IHernia

I-Hernia yisimo sezempilo esivamile emhlabeni wonke, esithinta izigidi ngonyaka. Cabanga nge-hernia njengeqhubu lapho ezinye izitho noma izicubu ezingaphakathi emzimbeni wakho zibhoboza endaweni ebuthakathaka emsipha noma esicubuni esizungezile. I-Hernia isukela komnene iye kokuqina, futhi ngezinye izikhathi kuyadingeka ukuhlinzwa ukuze kulungiswe. Ake singene ezinhlotsheni ezihlukene ze-herniation, ukuthi zibangelwa yini, kanjani ukuzibona, ukuthi odokotela bazixilonga kanjani, izindlela zokwelapha, amakhambi asekhaya, nezindlela zokuzivimbela.

Iyini i-Hernia?

I-hernia yenzeka lapho isicubu noma isitho somzimba siphushela ngaphandle endaweni ebuthakathaka emsipha, okuvame ukuyigcina isendaweni. Nakuba i-hernia ingenzeka noma yikuphi emzimbeni, ivame kakhulu esiswini, i-groin, nasezindaweni ezingaphezulu kwethanga. Abanye abantu bazalwa bene-hernia (i-congenital), kuyilapho abanye bebakhulisa ngokuhamba kwesikhathi (abatholakele) ngenxa yezimo ezahlukahlukene njengokuqina kwemisipha, ukuthwala isisindo esengeziwe, noma ukuhlinzwa esikhathini esidlule.

Izinhlobo Ezivamile Ze-Hernia

I-Hernia ivela ngezinhlobo eziningana ngokusekelwe lapho ivela khona noma ukuthi ibangelwa yini. Nazi eziyinhloko okufanele uzazi ngazo:

• I-Inguinal Hernia: Lolu uhlobo oluvame kakhulu. Kwenzeka lapho ingxenye yamathumbu akho noma amafutha esisu ephusha endaweni ebuthakathaka odongeni lwesisu sakho esingezansi eduze kwegroin yakho.
• I-Femoral Hernia: Lolu hlobo lukhula lapho amathumbu noma izicubu zesisu zikhama emseleni wesifazane, umhubhe omncane eduze kwembeleko.
• I-Umbilical Hernia: Lolu hlobo lwe-hernia lukhula lapho ingxenye yamathumbu akho noma izicubu zesisu ziqhuma eduze kwakho. inkaba.
• I-Hiatal Hernia: Kulokhu, ingxenye yesisu sakho iqhubekela phezulu nge-diaphragm, umsipha osebenza njengodonga phakathi kwesifuba sakho nesisu.
• I-Incisional Hernia: Lolu hlobo luqala lapho uke wahlinzwa isisu ngaphambili. Amathumbu akho noma izicubu zesisu zicwila endaweni ebuthaka ukusuka ekusikeni okudala.
• I-Congenital Hernia: Abanye abantu bazalwa bene-hernia, engase ibonakale ezindaweni ezihlukahlukene, njenge-groin, isisu, noma i-diaphragm.

Izimpawu

Izimpawu ze-Hernia kwabesilisa nabesifazane zingahluka futhi zincike ohlotsheni nokuthi lubi kangakanani. Nazi ezinye izimpawu ezivamile nezimpawu okufanele uzibukele:

• Ungabona iqhubu noma iqhubu endaweni ethintekile (njengesinqe sakho, ithanga elingaphezulu, noma inkinobho yesisu)
• Ubuhlungu noma ukungaphatheki kahle kuleyo ndawo, ikakhulukazi uma ukhwehlela, uphakamisa izinto ezisindayo, noma udonsa kanzima ngesikhathi uphuma amathumbu
• Indawo izwakala isindayo, noma sengathi kunengcindezi engapheli 
• Ukuvuvukala noma ukwanda kwendawo ethintekile
• I-nausea nokuhlanza (lokhu kungenzeka nge-hernia eklinyiwe)
• ukuqunjelwa noma inkinga yokudlulisa igesi 

Ibangelwa Yini I-Hernia?

Izinto eziningana zingenza buthaka imisipha yakho noma zenze izicubu endaweni ethintekile zibe yimbangela ye-hernia:

• Ukucindezela Okungeziwe Esiswini Sakho: Izimo ezithile zingacindezela imisipha yesisu, okuholela ku-hernia. Lokhu kuhlanganisa ukukhuluphala ngokweqile, ukukhulelwa, ukukhwehlela kakhulu, ukuqunjelwa, noma ukuzikhandla lapho uya endlini yokugezela.
• Ukuphakamisa Okusindayo: Ukuphakamisa njalo izinto ezisindayo ngaphandle kwendlela efanele kungakhuphula umfutho wesisu.
• Imisipha Ebuthakathaka: Njengoba sikhula, imisipha yethu ingaba buthakathaka. Ukulimala noma ukuhlinzwa nakho kungenza izicubu ezisesiswini noma ezinqeni zibe sengozini yokuthola i-hernia.
• I-Congenital Factor: Abanye abantu ngokwemvelo banemisipha noma izicubu ezibuthakathaka, okubenza bathambekele kakhulu ekutholeni i-hernia ekuqaleni kwempilo.
• Izinkinga Zezempilo Zesikhathi Eside: Izimo ezingapheli ezifana ne-COPD, i-cystic fibrosis, noma ukukhwehlela njalo kungakhuphula ingcindezi esiswini sakho, kukhulise amathuba akho okuthola i-hernia.
• Ukulimala noma Izingozi: Ukulimala kwesisu noma endaweni ye-groin kungenza buthaka imisipha noma izicubu, okungase kuholele ku-hernia.

Indlela Odokotela Abaxilonga Ngayo I-Hernia

Ukuze uthole ukuthi une-hernia, udokotela wakho uzo:

• Umlando Wezokwelapha: Odokotela bangase babuze mayelana nezimpawu zakho, izici ezibangela inkinga, kanye nobude besikhathi saleso simo. Bangabuza nokuthi wake wahlinzwa yini i-hernia ngaphambilini.
• Bheka Indawo: Bazothinta kancane indawo ukuze bahlole izigaxa ezingavamile noma amaqhubu.
• Sebenzisa Izivivinyo Zokucabanga: Ngezinye izikhathi, odokotela bangase benze i-ultrasound, i-CT scan, noma i-MRI ukuze baqinisekise i-hernia futhi banqume ubukhulu bayo nokuthi ikuphi.

Ukwelapha i-Hernia

Ukwelashwa kwe-hernia kuncike ezintweni ezimbalwa, njengokuthi iluhlobo luni, ibucayi kangakanani, iminyaka yakho, impilo yakho iyonke, nokuthi yini oyithandayo. Nazi ezinye izindlela ezivamile zokwelapha i-hernia:

• Buka futhi Ulinde: Nge-hernia encane engenazimpawu, udokotela wakho angase asikisele ukugcina iwashi kuyo futhi enze izinguquko zokuphila. Lokhu kungasho ukwehlisa isisindo noma ukugwema imisebenzi ecindezela indawo.
• I-Hernia Isekela: Lokhu ukwelashwa kwe-hernia ngaphandle kokuhlinzwa. Udokotela wakho angase asikisele ukusebenzisa ibhande lokusekela i-hernia encane noma enciphisa. Ibhande lisiza ukugcina izicubu eziqhumayo endaweni futhi lehlisa ukungakhululeki.
• Ukuhlinzwa Okuvuliwe: Kule nqubo, odokotela benza i-incision eduze ne-hernia. Baphusha izicubu eziqhumayo emuva lapho kufanele futhi baqinise indawo ebuthaka ngemeshi noma imithungo ukuze kuvinjelwe izinkinga ezizayo.
• Ukuhlinzwa Kwe-Laparoscopic: Le ndlela engavamile kakhulu isebenzisa ukusikeka okuncane esiswini sakho. Udokotela ohlinzayo usebenzisa amathuluzi okuhlinza akhethekile kanye nekhamera ukuze alungise i-hernia. Ngokuvamile ululama ngokushesha kunokuhlinzwa okuvulekile.

Izingozi Zezingozi

Ziningana izinto ezingakwenza ube maningi amathuba okuba uthole i-hernia:

• Ukuguga: Ingozi yakho ikhuphuka ngemva kwama-50 njengoba imisipha nezicubu ziba buthaka.
• Ukuba Owesilisa: I-Hernia emadodeni ivame kakhulu, ikakhulukazi ku-groin.
• Umlando Womndeni: Uma isihlobo esiseduze sine-hernia, ungase uthambekele kakhulu kuyo.
• Isisindo Esingeziwe: Ukukhuluphala ngokweqile kubeka ingcindezi eyengeziwe esiswini sakho, kwandisa ingozi yakho.
• Ukukhwehlela Okungapheli noma Ukuzikhandla: Izimo ezikwenza ukhwehlele kakhulu noma ucindezeleke (njengokubhema, i-COPD, noma ukuqunjelwa) zinganyusa ingozi yakho.
• Ukuhlinzwa Okwedlule: Ukuhlinzwa kwangaphambili kwesisu noma i-pelvic kungenza buthaka udonga lwakho lwesisu.
• Ukukhulelwa: Isisindo esengeziwe kanye nengcindezi ngesikhathi ukukhulelwa kungaholela ku-hernia, ikakhulukazi eduze kwenkinobho yesisu.

Izinkinga

Nakuba i-hernia eminingi ingeyona ingozi, ngezinye izikhathi ingabangela izinkinga uma ingelashwa:

• I-Strangulation: Lesi simo esiphuthumayo senzeka lapho izicubu ezivaleleke zilahlekelwa ukutholakala kwegazi. Kungabangela ukufa kwezicubu futhi kudinga ukuhlinzwa ngokushesha.
• Ukuvinjelwa: I-hernia ngezinye izikhathi ingavimba amathumbu akho, ibangele ubuhlungu obukhulu be-hernia, isicanucanu, ukuhlanza, nokuqunjelwa.
• Ukutheleleka: Uma izicubu eziboshiwe zingcoliswa, kungaholela ekuthelelekeni okudinga ama-antibiotics noma ukuhlinzwa.
• Ukubuya: Ngisho nangemva kokulungiswa okuphumelelayo, i-hernia ingabuya, ikakhulukazi uma izimbangela eziyisisekelo zihlala.

Ukunakekelwa Kwasekhaya Kwe-Hernia

Nakuba i-hernia ivame ukudinga ukwelashwa, lawa makhambi asekhaya angasiza ekudambiseni izimpawu:

• Sebenzisa ama-Cold Packs: Ukufaka amakhaza endaweni kunganciphisa ukuvuvukala nokungakhululeki.
• Gqoka Amabhande Okusekela: Lawa angasiza ukubamba i-hernia endaweni futhi avimbele ukuqhuma okuqhubekayo.
• Shed Extra Amakhilogremu: Ukulahlekelwa isisindo kunganciphisa ingcindezi esiswini sakho futhi kudambise izimpawu.
• Thatha Kalula: Gwema ukuphakamisa okunzima, ukudonsa kanzima, noma imisebenzi efaka ingcindezi esiswini sakho.
• Lawula Ukuqunjelwa: Ukunyakaza kwamathumbu okuvamile ngaphandle kokuzikhandla kungasiza ekuvimbeleni ukwanda komfutho wesisu.
• Qaphela Ukuma Kwakho: Ukuma okuhle nokugwema isikhathi eside sokuma noma ukuhlala kunganciphisa ubunzima emisipha yakho yesisu.

Ukuvimbela i-Hernia

Ngenkathi ungeke ukwazi ukuvimbela yonke i-hernia, unganciphisa ingozi yakho:

• Gcina Isisindo Esinempilo: Ukuhlala unesisindo esihle kusiza imisipha yesisu sakho futhi kwehlisa amathuba okuthola i-hernia.
• Zivocavoce Njalo: Ukuvivinya umzimba njalo, ikakhulukazi lezo eziqinisa umgogodla wakho, kungasiza udonga lwesisu sakho futhi kunciphise ingozi ye-hernia.
• Qaphela Ngezinto Ezisindayo: Ungaphakamisi izinto ezisindayo uma ukwazi. Uma kufanele, ziphakamise ngendlela efanele ukuze ugweme ukucija imisipha yesisu sakho.
• Yeka Ukubhema: Ukubhema ngokuvamile kuholela ekukhwehleleni, okufaka ingcindezi esiswini sakho futhi kungabangela i-hernia.
• Nakekela Izinkinga Zezempilo Eziqhubekayo: Uma unezimo ezikwenza ukhwehlele noma ucindezeleke kakhulu, njenge-COPD noma ukuqunjelwa, sebenzisana nodokotela wakho ukuze uzilawule kahle.
• Yima Uqonde: Ukuma okuhle kusiza ukunciphisa ubunzima emisipha yesisu sakho futhi kwehlisa ingozi yakho ye-hernia.
• Ungalahlekelwa Isisindo Ngokushesha Kakhulu: Ukwehlisa amakhilogremu ngokushesha kakhulu kungenza buthaka imisipha yakho yesisu, okwenza i-hernia ibe nokwenzeka kakhulu.

Uzoyibona Nini Udokotela

Ngenkathi enye i-hernia ingaphuthumi, kufanele ushayele udokotela wakho uma:

• Ubuhlungu obukhulu nokungaphatheki kahle
• Isicanucanu noma ukuphalaza
• Inkinga yokupopa noma igesi edlulayo
• Indawo ye-Hernia ibonakala ibomvu, izizwa ifudumele, noma ivuvukale
• Uma i-hernia iba nkulu ngokuzumayo noma iqhuma ngokushesha
• Izingane ezine-hernia

Isiphetho

I-hernia yisimo sezempilo esithinta izingxenye ezahlukene zomzimba, ngokuvamile esiswini noma i-groin. Enye i-hernia ayibangeli izinkinga ezinkulu, kodwa kubalulekile ukuyihlola. Ngaphandle kokwelashwa, i-hernia ingaholela ezindabeni ezimbi njengokuvaleleka, ukuvinjwa, noma ukulahlekelwa ukugeleza kwegazi. Ngakho-ke, bheka izimpawu zakho futhi uthintane nodokotela wakho.

Imibuzo Evame Ukubuzwa

1. Kwenzekani uma i-hernia ishiywe ingelashwa?

Uma ishiywe inganakiwe, i-hernia ingaholela ezinkingeni ezinjengokuvinjwa kwamathumbu, ukuklinywa (lapho kunqanyulwa khona ukujikeleza kwegazi esicutshini se-herniated), ukutheleleka, noma ubuhlungu obukhulu obudinga ukuhlinzwa okuphuthumayo.

2. Yimiphi imiphumela emibi engase ibe khona noma izinkinga zokwelashwa?

Izinkinga ezingaba khona zokwelashwa kwe-hernia zihlanganisa ukutheleleka, ukuphuma, noma ubuhlungu endaweni yokusikwa, ukuvela kabusha kwe-hernia, nokulimala kwezicubu ezizungezile noma izitho ngesikhathi sokuhlinzwa.

3. I-hernia ivame kangakanani?

I-Hernia ivame kakhulu emhlabeni jikelele. Zingenzeka kubantu babo bonke ubudala, ubulili, nezizinda, nakuba zivame kakhulu emaqenjini athile, njengabantu abadala kanye namadoda. I- inguinal hernia ithinta cishe amaphesenti angu-25 awo wonke amadoda, futhi i-hernia yokuzalwa, ikakhulukazi i-umbilical, yenza cishe u-15% wezinsana ezisanda kuzalwa. 

4. Yiziphi ezinye izindawo ezivamile ze-hernia?

Izindawo ezivamile ze-hernia zihlanganisa indawo ye-groin (i-inguinal hernia), indawo yethanga (i-femoral hernia), isisu esizungeze inkaba (umbilical hernia), kanye nezibazi zokuhlinzwa (i-incisional hernia).

5. Singakanani isikhathi sokululama ukuhlinzwa kwe-hernia?

Isikhathi sokululama ngemva kokuhlinzwa kwe-hernia sincike ohlotsheni. Ukuhlinzwa okuvulekile kuthatha amasonto angu-4-6, kanti ukuhlinzwa kwe-laparoscopic kudinga kuphela amasonto angu-1-2. Ukuhlinzwa kwe-umbilical kanye ne-incision kuwela phakathi, kuthatha amasonto angu-2-4. Ungaqala imisebenzi emnene ngokushesha, kodwa amandla aphelele angathatha amaviki angu-8.

6. Yini Okufanele Uyenze Futhi Ukugweme Ngemva Kokuhlinzwa UHernia?

Nalu uhlu lwezinto ezibalulekile okufanele uzenze futhi uzigweme phakathi nokululama kwakho:

• Ingabe:
  • Landela imiyalelo kadokotela wakho
  • Phumula ngokwanele
  • Yenza imisebenzi elula
  • Yidla ukudla okunempilo
  • Gcina indawo yakho yokuhlinzwa ihlanzekile futhi yomile
  • Iya kuwo wonke ama-aphoyintimenti okulandelela
• Ungakwenzi:
  • Imisebenzi enzima yomzimba
  • Ukubhema noma ukuphuza utshwala
  • Cwilisa emanzini
  • Ukuphakamisa izinto ezinzima

UDkt. Swathi G

MD (General Medicine), DM (Gastroenterology)
CARE Hospitals, HITEC City, Hyderabad

Ukuze Ubhukhe Isikhathi, shayela:

+ 91 40-68106529

7