I-hernia ye-inguinal yisimo esivamile kwabesilisa esenzeka lapho okuqukethwe yisisu kuphuma endaweni ebuthakathaka odongeni lwesisu olungezansi. Lesi sihloko sizoxoxa nge-hernia ye-inguinal engaqondile, okuhlanganisa izimpawu zayo, izimbangela kanye nokwelashwa okutholakalayo.
Uma kukhulunywa ngama-hernia, indawo ye-inguinal iyindawo ebaluleke kakhulu futhi egxile kuyo. I-hernia ye-inguinal engaqondile yenzeka lapho izicubu ezithambile, njengengxenye yamathumbu, ziphuma endaweni ebuthaka yodonga lwesisu.
Lokhu kungabangela ukuqunjelwa okubonakalayo, ukungakhululeki, noma ezinye izimpawu "kubhalwe ngabantu, ngenxa yabantu"Uhlobo oluthile lwalesi simo yi-hernia ye-inguinal engaqondile, ebonakala ngokuphuma kokuqukethwe kwesisu ngendandatho ejulile ye-inguinal iye engxenyeni yesisu.
Nakuba abesilisa nabesifazane bengaba nama-hernias angama-inguinal, avame kakhulu kwabesilisa, futhi ama-hernias angama-inguinal angaqondile abangela iphesenti elikhulu lala macala.
Ukuqonda izici ezithile, izimpawu, kanye nezinketho zokwelapha ezihambisana ne-hernia engaqondile ye-inguinal kubalulekile. Umphakathi wezokwelapha uye wafunda kabanzi futhi waqopha lesi simo, wanikeza umbono ophelele wezimbangela zaso, ukubonakaliswa kwaso, kanye nokwelashwa kwaso.
Ukuze uqonde ngokugcwele ububanzi balesi sihloko, izici ezifana nalezi ezilandelayo kumele zicatshangelwe: izici zesimo sendawo ye-inguinal, izizathu ezingaba khona ngemuva kokukhula kwe-hernia engaqondile ye-inguinal kanye nochungechunge lwezimpawu ezingase zihambisane nalesi simo.
Ngaphezu kwalokho, izindlela zokuxilonga ezitholakalayo kanye nezindlela ezahlukene zokwelapha, okuhlanganisa nendima yokungenelela kokuhlinzwa, zidlala indima ebalulekile ekwelapheni ama-hernia e-inguinal kanye nezinhlobo zawo.
I-Hernia Engaqondile Ye-Inguinal
Abantu abazwa ubuhlungu noma abathola ukuxilongwa kwe-hernia ye-inguinal, ikakhulukazi uhlobo olungaqondile, cishe banemibuzo eminingi kanye nokukhathazeka okufanele baxazululwe.
Kubalulekile ukuthi babe nolwazi oluphelele ngalesi sifo futhi babe nokuqonda okucacile ngalokho abangakulindela. Ngakho-ke, kubalulekile ukunikeza ulwazi oluningiliziwe nolunembile mayelana nezimbangela, izibonakaliso kanye nezinketho zokwelapha ezingaba khona ze-hernia engaqondile ye-inguinal.
Ngokubhekana nalezi zici ngokuphelele, abantu bangazizwa benamandla okwenza izinqumo ezinolwazi mayelana nokunakekelwa kwabo kwezempilo futhi bahlanganyele ngenkuthalo ekuphatheni ukugula kwabo ngokubambisana nochwepheshe bezempilo.
Ngaphakathi kwalesi siqondisi esiphelele, sizohlola ngokujulile imininingwane ethile ye-hernia ye-inguinal, okuhlanganisa nohlobo olungaqondile, ukuhlola okujulile kwezici zalo ezichazayo, ukubuka konke kwezici ezingase ziholele ekuthuthukisweni kwalo, kanye nokuhlolwa okujulile kwezimpawu ezahlukahlukene ezingase zibonise ukuba khona kwalo.
Ngaphezu kwalokho, sizoxoxa ngezindlela zokuxilonga ezitholakalayo kanye nohlu lwezinketho zokwelapha, sigxile kakhulu ekuhlinzeni kanye nezici zangaphambi nangemuva kokuhlinzwa okufanele abantu baziqaphele.
Ngokukhanyisa lezi zinto ezibalulekile, lo mhlahlandlela uhlose ukunikeza abantu ngabanye kanye nabanakekeli babo ulwazi olubalulekile nolwazi, ekugcineni ubasekele emizamweni yabo yokuqonda nokwelapha ngempumelelo ama-hernia angaqondile e-inguinal.
Ukwakheka kwe-hernia ye-inguinal engaqondile
El umsele we-inguinalUmsele we-inguinal, umzila odongeni lwesisu olungaphambili, uyisakhiwo esibalulekile sokuqonda uhlobo lwe-hernia ye-inguinal engaqondile. Kwabesilisa, lo msele ubaluleke kakhulu, njengoba kuyindlela lapho amasende ehla khona esuka esiswini aye esikhwameni se-scrotal.
Ukuba khona kwembobo yemvelo odongeni lwesisu, indandatho ejulile ye-inguinal, kuvumela intambo yesidoda kanye nesembozo samasende ukuthi kudlule phakathi kwesisu kanye ne-scrotum.
Kungale mbobo efanayo noma umgodi ojulile lapho kuvela khona ithuba le-hernia engaqondile ye-inguinal, njengoba kungenzeka ukuphuma kokuqukethwe kwesisu, kulandela indlela yokwehla kwe-testicular.
Le ndlela ehlukile kanye nezici eziyisisekelo zokwakheka komzimba kubalulekile ekuhlukaniseni i-hernia engaqondile ye-inguinal kuleyo eqondile kanye nokuqonda ukuvezwa kwayo okuhlukile.
Izimbangela ezingaba khona kanye nezici eziyingozi
Kunezici eziningana ezingabangela ukuthuthukiswa kwe-hernia engaqondile ye-inguinal. Nakuba kubhekwa njengesifo sokuzalwa esingaba khona kusukela ekuzalweni, ezinye izifo zingaba khona. izici predisposing kanye nezenzo ezigabeni zakamuva zokuphila nakho kungandisa amathuba okuba kwenzeke.
Uma kwenzeka i-hernia ye-inguinal engaqondile, into ebalulekile ukuqhubeka kwesikhala esingaba khona odongeni lwesisu esakheka ngesikhathi sokukhula kwengane. Lesi sikhala, esaziwa ngokuthi njengenqubo yesitho sangasese sowesifazaneUmsele we-inguinal uyipayipi le-peritoneum elidlula emseleni we-inguinal futhi livame ukuvala ngaphambi noma ngokushesha ngemva kokuzalwa.
Uma lo mgodi uhlala uvulekile, noma ungavali ngendlela efanele, udala indawo yokuba sengozini lapho okuqukethwe esiswini kungasunduzwa khona, okuholela ekutheni kube ne-hernia engaqondile ye-inguinal.
Ngaphezu kwalesi sici esingokwemvelo, izenzo noma izimo ezithile ezibeka ukucindezeleka odongeni lwesisu, njengokuthi ukuphakamisa izinto ezisindayo, ukukhwehlela njalo, noma ukuzikhandla ngesikhathi sokuhamba kwamathumbuZingaphinde zifake isandla ekuthuthukisweni kwe-hernia engaqondile ye-inguinal ngokubeka ingcindezi eyengeziwe endaweni ebuthaka.
Izimpawu nezimpawu
Ukuqaphela izimpawu ezihambisana ne-hernia engaqondile ye-inguinal kubalulekile ekwenzeni kube lula ukungenelela kusenesikhathi kanye nokuphathwa kwalesi simo. Isibonakaliso esivelele kakhulu se-hernia ye-inguinal, kungaba ngokuqondile noma ngokungaqondile, ukuba khona kwe- iqhubu noma ukuvuvukala okubonakalayo embotsheni noma indawo ye-scrotal.
Uma kwenzeka i-hernia engaqondile ye-inguinal, lokhu kuqubuka kuvame ukubonakala njengokuvuvukala eduze kwengxenye ephezulu yethanga, futhi kungase kubonakale kakhulu ngezikhathi zomsebenzi owandisiwe. imisebenzi ekhulisa ukucindezeleka kwangaphakathi kwesisu, njengokuphakamisa izinto ezisindayo noma ukuzikhandla.
Abantu abane-hernias ye-inguinal engaqondile nabo bangase babe nenkinga ukungakhululeki, umuzwa wokucindezeleka, noma ubuthakathaka endaweni ethintekileikakhulukazi lapho umi, ugoba, noma wenza imisebenzi yomzimba.
Kwezinye izimo, okulandelayo kungase kube khona: ubuhlungu nokuvuvukala kwe-scrotum noma i-groin, okuyinto kubonisa izinkinga ezingaba khona noma ubukhona be i-hernia eboshiwe noma eklinyiwe okudinga ukunakekelwa kwezokwelapha okusheshayo. Ukuqonda nokubhekana nalezi zimpawu ngokushesha kubalulekile ukuvimbela isimo ukuba singabi sibi kanye nezingozi ezihambisana naso.
Inqubo yokuxilonga kanye nezinketho zokwelapha
Uma kuvela izimpawu ezibonisa i-hernia engaqondile ye-inguinal, noma ngemva kokuthola ukuvuvuka okusolisayo embotsheni noma emathunjini, kubalulekile ukufuna ukuhlolwa kwezokwelapha ngokushesha. uhlelo lwezempilo esidlangalaleni noma ngasese, ngokwendawo yakho yomhlaba wonke.
Inqubo yokuxilonga i-hernia ye-inguinal, okuhlanganisa i-hernia engaqondile, ivame ukuhilela ukuhlolwa okuphelele, okungase kufake phakathi ukubuyekezwa okuningiliziwe komlando wezokwelapha womuntu, ukuhlolwa ngokomzimba okuphelele, futhi, kwezinye izimo, ukusetshenziswa kwezifundo zezithombe, njenge-ultrasound noma i-magnetic resonance imaging (MRI), ukuze kubonwe i-hernia futhi kuhlolwe izici zayo.
Uma ukuxilongwa sekuqinisekisiwe, ingxoxo ngezinketho zokwelapha, ikakhulukazi uma kwenzeka uhlobo olungaqondile lwe-hernia ye-inguinalInhloso yayo ukubhekana nezidingo ezithile kanye nesinyathelo esingcono kakhulu somuntu ngamunye.
Ezimweni ezithile, izindlela ezingezona ezokuhlinzwa zingacatshangelwa, njengokusetshenziswa kwe- ingubo yokusekela noma ibhande, kodwa kubalulekile ukukhumbula lokho ukwelashwa okuqondile I-hernia ye-inguinal, ikakhulukazi engaqondile, ivame ukuhilela ukulungiswa kokuhlinzwa ukuze kuqiniswe udonga lwesisu olubuthakathaka futhi kuvinjelwe ukuphuma kwesikhathi eside kokuqukethwe kwesisu.
Ukuhlinzwa kwe-hernia ye-inguinal, ikakhulukazi engaqondile, kungenziwa kusetshenziswa amasu avulekile noma e-laparoscopic; kokubili kuye kwabonakala kusebenza kahle ekwelapheni lesi simo.
Ukukhetha indlela yokuhlinzwa efaneleke kakhulu kuthonywe yizici ezahlukahlukene, njengesimo sempilo yomuntu jikelele, ubukhulu nezici ze-hernia, kanye nekhono kanye nokukhetha kukadokotela ohlinzayo.
Ngesikhathi senqubo yokuhlinzwa, izicubu noma izitho ezivelelayo ziyabekwa kabusha, kanti indawo ebuthaka yodonga lwesisu, njenge i-foramen ejulile ye-inguinalIyaqiniswa futhi ivalwe ukuze kuvinjelwe ukuphinda kuvele i-hernia. Lokhu kungabandakanya ukubekwa kwe- ucezu lwe-mesh yokwenziwa ukunikeza ukwesekwa okwengeziwe endaweni elungisiwe.
Ngemva kokuhlinzwa, kubalulekile isikhathi sokululama kanye nokuvuselelwa ukuqinisekisa ukuphulukiswa okuhle kwendawo yokuhlinzwa kanye nokubuyiselwa kwamandla nokusebenza okwanelisayo endaweni ethintekile.
Ukulandela imiyalelo yethimba lezokunakekelwa kwempilo kanye nokulandela izinyathelo zokunakekelwa ngemva kokuhlinzwa ezinconywayo kuyizingxenye ezibalulekile zenqubo yokululama, ukuze kuthuthukiswe inhlalakahle yomuntu kanye nemiphumela yesikhathi eside.
Isiphetho
Sekuvele kusendaweni yokugcina yezinto ezibalulekile, I-hernia engaqondile ye-inguinal iyisimo esibalulekile esidinga ukunakwa nokuqonda.Ngokuhlola ngokucophelela isisekelo sayo somzimba, izimbangela ezingaba khona, izifo eziphawulekayo, izindlela zokuxilonga, kanye nezindlela zokwelapha ezitholakalayo, abantu bangathola ulwazi olubalulekile olubenza bakwazi ukubhekana ngempumelelo nezinselele ezihambisana nalesi simo.
Ngaphezu kwalokho, indima ebalulekile yokuqashelwa kusenesikhathi, ukuhlolwa kwezokwelapha okusheshayo, kanye, uma kudingeka, ukungenelela kokuhlinzwa ekwelapheni i-hernia engaqondile ye-inguinal kugcizelela ukubaluleka kokuqwashisa kanye nokubandakanyeka kokuthatha isinyathelo ekuphathweni kwalesi simo.
Njengoba ulwazi oluningi kanye nokusekelwa okuhlukahlukene kutholakala, abantu bangabhekana nokuhlangenwe nakho kokwelapha i-hernia engaqondile ye-inguinal ngendlela enolwazi oluhle nenekhono, ekugcineni banikele emiphumeleni emihle yezempilo kanye nekhwalithi engcono yokuphila.
Uma uthola lezi zindaba zithakazelisa, ukuzibelana ngazo ezinkundleni zokuxhumana kusiza ulwazi lokuvimbela emkhakheni wokuhlinzwa lufinyelele abantu abaningi emhlabeni jikelele. Ngiyabonga ngokuphawula kwakho kubhulogi ethi: Impilo Yokugaya Ukudla!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. I-Hernia Engaqondile Ye-Inguinal.