Ke ʻeha nei hoʻi ʻoe ma kou ʻāpana ʻūhā ke ʻū ʻoe, hāpai i kahi mea kaumaha, a i ʻole ke hoʻoluhi iki ʻoe ma ka lua? A i ʻole ua ʻike ʻoe i kahi puʻupuʻu liʻiliʻi e kū mai ana ma ia wahi? Ua ʻike paha ʻoe i kēia puʻupuʻu ke kū ʻoe a i ʻole ke moe ʻoe. ʻO kēia ka mea a mākou e kapa nei ʻo 'Inguinal Hernia' i ka lāʻau lapaʻau. Mai makaʻu i kou lohe ʻana i kēia inoa, he maʻi maʻamau kēia. I kēia lā, e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha kēia hernia?
E noʻonoʻo i nā ʻōpū i loko o ko kākou ʻōpū (e like me ko kākou ʻōpū) e pale ʻia ana e kahi papa ikaika o nā ʻiʻo. Ua like ia me kahi ʻeke me nā mea i loko. I kekahi manawa e lilo kēia papa ʻiʻo i nāwaliwali. A laila, e paʻi ana kahi ʻāpana o ka ʻiʻo i loko o ka ʻōpū, ʻo ia hoʻi kahi hapa o ka ʻōpū, ma o kēlā wahi nāwaliwali. ʻO ia ka mea a mākou e kapa nei he hernia.
Ua kapa ʻia kēia he 'inguinal hernia' no ka mea e kū mai ana ia ma ka ʻūhā, ʻo ia hoʻi, ma lalo pono o ka pihi ʻōpū, kahi e hoʻomaka ai ka wāwae. Hiki ke koʻikoʻi kēia, no laila ʻaʻole ia he manaʻo maikaʻi e hoʻowahāwahā i nā hōʻailona. ʻO ka maʻamau, hiki i ke kauka ke ʻike maʻalahi inā loaʻa iā ʻoe kēia ma ka nānā ʻana iā ʻoe.
He aha nā hōʻailona o ka hernia?
Inā loaʻa iā ʻoe kahi hernia inguinal, hiki iā ʻoe ke manaʻo i nā mea e like me kēia. E nānā kākou i kēia mau hōʻailona.
| Hōʻailona | Pehea kou manaʻo |
|---|---|
| He puʻupuʻu a pehu paha ma ka ʻūhā | He puʻupuʻu liʻiliʻi e like me ka pōpō e puka mai ana mai ka ʻāpana ʻūhā ke kū ʻoe, ʻū, a hāpai paha i kahi mea kaumaha. Hoʻi pinepine kēia i loko ke moe ʻoe. |
| ʻEha a ʻoluʻolu ʻole paha | E manaʻo paha ʻoe i ke kaumaha, ke kaomi, ka huki ʻana, a i ʻole ka ʻeha ma ka ʻāpana ʻūhā. Hiki ke hoʻonui ʻia kēia ʻeha, ʻoiai ke kūlou ʻana a i ʻole ka hāpai ʻana i kahi mea kaumaha. |
| Manaʻo wela | Hiki paha iā ʻoe ke manaʻo i kahi ʻā a ʻūlū paha ma kahi o ke knot. |
| ʻOi loa aku no nā kāne | Aia paha he pehu a ʻeha paha a puni nā testicles. Ma muli paha kēia o ka hernia e hoʻolōʻihi ana i loko o ka scrotum. |
Nā kumu o ka hernia a ʻo wai ka mea i ʻoi aku ka pilikia?
ʻElua ʻano nui o nā hernias. ʻO kekahi he hernia hānau mua (Indirect Hernia) . Hiki ke hana ʻia kēia ke pani pono ʻole ʻia kahi puka kūlohelohe ma ka ʻūhā i ka wā e ulu ana kahi pēpē i loko o ka ʻōpū o ka makuahine. ʻO kekahi ʻano he hernia e kū mai ana ma hope (Direct Hernia) . Hana ʻia kēia ma muli o ka nāwaliwali o nā ʻiʻo i ko kākou wā ʻelemakule a me nā mea e hoʻonui ai i ke kaomi i loko o ka ʻōpū.
I kēia manawa, e nānā kākou i ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka hernia a no nā kumu.
- ʻO ke kāne: ʻOi aku ka nui o ka loaʻa ʻana o nā hernias i nā kāne ma mua o nā wahine ma muli o ke ʻano o ke kino o nā kāne.
- Ka ʻelemakule ʻana : I ko kākou ʻelemakule ʻana, nāwaliwali maoli nā mākala o ko kākou kino.
- Moʻolelo ʻohana : Inā ua loaʻa i kekahi o kou ʻohana (makuahine, makuakāne, kaikaina) kahi hernia, he wahi liʻiliʻi kou pilikia o ka loaʻa ʻana o kekahi.
- ʻŪhā mau: ʻO ka ʻūhā mau ma muli o kahi maʻi e like me ka hānō a i ʻole ka puhipaka e hoʻonui ai i ke kaomi intra-abdominal.
- Paʻa ʻōpū : Inā pono ʻoe e hoʻoluhi pinepine ma ka lua, hiki iā ia ke hoʻonui i ke kaomi i loko o ka ʻōpū a hana i kahi hernia.
- Ka hāpai kaumaha : ʻO ka poʻe e hāpai pinepine ana i nā mea kaumaha a i ʻole ka poʻe e hāpai hewa ana i nā mea kaumaha, ʻoi aku ka nui o ka pilikia.
- Hāpai keiki : Hiki ke loaʻa ka hernias i ka wā hāpai ma muli o ke kīkoʻo ʻana o nā ʻiʻo o ka ʻōpū a me ka hoʻonui ʻia o ke kaomi ma ka ʻōpū.
- Momona : I ka piʻi ʻana o ke kaumaha o ke kino, ʻoi aku ke kaomi ma luna o nā ʻiʻo o ka ʻōpū.
Loaʻa i nā pēpē hānau hou ka hernias?
ʻAe, no nā pēpē hānau hou, ʻoi aku hoʻi nā pēpē hānau mua.Hiki ke loaʻa kahi hernia inguinal. Inā uē kāu pēpē, ʻū, a ʻūhā paha a ʻike ʻoe i kahi puʻupuʻu liʻiliʻi ma ka ʻāpana groin, e hopohopo. Inā pilikia kāu pēpē i ka hānai ʻana a uē pinepine paha, e kamaʻilio me kāu kauka e pili ana i kēia.
Eia nō naʻe, inā loaʻa i kāu pēpē kēia mau hōʻailona me kahi puʻupuʻu ma ko lākou ʻūhā , pono ʻoe e hele koke i ka Emergency Department (ETU) o ka haukapila :
* Inā he ʻeha nui a ʻeha ke hoʻopā aku
* Inā ua ʻulaʻula a uliuli paha ka wahi i loaʻa ai ka puʻupuʻu
* Inā loaʻa iā ʻoe ke kuni
* Inā ʻoe e luaʻi
* Inā ʻaʻole ʻoe makemake e ʻai
* Inā he kahe koko me ka penis
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona. A laila e nānā ʻo ia i kou ʻāpana groin. E noi paha ʻo ia iā ʻoe e kū i luna a ʻū. A laila, inā he hernia, e puka maopopo mai ia a ʻike ʻia.
I kekahi manawa, hiki ke kauoha ʻia kahi scan ultrasound e hōʻoia i ka hōʻailona. He hoʻāʻo maʻalahi loa ia a ʻeha ʻole. I kekahi manawa, pono paha kahi scan CT a i ʻole MRI .
He aha nā lāʻau lapaʻau no ka hernia?
ʻO ka mea nui, ʻaʻole e ho'ōla wale ka hernia. Hoʻonui pinepine lākou i ka hala ʻana o ka manawa. Inā liʻiliʻi ka hernia a ʻaʻohe ou pilikia, hiki i kāu kauka ke ʻōlelo aku e kali no kekahi manawa me ka ʻole o ke ʻoki ʻana. Eia nō naʻe, inā nui ka hernia a ke hōʻeha nei, pono maoli ke ʻoki ʻana.
ʻElua ʻano nui o ke ʻoki kino:
1. Hoʻoponopono ʻana i ka Hernia Hāmama: ʻO kēia ke hana ʻana i kahi ʻoki liʻiliʻi ma kahi o ka hernia, e hoʻihoʻi i ka ʻiʻo i wehe ʻia i loko o ka ʻōpū, a me ka hoʻoikaika ʻana i ka papa ʻiʻo nāwaliwali. I ka manawa pinepine, hoʻohana ʻia kekahi mea e like me ka mesh e hoʻoikaika i kēia.
2. Hoʻoponopono Laparoscopic Hernia: Ua kapa ʻia kēia ʻo 'minimally invasive hernia repair'. Ma kahi o ka hana ʻana i kahi ʻoki nui, hana wale ʻia kekahi mau lua liʻiliʻi i loko o ka ʻōpū. Hoʻokomo ʻia kahi kāmela (laparoscope) ma o hoʻokahi lua a nānā ʻia ma kahi monitor, a hoʻokomo ʻia nā mea hana maikaʻi loa ma o nā lua ʻē aʻe e hoʻoponopono i ka hernia. ʻAʻole ʻeha iki kēia ʻano hana, ho'ōla wikiwiki, a waiho i ka liʻiliʻi o ka ʻeha.
Pehea e mālama ai me ke ʻoki ʻole ʻana?
Inā liʻiliʻi kou hernia a aia nō ka manawa no ke ʻoki ʻana, hiki iā ʻoe ke hana i kēia mau mea e hōʻemi ai i ka ʻeha:
- Kāohi i ka paʻa ʻana o ka ʻōpū: E inu i ka wai he nui. E hoʻokomo i nā meaʻai kiʻekiʻe i ka fiber, e like me nā huaʻai, nā mea kanu, nā legumes, a me nā palaoa piha i kāu papaʻai.
- E mālama i ke kaumaha olakino: ʻO ka hōʻemi ʻana i ke kaumaha e hōʻemi i ke kaomi ma luna o nā ʻiʻo.
- E pale i ka hāpai ʻana i nā mea kaumaha:E pale i ka hāpai ʻana i nā mea kaumaha i ka hiki. Inā ʻoe e hāpai, e kulou i kou mau kuli a hāpai pono.
He aha ka mea e hana inā ʻaʻole mālama ʻia kahi hernia?
ʻO kēia ka mea nui loa e pono ai kākou a pau e ʻike. Inā hoʻowahāwahā ʻia kahi hernia, hiki iā ia ke alakaʻi i nā pilikia weliweli.
1. Hernia i hoʻopaʻa ʻia: Hoʻopaʻa ʻia ka ʻōpū e puka ana ma waena o nā ʻiʻo a ʻaʻole hiki ke hoʻihoʻi ʻia i loko. Hiki i kēia ke hōʻeha, ka nausea, a me ka luaʻi.
2. Hernia Strangulated: He pilikia olakino kēia. Inā ʻoki ʻia ke kahe koko i ka ʻāpana i strangulated o ka ʻōpū, hoʻomaka kēlā ʻāpana e make. Hiki i kēia ke hoʻoweliweli i ke ola.
Inā loaʻa kēia mau hōʻailona, ʻo ia hoʻi ua ʻūlū ʻia ka hernia a ua pau ke kahe ʻana o ke koko. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU)!
* Inā ʻoi aku ka nui o ka hernia ma mua o ka maʻamau.
* Inā ʻaʻole hiki ke hoʻokomo ʻia ka puʻupuʻu i loko.
* Inā loaʻa iā ʻoe ka ʻeha koke, koʻikoʻi a hiki ʻole ke hoʻomanawanui ma kou ʻūhā.
* Inā ʻulaʻula, poni, a ʻeha paha kahi i loaʻa ai ka puʻupuʻu ke hoʻopā aku.
* Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka luaʻi ʻana, a i ʻole ka pehu ʻana o ka ʻōpū.
Leka Lawe-Home
- ʻO ka hernia inguinal kahi maʻi maʻamau kahi e puka mai ai nā ʻiʻo, e like me ka ʻōpū, ma kahi nāwaliwali o nā ʻiʻo o ka ʻōpū.
- Inā loaʻa iā ʻoe nā hōʻailona e like me kahi puʻupuʻu ma kou ʻūhā a i ʻole ka ʻeha i ka wā e hāpai ana i nā mea kaumaha, mai hoʻowahāwahā iā ia a e ʻike i kāu kauka.
- ʻAʻole ho'ōla ʻia nā hernias ma o lākou iho. ʻO ke ʻoki kino ka lāʻau nui.
- ʻO ka pale ʻana i ka paʻa ʻana o ka ʻōpū, ka mālama ʻana i ke kaumaha olakino, a me ka makaʻala i ka wā e hāpai ai i nā mea kaumaha hiki ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i ka hernia.
- ʻO nā hōʻailona o ka hernia e like me ka ʻeha nui, ke kuni, ka luaʻi ʻana, ka ʻulaʻula o ka puʻupuʻu, a i ʻole ka hiki ʻole ke hoʻihoʻi iā ia he pilikia ia. I kēlā mau hihia, e hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).











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