Hernia Inguinale

Hernia inguinale ibaho iyo umubiri, urugero nk'igice cy'umwijima, ugaragara mu kibaya cy'umubiri gifite intege nke. Umutobe uboneka ushobora kubabaza, cyane cyane iyo ukohose, ugakubita hasi cyangwa ugafata ikintu kiremereye. Ariko kandi, hernia nyinshi ntizitera ububabare.

Ibimenyetso n'ibibonwa by'umukuku wo mu gatuza harimo:

• Ububyimba mu gice kimwe cyangwa impande zombi z'igice cy'amagufa y'igitsina, bukaba bugaragara cyane iyo uhagaze, cyane cyane iyo ukohose cyangwa ugakora imbaraga
• Ubwumva ubushyuhe cyangwa ububabare ahari ubwo bubyimba
• Kubabara cyangwa kudakorwa neza mu gatuza, cyane cyane iyo ugogoye, ukohose cyangwa utwaye ibiremereye
• Kumva ibiremereye cyangwa bikurura mu gatuza
• Kugira intege nke cyangwa umuvuduko mu gatuza
• Rimwe na rimwe, kubabara no kubyimba hafi y'intanga z'abagabo iyo amara ava hanze akamanuka mu gitsina

Shaka ubufasha bw’ubuvuzi ako kanya niba umunagwa ukubise ukora umutuku, umukara cyangwa umwijima, cyangwa niba ubona ibindi bimenyetso cyangwa ibimenyetso by’umunagwa ugoswe.

Jya kwa muganga niba ufite umunagwa ubabaza cyangwa ugaragara mu gatuza kawe ku ruhande rumwe cyangwa ku zombi z’igitugu cyawe. Umunagwa ugaragara cyane iyo uhagaze, kandi ubusanzwe ushobora kuwumva niba ushyize ukuboko kwawe ku gice kibangamiwe.

Ibyago bimwe by'inguine nta kintu kibitera kigaragara. Ibindi bishobora kubaho kubera:\n\n* Kongera umuvuduko mu nda\n* Ubusembwa bwari busanzwe mu rukuta rw'inda\n* Gukora cyane mu gihe cyo kunnya cyangwa kwinnya\n* Imikino ikomeye\n* Gutwita\n* Inkondo zikomeye cyangwa amuhuno\n\nMu bantu benshi, intege nke y'urukuta rw'inda itera inguinal hernia ibaho mbere y'ivuka igihe intege nke y'imikaya y'urukuta rw'inda idafunze neza. Ibindi byago by'inguine bigaragara nyuma y'imyaka myinshi iyo imikaya igenda igabanyuka cyangwa igapfa kubera gusaza, imikino ikomeye cyangwa inkorora iherekeza itabi.\n\nIntege nke zishobora kandi kuba mu rukuta rw'inda nyuma y'imyaka myinshi, cyane cyane nyuma y'imvune cyangwa kubagwa mu nda.\n\nMu bagabo, intege nke isanzwe iba mu muyoboro w'inguine, aho umugozi wa spermatic winjira mu gisabo. Mu bagore, umuyoboro w'inguine utwara umusego ufasha gufata umura, kandi ibyago rimwe na rimwe bibaho aho umutwe uhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba guhuza n'umubiri ugomba 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Ibintu bigira uruhare mu iterambere rya hernia inguinal harimo:

• Kuba umugabo. Abagabo bafite ibyago byinshi inshuro umunani kurusha abagore mu iterambere rya hernia inguinal.
• Kuba umusaza. Imisuli iringaniza uko umuntu akura.
• Kuba umuzungu.
• Amateka y'umuryango. Ufite umuntu wa hafi, nka mubyeyi cyangwa umuvandimwe, ufite icyo kibazo.
• Inkondo y'igihe kirekire, nko kuva kunywa itabi.
• Impatwe y'igihe kirekire. Impatwe itera umunaniro mu gihe cyo kunyara.
• Ububata. Gutwita bishobora kugabanya imitsi y'inda kandi bikongera umuvuduko mu nda.
• Kuvuka imburagihe no kuvuka ufite ibiro bike. Hernia inguinal igaragara cyane mu bana bavutse imburagihe cyangwa bafite ibiro bike.
• Hernia inguinal yabanje cyangwa gusana hernia. Nubwo hernia yawe yabanje yabaye mu bwana, ufite ibyago byinshi byo kwibasirwa na hernia inguinal indi.

Ingaruka z'umukaya wo mu gatuza zirimo:

• Kumanika ku mitsi yo hafi. Abenshi mu bafite umukaya wo mu gatuza bagenda barushaho kuba bakomeye uko igihe kigenda, niba batarawuvuriwe. Ku bagabo, imikaya minini ishobora kujya mu gisabo, ikaba itera ububabare n'ubwuzu.
• Umucaya ufunze. Iyo ibintu biri mu mukaya bifunze mu gice kidakomeye cy'igifu, ibyo bintu bishobora kubangamira igifu, bikaba byatera ububabare bukabije, isereri, kuruka, no kudakora umubiri cyangwa kudasohoka umwuka.
• Gukama. Umucaya ufunze ushobora guhagarika amaraso ajya mu gice cy'umwijima wawe. Gukama bishobora gutera urupfu rw'umwijima wakozweho. Umucaya ukamaye uteye akaga k'ubuzima kandi ukeneye kubagwa vuba.

Ntacyo wakora ngo wirinde isemburwa ryavuka rikugira ikirungo cy'umwijima mu gifu. Ariko rero, ushobora kugabanya umuvuduko ku mitsi y'inda n'imikaya. Urugero:* Kugira ibiro bikwiye. Ganira na muganga wawe ku gahunda nziza yo gukora imyitozo ngororamubiri n'imirire ikubereye.* Gushyira imbere ibiryo birimo amafibe menshi. Imbuto, imboga n'ibinyampeke byuzuye birimo amafibe ashobora kugufasha kwirinda impatwe no gukomeretsa.* Guhagarika ibintu biremereye witonze cyangwa kwirinda guhagarika ibiremereye. Niba ugomba guhagarika ikintu kiremereye, komeza uhunamire uvuye ku mavi—atavuye ku kiuno.* Reka kunywa itabi. Uretse uruhare rwacyo mu ndwara nyinshi zikomeye, kunywa itabi kenshi bituma uhorana inkorora ishobora gutera cyangwa kurushaho kuba mbi umwijima mu gifu.

Ubusanzwe, isuzuma ry'umubiri ni byo byose bikenewe kugira ngo hamenyekane umwimerere w'ingingo. Muganga wawe azasuzumira ubwandu mu gice cy'imboro. Kubera ko guhagarara no gukorora bishobora gutuma ingingo iba ikomeye, ushobora gusabwa guhagarara no gukorora cyangwa gukora imbaraga.

Iyo ibyavuye mu isuzuma bitagaragara neza, muganga wawe ashobora gutegeka ikizamini cyo kubona ishusho, nko gusuzuma umubiri hakoreshejwe amashusho y'amajwi, CT scan cyangwa MRI.

Niba umwimerere wawe ari muto kandi ntukubuza amahoro, muganga wawe ashobora kugutegeka gutegereza. Rimwe na rimwe, kwambara igikoresho gishyigikira gishobora kugufasha kugabanya ibimenyetso, ariko banza ubanze ubaze muganga wawe kuko ni ngombwa ko icyo gikoresho gikwiranye neza, kandi gikoreshejwe uko bikwiye. Mu bana, muganga ashobora kugerageza gukanda intoki kugira ngo agabanye umunzani mbere yo gutekereza kubaga.

Kwaguka cyangwa kubabara hernia bisanzwe bisaba kubagwa kugira ngo hagabanywe uburibwe kandi hirindwe ingaruka zikomeye.

Hariho ubwoko bubiri rusange bw'ibikorwa byo kubaga hernia - kubaga hernia gufungura no kubaga hernia bito.

Muri ubu buryo, bushobora gukorwa hakoreshejwe anesthésie y'aha hantu hamwe no gutuza cyangwa anesthésie rusange, umuganga akora umunwa mu kibuno cyawe kandi asubiza umubiri ugaragara mu nda yawe. Hanyuma umuganga arara ahantu hacye, akenshi akomeza ukoresheje mesh ya sintetike (hernioplasty). Umunwa hanyuma urafungwa n'inyuguti, amastaple cyangwa ikoti ya chirugical.

Nyuma y'ubuganga, uzashishikarizwa kugenda vuba bishoboka, ariko bishobora kumara ibyumweru byinshi mbere yuko ushobora gusubira mu bikorwa bisanzwe.

Muri ubu buryo busaba anesthésie rusange, umuganga akora binyuze mu mabuye make mu nda yawe. Umuganga ashobora gukoresha ibikoresho bya laparoscopic cyangwa robot kugira ngo akosore hernia yawe. Gaz ikoreshwa mu kuzura umubiri wawe kugira ngo bigorane kubona imyanya y'imbere.

Urutobe ruto rufite kamera nto (laparoscope) rwashyizwe mu munwa umwe. Umuyobozi wa kamera, umuganga ashyira ibikoresho bito binyuze mu mabuye make kugira ngo akosore hernia akoresheje mesh ya sintetike.

Abantu bafite ubuganga buke bashobora kugira uburibwe buke n'ibikomere nyuma y'ubuganga no gusubira vuba mu bikorwa bisanzwe. Ibyavuye mu gihe kirekire byo kubaga hernia ya laparoscopic na open ni bimwe.

Kubaga hernia bito byemerera umuganga kwirinda ibikomere byavuye mu kubaga hernia mbere, bityo bishobora kuba amahitamo meza kubantu bafite hernia isubira nyuma yo kubaga hernia. Bishobora kandi kuba amahitamo meza kubantu bafite hernia ku mpande zombi z'umubiri (bilateral).

Kimwe no kubaga gufungura, bishobora kumara ibyumweru bike mbere yuko ushobora gusubira ku rwego rwawe rwa buri munsi.