Abasetyhini abane-hernias banokuhlupheka ngenxa yentlungu yeplavic iminyaka ngaphambi kokuxilongwa
Umdlalo wezemidlalo kubasetyhini unako ukungafunyanwanga iinyanga, nokuba neminyaka. Isiphumo: iintlungu ezingapheliyo zesifo esiswini nesisu se-pelvic zingenzeka.
Xa indawo emadongeni esiswini iyancipha, ibuthathaka okanye ihlukaniswe, ivumela ukuba izitho zangaphakathi, ezinjengamathumbu amancinci, ziqhutywe, le yintsimi kwaye ibangela intlungu.
Iimpawu zeHernias kwaBasetyhini
Iimpawu ze-hernias kwabasetyhini zihluke kakhulu kwalaba bantu abanamava.
Omnye umehluko yindawo. Kula mabhinqa, i-hernia ihlala iphinde ibe yinyama emzimbeni kwaye ngoko ingabonakali kangako kunabantu. Ibhinqa elinomsila kaninzi lihlala libuhlungu obukhulu obungapheliyo kwintlungu okanye intlungu yeentlungu ezibuhlungu, eziza kuhlasela ngokukhawuleza kwaye zihlala. Iimpawu ezinjalo zihlala zikhomba ugqirha ngendlela engafanelekiyo, kwaye abafazi baqale bafumanisa ukuba banezinto ezivela kwi-endometriosis ukuya kwi- cysts okanye i-fibroids.
Ukufumana i-hernia diagnostic echanekileyo kunzima kubafazi kuba la ma-hernias ahlala esincinci kwaye enzulu esiswini. Ngenxa yoko, i-hernias yabasetyhini ayikho nto ibangela ukuba naluphi na ukugqithisa kwesikhumba, okuyiyo-classic hernia ebonisa amadoda.
Ukufumanisa i-Hernias kumaTyhini
Nangona ininzi ye-hernias kubasetyhini ekukholelwa ukuba ivela kwezinye iingxaki, ukuqonda ukuba iimpawu ze-hernia ziyingqayizivele kunokunceda ukufumana ukuxilongwa ngokuchanekileyo lula. Okuthe ngqo ukuba unokuthi xa uchaza i-hernia ethile yeentlungu zokuvalelwa - kuquka ukutshisa, ukuququza, kunye neentlungu zokudubula kwi-pelvis okanye i-groin-mhlawumbi uya kufumana ukuxilongwa ngokuchanekileyo ngokukhawuleza.
Ukuchaza ukuba zeziphi iziganeko ezibangela okanye ukwandisa intlungu okanye oko kwenza ukuba ihambe nayo inokukunceda kakhulu ugqirha. Imisebenzi eyenza ingcinezelo yangaphakathi yomzimba ikhuphuke, njengokuphakamisa izisindo okanye ukuzisebenzisa, ukukhwehlela, ukuhleka kunye nokuxhamla kwindawo yokuhlambela, ngaba bonke bayayiginisa ugqirha uya kukwazi ukuba yinto enokwenzeka .
(Le ngcebiso iluncedo kuyo nayiphi na intlungu onokuyenza, kungekhona nje ubuhlungu be-hernia.)
Ukuchaza intlungu ngendlela ebanzi okanye ngokubanzi kwenza kube nzima ngakumbi ukuba ugqirha ukuba uchaze isizathu. Kubalulekile ukuchaza nayiphi na intlungu obona ngayo ngokuchanekileyo ngokunokwenzeka.
Emva kokuba iimpawu zikhokelela ekutheni i-hernia ixilongwa kubasetyhini, i-MRI iyona nto ithobileyo yokucamngca ukukunceda ukuqinisekisa ukuxilongwa.
Ukunyanga i-Hernias kwabasetyhini
Izindlela zokwelapha ezixhasayo ziquka unyango kunye neyonyango kunye kwaye kunokuphucula ulawulo lweentlungu okanye ukulawula iimpawu. Iiphilisi zenyama zingasebenzisa iindlela zokukhululwa kwe-myofascial ukunceda ukunciphisa okanye ukunciphisa ama- muscle spasms okwandisa ubuhlungu be-hernia.
Ukuba unyango olulondolozayo luyiphumelelanga ukuphucula iimpawu, utyando lwe-laparoscopic ngokuqhelekileyo usetyenziselwa ukulungisa i-hernia. Le nkqubo ilungisa indawo ebuthathaka kwodonga lwesisu. Abaninzi abasetyhini baphilisa kwi-laparoscopic ukuhlinzwa ngokukhawuleza-kwinye ukuya kwiiveki ezimbini-kwaye banako ukuqhubeka kwakhona yonke imidlalo kunye nemisebenzi ngaphandle kwentlungu.
Imithombo:
I-Metzger DA, Ph.D., MD, i-Hernias kumaBhinqa: Aqhelekanga okanye Ayifumanekanga? [http://www.laparoscopytoday.com/2004/01/hernias_in_wome.html], iLaparoscopy namhlanje, ngoJanuwari 01, 2004.
Farber AJ, uWilckens JH. Iimidlalo ze-hernia: ukuxilongwa kunye nendlela yokwelapha. http://www.jaaos.org/cgi/content/full/15/8/507. J Am Acad Orthop Surgery. 2007 Agasti; 15 (8): 507-14.