Iyintoni i-hernia yezemidlalo?
Ukwenzela ukuxilongwa ngokufanelekileyo kwintlungu yokuphunga kwintlethi kuye kwaba ngumngeni kumagqirha kunye nabadlali. Kungekude nje, uninzi lweentlungu ezibuhlungu kwi-athlete zafunyanwa njengesifo se-muscle. Kwiminyaka embalwa edluleyo, uphando oluphando luye lwaphanda umthombo weentlungu zentlungu kwaye yafumanisa iimeko ezahlukeneyo ukusuka kwingozi yokwenza imisipha, umonakalo we-cartilage, iingxaki zeentliziyo kunye neemeko ze-urologic zinokubangela iimpawu ezifanayo.
Enye inkathazo enzima ukuyixilonga ibizwa ngokuba ngumdlalo wezemidlalo.
Imidlalo ye-hernia iyenzeka xa kunobuthakathaka kweemisipha okanye iintambo zodonga oluphantsi kwesisu. Le nxalenye yesisu yindawo efanayo apho i-hernia engumngcipheko ivela khona, ebizwa ngokuba ngumngcingo we- inguinal . Xa i-hernia engumngcipheko eyenzekayo inokwanela ngokwaneleyo kwodonga lwesisu ukuze kuvunyelwe i-poch, i-hernia. Kwimeko yezemidlalo, le ngxaki ibangelwa ukunyanzeliswa kwezidumbu zesisu esiswini, kodwa akukho nhlobo ebonakalayo.
Umngcipheko we-inguinal ngummandla kwisisu esisezantsi, ngaphaya kwe-groin. Umngcingo uwakhiwa ngokufakwa kwezihlunu zesisu kunye neethambo, kunye nemigqa emininzi. Ngomngcipheko we-inguinal uhamba ngentambo ye-spermatic (kwindoda) okanye i-ligament ejikelezayo (kubasetyhini). Le ndawo yesisu iselungelelanisa udonga lwesisu, ukuvumela ukutyhulwa, okanye i-hernia.
Ingxaki kunye nodongeni lwesisu kubantu abanemidlalo ye-hernia akuyiyo inkunkuma yamandla. Ukuba nenxalenye ebuthakathaka kwodonga lwesisu akuthethi ukuba ungenzi ukuhlala ngokwaneleyo okanye ukuqiniswa okusemqoka. Kunoko, udonga lwesisu kwindawo ethile lincinci, luvumela ukuba i-hernia iqulunqe. Imidlalo ye-hernia ayikho kwindawo yeyona nxalenye enkulu, enesigxina semisipha.
Iimpawu zeMidlalo yaseHernia
I-sports hernia iqala ngokuqala kancinci kwentlungu ebuhlungu kwisithili esingaphantsi kwesisu. Iimpawu zingabandakanya:
- Uvakalelwa intlungu kwisisu esisezantsi
- Uvakalelwa intlungu kwi-groin
- Unentlungu kwisithala (kumadoda)
Ngokuqhelekileyo iimpawu ziyancipha ngemisebenzi efana nokusebenza, ukusika, nokuguqa phambili. Izigulana zingaphinde zandise iimpawu xa zikhwehlela okanye zidibanisa. Iimidlalo ze-hernias ziqhelekileyo kwiimbaleki ezifunekayo ukugcina isikhundla esiphambili, njengabadlali be-hockey. Nangona kunjalo, i-hernias yezemidlalo nayo ifumaneka kwezinye iindidi zeentlethi ezifana nebhola lebhola kunye nabadlali bebhola.
Ukuxilongwa kwemidlalo ye-hernia kunqunywe ngokusekelwe kwimbali yesigulane, ukuhlolwa komzimba kunye novavanyo lokuxilonga. Kungekudala, ukusetyenziswa kweemvavanyo ze-MRI kuye kwaqheleke ngakumbi ekukhangekeni iimpawu zemidlalo yakhe. Ngaphambili, i-MRI yayisetyenziselwa ukujonga ezinye izizathu zokuba buhlungu buhlungu, kodwa uphando lwangoku lufumene iziphumo ezifunyenweyo kwi-MRI kwizigulane ezinezemidlalo. Ngenxa yoko, i-MRIs isetyenziselwa ngokuqhelekileyo ukukunceda ukuqinisekiswa kokuxilongwa kwezemidlalo.
Kukho ezinye izizathu zokubandezeleka kwamagqabi kubadlali, kwaye empeleni, imidlalo ye-hernia yimbangela eqhelekileyo yintlungu yokuphunga.
Ngelishwa, izigulane ezininzi zinikezelwa ukuxilongwa ngaphandle kokuvavanya ngokwaneleyo kwazo zonke izizathu ezinokubangela ubuhlungu be-groin. Ndisoloko ndibona abadlali ababa nzima ukufumanisa uphawu lweentlungu ezibuhlungu abaxelelwa ukuba banemidlalo ye-hernia-ngelixa le nto ingabalulekanga ukuba ungagxila kule ngxubusho ngaphandle kokuvavanywa ngokucokisekileyo ngumhloli oqhelana nayo yonke imithombo ekhoyo yobuhlungu be-groin kwiimbaleki.
Ezinye zezinye iintlobo ezinokuthi zibuhlungu buhlungu ziquka:
- Imithwalo yemisipha ye-Adductor
- Iinyembezi ze-Hip labral
- Osteitis pubis
- Ukuphazamiseka kwengxaki kwi-pelvis
Ezemidlalo I-Hernia Treatment
Kukho unyango oluthile oluye lwaboniswa ukuba lunempumelelo kwimidlalo ye-hernia ngaphandle kokuhlinzwa.
Oko kwathiwa, unyango lokuqala lwezemidlalo lwamaxesha onke luhlala lugxininise ithemba lokuba iimpawu ziya kulungisa. Ukuphumla kwimisebenzi, imishanguzo echasayo , ukunyanga kwamaqhwa , kunye nonyango lonke unokuzama ukuzama ukunciphisa iimpawu zesigulane. Ukuqiniswa kwe-pelvic kunye nesisu esiswini ngamanye amaxesha kuyasebenza ekunciphiseni iimpawu.
Ukuba le miqathango ayinakuphulukisa iimpawu zezemidlalo, utyando lunokucetyiswa ukulungisa indawo ebuthathaka kwodonga lwesisu. Kwimizekelo yezifundo zibonise phakathi kwama-65 epesenti kunye neepesenti ezingama-90 zabagijimi ziyakwazi ukubuyela kwimisebenzi yazo emva kokuhlinzwa kwi-hernia yezemidlalo. Ukubuyiselwa kobuchopho ukusuka ekusebenzisweni kwezemidlalo i-hernia kuthatha malunga neveki ezisibhozo.
ILizwi
Iimidlalo ze-hernias yinkinga enzima ukuyiphatha; abanye oogqirha abakholelwa ukuba bakhona. Nangona kunjalo, oogqirha abaninzi bezonyango bezemidlalo babona oku kutyhafa kwaye babone abadlali abaphuculayo abanokuyenza xa imeko ichongwa ngokufanelekileyo kwaye iphathwa. Ukuba unesifo esiphantsi kwesisu esiswini okanye isigulane, kwaye ugqirha wakho unobunzima bokuyixilonga, buza ukuba unokuvavanywa ngugqirha olawula rhoqo abadlali abadlala i-hernias yezemidlalo.
Imithombo:
Minnich JM, Hanks JB, Muschaweck U, Brunt LM, Diduch DR. "Iimidlalo ze-hernia: ukuxilongwa kunye nokunyanga okubonisa ukulungiswa okuncinci kwindlela yokucwangcisa" I-J J Med Med. 2011 Juni; 39 (6): 1341-9.
Farber AJ1, uWilckens JH. "Umdlalo we-hernia: ukuxilongwa kunye nendlela yokwelapha" J Am Acad Orthop Surgery. 2007 Agasti; 15 (8): 507-14.
Zoga AC, et al. "Athletic pubalgia kunye" nemidlalo yezemidlalo ": UM MR ukufumana iziphumo." Radiology. 2008 Juni; 247 (3): 797-807. A