Ua manaʻo paha ʻoe he puʻupuʻu kou ma kou ʻūhā, ʻoiai ke hāpai ʻoe i kahi mea kaumaha a i ʻole ke kuni? A i ʻole ke manaʻo nei ʻoe i ke kaumaha a i ʻole ka ʻeha huki ma ia wahi? He nui ka poʻe e makaʻu iki a hilahila e kamaʻilio e pili ana i kēia. Akā, he ʻano paha kēia i kapa ʻia he 'hernia' a mākou e ʻike pinepine ai. Mai hopohopo, i kēia lā e kamaʻilio maʻalahi mākou e pili ana i ke ʻano o kēia hernia inguinal, ke kumu e hana ʻia ai, a me ka mea e hana ai e pili ana i ia mea.
I ka ʻōlelo maʻalahi, he aha kēia hernia?
E noʻonoʻo i kahi ʻeke me kahi lua liʻiliʻi i loko. E puka mai nā mea o loko o ka ʻeke ma o kēlā lua, ʻeā? He mea like ka hernia. ʻO ka hernia ka wā e puka mai ai nā ʻiʻo ma kekahi ʻāpana o ko kākou kino, no ka laʻana, kahi ʻāpana o ka ʻōpū i loko o ka ʻōpū a i ʻole kahi papa o ka momona, ma o kahi nāwaliwali o nā ʻiʻo a puni.
ʻO ka hernia inguinal kahi hernia kahi e puka mai ai nā ʻiʻo mai ka ʻōpū ma o kahi nāwaliwali ma ka paia ʻōpū haʻahaʻa e hoʻokaʻawale ana i ka ʻōpū mai ka ʻūhā. Ua kapa ʻia hoʻi ia he hernia ʻūhā no ka mea e kū mai ana ia ma ka ʻāpana ʻūhā. ʻO kēia ke ʻano hernia maʻamau.
ʻElua mau ʻano nui o nā hernias inguinal:
Hiki ke hoʻokaʻawale ʻia nā hernia inguinal i ʻelua ʻano nui ma muli o ke ʻano o ko lākou hana ʻana. Aia kekahi mau ʻokoʻa liʻiliʻi ma waena o nā mea ʻelua.
| ʻAno o ka hernia | He wehewehe maʻalahi |
|---|---|
| ʻO ka Hernia Inguinal Pololei | He ʻano kēia e ʻike pinepine ʻia i nā pākeke. I ka hala ʻana o ka manawa, nāwaliwali nā ʻiʻo o ka ʻōpū a ʻo ke kaomi ʻana ma luna o lākou e hoʻoulu ai i nā ʻiʻo e puka pololei ma o ka paia o ka ʻūhā. ʻAʻole kēia he mea hānau mai. |
| ʻO ka Hernia Inguinal ʻAʻole pololei | Hoʻokumu pinepine ʻia kēia e kahi kīnā hānau. Ke ulu kahi fetus i loko o ka ʻōpū, ʻaʻole e pani piha ʻia ke kahawai inguinal, a puka mai nā ʻiʻo ma o ka puka. ʻO kēia ka mea maʻamau i nā keiki ʻōpio. |
ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?
ʻOi aku ka maʻamau o nā hernia inguinal i nā kāne . Ma ka helu helu, hoʻokahi i loko o nā kāne he ʻumi e loaʻa i hoʻokahi i nā wahine.
No ke aha i loaʻa pinepine ai i nā kāne?
I ka ʻōlelo maʻalahi, no ke ʻano o ke kino. Ke komo ke keiki kāne i loko o ka ʻōpū, aia mua kona mau testicle i loko o ka ʻōpū. A laila iho lākou ma ke kahawai inguinal i loko o ka scrotum. He nāwaliwali maoli kēia alahele no nā testicle. ʻO ia ke kumu e ʻoi aku ka nui o ka hernia. I kekahi manawa, ʻaʻole pani piha kēia alahele ma hope o ka hānau ʻana.
ʻOi aku ka haiki o nā kahawai inguinal o nā wahine. A no ka mea e holo ana kahi ligament ikaika ma o lākou e kākoʻo i ka uterus, ua ikaika ka ʻāpana. Eia nō naʻe, hiki i nā wahine ke loaʻa i nā hernias inguinal, ʻoiai ke ʻano 'indirect' i hānau ʻia a hiki ke loaʻa i nā kaikamahine ʻōpio.
He 75% o nā hernias he hernias inguinal. 25% o nā kāne (hoʻokahi i loko o ʻehā) e loaʻa i kahi hernia inguinal i ko lākou ola. Eia nō naʻe, ʻike ʻia kēia ʻano ma 2% wale nō o nā wahine.
He maʻi koʻikoʻi anei ka hernia inguinal?
ʻAʻole paha he mea koʻikoʻi loa ka hernia i ka wā mua. Akā inā ʻaʻole mālama ʻia, hiki i ke kūlana ke ʻoi aku ka ʻino i ka hala ʻana o ka manawa. E nui aʻe ana ka lua i loko o ka ʻiʻo, a e puka mai ana nā ʻiʻo hou aʻe.
ʻO ka pilikia nui, ʻo ia ka hiki ʻole i ka ʻāpana ʻiʻo e puka mai ana (e like me ka ʻōpū) ke hoʻi hou i loko (hoʻopaʻahao ʻia) . Hiki i kēia ke hōʻeha. ʻOi aku ka weliweli o ka nalowale ʻana o ke koko i ka ʻiʻo i paʻa (strangulation) . Inā hana ʻia kēia, e hoʻomaka ka make ʻana o ka ʻiʻo (gangrene) a hiki ke loaʻa nā maʻi koʻikoʻi. He kūlana kēia e pono ai ka mālama olakino ulia pōpilikia.
No laila, inā ʻoe e ʻeha nei a me ka ʻoluʻolu ʻole ma muli o ka hernia, e ʻōlelo pinepine kāu kauka i ke ʻoki ʻana e hoʻoponopono iā ia ma mua o ka ʻino ʻana o ke kūlana.
He aha nā hōʻailona o kēia?
ʻAʻole nā hernia inguinal āpau e hoʻoulu i nā hōʻailona. I kekahi manawa hele mai nā hōʻailona a hele aku. Hiki iā ʻoe ke ʻike i nā mea e like me:
| Hōʻailona | Wehewehena |
|---|---|
| He puʻupuʻu a pehu paha ma ka ʻāpana groin | ʻO kēia ka hōʻailona nui. Hiki ke ʻike ʻia kēia puʻupuʻu i ka nui aʻe i ka wā e ʻū ai, e hāpai ana, a e hoʻoluhi paha. Hiki nō hoʻi ke huki hou ʻia i kou hiamoe ʻana a i ʻole ke kaomi ʻoe me kou lima. |
| He kaumaha a i ʻole ke kaomi | Hiki paha iā ʻoe ke manaʻo i ke kaumaha ma ka ʻāpana ʻūhā, me he mea lā e hoʻopiha ana kekahi mea ia mea. |
| ʻEha | Hiki ke ʻeha ka ʻūhā, ʻoiai ke kūlou ʻana i mua, hāpai i kahi mea kaumaha, a ʻū paha. |
| Manaʻo wela a ʻā paha | I kekahi manawa aia paha kahi ʻeha wela a i ʻole ka ʻeha hou e iho i lalo i ka wāwae. |
I ke ʻano o nā keiki liʻiliʻi, hiki iā ʻoe ke ʻike i kahi puʻupuʻu ma ko lākou ʻūhā ke uē lākou. Nalo ia ke hiamoe lākou.
He aha nā kumu o ka hernia?
Aia kekahi mau kumu e hiki ai ke loaʻa kahi nāwaliwali a i ʻole kahi abscess ma ka paia ʻōpū.
- Ka nāwaliwali hānau ʻana: E like me ka mea i ʻōlelo ʻia ma mua, ʻo ia kekahi kumu nui o ka `(Indirect Hernia)`.
- ʻO ke kuʻi ʻana a i ʻole ke kuni ʻana no ka manawa lōʻihi: Hiki i nā mea e like me ka hānō a me ke kuʻi puhipaka ke kau i ke kaomi mau ma ka ʻōpū.
- Paʻa ʻōpū: ʻO ka hoʻoikaika mau ʻana e neʻe i ka ʻōpū hiki ke hoʻonāwaliwali i ka paia o ka ʻōpū.
- Ka hāpai kaumaha: Ka hāpai kaumaha kūpono ʻole, nā hoʻoikaika kino e hali ana i ke kaumaha, a me nā hana luhi.
- Hāpai keiki: Kaomi ma ka paia o ka ʻōpū i ka wā hāpai.
- Momona nui: ʻO ka hoʻonui ʻia o ka momona o ka ʻōpū e kau ai i ke kaomi mau ma ka paia o ka ʻōpū.
- ʻO nā hana ʻoki mua: Hiki i kahi hernia ke ulu mai kahi ʻeha nāwaliwali ma hope o ke ʻoki ʻana o ka ʻōpū.
- Ka ʻelemakule ʻana: I ko kākou ʻelemakule ʻana, nāwaliwali maoli nā ʻiʻo o ko kākou kino.
Pehea e hōʻike ai i kahi hernia inguinal?
ʻO ka maʻamau, e hāʻawi ke kauka iā ʻoe i kahi hoʻokolokolo kino.Hiki iā ʻoe ke ʻike inā he hernia kou ma ka nānā ʻana iā ia. E noi aku ke kauka iā ʻoe e ʻū a hoʻoluhi paha i ka wā e nānā ana i kou ʻāpana groin. Inā puka mai ka hernia, e ʻike maopopo ʻia.
Nānā pū ke kauka e ʻike inā hiki ke hoʻopaʻa mālie ʻia ke kaula me ka lima a hoʻokomo hou i loko, a i ʻole inā ua paʻa.
I kekahi manawa, inā ʻaʻole ʻike maopopo ʻia ka hernia, hiki ke kauoha ʻia kahi scan ultrasound e hōʻoia iā ia. I ka manawa kākaʻikahi, pono paha kahi scan CT.
He aha ka lāʻau lapaʻau maikaʻi loa?
ʻO ke ʻoki kino wale nō ka lāʻau lapaʻau maikaʻi loa no ka hernia inguinal. ʻAʻole hiki ke ho'ōla ʻia ka hernia ma ka lawe ʻana i ka lāʻau lapaʻau.
Inā loaʻa i nā ʻōpio a me nā wahine kahi hernia inguinal, ʻōlelo nā kauka i ke ʻoki ʻana i ka wā hikiwawe loa no ka mea he kiʻekiʻe ka pilikia o nā pilikia.
No kekahi mau kāne me nā hernias liʻiliʻi a ʻaʻohe hōʻailona, hiki i kā lākou kauka ke paipai i kahi ala "kali-a-nānā". Eia nō naʻe, ʻo ka hapa nui o nā kāne e pono ai ke ʻoki ʻana i ka hopena.
He maʻalahi loa ke ʻoki ʻana. Hoʻihoʻi ʻia ka ʻiʻo i wehe ʻia i loko o ka ʻōpū a humuhumu ʻia ka lua ma ka paia ʻiʻo. I kekahi manawa, hoʻohana ʻia kekahi mea e like me ka ʻupena synthetic e hoʻoikaika i ka wahi nāwaliwali. Ua kapa ʻia kēia kaʻina hana he hernioplasty .
Nā ʻano hana ʻoki kino
I kēia manawa, ʻelua ala nui e hana ai i kēia ʻoki kino.
1. ʻOki Hāmama: ʻO kēia ke ʻano kuʻuna. Hana ʻia kahi ʻoki liʻiliʻi ma o ka ʻūhā, a hoʻoponopono ʻia ka hernia ma ke komo ʻana i loko o ia wahi.
2. ʻO ke ʻoki Laparoscopic: Ua kapa ʻia hoʻi kēia ʻo 'keyhole surgery'. Hana ʻia ke ʻoki ma o kekahi mau lua liʻiliʻi i loko o ka ʻōpū, kahi e hoʻokomo ʻia ai kahi kāmela a me nā mea hana palupalu. ʻAʻole nui ka ʻeha o kēia ʻano hana, ʻaʻole nui ka ʻeha, a ho'ōla wikiwiki.
Na kāu kauka e hoʻoholo i ke ʻano hana ʻoki kino kūpono loa iā ʻoe.
He aha ka mea e hana inā ʻaʻole mālama ʻia kahi hernia?
ʻAʻole ho'ōla ʻia nā hernia inguinal ma o lākou iho. Hoʻonui pinepine lākou i ka ʻino i ka hala ʻana o ka manawa. E like me ka mea i ʻōlelo ʻia ma mua, hiki ke loaʻa nā pilikia koʻikoʻi, e like me ke ālai ʻia a i ʻole ke kāohi ʻia ʻana o ka ʻōpū. He mau pilikia hoʻoweliweli kēia i ke ola.
He mea weliweli loa ka waiho ʻana i kahi hernia me ka mālama ʻole ʻia, ʻoiai hoʻi i nā keiki. I ko lākou ulu ʻana, hiki i ka hernia ke ulu koke. No laila , inā kānalua ʻoe he hernia kāu keiki, e ʻike koke i ke kauka.
Hiki ke pale ʻia ka hernia?
ʻOiai ʻaʻole hiki ke pale ʻia nā hernias congenital, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia o ka hoʻomohala ʻana i nā hernias i ka wā makua.
- E hāpai pono i nā mea kaupaona: I ka hāpai ʻana i kahi mea kaumaha, e kulou i kou mau kuli a hāpai me ka ikaika o kou mau wāwae, ʻaʻole kou kua.
- E kāohi i kou kaumaha: E mālama i ke kaumaha o ke kino olakino, ʻoiai ma ka hōʻemi ʻana i ka momona o ka ʻōpū.
- E pale i ka paʻa ʻana o ka ʻōpū: E ʻai i nā meaʻai fibrous he nui (nā huaʻai, nā mea kanu) a inu i ka wai he nui.
- Hōʻalo i ka puhipaka: ʻO ka ʻūhū mau i hoʻokumu ʻia e ka puhipaka kahi kumu nui o nā hernias.
- E hoʻoikaika kino pono: E hana i nā hoʻomaʻamaʻa e hoʻoikaika ai i nā ʻiʻo o kou ʻōpū.
Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka!
Inā loaʻa iā ʻoe kahi hernia a i ʻole e ʻike i kekahi o nā hōʻailona ma hope o ke ʻoki ʻana, e hele koke i ka haukapila a i ʻole e ʻike i kāu kauka. He mau hōʻailona paha kēia o kahi hernia i ʻūlū ʻia a ua nalowale paha kona kahe koko.
- ʻEha nui a hiki ʻole ke hoʻomanawanui ma ka ʻāpana ʻāʻī a i ʻole ka ʻōpū.
- Ka luaʻi a me ka luaʻi.
- Kuni, anuanu, a me ka haʻalulu.
- ʻUlaʻula, poni, a ʻeleʻele paha ke kaʻe o ka hernia.
- ʻAʻole hiki ke hoʻopuehu a hoʻokuʻu paha i ka ea.
- ʻO ka hernia i paʻakikī ma mua, ua hiki ke hoʻōla ʻia i kēia manawa.
He mau pilikia olakino kēia. No laila, i ia mau hihia, pono ʻoe e hele i ka Emergency Treatment Unit (ETU) o ka haukapila i ka hikiwawe loa.
Leka Lawe-Home
- He maʻi maʻamau loa ka hernia inguinal, ʻoi aku hoʻi i waena o nā kāne. No laila, mai hilahila a makaʻu paha.
- Inā he puʻupuʻu, pehu, a ʻeha paha kou ʻāpana ʻūhā, mai hoʻowahāwahā iā ia. E ʻike pono i ke kauka a e nānā iā ia.
- ʻO ke ʻoki ʻana ka lāʻau lapaʻau maikaʻi loa a mau loa no nā hernias. ʻAʻole hiki ke ho'ōla ʻia kēia mau mea me ka lāʻau lapaʻau.
- Hiki i nā hernias i mālama ʻole ʻia ke alakaʻi i nā pilikia koʻikoʻi, no laila he mea nui loa e hahai i ka ʻōlelo aʻoaʻo a ke kauka.
- Hiki iā ʻoe ke hōʻemi i kou pilikia o ka hoʻomohala ʻana i kahi hernia ma o ka hahai ʻana i kahi nohona olakino.











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