Ukwelashwa kwe-hernia ye-Inguinal: konke okudingeka ukwazi.

Ukwelapha i-hernia ye-inguinal kuyisici esibalulekile sokuphatha lesi simo esivamile. Kusukela ezimpawu kanye nokuxilongwa kuya ezinhlotsheni ezahlukene zokungenelela kokuhlinzwa, kubalulekile ukuqonda kahle izinketho zokwelapha i-hernia ye-inguinal.

Ngemva kwalesi singeniso esifushane, siyakwamukela kubhulogi ethi: Impilo Yokugaya Ukudla, lapho sixoxa khona ngezifo zomgudu wokugaya ukudla ngokombono wokuvimbela futhi, kulokhu, sigxila ekushintsheni nasezinkingeni ze-hernias.

Kulesi sihloko, sizoxoxa ngakho konke okudingeka ukwazi, "okubhalwe ngabantu, ngabantu ," mayelana nokwelashwa kwe-inguinal hernia, okuhlanganisa ukubhekwa, ukulungiswa kokuhlinzwa, kanye nokululama.

Hlala unolwazi futhi usebenzise izaphulelo ezikhethekile kanye nezinsizakalo zokwelapha i-hernia ye-inguinal ezibhedlela noma emitholampilo endaweni yakini.

Ukwelashwa kwe-hernia ye-inguinal.

I-hernia ye-inguinal iwukuphuma kwezicubu engxenyeni ebuthaka yodonga lwesisu, okuvame ukwenzeka kwabesilisa.

Izibalo zisikisela ukuthi cishe u-25% wazo zonke izinhlinzeko ezenziwayo ukulungisa i-hernia zenzelwe ukwelapha i-hernia ye-inguinal.

Izimbangela zivame ukuhlanganisa inhlanganisela yokuthambekela kokuzalwa kanye nezici ezihlobene nendlela yokuphila, njengokuphakamisa izinto ezisindayo noma ukuzikhandla ngesikhathi sokuhamba kwamathumbu.

Izimpawu zingase zihlanganise iqhubu noma ukuvuvukala endaweni ye-hernia, ukungakhululeki noma ubuhlungu, ikakhulukazi ngesikhathi semisebenzi enzima, kanye nokuvuvukala kwezinye izimo.

Uma kungelashwa, kungavela izinkinga , njengokuvaleka kwamathumbu, ukuklinywa kwezicubu ezithintekile, kanye nokwanda okuqhubekayo kokuqhekeka kodonga lwesisu.

Izinketho zokwelapha zifaka phakathi ukulungiswa kokuhlinzwa, njengokuhlinzwa okuvulekile kwendabuko noma amasu e-laparoscopic angangenisi kakhulu; kuzo zombili, ucezu lwe-mesh yokuhlinzwa lungabekwa ukuze kuqiniswe iphutha.

Kubalulekile ukuqaphela ukuthi, nakuba lezi zindlela zingalaphi ngokuphelele i-hernia ye-inguinal, zizosiza kakhulu ekunciphiseni izimpawu nasekuthuthukiseni ikhwalithi yokuphila iyonke.

KUBALULEKILE: Lokhu okuqukethwe kungokwezinjongo zolwazi kuphela. Ukuze uthole iseluleko sezokwelapha noma ukuxilongwa, xhumana nochwepheshe wezempilo endaweni yakini.

Iyini i-hernia ye-inguinal?

Incazelo:

I-hernia ye-inguinal yenzeka lapho izicubu, njengengxenye yamathumbu, ziphuma endaweni ebuthakathaka emisipheni yesisu. Lokhu kungabangela ukuvuvukala, ngokuvamile endaweni ye-groin. Lesi simo singaba buhlungu, ikakhulukazi uma ukhwehlela, ugoba, noma uphakamisa into esindayo.

Kodwa-ke, kwezinye izimo, i-hernia ye-inguinal ingase ingabingeli zimpawu noma ukungakhululeki, futhi ungase ungazi nokuthi unayo. I-hernia ye-inguinal iwuhlobo oluvame kakhulu lwe-hernia futhi ingenzeka kwabesilisa, abesifazane, kanye nezingane.

Imbangela eyinhloko ye-hernia ye-inguinal ukuvuleka noma ubuthakathaka ezicutshini zemisipha yodonga lwesisu, okuba khona ngesikhathi sokuzalwa noma ukukhula ngokuhamba kwesikhathi (ezinsaneni ezizalwa zinesisindo esiphansi noma ezinsaneni ezingaphambi kwesikhathi).

I-hernias ye-inguinal ihlukaniswe ngezinhlobo ezimbili: eqondile nengaqondile.

1. I-Las ama-hernias aqondile e-inguinal Zibangelwa ubuthakathaka bezicubu ezixhumeneyo zodonga olungezansi noma phansi komsele we-inguinal futhi zingakhula ngokuhamba kwesikhathi.
2. I-Las ama-hernia angaqondile e-inguinal Zibangelwa ukukhubazeka kokuzalwa odongeni olungemuva noma ekuvulekeni komsele ojulile we-inguinal. Lolu hlobo lwe-hernia luvame kakhulu ezinsaneni nasezinganeni ezincane futhi lungenzeka kokubili kwabesilisa nabesifazane.

Ukuqonda uhlobo kanye nembangela ye-hernia ye-inguinal kubalulekile ekunqumeni indlela efanele yokwelashwa nokuvimbela noma yiziphi izinkinga ezingase zivele uma ingelashwa.

Uma ufuna ukwelashwa kwe-hernia ye-inguinal, kubalulekile ukubonana nodokotela onguchwepheshe ekuhlinzeni. Ukwelashwa kwe-hernia ye-inguinal kungahluka kuye ngobukhulu be-hernia, ubukhali bezimpawu, kanye nempilo yomuntu ngamunye ngesikhathi sokubonisana.

Kwezinye izimo, ikakhulukazi ngama -hernia amancane noma angenazimpawu , kunganconywa indlela yokulinda nokubona. Kodwa-ke, ezimweni eziningi, ikakhulukazi lapho i-hernia ye-inguinal inkulu noma ibangela ukungakhululeki okukhulu, ukungenelela kokuhlinzwa kungadingeka ukuze kuyilungise futhi kuncishiswe ingozi yezinkinga.

Izimpawu

Izimpawu ze-hernia ye-inguinal zingahluka kumuntu nomuntu. Abanye abantu bangase babe nokuvuvuka okubonakalayo noma okuzwakalayo kuzo zombili izinhlangothi zethambo le-pubic, okungase kubonakale kakhulu lapho bemi, becindezela, noma bekhwehlela.

Lokhu kuqubuka ngokuvamile kuyisibonakaliso esiyinhloko se-hernia ye-inguinal futhi kungase kuhambisane nomuzwa wokusinda noma ingcindezi esiswini esingezansi. Kwezinye izimo, i-hernia ye-inguinal ingabangela ubuhlungu noma ukungakhululeki endaweni ethintekile, ikakhulukazi ngesikhathi sokusebenza ngokomzimba noma isikhathi eside sokuma.

Ezinye izimpawu ze-hernia ye-inguinal zingase zihlanganise ubuhlungu noma ukungakhululeki embotsheni, ikakhulukazi lapho ugoba, uphakamisa izinto ezisindayo, ukhuphuka izitebhisi , noma ukhwehlela. Kwezinye izimo, ubuhlungu bungasakazeka embotsheni yama-scrotum kwabesilisa.

Abanye abantu abane-hernia ye-inguinal bangase babe nobuhlungu, ukusha, noma ukungakhululeki endaweni ethintekile, ikakhulukazi ekupheleni kosuku noma ngemva kokusebenza isikhathi eside. Kubalulekile ukuqaphela ukuthi kwezinye izimo i-hernia ye-inguinal ingaba nezimpawu, ingabangela ukungakhululeki noma ubuhlungu obubonakalayo.

Kodwa-ke, ukwelashwa ngokuhlinzwa kwe-hernia kungadingeka ukuze kuncishiswe ingozi yezinkinga zesikhathi esizayo, ikakhulukazi uma kunengozi yokuthi ibe yi-cystic noma iklinywe.

Ukubonisana nodokotela kubalulekile ekuxilongweni okunembile kanye nokuphathwa kahle kwe-hernia ye-inguinal. Kwezinye izimo, ukuhlolwa ngokomzimba kunganele ukuthola i-hernia ye-inguinal, ikakhulukazi uma isici sikhona futhi singazwakala.

Udokotela angase futhi acele lowo muntu ukuba asukume futhi enze umzamo wokukhwehlela, njengoba lokhu kwenza iqhubu libonakale kakhulu.

Kwezinye izimo, bangase batuse ukuhlolwa okwengeziwe kwezithombe, njenge-ultrasound noma i-MRI, ukuqinisekisa ukuxilongwa nokuhlola ubukhulu be-hernia.

Uma sekutholakale ukuthi unesifo, uchwepheshe wezokwelapha angakweluleka ngendlela efanele yokwelapha ngokusekelwe empilweni yomuntu iyonke kanye nezici ezithile ze-hernia.

Ukuqaphela nokulinda ama-hernia amancane, angenazimpawu

Kuma-hernia amancane angabonisi izimpawu, uchwepheshe wezempilo angancoma indlela "yokulinda ngokuqapha". Lokhu kusho ukuthi i-hernia iqashwa ngokuhamba kwesikhathi ukuze kutholakale noma yiziphi izinguquko noma ukuqala kwezimpawu.

Phakathi nalesi sikhathi, umuntu angase elulekwe ukuba enze izinguquko ezithile endleleni yakhe yokuphila, njengokugwema ukuphakamisa izinto ezisindayo, ukusiza ekuvimbeleni i-hernia ukuba ingabi yimbi kakhulu. Kwezinye izimo, uchwepheshe wezempilo angase futhi ancome ukusetshenziswa kwensiza yokusekela, njenge-back brace noma i-bandage, ukuze kuncishiswe ingcindezi futhi kusekelwe i-hernia.

Ukusetshenziswa kwalesi sambatho esisekelayo, ngezinye izikhathi esibizwa ngokuthi "i-truss," kungasikiselwa, ikakhulukazi kubantu abangebona abantu abafanelekile ukuhlinzwa ngenxa yempilo yabo iyonke noma ezinye izimo zezokwelapha (njengomfutho wegazi ophakeme ongalawulwa kahle, ukwehluleka kwenhliziyo, noma isifo samaphaphu esingamahlalakhona, esaziwa ngokuthi i-COPD).

Kubalulekile ukuthi abantu abane-hernias ye-inguinal abaphathwa ngendlela yokulinda ngokuqapha babe nezikhathi zokulandelela njalo nomhlinzeki wabo wezempilo. Phakathi nalezi zikhathi zokubonana, umhlinzeki angaqapha i-hernia ukuze athole noma yiziphi izinguquko futhi ahlole izimpawu zomuntu kanye nenhlalakahle yakhe iyonke.

Uma i-hernia ibonisa izimpawu zokukhula, iba nezimpawu, noma iqala ukubangela ezinye izinkinga, umhlinzeki wezempilo angancoma indlela yokungenelela eyengeziwe, njengokulungiswa kokuhlinzwa, ukuze ilashwe futhi inciphise ingozi yezinkinga.

Ukulungiswa kokuhlinzwa

Ukuhlinzwa kubhekwa njengokwelashwa okuphumelelayo nokuqondile kwama-hernia e-inguinal. Umgomo oyinhloko wokulungisa i-inguinal hernia ukuqeda izimpawu, ukuvimbela ukuklinywa kwe-hernia, nokubuyisela udonga lwesisu olubuthakathaka noma olulimele.

Inqubo yokuhlinzwa yokulungisa i-hernia ye-inguinal ingase ihilele ukubuyisela izicubu ezisusiwe endaweni yazo yokuqala nokuqinisa indawo ebuthaka yodonga lwesisu. Lokhu kuvame ukufezwa ngokusebenzisa i-mesh yokwenziwa ukusekela nokuqinisa izicubu ezibuthakathaka, ukunciphisa ingozi yokuthi i-hernia iphinde ivele esikhathini esizayo.

Isinqumo sokwenza ukuhlinzwa kwe-inguinal hernia sivame ukusekelwe kubukhulu be-hernia, ukuba khona kanye nobukhali bezimpawu, kanye nempilo yomuntu iyonke. Kwezinye izimo, ikakhulukazi ngama-hernia amancane noma angenazimpawu, uchwepheshe wezempilo angancoma indlela yokulinda eqaphile futhi anikeze iseluleko ngokuhlinzwa kuphela uma i-hernia ikhula noma iba nezimpawu.

Kodwa-ke, kubantu abaningi, ikakhulukazi labo abane-hernias enkulu noma ekhathazayo, ukulungiswa kokuhlinzwa kungaba yindlela efanele kakhulu yokwenza.

Kubalulekile ukuthi umuntu abe nengxoxo ejulile nochwepheshe ochwepheshe bokuhlinzwa ukuze aqonde izinzuzo ezingaba khona, izingozi, kanye nemiphumela elindelekile yokungenelela kokuhlinzwa futhi aphakamise noma yimiphi imibuzo noma ukukhathazeka mayelana nenqubo.

Izinhlobo zokuhlinzwa kwe-hernia ye-inguinal

Kunezindlela ezimbili eziyinhloko zokulungisa i-hernia ye-inguinal: ukuhlinzwa okuvulekile kanye nokuhlinzwa kwe-laparoscopic.

1. Ukuhlinzwa okuvulekileLe nqubo, eyaziwa nangokuthi ukuhlinzwa kwendabuko noma okuvamile, ihilela ukwenza ukusika okukodwa okukhulu ngqo phezu kwe-hernia. Udokotela ohlinzayo ube esebeka kabusha ngokucophelela izicubu ezivelelayo bese elungisa indawo ebuthaka yodonga lwesisu, evame ukusebenzisa i-mesh yokwenziwa ukuze isekele ngokwengeziwe.
2. En ukuhlinzwa kwe-laparoscopicKudingeka i-anesthesia ejwayelekile; udokotela ohlinzayo wenza izimbobo eziningana ezincane odongeni lwesisu, lapho kufakwa khona amathuluzi okuhlinzwa akhethekile kanye nekhamera encane. Lokhu kuvumela udokotela ohlinzayo ukuthi abuke izakhiwo zangaphakathi ngemininingwane eminingi kusikrini futhi aqondise ukulungiswa kwe-hernia ngokunemba okukhulu.

Kokubili ukuhlinzwa kokulungisa i-hernia ye-inguinal okuvulekile kanye ne-laparoscopic kunezinzuzo kanye nokucatshangelwa kwakho.

Ukuhlinzwa okuvulekile kungase kube ngcono ezimweni ezithile futhi kungenziwa ngaphansi kwe-anesthesia yesifunda kanye nokwelapha, njengalapho ubukhulu noma indawo ye-hernia ikwenza kufaneleke kakhulu kule ndlela.

Ngakolunye uhlangothi, ukuhlinzwa kwe-laparoscopic kuvame ukuhlotshaniswa nobuhlungu obuncane ngemva kokuhlinzwa, ukubuyela ngokushesha emisebenzini evamile, kanye nengozi engaba ncane yokuthola ubuhlungu obungapheli ngemva kwenqubo.

Ukukhetha phakathi kwalezi zindlela ezimbili kuvame ukusekelwe ezicini ezithile ze-hernia, ubuchwepheshe bukadokotela ohlinzayo, isimo sempilo esijwayelekile ngesikhathi sokunakekelwa (ukuhlinzwa okuhleliwe noma ukungenelela okuphuthumayo), kanye nezintandokazi zomuntu ngamunye.

Kubalulekile ukuxoxa ngezinketho ezitholakalayo nodokotela ohlinzayo oqeqeshiwe ukuze kutholakale indlela yokuhlinzwa efaneleke kakhulu yokwelapha i-hernia ye-inguinal.

I-Laparoscopic vs. Vula

Uma ucabangela indlela efanele kakhulu yokulungisa i-hernia ye-inguinal, ukukhetha phakathi kokuhlinzwa kwe-laparoscopic kanye nokuhlinzwa okuvulekile kuyisinqumo esibalulekile okufanele senziwe ngemuva kokubonisana nochwepheshe wezempilo.

Ukulungiswa kwe-hernia nge-laparoscopic kunikeza izinzuzo eziningana ezingaba khona, njengesikhathi esifushane sokululama, ubuhlungu obuncane ngemva kokuhlinzwa, kanye nengozi ephansi yokuthola ukungakhululeki noma ubuhlungu obungapheli endaweni ethintekile.

Ngaphezu kwalokho, indlela ye-laparoscopic ivame ukuholela ezibazini ezincane, ezingabonakali kakhulu futhi ingavumela ukubuyela ngokushesha emisebenzini egcwele, engenamingcele.

Kodwa-ke, kubalulekile ukuqaphela ukuthi akubona bonke abantu abafanelekela ukulungiswa kwe-laparoscopic hernia, futhi isinqumo sokukhetha le ndlela kufanele sicabangele izici ezithile ze-hernia, ulwazi lukadokotela ohlinzayo, kanye nempilo yomuntu kanye nomlando wezokwelapha.

Ngokuphambene nalokho, ukulungiswa kwe-hernia evulekile , yize kuhilela ukusikwa okukhulu kanye nesikhathi sokululama kokuqala esinde kancane, kube yindlela ephumelelayo nehlala isikhathi eside yokwelapha i-inguinal hernias.

Le ndlela ivumela udokotela ohlinzayo ukuthi afinyelele ngqo endaweni ethintekile, alungise izicubu ezibuthakathaka, futhi anikeze ukwesekwa okwengeziwe esebenzisa i-mesh yokwenziwa, konke lokhu ngenkathi eqinisekisa ukuphepha nokusebenza kahle okuphezulu.

Isinqumo sokulungiswa kwe-hernia evulekile singathonywa yizici ezifana nosayizi nendawo ye-hernia, impilo yomuntu jikelele kanye nomlando wezokwelapha, kanye nesincomo sikadokotela ohlinzayo, ngokusekelwe ekuhlolweni kwabo kwesimo esithile.

Ngokuhlola izinzuzo ezingaba khona kanye nokucatshangelwa kwendlela ngayinye kanye nokuxoxa ngokuningiliziwe nodokotela ohlinzayo oqeqeshiwe, abantu bangenza isinqumo esinolwazi mayelana nendlela yokuhlinzwa efanele kakhulu yokwelapha i-hernia ye-inguinal.

Ukubuyisela

Ukululama ngemva kokuhlinzwa kwe-hernia ye-inguinal kuyisigaba esibalulekile senqubo yokwelashwa futhi kubalulekile empumelelweni kanye nomphumela omuhle kakhulu. Isikhathi sokululama esithile singahluka kuye ngendlela yokuhlinzwa, impilo yomuntu iyonke, kanye nohlobo lwe-hernia.

Ngemva kokulungisa i-hernia evulekile ye-inguinal , kuyinto evamile ukuzwa ukungakhululeki kanye nomsebenzi womzimba olinganiselwe ezinsukwini ezilandela ukuhlinzwa.

Kodwa-ke, abantu abaningi bangaqhubeka kancane kancane nemisebenzi yabo evamile yansuku zonke, okuhlanganisa umsebenzi kanye nokuzivocavoca okulula, phakathi nesonto elilodwa noma amabili.

Kubalulekile ukuhlala ngohlangothi lwakho usekele enye yezindololwane zakho, ugweme ukuphakamisa izinto ezisindayo nokwenza imisebenzi enzima amasonto ambalwa, ukuze indawo yokuhlinzwa iphole kahle.

Ngakolunye uhlangothi, ngemva kokulungiswa kwe-laparoscopic hernia , abantu abaningi babhekana nobuhlungu obuncane ngemva kokuhlinzwa futhi babuyela ngokushesha emisebenzini evamile. Kuvamile ukuqhubeka nemisebenzi elula, okuhlanganisa umsebenzi nokuzivocavoca okuncane, ezinsukwini ezimbalwa ngemva kwenqubo.

Kuzo zombili izinqubo ezivulekile kanye ne-laparoscopic, uchwepheshe wezempilo uzonikeza isiqondiso esithile mayelana nemikhawulo yomsebenzi, ukunakekelwa kwamanxeba, kanye nokuqokwa ngemva kokuhlinzwa okudingekayo ukuze kuqashwe inqubekela phambili yokululama.

Ukulandela le miyalelo nokuya emihlanganweni yokulandelela kubalulekile ukuqinisekisa ukuthi ukululama kuyaqhubeka njengoba kuhleliwe kanye nokubhekana nanoma yiziphi izinkinga noma izinkinga ezingase ziphakame ngesikhathi senqubo yokululama kwezicubu.

Ngokuhlanganyela ngenkuthalo enkambisweni yokululama nokulandela izincomo zochwepheshe bezempilo, abantu bangakhuthaza ukululama okubushelelezi nokwanelisayo ngemva kokuhlinzwa kwe-hernia ye-inguinal.

Ukunakekelwa okuphuthumayo

Kwezinye izimo, i-hernia ye-inguinal ingavalelwa noma iklinywe, okungaholela ezinkingeni ezinkulu noma kube yingozi empilweni.

I -hernia evalelwe yenzeka lapho i-loop yamathumbu ibanjwa endaweni ebuthakathaka yodonga lwesisu, okubangela ukuvaleka. Lokhu kungabangela ubuhlungu obukhulu, isicanucanu, ukuhlanza, kanye nokuvuvukala okuqinile nokubonakalayo endaweni ethintekile.

Uma umhlinzeki wezempilo esola ukuthi umuntu une-hernia eboshiwe, kungadingeka usizo lwezokwelapha ngokushesha futhi, ezimweni eziningi, ukuhlinzwa okuphuthumayo zingakapheli amahora ayisithupha kusukela ekuqaleni kokungakhululeki ukuze kukhululwe izicubu ezivalelekile futhi kwelashwe izinkinga.

Ngokufanayo, i-hernia eklinyiwe yenzeka lapho igazi eliya engxenyeni yamathumbu ebambekile linqanyulwa, okuholela ekulimaleni kwezicubu kanye nengozi eyengeziwe yokutheleleka.

Lesi yisimo esiphuthumayo sokuhlinzwa esidinga ukungenelela okusheshayo zingakapheli amahora ayi-6 kusukela izimpawu ziqale, ukuze kubuyiselwe ukugeleza kwegazi futhi kuvinjelwe ukusabalala kwezinkinga ezingase zibulale.

Kubalulekile ukuthi abantu abane-hernia ye-inguinal bazi izimpawu ezingaba khona ze-hernia evalelwe noma eklinyiwe, njengobuhlungu obukhulu nobungapheli esinqeni, ukuba khona kweqhubu eliqinile, elithambile nelingasuswa , kanye nokuvela kwezimpawu ezifana nokucanuzela kwenhliziyo, ukuhlanza kanye nobunzima bokukhipha indle noma ukukhipha igesi.

Uma kukhona noma yiziphi zalezi zimpawu, kubalulekile ukufuna usizo lwezokwelapha ngokushesha ukuze kuvinjelwe ukuqhubeka kwezinkinga ezihlobene ne-hernia eboshiwe noma eklinyiwe. Ukungenelela ngesikhathi esifanele kanye nokunakekelwa kwezokwelapha okufanele kubalulekile ukuze kuphathwe ngempumelelo lezi zinkinga ezingaba khona futhi kuncishiswe ingozi yemiphumela emibi.

Isiphetho

Ama-hernia e-inguinal ayisifo esivamile esingaba nezimpawu ezahlukahlukene. Ngenhlanhla, kunezindlela zokwelapha ezitholakalayo zokuqeda ukungakhululeki nokubuyisela ukusebenza kahle.

Ukuhlinzwa , kanye nokuvuselelwa kwayo , kuyindlela evame kakhulu yokwelapha ama-hernias e-inguinal, njengoba inikeza ikhambi eliphumelelayo nelihlala njalo.

Ukuqaphela isiguli izimpawu ze-hernia ye-inguinal kubalulekile ekuqinisekiseni ukuthi bafuna ukwelashwa ngesikhathi, ngaphambi kokuba kuvele izinkinga.

Nakuba ukuhlinzwa kungase kubonakale kunzima, iziguli zingaqiniseka ukuthi, ngamasu amanje, ukululama kuyashesha futhi kuyanelisa.

Ngolwazi olunjalo mayelana nezinketho zokwelapha i-hernia ye-inguinal, abantu bangenza izinqumo ezinolwazi mayelana nokunakekelwa kwabo kwezempilo ukuze bakwazi ukubuyela ekuphileni ngaphandle kokukhathazeka noma ukungakhululeki.

Leli yithuba lokwabelana ngolwazi lwezempilo lokuvimbela mayelana nama-hernias e-inguinal ezinkundleni zokuxhumana nokusiza umndeni wakho, abangani, nabanye ukuthi babone ukungakhululeki futhi bavakashele isikhungo sezokwelapha sendawo ngokushesha okukhulu ukuze bagweme izinkinga ezinkulu.

Ngiyabonga ngokuphawula kwakho kanye neziphakamiso zakho zebhulogi: Impilo Yokugaya Ukudla. Sizobonana kokuthunyelwe okulandelayo!

UDkt. Jorge Delgado, Udokotela Ohlinzayo. Ukwelashwa kwe-hernia ye-inguinal.