Iyini i-Umbilical Hernia? Izimpawu, Izimbangela, & Ukwelashwa

I-umbilical hernia kwenzeka lapho ingxenye yomthambo wakho noma amafutha eqinile ecindezela endaweni ebuthakathaka yemisipha yakho yesisu eduze nombhobho wakho. Lokhu kudala ukukhula okuncane noma ukukhula okubona ngamehlo futhi uzizwe eduze kwendawo yombhobho wakho.

Cabanga ngakho njengokubhoboka okuncane engxenyeni yendwangu lapho okuthile kuphuma khona. Udonga lwakho lwesisu lunendawo ebuthakathaka yemvelo, futhi ngezinye izikhathi ukucindezela ngaphakathi kwesisu sakho kubangela ukuthi izicubu zicindezele kulezi zindawo. Nakuba lokhu kungase kubonakale kukhathaza, i-umbilical hernias ivame kakhulu futhi ivame ukuphathwa ngokunakekelwa okufanele.

Ziyini izimpawu ze-umbilical hernia?

Isilwane esicacile kakhulu ukukhula okumnene noma ukukhula eduze nombhobho wakho oqala ukubonakala uma ukhwehlela, ucindezela, noma ukuma. Ungase uzizwe futhi ubuhlungu obumnene noma ukucindezela kule ndawo, ikakhulukazi ngesikhathi somsebenzi womzimba.

Ake sihambe ngezimpawu ongazihlangabezana nazo, sikhumbula ukuthi umzimba wabo bonke ubaphendula ngokuhlukile:

• Ukukhula okubonakalayo noma ukukhula eduze nombhobho wakho ongaqedi uma ulele phansi
• Ubuhlungu obumnene noma ukuzwela okuzwakalayo eduze nombhobho wakho
• Ukucindezela noma ukukhuluphala endaweni yakho yesisu
• Ubuhlungu obukhulu uma ukhwehlela, uthswala, noma uthwala into enzima
• Ukuzwela eduze kwendawo ye-hernia uma kuthintwa
• Ukuzizwa okugcwele noma ukukhuluphala esiswini sakho

Abantu abaningi bathola lezi zimpawu zilawuleka futhi abazizwa ubuhlungu obukhulu. Noma kunjalo, uma ubona ubuhlungu obukhulu ngokuzumayo, noma ukukhula kuqine futhi akuphumi, lokhu kudinga ukunakekelwa kwezokwelapha ngokushesha njengoba kungase kubonise ukuphazamiseka okukhulu.

Ziyini izinhlobo ze-umbilical hernia?

I-umbilical hernias ngokuvamile ihlukaniswe ngokuthi yethuthukiswe nini nokuthi iyabathinta bani. Ukuqonda lezi zinhlobo kungakusiza uqonde kangcono isimo sakho esithile.

Izinhlobo eziyinhloko zihlanganisa:

• I-umbilical hernias ezelwe nayo: Ikhona kusukela ekuzalweni lapho imisipha yesisu ingavalwa ngokuphelele eduze komthambo womthambo
• I-umbilical hernias yabantu abadala: Ikhula kamuva ekuphileni ngenxa yokucindezela okukhulu kwesisu noma imisipha ebuthakathaka
• I-Paraumbilical hernias: Kwenzeka eduze nombhobho wesisu kunokuba kudlule ngqo kuwo

Uhlobo ngalunye lunokubonakala okuhlukile kodwa lungadinga izindlela ezahlukene zokwelapha. Udokotela wakho angakwazi ukunquma kalula ukuthi yiluphi uhlobo olukhona ngesikhathi sokuhlolwa komzimba okulula.

Yini ebangela i-umbilical hernia?

I-umbilical hernias ivela lapho imisipha eduze nombhobho wakho wesisu iye yaba buthakathaka noma ayivalwa kahle, ivumela izicubu zangaphakathi ukuba zicindezele. Lobu buthakathaka bungaba yinto ozalwa nayo noma into evela ngokuhamba kwesikhathi.

Izici eziningi zingase zifake isandla kule misipha ebuthakathaka noma zikhulise ukucindezela esiswini sakho:

• Ukukhulelwa, ikakhulukazi ukukhulelwa okuningi, okwandisa futhi kubuthakathaka imisipha yesisu
• Ukukhuluphala, okubekela ukucindezela okwengeziwe odongeni lwakho lwesisu
• Ukuhlinzwa kwesisu kwangaphambili okungase kube kubuthakathaka udonga lwemisipha
• Ukukwehlela okungapheli noma ukuvimbela okwandisa ukucindezela kwesisu
• Ukuphakamisa okunzima noma imisebenzi ecindezela isikhathi eside
• Ukubuthwa kwamanzi esiswini (ascites) kusuka ekushayweni kwesibindi noma ezinye izimo
• Ukudalwa ngaphambi kwesikhathi, okungase kuchaphazele indlela imisipha yesisu eyenzeka ngayo

Ngezinye izikhathi, ayikho imbangela ecacile. Umzimba wakho ungase nje ube nomkhuba wemvelo wokuthakathaka kwemisipha kule ndawo, uhlangene nemisebenzi yansuku zonke evamile edala ukucindezela.

Nini okufanele ubona udokotela nge-umbilical hernia?

Kufanele uhlele i-aphoyintimenti nodokotela wakho uma ubona ukukhula noma ukukhula eduze nombhobho wakho wesisu, ngisho noma kungabuli mali. Ukuhlolwa kwasekuqaleni kusiza ukuqinisekisa ukuthi uthola isiqondiso esifanele futhi uvikele ukuphazamiseka okungenzeka.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nanoma yiziphi izimpawu zezexwayiso:

• Ubuhlungu obukhulu ngokuzumayo eduze kwe-hernia obungapheli
• Ukukhula kuqina, kuzwela, noma awukwazi ukulibuyisela
• Ukuphefumula nokugabha kanye nobuhlungu be-hernia
• Isikhumba phezu kwe-hernia sibonakala silibomvu noma silibomvu
• Uthola ubushushu kanye nezimpawu ze-hernia

Lezi zimpawu zingase zibonise ukuthi i-hernia iye yaba "iqinile," okusho ukuthi ukunikezwa kwegazi kwisicubu esibambekiwe kuqediwe. Lokhu kuyisimo esiphuthumayo sezokwelapha esidinga ukuhlinzwa ngokushesha ukuvimbela ukuphazamiseka okukhulu.

Ziyini izici ezingozi ze-umbilical hernia?

Izici ezithile zikwenza kube lula ukukhula kwe-umbilical hernia, nakuba ukuba nalezi zici ezingozi akusho ukuthi uzothola enye. Ukuqonda ingozi yakho siqu kungakusiza uthathe izinyathelo zokuvikela lapho kungenzeka.

Nazi izici ezandisa amathuba akho:

• Ukuba owesifazane, ikakhulukazi ngesikhathi noma ngemuva kokukhulelwa
• Ukuba nokukhulelwa okuningi noma ukuphatha okuningi (amawele, amawele)
• Ukuba ngumuntu onesisindo esingaphezulu noma onesisindo esikhulu
• Iminyaka engaphezu kuka-35, lapho imisipha yesisu iye yaba buthakathaka ngokwemvelo
• Ukuba nomlando womndeni we-hernias
• Ukuhlinzwa kwesisu kwangaphambili noma ukulimala
• Izimo ezingapheli ezibangela ukucindezela okukhulu kwesisu njengokukwehlela okuqhubekayo
• I-Connective tissue disorders ethonya amandla emisipha

Nakuba ungakwazi ukulawula izici ezifana ne-genetics noma iminyaka, ukugcina isisindo esinempilo nokuqeda ukucindezela okukhulu kwemisipha yakho yesisu kungasiza ukunciphisa ingozi yakho. Khumbula, abantu abaningi abanezingozi abazange bakhule i-hernias, ngakho ungakhathazeki ngokungadingekile.

Ziyini izinkinga ezingase zenzeke nge-umbilical hernia?

I-umbilical hernias eningi ayibangeli izinkinga ezinzima, kodwa kubalulekile ukuqonda izinkinga ezingase zenzeke ukuze wazi ukuthi yini okufanele uyilinde. Ukuqaphela lezi zinto ezingase zenzeke kukusiza uthole ukunakekelwa ngesikhathi uma kudingeka.

Izinkinga eziyinhloko okufanele uzazi zihlanganisa:

• Ukuvalwa: Lapho i-hernia ivalwe futhi ingakwazi ukucindezelwa, kubangela ukungakhululeki okuqhubekayo
• Ukuhlwithwa: Lapho ukunikezwa kwegazi kwisicubu esibambekiwe kuqediwe, kudinga ukuhlinzwa ngokushesha
• Ukuvimbela komthambo: Uma umthambo uvalwe, ungavimba ukudla okuvamile
• Ukutheleleka: Ngokungavamile, indawo ye-hernia ingatheleleka, ikakhulukazi ngemuva kokulima
• Ubuhlungu obuqhubekayo: Abanye abantu bazwa ukungakhululeki okuqhubekayo ngisho ne-hernias encane

Lezi zinkinga azivamile, zenzeka kubantu abangaphansi kuka-5% abane-umbilical hernias. Abantu abaningi bahlala bekhululekile ne-hernias yabo iminyaka eminingi ngaphandle kwezinkinga, ikakhulukazi uma belandela isiqondiso sodoctor wabo mayelana nokuguqulwa kwemisebenzi.

Ungayivimbela kanjani i-umbilical hernia?

Nakuba ungakwazi ukuvimbela zonke i-umbilical hernias, ikakhulukazi lezo ezihlobene ne-genetics noma ukukhulelwa, ungathatha izinyathelo zokunciphisa ingozi yakho nokuvimbela i-hernias encane ekhona ekuqhubekeni nokukhula.

Nazi izindlela ezisebenzayo zokuvikela udonga lwakho lwesisu:

• Gcina isisindo esinempilo ukuze unciphise ukucindezela kwemisipha yakho yesisu
• Sebenzisa amasu afanele okuphakamisa, ugobe amadolo akho futhi ugcine umhlane wakho uqondile
• Qinisisa imisipha yakho yekhokhonathi ngemisebenzi emnene evunyelwe udokotela wakho
• Phatha ukukwehlela okungapheli noma ukuvimbela ngokushesha ukuze ugweme ukucindezela okuphindaphindayo
• Gwema ukuphakamisa okukhulu ngokuzumayo, imisebenzi enzima yesisu
• Sekela isisu sakho ngesikhathi sokukhulelwa ngebhande lokukhulelwa uma kunconywa
• Ungabhemi, njengoba kungase kubuthakathaka izicubu ezihlanganayo futhi kubangele ukukwehlela okungapheli

Uma usuvele une-hernia encane, lezi zindlela ezifanayo zingasiza ukuvimbela ukukhula kwayo noma kube nzima kakhulu. Udokotela wakho angakunikeza iseluleko esilungisiwe ngokuya ngesimo sakho esithile kanye nesilinganiso semisebenzi.

I-umbilical hernia ihlonishwa kanjani?

Ukuhlonishwa kwe-umbilical hernia ngokuvamile kulula futhi ngokuvamile kwenzeka ngesikhathi sokuhlolwa komzimba okulula. Udokotela wakho uzobe ekwazi ukubona nokubona ukukhula kwe-hernia eduze nombhobho wakho wesisu.

Ngesikhathi se-aphoyintimenti yakho, udokotela wakho cishe uzakucela ukuba uqonde, ukhwehlele, noma ucindezele kancane ukuze wenze i-hernia ibonakale kakhulu. Bazocindezela futhi kancane kule ndawo ukuhlola ukuthi i-hernia ingacindezelwa emuva futhi ukuhlola usayizi nokuqukethwe kwayo.

Kwezinye izimo, ukuhlolwa okwengeziwe kungase kudingeke:

• I-Ultrasound: Isebenzisa amaza omsindo ukudala izithombe ze-hernia nezicubu ezizungezile
• I-CT scan: Inikeza izithombe ezinemininingwane eziqondile, ikakhulukazi ezimweni eziyinkimbinkimbi
• I-MRI: Inikeza izithombe eziningi zezicubu ezithambile uma ezinye izivivinyo zingapheli

Lezi zivivinyo zokuthola izithombe ngokuvamile zigcinelwe izimo lapho ukuhlonishwa kungacaci khona ekuhlolweni komzimba, noma lapho udokotela wakho edinga ulwazi olunemininingwane ukuhlela ukwelashwa. Abantu abaningi ngeke badinge lezi zivivinyo ezengeziwe.

Ukuphathwa kwe-umbilical hernia kuyini?

Ukuphathwa kwe-umbilical hernia kuncike ezintweni eziningi ezihlanganisa usayizi we-hernia yakho, izimpawu zakho, nokuqina kwakho kwempilo. I-hernias encane, engabuli mali ingaphathwa ngokulandelela ngokucophelela kunokuba kube ukwelashwa ngokushesha.

Udokotela wakho angase ancome indlela "yokulinda nokulinda" uma i-hernia yakho incinyane futhi ayibangeli izinkinga. Lokhu kusho ukuhlolwa okuvamile ukuqinisekisa ukuthi ayikhula noma ayibangeli izinkinga, ngenkathi uqhubeka nemisebenzi yakho evamile ngokuguqulwa okuthile.

Uma ukwelashwa kunconywa, unezinketho ezimbalwa:

• Ukulungiswa okuvulekile: Ukucutshungulwa okuncane kwenziwa eduze kwe-hernia, futhi izicubu zicindezelwa emuva endaweni ngaphambi kokunqoba udonga lwemisipha
• Ukulungiswa kwe-Laparoscopic: Ukucutshungulwa okuncane kwenziwa, futhi ukulungiswa kwenziwa usebenzisa ikhamera encane namathuluzi akhethekile
• Ukuqinisa kwe-Mesh: I-mesh yesinamatheli ingase ibekwe ukuze iqinise udonga lwesisu futhi inciphise ingozi yokubuyela

Ukuhlinzwa ngokuvamile kunconywa uma i-hernia yakho inkulu, ikhula, ibingela ubuhlungu, noma uma ungozini yokuphazamiseka. Le nqubo ngokuvamile yenziwa njengokuhlinzwa kwabantu abangaphandle, okusho ukuthi ungaya ekhaya ngosuku olufanayo.

Indlela yokuphatha i-umbilical hernia ekhaya?

Uma uphatha i-umbilical hernia encane ngaphandle kokuhlinzwa, kunezinto eziningi ongazenza ekhaya ukuze uhlale ukhululekile futhi uvikele i-hernia ekuqhubekeni nokukhula. Lezi zindlela zigxile ekuqedeni ukucindezela odongeni lwakho lwesisu.

Nazi izindlela eziwusizo zokuphathwa ekhaya:

• Faka ukucindezela okuthambile ukuze ucindezele i-hernia emuva lapho ikhula, kodwa kuphela uma ibuyela kalula
• Gqoka izingubo ezisekelayo noma i-abdominal binder uma udokotela wakho ekuncoma
• Gwema ukuphakamisa okunzima, ukukwehlela okukhulu, noma ukucindezela ngesikhathi sokuhamba kwesisu
• Dla ukudla okuncane, okuvamile ukuvimbela ukukhuluphala nokucindezela kwesisu
• Sebenzisa imisebenzi yokuheha emnene ukuze uqinise imisipha yekhokhonathi ngaphandle kokucindezela
• Sebenzisa amasu afanele omzimba uma uvuka ekuphumuleni noma uhlala phansi
• Faka iqhwa eligoqwe ngendwangu encane imizuzu engu-10-15 uma uhlangabezana nokungahambi kahle

Khumbula, ukuphathwa ekhaya kuphathelene nokududuza nokuvimbela, hhayi ukwelapha. Uma izimpawu zakho ziyanda noma uthola ukukhathazeka okusha, ungangabazi ukuthintana nodokotela wakho wezokunakekelwa kwempilo ukuze uthole isiqondiso.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho kusiza ukuqinisekisa ukuthi uthola okuningi kakhulu ekuhambeleni kwakho nokuthi udokotela wakho unelonke ulwazi oluyimfuneko ukukunikeza ukunakekelwa okungcono kakhulu. Ukuzilungiselela kancane kungenza ingxoxo ibe yiyona ephumelelayo futhi ingabi nomthwalo omkhulu.

Ngaphambi kwe-aphoyintimenti yakho, butha lolu lwazi:

• Bhala phansi lapho uqale ukubona khona ukukhula nokuthi luye lwaguquka kanjani
• Qaphela ukuthi yimiphi imisebenzi eyenza ibonakale kakhulu noma ingakhululeki
• Bala zonke izidakamizwa kanye nezinhlanganisela ozithatha njengamanje
• Lungiselela imibuzo mayelana nezinketho zokwelapha nokunciphisa imisebenzi
• Letha uhlu lwezinye izimo zakho zezokwelapha kanye nokuhlinzwa kwangaphambili
• Cabanga ngokuletha umngani othembekile noma ilungu lomndeni ukuze uthole ukwesekwa

Ngesikhathi se-aphoyintimenti, ungangabazi ukubuza imibuzo mayelana nanoma yini ongayiqondi. Udokotela wakho ufuna ukukusiza uzizwe ulwazi futhi ukhululekile ngecebo lakho lokunakekelwa, ngakho khuluma nganoma yikuphi ukukhathazeka noma izintandokazi onazo.

Yini eyinhloko mayelana ne-umbilical hernia?

I-umbilical hernia iyisimo esivamile lapho izicubu zicindezela khona endaweni ebuthakathaka yemisipha yakho yesisu eduze nombhobho wakho wesisu. Nakuba kungase kubonakale kukhathaza, i-umbilical hernias eningi ilawuleka futhi ayibangeli izinkinga ezinzima.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi unezinketho. Kungakhathaliseki ukuthi i-hernia yakho idinga ukuhlinzwa noma ingaphathwa ngokulandelela kuncike esimweni sakho esithile. I-hernias encane, engabuli mali ngokuvamile ayidingi ukwelashwa ngokushesha, kuyilapho ezinkulu noma ezinokubonakala zingase zizuze ekuhlinzweni.

Hlala uqaphele izimpawu zezexwayiso ezifana nobuhlungu obukhulu ngokuzumayo, ukungakwazi ukucindezela i-hernia emuva, noma ukuphefumula nokugabha, njengoba lezi zidinga ukunakekelwa kwezokwelapha ngokushesha. Ngokunakekelwa okufanele nokulandelwa okuvamile nodokotela wakho wezokunakekelwa kwempilo, ungaqhubeka uphumelela impilo esebenzayo, ekhululekile kungakhathaliseki ukuthi ukhetha ukwelashwa ngokuhlinzwa noma okungekho ekuhlinzweni.

Imibuzo evamile ebuzwa mayelana ne-umbilical hernia

Ingaphola yodwa i-umbilical hernia?

Kubantu abadala, i-umbilical hernias ayipholi yodwa ngoba imisipha yesisu ayikhulumi ngokwemvelo ndawonye uma ihlukene. Noma kunjalo, i-hernias encane engabangeli izimpawu ngokuvamile ingaphathwa ngaphandle kokuhlinzwa iminyaka eminingi. Ezinganeni, i-umbilical hernias ngezinye izikhathi ivala ngokwemvelo njengoba imisipha yesisu iqinile futhi ikhula.

Kuphephile yini ukuzivocavoca nge-umbilical hernia?

Ukuzivocavoca okulula kuya kokuphakathi ngokuvamile kuphephile nge-umbilical hernia, kodwa kufanele ugweme imisebenzi ebekela ukucindezela okukhulu kwemisipha yakho yesisu. Ukuhamba, ukubhukuda okulula, nokulula ukwelula ngokuvamile kulungile. Gwema ukuphakamisa izinto ezinzima, imisebenzi enzima yekhokhonathi, noma imidlalo yokuxhumana kuze kube yilapho uxoxe ngesimo sakho esithile nodokotela wakho.

Ingakhula yini i-umbilical hernia ngokuhamba kwesikhathi?

Akuyona yonke i-umbilical hernias ekhula, kodwa eziningi zanda kancane kancane ngezinyanga noma iminyaka, ikakhulukazi uma ucindezela imisipha yakho yesisu njalo. Izici ezifana nokukhuluphala, ukukhulelwa, ukukwehlela okungapheli, noma ukuphakamisa okunzima kungabangela i-hernia ukuba ikhule. Yingakho ukulandelela okuvamile nodokotela wakho kubalulekile.

Ubude kangakanani ukubuyela esimweni esijwayelekile ngemuva kokuhlinzwa kwe-umbilical hernia?

Abantu abaningi babuyela emisebenzini elula ezinsukwini ezimbalwa futhi imisebenzi evamile ezinyangeni ezingu-2-4 ngemuva kokuhlinzwa kwe-umbilical hernia. Ukuphola okuphelele kuthatha izinyanga ezingaba ngu-6-8. Udokotela wakho uzakukunikeza imiyalo ethile mayelana nokunciphisa ukuphakamisa nokuthi nini ungaqala kabusha ukuzivocavoca noma umsebenzi, kuye ngomsebenzi wakho nohlobo lokulungiswa okwenziwe.

Ingabangela yini ukukhulelwa ukukhula kwe-umbilical hernia?

Yebo, ukukhulelwa kungenye yezizathu ezivamile ze-umbilical hernias kwabesifazane. Ingane ekhula ibekela ukucindezela okwandayo odongeni lwakho lwesisu, futhi ukuguquka kwe-hormonal kungase kubuthakathaka izicubu ezihlanganayo. Ukukhulelwa okuningi noma ukuphatha okuningi kukhulisa le ngozi. I-hernias eningi ehlobene nokukhulelwa ibonakala ngesikhathi sesibili noma sesithathu sokukhulelwa noma ngokushesha ngemuva kokubeletha.