Ka puta te hernia ina pana tetahi okana o roto (pērā i tetahi wāhanga o te whekau, o te puku rānei) mā roto i tētahi wāhi ngoikore o te uaua, o te kiko rānei e mau tonu ana i roto. Whakaarohia he rite ki tētahi ngongo potae e pupuhi ana i roto i tētahi wāhi ngoikore, angiangi rānei i te anga o waho; waihoki, ina ngoikore ō uaua, ō kiko rānei, ka puta he okana.
He rite tonu ki tētahi poihau e pupuhi ana i te wāhi kua totoro, kua angiangi rānei te papanga.
He aha ngā take o te Hernia?
He maha ngā take matua mō te hernia, ā, ka tūhuratia ngātahitia e tātou:
Ngā ngoikoretanga whānau:
Ka whānau mai ētahi tāngata me ngā ira ngoikore tūturu i roto i te pakitara o ō rātou puku. He wāhanga noa iho tēnei o te whanaketanga tinana o ō rātou tinana, e whakapiki ake ana i te tūponotanga o te pāngia e te hernia.
Te koroheketanga:
I a tātou e pakeke haere ana, ka rerekē haere ngā āhua o ō tātou tinana, ā, ka ngaro pea te kaha o ngā uaua i roto i te wā. Mā tēnei ngoikore haere ka hua ake he hernia.
Te whakamātau:
- Te hiki taumaha: Mena kei roto i tō mahi, i tō oranga rānei te hiki i ngā mea taumaha—pērā i te hanga whare, i te mahi ā-ringa rānei—tērā pea ka nui ake tō mōrearea.
- Te Tū Roa: Ka taea hoki e ngā mahi e hiahia ana kia tū mō ngā wā roa te whakararu i ēnei wāhi.
Te maremare me te mate kōroke:
- Maremare Mau tonu: Ka pēhia e te maremare tonu ngā uaua o tō puku, ā, ka mutu, ka arahi pea tēnei ki te hernia.
- Te kōroke : Mā te totoro i te puku i te wā e neke ana te puku ka pēhia te puku; ki te tupu pinepine tēnei, ka pā mai pea he hernia.
Te haputanga:
I te wā e hapu ana, ka nui haere te pēhanga o te pēpi e tipu ana ki te puku, ā, i ētahi wā ka arahi tēnei ki te whanaketanga o te hernia.
Te momonatanga:
Ko te pikau i te taumaha nui ka whakararu i ngā uaua o tō puku, he mea nui tēnei ki te whanaketanga o te hernia.
Ngā Pokanga Puku:
Mena kua pokangahia tō puku i mua, ka puta he hernia i te wāhi i tapahia ai mēnā kāore te kiko e ora pai. He mea nui kia whai i ngā tohutohu tiaki katoa i muri i te pokanga hei whakaiti i tēnei mōrearea.
Ngā Wāhi Noa mō ngā Hernias
Ko te hernia e puta pinepine ana i nga waahi e whai ake nei:
Puku:
Ka taea e te hernia te puta i ngā wāhi katoa o te pakitara o te puku.
Te paparinga:
Ko te whēkau te wāhi e tūtaki ai te huha ki te puku. He tino noa te hernias i tēnei rohe.
Diaphragm:
Ko te diaphragm te whāriki uaua e wehe ana i tō uma i tō puku. I ētahi wā, ka taea e tētahi wāhanga o te puku te pana mā roto i tētahi pūaha i roto i tēnei uaua.
Ngā Wāhi Pokanga o Mua:
Ka puta pea ngā hernia i roto i te kiko koha o ngā tapahi o te puku o mua.
Ngā momo Hernias
Ka whakarōpūhia ngā hernias i runga i tō rātou taunga:
Te Hernia Inguinal:
- Koinei te momo hernia tino noa.
- He maha ake te kitea o tēnei i roto i ngā tāne.
- Ka puta tetahi wāhanga o te whekau mā roto i te awa inguinal, he ara tēnei i roto i te pakitara o raro o te puku.
Te Hernia Femoral:
- Ka puta anō hoki tēnei momo i te rohe o te uma.
- Ka puta tēnei ina puta te kiko ngako , te okana rānei mā roto i te awa femur, kei raro noa iho i te awa inguinal.
- He nui ake te kitea o ēnei i roto i ngā wāhine.
Hernia Hiatal:
- He pūaha iti (hiatus) tō te diaphragm e puta ai te esophagus (te paipa kai). I roto i te hernia hiatal, ka whānui ake tēnei pūaha, ka taea ai e te taha o runga o tō puku te pana ki runga ki te kōhao o te uma.
- Ka taea e tēnei te arahi ki te reflux waikawa me te mamae o te uma e mau tonu ana.
Te Hernia o te Pito o te Umbilical:
- Ka puta tēnei i te taha o te pito o te puku.
- He mea whānau mai i ngā pēpi i te nuinga o te wā, ā, ka memeha noa iho i a rātou e tipu ana.
Hernia Tapahi:
- Ka puta tēnei i te wāhi i puta ai te koha o te puku i mua i te pokanga.
- He mea nui te tiaki tika i muri i te pokanga hei ārai i tēnei momo hernia.
Te Hernia o te Puku:
- He kupu whānui tēnei mō te hernia e puta ana i te taha mua o te puku.
- Kei raro i tēnei momo ngā hernia pito me ngā hernia tapahi.
- Ko ngā mea e puta ake ana i runga ake i te pito e kiia ana ko te Epigastric Hernias .
Te Hernia Perineal:
- He tino onge ēnei.
- Ka puta mai ēnei mā te ngoikore o ngā uaua o te papa pelvic, ka taea ai e ngā okana te puta ki roto i te rohe pelvic.
He aha ngā tohu o te hernia?
He rerekē ngā tohu i ia tangata, i ia tangata; kāore pea ētahi e pāngia e te mamae. Heoi, tera pea ka kite koe i ēnei e whai ake nei:
- Pupuhi/Pupuhi: Tērā pea ka kite koe i tētahi pupuhi e kitea ana i te wāhi e pāngia ana e te hernia. Kāore pea i te kitea i ngā wā katoa; tērā pea ka kite koe ka kitea haere ina hiki koe i ngā mea taumaha, ina piko koe, ina maremare rānei.
- Mamae/Whakamarie: Tērā pea ka pāngia koe e te pēhanga, te tōia, te mamae ngawari rānei i te wāhi e pāngia ana.
- Maremare/Kata: Tērā pea ka kaha ake tō mamae, tō kore whakamarie rānei ina maremare koe, ina kata koe, ina whakauaua rānei.
- Te Ngaungau/Te Whakapūngao Waikawa: Mena he hernia hiatus tōu (he hernia kei te uma), tera pea ka pāngia koe e ngā tohu pēnei i te wera o tō uma, te whakapūngao waikawa rānei, ka hoki ake ngā ihirangi o te puku ki roto i tō korokoro.
He rerekē ngā tohu mō ngā tāne me ngā wāhine?
He rite tonu ngā tohu. Heoi, mō ngā tāne, ka pā pea te hernia inguinal ki tengā rakuraku . Mō ngā wāhine, kāore pea te hernia femur e kitea tonutia i te mata, engari ka mamae pea te hope o te uma.
He morearea ngā hernia? (Ngā raruraru)
Ahakoa kāore ētahi hernia e pāngia wawetia, ka taea e rātou te arahi ki ngā raruraru i roto i te wā.
- Te Mauheretanga: Tērā pea ka mau te kiko e pupū ake ana, ā, kāore e taea te hoki ki tōna tūranga. He nui te mamae e puta mai ana i tēnei.
- Te Tāmitanga (Te Whakakorenga o te Tukunga Toto ): Mēnā ka mau te hernia, ka motuhia pea te tukunga toto. Ka mate pea ngā kiko (necrosis/gangrene). He āhuatanga ohorere hauora tēnei. Tena koa rapua he āwhina tonu mai i tō tari ohorere ā-rohe, i te 911 rānei.
Ngā raruraru o te hernia hiatal:
He rerekē ngā raruraru mō ngā hernia hiatal. Ahakoa kāore e whakakōkīhia te ihu, ka taea e rātou te whakaputa i te reflux waikawa mau tonu. Ko te hernia diaphragmatic whānau (mai i te whānautanga) he mate kino ka taea te whakararu i te whanaketanga tika o ngā pukahukahu o te pēpi.
Me aha koe mēnā ka mamae koe i te hernia?
Mena kei te mamae koe, he mea nui kia toro atu ki te tākuta. Ka taea e ētahi atu āhuatanga te rite ki ngā tohu o te hernia, nō reira he mea nui te rapu awhina hauora tonu. Rapua he awhina hauora tonu mena ka kite koe i te rerekētanga o te tae o te kiri i te rohe, te ngoikore, te kirika, te ruaki rānei.
Me pēhea te tautuhi i te hernia? (Tautuhinga)
I te nuinga o te wā, ka taea e te tākuta te tautuhi i te hernia mā te whakamātautau tinana. Tērā pea ka tono atu rātou kia maremare koe, kia piko rānei ki raro kia kite ai mēnā ka nui haere te hernia. Mō ngā hernia hohonu ake, me whai whakamātautau whakaahua pērā i te matawai CT, te ultrasound rānei.
Me pēhea te rongoā i ngā hernia? (Te rongoā)
He maha ngā wā e hiahiatia ana he pokanga hei whakatika i te hernia. Heoi, ki te mea he iti te hernia, ā, kāore e nui ngā raruraru, ka tūtohu pea tō tākuta i tētahi huarahi "mātakitaki me te tatari". Nā te mea ka nui haere ngā hernia i te roanga o te wā, he maha ngā wā ka tūtohutia kia whakatika wawe. He maha ngā wā ka memeha haere ngā hernia pito o ngā pēpi.
Pokanga:
I te wā e pokangahia ana, ka panaia te kiko e pupū ake ana ki muri, ā, ka tuia te pakitara uaua ngoikore, ka whakapakaritia rānei ki te mata pokanga. He maha ngā wā ka mahia tēnei hei tikanga iti rawa te whakaekenga (laparoskopi) mā te whakamahi i ngā tapahi iti, e āwhina ana i te tere o te whakaoranga me te iti o te mamae. He kōwhiringa anō hoki te pokanga karetao mō ētahi tūroro. I ētahi wā, ka hiahiatia pea he pokanga tuwhera i runga i te rahi me te uaua o te hernia.
Te maimoatanga mō te hernia hiatal:
Mena ka puta he rerenga waikawa nui i te hernia hiatal, ka taea te mahi i tētahi tikanga e kiia nei ko te Nissen fundoplication, ka takaihia te wāhanga o runga o te puku ki te taha o raro o te korokoro hei whakapakari i te takirere.
Ngā Pānga me ngā Āhuatanga o te Maimoatanga:
- Te toto
- Mate pāwera
- Ngā urupare mate pāwera ki ngā rongoā
- Te uauatanga o te mimi mō te wā poto
- Te mamae tonu i muri i te whakatikatika i te hernia o te hope (nā te riri pea o ngā io).
He aha te tirohanga? (Tirohanga/Matapae)
Kia tāpaetia tō mate ki Nirogi Lanka, ka aromatawaihia e tō tākuta te kaha o te hernia, ka whakatau i te huarahi mahi pai rawa atu—mehemea me pokanga tonu koe, me tatari haumaru rānei.
Ahakoa he mea noa te pokanga, he mahi noa iho ēnei tikanga, ā, he haumaru hoki te nuinga. He maha ngā tūroro ka taea te hoki ki te kāinga i taua rā anō. Ahakoa he iti noa te tūponotanga (tata ki te 10%) ka hoki anō te hernia, ka taea e koe te whakaiti i tō tūponotanga mā te karo i te hiki taumaha me te whakahaere i te maremare mau tonu, i ētahi atu mahi rānei e whakararuraru ana i tō pakitara puku.
Te noho me te hernia (Te noho tahi me taua hernia)
Mena kua tāpaetia he hernia tōu engari kei te tatari koe kia pokangahia, kia mōhio koe ki ngā mahi whakatūpato e whai ake nei:
- Mahi: I runga i te āhua o tō mahi, mēnā he mahi uaua, he tū roa rānei, me whakarerekē pea tō mahinga o ia rā. I ētahi wā, ka tohutohu pea tō tākuta kia huri tō mahi, kia mahi rānei i ngā mahi māmā mō te wā poto.
- Te Hiki Taumaha: Kaua e hiki i ngā mea taumaha i ngā wā katoa e taea ana. Ki te mea me hiki, whakamahia te tikanga tika: piko ō turi, kia tika tō tuara, kia tata hoki te mea ki tō tinana. Mā te hiki kore tika ka kino rawa atu te hernia.
- Te kōroke: Whakaorahia te kōroke i te wā e neke ana te puku. Ka taea e te totoro i te puku i te wā e neke ana te puku te whakanui ake i te pēhanga o te puku, ka kino ake ai ngā tohu o te hernia.
- Maremare: Ki te pāngia koe e te maremare tonu, rapua he maimoatanga hauora. Ka whakararu te maremare tonu i te pakitara o tō puku, ā, kāore e pai mō te whakaora i te hernia.
- Whitiki Whakapūmau/Ārai: Tērā pea ka tūtohu tō tākuta kia whakamahia he whitiki whakapūmau, he whitiki ārai rānei hei tautoko. Ahakoa ka āwhina pea tēnei ki te whakahaere i te hernia mā te ārai i te puta, kia mahara ehara i te mea he rongoā tuturu.
- Ngā Tohu: Kia tūpato ki tō hernia. Ki te kite koe i ētahi huringa, pērā i te mamae nui haere, te rerekētanga o te kiri, te pakeke haere rānei o te pupuhi, me rapu awhina hauora tonu.
Ngā Pātai Auau (FAQs)
He hernia tūturu rānei te "hernia hākinakina"?
Kāo. Ahakoa te ingoa, ehara te hernia hākinakina i te hernia tūturu. He whara ki ngā uaua, ki ngā uaua rānei i te rohe o te hope, he maha ngā wā ka puta mai i ngā nekehanga piko i te wā e mahi ana i ngā mahi hākinakina. Ahakoa ka taea te mamae rite ki te hernia, kāore he okana e puta mai ana i te pakitara o te puku. E mōhiotia ana tēnei āhuatanga hauora ko te "athletic pubalgia."
He aha mēnā ka pā mai he hernia ki ahau i te wā e hapu ana?
Ka nui ake te mōrearea o te hernia i te wā e hapu ana. Ko te tikanga, he pai ake ki ngā tākuta te tatari kia whānau rā anō i mua i te mahi pokanga. Heoi, ki te puta he raruraru nui, he mamae nui rānei i te hernia, me pokanga pea i te wā e hapu ana. Mā tō tākuta whānau me tō taote pokanga e whakatau te huarahi haumaru mōu me tō pēpi.
He aha mēnā he hernia tō taku pēpi?
He maha ngā wā ka pāngia ngā pēpi e ngā hernia pito tata ki te pito o te puku. He maha o ēnei ka memeha noa iho i te kaha o te pakitara o te puku. Heoi, ki te roa te hernia i tua atu i te 4, i te 5 rānei tau te pakeke, ki te nui rawa rānei, ka tūtohu pea te taote pokanga i tētahi tikanga whakatikatika.
Tuhipoka Whakamutunga:
He tino noa te hernia, engari mā te mōhiotanga tika me ngā mahi ārai, ka taea e koe te whakahaere i aua mea me te whai hua. I Nirogi Lanka , ka whakanui mātou mēnā ka kite koe i tētahi tohu, i tētahi huringa rerekē rānei, ko te kōrero wawe ki tētahi tohunga hauora te taahiraa nui rawa atu mō tō hauora mō te wā roa.
