Sawubona msebenzisi we-inthanethi othandekayo futhi wamukelekile kubhulogi yolwazi lwezempilo yokugaya ukudla. Kulesi senzakalo, sizohlaziya ukwelashwa kwama-hernias angama-inguinal kwabesilisa, futhi sixoxe ngezinketho zokwelapha ezisebenzayo kanye nezincomo zama-hernias angama-inguinal.
Ukuba khona kweqhubu elivela esikhwameni se-hernia engu-inguinal kuyisimo esivamile lapho izitho zesisu ziphuma khona endaweni ebuthakathaka odongeni lwesisu.
Kulesi sihloko sizoxoxa ngokuthi kufanele sifune nini ukwelashwa, inketho yokulinda nokubuka ezimweni ezingenazimpawu, kanye nezindlela ezahlukene zokulungisa ngokuhlinzwa. "kubhalwe ngabantu, ngenxa yabantu" kanye nokunakekelwa okubalulekile ngemva kokuhlinzwa ukuze kuphulukiswe kahle.
Uma wena noma othandekayo wakho ene-hernia ye-inguinal, lesi sihloko sizokunikeza ulwazi olubalulekile mayelana nezinketho zokwelapha ezinganciphisa izimpawu zakho futhi zithuthukise ikhwalithi yokuphila kwakho. Ake sibheke okwengeziwe futhi sithole okungcono kakhulu kwalokho okuhlobene!
Ukwelashwa Kwe-Inguinal Hernia Kwabesilisa
Ukwelashwa okuwukuphela kwe-hernia ye-inguinal kwabesilisa ukulungiswa kokuhlinzwa, okuhilela ukusunduza izicubu ezivele esiswini nokuqinisa udonga lwesisu olubuthakathaka ngezitishi noma nge-mesh yokuhlinzwa.
Ukuhlinzwa kuvame ukwenziwa ngokusika okuvulekile endaweni engaphezulu kwe-groin noma indlela ye-laparoscopic engangenisi kakhulu kusetshenziswa ukusika okuncane kanye nekhamera encane.
Lokhu kunjalo ezimweni eziningi, Kunconywa ukuhlinzwa okuhleliwe Uma i-hernia ibangela ubuhlungu, inkulu, noma ibeka engcupheni yezinkinga ezinkulu futhi ngezinye izikhathi ezibulalayo njengokuklinywa nokufa kwezicubu ezithintekile.
Ukuqonda ama-hernias e-inguinal
I-hernia ye-inguinal yenzeka lapho izicubu ezithambile, njengengxenye yamathumbu, ziphuma nge-a indawo ebuthakathaka yemisipha yesisu. Lokhu kubangela ukuvuvuka okubonakalayo endaweni ezinhlangothini zombili ze-pubis.
Lesi simo sivame ukubangela ubuhlungu noma ukungakhululeki, ikakhulukazi lapho ugoba, uphakamisa izinto ezisindayo, noma ukhwehlela. Kwezinye izimo, izicubu ezivele zingase zibuyele esimweni sazo esijwayelekile uma ulele ngomhlane.
Ama-hernia e-Inguinal akhona kaningi emadodeni okungase kudinge ukunakekelwa kwezokwelapha okusesikhathini nokuhleliwe ukuze kuvinjelwe izinkinga ezingaba yingozi.
Kunezinhlobo ezahlukene ze-hernias ze-inguinal, lapho i-hernias eqondile nengaqondile kuyizigaba ezimbili eziyinhloko.
- Una i-hernia eqondile ye-inguinal Kwenzeka lapho amathumbu ephuma endaweni ebuthakathaka odongeni lwesisu olungezansi, ngokuvamile ngenxa yokucindezeleka noma ukuguga.
- Ngakolunye uhlangothi, i-hernia engaqondile ye-inguinal Kuyisimo sokuzalwa esenzeka lapho amathumbu amancane ephuma ngendandatho ye-inguinal, okuwumngxunya emisipheni ovumela amasende ukuba ehle.
Ukuqonda uhlobo kanye nembangela ye-hernia ye-inguinal kubalulekile ekunqumeni indlela yokwelapha ephumelela kakhulu. Kwezinye izimo, i-hernia ye-inguinal ingabangela izimpawu ezimbalwa noma zingabi nazo nhlobo izimpawu futhi ingaqashwa ngokuphephile. Kodwa-ke, uma i-hernia Kubangela ubuhlungu, ukuvuvukala, noma umuzwa wokusinda. Uma kukhona ukuvuvukala esikhumbeni se-scrotum, kubalulekile ukubonana nodokotela ngokushesha.
Ngaphezu kwalokho, ukuba khona kwe ubuhlungu obuqhubekayo noma ukuvuvukala Ukuba khona kwe-hernia endaweni ye-hernia, noma ukungakwazi ukubuyisela i-hernia ngaphakathi, kungabonisa isidingo sokuhlolwa nokwelashwa ngokushesha nguchwepheshe wezempilo.
Nini ukufuna ukwelashwa
Uma utholakale une-hernia ye-inguinal, kubalulekile ukunaka noma yiziphi izimpawu ezingase zibonise isidingo sokwelashwa. Izimpawu ezifana nalezi: ubuhlungu obungazelelwe, ukwanda kokukhukhumala, noma ukungakwazi ukufaka Ukuphinda kwe-hernia kuyizimpawu okufanele zikushukumisele ukuthi ufune usizo lwezokwelapha.
Kwezinye izimo, i-hernia ye-inguinal engalashwa ingaholela ekukhuleni kwesisu. izinkinga ezifana nokuklinywaisimo lapho ukugeleza kwegazi kuya ezicutshini eziphumayo kuphazamiseka khona, okuphoqa ukuhlinzwa okuphuthumayo ukugwema ukulimala kwezicubu.
Ukwelashwa okusheshayo nokufika ngesikhathi emakamelweni ezimo eziphuthumayo ezibhedlela noma emitholampilo yezempilo ngokusebenzisa uhlelo lwezempilo esidlangalaleni noma ngaseseKuye ngokuthi indawo yakho yomhlaba wonke ikuphi, kungasiza ekuvimbeleni ukuqhubeka kwe-hernia futhi kunciphise ingozi yezinkinga ezinkulu.
Kubalulekile ukuqaphela ukuthi noma ungazizwa ubuhlungu obukhulu, uchwepheshe wezempilo kufanele ahlole i-hernia. Nakuba abanye Ama-hernia amancane noma angenazimpawu angafaneleka isikhathi sokubheka. Kubalulekile ukuthi uchwepheshe wezokwelapha abaqaphe ukuze anqume isikhathi esifanele sokwelashwa.
Uma kwenzeka i-hernia ye-inguinal, isimo sengqondo sokulinda ngokuqapha Kunganconywa kubantu abathile, kanti abanye bangase belulekwe ukuthi bahlinzwe, ikakhulukazi uma i-hernia ibangela izimpawu noma kunengozi yezinkinga.
Ukuqaphela ukulinda ama-hernia angenazimpawu
Ezimweni ezithile, indlela yokulinda ngokuqapha noma yokuqapha okusebenzayo ingacatshangelwa kwezinye izimila ze-inguinal ezingenazimpawu, ikakhulukazi kubantu asebekhulile noma labo abanomlando wezokwelapha obalulekile.
Le ndlela ihilela ukuqapha njalo i-hernia ngokuhlolwa ngokomzimba futhi ingahambisana izinguquko zendlela yokuphila ukuvimbela i-hernia ukuthi ingaqhubeki.
Nokho, kubalulekile ukuthi Abantu abane-hernia ye-inguinal balinde ngokuqapha Qaphela izingozi ezingaba khona futhi ubike ngokushesha noma yiziphi izinguquko ezimpawu zakho kumhlinzeki wakho wezempilo.
Ngesikhathi sokulandelela, ngokuvamile kunconywa ungaphakamisi izinto ezisindayo futhi unake ukubonakala kwezimpawu ezintsha noma eziya ziba zimbi, njengobuhlungu noma ukwanda kweqhubu.
Kwezinye izimo, uchwepheshe wezempilo angase ancome ukusetshenziswa kwebhande lokusekela noma ibhande lokusekela ukusiza ukulawula i-hernia nokunciphisa ingozi yezinkinga.
Nakuba ukugqoka ibhande lokusekela kungelona ikhambi le-hernia, kunganikeza abanye abantu umuzwa wokusekelwa nenduduzo, ikakhulukazi ngenkathi belinde isinqumo mayelana nesidingo sokulungiswa kokuhlinzwa.
Ukulungiswa kokuhlinzwa
Ku ama-hernia amakhulu noma anezimpawu ze-inguinalKubantu abasengozini yezinkinga, ukulungiswa kokuhlinzwa kuvame ukunconywa njengokwelashwa okuqondile.
Ukuhlinzwa kuhlose ukuqinisa indawo ebuthaka yodonga lwesisu nokubeka kabusha izicubu ezivelelayo. Lokhu ngokuvamile kungafezwa ngamasu avulekile noma e-laparoscopic, ngalinye linezinzuzo zalo kanye nokucatshangelwa kwalo.
Isinqumo mayelana nendlela efanele kakhulu yokulungisa i-hernia ngokuvamile siwukuba isisekelo ezicini zomuntu ngamunye kwalokhu, kanye nesimo sempilo yomuntu jikelele kanye nokuhlangenwe nakho kanye nesincomo sikadokotela ohlinzayo.
Ngaphezu kwalokho, ubukhulu nendawo ye-hernia, kanye nomlando wezokwelapha kanye nezinto ozikhethayo, kuyizinto ezibalulekile enkambisweni yokwenza izinqumo.
Kwezinye izimo, ukulungiswa kokuhlinzwa kwe-hernia ye-inguinal kungabandakanya ukusetshenziswa kwengxenye ye-mesh yokwenziwa ukunikeza ukwesekwa okwengeziwe odongeni lwesisu olubuthakathaka.
Lokhu kuqinisa i-mesh kungasiza ekunciphiseni ingozi yokuphinda kuvele i-hernia futhi kungaba wusizo ezinhlotsheni ezithile ze-hernia noma kubantu abasengozini enkulu yokuphikelela kwe-hernia.
Kodwa-ke, ukusetshenziswa kwe-mesh ekulungiseni i-hernia kuyisinqumo esifundwa ngokucophelela futhi senzelwe isiguli ngasinye ngokusekelwe ezimweni ezithile ze-hernia kanye nempilo yaso iyonke.
Izindlela zokulungisa ngokuhlinzwa
Uma kukhulunywa ngokulungiswa kokuhlinzwa, kokubili izindlela ezivulekile kanye nezindlela ze-laparoscopic zivame ukusetshenziswa.
- La ukulungiswa kokuhlinzwa okuvulekile Ukulungiswa kwe-hernia kuhilela ukwenza i-incision ngqo phezu kwe-hernia bulge bese ucindezela izicubu ezivelelayo zibuyele esiswini. Udokotela ohlinzayo ube eselungisa indawo ebuthaka yodonga lwesisu, evame ukusebenzisa i-sutures. okwaziwa nangokuthi i-herniorrhaphy, Kwezinye izimo, faka i-reinforcement meshindlela okwaziwa ngokuthi i-hernioplasty.
- Ngakolunye uhlangothi, ukulungiswa kwe-laparoscopic Ukulungiswa kwe-Hernia kuyindlela engangenisi kakhulu ehilela ukwenza izimbobo eziningana ezincane lapho udokotela ohlinzayo efaka khona ikhamera encane namathuluzi akhethekile okulungisa i-hernia.
Le ndlela Inikeza izinzuzo ukunciphisa ubuhlungu ngemva kokuhlinzwa, ukusheshisa ukululama futhi, mhlawumbe, ukunciphisa amazinga obuhlungu obungapheli kanye nokungakhululeki, okwenza kube inketho ekhangayo kubantu abaningi.
Ukulungiswa kwe-hernia nge-laparoscopic, okuvame ukubizwa ngokuthi ukuhlinzwa okuncane okungena emzimbeni, kuvumela isikhathi esifushane sokululama futhi kunciphisa ingozi yezinkinga zangemva kokuhlinzwa njengokutheleleka kwamanxeba.
Ukusetshenziswa kwe ukusikwa okuncane Futhi ukugwema amanxeba amakhulu okuhlinzwa kunomthelela ekululameni okusheshayo nasekubuyeleni emisebenzini yansuku zonke ngokushesha kunokujwayelekile.
Ngaphezu kwalokho, ukubonakala okuthuthukisiwe kwendawo yokuhlinzwa ehlinzekwa yindlela ye-laparoscopic kungavumela ukulungiswa kwe-hernia okunembile kanye nengozi ephansi yokulimala kwemizwa.
Kodwa-ke, ukufaneleka kwendlela ye-laparoscopic kuhlolwa esimweni ngasinye, kucatshangelwa izici ezithile ze-hernia kanye nesimo sempilo somuntu jikelele.
Ukuhlinzwa kwe-Laparoscopic
Ukuhlinzwa kwe-laparoscopic ukulungisa ama-hernia e-inguinal kunikeza izinzuzo eziningana ezingaba khona, njengokusikwa okuncane, ubuhlungu obuncane ngemva kokuhlinzwa, kanye nokubuyela ngokushesha emisebenzini evamile.
Inqubo ivame ukuqukethe: ukufutha isisu ngegesi engenangozi ukudala isikhala sokufaka amathuluzi okuhlinza, okusiza ekuthuthukiseni ukubonakala kanye nokuphathwa kwezakhiwo zesisu.
Ukusetshenziswa kwezimbobo ezincane kanye namathuluzi akhethekile ekuhlinzeni nge-laparoscopic kunciphisa ukulimala kwezicubu kanye nokungakhululeki ngemva kokuhlinzwa, okuyinto Kuvumela ukululama okukhululekile nokusheshayo. kubantu abaningi abasebenzisa le nqubo.
Ngaphezu kwalokho, ubuhlungu obunciphile ngemva kokuhlinzwa kanye nezibazi ezincane, ezingabonakali kangako ezihlobene nokuhlinzwa kwe-laparoscopic kungabangela izinga eliphezulu lokwaneliseka kanye nemiphumela emihle yobuhle kwabanye abantu.
I kungenzeka phinda imisebenzi evamile, okuhlanganisa umsebenzi kanye nokuzivocavoca umzimba okulula, ngesikhathi esifushane Lesi yisici esikhangayo sokulungiswa kwe-hernia ye-inguinal ye-laparoscopic yeziguli eziningi.
Kodwa-ke, kubalulekile ukuqaphela ukuthi, nakuba ukuhlinzwa kwe-laparoscopic kunikeza izinzuzo eziningana, isinqumo sokuqhubeka nale ndlela kufanele senziwe ngokubonisana nodokotela ohlinzayo oqeqeshiwe ongahlola ukufaneleka komuntu kule ndlela ngokusekelwe ezicini ezithile ze-hernia kanye nempilo yomuntu iyonke.
Ukuhlinzwa okuvulekile
Ngokungafani nokuhlinzwa kwe-laparoscopic, ukulungiswa kwe-hernia evulekile kuhilela ukwenza ukusika okukodwa, okukhulu kakhulu phezu kwe-hernia. Le ndlela yendabuko ivumela udokotela ohlinzayo ukufinyelela ngqo kwi-hernia nasezicutshini ezizungezile ukuze kulungiswe.
Nakuba ukuhlinzwa okuvulekile kungahlotshaniswa isikhathi eside kancane sokululama kanye nengozi ephezulu yobuhlungu ngemva kokuhlinzwaKusalokhu kuyindlela ewusizo futhi ephumelelayo yokulungisa i-hernia ye-inguinal, ikakhulukazi ezimweni lapho indlela ye-laparoscopic ingenakwenzeka noma ingase ibe yingozi enkulu empilweni yomuntu.
Ukulungiswa kwe-hernia evulekile, okuvame ukuba okufanele kwenziwe ngaphansi kwe-anesthesia yendawo noma ejwayelekileLokhu kungase kuhilele ukubeka ucezu lwe-mesh yokwenziwa ukuze kuqiniswe indawo ebuthaka yodonga lwesisu futhi kuncishiswe ingozi yokuphinda kuvele i-hernia.
Nakuba ukukhetha phakathi kokuhlinzwa okuvulekile kanye nokuhlinzwa kwe-laparoscopic kuvame ukuthonywa izici eziningana, okuhlanganisa ulwazi lukadokotela ohlinzayo kanye nezidingo zesiguli ezithile zezokwelapha kanye nezinto azithandayo, ukuhlinzwa okuvulekile kube yindlela ethembekile yokwelapha i-hernia ye-inguinal.
Izinketho zokubulala izinzwa
Ngesikhathi sokulungiswa kwe-hernia ye-inguinal, umuntu angase anikezwe izinketho eziningana zokubulala izinzwa, okuhlanganisa i-anesthesia ejwayelekile, yesifunda, noma yendawo enokudambisa ubuhlungu. I-anesthesia ejwayelekile ivame ukusetshenziselwa ukulungiswa kwe-hernia evulekile futhi iqinisekisa ukuthi umuntu uhlala engazi lutho futhi engenabuhlungu kuyo yonke inqubo.
Ukubulala izinzwa kwesifunda, njenge-epidural noma i-spinal anesthesia, kungasetshenziswa ukuthulisa ingxenye engezansi yomzimba ngenkathi umuntu ephapheme. Ngakolunye uhlangothi, i-anesthesia yendawo ene-sedation Ivame ukusetshenziswa ezimweni ezithile zokulungiswa kwe-hernia ye-inguinal, futhi inikeza inzuzo yokunciphisa ukozela ngemva kokuhlinzwa kanye nokululama okusheshayo kwezinye iziguli.
Ukukhetha i-anesthesia kuvame ukunqunywa ngokusekelwe endleleni ethile yokuhlinzwa, isimo sempilo yesiguli jikelele, kanye nokuhlolwa kanye nesincomo sethimba le-anesthesia.
Ezimweni ezithile, ukusetshenziswa kohlobo oluthile lwe-anesthesia kungathonywa yizinto umuntu azithandayo kanye nezifo ezingathinta ukuphepha nokusebenza kahle kwe-anesthesia.
Uma uxoxa ngezinketho zokubulala izinzwa ezitholakalayo nethimba lezokwelapha futhi uveza noma yikuphi ukukhathazeka noma izintandokazi, Abantu bangahlanganyela ngenkuthalo enkambisweni yokwenza izinqumo futhi unikele ekuqinisekiseni ukuthi ukuhlinzwa kuphephile futhi kukhululekile ngokwezidingo zakho nezimo zakho.
Ukunakekelwa kokululama nokwelashwa ngemva kokuhlinzwa
Ngemva kokulungiswa kwe-hernia ye-inguinal, kungaba ngokuhlinzwa okuvulekile noma nge-laparoscopic, kubalulekile ukulandela iziqondiso zokululama ezinconywayo ngemva kokuhlinzwa ukuze kukhuthazwe ukuphulukiswa okufanele nokunciphisa ingozi yezinkinga.
Lokhu kuvame ukufaka phakathi ukuthatha izinyathelo zokuthi ukulawula ubuhlungu ngemva kokuhlinzwaKancane kancane buyisela imisebenzi yomzimba futhi ugweme ukuziphatha okungase kucindezele indawo yokuhlinzwa.
Uma kwenzeka ukuhlinzwa kwe-laparoscopic, abantu bangalulekwa nangamasu okunciphisa ukungakhululeki okuhlobene nokususwa kwegesi esiswini esele, okuwumphumela ovamile futhi ovame ukuba wesikhashana wale nqubo.
Ngaphezu kwalokho, kubalulekile ukunaka ngokukhethekile ukugcina inhlanzeko efanele kanye nokunakekelwa kwamanxeba, kanye ukuya kuma-aphoyintimenti okulandelela ahleliwe, kubalulekile ukuqapha ukuphulukiswa kwendawo yokuhlinzwa nokuxazulula noma yiziphi izinkinga ezingaba khona ngesikhathi.
Landela eyodwa ukudla okulinganiselayo okucebile nge-fiberUkuhlala unamanzi anele nokugwema noma ukulawula ukuqunjelwa nakho kunegalelo ekululameni okulula nokubushelelezi ngemva kokulungiswa kwe-hernia ye-inguinal.
Ngokulandela imiyalelo yokunakekelwa ngemva kokuhlinzwa enikezwe yithimba lezokunakekelwa kwezempilo kanye nokufuna isiqondiso kunoma yiziphi izinkinga noma ukukhathazeka okungase kuphakame, abantu bangakwazi bahlanganyele ngenkuthalo enkambisweni yabo yokululama futhi kusize ukuqinisekisa imiphumela emihle kakhulu ngemva kokuhlinzwa kokulungisa i-hernia.
Ngakho-ke, ukwelashwa kwama-hernias angama-inguinal kwabesilisa kuhlanganisa amasu ahlukahlukene, kusukela ekubukeni kanye nezinyathelo zokulondoloza kuya ekuhlinzeni.
Indlela ekhethiwe yokwelapha ama-hernias angama-inguinal, kucatshangelwa izici ezithile ze-hernia kanye nesimo sempilo yomuntu jikeleleKubalulekile ukuthola imiphumela emihle kakhulu nokunciphisa ingozi yezinkinga.
Ngokufuna usizo lwezokwelapha ngenkuthalo ngezimpawu ezikhathazayo, ukuhlanganyela ngenkuthalo enkambisweni yokwenza izinqumo mayelana nezinketho zokwelapha, kanye nokunamathela eziqondisweni ezinconywayo zokunakekelwa ngemva kokuhlinzwa, abantu bangadlala indima ebalulekile ekwelapheni okuphumelelayo kwama-hernias e-inguinal futhi bakhuthaze impilo yabo yesikhathi eside kanye nenhlalakahle.
Isiphetho
Lapho sekuqediwe okubalulekile, Ukuhlolwa kwe-hernia ye-inguinal kwabesilisa kuyisici esibalulekile sokwelashwa kwalesi simo esivamile.Ngezinketho ezifana nokubuka nokulinda, ukuhlinzwa kwe-laparoscopic kanye nokuhlinzwa okuvulekile, kanye nokunakekelwa okufanele ngemva kokuhlinzwa, abantu bangakwazi ukwelapha i-hernia yabo ngempumelelo futhi bathole impumuzo ekungakhululeki.
Kubalulekile ukufuna iseluleko sezokwelapha nokulandela iziqondiso zangemuva kokuhlinzwa ukuze ululame ngempumelelo. Manje yisikhathi esifanele sokwabelana ngalokhu ezinkundleni zokuxhumana ukuze abantu abaningi emhlabeni wonke bazuze, futhi ngiyabonga ngokushiya amazwana kubhulogi enolwazi: Impilo Yokugaya Ukudla. Sizobonana esitolimendeni esilandelayo!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. Ukwelashwa kwe-Inguinal Hernia Kwabesilisa.