Ua ʻike anei ʻoe, a i ʻike paha, i kahi pehu liʻiliʻi a puʻupuʻu paha ma ka ʻōpū o luna, ma lalo o ka iwi umauma, ma luna o ka piko? I kekahi manawa hiki ke ʻeha iki. Nui ka poʻe e makaʻu iki ke ʻike lākou i kahi mea e like me kēia. No laila i kēia lā e kamaʻilio mākou e pili ana i kekahi kumu kūpono o kēia, ʻo ia ka hernia epigastric. Mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana i kēia.
No laila he aha kēia hernia epigastric?
I ka ʻōlelo maʻalahi, ʻo ka hernia epigastric kahi ʻano hernia e kū mai ana ma ka ʻaoʻao o luna, waena o kou ʻōpū. ʻO ke kikoʻī, kū ia ma ka ʻāpana ma lalo o kou iwi umauma a ma luna o kou pihi ʻōpū. He ʻano hernia maʻamau kēia e hāʻule ana ma lalo o ka māhele o nā hernias ventral, e kū mai ana ma ka paia mua o ka ʻōpū. I kekahi manawa, hiki i ke kanaka ke loaʻa ma mua o hoʻokahi hernia epigastric.
He liʻiliʻi loa kēia mau hernia. ʻO kekahi ma kahi o ka hapalua ʻīniha (ma kahi o 1 kenimika) a i ʻole ka lōʻihi o kahi stapler. ʻO kahi hernia nui iki aʻe hiki ke ma kahi o hoʻokahi ʻīniha a me ka hapa (ma kahi o 4 kenimika) a i ʻole ka nui o ka walnut. Inā liʻiliʻi ka hernia, ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona. Eia nō naʻe, i ka wā e nui ai ka hernia, hiki ke ʻike ʻia he puʻupuʻu i ʻike ʻia a hiki ke paʻi ʻia.
ʻAʻole maʻamau he maʻi olakino koʻikoʻi nā hernias epigastric. Eia nō naʻe, hiki i nā hernias nui ke alakaʻi i nā pilikia e hoʻoweliweli ai i ke ola , no laila he mea nui e makaʻala i kēia.
He aha nā hōʻailona o kēia, e ke kauka?
I kekahi manawa ʻaʻole paha ʻoe e loaʻa i kekahi mau hōʻailona inā loaʻa iā ʻoe kahi hernia epigastric. A i ʻole e ʻike paha ʻoe i nā hōʻailona e like me kēia:
- He puʻupuʻu ma lalo o ka ʻili: Hiki ke ʻike ʻia kahi puʻupuʻu liʻiliʻi a pehu paha ma lalo o ka ʻili ma waenakonu o kou ʻōpū, ma luna pono o kou iwi umauma a ma lalo o kou iwi umauma. ʻIke pinepine ʻia kēia i kou kū ʻana, akā hiki nō hoʻi ke manaʻo ʻia ua ʻōniʻoniʻo iki ʻia i kou noho ʻana a moe paha, a i ʻole e nalo paha.
- ʻEha e like me ke ʻāʻī ma ka ʻōpū o luna: Hiki paha iā ʻoe ke manaʻo i ka ʻeha ʻūlū a i ʻole ka ʻeha palupalu ma ka waena o luna o kou ʻōpū. Me he mea lā e ʻoi aku ka ʻino o kēia ʻeha i ka hala ʻana o ka lā.
- ʻEha ʻoi: Hiki iā ʻoe ke loaʻa i kahi ʻeha koke, ʻoi, e like me kahi ʻeha hou, ke ʻū ʻoe, hāpai i kahi mea kaumaha, a hele paha i ka lua.
E noʻonoʻo, i kou ala ʻana i ke kakahiaka, ʻaʻohe mea hewa iā ʻoe, akā i ke ao, ʻike ʻoe i kahi pehu iki ma kou ʻōpū luna, a i ke ahiahi, me he mea lā ua ʻeha iki kēlā wahi. ʻO ia ka mea e hiki ke hana.
No ke aha mākou e loaʻa ai i kēia ʻano hernias?
Hiki mai kēia ʻano ke paʻi ʻia kahi ʻāpana momona i loko o kou ʻōpū, a i ʻole kekahi hapa o kou ʻōpū nui, ma o kāu "Linea Alba". He aha ka "Linea Alba"? He ʻāpana lahilahi ia o nā ʻiʻo hoʻohui e holo ana i lalo ma ke alo, waena, a me lalo o kou ʻōpū. Inā he nāwaliwali a kīnā paha i loko o kēia "Linea Alba", hiki i kēlā ʻiʻo momona a i ʻole kekahi hapa o kou ʻōpū ke paʻi. Inā nāwaliwali kou mau ʻiʻo ʻōpū, ʻoi aku ka nui o kou loaʻa ʻana i kahi Hernia Epigastric.
Hiki i kekahi poʻe ke hānau ʻia me ka hernia epigastric. ʻO ke ʻano kēia, ua hoʻokumu ʻia kēia hernia i ka wā o ka ulu ʻana o ka fetal. Eia nō naʻe, ʻo ka hapa nui o kēia hernia e ulu ana i ka hala ʻana o ka manawa (hernia epigastric i loaʻa). Hiki ke hana ʻia i kou wā ʻelemakule. A i ʻole, hiki nō hoʻi ke ulu ma muli o nā pilikia ʻē aʻe e kau ana i ke kaomi ma kāu "Linea Alba" a i ʻole nā ʻiʻo ʻōpū. ʻO kēia hernia ka mea maʻamau i nā poʻe ma waena o 30 a me 50 mau makahiki.
Nui nā kumu e hiki ai ke ulu kahi hernia epigastric. Eia kekahi o nā mea nui:
- Ka lahilahi ʻana o ka "Linea Alba" me ka ʻelemakule: I ka hala ʻana o ka manawa, nāwaliwali kēia hui o nā ʻiʻo pili a lahilahi.
- ʻŪhū mau loa: Inā loaʻa iā ʻoe kahi ʻūhū mau loa, i kēlā me kēia manawa āu e ʻūhū ai, nui ke kaomi i loko o kou ʻōpū.
- Paʻa ʻōpū: Lilo ka ʻōpū i maloʻo a piʻi aʻe ke kaomi i loko o ka ʻōpū ʻoiai ʻoe e hoʻāʻo e hele i ka lua.
- Momona: I ka piʻi ʻana o ka momona o ke kino, piʻi koke ke kaomi i loko o ka ʻōpū.
- Ka hāpai kaumaha: Ke hāpai pono ʻole ʻana i nā mea kaumaha, me ka ʻole o ka kaohi pono ʻana i ka hanu ʻana.
- Hāpai keiki: I ka wā hāpai keiki, i ka ulu ʻana o ke pēpē, nui ke kaomi ma ka ʻōpū o ka makuahine.
Hiki paha i kēia ke lilo i mea weliweli? He aha nā pilikia e hiki mai ana?
ʻOiai ʻaʻole ia he mea nui ka hernia epigastric liʻiliʻi, aia ʻelua mau pilikia i hiki ke hoʻoweliweli i kekahi manawa. ʻO kēia ka hernia incarcerated a me ka hernia strangulated. Ua manaʻo ʻia kēia mau mea ʻelua he mau pilikia olakino koʻikoʻi loa . Hiki iā lākou ke hoʻoweliweli i ke ola.
- Hernia i hoʻopaʻa ʻia: ʻO kēia ka wā e paʻa ai ka hernia ma waena o kou mau ʻiʻo ʻōpū. Ke hana ʻia kēia, ʻaʻole ia e hoʻi hou i loko ona iho, ʻaʻole hoʻi e hoʻi hou i loko ʻoiai inā ʻoe e paʻi. Hiki i kēia ke hōʻeha nui.
- Hernia Strangulated: ʻOi aku ka weliweli o kēia. Inā ʻoki ʻia ke kahe koko i kahi ʻāpana o ka hernia strangulated, hoʻomaka kēlā ʻāpana e make. Hiki i kēia ke hōʻeha nui, ke kuni, ka nausea, a me ka luaʻi. He kūlana kēia e pono e hoʻoponopono koke ʻia me ke ʻoki ʻana.
ʻO ka mea nui loa, inā ʻike ʻoe he hernia kou, e hoʻolohe pono inā he mau hōʻailona o kona hoʻopaʻahao ʻia ʻana a ʻū ʻia paha.
Pehea e ʻike ai ke kauka i kēia?
Inā loaʻa iā ʻoe kekahi o nā hōʻailona i ʻōlelo ʻia ma luna, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka. E hana mua ke kauka i kahi hoʻokolokolo kino. ʻO ia hoʻi, e ʻike lākou i ka puʻupuʻu i loko o kou ʻōpū, e noi iā ʻoe e ʻū, a e hoʻomoe iā ʻoe.
Eia kekahi, hiki ke hana ʻia nā hoʻokolohua kiʻi e like me kēia i kekahi manawa e hoʻoholo ai i ka nui, kahi, a me nā mea o loko o ka hernia:
- CT scan (Computed Tomography - CT scan): Hiki i kēia ke kiʻi i nā kiʻi kikoʻī o ka hernia.
- MRI scan (Magnetic Resonance Imaging - MRI scan): Ua like kēia me ka CT scan, akā hoʻohana i kahi ʻenehana ʻokoʻa.
- Ultrasound: He hoʻāʻo e hoʻohana ana i nā nalu kani e hana i nā kiʻi o loko o ke kino. ʻO kēia ka hoʻāʻo mua i hana ʻia.
Ma hope o kēia mau hoʻokolohua, hiki i ke kauka ke haʻi pololei iā ʻoe inā he hernia epigastric kou a he aha kona kūlana.
He aha nā lāʻau lapaʻau no kēia? Pehea e mālama ʻia ai?
ʻO ke ʻano lapaʻau mau loa no ka hernia epigastric, ʻo ia ke hoʻoponopono ʻia ma ke ʻoki kino (hernia repair surgery) . ʻO ke ʻano kēia, ua hoʻihoʻi ʻia ka ʻāpana i puka i waho, ua humuhumu ʻia kahi nāwaliwali a i ʻole ka lua i loko o ka "Linea Alba", a i kekahi manawa ua hoʻohana ʻia kekahi mea e like me ka mesh e hoʻoikaika i ka wahi.
Eia naʻe, ʻaʻole pono nā hernia epigastric āpau i ke ʻoki koke ʻana. Hiki i kāu kauka ke hoʻoholo e hana i ke kali makaʻala ma mua o ke ʻoki ʻana i nā hihia aʻe:
- Inā liʻiliʻi loa ka hernia (ʻaʻole i hoʻokahi ʻīniha, ma kahi o 1 kenimika).
- Inā ʻaʻohe ou ʻeha a nausea paha mai ka hernia.
- Inā ʻaʻole ʻoe he pilikia nui me kēlā puʻupuʻu,
- Inā manaʻo ke kauka he haʻahaʻa ka pilikia o nā pilikia mai ka hernia .
I kēlā hihia, e haʻi aku kāu kauka iā ʻoe e hoʻi mai no nā nānā ʻana i nā manawa kikoʻī . ʻO ia hoʻi ke nānā ʻana e ʻike inā e nui ana ka hernia a i ʻole inā e ʻike ʻia ana nā hōʻailona hou.
ʻEhia ka lōʻihi e hoʻōla ai ma hope o ke ʻoki ʻana?
He paʻakikī ke ʻōlelo pololei i kēia, no ka mea, he ʻokoʻa ia mai kēlā kanaka a kēia kanaka. He nui nā mea e pili ana i kēia, e like me kou mau makahiki, ka nui o ka hernia, ke ʻano o ke ʻoki ʻana i hana ʻia, a me kou olakino holoʻokoʻa.
ʻO ka maʻamau, hiki iā ʻoe ke hoʻomaka hou i kāu mau hana o kēlā me kēia lā ma kahi o ʻelua pule ma hope o ke ʻoki ʻana. Eia nō naʻe, inā ʻoe e hana i ka hana ikaika, e like me ka hāpai ʻana i nā mea kaumaha, hiki ke hala ʻehā pule a ʻoi aku paha e hoʻi ai i ka hana. ʻO ka mea nui loa, ʻo ia ka hahai pololei i nā ʻōlelo a kāu kauka.E haʻi ʻo ia iā ʻoe i ka lōʻihi o kou hoʻomaha ʻana, i ka wā e hiki ai iā ʻoe ke hoʻomaka i nā hana maʻamau, a i ka wā e hiki ai iā ʻoe ke hoʻomaka e hāpai i nā mea kaumaha.
Hiki i kēia ke hoʻi mai ma hope o ke ʻoki ʻana? (Outlook)
ʻO ka nūhou maikaʻi, hiki ke ho'ōla loa ʻia ka hernia epigastric me ke ʻoki ʻana. ʻO ia hoʻi, e nalowale ana ka puʻupuʻu.
Eia nō naʻe, i kekahi manawa hiki ke hoʻi hou mai kahi hernia, a i ʻole hiki ke hana ʻia kahi mea hou. ʻO ke kumu nui o kēia, ʻo ia ka hoʻokomo hou ʻia ʻana o kou mau ʻiʻo ʻōpū a i ʻole ka "Linea Alba" ma lalo o ke kaomi, a i ʻole e nāwaliwali hou lākou. Hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i kou manawa e loaʻa hou ai kahi hernia ma hope o ke ʻoki ʻana. Hiki iā ia ke haʻi iā ʻoe i ka mea hiki iā ʻoe ke hana e pale aku ai i kona hoʻi hou ʻana mai.
Aia kekahi mea e hiki ai iā kākou ke hana e pale aku ai i kēia mai ka hana ʻana?
ʻOiai ʻaʻole hiki ke pale loa ʻia, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka hoʻomohala ʻana i kahi hernia epigastric:
- E mālama i ke kaumaha olakino e kūpono iā ʻoe: He mea nui loa ia e kaohi i ke kaumaha o kou kino, ʻoiai ʻo ka momona ke kumu nui o ka hoʻokumu ʻia ʻana o ka hernia.
- E mālama i nā kūlana e kau ana i ke kaomi ma nā ʻiʻo o ka ʻōpū: Inā loaʻa iā ʻoe ka ʻū mau a i ʻole ka paʻa ʻana o ka ʻōpū, e mālama pono iā lākou a e kaohi iā lākou.
- E makaʻala i ka hāpai ʻana: Mai hoʻāʻo e hāpai i nā mea kaumaha i ka manawa hoʻokahi. Inā hana ʻoe, e mālama i ke kūlana kūpono, e kāohi i kou hanu ʻana, a e noi i ke kōkua inā hiki.
Āhea mākou e ʻike pono ai i ke kauka?
Inā he puʻupuʻu kou e like me ka mea aʻu i ʻōlelo ai ma luna ma kou ʻōpū luna a manaʻo ʻia e ulu nui ana, pono ʻoe e ʻike i ke kauka. No ka mea, ʻo ka hernia epigastric e ulu nui ana, ʻoi aku ka nui o ka manawa e lilo ai i "Incarcerated Hernia" a i ʻole "Strangulated Hernia" ma muli o ke oki ʻia ʻana o ke koko.
Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, pono e manaʻo ʻia he pilikia olakino ia. E hele koke i ka haukapila kokoke loa, a inā ma Sri Lanka, e kelepona i ka 1990 Suwaseriya Ambulance Service:
- ʻEha hou, koʻikoʻi, a piʻi koke ka ʻeha ma ka ʻōpū luna.
- Ka luaʻi a me ka luaʻi.
- ʻO ka ʻili kahi i loaʻa ai ka hernia e lilo i mea ʻokoʻa ke kala (no ka laʻana, he ʻulaʻula, poni, uliuli, a ʻeleʻele paha).
Inā ʻike ʻoe i kēia mau hōʻailona, mai hoʻokaʻulua i hoʻokahi minute . ʻO ka ʻimi koke ʻana i ke kōkua lapaʻau hiki ke hoʻōla i ke ola.
He aha nā nīnau āu e nīnau ai i ke kauka?
Ke hele ʻoe e ʻike i ke kauka, he mea maikaʻi ke nīnau i kēia mau nīnau:
- E ke kauka, no ke aha i loaʻa ai iaʻu kēia hernia?
- E nui aʻe anei kēia?
- He aha nā mea e hiki ke hana inā e nui aʻe kēia?
- Pono maoli anei au i ke ʻoki kino? ʻAʻohe koho ʻē aʻe?
- Inā hana ʻia ke ʻoki kino iaʻu, he aha kaʻu e makaʻala ai ma hope o ia mea?
He mea nui loa e nīnau i nā nīnau e like me kēia a loaʻa kahi ʻike maopopo o kou kūlana.
Hiki i kahi hernia epigastric ke hoʻoulu i ka reflux acid?
ʻAʻole. ʻO nā hōʻailona e like me ka heartburn a me ka reflux acid i hoʻokumu pinepine ʻia e kekahi ʻano hernia i kapa ʻia he hernia hiatal. ʻO ka hernia epigastric ke kumu o ka ʻeha ʻoi a palupalu ma ka ʻōpū o luna. ʻAʻole ia e hoʻoulu i nā hōʻailona o ka reflux acid.
No laila, inā he puʻupuʻu kou ma kou ʻōpū luna, ma lalo o kou iwi umauma a ma luna o kou iwi ʻaoʻao, he hernia epigastric paha ia. Eia nō naʻe, aia paha nā kumu ʻē aʻe no ia ʻano puʻupuʻu. No laila, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka e ʻike i ke kumu pololei a loaʻa i ka lāʻau kūpono iā ʻoe.
No laila he aha nā mea nui loa e pono ai kākou e hoʻomanaʻo? (Leka Lawe-Home)
ʻAe, no laila, mai nā mea a mākou i kamaʻilio ai e pili ana i ka Epigastric Hernia, eia nā mea nui loa e pono ai ʻoe e hoʻomanaʻo:
- ʻO ka hernia epigastric kahi puʻupuʻu liʻiliʻi ma ka ʻaoʻao o luna, waena o ka ʻōpū.
- ʻO ka hapa nui o ka manawa, ʻaʻole kēia he mea weliweli, akā inā nui ia, hiki iā ia ke hana i nā pilikia e like me ke ālai ʻana a me ka nalowale ʻana o ke koko.
- Hiki i nā hōʻailona ke komo pū me kahi puʻupuʻu, ka pehu ʻana, a me ka ʻeha ʻoi. ʻAʻohe hōʻailona iki o kekahi poʻe.
- Hiki ke hana ʻia kēia e nā mea e like me ka momona, ka ʻū mau, ka paʻa ʻana o ka ʻōpū, ka hāpai kaumaha, a me ka hāpai ʻana.
- ʻO ke ʻoki kino wale nō ke ʻano lapaʻau mau loa no kēia, akā, ʻaʻole pono nā kānaka a pau i ke ʻoki kino koke.
- ʻO ka mālama ʻana i ke kaumaha olakino a me ka hōʻemi ʻana i nā mea e kau ai i ke kaomi ma ka ʻōpū e hiki ke kōkua i ka pale ʻana i kēia.
- Inā nui aʻe ka puʻupuʻu, a inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha nui, ka nausea, ka luaʻi ʻana, a i ʻole ke ʻano ʻili ʻole, e ʻike koke i ke kauka.
Manaʻolana wau he kōkua kēia ʻike iā ʻoe. Inā he mau hopohopo kāu, mai kānalua e kamaʻilio me ke kauka. E noho olakino!
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He puʻupuʻu anei ka hernia epigastric e ulu ana i loko o ka ʻōpū?
ʻAʻole kēia he puʻupuʻu, he 'puʻu ʻana o kahi ʻāpana o ka ʻōpū'! He kūlana kēia kahi, ma waenakonu o ka ʻōpū ma waena o ko kākou umauma (umauma lalo) a me ka piko, inā ʻaʻole ikaika ka paia ʻiʻo mai ka hānau ʻana (inā he lua), e puka mai ana ka momona a i ʻole kekahi ʻāpana o ka ʻōpū liʻiliʻi i loko o ka ʻōpū ma o kēlā lua ma lalo o ka ʻili a piʻi aʻe 'e like me ka puʻupuʻu/nodule'.
💬 Āhea e ʻike ʻia ai kēia hernia i loko o ko kākou ʻōpū? ʻEha anei?
ʻAʻole paha e ʻike ʻia kēia i nā manawa maʻamau (ke moe ʻoe ma kou kua). Eia nō naʻe, ke ʻū nui ʻoe, hāpai i kahi mea kaumaha, ʻakaʻaka, a hele paha i ka lua, e puʻupuʻu ka puʻupuʻu mai waenakonu o kou ʻōpū (ma luna o kou pihi ʻōpū). Inā paʻa kekahi hapa o kēia, hiki iā ʻoe ke ʻike i ka ʻeha nui, akā ʻo ka hapa nui o ka poʻe hiki ke ʻike i ka puʻupuʻu me ka ʻole o ka ʻeha.
💬 Hiki ke hoʻemi ʻia/hoʻoheheʻe ʻia kēia puʻupuʻu hernia i loko o koʻu ʻōpū ma ka lawe ʻana i ka lāʻau lapaʻau?
ʻAʻole loa! He 'lua/haehae' ka hernia i loko o nā ʻiʻo. ʻAʻole hiki ke pani ʻia me kekahi lāʻau lapaʻau a kirīmi paha. Inā ʻaʻole nui loa a ʻaʻole ʻeha, e nānā pono nā kauka iā ia. Akā inā e nui a ʻeha paha, ʻo ka hopena wale nō a ʻoi loa ka maikaʻi, ʻo ia ke pani ʻana i ka lua me kahi ʻupena hana (ʻoki kino Hernia) a humuhumu iā ia.
ʻO ka hernia ʻōpū, hernia ʻōpū, hernia ʻōpū, linea alba, ʻoki hernia, puʻupuʻu ʻōpū, ʻeha ʻōpū











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