Hernia Inguinal
Pfupiso
Hernia ye inguinal inoitika kana tishu, yakadai sechikamu cheura, ichibuda kuburikidza nepakasimba mumagaro edumbu. Bvudzi rinoguma rinogona kurwadza, kunyanya kana iwe uchikosora, uchikotama kana kukwidza chinhu chitorei. Zvisinei, mazhinji mahernia haana kurwadza.
Zviratidzo
Zviratidzo nezviratidzo zvehernia yeinguinal zvinosanganisira:
- Kubuda kwemhasuru munzvimbo imwe neimwe padivi pemapfupa ako epubic, kunonyanya kuoneka kana uri wakamira, kunyanya kana ukasvosva kana kushandisa simba
- Kunzwa kwekupisa kana kurwadziwa pamhasuru
- Kurwadziwa kana kusagadzikana muhudyu rako, kunyanya kana uchikotama, uchisvosva kana kukwidza
- Kunzwa kurema kana kukweva muhudyu rako
- Kushaya simba kana kumanikidzwa muhudyu rako
- Dzimwe nguva, kurwadziwa nekukura kwakapoteredza maonde kana ura hwakabuda hwakadzika mu scrotum
Nguva yekunoona chiremba
Tsvaga kurapwa nokukurumidza kana hernia bulge ichichinja kuita tsvuku, kana chena kana dema kana ukaona zvimwe zviratidzo kana zviratidzo zve hernia yakasungwa. Ona chiremba wako kana uine bulge inorwadza kana inooneka muhudyu hwako kurutivi rwemapfupa ako epubic. Bulge ichaoneka zvakanyanya kana uri kumira, uye kazhinji unogona kuinzwa kana ukaisa ruoko rwako pamusoro penyaya yacho chaiyo.
Zvinokonzera
Mamwe maronda einguinal haana chikonzero chakajeka. Mamwe angangoitika semugumisiro we:
- Kukurudzira kwakawedzera mudumbu
- Nzvimbo yakasimba kare iri padombo remuviri
- Kusundira panguva yekubuda ura kana weti
- Mabasa akaoma
- Pamuviri
- Kukosora kana kukwenya kwenguva refu
Muvanhu vazhinji, kushaya simba kwedumbu kunotungamira kuinguinal hernia kunoitika usati wazvarwa kana kushaya simba kumhasuru yedumbu risingavhari zvakanaka. Mamwe maronda einguinal anokura gare gare muhupenyu kana mhasuru dzakasimba kana kuti dzakakuvara nekukwegura, mabasa emuviri akaoma kana kukosora kunouya nekutsikira.
Kushaya simba kunogonawo kuitika padombo remuviri gare gare muhupenyu, kunyanya mushure mekuvadzwa kana kuvhiya kwemudumbu.
Kuvarume, nzvimbo yakasimba kazhinji inoitika munzira yeinguinal, uko tambo yespermatic inopinda muscrotum. Kuvakadzi, nzira yeinguinal inotakura ligament inobatsira kuchengeta mbereko munzvimbo, uye maronda dzimwe nguva anoitika uko tishu inobatanidza kubva kumubereko inobatanidza netishu rinopoteredza ganda repubic.
Zvinhu zvinokonzera njodzi
Zvinhu zvinoita kuti munhu awane hernia ye inguinal zvinosanganisira:
- Kuva murume. Varume vane mukana wekuwana hernia ye inguinal kanomwe kupfuura vakadzi.
- Kuwedzera makore. Tsandanyama dzinowira pasi sezvaunokura.
- Kuva munhu weruvara rwechigadziko.
- Nhoroondo yemhuri. Une hama yepedyo, semuenzi kana munun'una, ane chirwere ichi.
- Kukosora kwenguva refu, kunobva pakusvuta.
- Kutopwa kwenguva refu. Kutopwa kunokonzera kushandisa simba panguva yekubuda kwematumbu.
- Kukura mwana. Kukura mwana kunogona kuita kuti tsandanyama dzedumbu dziwedzere kuora uye kuwedzera kumanikidza mukati memudumbu rako.
- Kuberekwa kare uye uremu hwakaderera pakuumbwa. Hernias dze inguinal dzakajairika muvana vanoberekwa kare kana vane uremu hwakaderera pakuumbwa.
- Hernia ye inguinal yapfuura kana kugadziriswa kwe hernia. Kunyangwe kana hernia yako yapfuura yakanga iri muhudiki, une mukana mukuru wekuwana imwe hernia ye inguinal.
Matambudziko
Zvinetso zvehernia ye inguinal zvinosanganisira:
- Kumanikidza pamatishu ari pedyo. Kazhinji inguinal hernias inokura nekufamba kwenguva kana isina kugadziriswa nekuvhiya. Kuvarume, hernias huru dzinogona kuenda kuscrotum, zvichikonzera kurwadziwa nekukura.
- Hernia yakabatwa. Kana zviri mukati me hernia zvakabatwa munzvimbo yakasimba mudumbu, zviri mukati zvinogona kudzivirira ura, zvichikonzera kurwadziwa kwakanyanya, kusvotwa, kurutsa, uye kusakwanisa kuita chimbiya kana kupfuudza gasi.
- Strangulation. Hernia yakabatwa inogona kutema ropa kunzvimbo yeura rako. Strangulation inogona kukonzera kufa kwe tishu yeura yakabatwa. Hernia yakasvibiswa inotyisa hupenyu uye inoda kuvhiya nekukurumidza.
Kudzivirira
Haukwanisi kudzivirira chirwere chekuzvarwa chinoita kuti uve munhu anokurumidza kuwana hernia ye inguinal. Zvisinei, unogona kuderedza kumanikidzwa pamhasuru dzemudumbu nemakwinya. Semuenzaniso:
- Chengetera uremu hwakanaka. Taura nachiremba wako nezve chirongwa chekurovedza muviri nekudya chakanakira iwe.
- Tsigira zvokudya zvine fiber yakawanda. Zvibereko, miriwo nemagorosi ese ane fiber inogona kubatsira kudzivirira kuvimba uye kumanikidzwa.
- Simudza zvinhu zvinorema zvakanyatsonaka kana kudzivisa kusimudza zvinhu zvinorema. Kana uchifanira kusimudza chimwe chinhu chakaoma, gara uchikotama kubva pamabvi ako — kwete chiuno chako.
- Rega kusvuta. Kunze kwekubatana kwaro muzvirwere zvakawanda zvakakomba, kusvuta kazhinji kunokonzera chikosoro chekusingaperi chinogona kutungamira kana kuwedzera hernia ye inguinal.
Kuongorora
Kutarisa kwemuviri kazhinji ndiko kuri kudikanwa chete pakuzivisa hernia ye inguinal. Chiremba wenyu acharamba achitarisa kuzvimba munzvimbo ye groin. Nekuti kumira nekukosora kunogona kuita kuti hernia ioneke zvakajeka, iwe uchabvunzwa kuti umire nekukosora kana kushandisa simba. Kana kuongororwa kusingaonekwi nyore nyore, chiremba wenyu angarayira bvunzo yekufananidzira, senge ultrasound ye abdominal, CT scan kana MRI.
Kurapa
Kana hernia yako iri duku uye haikunetseri, chiremba wako angakurudzira kumirira nokungwarira. Dzimwe nguva, kupfeka truss inotsigira inogona kubatsira kuderedza zviratidzo, asi bvunza chiremba wako kutanga nekuti zvakakosha kuti truss ikwane zvakanaka, uye iri kushandiswa nenzira yakakodzera. Muvana, chiremba angaedza kushandisa kumanikidza nemaoko kuderedza kuzvimba usati wafunga nezvekuvhiya.
Hernia dzinovhura kana dzine marwadzo kazhinji dzinoda kuvhiya kuderedza kusagadzikana uye kudzivirira matambudziko akakomba.
Kune marudzi maviri makuru ekuvhiya hernia — kuvhiya kwakavhurika hernia nekugadzirisa hernia isingapindiki zvakanyanya.
Panyaya iyi, iyo inogona kuitwa neanesthesia yemunharaunda nekudzikamisa kana anesthesia yakazara, chiremba anoita incision muhudyu hwako uye anodzosera tishu inobuda mudumbu rako. Chiremba anobva asona nzvimbo yakasimba, kazhinji achiisimbisira nemesh yesynthetic (hernioplasty). Kuvhurwa kunovharwa nemisono, staples kana glue yekuvhiya.
Mushure mekuvhiya, uchakukurudzirwa kufamba nekukurumidza sezvinobvira, asi zvinogona kutora mavhiki mashoma usati wagona kudzokera kumabasa ako akajairika.
Panyaya iyi inoda anesthesia yakazara, chiremba anoshanda kuburikidza nekucheka duku kwakati wandei mudumbu rako. Chiremba angashandisa zviridzwa zve laparoscopic kana robotic kugadzirisa hernia yako. Gasi rinoshandiswa kuwedzera mudumbu rako kuita kuti nhengo dzemukati dzionekwe nyore.
Tubu duku ine kamera diki (laparoscope) inoiswa mukucheka kumwe. Achitungamirwa nekamera, chiremba anopinda zviridzwa zvidiki kuburikidza nekucheka duku kuti agadzirise hernia achishandisa mesh yesynthetic.
Vanhu vane kugadzirisa kusina kupindira zvakanyanya vangave vasina kusagadzikana uye mavara mushure mekuvhiya uye kudzoka nekukurumidza kumabasa avo akajairika. Mhedzisiro refu yekuvhiya kwakavhurika hernia ne laparoscopic inofananidzwa.
Kuvhiya kwakaderera hernia kunobvumira chiremba kudzivisa tishu retsono kubva pakugadzirisa hernia kare, saka zvinogona kunge chisarudzo chakanaka kune vanhu vane hernias dzinoitika zvakare mushure mekuvhiya kwakavhurika hernia. Zvinogona kunge chisarudzo chakanaka kune vanhu vane hernias kune rumwe rutivi rwemusoro (bilateral).
Sezvakaita nekuvhiya kwakavhurika, zvinogona kutora mavhiki mashoma usati wadzoka padanho rako rekuita rakajairika.
Kugadzirira musangano wako
'Unogona kutanga wakaona chiremba wako mukuru. Heano mamwe mashoko anokubatsira kugadzirira kuonana kwako.\n\nGadzira runyorwa rwe:\n\nTora nhengo yemhuri kana shamwari pamwe chete, kana zvichibvira, kukubatsira kuyeuka ruzivo rwaungawana.\n\nKune hernia ye inguinal, mimwe mibvunzo yepamhangura yekubvunza chiremba wako inosanganisira:\n\nUsambofa wakarega kubvunza mimwe mibvunzo yaunayo.\n\nChiremba wako anogona kukubvunza mibvunzo yakati wandei, yakadai se:\n\nWana kurapwa kwekukurumidzira kana ukawana kurutsa, kurutsa kana fivha kana hernia yako ikachinja kuita tsvuku, puru kana rima.\n\n* Zviratidzo zvako, kusanganisira apo zvakatanga uye kuti zvakashanduka sei kana kuipa nekufamba kwenguva\n* Ruzivo rwakakosha rwega, kusanganisira shanduko dzehupenyu dzichangobva kuitika uye nhoroondo yemhuri yezvehutano\n* Mishonga yese, mavhitaminzi kana zvinowedzerwa zvaunotora, kusanganisira zviyero\n* Mibvunzo yekubvunza chiremba wako\n\n* Chii chinonyanya kukonzera zviratidzo zvangu?\n* Ndeapi miedzo yandinoda?\n* Ndeapi kurapwa kuripo uye ndechipi raunokurudzira kwandiri?\n* Kana ndichifanira kuvhiyiwa, kuporeswa kwangu kuchave kwakaita sei?\n* Ndina mamwe mamiriro ezvehutano. Ndingadzikwanisa sei kudzitungamira pamwe chete?\n* Ndingaita sei kudzivirira hernia imwezve?\n\n* Zviratidzo zvako zvakagara rini?\n* Zviratidzo zvako zvakagara zvakafanana here kana kuti zvakuipa?\n* Une kurwadziwa mudumbu rako kana groin here? Chii chinokonzera kurwadziwa kunzwa kuipa kana kuri nani?\n* Chii chinhu chaunofambisa pabasa rako? Ndeapi mamwe mabasa emuviri aunowanzobatanidzwa?\n* Une nhoroondo yekusagadzikana kwematumbo here?\n* Wakambowana hernia ye inguinal here?\n* Iwe kana kuti wakasvuta here? Kana zvakadaro, zvakadii?'