Ama-hernia e-inguinal angenye yezinkinga zempilo ezivamile lapho ingxenye yamathumbu noma ezinye izitho zesisu ziphuma khona endaweni ebuthakathaka odongeni lwesisu.
Sawubona futhi wamukelekile, msebenzisi we-inthanethi, kubhulogi yolwazi lwezempilo yokugaya ukudla enalokhu kubuka kuqala mayelana namanxeba e-hernia e-inguinal athelelekile, isimo esivame ukwenzeka ngemva kokuhlinzwa kwe-hernia ye-inguinal.
Nakuba amanye ama-hernia engase angabi nazimpawu, amanye angabangela ukungakhululeki noma atheleleke. Kulesi sihloko, sizohlola izimpawu, izimbangela, kanye nezinketho zokwelapha i-hernia ye-inguinal ethelelekile.
Kubalulekile ukufuna usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ze-hernia ethelelekile. Lesi isincomo "esibhalwe ngabantu, sabantu ," njengoba ukwelashwa ngesikhathi kungasiza ekuvimbeleni ezinye izinkinga. Ngaphandle kokuchitha isikhathi, ake sihlolisise ngokujulile le nkinga yenxeba lokuhlinzwa!
Inxeba Le-Hernia Elithelelekile
I-hernia ye-inguinal yisimo esivamile sezokwelapha esingaholela ezinkingeni uma singelashwa kahle. Enye yezinkinga ezinjalo ukutheleleka kwenxeba ngokuhlinzwa, okungabangela ukungakhululeki okukhulu futhi kudinge ukunakekelwa kwezokwelapha okusheshayo.
Ukugcina inhlanzeko enhle nokulandela izincomo zochwepheshe bezempilo kubalulekile ukuvimbela ukutheleleka. Ngokunakekelwa okufanele, ukululama kungaba ngokushesha futhi kuphumelele kakhudlwana.
Iyini i-hernia ye-inguinal?
I-hernia ye-inguinal yenzeka lapho izicubu ezithambile, ngokuvamile ingxenye yamathumbu, ziphuma endaweni ebuthakathaka noma edabukile odongeni lwesisu olungezansi.
Lokhu kungabangela ukuvuvuka okubonakalayo ohlangothini lwethambo le-pubic, okungase kubonakale kakhulu lapho umuntu emi. Ama-inguinal hernias avame kakhulu kwabesilisa kunakwabesifazane futhi angavela kunoma yimuphi ubudala, kusukela ebuntwaneni kuya ebudaleni. Kunezinhlobo ezimbili eziyinhloko zama-inguinal hernias: angaqondile (azalwa nawo) kanye naqondile (atholakalayo).
- I-Las ama-hernia angaqondile e-inguinal Zivame kakhulu futhi zikhona lapho zizalwa ngenxa yobuthakathaka bokuzalwa bodonga lwesisu.
- Ngakolunye uhlangothi, ama-hernias aqondile e-inguinal Zikhula ngokuhamba kwesikhathi futhi ngokuvamile zibangelwa ukucindezeleka kwemisipha kanye nobuthakathaka, okuvame ukuhlotshaniswa nokuguga noma ukuzikhandla ngokomzimba.
Uma umuntu ene-hernia ye-inguinal, angase abe nezimpawu eziningana, njengokuvela okubonakalayo noma okuzwakalayo endaweni ye-groin , okungase kubonakale kakhulu uma ekhwehlela noma emi.
Kungase kube nokungakhululeki noma umuzwa wokusinda lapho uhudula imbobo , kanye nobuhlungu obubukhali ngezikhathi ezithile ngesikhathi somsebenzi womzimba noma ukuzikhandla. Kwezinye izimo, ikakhulukazi lapho i-hernia iklinywa noma ivalwa , umuntu angase abe nezinkinga zokugaya ukudla ezifana nokucanuzela kwenhliziyo nokuhlanza, kanye nobuhlungu obukhulu.
Izimpawu zingahluka kuye ngohlobo kanye nobukhali be-hernia, futhi kubalulekile ukubona udokotela wendawo noma wedolobha, ngokuya ngendawo okuyo yonke, ukuze uthole ukuxilongwa okunembile kanye nokwelashwa okufanele ngohlelo lwezempilo lukahulumeni noma oluzimele.
Izimpawu ze-hernia ye-inguinal
Ukungakhululeki okuhambisana ne-hernia ye-inguinal kungahlukahluka kumuntu nomuntu , kodwa ngokuvamile kufaka phakathi ukuvuvuka okubonakalayo kuzo zombili izinhlangothi zethambo le-pubic, okungase kuvele futhi kunyamalale futhi kuvame ukubonakala kakhulu uma umi. Lokhu kuvuvuka akuvamile ukuba buhlungu, kodwa kungase kube buhlungu uma kuthintwa.
Ngaphezu kokuvuvukala, abantu abane-hernia ye-inguinal bangase babe nomuzwa wokusinda, ubuthakathaka, noma ingcindezi embotsheni . Lokhu kungakhululeki kungaba kubi kakhulu lapho bephakamisa izinto ezisindayo, bekhwehlela, noma begoba.
Ama-hernia e-inguinal angabangela nobuhlungu obungajabulisi noma umuzwa wokushisa endaweni ethintekile, okungaba kubi njengoba usuku luqhubeka noma ngemva kwesikhathi eside sokuma noma sokuhlala.
Kwezinye izimo, ikakhulukazi lapho i-hernia ivalelwa noma iklinywa, umuntu angase abe nezimpawu ezifana nokucanuzela kwenhliziyo, ukuhlanza, kanye nobuhlungu obukhulu obuqhubekayo. Lezi zimpawu zidinga usizo lwezokwelapha ngokushesha ukuze kugwenywe izinkinga ezinkulu.
Ezinye izimpawu ezingase zibonise ukuthi kukhona i-hernia eklinyiwe enkomeni zifaka phakathi ukuvuvuka okubomvu noma okumnyama okubonakalayo, ubuhlungu obukhulu obungazelelwe, kanye nokuhlanza.
I-hernia eklinyiwe iyisimo esiphuthumayo sokuhlinzwa ngoba ihilela ukulahlekelwa ukugeleza kwegazi engxenyeni ephumayo yamathumbu, okungaholela ekulimaleni kwezicubu kanye nezinkinga ezisongela ukuphila. Ngakho-ke, noma ubani obona lezi zimpawu kufanele afune usizo lwezokwelapha ngokushesha ukuze avimbele ukuwohloka okuqhubekayo kwesimo sakhe.
Ngaphezu kwalokho, uma umuntu engakwazi ukukhipha indle noma ukukhipha igesi, kungaba uphawu lokuvaleka kwamathumbu, okungabangelwa futhi yi-hernia eklinyiwe futhi kudinga ukunakekelwa kwezokwelapha ngokushesha.
Isikhathi sokubona udokotela ngezimpawu ze-hernia ye-inguinal
Uma uzwa ubuhlungu ngenxa ye-hernia ye-inguinal, njengokuvuvuka okubonakalayo embotsheni, ukungakhululeki, noma ubuhlungu ngesikhathi sokuzilolonga, kubalulekile ukubonisana nodokotela ukuze uthole ukuxilongwa okunembile kanye nokwelashwa okufanele.
Nakuba kungezona zonke izinhlobo ze-hernias ezibangela ubuhlungu noma izinkinga, kubalulekile ukufuna usizo lwezokwelapha uma i-hernia iba bomvu, iba mnyama, noma iba buhlungu , njengoba lokhu kungaba izimpawu ze-hernia eklinyiwe.
Uma kwenzeka i-hernia eklinyiwe, lapho ukugeleza kwegazi kuya ezingxenyeni eziphumayo zamathumbu kuvimbekile, kuyisimo esiphuthumayo sokuhlinzwa , futhi kudingeka usizo lwezokwelapha ngokushesha ukuze kuncishiswe lesi simo futhi kuvinjelwe izinkinga ezinkulu.
Ngokufanayo, uma uzwa ubuhlungu obukhulu nobuqhubekayo besisu noma bemibundu , noma unenkinga yokuzikhipha , kubalulekile ukufuna usizo lwezokwelapha ngokushesha ukuze kutholakale imbangela eyinhloko futhi uthole ukwelashwa ngesikhathi esifanele.
Lapho exhumana nodokotela mayelana nezimpawu ze-hernia engumgogodla, umhlinzeki wezempilo uzokwenza ukuhlolwa ngokomzimba futhi angase ancome ukuhlolwa okwengeziwe, njenge-ultrasound noma izifundo ze-imaging, ukuqinisekisa ukuxilongwa nokuhlola ubukhulu be-hernia.
Ngokusekelwe emiphumeleni, udokotela uzokwazi ukuxoxa ngendlela yokwelapha efanele kakhulu, engafaka phakathi ukubonwa, ukuguqulwa kwendlela yokuphila, noma ukulungiswa kokuhlinzwa, ikakhulukazi ezimweni lapho i-hernia inkulu, ibuhlungu, noma isengozini yezinkinga.
Kubalulekile ukuxhumana ngokukhululekile nodokotela, ubhekane nanoma yiziphi izinkinga noma imibuzo ehlobene nokuxilongwa, izinketho zokwelapha, kanye nemiphumela elindelekile, ukuze wenze isinqumo esinolwazi mayelana nokwelashwa kwe-hernia ye-inguinal.
Izimbangela ze-hernias ye-inguinal
Izimbangela eziyinhloko ze-inguinal hernias zingabangelwa yinhlanganisela yezinto ezibangela ukwanda kwengcindezi ngaphakathi kwesisu noma ubuthakathaka obukhona odongeni lwesisu.
Amanye ama-hernia e-inguinal awanayo imbangela ecacile futhi angavela ngaphandle kwesizathu esithile, kanti amanye angase ahlotshaniswe nezimo noma imisebenzi ebangela ukucindezeleka kwesisu , njengokuphakamisa izinto ezisindayo, ukukhwehlela okuqhubekayo, noma ubunzima bokukhipha indle.
Kwezinye izimo, izici ezifana nokuthambekela kokuzalwa kwezicubu zesisu ezibuthakathaka noma ukwakheka okungajwayelekile komsele we-inguinal kungadala ubungozi ekuthuthukisweni kwe-inguinal hernias.
Ngaphezu kwalokho, izici ezithile eziyingozi, njengobulili besilisa, ukuguga, kanye nomlando womndeni we-hernias , nakho kungasiza ekutheni kube nethuba lokuthola i-hernia ye-inguinal. Ukuqonda izimbangela ezingaba khona kanye nezici eziyingozi ze-hernia ye-inguinal kungasiza ekuthatheni izinyathelo zokuvimbela nokuphatha lesi simo ngempumelelo.
Ngaphezu kwalokho, kubalulekile ukuqaphela ukuthi ukucindezeleka okukhulu esiswini , okungabangelwa yizici ezifana nokukhuluphala, ukuphakamisa izinto ezisindayo, noma ukuqunjelwa okungapheli , kungenza kancane kancane izicubu nemisipha yodonga lwesisu ibe buthaka, kuvule indlela yokukhula kwe-hernia ye-inguinal.
Ngokufanayo, uma kwenzeka ubuthakathaka bokuzalwa noma obukhona kakade bodonga lwesisu, ukucindezeleka okubangelwa imisebenzi noma izimo eziphakamisa ingcindezi yangaphakathi kwesisu kungenza kube nzima kakhulu ukukhubazeka futhi kubangele ukuthi i-viscera iphume endaweni ebuthakathaka.
Ngokubhekana nokulawula izici ezibangela ukwanda kwengcindezi yesisu nokuthatha izinyathelo zokuqinisa imisipha yesisu, abantu banganciphisa ingozi yabo yokuthola noma yokuhlupheka nge-hernia ye-inguinal.
Izici eziyingozi zokuthuthukisa i-hernia ye-inguinal
Izici eziningana zingandisa amathuba okuthola i-hernia ye-inguinal, kanti ezinye ziyizici noma izimo ezingokwemvelo, kanti ezinye zihlobene nendlela yokuphila kanye nokukhetha komuntu ngamunye.
Izici eziyingozi ezingokwemvelo ze-hernias ye-inguinal zifaka phakathi ukuba yindoda, njengoba abesilisa benomkhuba wemvelo wokwakheka kwe-hernias ye-inguinal , okungandisa amathuba okuhlushwa yi-hernia.
Ngaphezu kwalokho, ukuguga kuhlotshaniswa nengozi ephezulu ye-inguinal hernias , njengoba inqubo yokuguga yemvelo ingaholela ekubuthakathakeni kancane kancane kwemisipha nezicubu zesisu.
Ngaphezu kwalokho, umlando womndeni we-hernias , ikakhulukazi ovela ezihlotsheni zezinga lokuqala ezinomlando we-hernias ye-inguinal, ungandisa kakhulu ingozi yokuthola i-hernia.
Lezi zici eziyingozi ezingokwemvelo zigcizelela ukubaluleka kokuqaphela izimpawu ezingaba khona nokufuna usizo lwezokwelapha ngesikhathi esifanele ukuze kungenelele futhi kwelashwe ama-hernias e-inguinal.
Ngaphezu kwalokho, izici ezithile zendlela yokuphila, njengokuba nesisindo esikhulu noma ukukhuluphala ngokweqile, ukwenza imisebenzi noma imisebenzi ehilela ukuphakamisa izinto ezisindayo njalo , noma ukukhwehlela okungapheli, nakho kungasiza ekwandiseni ingozi yokuthola i-hernia ye-inguinal.
Ukuba khona kwalezi zici eziyingozi ezingashintshwa kugcizelela ukubaluleka kokuthatha izinqumo zokuphila okunempilo, njengokugcina ukudla okulinganiselayo, ukuzivocavoca njalo , kanye nokusebenzisa amasu okulawula nokunciphisa ingozi yokuthola izimo ezibangela ukukhwehlela noma ukuqunjelwa okungapheli.
Ngokubhekana nezici eziyingozi ezingashintshwa kanye nokwenza izinqumo zempilo ezisheshayo, abantu banganciphisa ingozi yabo yokuthola i-hernia ye-inguinal futhi banciphise umthelela wezinto ezibangela ukugula empilweni yabo iyonke.
Ngaphezu kwalokho, uma kwenzeka ezinsaneni, izici ezithile, njengokuzalwa ngaphambi kwesikhathi, isisindo esiphansi sokuzalwa, kanye nesimo esibangela ukucindezeleka okukhulu esiswini ngenxa yoketshezi noma inhlanganisela yoketshezi nezicubu esiswini somntwana , nakho kungasiza ekuthuthukisweni kwe-inguinal hernias.
Ezimweni ezinjalo, abahlinzeki bezempilo baqapha futhi babhekane nalezi zici ukuze banciphise ubungozi futhi banikeze usana ukunakekelwa okufanele.
Ngokuvamile, ngokuqonda izici ezahlukahlukene zengozi ezihlobene nokuthuthukiswa kwama-hernias e-inguinal, abantu ngabanye kanye nochwepheshe bezempilo bangasebenzisana ukusebenzisa amasu okuvimbela kanye nokungenelela kwasekuqaleni okunciphisa umthelela walezi zici futhi kukhuthaze imiphumela engcono kulabo abasengozini yokuthola ama-hernias e-inguinal.
Izinkinga ze-hernias ye-inguinal engalashwa
Ama-hernia e-inguinal angelashwa angaholela ezinkingeni ezahlukahlukene, ikakhulukazi uma i-hernia ivalelwa noma iklinywa , okungenza ukugeleza kwegazi kube yingozi ezicutshini eziphumayo futhi kubangele ukulimala noma ukufa kwezicubu.
Uma kwenzeka i-hernia ye-inguinal evalelwe, amathumbu aphumayo abhajwa odongeni lwesisu, okubangela ukuvaleka kanye nezinkinga ezingaba khona, njengobuhlungu, ukuthamba, kanye nokungakwazi ukubuyisela i-hernia emgodini wesisu.
Uma ingelashwa, i-hernia ye-inguinal evalelwe ingaqhubekela phambili ibe yi-hernia eklinyiwe, lapho ukugeleza kwegazi kuya ezicutshini ezibanjiwe kunqanyulwa khona, okubangela i-ischemia futhi, uma ingelashwa ngokushesha, i-tissue necrosis.
Lokhu kungaholela ezimweni ezisongela ukuphila futhi kwandise ingozi yokutheleleka okukhulu noma ezinye izinkinga zempilo ezihlobene nokutheleleka ngokusabalala kwegazi emzimbeni wonke.
Ngaphezu kwalokho, kwezinye izimo, ukuqhubeka kokuba khona kwe-hernia ye-inguinal, ikakhulukazi uma kuhambisana nokungakhululeki okungapheli noma ukwanda kwe-bulge , kungaholela ekwandeni kancane kancane kosayizi we-hernia kanye nengozi enkulu yezinkinga, njengokuthuthukiswa kwe- hernia enkulu futhi okunzima ukuyiphatha.
Ngakolunye uhlangothi, ukuphuma kwesisu ngomsele we-inguinal kungabangela izimo ezifana nokuvaleka kwamathumbu noma ukuklinywa, okudinga ukungenelela okuphuthumayo kokuhlinzwa ukuze kuncishiswe ukuvaleka nokuvimbela umonakalo owengeziwe.
Ngokubhekana nama-hernia e-inguinal ngokushesha nangokuthatha izinyathelo ezifanele zokuvimbela izinkinga, abantu banganciphisa izingozi ezingaba khona empilweni yabo nasenhlalakahleni yabo, kugcizelelwe ukubaluleka kokwelashwa okusheshayo nokuphumelelayo kwama-hernia e-inguinal ukuze kugwenywe izinkinga ezihambisana namacala angelashwa.
I-hernias ye-inguinal itholakala kanjani?
Ukuxilonga i-hernia ye-inguinal kuvame ukuhilela ukuhlolwa okuphelele, okuhlanganisa umlando wezokwelapha onemininingwane, ukuhlolwa ngokomzimba, kanye, kwezinye izimo, ukuhlolwa okwengeziwe ukuqinisekisa ukuxilongwa nokuhlola ubukhulu be-hernia.
Ngesikhathi sokuhlolwa ngokomzimba, umhlinzeki wezempilo angahlola ngokucophelela indawo ethintekile, ikakhulukazi i-groin, ukuze ahlole ukuvuvukala noma ezinye izimpawu ezibonisa i-hernia ye-inguinal.
Ngaphezu kwalokho, udokotela angenza imisebenzi ethile, njengokucela umuntu ukuba akhwehlele noma asukume, ukuze abheke ukuphuma kwesisu futhi anqume uhlobo kanye nobunzima be-hernia.
Ezimweni ezithile, umhlinzeki wezempilo womphakathi noma ozimele angase futhi ancome ukuhlolwa kwezithombe zokuxilonga, njenge-ultrasound noma i-magnetic resonance imaging (MRI), ukuthola izithombe ezinemininingwane zezakhiwo zesisu nokuqinisekisa ukuba khona kwe-hernia ye-inguinal.
Ngaphezu kwalokho, ezimweni lapho ukuxilongwa noma ubukhulu be-hernia bungacacile, umhlinzeki wezempilo angenza izinqubo ezengeziwe zokuxilonga, njenge-herniography , ehilela ukusetshenziswa kodayi wokungafani kanye namasu okuthwebula izithombe ukuze kutholakale usayizi nendawo ye-hernia.
Ngokuhlonza ngokunembile ama-hernia e-inguinal nokuhlola izici zawo ezithile, abahlinzeki bezempilo bangakha uhlelo lokwelapha oluqondene nezidingo zomuntu ngamunye wesiguli kanye nohlobo lwe-hernia.
Kubalulekile ukuthi abantu ababona izimpawu noma izimpawu ze-hernia ye-inguinal bafune usizo lwezokwelapha ngokushesha futhi bahlolwe ngokuphelele ukuze kuqinisekiswe ukuxilongwa futhi benze ukungenelela ngesikhathi, ekugcineni banikele ekwelashweni okuphumelelayo kakhudlwana kanye nemiphumela engcono kumuntu ngamunye.
Izindlela zokwelapha i-hernias ye-inguinal
Ukwelashwa okuvamile nokuphumelela kakhulu kwama-hernias e-inguinal ukulungiswa kokuhlinzwa, okuhlose ukubhekana nobuthakathaka obuyisisekelo bodonga lwesisu nokuvimbela ukuphuma kwesisu.
Ukulungiswa kokuhlinzwa kwe-hernias ye-inguinal kungenziwa kusetshenziswa amasu avulekile noma e-laparoscopic, futhi indlela ethile inqunywa ngokusekelwe ezicini ngazinye , njengosayizi nendawo ye-hernia, isimo sempilo somuntu sonke, kanye nolwazi lukadokotela ohlinzayo.
Ukulungiswa kwe-open hernia, okwaziwa nangokuthi i-herniorrhaphy noma i-hernioplasty , kuhilela ukwenza i-incision eyodwa, enkulu ukuze kufinyelelwe i-hernia nokuqinisa udonga lwesisu nge-sutures noma i-mesh ngokulandelana ukuze kunikezwe ukwesekwa okwengeziwe nokuvimbela ukuphinda kwe-hernia.
Ngakolunye uhlangothi, ukulungiswa kwe-hernia nge-laparoscopic kuyindlela encane kakhulu esebenzisa ukusikwa okuncane okuningana ukufaka amathuluzi okuhlinza akhethekile kanye ne-mesh yokusekela izicubu ezibuthakathaka nokuvumela ukulungiswa kwe-hernia okuqondile nokuqondisiwe.
Isiphetho
Phezulu ohlwini lwezinto eziza kuqala, i-hernia ye-inguinal ethelelekile yisimo esidinga ukunakekelwa kwezokwelapha okusheshayo ukuze kugwenywe izinkinga ezinkulu. Ukuvimbela, ukuxilongwa kusenesikhathi, kanye nokwelashwa okufanele kubalulekile ukuqinisekisa ukululama okuphumelelayo.
Hlala unolwazi ngezimpawu futhi ungangabazi ukubonisana nochwepheshe wezempilo uma uzwa ukungakhululeki. Uma ucabanga ukuthi lolu lwazi lungaba usizo kwabanye, sikukhuthaza ukuthi wabelane ngale bhulogi ezinkundleni zakho zokuxhumana. Sisonke, singaqwashisa ngokubaluleka kokunakekela impilo yethu!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. Inxeba Le-Inguinal Hernia Elithelelekile.