Ua ʻike anei ʻoe i kahi puʻupuʻu liʻiliʻi ma kou ʻāpana ʻūhā ke ʻū ʻoe, hāpai i kahi mea, a noho wale paha? Malia paha he ʻeha iki ia, a i ʻole he kaumaha wale nō. Nui ka poʻe e makaʻu a hilahila e kamaʻilio e pili ana i ia mea. Akā ʻo kēia ka mea a mākou e kapa nei he 'hernia', ʻo ia hoʻi he 'inguinal hernia'. Mai hopohopo, he ʻano maʻamau loa kēia. E kamaʻilio kākou e pili ana i nā kikoʻī, ma ke ʻano e hiki ai iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka hernia inguinal?
E noʻonoʻo i nā ʻōpū i loko o ko kākou ʻōpū (no ka laʻana, nā ʻōpū, nā ʻāpana momona i loko o ka ʻōpū) e like me ka ea i loko o kahi pōpō. Hoʻopaʻa paʻa ʻia kēia mau ʻōpū e nā ʻiʻo i loko o ko kākou paia ʻōpū. E like me ka laholio i loko o kahi pōpō. I kēia manawa, inā nāwaliwali kēia paia ʻiʻo i kekahi wahi, a inā paha he lua liʻiliʻi e hana ʻia, hiki i kahi ʻāpana ʻiʻo i loko o ka ʻōpū ke puka mai ma laila. ʻO ia ka mea a mākou e kapa nei he hernia .
Loaʻa nā hernia inguinal i loko a puni paha o ke kahawai inguinal, kahi e hui ai ka ʻōpū a me nā wāwae. ʻO kēia ke ʻano hernia maʻamau.
Aia kekahi mau ʻano hernia? He aha nā ʻano pololei a me nā ʻano ʻole pololei?
ʻAe, hiki ke hoʻokaʻawale ʻia nā hernia inguinal i ʻelua ʻano nui. Aia kahi ʻokoʻa iki i ke ʻano o ka hana ʻana o kēia mau mea ʻelua.
| ʻAno o ka hernia | He wehewehe maʻalahi |
|---|---|
| ʻO ka Hernia Inguinal Pololei | He ʻano kēia e kū pinepine ana i ka poʻe ʻelemakule. I ka hala ʻana o ka manawa, nāwaliwali nā ʻiʻo o ka ʻōpū a me ke kaomi ʻana ma luna o lākou (e like me ke kuʻi ʻana a i ʻole ka hāpai ʻana i nā mea kaumaha) e hoʻoulu ai i ka hernia e puka pololei ma waena o ka paia o nā ʻiʻo. ʻAʻole kēia he mea i loaʻa i ka wā hānau. |
| ʻO ka Hernia Inguinal ʻAʻole pololei | He maʻi pinepine kēia e kū mai ana i ka wā hānau. I ka wā o ka fetal, i ka wā ʻaʻole e pani pono ka puka ma luna o ke kahawai inguinal, puka mai ka hernia ma loko. He mea maʻamau kēia i waena o nā pēpē. |
ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?
ʻAʻole kēia he mea kupanaha, ʻoiai he 10 mau manawa ka nui o ka loaʻa ʻana o kēia ʻano hernia i nā kāne ma mua o nā wahine. ʻO ke kumu, ʻo ia ke ʻano o ka hoʻolālā ʻia ʻana o ko mākou kino. Hoʻomohala ʻia nā testicles o ke kāne i loko o ka ʻōpū i ka wā embryonic. A laila hele lākou ma ke kahawai inguinal a i ka scrotum. No laila, ʻoiaʻiʻo, waiho ʻia kahi wahi nāwaliwali liʻiliʻi ma kēia ala. I ka hala ʻana o ka manawa, ʻoi aku ka nui o ka ulu ʻana o kēia wahi nāwaliwali i hernia.
ʻAʻole kēia i maʻamau i nā wahine . ʻO kēia no ka mea he haiki ko lākou kahawai pelvic a he ligament ikaika (ligament poepoe) e kākoʻo ana i ka uterus e hele ana ma ia wahi. No laila, ʻoi aku ka ikaika o kēlā wahi.
Ma keʻano holoʻokoʻa, he 75 o kēlā me kēia 100 hernias ma ka honua he mau hernias groin. Hoʻokahi o nā kāne ʻehā (25%) e loaʻa i kēia maʻi i ko lākou ola ʻana. Ma waena o nā wahine, ʻoi aku ka haʻahaʻa o ka helu, ma kahi o 2 i 100 (2%). Hiki ke ʻike ʻia i nā keiki, ʻoi aku hoʻi nā pēpē hānau mua.
Hiki i ka hernia inguinal ke lilo i mea weliweli?
ʻO ka mea mua, ʻaʻole nā hernia āpau he mea weliweli koke. Eia nō naʻe, ʻo ka pilikia me kēia, ʻoi aku ka nui o ka hernias e ʻoi aku ka ʻino i ka hala ʻana o ka manawa. I ka wā e nui ai ka wahi nāwaliwali o ka paia o nā ʻiʻo, hoʻomaka ka nui o nā ʻiʻo e puʻupuʻu i waho.
ʻAʻole ka hernia he mea e hoʻomaikaʻi wale ʻia ke loaʻa. ʻO ka maʻamau, e nui aʻe ia i ka hala ʻana o ka manawa.
ʻO ka pilikia nui, ʻo ia ka hiki i ka ʻāpana o ka ʻiʻo i puka mai i waho (no ka laʻana, kahi ʻōpū) ke paʻa (hoʻopaʻa ʻia) a ʻaʻole hiki ke hoʻi hou i loko. Ke hana ʻia kēia, lilo ka ʻāpana i paʻa a hiki ke oki ke kahe koko i laila. Kāhea mākou i kēia he strangulation . He kūlana pilikia weliweli loa kēia. No laila, inā ʻoe e ʻeha nei a me ka ʻoluʻolu ʻole mai kahi hernia, e ʻōlelo pinepine kāu kauka e hana ʻoe i ke ʻoki ʻana e hoʻoponopono iā ia ma mua o ka ʻino ʻana o ke kūlana.
He aha nā hōʻailona o kēia? Pehea ʻoe e ʻike ai?
I kekahi manawa ʻaʻohe hōʻailona iki. A i ʻole, hiki ke hele mai a hele aku nā hōʻailona. Hiki ke puka mai ka hernia a laila hoʻi hou mai. E nānā inā ʻike ʻoe i kekahi o kēia mau mea:
- He puʻu liʻiliʻi, e like me ka puʻupuʻu, ma kekahi ʻaoʻao o kou ʻāpana ʻūhā, a i ʻole ka iwi pubic.Ke puka mai nei? (I nā kāne, hiki i kēia ke iho i lalo i ka scrotum).
- Ke manaʻo nei ʻoe i ke kaumaha a i ʻole ke kaomi ma ia wahi?
- Ke ʻeha nei ʻoe i ka wā e hāpai ana i nā mea kaumaha, e ʻū ana, e kūlou ana, a i ʻole e hoʻohana ana i ka lua?
- Ke manaʻo nei ʻoe i kekahi manawa i kahi ʻeha wela a ʻā ? Hiki i kēia ʻeha ke hele mai ka ʻūhā a i lalo i ka wāwae.
- I nā keiki ʻōpio, ke uē lākou, manaʻo paha lākou he puʻu ma ko lākou ʻūhā. Nalo ia ke hiamoe lākou.
He aha nā kumu nui o ka hernia?
Hoʻokumu ʻia ka hernia e ka hui pū ʻana o ʻelua mau mea: kahi nāwaliwali ma ka paia ʻōpū a me ke kaomi ma luna. Aia kekahi mau kumu e hiki ke kōkua i kēia:
- Ka nāwaliwali hānau: E like me ka mea i ʻōlelo ʻia ma mua, hiki i kēia ke hoʻopilikia nui i nā keikikāne.
- ʻO ke kuʻi ʻana a i ʻole ke kuni ʻana no ka manawa lōʻihi: ʻO nā mea e like me ka hānō a me ke kuʻi puhipaka hiki ke hoʻoulu i ke kaomi mau ma ka ʻōpū.
- Ka hoʻoikaika pinepine ʻana e hoʻohana i ka lua ma muli o ka paʻa ʻana o ka ʻōpū: ʻO ia kekahi kumu nui o ka hoʻonāwaliwali ʻana o ka paia o ka ʻōpū.
- Ka hāpai kaumaha a hoʻoikaika kino nui paha: ʻOi aku ka hāpai pono ʻole ʻana i nā kaupaona.
- Momona (hoʻonui ʻia ka momona o ka ʻōpū): Hoʻokomo mau ke kaumaha nui i loko o ka ʻōpū i ke kaomi ma ka paia o ka ʻōpū.
- Hāpai keiki: Hiki i ka hāpai ʻana a me ka hāpai ʻana i nā keiki ke hoʻonāwaliwali i ka paia ʻōpū.
- Ka ʻelemakule: Hoʻonāwaliwali maoli nā ʻiʻo me ka ʻelemakule.
- ʻO ke ʻoki kino ma mua: Hiki ke ulu kahi nāwaliwali a puni ka ʻōpala kahi i hana ʻia ai ke ʻoki ʻana o ka ʻōpū.
He aha nā pilikia e hiki mai ana o kahi hernia i mālama ʻole ʻia?
He ʻāpana koʻikoʻi loa kēia. Hiki i ka hernia ke lilo i mea weliweli inā aia wale nō ia ma laila.
| Ka pilikia | Manaʻo |
|---|---|
| Hoʻonui ʻia i ka hala ʻana o ka manawa | Hiki i ka hernia ke lilo i mea nui aʻe, e hoʻonui ai i ka ʻoluʻolu ʻole a me ka ʻeha. I nā kāne, hiki i ka scrotum ke pehu. |
| Hoʻopaʻahao ʻia | ʻAʻole hiki ke hoʻihoʻi ʻia kahi ʻāpana o ka ʻōpū i puka mai i waho. ʻO kēia ke kumu o ka ʻeha nui. |
| Ka pale ʻana o ka ʻōpū liʻiliʻi | ʻAʻole hiki i ka meaʻai a me ka ea ke hele ma waena o ka ʻōpū i paʻa, e hōʻeha nui ai i ka ʻōpū, ka luaʻi ʻana, a me ka paʻa ʻana o ka ʻōpū. |
| Ka ʻū ʻana | He pilikia olakino kēia. Ua ʻoki ʻia ke kahe koko i nā ʻiʻo i hoʻopilikia ʻia. ʻO kēia ke kumu o ka make ʻana o nā ʻiʻo (gangrene). Hiki i kēia ke hoʻoweliweli i ke ola. |
He aha kāu e hana ai inā manaʻo ʻoe he hernia kou?
Inā loaʻa iā ʻoe nā hōʻailona o ka hernia, ʻo ka mea mua a maikaʻi loa e hana ai, ʻo ia ke ʻike i kāu kauka . Mai hilahila a hoʻopaneʻe paha. ʻAʻole manaʻo ka puʻupuʻu ma kou ʻūhā he hernia kou. Hiki paha ke lilo i lymph node pehu, he lipoma, a i ʻole kekahi ʻano ʻē aʻe. No laila he mea nui e ʻike i kāu kauka no ka ʻike pololei .
E nānā ke kauka iā ʻoe.
- E noi aku lākou iā ʻoe e ʻū a kānana e ʻike inā e puka mai ka hernia.
- E ho'āʻo lākou e ʻomi i ka hernia me ko lākou mau lima a ʻike inā hiki iā lākou ke hoʻihoʻi i loko.
- I kekahi manawa, hiki iā lākou ke kauoha i kahi mea e like me ka ultrasound scan e hōʻoia i ka maʻi.
He aha ka lāʻau lapaʻau maikaʻi loa no ka hernia?
ʻO ke ʻoki ʻana ka lāʻau lapaʻau maikaʻi loa a mau loa no ka hapa nui o nā hernias inguinal. Manaʻo pinepine ʻia ke ʻoki ʻana i ka manawa koke, ʻoiai inā he hernia i nā keiki a me nā wahine, no ka mea, kiʻekiʻe ka pilikia o nā pilikia.
No ke kāne me ka hernia liʻiliʻi loa ʻaʻohe ona hōʻailona, hiki i ke kauka ke ʻōlelo i kekahi manawa 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.
ʻOiai ʻo kahi 'belt hernia' (truss) i hoʻohana ʻia e kekahi poʻe hiki ke hoʻōki i ka hernia mai ka puka ʻana mai no kekahi manawa, ʻaʻole ia he hopena mau loa.
ʻOiai ua kapa ʻia ia he ʻoki kino, pehea ʻoe e hana ai i kēia?
ʻO ka pahuhopu nui o ke ʻoki hernia, ʻo ia ke hoʻihoʻi i ka ʻiʻo e puka mai ana i loko o ka ʻōpū a pani i kahi nāwaliwali a i ʻole ka lua i loko o ka paia o nā ʻiʻo. I kekahi manawa hoʻohana ʻia kahi ʻupena synthetic e hoʻoikaika i kēia wahi nāwaliwali. Ua kapa ʻia kēia ʻo Hernioplasty .
Ua holomua loa kēia mau ʻoki kino i kēia manawa. ʻElua mau ʻano hana nui.
| ʻAno hana ʻoki kino | Wehewehena |
|---|---|
| ʻO ke ʻoki kino Laparoscopic | Ua kapa ʻia hoʻi kēia ʻo 'keyhole surgery.' Hana ʻia ke ʻoki ʻana ma ka hana ʻana i kekahi mau lua liʻiliʻi ma ka ʻōpū a me ke komo ʻana i kahi kāmela a me nā mea hana palupalu. ʻAʻole nui ka ʻeha, ʻaʻole nui ka ʻeha, a ʻoi aku ka wikiwiki o ka ho'ōla ʻana. |
| ʻO ke ʻoki kino hāmama | ʻO kēia ke ʻano kuʻuna. Hana ʻia ke ʻoki ʻana ma ka hana ʻana i kahi ʻoki pololei a lōʻihi ma kahi o ka hernia. Hoʻohana ʻia kēia ʻano hana no nā hernias nui a paʻakikī paha. |
Na kāu kauka lapaʻau e hoʻoholo i ke ʻano hana kūpono loa iā ʻoe.
Aia kekahi mau ala e pale ai i ka hoʻokumu ʻana o kahi hernia?
ʻOiai ʻaʻole hiki ke pale ʻia kahi hernia congenital, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka hoʻomohala ʻana i kahi hernia ma hope o ke ola.
- I ka hāpai ʻana i nā mea kaumaha, e kulou i kou mau kuli a hāpai pono iā lākou. Mai hāpai iā lākou me kou kua a i ʻole kou ʻōpū.
- E kāohi i kou kaumaha, ʻoiai hoʻi ka hōʻemi ʻana i ka momona o ka ʻōpū.
- Inā loaʻa iā ʻoe ka paʻa ʻana o ka ʻōpū, e mālama ʻia. E ʻai i nā meaʻai me ka fiber (nā huaʻai, nā mea kanu) a inu i ka wai he nui.
- Inā ʻoe e puhipaka, e hoʻōki. ʻO ke kuni ʻana ma muli o ka puhipaka kekahi kumu nui o nā hernias.
- E hana i nā hoʻoikaika kino e hoʻoikaika ai i kou mau ʻiʻo ʻōpū. Eia nō naʻe, inā loaʻa iā ʻoe kahi hernia, e kūkākūkā me kāu kauka ma mua o ka hoʻoikaika kino ʻana.
I nā kūlana hea e pono ai ʻoe e ʻike koke i ke kauka?
Inā loaʻa iā ʻoe kahi hernia, he pilikia paha ia inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:
- Inā ʻeha loa ka hernia, ʻulaʻula, a pehu .
- Inā ʻaʻole hiki ke hoʻokomo ʻia ka hernia i loko .
- Inā loaʻa iā ʻoe ka luaʻi ʻana, ka nausea, a i ʻole ka ʻeha nui o ka ʻōpū .
- Inā loaʻa iā ʻoe ke kuni .
- Inā ʻaʻole hiki iā ʻoe ke hele i ka lua a hoʻokuʻu i ka ea ,
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona , e hele koke i ka lumi pilikia (ETU) o ka haukapila . He hōʻailona paha kēia o kahi hernia strangulated.
Leka Lawe-Home
- He maʻi maʻamau ka hernia inguinal. Mai hilahila a makaʻu paha.
- Inā ʻoe e manaʻo i kahi puʻupuʻu, ʻeha, a kaumaha paha ma kou ʻūhā, e ʻike pono i kāu kauka. Mai hoʻowahāwahā wale iā ia.
- ʻO ke ʻoki ʻana ka lāʻau lapaʻau maikaʻi loa a mau loa no ka hapa nui o nā hernias. He mau ʻoki ʻoki holomua loa kēia i kēia manawa.
- Inā ua hoʻopaʻa ʻia ka hernia a ʻike ʻoe i nā hōʻailona e like me ka ʻeha nui a me ka luaʻi ʻana, he pilikia ia. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
- ʻO ke ʻano ola olakino (ka mālama ʻana i ke kaumaha, ka hāpai pono ʻana i ke kaumaha, ka pale ʻana i ka paʻa ʻana o ka ʻōpū) hiki ke hōʻemi i ka pilikia o ka loaʻa ʻana o ka hernia.
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