Kua tupu tētahi puku i te wāhi i pokaina ai koe? Tērā pea he hernia tapahi!

Kei te mahara koe i tāu pokanga puku, arā, i muri i te pokanga, i ētahi wā ka kite koe he rite te āhua o te koha o te patunga ki tētahi puku iti e puta ake ana? Kua pā tēnei ki tētahi e mōhio ana koe? I te nuinga o te wā, kāore he take e manukanuka ai, engari he mea nui kia mōhio koe ki tēnei. Koinei te mea e kiia ana e mātou i roto i te rongoā he Incisional Hernia , i roto rānei i te reo Sinhala,

He aha tēnei (Incisional Hernia)? Kia mārama tātou!

Whakaarohia kua pokangahia tō puku, arā, he pokanga, mō tētahi take. Tērā pea he pokanga e mahia ana mā roto i tētahi tapahi nui, e kiia nei e tātou he laparotomy . Tērā pea he pokanga e mahia ana mā roto i ētahi tapahi iti (pokanga laparoscopic) , he tikanga hou rānei (pokanga robotic) .

Ahakoa te āhua o te pokanga, ka ngoikore haere ngā uaua o te puku i muri i te pokanga. He rite ki te pakaru o tētahi wāhi iti i roto i tētahi kakahu. Kātahi ka panaia ngā whekau i roto i te puku, ngā paparanga ngako rānei i roto i te puku, mā roto i aua uaua ngoikore. Ka panaia pērā, ā, ka rite ki tētahi puku iti, ki tētahi pupuhi rānei i raro i te kiri i te wāhi i mahia ai te pokanga. Koinei te mea e kiia nei e mātou he Hernia Whakatakoto.

He āhuatanga tino noa tēnei. E whakaatu ana ngā rangahau tata ki te 20 i roto i te 100 o ngā tāngata kua pokanga nui ki te puku, pērā i te laparotomy, ka pāngia e te hernia. Waihoki, ka puta tonu mai tēnei hernia i muri i te pokanga, ka puta mai rānei i muri i ngā marama, i ngā tau rānei.

I te nuinga o te wā, ehara ēnei (Hernia Tapatapahi) i te mea he āhuatanga ohorere hauora nui. Heoi, i ētahi wā, ki te nui haere tēnei hernia, ka taea e ia te arahi ki ngā raruraru nui. Nō reira, he mea nui kia mōhio koe ki tēnei.

Ko te maimoatanga noa mō tēnei ko te mahi i tētahi atu pokanga hei whakahoki i ngā wāhanga o te whekau i puta mai ki roto i te puku, hei whakapakari hoki i ngā uaua ngoikore.

He aha ngā tohu o te Hernia Tapatapahi? Me pēhea te mōhio ki tēnei?

Mena he iti te hernia, tata ki te rua inihi (5 henimita) te whānui, te roa rānei, kāore pea koe e kite i tētahi tohu. Heoi, ki te nui ake te hernia, hei tauira, neke atu i te whā inihi (10 henimita), tera pea ka mamae koe. Waihoki, tera pea ka kitea mārama he puku, he pupuhi rānei i te wāhi o te koha pokanga.

Ka rite tēnei mamae ki te mamae wero koi i ētahi wā, ka rite rānei ki te mamae wero nui. Ka tino kaha rawa atu tēnei mamae ina hiki koe i tētahi mea taumaha, ina maremare, ina tihe rānei.

Ka kitea nuitia te āhua o taua puku ina tū ake koe, ina pēhia rānei ngā uaua o tō puku (hei tauira, ina totoro koe ina mate kōroke koe).

He aha i puta ai tēnei (Incisional Hernia)? He aha ngā āhuatanga e pā ana ki tēnei?

E ai ki tā tātou i kōrero ai i mua, ko te tino take o te ngoikore o te uaua o te puku i muri i te pokanga puku ko te ngoikore o te uaua o te puku. He tino teitei tēnei mōrearea i muri i te tapahi nui (laparotomy). Heoi, ka puta anō hoki tēnei āhuatanga i muri i ngā pokanga e mahia ana me ngā tapahi iti, pērā i te pokanga laparoscopic, te pokanga robotic rānei.

I muri i te pokanga, ka roa te wā e ora ai ēnei uaua, e ora ai rānei. Ka taea e ētahi mahi me ngā āhuatanga hauora te whakaroa i tēnei wā whakaora, ā, ka piki ake te mōrearea o te hernia tapahi. Kei roto i ēnei ko:

• Te tere rawa o te mahi i muri i te pokanga: Ko te tikanga o tēnei ko te mahi i ngā mahi taumaha, te mahi rānei i ngā mea e whakararuraru ana i te tinana me te kore e okioki tika.
• Mate huka: Kua roa te whakaora o te patunga o te hunga mate huka.
• Momonatanga: He nui ake anō hoki tēnei mōrearea mō te hunga taumaha rawa.
• Ngā mate pūkahukahu: Ina koa mō te hunga whai mate e puta ai te maremare tonu, pērā i te COPD (Mate Pūkahukahu Ārai Mau) , ka pēhia ngā uaua o te puku e te maremare pinepine.
• Te whakamahinga roa o ngā rongoā ārai mate, ngā corticosteroids rānei.
• Ngā mate pāwera o te wāhi pokanga: Ka pā mai hoki te ngoikore o te uaua nā ngā mea pēnei i te mate pāwera o te patunga.

Me pēhea te whakaiti i tēnei mōrearea?

Ko te mea pai rawa atu māu ko te hoatu i te wā ki tō tinana kia ora ai. Kia marino mō ētahi rā i muri i te pokanga. Kaua e hiki i ngā taumaha, e mahi rānei i ngā mahi uaua mō tētahi wā. He pai ake te pātai atu ki tō taote pokanga āhea koe ka taea te hoki anō ki ngā mahi o ia rā.

He aha ngā raruraru ka pā mai i te hernia tapahi?

Ahakoa he onge, i ētahi wā ka taea e te hernia tapahi te arahi ki ngā mate kino. Ko tētahi he hernia herehere . Koinei te wā e kore ai e taea e tetahi wāhanga o te whekau kua paheke ki roto i te hernia te hoki ki roto i te puku, ā, ka mau ki waenganui i ngā uaua.

Ko tētahi atu āhuatanga morearea ko te hernia strangulated . I tēnei wā, kei raro i te pēhanga nui te wāhanga kua strangulated o te whekau, ā, ka ngaro te rere o te toto. Ina tupu tēnei, ka tīmata te mate o taua wāhanga o te whekau. I roto i te rongoā, ka kiia tēnei ko te (necrosis) .

He mate hauora nui te hernia incarcerated me te hernia strangulated e hiahia ana kia rongoatia tonutia. I ēnei wā, ka pāngia pea koe e te mamae ohorere, te mamae nui i te wāhi i puta ai te hernia, ā, ka huri te tae o te kiri i taua wāhi. Ka mā te kiri, kātahi ka mangu. Mena kei a koe ēnei tohu, me haere tonu koe ki te rūma whawhati tata o te hōhipera.

Me pēhea te mōhio o ngā tākuta mēnā he hernia tapahi tōu?

Ina haere koe ki te tākuta, ka tirotirohia tō tinana i te tuatahi. Tērā pea ka tono atu rātou kia noho koe, kātahi ka tū ake, kātahi ka rapu i ngā puku, i ngā puku rānei e nekeneke haere ana. Ka pātai atu hoki rātou mō ētahi atu tohu kei a koe, ā, ka ngana ki te whakatau mēnā he mate tōu pērā i te hernia incarcerated. I ētahi wā, ka mahia e rātou he matawai CT .

Me pēhea te rongoā i te Hernia Tapatapahi?

Ko te maimoatanga kei runga i ō tohumate. Hei tauira, ki te mea he iti tō hernia kāore e mamae, kāore hoki e whakararuraru, kāore pea koe e hiahia ki te maimoatanga. Heoi, ka nui haere te hernia tapahi i roto i te wā. I te nui haere o te hernia, ka piki ake te tūponotanga o ngā raruraru. Nō reira, ki te mea he nui tō hernia, he tohumate rānei, ka tūtohu pea te tākuta i te pokanga whakatika hernia .

Ka taea tēnei pokanga te mahi hei whakatika hernia tuwhera, hei pokanga whakatika hernia laparoscopic rānei. I ngā tikanga e rua, ka whakahokia te wāhanga o te whekau, o te kiko rānei i roto i te hernia ki roto i te puku hei whakapakari i ngā uaua puku kua ngoikore. I ētahi wā, ka whakamahia he hanganga rite ki te mata hei whakapakari i ēnei uaua. Mā tēnei ka whakaiti i te tūponotanga o te hokinga mai o te hernia.

Kia pēhea te roa o te wā e ora ai?

He rerekē te roa o te wā whakaora i ia tangata, i ia tangata. Ka taea e te nuinga o te tangata te hoki ki ā rātou mahi o ia rā. Heoi, he rerekē te katoa, nō reira he pai ake te pātai atu ki tō taote pokanga kia pēhea te roa me te aha e tumanakohia ana.

Āhea ahau me toro atu ki te tākuta i muri i te pokanga?

Ka puta pea ētahi raruraru iti i muri i te pokanga hei whakatika i te hernia tapahi. Nō reira, ki te pāngia koe e tētahi o ēnei e whai ake nei, whakamōhio atu ki tō tākuta tonu:

• Mena kei te toto te patunga.
• Ki te kite koe i ngā tohu o te mate pāwera: te kirika, te wai rite ki te pūhā e maringi ana mai i te patunga.

He aha ngā mea e tika ana kia tumanakohia e te tangata he hernia tapahi?

He maha ngā wā ka ora katoa te mate i te pokanga hei whakatika i tētahi hernia nui (tapahia). Heoi, i ētahi wā ka hoki anō te hernia.

Kia pēhea te roa ka taea e koe te ora me te hernia tapahi?

Ki te kore tō hernia e mauheretia, ka taea e koe te noho tahi me taua hernia mō te wā roa. Heoi, ka taea e te hernia kua mauheretia te whakakōkī. Ki te tupu tēnā, ka taea te huri hei mate hauora nui ka taea te whakararu i te ora .

Kāore pea i te ohorere te puta o te hernia tapahi i muri i te pokanga puku. He tino pouri te whakaaro ka puta he raruraru anō i muri i te pokanga mō tētahi mate. Heoi, kāore tēnei mate hou e hiahiatia ana kia pokanga anō. Heoi, nā te mea ka taea e te hernia tapahi nui te whakararuraru i te tinana, ki te mea he puku, he pupuhi rānei tōu i te wāhi i pokangahia ai koe, me toro atu koe ki te tākuta me te tiki tohutohu. Māna koe e kī atu ki te mea pai hei mahi.

Ngā mea tino nui hei maumahara māu (Karere hei tango ki te kāinga)

• Ko te hernia tapahi he wā e puta mai ai ētahi wāhanga o te whekau, pērā i ngā whekau, mā te wāhi i tapahia ai i muri i te pokanga puku.
• Ehara tēnei i te āhuatanga ohorere nui i te nuinga o te wā, engari i ētahi wā ka tino kino.
• Mena he puku, he pupuhi, he mamae rānei kei te rohe o te koha pokanga, rapua he tohutohu hauora.
• Ki te piki ake te mamae i te wā e hiki ana i ngā taumaha, e maremare ana rānei, he tohu anō hoki tēnā.
• He āhuatanga ohorere hauora te hernia kua mauheretia, kua whakakōpikopikotia rānei. Ka pāngia pea koe e te mamae nui me te rerekētanga o tō kiri.
• Ko te maimoatanga he pokanga i te nuinga o te wā.
• He mea tino nui te okiokinga nui i muri i te pokanga, me te whai i ngā tohutohu a tō tākuta kia tere ai te ora.

Ki te hiahia koe ki te mōhio atu mō tēnei mea, ki te hiahia rānei koe ki ētahi āwangawanga, kaua e mangere ki te kōrero ki te tākuta. Kia ora tonu koe!

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