He puku iti kei roto i tō puku o runga? Me kōrero tātou mō te hernia epigastric!

Kua kite koe, kua pāngia rānei e tētahi pupuhi iti, he puku rānei i te puku o runga, i raro iho i te uma, i runga ake i te pito? I ētahi wā ka mamae pea. He maha ngā tāngata ka mataku ina kite i tētahi mea pēnei. Nō reira, i tēnei rā ka kōrero tātou mō tētahi take pea o tēnei, arā, he hernia epigastric. Kaua e manukanuka, me kōrero noa iho tātou mō tēnei.

Nā, he aha tēnei hernia epigastric?

He māmā noa iho, ko te hernia epigastric he momo hernia e puta ana i te taha o runga, o waenganui o tō puku. Ina koa, ka puta i te rohe i raro i tō uma me runga ake i tō pātene puku. He momo hernia noa anō hoki tēnei e taka ana ki raro i te kāwai o ngā hernia ventral, e puta ana i te pakitara o mua o te puku. I ētahi wā, ka taea e te tangata te whai hernia epigastric neke atu i te kotahi.

He iti rawa ēnei hernia. Ko ētahi he hawhe inihi (tata ki te 1 henimita) te roa, he rite rānei ki te roa o te mīhini tā. Ko te hernia nui ake, he kotahi inihi me te hawhe (tata ki te 4 henimita) te rahi, he rite rānei ki te rahi o te nati wōnati. Mena he iti te hernia, kāore pea koe e kite i tētahi tohu. Heoi, i te nui haere o te hernia, ka puta mai hei puku e kitea ana, e taea te pā.

Ehara ngā hernia epigastric i te mate kino. Heoi, i ētahi wā ka arahi pea ngā hernia nui ki ngā raruraru e morearea ai te ora , nō reira he mea nui kia mōhio ki tēnei.

He aha ngā tohu o tēnei, e te tākuta?

I ētahi wā, kāore pea he tohu e pā ana ki a koe mēnā he hernia epigastric tōu. Tērā pea ka pāngia koe e ēnei tohu:

• He puku i raro i te kiri: Tērā pea ka puta he puku iti, he pupuhi rānei i raro i te kiri i waenganui o tō puku, i runga ake i tō uma, i raro hoki i tō uma. He maha ngā wā ka kitea ake tēnei ina tū koe, engari ka rite pea ki te mea kua piko paku ina noho koe, ina takoto rānei, ka ngaro atu rānei.
• Mamae pēnei i te kōpiripiri i te puku o runga: Tērā pea ka pāngia koe e te whakapairuaki , te mamae puhoi rānei i te puku o runga. Tērā pea ka kino haere tēnei mamae i te roanga o te rā.
• Mamae koi: Tērā pea ka pāngia koe e te mamae ohorere, koi, pērā i te patunga wero, ina maremare koe, ina hiki i tētahi mea taumaha, ina haere rānei koe ki te wharepaku.

Whakaarohia, ina ara ake koe i te ata, kāore he aha i pā ki a koe, engari i te awatea, ka kite koe i te pupuhi iti i tō puku o runga, ā, i te ahiahi, te āhua nei kua paku mamae taua wāhi. Koinā te mea ka tupu.

He aha tātou ka pāngia ai e ēnei momo hernia?

Ka puta tēnei āhuatanga ina panaia he wahi ngako i roto i tō puku, i ētahi wā he wāhanga rānei o tō whekau nui, mā roto i tō "Linea Alba". He aha te "Linea Alba"? He whitiki kiko hono angiangi e rere ana i mua, i waenganui, me raro o tō puku. Mena he ngoikore, he hapa rānei kei roto i tēnei "Linea Alba", ka taea e taua kiko ngako, te wāhanga rānei o tō whekau te pana mā roto. Mena he ngoikore ō uaua puku, he nui ake te tūponotanga ka pāngia koe e te Hernia Epigastric.

Ka whānau mai pea ētahi tāngata me te hernia epigastric. Ko te tikanga tēnei ka puta tēnei hernia i te wā e whanake ana te kukune. Heoi, ko te nuinga o te wā ka puta tēnei hernia i roto i te wā (hernia epigastric acquired). Ka puta pea i a koe e pakeke haere ana. Kāore rānei, ka puta mai i ētahi atu raruraru e pēhi ana i tō "Linea Alba" me ō uaua puku. Ko tēnei hernia te mea tino kitea i roto i te hunga i waenga i te 30 me te 50 tau te pakeke.

He maha ngā take e puta ai te hernia epigastric. Anei ētahi o ngā take matua:

• Te angiangi haere o te "Linea Alba" i te kaumātuatanga: I roto i te wā, ka ngoikore haere tēnei roopu kiko honohono, ka angiangi haere.
• Maremare mau tonu: Ki te mea he maremare tonu tōu, i ia wā ka maremare koe, he nui te pēhanga i roto i tō puku.
• Te kōroke: Ka maroke te puku, ā, ka piki ake te pēhanga i roto i te puku ahakoa ka ngana koe ki te haere ki te wharepaku.
• Momona: I te pikinga ake o te ngako o te tinana, ka piki aunoa te pēhanga i roto i te puku.
• Te hiki taumaha: Te hiki hē i ngā mea taumaha, me te kore e whakahaere tika i te manawa.
• Te Hapūtanga: I te wā e hapu ana, i te tipu haere o te pēpi, he nui te pēhanga ki te puku o te whaea.

He mea mōrearea pea tēnei? He aha ngā raruraru ka pā mai?

Ahakoa ehara i te mea nui te hernia iti o te puku, e rua ngā raruraru ka mōrearea i ētahi wā. Ko ēnei he hernia herehere me te hernia whakatārewatanga. E kiia ana ēnei he āhuatanga hauora tino nui . Ka taea e rāua te whakararu i te ora.

• Hernia Mauhere: Koinei te wā ka mau te hernia i waenganui i ngā uaua o tō puku. Ina tupu tēnei, e kore e hoki anō ki roto, e kore anō hoki e hoki anō ki roto ahakoa pēhi koe. Ka pāngia pea koe e te mamae nui.
• Te Hernia Strangulated: He nui ake te mōrearea o tēnei. Mēnā ka motuhia te rere o te toto ki tētahi wāhanga o te hernia strangulated, ka tīmata te mate o taua wāhanga. Ka pā mai pea te mamae nui, te kirika, te whakapairuaki, me te ruaki. He āhuatanga tēnei me whakatika tonu mā te pokanga.

Ko te mea nui, ki te kitea e koe he hernia tōu, kia aro nui koe ki ngā tohu e whakaatu ana kua mauheretia, kua whakamomorihia rānei.

Me pēhea te kite a te tākuta i tēnei?

Mena kei a koe tētahi o ngā tohu kua whakahuatia ake nei, he pai ake te toro atu ki te tākuta. Ka tirotirohia e te tākuta te tinana i te tuatahi. Ko te tikanga ka pāngia koe e te puku i roto i tō puku, ka tono kia maremare koe, ā, ka takoto koe.

Hei tāpiritanga, ka taea te whakahaere i ngā whakamātautau whakaahua pēnei i ēnei hei whakatau i te rahi, te wāhi, me ngā ihirangi o te hernia:

• Matawai CT (Tomography Rorohiko - matawai CT): Ka taea e tēnei te tango whakaahua taipitopito o te hernia.
• Matawai MRI (Whakaahua Āhua-Mateke - Matawai MRI): He rite tēnei ki te matawai CT, engari he rerekē te hangarau e whakamahia ana.
• Ultrasound: He whakamātautau e whakamahi ana i ngā ngaru oro hei hanga whakaahua o roto o te tinana. Koinei te whakamātautau tuatahi e mahia ana.

I muri i ēnei whakamātautau, ka taea e te tākuta te kī atu mēnā he hernia epigastric tōu, me tōna āhua.

He aha ngā maimoatanga mō tēnei? Me pēhea te whakahaere?

Ko te rongoā tuturu anake mō te hernia epigastric ko te whakatika mā te pokanga (pokapū whakatika hernia) . Ko te tikanga o tēnei ka whakahokia te wāhanga e pupū ake ana, ka tuia te wāhi ngoikore, te kōhao rānei o te "Linea Alba", ā, i ētahi wā ka whakamahia he mea pēnei i te mata whatu hei whakapakari i te wāhi.

Heoi, kāore e hiahiatia he pokanga tonu mō ngā hernia epigastric katoa. Tērā pea ka whakatau tō tākuta ki te mahi i te tatari mataara kaua ki te pokanga i ngā wā e whai ake nei:

• Mena he iti rawa te hernia (iti iho i te inihi, tata ki te 1 henimita).
• Ki te kore koe e pāngia e te mamae, e te whakapairuaki rānei i te hernia.
• Ki te kore he raruraru nui tōu ki taua puku,
• Mena ki te whakaaro te tākuta he iti te mōrearea o ngā raruraru mai i te hernia .

Mēnā koinei te āhua, ka kī atu tō tākuta kia hoki mai koe ki te tirotiro i a koe anō i ētahi wā kua whakaritea . Arā, me tirotiro koe mēnā kei te nui haere te hernia, mēnā rānei kei te puta mai ngā tohu hou.

Kia pēhea te roa o te wā e ora ai i muri i te pokanga?

He uaua ki te kī tika i tēnei, nā te mea he rerekē i ia tangata, i ia tangata. He maha ngā mea e pā ana ki tēnei, pērā i tō tau, te rahi o te hernia, te āhua o te pokanga i mahia, me tō hauora whānui.

I te nuinga o te wā, ka taea e koe te tīmata anō i ō mahi o ia rā i te rua wiki i muri i te pokanga. Heoi, ki te mahi uaua koe, pērā i te hiki taumaha, ka roa pea e whā wiki, neke atu rānei, ka hoki koe ki te mahi. Ko te mea nui ko te whai i ngā tohutohu a tō tākuta.Māna e kī atu ki a koe te roa o te wā e hiahia ana koe ki te okioki, te wā ka taea e koe te tīmata i ngā mahi o ia rā, me te wā ka taea e koe te tīmata ki te hiki taumaha.

Ka taea e tēnei te hoki mai i muri i te pokanga? (Outlook)

Ko te rongo pai, ka taea te whakaora katoa i te hernia epigastric mā te pokanga. Arā, ka ngaro te puku.

Heoi, i ētahi wā ka hoki anō te hernia, ka puta rānei he hernia hou. Ko te take matua o tēnei, ko te pēhanga anō o ō uaua puku, o te "Linea Alba" rānei, ka ngoikore anō rānei. Ka taea e koe te kōrero ki tō tākuta mō te tūponotanga ka pā anō te hernia i muri i te pokanga. Ka taea hoki e ia te kōrero ki a koe he aha tāu e taea ai te mahi hei ārai i tōna hokinga mai.

He aha tā tātou e taea ai te mahi hei ārai i tēnei mea kei tupu?

Ahakoa kāore e taea te ārai katoa, he maha ngā mea ka taea e koe te mahi hei whakaiti i tō tupono ki te whakawhanake i te hernia epigastric:

• Kia mau ki te taumaha hauora e pai ana ki a koe: He mea tino nui te whakahaere i tō taumaha tinana, nā te mea ko te momona te tino take o te hanganga o te hernia.
• Whakaorahia ngā āhuatanga e pēhi ana i ngā uaua o te puku: Ki te pāngia koe e te maremare tonu, e te mate kōroke rānei, me whiwhi rongoā tika, ā, me whakahaere hoki.
• Kia tūpato i te wā e hiki ana: Kaua e ngana ki te hiki i ngā taumaha katoa i te wā kotahi. Ki te pērā koe, kia tika te tū, kia whakahaere i tō manawa, ā, me tono āwhina mēnā ka taea.

Āhea tātou me tino kite i te tākuta?

Mena he puku tōu pērā i taku i kōrero ake nei i roto i tō puku o runga, ā, e ahua ana kei te nui haere, me toro atu koe ki te tākuta. Nā te mea he nui ake te tūponotanga ka huri te hernia epigastric ki te "Incarcerated Hernia" me te "Strangulated Hernia" nā te mea kua motuhia te rere o te toto.

Ki te pāngia koe e tētahi o ngā tohu e whai ake nei, me whakaaro he āhuatanga ohorere hauora tēnei. Haere tonu ki te hōhipera tata, ki te mea rānei kei Sri Lanka koe, waea atu ki te 1990 Suwaseriya Ambulance Service:

• He mamae hou, kino, ka tere te piki haere o te puku o runga.
• Whakapairuaki me te ruaki.
• Ka rerekē te tae o te kiri kei reira te hernia (hei tauira, tera pea he whero, he papura, he kikorangi, he mangu rānei).

Ki te pāngia koe e ēnei tohu, kaua e whakaroa . Mā te rapu awhina hauora tonu ka ora ai te tangata.

He aha ngā pātai me pātai atu koe ki te tākuta?

Ina haere koe ki te tākuta, he mea pai kia pātai koe i ēnei pātai:

• E te tākuta, he aha i pā mai ai tēnei hernia ki ahau?
• Ka nui haere tēnei?
• He aha ngā āhuatanga ka puta mēnā ka nui haere tēnei?
• Me tino pokanga ahau? Kāore he huarahi kē atu?
• Mena ka pokangahia ahau, he aha ngā mea me tūpato ahau i muri i tēnā?

He mea tino nui kia pātaihia ēnei pātai, kia mārama ai hoki koe ki tō āhuatanga.

Ka taea e te hernia epigastric te whakaputa i te reflux waikawa?

Kāo. Ko ngā tohu pēnei i te mamae o te uma me te reflux waikawa ka puta mai i tētahi atu momo hernia e kiia nei ko te hernia hiatal. Ka puta he mamae puhoi, he mamae koi i te puku o runga i te hernia epigastric. Kāore e puta he tohu o te reflux waikawa.

Nō reira, ki te mea he puku kei roto i tō puku o runga, kei raro i tō uma, kei runga ake hoki i tō rara, tera pea he hernia epigastric. Heoi anō, tera pea ētahi atu take mō taua puku. Nō reira, he pai ake te toro atu ki te tākuta kia kitea ai te take tika, kia whiwhi ai hoki i te maimoatanga e tika ana māu.

Nā, he aha ngā mea tino nui hei maumahara mā tātou? (Karere hei kawe ki te kāinga)

Āe, mai i ngā kōrero kua kōrerotia e tātou mō te Epigastric Hernia, anei ngā mea tino nui hei maumahara māu:

• He pupuhi iti te hernia epigastric i te taha o runga, o waenganui o te puku.
• I te nuinga o te wā, ehara tēnei i te mea morearea, engari ki te nui, ka pā mai he raruraru pērā i te aukati me te ngaronga o te rere o te toto.
• Ko ngā tohumate pea he puku, he pupuhi, me te mamae nui. Tērā pea kāore he tohumate o ētahi tāngata.
• Tērā pea ka puta tēnei i ngā āhuatanga pēnei i te momona nui, te maremare roa, te mate kōroke, te hiki taumaha, me te hāputanga.
• Ko te pokanga anake te rongoā tuturu mō tēnei, engari kāore e hiahiatia ana te pokanga tonu mō te katoa.
• Mā te pupuri i te taumaha hauora me te whakaiti i ngā mea e pēhi ana i te puku ka āwhina i te ārai i tēnei mea.
• Ki te nui haere te puku, ki te pāngia rānei koe e ngā tohu pēnei i te mamae nui, te whakapairuaki, te ruaki, te rerekē rānei o te kiri, me toro atu ki te tākuta tonu.

Ko tāku tumanako he whai hua ēnei mōhiohio ki a koe. Mēnā he āwangawanga āu, kaua e mangere ki te kōrero ki te tākuta. Kia ora tonu koe!

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