Kei te rongo koe i tētahi puku i raro i tō puku, i te taha tonu o tō puku, ina tū koe? Engari ina takoto koe, ka ngaro. Kāore pea e mamae ina pā atu koe. Kua pā mai tētahi mea pēnei ki a koe? Ehara tēnei i te mea hei wareware noa. Ahakoa te āhua iti, i ētahi wā ka huri hei mate kino. I tēnei rā kei te kōrero tātou mō tētahi mate e kiia nei ko te 'Spigelian Hernia', he mate kāore anō kia rangona e te tini tāngata, engari he mea tino nui kia mōhiotia.
He aha te Hernia Spigelian?
He kupu ngāwari tēnei, he momo hernia. Whakaarohia he rite ki ngā whekau o roto i tō tātou puku, pērā i ngā whekau, e tiakina ana e te pakitara pakari i hangaia ki te uaua. Ka kiia tēnei ko te pakitara puku. I ētahi wā, ki te mea he ngoikore kei roto i tēnei pakitara, ka meinga e te pēhanga i roto i te puku tetahi wāhanga o ngā whekau, tetahi wahi kiko ngako rānei, kia pana mā roto i taua wāhi ngoikore. Koinei te mea e kiia nei e tātou he hernia.
Ko te 'spigelian hernia' he putanga mai o te whekau mā roto i tētahi wāhi ngoikore motuhake i roto i ngā uaua kei mua o te puku. I te nuinga o te wā ka puta i raro i te puku, i te taha matau, i te taha maui rānei. He rerekē tēnei i ētahi atu hernia, he uaua ake te kite i ētahi wā nā te mea kāore e kitea mai i waho.
He aha ngā tohu o tēnei?
Ko te tohu matua i te nuinga o te wā ko te pupuhi, te puku rānei e puta mai ana i roto i te puku, e ai ki tā mātou i kōrero ai i mua ake nei. Heoi, kāore tēnei e kitea i ngā wā katoa. Tērā pea ka pāngia ētahi tāngata e tēnei hernia, kāore he tohu.
| Āhuatanga | Whakaahuatanga |
|---|---|
| He pona i te puku o raro | He puku e puta mai ana i te taha, i raro i te pito. Ka puta mai ina tū ake koe, ina maremare, ina hiki rānei i tētahi mea taumaha. Ka hoki anō ki roto ina takoto koe. |
| Mamae o raro o te puku | Tērā pea ka haere mai, ka haere atu te mamae. Tērā pea ka piki ake te mamae, inā koa ka hiki i ngā mea taumaha, ka whakamātau rānei i te whakamahi i te wharepaku. I ētahi wā, ka rite ki te wāhi mamae ina pāngia. |
| Te korenga o ngā tohu | Kāore pea he mamae o ētahi hernia Spigelian iti, kāore rānei he puku e kitea ana. Tērā pea ka kitea noa iho i te wā o te matawai mō tētahi atu take. |
He aha i puta ai tēnei momo hernia?
Ko te take matua mō tēnei ko te ngoikore o ngā uaua o te puku. He maha ngā take e ngoikore ai ēnei uaua.
- Te koroheketanga: I a tātou e koroheke ana, ka ngoikore haere ngā uaua o te tinana.
- Te Hapūtanga: I te wā e hapū ana, ka ngoikore pea ngā uaua o te pakitara o te puku nā te totoro.
- Ngā whara ki te puku: Ki te pāngia koe e te whiunga kaha ki te puku, ki te pāngia rānei koe e te aituā, ka pakaru pea ngā uaua, ā, ka puta he hernia.
Hei tāpiritanga, ko ētahi āhuatanga e piki haere tonu ana te pēhanga i roto i te puku ka piki ake te mōrearea o te whakawhanake i tēnei hernia. Whakaarohia te mea ka tupu mēnā ka pupuhi tonu koe i te hau ki roto i te poihau. Pērā tonu.
Ngā mea e whakanui ana i te pēhanga o roto i te puku:
- Maremare pumau: Ko te maremare pumau, inā koa i roto i te hunga whai mate pēnei i te COPD , ka pēhi pinepine i ngā uaua o te puku.
- Ko te mate pāwera mau tonu: Ko te mimi pinepine me te whakauaua i te wā e haere ana ki te wharepaku ka piki ake te pēhanga o te puku.
- Mate ate: Ko ētahi mate ate ka kī te puku i te wai. Ka kiia tēnei he ascites . He nui hoki te pēhanga.
- Momona: I te pikinga o te taumaha o te tinana, ka piki ake te pēhanga ki te pakitara o te puku.
- Te hiki taumaha: Ko te hunga e mahi ana i ngā mahi e hiahia ana kia hiki taumaha i ngā wā katoa ka noho mōrearea hoki.
He aha ngā raruraru pea ka pā mai?
Ahakoa he puku iti, kāore he mamae i te nuinga o te wā ka tīmata, e toru ngā āhuatanga ka kino ai tēnei hernia. He mea tino nui kia mōhio ki ēnei.
1. Te Ārai i te Puku: Ka āraia te wāhanga o te puku i puta mai i te hernia, ka ārai i te kai me ngā para kia kore e puta mā roto.
2. Te Mauheretanga: Ka mau tetahi wāhanga o te whekau kua puta mai, ā, kāore e taea te hoki ki roto. Ka pā mai pea te mamae nui.
3. Te whakatārewatanga o te ihu: Koinei te āhua tino mōrearea, tino tere hoki . Mēnā ka whakawhāitihia ngā oko toto e tuku toto ana ki te wāhanga kua āraia o te whekau, ā, ka mutu te tuku toto, ka tīmata te mate o taua wāhanga o te whekau. E kiia ana tēnei e te rongoā ko te (mesenteric ischemia) . He āhua morearea tēnei e hiahia ana ki te pokanga ohorere.
Ki te pāngia koe e te mamae nui i te wāhi kei reira tō hernia, ki te kore e taea te whakahoki mai i te pona, ki te whero, ki te papura rānei, ki te tīmata rānei koe ki te ruaki, he āhuatanga ohorere pea tēnei.
| Ki te pā mai ēnei tohu ki a koe, haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera! | |
|---|---|
| 🔴 | Te mamae nui, te mamae e kore e taea te whakamanawanui i te wāhi i puta ai te hernia. |
| 🔴 | Te pupuhi me te kikī o te puku o raro. |
| 🔴 | Te kōroke nui (tae noa ki te aukati i te putanga o te hau). |
| 🔴 | Whakapairuaki me te ruaki. |
| 🔴 | Ka whero, ka papura, ka mangu rānei te kiri i te wāhi i puta ai te puku. |
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ina haere koe ki te tākuta, ka pātai tuatahi ia i ngā taipitopito mō ō tohumate. Kātahi ka tirotirohia tō puku.
- Whakamātautau tinana: Ka tono te tākuta kia tū koe, kia maremare, kia whakamātau rānei kia kite mēnā ka puta te puku.
- Te nekehanga Valsalva: Kei roto i tēnei ko te pupuri i tō manawa, te katia o tō waha me tō ihu, me te kōpeke i tō puku. Pērā i tāu e haere ana ki te wharepaku. Ka whakanui ake tēnei i te pēhanga i roto i tō puku, ka puta ai he hernia mēnā he hernia tōu.
- Ngā Whakamātautau Whakaahua: I ētahi wā, ki te kore e kitea mārama te hernia, ka tūtohuhia pea he matawai CT (matawai Tomography Rorohiko) he matawai ultrasound rānei hei whakaū.
- Te tirotiro puku:I ētahi wā onge, hei whakaū i te tautuhi mate, ka mahia pea he tapahi iti ki te puku, ka whakaurua he kāmera hei tirotiro i te rohe.
He aha tāu e mahi nei hei maimoatanga?
Ko te pokanga te rongoā pai rawa atu, me te rongoā e whakamahia whānuitia ana mō te hernia Spigelian, nā te mea kāore tēnei momo hernia e ora noa iho, ā, kei reira anō hoki te mōrearea o ngā raruraru kino i kōrerotia i mua ake nei.
I te wā o te pokanga, ka whakahokia te wāhanga o te whekau i puta mai ki roto i te puku, ā, ka katihia te wāhi ngoikore, te kōhao rānei o te uaua. I ētahi wā, ka whakamahia he mea pēnei i te mata hei whakapakari i te wāhi.
He maha ngā huarahi e taea ai tēnei pokanga. Mā tō taote pokanga koe e whakamārama ko tēhea te tikanga pai rawa atu māu.
Karere Tangohia ki te Kāinga
- Mena he puku kei te taha raro o tō puku ina tū koe, ā, ka ngaro atu ina takoto koe, he tohu pea tēnei nō te hernia Spigelian.
- Ahakoa kāore he mamae i te tīmatanga, kaua e warewarehia tēnei āhuatanga, nā te mea ka arahi pea ki ngā āhuatanga kino pērā i te aukati i te puku.
- Ki te pāngia koe e te mamae nui, te pupuhi, te ruaki, te mate kōroke rānei i te wāhi i pāngia ai koe e te hernia, he āhuatanga ohorere tēnei. Haere tonu ki te Tari Ohorere o te hōhipera (ETU).
- Ko te pokanga te rongoā pai rawa atu mō tēnei. Nō reira, ki te pā mai ēnei tohu ki a koe, me toro atu ki te tākuta, me te rapu tohutohu.
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