Kua rongo koe i te ahua o te puku i roto i tō hope, ina koa ka hiki koe i tētahi mea taumaha, ka maremare rānei? Kei te rongo rānei koe i te taumaha, i te mamae rānei i taua wāhi? He maha ngā tāngata e mataku ana, e whakama ana hoki ki te kōrero mō tēnei. Engari he āhuatanga pea tēnei e kiia nei ko te 'hernia' e kitea nuitia ana e tātou. Kaua e manukanuka, i tēnei rā ka kōrero māmā noa tātou mō te aha tēnei hernia inguinal, te take e puta ai, me te aha me mahi mōna.
Ki te kī ngāwari, he aha tēnei hernia?
Whakaarohia he pēke he kōhao iti kei roto. Ka puta ngā mea o roto i te pēke mā roto i taua kōhao, tika? He rite tonu te hernia ki tēnā. Ko te hernia he puta mai ngā kiko o tētahi wāhanga o te tinana, hei tauira, he wahi whekau i roto i te puku, he paparanga ngako rānei, mā roto i tētahi wāhi ngoikore o ngā uaua e karapoti ana.
Ko te hernia inguinal he hernia e puta mai ai te kiko mai i te puku mā roto i tētahi wāhi ngoikore i te pakitara o raro o te puku e wehe ana i te puku mai i te hope. E kiia ana hoki ko te hernia hope nā te mea ka puta i te rohe hope. Koinei te momo hernia tino noa.
E rua ngā momo matua o ngā hernia inguinal:
E rua ngā momo matua o ngā hernia inguinal, i runga i te āhua o te hanganga. He rerekētanga iti kei waenganui i ngā mea e rua.
| Momo hernia | He whakamārama māmā |
|---|---|
| Hernia Inguinal Tika | He momo tēnei e pā ana ki ngā pakeke. I roto i te wā, ka ngoikore ngā uaua o te puku, ā, mā te pēhanga ki runga i a rātou ka puta te kiko mā roto i te pakitara o te hope. Ehara tēnei i te mea nō te whānautanga mai. |
| Hernia Inguinal Ārai | He maha ngā wā ka puta tēnei i te whānautanga mai o tētahi hapa. Ina tupu te tamaiti i roto i te kōpū, kāore te awa inguinal e kati katoa, ā, ka puta te kiko mā roto i te pūaha. He mea tino kitea tēnei i roto i ngā tamariki nohinohi. |
Ko wai te mea tino pāngia e tēnei āhuatanga?
He nui ake te kitea o ngā hernia inguinal i roto i ngā tāne . E ai ki ngā tatauranga, kotahi i roto i te tekau ngā tāne ka pāngia e te kotahi i roto i ngā wāhine.
He aha i nui ake ai te pānga o tēnei ki ngā tāne?
He whakarāpopototanga, nā te hanganga o te tinana. Ina kei roto te pēpi tama i te kōpū, kei roto i te puku ōna porotiti i te tīmatanga. Kātahi ka heke iho mā te awa inguinal ki roto i te scrotum. He ngoikore noa iho tēnei ara mō ngā porotiti. Koia te take he nui ake te tūponotanga o te hernia. I ētahi wā, kāore tēnei ara e kati katoa i muri i te whānautanga.
He whaiti ake ngā awaawa inguinal o ngā wāhine. Nā te mea he hononga kaha e rere ana mā roto i aua awaawa hei tautoko i te kōpū, he kaha te rohe. Heoi anō, ka taea hoki e ngā wāhine te pāngia e te hernia inguinal, inā koa te momo 'korekore' e whānau mai ana, ā, ka pā pea ki ngā kōtiro taitamariki.
E 75% o ngā hernia he hernia inguinal. 25% o ngā tāne (kotahi i roto i te whā) ka pāngia e te hernia inguinal i roto i ō rātou oranga. Heoi, e 2% anake o ngā wāhine ka pāngia e tēnei āhuatanga.
He mate kino te hernia inguinal?
Kāore pea te hernia e tino kino i te tīmatanga. Engari ki te kore e rongoatia, ka kino haere te āhua i roto i te wā. Ka nui haere te kōhao i roto i te uaua, ā, ka nui ake ngā kiko e puta mai ana.
Ko te mōrearea matua ko te kore e taea e te wahi kiko e pupū ake ana (hei tauira, he whekau) te hoki ki roto (te whare herehere) . Ka mamae pea tēnei. Ko te mea tino mōrearea ko te ngaronga o te rere o te toto ki te kiko kua mau (te whakatārewatanga) . Ki te tupu tēnei, ka tīmata te mate o te kiko (te gangrene) ā, ka puta pea ngā mate kino. He āhuatanga tēnei e hiahia ana kia rongoatia wawetia.
Nō reira, ki te mea kei te pāngia koe e te mamae me te kore whakamarie nā te hernia, ka tūtohu pinepine tō tākuta kia pokangahia hei whakatika i mua i te kino haere o te āhua.
He aha ngā tohu o tēnei?
Ehara i te mea ka puta ngā tohu i ngā hernia inguinal katoa. I ētahi wā ka haere mai, ka haere atu ngā tohu. Tērā pea ka pāngia koe e ēnei āhuatanga:
| Tohu | Whakaahuatanga |
|---|---|
| He puku, he pupuhi rānei i te rohe o te puku | Koinei te tohu matua. Tērā pea ka nui ake te ahua o tēnei puku ina maremare, ina hiki, ina whakauaua rānei. Tērā pea ka hoki whakamuri ina moe koe, ina pēhia rānei e koe ki tō ringaringa. |
| Te taumaha, te pēhanga rānei | Tērā pea ka rongo koe i te taumaha i te rohe o tō hope, me te mea kei te whakakīia e tetahi mea. |
| Mamae | Ka pā te mamae o te huha, ina koa ka piko whakamua, ka hiki i tētahi mea taumaha, ka maremare rānei. |
| Te werawera, te ngau rānei | I ētahi wā, ka pāngia te waewae e te mamae wera, te werawera rānei e toro atu ana ki te waewae. |
Mō ngā tamariki nohinohi, ka kitea he puku i roto i ō rātou hope ina tangi rātou. Ka memeha haere ina moe rātou.
He aha ngā take o te hernia?
He maha ngā take e puta ai te ngoikore, te whewhe rānei i te pakitara o te puku.
- Te ngoikore whānau: E ai ki te kōrero i mua ake nei, koinei tētahi o ngā tino take o te `(Indirect Hernia)`.
- Te maremare roa, te tihe rānei: Ka taea e ngā mate pēnei i te mate huango me te maremare kaipaipa te pēhi tonu i te puku.
- Te kōroke: Mā te tohe tonu ki te neke i te puku ka ngoikore te pakitara o te puku.
- Te hiki taumaha: Te hiki taumaha kore e tika, ngā mahi hiki taumaha, ngā mahi uaua.
- Te Hapūtanga: Te pēhanga ki te pakitara o te puku i te wā e hapū ana.
- Te momona nui: Ka pēhia tonutia te pakitara o te puku e te nui haere o te ngako o te puku.
- Ngā pokanga o mua: Ka puta he hernia mai i tētahi koha ngoikore i muri i te pokanga puku.
- Te koroheketanga: I a tātou e koroheketanga ana, ka ngoikore haere ngā kiko o tō tātou tinana.
Me pēhea te tautuhi i te hernia inguinal?
I te nuinga o te wā, ka tirotirohia koe e te tākuta.Ka taea e koe te kite mēnā he hernia tōu mā te titiro atu. Ka tono te tākuta kia maremare koe, kia whakamātau rānei i a koe e tirotiro ana i tō rohe hope. Ki te puta te hernia, ka kitea mārama.
Ka tirohia hoki e te tākuta mēnā ka taea te whakau mārire i te pona ki te ringaringa ka whakahokia ki roto, mēnā rānei kua mau.
I ētahi wā, ki te kore e kitea mārama te hernia, ka tonoa pea he matawai ultrasound hei whakaū. He tino onge pea, ka hiahiatia he matawai CT.
He aha te maimoatanga pai rawa atu?
Ko te pokanga anake te rongoā pai rawa atu mō te hernia inguinal. Kāore e taea te whakaora i te hernia mā te tango rongoā.
Mena he hernia inguinal kei roto i ngā tamariki nohinohi me ngā wāhine, ka tūtohu ngā tākuta kia pokanga wawe tonu nā te mea he nui te tūponotanga o ngā raruraru.
Mō ētahi tāne he iti nei, kāore he tohu o te mate, ka tūtohu pea tā rātou tākuta i tētahi huarahi "tatari-ā-kanohi". Heoi, ko te nuinga o ngā tāne ka hiahia ki te pokanga i te mutunga.
He tino māmā te pokanga. Ka whakahokia te kiko kua tangohia ki roto i te puku, ā, ka tuia te kōhao i te pakitara uaua. I ētahi wā, ka whakamahia he mea pēnei i te mata hangai hei whakapakari i te wāhi ngoikore. Ka kiia tēnei tikanga he hernioplasty .
Ngā momo pokanga
Inaianei e rua ngā huarahi matua hei mahi i tēnei pokanga.
1. Pokanga Tuwhera: Koinei te tikanga tuku iho. Ka tapahia he iti mā roto i te hope, ā, ka whakatikahia te hernia mā te kuhu ki roto.
2. Pokanga Laparoscopic: E mōhiotia ana hoki tēnei ko te 'pokanga kī'. Ka mahia te pokanga mā roto i ētahi kōhao iti i roto i te puku, ka whakauruhia he kāmera me ngā taputapu ngawari ki roto. He iti ake te kiripaka o tēnei tikanga, he iti ake te mamae, ā, he tere ake te ora.
Mā tō tākuta e whakatau ko tēhea tikanga pokanga te mea pai mōu.
He aha te mea ka tupu mēnā kāore he rongoā mō te hernia?
Kāore ngā hernia inguinal e ora noa iho. Ka kino haere i te roanga o te wā. E ai ki te kōrero i mua ake nei, ka puta pea ngā raruraru nui, pērā i te aukati, te whakakōpiri rānei i te puku. He āhuatanga ohorere ēnei e morearea ana ki te ora.
He tino morearea te waiho i te hernia kia kore e rongoatia, inā koa mō ngā tamariki. I a rātou e tipu ana, ka tere te tipu o te hernia. Nō reira , ki te whakapae koe he hernia tō tāu tamaiti, me toro atu ki te tākuta tonu.
Ka taea te ārai i te hernia?
Ahakoa kāore e taea te ārai i ngā hernia whānau, he maha ngā mea ka taea e tātou te mahi hei whakaiti i te mōrearea o te whakawhanaketanga o ngā hernia i te wā e pakeke haere ana.
- Te hiki tika i ngā taumaha: Ina hiki koe i tētahi taumaha, pikohia ō turi, ka hiki mā te kaha o ō waewae, kaua ko tō tuara.
- Whakahaerehia tō taumaha: Kia mau ki te taumaha tinana hauora, mā te whakaiti i te ngako o te puku.
- Ārai i te mate puku: Kai i ngā kai muka (hua rākau, huawhenua) me te inu i te nui o te wai.
- Āta karohia te kai hikareti: Ko te maremare mau tonu e puta mai ana i te kai hikareti tetahi o ngā tino take o te hernia.
- Whakakorikori tinana tika: Mahia ngā mahi whakakorikori tinana hei whakapakari i ngā uaua o tō puku.
Ki te pā mai ēnei tohu ki a koe, me toro atu ki te tākuta tonu!
Mena he hernia tōu, he pāngia rānei koe e tētahi o ngā tohu e whai ake nei i muri i te pokanga, haere tonu ki te hōhipera, tirohia rānei tō tākuta. He tohu pea ēnei o te hernia kua whakakōpikopikotia, kua ngaro rānei te rere o te toto.
- Te mamae nui, te mamae e kore e taea te whakaroa i te rohe o te hope, o te puku rānei.
- Whakapairuaki me te ruaki.
- Te kirika, te makariri, me te wiri.
- He whero, he papura, he mangu rānei te hernia.
- Te kore e taea te tūtae, te tuku hau rānei.
- Ko te hernia i uaua ki te rongoā i mua, kua uaua inaianei.
He āhuatanga ohorere hauora ēnei. Nō reira, i roto i ēnei āhuatanga, me haere koe ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera i te wā e taea ai.
Karere Tangohia ki te Kāinga
- He mate tino noa te hernia inguinal, inā koa i waenga i ngā tāne. Nō reira kaua e whakama, kaua hoki e wehi i tēnei.
- Ki te mea he puku, he pupuhi, he mamae rānei kei roto i tō hope, kaua e warewaretia. Kia mahara ki te toro atu ki te tākuta, kia tirohia hoki.
- Ko te pokanga te rongoā pai rawa atu, ā, ko te rongoā pumau rawa atu mō ngā hernia. Kāore e taea te whakaora i ēnei mā te rongoā.
- Ka pā mai pea ngā raruraru kino ki ngā hernia kāore i te rongoatia, nō reira he mea nui kia whai i ngā tohutohu a te tākuta.
- Ka taea hoki e koe te whakaiti i tō mōrearea ki te pāngia e te hernia mā te whai i tētahi momo noho hauora.

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