama-hernia e-inguinal avame kakhulu kwabesilisa kunabesifazane futhi ayenzeka endaweni lapho umlenze uhlangana khona ne-groin. Lolu hlobo lwe-hernia luvame kakhulu futhi lungadinga ukuhlinzwa ukuze kuvinjelwe izinkinga ezingaba yingozi.
Izimpawu ze-hernia ye-inguinal zingasukela ekungakhululeki okuncane kuya ebuhlungwini obukhulu , futhi kubalulekile ukuqaphela izimpawu ezingaba khona futhi ufune usizo lwezokwelapha olufanele uma kudingeka. Ngakho-ke ake siqhubeke nalolu lwazi olusha nolunolwazi!
Ubuhlungu obushaqisayo be-hernia ye-inguinal
Manje sizohlola izinhlobo ezahlukene zokungakhululeki okungaba khona, kungakhathaliseki ukuthi umuntu ungubani. Isibonelo, uma une-hernia ye-inguinal, ungase uzwe ubuhlungu obungazelelwe, obukhulu lapho kwakheka khona isikhwama noma i-hernia. Lokhu kungakhululeki kungaba kubi kakhulu uma usebenza, umile, noma uzikhandla.
Ungase futhi ubone noma uzwe ukuvuvukala endaweni, okuyisibonakaliso esibalulekile. Abanye abantu abane-inguinal hernias banganciphisa i-hernia okwesikhashana; lokhu kwaziwa ngokuthi i-reducible hernia.
Kodwa-ke, kwezinye izimo, i-hernia ingabanjwa futhi igazi layo linqamuke , okuholela esimweni esisongela ukuphila. Lokhu kwaziwa ngokuthi i-hernia eklinyiwe futhi kudinga ukunakekelwa kwezokwelapha okusheshayo.
Xhumana nodokotela ezibhedlela noma emitholampilo yezempilo ngokusebenzisa uhlelo lwezempilo lukahulumeni noma oluzimele , ngokwesikhundla sakho somhlaba wonke, uma uneqhubu elibuhlungu noma elibonakalayo embotsheni yakho noma uma unobuhlungu obungachazeki esiswini sakho esingezansi noma ethangeni.
Kwezinye izimo, i-hernia ye-inguinal ingabangela umuzwa wokugcwala noma isisindo esiswini esingezansi. Ungase futhi uzwe ubuhlungu noma umuzwa wokushisa lapho kuvela khona ukukhukhumala.
Kubalulekile ukufuna iseluleko sezokwelapha uma unezimpawu noma izimpawu eziqhubekayo ezikukhathazayo. Kwezinye izimo, i-hernia ingaba khona ngaphandle kwezimpawu ezisobala, kodwa isengaba nezinkinga, ngakho-ke kubalulekile ukuthi uchwepheshe wezempilo ahlole noma yikuphi ukuvuvukala noma ubuhlungu obungachazeki embotsheni.
Izinkinga ezingaba khona ze-inguinal hernias ezingelashwa zihlanganisa ukukhula okungapheli kwendandatho ye-hernial, ubuhlungu obandayo, kanye nengozi eyengeziwe yokuklinywa.
Uma kwenzeka ukuklinywa, lapho i-hernia engalashwanga inqamula ukunikezwa kwegazi emathunjini, izicubu zamathumbu ezithintekile zingase zife. Lokhu kungaholela ezinkingeni ezinkulu nezisongela ukuphila, njenge-peritonitis , ukutheleleka kwesisu okubuhlungu okubangelwa ukudluliselwa kwamagciwane (ukudlula kwamagciwane aphilayo noma imikhiqizo yawo ngokusebenzisa umgoqo wamathumbu iye ezicutshini ezivame ukuba yizinyumba).
Njengoba kunezingozi ezingaba khona zokungayelaphi i-hernia ye-inguinal, kubalulekile ukufuna iseluleko sezokwelapha esifanele nokucabangela ukwelashwa okunconywayo, okuvame ukuhilela ukulungiswa kokuhlinzwa.
Kwezinye izimo, indlela yokulinda ngokuqapha ingase ifaneleke , kodwa lokhu kuyinto udokotela okufanele ayinqume ngokwesimo ngasinye, ukuze kusetshenziswe izingubo zangaphansi ezikhethekile, amabhande, noma amabhande enziwe ngezinto ezithambile zendawo yesisu, okuyinto ebucayi.
Ukwelashwa kwe-hernia ye-inguinal kuvame ukuhilela ukuhlinzwa okuhleliwe ukubuyisela izicubu ezivuvukele endaweni yazo efanele nokuqinisa udonga lwesisu nge- mesh . Lokhu kungenziwa ngokuhlinzwa okuvulekile kwendabuko noma i-laparoscopy engangenisi kakhulu, futhi indlela ethile ingancika ezintweni eziningana, njengobukhulu nendawo ye-hernia.
Ngesikhathi senqubo yokuhlinzwa, izicubu ezivelele zifakwa kabusha ngaphakathi kwesisu, futhi indawo ebuthaka yodonga lwesisu iyalungiswa. Kwezinye izimo, kusetshenziswa i-mesh yokuhlinzwa ukunikeza ukwesekwa okwengeziwe. Isinqumo mayelana nohlobo lwendlela yokuhlinzwa kanye nokusetshenziswa kwe-mesh sizoncika ezimweni zomuntu ngamunye futhi kufanele sixoxwe nodokotela ohlinzayo.
Kubalulekile ukuqaphela izimpawu ezingaba khona ze- hernia eklinyiwe , njengoba lokhu kuyisimo esiphuthumayo sezokwelapha. Uma uzwa ubuhlungu obukhulu , isicanucanu nokuhlanza, noma ukungakwazi ukukhipha indle noma ukukhipha igesi, kubalulekile ukufuna usizo lwezokwelapha oluphuthumayo ukuze ugweme ezinye izinkinga.
Lezi zimpawu zingase zibonise ukuthi ukugeleza kwegazi engxenyeni yamathumbu akho noma ezicutshini ze-omental kuvinjiwe, okudinga ukwelashwa ngokushesha ukuze kugwenywe izinkinga ezinkulu.
Kwezinye izimo, i-hernia ingase ibonakale njengokuvuvukala okungazelelwe, okubuhlungu endaweni yesisu, okungase kuvele kudlule. Noma yiziphi zalezi zimpawu kufanele zenze kube nocingo oluphuthumayo losizo lwezokwelapha, njengoba i-hernia eklinyiwe iyisimo esisongela ukuphila esidinga ukwelashwa okusheshayo ochwepheshe bezempilo.
Izici ezingase zibe nomthelela ekuthuthukisweni kwe-hernia ye-inguinal zifaka phakathi indawo ebuthakathaka ekhona odongeni lwesisu, okungase kubangelwe yisimo sokuzalwa noma ukuguguleka ngokuhamba kwesikhathi.
Imisebenzi yansuku zonke kanye nezici zezokwelapha ezikhulisa ingcindezi esiswini, njengokuphakamisa izinto ezisindayo, ukukhwehlela okuqhubekayo, ubunzima bokukhipha indle noma ukuchama, kanye noketshezi esiswini, nakho kungathinta ukukhula kwe-hernia ye-inguinal.
Kwezinye izimo, ama-hernia e-inguinal angenzeka ngaphandle kwesizathu esibonakalayo. Kubalulekile ukuqaphela izinto ezingaba yingozi futhi uthathe izinyathelo zokuvimbela, njengokusebenzisa amasu okuphakamisa afanele nokubhekana nanoma yiziphi izimo ezibangela ukwanda kwengcindezi yesisu, ukuze kuncishiswe ingozi yokuthola i-hernia ye-inguinal.
Iyini i-hernia ye-inguinal?
I-hernia ye-inguinal yisimo esenzeka lapho izicubu, njengengxenye yamathumbu, ziphuma endaweni ebuthakathaka emisipheni yesisu. Ukuvuvuka okubangelwa yilokhu kungaba buhlungu, ikakhulukazi lapho ukhwehlela, ugoba, noma uphakamisa into esindayo—isibonelo, umabhalane wesitolo sezinto zokwakha, umabhalane wesitolo sokudla, noma isisebenzi sedokhi.
Lolu hlobo lwe-hernia luvame kakhulu futhi luvame ukuvela endaweni lapho umlenze uhlangana khona ne-groin. I-inguinal hernias ingadinga ukuhlinzwa, futhi kubalulekile ukuqaphela izimpawu nezinkinga ezingaba khona ezihlobene nalesi simo. Ukufuna usizo lwezokwelapha ngesikhathi esifanele kanye nokunakekelwa okufanele kubalulekile ekwelapheni i-inguinal hernias kanye nokuvimbela imiphumela emibi.
Izimpawu ze-hernia ye-inguinal zingasukela kokuncane kuya kokukhulu futhi zingafaka phakathi ukuvuvuka okubonakalayo embotsheni, ukungakhululeki noma ubuhlungu, umuzwa wokusinda noma ukusha, kanye nobuhlungu. Kwezinye izimo, ukuvela kungase kunciphe , okusho ukuthi kungabuyiselwa endaweni, ikakhulukazi ebusuku ngenkathi ulele; ukuvuvuka kuyahoxa ngokushintsha indawo.
Kodwa-ke, kunengozi yokuthi i-hernia ingase ibanjwe, okuholela ekutheni i-hernia iklinywe. Lesi yisimo esibucayi esidinga ukunakekelwa kwezokwelapha okusheshayo. Ukuqaphela izimpawu ze-hernia ye-inguinal, njengokuvuvukala okubuhlungu embotsheni kanye nobuhlungu esiswini noma ethangeni elingezansi, kubalulekile ekufuneni ukwelashwa ngesikhathi esifanele nokuvimbela ukuthuthukiswa kwezinkinga.
Izici ezingase zibe nomthelela ekukhuleni kwe-hernia ye-inguinal zifaka phakathi ubuthakathaka obukhona kakade bodonga lwesisu, obungase bubangelwe yisimo sokuzalwa kubantu njengalabo abazalwa ngaphambi kwesikhathi noma abanesisindo esincane sokuzalwa, noma ngenxa yezinto ezicindezela imisipha yesisu.
Lokhu kungafaka phakathi ukuphakamisa izinto ezisindayo, ukukhwehlela okungapheli, noma ukuzikhandla ngesikhathi sokuhamba kwamathumbu ngenxa yokuqunjelwa, kanye nokuzikhandla ukuze uchame emadodeni angaphezu kweminyaka engama-60 ane-prostate ekhulisiwe. Kwezinye izimo, ama-hernia e-inguinal angase avele ngaphandle kwesizathu esithile noma esibonakalayo.
Kubalulekile ukuba ngumuntu ozimisele ekufuneni usizo lwezokwelapha nokuxoxa nganoma yiziphi izinkinga noma izinto ezingabangela ingozi ezingase zibe nomthelela ekukhuleni kwe-hernia. Ukubhekana nalezi zinto nokufuna ukunakekelwa okufanele kungasiza ekuphatheni lesi simo ngempumelelo futhi kunciphise ingozi yezinkinga ezingaba khona.
Ziyini izimpawu ze-hernia ye-inguinal?
Izimpawu ze-hernia ye-inguinal zingafaka phakathi ukuvuvukala kuzo zombili izinhlangothi zethambo le-pubic, okungase kubonakale kakhulu uma umile, ikakhulukazi uma ukhwehlela noma uzikhandla. Lokhu kuvuvukala kungaba buhlungu noma kube mnene futhi, kwabesilisa, kungadlulela esikhumbeni.
Kwezinye izimo, ama-hernia e-inguinal angahambisana nobuhlungu, ukusha, noma umuzwa wokusinda noma ukungakhululeki esiswini esingezansi. Kubalulekile ukuqaphela ukuthi amanye ama-hernia e-inguinal angavela ngaphandle kwezimpawu ezibalulekile, ikakhulukazi ezigabeni zokuqala.
Kodwa-ke, kubalulekile ukufuna usizo lwezokwelapha uma ubona iqhubu embotsheni yakho noma uzwa ukungakhululeki okuqhubekayo nokungachazeki; lokhu kungaba yi-hernia eqalayo, njengoba ukungenelela kusenesikhathi kungasiza ekuvimbeleni i-hernia ukuthi ingabi yimbi futhi ikhule nezinkinga.
Kubalulekile ukuqaphela noma yiziphi izinguquko ekubukekeni kwesisu noma imbobo yakho futhi ufune iseluleko sezokwelapha uma unenkinga. Kwezinye izimo, i-hernia ye-inguinal ingavela njengokuvuvukala okubuhlungu okungazelelwe esiswini noma endaweni yembobo engezansi, okungase kuvele kudlule. Lokhu kungaba uphawu lwe-hernia evalelekile, edinga ukunakekelwa kwezokwelapha ngokushesha.
Izimpawu ezilula ze-hernia ye-inguinal evalelwe zingaqhubekela ebuhlungwini obukhulu, isicanucanu, ukuhlanza, kanye nokungakwazi ukukhipha indle noma ukukhipha igesi, okubonisa inkinga yokukhukhumala noma i-hernia eklinyiwe.
Ukuqaphela lezi zimpawu nokufuna usizo lwezokwelapha ngokushesha kubalulekile, njengoba i-hernia eklinyiwe iyisimo esibi kakhulu, esingasongela impilo esidinga ukungenelela okusheshayo kochwepheshe bezempilo ukuze kuvinjelwe izinkinga ezinkulu.
Kufanele ufune nini usizo lwezokwelapha?
Kubalulekile ukufuna usizo lwezokwelapha uma uneqhubu elibuhlungu embotsheni yakho, uzwa ubuhlungu obungachazeki esiswini esingezansi, noma ubona noma yiziphi izinguquko ekubukekeni kwesisu sakho. Kwezinye izimo, i-hernia ye-inguinal ingase ingabangeli izimpawu ezibalulekile, kodwa kubalulekile ukufuna iseluleko sezokwelapha ngokushesha uma ubona noma yisiphi iqhubu noma ukuvuvukala embotsheni yakho, ngisho noma kungekho zinkinga.
Ngaphezu kwalokho, uma uzwa ubuhlungu besisu noma be-pelvic obungazelelwe noma obukhulu, isicanucanu, ukuhlanza, noma ukungakwazi ukuhamba ngamathumbu, kubalulekile ukufuna usizo lwezokwelapha ngokushesha, njengoba lokhu kungaba izimpawu ze-hernia eklinyiwe, okuyisimo esiphuthumayo sezokwelapha.
Ukuba ngumuntu othatha isinyathelo futhi ungawi ezinqumweni ezimbi njengokuzimela noma ukuzelapha lapho ufuna usizo lwezokwelapha futhi uxoxa nganoma yiziphi izinkinga nomhlinzeki wezempilo kubalulekile ekwelapheni ama-hernias e-inguinal nokuvimbela ukuthuthukiswa kwezinkinga ezinkulu.
Kwezinye izimo, i-hernia ye-inguinal ingaba khona ngaphandle kokubangela ukungakhululeki okukhulu noma ezinye izimpawu. Kodwa-ke, uma uthola iqhubu embotsheni yakho noma uzwa ubuhlungu noma isisindo esingachazeki, kubalulekile ukuthi lihlolwe udokotela.
Nakuba kungezona zonke izimila ze-inguinal ezibangela ubuhlungu, zinamandla okuholela ezinkingeni, njengokuvaleka kwamathumbu noma ukuklinywa. Ngakho-ke, kubalulekile ukuthi noma yikuphi ukuqunjelwa noma ukuvuvukala okungavamile embotsheni yesisu kuhlolwe ngudokotela ukuze kutholakale ukwelashwa okufanele nokuvimbela i-hernia ukuthi ingaqhubeki.
Iyini indlela yokwelapha i-hernia ye-inguinal?
Ukwelashwa okuyinhloko kwe-hernia ye-inguinal ukulungiswa kokuhlinzwa, okungase kunconywe ukuvimbela i-hernia ukuthi ingabi yimbi kakhulu kanye nezinkinga ezingavela.
Ukuhlinzwa kwe-hernia ye-inguinal okuhleliwe kungenziwa kusetshenziswa amasu avulekile noma e-laparoscopic, futhi indlela ethile izoncika ezimweni zomuntu ngamunye kanye nesincomo sikadokotela ohlinzayo.
Ngesikhathi senqubo yokuhlinzwa, izicubu ezivelele zifakwa kabusha ngaphakathi kwesisu, futhi indawo ebuthaka yodonga lwesisu iyaqiniswa futhi ilungiswe. Kwezinye izimo, i-mesh yokuhlinzwa ingasetshenziswa ukunikeza ukwesekwa okwengeziwe endaweni ethintekile.
Isinqumo mayelana nohlobo lwendlela yokuhlinzwa kanye nokusetshenziswa kwe-mesh kufanele sixoxwe ngokuningiliziwe nodokotela ohlinzayo, kucatshangelwa isimo sempilo sesiguli kanye nezinye izinto ezicatshangelwayo zomuntu ngamunye.
Ukululama ekuhlinzweni kwe- hernia ye-inguinal kuvame ukushesha, futhi abantu abaningi bangaqhubeka nemisebenzi yabo evamile zingakapheli amasonto ambalwa (ngesonto lesithathu noma lesine). Kubalulekile ukulandela imiyalelo yokunakekelwa ngemva kokuhlinzwa enconyiwe, njengokususa imikhawulo kanye nokuguqulwa kwemisebenzi, ukukhuthaza ukuphulukiswa nokunciphisa ingozi yezinkinga.
Kwezinye izimo, udokotela angase ancome izinguquko ezithile zendlela yokuphila, njengokugcina isisindo esinempilo kanye nokubhekana nezici ezandisa ingcindezi yangaphakathi kwesisu, ukuze kuncishiswe ingozi yokuphinda kuvele i-hernia.
Kubalulekile ukulandela imiyalelo yomhlinzeki wezempilo futhi ube khona emihlanganweni yokulandelela ehleliwe ukuze uqaphe futhi uthuthukise inqubo yokululama ngemva kokulungiswa kwe-hernia ye-inguinal.
Yiziphi izimpawu zokuklinywa kwe-hernia ye-inguinal?
Izimpawu ze-hernia ye-inguinal eklinyiwe, okuyisimo esiphuthumayo sezokwelapha, zifaka phakathi ubuhlungu obukhulu nobuqhubekayo embotsheni, esiswini, noma emasendeni, okuhambisana nesicanucanu nokuhlanza. Kwezinye izimo, i-hernia eklinyiwe ingabangela nokungakwazi ukukhipha igesi noma ukunyakaza kwamathumbu, futhi indawo ethintekile ingase ibonakale ibomvu noma ivuvukele ngokushintsha kombala we-bulge.
Ukuqaphela lezi zimpawu nokufuna usizo lwezokwelapha ngokushesha kubalulekile, njengoba i-hernia ye-inguinal eklinyiwe idinga ukungenelela okusheshayo ukuze kubuyiselwe ukugeleza kwegazi ezicutshini ezithintekile futhi kuvinjelwe izinkinga ezinkulu nezisongela ukuphila.
Uma uhlangabezana nalezi zimpawu, kubalulekile ukufuna usizo lwezokwelapha oluphuthumayo ukuze uthole ukuhlolwa okusheshayo nokwelashwa kochwepheshe bezempilo.
Isiphetho
Sengiphetha, ake sibheke izinto ezibalulekile: ama-hernia e-inguinal angabangelwa yizici ezahlukahlukene futhi aveze izimpawu ezifana nokungakhululeki, ubuhlungu, kanye nokuvuvuka okubonakalayo . Uma engelashwa, angaholela ezinkingeni ezinkulu.
Ngakho-ke, kubalulekile ukubonana nodokotela futhi ucabangele ukuhlinzwa njengendlela yokwelapha ama-hernia abangela izimpawu. Hlala uqaphele noma yiziphi izinguquko endaweni ethintekile futhi ufune usizo lwezokwelapha ngokushesha uma uhlangabezana nezimpawu zokuklinywa.
Ngokwelashwa nokunakekelwa okufanele nangesikhathi, abantu abane-inguinal hernias bangathuthukisa ikhwalithi yokuphila kwabo futhi bagweme izingozi ezingaba khona empilweni.
Sesifikile eqophelweni lokwabelana ngolwazi lwezempilo lokuvimbela ngokusebenzisa izinkundla zokuxhumana ukuze ndawonye sikwazi ukusiza abantu abaningi ukuthi bazuze futhi bagweme izinkinga ezinkulu. Siyabonga ngemibono neziphakamiso zakho ngezihloko zokugaya ukudla zebhulogi. Nginibingelela ngemfudumalo, futhi sizobonana kokuthunyelwe okulandelayo!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. Ubuhlungu be-Inguinal Hernia.