Sanibonani ngemfudumalo futhi namukelekile, msebenzisi we-inthanethi, kubhulogi yezempilo yokuvimbela, sigcizelela kakhulu amaqhubu odongeni lwesisu. Manje sizoqala ngokushesha ngokuhlaziya enye yazo: i-hernia ye-inguinoscrotal, isimo esivamile lapho ingxenye yokuqukethwe kwesisu iphuma khona ngobuthakathaka noma ukuvulwa kwesikhala esifundeni se-inguinal.
Uma ingelashwa, ingabangela ukungakhululeki nezinkinga. Kulesi siqondiso esiphelele, sizoxoxa ngezimbangela nezimpawu. "kubhalwe ngabantu, ngenxa yabantu" kanye nezinketho zokwelapha ama-hernia e-inguinoscrotal, okukusiza ukuthi uqonde futhi welaphe lesi simo.
I-hernia ye-Inguinoscrotal.
I-hernia ye-inguinoscrotal yisimo esenzeka lapho izitho zesisu ziphuma odongeni lwesisu zingene esikhumbeni.
Lolu hlobo lwe-hernia luvame kakhulu, ikakhulukazi kwabesilisa, futhi kulinganiselwa ukuthi cishe u-5% kuya ku-10% wabantu besilisa bahlushwa uhlobo oluthile lwe-hernia ye-inguinoscrotal.
Izimbangela ezivame kakhulu zihlotshaniswa nobuthakathaka bemisipha ngenxa yokuguga noma ukusetshenziswa ngokweqile, yize zingabangelwa yizici ezifana nokukhubazeka kokuzalwa (ukuzalwa unesisindo esingaphansi noma ngaphambi kwesikhathi) noma ukulimala endaweni.
Lokhu kuvuvukala ngezinye izikhathi akubangeli ukungakhululeki, kodwa njengoba isikhathi sihamba kuyanda ngobukhulu futhi ubuhlungu buvela lapho uphakamisa isisindo noma lapho ukhwehlela, futhi nalapho uzama ukuzikhulula, isisindo siyanda futhi sibangele ubuhlungu obuncane noma umuzwa wokusinda noma ukuhudula uye emasendeni.
Izimpawu ziyahlukahluka kakhulu kuye ngokuthi zinzima kangakanani; izimpawu ezivame kakhulu ukuzwa ubuhlungu endaweni yembongolo, ukuvuvukala noma ukuvuvukala endaweni ye-scrotal, kanye nobuhlungu obukhulu lapho ucindezela noma uphakamisa izinto ezisindayo.
Uma singelashwa kusenesikhathi, lesi simo singaholela ezinkingeni ezinkulu, njengokuboshwa noma ukuklinywa kwengxenye yamathumbu okungadinga ukuhlinzwa.
Kubalulekile ukubona udokotela esibhedlela sikahulumeni noma esizimele noma emtholampilo wezempilo uma uhlangabezana nanoma yiziphi izimpawu ezihambisana ne-hernia engu-inguinoscrotal ukuze uthole ukwelashwa okufanele. Ake singene sijule ngama-hernias ngalolu lwazi olusha nolunolwazi!
Ukuqonda i-hernia ye-inguinal
I-hernia ye-inguinal ivela lapho izicubu ezithambile, ngokuvamile ingxenye yamathumbu amancane, basho iphuma endaweni ebuthakathaka emisipheni yesisuLesi simo sivame ukubonakala njengeqhubu embotsheni, indawo evamile yama-hernias e-inguinal.
Umsele we-inguinal, okuthi Kwabesilisa, kuyindlela yokungena kwentambo yesidoda. futhi ku Abesifazane baqukethe i-ligament eyindilinga okusiza ukusekela isibeletho, kuyindawo evamile lapho kuvela khona i-hernia ye-inguinal.
Izinhlobo eziyinhloko ze-hernias ye-inguinal: eqondile nengaqondile.
- La i-hernia eqondile ye-inguinal Kubangelwa ubuthakathaka bemisipha yephansi noma udonga olungezansi lomsele we-inguinal.
- Ngenkathi i i-hernia engaqondile ye-inguinal Ngokuvamile kwenzeka ngenxa yobuthakathaka bokuzalwa noma obutholakalayo ezingeni le- umgodi womsele ojulile we-inguinal.
Zombili izinhlobo ze-hernias ze-inguinal zinezimpawu ezifanayo. Amadoda anamathuba amaningi okuthuthukisa ama-hernias e-inguinal ukuthi abesifazane basengozini yokuphila impilo yabo yonke engaba ngu-27% kwabesilisa, kanti ingozi kwabesifazane ingu-3%.
Izimbangela ze-hernia ye-inguinal
Ukuthuthukiswa kwe-hernia ye-inguinal kuvame ukuhlotshaniswa ukucindezeleka okwandisiwe ngaphakathi kwesisuiphuzu elibuthakathaka elikhona kakade odongeni lwesisu noma inhlanganisela yalezi zici.
Ezinye zezimbangela eziyinhloko ze-hernia ye-inguinal yilezi: ukuthambekela kokuzalwaokuwukuvalwa okungaphelele komsele we-inguinal, ngaleyo ndlela kudala indawo yemvelo yobuthakathaka, futhi ukuguga kwezicubuokuholela ekubuthakathakeni kancane kancane kwemisipha yesisu.
Ezinye izinto ezingaba nomthelela ekwakhekeni kwe-hernia ye-inguinal yilezi: ubulili besilisangoba banomehluko wemvelo ekwakhiweni komsele wabo we-inguinal uma kuqhathaniswa nabesifazane, kanye nomlando womndeni we-inguinal hernias.
Ngaphezu kwalokho, izici ezandisa ingcindezi ngaphakathi kwesisu, njenge phakamisa izinto ezinzima kaningi, ukukhwehlela njalo o ukuzikhandla ngenkathi ukhipha indle noma ukuchamaZingadlala indima ekuthuthukisweni kwe-hernia ye-inguinal.
Izimpawu ezivamile ze-hernia ye-inguinal
Izimpawu ezijwayelekile ze-hernia ye-inguinal zifaka: iqhubu ohlangothini ngalunye lwe-pubisLokhu kuqubuka kungabonakala kakhulu lapho isiguli simi, sikhwehlela, noma sigobile. Kubangelwa ukuphuma kwamathumbu amancane, i-omentum, futhi akuvamile ukuthi isinyi singene odongeni lwesisu.
Kwezinye izimo, i-hernia ye-inguinal ibonakala njenge: ubuhlungu noma ukungakhululeki kwemisiphaikakhulukazi lapho uphakamisa izinto ezisindayo, ukhwehlela, noma ugoba. Ezinye izimpawu zingase zihlanganise umuzwa wokucindezeleka, ubuthakathaka, noma isisindo esinqeni.
Kubalulekile ukukhumbula ukuthi amanye ama-hernia e-inguinal angaba buhlungu, kodwa ukuqubuka okudalwe yi-hernia kungase kubonakale. Ezimweni ezithile, i-hernia ye-inguinal ingabangela ukungakhululeki okukhulu futhi ukuvuvukala kwe-scrotum noma amasende.
Ukuxilongwa kwe-hernia ye-inguinal
Ukuxilongwa kwe-hernia ye-inguinal kuvame ukuhilela ukuhlolwa ngokomzimba okuphelele, lapho uchwepheshe wezokwelapha ezibhedlela noma emitholampilo yezempilo yohlelo lwezempilo lukahulumeni noma oluzimele Ungabona izindawo zezinsini ngesikhathi isiguli simi, kanye nokulala ngomhlane waso.
Udokotela angase futhi acele isiguli ukuba sikhwehlele noma senze ukunyakaza okuthile okungasiza ekwembuleni ukuba khona kwe-hernia. Kwezinye izimo, ukuhlolwa kwezithombe, njenge-ultrasound noma i-computed tomography (CT) scan, kungacelwa ukuqinisekisa ukuxilongwa nokuhlola ubukhulu be-hernia.
Lezi zivivinyo zezithombe zingasiza futhi ekutholeni indlela efanele kakhulu yokwelapha i-hernia ye-inguinal.
Ngaphezu kwalokho, uchwepheshe wezempilo angakubuza ngomlando wakho wezokwelapha kanye nanoma yiziphi izimpawu ozibonile, kanye nanoma yiziphi izici noma imisebenzi engase ikhulise izimpawu zakho noma ifake isandla ekuthuthukisweni kwe-hernia.
Izindlela zokwelapha i-hernia ye-inguinal
Ukwelashwa kwe-hernia ye-inguinal kungabandakanya ukulinda okulindileikakhulukazi uma i-hernia incane futhi ingabangeli zimpawu. Ezimweni lapho i-hernia ingakukhathazi khona ngokushesha, uchwepheshe wezempilo angancoma isikhathi sokubheka futhi aphakamise izinyathelo ezithile zokuvimbela i-hernia ukuthi ingabi yimbi.
Lezi zinyathelo zokuphepha zingase zihlanganise ukugwema ukuphakamisa izinto ezisindayo, ukugcina isisindo somzimba esinempilo, nokwenza izinguquko ekudleni ukuze kugwenywe ukuqunjelwa kanye nokucindezeleka ngesikhathi sokuhamba kwamathumbu.
Ukugqoka ingubo yokusekela, njenge-brace yangemuva noma i-bandage, kunganconywa futhi ukuze kuncishiswe futhi kusekelwe i-hernia. Kubalulekile ukukhumbula ukuthi i-hernia ikhula njalo; isikhwama sokuvula noma i-hernial sikhula njalo.
Kodwa-ke, ukwelashwa okuqondile kwe-hernia ye-inguinal kuvame ukuqukatha ukulungiswa kokuhlinzwa, ikakhulukazi uma i-hernia inkulu, ibuhlungu, noma isengozini yezinkinga.
Izindlela zokuhlinzwa zokulungisa i-hernia ye-inguinal zingafaka phakathi ukuhlinzwa okuvulekile, lapho kwenziwa khona ukusikwa embotsheni, noma ukuhlinzwa okuncane kakhulu, njenge-laparoscopy, ehilela ukusetshenziswa kwezimbobo ezincane kanye nekhamera encane ukuqondisa inqubo yokuqinisa indawo ebuthakathaka nge ukusetshenziswa kwengxenye yenethi yokuhlinzwa, inqubo ebizwa ngokuthi i-hernioplasty.
Ukukhetha indlela yokuhlinzwa kungancika ngobukhulu kanye nohlobo lwe-hernia, kanye nomlando wezokwelapha wesiguli kanye nempilo iyonke.
Kubalulekile ukuthi isiguli sixoxe futhi sicabangele izinzuzo nezingozi ezingaba khona zendlela ngayinye ngokubambisana nochwepheshe bezempilo ukuze senze isinqumo esinolwazi mayelana nokwelashwa okufanele kakhulu kwe-hernia yaso ye-inguinal.
Izinkinga ezingaba khona ze-hernia ye-inguinal
Nakuba ama-hernia e-inguinal angase avele ekuqaleni njengokuvuvukala noma ukungakhululeki okuncane, angabangela izinkinga ezinkulu uma engelashwa ngokushesha noma ngaphandle kwezimpawu ezinkulu.
Enye yezinkinga ezingaba khona ze-hernia ye-inguinal ukwakheka kwe-a i-hernia eboshiwe, lapho amathumbu aphumayo ebhajwa khona emgudwini we-inguinal, okubangela ukuvinjelwa nokuklinywa amandla amathumbu amancane.
Lokhu kungabangela ubuhlungu obukhulu, isicanucanu nokuhlanza e ukungakwazi ukukhipha indle noma ukukhipha igesiokudinga ukunakekelwa kwezokwelapha okuphuthumayo. Enye inkinga engaba khona yile ukuklinywa kwe-hernia, okuyisimo esiphuthumayo sokuhlinzwa.
La kwenzeka ukuklinywa Uma igazi eliya emathunjini aphumile linqamuka, kubangela ukulimala kwezicubu futhi, uma kungelashwa ngokushesha, lesi simo singasongela ukuphila.
Kwezinye izimo, i-hernia ye-inguinal ehlala isikhathi eside, ingelashwa ingabangela umonakalo kanye nezinkinga emathunjini athintekile, okudinga ukungenelela okubanzi kokuhlinzwa futhi kubeke engcupheni enkulu yokugula kanye nesikhathi eside sokululama.
Ngakho-ke, kubalulekile ukuthi abantu abane-inguinal hernias bazi ngezinkinga ezingaba khona futhi bafune usizo lwezokwelapha ngokushesha uma bebhekana nezinguquko ezikhathazayo ezimpawu zabo noma ukubonakala kwe-hernia eyaziwayo; lesi yisiphakamiso esihle kakhulu salo mhlahlandlela ophelele mayelana nezimpawu nokwelashwa kwe-inguinal hernia.
I-hernia ye-Inguinal: Ulwazi olubalulekile lokuqonda nokuqonda
Njengengxenye yomzamo obanzi wezempilo yomphakathi wokukhulisa ulwazi mayelana nama-hernias e-inguinal, kubalulekile ukuthi abantu bakwazi ukuthola ulwazi olucacile noluthembekile ngawo. izimbangela, izimpawu, izinqubo zokuxilonga, izinketho zokwelapha kanye nezinkinga ezingaba khona ezihlobene nalesi simo sezokwelapha esivamile.
Ngokuqonda izici ezibalulekile ze-inguinal hernias, abantu bangakulungela kangcono ukubona izimpawu, bafune ukuhlolwa kwezokwelapha ngesikhathi, futhi benze izinqumo ezinolwazi mayelana nokunakekelwa kwabo kwezempilo.
Ngaphezu kwalokho, ngokuthuthukisa ukuqonda izindlela zokuvimbela, njengezindlela ezifanele zokuphakamisa, ukulawula isisindo, kanye namasu okugwema ukuqunjelwa, ukusabalala kanye nomthelela we-inguinal hernias kubantu kungancishiswa.
Lokhu kugcizelela ukubaluleka kolwazi oluphelele nolutholakala kalula kanye nemfundo mayelana nama-hernias e-inguinal ukuze kunikezwe amandla abantu ukuthi bahlanganyele ngenkuthalo empilweni yabo nasenhlalakahleni yabo.
Izinto ezibangela i-hernias ye-inguinal
Izimbangela ze-hernias ye-inguinal zinezici eziningi, ezihlanganisa inhlanganisela yezici zomzimba ezingokwemvelo kanye nethonya lansuku zonke elihlobene nendlela yokuphila.
Ngokwesimo somzimba, ukuba khona kwesici semvelo esifundeni se-inguinal, ikakhulukazi kwabesilisa, kudala isimo sokuthuthukiswa kwe-inguinal hernias. Lokhu, kuhlangene nendlela yemvelo yomsele we-inguinal kwabesilisa, kudala ubungozi obukhulu bokuqhekeka kwesisu.
Ngaphezu kwalokho, ukuguga kanye nokuba buthaka kwemisipha yesisu okubangelwa yilokhu kunegalelo ekwandeni kwezifo ze-inguinal hernias, ikakhulukazi kubantu asebekhulile.
Ngokombono wendlela yokuphila, imisebenzi noma izimo ezibangela ukwanda okuqhubekayo kwengcindezi yangaphakathi kwesisu, njengokuphakamisa izinsimbi ezisindayo njalo, ukukhwehlela okungapheli, noma ukuzikhandla ngesikhathi sokuhamba kwamathumbu, kuyizinto ezibalulekile ezibangela ukuthuthukiswa kwe-hernias ye-inguinal.
Ngaphezu kwalokho, izici zobungozi ezingashintshwa ngokugcwele zitholiwe, njengokukhuluphala ngokweqile nokubhema, njengabathonya okungenzeka ekuqaliseni kwe-hernias ye-inguinal.
Ngokubhekana nokunciphisa lezi zici ezibangela lokhu ngokushintsha indlela yokuphila kanye nezinyathelo zokuvimbela, umthwalo we-hernias ye-inguinal ungancishiswa ngempumelelo.
Ukubona nokulungisa izimpawu ze-hernias ye-inguinal
Njengoba kunezimpawu ezahlukahlukene ezihambisana ne-inguinal hernias, kubalulekile ukuthi abantu banake izinguquko ezenzeka endaweni yesinqe noma esiswini ezingase zibonise ukuthi kukhona i-hernia.
Ukuqashelwa ngesikhathi esifanele kwezimpawu ezingaba khona, njenge- iqhubu elibonakalayo noma elizwakalayoUkungakhululeki noma ubuhlungu ngesikhathi semisebenzi ethile kuvumela ukuhlolwa kwezokwelapha kwasekuqaleni kanye nokungenelela, okungathinta kakhulu ukuphathwa kanye nemiphumela elandelayo.
Ngaphezu kwalokho, ukuqonda izici zokuguqula, okuhlanganisa ukuzikhandla ngokomzimba noma izinguquko ekumeni komzimba, ezingakhulisa noma zinciphise izimpawu ezihlobene ne-hernia, ukunika abantu amandla okwenza izinqumo ezinolwazi ngemisebenzi yabo yansuku zonke futhi basebenzise amasu afanele ukunciphisa ukungakhululeki nokuvimbela ukuqhubeka okungenzeka kwe-hernia.
Este indlela yokuqapha nokwelapha ngendlela ephumelelayo Izimpawu zigcizelela ukubaluleka kokuqwashisa komuntu ngamunye kanye nokubandakanyeka ekwelapheni ama-hernias e-inguinal ukuze kuthuthukiswe ikhwalithi yempilo kanye nemiphumela yezempilo.
Inqubo yokuxilonga i-hernias ye-inguinal
Ukuhlolwa kokuxilonga ama-hernia e-inguinal kuvame ukuhilela ukuhlolwa okuphelele, okuhlanganisa ukuhlolwa ngokomzimba okuningiliziwe ngenkathi umi, futhi kwezinye izimo, ukusetshenziswa kwezifundo zesithombe ezihambisanayo ukuqinisekisa ukuxilongwa nokuhlola izici ezithile ze-hernia.
Ngokusebenzisa a ukuhlolwa okuhlelekile kwezifunda ze-inguinal nezesisuOchwepheshe bezokunakekelwa kwempilo banganquma ukuba khona, uhlobo, kanye nobukhulu be-hernia ye-inguinal, okwenza kube lula ukwakhiwa kwezinhlelo zokwelapha eziqondene nomuntu ngamunye.
Ezimweni ezithile, ukuhlanganiswa kwezindlela zokuthwebula izithombe, njenge-ultrasound noma i-computed tomography, akugcini nje ngokuqinisekisa imiphumela yezokwelapha, kodwa futhi kusiza ekuhleleni ukuhlinzwa kanye nokwenza ngcono indlela yokwelapha.
Ngokuzibandakanya ngokuzikhandla enkambisweni yokuxilonga, abantu abane-hernias esolwayo ye-inguinal bangafaka isandla ekuqaphelweni kwesimo ngesikhathi nangokunembile, bebeka isisekelo sokusetshenziswa kwezindlela zokungenelela eziqondiwe nezisebenzayo zokwelapha i-hernias etholakele.
Amasu okwelapha aphelele ama-hernias e-inguinal
Ukwelashwa kwe-inguinal hernias kusekelwe endleleni yokwelapha enezici eziningi ehlanganisa ukuqaphela okulondolozayo, ukushintsha indlela yokuphila, kanye nokungenelela kokuhlinzwa, ngenhloso eyinhloko yokuqeda izimpawu, ukuvimbela izinkinga, kanye nokuqinisekisa imiphumela emihle yesikhathi eside.
Izindlela zokulondoloza zingasetshenziswa ekuqaleni, njengokuthi ukusetshenziswa kwezingubo zokusekela kanye nokulungiswa komsebenziKuma-hernia angenazimpawu noma anezimpawu ezincane, lokhu kwelashwa kusiza ekunciphiseni ukungakhululeki futhi kuvimbele i-hernia kuze kube yilapho ukuhlinzwa kuhlelwe ngokushesha okukhulu.
Kodwa-ke, ezimweni lapho i-hernia ibeka engcupheni yezinkinga noma izimpawu ziqhubeka, ngokuvamile kuba Kunconywa ukulungiswa kokuhlinzwa ukulungisa inkinga yesakhiwo esiyisisekelo nokuvimbela ukuqhubeka okungenzeka kwe-hernia.
Ukukhethwa kwendlela yokuhlinzwa efaneleke kakhulu, kungakhathaliseki ukuthi ukulungisa okuvulekile noma amasu angangenisi kakhuluKusekelwe ezimfanelweni ezithile ze-hernia, isimo sempilo yomuntu jikelele, kanye nolwazi lukadokotela ohlinzayo, ngenhloso efanayo yokufeza isinqumo esihlala njalo nesinengqondo somzimba se-hernia.
Ngokwamukela isu lokwelapha eliphelele nelizimele elihlanganisa izindlela ezingangenisi umdlavuza kanye nezindlela zokuhlinzwa, ukwelashwa kwama-hernias angama-inguinal kungahlangabezana nezidingo ezithile kanye nephrofayili yezokwelapha yomuntu ngamunye othintekile, okukhuthaza indlela yokunakekela eyenzelwe wena futhi elungiselelwe wena.
Ukuvimbela ukwakheka kwe-hernia
I-hernia ye-inguinoscrotal uhlobo lokukhubazeka kodonga lwesisu okungenzeka kokubili kwabesilisa nabesifazane, nakuba lokhu kokugcina kwenzeka ngephesenti elincane.
Ukuvimbela ukwakheka kwama-hernia kungenzeka, futhi lokhu kungafezwa ngokuhlanganiswa kokushintsha indlela yokuphila, ukudla okunempilo, kanye nokuzivocavoca.
Landela ukudla okulinganiselayo ucebile nge-fiber yokudla Kuyasiza ukuqinisa imisipha yodonga lwesisu, kuyilapho kuvivinywa umzimba othwala isisindo esincane (landela uhlelo lokufaneleka komzimbaBayakwazi ukukhulisa amandla emisipha nokusekelwa ngokuhamba kwesikhathi ngenxa yokuphikelela kanye nesimo sengqondo sokuthatha isinyathelo sokuba yimbangela yokunakekelwa kwempilo yabo.
Ngaphezu kwalokho, ukugcina isisindo somzimba esifanele ukuphakama komuntu kuzonciphisa ingcindezi ezindongeni zesisu futhi kunciphise ingozi yokwakheka kwe-hernia.
Ukwazi ukuthi yimiphi imisebenzi okufanele uyigweme noma uyishintshe nakho kungaba wusizo; imisebenzi efana nokuphakamisa izinto ezisindayo noma ukuzikhandla ngesikhathi sokuhamba kwamathumbu kufanele yenziwe ngokucophelela ukuze kugwenywe ukucindezeleka okukhulu ezindongeni zesisu.
Ngokuthatha izinyathelo zokuzivikela manje ukuvimbela ukuqala kwama-hernia kamuva ekuphileni, abantu bangaphila impilo enempilo nekhuthele, engenazo izinkinga zodonga lwesisu.
Ngakho-ke, ukuvimbela i-inguinal, i-scrotal, kanye nezinye izinhlobo ze-hernias kungafinyelelwa ngokunaka ngokucophelela ukudla okunempilo, ukuzivocavoca, kanye nokusebenza komzimba jikelele.
Isiphetho
Ngamafuphi, maqondana nezinto eziza kuqala, ngokwethula icala I-hernia enkulu ye-inguinal-scrotal yisimo esingavamile esingatholakala ngokuhlolwa ngokomzimba. kanye nokuhlolwa kokucindezeleka kwesisu. Izimbangela zako zingasukela ezicini zendlela yokuphila kuya ekuthambekeleni kwezakhi zofuzo. Izimpawu ngokuvamile zifaka phakathi ubuhlungu noma ukungakhululeki esinqeni kanye neqhubu elibonakalayo.
Izinketho zokwelapha ziyahlukahluka kusukela ekulindeni okuqaphile kuya ekulungisweni kokuhlinzwa, kuye ngobunzima kanye nezici zomuntu ngamunye eziyingozi. Kubalulekile ukufuna usizo lwezokwelapha uma uhlangabezana nezinguquko ezisheshayo ezimpawu.
Kubalulekile ukwabelana ngolwazi lwezempilo lokuvimbela mayelana nama-hernia e-inguinoscrotal ezinkundleni zokuxhumana futhi sisebenzisane ukufundisa abantu ngokungakhululeki nokugwema izinkinga ezinkulu. Siyabonga ngemibono neziphakamiso zakho ngezihloko zebhulogi.
Ukugona okufudumele kokuvakashela nokuphawula kubhulogi, kuze kube yisikhathi esizayo!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. I-Inguinoscrotal Hernia.