Loaʻa i kāu pēpē kahi hernia inguinal? E kamaʻilio kākou e pili ana i kēia me nā kikoʻī!

Ua ʻike anei ʻoe i kahi puʻupuʻu liʻiliʻi a i ʻole ka pehu ʻana ma ka ʻūhā o kāu pēpē, kahi e hui ai ka ʻōpū a me nā ʻūhā? I kekahi manawa ʻike ʻia ia i ka wā e uē ai ke pēpē, e ʻū ana, a i ʻole e kaumaha ana i loko o ka ʻōpū, a laila nalowale. ʻO ka ʻike ʻana i kēia hiki ke hopohopo loa a hopohopo no ʻoe ma ke ʻano he makuahine a makua paha. He mea maʻamau ka noʻonoʻo ʻana, "Auē, he aha ka pilikia o kaʻu pēpē?" No laila, i kēia lā e kamaʻilio mākou e pili ana i ke kumu o kēia, he mea weliweli anei ia, a me ka mea e hana ai inā hana ʻia.

He aha ka Hernia Inguinal?

I ka ʻōlelo maʻalahi, ʻo ka hernia inguinal kahi ʻano hernia e ulu ana i loko o ka ʻūhā o kāu pēpē. ʻO "Inguinal" ke ʻano o ka ʻūhā. ʻO ka ʻūhā ka wahi ma waena o ka ʻōpū (ʻōpū) o kāu pēpē a me nā ʻūhā.

Hana ʻia kahi hernia inguinal i ka wā e paʻi ai kekahi hapa o ka ʻōpū o kāu pēpē ma kahi nāwaliwali i loko o ko lākou paia ʻōpū, ma o ke kahawai inguinal . He ala liʻiliʻi kēia kahawai inguinal, e like me ke culvert e holo ana mai ka ʻōpū o kāu pēpē a i ko lākou ʻōpū.

ʻO ka maʻamau, pani loa ke kahawai inguinal ma mua o ka hānau ʻana o ka pēpē. Akā i kekahi manawa, ʻaʻole ia e pani loa. Ke hana ʻia kēlā, waiho ʻia kahi lua liʻiliʻi ma laila. ʻO kēlā lua kahi e puka mai ai kahi ʻāpana o ka ʻōpū o ka pēpē. A laila e ʻike paha ʻoe a manaʻo paha i kahi pehu a puʻupuʻu paha i loko o ka ʻūhā o ka pēpē, a i ʻole i loko o ka scrotum inā he keikikāne ka pēpē. E ʻike paha ʻoe i kēia pehu ke uē ka pēpē, kunu, a hoʻāʻo paha e kiola.

ʻO ka hapa nui o ka manawa, loaʻa kēia hernia inguinal ma kekahi ʻaoʻao o ka ʻūhā. ʻOi aku ka maʻamau ma ka ʻaoʻao ʻākau ma mua o ka hema. Eia nō naʻe, ma kahi o 10% o nā hihia, hiki ke loaʻa kēia hernia ma nā ʻaoʻao ʻelua o ka ʻūhā.

ʻO wai ka mea kūpono loa e loaʻa i kēia?

ʻAʻole hiki ke loaʻa kēia ʻano i kapa ʻia ʻo ka hernia inguinal i nā pēpē, nā keiki makua, akā i nā pākeke hoʻi. Eia nō naʻe, i waena o nā keiki, ʻoi aku ka maʻamau i nā keiki ma lalo o 6 mau makahiki. 90% o nā pēpē hānau hou e loaʻa i kēia hernia i nā keikikāne. Eia kekahi, ʻoi aku ka nui o ka loaʻa ʻana o kēia hernia inguinal i nā pēpē hānau mua .

Pehea ka maʻamau o kēia ʻano?

Ma waena o 1% a me 5% o nā pēpē kāne olakino a piha ka manawa e loaʻa ai kahi hernia inguinal. Akā hiki i ka 30% o nā pēpē hānau mua ke hānau ʻia me kēia hernia. No laila, inā loaʻa i kāu pēpē, e hoʻomanaʻo ʻaʻole ʻoe hoʻokahi.

Hiki i kēia hernia ke lilo i mea weliweli?

ʻAe, i kekahi manawa hiki ke hoʻoweliweli kēia. Inā loaʻa i kāu pēpē kahi hernia inguinal, hiki ke hana ʻia kahi ʻoki maʻalahi e hoʻoponopono ai.Pono e hana ʻia. Inā ʻaʻole mālama ʻia kēia, hiki ke loaʻa nā pilikia koʻikoʻi, ʻoiai he mea kākaʻikahi. E nānā kākou i ke ʻano o ia mau mea:

• ʻO ka hernia i hoʻopaʻa ʻia: ʻO kēia ka wā e paʻa ai ka ʻāpana o ka ʻōpū i loko o ka hernia. E noʻonoʻo e like me kahi paipu e paʻa ana i waenakonu ke hoʻokahe ʻoe i ka wai. Ke hana ʻia kēia, ʻaʻole hiki i ke kauka ke hoʻokuke i ka hernia i loko o ka ʻōpū. He kūlana koʻikoʻi kēia, no ka mea hiki ke alakaʻi i ke kūlana weliweli loa aʻe.
• ʻO ka hernia i ʻoki ʻia : Ke ʻoki ʻia kahi hernia, ʻo ka mea ʻino loa e hiki ke hana ʻia ʻo ia kēia. ʻO kēia ka wā e ʻoki loa ʻia ai ke kahe koko i ka ʻāpana o ka ʻōpū i ʻoki ʻia. E noʻonoʻo i ka mea e hana ʻia inā ʻoki ʻia ke koko i kekahi ʻāpana o ko mākou kino? Hoʻomaka kēlā ʻāpana e make. Pēlā nō, inā ʻoki ʻia ka ʻōpū mai ke koko, hiki i ka ʻiʻo ma ia ʻāpana ke make (make ʻiʻo). He ʻano koʻikoʻi loa kēia a ʻeha hoʻi e pono ai ke kōkua lapaʻau koke . Hiki ke hoʻoweliweli i ke ola.

He mea nui: ʻO ka hernia strangulated a i ʻole ka hernia me ka ʻoki ʻana o ke kahe koko i ka ʻōpū he pilikia olakino ia! No laila, he mea nui loa ka hoʻomaopopo maikaʻi ʻana i nā hōʻailona.

He aha nā hōʻailona o kēia?

Inā loaʻa i kāu pēpē kahi hernia inguinal, ʻo ka hōʻailona nui ka pehu ʻana ma lalo o ka ʻili ma ka ʻūhā a i ʻole ka scrotum. Hiki ke like kēia me kahi puʻupuʻu liʻiliʻi.

• Hiki i kēia ke piʻi aʻe ka nui ma hope o ka uē ʻana o ke pēpē, ke kunu ʻana, a i ʻole ke kihe ʻana.
• Hele mai kēia pehu a hele aku i kekahi manawa. ʻO ia hoʻi, i kekahi manawa aia ma laila, i kekahi manawa ʻaʻole.
• Hiki ke emi a nalo loa paha kēia ke hoʻomaha a hiamoe paha ke pēpē.
• Hiki i kēia pehu ke kū ma kekahi ʻaoʻao o ka ʻūhā a i ʻole ma nā ʻaoʻao ʻelua.

ʻO nā hōʻailona ʻē aʻe paha:

• ʻEha a me ke kaumaha e nalowale ana me kahi hoʻomaha iki.
• Ke manaʻo o ke kaumaha a i ʻole ke kaomi ma ka ʻāpana groin.
• ʻO ka pehu ʻana o nā testicles i nā keikikāne.
• He manaʻo wela ma kahi o ka pehu ʻana.
• No nā pēpē liʻiliʻi, nā mea e like me ka makemake ʻole e ʻai, ka uē mau ʻana, a me ka hoʻomaha ʻole .

Eia nō naʻe, inā he hernia incarcerated a i ʻole he hernia strangulated kāu pēpē, he pilikia olakino ia. Inā loaʻa kekahi o kēia mau hōʻailona, ​​​​pono ʻoe e lawe koke i kāu pēpē i ke kauka:

• ʻEha nui loa a ʻeha hoʻi ke kaomi ʻia.
• E ʻike ʻia ka wahi pehu i ka ʻulaʻula, ʻeleʻele, a me ka uliuli/poni paha (he ʻano palapū).
• ʻAʻole au ʻai iki i ka meaʻai, ʻaʻole au inu waiū.
• Kuni.
• Ka luaʻi a me ka luaʻi (ʻoi aku hoʻi inā he ʻōmaʻomaʻo a melemele paha ka luaʻi).
• Koko i loko o ka ʻōpala ('Bloody poop') a i ʻole ka ʻōpū piha me ka ʻole o ka hele ʻana i ka ʻōpala.

No ke aha i loaʻa ai i nā keiki ʻōpio kēia hernia?

I mea e maopopo ai ke kumu, pono ʻoe e ʻike iki e pili ana i ke ʻano o ka ulu ʻana o kahi pēpē i loko o ka ʻōpū. Hānau ʻia kēlā me kēia pēpē me kahi puka e like me ke ana i kapa ʻia ʻo ke kahawai inguinal . Ke alakaʻi nei kēia mai ka ʻōpū o ka pēpē a i ka ʻāpana genital.

I loko o ke pēpē kāne, ulu mua kāna mau testicles i loko o ka ʻōpū. A laila, i ka wā o ka ulu ʻana o ka fetal, iho kēia mau testicles ma o ke kahawai inguinal i loko o ka scrotum.

ʻO ka maʻamau, pani loa kēia kahawai inguinal ma mua o ka hānau ʻana o ka pēpē. Eia naʻe, e like me ka mea i ʻōlelo ʻia ma mua, i kekahi manawa ʻaʻole ia e pani pono. A laila waiho ʻia kahi puka liʻiliʻi mai ka ʻōpū a i loko o ke kahawai inguinal. ʻO ia puka kahi e iho ai kahi ʻāpana o ka ʻōpū o ka pēpē a hana i kahi hernia.

ʻAʻole nui ka loaʻa ʻana o nā hernia inguinal i nā kaikamahine, akā hiki nō hoʻi iā lākou ke loaʻa iā lākou. ʻO kēia no ka mea he kahawai inguinal ko nā kaikamahine. Hiki i kahi hernia inguinal i loko o ke kaikamahine ke hoʻopili i kahi ʻāpana o kāna ʻōnaehana hānau, e like me ka ovary.

Pehea e ʻike ai ke kauka i kēia?

Hiki i ke kauka ke ʻike i ka hernia inguinal ma ka hana ʻana i kahi hoʻokolokolo kino o ka pēpē. E nānā ke kauka i kēia mau mea:

• Ke uē a uē paha ke pēpē, aia kekahi pehu ma ka ʻūhā a i ʻole ka scrotum?
• Nānā pū lākou e ʻike inā e pau ana ka pehu a emi paha ke hoʻomaha ka pēpē.
• Inā ʻoi iki aʻe ke keiki, e noi paha ke kauka i ke keiki e kū a ʻū paha e ʻike inā he pehu.
• Hiki paha i ke kauka ke hoʻāʻo e ʻomi i ka hernia ma ka lima a hoʻihoʻi i loko o ka ʻōpū (mai hoʻāʻo e hana i kēia ma ka home).

I ka mea pinepine ʻole, hiki ke hana ʻia kahi ultrasound e hōʻoia i ka hōʻailona a nānā paha i nā pilikia ʻē aʻe.

He aha nā lāʻau lapaʻau no kēia?

Inā loaʻa i kāu pēpē kahi hernia inguinal, pono ke ʻoki ʻana e hoʻoponopono iā ia. ʻAʻole e ho'ōla kēia hernia iā ia iho. ʻO ke ʻoki ʻana wale nō ka lāʻau lapaʻau mau loa.

ʻO ka maʻamau, ʻaʻole i hala i hoʻokahi hola kēia hana ʻoki kino. ʻO ka hapa nui o ka manawa, he hana ia no ka poʻe ma waho o ka haukapila. ʻO ke ʻano kēia, hiki iā ʻoe ke lawe i kāu pēpē i ka home i ka lā hoʻokahi me ke ʻoki kino.

Ma mua o ke ʻoki kino

ʻO ka anesthesiologist ke kauka nāna e hāʻawi i kāu pēpē i ka anesthesia laulā.He kauka lapaʻau anesthesiologist ka mea loea i ka hoʻomalu ʻana i ka ʻeha a me ka mālama ʻana i nā mea maʻi i ka wā o ke ʻoki kino. Ke hāʻawi ʻia ka anesthesia laulā i kahi pēpē, hoʻomaha nā ʻiʻo o ka pēpē a hiamoe ka pēpē. ʻAʻole ʻeha ka pēpē i ka wā o ke ʻoki kino.

I ka wā o ke ʻoki kino

Hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi (incision) ma ka ʻūhā o ka pēpē. ʻO ka maʻamau, ma kahi o 1-2 kenimika kēia ʻoki. A laila e hoʻihoʻi pono ʻia ka ʻāpana hernia o ka ʻōpū i loko o ka ʻōpū. A laila, ua humuhumu ʻia ka puka ma ke kahawai inguinal e pale aku i ka hoʻi hou ʻana mai o ka hernia. Ua pani ʻia nā ʻoki o ka pēpē me nā humuhumu hiki ke hoʻoheheʻe ʻia a me nā ʻāpana liʻiliʻi o ka lipine pale wai a i ʻole ke kāʻei.

Ma hope o ke ʻoki kino

I kekahi mau hola ma hope o ke ʻoki ʻana, ke inu maikaʻi nei kāu pēpē i nā wai, a ua māʻona ka hui lapaʻau, hiki paha iā ʻoe ke lawe i kāu pēpē i ka home. Eia nō naʻe, inā ua hānau mua ʻia kāu pēpē a i ʻole he mau maʻi ʻē aʻe, pono paha ʻoe e noho i ka haukapila i ka pō no ka nānā ʻana.

Pehea e mālama ai i ke keiki ma hope o ke kaʻina hana?

Ma hope o ke ʻoki ʻana, hiki i ka pēpē ke loaʻa i kekahi ʻeha a me ka ʻoluʻolu ʻole. He mea maʻamau kēia. E emi ana ka ʻeha ma kahi o hoʻokahi a ʻelua paha pule. Hiki i ke kauka ke kuhikuhi i nā lāʻau ʻeha , e like me ka paracetamol. E hāʻawi iā lākou e like me ka mea e pono ai.

• ʻŌwili: Hiki iā ʻoe ke ʻauʻau i kāu pēpē me ka huʻa mai ka lā ma hope o ke ʻoki ʻana. Eia naʻe, mai ʻauʻau iā ia i loko o kahi kīʻaha no ʻelua a ʻekolu paha lā, no ka mea, ʻaʻole maikaʻi ka hoʻomaʻū ʻana i ka ʻeha. E haʻi aku ke kauka iā ʻoe i ka wā e hiki ai iā ʻoe ke ʻauʻau pono.
• ʻEha: E hemo mālie nā ʻāpana liʻiliʻi o ka lipine e uhi ana i nā ʻoki o kāu pēpē ma o lākou iho. Mai huki lima iā lākou. Inā ʻaʻole lākou e hemo ma o lākou iho, e wehe ke kauka iā lākou i kahi manawa hoʻokolokolo ma hope o ʻumi pule.
• Nā Hana: E ʻae i ka pēpē e pāʻani maʻamau. Inā ʻeha lākou, e hoʻōki lākou. Inā he keiki makua, e noi iā lākou e hoʻōki i ka pāʻani no kekahi mau lā.

Āhea e hiki ai i ke pēpē ke noho maʻamau?

Hiki i ka pēpē ke hoʻi i ka papaʻai maʻamau me ka wikiwiki a me ka maʻalahi. Hiki ke hoʻomaka hou i nā hana maʻamau ʻē aʻe i loko o hoʻokahi a ʻelua paha pule. Hoʻōla nā pēpē ʻōpio i loko o kekahi mau lā.

Aia kekahi ala e pale ai i ka hoʻokumu ʻana o kēia hernia?

ʻO ka mea pōʻino, inā hānau ʻia kāu pēpē me kahi puka ma ke kahawai inguinal, hiki ke ulu ka hernia i kēlā me kēia manawa. ʻAʻohe ala e pale aku ai i kēia hernia mai ka ulu ʻana. ʻAʻole hewa kēia o kekahi.

Āhea ʻoe e ʻike hou ai i ke kauka?

He mea maʻamau i kāu pēpē ke loaʻa kekahi pehu a me ka palupalu a puni ka ʻoki ma hope o ke ʻoki ʻana. Hiki ke mau kēia no kekahi mau pule. Eia nō naʻe, inā ʻike ʻoe i kekahi o kēia mau hōʻailona , ​​e kelepona koke i kāu kauka a lawe paha iā lākou i ka haukapila:

• Ka mimi o ka pēpēInā ʻaʻole hiki iā ʻoe ke mimi ("ʻAʻole hiki ke mimi") no 6-8 mau hola.
• ʻEmi ka nui o nā diaper pulu ma mua o ka maʻamau.
• Inā ʻoi aku ke kuni ma mua o 100.4°F (38°C).
• Inā piʻi nui ka pehu a puni ka ʻoki, a inā paha he nui ka ʻulaʻula.
• Inā ʻulaʻula ka ʻāpana a puni ka ʻoki, mehana, a aia kahi kahe e like me ka pus.
• Inā e hoʻomau ke kahe ʻana o ke koko i ka ʻoki.
• Inā e ʻoi aku ka ʻino o ka ʻeha a ʻaʻole hiki ke kāohi ʻia me ka paracetamol.
• Inā ʻoe e luaʻi pinepine.

He aha ka ʻokoʻa ma waena o ka hernia inguinal a me ka hernia umbilical?

He ʻano hernias kēia ʻelua, akā ʻokoʻa ka wahi a me ka mālama ʻana.

• ʻO ka hernia umbilical kahi hernia e ulu kokoke ana i ka piko o ke pēpē. ʻO kēia ka wā e puka mai ai ka ʻiʻo momona a i ʻole kahi ʻāpana o ka ʻōpū ma o kahi lua ma ka paia ʻōpū kokoke i ka piko. I kekahi manawa e ho'ōla ʻia ka hernia umbilical ma kona iho i loko o hoʻokahi a ʻelua paha makahiki. ʻAʻole pono pinepine ke ʻoki ʻana.
• Loaʻa kahi hernia inguinal kokoke i ka ʻūhā. Pono maoli ia i ke ʻoki ʻana, no ka mea, ʻaʻole ia e ho'ōla iā ia iho.

He aha ka ʻokoʻa ma waena o ka hernia inguinal a me ka hydrocele?

Hiki i nā mākua ke huikau i kekahi manawa e kēia mau mea ʻelua no ka mea he mau pehu ia e ʻike ʻia a puni nā testicles o nā keiki kāne.

• He ʻeke piha wai ka hydrocele i loko o ka ʻūhā a i ʻole ka scrotum o ka pēpē. Ua like ka hydrocele me ka hernia inguinal. Akā, ʻaʻohe ʻiʻo i loko o ka hydrocele, he wai wale nō. Ma kahi o 1 i loko o 10 mau keikikāne hānau hou he hydrocele. ʻO ka hapa nui o ka manawa, e nalo wale kēia mau mea i loko o ka makahiki mua. Inā he hydrocele kāu pēpē, a ʻaʻole ʻeha, ʻaʻole pono koke ke ʻoki ʻana.
• I loko o kahi hernia inguinal , ua komo paha kekahi hapa o ka ʻōpū i loko o kēlā ʻeke. ʻAʻole loaʻa i nā kaikamahine pēpē nā hydroceles, akā hiki iā lākou ke loaʻa nā hernias.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

Ke ʻike ʻoe ua loaʻa i kāu pēpē hānau hou kahi hernia inguinal, hiki iā ʻoe ke manaʻo nui i ka hopohopo a me ka makaʻu. He mea maʻamau loa ia. "He aha ka mea i hana i kaʻu mea liʻiliʻi?" he manaʻo ia a nā mākua e manaʻo pinepine ai. Akā e hoʻomanaʻo, he mea maʻamau loa nā hernia inguinal i nā pēpē a me nā keiki.

Inā ʻike ʻoe i kahi puʻupuʻu ma ka ʻūhā o kāu pēpē, mai hoʻowahāwahā iā ia, e lawe koke i kāu pēpē i ke kauka. Hiki i nā hernias inguinal ke hopohopo e lohe a ʻike, akā he hōʻailona maʻamau ia a hiki ke mālama maʻalahi ʻia. ʻAe, pono kāu pēpē i ke ʻoki ʻana e hoʻoponopono i ka pilikia. Akā he hana maʻalahi a wikiwiki hoʻi ia. Pono ʻoe e ʻike i kāu pēpē e holo ana a pāʻani hou i loko o kekahi mau lā a i ʻole nā ​​pule.

No laila, mai hopohopo nui, akā ʻo ka mea nui loa, ʻo ia ka makaʻala i nā hōʻailona a ʻimi i ke kōkua lapaʻau i ka manawa kūpono. E hahai pono i nā ʻōlelo a kāu kauka. A laila e ola koke kāu pēpē!

ʻO ka hernia inguinal, hernia pēpē, hernia groin, Hernia Inguinal, hernia pēpē, ʻoki hernia, prolapsed bowel