Ingabe i-hernia yokubeletha iyingozi?
I-hernia yokubeletha ayibhekwa njengebucayi ezimweni eziningi.
Kungathula futhi kungabi nazimpawu, futhi isiguli singagwema izinkinga ngokunamathela eziqondisweni zokuzinakekela futhi siqaphele izinguquko ezilandelayo.
Isiguli singase sizibuze ngengozi ye-hernia yokuzala uma ingelashwa.
Nakuba kungase kungavamile ukubangela izimpawu, kungase kuhlotshaniswe nezinkinga ezingathi sína kwezinye izimo, njenge-reflux enamandla yommizo, ukugcwala komoya emaphashini, nokuphazamiseka kokugeleza kwegazi ukuya esiswini.
Nakuba i-hernia yokuzala ingase ibangele izinkinga ezimbi kakhulu, ukwehluleka ukuyelapha ngesikhathi kungase kubangele ukulimala kwesikhathi eside kumminzo.
I-Congenital diaphragmatic hernia yenzeka lapho i-diaphragm ihluleka ukuvala kahle isifuba kusuka esiswini ngesikhathi sokukhula.
I-diaphragm iwudonga oluncane lwemisipha oluhlukanisa isifuba sesisu nesisu.
I-hernia yenzeka lapho ukuvuleka kwe-diaphragm kubanzi kunokuvamile, Lokhu kungase kwenzeke ngenxa yemisipha ebuthakathaka ye-diaphragm noma lapho ubukhulu bembobo bukhulu kunokuvamile.
Kufanele kwenziwe nini ukuhlinzwa kwe-hiatal hernia?
Ucwaningo lwezokwelapha lubonisa ukuthi kunezinye izimo ezidinga ukuhlinzwa i-hiatal hernia.
I-Hiatal hernia yisimo esibonakala ngezitho zesisu eziphuma esifubeni ngokusebenzisa izimbobo zemvelo ku-diaphragm.
Ngezinye izikhathi, kufanele kwenziwe ukuhlinzwa ukuze kwelashwe lesi simo.
Kunezimpawu ezithile ezidinga ukuhlinzwa kwe-hiatal hernia, okuhlanganisa:
- Ubukhulu bezimpawu eziphazamisa imisebenzi yokuphila kwansuku zonke.
- Izimpawu aziphenduli emithini evamile.
- Ukuphazanyiswa okuphelele kokunikezwa kwegazi endaweni ye-hernia, okungaba yingozi empilweni yesiguli.
- Ukuvela kwezinye izimpawu ezingapheli, njengokuncipha kommizo, izilonda, noma ukopha.
Ukuhlinza i-hiatal hernia kuhilela ukukhipha izitho ezivuvukele esifubeni, ukuzibuyisela esiswini, nokulungisa i-diaphragm.
Le nqubo ingenziwa ngokusebenzisa inqubo ye-laparoscopic, lapho izinsimbi zokuhlinza ezincane zifakwa ngezimbobo esiswini.
Ukuhlinzwa kungase kuhlanganise nokudonsa isisu esiqhelile sibuyele endaweni kanye nokulungisa igebe kummizo.
Ngokuvamile, ukuhlinzwa kwenziwa uma kwenzeka isiguli singaphenduli emithini evamile yokukhulula isilungulela nezinye izimo ezifana nezimpawu ezinzima ezivimbela ukuphila kwansuku zonke.
Ukuhlinzwa kungase futhi kusetshenziswe ezimeni ezibucayi lapho i-hernia ibulala khona.
Kuyaqapheleka ukuthi ukuhlinzwa kwe-hiatal hernia kungabhekwa njengesixazululo esifanelekile kwezinye izimo ukuze kuzuzwe ukululama okuphelele komuntu othintekile.
Eqinisweni, okwamanje odokotela abahlinzayo bancamela ukwenza inqubo besebenzisa inqubo ye-laparoscopic ngokusebenzisa izimbotshana ezincane esiswini kunokuba bahlinze kakhulu.
Le ndlela ivumela ukunciphisa ubuhlungu kanye nesikhathi sokululama futhi ithuthukise imiphumela yokusebenza.
Ngokuvamile, isidingo sesiguli sokuhlinzwa kwe-hiatal hernia sinqunywa ngokusekelwe ezimpawu nokuhlolwa okwenziwa udokotela owelaphayo.
Ngakho-ke, ukubonisana nodokotela kunconywa ukuxilonga isimo sesiguli futhi unikeze ukwelashwa okufanele.
Lingakanani izinga lempumelelo yokuhlinzwa kwe-hiatal hernia?
Ukuhlinzwa kwe-Hiatal hernia kungenye yezinqubo zokuhlinzwa ezivamile futhi eziphumelelayo ekwelapheni lesi sifo.
Izinga lokuphumelela komsebenzi liyahlukahluka kusuka endaweni eyodwa kuya kwenye, kodwa izindleko zakho zinengqondo.
Ukuhlinza i-hiatal hernia kwenziwa ngokwenza izimbobo ezincane ezingeqile kwezi-4.
Izinga lokuphumelela lokuhlinza liphakathi kuka-90-95%, futhi izinga lempumelelo ngokusebenzisa ukuhlinzwa kwe-laparoscopic liphezulu uma liqhathaniswa nokuhlinzwa kwendabuko, ngoba libonakala ngezinkinga ezimbalwa.
Ucwaningo lukhombisa ukusebenza kahle kokuhlinzwa ekudambiseni izimpawu ngokwezinga elikhulu, phakathi kuka-80-85% weziguli eziqhubeka nokuzizwa zingcono ngemva kokuhlinzwa.
I-diaphragm iphinde yakhiwe kabusha ngokujwayelekile ngokuhlinzwa kwe-laparoscopic, futhi izinga lokuthuthuka lifinyelela ku-80%. Izinga lokuphindaphinda kwe-hernia likhona futhi lingenzeka kwezinye iziguli.
Ngakho-ke, izinga lokuphumelela kokuhlinzwa kwe-laparoscopic hiatal hernia lifinyelela ku-95%, ngenxa yokushoda kwezinkinga ngemva kokuhlinzwa.
Ngakho-ke, iziguli akufanele zikhathazeke ngokubhekana nale nqubo.
Ukuphumelela kokuhlinzwa kuncike ekuhlangenwe nakho nekhono likadokotela ohlinzayo.
Ukuhlinzwa kwe-hiatal hernia kusebenza ngempumelelo ezigulini eziningi, njengoba ukusebenza kwakho ekwelapheni ukuqunjelwa kanye ne-reflux yesisu kufinyelela ku-90%.
Inqubo yenziwa ngaphansi kwe-anesthesia ejwayelekile, futhi iziguli kudingeka zihlale esibhedlela usuku olulodwa ngemva kwenqubo.
Iqinisekisa isidingo sokwenza ukuhlinzwa kwe-hiatal hernia uma kwenzeka kuphinda futhi kubhebhetheke izimpawu.
Izinga lokuphumelela lokuhlinzwa lifinyelela ku-90% ezigulini eziningi, futhi isiguli sidingeka ukuthi sihlinzwe ngokuphelele ngesikhathi sokuhlinzwa.
Isiguli kufanele silandele imiyalelo kadokotela ngemva kokuhlinzwa futhi sihlale esibhedlela usuku lonke ukuze sibhekwe futhi sisekelwe.
Ithebula eliqukethe ulwazi olushiwo embikweni:
| Amaphuzu abalulekile | imininingwane |
|---|---|
| Izindleko zokuhlinzwa kwe-hiatal hernia | Izindleko zokuhlinza ziyahlukahluka endaweni eyodwa kuya kwenye |
| Izinga lempumelelo yokusebenza | Isukela phakathi kuka-90-95% |
| Izinga eliphezulu lempumelelo yokuhlinzwa kwe-laparoscopic | Izinga lokuphumelela liyakhula ngokusetshenziswa kokuhlinzwa kwe-laparoscopic |
| Ukusebenza kokuhlinzwa ekudambiseni izimpawu | Ucwaningo lukhombisa ukusebenza kahle kokuhlinzwa ekwehliseni izimpawu |
| Ukwakhiwa kabusha kwe-diaphragm ngokuhlinzwa kwe-laparoscopic | Izinga lokuthuthuka ngemuva kokusebenza lifinyelela ku-80% |
| Ukuphindaphinda kwe-hernia ngemva kokuhlinzwa | Ukuphindaphinda kwe-Hernia kungenzeka kwezinye izimo |
| Izinga lempumelelo yokuhlinzwa kwe-laparoscopic hiatal hernia | kufika ku-95% |
| Isidingo sokuhlinzwa kwe-hiatal hernia | Uma kwenzeka ukuphindaphinda kanye nokuba kubi kwezimpawu |
| Kusebenza kangakanani ukuhlinzwa kwe-hiatal hernia? | Kufika ku-90% ezigulini eziningi |
| Umthelela we-anesthesia jikelele kanye nobude bokuhlala esibhedlela | I-anesthesia ejwayelekile isetshenziswa futhi uhlala esibhedlela usuku olulodwa |
| Izinga eliphezulu lempumelelo yokuhlinzwa kwe-hiatal hernia | 85-90% |
| Imiphumela ngemva kokuhlinzwa | Isiguli kufanele silandele imiyalelo kadokotela futhi sihlale esibhedlela isikhathi esidingekayo sokubhekwa nokusekelwa |
Ingabe i-hernia yokuzala ibangela umfutho wegazi ophakeme?
I-hiatal hernia ingase ibangele umfutho wegazi ophakeme.
Umfutho wegazi ophezulu wamaphaphu oqhubekayo uyimbangela ehamba phambili yokufa kwezingane ezine-hernia yokuzala.
Le hernia ibonakala ngomgodi ongaphakathi kwe-diaphragm ku-vertebrae phezulu kwesisu nangaphansi kommizo.
Iphaphu elingakulolu hlangothi lwe-diaphragm liyathinteka ukuze libe lincane ngosayizi futhi amasaka omoya angakhuli kahle ngaphakathi kwamaphaphu.
Lokhu kuphumela ezinkingeni zokugeleza kwegazi nokwanda komfutho phakathi kwemithambo yegazi emaphashini.
Kunezici eziningana ezingase ziholele ekuveleni kwe-hernia yokuzala, okuhlanganisa ukwanda kokucindezela emgodini wesisu ngenxa yokuhlanza noma ukukhwehlela, umfutho wegazi ophezulu ngesikhathi sokukhulelwa, ukuvuvukala kwesisu ngenxa yama-ovarian cysts, ukukhuluphala, noma ukusetshenziswa amabhande aqinile.
Ukucindezelwa okunamandla komminzo, okuphazamisa ukutholakala kwegazi, kungase futhi kube imbangela evame kakhulu ye-hernia yokuzala.
Kubalulekile ukuqaphela ukuthi i-hernia yokuzala ingelashwa kalula.
Ama-ventilators kanye nemithi ingase isetshenziselwe ukwelapha ukuphelelwa umoya nokuthuthukisa ukutholakala kwegazi nomfutho wegazi.
Izingane ezine-hernia yokuzala zingase zidinge ukwelashwa okuqhubekayo nokunakekelwa kwezokwelapha ukuze zilawule umfutho wegazi ophakeme futhi zigcine impilo yazo yonke.
Kodwa-ke, abantu ababa nezimpawu ezifanayo noma abasola ukuthi i-hernia yokuzala kufanele bafune usizo lwezokwelapha kanye nokuxilongwa okunembile kodokotela abangochwepheshe ukuze bathole ukwelashwa okufanele.
Ingabe ukuhlinzwa kwe-hiatal hernia kulula?
Ukuhlinzwa kwe-Laparoscopic hiatal hernia kuyinqubo elula futhi kunezinzuzo eziningi.
Lokhu kuhlinzwa kuye kwavela eminyakeni yamuva nje ukuze kube inqubo elula ezimweni eziningi, futhi kungcono kunokuhlinzwa okuvulekile.
Ukuhlinzwa kwe-laparoscopic hiatal hernia kuyashesha uma kuqhathaniswa nokuhlinzwa okuvulekile, ngenxa yokusetshenziswa kwe-laparoscopy, edinga ukusikwa okuncane esiswini, okuholela ekunciphiseni izibazi nokugwema imiphumela emibi evamile yokuhlinzwa kwendabuko.
Kulokhu kuhlinzwa, udokotela ukhipha izitho zesisu esifubeni azibuyisele esiswini, futhi alungise i-diaphragm esebenzisa i-endoscopy noma ukuhlinzwa okuvulekile.
I-hernia ikhishwa ku-diaphragm futhi ibuyiselwe esiswini, okunomthelela ekwenzeni ngcono ukusebenza kwe-valve ye-gastroesophageal.
Umgomo wokuhlinza uwukubuyisela ingxenye engenhla yesisu endaweni yayo evamile futhi kuthuthukiswe ukuma nokusebenza kwesisu.
Nakuba ukuhlinzwa kwe-laparoscopic hiatal hernia kuyinqubo elula ezimweni eziningi futhi kunezinga lokuphumelela elifika ku-95%, kungenzeka ukuthi i-hernia izophinde ivele ngemva kokuhlinzwa.
Ngakho-ke, isiguli siyeluleka ukuthi siqhubeke nokuqapha isimo sakhe futhi silandele imiyalelo kadokotela ukuze sigweme noma yiziphi izinkinga ezizayo.
Ngokuvamile, kungashiwo ukuthi ukuhlinzwa kwe-laparoscopic hiatal hernia kuyindlela ephumelelayo nephephile yokwelapha lesi simo, futhi iziguli ezinezimpawu ze-hiatal hernia kufanele zisebenzise lobu buchwepheshe besimanje futhi zithintane nodokotela bazo mayelana nokwenzeka kokwenza lesi sifo. ukusebenza.
Ingabe umzimba ubuyela kokujwayelekile ngemva kokuhlinzwa kwe-hiatal hernia?
Nakuba ukuhlinzwa kwe-hernia esibelethweni kuphumelela ezimweni eziningi, kungenzeka ukuthi i-hernia ibuye futhi ngemva kokuhlinzwa, kungekudala noma iminyaka kamuva.
Iphesenti lamacala ahlushwa ukuphindaphinda kwe-hernia cishe angama-30%.
Ingabe i-hernia ingabuya futhi?
Ngemuva kokuhlinzwa kwe-hernia yokubeletha, i-hernia ingaphinda ivele.
Lokhu kungenxa yokwanda kwengcindezi emisipha yesisu nokungatholi amandla aphelele ngemva kokuhlinzwa.
Ukwenza imisebenzi yezemidlalo enamandla noma ukwenza umsebenzi onzima kungase kubangele ukwanda kwengcindezi endaweni ephathwayo futhi ngaleyo ndlela kungaholela ekubuyeni kwe-hernia.
Kwenzekani ngemva kokuhlinzwa?
Ngemuva kokuhlinzwa kwe-hernia yokubeletha, isiguli sidinga isikhathi sokululama esiphakathi kwesonto elilodwa namathathu.
Phakathi nalesi sikhathi, isiguli siyeluleka ukuba senze imisebenzi yaso evamile yansuku zonke, kodwa kufanele sigweme noma yimiphi imisebenzi enobudlova noma imidlalo enamandla engase ithinte inqubo yokuhlinzwa.
Buyini ubudlelwano phakathi kwe-esophageal reflux kanye ne-hiatal hernia?
Ezinye izimo zingase zibe ne-reflux ye-esophageal ngemva kokuhlinzwa kwe-hiatal hernia.
I-GERD yenzeka lapho i-asidi yesisu ingena emmizweni, ibangele isilungulela nezinye izimpawu.
I-septal hernia ingase ibe imbangela ye-reflux yommizo kwezinye izimo, ngakho-ke isiguli situswa ukuthi sidlule i-mini gastric bypass ukuze kuncishiswe amathuba okuba ne-reflux yommizo.
Yiziphi izeluleko ngemuva kokuhlinzwa?
Ngemuva kokuhlinzwa, isiguli siyelulekwa ukuthi silandele amathiphu alandelayo:
- Gwema noma yimuphi umzamo wemisipha esindayo izinsuku ezingu-5 futhi uthathe izidambisi zinhlungu lapho kudingeka.
- Qala ngoketshezi, bese udla ukudla okuthambile, ngamanani amancane futhi kancane kancane ukwandisa.
- Landela ukudla okunempilo nokunomsoco ngemva kokuhlinzwa, futhi ugweme ukudla ukudla okunamafutha nokudla okusindayo.
- Thola ukuvivinya umzimba njalo futhi ulandele imiyalelo kadokotela wakho mayelana nokuzivocavoca.
- Geza izilonda nsuku zonke ngensipho namanzi angafaki amakha.
Ukubaluleka kokulandela iseluleko ngemva kokuhlinzwa:
Ngokusebenzisa izincomo ezidingekayo ngemva kokuhlinzwa i-hernia yokubeletha, umzimba ungalulama kahle futhi ubuyele esimweni sawo esivamile.
Ngakho-ke, kubalulekile ukuthi isiguli sihambisane neseluleko sezokwelapha futhi sisebenze ukuze silondoloze impilo yakhe futhi sivimbele ukuphindaphinda kwe-hernia.
Ungakwazi yini ukuphila ne-hernia?
I-Hernias ingahlala nayo uma ingekho ingozi yokuphazamiseka.
Uma ukuvinjelwa kungenzeki, umuntu angaphila ne-hernia futhi ayikho inkinga.
Kodwa-ke, kunengozi yokuthi i-hernia ingakhula nganoma yisiphi isikhathi futhi ibangele izinkinga ezingase zibe yingozi.
Ngakho-ke, odokotela batusa ukuhlinzwa ukuze kuphathwe i-hernia njengesinyathelo sokuvikela ukugwema izinkinga ezingadingeki.
Kodwa ngaphambi kokuphendula umbuzo, "Ingabe i-hernia ingelashwa ngaphandle kokuhlinzwa?" Kumele kugcizelelwe ukuthi i-hernia yenzeka ngenxa yokuqhuma kwesitho noma i-cyst enamafutha endaweni.
Kukhona ezinye izivivinyo ezingasiza ukuqinisa imisipha nokukhulula izimpawu, kodwa zingase zingabhekwa njengesixazululo sokugcina futhi azixazululi ngokuphelele inkinga ye-hernia.
Uma kwenziwa ukuhlinzwa ukuze kwelashwe i-hernia, isiguli simisa noma iyiphi imbangela ekhulisa ukucindezela ngaphakathi kwendawo yesisu.
Ngakho-ke, isiguli singabuyela emsebenzini ngemva kwesikhathi esifanele sokululama.
Ngokuvamile, ukuhlinzwa kubonakala kuyisixazululo esingcono kakhulu sokwelapha i-hernia, kungakhathaliseki ukuthi hlobo luni oluthile lwe-hernia.
Nakuba zikhona izindlela zokwelapha i-hernia ngaphandle kokuhlinzwa, zingase zingabi yisixazululo sokugcina.
Ngakho-ke, ngaso sonke isikhathi kunconywa ukuthi uthintane nodokotela onguchwepheshe ukuze uthole isinyathelo esifanele kakhulu sokwelapha i-hernia.
Ingabe i-hernia ibonakala ku-ultrasound?
I-Ultrasound ingaba ithuluzi eliwusizo ekutholeni i-hernia ohlangothini lwe-inguinal olungakwesokudla.
Uma kunezimpawu ezifana nobuhlungu nokuvuvukala okuncane kule ndawo, odokotela bangase batusa ukusebenzisa i-ultrasound ukuqinisekisa ukuxilongwa.
Ngokuvamile, odokotela bacela i-ultrasound ngemva kokuhlolwa komtholampilo nalapho besola ukuthi kukhona i-hernia ohlangothini olungakwesokudla lwe-inguinal.
Umgomo we-ultrasound ukucacisa ubukhona be-hernia futhi unqume ubukhulu bayo obunembile nendawo.
I-ultrasound ingase ibonise ukunqwabelana kwamathumbu ngaphakathi kwe-sinus hernial, esekela ukuxilongwa.
Kuyaphawuleka ukuthi i-hernia ohlangothini lwesobunxele lwe-inguinal ithinta abantu abaningi, futhi ingozi yokuthuthukisa i-hernia ingase ikhule esimweni sokukhulelwa, ukuzuza isisindo, kanye nemidlalo enzima.
Yiqiniso, abantu abasola i-hernia ohlangothini lwe-inguinal olufanele bayelulekwa ukuba bavakashele udokotela ukuze bathole ukuxilongwa okunembile kanye nokwelashwa okufanele.
Abantu kufanele bathathe izinyathelo zokuphepha ezidingekayo futhi balandele izeluleko zikadokotela zokuvimbela i-hernia futhi bagweme izinkinga ezingase zibe khona.
Kubiza malini ukuhlinzwa kwe-hernia e-Egypt?
Izindleko zokuhlinzwa kwe-inguinal hernia e-Egypt zingahluka kusuka esikhungweni sezokwelapha kuya kwesinye, futhi kunzima ukunquma inani elithile lezindleko.
Nokho, inani elithengiswayo livamise ukuhluka phakathi kuka-7000 kuya ku-24000 wamaphawundi aseGibhithe.
Izindleko zokuhlinzwa kwe-laparoscopic inguinal hernia e-Egypt ziqala kusukela ku-$6000 futhi zifinyelela kumakhilogremu angu-20000 aseGibhithe, futhi lokhu kuncike ezintweni eziningana ezifana nolwazi lukadokotela kanye nesikhungo sokwelapha.
Ngokuqondene nezindleko zokuhlinzwa okuphelele kwe-hernia eGibhithe, iqala kusuka kumakhilogremu angu-13000 aseGibhithe, noma cishe ama-dollar angu-700 US, kodwa ingase ishintshe kancane isuka kwesinye isikhungo sezokwelapha iye kwesinye ngokusekelwe ezicini ezishiwo.
Izindleko zokuhlinzwa kwe-inguinal hernia e-Egypt ziyahlukahluka kuye ngohlobo lokuhlinza, kungakhathaliseki ukuthi kuvuliwe noma i-laparoscopic.
Kungenzeka ukuxoxisana ngezindleko zokulungisa i-hernia emitholampilo ethile, ngakho-ke kunconywa ukuthi ukhulume nomhlinzeki wakho wezempilo ukuze ubone ukuthi zikhona yini izaphulelo ezitholakalayo.
Kumele kuqashelwe ukuthi izindleko zokuhlinzwa kwe-laparoscopic inguinal hernia kwamanye amazwe zihluke ezindlekweni zayo eGibhithe.
Isibonelo, intengo yokusebenza e-Tunisia isukela phakathi kuka-3500 no-5000 wamadola ase-US.
Nokho, lokhu ngezinye izikhathi kungase kudlule isilinganiso esisekelwe ezintweni ezishiwo ngenhla.
Ngamafuphi, izindleko zokuhlinzwa kwe-hernia eGibhithe ziyahlukahluka phakathi kwezikhungo zezokwelapha futhi kuncike ezintweni eziningana.
Ngakho-ke, kuyatuseka ukuthintana nomhlinzeki wakho wokunakekelwa kwezempilo ukuze uthole ulwazi oluthe xaxa mayelana nezindleko zenqubo ethile yecala ngalinye.
