He puʻupuʻu kou ma kou ʻōpū lalo? He hernia perineal paha ia?

Ua manaʻo paha ʻoe i kahi mea ʻē, ʻeha, a i ʻole kahi puʻupuʻu liʻiliʻi ma kou ʻōpū haʻahaʻa a i ʻole nā ​​puʻupuʻu i kou noho ʻana a kū ʻana paha? ʻAʻole paha ʻoe i manaʻo he hernia kēia, akā he ʻano ʻokoʻa iki ia, he ʻano kakaikahi. I kēia lā e kamaʻilio mākou e pili ana i ia ʻano, i kapa ʻia he hernia perineal. Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka hernia perineal? E hoʻomaopopo maʻalahi kākou!

ʻAe, e nānā kākou i ke ʻano o kēia mau huaʻōlelo ʻelua "perineal hernia". A laila e ʻoi aku ka maopopo o kēia iā ʻoe.

• He aha ke ʻano o "Perineal"?

I ka ʻōlelo maʻalahi, ʻo ka ʻili ma waena o kou anus (kahi āu e poop ai) a me kou mau genitals (kahi o kou vagina i nā wahine a me kou scrotum i nā kāne) ua kapa ʻia ʻo ka perineum. He ʻāpana kēia o ko mākou papahele pelvic. ʻO ka papahele pelvic kahi hōʻiliʻili o nā ʻiʻo a me nā ʻiʻo e waiho ana ma lalo o ko mākou ʻōpū, ma waena o ko mākou mau wāwae, a e kākoʻo ana i kekahi o ko mākou mau kino o loko (e like me ka mimi ʻōpū, ka uterus, a me nā ʻōpū).

• He aha ke ʻano o ka "Hernia"?

ʻO ka hernia ka wā e lilo ai kekahi hapa o kahi ʻōkana, ʻiʻo momona, ʻiʻo, a i ʻole fascia, he ʻiʻo kākoʻo , i nāwaliwali a puka i waho o kēlā wahi nāwaliwali . Ua like ia me kahi pōpō e puʻupuʻu mālie ana mai kahi hoʻokahi ke hoʻopiha ʻoe. A i ʻole, ua like ia me ka paia ʻaoʻao o kahi huila kahiko e puʻupuʻu ana i waho.

A laila, ʻo ka hernia perineal kahi kūlana kahi e nāwaliwali ai nā ʻiʻo papahele pelvic ma ka ʻāpana perineum, e hoʻoulu ai i kahi ʻāpana o kahi ʻōkana a i ʻole nā ​​​​ʻiʻo i loko o ka lua ʻōpū e paʻi. Hiki ke hana pinepine ʻia kēia ma ke ʻano he hopena ʻaoʻao kakaikahi o ke ʻoki ʻana ma ka ʻāpana pelvic. Hiki ke hana ʻia e kekahi mau maʻi a me nā ulia. He mea kākaʻikahi loa, aia nā hihia i hānau ʻia.

Aia kekahi mau ʻano hernia perineal?

ʻAe, hoʻokaʻawale nā ​​​​kauka i kēia mau hernias perineal i nā ʻano nui penei:

• Nā hernias i loaʻa: Hana ʻia kēia ma hope o kahi ulia, maʻi, a hāpai paha.
• ʻO ka hernia hānau: He mea kākaʻikahi loa kēia. He kūlana ia e kū mai ana i ka wā hānau.
• Hernia Lua: ʻO kēia ke ʻano hernia maʻamau. Hana ʻia ma hope o ke ʻoki ʻana.

Pehea ka maʻamau o kēia hernia perineal?

He mea maʻamau loa nā hernias. Hiki iā lākou ke loaʻa i nā kānaka o kēlā me kēia makahiki. ʻO ke ʻano hernia maʻamau i kapa ʻia he hernia inguinal, kahi mea maʻamau i nā kāne. E noʻonoʻo, ma kahi o hoʻokahi o ʻekolu mau kānaka ma ʻAmelika Hui Pū ʻIa e loaʻa i kahi hernia i ko lākou ola.

Eia nō naʻe, he ʻano kakaikahi loa nā hernia perineal . Loaʻa lākou i kahi pakeneka liʻiliʻi o ka poʻe e hana ana i nā kaʻina hana ʻoki pelvic, mai 0.34% a i 7%. ʻOi aku ka nui o ka loaʻa ʻana o kēia ʻano hernia i nā wahine .

No ke aha e hana ʻia ai kēia hernia perineal? He aha nā kumu?

ʻO ke kumu nui o ka hernia perineal ka hōʻino ʻia ʻana o nā ʻiʻo o kou papahele pelvic a me ke kino kākoʻo i kapa ʻia ʻo fascia, hiki ke lilo i nāwaliwali a kīkoʻo paha. Hiki ke hana ʻia kēia hōʻino e:

• ʻO ke ʻoki kino nui: ʻOi aku ka wehe ʻana o nā kaʻina hana e pili ana i kahi ʻoki nui ma ka ʻōpū lalo. Hiki i kēia mau ʻoki kino ke hana i ka nui o ka haehae a me ke kīkoʻo ʻana o nā ʻiʻo a me nā ʻiʻo o ka papahele pelvic. I ka nāwaliwali ʻana o kēia mau ʻiʻo a me nā ʻiʻo ma hope o ke ʻoki kino, piʻi ka pilikia o ka prolapse o ke kino. ʻO ka maʻamau, hana ʻia kēia hernia ma waena o 6 mau mahina a me 5 mau makahiki ma hope o ke ʻoki kino.
• Nā ʻeha
• Kekahi mau maʻi
• Hāpai keiki

E noʻonoʻo e like me ka ʻupena. Hoʻopaʻa kēlā ʻupena i ko kākou ʻōpū mimi, rectum, prostate i nā kāne, uterus, a me ka vagina i nā wahine, e pale ana iā lākou mai ka hāʻule ʻana i lalo. Inā nāwaliwali kēlā ʻupena i kekahi wahi, ma laila e kū mai ai kēia hernia.

He aha nā ʻano hana e hoʻonui ai i ka pilikia o ka hernia perineal?

Aia kekahi mau ʻoki kino e hoʻonui ai i ka pilikia o ka loaʻa ʻana o kēia ʻano lua o ka hernia perineal. Eia kekahi mau laʻana:

• ʻO ka ʻoki ʻana o ka ʻōpū: He ʻoki kino kēia no ke kanesa rectal a i ʻole ke kanesa anal. Hoʻoneʻe ʻia ka rectum, anus, a me kahi ʻāpana o ka ʻōpū nui i kapa ʻia ʻo ka colon sigmoid. Hiki ke hana ʻia kēia ma ke ʻano laparoscopic (ma o kekahi mau ʻoki liʻiliʻi) a i ʻole wehe ʻia (ma o kahi ʻoki nui). Loaʻa i nā ʻano ʻelua kahi pilikia o ka hernia.
• ʻO ka ʻoki mua haʻahaʻa (proctectomy): Wehe kēia ʻoki kino i ka ʻāpana āpau a i ʻole ka rectum ma o kahi ʻoki ma ka ʻōpū lalo ma muli o ke kanesa. He lāʻau lapaʻau nō hoʻi ia no ka maʻi ʻōpū mumū (IBD).
• Ka hoʻokuʻu ʻana o ka pelvic:Hoʻopau kēia ʻoki kino i ka rectum a me nā ʻōpū kokoke e like me ka ʻōpū mimi, ka prostate, a i ʻole ka uterus. Ma waho aʻe o ke kanesa rectum, hana ʻia kēia ʻoki kino no ke kanesa prostate i nā kāne a me ke kanesa cervical, ke kanesa uterine, ke kanesa vaginal, a me ke kanesa vulvar i nā wahine.
• Prostatectomy: ʻO kēia ʻoki kino no ka maʻi ʻaʻai prostate e pili ana i ka wehe ʻana i ke kelepa prostate. Hiki ke hana ʻia me ka hoʻohana ʻana i ʻelua mau ʻano: open radical prostatectomy a me laparoscopic prostatectomy.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka hernia perineal?

Aia kekahi mau kumu e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i kēia hernia:

• ʻOiai he wahine: E like me ka mea i ʻōlelo ʻia ma mua, ʻoi aku ka nui o ka pilikia o nā wahine.
• Nā lāʻau lapaʻau no ke kanesa: Nā mea e like me ka chemotherapy a me ka radiation therapy.
• He moʻolelo o ka puhipaka ka mea i loaʻa .
• Hysterectomy: ʻO ke ʻano kēia o ke ʻoki ʻana e wehe i ka ʻōpū.
• Nā ʻōpū rectal a i ʻole ke kanesa .
• ʻO ka hoʻohana ʻana i nā immunosuppressants .

He aha nā ʻōpū e hiki ke hoʻopilikia ʻia e ka hernia perineal?

Ke hoʻonāwaliwali ʻia ka papahele pelvic ma hope o kahi ulia a i ʻole ke ʻoki ʻana, hiki ke hoʻokomo ʻia nā ʻāpana o kēia mau kino i loko o ka lua ʻōpū:

• ʻŌpū mimi
• ʻōpū nui
• ʻOmentum (He papa momona kēia e uhi ana i nā mea e like me ko kākou ʻōpū, ke akepaʻa, a me ka ʻōpū)
• ʻōpū liʻiliʻi
• ʻōpū

He aha nā hōʻailona o ka hernia perineal?

ʻAʻole paha e loaʻa i kekahi poʻe me ka hernia perineal kekahi mau hōʻailona. Eia nō naʻe, hiki i kekahi ke loaʻa ka ʻeha a i ʻole ka ʻoluʻolu ʻole i ka wā e noho ana . ʻO nā hōʻailona ʻē aʻe:

• Ka paʻakikī i ka mimi ʻana a i ʻole ka ʻōpala .
• Ka manaʻo o ka huki ʻana a i ʻole ka ʻeha ʻoluʻolu ʻole ma ka ʻōpū lalo i ka wā e kū ana.
• Ka ālai ʻana o ka ʻōpū liʻiliʻi a i ʻole ka ālai ʻana o ka ʻōpū nui. (He ʻano koʻikoʻi iki kēia.)
• ʻO ka mea me ka pehu ʻike ʻia ma kekahi puhaka .

E noʻonoʻo, ua paʻakikī loa iā Nimal ke noho no kekahi mau lā ma hope o kahi ʻoki kino nui. Manaʻo ʻo ia e like me kekahi mea e paʻi ana i loko o kona puʻupuʻu, e like me ka pōpō. I ka wā mua, ua manaʻo ʻo ia he ʻeha ia mai ka ʻeha. Akā i kona hōʻike ʻana i ke kauka, ua ʻike ʻo ia he hernia perineal ia.

Pehea e ʻike ʻia ai ka hernia perineal?

Ke hele ʻoe e ʻike i ke kauka, e nānā ʻo ia iā ʻoe. Hiki paha iā ʻoe ke hoʻopā i ka ʻeke hernia ke hoʻopā ʻoe iā ia. A i ʻole hiki paha iā ʻoe ke ʻike.

I mea e hōʻoia ai i ka maʻi, e noi ʻia paha ʻoe e hana i kahi CT scan a i ʻole MRI . Hiki i kēia mau scan ke ʻike maopopo i ka mea i loko.

Pehea e mālama ʻia ai kēia?

Pono ke ʻoki kino e mālama ai i ka hernia perineal. ʻO ke ʻoki kino e pili ana i ke kau ʻana i ka ʻōpū herniated i kona wahi a me ka humuhumu ʻana i ka ʻiʻo a i ʻole ka fascia nāwaliwali. I kekahi manawa, hoʻohana ʻia kahi ʻupena synthetic a i ʻole ka ʻūpā ʻiʻo e hoʻoikaika i ka papahele pelvic.

Aia kekahi mau ʻano hana no ka hernias:

• Laparoscopy: He hana kēia e hoʻokomo ʻia ai kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia, i kapa ʻia he laparoscope, a me nā mea hana ʻē aʻe ma o kekahi mau ʻoki liʻiliʻi. Ua kapa ʻia hoʻi ʻo "keyhole surgery."
• ʻO ke ʻoki ʻana i ka robot: He hana ʻokiʻoki holomua kēia i hana ʻia me ka hoʻohana ʻana i ka laparoscope a me kahi robot.
• Transabdominal: Ma kēia ʻano, hana ʻia ke ʻoki ʻana ma ka hana ʻana i kahi ʻoki ma ka ʻōpū kahi i loaʻa ai ka hernia.
• Transperineal: Ma kēia, hana ʻia ke ʻoki ma o kahi ʻoki liʻiliʻi ma ka ʻāpana perineum.

Na ke kauka e hoʻoholo i ke ʻano hana ʻoki kino kūpono loa iā ʻoe.

Hiki ke pale ʻia nā hernia perineal?

ʻOiai ʻaʻole hiki ke pale loa ʻia, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka pilikia.

Hiki iā ʻoe ke hoʻoikaika i nā ʻiʻo o ka papahele pelvic ma o nā hana Kegel .

ʻO nā ʻoki kino e hoʻoulu ai i nā hernia perineal lua he mau ʻoki kino e hoʻōla ola a pono. No laila, ʻaʻole hiki ke pale ʻia. Eia nō naʻe, ma hope o ke ʻoki kino, he mea nui loa ia e hahai pololei i nā kuhikuhi a ke kauka . Inā ʻoe e hahai i nā kuhikuhi e pili ana i ke ʻano o ka hoʻomaka ʻana i ka hoʻoikaika kino a me ka hāpai ʻana i nā mea kaumaha, hiki iā ʻoe ke hōʻemi i ka pilikia o ka loaʻa ʻana o kahi hernia.

Pehea e ho'ōla ai ke kanaka me ka hernia perineal?

ʻO ka hapa nui o ka manawa, ua holomua nā ʻoki hernia perineal. ʻAʻole nui kou pilikia a i ʻole nā ​​​​pilikia ʻē aʻe. Hiki iā ʻoe ke hoʻomaha e like me ka ʻōlelo a kāu kauka a hoʻi mālie i nā hana maʻamau.

Āhea wau e ʻike ai i ke kauka?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e ʻike pono i ke kauka:

• Inā he pehu a puʻupuʻu paha kou i loko o kou perineum a i ʻole kou puʻupuʻu .
• Inā he loli i ka mimi ʻana a i ʻole ka neʻe ʻana o ka ʻōpū (e like me ka paʻakikī, pono e hele pinepine).
• Inā ʻoe e manaʻo i ka ʻeha a i ʻole ka ʻoluʻolu ʻole i kou noho ʻana a kū ʻana paha .

ʻOi loa aku inā ua hana ʻia ʻoe i ke ʻoki pelvic i hala koke nei a ke pilikia nei ʻoe i ka noho ʻana a i ʻole ke kū ʻana, e ʻike pono i ke kauka a nānā ʻia. He hernia perineal paha ia.

He aha kaʻu e nīnau aku ai i kaʻu kauka?

Ke hele ʻoe e ʻike i ke kauka, he mea maikaʻi ke nīnau i kēia mau nīnau:

• No ke aha i loaʻa ai iaʻu kēia hernia perineal?
• He aha ke ʻano o ke ʻoki kino āu e paipai mai ai iaʻu?
• He aha kaʻu e hana ai e pale aku i ka hernia mai ka ulu ʻana i ka wā e hiki mai ana?
• Pono anei au e hopohopo e pili ana i nā hōʻailona o nā pilikia ?

Hōʻuluʻulu manaʻo a me nā mea e hoʻomanaʻo ai

No laila, ʻo ka hernia perineal kahi kūlana kahi e paʻi ai kahi ʻōkana a i ʻole ka ʻiʻo mai ka ʻōpū ma o ka perineum ma muli o ka nāwaliwali o nā ʻiʻo papahele pelvic. ʻOiai he kūlana kakaikahi kēia, hiki nō hoʻi ke hana ʻia ma muli o kekahi mau maʻi, nā ulia, a i ʻole ka hāpai ʻana, ʻoiai ma hope o ke ʻoki ʻana o ka pelvic. ʻO nā hōʻailona e komo pū me ka ʻeha i ka wā e noho ana, ka pehu ʻana, a me ka paʻakikī i ka defecating/urinating. ʻO ka lāʻau lapaʻau maikaʻi loa no kēia, ʻo ia ka hoʻoponopono ʻana i ka hernia ma o ke ʻoki ʻana a hoʻoikaika i nā ʻiʻo nāwaliwali.

ʻO ka mea nui loa, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​mai hoʻowahāwahā iā lākou a e ʻike koke i ke kauka no ka ʻōlelo aʻo. ʻO ka ʻike mua ʻana e maʻalahi ai ka mālama ʻana a hiki iā ʻoe ke ho'ōla koke. Mai hopohopo, aia nā lāʻau lapaʻau maikaʻi no kēia!

ʻO ka Hernia Perineal, Hernia, Pelvic Floor, ʻoki kino, nā hōʻailona, ​​​​​​ka lāʻau lapaʻau, Rectum, Perineal Hernia