Ukuqunjelwa Kwe-Inguinal Hernia? Izimpawu, Izimbangela, Nokwelashwa

I-inguinal hernia kwenzeka lapho i-tissue ebushelelezi, ngokuvamile ingxenye yomthambo wakho, iqhuma ngaphandle kwindawo ebuthakathaka yemisipha yakho yesisu eliphansi. Lokhu kwenza ukukhula endaweni yakho yeqhude ongase ukwazi ukulibona nokukuzwa.

Cabanga ngakho njengokubhoboka okuncane ephakethe lapho okuthile kungase kuphume khona. Udonga lwakho lwesisu lunezindawo ezibuthakathaka zemvelo, futhi ngezinye izikhathi ukucindezela ngaphakathi kwesisu sakho kungabangela i-tissue ukuthi iqhuma ngaphandle kwezindawo.

Ziyini izimpawu ze-inguinal hernia?

Uphawu olucacile kakhulu ukukhula ohlangothini olulodwa lwamathambo akho omphetho. Lokhu kukhula kuyaqaphela kakhulu uma ukuma, ukukhokha, noma ukucindezela, futhi kungase kuphume uma ulele phansi.

Ungase ube nezimpawu ezivamile njengoba umzimba wakho uqondanisa ne-hernia:

• Ukuthwesa noma ukuhlunguluza endaweni yokuqhuma
• Ubuhlungu noma ukungakhululeki eqhudeni lakho, ikakhulukazi uma ukhukhumala, ukukhokha, noma ukuphakamisa
• Ukuzwa okukhulu noma okudonsa eqhudeni lakho
• Ubuthakathaka noma ukucindezela endaweni yakho yeqhude
• Ukukhula eduze kwama-testicles uma ungumuntu wesilisa

Abanye abantu bane-hernia 'ethule' lapho ukukhula kubonakala khona kodwa kubangela ubuhlungu obuncane noma obungekho. Abanye bangase bazwe ubuhlungu obukhulu obuphazamisa imisebenzi yansuku zonke. Kokubili okuhlangenwe nakho kuvamile futhi kuncike ebukhoneni nendawo ye-hernia yakho.

Ziyini izinhlobo ze-inguinal hernia?

Kunezinhlobo ezimbili eziyinhloko ze-inguinal hernias, futhi ukwazi ukuthi yiluphi uhlobo olukhona kusiza udokotela wakho ukuhlela indlela yokwelapha engcono kakhulu.

I-inguinal hernia engaqondile iyilona uhlobo oluvamile. Kwenzeka lapho okuqukethwe kwesisu kuqhuma ngaphandle kwe-inguinal canal, indlela yemvelo eqhudeni lakho. Lolu hlobo ngokuvamile luthuthukiswa ngoba wazalwa nokuvulwa okukhulu kancane kule ndawo.

I-inguinal hernia eqondile iyenzeka lapho i-tissue iqhuma ngaphandle kwindawo ebuthakathaka yemisipha yakho yesisu. Lolu hlobo ngokuvamile luthuthukiswa kamuva ebomini njengoba imisipha yakho ibuthakathaka ngokwemvelo ngokuguga noma ngokucindezela okuphindaphindayo.

Zombili izinhlobo zingase zenzeke ohlangothini olulodwa lweqhude lakho, futhi abanye abantu bathuthukisa i-hernias womabili ohlangothini. Udokotela wakho angakwazi ukuthola ukuthi yiluphi uhlobo olukhona ngokuhlolwa komzimba.

Yini ebangela i-inguinal hernia?

I-inguinal hernias ithuthukiswa lapho imisipha yodonga lwakho lwesisu ibuthakathaka noma lapho ukucindezela ngaphakathi kwesisu sakho kukhula. Ngokuvamile, kuyindlela yokubili yombili izinto ezisebenza ndawonye.

Izinto eziningi zingase zifake isandla ekuthuthukiseni i-hernia:

• Ukuthuthukiswa, okuqeda imisipha yakho yesisu ngokwemvelo
• Ukukhokha okuqhubekayo okuvela ezimweni ezifana ne-asthma noma ukubhema
• I-constipation eqhubekayo ebangela ukucindezela ngesikhathi sokuhamba kwesisu
• Ukuphakamisa okuqhutshwayo noma imisebenzi yomzimba eqinile
• Ukukhulelwa, okwandisa ukucindezela kwesisu
• Ukuzalwa nobuthakathaka bomdabu odongeni lwakho lwesisu
• Ukuhlinzwa kwesisu okudlule okungase kube kuye kwabuthakathaka le ndawo

Ngezinye izikhathi i-hernias ithuthukiswa ngaphandle kwesizathu esicacile. Inqubo yemvelo yokuguga yomzimba wakho ingase ibuthakathaka i-tissues ngokuhamba kwesikhathi, okwenza i-hernias ibe lula njengoba uthuthuka. Lokhu akusho ukuthi wenze okuthile okungalungile noma ungakwazi ukukuvimbela.

Nini okufanele ubheke udokotela nge-inguinal hernia?

Kufanele uxhumane nodokotela wakho uma ubona ukukhula endaweni yakho yeqhude, ngisho noma kungabuli ubuhlungu. Ukubheka kwasekuqaleni kusiza ukuqinisekisa ukuthi uthola ukwelashwa okufanele futhi ugweme izinkinga.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nobuhlungu obukhulu, isicanucanu, ukugabha, noma uma ukukhula kwe-hernia yakho kuqina futhi kungabuyeli uma ulele phansi. Lezi zimpawu zingase zibonise i-hernia ehlukanisiwe, okuyisimo esiphuthumayo sezokwelapha.

Udokotela wakho udinga ukuhlola noma yikuphi ukukhula kweqhude ukuqinisekisa ukuthi kuyi-hernia futhi ukhiphe ezinye izimo. Ngisho ne-hernias encane, engazibuhlungu izuza ekubhekeni kwezokwelapha ngoba ingashintsha ngokuhamba kwesikhathi.

Ziyini izimbangela zengozi ze-inguinal hernia?

Izinto ezithile zikwenza kube lula ukuthuthukisa i-inguinal hernia, nakuba ukuba nezinto ezingozi akusho ukuthi uzoyithola.

Izinto eziyinhloko zengozi zihlanganisa:

• Ukuba yindoda (amadoda amaningi kakhulu ane-inguinal hernias)
• Ukuthuthukiswa, ikakhulukazi ukuba ngaphezu kweminyaka engama-40
• Umlando womndeni we-hernias
• Ukukhokha okuqhubekayo okuvela ekubhemeni noma ezimweni zephunga
• I-constipation eqhubekayo
• Ukuba ngumuntu onesisindo esiningi noma olukhulu
• Ukukhulelwa
• Ukuzalwa ngaphambi kwesikhathi noma isisindo esincane sokuzalwa

Ukuba nezinto eziningi zengozi kukhuphula amathuba akho, kodwa abantu abaningi abanazo izinto eziningi zengozi abazithuthukisi i-hernias. Ngakolunye uhlangothi, abanye abantu abanazo izinto ezimbalwa zengozi bayazithuthukisa. Ukwakheka kwakho komuntu siqu nezimo zobomi zidlalela indima ebalulekile.

Ziyini izinkinga ezingase zenzeke nge-inguinal hernia?

I-inguinal hernias eningi ihlala iqinile futhi ibangela ubuhlungu obuncane. Noma kunjalo, ukuqonda izinkinga ezingase zenzeke kusiza ukuthi uqaphele nini okufanele ufune ukunakekelwa ngokushesha.

Inkinga ebucayi kakhulu ukubopha, lapho ukunikezwa kwegazi kuthi i-tissue ehlukanisiwe kuqediwe. Lokhu kwenza ubuhlungu obukhulu, isicanucanu, nokugabha, futhi kudinga ukuhlinzwa okusheshayo. Ngenhlanhla, lokhu kwenzeka ngaphansi kwamaphesenti angu-5 ezimweni.

Ukubopha kwenzeka lapho i-tissue ehlukanisiwe ivalelwe futhi ingakwazi ukucindezelwa emuva esiswini. Nakuba kungesona isisulu esibi njengokubopha, ukubopha kungase kube yimbangela yokubopha uma kungelashwa ngokushesha.

Abanye abantu bahlangabezana nobuhlungu obuqhubekayo obuphazamisa imisebenzi yansuku zonke. I-hernias enkulu ingase ibangela ukungakhululeki okuqhubekayo, ubunzima ngemisebenzi yomzimba, noma ukukhathazeka kokubukeka. Lezi zinkinga zokuphila ezinhle zizizathu ezifanele zokuxoxa ngezinketho zokwelapha nodokotela wakho.

I-inguinal hernia ihlonishwa kanjani?

Udokotela wakho ngokuvamile angakwazi ukuxilonga i-inguinal hernia ngokuhlolwa komzimba. Bazokubuza ukuthi uqale nini ukubona ukukhula futhi noma yiziphi izimpawu ozizwe.

Ngesikhathi sokuhlolwa, udokotela wakho uzohlola ukukhula okuvela uma ukhokha noma ucindezela. Bangase bakubuze futhi ukuthi ulele phansi ukuze babone ukuthi ukukhula kuyahamba yini. Lokhu kuhlolwa ngezandla ngokuvamile kwanele ukuqinisekisa ukuxilongwa.

Uma izimpawu zakho azicaci noma uma unesondlo esiningi futhi ukukhula kunzima ukulizwa, udokotela wakho angase a-ode ama-imaging tests. I-ultrasound iyilona i-imaging test evamile ye-hernias, nakuba ama-CT scans ngezinye izikhathi asebenziswa ezimweni eziyinkimbinkimbi.

Lezi zivivinyo zisiza udokotela wakho ukuthola ubukhulu nohlobo lwe-hernia, okuqondisa izinqumo zokwelapha. Zisiza futhi ukukhipha ezinye izimo ezingase zibangele izimpawu ezifanayo.

Yikuphi ukwelashwa kwe-inguinal hernia?

Ukwelashwa kuncike ezimpawu zakho, ubukhulu be-hernia yakho, nokuthi kuchaphazela kanjani impilo yakho yansuku zonke. Akuzona zonke i-hernias ezidinga ukuhlinzwa ngokushesha, futhi udokotela wakho uzokusiza unqume indlela engcono kakhulu.

Nge-hernias encane, engazibuhlungu, udokotela wakho angase akukhuthaze ukulinda. Lokhu kusho ukulandelela i-hernia ngezinguquko ngenkathi uphatha noma yiluphi ubuhlungu ngezinsizi zokulwa nobuhlungu ezingaphezu kokuthengwa ngaphandle kanye nokuguqulwa kwemisebenzi.

Ukuhlinzwa kuba yingxenye ebalulekile lapho i-hernias ibangela ubuhlungu obukhulu, ikhula, noma izingozi zokuphazamiseka. Izindlela ezimbili eziyinhloko zokwelapha zingu-open repair kanye ne-laparoscopic repair. Zombili ziphephile futhi ziphumelela, ngezinga lokuphila eliphezulu kwamaphesenti angu-95.

Ukulungisa okuvulekile kuhilela ukwenza isiqu esincane phezu kwe-hernia nokufaka i-mesh patch ukuqinisa indawo ebuthakathaka. Ukulungisa i-laparoscopic kusebenzisa izicucu ezincane kanye nekhamera ukufaka i-mesh ngaphakathi kwesisu sakho. Udokotela wakho uzokukhuthaza indlela engcono kakhulu ngokususelwa esimweni sakho esithile.

Ungaphatha kanjani i-inguinal hernia ekhaya?

Ngesikhathi ulinda ukuhlinzwa noma uma ulandelela i-hernia encane, amasu amaningi angakusiza uhlale ukhululekile futhi uvikele ukwanda.

Gwema ukuphakamisa okuqhutshwayo nemisebenzi yokucindezela ekhuphula ukucindezela kwesisu. Uma kufanele uphakamise okuthile, sebenzisa indlela efanele ngokugoba amadolo akho nokugcina umhlane wakho uqondile. Cela usizo ngezinto ezisindayo uma kungenzeka.

Phatha i-constipation ngokudla ukudla okunamafutha amaningi, ukuphuza amanzi amaningi, nokuba nomsebenzi. Ukucindezela ngesikhathi sokuhamba kwesisu kungase kubi kakhulu i-hernias, ngakho ukugcina isimiso sakho sokuhlanza siphilile kubalulekile.

Gcina isisindo esiphilile ukuze unciphise ukucindezela emisipha yakho yesisu. Ngisho nokunciphisa isisindo esincane kungase kunciphise izimpawu ze-hernia futhi kunciphisa ingozi yokuphazamiseka.

Sekela i-hernia yakho nge-truss noma i-hernia belt uma udokotela wakho ekukhuthaza. Lezi zinto zingase zinikeze usizo oluyimfuneko kodwa azilona izixazululo zesikhathi eside futhi akufanele zithathe indawo yokwelashwa kwezokwelapha okufanele.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Woza ulungele ukuxoxa ngesikhathi oqale ukubona ukukhula futhi noma yiziphi izimpawu ozizwe. Udokotela wakho uzothanda ukwazi ukuthi i-hernia ishintsha ubukhulu noma uma imisebenzi ethile iyenza ibonakale kakhulu.

Letha uhlu lwemithi yakho yamanje, kufaka phakathi imithi engaphezu kokuthengwa ngaphandle kanye nezinsizi. Eminye imithi ingase ichaphazele ukuhlela ukuhlinzwa uma udinga ukusebenza.

Bhala phansi imibuzo ngaphambi kwesikhathi ukuze ungakhohlwa ukukhathazeka okubalulekile. Cabanga ukubuza ngezinketho zokwelapha, izingozi nezinzuzo zokuhlinzwa, isikhathi sokuphulukisa, kanye nokunciphisa imisebenzi.

Gqoka izingubo ezanelisayo, eziqondile eziyenza kube lula ukufinyelela endaweni yakho yeqhude ukuze uhlolwe. Gwema amabhande aqinile noma izingubo ezinqabela ezingase zenze ukuhlolwa komzimba kube nzima.

Yini eyinhloko yokuthatha nge-inguinal hernia?

I-inguinal hernias iyizimo ezivamile, ezilaphekayo ezingafanele zilawule impilo yakho. Nakuba ngeke zihambe zodwa, abantu abaningi bahlala bekhululekile nge-hernias encane iminyaka eminingi ngokulandelela okufanele.

Ukuqondana nokusebenzisana nodokotela wakho ukuthola indlela yokwelapha efanele esimweni sakho. Kungaba ukulinda noma ukuhlinzwa, unezinketho eziphephile neziphumelelayo ezitholakalayo.

Khumbula ukuthi ukufuna ukunakekelwa kwezokwelapha kwasekuqaleni kukunika izinketho eziningi zokwelapha futhi kusiza ukuvimbela izinkinga. Ungavumeli ihlazo noma ukwesaba kukuvimbele ukuthola ukunakekelwa okudingayo.

Imibuzo evamile ebuzwa nge-inguinal hernia

Ingabe i-inguinal hernia ingaziphulukisa yodwa?

Cha, i-inguinal hernias ayikwazi ukuziphulukisa yodwa. Ukuvulwa odongeni lwakho lwesisu okuvumela i-tissue ukuthi iqhuma ngaphandle kuzohlala khona ngaphandle kokulungiswa ngokuhlinzwa. Noma kunjalo, i-hernias encane engabangeli izimpawu ngokuvamile ingalandelelwa ngokuphepha ngaphandle kokwelashwa ngokushesha.

Ingabe ukuhlinzwa kwe-inguinal hernia kudingeka njalo?

Akuyona njalo. I-hernias encane, engazibuhlungu ngokuvamile ingalindele futhi ilandelwe esikhundleni sokulungiswa ngokushesha. Udokotela wakho uzokukhuthaza ukuhlinzwa uma i-hernia yakho ibangela ubuhlungu obukhulu, ikhula, noma izingozi zokuba yimbangela yokubopha. Isinqumo sincike ezimpawu zakho zomuntu siqu nezimo.

Kuthatha isikhathi esingakanani ukuphulukisa ngemuva kokuhlinzwa kwe-inguinal hernia?

Abantu abaningi babuyela emisebenzini elula ezinsukwini ezimbalwa futhi imisebenzi evamile phakathi kwamasonto angu-2-4. Ukuphulukisa okuphelele kuthatha cishe amasonto angu-6-8. Ukuhlinzwa kwe-laparoscopic ngokuvamile kunesikhathi esisheshayo sokuphulukisa kunokuhlinzwa okuvulekile, kodwa zombili izindlela ziphumelela kakhulu ngokunakekelwa okufanele ngemuva kokuhlinzwa.

Ngingasebenza nge-inguinal hernia?

Ukuzivocavoca okulula njengokuhamba ngokuvamile kulungile futhi kuwusizo. Noma kunjalo, kufanele ugweme ukuphakamisa okuqhutshwayo, ukuzivocavoca kwesisu okukhulu, nemisebenzi ebangela ubuhlungu noma yenza i-hernia yakho ikhule kakhulu. Xoxani ngezinhlelo zokuzivocavoca nodokotela wakho ukuze uqinisekise ukuthi uhlala uphephile.

Ingabe i-inguinal hernia yami izoba mbi ngokuhamba kwesikhathi?

Ezinye i-hernias zihlala ziqinile iminyaka eminingi, ngenkathi ezinye zikhula kancane kancane noma zibe nezimpawu eziningi. Alukho uqikelelo lokuthi i-hernia yakho izoshintsha kanjani ngokuhamba kwesikhathi, kungakho ukulandelela okuqhubekayo nodokotela wakho kubalulekile ngisho noma ungenzi ukuhlinzwa ngokushesha.