I-hernia engacatshulwayo eyenzekayo xa kwenzeka ubuthathaka kwimisipha yesisu kuvumela izicubu zesisu ukuba ziqhube nge-muscle. I-hernia ibonakala njengobuncwane phantsi kwesikhumba kwaye ingaba buhlungu okanye ithenda kwibala.
Kwimeko ye-hernia engabonakaliyo, ubuthathaka kwi-muscle bubangelwa ukuchithwa okwenziwe ngaphambili kokuhlinzwa kwesisu.
Ukupenda umfanekiso ocacileyo: ngexesha lotyando, isicatshulwa senziwa kwiimisipha ezenza isisu. Ngesizathu esithile, loo muscle ayiphilisi, ngoko i-gap iyavula njengoko imisipha iqinisa kwaye ikhululwe ngexesha lemisebenzi. Esikhundleni sendawo ephathekayo, eqinileyo yesisipha, unesilonda sesisiphako esinesithuba esincinci kuso.
Emva kwexesha elithile, izicubu ezingaphantsi ziyabona ukuba kukho indlela yokuphepha ephuma kumsila kwaye baqala ukuphawula ngokuvulwa, ukuya kwindawo apho banokuthi banqunywe phantsi kwesikhumba. I-hernia engabonakaliyo yinto encinci ngokwaneleyo ukuba kuphela i-peritoneum, okanye i-lining of the stomity cavity. Kwiimeko ezinzima iinxalenye zezitho zingaphumelela emgodini kwimisipha, kodwa oku kuphantsi kakhulu.
Sibanzi
Iimbali ezininzi zokuhlinzwa ngethambo zinganyusa umngcipheko we-hernia engaqondakaliyo, njengoko isicatshulwa ngasinye sinika ithuba elitsha lokwakheka. Ukuba i-hernia ikhula kwisisu kwaye isiguli asizange senze utyando, akusiyo into engavumelekanga.
Isigulane esithobela ubunzima obukhulu emva kokuhlinzwa kwesisu, sikhulelwe, okanye sithatha inxaxheba kwimisebenzi eyenza ukwanda kwengcinezelo esiswini (njengokuphakamisa okunzima) kusemngciphekweni omkhulu wokungena.
Isixhobo sinobuthathaka, kwaye ininzi isondele kwi-hernia, ngelixa isaphila. Nangona i-hernias engabonakaliyo ingahlakulela okanye yandise inyanga okanye iminyaka emva kokuhlinzwa, ziyakwenzeka ukuba zenzeke kwiinyanga ezintathu ukuya kwezi-6 emva kokuhlinzwa.
Ukuxilongwa
I-hernias engabonakaliyo inokubonakala ibonakala kwaye iphela, ebizwa ngokuba yi-hernia "yokunciphisa". I-hernia ingabonakali ngaphandle kokuba isigulane sibandakanyeka kumsebenzi okwandisa uxinzelelo lwesisu, njengokukhwehlela, ukukrazula, ukunyanzelisa ukuba neentshukumo, okanye ukuphakamisa into enzima.
Ukubonakala kwe-hernia kwenza kube lula ukuxilongwa, ngokufuna ukuba akukho vavanyo ngaphandle kovavanyo lomzimba ngugqirha. Ugqirha unokucela ukuba ukhwehlela okanye ubekezele ukuze ubone i-hernia ngelixa "liphuma."
Uvavanyo oluqhelekileyo lunokwenziwa ukuze kutholakale ukuba yintoni ummandla womzimba oshukumisayo ngokusebenzisa imisipha. Ukuba i-hernia inkulu ngokwaneleyo ukuvumela ngaphezu kwembombo yesigxina esiswini, kuya kufuneka ukuba uvavanyo lube lufuneka.
Unyango
I-hernia engacacanga ingaba yincinci ngokwaneleyo ukuba ukulungiswa kocwangco kukukhetha, kungekho mfuneko. Ukuba i-hernia inkulu, ibangela intlungu, okanye iyaqhubeka ikhula, utyando lunokucetyiswa.
Olunye ukhetho luyintonga, isambatho esifana nebhinti yesisindo okanye ibhinti, esisebenza rhoqo uxinzelelo kwi-hernia.
Xa i-Incisional Hernia iyingozi?
I-hernia ebambelela kwi-"out" isikhundla ibhekiselwa ekubeni yindawo yokuboshwa.
Nangona i-hernia eboshwe entolongweni ingabi yimeko engxamisekileyo, kufuneka ilondolozwe unyango, njengoko lunokukhawuleza libe yimeko engxamisekileyo.
I-hernia eboshiweyo iba yimeko engxamisekileyo xa iba "i-hernia ecwangcisiweyo," apho izicubu ezikhuphayo zibulawa yindlala yegazi. Ukungathandabuzeki, i-hernia ephazamisayo ingabangela ukufa kwezicubu ezinobunzima obunzima.
I-hernia ecacileyo ingabonwa ngumbala obomvu obomvu okanye obomvu weethambo ezinobumba. Inokuhamba kunye nentlungu enzima, kodwa ayisoloko ibuhlungu. Ukuxuba, ukuhlanza, isifo sohudo kunye nokuvuvuka kwesisu kuya kubakho.
Cinga nje ngokuba i-hernia ilingana nokuthayipha umtya owenziwe ngomnwe wakho de ube ugugile kwaye ubuhlungu kwaye awukwazi ukuwucutha umtya. I-hernia ephazamisekileyo yimeko engxamisekileyo yonyango kwaye idinga ukungenelela kwangangoko ukukhusela umonakalo emathunjini nakwezinye izicubu.
Xa Elinye I-Hision Surgery I-Hernia Ingozi?
I-Hernia engenakunokwenzeka ingadinga ukuhlinzwa ukuba:
- Iyaqhubeka nokwandisa ngaphezu kwexesha
- Kukhulu kakhulu
- Yinto engapheliyo
- Ubunzima buhlala nanxa isigulane sikhululekile okanye silala phantsi
- I-hernia ibangela intlungu
Kwezinye zale meko, isigqibo sokuba ngaba utyando luya kuwe. Unokufuna utyando ukuba ungaziva okanye unxhala malunga nendlela u-hernia abukeka ngayo, umzekelo. Kungcono ukuxoxa ngokuhlinzwa ukuze ufumane iinkcukacha uze uqonde inkqubo kunye nokokubukeka kubukeka njani.
Ukuhlinzwa
Utyando lwe-hernia olungenangqondo luqhutshwa ngokusetyenziswa kwe-anesthesia jikelele kwaye luyenziwa kwisigulana . Utyando luqhutyelwa ngokusetyenziswa kwindlela yokwenza i-laparoscopic , usebenzisa iincinci ezincinci kunokuba zithethe, kwaye zikhulu kakhulu, ezivulekileyo . Ugqirha lwenziwe ngugqirha oqhelekileyo okanye ugqirha we- colon-rectal .
Xa kunikwe i-anesthesia, utyando luqala ngokuchotshiswa kwinqanaba le-hernia. I- laparoscope ifakwe kwisicatshulwa esisodwa, kwaye esinye isicatshulwa sisetyenziselwa izixhobo zokuphanda ezongezelelweyo. Ugqirha ke uhlukanisa isahlulo sesinxibe esiswini esichukumisa nge-muscle. Ezi zicubu zibizwa ngokuba yi "hernia sac". Ugqirha uyabuyisela kwindawo yayo eyiyo kwaye uqala ukulungisa isiphako semisipha.
Ukuba isiphene kwisisipha sincinci, kunokuthi i- sutured ivaliwe. I-sutures izakuhlala kwindawo ngokusisigxina, ukukhusela i-hernia ukuba ibuye. Ngenxa yeziphene ezinkulu, ugqirha unokuvakalelwa kukuba ukukhwabanisa akukwanele. Kule meko, i-graft graft izakusetyenziswa ukumboza umgodi. I-mesh isigxina kwaye inqanda ukuba i-hernia ibuyele, nangona isiphako sihlala sivulekile.
Ukuba i-suture indlela isetyenzisiwe kunye neziphene ezininzi (malunga nobukhulu bekota okanye ngaphezulu), ithuba lokuphindaphinda landa. Ukusetyenziswa kweendwangu kwi-hernias emikhulu ngumgangatho wonyango, kodwa kungenakufaneleka ukuba isigulane sinomlando wokugatya iziphene zokugqithisa okanye imeko evimbela ukusetyenziswa kwemfono.
Emva kokuba i-mesh isendaweni okanye i-muscle ixhunyiwe, i-laparoscope isuswe kwaye ukuvalwa kungavalwa. Isibhengezo sivaliwe ngokuvalwa kunye ne-sutures esuswe ekutyelelweni kokulandelelana kunye nodokotela ohlinzayo, apho i-eglue ifom ekhethekileyo isetyenziselwa ukubamba ukuvalwa kwesicatshulwa. Iibhanji ezincinci ezibizwa ngokuba yi-ster-strips zingasetyenziswa.
Ukubuyisela
Uninzi lwezigulane ze-hernia ziyakwazi ukubuyela emsebenzini wazo eziqhelekileyo kwiiveki ezimbini ukuya kwezine. Isisu siya kuba nethenda, ngakumbi kwiveki yokuqala. Ngeli xesha, ukukhutshwa kufuneka kukhuselwe ngexesha lomsebenzi okwandisa ingcinezelo esiswini ngokusebenzisa isinyanzelo kodwa uxinzelelo oluncinci kwi- incision line . Oku kubaluleke kakhulu kwizigulane ze-hernia ezingenangqondo, njengoko zixhomekeke kwi-hernia engacatshulwa kwaye zingasengozini enye kwenye indawo.
Imisebenzi ngexesha lokukhutshwa kufuneka likhuselwe libandakanya:
- Ukunyuka ukusuka kwindawo yokuhlala
- Ukukrazula
- Ukuhlahlela
- Ukunyameka ngexesha lokunyakaza kwebilini. Nxibelelana nodokotela wakho ogqirha ukuba unyanzelekile emva kokuhlinzwa , isithenti sesebe sinokumiselwa.
- Ukuvutha
- Ukuphakamisa izinto ezinzima
Imininzi yemisebenzi edweliswe yimisebenzi oya kwenza ngayo imihla ngemihla, ngoko ke ukuphepha konke akunakwenzeka. Nangona kunjalo, kunomdla wakho ukuziphatha ngokuqapha ukukhusela ezinye iingxaki. Qinisekisa ukugcina umda ovulekileyo wokunxibelelana nodokotela wakho ukuba uyakrokreka into engafanelekanga.
> Imithombo:
> AmaZiko eNational Health. Inguinal Hernia Surgery. 2015.