Ua ʻike anei ʻoe i kahi puʻupuʻu liʻiliʻi i loko o kou ʻōpū a i ʻole ka ʻūhā? ʻOi loa aku i ka wā e hāpai ai ʻoe i kahi mea kaumaha, ʻū, a hoʻoluhi paha i ka lua, hiki ke puka mai i waho a hoʻi hou i loko ke moe ʻoe no kekahi manawa. ʻO kēia ka mea a mākou e kapa nei he 'ʻeha ʻōpū', akā ma ke ʻano lapaʻau ua kapa ʻia ʻo ia he hernia. ʻOiai ua makaʻu kekahi poʻe i ka lohe ʻana i kēia inoa, he ʻano maʻamau loa ia. No laila i kēia lā e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
He aha maoli ka hernia?
I ka ʻōlelo maʻalahi, ʻo ka hernia kahi puka ʻana o kahi ʻōkana a i ʻole nā ʻiʻo i loko o ko mākou kino ma o kahi nāwaliwali a i ʻole lua i loko o ka paia ʻiʻo e hoʻopuni ana iā ia.
E noʻonoʻo i kēia ʻano. He huila ko ke kaʻa, a aia i loko he paipu. I kēia manawa, inā he wahi nāwaliwali ma kekahi wahi o ka huila, he aha ka mea e hana ai ke hoʻopiha ʻoe i ka huila? Puka mai ka paipu e like me ka pehu liʻiliʻi mai kēlā wahi nāwaliwali, ʻeā? Pēlā nō ia. Ua like ka paia ʻōpū me ka huila. ʻO nā kino i loko, e like me nā ʻōpū, ua like me ka paipu. Ke nāwaliwali ka paia ʻōpū, puka mai nā kino i loko. ʻO kēia ka mea a mākou e kapa nei he hernia.
Hiki i kēia mau mea ke hana ma nā ʻāpana like ʻole o ke kino.
- Ma lalo o kou umauma, ma o ka diaphragm.
- Ma ka ʻāpana ʻūhā, ma o ka ʻaoʻao haʻahaʻa o ka paia ʻōpū.
- Ma waenakonu o ka ʻōpū, ma o ka piko a i ʻole ma luna/ma lalo ona.
- Mai kahi ʻeha mai kahi hana ʻoki mua.
He aha nā ʻano nui o nā hernias?
Ua māhele ʻia nā Hernias i nā ʻano like ʻole ma muli o ka wahi a me ke kumu o ko lākou hanana ʻana. Ua lohe paha ʻoe i kekahi o kēia mau mea. E nānā kākou i ka papa ma lalo nei e hoʻomaopopo pono ai i kēia mau ʻano nui.
| ʻAno Hernia | He wehewehe maʻalahi |
|---|---|
| ʻO ka Hernia Inguinal | ʻO kēia ke ʻano maʻamau. Ma kahi o 75% o nā hernias āpau o kēia ʻano. He mea maʻamau loa ia i nā kāne. ʻO kēia ka manawa e puka ai kahi ʻāpana o ka ʻōpū ma o ka ʻūhā. |
| ʻO ka Hernia Femoral | He ʻano kēia e kū mai ana ma ka ʻāpana ʻūhā, akā ʻaʻole ia he mea maʻamau. Hoʻomaka ia mai ka ʻūhā luna. ʻIke pinepine ʻia i nā wahine. |
| ʻO ka Hernia Hiatal | He mea maʻamau loa kēia. ʻO kēia kahi e piʻi ai ka ʻaoʻao o luna o ka ʻōpū i loko o ka umauma ma o kahi lua i loko o ka diaphragm, ka paia nui e hoʻokaʻawale ana i ko kākou umauma a me ka ʻōpū. Hiki i kēia ke kumu o nā hōʻailona e like me ka heartburn a me ka gastritis i ʻike ʻia e ka poʻe he nui. |
| ʻO ka Hernia ʻokiʻoki | No kekahi kanaka i hana mua ʻia i ke ʻoki ʻōpū, hiki i ka wahi i hana ʻia ai ke ʻoki ke nāwaliwali i ka hala ʻana o ka manawa, e alakaʻi ana i kahi hernia. Ua manaʻo ʻia kēia he hopena ʻaoʻao e hiki ke hana ma hope o ke ʻoki ʻōpū. |
| ʻO ka Hernia Umbilical | ʻO kēia ka manawa e puka mai ai kahi hapa o ka ʻōpū ma o ka piko (scrotum). He mea maʻamau loa kēia i waena o nā pēpē hānau hou. I ka hapanui o nā hihia, e maikaʻi kēia ma kāna iho i ka wā e ulu ana ka pēpē. |
| ʻO ka Hernia Diaphragmatic Congenital | He kīnā hānau koʻikoʻi kēia. Ke pani pono ʻole ʻia ka diaphragm i ka wā e ulu ana ke pēpē i loko o ka ʻōpū, e paʻi nā ʻōpū i loko o ka umauma, e keakea ana i ka ulu ʻana o nā māmā. He kūlana kēia e pono ai ka mālama koke ʻana. |
He aha nā hōʻailona o ka hernia?
ʻAʻole nā hōʻailona āpau o nā hernias, akā aia kekahi mau hōʻailona maʻamau e ʻike ʻia.
ʻO ka hōʻailona nui he puʻupuʻu a he pehu paha i ʻike ʻia . ʻAʻole ʻike mau ʻia kēia.
- Ke hāpai ʻoe i kahi mea kaumaha.
- Ke ʻū nui ʻoe, ke ʻū ʻoe
- Ke mimi ʻoe i loko o ka lua
- ʻOiai e kū ana
I nā manawa e like me kēia, e ʻike ʻoe i kēia puʻupuʻu e puka mai ana. Ke moe hou ʻoe i lalo, a i ʻole ke kaomi ʻoe i ka puʻupuʻu me kou manamana lima, e hoʻi hou ia i loko.
Eia kekahi, hiki iā ʻoe ke manaʻo i ke kaomi, ke kaumaha, a i ʻole ka ʻeha palupalu ma ia wahi. Eia nō naʻe, ʻaʻole ʻike ʻia kekahi mau hernias, e like me ka hernia hiatal. Eia nō naʻe, hiki iā lākou ke hana i nā hōʻailona e like me ka ʻeha mau o ka umauma a me ka paʻakikī i ka moni ʻana.
ʻO ka mea nui loa, inā ʻike ʻoe i kahi puʻupuʻu e like me kēia, ʻoiai inā e komo wale ia i loko, pono ʻoe e ʻike i kāu kauka a e nānā ʻia.
He aha nā kumu pilikia no ka hoʻomohala ʻana i kahi hernia?
Ua ʻike mākou i kēia manawa ua hana ʻia kahi hernia e ka nāwaliwali o ka paia o nā ʻiʻo. No laila, aia kekahi mau kumu e hiki ai ke hana ʻia kēia nāwaliwali, a i ʻole ke piʻi ʻana o ke kaomi i loko o ka ʻōpū a hoʻoulu i kahi hernia e puka i waho.
- Ka hāpai kaumaha mau ʻana: ʻOi aku ka nui o ka pilikia o ka poʻe e hana ana i ka hāpai kaumaha a i ʻole nā hana hāpai kaumaha no ka mea ke kiʻekiʻe mau nei ke kaomi ma ka ʻōpū.
- ʻŪhū mau: ʻO ke ʻūhū mau o ka poʻe me ka hānō a me ka poʻe puhi paka e kau i ke kaomi mau ma nā paia o ka ʻōpū.
- Paʻa ʻōpū: ʻO ka hoʻoluhi mau ʻana i ka wā e hele ana i ka lua e hoʻonui ai i ke kaomi ma ka ʻōpū.
- Momona: I ka piʻi ʻana o ke kaumaha o ke kino, piʻi pū kekahi ke kaomi ma ka paia o ka ʻōpū.
- Hāpai keiki: Hiki ke kīkoʻo a hoʻonāwaliwali ʻia ka paia o ka ʻōpū, ʻoiai ke loaʻa nā keiki he nui.
- Nā ʻoki kino ma mua: Aia kahi manawa kiʻekiʻe aʻe o ka nāwaliwali o nā ʻiʻo ma kahi i hana ʻia ai ke ʻoki ʻōpū.
- Ka ʻelemakule ʻana: Hoʻonāwaliwali maoli nā ʻiʻo i ko kākou ʻelemakule ʻana.
ʻO kēia nā kumu nui e loaʻa ai i nā pākeke nā hernias. Aia kekahi mau kumu e hiki ai i nā pēpē ke loaʻa nā hernias mai ka hānau ʻana. No ka laʻana, ʻo ka hānau mua ʻana a me kekahi mau kīnā hānau ʻē aʻe hiki ke hana i nā hernias.
Hiki i ka hernia ke lilo i mea koʻikoʻi? Āhea ʻoe e hopohopo ai?
ʻO kēia ka ʻāpana koʻikoʻi loa. ʻO ka maʻamau, ʻaʻole weliweli ka hernia. Akā aia ʻelua mau kūlana kahi e hiki ai ke koʻikoʻi.
1. Hoʻopaʻa ʻia: ʻAʻole hiki i kahi ʻāpana o ka ʻōpū i puka mai ke hoʻi i loko a paʻa i waho. Ke hana ʻia kēia, hiki i ka ʻāpana ke lilo i ʻeha loa, pehu, a hiki ke luaʻi. Hiki iā ia ke hana i ka neʻe ʻana o ka ʻōpū (ʻōpū paʻa).
2. ʻĀʻī ʻia: ʻOi aku ka weliweli o kēia. Inā ʻoki ʻia ke kahe koko i ka ʻāpana i paʻa ʻia o ka ʻōpū, e hoʻomaka ana kēlā ʻāpana e make (Necrosis a Gangrene paha). He kūlana hoʻoweliweli ola kēia e pono ai ke ʻoki kino ulia pōpilikia.
No laila, inā loaʻa iā ʻoe kahi hernia, e makaʻala loa i nā hōʻailona ma lalo nei. Inā loaʻa kekahi o kēia mau mea, e hele koke i ka Emergency Department (ETU) o ka haukapila.
| Nā hōʻailona hōʻike e pono ai ka nānā koke ʻana | |
|---|---|
| ʻEha koke, koʻikoʻi, a hoʻonui hoʻi ma kahi o ka hernia. | E hele koke i ka haukapila. |
| Ka luaʻi a me ka luaʻi. | E ʻike koke i ke kauka. |
| ʻUlaʻula, poni, a ʻeleʻele paha ke kaʻe o ka hernia. | He pilikia kēia! E hele koke i ka ETU. |
| Kuni . | E ʻike koke i ke kauka. |
| ʻO ka nati i hiki ke hoʻokomo ʻia ma mua, ʻaʻole hiki ke hoʻokomo ʻia i kēia manawa. | E hele koke i ka haukapila. |
Pehea e mālama ʻia ai ka hernia?
E nānā ke kauka iā ʻoe a hoʻoholo i ka lāʻau lapaʻau ma hope o ka hōʻoia ʻana he hernia kou. I kekahi manawa, hiki iā lākou ke hana i kahi hoʻokolohua e like me ka ultrasound scan.
ʻO ka pinepine, ʻo ke ʻoki ʻana wale nō ka hopena mau loa no ka hernia. No ka mea, ʻaʻole e like me nā hernia umbilical i nā pēpē ʻōpio, ʻaʻole e ho'ōla nā hernia ʻē aʻe iā lākou iho. I ka hala ʻana o ka manawa, ʻoi aku ka nui o ko lākou nui a me ka hoʻomohala ʻana i nā pilikia.
Eia nō naʻe, inā he liʻiliʻi loa kou hernia a ʻaʻole ia e hōʻeha a ʻoluʻolu ʻole paha, hiki i kāu kauka ke lawe i kahi ala "kali a nānā". Eia nō naʻe, ʻoi aku ka nui o ke koi ʻia ʻana o ke ʻoki ʻana i ka hopena.
Pehea e hana ʻia ai ke ʻoki kino?
He maʻalahi loa ke ʻoki ʻana. Hoʻihoʻi ʻia ka ʻāpana o ke kino i hoʻokuke ʻia i waho i kona wahi a hoʻoikaika ʻia ka paia ʻiʻo nāwaliwali. Hana ʻia kēia i kekahi manawa me nā humuhumu a i ʻole ka hoʻohana ʻana i kahi ʻupena kūikawā i kapa ʻia ʻo "ʻupena ʻokiʻoki" e hoʻoikaika i ka wahi.
I kēia manawa, aia nā ʻano like ʻole e hana ai i kēia ʻoki kino:
- ʻOki Hāmama: Hana ʻia ke ʻoki ma ke ʻano kuʻuna, me kahi ʻoki nui iki.
- ʻO ke ʻoki Laparoscopic: Ua kapa ʻia kēia ʻo 'keyhole surgery.' Hana ʻia ia ma o kekahi mau ʻoki liʻiliʻi wale nō a hoʻokomo ʻia kahi kāmela, no laila e ola wikiwiki a ʻaʻole ʻeha iki.
- ʻO ke ʻoki Robotic: He like kēia me ke ʻoki laparoscopic, akā hana ke kauka ʻoki i ke ʻoki me ka hoʻohana ʻana i ka lima robotic.
E wehewehe kāu kauka iā ʻoe i ke ʻano hana kūpono loa iā ʻoe. He mau ʻokiʻoki maʻamau a holomua kēia i ka honua i kēia lā. No laila, mai makaʻu pono ʻole iā lākou.
Leka Lawe-Home
- He maʻi maʻamau ka hernia, no laila mai hopohopo inā ʻike ʻoe he hoʻokahi kāu.
- Inā he mea e like me ka puʻu e puka mai ana a hoʻi hou i loko i ka wā e ʻū ai ʻoe a hāpai paha i kahi mea kaumaha, he hernia paha ia.
- ʻOiai ʻaʻole e ho'ōla ʻia nā hernias iā lākou iho a hiki ke ulu nui aʻe i ka hala ʻana o ka manawa, he mea nui loa ia e ʻike i ke kauka.
- Inā ʻike ʻoe i ka ʻeha nui ma kahi o ka hernia, ka luaʻi ʻana, a i ʻole ka loli ʻana o ke kala o ka hernia , he pilikia ia. Mai hoʻonele i ka manawa a hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
- Ua holomua loa a palekana ke ʻoki ʻana i ka hernia i kēia manawa. No laila, mai makaʻu i ka lāʻau lapaʻau. E kamaʻilio me kāu kauka e pili ana i nā mea āpau a nīnau i kāu mau nīnau.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo