He hernia anei ia ma ka ʻōpū? E kamaʻilio kākou e pili ana i ka hernia ventral?

Ua ʻike anei ʻoe i kahi puʻupuʻu liʻiliʻi e puka mai ana mai kekahi ʻāpana o kou ʻōpū? Malia paha ʻike ʻoe iā ia ke hāpai ʻoe i kahi mea kaumaha, ke ʻū ʻoe, a i ʻole e hoʻi hou mai ia ma hope o kekahi manawa. ʻO kēia ka mea a mākou e kapa wale nei he hernia. I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano hernia e kū mai ana ma ke alo o ka ʻōpū, kahi i ʻike ʻia ma ke ʻano lapaʻau he hernia ventral . ʻAʻohe mea e makaʻu ai, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka hernia ventral?

I ka ʻōlelo maʻalahi, ʻo ka hernia ventral kahi puka ʻana o kahi ʻōpū a i ʻole ka ʻiʻo i loko ma ke alo o kou ʻōpū, ʻo ia hoʻi, ma o nā ʻiʻo o ka paia ʻōpū. ʻO ka huaʻōlelo "ventral" ʻo ia hoʻi "mua" a i ʻole "ʻaoʻao ʻōpū." ʻO ka "hernia" ka wā e paʻi ai kahi ʻōpū a i ʻole ka ʻiʻo i loko o kahi lua kino ma kahi nāwaliwali, kahi lua, ma ka paia o kēlā lua. Ua like kēia me kahi lua liʻiliʻi i loko o kahi ʻeke kahiko, a ke hoʻāʻo nei kekahi o nā mea i loko e puka i waho. ʻO ka hapa nui o nā hernias (ʻaʻole nā ​​​​mea āpau) e hele mai ma ka paia ʻōpū.

He aha nā ʻano o ka hernia ventral?

Hiki ke loaʻa nā hernia ventral ma nā wahi like ʻole ma ka paia mua o kou ʻōpū. Aia kekahi mau ʻano nui ma muli o ko lākou wahi e loaʻa ai:

• ʻO nā hernias Epigastric: Loaʻa kēia ma ka ʻaoʻao o luna o kou ʻōpū, ma waena o kou iwi umauma (sternum) a me kou piko. Manaʻo paha kekahi poʻe he puʻupuʻu liʻiliʻi ma kēia wahi.
• ʻO nā hernia umbilical: ʻO kēia nā hernia e kū mai ana a puni ka piko. He wahi nāwaliwali maoli ka piko. Loaʻa kēia ʻano hernia i kekahi manawa i ka wā hānau (congenital). Eia naʻe, hiki nō hoʻi ke hana ʻia i nā pākeke.
• ʻO nā hernias incisional: He mea kūikawā iki kēia. Loaʻa lākou ma kahi i hana ʻia ai ke ʻoki ʻana ma kou ʻōpū ma mua, ʻo ia hoʻi kahi i hana ʻia ai kahi ʻoki ʻoki. He hopena maʻamau kēia e hiki ke hana ma hope o ke ʻoki ʻana o ka ʻōpū. ʻO kēia no ka mea ua nāwaliwali nā ʻiʻo ma ia wahi ma hope o ke ʻoki ʻana.

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He aha nā hōʻailona o ka hernia ventral?

ʻO ka pinepine ka hōʻailona mua o ka hernia ventral he puʻupuʻu i ʻike ʻia ma kahi o mua o ka ʻōpū . ʻAʻole paha e ʻike mau ʻia kēia. Hiki ke ʻike ʻia ke hana ʻoe i kekahi mau mea a i ʻole ke ʻūlū kou mau ʻiʻo ʻōpū ma muli o kahi kūlana. Eia kekahi laʻana:

• I ka ʻakaʻaka ʻana
• I ka wā e uē ana
• I ka wā e ʻū ana
• Ke ʻū ʻoe
• Ke hoʻoikaika nei e kiola i ka ʻōpū i ka wā e hele ana 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 kēia hernia. Hiki ke manaʻo ʻia e like me ka huki ʻana, ke paʻi ʻana, a i ʻole ke ʻūmiʻi ʻana i ka wā e puka mai ai, a i ʻole i ka wā e neʻe ai lākou. Hiki ke manaʻo ʻia e like me ka huki ʻana, a i ʻole e like me ka ʻeha palupalu, a i ʻole e like me ka ʻeha ʻoi e like me ke kui e hou ana iā ʻoe.Hiki ke hana. Inā ʻike ʻoe i ka ʻeha e like me kēia, ʻo ia hoʻi ua nui iki ka hernia, a he kiʻekiʻe ka pilikia e lilo ia i "paʻahao" ma kahi o ka hoʻi hou ʻana i loko ke puka mai.

Hiki i kahi hernia paʻakikī ke loaʻa nā hōʻailona ʻē aʻe:

• Ka luaʻi a me ka luaʻi
• ʻUlaʻula a i ʻole kahi ʻulaʻula e like me ka eczema ma kahi hernia

He aha nā kumu nui o ka Ventral Hernia?

Puka mai kahi hernia ma o kahi nāwaliwali o ka ʻiʻo a i ʻole ka paia o nā ʻiʻo e uhi ana iā ia. Hiki ke loaʻa kēia nāwaliwali no kekahi mau kumu:

• ʻO kēia nāwaliwali paha he wahi nāwaliwali hānau / kīnā hānau. ʻO ia hoʻi, aia paha he nāwaliwali ma ka paia ʻōpū i ka wā hānau.
• Hiki i kekahi mau maʻi pili pili ke hana i ka nāwaliwali o nā ʻiʻo.
• ʻO kekahi kumu, ʻo ia ka nāwaliwali kūlohelohe o nā ʻiʻo me ka ʻelemakule .
• Hoʻokumu ka momona mau i ke kaomi mau ma ka paia o ka ʻōpū.
• Hiki ke nāwaliwali nā ʻiʻo ma muli o kahi ʻeha a i ʻole ke ʻoki ʻana i ka ʻōpū .
• ʻO ka hāpai ʻana a me ka hānau keiki ʻana nā manawa e kaumaha nui ai nā ʻiʻo o ka ʻōpū.
• ʻO ke kuni mau (e laʻa ma muli o nā kūlana e like me ka hānō a me ka bronchitis i kekahi poʻe).
• Nā pilikia hanu mau loa (e like me, COPD a i ʻole emphysema).
• Ka paʻa mau ʻana o ka ʻōpū a i ʻole ka hoʻoikaika pinepine ʻana e kiola i ka ʻōpū.
• ʻOi aku ke kiʻekiʻe o kēia pilikia no ka poʻe e hana ana i nā hana e pili ana i ka hāpai pinepine ʻana a i ʻole ke kīkē ʻana . No ka laʻana, pono kekahi e hana ana ma ka ʻoihana kūkulu hale e hāpai i nā mea kaumaha i nā manawa a pau. Hoʻokomo kēia i ke kaomi mau ma luna o nā ʻiʻo o ka ʻōpū. I ka hala ʻana o ka manawa, hiki i kahi hernia ke ulu mai kahi nāwaliwali.

I ka manawa pinepine, ulu kahi hernia ma muli o ka hui pū ʻana o nā kumu he nui.

He aha nā pilikia e hiki mai ana o ka hernia ventral?

He nui nā hernia e puka mua mai ana a laila hoʻi hou i loko. Akā i ko lākou komo ʻana i loko a i waho e like me kēia, e nāwaliwali ana ke kino a puni ka lua. I ka hala ʻana o ka manawa , hiki i ka lua ke nui aʻe, a hiki i ka hernia ke nui aʻe pū kekahi . ʻO ia hoʻi, e puka mai ana nā kino hou aʻe. ʻO ia ka manawa e hoʻomaka ai nā pilikia.

ʻOi aku ka nui o ka hernia e lilo i mea nui a lilo i "paʻahao" i loko o kēlā lua.

Ke paʻa, paʻi ka hernia, loaʻa ka ʻeha, a hiki ke ālai ʻia ke kino i nīnau ʻia. E noʻonoʻo i kahi ʻōpū i ālai ʻia, ʻo ia hoʻi, hiki ke oki ke hele ʻana o ka ʻōpala. ʻO ka mea ʻoi aku ka weliweli, inā ʻoki ʻia ke kahe koko i kēlā ʻāpana i paʻa (strangulation) , hiki i kēlā kino ke make ʻiʻo). He kūlana koʻikoʻi loa kēia a hiki ke hoʻoweliweli i ke ola.

Pehea e hōʻike ai i kahi hernia ventral?

ʻO ka maʻamau, e ʻike ke kauka i kahi hernia ventral i ka wā o ka hoʻokolokolo kino. Inā ʻaʻole maopopo koke, e noi aku kāu kauka iā ʻoe e hoʻopaʻa iā ʻoe iho i nā kūlana like ʻole a hana paha i kekahi mau mea (e like me ke kuʻi ʻana a i ʻole ke ʻū ʻana i kou ʻōpū) e ʻike inā puka mai ka hernia.

I kekahi manawa, hiki ke hana ʻia nā hoʻokolohua kiʻi e ʻike maopopo ai i ka hernia. Hiki i kēia ke komo pū me kahi ultrasound ʻōpū, kahi CT scan, a i ʻole kahi MRI.

Inā ʻike ke kauka i kahi hernia, e hoʻopā ʻo ia a ʻike inā hiki ke hoʻihoʻi ʻia ka hernia i loko. E kōkua kēia i ka hoʻoholo ʻana i ke koʻikoʻi o ia mea a me ka wikiwiki o ka mālama ʻana. E nīnau pū ke kauka iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​kou mōʻaukala olakino, a me nā kumu ʻē aʻe i hoʻokumu paha i ka hernia:

• I ka manawa hea ʻoe i ʻike mua ai i kēia?
• Ua loli anei kēia i ka hala ʻana o ka manawa? (Ua nui aʻe anei, ua piʻi aʻe anei ka ʻeha?)
• He aha nā pilikia āu e loaʻa nei ma muli o kēia?
• He aha nā maʻi mau ʻē aʻe āu e loaʻa nei?
• He aha kāu hana?
• Pehea kāu ʻai ʻana, hoʻoikaika kino, a me kou nohona?

Pono e hoʻoponopono ʻia kahi hernia ventral?

Pono e hoʻoponopono ʻia ka hapa nui o nā hernia ventral i kekahi manawa , akā ʻaʻole pono e hoʻoponopono koke ʻia nā mea āpau. Inā ʻaʻohe ou hōʻailona nui a hiki ke hoʻokuke i ka hernia i loko, ʻaʻohe pilikia koke.

Akā e hoʻomanaʻo, ʻoi aku ka nui o nā hernias i ka hala ʻana o ka manawa . Ke hana ʻia kēlā, hiki iā lākou ke lilo i mea weliweli a paʻakikī hoʻi e hoʻoponopono.

ʻO ka mea nui loa: ʻO kahi hernia hiki ʻole ke hoʻihoʻi ʻia i loko (he hernia incarcerated) he pilikia ia a pono e hōʻike koke ʻia i kahi keʻena pilikia o ka haukapila (ETU) .

I ka manawa hea e pono ai ke ʻoki ʻana no ka hernia ventral?

Hoʻomaopopo nā kauka lapaʻau i ka hoʻoponopono ʻana o ka hernia ventral i nā hihia aʻe:

• Inā ʻaʻole hiki ke hoʻihoʻi ʻia ka hernia (ʻaʻole hiki ke hoʻihoʻi ʻia).
• Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha mau ma muli o kēlā.
• Inā nui ia e paʻa ai a i ʻole e hoʻoulu i nā pilikia ʻē aʻe .
• Inā ʻae kou kūlana olakino laulā iā ʻoe e hana i ke ʻoki kino .

Inā loaʻa i kahi keiki ʻōpiopio ka hernia umbilical a ʻaʻole ia e ho'ōla iā ia iho i loko o kekahi mau makahiki, e paipai ke kauka i ka hoʻoponopono ʻoki kino e pale aku ai i kona nui ʻana a me ke kumu ʻana i nā pilikia.

Pehea e hoʻoponopono ai i kahi hernia ventral?

ʻO ka pahuhopu nui o ke ʻoki hernia ventral ka pani ʻana i ka lua i loko o kou paia ʻōpū a pale i ka hernia mai ka hoʻi hou ʻana mai i waho.Hoʻihoʻi ke ʻoki kino i ke ʻano a me ka ikaika o ka paia ʻōpū, pani i ka lua, a hoʻihoʻi i nā ʻiʻo i ko lākou wahi. Hoʻohana pinepine nā kauka ʻoki kino i ka ʻupena ʻoki kino e hoʻoikaika i ka paia.

He hana nui anei ke ʻoki ʻana i ka Hernia Ventral?

He hana maʻamau loa ke ʻoki ʻana i ka hernia ventral, a maʻalahi hoʻi . Ma ʻAmelika Hui Pū ʻIa wale nō, ma kahi o 350,000 mau ʻoki ʻana e hana ʻia i kēlā me kēia makahiki. I ka hapanui o nā hihia, hiki i nā kauka lapaʻau ke hoʻohana i nā ʻano hana minimally invasive . ʻO ia hoʻi, hiki ke hana ʻia ma o nā ʻoki liʻiliʻi, ʻo ia hoʻi ka manawa hoʻōla liʻiliʻi. Eia nō naʻe, pono paha kekahi poʻe, ʻoiai inā nui loa a paʻakikī paha ka hernia, i ke ʻoki nui i kapa ʻia ʻo ke ʻoki ʻōpū hāmama .

Na kāu kauka lapaʻau e hoʻoholo i ke kaʻina hana ʻoki kino kūpono loa no kou hernia. Aia kekahi mau ʻano hana nui:

• Hoʻoponopono ʻana i ka hernia ventral hāmama: ʻO kēia ke ʻano kuʻuna. ʻOki ke kauka lapaʻau i ka ʻili ma luna o ka hernia, wehe i ka wahi, a hoʻoponopono pololei i ka hernia. Pono paha kēia ʻano hana inā ʻoi aku ka paʻakikī o ka hernia.
• Hoʻoponopono ʻana i ka hernia ventral Laparoscopic: He hana hoʻopilikia iki kēia. Hana ke kauka lapaʻau i kekahi mau ʻoki liʻiliʻi "keyhole" i loko o kou ʻōpū, ma kahi o ka hapalua ʻīniha ka lōʻihi. Hoʻokomo ʻia kahi kāmela liʻiliʻi i kapa ʻia ʻo laparoscope ma o hoʻokahi ʻoki. Hōʻike ʻia nā kiʻi ma kahi pale. Hoʻokomo ʻia nā mea hana lōʻihi a lahilahi ma o nā ʻoki ʻē aʻe a hana ʻia ke ʻoki ʻana i ka wā e nānā ana i ka pale.
• Hoʻoponopono hernia ventral robotic: He hana hoʻopilikia iki kēia. Hoʻohana pū ia i nā ʻoki liʻiliʻi, nā mea hana lōʻihi, a me ka laparoscope. ʻO ka ʻokoʻa, ʻo ia ka mea e hoʻomalu ai ke kauka lapaʻau i nā mea hana ma o kahi ʻōnaehana kamepiula me ka hoʻohana ʻana i kahi lima robotic.

Pono anei kēlā me kēia hernia ventral i ka ʻupena?

ʻAʻole, ʻaʻole pono nā hernia ventral āpau i ka mesh . ʻOi loa aku inā he mau hernia epigastric liʻiliʻi a umbilical paha. Eia nō naʻe, pono nā hernia incisional he nui i ka mesh . ʻO kēia no ka mea ua hana ʻia lākou ma o nā ʻiʻo i ʻoki ʻia mai kahi ʻoki mua. Ma hope o ke ʻoki ʻana, ʻaʻole ikaika ka ʻiʻo ʻiʻo e like me ma mua. Hoʻonāwaliwali hou ka ʻoki hoʻoponopono hernia iā ia. No laila, hāʻawi ka mesh i ka ikaika hou aʻe.

Loaʻa i nā kauka lapaʻau nā ʻano ʻupena ʻoki like ʻole e koho ai:

• ʻUpena Hana ʻia: Hana ʻia kēia mau mea mai nā mea paʻa i hana ʻia e ke kanaka. ʻO kēia ke ʻano ʻupena paʻa loa i hoʻohana ʻia e hana i nā mea hoʻopili. I ka ulu ʻana o nā ʻiʻo hou a puni ka ʻupena, hoʻokomo ʻia ka ʻupena i loko o nā ʻiʻo, e hana ana i kahi papa paʻa a mau loa ʻaʻole e haki i ka hala ʻana o ka manawa e like me ka ʻiʻo.
• ʻUpena olaola: Hana ʻia kēia mau mea mai nā ʻiʻo kanaka a holoholona paha (e.g., ʻili holoholona). ʻAʻole lākou e mau e like me ka ʻupena synthetic, akā ʻaʻole lākou e hoʻoulu i ka maʻi. ʻOiai ʻoi aku ka haʻahaʻa o ka pilikia holoʻokoʻa o ka maʻi, ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka maʻi ma mua o nā poʻe ʻē aʻe. No laila, ʻoi aku ka palekana o ka ʻupena olaola no kēlā poʻe.
• ʻUpena synthetic bioabsorbable: He ʻupena manawa pōkole kēia. Hāʻawi ia i ke kākoʻo pōkole i ka wā e ho'ōla ai ke ʻoki ʻana. Ma hope o ke komo ʻana o ke kino, hana ʻia nā ʻiʻo ʻeha a hoʻoikaika i ka paia.

Aia kekahi mau koho ʻoki ʻole no ka hernia ventral?

ʻO ka ʻoiaʻiʻo, ʻo ke ʻoki ʻana wale nō ke ala e hoʻoponopono piha ai i ka hernia ventral. Eia nō naʻe, ʻaʻole hiki i kekahi poʻe ke hana ʻoki ʻia ma muli o nā kūlana olakino ʻē aʻe. Inā loaʻa iā ʻoe kahi hernia nui i hiki ʻole ke hoʻoponopono ʻia me ke ʻoki ʻana, hiki i kāu kauka ke kuhikuhi i ka hoʻohana ʻana i kahi kākoʻo kūikawā (e like me ka corset, binder, a i ʻole truss) e hoʻopaʻa i ka hernia ma kahi. ʻAʻole kēia e ho'ōla i ka hernia, akā hiki iā ia ke kōkua i ka hōʻemi ʻana i ka ʻoluʻolu ʻole a pale iā ia mai ka paʻa ʻana.

Pehea ke koʻikoʻi o ka hernia ventral?

ʻAʻole koʻikoʻi ka hapa nui o nā hernia ventral i ka wā mua, akā hiki iā lākou ke lilo i mea koʻikoʻi i ka hala ʻana o ka manawa. ʻO ia ke kumu e ʻōlelo ai nā kauka e hoʻoponopono iā lākou ma mua o ko lākou hiki ʻana i kēlā pae.

ʻOi aku ka maikaʻi o nā hopena o ke ʻoki koho, i hana ʻia ma mua o ka puka ʻana o nā pilikia, ma mua o ke ʻoki ulia pōpilikia, i hana ʻia ma hope o ka puka ʻana o nā pilikia.

He aha ka mea e hana ma hope o ke ʻoki ʻana i ka hernia ventral?

He maʻalahi ka hapa nui o nā ʻoki hernia, a wikiwiki ka manawa hoʻōla. Pono paha nā hernias paʻakikī i kahi ʻoki nui a lōʻihi paha ka hoʻōla ʻana. ʻO ka mea nui loa, ʻo ia ke makaʻala ʻaʻole e kau i ke kaomi a i ʻole ke kaumaha ma luna o ka hernia i ka wā o ke kaʻina hana hoʻōla. He mea nui e hahai i nā ʻōlelo a kāu kauka e pale aku i ka hernia mai ka hoʻi hou ʻana. Ma waena o 10% a me 20% o nā hernias ventral hiki ke hoʻi hou ma hope o ke ʻoki ʻana.

Nui nā kumu e hiki ai iā ʻoe ke loaʻa i kahi hernia ventral. ʻO ka hapa pinepine, ulu mālie ia, i nā makahiki. Inā ʻike ʻoe he mea āu e hana ai i kēlā me kēia lā (e laʻa, ka hāpai ʻana i nā mea kaumaha, ka squat pinepine) ke kau nei i ke kaomi ma luna o kou mau ʻiʻo ʻōpū, hiki paha iā ʻoe ke hoʻololi i kēlā ʻano maʻamau a loaʻa paha ka lāʻau no kahi maʻi maʻi e hiki ke kōkua i ka kaohi ʻana i ka ulu ʻana o kēia ʻano.

Akā, ʻaʻole hiki ke pale ʻia nā hernia āpau. Inā loaʻa iā ʻoe kekahi, e hoʻomanaʻo ʻaʻole ʻoe hoʻokahi. He mea maʻamau loa lākou, a pēlā nō hoʻi ke ʻoki ʻana e hoʻoponopono iā lākou. E aʻo aku kāu kauka iā ʻoe i ka wā e hoʻoponopono ai i kāu hernia. ʻAʻole paha ʻoe e pono koke, akā ʻoi aku ka maikaʻi o ka hoʻoponopono ʻana ma mua o ka nui loa.

Nā mea nui e ʻike ai (Leka Lawe-Home)

ʻĀ, ke lana nei koʻu manaʻo mai kā mākou i kūkākūkā ai, ua loaʻa iā ʻoe kahi ʻike maikaʻi o Ventral Hernia. Eia kekahi mau mea e hoʻomanaʻo ai:

• ʻO ka hernia ventral kahi puka ʻana o nā ʻōpū kūloko ma o kahi nāwaliwali ma ka paia mua o ka ʻōpū. Hiki ke hana kēia ma ka piko, ma lalo o ka umauma, ma ka ʻōpū o luna, a i ʻole ma kahi o ke ʻoki kino ma mua.
• Hiki i nā hōʻailona ke komo pū me ka pehu ʻana o ka ʻōpū, ʻoiai i ka wā e ʻū ai a hāpai paha i nā mea kaumaha. Hiki nō hoʻi ke loaʻa ka ʻeha.
• ʻOiai inā ʻaʻole like ka pilikia me he mea nui lā i ka wā mua, hiki iā ia ke ulu nui aʻe, lilo i mea paʻakikī, a lilo i mea weliweli i ka hala ʻana o ka manawa. No laila, ʻaʻole ia he manaʻo maikaʻi e hoʻowahāwahā iā ia.
• Inā loaʻa iā ʻoe kēia mau hōʻailona a manaʻo ʻoe e ulu nui ana kou hernia, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka no ka ʻōlelo aʻo.
• I ka hapanui o nā hihia, hiki ke ho'ōla loa ʻia kēia me ke ʻoki kino. No laila, mai makaʻu, e kiʻi i ka lāʻau lapaʻau i ka manawa kūpono.

Inā he mau nīnau hou aku kāu e pili ana i kēia, e kamaʻilio me kāu kauka ʻohana a i ʻole ke kauka ʻoki kino. E noho olakino!

ʻO ka hernia ventral, hernia ʻōpū, nā hōʻailona hernia, ke ʻoki hernia, nā kumu hernia, hernia ʻōpū, pehu ʻōpū