Hiki mai kahi hernia i ka wā e paʻi ai kahi ʻāpana o loko (e like me kahi ʻāpana o ka ʻōpū a i ʻole ka ʻōpū) ma o kahi nāwaliwali o ka ʻiʻo a i ʻole ka ʻiʻo e loaʻa mau ana ia mea. E noʻonoʻo e like me kahi paipu kaila e puka mai ana ma o kahi nāwaliwali a lahilahi paha i loko o ka ʻili waho; pēlā nō, i ka wā e nāwaliwali ai kou mau ʻiʻo a i ʻole nā ʻiʻo, hiki i kahi ʻōkana ke puka i waho.
Ua like ia me kahi pōpō e pehu ana i waho kahi i kīkoʻo ʻia a lahilahi paha ka mea.
He aha ke kumu o ka Hernia?
Aia kekahi mau kumu nui no nā hernias, a mākou e noʻonoʻo pū ai:
Nāwaliwali Hānau:
Ua hānau ʻia kekahi poʻe me nā wahi nāwaliwali maoli i loko o ko lākou paia ʻōpū. He ʻāpana wale nō kēia o ko lākou ulu ʻana o ke kino, kahi e hoʻonui ai i ka hiki ke loaʻa i kahi hernia.
Ka ʻelemakule ʻana:
I ko kākou ʻelemakule ʻana, loli maoli ko kākou kino, a hiki i nā ʻiʻo ke nalowale ko lākou ikaika i ka hala ʻana o ka manawa. Hiki i kēia nāwaliwali mālie ke alakaʻi i ka hoʻokumu ʻia ʻana o kahi hernia.
Ke hoʻoikaika nei:
- Ka hāpai kaumaha: Inā pili kāu hana a i ʻole ke ola o kēlā me kēia lā i ka hāpai ʻana i nā mea kaumaha—e like me ke kūkulu ʻana a i ʻole ka hana lima—hiki paha iā ʻoe ke pilikia nui aʻe.
- Ke kū lōʻihi: ʻO nā ʻoihana e pono ai ke kū no ka wā lōʻihi e hiki ke kau i ke kaumaha hou aʻe ma kēia mau wahi.
ʻUmi a me ka Paʻa ʻana:
- ʻO ke kuni mau loa: ʻO ke kuni mau e kau i ke kaomi hou ma luna o kou mau ʻiʻo ʻōpū, hiki ke alakaʻi i kahi hernia.
- Paʻa ʻōpū : ʻO ke kaumaha i ka wā o ka neʻe ʻana o ka ʻōpū e hoʻokau i ke kaomi nui ma ka ʻōpū; inā hana pinepine kēia, hiki iā ia ke hoʻoulu i kahi hernia.
Hāpai keiki:
I ka wā hāpai, hoʻokau ka pēpē e ulu ana i ke kaomi nui ma ka ʻōpū, hiki i kekahi manawa ke alakaʻi i ka ulu ʻana o ka hernia.
Ka momona nui:
ʻO ka lawe ʻana i ke kaumaha keu e kau i ke kaumaha mau ma luna o kou mau ʻiʻo ʻōpū, he mea ia e kōkua nui ai i ka ulu ʻana o ka hernia.
Nā ʻoki ʻōpū:
Inā ua hana mua ʻoe i ke ʻoki ʻōpū, hiki i kekahi manawa ke loaʻa kahi hernia ma kahi ʻoki inā ʻaʻole e ho'ōla pono ka ʻiʻo. He mea nui e hahai i nā ʻōlelo aʻoaʻo mālama āpau ma hope o ke ʻoki ʻana e hōʻemi i kēia pilikia.
Nā Wahi Maʻamau no Hernias
ʻO ka maʻamau, ʻike ʻia ka hernia ma nā wahi aʻe:
ʻŌpū:
Hiki ke loaʻa kahi hernia ma nā wahi a pau o ka paia ʻōpū.
ʻŌpū:
ʻO ka ʻūhā ka wahi e hui ai ka ʻūhā me ka ʻōpū. He mea maʻamau ka hernias ma kēia wahi.
Diaphragm:
ʻO ka diaphragm ka ʻāpana ʻiʻo e hoʻokaʻawale i kou umauma mai kou ʻōpū. I kekahi manawa, hiki i kahi ʻāpana o ka ʻōpū ke paʻi ma kahi puka i loko o kēia ʻiʻo.
Nā Wahi Hana Ma mua:
Hiki ke ulu aʻe ka hernia ma o ka ʻiʻo ʻeha o nā ʻoki ʻana o ka ʻōpū ma mua.
Nā ʻano o Hernias
Ua hoʻokaʻawale ʻia nā hernias ma muli o ko lākou wahi:
ʻO ka Hernia Inguinal:
- ʻO kēia ke ʻano hernia maʻamau loa.
- ʻIke pinepine ʻia ia i nā kāne.
- Hoʻopuka kahi ʻāpana o ka ʻōpū ma o ke kahawai inguinal, ʻo ia kahi ala ma ka paia ʻōpū o lalo.
ʻO ka Hernia Femoral:
- Loaʻa pū kēia ʻano ma ka ʻāpana groin.
- Hana ʻia ia i ka wā e puka mai ai ka ʻiʻo momona a i ʻole kahi ʻōkana ma ke kahawai femoral, aia ma lalo pono o ke kahawai inguinal.
- ʻOi aku ka maʻamau o kēia mau mea i nā wahine.
ʻO ka Hernia Hiatal:
- He puka liʻiliʻi ko ka diaphragm (hiatus) kahi e hele ai ka esophagus (paipu meaʻai). I loko o kahi hernia hiatal, hoʻonui ʻia kēia puka, e ʻae ana i ka ʻaoʻao o luna o kou ʻōpū e piʻi i luna i loko o ka lua o ka umauma.
- Hiki i kēia ke alakaʻi i ka reflux acid a me ka heartburn mau loa.
ʻO ka Hernia Umbilical:
- Hana ʻia kēia ma kahi kokoke i ka pihi ʻōpū.
- He mea hānau pinepine ia i nā pēpē a hiki ke hoʻoholo iā ia iho i ko lākou ulu ʻana.
ʻO ka Hernia ʻokiʻoki:
- Hana ʻia kēia ma kahi o kahi ʻeha o ke ʻoki ʻōpū ma mua.
- He mea nui ka mālama kūpono ma hope o ke kaʻina hana no ka pale ʻana i kēia ʻano hernia.
ʻO ka Hernia Ventral:
- He huaʻōlelo maʻamau kēia no ka hernia e kū mai ana ma ke alo o ka ʻōpū.
- Hoʻokaʻawale ʻia nā hernias umbilical a me incisional ma lalo o kēia ʻano.
- ʻO nā mea i ʻike ʻia ma luna o ka piko ua kapa ʻia ʻo Epigastric Hernias .
ʻO ka Hernia Perineal:
- He mea kākaʻikahi loa kēia.
- Hana ʻia lākou ma o ka nāwaliwali o nā ʻiʻo o ka papahele pelvic, e ʻae ana i nā kino e puka i loko o ka ʻāina pelvic.
He aha nā hōʻailona o ka hernia?
ʻOkoʻa nā hōʻailona mai kēlā kanaka a kēia kanaka; ʻaʻole paha e ʻike kekahi poʻe i ka ʻoluʻolu iki. Eia nō naʻe, e ʻike paha ʻoe i kēia mau mea:
- Puʻupuʻu/Puʻupuʻu: E ʻike paha ʻoe i kahi puʻupuʻu i ʻike ʻia ma kahi i hoʻopilikia ʻia e ka hernia. ʻAʻole paha e loaʻa mau; e ʻike paha ʻoe e lilo ana ia i mea ʻike nui ʻia ke hāpai ʻoe i nā mea kaumaha, kūlou i lalo, a ʻū paha.
- ʻEha/ʻOluʻolu ʻole: Hiki iā ʻoe ke ʻike i kahi manaʻo o ke kaomi, kahi manaʻo huki, a i ʻole ka ʻeha iki ma ka wahi i hoʻopilikia ʻia.
- ʻUmeke/ʻAkaʻaka: E ʻike paha ʻoe e hoʻonui ana kou ʻeha a ʻoluʻolu ʻole paha i ka wā e umeke ai ʻoe, ʻakaʻaka, a hoʻoluhi paha.
- ʻO ka ʻāʻī puʻuwai/ʻakika Reflux: Inā loaʻa iā ʻoe kahi hernia hiatus (kahi hernia ma ka umauma), hiki iā ʻoe ke ʻike i nā hōʻailona e like me ke ʻano wela i loko o kou umauma a i ʻole ka reflux waikawa , kahi e neʻe ai nā mea o ka ʻōpū i luna i loko o kou puʻu.
He ʻokoʻa nā hōʻailona no nā kāne a me nā wahine?
Ma keʻano laulā, ua like nā hōʻailona. Eia nō naʻe, no nā kāne, hiki i kahi hernia inguinal ke hoʻopilikia i kekahi manawaNo nā wahine, ʻaʻole paha e ʻike mau ʻia ka hernia femoral ma ka ʻili, akā hiki iā ia ke hōʻeha i ka ʻūhā kūloko.
He mea weliweli anei nā hernias? (Nā pilikia)
ʻOiai ʻaʻole hiki i kekahi hernias ke hoʻopilikia koke, hiki iā lākou ke alakaʻi i nā pilikia i ka hala ʻana o ka manawa.
- Hoʻopaʻahao ʻia: Hiki ke paʻa ka ʻiʻo e puka mai ana a hiki ʻole ke hoʻi hou i kona wahi. ʻO ka maʻamau, ʻeha nui kēia.
- ʻĀʻī ʻia (Hoʻopau ʻia ke Koko ): Inā paʻa kahi hernia, hiki ke ʻoki ʻia kona koko. Hiki i kēia ke alakaʻi i ka make ʻana o nā ʻiʻo (necrosis/gangrene). He pilikia olakino kēia. E ʻoluʻolu e ʻimi koke i ke kōkua mai kāu keʻena pilikia kūloko a i ʻole 911.
Nā pilikia o ka hiatal hernias:
ʻOkoʻa iki nā pilikia no nā hernia hiatal. ʻOiai ʻaʻole lākou e strangulated maʻamau, hiki iā lākou ke hoʻoulu i ka reflux acid mau loa. ʻO ka hernia diaphragmatic congenital (mai ka hānau ʻana) he maʻi koʻikoʻi ia e hiki ke hoʻopilikia i ka ulu kūpono o nā māmā o ka pēpē.
He aha kāu e hana ai inā ʻeha ʻoe i ka hernia?
Inā ʻoe e ʻeha nei, he mea nui e nīnau aku i ke kauka. Hiki i nā kūlana ʻē aʻe ke hoʻohālike i nā hōʻailona hernia, no laila he mea nui ka ʻike loea. E ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i ka hoʻololi ʻana o ke kala ma ka wahi, ka mae ʻana, ke kuni, a inā hoʻomaka ʻoe e luaʻi.
Pehea e ʻike ʻia ai ka hernia? (Diagnosis)
I ka hapanui o nā hihia, hiki i ke kauka ke ʻike i kahi hernia ma o ka hoʻokolokolo kino. Hiki iā lākou ke noi iā ʻoe e ʻū a kūlou paha e ʻike inā e ʻike nui ʻia ka hernia. No nā hernias hohonu, pono paha nā hoʻokolohua kiʻi e like me ka CT scan a i ʻole ultrasound.
Pehea e mālama ʻia ai nā hernias? (Lāʻau lapaʻau)
Pono pinepine ke ʻoki ʻana e hoʻoponopono i kahi hernia. Eia nō naʻe, inā he liʻiliʻi ka hernia a ʻaʻole ia e hoʻoulu i nā pilikia koʻikoʻi, hiki i kāu kauka ke paipai i kahi ala "e nānā a kali". ʻOiai ʻo ka ulu pinepine ʻana o nā hernias i ka hala ʻana o ka manawa, ua ʻōlelo pinepine ʻia ka hoʻoponopono mua ʻana. Hoʻopau pinepine nā hernias umbilical i nā pēpē iā lākou iho.
ʻO ke ʻoki kino:
I ka wā o ke ʻoki ʻana, ua hoʻihoʻi ʻia ke kino e puka mai ana i hope, a ua humuhumu ʻia ka paia o nā ʻiʻo nāwaliwali a i ʻole ua hoʻoikaika ʻia me kahi ʻupena ʻoki. Hana pinepine ʻia kēia ma ke ʻano he kaʻina hana minimally invasive (laparoscopic) me ka hoʻohana ʻana i nā ʻoki liʻiliʻi, e kōkua ana i ka hoʻōla wikiwiki me ka ʻeha ʻole. He koho nō hoʻi ke ʻoki ʻana i ka robot no kekahi mau maʻi. I kekahi mau hihia, pono paha kahi ʻoki wehe ma muli o ka nui a me ka paʻakikī o ka hernia.
Lapaʻau no ka Hiatal Hernia:
Inā hoʻoulu ka hernia hiatal i ka reflux acid koʻikoʻi, hiki ke hana ʻia kahi kaʻina hana i kapa ʻia ʻo Nissen fundoplication, kahi e kāʻei ʻia ai ka ʻaoʻao o luna o ka ʻōpū a puni ka esophagus haʻahaʻa e hoʻoikaika i ka valve.
Nā hopena ʻaoʻao a me nā pilikia o ka mālama ʻana:
- Ke kahe ʻana o ke koko
- Ka maʻi ʻeha
- Nā hopena maʻi i nā lāʻau lapaʻau
- Ka pilikia o ka mimi ʻana no ka manawa pōkole
- ʻO ka ʻeha mau ma hope o ka hoʻoponopono ʻana i ka hernia ʻōpū (ma muli o ka huhū o ke aʻalolo).
He aha ka manaʻo? (Manaʻo/Wānana)
Ke ʻike ʻia ʻoe ma Nirogi Lanka, e loiloi kāu kauka i ke koʻikoʻi o ka hernia a hoʻoholo i ke ala hana maikaʻi loa - inā pono ʻoe i ke ʻoki koke ʻana a i ʻole hiki ke kali palekana.
ʻOiai he mea maʻamau ka ʻoki ʻana, he hana maʻamau kēia mau kaʻina hana a palekana hoʻi. Hiki i nā mea maʻi he nui ke hoʻi i ka home i ka lā hoʻokahi. ʻOiai he liʻiliʻi ka manawa (ma kahi o 10%) o ka hernia e hoʻi hou mai ana, hiki iā ʻoe ke hoʻohaʻahaʻa i kou pilikia ma ka pale ʻana i ka hāpai kaumaha a me ka mālama ʻana i nā ʻū mau a i ʻole nā hana ʻē aʻe e hoʻoluhi i kou paia ʻōpū.
Ke noho nei me ka hernia (Ke ola nei me ia)
Inā ua ʻike ʻia ʻoe he hernia akā ke kali nei ʻoe i ke ʻoki ʻana, e ʻoluʻolu e hoʻomaopopo i kēia mau hana palekana:
- Hana: Ma muli o ke ʻano o kāu hana, inā pili ia i ka hana luhi a i ʻole ke kū lōʻihi, pono paha ʻoe e hoʻololi i kāu hana maʻamau. I kekahi mau hihia, hiki i kāu kauka ke aʻo aku i kahi hoʻololi ʻoihana a i ʻole nā hana māmā no ka manawa pōkole.
- Ka Hāpai Kaumaha: E pale i ka hāpai ʻana i nā mea kaumaha i nā manawa hiki. Inā pono ʻoe e hāpai, e hoʻohana i ke ʻano kūpono: kūlou i kou mau kuli, e hoʻopololei i kou kua, a e hoʻopaʻa i ka mea kokoke i kou kino. Hiki i ka hāpai pono ʻole ke hoʻonui nui i ka hernia.
- Paʻa ʻōpū: E mālama koke i ka paʻa ʻōpū. ʻO ka hoʻoluhi ʻana i ka wā o ka neʻe ʻana o ka ʻōpū hiki ke hoʻonui i ke kaomi o ka ʻōpū, e hoʻonui ana i kāu mau hōʻailona hernia.
- ʻUmiʻumi: Inā ʻeha ʻoe i ka ʻūmiʻumi mau, e ʻimi i ka lāʻau lapaʻau. Hoʻokau ka ʻūmiʻumi mau i ke kaumaha pono ʻole ma kou paia ʻōpū a ʻaʻole ia e kōkua i ka ho'ōla ʻana i ka hernia.
- Kāʻei Hoʻopaʻa/Kaohi: Manaʻo paha kāu kauka e hoʻohana i kahi kāʻei hoʻopaʻa a i ʻole ke kāʻei hoʻopaʻa papa lapaʻau e hāʻawi i ke kākoʻo. ʻOiai e kōkua paha kēia i ka mālama ʻana i ka hernia ma ka pale ʻana i ka puka ʻana mai, e hoʻomanaʻo ʻaʻole ia he lāʻau lapaʻau mau loa.
- Nā Hōʻailona: E makaʻala e pili ana i kāu hernia. Inā ʻike ʻoe i kekahi mau loli, e like me ka hoʻonui ʻia o ka ʻeha, ka loli ʻana o ka ʻili, a i ʻole ka paʻakikī a paʻa paha o ka puʻupuʻu, e ʻimi koke i ke kōkua lapaʻau.
Nā Nīnau i Nīnau Pinepine ʻia (FAQs)
He hernia maoli anei ka "hernia haʻuki"?
ʻAʻole. ʻOiai ka inoa, ʻaʻole he hernia maoli ka hernia haʻuki. He ʻeha ia i nā ʻiʻo a i ʻole nā tendon ma ka ʻāpana groin, i hana pinepine ʻia e nā neʻe wili i ka wā o nā hana haʻuki. ʻOiai hiki ke hōʻeha i ka ʻeha e like me ka hernia, ʻaʻohe kino e puka mai ana ma ka paia ʻōpū. Ua kapa ʻia kēia ʻano ma ke ʻano lapaʻau ʻo "athletic pubalgia."
He aha inā loaʻa iaʻu kahi hernia i ka wā hāpai?
Hoʻonui ka hāpai ʻana i ka pilikia o ka loaʻa ʻana o kahi hernia. Ma ke ʻano laulā, makemake nā kauka e kali a hiki i ka wā hānau e hana i kahi hoʻoponopono ʻoki kino. Eia nō naʻe, inā hoʻoulu ka hernia i nā pilikia koʻikoʻi a i ʻole ka ʻeha nui, pono paha ke ʻoki kino i ka wā hāpai. Na kāu kauka hānau keiki a me ke kauka ʻoki kino e hoʻoholo i ke ala palekana loa no ʻoe a me kāu pēpē.
He aha inā he hernia kaʻu pēpē?
Hoʻomohala pinepine nā pēpē i nā hernia umbilical kokoke i ka pihi ʻōpū. Hoʻopau ka hapa nui o kēia mau mea iā lākou iho i ka wā e ikaika ai ka paia o ka ʻōpū. Eia nō naʻe, inā hoʻomau ka hernia ma mua o 4 a 5 paha makahiki, a inā he nui loa ia, hiki i ke kauka lapaʻau ke ʻōlelo i kahi hana hoʻoponopono.
Hoʻomaopopo hope loa:
He mea maʻamau ka hernias, akā me ka ʻike kūpono a me nā hana palekana, hiki iā ʻoe ke hoʻokele pono iā lākou. Ma Nirogi Lanka , ke hoʻoikaika nei mākou inā ʻike ʻoe i kekahi mau hōʻailona a i ʻole nā loli ʻē aʻe, ʻo ka nīnau koke ʻana i kahi loea mālama ola kino ka mea nui loa no kou olakino lōʻihi.
