He puʻupuʻu kou ma kou ʻōpū, ʻūhā, a i ʻole piko paha? Ke manaʻo nei anei ʻoe e ulu nui ana, ʻoiai ke ʻū ʻoe, hāpai i nā mea kaumaha, a ʻakaʻaka paha? A laila loaʻa paha iā ʻoe kahi hernia. ʻOiai he nui ka poʻe e kānalua nei e kamaʻilio e pili ana i ia mea, he maʻi maʻamau loa ia. No laila i kēia lā, e kamaʻilio kākou e pili ana i nā hernias a me kā lākou ʻoki ʻana, e ʻike i nā pane i kāu mau nīnau āpau.
I ka ʻōlelo maʻalahi, he aha ke ʻoki hernia?
ʻO ka hernia kahi puka ʻana o kahi ʻōkana a i ʻole nā ʻiʻo i loko o ko mākou kino ma o kahi nāwaliwali o ka paia ʻiʻo e hoʻopaʻa ana iā ia i kahi. Ua like ia me kahi mea i loko o kahi ʻeke i hoʻopiha nui ʻia a kahe i waho ma kahi lua liʻiliʻi. ʻO ka hapa nui o kēia mau mea e ʻike ʻia ma nā wahi ʻōpū a me nā ʻāpana groin.
ʻO ke ʻoki hoʻoponopono Hernia , a i ʻole e like me ke kapa ʻana o nā kauka, "Herniorrhaphy," he hana ʻoki ia e pili ana i ke kau ʻana i ka ʻōkana herniated a i ʻole ka ʻiʻo i hoʻihoʻi ʻia i kona wahi a me ka hoʻoikaika ʻana a me ka humuhumu ʻana i ka paia nāwaliwali. I kekahi manawa, hoʻohana ʻia kahi ʻupena kūikawā, i kapa ʻia ʻo "Surgical Mesh," e hoʻoikaika i ka paia. ʻO kēia ʻoki ka lāʻau lapaʻau maikaʻi loa a maʻamau no ka hernia.
ʻO wai ka mea e pono ai kēia ʻoki kino?
ʻAʻole pono nā hernias āpau i ke ʻoki koke ʻana, akā nui ka poʻe e pono ai ke ʻoki ʻana no ka mea e hoʻonui mālie lākou i ka manawa a hoʻoulu i nā hōʻailona e like me ka ʻeha a me ka ʻoluʻolu ʻole.
Eia kekahi laʻana, inā ulu nui kahi hernia inguinal a neʻe i loko o ka scrotum, hiki iā ia ke hoʻoulu i ka pehu, ka ʻeha, a me ka paʻakikī i ka moe kolohe. Eia kekahi, inā paʻa kahi ʻāpana, e like me ka ʻōpū, i loko o ka hernia, hiki iā ia ke ʻoki i ke kahe koko a hoʻoulu i nā pilikia koʻikoʻi. No laila, inā loaʻa iā ʻoe nā hōʻailona a i ʻole he pilikia paha i nā pilikia, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino no ʻoe.
He aha nā ʻano hana hernia i loaʻa?
ʻEkolu mau ʻano nui o ke ʻoki hernia. E koho kāu kauka i ke ʻano hana kūpono loa iā ʻoe, ma muli o ke ʻano o kou hernia a me kou kūlana olakino.
| ʻAno o ke ʻoki kino | Pehea e hana ai (maʻalahi) |
|---|---|
| ʻO ke ʻoki kino hāmama | ʻO kēia ke ʻano kuʻuna. Hana ʻia kahi ʻoki lōʻihi hoʻokahi (he mau ʻīniha) ma kahi o ka hernia, hoʻihoʻi ʻia ke kino i puka mai i loko, a humuhumu ʻia ka paia ʻiʻo nāwaliwali. I ka manawa pinepine, hoʻohana ʻia kahi ʻupena kūikawā e hoʻoikaika iā ia. |
| ʻO ke ʻoki kino Laparoscopic | Ua kapa ʻia hoʻi kēia ʻo "keyhole surgery." Ma kahi o hoʻokahi ʻoki nui, hana ʻia he 3 a 4 mau ʻoki liʻiliʻi loa . Hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela (laparoscope) ma o hoʻokahi ʻoki a nānā ʻia ka ʻaoʻao o loko ma kahi monitor. Hoʻokomo ʻia nā mea hana ʻoki ma o nā ʻoki ʻē aʻe e hoʻoponopono i ka hernia. |
| ʻO ke ʻoki kino robotic | He ʻano hana laparoscopic nō hoʻi kēia. Eia nō naʻe, ma ʻaneʻi, hana ke kauka lapaʻau i ke ʻoki ʻana me ka hoʻohana ʻana i kahi lima robotic. Noho ke kauka i mua o kahi pale kamepiula a kāohi i ka ʻenehana robotic. ʻAe kēia i ke ʻoki ʻana i kahi ʻoki akahai loa a pololei hoʻi. |
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
Na kāu kauka e hoʻoholo inā he moho kūpono ʻoe no ke ʻoki kino a ʻo wai ke kaʻina hana ʻoki kino maikaʻi loa nāu. Ma hope o kēlā, e hāʻawi lākou iā ʻoe i kekahi mau ʻōlelo aʻoaʻo, e like me:
- E nīnau ʻia kāu mōʻaukala olakino piha . He mea nui e ʻike inā hāpai ʻoe a i ʻole he mau maʻi ʻē aʻe kou.
- Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā huaora a me nā huahana lāʻau. Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i nā lāʻau hoʻokahe koko i kekahi mau lā ma mua o kou ʻoki kino.
- Hiki ke hana ʻia nā hoʻāʻo koko a i ʻole nā scan ʻē aʻe e ʻike ai inā olakino ʻoe no ke ʻoki ʻana.
- E noi ʻia ʻoe e hoʻokē ʻai (e hōʻole i ka ʻai ʻana a me ka inu ʻana) no kekahi mau hola ma mua o ke ʻoki kino.
- He mea nui nō hoʻi e hoʻonohonoho mua i kahi e lawe ai kekahi iā ʻoe i ka home ma hope o ke ʻoki ʻana.
I ka lā o ke ʻoki kino, e hāʻawi ʻia ʻoe i ka anesthesia i ʻole ʻoe e ʻeha. Hana ʻia ke ʻoki Laparoscopic ma lalo o ka anesthesia laulā (e hoʻohiamoe iā ʻoe). I ke ʻoki kino hāmama, hiki ke hāʻawi ʻia iā ʻoe ka anesthesia no ka wahi e ʻoki ʻia ana a hiki ke hana ʻia i kou wā e ala ana. Eia naʻe, mai makaʻu i ka ʻeha.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino? A pehea ka lōʻihi e hoʻōla ai?
Ua kapa ʻia nā ʻoki hernia he nuiʻO ke ʻoki kino ma waho. ʻO ia hoʻi, hiki iā ʻoe ke hoʻi i ka home i ke ahiahi hoʻokahi. Inā he ʻoki kino paʻakikī, pono ʻoe e noho i ka haukapila no hoʻokahi a ʻelua paha lā.
ʻOkoʻa ka manawa hoʻōla ma muli o ke ʻano o ke ʻoki kino āu i hana ai a me ke ʻano o kou kino.
- ʻO ka maʻamau, i loko o kekahi mau lā, hiki iā ʻoe ke hoʻomaka e hana i nā hana ʻaʻole luhi kino, e like me ka hana keʻena.
- He mau pule ma mua o kou hiki ke hoʻi i nā hana paʻakikī e like me ka hāpai ʻana i nā mea kaumaha.
- Hiki iā ʻoe ke hana i nā hoʻoikaika kino māmā , e like me ka hele wāwae, mai ka lā ma hope o ke ʻoki kino. Akā, ʻaʻole maikaʻi ka hoʻoikaika kino ʻana i ka manawa hoʻokahi. Pono ʻoe e hoʻonui mālie i kāu hana.
He mea maikaʻi ke kamaʻilio me kāu kauka e ʻike pono i ka nui o ka manawa hoʻomaha āu e pono ai, ma muli o ke ʻano o kāu hana.
Aia kekahi mau pilikia a me nā pilikia? E makaʻala kākou!
E like me nā ʻoki kino āpau, hiki i ke ʻoki hernia ke lawe mai i kekahi mau pilikia liʻiliʻi. Akā, he mea kakaikahi loa kēia. He mea nui e makaʻala.
| Nā pilikia hiki ke hana ʻia ma hope o ke ʻoki ʻana | |
|---|---|
| Nā pilikia pōkole |
|
| Nā pilikia lōʻihi | |
| Nā kūlana e pono ai ka nānā koke ʻana (e ʻike koke i ke kauka a i ʻole e hele i ka ETU) | |
| Kāhea i ke kauka: |
|
| E hele koke i ka ETU (Emergency Treatment Unit): | |
He mea maʻamau ke manaʻo iki i ka makaʻu i ka noʻonoʻo ʻana i ke ʻoki hernia. Akā e hoʻomanaʻo, he ʻoki holomua a palekana loa kēia i hana ʻia ma ka honua holoʻokoʻa. Me ka ʻenehana hou (nā ʻano laparoscopic, nā ʻano mesh maikaʻi loa), maikaʻi loa nā hopena ma hope o ke ʻoki ʻana. He pōkole ka manawa hoʻōla. No laila, mai makaʻu e kamaʻilio me kāu kauka a loaʻa i ka lāʻau lapaʻau kūpono loa iā ʻoe.
Leka Lawe-Home
- ʻO ke ʻoki ʻana ka lāʻau lapaʻau kūleʻa loa a maʻamau no ka hernia.
- Aia kekahi mau ʻano ʻoki kino, me ka wehe ʻana, ka laparoscopic, a me ka robotic. Na kāu kauka e hoʻoholo i ke ʻano hana kūpono loa iā ʻoe.
- ʻO ka hopena o ke ʻoki laparoscopic ʻana he emi ka ʻeha, emi ka palaki, a me ka manawa hoʻōla wikiwiki.
- E hahai pono i nā ʻōlelo a kāu kauka ma hope o ke ʻoki ʻana. E pale i ka hāpai ʻana i nā mea kaumaha a me nā hana hoʻoikaika no kekahi manawa.
- E makaʻala i nā hōʻailona e like me ke kuni, ka ʻeha nui ma kahi i ʻoki ʻia, ka pehu ʻana, a me ka pus. Inā ʻike ʻoe i kekahi mea e like me kēia, e haʻi koke aku i kāu kauka.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka nāwaliwali o nā ʻiʻo? He luhi maʻamau anei kēia?
ʻAʻole kēia he luhi/hiamoe maʻamau! ʻO ka 'Nāwaliwali o nā ʻiʻo' he huaʻōlelo lapaʻau ia e hōʻike ana ʻaʻole pili i ka ikaika o kou noʻonoʻo, ʻaʻole hiki i kou lima/wāwae/ʻiʻo nui ke lohe i kāu mea e ʻōlelo nei a ua emi kona ikaika/mana ma ka 100% (Ua emi ka ikaika o ke kino), a he kīnā neurological/ʻiʻo weliweli loa ia e hiki ʻole ai ke paʻa i ke kīʻaha, piʻi i ke alapiʻi/ala aʻe mai ka noho.
💬 He aha nā kumu nui no ka nalowale koke ʻana o nā lālā/ʻiʻo o ke kanaka i ka hana (Muscle Weakness)?
ʻElua kumu nui no kēia: 1) 'Ka pōʻino nui i ka lolo a me nā aʻalolo' - ma muli o ka hahau ʻana, ka sclerosis maha, a i ʻole ka disc herniated. 2) 'Maʻi o nā ʻiʻo a me nā aʻalolo' - ma muli o nā pae potassium haʻahaʻa i loko o ke koko (Hypokalemia), neuropathy ma muli o ka maʻi diabetes koʻikoʻi, nā pilikia thyroid, a me ka myasthenia gravis.
💬 He aha nā 'kūlana hoʻoweliweli ola' kahi e pono ai ʻoe e wikiwiki koke i ka ʻoihana pilikia o ka haukapila me ka ʻole o ka lawe ʻana i nā huaora ke nāwaliwali kou kino/mau ʻiʻo?
ʻO ka pōʻino nui loa a koʻikoʻi loa! Inā loaʻa i ke kanaka i ola koke, i loko o nā minuke a i ʻole koke paha, 1) ʻike i ka 'nāwaliwali ʻaoʻao' o ke kino/maka, ka maʻi lolo piha, a me ka ʻōlelo ʻana me ka ʻole o ka pololei, he 'hahau' maoli nō ia o ka lolo (make i loko o ʻekolu hola)! 2) Inā hoʻomaka ka maʻi lolo ma nā wāwae a hoʻolōʻihi i ka umauma ma luna o kekahi mau hola (Guillain-Barre syndrome) a ʻaʻole hiki i ke kanaka ke hanu, pono e kāhea ʻia kahi kaʻa kaʻa me ka ʻole o ke kali ʻana i kekona!
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