Kua rongo koe i tētahi puku iti i roto i tō hope i a koe e maremare ana, e hiki ana i tētahi mea, e noho noa ana rānei? Tērā pea he mamae pakupaku, he taumaha noa iho rānei. He tokomaha te hunga e mataku ana, e whakama ana hoki ki te kōrero mōna. Engari koinei te mea e kīia nei e tātou he 'hernia', arā, he 'inguinal hernia'. Kaua e manukanuka, he mate tino noa tēnei. Me kōrero taipitopito tātou mōna, kia mārama ai koe.
He kupu ngāwari noa iho, he aha te hernia inguinal?
Whakaarohia ngā whekau i roto i tō tātou puku (hei tauira, ngā whekau, ngā papa ngako i roto i te puku) he rite ki te hau i roto i te poihau. Ka puritia ēnei whekau e ngā uaua o te pakitara o tō tātou puku. Pērā i te rapa i roto i te poihau. Inaianei, ki te ngoikore tēnei pakitara uaua i tētahi wāhi, ki te puta rānei he kōhao iti, ka puta he wahi kiko i roto i te puku mā roto i reira. Koinei te mea e kīia nei e tātou he hernia .
Ka puta ngā hernia inguinal i roto, i te taha rānei o te awa inguinal, arā, te wāhi e tūtaki ai te puku me ngā waewae. Koinei te momo hernia tino noa.
He momo hernia kei reira? He aha ngā momo hernia e pā ana ki te tika me te momo hernia e pā ana ki te kore tika?
Ae, e rua ngā momo matua o te hernia inguinal. He iti noa te rerekētanga o te āhua o te putanga mai o ēnei e rua.
| Momo hernia | He whakamārama māmā |
|---|---|
| Hernia Inguinal Tika | He momo tēnei e pā ana ki te hunga kaumātua. I roto i te wā, ka ngoikore ngā uaua o te puku, ā, mā te pēhanga ki a rātou (pērā i te maremare, te hiki taumaha rānei) ka puta tika mai te hernia mā roto i te pakitara uaua. Ehara tēnei i te mea e kitea ana i te whānautanga. |
| Hernia Inguinal Ārai | He mate tēnei e puta pinepine ana i te whānautanga. I te wā o te kōpū, ina kore e kati tika te pūaha i te tihi o te awa inguinal, ka puta te hernia mā roto. He mea noa tēnei i waenga i ngā pēpi. |
Ko wai te mea tino pāngia e tēnei āhuatanga?
Kāore tēnei i te miharo, nā te mea e 10 ngā wā ka nui ake te tūponotanga o ngā tāne ki te pāngia e tēnei momo hernia i ngā wāhine. Ko te take ko te āhua o te hanganga o ō tātou tinana. Ka whanake ngā poro o te tāne i roto i te kōpū i te wā e whānau ana. Kātahi ka haere mā te awa inguinal ki te scrotum. Nō reira, he mea noa iho, ka toe he wāhi ngoikore iti i tēnei ara. I roto i te wā, ka nui ake te tūponotanga o tēnei wāhi ngoikore ki te whanake hei hernia.
Kāore i te tino kitea tēnei i roto i ngā wāhine . Nā te mea he whaiti ake te awaawa o te hope, ā, ka puta he hononga kaha (hononga porowhita) e tautoko ana i te kōpū mā roto. Nō reira, he kaha ake te rohe.
I te katoa, e 75 o roto i te 100 o ngā hernia o te ao he hernia o te hope. Kotahi i roto i te whā o ngā tāne (25%) ka pāngia e tēnei mate i roto i ō rātou oranga. I roto i ngā wāhine, he iti ake te auau, tata ki te 2 i roto i te 100 (2%). Ka kitea hoki i roto i ngā tamariki, inā koa ngā pēpi i whānau wawe.
Ka taea te mōrearea te hernia inguinal?
Tuatahi, ehara i te mea he morearea tonu ngā hernia katoa. Heoi, ko te raruraru o tēnei, he nui ake te tūponotanga ka kino haere ngā hernia i roto i te wā. I te mea ka nui haere te wāhi ngoikore o te pakitara uaua, ka tīmata te pupuhi ake o ngā kiko.
Ehara te hernia i te mea e pai haere ana ina noho tonu. Ka nui haere i te roanga o te wā.
Ko te mōrearea matua ko te wāhanga o te kiko kua puta mai (hei tauira, he whekau) ka mauheretia (karekau e taea te hoki ki roto) . Ina tupu tēnei, ka piri te wāhanga, ā, ka mutu te rere o te toto ki reira. Ka kiia tēnei he whakatārewatanga . He āhuatanga tino morearea, he āhuatanga ohorere tēnei. Nō reira, ki te mea kei te pāngia koe e te mamae me te kore whakamarie mai i te hernia, ka tūtohu tonu tō tākuta kia pokanga koe hei whakatika i mua i te kino haere o te āhua.
He aha ngā tohu o tēnei? Me pēhea e mōhio ai koe ki tēnei?
I ētahi wā, kāore pea he tohu. Tērā pea ka puta mai, ka ngaro atu ngā tohu. Tērā pea ka puta mai te hernia, kātahi ka hoki anō ki roto. Tirohia mēnā ka kite koe i tētahi o ēnei:
- He puku iti, he puku rānei i tetahi taha o tō hope, o tō wheua tūtae rānei.Ka puta mai? (Mō ngā tāne, ka taea tēnei te heke ki raro ki te kiriuhi).
- Kei te pēhia koe e te taumaha, e te pēhanga rānei i taua wāhi?
- Ka mamae koe i te hiki taumaha, i te maremare, i te piko, i te whakamahi rānei i te wharepaku?
- Ka rongo koe i te wera, i te ngau rānei i ētahi wā? Ka taea hoki e tēnei mamae te haere mai i te hope ki raro ki te waewae.
- Mō ngā tamariki nohinohi, ina tangi rātou, tera pea ka rite ki te puku i roto i ō rātou hope. Ka memeha atu i a rātou e moe ana.
He aha ngā tino take o te hernia?
E rua ngā āhuatanga e puta ai te hernia: he ngoikore o te pakitara o te puku me te pēhanga ki runga. He maha ngā āhuatanga ka whai wāhi ki tēnei:
- Te ngoikore whānau: E ai ki te kōrero i mua ake nei, ka pā tēnei ki ngā tama tāne.
- Te maremare roa, te tihe rānei: Ka taea e ngā mate pēnei i te mate huango me te maremare kaipaipa te pēhanga tonu ki te puku.
- Te whakauaua pinepine ki te whakamahi i te wharepaku nā te mate kōroke: He tino take nui anō hoki tēnei mō te ngoikore o te pakitara o te puku.
- Te hiki taumaha, te whakakori tinana nui rawa rānei: Ina koa te hiki hē i ngā taumaha.
- Momonatanga (te nui haere o te ngako o te puku): Ka pēhia tonutia te pakitara o te puku e te taumaha nui o te puku.
- Te Hapūtanga: Ka taea hoki e te hapūtanga me te whānautanga tamariki te ngoikore o te pakitara o te puku.
- Te koroheketanga: Ka ngoikore haere ngā uaua i te kaumātuatanga.
- Pokanga o mua: Tērā pea ka puta he ngoikore huri noa i te koha i mahia ai te pokanga puku.
He aha ngā raruraru ka puta mai i te hernia kāore i rongoatia?
He wāhanga tino nui tēnei. Ka mōrearea pea te hernia mēnā kei reira noa iho.
| Ngā raruraru | Te tikanga |
|---|---|
| Te whakanui ake i roto i te wā | Tērā pea ka nui haere te hernia, ka nui haere te kore whakamarie me te mamae. Mō ngā tāne, ka pupuhi pea te kiriuhi. |
| Te mauheretanga | Kāore e taea te whakahoki i tētahi wāhanga o te whekau kua puta mai. Ka nui te mamae ka pā mai. |
| Te aukati i te whekau iti | Kāore e taea e te kai me te hau te haere mā roto i te whekau kua purua, ka puta te mamae nui o te puku, te ruaki, me te mate kōroke. |
| Te whakatārewatanga | He āhuatanga ohorere hauora tēnei. Ka motuhia te rere o te toto ki te kiko e pāngia ana. Ka mate te kiko (gangrene). Ka tūpono pea tēnei ki te ora. |
Me aha koe mēnā kei te whakapae koe he hernia tōu?
Mena kei a koe ngā tohu o te hernia, ko te mea tuatahi me te mea pai rawa atu ko te toro atu ki tō tākuta . Kaua e whakama, kaua hoki e whakaroa. Ehara i te mea he hernia tō te puku i roto i tō hope. Tērā pea he puku lymph pupuhi, he lipoma, he mate kē atu rānei. Koia te mea nui kia toro atu koe ki tō tākuta kia tika ai te tātaritanga .
Mā te tākuta koe e tirotiro.
- Ka tono atu rātou kia maremare koe, kia tātari hoki i tō ihu kia kite ai mēnā ka puta mai te hernia.
- Ka ngana rātou ki te pēhi i te hernia ki ō rātou ringa, ka kite mēnā ka taea te pana ki roto.
- I ētahi wā, ka tonoa pea e rātou tētahi mea pēnei i te matawai ultrasound hei whakaū i te mate.
He aha te rongoā pai rawa atu mō te hernia?
Ko te pokanga te rongoā pai rawa atu, ā, te rongoā pumau rawa atu hoki mō te nuinga o ngā hernia inguinal. Ko te tikanga, me pokanga tonu, inā koa mēnā kei ngā tamariki me ngā wāhine te hernia, nā te mea he nui te tūponotanga o ngā raruraru.
Mō te tāne he iti noa te hernia, kāore he tohu, ka tūtohu pea te tākuta i ētahi wā kia "tatari me te mātakitaki". Heoi, ko te nuinga o ngā tāne ka hiahia ki te pokanga i te mutunga.
Ahakoa ka taea e te 'whitiki hernia' (truss) e whakamahia ana e ētahi tāngata te aukati i te putanga mai o te hernia mō te wā poto, ehara i te otinga tuturu.
Ahakoa e kiia ana he pokanga, me pēhea te mahi i tēnei?
Ko te whāinga matua o te pokanga hernia ko te whakahoki i te kiko e pupū ake ana ki roto i te puku, me te kati i te wāhi ngoikore, i te kōhao rānei i roto i te pakitara uaua. I ētahi wā ka whakamahia he mata hangai hei whakapakari i tēnei wāhi ngoikore. Ka kiia tēnei ko te Hernioplasty .
He tino matatau ēnei pokanga ināianei. E rua ngā tikanga matua.
| Tikanga pokanga | Whakaahuatanga |
|---|---|
| Pokanga Laparoscopic | Ka kiia hoki tēnei ko te 'pokanga kōhao kī'. Ka mahia te pokanga mā te hanga i ētahi kōhao iti ki te puku, me te whakauru i tētahi kāmera me ngā taputapu ngawari. He iti ake te mātā, he iti ake te mamae, ā, he tere ake te whakaora. |
| Pokanga Tuwhera | Koinei te tikanga tuku iho. Ka mahia te pokanga mā te tapahi tika, roa ki te wāhi i puta ai te hernia. Ka whakamahia tēnei tikanga mō ngā hernia nunui, uaua rānei. |
Mā tō taote pokanga e whakatau ko tēhea tikanga te mea pai mōu.
He huarahi hei ārai i te whanaketanga o te hernia?
Ahakoa kāore e taea te ārai i te hernia whānau, he maha ngā mea ka taea e koe te mahi hei whakaiti i tō tupono ki te pāngia e te hernia ā muri ake nei.
- I te wā e hiki ana i ngā taumaha, pikohia ō turi, ā, hikihia kia tika. Kaua e hiki mā tō tuara, mā tō puku rānei.
- Whakahaerehia tō taumaha, inā koa te whakaiti i te ngako o te puku.
- Ki te pāngia koe e te mate puku, me rongoā. Kai i ngā kai he muka (hua rākau, huawhenua) me te inu nui i te wai.
- Ki te kaipaipa koe, kati. Ko te mare e pā ana ki te kaipaipa tetahi o ngā tino take o te hernia.
- Me mahi ngā mahi whakakori tinana hei whakapakari i ngā uaua o tō puku. Heoi, ki te mea kua pāngia koe e te hernia, me toro atu ki tō tākuta i mua i te whakakori tinana.
Āhea koe me toro atu ki te tākuta kia tere tonu ai?
Mena he hernia tōu, tera pea he āhuatanga ohorere mena ka pāngia koe e tētahi o ngā tohu e whai ake nei:
- Mena ka tino mamae te hernia, ka whero, ka pupuhi .
- Mena kāore e taea te whakauru i te hernia .
- Mena ka pāngia koe e te ruaki, te whakapairuaki, te mamae nui rānei o te puku .
- Ki te pāngia koe e te kirika .
- Ki te kore e taea e koe te haere ki te wharepaku me te tuku hau ,
Ki te pā mai tētahi o ēnei tohu ki a koe , haere tonu ki te rūma whawhati tata (ETU) o te hōhipera . He tohu pea tēnei nō te hernia strangulated.
Karere Tangohia ki te Kāinga
- He mate tino noa te hernia inguinal. Kaua e whakama, kaua hoki e wehi.
- Ki te rongo koe i tētahi puku, mamae, taumaha rānei i roto i tō hope, me toro atu ki tō tākuta. Kaua e wareware noa.
- Ko te pokanga te rongoā pai rawa atu, ā, pumau rawa atu hoki mō te nuinga o ngā hernia. He tino angitu ēnei pokanga ināianei.
- Mena kua mauheretia te hernia, ā, ka pāngia koe e ngā tohu pēnei i te mamae nui me te ruaki, he āhuatanga ohorere tēnei. Haere tonu ki te Tari Ohorere o te hōhipera (ETU).
- Mā te noho hauora (te whakahaere i te taumaha, te hiki taumaha tika, te karo i te mate kōroke) ka whakaiti i te mōrearea o te hernia.

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