He hernia kei roto i te puku? Me kōrero tātou mō te hernia ventral?

Kua kite koe i tētahi pupuhi iti e puta mai ana i tētahi wāhanga o tō puku? Tērā pea ka kite koe i tēnei mea ina hiki koe i tētahi mea taumaha, ina maremare koe, ka hoki anō rānei ki roto i muri i tētahi wā. Koinei te mea e kīia nei e tātou he hernia. I tēnei rā ka kōrero tātou mō tētahi momo hernia e puta ana i mua o te puku, e mōhiotia ana i roto i te rongoā ko te hernia ventral . Kāore he mea e wehi ai, ka kōrerohia e tātou tēnei mea me te taipitopito, i roto i tētahi huarahi e mārama ai koe.

He aha te hernia o te puku?

I te whakarapopototanga, ko te hernia ventral he putanga mai o tētahi okana, o tētahi kiko rānei o roto mā roto i te mua o tō puku, arā, mā roto i ngā uaua o te pakitara puku. Ko te tikanga o te kupu "ventral" ko "mua" "taha puku" rānei. Ko te "hernia" he pana mai tētahi okana, kiko rānei kei roto i te kōhao tinana mā roto i tētahi wāhi ngoikore, he kōhao, i te pakitara o taua kōhao. He rite ki tētahi kōhao iti i roto i tētahi putea tawhito, ā, kei te ngana ētahi o ngā mea o roto ki te puta mai. Ko te nuinga o ngā hernia (ehara i te katoa) ka puta mai mā roto i te pakitara puku.

He aha ngā momo hernia o te puku?

Ka puta pea ngā hernia ventral i ngā wāhi rerekē o te pakitara o mua o tō puku. He maha ngā momo matua i runga i te wāhi e puta ai:

• Ngā hernia epigastric: Ka puta ēnei i te taha whakarunga o tō puku, i waenganui i tō uma (sternum) me tō pito. Tērā pea ka rongo ētahi tāngata he pupuhi iti tēnei wāhi.
• Ngā hernia pito: Ko ēnei he hernia e puta ana i te taha o te pito. He ngoikore tūturu te pito. I ētahi wā ka kitea tēnei momo hernia i te whānautanga (whanau mai). Heoi, ka taea hoki te puta i roto i ngā pakeke.
• Ngā hernia tapahi: He āhua motuhake ēnei. Ka puta ēnei i ngā wāhi kua pokaina tō puku i mua, arā, i te wāhi i tapahia ai. He pānga taha noa tēnei ka puta i muri i te pokanga puku. Nā te mea ka ngoikore ngā uaua o taua wāhi i muri i te pokanga.

He aha ngā tohu o te hernia o te puku?

He maha ngā wā ko te tohu tuatahi o te hernia ventral he pupuhi e kitea ana i tētahi wāhi o mua o te puku . Kāore pea tēnei e kitea i ngā wā katoa. Tērā pea ka puta mai i te wā e mahi ana koe i ētahi mea, i te wā rānei e kikī ana ō uaua puku nā tētahi tūranga. Hei tauira:

• I te kata
• I te tangi
• Ina maremare
• Ina tihe koe
• Te whakamātau ki te totohu i te wā e haere ana 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 tēnei hernia. Ka rite ki te kukume, te pana, te kōpiri rānei ina puta mai, ina neke rānei. Tērā pea ka rite ki te kukume noa iho, ka rite rānei ki te mamae ngawari, ka rite rānei ki te mamae koi pērā i te werohanga o te ngira.Tērā pea ka tupu. Ki te pāngia koe e te mamae pēnei, ko te tikanga he nui te hernia, ā, he nui te tūponotanga ka "mauheretia" kaua e hoki ki roto ina puta mai.

Tērā pea he tohu anō kei roto i tētahi hernia uaua ake:

• Whakapairuaki me te ruaki
• He whero, he ponana rānei pērā i te ekisema i te wāhi i pāngia ai te hernia

He aha ngā tino take o te Hernia Ventral?

Ka puta te hernia mā roto i te ngoikore o te uaua, o te pakitara kiko rānei e hipoki ana i a ia. He maha ngā take ka puta ai tēnei ngoikore:

• Tērā pea he ngoikore whānau mai tēnei ngoikore/he hapa whānau. Arā, tērā pea he ngoikore kei te pakitara o te puku i te whānautanga.
• Ka taea hoki e ētahi mate hononga te whakararu i te uaua.
• Ko tētahi take , ka ngoikore haere ngā uaua i te kaumātuatanga .
• Ka puta te pēhanga tonu ki te pakitara o te puku i te momona mau tonu .
• Ka pā mai te ngoikore o te uaua nā te whara, nā te pokanga rānei i te puku .
• I te wā e hapu ana, e whānau ana hoki, he nui te pēhanga o ngā uaua o te puku.
• Te maremare tonu (hei tauira, nā ngā mate pēnei i te huango me te mate pūkahukahu i roto i ētahi tāngata).
• Ngā raruraru manawa mau tonu (hei tauira, te COPD, te emphysema rānei).
• Te mate pāwera mau tonu , te tohe tonu rānei ki te totohu.
• He nui ake anō hoki tēnei mōrearea mō te hunga e mahi ana i ngā mahi e hiahia ana ki te hiki, ki te pana rānei i ngā wā katoa. Hei tauira, me hiki tonu e te tangata e mahi ana i te umanga hanga ngā mea taumaha. Ka pēhia tonutia ngā uaua o te puku. I roto i te wā, ka puta he hernia mai i tētahi wāhi ngoikore.

He maha ngā wā ka puta he hernia nā te whakakotahitanga o ngā take maha.

He aha ngā raruraru ka pā mai i te hernia ventral?

He maha ngā hernia ka puta tuatahi mai, kātahi ka hoki anō ki roto. Engari i a rātou e tomo ana, e puta ana pēnei, ka ngoikore haere te kiko e karapoti ana i te kōhao. I roto i te wā , ka nui haere te kōhao, ā, ka nui haere anō hoki te hernia . Ko te tikanga he nui ake ngā okana e puta mai ana. Koinā te wā ka tīmata ai ngā raruraru.

He nui ake te tūponotanga ka nui haere te hernia, ā, ka "mauheretia" ki roto i taua kōhao.

Ina piri, ka pana te hernia, ka puta te mamae, ā, ka āraia te okana e pā ana. Whakaarohia he whekau piri, ko te tikanga ka mutu te haere o te tūtae. Ko te mea tino morearea, ki te motuhia te rere o te toto ki taua wāhanga piri (te whakatārewatanga) , ka mate taua okana (te mate kiko). He āhuatanga tino kino tēnei, ā, ka mōrearea pea te ora.

Me pēhea te tautuhi i te hernia ventral?

I te nuinga o te wā ka kitea e te tākuta he hernia ventral i te wā e tirotirohia ana e te tinana. Mēnā kāore i te tino kitea, ka tono tō tākuta kia tū koe i roto i ngā tūranga rerekē, kia mahi rānei i ētahi mea (pēnei i te maremare, te kōpeke rānei i tō puku) kia kite ai mēnā ka puta te hernia.

I ētahi wā, ka mahia pea ngā whakamātautau whakaahua hei kite mārama i te hernia. Kei roto pea i tēnei ko te ultrasound o te puku, te CT scan, te MRI rānei.

Ki te kite te tākuta i te hernia, ka pā atu ia, ka tirohia mēnā ka taea te pana ki roto. Mā tēnei ka āwhina ki te whakatau i te kino o te hernia, me te tere o te maimoatanga e hiahiatia ana. Ka pātai atu hoki te tākuta ki a koe mō ō tohu, tō hītori hauora, me ētahi atu āhuatanga i puta ai te hernia:

• Nōnahea koe i kite tuatahi ai i tēnei?
• Kua rerekē tēnei i roto i ngā wā? (I nui haere, i piki haere te mamae?)
• He aha ngā uauatanga e pā ana ki a koe nā tēnei?
• He aha atu ngā mate pūmau kei a koe?
• He aha tāu mahi?
• Kei te pēhea tō kai, tō whakakori tinana, me tō āhua noho?

Me whakatika te hernia o te puku?

Ko te nuinga o ngā hernia o te puku me whakatika i tētahi wā , engari kāore e hiahiatia kia whakatikahia katoatia i taua wā tonu. Mena kāore he tohu nui e pā ana ki a koe, ā, ka taea e koe te pana i te hernia ki roto, kāore pea he mōrearea tonu.

Engari kia maumahara, he nui ake te tūponotanga ka kino haere ngā hernia, ka nui haere hoki i roto i te wā . Ina tupu tēnā, ka nui ake te mōrearea, ka uaua ake hoki te whakatika.

Ko te mea nui: He āhuatanga ohorere te hernia kāore e taea te pana ki roto (he hernia kua mauheretia), ā, me ripoata tonu atu ki te tari ohorere o te hōhipera (ETU) .

Āhea te wā e hiahiatia ai te pokanga mō te hernia ventral?

Ka tūtohu ngā tākuta i te whakatikatika i te hernia ventral i roto i ngā take e whai ake nei:

• Mena kāore e taea te whakahoki i te hernia (kāore e taea te tango).
• Mena kei a koe ngā tohu pēnei i te mamae tonu nā tēnā.
• Mena he nui rawa, ā, ka mau, ka pā mai rānei ētahi atu raruraru .
• Mena ka taea e tō āhua hauora whānui te mahi pokanga .

Mena he hernia pito tō te tamaiti nohinohi, ā, kāore e ora noa i roto i ētahi tau, ka tūtohu te tākuta kia pokangahia kia kore ai e nui haere, e raru ai hoki.

Me pēhea te whakatika i te hernia ventral?

Ko te whāinga matua o te pokanga hernia o te puku ko te kati i te kōhao i te pakitara o tō puku, me te ārai i te putanga mai o te hernia ki waho.Ka whakahokia mai e te pokanga te āhua me te kaha o te pakitara o te puku, ka kati i te kōhao, ka whakahokia ngā uaua ki tōna tūranga tika. He maha ngā wā ka whakamahia e ngā taote pokanga he mata pokanga hei whakapakari i te pakitara.

He pokanga nui te pokanga hernia o te puku?

He tikanga tino noa te pokanga hernia ventral, he tikanga māmā noa iho . I te United States anake, tata ki te 350,000 ngā pokanga pēnei e mahia ana i ia tau. I te nuinga o te wā, ka taea e ngā taote pokanga te whakamahi i ngā tikanga iti rawa te whakaekenga . Ko te tikanga o tēnei ka taea te mahi mā roto i ngā tapahi iti, ko te tikanga he poto ake te wā whakaora. Heoi, ko ētahi tāngata, inā koa he nui rawa, he uaua rānei te hernia, me whai pokanga nui e kiia nei ko te pokanga puku tuwhera .

Mā tō taote pokanga e whakatau te tikanga pokanga e tino tika ana mō tō hernia. He maha ngā tikanga matua:

• Te whakatikatika i te hernia puku tuwhera: Koinei te tikanga tuku iho. Ka tapahia e te taote pokanga te kiri ki runga i te hernia, ka whakatuwhera i te rohe, ka whakatika tika i te hernia. Tērā pea ka hiahiatia tēnei tikanga mēnā he uaua ake te hernia.
• Te whakatikatika i te hernia puku laparoscopic: He tikanga iti rawa te whakaekenga. Ka mahia e te taote pokanga ētahi tapahi "kī" iti ki roto i tō puku, tata ki te hawhe inihi te roa. Ka whakauruhia he kāmera iti e kiia nei ko te laparoscope mā te tapahi kotahi. Ka whakaaturia ngā whakaahua ki runga i te mata. Ka whakauruhia ngā taputapu roa, angiangi mā roto i ētahi atu tapahi, ā, ka mahia te pokanga i a koe e titiro ana ki te mata.
• Te whakatikatika i te hernia puku mā te karetao: He tikanga iti rawa te whakaekenga tēnei. Ka whakamahia hoki he tapahi iti, he taputapu roa, me te laparoscope. Ko te rerekētanga ko te taote pokanga e whakahaere ana i ngā taputapu mā te pūnaha rorohiko mā te whakamahi i te ringa karetao.

Me whakamahi mata te hernia puku katoa?

Kāo, ehara i te mea ko ngā hernia puku katoa e hiahiatia ana he mata . Ina koa he hernia iti epigastric, he hernia pito rānei. Heoi, he maha ngā hernia tapahi e hiahiatia ana he mata . Nā te mea ka hangaia ēnei mā roto i te kiko i tapahia mai i tētahi pokanga o mua. I muri i te pokanga, kāore te kiko uaua e kaha pērā i mua. Ka ngoikore anō hoki te kiko uaua i te pokanga whakatika hernia. Nō reira, ka whakaratohia e te mata he kaha tāpiri.

He momo mata pokanga rerekē tā ngā taote pokanga hei whiriwhiri māu:

• Matapihi hangai: He mea hanga ēnei mai i ngā rauemi tūturu i hangaia e te tangata. Koinei te momo matapihi tino pakari e whakamahia ana hei hanga i ngā mea tāpiri. I te tipu haere o te kiko hou huri noa i te matapihi, ka piri te matapihi ki roto i te kiko, ka hanga he paparanga pakari, pumau e kore e pakaru i roto i te wā pērā i te kiko.
• Matapihi koiora: He mea hanga ēnei mai i te kiko tangata, kararehe rānei (hei tauira, te kiri kararehe). Kāore e roa te ora pērā i te matapihi hangai, engari he iti ake te tūponotanga ka pāngia e te mate. Ahakoa he iti ake te mōrearea whānui o te mate, he nui ake te mōrearea o ētahi tāngata ki te pangia e te mate i ētahi atu. Nō reira, he haumaru ake pea te matapihi koiora mō aua tāngata.
• Mata hangai mimiti-koiora: He mata rangitahi tēnei. Ka tautoko i te wā poto i te wā e ora ana te pokanga. I muri i te mimitinga e te tinana, ka hangaia he kiko koha, ka whakapakari i te pakitara.

He kōwhiringa kore-pokanga mō te hernia ventral?

Ina hoki, ko te pokanga anake te huarahi hei whakatika katoa i te hernia o te puku. Heoi, tera pea ētahi tāngata kāore e taea te pokanga nā ētahi atu āhuatanga hauora. Mena he hernia nui tōu kāore e taea te whakatika mā te pokanga, ka tūtohu pea tō tākuta kia whakamahia he tautoko motuhake (pēnei i te corset, te here, te truss rānei) hei pupuri i te hernia kia mau tonu. E kore tēnei e whakaora i te hernia, engari ka āwhina i te whakaiti i te mamae me te ārai i te mau.

He pēhea te kino o te hernia ventral?

Kāore te nuinga o ngā hernia o te puku e kino rawa i te tīmatanga, engari ka kaha haere te kino i roto i te wā. Koia te take e kī ana ngā tākuta kia whakatikatikaina i mua i te taenga ki taua wāhi.

He pai ake ngā hua o te pokanga whiriwhiri, e mahia ana i mua i te putanga mai o ngā raruraru, i ngā pokanga ohorere, e mahia ana i muri i te putanga mai o ngā raruraru.

He aha ngā mea ka tupu i muri i te pokanga hernia ventral?

He māmā noa iho te nuinga o ngā pokanga hernia, ā, he tere te wā whakaora. Mēnā he uaua ake, me nui ake te pokanga, ā, ka roa ake te wā e ora ai. Ko te mea nui kia tūpato kei pēhia, kei taumaha rānei te hernia i te wā e ora ana. He mea nui kia whai i ngā tohutohu a tō tākuta kia kore ai e hoki anō te hernia. I waenga i te 10% me te 20% o ngā hernia o te puku ka hoki anō i muri i te pokanga.

He maha ngā take ka pāngia ai koe e te hernia ventral. I te nuinga o te wā, ka āta whanake haere, i roto i ngā tau. Mena e mōhio ana koe kei te pēhia ō uaua puku e tetahi mea e mahia ana e koe i ia rā (hei tauira, te hiki taumaha, te noho pōturi pinepine), tera pea ka taea e koe te whakarerekē i taua tikanga, te tiki rongoā rānei mō tētahi mate mau tonu hei āwhina i te whakahaere i te whanaketanga o tēnei mate.

Engari kāore e taea te ārai i ngā hernia katoa. Ki te pāngia koe e tētahi, kia mahara ehara i te mea ko koe anake. He mea noa ēnei, me te pokanga hei whakatika i aua hernia. Mā tō tākuta koe e tohutohu āhea me whakatika tō hernia. Kāore pea koe e hiahia tonu ki tēnei, engari he pai ake kia whakatikahia i mua i te nui rawa.

Ngā mea nui hei mōhio (Karere hei kawe ki te kāinga)

Āe, ko tāku tumanako, mai i ngā mea kua kōrerotia e tātou, kua mārama pai koe ki te tikanga o te Hernia Ventral. Anei ētahi mea hei maumahara māu:

• Ko te hernia ventral he putanga mai o ngā whekau o roto mā roto i tētahi wāhi ngoikore i te pakitara o mua o te puku. Ka puta pea tēnei i te pito, i raro i te uma, i te puku o runga, i tētahi wāhi rānei i pokangahia ai i mua.
• Ko ngā tohu pea ko te pupuhi o te puku, inā koa i te wā e maremare ana, e hiki ana rānei i ngā mea taumaha. Tērā pea ka mamae anō hoki.
• Ahakoa te āhua nei kāore he raruraru nui i te tīmatanga, ka taea e ia te nui haere, te uaua haere, ā, ka noho hei mea morearea i roto i te wā. Nō reira, ehara i te mea pai kia warewarehia.
• Mena kei a koe ēnei tohu, ā, e whakaaro ana koe kei te nui haere tō hernia, he pai ake te toro atu ki te tākuta mō ētahi tohutohu.
• I te nuinga o te wā, ka taea te whakaora katoa i tēnei mā te pokanga. Nō reira kaua e mataku, me whiwhi maimoatanga i te wā tika.

Mena he pātai anō āu mō tēnei, me kōrero ki tō tākuta whānau, ki te taote pokanga rānei. Kia ora tonu!

` Heri pūkahukahu, heri puku, ngā tohu o te heri, te pokanga heri, ngā take o te heri, heri puku, te pupuhi puku