He hernia pēnei tōu? Me ako tātou mō te Obturator Hernia!

Kua rongo koe i te "Obturator Hernia"? Tērā pea he ahua rerekē te tangi o tēnei ingoa. Engari he momo hernia anō hoki tēnei. Engari he onge noa iho, inā koa i roto i ngā wāhine i waenga i te 70 me te 90 tau te pakeke. Nō reira, i tēnei rā ka kōrero tātou mō te aha tēnei hernia obturator, me pēhea te whanaketanga, he aha ngā tohu, me ngā maimoatanga. He tino māmā noa iho, ka whakamāramahia e au ēnei mea i roto i te huarahi e mārama ai koe.

He aha tēnei Hernia Obturator?

He whakarāpopototanga noa iho, ko te hernia obturator he hernia i roto i tō tātou pelvis, te wāhanga o te wheua hope kei roto i te pelvis, he kōhao iti kei roto, e kiia nei ko te awaawa obturator , e puta mai ai te wāhanga o te whekau, te ngako rānei i roto i te puku. Whakaarohia he rite ki te hau iti e puta mai ana i roto i tētahi kōhao iti i roto i tētahi poihau.

He rite tēnei pūrua obturator ki tētahi ara iti i waenganui i ō tātou wheua pelvis. I te nuinga o te wā, ka puta ngā io me ngā uaua toto mā roto. Heoi, ina ngoikore ngā uaua o te papa pelvis , arā, ngā uaua i roto i te puku o raro e āwhina ana ki te pupuri i ō tātou whekau o roto, ka taea e tētahi wāhanga o te whekau, inā koa te whekau iti , me te whekau nui i ētahi wā, te pana mā roto i taua ara.

He āhuatanga morearea tēnei. Nā te mea ka mau pea te wāhanga o te whekau e puta mai ana i tēnei āhua i waenganui i ngā uaua o te papa pelvic, i roto rānei i te awa obturator. Mēnā ka tupu tēnā , ka puta he aukati i te whekau . Ko te tikanga ka āraia te ara whekau. He āhuatanga tēnei e hiahia ana kia rongoatia wawetia. Tērā pea me pokanga tonu koe hei whakatika i tēnei.

He aha ngā tohu o tēnei? Kei a koe anō ēnei?

Kāore pea ngā tohu o te hernia obturator e kitea wawetia ana, engari kia tūpato ki ēnei mea:

• Mamae puku: Ka tīmata tēnei i te taha matau o raro o te puku, kātahi ka horapa puta noa i te puku.
• Te koretake o te mimi: Te uaua ki te haere ki te wharepaku.
• Puku pupuhi: Te ahua nei kua pupuhi te puku.
• Whakapairuaki me te ruaki: Te māuiui me te ruaki.
• Mamae i te huha: He tohu motuhake tēnei. Ka tīmata te mamae i te rohe o te hope, ka horapa ki raro i te taha o roto o te huha. I ētahi wā ka pāngia tēnei mamae tae noa ki raro ki te turi. Ka kiia hoki tēnei ko te tohu Howship-Romberg . Ko te tikanga o tēnei ko te wāhanga kua purua o te whekau e pēhi ana i te io obturator te take o te mamae.

Mena kei a koe tētahi, ētahi rānei o ēnei tohu, inā koa kua kaumātua koe, he mea pai kia toro atu koe ki te tākuta.

He aha i puta ai tēnei hernia obturator? He aha ngā āhuatanga mōrearea?

E ai ki taku kōrero i mua, ko te tino take ko te ngoikore o ngā uaua o te papa pelvic. Nō reira, he maha ngā mea ka ngoikore ai ēnei uaua, ka piki ake ai te tūponotanga o te whakawhanake i te hernia obturator:

• Tau: I a tātou e pakeke haere ana, ka ngoikore haere ngā uaua katoa o te tinana, tae atu ki ngā uaua o te papa pelvic. Waihoki, ka rerekē te kiriuhi e hipoki ana i te whakatuwheratanga o te awa obturator i a tātou e pakeke haere ana. Ka piki ake te mōrearea o tētahi wāhanga o te whekau e ēnei āhuatanga e rua. Koia te take he nui ake te kitea i roto i ngā kaumātua.
• Te mate puku roa: Ki te hiahia koe ki te whakauaua me te haere ki te wharepaku i ngā wā katoa, ka nui te pēhanga ki ngā uaua o te papa hope. I roto i te wā, ka ngoikore pea ēnei uaua. Whakaarohia he rite ki te hiki i tētahi mea taumaha i ngā wā katoa.
• Te mate pūkahukahu ārai mau tonu (COPD): He maha ngā wā ka maremare te hunga whai mate pēnei i te COPD. Ina puta tēnei maremare, ka piki ake te pēhanga i roto i te kōhao puku. Ka pā hoki tēnei pēhanga ki ngā uaua pelvic, ka ngoikore ai.
• Te taumaha iti: Ina koa ka heke ohorere tō taumaha i a koe e pakeke haere ana, ka heke te nui o te ngako e karapoti ana i te awa obturator. Ka piki ake te tūponotanga o te tupu o te hernia i roto i te awa. Mena kei raro iho i te 18.5 tō BMI (Body Mass Index) , ka kiia koe he taumaha iti.
• Ngā whānautanga maha: Tērā pea kua ngoikore ngā uaua o te papa pelvic o ngā whaea kua whānau tamariki maha.

Mena ka pā tētahi, ētahi rānei o ēnei mea ki a koe, he mea tika kia tupato koe mō te hernia obturator.

He aha ngā raruraru ka pā mai i tēnei?

Mena kāore te hernia obturator e rongoatia tika, ka puta pea ngā raruraru kino.

1. Hernia obturator incarcerated: Koinei te wā ka mau te hernia i waenganui i ngā uaua o te hope, ā, kāore e taea te hoki ki roto. Ka arahi pea tēnei ki te whekau kua āraia , arā, he aukati i te whekau iti.

2. Hernia obturator strangulated: Koinei te āhua tino morearea. Ka ngaro te rere o te toto i te wāhanga o te whekau i roto i te hernia. He rite ki te tangata e whakamomori ana i tō kaki. Ki te kore e whiwhi toto, ka tīmata te mate o te kiko whekau. Ka kiia tēnei ko te necrosis . He āhuatanga ohorere tēnei e morearea ana ki te ora.

He mea nui: Ki te pāngia koe e te mamae nui o te puku, te whakapairuaki, te ruaki rānei, he tohu pea tēnei nō te hernia strangulated. Ki te puta tēnei , me haere tonu koe ki te hōhipera.

Me pēhea te mōhio o ngā tākuta ki tēnei?

Ina haere koe ki te tākuta, ka pātai tuatahi ia ki a koe mō ō tohumate. Kātahi ka tirotirohia e rātou te tinana. Tērā pea ka tirohia e rātou ēnei whakamātautau:

• Whakamātautau Howship-Romberg:I tēnei whakamātautau, ka nekehia tō hononga hope e te tākuta, ka pātai atu mēnā kei te mamae koe i te taha o roto o tō huha.
• Whakamātautau Hannington-Kiff: I tēnei whakamātautau, ka pā mārire te tākuta ki ētahi wāhi o tō wheua papa (tibia) o tō wheua huha rānei (femur). Ka mahia tēnei hei tirotiro mēnā ka kōpiri ngā uaua hope.

Whai muri i ēnei whakamātautau, ka taea te whakahaere i tētahi matawai CT (matawai Tomography Rorohiko) hei whakaū i te aroaro o tētahi hernia obturator. Mā tēnei ka taea te whakaatu mārama i te wāhi me te rahi o te hernia.

Me pēhea te rongoā?

Ko te pokanga anake te rongoā tuturu mō te hernia obturator. Ka mahia te pokanga hei whakatika i te hernia.

I te wā o te pokanga, ka tapahia e te taote he wahi iti ki roto i tō puku o raro, ki te rohe o te hope rānei, ka whakatata atu ki te hernia i roto i te awaawa obturator. Kātahi ka whakahokia ngā wāhanga e puta mai ana o te whekau ki roto i te kōhao puku, ā, ka whakatikahia te wāhi ngoikore o te pakitara puku. I ētahi wā, ka whakamahia pea he mea pēnei i te mata hei whakapakari i te wāhi ngoikore.

Ka taea te mahi i tēnei pokanga i roto i ngā huarahi maha:

• Pokanga tuwhera: Ka mahia te pokanga mā roto i tētahi tapahi nui i runga i te tikanga tuku iho.
• Pokanga Laparoscopic: He pokanga e mahia ana mā roto i ētahi tapahi iti noa iho, mā te whakamahi i tētahi kāmera me ngā taputapu ngawari. Ka kiia hoki tēnei ko te "pokanga kī-pōro".
• Pokanga whakatika hernia robotic: He rite tēnei ki te tikanga laparoscopy, engari ka whakahaerehia te pokanga e te taote pokanga mā te whakamahi i te ringa robotic.

Mā te taote pokanga koe e whakamārama ko tēhea tikanga pokanga te mea pai mōu.

Mena he āhuatanga ohorere, pērā i te hernia obturator strangulated , ā, kua pakaru te whekau, me mahi pea ētahi atu pokanga. Kei roto pea i tēnei he colectomy hei tango i te wāhanga kua pakaru o te whekau.

He raruraru kei muri i te pokanga?

Ka pā mai pea ēnei momo raruraru iti i muri i tētahi pokanga hernia, engari kāore e pā ki te katoa.

• Te toto
• Te pakaru ki te io obturator (he tino onge tēnei)
• Mate pāwera i te wāhi pokanga

Mā tō rōpū hauora koe e whakamōhio atu ki a koe mō tēnei.

Kia pēhea te roa e ora ai?

Ka rerekē te roa o te wā whakaora i muri i te pokanga i ia tangata, i ia tangata. Kei runga i ngā āhuatanga pēnei i:

• He aha te momo pokanga hernia i mahia: Hei tauira, he poto ake te wā whakaora i muri i te pokanga laparoscopic i muri i te pokanga tuwhera.
• Ahakoa i tangohia tetahi wāhanga o tō whekau (colectomy): Mena koinā, tera pea ka roa ake te wā e ora ai.
• Tō hauora whānui: Mena kei a koe tētahi āhuatanga pēnei i te kore kai pai, i ētahi atu mate pēnei i te COPD , tera pea ka roa ake te wā e ora ai.

Heoi, nā te mea he rerekē te āhua o te katoa, ka whakamāramahia e tō taote pokanga he aha ngā mea ka taea e koe te tumanako me te roa o te wā ka taea e koe te hoki anō ki ō mahi o ia rā.

He aha ngā mea ka puta ā muri ake nei me tēnei āhuatanga?

I muri i te pokanga hernia, tera pea ka ora te hernia obturator, ā, ka ngaro ngā tohu. Engari kia mahara, ko te hernia anake ka ora i tēnei pokanga. Mena kei a koe ētahi atu mate huna, pērā i te kore kai pai, te COPD rānei, e whakanui ana i tō tupono ki te pāngia e te hernia, me hiahia tonu koe ki te tiaki hauora me te tautoko. He mea nui kia whakahaerea aua mate.

Āhea koe me toro atu ki te tākuta? Āhea koe me haere tonu ki te hōhipera?

Ki te mamae tonu tō puku, tō huha rānei, kaua e warewaretia, engari me toro atu ki te tākuta mō ētahi tohutohu. Tērā pea he tohu ēnei o te hernia obturator, kāore rānei. Engari he mea nui kia kitea te pūtake.

He āhuatanga ohorere tēnei! Haere tonu ki te hōhipera mēnā kei a koe ēnei tohu:

• Tino kino, ohorere te mamae o te puku.
• Whakapairuaki, ruaki rānei.

He tohu pea ēnei o te hernia obturator strangulated , he āhuatanga e hiahia ana kia rongoatia wawetia.

Ngā mea tino nui hei maumahara māu

I a tātou e pakeke haere ana, ka whakaaro pea tātou he mea noa te hurihanga o ō tātou tinana. Tērā pea ka warewarehia e tātou ngā mamae iti o roto i ō tātou puku, i ō tātou huha rānei, he "pērā tonu i te koroheketanga." Heoi, ko ēnei tohumate pea te hua o te hernia obturator. Ahakoa he momo hernia onge ēnei, ka puta pea, inā koa i roto i ngā wāhine kei roto i ō rātou tau 70, 80, me 90.

Nō reira, ki te pā mai ngā tohu pēnei i te mamae o te puku, kōrero ki te tākuta. Kāore pea he hernia obturator. Engari ko te whakapuaki i ō tohu me ō āwangawanga ki te tākuta te taahiraa tuatahi ki te ora ake. Kaua e manukanuka, kei konei ngā tākuta hei āwhina.

Ko tāku tumanako he whai hua ēnei kōrero ki a koe. Mēnā he pātai anō āu, kaua e mangere ki te pātai atu ki te tākuta. Kia ora tonu koe!