Ua lohe paha ʻoe i ka huaʻōlelo "Hernia"? Malia paha ua loaʻa i kekahi o kou ʻohana a i ʻole he hoaaloha kēia maʻi. A i ʻole he ʻike paha kāu e pili ana i ia mea. He aha maoli ka hernia, no ke aha i hana ʻia ai, he mea weliweli anei ia, pehea e hiki ai iā mākou ke makaʻala iā ia, a he aha nā lāʻau lapaʻau? I kēia lā, e kamaʻilio mākou me ʻoe ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo. E like me ke kamaʻilio ʻana me kahi hoaaloha.
He aha ka hernia? I ka ʻōlelo maʻalahi...
E noʻonoʻo e pili ana i nā ʻōpū i loko o kou kino, e like me kou ʻōpū, no ka laʻana, ua hoʻopuni pinepine ʻia lākou e kahi paia o nā ʻiʻo. Ua like ia me ka ea i loko o kahi pōpō. I kēia manawa inā he nāwaliwali ma kekahi wahi o kēia paia, a i ʻole kahi lua liʻiliʻi, e hoʻāʻo kahi ʻāpana o ke kino i loko e paʻi ma o kēlā lua. ʻO ia ka mea a mākou e kapa nei he hernia .
Hiki ke hana koke ʻia kēia, a i ʻole hiki ke ulu mālie i ka hala ʻana o ka manawa. I kekahi manawa, hiki ke hana ʻia kēia hernia no ka mea e nāwaliwali ana ko mākou mau ʻiʻo i ko mākou ʻelemakule ʻana, a i ʻole ma hope o kahi ulia, ʻoki kino, a i kekahi manawa ma muli o kahi nāwaliwali i loaʻa i ka wā hānau.
He aha nā wahi i loaʻa pinepine ai nā hernias?
I kēia manawa ke noʻonoʻo nei paha ʻoe i kahi o ke kino e loaʻa ai kēia mau hernias. Aia kekahi mau wahi nui e ʻike ʻia ai lākou:
- Ma ka ʻaoʻao haʻahaʻa o kou umauma, ma o ka diaphragm.
- Ma ka ʻāpana groin, ʻo ia hoʻi, ma lalo o nā pūhaka, ma o ka paia ʻōpū haʻahaʻa.
- Ma ke kikowaena mua o ka ʻōpū.
- Mai kahi ʻoki ʻoki mua.
He aha nā ʻano hernias i loaʻa?
Hiki i nā hernias ke hele mai i nā ʻano he nui. Ua hoʻokaʻawale ʻia lākou e like me kahi i loaʻa ai a me ke kumu. E nānā kākou i kekahi o nā ʻano nui.
1. ʻO ka Hernia Inguinal
ʻO kēia ke ʻano hernia maʻamau . Ma kahi o 75% o nā hernias o kēia ʻano. He mea maʻamau ia i nā kāne. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka ʻāpana o ka ʻōpū e hoʻokuke i ke ala e holo ana i lalo o ka ʻūhā i kapa ʻia ʻo ke kahawai inguinal. I kekahi manawa ua ʻike paha ʻoe i kahi ʻelemakule me kahi puʻupuʻu liʻiliʻi ma ko lākou ʻūhā, a ʻo ia nō ia.
2. Hernia Femoral
He ʻano hernia nō hoʻi kēia e kū mai ana ma ka ʻāpana groin, akā ʻaʻole maʻamau iki ma mua o ka hernia inguinal. Loaʻa ia ma kahi i kapa ʻia ʻo ke kahawai femoral, aia ma lalo o ke kahawai inguinal. Hiki i nā ʻiʻo momona a me nā mea ʻē aʻe ke puka mai ma o kēia.
3. Hiatal Hernia
He ʻano hernia maʻamau kēia e kū mai ana i ke ola. Aia kahi lua liʻiliʻi i loko o ko kākou diaphragm, kahi e iho ai ko kākou esophagus. Inā nui aʻe kēlā lua a piʻi aʻe ka ʻaoʻao o luna o ka ʻōpū i loko o ka umauma, ua kapa ʻia ʻo ia he `(Hiatal Hernia).` Hiki i kēia ke hana i nā hōʻailona e like me ka ʻeha o ka umauma a me ka gastritis i kekahi poʻe.
4. Hernia Diaphragmatic Congenital
He kīnā hānau koʻikoʻi iki kēia.Hana ʻia kēia ke pani pono ʻole ʻia ka diaphragm i ka wā o ka ulu ʻana o ka fetal. ʻAe kēia i nā ʻōpū i loko o ka ʻōpū e neʻe i loko o ka lua umauma i ko lākou ulu ʻana. Hiki i kēia ke hana i kahi no nā māmā, e hoʻopilikia ana i ko lākou ulu ʻana.
5. ʻO ka Hernia ʻokiʻoki
ʻO ka hernia ʻokiʻoki kahi kūlana kahi e nāwaliwali ai kahi ʻokiʻoki mai kahi ʻoki ma mua i ka hala ʻana o ka manawa a puka mai nā ʻiʻo ma loko. He hopena maʻamau kēia e hiki ke loaʻa i nā poʻe i hana ʻia ke ʻoki ʻōpū.
6. ʻO ka Hernia Umbilical
ʻO kēia ka wā e puka mai ai kahi hapa o ka ʻōpū ma o kahi lua ma ka paia ʻōpū kokoke i ka pihi ʻōpū. ʻO ka hapa nui o ka manawa, he hānau ʻia kēia mau "Umbilical Hernias". Ua ʻike paha ʻoe i kahi puʻupuʻu liʻiliʻi ma ka pihi ʻōpū o kahi pēpē i ka wā e uē ai a i ʻole e ʻōpala. ʻO kēia paha ke kumu.
7. Hernia Ventral
ʻO kēlā me kēia hernia e puka mai ana ma ka paia mua o ka ʻōpū ua kapa ʻia ʻo "Ventral Hernia." ʻO kēia hoʻi nā hernia umbilical a me nā hernias incisional. ʻO ka hernia ventral e puka mai ana ma luna o ka piko ua kapa ʻia hoʻi ʻo "Epigastric Hernia."
8. ʻO ka Hernia Perineal
He ʻano hernia kakaikahi kēia. Hana ʻia ia i ka wā e paʻi ai kahi ʻōkana a i ʻole nā ʻiʻo i loko o ka lua ʻōpū ma o kahi wahi nāwaliwali a i ʻole lua ma ka papahele pelvic.
Pehea ka maʻamau o ka hernia?
ʻAe, he maʻi maʻamau loa nā hernias. Eia nō naʻe, ʻoi aku ka maʻamau o kekahi mau ʻano ma mua o nā mea ʻē aʻe. Eia kekahi laʻana:
- Hoʻopilikia ka hernia inguinal ma kahi o 25% o nā kāne.
- Hoʻopilikia nā hernias hiatal ma kahi o 20% o nā ʻAmelika, a ma kahi o 50% o nā kānaka ma luna o 50 mau makahiki.
- Ma kahi o 15% o nā pēpē hānau hou i loaʻa i ka hernia congenital, ʻo ka mea maʻamau o ia ka hernia umbilical.
- ʻO 10% o nā hernias āpau i loaʻa ka hernias incisional.
Pehea ke koʻikoʻi o ka hernia?
ʻAʻole koʻikoʻi ka hapa nui o nā hernias, akā hiki i kekahi ke koʻikoʻi. A hiki iā lākou ke ʻoi aku ka ʻino i ka hala ʻana o ka manawa.
Lilo ka hernia i mea koʻikoʻi ke hiki ʻole i ka ʻāpana i puka mai ke hoʻi hou i loko a paʻa i loko o ka lua. Ua kapa ʻia kēia he "Incarcerated hernia". Hiki i kēia ke hoʻonui i ka ʻeha. I kekahi mau hihia koʻikoʻi, hiki i ka ʻiʻo i paʻa ke nalowale i kona kahe koko a make ("Necrosis"" a i ʻole "Gangrene"). He pilikia kēia.
Ma muli o ka ʻino o nā hernias i ka hala ʻana o ka manawa, pono pinepine e hoʻoponopono ʻia ma ke ʻoki ʻana ma mua a ma hope paha.
He aha nā hōʻailona o ka hernia?
ʻAʻole nā hernias āpau e hoʻoulu i nā hōʻailona, a hiki i kēlā me kēia ʻano hernia ke hana i nā hōʻailona like ʻole.
ʻO ka hōʻailona nui o ka hernia he puʻupuʻu a pehu paha i ʻike ʻia . Hiki ke ʻike ʻia kēia i ka wā o kekahi mau hana a i ʻole ke hoʻololi ʻana i ke kūlana o ke kino, a laila hoʻi hou i nā manawa ʻē aʻe.
Eia kekahi, i ka wā e puka mai ai ka hernia, aia kahi ʻeha kaomi, ʻehaʻeha, a ʻeha hou paha.Hiki iā ʻoe ke ʻike. Hiki ke puka mai i waho ke hāpai ʻoe i kahi mea kaumaha, ʻakaʻaka, ʻū, a hoʻoluhi paha.
Pehea ke ʻano o ka hernia?
Inā hiki iā ʻoe ke ʻike, ua like ia me kahi puʻupuʻu ma kahi i pono ʻole ai . Hiki iā ʻoe ke ʻike i kēia mau mea ma ka ʻōpū a i ʻole ma luna o ka ʻūhā. I kekahi manawa ʻike ʻia lākou, i kekahi manawa ʻaʻole. Eia nō naʻe, aia kekahi mau hernias, e like me ka 'Femoral hernia' a me ka 'Hiatal hernia', i loko o ke kino a ʻaʻole ʻike ʻia mai waho.
He aha ke ʻano o ka hernia?
ʻAʻole paha ʻoe e manaʻo iki i kekahi mea. A i ʻole e manaʻo paha ʻoe i kahi ʻūmiʻi, ʻeha palupalu, a ʻeha ʻoi paha i ka wā e puka mai ai ka hernia mai loko mai o ka lua. Inā loaʻa iā ʻoe kēia ʻano ʻoluʻolu ʻole i nā manawa a pau, pono ʻoe e ʻike koke i ke kauka .
ʻOi aku hoʻi no ka poʻe me ka hernia hiatal, hiki ke loaʻa ka reflux acid no ka manawa lōʻihi. Hiki ke like me ka heartburn a i ʻole ka indigestion.
He aha nā hōʻailona mua o ka hernia?
Hiki paha iā ʻoe ke ʻike a manaʻo paha i kahi hernia e puka mai ana mai kahi like ke noho ʻoe, moe i lalo, a hoʻoluhi paha. I ke ʻano o kahi pēpē liʻiliʻi, hiki i kahi hernia ke puka i waho ke uē ʻo ia a i ʻole ka ʻōpala, e hōʻeha ai iā ia. Inā loaʻa pinepine nā hōʻailona like me ka hana like, aia kahi manawa kūpono he hernia ia.
He ʻokoʻa nā hōʻailona o ka hernia i nā wahine a me nā kāne?
ʻO ka maʻamau, ʻaʻohe ʻokoʻa nui. Akā aia kekahi mau ʻokoʻa. No ka laʻana, hiki i kahi hernia groin ke puka i lalo i nā ʻōpū. I nā kāne me nā testicles, ʻo ia hoʻi, ʻike ʻia ka pehu ʻana o ka testicular. ʻOi aku ka maʻamau o ka 'Femoral hernia' i nā wahine, a hiki iā ia ke hōʻeha i ka ʻōpū i ʻike ʻole ʻia mai waho a ʻaʻole hiki ke loaʻa.
He aha ke kumu nui o ka hernia?
I ka ʻōlelo maʻalahi, hana ʻia kahi hernia i ka wā e paʻi ai kahi ʻōkana a i ʻole nā ʻiʻo ʻē aʻe i kahi nāwaliwali o kou mau ʻiʻo a i ʻole nā ʻiʻo pili, a i ʻole kahi puka i hala mua .
I kekahi manawa, loaʻa kēia nāwaliwali a i ʻole ka wehe ʻana i ka wā hānau. Akā, ʻoi aku ka pinepine, ulu ia i loko o ke ola holoʻokoʻa. Hiki ke hana ʻia e kahi ulia koʻikoʻi a i ʻole ke ʻoki kino. Akā, ʻoi aku ka pinepine, hana ʻia e ke kaumaha pinepine . Hiki i nā makahiki o ke kaumaha a me ke kaumaha ke hoʻonāwaliwali mālie i nā ʻiʻo.
He aha nā kumu pilikia no ka hoʻomohala ʻana i kahi hernia?
Aia paha kou pilikia i ka hoʻomohala ʻana i kahi hernia no nā kumu aʻe:
- Inā he hana kāu e pili ana i ka hāpai ʻana i ka nui o ke kaumaha a i ʻole ke kū ʻana no nā hola. E noʻonoʻo, hāpai ʻo ʻAnakala Kamal i nā ʻeke meaʻai ma ka hale kūʻai i kēlā me kēia lā, ʻoi aku ka nui o kona pilikia.
- Inā he ʻū mau kou, a inā he mau maʻi ʻaleka kou e hoʻoulu ai i ka ʻūhā pinepine.
- Ka paʻa mau ʻana a me ke kaumaha i ka wā o ka neʻe ʻana o ka ʻōpū a i ʻole ka mimi ʻana.
- Inā ua loaʻa iā ʻoe ke ʻoki ʻōpū a i ʻole pelvic ma mua .
- Ka hāpai ʻana , ʻoiai inā ua hāpai ʻoe i nā manawa he nui.
- Ka momona mau loa (inā ʻoi aku ka nui o ka helu helu kino (BMI) ma mua o 30).
Hiki paha i kāu keiki ke loaʻa i kahi hernia congenital no nā kumu i lalo:
- Inā hānau mua ʻia ke keiki .
- Inā loaʻa iā ʻoe nā maʻi e like me ka cystic fibrosis.
- Inā he maʻi pili kou.
- Inā he dysplasia hip congenital kou.
- Inā ʻaʻole i iho kou mau testicle i lalo.
- Inā he mau pilikia ʻē aʻe kāu me ka ʻōnaehana hānau keiki a i ʻole ka ʻōnaehana mimi.
He aha nā pilikia e hiki ke loaʻa mai ka hernia?
ʻO ka hapa pinepine, hoʻomaka nā pilikia ke hoʻopaʻa ʻia kahi hernia a ʻaʻole hiki ke hoʻihoʻi ʻia i loko. Hiki i kahi hernia i hoʻopaʻa ʻia ke lilo i mea ʻeha a koʻikoʻi i ka hala ʻana o ka manawa.
Inā ua ālai ʻia kekahi ʻāpana o kou ʻōpū, hiki iā ia ke hana i kahi ālai , e pale ana i ka meaʻai a i ʻole ka ea mai ke komo ʻana. Inā ʻoki ʻia ke kahe koko i nā ʻiʻo i ālai ʻia (strangulation) , hiki iā ia ke make nā ʻiʻo (necrosis a gangrene paha). He kūlana weliweli loa kēia.
He mea nui: Inā ua hoʻopaʻa ʻia kahi hernia, loli ke kala, palupalu, a i ʻole he mau hōʻailona e like me ke kuni, ka nausea, a i ʻole ka luaʻi ʻana, e ʻimi koke i ke kōkua lapaʻau!
He ʻokoʻa iki nā pilikia o nā hernia diaphragmatic. ʻO ka maʻamau, ʻaʻole i ālai ʻia nā kino e puka mai ana ma o ka diaphragm. ʻAʻole pinepine ka hernia hiatal e hoʻoulu i nā pilikia nui, koe wale nō ka reflux acid lōʻihi. Eia nō naʻe, ʻoi aku ka paʻakikī o ka hernia diaphragmatic congenital (CDH) no ka mea e hoʻopilikia ia i ke ʻano o ka ulu ʻana o ka fetus. He maʻi nui nā pēpē i hānau ʻia me CDH a pono lākou i ka mālama koʻikoʻi.
I ka manawa hea e hopohopo ai ʻoe e pili ana i ka ʻeha hernia?
He mea kūpono ke ʻike ʻana i ke kauka no kekahi ʻeha hernia, no ka mea hiki ke kuhihewa ʻia no nā maʻi ʻē aʻe, ʻoiai inā manaʻo ʻia he hernia.
Inā loli ke kala o kou hernia, palupalu, a i ʻole e hele pū me nā hōʻailona e like me ke kuni, ka nausea, a i ʻole ka luaʻi ʻana, e ʻimi koke i ke kōkua lapaʻau .
Pehea e ʻike ai i kahi hernia?
ʻO ka hapa nui o ka manawa, ma muli o ke ʻano o ka hernia, hiki ke ʻike ʻia kahi hernia me kahi hoʻokolokolo kino maʻalahi . Hiki paha i ke kauka ke ʻike a hoʻopā paha iā ia. A i ʻole e noi paha lākou iā ʻoe e ʻū a hoʻololi paha i kou kūlana e ʻike inā e puka mai ana. Ma muli o ke koʻikoʻi o ia mea, hiki i ke kauka ke hoʻāʻo e hōʻemi iā ia.
Pono kekahi hernias i nā kiʻi palupalu o nā ʻiʻo, e like me ka CT scan, e ʻike ʻia.
He aha nā lāʻau lapaʻau no ka hernia?
Pono ka hapa nui o nā hernias i ke ʻoki ʻana , akā ʻaʻole pono lākou a pau i ke ʻoki ʻana i ka manawa hoʻokahi.
Inā he hernia liʻiliʻi kou, ʻaʻole koʻikoʻi loa e puka mai ana i waho i kekahi manawa, e lawe paha kāu kauka i kahi "ala kali a nānā".
Akā, no ka mea, e ʻoi aku ka ʻino o nā hernia i ka hala ʻana o ka manawa, ʻōlelo nā kauka e hoʻoponopono ʻia lākou. Koe wale nō nā hernia umbilical i nā pēpē ʻōpio, ʻaʻole e ho'ōla ʻia nā hernia ʻē aʻe ma o lākou iho .
ʻO ke ʻoki hoʻoponopono hernia kahi hana maʻamau , a he hana liʻiliʻi paha, e pili ana i ke kau ʻana i ka ʻiʻo herniated i kona wahi a me ka hoʻoikaika ʻana i ka ʻāpana herniated me nā humuhumu a i ʻole kahi ʻupena kūikawā.
No kahi hana hernia maʻamau, hiki i nā kauka lapaʻau ke hoʻohana pinepine i nā " ʻano hana minimally-invasive ." ʻO ia hoʻi, he mau ʻoki liʻiliʻi, ʻeha iki ma hope o ke ʻoki ʻana, a me ka hoʻōla wikiwiki ʻana.
- ʻO ke ʻoki Laparoscopic : Pili kēia i ka hoʻohana ʻana i kahi ʻōmole lōʻihi a lahilahi i kapa ʻia he laparoscope, nona kahi kāmela a me ke kukui ma kekahi ʻaoʻao. Hana ʻia ke ʻoki ma ke komo ʻana i nā mea hana ʻoki lōʻihi a lahilahi ma o hoʻokahi puka liʻiliʻi i loko o ka ʻōmole a me kekahi puka liʻiliʻi.
- ʻO ke ʻoki ʻana i ka robot : Ua like kēia me ka laparoscopy, akā hoʻohana ke kauka ʻoki i nā lima robotic a kāohi i nā lako mai kahi console kamepiula.
- Pono kekahi mau hernia i ke ʻoki kino hāmama kuʻuna .
ʻO ka hernia umbilical i loaʻa i ka wā hānau e pani pinepine ia iā ia iho i ka wā e ulu ana ke keiki. Akā i kekahi manawa ʻaʻole. Inā hana ʻia kēlā, pono ke keiki e hana i kahi ʻoki hoʻoponopono hernia umbilical.
ʻAʻole koi pinepine nā hernia hiatal i ke ʻoki kino, akā inā hoʻoulu lākou i ka reflux acid mau loa, pono paha e mālama ʻia. Hiki i kāu kauka ke ʻōlelo aku i kahi kaʻina hana i kapa ʻia ʻo Nissen fundoplication. Pili kēia i ka ʻōwili ʻana i ka ʻaoʻao o luna o kou ʻōpū a puni ka ʻaoʻao haʻahaʻa o kou esophagus a humuhumu pū iā ia.
He aha ka mea e hana inā ʻaʻole mālama ʻia kahi hernia?
ʻAʻole paha e hoʻopilikia nui kahi hernia liʻiliʻi iā ʻoe. Akā, e ulu nui ana nā hernia i ka hala ʻana o ka manawa . Ke hoʻomau nei ka nāwaliwali a me ke kīkoʻo ʻana o ka puka, a ʻoi aku ka nui o nā ʻiʻo e paʻi ma loko. ʻO ka nui o nā ʻiʻo e puka mai ana, ʻoi aku ka nui o ka paʻahao ʻia, e hōʻeha ai i ka ʻeha a me nā pilikia ʻē aʻe.
He aha nā hopena ʻaoʻao a i ʻole nā pilikia o ka lāʻau lapaʻau?
Aia kekahi mau pilikia liʻiliʻi e pili ana i kekahi ʻoki kino, e like me ke kahe nui ʻana o ke koko, ka maʻi, a me nā hopena i ka anesthesia. Hiki i kekahi poʻe ke paʻakikī i ka mimi ʻana no kekahi mau lā ma hope o ke ʻoki kino. Ma kahi o 10% o ka poʻe me ka hernia inguinal e hōʻike ana i ka ʻeha mau o ka ʻūhā, ma muli paha o ka hōʻino ʻia o ke aʻalolo.
He aha kaʻu e manaʻo ai inā loaʻa iaʻu kahi hernia?
E loiloi kāu kauka i ke koʻikoʻi o ia mea a me ka wikiwiki o ka hiki ke ʻoi aku ka ʻino. ʻAʻole pono paha kekahi mau hernias i ke ʻoki kino ulia pōpilikia, akā no ka hapa nui, e ʻōlelo ʻia ke ʻoki kino i kekahi manawa.
He hana maʻalahi ka hana ʻoki kino, ma waho o ka haukapila , a he pōkole ka manawa hoʻōla. Ma ke ʻano laulā, ua holomua ka ʻoki kino, akā ma kahi o 10% o nā hihia, hiki ke hoʻi hou mai ka hernia i kekahi manawa, ʻoiai inā hoʻomau ke kumu kumu.
Pehea e mālama ai iaʻu iho i koʻu wā e noho ana me ka hernia?
Inā loaʻa iā ʻoe kahi hernia, pono ʻoe e hoʻāʻo e pale iā ia mai ka ʻino ʻana , inā paha e hana ʻia ana ʻoe i ke ʻoki kino a i ʻole. Hiki i kāu kauka ke ʻōlelo aku iā ʻoe e hoʻololi i kāu mau hana a i ʻole ke ʻano o kāu hana e pale aku ai i ka hernia mai ka hoʻokuke ʻia ʻana i loko o kahi hakahaka. I kekahi mau hihia, e noi ʻia paha ʻoe e komo i kahi kāʻei kūikawā (he `Truss` a i ʻole `Hernia belt`) e hoʻopaʻa iā ia i kahi i ka wā o kekahi mau hana. E makaʻala i kāu mau hōʻailona a me nā loli āu e ʻike ai.
He aha ka "Sports Hernia"?
ʻO ka huaʻōlelo "Sports Hernia" he inoa hewa maoli ia, no ka mea, ʻaʻole ia he hernia maoli. He ʻano ʻeha ia i maʻamau i nā mea pāʻani, ʻoi aku hoʻi ma ka ʻōpū haʻahaʻa a i ʻole ka ʻāpana groin. Ua kapa ʻia ʻo ia pēlā no ka mea he mau wahi maʻamau kēia no ka hoʻokumu ʻana o nā hernias, a no ka mea hiki i ka ʻeha ke hoʻoulu i ka ʻeha lōʻihi e like me ka hernia. Eia naʻe, ma ʻaneʻi, ʻaʻole e puka kekahi ʻiʻo ma waena o kekahi. ʻO ka maʻamau, he haehae ia i loko o kahi tendon a i ʻole ka ʻiʻo i hana ʻia e ka neʻe koke ʻana.
Hōʻuluʻulu manaʻo a me nā mea e hoʻomanaʻo ai
ʻOiai he mea maʻamau nā hernias, ʻaʻole koʻikoʻi ka hapa nui. Eia nō naʻe, hiki ke loaʻa nā pilikia. Hiki i ka ʻeha a me nā pilikia ʻē aʻe ke hoʻonui i ka hala ʻana o ka manawa. E makaʻala i kāu hernia a e ʻike i kāu kauka ma mua o ka lilo ʻana i mea koʻikoʻi. ʻOiai ʻaʻole e ho'ōla nā hernias iā lākou iho, pono pinepine lākou i ke ʻoki ʻana e hoʻoponopono iā lākou. ʻAʻole ʻoe hoʻokahi, a ʻo ia kekahi o nā ʻoki maʻamau i hana ʻia ma ka honua.
E hoʻomanaʻo: Inā he kānalua a nīnau paha kāu e pili ana i ka hernia, ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka no ka ʻōlelo aʻo. Mai hilinaʻi wale i kāu mea i loaʻa ma ka pūnaewele.
Manaʻolana wau ua kōkua kēia ʻike iā ʻoe! E ola kino!
hernia , hernia, prolapse ʻōpū, hernia inguinal, ʻoki hernia, nā hōʻailona hernia











💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo