Inguinal hernia kubantwana

I-Hernia yinkqutyana yezicubu zangaphakathi okanye izitho zangaphandle kwaye zingazenza kwiindawo ezahlukeneyo. Iqukethe izinto ezilandelayo:

• isikhwama sesonka;
• Isango yindawo apho isikhwama saso siphume khona;
• umxholo.

I-inguinal hernia kubantwana yinkqutyana kwingingqi ye-inguinal. Ngaphakathi kwesikhwama se-hernial sinokuba yinxalenye yamathumbu okanye i-omentum, kumantombazana-i-ovary.

I-hernia inguinal herininal isifo esifanayo, kwenzeka ngo-5% wabantwana. Kwaye ngokungafani nombindi, unokufumana iingxaki ezinzulu. Iinkcukacha zonyango zibonisa ukuba kumakhwenkwe angama-hernias angamaqanda ayenzeka ngokuphindaphindiweyo kuma-3-10 amaxesha amaninzi kunamantombazana. Kwamadoda, i-hernia inokubamba iqhosha, ngoko libizwa ngokuba yi-herin inguinal ne-scrotal hernia. Kubantwana, kwenzeka rhoqo.

I-hernia inguinal ibonakala njani?

Inguinal hernia inokuyifumba kwisibeleko sikamama, kwaye kungekho rhoqo ekuzalweni komntwana kungaqondwa. Yingakho kubaluleke kakhulu kwiinyanga zokuqala emva kokuzalwa ukubonisa umntwana kumgqirha.

Emva kwexesha, i-hernia inokunyuka ngobukhulu. Njengomthetho, kubonakala ngokucacileyo xa umntwana ekhala kunye nokuzikhandla ngokomzimba. Kwimeko yokuzola, ingafihla ngaphakathi. Kwiimeko ezininzi, i-hernia inguinal ayinikeli umntwana ukukhathazeka. Unombala omncinci, obumnandi kwibala. Xa ucinezelekile ngokusuka ngaphakathi ngaphakathi. Kwabantwana abancinci be-hernia banomxholo ojikelezekileyo, u-inguinal kunye ne-hernia, okuqhelekileyo i-oval.

Yintoni eyingozi yengongoma yakhe?

Inguinal hernia kubantwana iyingozi ngeengxaki ezahlukeneyo. Ngokomzekelo, iziqulatho zesigxobo se-hernial zinokutshatyalaliswa kwaye ingozi ivela xa kungekho nanye kodwa i-hernias eziningana, kwaye kunokwenzeka ukuba kunqandeke emathunjini. Kodwa inkcenkcesha eyingozi kunye neyingozi iyaphula umthetho wengcinezelo yabantwana. Okokuthi, ilizwe apho, ngenxa yokunyanzeliswa kwamasango e-hernia, ukujikeleza kwegazi kwimizimba ekhutsheni. Uxinzelelo luya kwenzeka ngenxa yokunyanzeliswa kwe-intra-esiswini, isisu esiswini, ukukhulelwa kwamathumbu, nokunye okunjalo. Kule meko, i-necrosis (necrosis) yezicubu, ukuvuvukala kwe-peritoneum-peritonitis, isithintelo esiswini se-intestinal, singakhula. Kwimantombazana, i-necrosis iyingozi ngoba ikhula ngokukhawuleza, ngaphakathi kweeyure ezingama-2-3 i-ovary ingafa.

Izimpawu ezinobungozi be-hernia engumngcwabo kubantwana:

• i-hernia ihlala ibonakala;
• iziqulatho zayo zaba nzima;
• Umntwana uhlungu kakhulu, xa echukumisa i-hernia, uyakhala.

Xa kwenzeka ukuba iimpawu ezinjalo zivele, umntwana ucebise ukuba angakondli kwaye ngokukhawuleza abize i-ambulensi.

Unyango lwe-hernia yengqungquthela

Ngokweengcali, ukuya kwi-3-5% ye-hernias inguinal ngeminyaka emi-5 ivaliwe ngokukhawuleza. Kwamanye amaxesha, unyango kuphela lwe-hernia inguinal kubantwana, kuquka nabantwana abatsha, utyando.

Akukho sidingo sokwesaba imisebenzi, akukho nto iyingozi kuyo. Amacandelo anamhlanje akuvumela ukuba ususe i-hernia ngoncedo olungancinci lokungenelela. Kwaye umntwana uya kuba esibhedlele ngosuku olunye. Ukusebenza kwe-hernia inguinal kubantwana abangaphantsi kwe-anesthesia jikelele ngokusebenzisa imaski. Olu luhlobo olukhawulezayo lwe-anesthesia kwaye abantwana bayinyamezela ngokulula. Ngethuba lokuhlinzwa, ugqirha ubeka i-contents ye-sac ye-shenial endaweni, kwaye uyasusa isikhwama ngokwawo. Ixesha elipheleleyo lokuhlinzwa li malunga nemizuzu engama-20.

Unyango lwe-hernia engumngcipheko kubantwana abangenawo utyando kwiyeza lendabuko alikakwenzeka. Ngamanye amaxesha unokumiswa, okanye ngokuthe ngqo, unokuzifumana. Kodwa nakubani na umgudu wengcinezelo ebantwaneni "ayinyamezeli" ukuzonyango, kuyimfuneko ukubonisana neengcali. Ingxaki enzima kakhulu ingaphathwa ngexesha elithile, xa kwenzeka ukuphulwa.