Loaʻa iā ʻoe kahi hernia e like me kēia? E aʻo kākou e pili ana i ka Obturator Hernia!

Ua lohe paha ʻoe i kahi "Obturator Hernia"? Malia paha he ʻano ʻē iki kēia inoa. Akā he ʻano hernia nō hoʻi kēia. Akā he mea kakaikahi iki ia, ʻoiai hoʻi i nā wahine ma waena o 70 a me 90 mau makahiki. No laila i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o kēia hernia obturator, pehea e ulu ai, he aha nā hōʻailona, ​​a he aha nā lāʻau lapaʻau. Ma ka maʻalahi loa, e wehewehe wau i kēia mau mea ma ke ʻano e hiki ai iā ʻoe ke hoʻomaopopo.

He aha kēia hernia obturator?

I ka ʻōlelo maʻalahi, ʻo ka hernia obturator he hernia i loko o ko kākou pelvis, ʻo ia ka ʻāpana o ka iwi ʻūhā i loko o ka pelvis, he puka liʻiliʻi kona, i kapa ʻia ʻo ke kahawai obturator , ma o ia wahi e puka mai ai kahi ʻāpana o ka ʻōpū a i ʻole ka momona i loko o ka ʻōpū. E noʻonoʻo iā ia e like me ka ea liʻiliʻi e puka mai ana mai kahi lua liʻiliʻi i loko o kahi pōpō.

Ua like kēia foramen obturator me kahi ala liʻiliʻi ma waena o ko kākou mau iwi pelvic. ʻO ka maʻamau, hele nā ​​aʻalolo a me nā kīʻaha koko ma o ia mea. Eia nō naʻe, i ka wā e nāwaliwali ai ko kākou mau ʻiʻo papahele pelvic , nā ʻiʻo i loko o ka ʻōpū haʻahaʻa e kōkua ana e hoʻopaʻa i ko kākou mau kino i loko, hiki i kahi ʻāpana o ka ʻōpū, ʻoiai ka ʻōpū liʻiliʻi , a i kekahi manawa ka ʻōpū nui, ke paʻi ma kēlā ala.

Hiki i kēia ke lilo i kūlana weliweli. No ka mea, ʻo ka ʻāpana o ka ʻōpū e puka mai ana e like me kēia hiki ke paʻa ma waena o nā ʻiʻo papahele pelvic a i loko paha o ke ala obturator. Inā hana ʻia kēlā , hiki ke loaʻa kahi ālai ʻana o ka ʻōpū . ʻO ia hoʻi, ua ālai ʻia ke ala o ka ʻōpū. He kūlana kēia e pono ai ka mālama olakino ulia pōpilikia. Pono paha ʻoe e hana koke i ke ʻoki kino e hoʻoponopono ai i kēia.

He aha nā hōʻailona o kēia? Loaʻa iā ʻoe kēia mau mea pū kekahi?

ʻAʻole paha e ʻike koke ʻia nā hōʻailona o kahi hernia obturator, akā e makaʻala i kēia mau mea:

• ʻEha ʻōpū: Hoʻomaka kēia ma ka ʻaoʻao ʻākau o lalo o ka ʻōpū a laila hiki ke pālahalaha ma loko o ka ʻōpū.
• Paʻa ʻōpū: Paʻakikī ke hele i ka lua.
• ʻŌpū pehu: Manaʻo e like me ka pehu ʻana o ka ʻōpū.
• Ka luaʻi a me ka luaʻi ʻana: Manaʻo maʻi a me ka luaʻi ʻana.
• ʻEha ma ka ʻūhā: He hōʻailona kikoʻī kēia. Hoʻomaka ka ʻeha ma ka ʻūhā a pālahalaha i lalo i ka ʻaoʻao o loko o ka ʻūhā. I kekahi manawa hiki ke ʻike ʻia kēia ʻeha a hiki i ke kuli. Ua kapa ʻia hoʻi kēia ʻo ka hōʻailona Howship-Romberg . ʻO ke ʻano kēia, ua hana ʻia ka ʻeha e ka ʻāpana i paʻa ʻia o ka ʻōpū e kaomi ana i ke aʻalolo obturator.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​ʻoiai inā ʻelemakule ʻoe, he manaʻo maikaʻi e ʻike i ke kauka.

No ke aha e hana ʻia ai kēia hernia obturator? He aha nā mea pilikia?

E like me kaʻu i ʻōlelo ai ma mua, ʻo ke kumu nui ka nāwaliwali o nā ʻiʻo papahele pelvic. No laila, aia kekahi mau mea e hiki ai ke hoʻonāwaliwali i kēia mau ʻiʻo, kahi e hoʻonui ai i ka pilikia o ka loaʻa ʻana o kahi hernia obturator:

• Makahiki: I ko kākou ʻelemakule ʻana, nāwaliwali nā ʻiʻo a pau o ko kākou kino, me nā ʻiʻo papahele pelvic. Eia kekahi, loli ka membrane e uhi ana i ka puka o ke kahawai obturator me ka ʻelemakule. Hoʻonui kēia mau mea ʻelua i ka pilikia o kahi ʻāpana o ka ʻōpū e puka mai ana. ʻO ia ke kumu i ʻoi aku ka maʻamau i ka poʻe ʻelemakule.
• Paʻa mau: Ke pono ʻoe e hoʻoluhi a hele pinepine i ka lua, kau ia i ka nui o ke kaomi ma luna o kou mau ʻiʻo papahele pelvic. I ka hala ʻana o ka manawa, hiki i kēia mau ʻiʻo ke lilo i nāwaliwali. E noʻonoʻo e like me ka hāpai ʻana i kahi mea kaumaha i nā manawa a pau.
• ʻO ka maʻi pulmonary obstructive mau loa (COPD): ʻO ka poʻe me nā maʻi e like me COPD e ʻū pinepine. Ke kū mai kēia ʻū, piʻi ke kaomi i loko o ka lua ʻōpū. Hoʻopilikia pū kēia kaomi i nā ʻiʻo pelvic, hiki ke hoʻonāwaliwali iā lākou.
• ʻO ke kaumaha haʻahaʻa: ʻOi loa aku i ka wā e emi koke ai kou kaumaha i kou wā ʻelemakule, emi ka nui o ka momona a puni ke ala obturator. Hoʻonui kēia i ka manawa e ulu ai kahi hernia i loko o ke ala. Inā emi kou BMI (Body Mass Index) ma mua o 18.5, ua manaʻo ʻia ʻoe he kaumaha haʻahaʻa.
• Nā hānau keiki he nui: Hiki ke hoʻonāwaliwali iki ʻia nā ʻiʻo papahele pelvic o nā makuahine i hānau keiki he nui.

Inā pili kekahi a ʻoi aku paha o kēia mau mea iā ʻoe, pono e mālama i kekahi mau mea e pale aku ai i ka hernia obturator.

He aha nā pilikia e hiki ai i kēia ke hana?

Inā ʻaʻole mālama pono ʻia kahi hernia obturator, hiki ke loaʻa nā pilikia weliweli.

1. ʻO ka hernia obturator i hoʻopaʻa ʻia: ʻO kēia ka wā e paʻa ai ka hernia ma waena o nā ʻiʻo pelvic a ʻaʻole hiki ke hoʻi i loko. Hiki i kēia ke alakaʻi i kahi ʻōpū i ālai ʻia , ʻo ia hoʻi ka ālai ʻana o ka ʻōpū liʻiliʻi.

2. Strangulated obturator hernia: ʻO kēia ke kūlana weliweli loa. ʻO ka ʻāpana o ka ʻōpū i loko o ka hernia e nalowale ana ke kahe o ke koko. Ua like ia me kekahi e ʻūlū ana i kou ʻāʻī. Inā ʻaʻole loaʻa ke koko, hoʻomaka ka make ʻana o ka ʻiʻo o ka ʻōpū. Ua kapa ʻia kēia he necrosis . He pilikia weliweli kēia e hoʻoweliweli ana i ke ola.

He mea nui: Inā loaʻa koke iā ʻoe ka ʻeha nui o ka ʻōpū, ka nausea, a i ʻole ka luaʻi ʻana, he hōʻailona paha ia o kahi hernia strangulated. Inā hana ʻia kēia , pono ʻoe e hele koke i ka haukapila.

Pehea e ʻike ai nā kauka i kēia?

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 hana lākou i kahi hoʻokolokolo kino. Hiki iā lākou ke hana i nā hoʻokolohua e like me kēia:

• Hoʻāʻo Howship-Romberg:Ma kēia hoʻokolohua, e hoʻoneʻe ke kauka i kou hui ʻūhā a nīnau inā ʻoe e ʻike i kekahi ʻeha ma loko o kou ʻūhā.
• Hoʻāʻo Hannington-Kiff: Ma kēia hoʻāʻo, e pā mālie ke kauka i kekahi mau wahi o kou iwi shin (tibia) a i ʻole ka iwi ʻūhā (femur). Hana ʻia kēia e nānā inā ʻūlū nā ʻiʻo o ka ʻūhā.

Ma hope o kēia mau hoʻokolohua, hiki ke hana ʻia kahi CT scan (Computed Tomography scan) e hōʻoia i ke alo o kahi hernia obturator. Hiki i kēia ke hōʻike maopopo i kahi a me ka nui o ka hernia.

Pehea e mālama ʻia ai?

ʻO ke ʻoki kino wale nō ke ʻano lapaʻau mau loa no ka hernia obturator. Hana ʻia ke ʻoki kino e hoʻoponopono i ka hernia.

I ka wā o ke ʻoki ʻana, hana ke kauka ʻoki i kahi ʻoki liʻiliʻi ma kou ʻōpū haʻahaʻa a i ʻole ka ʻāpana groin a hoʻokokoke aku i ka hernia ma ke kahawai obturator. A laila, hoʻihoʻi ʻia nā ʻāpana e puka mai ana o ka ʻōpū i loko o ka lua ʻōpū a hoʻoponopono ʻia ka wahi nāwaliwali ma ka paia ʻōpū. I kekahi manawa, hiki ke hoʻohana ʻia kekahi mea e like me ka mesh e hoʻoikaika i ka wahi nāwaliwali.

Hiki ke hana ʻia kēia ʻoki kino ma nā ʻano he nui:

• ʻOki hāmama: ʻO ke ʻoki ʻana i hana ʻia ma o kahi ʻoki nui ma ke ʻano kuʻuna.
• ʻO ke ʻoki Laparoscopic: He ʻoki i hana ʻia ma o kekahi mau ʻoki liʻiliʻi, me ka hoʻohana ʻana i kahi kāmela a me nā mea hana palupalu. Ua kapa ʻia hoʻi kēia ʻo "keyhole surgery."
• ʻO ke ʻoki hoʻoponopono hernia robotic: Ua like kēia me ke ʻano laparoscopic, akā hana ke kauka lapaʻau i ke ʻoki ʻana me ka hoʻohana ʻana i ka lima robotic.

E wehewehe ke kauka lapaʻau iā ʻoe i ke ʻano o ke ʻoki ʻana i kūpono loa iā ʻoe.

Inā he pilikia, e like me ka hernia obturator strangulated , a ua hōʻino ʻia ka ʻōpū, pono paha ke ʻoki kino hou aʻe. Hiki i kēia ke komo pū me kahi colectomy e wehe i ka ʻāpana i hōʻino ʻia o ka ʻōpū.

Aia kekahi mau pilikia ma hope o ke ʻoki kino?

Hiki ke hana ʻia nā pilikia liʻiliʻi e like me kēia ma hope o kekahi ʻoki hernia, akā ʻaʻole lākou e hana i nā mea āpau.

• Ke kahe ʻana o ke koko
• ka hōʻino ʻana i ke aʻalolo obturator (he mea kākaʻikahi loa kēia)
• Maʻi ʻeha ma kahi ʻoki kino

E hoʻomaopopo kāu hui lapaʻau iā ʻoe e pili ana i kēia.

ʻEhia ka lōʻihi e ho'ōla ai?

Hiki ke ʻokoʻa ka manawa hoʻōla ma hope o ke ʻoki ʻana mai kēlā kanaka a kēia kanaka. Aia ia i nā kumu e like me:

• He aha ke ʻano o ke ʻoki hernia i hana ʻia: No ka laʻana, ʻoi aku ka pōkole o ka manawa hoʻōla ma hope o ke ʻoki laparoscopic ma mua o ke ʻoki hāmama.
• Inā paha he colectomy kāu (wehe ʻana i kahi ʻāpana o kou ʻōpū): Inā pēlā, hiki ke lōʻihi iki ka manawa e ho'ōla ai.
• Kou olakino holoʻokoʻa: Inā loaʻa iā ʻoe kahi maʻi e like me ka nele i ka ʻai a i ʻole nā ​​​​maʻi ʻē aʻe e like me COPD , hiki ke lōʻihi ka manawa e ho'ōla ai.

Eia nō naʻe, no ka mea he ʻokoʻa ke kūlana o kēlā me kēia kanaka, e wehewehe ana kāu kauka i ka mea hiki iā ʻoe ke manaʻo a me ka wikiwiki e hiki ai iā ʻoe ke hoʻi hou i kāu mau hana maʻamau.

He aha ka mea e hiki mai ana me kēia kūlana?

Ma hope o ke ʻoki ʻana i ka hernia, e ola paha kahi hernia obturator a e nalo aku nā hōʻailona. Akā e hoʻomanaʻo, hoʻōla wale kēia ʻoki ʻana i ka hernia. Inā loaʻa iā ʻoe nā maʻi ʻē aʻe, e like me ka malnutrition a i ʻole COPD, e hoʻonui ai i kou pilikia o ka loaʻa ʻana o kahi hernia, pono ʻoe i ka mālama olakino a me ke kākoʻo mau. He mea nui e kaohi i kēlā mau maʻi.

Āhea ʻoe e ʻike ai i ke kauka? Āhea ʻoe e hele koke ai i ka haukapila?

Inā loaʻa iā ʻoe ka ʻeha mau o ka ʻōpū a i ʻole ka ʻeha ʻūhā, mai hoʻowahāwahā iā ia a e ʻimi i ke kauka no ka ʻōlelo aʻo. ʻO kēia mau hōʻailona paha he mau hōʻailona o kahi hernia obturator a ʻaʻole paha. Akā he mea nui e ʻimi i ke kumu.

He pilikia kēia! E hele koke i ka haukapila inā loaʻa iā ʻoe kēia mau hōʻailona:

• ʻEha nui loa, ʻeha koke o ka ʻōpū.
• Ka luaʻi a i ʻole ka luaʻi ʻana.

He mau hōʻailona paha kēia o kahi hernia obturator strangulated , kahi kūlana e pono ai ka mālama ʻana i ka pilikia.

ʻO nā mea nui loa āu e hoʻomanaʻo ai

I ko kākou ʻelemakule ʻana, manaʻo paha kākou he mea maʻamau ke loli o ko kākou kino. Hiki iā kākou ke hoʻowahāwahā i nā ʻehaʻeha liʻiliʻi ma ko kākou ʻōpū a i ʻole nā ​​ʻūhā e like me "ke ʻano o nā mea me ka ʻelemakule." Eia naʻe, hiki i kēia mau hōʻailona ke hopena o kahi hernia obturator. ʻOiai he mau ʻano hernia kakaikahi kēia, hiki iā lākou ke hana, ʻoiai hoʻi i nā wahine i ko lākou mau makahiki 70, 80, a me 90.

No laila, inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha o ka ʻōpū, e kamaʻilio me ke kauka. ʻAʻole paha he hernia obturator. Akā, ʻo ka haʻi ʻana i kāu mau hōʻailona a me kou hopohopo me ke kauka ke kaʻina mua e hoʻomaikaʻi ai. Mai hopohopo, eia nā kauka e kōkua.

Manaʻolana wau he kōkua kēia ʻike iā ʻoe. Inā he mau nīnau hou aku kāu, mai kānalua e nīnau i ke kauka. E noho olakino!

ʻHernia , Hernia Obturator, Prolapse ʻōpū, ʻeha Pelvic, ʻoki kino, olakino ʻelemakule, Hernia Obturator