Inguinal Hernia unyango ochazwe
I- hernia engumngcipheko yenzeka xa ubuthathaka kwi-muscle ye-groin buvumela ukuba isisu siphume. Umqondiso wokuqala we- hernia engumngcipheko ngokuqhelekileyo uyinto engabonakaliyo kwingingqi ye-groin. I-hernia engamanzi ingaba khona xa izalwa okanye ikhula emva kwexesha.
Kungaba nzima ukufumanisa ukuba i-hernia iyimithi ye-femine okanye i-hernia engumngcipheko. Bahluke kuphela ngendawo yabo ngokubhekiselele kumgudu we-inguinal.
I-hernia kwingingqi ye-groin engaphezulu kwe-ligament inguinal iyinqobo yakhe; ngaphantsi kwegigament, yi- hernia hernia . Ngokuqhelekileyo kuthatha ingcali ukuba ikhethe uhlobo luni lwe-hernia olukhoyo, kwaye uhlobo oluthile lwe-hernia alukwazi ukuba lugqitywe utyando.
I-hernia engamanzi ingaba yincinci ngokwaneleyo ukuba kuphela i-peritoneum, okanye umgca wesigxina esiswini, iqhubelela udonga lwe-muscle . Kwiimeko ezinzima kakhulu, izabelo zamathumbu zingadlulela emgodini kwimisipha.
Izizathu
I-hernia engumngcipheko ibangelwa ubuthathaka kwimisipha ye-groin. Ingaba khona ngexesha lokuzalwa ngenxa yesiphene esincinci se-muscle okanye sinokuphuhlisa ixesha. Ukuphindaphinda ukuxhamla ukuhamba kwintlungu kungabangela i-hernia, njengokuba iyakwazi ukuxhamla ukuhamba, ngokuqhelekileyo kwenzeka ngeengxaki zeprotate . Umkhuhlane ongapheliyo , ukususela kwisifo samaphaphu okanye ukutshaya, kunokufaka isandla kwi-hernia. Ukunyaniseka kunokunyusa amathuba okuphuhlisa i-hernia.
Kwezinye izigulane, ukulahlekelwa isisindo kunokuthintela i-hernia ekwenzeni okanye ekukhuleni ngobukhulu.
Ngubani Osemngciphekweni?
Iinguinal hernias zixhaphake kakhulu kumadoda, nangona zikhona ekuzalweni ukuya kwi-5% yazo zonke izingane. Abasetyhini banokuhlakulela i-hernias inguinal, kodwa abafazi abakhulelweyo banomngcipheko omkhulu wokuba ne-hernia ikhule.
Ukubonakala kunye noTyango
I-hernia engamanzi ayiyi kuphulukisa ngokwayo kwaye idinga ukuhlinzwa ukuze ilungiswe. Ekuqaleni, i-hernia ingaba yincinci encinane kwi-groin kodwa inokukhula ngokukhulu kuninzi. Kungabonakala ngathi ikhula kwaye ihlase imisebenzi eyahlukileyo. Ukunyuswa kwengcinezelo esiswini ngexesha lezenzo, ezifana nokuxhatshaza ukuba neentshukumo zokunyakaza okanye ukunyunyuza, kunokushukumisa amaninzi emathunjini kwindawo ekuthiwa yi-herniated, okwenza i-hernia ibonakale ikhula isikhashana.
Ixesha Eliyingozi?
I-hernia ebambelela kwindawo "ngaphandle" ibhekiselwa "njengobuncwane". Le ngxaki eqhelekileyo ye-hernias inguinal, kwaye ngelixa i-hernia etilongweni ayikho imeko engxamisekileyo, kufuneka iqwalaselwe, kwaye kufuneka ilondolozwe unyango. I-hernia eboshiweyo yinto engxamisekileyo xa iba " ithemeni ephosakeleyo ," apho izicubu ezinobunzima ngaphandle kwemisipha zibulawa yindlala yegazi. Oku kunokubangela ukufa kwezicubu ezigqithiselayo kwi-hernia.
I-hernia ecacileyo ingabonwa ngumbala obomvu obomvu okanye obomvu weethambo ezinobumba. Inokuthi ihambisane nentlungu enzima, kodwa akusoloko ibuhlungu. Ukuxuba, ukuhlanza, isifo sohudo kunye nokuvuvuka kwesisu kuya kubakho.
Ukuhlinzwa
Utyando lwase-Inguinal usebenza ngokusetyenziswa kwe-anesthesia jikelele kunye nokwenziwe kwisifo sengqondo okanye isiguli . Utyando luyenziwa ngugqirha jikelele okanye ochwepheshe bekolon-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. Lezi zicubu zibizwa ngokuba yi " hernia sac ". Ugqirha uphinda ubuyisela isikhwama sakhe sendawo kwisithuba sakhe esifanelekileyo ngaphakathi emzimbeni, kwaye uqala ukulungisa isiphako semisipha.
Ukuba isiphene kwisisipha sincinci, sinokuthi 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 singavalwa ngenye yeendlela ezininzi: ingavalwa kunye ne-sutures esuswe ekuhambeni kokulandelelana nodokotela ogqirha, uhlobo oluthile lweglue elisetyenziselwa ukubamba isiza esivaliweyo ngaphandle kwe-sutures okanye amabhandeki amancinci amancinci "i-steri-strips."
Ukubuyiselwa kwiNtsholongwane
Uninzi lwezigulane ze-hernia ziyakwazi ukubuyela emsebenzini wazo eziqhelekileyo kwiiveki ezimbini ukuya kwezine. Indawo iya kuba ithenda, ngakumbi kwiveki yokuqala. Ngeli xesha, ukukhutshwa kufuneka kukhuselwe ngexesha lomsebenzi okwandisa ingcinezelo esiswini ngokusebenzisa isinyanzelo kodwa uxinzelelo oluncinci kwi- incision line .
Imisebenzi ebonisa ukuba ukukhutshwa kufuneka kukhuseleke kubandakanya:
- Ukuhamba ukusuka kwindawo yokulala ukuya kwindawo ehleli okanye kwindawo ehleliyo ukuma
- Ukukrazula
- Ukuhlahlela
- Ukukhala
- Ukunyameka ngexesha lokunyakaza kwebilini
- Ukuvutha
ILizwi
Ukuba unayo i-hernia, isinyathelo sokuqala kunyango kukuba uxoxisane nodokotela ogqirha ovame ukulungisa ama-hernias. Utyando lunakho okanye lungenakunyulwa, kuxhomekeke kwimeko enzima ngayo, iimpawu ezikhoyo, impilo yesigulane kunye nomngcipheko ojongene nesigulane.
Kwezinye izigulane ezineempawu ezincinci, ingozi yokuhlinzwa ayinakugqithisa izibonelelo zenkqubo, ngelixa abanye banokuziva ukuba le nkqubo iyimfuneko.
Umthombo:
Hernia. Amaziko eZiko lezeMpilo.http: //www.nlm.nih.gov/medlineplus/ency/article/000960.htm