Ua lohe paha ʻoe i kahi 'hernia', ʻeā? I kekahi manawa lohe mākou ua loaʻa i kekahi o ko mākou ʻohana a i ʻole nā hoaaloha kekahi. ʻO ka hapa nui o ka manawa, ke lohe mākou e pili ana i kahi hernia, manaʻo kekahi poʻe ʻaʻole ia he mea nui. Eia nō naʻe, he ʻaoʻao weliweli ko nā hernia, a ʻo ia ka wā e 'strangulated' ai ka hernia. I kēia lā, e kamaʻilio mākou e pili ana i ka mea e hana ʻia ke strangulated ka hernia, ʻo ia hoʻi ka ʻōlelo lapaʻau, ke hana ʻia kahi hernia (strangulated) . ʻAʻole kēia he mea e lawe māmā ʻia, no ka mea, he pilikia kēia e hiki ke hoʻopilikia i ke ola.
He aha maoli ka hernia strangulated?
I ka ʻōlelo maʻalahi, ʻo ka hernia ka wā e puka mai ai nā ʻiʻo i loko o ko kākou ʻōpū, i kekahi manawa nā ʻōpū, ma o kahi nāwaliwali o ka paia ʻōpū. Me he puʻupuʻu liʻiliʻi lā ke nānā ʻia mai waho mai, a hiki iā ʻoe ke ʻike. I kekahi manawa hiki iā ʻoe ke hoʻokuke i kēia puʻupuʻu i loko, a i ʻole e hoʻi hou ia i loko ona iho.
Akā, ua ālai ʻia kēia hernia, ʻo ia hoʻi , ua pau ke kahe ʻana o ke koko i kēlā ʻāpana e puka mai ana o ka ʻiʻo, ʻoiai hoʻi i kahi ʻāpana o ka ʻōpū . Ua ʻike ʻoe, pono kēlā me kēia ʻiʻo i loko o ko kākou kino i ka oxygen e ola ai, a lawe ʻia kēlā oxygen e ke koko. No laila, ke pau ke kahe ʻana o ke koko, ʻaʻole loaʻa i kēlā mau ʻāpana ʻiʻo ka oxygen. A laila hoʻomaka kēlā mau ʻiʻo e make . Ua kapa ʻia kēia e nā kauka (Necrosis) . Hiki i kēia make ʻiʻo ke hana i ʻelua mau kūlana weliweli loa:
1. (Gangrene ): ʻO ke ʻano kēia e pala ai nā ʻiʻo.
2. (Sepsis ): ʻO ke ʻano kēia ua laha nā germs ma ke kino a hoʻomaka nā ʻōnaehana o ke kino e hana hewa.
He mea hoʻoweliweli kēia mau kūlana ʻelua i ke ola. Akā, e hōʻoiaʻiʻo, ʻaʻole nā hernia āpau e hoʻopaʻahao ʻia e like me kēia. He manawa pōkole ia e hana ai kēlā. E kamaʻilio mākou e pili ana i ke ʻano o ia mea i kahi manawa pōkole.
Pehea ʻoe e ʻike pono ai inā ua hoʻopaʻa ʻia kahi hernia? He aha nā hōʻailona?
Inā loaʻa iā ʻoe kahi hernia a manaʻo ʻoe ua ʻāʻī ʻia, e makaʻala i kēia mau hōʻailona:
- He ʻeha loa ka puʻupuʻu ma ka ʻōpū a i ʻole ka ʻūhā. ʻAʻole paha ʻoe e hiki ke hoʻokomo iā ia ma mua, akā ʻaʻole paha ʻoe e hiki ke hana pēlā i kēia manawa.
- Ke hiki mai nei ka luaʻi a me ka nausea.
- ʻEha nui ma ka ʻōpū a i ʻole ka ʻūhā. Hoʻonui mālie kēia ʻeha a ʻaʻole e emi iho.
- Hoʻololi ke kala o ka ʻili ma kahi o ka puʻupuʻu. Hiki i ka ʻāpana ke lilo i ʻulaʻula, poni, a ʻeleʻele paha ma mua o ka maʻamau.
ʻO ka mea nui loa: Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, pono ʻoe e hele koke i ka haukapila me ka hoʻonele ʻole i ka manawa.
Pehea ka lōʻihi o ka manawa e hoʻopaʻa ʻia ai kahi hernia?
He kūlana weliweli loa kēia. Hiki i kahi ʻāpana o ka ʻōpū i paʻa i loko o ka hernia ke nalowale i kona lako koko a hoʻomaka e make i loko o ʻehā hola wale nō. No laila he mea nui ka mālama koke ʻana.
No ke aha e paʻa ai ka hernia penei? He aha ke kumu?
ʻO ka mea mua, e hoʻomaopopo kākou pehea e hana ʻia ai kahi hernia. Ua puni ko kākou ʻōpū e kahi paia i hana ʻia me nā ʻiʻo. Hiki i kekahi mau ʻāpana o kēia paia ke lilo i nāwaliwali. A laila, ʻo nā ʻiʻo i loko o ka ʻōpū, nā ʻāpana o ka ʻōpū, a pēlā aku, e puka i waho ma o kēlā wahi nāwaliwali. ʻO ia ka mea a mākou e kapa nei he hernia. A laila, ua like ia me kahi puʻupuʻu mai waho mai.
I kēia manawa, i kekahi manawa, ʻaʻole hiki i kēia hernia i puka mai ke hoʻi hou a hiki ke paʻa i kēlā wahi nāwaliwali. Ua kapa ʻia kēia he (Incarcerated Hernia) . I kēia manawa, ke kahe mau nei ke koko, no laila ʻaʻole ia he pilikia nui. Eia naʻe, i ka ulu mālie ʻana o kēia hernia i hoʻopaʻa ʻia, hiki i ke kaomi mai nā ʻiʻo o ka ʻōpū ke ʻomi i nā kīʻaha koko e hele ana i nā ʻiʻo i loko o ka hernia. E like me ka wā e ʻomi ikaika ai ʻoe i kahi paipu wai, e pau ke kahe ʻana o ka wai. ʻO ia ka manawa e pau loa ai ke kahe ʻana o ke koko, a lilo ka hernia i mea weliweli i kapa ʻia ʻo "strangulated hernia."
E noʻonoʻo, ua loaʻa iā ʻAnakala Sumanapala ma ko mākou kauhale kahi hernia ma kona ʻūhā mai kona wā kamaliʻi. ʻAʻole ʻo ia i nānā nui i ia mea. Ua manaʻo ʻo ia, "Pēlā nō ia." Hana nui nō hoʻi ʻo ia. I kekahi lā, ua loaʻa iā ia ka ʻeha ʻōpū hiki ʻole ke hoʻomanawanui a hoʻomaka ʻo ia e luaʻi. Ua lilo ka wahi i loaʻa ai ka puʻupuʻu ma kona ʻōpū i ʻulaʻula a ʻeha. ʻO ia ka manawa i ʻōlelo ai nā kauka, "Ua paʻa ka hernia a pono e ʻoki koke ʻia." ʻO ka pōmaikaʻi, ua lawe koke ʻia ʻo ia i ka haukapila, no laila ua ola ʻo ia. Akā inā ua lohi iki ... ʻaʻole hiki iaʻu ke noʻonoʻo.
Pehea e hōʻoia pololei ai ke kauka i ka hernia strangulated?
Ke hele ʻoe i ka haukapila, e hana mua ke kauka i kahi hoʻokolokolo kino . E nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona a me nā maʻi āu i loaʻa ai ma mua. A laila e hana paha lākou i kekahi mau hoʻokolohua, e like me:
Nā hoʻāʻo e ʻike i ka maʻi
- Helu Koko Piha (CBC) a me ka Basic Metabolic Panel (BMP) : Nānā kēia i ka helu o nā hunaola koko keʻokeʻo i loko o kou koko (e nānā no ka maʻi) a me nā mea nui ʻē aʻe i loko o kou koko.
- CT Scan (Computed Tomography - CT scan) : Hiki i kēia ke ʻike maopopo i ke kūlana o ka hernia, inā paha ua ālai ʻia a hōʻino ʻia paha nā ʻāpana o ka ʻōpū.
- ʻO ka Ultrasound ʻōpū : Hiki i kēia ke hāʻawi i kekahi manaʻo o ka hernia a me nā ʻiʻo a puni.
Pehea e mālama ai i kahi hernia strangulated?
ʻO ke ʻoki kino ka lāʻau nui a hoʻokahi wale nō no ka hernia strangulated. ʻO ka hapa pinepine, ua kapa ʻia ʻo ia he ʻoki kino hoʻoponopono hernia hāmama .
Ma kēia, hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi ma kahi o ka hernia a hoʻihoʻi pono i ka ʻiʻo i paʻa i loko o ka ʻōpū. A laila, pani ʻia ka ʻāpana nāwaliwali o ka paia ʻōpū me nā humuhumu. I kekahi manawa, hoʻohana ʻia kahi ʻano mesh e hoʻoikaika i nā ʻiʻo.
Eia nō naʻe, inā paʻa ka hernia a nele kekahi ʻāpana o ka ʻōpū i ke koko a hōʻino ʻia a make, a laila pono e wehe ʻia ka ʻāpana i hōʻino ʻia o ka ʻōpū.Pono paha ʻoe e hana i kahi ʻoki ʻōpū liʻiliʻi a i ʻole kahi ʻoki ʻana i ka kolona . He ʻoki nui kēia.
Aia kekahi mau pilikia o ke ʻoki ʻana o ka hernia?
E like me nā ʻoki kino āpau, loaʻa i ke ʻoki kino e hoʻoponopono ai i kahi hernia strangulated kekahi mau pilikia, a i ʻole nā pilikia. Eia naʻe, ʻaʻole kēia mau mea e hana i nā mea āpau.
- Ka hōʻino ʻana i nā kīʻaha koko, nā ʻōkana ʻē aʻe, a i ʻole nā ʻiʻo kokoke i kahi ʻoki.
- Hematoma (hōʻiliʻili koko ma lalo o ka ʻili) ma kahi ʻoki.
- Ka hōʻiliʻili ʻana o ka wai ma lalo o ka ʻili ma kahi i hana ʻia ai ke ʻoki (Seroma).
- Ka maʻi ʻana o ke kahua ʻoki .
Inā hana ʻia kekahi mea e like me kēia, e hāʻawi nā kauka i ka lāʻau lapaʻau e pono ai.
ʻEhia ka lōʻihi e hoʻōla ai ma hope o ke ʻoki kino?
Pono ʻoe e noho i ka haukapila no kekahi mau lā ma hope o ke ʻoki kino. ʻOkoʻa ka manawa e hoʻōla piha ai mai ke ʻoki kino e hoʻoponopono ai i kahi hernia strangulated mai kēlā kanaka a kēia kanaka. Aia ia i kou kūlana a me ke ʻano o ke ʻoki kino.
Ma ke ʻano maʻamau, hiki iā ʻoe ke hoʻomaka hou i kāu mau hana o kēlā me kēia lā i loko o kekahi mau lā ma hope o ke ʻoki hernia. Eia nō naʻe, ʻaʻole hiki ke hāpai kaumaha no kekahi manawa. Inā he mea nui ka hāpai ʻana i kāu mau hana o kēlā me kēia lā, e kamaʻilio me kāu kauka ʻoki e pili ana i ia mea. E haʻi aku ʻo ia iā ʻoe i ka lōʻihi o ka palekana o ka hāpai ʻana i nā mea kaumaha.
Eia nō naʻe, e like me kaʻu i ʻōlelo ai ma mua, inā ua hana ʻia ʻoe i ke ʻoki ʻana e wehe i kahi ʻāpana o ka ʻōpū i hōʻino ʻia, hiki ke hala a hiki i ʻeono pule e hoʻōla ai. E wehewehe kāu kauka iā ʻoe i ka mea e manaʻo ai, ka mea e hana ai, a me nā mea ʻaʻole e hana i kou wā e hoʻōla ai.
He aha kāu e manaʻo ai inā loaʻa iā ʻoe kahi hernia strangulated?
ʻO ka hernia i hoʻopaʻa ʻia e hoʻōla pinepine ʻia ma hope o ke ʻoki ʻana. Eia nō naʻe, hiki i ka hernia ke hoʻi hou mai. Inā ua hana ʻia ʻoe i ke ʻoki hernia ma mua a loaʻa hou nā hōʻailona o ka hernia, e ʻike koke i ke kauka. Inā ʻike ʻia a mālama koke ʻia kahi hernia hou, hiki ke pale ʻia mai ka hoʻopaʻa ʻia ʻana.
He aha ka nui o ke ola no kekahi me ka hernia strangulated?
He mea weliweli paha kēia, akā he mea nui e ʻike i ka ʻoiaʻiʻo. ʻO ka wikiwiki o kou loaʻa ʻana o ka lāʻau lapaʻau, ʻoi aku ka maikaʻi o kou manawa e ola ai. Akā hiki ke loli kēlā ma muli o kou olakino laulā, ka makahiki, a inā paha e pono ʻoe e wehe i kahi ʻāpana o kou ʻōpū.
Inā ʻaʻole mālama ʻia, he mea weliweli loa ke ʻano. Inā hoʻoulu kahi hernia strangulated i ka sepsis (ka maʻi e laha ana ma ke kino) a i ʻole ka gangrene (ka make ʻana o nā ʻiʻo), hiki ke make.
- I nā hihia o ka gangrene i hoʻokumu ʻia e kahi maʻi bacteria, hiki ke make i loko o 48 mau hola .
- He pane nui ʻo Sepsis i kahi maʻi. Inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i ka sepsis koʻikoʻi.Inā loaʻa kahi maʻi, ʻo ia hoʻi, ka septic shock, hiki ke make i loko o 12 mau hola .
ʻO ia ke kumu e ʻōlelo hou aku nei au, inā loaʻa iā ʻoe nā hōʻailona o ka hernia strangulated, e hele koke i ka haukapila .
Hiki ke pale ʻia kahi hernia mai ka hoʻopaʻahao ʻia?
ʻAe, hiki ke pale ʻia! ʻO kēia ka nūhou maikaʻi loa. Inā manaʻo ʻoe he hernia kou, e kamaʻilio me ke kauka e pili ana i ia mea. E nānā ʻo ia iā ʻoe a haʻi iā ʻoe inā pono ʻoe i ke ʻoki kino. ʻAʻole hoʻopaʻahao koke ʻia kekahi mau hernia, akā ʻoi aku ka nui o ka hoʻopaʻahao ʻia ʻana o kekahi. No laila, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ka ʻōlelo aʻo a ke kauka. A laila hiki ke hoʻoponopono ʻia ka hernia ma mua o ka hoʻopaʻahao ʻia ʻana a i ʻole ka ʻū ʻia ʻana.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe kahi hernia, e ʻike pono i ke kauka e kūkākūkā i ka lāʻau lapaʻau.
Eia nō naʻe, inā manaʻo ʻoe ua ʻāʻī ʻia kou hernia, ʻo ia hoʻi, loaʻa iā ʻoe kēia mau hōʻailona, e hele koke i ka lumi pilikia o ka haukapila kokoke loa. A i ʻole e kelepona iā 1990 (helu pilikia).
- He ʻeha koke a nui.
- ʻO ka loli ʻana o ke kala o ka ʻili a puni kahi puʻu ma ka ʻōpū a i ʻole ka ʻūhā (e lilo mua i ke keʻokeʻo, a laila e lilo i ʻeleʻele a ʻulaʻula/poni paha).
ʻO ka mea hope loa, ʻo ka mea nui e hoʻomanaʻo (Leka Lawe-Home)
He mea maʻamau ka hernia maʻalahi a i ka hapa nui o ka manawa, ʻaʻole ia he mea weliweli loa. Eia nō naʻe, he mea laha ʻole ka hernia strangulated akā he mea weliweli loa ia, he pilikia olakino e hoʻoweliweli ana i ke ola.
Inā manaʻo ʻoe he hernia kou, mai kānalua e kamaʻilio me ke kauka e pili ana i ia mea. Mai noho wale ma laila e noʻonoʻo ana, "He aha ia?" E wehewehe kāu kauka iā ʻoe i ka nui o ka hiki ke hoʻopaʻahao ʻia kāu hernia a me nā mea hiki iā ʻoe ke hana e pale aku ai. ʻO ka hana wikiwiki ʻana e hiki ke hoʻopakele i kou ola.
ʻHernia , Hernia ʻūmiʻi ʻia, ʻūmiʻi ʻana o ka ʻōpū, ʻoki kino Hernia, mālama pilikia, ʻeha ʻōpū











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