He hernia anō tōu? Kaua e manukanuka, me ako noa tātou i tēnei!

Kua rongo koe i tētahi puku iti i roto i tō puku, i tō hope rānei? Ina koa ka hiki koe i tētahi mea taumaha, ka maremare, ka totohu rānei ki te wharepaku, ka puta mai pea, ka hoki anō ki roto ina takoto koe mō tētahi wā. Koinei te mea e kiia nei e te tini o tātou he 'mamae puku', engari i roto i te rongoā he hernia. Ahakoa ka mataku ētahi tāngata ina rongo rātou i tēnei ingoa, he mate tino noa tēnei. Nō reira, i tēnei rā ka kōrerohia e tātou i roto i tētahi huarahi māmā ka taea e koe te mārama.

He aha tonu te hernia?

I te kīanga māmā noa, ko te hernia he putanga mai o tētahi okana, o tētahi kiko rānei i roto i te tinana mā roto i tētahi ngoikore, i tētahi kōhao rānei i te pakitara uaua e karapoti ana i taua tinana.

Whakaarohia pēnei. He potae tō te motuka, ā, kei roto he ngongo. Nā, ki te mea he ngoikore kei roto i te potae, he aha te mea ka puta ina pupuhihia te potae? Ka puta te ngongo mai i taua ngoikore, pērā i te mirumiru iti, tika? Pērā tonu. He rite te pakitara puku ki te potae. Ko ngā whekau o roto, pērā i ngā whekau, he rite ki te ngongo. Ina ngoikore te pakitara puku, ka puta ngā whekau o roto. Koinei te mea e kiia nei e tātou he hernia.

Ka taea e ēnei te puta i ngā wāhanga rerekē o te tinana.

• Kei raro i tō uma, mā roto i te diaphragm.
• I roto i te rohe o te uma, mā te taha o raro o te pakitara o te puku.
• Kei waenganui o te puku, puta noa i te pito, i runga ake/i raro iho rānei.
• Nō te koha i puta mai i tētahi pokanga o mua.

He aha ngā momo matua o ngā hernia?

Ka wehea ngā hernia ki ngā momo rerekē i runga i te wāhi me te take o tō rātou putanga mai. Kua rongo pea koe i ētahi o ēnei. Me titiro ki te ripanga i raro nei kia mārama ai koe ki ēnei momo matua.

He aha ngā tohu o te hernia?

Ehara i te mea ka puta ngā tohumate i ngā hernia katoa, engari he tohu noa iho ētahi ka kitea.

Ko te tohu matua he puku, he pupuhi rānei e kitea ana . Kāore tēnei e kitea i ngā wā katoa.

• Ina hiki koe i tētahi taumaha.
• Ina nui tō maremare, ina tihe koe
• Ina mimi koe i roto i te wharepaku
• I a ia e tū ana

I ngā wā pēnei, ka kite koe i tēnei puku e puta mai ana. Ina takoto anō koe, ina pēhia rānei e koe te puku ki tō maihao, ka hoki mai anō ki roto.

Hei tāpiritanga, tera pea ka rongo koe i te pēhanga, te taumaha, te mamae puhoi rānei i te rohe. Heoi, ko ētahi hernia, pērā i te hernia hiatal, kāore e kitea. Heoi, ka puta pea ngā tohu pēnei i te mamae tonu o te uma me te uaua ki te horomi.

He aha ngā āhuatanga mōrearea e pā ana ki te whakawhanaketanga o te hernia?

E mōhio ana tātou ināianei ko te hernia te take o te ngoikore o te pakitara uaua. Nō reira, he maha ngā take e puta ai tēnei ngoikore, e piki ake ai rānei te pēhanga i roto i te puku, ā, ka puta ake te hernia.

• Te hiki taumaha tonu: Ko te hunga e hiki taumaha ana, e hiki taumaha ana rānei, he nui ake te mōrearea nā te mea he teitei tonu te pēhanga ki te puku.
• Maremare mau tonu: Ko te maremare tonu o te hunga mate huango me te hunga kaipaipa ka pēhi tonu i ngā pakitara o te puku.
• Te kōroke: Mā te whakamātau tonu i te inu i te wā e haere ana ki te wharepaku ka nui ake te pēhanga ki te puku.
• Momona: I te pikinga o te taumaha o te tinana, ka piki ake hoki te pēhanga ki te pakitara o te puku.
• Te Hapūtanga: Ka totoro, ka ngoikore hoki te pakitara o te puku, inā koa he maha ngā tamariki.
• Ngā pokanga o mua: He nui ake te tūponotanga o te ngoikore o te uaua i te wāhi i mahia ai te pokanga puku.
• Te koroheketanga: Ka ngoikore noa iho ngā uaua i a tātou e pakeke haere ana.

Koinei ngā tino take e pāngia ai ngā pakeke e te hernia. He maha anō hoki ngā take e pāngia ai ngā pēpi e te hernia mai i te whānautanga. Hei tauira, ko te whānautanga wawe me ētahi atu hapa whānau ka pāngia ai ngā hernia.

Ka taea te kino o te hernia? Āhea koe me āwangawanga ai?

Koinei te wāhanga tino nui. I te nuinga o te wā, kāore he morearea o te hernia. Engari e rua ngā āhuatanga ka kino rawa atu.

1. Te Mauheretanga: Kāore e taea e tētahi wāhanga o te whekau kua puta ki waho te hoki ki roto, ā, ka mau ki waho. Ina tupu tēnei, ka tino mamae te wāhi, ka pupuhi, ā, ka ruaki pea. Ka taea hoki e ia te aukati i te nekenekehanga o te puku (te aukati i te puku).

2. Te whakamomori: He mea tino morearea tēnei. Mēnā ka motuhia te rere o te toto ki te wāhanga kua purua o te whekau, ka tīmata te mate o taua wāhanga (Necrosis, Gangrene rānei). He mate morearea tēnei e hiahia ana kia pokanga ohorere.

Nō reira, ki te pāngia koe e te hernia, kia tino tupato ki ngā tohu e whai ake nei. Ki te puta tētahi o ēnei, haere tonu ki te Tari Ohotata (ETU) o te hōhipera.

Me pēhea te rongoā i te hernia?

Ka tirotirohia koe e te tākuta, ā, ka whakatau i te maimoatanga i muri i te whakaū kei a koe he hernia. I ētahi wā, ka whakahaerehia pea e rātou he whakamātautau pēnei i te matawai ultrasound.

He maha ngā wā, ko te pokanga anake te otinga pumau mō te hernia. Nā te mea, kāore ētahi atu hernia e ora i a rātou anō, he rerekē ki ngā hernia pito i roto i ngā pēpi nohinohi. I roto i te wā, ka nui ake te tūponotanga ka nui haere, ka puta hoki ngā raruraru.

Heoi, ki te mea he iti rawa tō hernia, ā, kāore e pāngia e te mamae, e te kore whakamarie rānei, ka whai pea tō tākuta i te huarahi "tatari-ā-mataara". Heoi, he nui ake te tūponotanga ka hiahiatia he pokanga i te mutunga.

Me pēhea te mahi i te pokanga?

He tino māmā te pokanga. Ka whakahokia te wāhanga o te okana kua panaia ki waho ki tōna tūranga tika, ā, ka whakakahangia te pakitara uaua ngoikore. I ētahi wā ka mahia tēnei mā te tuitui, mā te whakamahi rānei i tētahi mata motuhake e kiia nei ko te "Mata Pokanga" hei whakakaha i te wāhi.

Inaianei he maha ngā huarahi hei mahi i tēnei pokanga:

• Pokanga Tuwhera: Ka mahia te pokanga i runga i te tikanga tuku iho, me te tapahi i tētahi tapahi nui ake.
• Pokanga Laparoscopic: Ka kiia hoki tēnei ko te 'pokanga kōhao kī'. Ka mahia mā roto i ētahi tapahi iti noa iho, ā, ka whakauruhia he kāmera, kia tere ake ai te ora, kia iti ake ai te mamae.
• Pokanga Robotic: He rite tēnei ki te pokanga laparoscopic, engari ka whakamahia e te taote pokanga he ringa robotic hei mahi i te pokanga.

Mā tō tākuta koe e whakamārama ko tēhea te tikanga pai mōu. He tino noa ēnei pokanga, ā, he angitu hoki i te ao i ēnei rā. Nō reira kaua e mataku noa i a rātou.