Ua ʻike anei ʻoe i kahi puʻupuʻu ma ke alo o kou ʻōpū e puʻupuʻu ana i waho a laila e paheʻe hou ana i loko? E ʻike paha ʻoe i ka wā e ʻakaʻaka ai ʻoe, e ʻū ana, e hāpai i kahi mea kaumaha, a i ʻole e hele i ka lua. Manaʻo ka poʻe he mea maʻamau kēia a hoʻowahāwahā iā ia. Akā he hōʻailona paha ia o kahi maʻi i kapa ʻia he hernia ventral . Mai hopohopo, e mālama mākou i nā mea āpau i maʻalahi.
He aha ka hernia ventral?
I ka ʻōlelo maʻalahi, ʻo ia ka wā e puka ai kahi ʻōkana (e like me ka ʻōpū) a i ʻole nā ʻiʻo i loko o ka ʻōpū ma o nā ʻiʻo ʻōpū. ʻO ka huaʻōlelo 'ventral' ʻo ia hoʻi 'mua' a i ʻole 'wahi a puni ka ʻōpū'.
E noʻonoʻo i ko kākou mau ʻiʻo ʻōpū e like me ka pā ikaika. I loko o kēia pā, ua mālama pono ʻia nā ʻōpū e like me ko kākou naʻau. Inā no kekahi kumu, ua nāwaliwali kēia pā i kekahi wahi, e hana ʻia kahi lua. A laila, ma muli o ke kaomi i loko o ka ʻōpū, ua hoʻokuke ʻia kēlā mau ʻōpū i waho ma o kēlā lua. ʻO ia ka mea a mākou e kapa nei he hernia.
He aha nā ʻano nui o nā hernias ventral?
Hiki ke hoʻokaʻawale ʻia kēia mau hernia i kekahi mau ʻano nui ma muli o ko lākou wahi e loaʻa ai. ʻO kēia nā mea a mākou e ʻike pinepine ai.
| ʻAno o ka hernia | Ma hea e hana ʻia ai a me ka wehewehe ʻana |
|---|---|
| ʻO ka Hernia Epigastric | Hana ʻia kēia ma luna o kou iwi umauma, ma kahi ma waena o kou iwi umauma a me kou iwi umauma. Loaʻa pinepine ia ma ka ʻōpū o luna. |
| ʻO ka Hernia Umbilical | Hoʻomohala kēia ma kahi nāwaliwali kūlohelohe a puni ka pepeiao. He kīnā hānau pinepine ia i nā pēpē ʻōpio. Eia nō naʻe, hiki nō hoʻi ke ulu i nā pākeke. |
| ʻO ka Hernia ʻokiʻoki | Hana ʻia kēia ma ka laina ʻoki kahi i hana ʻia ai ke ʻoki kino ma mua. He hopena ʻaoʻao maʻamau kēia e hiki ke hana ma hope o ke ʻoki kino ʻōpū. |
He aha nā hōʻailona o kēia?
ʻO ka hōʻailona mua a maopopo loa o ka hernia ventral he puʻupuʻu a puʻupuʻu paha e puka mai ana mai kahi ma mua o ka ʻōpū. ʻAʻole paha e ʻike mau ʻia kēia. Hiki ke ʻike wale ʻia ke hoʻopaʻa ʻia nā ʻiʻo o ka ʻōpū i kekahi mau hana. Eia kekahi laʻana:
- ʻOiai e ʻakaʻaka ana
- I ka wā e uē ana
- I ka wā e ʻū ana
- Ke hele ka moʻo
- Ke ho'āʻo nei e hele i ka lua
- Ke kūlou nei i mua
- I ka hāpai ʻana i kahi kaumaha
- I ka wā e hoʻoikaika kino ai
Hiki i kekahi poʻe ke ʻike i ka hernia. Hiki ke like me ka huki iki ʻana, ka ʻeha, a i ʻole ka ʻeha nui i kona puka ʻana i waho, ka huki ʻana , a i ʻole ke kīkē ʻana. ʻO kahi hernia e ʻeha ana he hōʻailona ia e ulu nui ana a aia i ka pilikia o ka hoʻopaʻahao ʻia i kona puka ʻana i waho.
Inā loaʻa iā ʻoe ka ʻeha ma kahi o kou hernia, mai manaʻo he mea maʻamau ia. E kamaʻilio me kāu kauka e pili ana i ia mea.
I kekahi manawa, i ka wā e hoʻoulu ai ka hernia i nā pilikia, hiki ke ʻike ʻia nā hōʻailona e like me kēia:
- Ka luaʻi a me ka luaʻi
- ʻUlaʻula a i ʻole ka ʻulaʻula ma kahi o ka hernia
- ʻEha nui
He aha nā kumu o ka hernia ventral?
Hoʻokumu ʻia ka hernia e ka nāwaliwali o nā ʻiʻo a i ʻole nā ʻiʻo. Hiki ke loaʻa kēia nāwaliwali no nā kumu like ʻole. I kekahi manawa he mea ia e kū nei i ka wā hānau. I kekahi manawa hiki ke hana ʻia e kahi mea e like me kahi ulia a i ʻole ke ʻoki kino. I kekahi manawa hiki ke hana ʻia e ka nāwaliwali mālie i ka hala ʻana o ka manawa.
Eia kekahi mau kumu maʻamau:
- Nā nāwaliwali hānau ʻia: Hiki ke hānau ʻia kekahi mau pēpē me nā wahi nāwaliwali ma ka paia ʻōpū (e.g., umbilical hernia).
- Ka momona mau loa: I ka piʻi ʻana o ke kaumaha o ke kino, ua kaomi mau ʻia nā ʻiʻo o ka ʻōpū, hiki ke hoʻonāwaliwali iā lākou.
- Nā ʻeha i ka ʻōpū: Ka hōʻino ʻia ʻana o nā ʻiʻo o ka ʻōpū ma muli o kahi ulia.
- ʻOki ʻōpū: Inā ʻaʻole e ho'ōla pono ka ʻoki ma hope o ke ʻoki ʻana a inā nāwaliwali paha nā ʻiʻo ma ia wahi.
- Hāpai a me ka hānau keiki ʻana: I ka wā hāpai, hiki i nā ʻiʻo o ka ʻōpū ke lilo i nāwaliwali ma muli o ke kīkoʻo ʻana.
- ʻŪhū mau: ʻO ka ʻūhū mau ma muli o nā kūlana olakino e like me ka hānō a me ka COPD hiki ke kau i ka nui o ke kaomi ma ka ʻōpū.
- ʻO ka paʻa mau ʻana: ʻO ka makemake pinepine e hele i ka lua e hoʻonui pū i ke kaomi i loko o ka ʻōpū.
- Ka hāpai kaumaha:Pili pū kēia pilikia i ka poʻe e hana ana i nā hana e pono ai ka hāpai pinepine ʻana a i ʻole ka paʻi ʻana.
- Ka ʻelemakule ʻana: Hoʻonāwaliwali maoli nā ʻiʻo i ko kākou ʻelemakule ʻana.
Hiki ke lilo i mea weliweli kēia? He aha nā pilikia?
ʻAe, hiki i kekahi mau hernia ke lilo i mea weliweli inā ʻaʻole mālama ʻia. E puka mai ana ka nui o nā hernia a hoʻi hou i loko. Akā i ko lākou hana ʻana, nāwaliwali nā ʻiʻo a puni ka lua. I ka hala ʻana o ka manawa, e nui aʻe ana ka lua, a e nui aʻe ana ka hernia. ʻO ia ka manawa e hoʻomaka ai nā pilikia.
ʻElua mau pilikia nui:
1. Hoʻopaʻahao ʻia: E noʻonoʻo, ʻaʻole hiki i ka ʻāpana o ka ʻōpū i puka mai ke hoʻi hou i loko a paʻa i loko o kēlā lua. Ua kapa ʻia kēia ʻo 'incarceration'. Ke hana ʻia kēia, hiki ke ālai ʻia ka ʻōpū. Hiki iā ia ke hōʻeha nui a me ka luaʻi.
2. Ka nalowale ʻana o ke koko (Strangulation): ʻO kēia ke kūlana weliweli loa a wikiwiki hoʻi . Hiki ke ʻoki loa ʻia ke koko i ka ʻāpana i ʻoki ʻia o ka ʻōpū. A laila hoʻomaka ka make ʻana o nā ʻiʻo. Hiki i kēia ke lilo i kūlana hoʻoweliweli i ke ola. Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha nui, ke kuni, a me ke kala ʻana o ka hernia, pono ʻoe e hele koke i ka lumi pilikia (ETU) o kahi haukapila.
Pehea e ʻike ai ke kauka i kēia?
Ke hele ʻoe i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kou mau hōʻailona. A laila e hoʻomoe ʻo ia iā ʻoe ma kahi moe a nānā i kou ʻōpū.
- E noi lākou iā ʻoe e ʻū a hoʻohālike e hāpai i kahi kaumaha e ʻike ai inā e puka mai ka puʻupuʻu.
- Nānā pū lākou e ʻike inā hiki ke hoʻihoʻi ʻia i loko me ka lima. Ua kapa ʻia kēia he hernia 'reducible'. Inā ʻaʻole hiki ke hoʻihoʻi ʻia i loko, he hernia 'irreducible' ia.
- I kekahi manawa, hiki ke kauoha ʻia kahi ultrasound scan , CT scan , a i ʻole MRI e hōʻoia i ka maʻi.
Pono anei ke ʻoki ʻana i kēlā me kēia hernia?
ʻO ka hapa nui o nā hernias ventral e pono ai ke ʻoki ʻana i ka hopena. Akā, ʻaʻole paha he pilikia. ʻO kahi hernia liʻiliʻi i hōʻike ʻole ʻia a hiki ke huki maʻalahi ʻia, ʻaʻole ia he pilikia nui.
Akā e hoʻomanaʻo, e ʻoi aku ka ʻino o nā hernias i ka hala ʻana o ka manawa, a ʻaʻole lākou e ho'ōla iā lākou iho. No laila ʻoi aku ka maikaʻi o ka hoʻoponopono ʻana iā lākou ma mua o ko lākou nui ʻana a hoʻoulu i nā pilikia. ʻOi aku ka palekana o kahi ʻoki koho ma mua o kahi ʻoki ulia pōpilikia.
Hiki i ke kauka ke ʻōlelo i ke ʻoki kino no ʻoe i nā hihia aʻe:
- Inā ʻaʻole hiki ke hoʻokomo ʻia ka hernia i loko me ka lima.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha mau.
- Inā nui ia e paʻa ai .
- Inā ʻae kou kūlana olakino holoʻokoʻa i ke ʻoki kino.
He aha nā ʻano hana ʻoki kino?
ʻO ka pahuhopu nui o ke ʻoki kino, ʻo ia ke pani ʻana i ka lua ma ka paia o ka ʻōpū a hoʻoikaika i ka ʻāpana i ʻole e hiki hou mai kahi hernia. ʻEkolu mau ʻano hana nui no kēia.
| ʻAno hana ʻoki kino | Wehewehena |
|---|---|
| ʻO ke ʻoki kino hāmama (Hoʻoponopono hāmama) | ʻO kēia ke ʻano kuʻuna. Hana ʻia kahi ʻoki nui iki ma luna o ka hernia a hoʻoponopono pololei ʻia ka hernia ma laila. Hoʻohana ʻia kēia ʻano hana i nā hihia nui loa a paʻakikī. |
| ʻO ke ʻoki kino Laparoscopic (Hoʻoponopono Laparoscopic) | Ua kapa ʻia hoʻi kēia ʻo 'keyhole surgery'. Hana ʻia ia ma ka hana ʻana i kekahi mau lua liʻiliʻi ma ka ʻōpū, ke hoʻokomo ʻana i kahi kāmela (laparoscope) ma o kekahi, a me ke hoʻokomo ʻana i nā mea hana kūikawā ma o nā lua ʻē aʻe. He liʻiliʻi nā ʻoki, no laila e ola koke ana. |
| Hoʻoponopono Lopako | Ua like kēia me ke ʻano laparoscopic, akā ma ʻaneʻi ke kāohi nei ke kauka lapaʻau i nā lako ma o kahi ʻōnaehana kamepiula me ka hoʻohana ʻana i kahi lima robotic. ʻAe kēia i ka hana ʻoki kino ʻoi aku ka pololei. |
He aha ka 'mesh' i hoʻohana ʻia i ka wā o kahi hana?
I ka hoʻoponopono ʻana i kahi hernia, hoʻohana ʻia kahi ʻupena kūikawā e hoʻoikaika i nā ʻiʻo nāwaliwali. Ua like kēia me ka pani ʻana i kahi lua i loko o ka paia a me ka hoʻopili ʻana i kahi plaster cast e hoʻoikaika i ka wahi. Hoʻemi nui kēia i ka pilikia o ka hernia e hana hou ʻia ma ka wahi like.
ʻAʻole pono nā hernia āpau i ka ʻupena. ʻAʻole paha e pono nā hernia liʻiliʻi i ka ʻupena. Eia nō naʻe, no nā hernia ʻokiʻoki, kahi mea maʻamau ma hope o ke ʻoki ʻana, hoʻohana pinepine ʻia ka ʻupena. ʻO kēia no ka mea, ʻaʻole ikaika 100% ka ʻiʻo e like me ia ma mua o ke ʻoki ʻana.
Inā ʻaʻole hiki ke hana ʻoki kino, aia kekahi mau koho ʻē aʻe?
ʻO ke ala wale nō e hoʻoponopono piha ai i kahi hernia ma o ke ʻoki kino. Eia nō naʻe, ʻaʻole hiki i kekahi poʻe ke hana ʻoki kino ma muli o nā pilikia olakino ʻē aʻe (e like me ka maʻi puʻuwai). No kēia poʻe, hiki i kāu kauka ke ʻōlelo aku e hoʻohana i kahi mea pale kūikawā (corset, binder, a truss paha) e kōkua i ka mālama ʻana i ka hernia ma kahi. Eia naʻe, hoʻomalu wale kēia i ka hernia no kekahi manawa a ʻaʻole ia e hoʻōla.
Leka Lawe-Home
- Inā puʻupuʻu ka ʻaoʻao mua o kou ʻōpū e like me ka puʻupuʻu, ʻoiai ke ʻū ʻoe a hāpai paha i kahi mea kaumaha, he hernia ventral paha ia. Mai makaʻu iā ia, e ʻike i ke kauka a e nānā iā ia.
- ʻAʻole nā hernias āpau he pilikia, akā i ka hala ʻana o ka manawa hiki iā lākou ke lilo i mea nui a hoʻoulu i nā pilikia weliweli.
- ʻO ke ʻoki ʻana ka lāʻau lapaʻau hope loa no ka hernia. ʻOi aku ka palekana o ka hana ʻana i ke ʻoki ma mua o ka hiki ʻana mai o nā pilikia.
- Inā ʻike ʻoe i ka ʻeha nui, ka ʻulaʻula, ka nausea, a me ka luaʻi ʻana ma kahi o ka hernia, hiki ke ʻū ʻia. He pilikia kēia. E hele koke i ka lumi pilikia o ka haukapila (ETU).
- He mea nui loa ka hahai ʻana i nā ʻōlelo a ke kauka (e like me ka hāpai ʻole ʻana i nā mea kaumaha) ma hope pono o ke ʻoki ʻana e pale aku ai i ka hoʻi hou ʻana mai o ka hernia.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo