Yiyiphi i-Femoral Hernia
Sibanzi
I- hernia ye- hernia yenzeka xa ubuthathaka kwi-muscle ye-groin bubangela ukuba isisu siphume. Isiqalo sokuqala se-hernia ye-femalia ngokuqhelekileyo yinto engachazwanga kwindawo yokuhluma okanye kwindawo engaphezulu. Ngokuqhelekileyo into eqhubeka ngexesha, kungekhona into umntu azalwe ngayo.
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 luyakwazi kuphela ukuba luqalile ukuhlinzwa.
I-hernia ye-femalia ingaba yincinci ngokwaneleyo ukuba kuphela i-peritoneum, okanye umgca wesigxina esiswini, iqhutyana nodonga lwe-muscle . Kwiimeko ezinzima kakhulu, izabelo zamathumbu zingadlulela emgodini kwimisipha.
Izizathu
Ukuphindaphinda okanye ukuqhubeka ukunyanzelisa ukuhamba kwintlungu kungabangela i-hernia, njengokuba iyakwazi ukuxhamla ukuhamba, ngokuqhelekileyo iyenzeka ngeengxaki zeprotate . Ukukhwehlela okungapheliyo , ukusuka kwisifo sephaphu okanye ukutshaya, kunokunyusa amathuba okuphuhlisa i-hernia. Ukunyanya ubukhulu kunokwandisa umngcipheko wokuphuhlisa i-hernia kodwa ukulahlekelwa isisindo kunokuthintela i-hernia ekwakheni okanye ekukhuleni ngobukhulu.
Izinto zobungozi
I-hernia hernias ixhaphake kakhulu kubasetyhini, nangona ingahlakulela kumadoda nabantwana. Abasetyhini nabasetyhini abancinci okanye abancinci banomngcipheko ophezulu wokuphuhlisa i-hernia ye-femalia.
Iimpawu
I-hernia ye-hernia ayiyi kuphulukisa ngokwayo kwaye idinga ukuhlinzwa ukuba ilungiswe. Ekuqaleni, i-hernia ingaba yincinci encinane kwi-groin kodwa inokukhula ngokukhulu kuninzi.
Kungabonakala ngathi ikhula kwaye ihlase imisebenzi eyahlukileyo. Ukunyuswa kwengcinezelo esiswini ngexesha lezinto ezinjengokuxhatshazela ukuba neentshukumo zokunyakaza okanye ukunyunyuza kunokushukumisa amaninzi emathunjini kwindawo eyimithi, ukwenza ukuba i-hernia ibonakale ikhula kancinci
Xa liphuthumayo
I-hernia ebambelela kwi-"out" isikhundla ibhekiselwa ekubeni yindawo yokuboshwa. Le ngxaki eqhelekileyo ye-hernias ye-femine kwaye ngelixa i-hernia eboshiweyo engekho yongxamiseko, kufuneka iqwalaselwe, kwaye kufuneka unyango lwezempilo lufuneke. I-hernia eboshiweyo yinto engxamisekileyo xa iba "yinto engumngcipheko" 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. Inokuhamba kunye nentlungu enzima, kodwa ayisoloko ibuhlungu. Ukuxuba, ukuhlanza, isifo sohudo kunye nokuvuvuka kwesisu kuya kubakho.
Unyango
Utyando lwabantu besifazane oluqhelekileyo lwenziwa ngokusetyenziswa kwe-anesthesia jikelele kwaye lunokwenziwa 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 ngeendlela eziliqela. Ingavalwa kunye ne-sutures esuswe ekuhambeni kokulandelelana kunye nodokotela ogqirha, uhlobo olukhethekileyo lweglue elisetyenziselwa ukubamba isibopho esivaliwe ngaphandle kwe-sutures, okanye amabhinti amancinci amancinci abizwa ngokuthi i-ster-strips.
Ukubuyisela
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 ehleliyo, okanye ukusuka kwindawo ehleliyo ukuma
- Ukukrazula
- Ukuhlahlela
- Ukunyameka ngexesha lokunyakaza kwebilini
- Ukuvutha
Umthombo
> Abafazi baseHernia. Amaziko eZiko lezeMpilo http://www.nlm.nih.gov/medlineplus/ency/article/001136.htm