He puku kei roto i tō puku, i tō hope, i tō pito rānei? Kei te ahua kei te nui haere, ina koa ka maremare koe, ka hiki taumaha, ka kata rānei? Kātahi pea ka pāngia koe e te hernia. Ahakoa he maha ngā tāngata e mangere ana ki te kōrero mōna, he mate tino noa tēnei. Nō reira, i tēnei rā, me kōrero tātou mō ngā hernia me ā rātou mahi pokanga, kia kitea ai ngā whakautu ki ō pātai katoa.
He aha te tikanga o te pokanga hernia?
Ko te hernia he putanga mai o tētahi okana, o tētahi kiko rānei i roto i te tinana mā roto i tētahi wāhi ngoikore o te pakitara uaua e pupuri ana i a ia kia mau tonu. He rite ki tētahi mea i roto i tētahi pēke kua kī rawa, ā, ka turuturu atu mā roto i tētahi kōhao iti. Ko te nuinga o ēnei ka puta i ngā wāhi o te puku me te hope.
Ko te Pokanga Whakatika Hernia , e kiia nei e ngā tākuta, ko te "Herniorrhaphy," he tikanga pokanga e uru ana ki te whakahoki i te okana, te kiko rānei kua hernia ki tōna tūranga, me te whakapakari me te tuitui i te pakitara kua ngoikore. I ētahi wā, ka whakamahia he mata motuhake, e kiia nei ko te "Mata Pokanga," hei whakapakari i te pakitara. Ko tēnei pokanga te maimoatanga pai rawa atu, me te maimoatanga tino noa mō te hernia.
Ko wai e hiahia ana ki tēnei pokanga?
Ehara i te mea ko ngā hernia katoa e hiahiatia ana kia pokaina tonutia, engari he maha e hiahiatia ana kia pokaina nā te mea ka nui haere i roto i te wā, ā, ka puta ngā tohu pēnei i te mamae me te kore whakamarie.
Hei tauira, ki te nui haere te hernia inguinal ka neke ki roto i te scrotum, ka pupuhi, ka mamae, ka uaua hoki te moe tāne. Waihoki, ki te mau tetahi okana, pērā i te whekau, ki roto i te hernia, ka aukati i te rere o te toto, ā, ka puta he raruraru nui. Nō reira, ki te mea he tohu kei a koe, kei te mōrearea rānei koe ki ngā raruraru, ka tūtohu pea tō tākuta kia pokanga koe.
He aha ngā momo pokanga hernia e wātea ana?
E toru ngā momo matua o te pokanga hernia. Mā tō tākuta e whiriwhiri te tikanga e tino tika ana māu, i runga i te āhua o tō hernia me tō āhua hauora.
| Momo pokanga | Me pēhea te mahi (māmā noa iho) |
|---|---|
| Pokanga Tuwhera | Koinei te tikanga tuku iho. Kotahi te tapahi roa (he torutoru inihi) ka mahia ki te wāhi i puta ai te hernia, ka whakahokia te kiko e puta mai ana, ā, ka tuia anō te pakitara uaua ngoikore. He maha ngā wā ka whakamahia he mata motuhake hei whakapakari. |
| Pokanga Laparoscopic | Ka kiia hoki tēnei ko te "pokanga kōhao kī". Engari mō te tapahi nui kotahi, ka mahia kia 3, kia 4 rānei ngā tapahi iti rawa . Ka whakauruhia he ngongo angiangi me te kāmera (laparoscope) mā roto i te tapahi kotahi, ā, ka tirotirohia te roto i runga i te aroturuki. Ka whakauruhia ngā taputapu pokanga mā roto i ngā tapahi kē atu hei whakatika i te hernia. |
| Pokanga Robotic | He momo pokanga laparoscopic anō hoki tēnei. Heoi, i konei ka mahi te taote pokanga mā te whakamahi i te ringa karetao. Ka noho te tākuta ki mua i te mata rorohiko, ā, ka whakahaere i te hangarau karetao. Mā tēnei ka taea te pokanga tino ātaahua, tino tika hoki. |
Me pēhea te whakarite i mua i te pokanga?
Mā tō tākuta koe e whakatau mēnā he pai koe mō te pokanga, ā, ko tēhea tikanga pokanga te mea pai mōu. Whai muri i tēnā, ka hoatu e rātou ētahi tohutohu ki a koe, pēnei i:
- Ka pātaihia tō hītori hauora katoa . He mea nui kia mōhio koe mēnā kei te hapu koe, kei a koe rānei ētahi atu mate hauora.
- Me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā huaora me ngā hua otaota. Tērā pea ka tonoa koe kia mutu te tango i ngā rongoā whakaiti toto i ētahi rā i mua i tō pokanga.
- Tērā pea ka mahia he whakamātautau toto, he matawai rānei, hei tirotiro mēnā kei te pai tō āhua mō te pokanga.
- Ka tonoa koe kia nohopuku (kia kaua e kai, e inu) mō tētahi maha o ngā hāora i mua i te pokanga.
- He mea nui anō hoki kia whakaritea i mua i te wā kia haria koe e tetahi ki te kāinga i muri i te pokanga.
I te rā o te pokanga, ka hoatu he rongoā whakamoe ki a koe kia kore ai koe e mamae. Ka mahia te pokanga laparoscopic i raro i te rongoā whakamoe whānui (mā te whakamoe i a koe). I roto i te pokanga tuwhera, ka hoatu pea he rongoā whakamoe ki te wāhi e pokangahia ana, ā, ka taea te mahi i a koe e ara ana. Heoi, kaua e wehi i te mamae.
He aha ngā mea ka tupu i muri i te pokanga? Ā, kia pēhea te roa o te wā e ora ai?
He maha ngā pokanga hernia e kiia anaPokanga Tūroro. Ko te tikanga ka taea e koe te hoki ki te kāinga i taua ahiahi tonu. Mena he pokanga uaua ake, me noho koe ki te hōhipera mō te rā kotahi, e rua rānei.
Ka rerekē te roa o te whakaoranga i runga i te momo pokanga i mahia ki a koe me te āhua o tō tinana.
- I te nuinga o te wā, ka taea e koe te tīmata ki te mahi i ngā mahi kāore e tino uaua ki te tinana, pērā i te mahi tari, i roto i ngā rā torutoru.
- E torutoru wiki pea ka taea e koe te hoki ki ngā mahi uaua pēnei i te hiki taumaha.
- Ka taea e koe te mahi i ngā mahi whakakori tinana māmā , pērā i te hikoi, i te rā i muri i te pokanga. Engari ehara i te mea pai kia whakakaha katoa i a koe i te wā kotahi. Me whakanui haere i tō mahi.
He pai ake te kōrero ki tō tākuta kia mōhio ai koe ki te roa o te wā hararei e hiahiatia ana e koe, i runga i te āhua o tō mahi.
He tūponotanga, he raruraru rānei kei reira? Kia tūpato tātou!
Pērā i ngā pokanga katoa, tera pea ētahi mōrearea iti i roto i te pokanga hernia. Engari he tino onge ēnei. He mea nui kia tūpato.
| Ngā raruraru pea i muri i te pokanga | |
|---|---|
| Ngā raruraru poto |
|
| Ngā raruraru roa | |
| Ngā āhuatanga e hiahia ana kia arohia wawetia (tirohia he tākuta tonu, haere rānei ki te ETU) | |
| Waea atu ki te tākuta: |
|
| Haere tonu ki te ETU (Emergency Treatment Unit): | |
He mea noa te mataku i te whakaaro mō te pokanga hernia. Engari kia mahara, he pokanga tino angitu, he pokanga haumaru hoki tēnei e mahia ana puta noa i te ao. Mā te hangarau hou (ngā tikanga laparoscopic, ngā momo mata pai rawa atu), he tino pai ngā hua i muri i te pokanga. He poto te wā whakaora. Nō reira, kaua e wehi ki te kōrero ki tō tākuta me te tiki i te maimoatanga e pai ana ki a koe.
Karere Tangohia ki te Kāinga
- Ko te maimoatanga tino angitu me te tino noa mō te hernia ko te pokanga.
- He maha ngā momo pokanga, tae atu ki te pokanga tuwhera, te pokanga laparoscopic, me te pokanga robotic. Mā tō tākuta e whakatau ko tēhea te tikanga pai mōu.
- Ka iti ake te koha, ka iti ake te mamae, ā, ka tere ake te ora mā te pokanga laparoscopic.
- Whaia tonu ngā tohutohu a tō tākuta i muri i te pokanga. Āta karohia te hiki taumaha me ngā mahi uaua mō tētahi wā.
- Kia tūpato ki ngā tohu whakatūpato pēnei i te kirika, te mamae nui i te wāhi i tapahia, te pupuhi, me te pupuhi. Mēnā ka kite koe i tētahi mea pēnei, me whakamōhio tonu atu ki tō tākuta.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He aha te ngoikore o te uaua? He ngenge noa iho tēnei?
Ehara tēnei i te ngenge/moe noa! Ko te 'Ngoikoretanga o te Uaua' he kupu hauora e kī ana ahakoa te kaha o tō hinengaro, kāore e taea e tō ringa/waewae/uaua nui te whakarongo ki tāu e kōrero nei, ā, ka heke tōna kaha/mana mā te 100% (Heke te kaha o te nekeneke), ā, he tino morearea te hapa io/uaua e kore ai e taea te pupuri kapu, te piki arawhata/te whakatika atu i te tūru.
💬 He aha ngā tino take e ngaro whakarere ai, e memeha haere ai rānei te mahi a ngā peka/uaua o te tangata (ngoikoretanga o te uaua)?
E rua ngā take matua mō tēnei: 1) 'Te kino nui ki te roro me ngā io' - nā te whiu, te sclerosis maha, te kōpae herniated rānei. 2) 'Te mate o ngā uaua me ngā io' - nā te iti o te taumata pāhare pāporo i roto i te toto (Hypokalemia), te neuropathy nā te mate huka nui, ngā raruraru tairoi, me te myasthenia gravis.
💬 He aha ngā 'āhuatanga morearea' e tika ai kia tere tonu koe ki te wāhanga ohorere o te hōhipera me te kore e tango huaora ina ngoikore tō tinana/uaua?
Ko te mōrearea nui rawa atu, me te tino kino rawa atu! Ki te mea ka ora ohorere te tangata, i roto i ngā meneti, i te wā tonu rānei, 1) ka pāngia e te 'ngoikoretanga o te taha kotahi' o te tinana/mata, te pararutiki katoa, me te kōrero pōturi, he 'whiu' tino tēnei o te roro (te mate i roto i ngā haora e toru)! 2) Ki te tīmata te pararutiki i ngā waewae, ā, ka horapa ki te uma mō ētahi haora (te mate Guillain-Barre) ā, kāore e taea e te tangata te manawa, me karanga he waka tūroro me te kore e tatari mō tētahi hēkona!
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