Ua ʻike ʻia anei kahi puʻupuʻu mai kou wahi i ʻoki ʻia ai? He hernia ʻoki paha ia!

Ke hoʻomanaʻo nei ʻoe i kahi hana ʻoki ma kou ʻōpū, ʻo ia hoʻi, ma hope o ke ʻoki ʻana, i kekahi manawa ua ʻike ʻoe ua like ke ʻano o ka ʻeha me kahi puʻupuʻu liʻiliʻi e piʻi mai ana? A i ʻole ua hana ʻia kēia i kekahi āu i ʻike ai? ʻO ka hapa nui o ka manawa ʻaʻohe mea e hopohopo ai, akā he mea nui loa ia e makaʻala i kēia. ʻO kēia ka mea a mākou e kapa nei he Incisional Hernia , a i ʻole ma Sinhala,

He aha kēia (Incisional Hernia)? E hoʻomaopopo maʻalahi kākou!

E noʻonoʻo ua hana ʻia ʻoe i ke ʻoki kino, ʻo ia hoʻi, he ʻoki kino, ma kou ʻōpū no kekahi kumu. Hiki ke lilo i ʻoki kino i hana ʻia ma o kahi ʻoki nui, a mākou e kapa nei he laparotomy . A i ʻole he ʻoki kino paha i hana ʻia ma o kekahi mau ʻoki liʻiliʻi (laparoscopic surgery) , a i ʻole he ʻano hana hou (robotic surgery) .

ʻOiai ke ʻano o ke ʻoki ʻana, nāwaliwali iki nā ʻiʻo o ka ʻōpū ma hope o ke ʻoki ʻana. Ua like ia me ka wā e haehae ʻia ai kahi wahi liʻiliʻi ma kahi ʻāpana lole. A laila, ʻo nā ʻōpū i loko o ka ʻōpū, a i ʻole nā ​​papa momona i loko o ka ʻōpū, e puka i waho ma o kēlā mau ʻiʻo nāwaliwali. Puka lākou i waho e like me kēlā, a like me kahi puʻupuʻu liʻiliʻi a i ʻole ka pehu ʻana ma lalo o ka ʻili ma kahi i hana ʻia ai ke ʻoki. ʻO kēia ka mea a mākou e kapa nei he Hernia Incisional.

He kūlana maʻamau loa kēia. Hōʻike nā haʻawina e pili ana i 20 o 100 mau kānaka i hana ʻia i ke ʻoki ʻōpū nui, e like me ka laparotomy, e loaʻa i kahi hernia. Eia kekahi, hiki ke hana koke ʻia kēia hernia ma hope o ke ʻoki ʻana, a i ʻole hiki ke ʻike ʻia i nā mahina a i ʻole nā ​​​​makahiki ma hope.

ʻO ka hapa nui o ka manawa, ʻaʻole kēia mau (Incisional Hernias) he pilikia olakino nui. Eia nō naʻe, i kekahi manawa inā nui aʻe kēia hernia, hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi. No laila, he mea nui e makaʻala i kēia.

ʻO ka lāʻau maʻamau no kēia, ʻo ia ke hana i kahi ʻoki kino ʻē aʻe e hoʻokomo i nā ʻāpana o ka ʻōpū i puka mai i loko o ka ʻōpū a hoʻoikaika i nā ʻiʻo i nāwaliwali.

He aha nā hōʻailona o kahi Hernia Incisional? Pehea ʻoe e ʻike ai?

Inā liʻiliʻi ka hernia, ma kahi o ʻelua ʻīniha (5 kenimika) ka laulā a i ʻole ka lōʻihi, ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona. Eia nō naʻe, inā ʻoi aku ka nui o ka hernia, no ka laʻana, ʻoi aku ma mua o ʻehā ʻīniha (10 kenimika), hiki iā ʻoe ke ʻeha. Eia kekahi, hiki ke ʻike maopopo ʻia kahi puʻupuʻu a pehu paha ma kahi o ka ʻeha ʻoki.

Hiki i kēia ʻeha ke manaʻo ʻia i kekahi manawa e like me ka ʻeha ʻoi, a i ʻole hiki ke manaʻo ʻia e like me ka ʻeha nui e kuʻi ana. Hiki ke koʻikoʻi loa kēia ʻeha ke hāpai ʻoe i kahi mea kaumaha, ke kunu, a i ʻole ke kihe.

Hiki i kēlā ʻano puʻupuʻu ke ʻike nui ʻia ke kū ʻoe i luna a i ʻole ke kau ʻoe i ke kaomi ma luna o nā ʻiʻo o kou ʻōpū (no ka laʻana, ke hoʻoluhi nei i ka wā e paʻa ai kou ʻōpū).

No ke aha e hana ʻia ai kēia (Incisional Hernia)? He aha nā mea e hoʻopilikia ai?

E like me kā mākou i kūkākūkā ai ma mua, ʻo ke kumu nui o ka nāwaliwali o nā ʻiʻo o ka ʻōpū ma hope o ke ʻoki ʻana o ka ʻōpū, ʻo ia ka nāwaliwali o nā ʻiʻo o ka ʻōpū. Kiʻekiʻe loa kēia pilikia ma hope o kahi ʻoki nui (laparotomy). Eia nō naʻe, hiki ke hana ʻia kēia ʻano ma hope o nā ʻoki liʻiliʻi i hana ʻia, e like me ke ʻoki laparoscopic a i ʻole ke ʻoki robotic.

Ma hope o ke ʻoki ʻana, lōʻihi ka manawa e hoʻōla ai kēia mau ʻiʻo, a ho'ōla paha. Hiki i kekahi mau hana a me nā kūlana olakino ke hoʻopaneʻe i kēia manawa ho'ōla a hoʻonui i ka pilikia o kahi hernia incisional. ʻO kēia mau mea:

• Ke lilo nei i mea hana nui loa ma hope koke iho o ke ʻoki ʻana: ʻO ia hoʻi ka hana ʻana i ka hana kaumaha a i ʻole ka hana ʻana i nā mea e hoʻoluhi ai i ke kino me ka ʻole o ka hoʻomaha kūpono.
• Maʻi Diabetes Mellitus: Ua lohi ka ho'ōla ʻana o ka ʻeha o ka poʻe me ka maʻi diabetes.
• Momona: ʻOi aku ke kiʻekiʻe o kēia pilikia no ka poʻe momona.
• Nā maʻi o ka māmā: ʻOi aku hoʻi no ka poʻe me nā maʻi e hoʻoulu ai i ka ʻū mau, e like me COPD (Maʻi Pulmonary Obstructive Chronic) , hoʻokau ka ʻū pinepine i ke kaomi ma nā ʻiʻo o ka ʻōpū.
• ʻO ka hoʻohana lōʻihi ʻana i nā immunosuppressants a i ʻole corticosteroids.
• Nā maʻi ʻeha ma ke kahua ʻoki: Hiki ke loaʻa ka nāwaliwali o nā ʻiʻo ma muli o nā mea e like me ka maʻi ʻeha.

Pehea e hiki ai ke hoʻēmi ʻia kēia pilikia?

ʻO ka mea ʻoiaʻiʻo, ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke hāʻawi i kou kino i ka manawa e pono ai e ho'ōla. E hoʻomaha no kekahi mau lā ma hope o ke ʻoki ʻana. E pale i ka hāpai ʻana i nā mea kaumaha a i ʻole ka hana ʻana i nā hana ikaika no kekahi manawa. ʻOi aku ka maikaʻi o ka nīnau ʻana i kāu kauka ʻoki i ka wā e hiki ai iā ʻoe ke hoʻi hou i nā hana maʻamau.

He aha nā pilikia e hiki ke loaʻa mai kahi Hernia Incisional?

ʻOiai he mea kakaikahi, i kekahi manawa hiki i kahi hernia ʻokiʻoki ke alakaʻi i nā kūlana koʻikoʻi. ʻO kekahi he hernia incarcerated . ʻO kēia ka wā e hiki ʻole ai i kahi ʻāpana o ka ʻōpū i komo i loko o ka hernia ke hoʻi i loko o ka ʻōpū a paʻa ma waena o nā ʻiʻo.

ʻO kekahi kūlana weliweli ʻo ia ka hernia strangulated . I kēia hihia, aia ka ʻāpana strangulated o ka ʻōpū ma lalo o ke kaomi koʻikoʻi a nalowale ke kahe koko. Ke hana ʻia kēia, hoʻomaka kēlā ʻāpana o ka ʻōpū e make. I ka lāʻau lapaʻau, kapa mākou i kēia (necrosis) .

ʻO ka hernia incarcerated a me ka hernia strangulated he mau maʻi koʻikoʻi e pono ai ka mālama koke ʻana. I kēia mau hihia, hiki iā ʻoe ke ʻike i ka ʻeha koke a koʻikoʻi ma kahi o ka hernia, a hiki ke loli ke kala o ka ʻili ma ia wahi. Hiki ke mae ka ʻili a laila lilo i ʻeleʻele. Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​pono ʻoe e hele koke i ka lumi pilikia o ka haukapila.

Pehea e ʻike ai nā kauka inā loaʻa iā ʻoe kahi Hernia Incisional?

Ke hele ʻoe e ʻike i ke kauka, e hana mua lākou i kahi hoʻokolokolo kino . E noi paha lākou iā ʻoe e noho i lalo, a laila e kū i luna, a laila e nānā lākou i nā puʻupuʻu a i ʻole nā ​​puʻupuʻu e neʻe ana a puni. E nīnau pū lākou e pili ana i nā hōʻailona ʻē aʻe āu e loaʻa ai a hoʻāʻo e hoʻoholo inā he ʻano kou e like me ka hernia incarcerated. I kekahi manawa e hana paha lākou i kahi CT scan .

Pehea e mālama ʻia ai ka Hernia Incisional?

Aia ka lāʻau lapaʻau i kāu mau hōʻailona. No ka laʻana, inā he hernia liʻiliʻi kou ʻaʻole ʻeha a hoʻopilikia paha, ʻaʻole paha ʻoe e pono i ka lāʻau lapaʻau. Eia nō naʻe, hiki i kahi hernia incisional ke nui aʻe i ka hala ʻana o ka manawa. Ke nui aʻe ka hernia, piʻi ka pilikia o nā pilikia. No laila, inā nui kou hernia a i ʻole e hoʻoulu ana i nā hōʻailona, ​​​​hiki i ke kauka ke ʻōlelo i ke ʻoki hoʻoponopono hernia .

Hiki ke hana ʻia kēia ʻoki kino ma ke ʻano he hoʻoponopono hernia hāmama a i ʻole he ʻoki kino laparoscopic hernia. Ma nā kaʻina hana ʻelua, ua hoʻihoʻi ʻia ka ʻāpana o ka ʻōpū a i ʻole ka ʻiʻo i loko o ka hernia i loko o ka ʻōpū e hoʻoikaika i nā ʻiʻo ʻōpū nāwaliwali. I kekahi manawa, hoʻohana ʻia kahi ʻano mesh e hoʻoikaika i kēia mau ʻiʻo. Hoʻemi kēia i ka pilikia o ka hernia e hoʻi hou mai.

ʻEhia ka lōʻihi e ho'ōla ai?

ʻOkoʻa ka manawa hoʻōla mai kēlā kanaka a kēia kanaka. Hiki i ka hapa nui o ka poʻe ke hoʻi i kā lākou hana maʻamau i loko o kekahi mau lā. Eia nō naʻe, ʻokoʻa kēlā me kēia kanaka, no laila ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka ʻoki i ka lōʻihi o ka manawa a me ka mea e manaʻo ai.

Āhea wau e ʻike ai i ke kauka ma hope o ke ʻoki ʻana?

Hiki ke loaʻa nā pilikia liʻiliʻi ma hope o ke ʻoki ʻana e hoʻoponopono i kahi hernia incisional. No laila, inā loaʻa iā ʻoe kekahi o kēia mau mea, e hoʻomaopopo koke i kāu kauka:

• Inā e kahe ana ke koko o ka ʻeha.
• Inā ʻike ʻoe i nā hōʻailona o kahi maʻi: kuni, wai e like me ka pus e kahe ana mai ka ʻeha.

He aha ka mea e manaʻo ai kekahi me ka hernia incisional?

Hoʻōla pinepine ke ʻoki kino e hoʻoponopono i kahi hernia nui (incisional) i ke kūlana. Eia nō naʻe, i kekahi manawa hiki i ka hernia ke hoʻi hou mai.

Pehea ka lōʻihi e hiki ai iā ʻoe ke ola me kahi Hernia Incisional?

Inā ʻaʻole i hoʻopaʻa ʻia kou hernia, hiki iā ʻoe ke noho me ia no ka manawa lōʻihi. Eia nō naʻe, hiki i kahi hernia i hoʻopaʻa ʻia ke lilo i mea ʻūlū. Inā hana ʻia kēlā, hiki iā ia ke lilo i maʻi olakino koʻikoʻi e hiki ke hoʻoweliweli i ke ola .

Hiki ke manaʻo ʻole ʻia ka loaʻa ʻana o kahi hernia incisional ma hope o ke ʻoki ʻana o ka ʻōpū. Hiki ke hoʻoluhi maoli ka manaʻo ʻana ma hope o ke ʻoki ʻana no kekahi kūlana, e kū mai ana kekahi pilikia ʻē aʻe. Eia naʻe, ʻaʻole pono mau kēia kūlana hou i ke ʻoki hou ʻana. Eia naʻe, ʻoiai hiki i kahi hernia incisional nui ke hoʻoulu i nā pilikia koʻikoʻi, inā he puʻupuʻu a pehu paha kou ma kahi i hana ʻia ai ke ʻoki ʻana, pono ʻoe e ʻike i ke kauka a loaʻa ka ʻōlelo aʻoaʻo. E haʻi aku ʻo ia iā ʻoe i ka mea maikaʻi loa e hana ai.

Nā mea nui loa āu e hoʻomanaʻo ai (Leka Lawe-Home)

• ʻO kahi hernia incisional ka wā e puka mai ai nā ʻāpana o ka ʻōpū, e like me nā ʻōpū, ma kahi o ka ʻoki ʻana ma hope o ke ʻoki ʻana o ka ʻōpū.
• ʻAʻole pinepine kēia he pilikia nui , akā i kekahi manawa hiki ke lilo i mea koʻikoʻi.
• Inā he puʻupuʻu, pehu, a ʻeha paha ma kahi o ka ʻōpala ʻoki, e ʻimi i ke kōkua lapaʻau.
• Inā piʻi ka ʻeha i ka wā e hāpai ana i nā mea kaumaha a i ʻole ke ʻū ʻana, he hōʻailona nō hoʻi kēlā.
• He pilikia olakino ka hernia incarcerated a strangulated paha. Hiki iā ia ke hōʻeha nui a me ke kala ʻana o ke kala.
• ʻO ke ʻoki ʻana ka maʻamau o ka lāʻau lapaʻau.
• He mea nui loa ka hoʻomaha nui ma hope o ke ʻoki kino a me ka hahai ʻana i nā ʻōlelo a kāu kauka no ka hoʻōla koke ʻana.

Inā makemake ʻoe e ʻike hou aku e pili ana i kēia, a inā he mau hopohopo kāu, mai kānalua e kamaʻilio me ke kauka. E noho olakino!

ʻHernia , hernia ʻokiʻoki, hernia postoperative, ʻoki ʻōpū, hernia ʻokiʻoki, prolapse bowel, ʻoki hernia