Iimbangela Zeentlungu ezihlala zide kuneziNyanga ezintathu
Enye yeengxaki ezidakisayo zendlela yokuhlinzwa yintlungu yintlungu engapheliyo eyenzeka emva kwexesha. Yinto ephosakeleyo kunye nokugqithiswa kwanikezelwa ukuba utyando lwalujoliswe ekunciphiseni ubuhlungu, ungabongezeli kulo.
Ngenhlanhla, kuzo zonke iziganeko ezimbalwa, intlungu ayiyiyo isigxina kwaye iza kugqitywa yedwa. Kuthatha ixesha elingakanani kuxhomekeke kwiminyaka yomntu, uhlobo lotyando olusetyenzisiweyo, indawo kunye nobukhulu be-herniation, kunye nempilo jikelele yabantu.
Ukuqonda i-Post-Herniorraphy Neuralgia
Ubuhlungu obungapheliyo obunobungozi obungapheliyo, obubizwa ngokuba yi-post-herniorrhaphy neuralgia, ichazwa njengentlungu enxulumene neentliziyo eziqhubekayo kwiinyanga ezingaphezu kweenyanga ezintathu kwaye ayihambelani nayiphi na isizathu.
Akukho konke okuqhelekanga imeko, ngakumbi kulabo abaye bafumana ukuhlinzwa ngonyango lwe- inguinal (groin) . Ngokuxhomekeke kwiphando oluthetha ngalo, iziganeko zingaba ziphantsi kweepesenti ezithoba okanye ziphakamileyo njengama-62 ekhulwini. Kwezinye iimeko, intlungu inokuba nzima kakhulu ukuphazamisa ukuhamba, ukuhlala okanye ukulala.
Intlungu ibangelwa xa iimbulunga zonakaliswe okanye ziboshwe kwi-sutures, i-staples, okanye i-mesh yokugada. Intlungu eyenzekayo ibhekiswe njenge- neuropathy kwaye ingabonakalisa ngeentlungu zokudubula kunye / okanye ukutshisa, ukubetha, ukukhupha, okanye izikhonkwane zokuvutha.
Intlungu inokuthi ibe yinto ye- somatic , ithetha ukuba inxulumene nolusu, izihlunu, okanye izicubu kunokuba izibilini.
Ukuba kukho enye yalezi zihlanjululwa ngexesha lotyando, kungakhokelela ekukhankeni, ukukhupha okanye ukudonsa ukuvakalelwa, ngokuqhelekileyo ngokunyakaza. Ixesha kunye nokuzilolonga ngokuqhelekileyo kuyindlela engcono yokunciphisa intlungu yolu hlobo. Akunakwenzeka ukuba kubekho ixesha elide.
Ingozi yeHernia Neuralgia
Umngcipheko wokwenza i-neuralgia engapheliyo emva kokuhlinzwa ngokugqithiseleyo ingahluka kodwa ingaquka:
- Umncinane
- Ukuba ngumfazi (nangona kungekho mntu uqinisekile ukuba kutheni)
- Emva kokuhlinzwa ngaphaya kweminyaka emithathu edlulileyo
- Ukuqhutyelwa ukuhlinzwa ukuze kulungiselelwe ukuhlinzwa kwangaphambili
- Ukubandakanyeka kwe-Iliohypogastric nerve eyenza ukuvelelwa kwiindawo zokutya kunye nesisu
- Ukulungiswa kwendawo yangaphambili (kufuphi ne-midline) ye-hernia
- Usulelo okanye ezinye iingxaki zokuhamba emva
- I-neuropathy ekhoyo ngaphambili
Kule minyaka, ubudala bubonakala bubaluleke kakhulu. Enyanisweni, uphando oluthile lufumene ukuba iipesenti ezingama-58 zabantu abangaphantsi kwe-40 babehlala beqhubeka, ubuhlungu be-postoperative bobuhlungu buqhathaniswa neepesenti ezili-14 ngaphaya kwe-60. Oku kubangelwa kukuba abantu abaselula banomsebenzi kunabantu abadala.
Ukunyangwa kwe-Hernia Neuralgia
Ubunzima bokugula obungapheliyo buhlungu ngokuqhelekileyo buphathwa ngokusesikweni kunye ne-anti- stroidal anti-inflammatory drugs (NSAIDS) njenge-ibuprofen okanye naproxen. Iintlungu ezinzima zingadinga imithi ye- opioid .
Ukuba abahluleka ukubonelela ukukhupha, ugqirha unokuncoma ukuxhoma kwe- radiofrequency lapho okwenziwe ngombane oveliswa ngamaza omsakazo kusetyenziswa indlela yokunyakaza, ngaleyo ndlela ukunciphisa iintlungu ezivela kuloo ndawo.
Ingongoma engaphantsi kwesi sibizo sibizwa ngokuba yi- block nererve kwaye ibandakanya ukusetyenziswa kwe-injection ye-anesthétic ukukhawuleza ukusika imiqondiso yeentlungu.
ILizwi
Nangona ubuhlungu obungapheliyo buhlungu buya kuphazamisa impilo yakho kunye nomgangatho wobomi, kubalulekile ukuba ukhumbule ukuba akunakwenzeka ukuba yimeko engapheliyo. Kwimizuzu engama-30 yeemeko, intlungu iya kuhamba yodwa kwiinyanga ezintandathu. Emva kweminyaka emihlanu, ngaphantsi kweepesenti ezintathu zezigulane zihlala zichaphazelekayo.
Ngelixa unyango lunokuphucula ezininzi iimpawu, uqeqesho lunokuphucula ukujikeleza kunye nokuguquguquka, zombini ezo zinokunceda ukunciphisa intlungu ngexesha elide. Ukuhlala kusekho. Ukongezelela, ukuchitha loo mapaundi angaphezulu kunokuncedisa ukuxininisa uxinzelelo oluthile, ngokukodwa kwindawo yokuhluma okanye kwindawo ye-pelvic.
Ekugqibeleni, ukhetho olufanelekileyo lokuphila aluyikukwenza ube nempilo enokuthi, luyakwazi ukuphucula imvakalelo yakho kwaye ikunike indlela yokubhetele ngokubhekisele entlungu.
Imithombo:
> Hakeem, A. kunye neShanmugam, V. "Iimeko ezikhoyo ekuxilongweni nasekulawuleni i-post-herniorraphy ubuhlungu obuhlungu buhlungu." Ihlabathi I-Surgery ye-Gastrointest Surgery. 2011; 3 (6): 73-81. INGXELO: 10.4240 / wjgs.v3.i6.73.
> Somaiah, A. kunye no-Spence, R .. "Ubuhlungu obungapheliyo emva kobuchopho baseHernia - I-Consent Informed Issue." Ulster Med J. 2007; 76 (3): 136-40.PMCID: PMC2075594