Hernia isisu kunye neendlela zokunyango

I-hernia yomgca omhlophe wesisu isifo esiyingozi kwaye esiyinkimbinkimbi. Ukubonakala kwesi shinja kuchazwa ngobuthathaka obunzima beethambo ezixhamlayo kule nxalenye yomzimba. Ngenxa yalokhu, izihlunu ezichanekileyo zokushicilela zizahluka, zenze ikhefu okanye imingxuma apho izitho zangaphakathi njenge-peritoneum, isisu kunye ne-omentum. I-Hernia ivela xa ibonakala kwiintlobo ezinobuthakathaka be-intra-esiswini. Ukungahambi kwesi sifo kukuba i-hernia ingahlala ixesha elide ingabangeli phantse iimpawu.

Olu hlobo lwe-hernia lufikelela kwi-12% yazo zonke iintlobo ze- hernia zesisu. Esi sifo sixhaphakile kumadoda omncinane (iminyaka engama-20-30) kwaye phantse ayenzeki kubantwana.

Ngokuqhelekileyo esi sifo sisenzeka kwisisu esisentla, esesiswini. I-Herniated esiswini, iimpawu:

- uphawu oluphambili luyintlungu ebuhlungu yomgca omhlophe ngokwawo.

- intlungu eyongezelelweyo ngexesha lokuzilolonga;

- xa uthabatha isisu , isakhiwo esonwe kunye nesondlo sivakalelwa , sibuhlungu kakhulu kumgca;

- i-peritoneum izitho phantsi kwesikhumba, kwaye umgca omhlophe, oqhelekileyo u-2-3 cm kuphela, unokufikelela kubukhulu be-10 cm.

Isifo esinjengobunzima bomgca omhlophe wesisu ngenxa yezizathu ezininzi, ngezinye izihlandlo ngokupheleleyo. Kwizizathu ezinjalo kunokwenzeka ukuba kuthwale:

- Iimpawu ezihamba phambili;

- ukutyekela kwindlovu, kubangelwe izizathu ezizuze ifa;

Ukukhulula okanye ukukhululeka;

- nzima kakhulu;

Ukuqhaqho

- ukuphikelela, ukukhwehlela komzimba;

- Ukukhulelwa kunye nokuzalwa okunzima.

Kukho iindlela ezikhuselekileyo zokuthintela esi sifo. Ezi ziquka ukusebenzela kuwo onke amaqela emisipha yomzimba , ukulinganiswa kwesisindo, ukulumka ngexesha lokuzikhandla ngokomzimba, ukusetyenziswa kwebhanki ngokukhulelwa kunye nokusebenza ngokuqhelekileyo kwenkqubo yokugaya umzimba.

Ukuxilongwa kwe-hernia yomgca omhlophe wesisu kuya kwenziwa yonyango. Ukuseka ukuxilongwa, uphando olunzulu lwesisu esiswini njengesigcroscopy kunye ne-rayography, i-ultrasound, i-herniography, i-tomography ekhompyutheni yenziwa.

Kukho izigaba ezintathu zesi sifo. Kwinqanaba lokuqala (lipperoneoneal lipoma) kummandla wolomgca omhlophe, amaqhosha e-protoplasmic kwiimingxuma kunye nemisebenzi eyenziwe, kwaye iimpawu zentlungu ziqala ukuvela. Kwinqanaba lesibini (isigaba sokuqala), isikhwama se-hernial sesivele sakhiwe. Umxholo wayo yi-fat preperitoneal kunye nenye yeendonga zesisu esincinci. Kwinqanaba lesithathu (lwakhiwa), i-hernia iyakhiwa ekugqibeleni, kwaye ububanzi bomngxuma bunokufikelela kwi-12 cm. Nangona isininzi sezifo senziwa ngama-hernias angatshatanga, akuqhelekanga kwiimeko ezininzi ze-hernias ezikufutshane.

I-Herniated esiswini, unyango lwesifo:

1. Iyeza lonyango linikeza kuphela uncedo lwagqirha, ngubani onokuyenza ekutyunjeni ukususa umonakalo kwiimisipha zesisu kunye nezicubu ezinxibelelwano. Iindlovu ezikhethekileyo zivame ukusetyenziswa kule nto. Oogqirha balungisa okubhaliweyo kwe-peritoneum, emva koko bayibeka ngobumnene zonke ikhefu ezibonakalayo zomgca omhlophe. Ngalo msebenzi, zonke iintlobo zeengcambu zamathambo zisuswe. Ekubeni izicubu ezinxulumene nazo zibuthakathaka kakhulu, ukuveliswa kwe-hernia ngokuphindaphindiweyo emva kokusebenza kwimeko engama-40% amacala.

2. Ukusetyenziswa kwebhanki ekhethekileyo kuthathwa njengendlela engagqirhayo yokukhusela i-hernia yomgca omhlophe wesisu.

Zonke izenzo zokuphelisa i-hernia zijoliswe ekunqandeni imida yokwandiswa kwayo kunye nokuthintela ukutshintshwa kwesigaba esinye sesifo ukuya kwesinye. Isimo esona siphumelelo sokwenza umphumo omhle sisantya sonyango.