Isigaxa eGwini

Abesifazane abathola isigaxa esilingana nephizi endaweni yabo yebele bavame ukukhathazeka, kodwa ukwazi izimbangela ezingase zibe khona kungasiza ekunciphiseni ukukhathazeka. Izimbali ezivuvukala ze-lymph zimelela imbangela evame kakhulu yalezi zigaxa. Lezi zakhiwo ezincane ezimise okwebhontshisi zingavuvuka ngenxa yezifo zemilenze, izifo ezibangelwa amagciwane emzimbeni wonke noma izifo ezithathelwana ngocansi njenge-genital herpes, chlamydia, noma isifo sohudo.

I-hernia ingaba yimbangela yeqhubu ngaphakathi kwe-groin, okwenzeka lapho izicubu noma isitho siphusha ngokuvuleka kwemisipha. Indawo ye-groin ingaba nezinhlobo ezimbili ezithile ze-hernias: inguinal ne-femoral. Izigaxa eziningi ezibuhlungu ze-groin ezitholwa abesifazane ziyingozi. Nokho, ezimweni ezingavamile, isigaxa esingaphansi kwesikhumba singase sibonise umdlavuza, ngokuvamile i-lymphoma.

Isakhiwo esiyinkimbinkimbi se-groin sihlanganisa imisipha, imigqa, imithambo yegazi kanye nemizwa. Ezinye izigaxa zizwakala zithambile futhi zinyakaza kalula, kuyilapho ezinye zihlala ziqinile futhi zizwa nzima. Odokotela kufanele bahlole noma yisiphi isigaxa se-groin, kungakhathaliseki ukuthi siqinile futhi silingana nephizi noma sincane futhi sibonakala singenangozi. Odokotela batusa ngokuqinile ukunakekelwa kwezokwelapha ngokushesha ngemva kokuthola isigaxa esisha endaweni noma eduze nendawo ye-groin.

Izimbangela Zezigaxa Ku-groin

Indawo ye-groin iqukethe ama-lymph nodes amaningi angavuvukala. Lokhu kuvuvukala kubangelwa:

• Ukutheleleka - Lokhu kwenzeka ngezifo zemilenze, izifo ezibangelwa amagciwane emzimbeni noma izifo ezithathelwana ngocansi njenge-herpes, chlamydia, noma i-gonorrhoea.
• UHernias - Lokhu kwenzeka lapho isitho noma izicubu ziqhuma endaweni ebuthakathaka emsipha noma esicutshini. Amadoda avame ukuthola i-inguinal hernias kuyilapho abesifazane bevame ukubhekana ne-femoral hernias.
• Ama-cysts - Ungase uthuthukise ama-cysts e-epidermoid (aqukethe i-keratin) noma ama-sebaceous cysts (agcwele into enamafutha) eduze kwe-groin.
• Imithambo yegazi ekhulisiwe - Lokhu kuhlanganisa i-femoral aneurysms (i-swollen femoral artery) kanye imithambo ye-varicose (imithambo esontekile evuvukele)
• Umdlavuza - Nakuba amaqhubu amaningi endaweni ye-groin engeyona ingozi, amanye angabonisa umdlavuza, ikakhulukazi i-lymphoma. Kufanele uthole noma yiziphi izigaxa eziqinile, ezilingana nephizi zihlolwe ngokushesha. Ama-lymph nodes ahlobene nomdlavuza azizwa eqinile futhi akhule kancane esikhundleni sokuvela ngokuzumayo.
• Ezinye izici - Ukungezwani komzimba, imiphumela engemihle yemithi, noma ukukhula kwamafutha okungenangozi okubizwa ngokuthi ama-lipomas kungabangela izigaxa ze-groin.

Ama-lymph node avuvukele abesifazane ngokuvamile abangelwa izifo zesikhumba, ukuqubuka kwe-sanitary pad, noma izimo zokuzivikela komzimba ezifana ne-lupus. Ubuhlungu obuzwayo esigangeni se-groin bungakhomba i ithumba, evame ukuvela ngemva kokukhishwa kwezinwele zangasese.

Ukuxilongwa Kwezigaxa kuGroin

• Ukubuyekezwa komlando wezokwelapha kanye nokuhlolwa ngokomzimba: Odokotela bahlola ama-lymph nodes azungeze indawo ye-groin ngesikhathi sokubonisana. Bangase bahlole izitho zangasese noma ze-pelvic ngokusekelwe ezimpawu. Odokotela bazophinde babuze imibuzo mayelana nalokhu:
  • Isikhathi sokuqala kwavela ngaso isigaxa
  • Isivinini sokuthuthukisa
  • Usayizi uyashintsha ngesikhathi semisebenzi efana nokukhwehlela
  • Umlando wezenzo zocansi
• Ukuhlolwa kokuxilonga: Lokhu kuhlola kusiza ukuqinisekisa ukuxilonga:
  • Ukuhlolwa kwegazi kusiza ukuthola izifo
  • Ukuhlolwa kwesithombe (i-ultrasound, i-CT scan, nama-MRIs) kunikeza izithombe ezinemininingwane ukuze ubone usayizi, indawo, kanye nohlobo lwesigaxa.
  • I-lymph node i-biopsy ukuhlola umdlavuza, izifo, noma ezinye izifo.

Ukwelashwa Kwamaqhubu kuGroin

Ukwelashwa ngokuvamile kuncike ekutheni kungani kwenzeka:

• Odokotela bangase bacebise ama-antibiotics, ukuphumula, ukudambisa izinhlungu, noma ukucindezela okupholile kwezifo. 
• Ukungenelela kokuhlinzwa kuba kudingekile kuma-hernias amakhulu noma abuhlungu. Ama-cysts angase adinge ukugeleza kwamanzi uma evuvukele, noma odokotela bangase baqaphele abangenabungozi.
• Ukwelashwa kwe-lymphoma ngokuvamile kuhlanganisa imiphumela emibi yokwelashwa ngamakhemikhali, imisebe, noma immunotherapy.

Uzoyibona Nini Udokotela

Bonana nodokotela ngokushesha uma isigaxa se-groin:

• Ikhula noma ihlala isikhathi esingaphezu kwamasonto amabili
• Izizwa iqinile, inerabha, noma inganyakazi
• Kuholela emkhuhlaneni, ukujuluka ebusuku, noma ukwehla kwesisindo okungachazwanga
• Kwenza ukuphefumula noma ukugwinya kube nzima

Ukuvimbela Izigaxa eGroin

• Lawula isisindo sakho njengoba isisindo esinempilo sinciphisa izingozi ze-hernia. 
• Ukudla ukudla okunothe nge-fiber kunganciphisa ukuqunjelwa. Ukuqunjelwa ngenxa yokuqunjelwa kuvame ukuholela emathubeni aphezulu okuthola i-hernia.
• Amasu okuphakamisa afanele avikela ama-hernias - ukugoba kusuka emadolweni, hhayi okhalweni. 
• Ukuyeka ukubhema kuvimbela ukukhwehlela okungamahlalakhona okungakhubaza i-hernia.
• Zijwayeze ukuhlanzeka ukuze uvimbele ubungozi bokutheleleka.

Isiphetho

Isigaxa esingangephizi esinqeni sakho singasabisa. Izigaxa eziningi azinangozi, futhi ama-lymph nodes avuvuke ngokuvamile ayimbangela. Lawa maqhubu amancane angavela ngenxa yezifo, i-hernias, ama-cysts, noma imithambo yegazi ekhulisiwe.

Ukusabela komzimba wakho kunengqondo. Kwesinye isikhathi ilwa nesifo, kanti kwezinye ikhombisa ukuthi kufanele ufune usizo lwezempilo. Nakuba kungavamile, izigaxa ezinzima ezikhula kancane zingase zikhomba izimo ezimbi njenge-lymphoma.

Ungalindi ukubonana nodokotela uma isigaxa sihlala isikhathi esingaphezu kwamasonto amabili, siqinile noma siza nomkhuhlane nokuncipha kwesisindo ngendlela engachazeki. Impilo yakho idinga ukunakwa ngokushesha, futhi ukuhlonza izinkinga kusenesikhathi ngokuvamile kwenza ukwelashwa kube lula. Ukuqonda izimpawu zomzimba wakho kukusiza ukuthi uphathe izinto ezikukhathazayo kangcono futhi uthole ukunakekelwa okufanele lapho ukudinga.

Imibuzo Evame Ukubuzwa

1. Kusho ukuthini isigaxa endaweni yakho yenyonga?

Abantu abaningi babuza ngezigaxa abazithola endaweni yabo ye-groin. Ukuvuvuka kwama-lymph nodes ukulwa nezifo emilenzeni noma emzimbeni wakho kubangela iningi lalezi zigaxa. Isigaxa kungaba hernia, cyst, noma lipoma (ukukhula kwamafutha okungenangozi). I-Lymphoma ingaba yimbangela ezimweni ezingavamile.

2. Ingabe izigaxa ezinomdlavuza zibuhlungu?

Izigaxa ezinomdlavuza ngokuvamile azibangeli buhlungu. Umdlavuza ungaba khona uma ama-lymph nodes ekhula ngokuqhubekayo, eba nzima, ehlala engasabeli emithi futhi ehlala eqinile lapho ecindezelwa kahle.

3. Yini isigaxa endaweni ye-groin?

Izimo eziningana zingabangela izigaxa ze-groin. Lokhu kubandakanya:

• Izifo ezinjengokukhula kwefungal, i-jock itch, kanye Izifo ezithathelwana ngocansi 
• Izimo zesikhumba 
• Ukuphazamiseka kwe-Autoimmune njenge-lupus ne-arthritis
• Ukubukeka kwesigaxa kungase futhi kubangele imithambo yegazi ekhulisiwe efana ne-femoral aneurysms.

4. Ingabe iqhubu lihlala liwuphawu lomdlavuza?

Umdlavuza awuvamisile ukubangela izigaxa zamabele. Ukusabela komzimba ezifweni kudala izigaxa eziningi. Ukwelashwa kuyadingeka uma izigaxa zihlala isikhathi esingaphezu kwamasonto amabili noma zibonisa izinguquko ezinkulu.

5. Ingabe i-inguinal hernia ingabanga iqhubu?

I-Hernias ibonakala njengamaqhubu athambile, amakhulu ku-groin. Zenzeka lapho amathumbu ephusha ezindaweni ezibuthakathaka emisipha yesisu. Abantu abane-hernia bavame ukuqaphela iqhubu elikhula ngokucindezela futhi bangase bezwe ubuhlungu endaweni yabo ye-groin.

6. Ingabe izigaxa zamabele zivamile kubo bobabili abesilisa nabesifazane?

Bobabili abesilisa nabesifazane baba nezigaxa ze-groin ngendlela ehlukile. Imizimba yabesilisa ivame ukukhula kakhulu emigqumeni ye-inguinal, kuyilapho imizimba yabesifazane ijwayele ukuhlatshwa yi-femoral hernia. Abesifazane bathola i-groin hernias embalwa kodwa babhekana nezingozi eziphezulu zezinkinga.

7. Iluphi ukunakekelwa kwasekhaya engingakwenza ngeqhubu?

Ukusetshenziswa kokushisa kusiza ngama-cysts agcwele uketshezi. Izakhiwo ze-antimicrobial zamafutha esihlahla setiye zingasiza ama-cysts abangelwa izinwele ezimile. Ingozi yokutheleleka iyanda uma uzama ukukhipha noma ukususa i-cyst ekhaya, ngakho-ke kugweme lokhu ngokuphelele.

UDkt. Rahul Chirag

I-MBBS, MD (Imithi Yangaphakathi)
CARE Hospitals, HITEC City, Hyderabad

Ukuze Ubhukhe Isikhathi, shayela:

+ 91 40-68106529