I-Inguinal Hernia

Wake wazizwa ubuhlungu obuqhubekayo endaweni yakho ye-groin? Kungase kube i-inguinal hernia, isimo esivamile esithinta izigidi emhlabeni wonke. Isifo se-inguinal hernia siqala lapho izicubu zesisu, njengengxenye yamathumbu, zidlula endaweni ebuthakathaka emisipha yesisu. Lesi simo singenzeka kunoma ubani, kodwa sivame kakhulu emadodeni futhi singabangela ubuhlungu nezinye izinkinga uma zingelashwa. Ake sihlole izinhlobo ezahlukene ze-inguinal hernia, izimpawu zazo, nokuthi kungani zikhula. 

Iyini i-Inguinal Hernia? 

Isifo se-inguinal hernia yisimo esivamile esivela lapho izicubu zesisu, njengamafutha noma ingxenye yamathumbu, ziphusha endaweni ebuthakathaka odongeni olungezansi lwesisu. Lokhu kuqhuma ngokuvamile kwenzeka endaweni ye-groin, ikakhulukazi ku-canal inguinal 
indlela yokuhamba. 

Izinhlobo ze-Inguinal Hernias 

Okulandelayo yizinhlobo ezimbili eziyinhloko ze-inguinal hernia: 

• I-Indirect Inguinal Hernias: Yizona ezivame kakhulu, ezibalelwa cishe ku-80% yazo zonke izimila ze-inguinal. Kwenzeka lapho okuqukethwe kwesisu kungena kumsele we-inguinal ngeringi ye-inguinal ejulile. Lolu hlobo luvame ukuzalwa, okubangelwa ukuvala okungaphelele kwe-processus vaginalis ngesikhathi sokuthuthukiswa kwengane. I-hernia engaqondile ivame kakhulu ezigulini ezincane futhi ivame ukwenzeka kaningi njenge-right inguinal hernia. 
• I-Direct Inguinal Hernias: Lawa ma-hernias akhula lapho okuqukethwe kwesisu kuphumela ngokuqondile ebuthakathakeni odongeni olungemuva lomsele we-inguinal, ikakhulukazi endaweni eyaziwa ngokuthi unxantathu we-Hesselbach. I-hernia eqondile ivame kakhulu kubantu abadala futhi ivame ukuhlotshaniswa nokuxega kodonga lwesisu noma ukwanda komfutho wesisu. 

Izimpawu ze-Inguinal Hernia 

Isibonakaliso esivame kakhulu se-inguinal hernia yi-bulge ebonakalayo endaweni ye-groin. Lokhu kuvuvukala kungase kubonakale nakakhulu lapho umile uqondile noma phakathi nemisebenzi eyandisa ingcindezi emgodini wesisu, njengokuzikhandla, ukukhwehlela, noma ukuphakamisa izinto ezisindayo. Iqhubu livame ukunyamalala lapho ulele. Ezinye izimpawu zingabandakanya: 

• Ubuhlungu obuqhubekayo noma ukuzwa okushisayo endaweni ye-hernia, okungase kube namandla lapho ugoba noma ngesikhathi sokuzikhandla ngokomzimba. 
• Umuzwa wokuba buthakathaka, ingcindezi, noma umuzwa wokuhudula emabeleni 
• Ukunwebeka ku-scrotum, okusibangela ukuba sikhule futhi kuholele ebuhlungwini nokuvuvukala emasendeni 

Izimbangela Nezici Zengozi Ye-Inguinal Hernia 

Isizathu esiqondile se-inguinal hernias asicaci, kodwa izici eziningana zinomthelela ekuthuthukisweni kwazo. Lokhu kungase kuhlanganise: 

• Ubudala: Njengoba abantu bekhula, imisipha ezungeze isisu ingase ibe buthaka, ikhulise ingozi yokwakheka kwe-hernia. 
• Ubulili: Abesilisa basengozini yokungenwa yi-inguinal hernias, amathuba okuthi bathuthuke ngokuphindwe kasishiyagalombili kunabesifazane. 
• Ukucindezela Kwesisu Okwandayo: Lokhu kucindezela kungase kubangele imisebenzi ehlukahlukene, njengokuzikhandla lapho ukhipha amathumbu noma uchama, ukuphakamisa kanzima, noma ukukhwehlela noma ukuthimula okuqhubekayo. 
• Ukukhulelwa: Kungandisa futhi umfutho wesisu futhi kwenze imisipha yesisu ibe buthaka, okuholela ekutheni kube ne-hernia kwabesifazane. 
• Umlando Odlule: Abantu abake baba ne-hernia inguinal noma i-hernia yangaphambilini 
• Ezinye Izinto Eziyingozi: Lezi zihlanganisa umndeni umlando we-hernia, ukuba mhlophe, ukuba ne-low body mass index (BMI), kanye nomlando wokuzalwa ngaphambi kwesikhathi noma isisindo sokuzalwa esiphansi. 

Izinkinga ze-Inguinal Hernia 

I- inguinal hernias ingabangela izinkinga eziningana ezinkulu uma ishiywe ingagadiwe. Lokhu kungase kuhlanganise: 

• I-Strangulation: Le nkinga yenzeka lapho ukuhlinzekwa kwegazi ezicubu ze-herniated kunqanyuliwe. Ukukhishwa kwe-hernia kuyingozi empilweni futhi kudinga ukunakekelwa kwezokwelapha ngokushesha. Ukukhwabanisa kwenzeka ezimweni ezingaba ngu-2-3 kuzo zonke eziyi-100 phakathi nonyaka wokuqala, ingozi iyancipha ngemva kwaleso sikhathi. 
• Ukuboshwa: Ukuboshwa kwenzeka lapho izicubu ze-herniated zibanjwa odongeni lwesisu futhi azikwazi ukuphindiselwa emuva. Lesi simo singabangela ukuvaleka kwamathumbu, okuholela ebuhlungu obukhulu, isicanucanu, ukuhlanza, kanye ukuqunjelwa. Uma iyekwa ingelashwa isikhathi esingaphezu kwamahora ayisithupha, i-hernia eboshiwe ingadlulela ekuklinyweni. 
• Ubuhlungu Obungamahlalakhona: Lobu buhlungu bungaqhubeka izinyanga noma ngisho neminyaka ngemva kokuhlinzwa futhi bungase buthinte imisebenzi yansuku zonke. 
• Ezinye Izinkinga Ezingenzeka: Lokhu kufaka phakathi i-seroma (ukunqwabelana koketshezi), i-hematoma (ukuqoqwa kwegazi), kanye nezifo endaweni yokuhlinzwa. 

Sifo 

• Umlando Wezokwelapha Nokuhlolwa Komzimba: Odokotela bangase babuze mayelana nezimpawu, umlando we-hernia edlule, nezinye izimo ezihambisanayo. Ngesikhathi sokuhlolwa komzimba, udokotela uhlola isisu, elalelisisa indawo ye-groin. Odokotela bavame ukucela isiguli ukuthi sime futhi sikhwehlele noma sicindezele, okungenza i-hernia ibonakale noma izwakale. 
  • Udokotela angase azame ukubhucunga ngobumnene okuqukethwe kwe-hernia emuva kwesisu. Le nqubo isiza ukunquma ukuthi i-hernia iyancishiswa noma iboshiwe. Ukuhlolwa ngokomzimba kuvame ukwanele ukuhlonza i-hernia inguinal, ngokuzwela okungama-75% kanye nokucaciswa okungu-96%. 
• Ukuhlolwa Kwesithombe: Ezimeni lapho ukuxilongwa kungacacile noma kusolwa izinkinga, odokotela bangase benze izivivinyo zezithombe, ezifana ne-abdominal ultrasounds, ama-MRIs, nama-CT scans, ukuze bathole izithombe ezinemininingwane ye-hernia inguinal nezitho ezizungezile. 

Ukwelashwa kwe-Inguinal Hernia 

Ukwelashwa okuyinhloko kwe-inguinal hernia ukuhlinzwa, okuhloswe ukubuyisela iqhubu endaweni futhi kuqinise udonga lwesisu. Odokotela batusa ukuhlinzwa kwe-inguinal hernia uma i-hernia ibangela ubuhlungu, izimpawu ezinzima, noma izinkinga. Kunezindlela ezimbili eziyinhloko zokuhlinzwa: 

• Ukuhlinzwa okuvulekile kuhilela ukusika kanye ukusunduza i-hernia ibuyele esiswini. 
• Ukuhlinza nge-laparoscopic, indlela engavamile, kusebenzisa izimbobo ezimbalwa ezincane namathuluzi akhethekile ukuze kulungiswe i-hernia. 

Uzoyibona Nini Udokotela 

Ezinye zezimo ezingase zidinge ukunakwa ngokushesha yilezi: 

• Uma ubona iqhubu endaweni yakho ye-groin, ikakhulukazi leyo eba buhlungu noma engakwazi ukuhlehliswa 
• Uma uzwa ubuhlungu obuqhubekayo, ukungakhululeki 
• Uma ubukhulu be-hernia yakho buqala ukudala izinkinga. 
• Uma kuvela ubuhlungu obungalindelekile, obukhulu, isicanucanu, oluhlanzayo, noma ubunzima bokudlula indle noma umoya (lezi zimpawu zingabonisa i-hernia eklinyiwe noma ukuvaleka kwamathumbu) 
• Iqhubu le-hernia eliba bomvu, libe nsomi, noma libe mnyama noma liqine futhi lithambile (lezi zimpawu zingase zisikisele ukuthi ukuphakelwa kwegazi esicutshini esivalelekile kunqanyuliwe) 

Prevention 

Nakuba kungenakwenzeka ngaso sonke isikhathi ukuvimbela i-hernia inguinal, ikakhulukazi i-hernias engaqondile ekhona ngesikhathi sokuzalwa, kunezinyathelo ezimbalwa zokuvimbela ongazithatha ukuze unciphise ingozi yokuthuthukisa i-hernia eqondile. Lezi izi: 

• Sebenzisa Izindlela Ezifanelekile Zokuphakamisa: Lapho uphatha izinto ezinzima, goba kusukela emadolweni akho, hhayi okhalweni lwakho, futhi uphakamise usebenzisa imisipha yemilenze yakho. 
• Ukugcina Isisindo Somzimba Esinempilo: Isisindo somzimba esingaphezu kwesivamile sibeka ingcindezi eyengeziwe odongeni lwesisu sakho, okungenzeka lube buthaka ngokuhamba kwesikhathi. 
• Ukuvivinya umzimba Okuvamile Kwenhliziyo: Ukuhamba ngezinyawo noma ukugibela ibhayisikili kungakusiza ulawule isisindo futhi uthuthukise ukuqina kwakho konke. 
• Ukuqinisa Imisipha Yakho Eyinhloko: Ukuzivocavoca okufana namapulangwe nama-sit-ups kungasekela kangcono indawo yakho yesisu. 

Isiphetho 

I- inguinal hernia yisimo sezempilo esivamile kodwa esivame ukungaqondakali kahle. Nakuba ukuhlinzwa kwe-inguinal hernia kusewukwelashwa okuyinhloko kwe-hernia inguinal, ukuvimbela kuhlale kungcono kunokwelapha. Unganciphisa amathuba akho okuthuthukisa i-inguinal hernia ngokugcina isisindo esinempilo, usebenzisa amasu okuphakamisa afanele, nokuqinisa imisipha yomgogodla. Uma usola ukuthi une-inguinal hernia, ungangabazi ukubonana nodokotela. Ngendlela efanele, abantu abaningi bangalulama ngokuphelele futhi babuyele emisebenzini yabo evamile ngaphandle kwezinkinga zesikhathi eside. 

FAQs 

1. Ubani othinta i-inguinal hernia? 

I-inguinal hernia ingathinta noma ubani, kodwa ivame kakhulu emadodeni. Ingozi yokuphila kwabesilisa ingama-27-42%, uma kuqhathaniswa no-3.5-8% kuphela kwabesifazane. Lo mehluko ungenxa yezici ze-anatomical. I-inguinal hernia ivame kakhulu kubantu abadala, ikakhulukazi labo abangaphezu kweminyaka engama-65. Izici zobungozi zihlanganisa ukukhuluphala ngokweqile, owesilisa, omdala, kanye nokuba nomlando womndeni we-inguinal hernias. 

2. Zivame kangakanani i-inguinal hernias? 

I-inguinal hernias ivame kakhulu, ibalwa cishe ku-75% wawo wonke ama-hernias odongeni lwesisu. Njalo ngonyaka, cishe abantu abayizigidi ezingu-20 emhlabeni wonke bayahlinzwa ukuze kulungiswe i-inguinal hernia. Ukwanda cishe ku-4% kulabo abangaphezu kweminyaka engama-45 ubudala. 

3. Indlela yokwelapha i-hernia inguinal ngaphandle kokuhlinzwa? 

Nakuba ukuhlinzwa kuwukwelashwa okuqondile kwe-inguinal hernias, ezinye izindlela ezingahlinzeki zingasiza ekulawuleni izimpawu. Lokhu kuhlanganisa ukugwema ukuphakamisa izinto ezinzima, ukugcina isisindo esinempilo, ukudla ukudla okunothe i-fiber ukuze uvimbele ukuqunjelwa, kanye nokusebenzisa amaphakethe eqhwa ukuze unciphise ubuhlungu. Kodwa-ke, lezi zindlela aziqedi i-hernia futhi akufanele zithathwe njengezixazululo zesikhathi eside. 

4. Iyini imbangela ehamba phambili ye-inguinal hernia? 

Isizathu esiyinhloko se-hernia inguinal ubuthakathaka noma ukwakheka kokuvuleka odongeni olungaphansi kwesisu. Lokhu kungenzeka ngesikhathi sokuzalwa noma kuthuthuke ngokuhamba kwesikhathi ngenxa yezizathu ezinjengokukhwehlela okungapheli, ukucindezeleka lapho uphuma amathumbu, ukuphakamisa kanzima, noma ukukhulelwa. Kwezinye izimo, imbangela ingase ingabonakali. 

UDkt. Prashant Bhowate

CARE Medical Team

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