Na hεnia na di bεlε? Wi go tok boht ventral hernia?

Yu dɔn ɛva notis se smɔl bɔl de kɔmɔt na sɔm pat na yu bɛlɛ? Sɔntɛm yu kin si am we yu es sɔntin we ebi, we yu kɔf, ɔ sɔntɛm i kin jɔs go bak insay afta sɔm tɛm. Dis na wetin wi kin jɔs kɔl ɛnia. Tide wi go tɔk bɔt wan kayn hεnia we kin apin na di fכnt pat na di bεlε, we dεn kכl mεdikal hεnia ventral εnia . Natin nɔ de fɔ fred, wi go tɔk bɔt dis ditayli, insay wan we we yu go ɔndastand.

Wetin na ventral hεnia?

Fɔ tɔk am simpul wan, ventral hεnia na we wan insay ɔgan ɔ tisu kɔmɔt na di frɔnt pat pan yu bɛlɛ, dat na tru di mɔsul dɛm na di bɛlɛ wɔl. di wɔd "ventral" min "frɔnt" ɔ "bɛlɛ sayd." "hεnia" na we wan כgan כ tisu we nכmal insay wan bכdi kכva de push tru wan wik ples, wan ol, na di wכl fכ da kכva de. Dis tan lɛk smɔl ol na ol bag, ɛn sɔm pan di tin dɛn we de insay de tray fɔ kɔmɔt. כl di hεnia dεm (nכto כl) de kam tru di bכdi wכl.

Wetin na di kayn ventral hernia?

Ventral hεnia kin apin na difrεn ples dεm na di fכnt wכl na yu bεlε. Bɔku men kayn dɛn de dipen pan usay dɛn kin apin:

• Epigastric hernias: Dɛn kin apin na di ɔp pat na yu bɛlɛ, bitwin yu brɔst bon (sternum) ɛn yu nɛv. Sɔm pipul dɛn kin fil lɛk smɔl bulge na dis eria.
• כmbilikal hεnia: Dis na hεnia dεm we de apin rawnd di nεvεl. Di navɛl na say we wik we pɔsin kin gɛt. dis kayn hεnia kin de sכmtεm we dεn bכn am (congenital). Bɔt, i kin apin bak pan big pipul dɛn.
• Insisional hernias: Dɛn tin ya spɛshal smɔl. Dɛn kin apin usay dɛn bin dɔn du ɔpreshɔn pan yu bɛlɛ bifo tɛm, we min usay dɛn bin dɔn kɔt yu bɛlɛ. Dis na kɔmɔn sayd ɛfɛkt we kin apin afta dɛn dɔn ɔpreshɔn di bɛlɛ. Dis na bikɔs di mɔsul dɛn we de na da say de kin wik afta dɛn dɔn du di ɔpreshɔn.

Wetin na di sayn dɛm fɔ ventral hernia?

bכku tεm di fכs sayn fכ ventral hεnia na wan bulge we yu kin si sכmsay na di fכnt pat na di bכdi . Dis kin bi se nɔto ɔltɛm pɔsin kin si am. I kin apin we yu de du sɔm tin dɛn ɔ we yu bɛlɛ mɔsul dɛn tayt bikɔs ɔf wan pozishɔn. Fɔ ɛgzampul:

• We yu de laf
• We yu de kray
• We yu de kɔf
• We yu de sniz
• Strayn fɔ defecate we yu de go na tɔylɛt
• We yu de bɛn fɔ go bifo
• We yu de es wan wet
• We yu de du ɛksɛsayz

Sɔm pipul kin fil dis hεnia. I kin fil lɛk se i de pul, push, ɔ pinch we i kɔmɔt, ɔ we dɛn de muf. I kin jɔs tan lɛk se yu de pul yu, ɔ i kin tan lɛk se yu de fil lɛk yu nɔ de fil pen, ɔ i kin tan lɛk se yu de fil shap shap pen lɛk we nidul de chuk yu.I kin apin. if yu gεt pen lεk dis, i min se di hεnia big sכmtεm, εn i gεt hכy risk fכ i go bi ``incarcerated`` insted fכ go bak insay we i kכmכt.

Wan mɔ kɔmpleks hεnia kin gɛt ɔda sayn dɛm:

• Nɔs ɛn vɔmit
• Rɛd ɔ wan rash lɛk ɛkzema na di say we di hεnia de

Wetin na di men tin dɛm wae kin mek pɔrsin gɛt Ventral Hernia?

εnia de kכ mכt tru wan wik we di mכsul כ tisu wכl we kכba am. Dis wikɛd tin kin apin fɔ bɔku rizin dɛn:

• Dis wikɛdnɛs kin bi wan wik we dɛn bɔn am / we dɛn bɔn pikin. Dat min se, di bכdi in wכl kin wik we dεn bכn am.
• Sɔm kɔnektiv tisu sik kin mek bak di mɔsul dɛn wik.
• Wan rizin na bikɔs di mɔsul dɛn kin wik we pɔsin de ol .
• If pɔsin fat ɔltɛm, dat kin mek i kɔntinyu fɔ prɛs di bɛlɛ in wɔl.
• Di mɔsul dɛn kin wik bikɔs ɔf injuri ɔ ɔpreshɔn na di bɛlɛ .
• Bεlε εn bכn pikin na tεm we di bכdi mכsul dεm de כnda big strεs.
• Kכf we de kכf (e.g. bikoz fכ kכndishכn lεk asma εn brכnkaytis na sכm pipul dεm).
• Prɔblɛm fɔ blo we nɔ de dɔn (e.g., COPD ɔ ɛmfisema).
• Kɔnstipɛshɔn we nɔ de dɔn ɔ we yu de strɛs ɔltɛm fɔ go dɔti.
• Dis risk kin pasmak bak fɔ di wan dɛn we de wok na wok dɛn we gɛt fɔ du wit fɔ es ɔ push ɔltɛm . Fɔ ɛgzampul, pɔsin we de wok na di kɔnstrɔkshɔn biznɛs gɛt fɔ es ebi ebi tin dɛn ɔltɛm. Dis kin put prɛshɔn ɔltɛm pan di mɔsul dɛn na di bɛlɛ. As tɛm de go, hεnia kin kɔmɔt frɔm wan say we wik.

Bɔrku tɛm, wan hεnia kin kam bikɔs ɔf wan kɔmbaynshɔn fɔ mɔr pas wan pan dɛn tin ya.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt ventral hεnia?

bכku hεnia dεm kin kכmכt fכs εn afta dat dεn kin go bak insay bכt as dεn de go insay εn kכmכt lεk dis, di tisu dεm we de rawnd di ol de wik. As tɛm de go , di ol kin big, ɛn di hεnia kin big bak . Dat min se mɔ ɔgan dɛn kin kɔmɔt. Na da tɛm de kɔmplikeshɔn dɛn kin bigin fɔ apin.

di hεnia kin bכku fכ bi big εn bi ``inkarsεrayt'' insay da ol de.

We i stɔp, di hεnia kin push, pen kin kam, ɛn di ɔgan we wi de tɔk bɔt kin blok. Imajin se intestinal dɔn blok, we min se di stɔl we de pas kin stɔp. wetin ivin denja pas dat na dat if dεn kכt di blכd saplai to da pat we stכk (strangulation) , da כgan de kin day (tissue death). Dis na tin we rili siriɔs ɛn i kin mek pɔsin in layf de pan denja.

Aw fɔ no if yu gɛt ventral hεnia?

Bɔku tɛm, dɔktɔ go fɛn ventral hεnia we dɛn de du ɛgzam pan in bɔdi. If i nɔ klia wantɛm wantɛm, yu dɔktɔ go aks yu fɔ ol yusɛf na difrɛn pozishɔn ɔ du sɔm tin dɛn (lɛk fɔ kɔf ɔ fɔ swɛt yu bɛlɛ) fɔ si if di hεnia kɔmɔt.

Sɔntɛnde dɛn kin du imej tɛst fɔ si di hεnia klia wan. Dis kin inklud fɔ du ɔltra saund na di bɛlɛ, CT skan, ɔ MRI.

If di dɔktɔ si ɛnia, i go fil am ɛn si if dɛn kin push di hεnia bak insay.Dis go ɛp fɔ no aw i siriɔs ɛn aw i nid tritmɛnt kwik kwik wan. Di dɔktɔ go aks yu bak bɔt yu sik, yu mɛdikal histri, ɛn ɛni ɔda tin we go dɔn mek yu gɛt di hεnia:

• Ustɛm yu si dis fɔ di fɔstɛm?
• Dis dɔn chenj as tɛm de go? (I bin big, yu tink se di pen bin bɔku?)
• Us kayn prɔblɛm yu de gɛt bikɔs ɔf dis?
• Us ɔda sik dɛn we nɔ de mɛn yu gɛt?
• Uskayn wok yu de du?
• Aw yu de it, yu de du ɛksɛsayz, ɛn aw yu de liv yu layf?

Yu tink se ventral hernia nid fɔ mek dɛn ripɛnt?

כl di ventral hεnia dεm go nid fכ rεpεr na sכm tεm , bכt nכto כl dεm nid fכ ripεr kwik kwik wan. If yu nɔr gɛt ɛni big big sayn ɛn yu kin push di hεnia bak insay, i go mɔs bi se nɔr de pan de risk kwik kwik wan.

Bɔt mɛmba se, hεnia kin wɔs ɛn big as tɛm de go . We dat apin, dɛn kin denja ɛn i nɔ kin izi fɔ mek dɛn ripɛnt.

Di tin we impɔtant pas ɔl: Ɛnia we dɛn nɔ ebul fɔ push bak insay (ɛnia we dɛn put na jel) na imejensi ɛn dɛn fɔ ripɔt am wantɛm wantɛm to ɔspitul imejensi dipatmɛnt (ETU) .

Ustɛm ventral hεnia nid fɔ ɔpreshɔn?

di sכja dεm kin rεkכmand fכ ripa di ventral hεnia pan dεn kes dεm ya:

• If dεn nכ kin put di hεnia bak insay (irreducible).
• If yu gɛt sayn dɛm lɛk fɔ de pen ɔltɛm bikɔs ɔf dat.
• If i big fɔ mek i stɔp ɔ mek ɔda prɔblɛm dɛn .
• If yu jenɛral wɛlbɔdi kɔndishɔn alaw yu fɔ du ɔpreshɔn .

If yɔŋ pikin gɛt ɔmbilikal ɛnia ɛn i nɔ wɛl fɔ insɛf insay sɔm ia, di dɔktɔ go tɛl am fɔ du ɔpreshɔn fɔ mek i nɔ big ɛn mek i nɔ gɛt prɔblɛm.

Aw fɔ ripɛnt wan ventral hεnia?

di men gol fכ ventral hεnia כpεrayshכn na fכ klos di ol na yu bכdi wכl εn mek di hεnia nכ kכmכt bak.Di ɔpreshɔn kin mek di bɛlɛ in wɔl shep ɛn trɛnk bak, i kin lɔk di ol, ɛn put di mɔsul dɛn bak na dɛn ples. Bɔku tɛm, dɔktɔ dɛn we de du ɔpreshɔn kin yuz ɔspitul mɛsh fɔ mek di wɔl strɔng.

Yu tink se Ventral Ɛnia Ɔpreshɔn na Big Ɔpreshɔn?

Ventral hernia ɔpreshɔn na wan we we rili kɔmɔn, we kin izi fɔ du . Insay Amɛrika nɔmɔ, dɛn kin du lɛk 350,000 dɛn kayn ɔpreshɔn dɛn ya ɛvri ia. Bɔku tɛm, dɔktɔ dɛn we de du ɔpreshɔn kin yuz di we dɛn we nɔ kin tek bɔku pipul dɛn . Dis min se dɛn kin du am tru smɔl smɔl say dɛn we dɛn kɔt am, we min se i nɔ kin tek lɔng tɛm fɔ mek i wɛl. Bɔt sɔm pipul dɛn, mɔ if di hεnia rili big ɔr kɔmpleks, kin nid fɔ gɛt big ɔpreshɔn we dɛn kɔl opin bɛlɛ ɔpreshɔn .

Yu dɔktɔ go disayd di ɔpreshɔn we go fayn fɔ yu hεnia. Bɔku men we dɛn de we dɛn kin du am:

• Open ventral hernia repair: Dis na di tradishonal we. Di dɔktɔ we de du di ɔpreshɔn kin kɔt di skin oba di hεnia, opin di say, ɛn mek di hεnia fayn dairekt wan. Dis we ya kin nid fɔ du am if di hεnia kɔmpleks.
• laparoskopik ventral hεnia ripa: Dis na di prosidכs we nכ de invayt bכku bכku wan. di sajin de mek sכm sכm sכm "keyhole" insishכn dεm na yu bכdi, we lכng lεk af inch. Dɛn kin put wan smɔl kamɛra we dɛn kɔl laparoscope tru wan say we dɛn kɔt. Dɛn kin sho di pikchɔ dɛn na wan skrin. Dɛn kin put lɔng, tin inschrumɛnt dɛn tru ɔda say dɛn we dɛn kɔt ɛn dɛn kin du di ɔpreshɔn we dɛn de luk di skrin.
• rכbכtik ventral hεnia ripa: Dis na כda prosidכs we nכ de invayt bכku bכku wan. I kin yuz bak smɔl smɔl tin dɛn we dɛn kin kɔt, lɔng inschrumɛnt dɛn, ɛn laparoskɔp. Di difrɛns na dat di dɔktɔ we de du ɔpreshɔn kin kɔntrol di inschrumɛnt dɛn tru kɔmpyuta sistem we i de yuz rɔbɔt an.

εvri ventral hεnia nid mεsh?

Nɔ, nɔto ɔl di ventral hεnia dɛn nid mɛsh . εspεshali if dεn na sכm εpigastric כ umbilical hεnia. Bɔt bɔku insishɔnal hεnia dɛn nid mɛsh . Dis na bikɔs dɛn kin mek dɛn tru di tisu we dɛn dɔn kɔt frɔm wan ɔpreshɔn we dɛn bin dɔn du bifo. Afta dɛn dɔn du di ɔpreshɔn, di mɔsul dɛn nɔ kin ɛva strɔng lɛk aw i bin de bifo. Di ɔpreshɔn we dɛn kin du fɔ mek dɛn ripɛnt di hεnia kin mek i wik bak. So, mɛsh de gi ɔda trɛnk.

Di dɔktɔ dɛn we de du ɔpreshɔn gɛt difrɛn kayn ɔspitul mɛsh fɔ pik frɔm:

• Sintetik mɛsh: Dɛn mek dɛn tin ya wit tin dɛn we mɔtalman mek ɛn we go de sote go. Dis na di kayn mɛsh we kin te pas ɔl we dɛn kin yuz fɔ mek implant. as nyu tisu de gro rawnd di mεsh, di mεsh de kam insay di tisu, we de mek wan strכng, pεrmanεnt layεr we nכ de brok dכn ova tεm lεk tisu.
• bayolojikal mεsh: dεn mek dεn tin ya frכm mכtalman כ animal tisu (e.g., animal skin). Dɛn nɔ kin las fɔ lɔng tɛm lɛk sɛntetik mɛsh, bɔt dɛn nɔ kin gɛt infɛkshɔn. Pan ɔl we di ɔl risk fɔ gɛt di sik nɔ kin bɔku, sɔm pipul dɛn kin gɛt di sik pas ɔda wan dɛn. So wan bayolojikal mɛsh kin sef fɔ dɛn pipul dɛn de.
• Bioabsorbable sintetik mεsh: Dis na tεmporari mεsh. I de gi sɔpɔt fɔ shɔt tɛm we di ɔpreshɔn de wɛl. Afta di bɔdi dɔn tek am, di ska tisu kin fɔm ɛn mek di wɔl strɔng.

εni opshכn dεm de we nכ de du כpכshכn fכ ventral hεnia?

Infakt, ɔpreshɔn na di wangren we fɔ mek pɔsin gɛt ventral hεnia kpatakpata . Bɔt sɔm pipul dɛn nɔ kin ebul fɔ du ɔpreshɔn bikɔs ɔf ɔda wɛlbɔdi prɔblɛm. If yu gɛt big hεnia we yu nɔ go ebul fɔ ripɛnt wit ɔpreshɔn, yu dɔktɔ kin se yu fɔ yuz spɛshal sɔpɔt (lɛk kɔs, baynda, ɔ trɔs) fɔ ol di hεnia na in ples. Dis nɔ go mɛn di hεnia, bɔt i kin ɛp fɔ ridyus di diskɔmfɔt ɛn mek i nɔr trɔp.

Aw siriɔs ventral hεnia kin bi?

כl di ventral hεnia dεm nכ kin siriכs fכs, bכt i kin bi mכr siriכs as tεm de go. Na dat mek dɔktɔ dɛn kin se dɛn fɔ mek dɛn ripɛnt bifo dɛn rich da say de.

Di rizulyt fɔ ɛlektiv ɔpreshɔn, we dɛn kin du bifo kɔmplikeshɔn kam, kin bɛtɛ ɔltɛm pas imejensi ɔpreshɔn, we dɛn kin du afta kɔmplikeshɔn kam.

Wetin kin apin afta dɛn dɔn du ɔpreshɔn pan di ventral hεnia?

Bɔku pan di ɔpreshɔn dɛn we dɛn kin du fɔ mek pɔsin gɛt hεnia kin simpul, ɛn di tɛm we i kin wɛl kin kwik. Mɔ kɔmpleks hεnia kin nid fɔ gɛt big ɔpreshɔn ɛn i kin tek lɔng tɛm fɔ wɛl. Di tin we impɔtant pas ɔl na fɔ tek tɛm mek yu nɔ put prɛshɔn ɔ strɛs pan di hεnia we i de wɛl. I impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn fɔ mek yu nɔ gɛt ɛnia bak. bitwin 10% εn 20% pan di ventral hεnia kin kam bak afta di כpεrayshכn.

Bɔrku rizin de fɔ mek yu gɛt ventral hernia. Bɔrku tɛm, i kin de smɔl smɔl, fɔ lɔng tɛm. If yu no se sɔmtin wae yu de du ɛvride (e.g., fɔ es yu wet, fɔ skwatin ɔltɛm) de put prɛshɔn pan yu bɛlɛ mɔsul dɛm, yu kin ebul fɔ chenj da abit de ɔr gɛt tritmɛnt fɔ wan sik we nɔr de dɔn we kin ɛp fɔ kɔntrol di divɛlɔpmɛnt fɔ dis sik.

Bɔt nɔto ɔl di hεnia dɛn kin ebul fɔ avɔyd. If yu gɛt wan, mɛmba se nɔto yu wangren de. Dɛn kin rili bɔku, ɛn na so bak di ɔpreshɔn fɔ mek dɛn fayn. Yu dɔktɔ go advays yu ustɛm fɔ mek dɛn mek yu hεnia bak. Sɔntɛm yu nɔ go nid am wantɛm wantɛm, bɔt i bɛtɛ fɔ mek dɛn mek am bifo i big pasmak.

Impɔtant tin dɛn fɔ no (Take-Home Message) .

Wɛl, a op se frɔm wetin wi dɔn tɔk bɔt, yu dɔn gɛt gud ɔndastandin bɔt Ventral Ɛnia. Na sɔm tin dɛn we yu fɔ mɛmba:

• ventral hεnia na we di כgan dεm we de insay di bכdi de kכmכt tru wan wik ples na di fכnt wכl na di bכdi. Dis kin apin na di nεvεl, dכn di chεst, na di כp bכdi, כ na say we dεn bin dכn כpכt am bifo.
• Di sayn dɛm kin bi we yu bɛlɛ kin swel, mɔ we yu de kɔf ɔ es ebi ebi tin. I kin gɛt pen bak.
• Ivin if i nɔ tan lɛk se prɔblɛm fɔs, i kin big, i kin tranga, ɛn i kin denja as tɛm de go. So i nɔ fayn fɔ lɛ wi nɔ pe atɛnshɔn to am.
• If yu gɛt dɛn kayn sik ya ɛn fil lɛk se yu hεnia de kam big, i bεst fɔ go to dɔktɔ fɔ advays.
• Bɔku tɛm, dis kin wɛl ɔltogɛda if dɛn du ɔpreshɔn pan am. So nɔ fred, gɛt tritmɛnt di rayt tɛm.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, mek shɔ se yu tɔk to yu famili dɔktɔ ɔ dɔktɔ we de du ɔpreshɔn. Stay wit wɛlbɔdi!

` Ventral hεnia, bכdi εnia, εnia simptom dεm, εnia כpεrayshכn, εnia kכz, bכdi εnia, bכdi swεla