Kua rongo koe i tētahi puku i mua o tō puku e pupuhi ana, kātahi ka hoki ki roto? Tērā pea ka kite koe i tēnei ina kata koe, ina maremare, ina hiki i tētahi mea taumaha, ina haere rānei ki te wharepaku. He tokomaha te hunga e whakaaro ana he mea noa tēnei, ā, kāore e aro ki tēnei. Engari he tohu pea tēnei o tētahi mate e kiia nei ko te hernia ventral . Kaua e manukanuka, ka māmā noa iho ngā mea katoa.
He aha te hernia o te puku?
Ki te kī ngāwari, koinei te wā e panaia ai tētahi okana (pērā i te whekau) i roto rānei i te puku mā roto i ngā uaua o te puku. Ko te tikanga o te kupu 'ventral' ko 'mua' ko 'te rohe huri noa i te puku'.
Whakaarohia ō tātou uaua puku he pakitara pakari. I roto i tēnei pakitara, kei reira ngā whekau pērā i ō tātou whekau e noho haumaru ana. Mēnā ka ngoikore tēnei pakitara i tētahi wāhi, ka puta he kōhao. Kātahi, nā te pēhanga i roto i te puku, ka panaia aua whekau ki waho mā roto i taua kōhao. Koinei te mea e kīia nei e tātou he hernia.
He aha ngā momo matua o ngā hernia o te puku?
Ka taea te wehewehe i ēnei hernia ki ētahi momo matua i runga i te wāhi e puta ai. Koinei ngā mea e kitea pinepinetia ana e tātou.
| Momo hernia | Te wāhi e puta ai me te whakaahuatanga |
|---|---|
| Hernia Epigastric | Ka puta tēnei i runga ake i tō wheua uma, i te rohe i waenganui i tō wheua uma me tō wheua uma. Ka kitea nuitia i te puku o runga. |
| Hernia pito | Ka puta tēnei i tētahi wāhi ngoikore ā-tūturu i te taha o te waha. He maha ngā wā he hapa whānau i roto i ngā pēpi nohinohi. Heoi, ka taea hoki te puta i roto i ngā pakeke. |
| Hernia Tapahi | Ka puta tēnei i te rārangi tapahi i mahia ai tētahi pokanga o mua. He pānga taha noa tēnei ka puta i muri i te pokanga puku. |
He aha ngā tohu o tēnei?
Ko te tohu tuatahi, me te tohu tino kitea o te hernia ventral, he pupuhi, he puku rānei e puta mai ana i tētahi wāhi o mua o te puku. Kāore pea tēnei e kitea i ngā wā katoa. Tērā pea ka kitea noa iho ina pēhia ngā uaua o te puku i roto i ētahi mahi. Hei tauira:
- I a koe e kata ana
- I te tangi
- Ina maremare
- Ina haere te korokotairo
- I te ngana ki te haere ki te wharepaku
- Ina piko whakamua
- I te wā e hiki ana i te taumaha
- I te wā e whakakorikori tinana ana
Ka taea e ētahi tāngata te rongo i te hernia. Tērā pea he rite ki te tōia, te mamae, te mamae koi rānei i a ia e puta mai ana, e tōia ana , e pana ana rānei. Ko te hernia e mamae ana he tohu kei te nui haere, ā, kei te tūpono pea kia mauheretia ina puta mai.
Ki te mamae koe i te wāhi kei reira tō hernia, kaua e whakaaro he mea noa. Me kōrero koe ki tō tākuta mō tēnei.
I ētahi wā, ka puta mai ngā raruraru i te hernia, ka puta pea ēnei tohu:
- Whakapairuaki me te ruaki
- Te whero, te ponana rānei i te wāhi i puta ai te hernia
- Mamae nui
He aha ngā take o te hernia ventral?
Ka puta te hernia i te ngoikore o ngā uaua, o ngā kiko rānei. He maha ngā take ka puta ai tēnei ngoikore. I ētahi wā he mea kei te whānau mai i te wā whānau. I ētahi wā anō ka puta mai i tētahi mea pēnei i te aituā, i te pokanga rānei. I ētahi wā ka puta mai i te ngoikore haere i roto i te wā.
Anei ētahi take noa:
- Ngā ngoikoretanga whānau: Tērā pea ka whānau mai ētahi pēpi me ngā wāhi ngoikore o te pakitara o te puku (hei tauira, te hernia pito).
- Te momona roa: I te pikinga o te taumaha o te tinana, ka pēhia tonutia ngā uaua o te puku, ka ngoikore ai.
- Ngā whara o te puku: Te pakaru o ngā uaua o te puku nā te aituā.
- Pokanga puku: Mena kāore te motu e ora tika i muri i te pokanga, mena rānei ka ngoikore ngā uaua o taua wāhi.
- Te hapūtanga me te whānautanga: I te wā e hapū ana, ka ngoikore pea ngā uaua o te puku nā te totoro.
- Maremare tonu: Mā te maremare tonu nā ngā mate hauora pēnei i te mate huango me te COPD ka nui te pēhanga ki te puku.
- Te mate kōroke mau tonu: Ka piki ake te pēhanga i roto i te puku i te hiahia tonu ki te haere ki te wharepaku.
- Te hiki taumaha:Ka pā anō hoki tēnei mōrearea ki te hunga e mahi ana i ngā mahi e hiahia ana kia hiki, kia pana rānei i ngā wā katoa.
- Te koroheketanga: Ka ngoikore noa iho ngā uaua i a tātou e pakeke haere ana.
He mea morearea pea tēnei? He aha ngā raruraru?
Ae, ka kino pea ētahi hernia mēnā kāore e rongoatia. He maha ngā hernia ka puta mai, ka hoki anō ki roto. Engari i a rātou e puta mai ana, ka ngoikore te kiko e karapoti ana i te kōhao. I roto i te wā, ka nui haere te kōhao, ka nui haere te hernia. Ko te wā tēnā ka tīmata ai ngā raruraru.
E rua ngā raruraru matua:
1. Te Mauheretanga: Whakaarohia, kāore e taea e te wāhanga o te whekau i puta mai te hoki ki roto, ā, ka mau ki roto i taua kōhao. Ka kiia tēnei ko te 'mauheretanga'. Ina tupu tēnei, ka āraia te whekau. Ka pā te mamae nui me te ruaki.
2. Te Ngaronga o te Toto (Strangulation): Koinei te āhuatanga tino morearea, tino tere hoki . Ka taea te motu katoa i te toto ki te wāhanga kua werohia o te whekau. Kātahi ka tīmata te mate o te kiko. He āhuatanga morearea tēnei. Mena ka pāngia koe e ngā tohu pēnei i te mamae nui, te kirika, me te rerekētanga o te tae o te hernia, me haere tonu koe ki te rūma whawhati tata (ETU) o te hōhipera.
Me pēhea te kitenga a te tākuta i tēnei?
Ina haere koe ki te tākuta, ka pātai tuatahi ia ki a koe mō ō tohumate. Kātahi ka meinga koe e ia kia takoto ki runga i te moenga, ka tirotirohia tō puku.
- Ka tono atu rātou kia maremare koe, ka whakaari kei te hiki koe i tētahi taumaha hei tirotiro mēnā ka puta mai te pukupuku.
- Ka tirohia hoki e rātou mēnā ka taea te pana ā-ringa ki roto. Ka kiia tēnei he hernia 'ka taea te whakaiti'. Ki te kore e taea te pana ki roto, he hernia 'ka kore e taea te whakaiti'.
- I ētahi wā, ka tonoa he matawai ultrasound , he matawai CT , he MRI rānei hei whakaū i te mate.
Me pokanga katoa ngā hernia?
Ko te nuinga o ngā hernia o te puku ka hiahiatia he pokanga i te mutunga. Engari kāore pea e puta he āhuatanga ohorere. Ko te hernia iti kāore e whakaatu i ngā tohu, ā, ka taea te tango ngāwari, ehara i te mea nui mōrearea.
Engari kia maumahara, ka kino haere ngā hernia i te roanga o te wā, ā, kāore e ora noa iho. Nō reira, he pai ake kia whakatikatikaina i mua i te nui haere me te puta mai o ngā raruraru. He haumaru ake te pokanga whiriwhiri i te pokanga ohorere.
Ka tūtohu pea te tākuta i te pokanga mōu i roto i ēnei take e whai ake nei:
- Ki te kore e taea te pana i te hernia ki roto mā te ringa.
- Mena kei a koe ngā tohu pēnei i te mamae tonu.
- Mena he nui rawa atu, ka mau tonu .
- Mena ka taea te pokanga i runga i tō āhua hauora whānui .
He aha ngā tikanga pokanga?
Ko te whāinga matua o te pokanga he kati i te kōhao i te pakitara o te puku, me te whakapakari i te wāhi kia kore ai e puta anō he hernia. E toru ngā tikanga matua mō tēnei.
| Tikanga pokanga | Whakaahuatanga |
|---|---|
| Pokanga Tuwhera (Whakatika Tuwhera) | Koinei te tikanga tuku iho. Ka tapahia he tapahi nui ake i runga ake i te hernia, ā, ka whakatikahia te hernia ki reira tonu. Ka whakamahia tēnei tikanga i roto i ngā take tino nui, tino uaua hoki. |
| Pokanga Laparoscopic (Whakatikatika Laparoscopic) | Ka kiia hoki tēnei ko te 'pokanga kōhao kī'. Ka mahia mā te hanga i ētahi kōhao iti ki roto i te puku, te whakauru i tētahi kāmera (laparoscope) mā roto i tētahi, me te whakauru i ngā taputapu motuhake mā roto i ētahi atu kōhao. He iti ngā tapahi, nō reira ka tere te ora. |
| Whakatikatika Robotic | He rite tēnei ki te tikanga laparoscopic, engari i konei ka whakahaerehia e te taote pokanga ngā taputapu mā te pūnaha rorohiko mā te whakamahi i te ringa karetao. Mā tēnei ka taea te pokanga tika ake. |
He aha te 'mata' e whakamahia ana i te wā o te mahi?
I te whakatikatika i te hernia, ka whakamahia he mata motuhake hei whakapakari i ngā uaua ngoikore. He rite tēnei ki te kati i tētahi kōhao i roto i te pakitara me te pani i tētahi paninga paraikete hei whakapakari i te wāhi. Ka tino whakaitihia te tūponotanga o te hernia kia puta anō i taua wāhi.
Kāore e hiahiatia he mata whatu mō ngā hernia iti katoa. Heoi, mō ngā hernia tapahi, he mea noa i muri i te pokanga, he maha ngā wā ka whakamahia he mata whatu. Nā te mea kāore te kiko i te 100% te kaha pērā i mua i te pokanga.
Mena kāore e taea te pokanga, he kōwhiringa kē atu anō kei reira?
Ko te pokanga anake te huarahi hei whakatika katoa i te hernia. Heoi, tera pea ētahi tāngata kāore e taea te pokanga nā ētahi atu raruraru hauora (pērā i te mate ngakau). Mō ēnei tāngata, ka tūtohu pea tō tākuta kia whakamahia he whitiki motuhake (he whitiki, he here, he taura rānei) hei āwhina i te pupuri i te hernia kia mau tonu. Heoi, he wā poto noa iho tēnei hei whakahaere i te hernia, ā, kāore e whakaora.
Karere Tangohia ki te Kāinga
- Ki te pupuhi te taha mua o tō puku, pērā i te puku, ina koa ka maremare koe, ka hiki rānei i tētahi mea taumaha, he hernia pea tēnei. Kaua e mataku, tirohia he tākuta, ā, tirohia.
- Ehara i te mea he āhuatanga ohorere ngā hernia katoa, engari i roto i te wā, ka nui haere, ā, ka puta he raruraru morearea.
- Ko te pokanga te rongoā tino tika mō te hernia. Ko te mahi pokanga te mea tino haumaru i mua i te puta mai o ngā raruraru.
- Ki te pāngia koe e te mamae nui, te whero, te whakapairuaki, me te ruaki i te wāhi i pāngia ai te hernia, tera pea kua whakakōkīhia tō hope. He āhuatanga ohorere tēnei. Haere tonu ki te rūma ohorere o te hōhipera (ETU).
- He mea tino nui kia whai i ngā tohutohu a te tākuta (pērā i te kore e hiki i ngā mea taumaha) i muri tonu i te pokanga hei ārai i te hokinga mai o te hernia.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment