Hernia

ʻO kahi hernia kahi ʻeke i hoʻokumu ʻia e ka pale o ka ʻōpū o ka ʻōpū (peritoneum). E hele mai ke ʻeke ma kahi puka a wahi nāwaliwali paha i ka papa ikaika o ka paia ʻōpū e hoʻopuni ana i kaʻiʻo. Kapa ʻia kēia papa ʻo fascia.

ʻO ka hernia ʻano āu e pili ai i hea ia:

• ʻO ka hernia wahine kahi puʻupuʻu i ka ʻūhā luna, ma lalo pono o ke aʻa. ʻOi aku ka maʻamau o kēia ʻano ma nā wahine ma mua o nā kāne.
• Aia ka hernia Hiatal ma ka ʻaoʻao luna o ka ʻōpū. ʻO ka ʻāpana o ka ʻōpū kiʻekiʻe e pahu i ka umauma.
• Hiki i ka hernia incidence ma o kahi ʻeha inā loaʻa iā ʻoe kahi ʻōpū o ka ʻōpū i ka wā i hala.
• Umbilical hernia kahi ʻōhū a puni ka pihi ʻōpū. Hana ʻia ia ke pili ʻole ka mākala a puni ka ʻōpū ma hope o ka hānau ʻana.
• ʻO Inguinal hernia kahi puʻupuʻu i ke aʻa. ʻOi aku ka maʻamau i nā kāne. Hele paha i lalo i lalo i ka scrotum.

ʻO ka maʻamau, ʻaʻohe kumu maopopo o ka hernia. I kekahi manawa, hiki i ka hernias ke hana ma muli o:

• Hāpai hāpai kaumaha
• Ke kau nei i ka wā e hoʻohana ana i ka lua
• ʻO kēlā me kēia hana e hāpai i ka kaomi i loko o ka ʻōpū

Aia paha ʻo Hernias ma ka hānau ʻana, akā ʻaʻole ʻike ʻia ka puʻupuʻu a hiki i ka hope o ke ola. Loaʻa i kekahi poʻe ka moʻoʻohana hernias.

Hiki i nā pēpē a me nā keiki ke kiʻi i ka hernias. Hana ʻia ia inā he nāwaliwali ka paia o ka ʻōpū. ʻO ka Inguinal hernias ka mea maʻamau i nā keikikāne. ʻAʻohe o nā keiki i kekahi mau hōʻailona a hiki i ko lākou makua ʻana.

ʻO nā pilikia a me nā pilikia olakino e hoʻonui ai i ke kaomi o ka mea ma ka paia o ka ʻōpū a me nā mākala e hiki ai i ka hernia, me:

• Kaohi paʻa wā lōʻihi (mau) a me ka hoʻokuʻi ikaika ʻana (e hoʻowali) i ka neʻe ʻana o ka ʻōpū
• ʻO ka hoʻoheʻe mau ʻana a i ʻole ka ʻūlū ʻana
• ʻO Cystic fibrosis
• Hoʻonui prostate, ke kanana nei i ka mimi
• Kaumaha keu
• Loli i loko o ka ʻōpū (ascites)
• Dialysis Peritoneal
• ʻAnoʻai maikaʻi ʻole
• Puhipaka
• Overexertion
• Hōkū hōʻike ʻole ʻia

ʻAʻohe hōʻailona maʻamau. Loaʻa i kekahi poʻe ka ʻoluʻolu a ʻeha paha. Eʻoi aku paha ka maikaʻi ʻole o ka hōʻoluʻolu ke kū ʻana, kaomi ʻana, a hāpai paha i nā mea kaumaha. I ka manawa, ʻo ka hoʻopiʻi maʻamau he puʻupuʻu e ʻeha a ulu ana.

Ke piʻi a nui aʻe kahi hernia, paʻa paha ia i loko o ka lua a lilo ke koko. Kapa ʻia kēia no ka lāō. ʻO kēia ke kumu o ka ʻeha a me ka pehu ʻana ma ke kahua o ka uhuki. Pākuʻi ʻia paha nā ʻōuli:

• ʻO Nusea a me ka luaʻi
• ʻAʻole hiki ke hele i ke kinoea a i ʻole nā ​​neʻe o ke ʻōpū

Ke kū kēia, pono koke ke kauka.

Hiki ke ʻike a ʻike paha ka mea mālama ola i ka hernia ke nānā ʻia ʻoe. Nonoi ʻia ʻoe e moe, kūlou, pākuʻi, a hāpai hoʻi. E nui aʻe paha ka hernia ke hana ʻoe i kēia.

ʻAʻole ʻike maʻalahi ʻia ka hernia i nā pēpē a me nā keiki, koe wale nō ke uē a ʻeha paha ke keiki.

Hana ʻia paha ka ultrasound a i ʻole CT scan e nānā ai i kahi hernia.

Inā loaʻa kahi paʻa i ka ʻōpū, e hana ʻia kahi x-ray o ka ʻōpū.

ʻO ke ʻoki lāʻau wale nō ka lapaʻau e hiki ke hoʻoponopono paʻa i ka hernia. ʻOi aku ka makaʻu loa o ke keʻoki kino no ka poʻe me nā pilikia olakino koʻikoʻi.

Hoʻoponopono ke ʻoki kino i ka nāwaliwali o ka paia o ka paia o ka ʻōpū (fascia) a pani i nā lua. Pani ʻia ka hapa nui o nā hernias me nā humuhumu a i kekahi manawa me nā pā mesh e hoʻopili i ka lua.

ʻO kahi hernia umbilical e hoʻōla ʻole iā ia iho i ka manawa a 5 keiki e hoʻoponopono ai.

ʻO ka hopena no ka hapanui o nā hernias he maikaʻi maʻamau me ka lāʻau. Kākaʻikahi ka hoʻi ʻana o ka hernia. E hoʻi paha ka hernias incisional.

I nā hihia kakaikahi, hiki i ka inguinal hernia hoʻoponopono ke hōʻino i nā hale i komo i ka hana o kahi testicle o ke kāne.

ʻO kekahi pilikia o ke kahakaha hernia ka hōʻino nerve, kahi e alakaʻi ai i ka helu ʻana i ka wahi o ke aʻa.

Inā ua hei a ʻoki ʻia paha kahi ʻāpana o ka ʻōpū ma mua o ke kaha ʻana, e hopena paha ka ʻōpū o ka ʻōpū a i ʻole ka mea make.

Kāhea koke i kāu mea hāʻawi inā loaʻa iā ʻoe:

• ʻAʻole hiki ke hoʻihoʻi ʻia kahi hernia ʻeha a me nā mea i loko o ka ʻōpū me ka hoʻohana ʻana i ke kaomi haʻahaʻa
• ʻO Nusea, ka luaʻi, a i ʻole ke kuni me kahi hernia ʻeha
• ʻO kahi hernia e lilo i ʻulaʻula, poni, ʻeleʻele, a i ʻole discolored

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• ʻEha Groin, ʻōhū, a i ʻole kahi ʻōhū.
• ʻO kahi ʻōhū a i ʻole ʻōhū i loko o ke aʻa a i ʻole ka pihi ʻōpū, a i ʻole e pili ana i kahi ʻoki ʻoki mua.

E pale aku i ka hernia:

• E hoʻohana i nā ʻenehana hāpai pono.
• Lilo i ke kaupaona inā ʻoi nui ʻoe.
• Hōʻoluʻolu a hōʻalo paha i ka paʻa paʻa ʻana e ka ʻai ʻana i ka fiber, inu nui i ka wai, ke hele i ka lua i ka wā e loaʻa ai ka makemake, a me ka hoʻoikaika mau.
• E ʻike nā kāne i kā lākou mea hāʻawi inā pilikia lākou me ka urination. He hōʻailona paha kēia o kahi prostate hoʻonui ʻia.

Hernia - inguinal; Hernia inguinal; Hnia pololei a pololei ʻole hoʻi; Rupture; Strangulation; Hoʻoiho kino

• Hoʻoponopono i ka hernia inguinal - hoʻokuʻu

• Hernia inguinal
• Hoʻoponopono i ka hernia inguinal - series

Aiken JJ. Hernia inguinal. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 373.

Malangoni MA, Rosen MJ. Hernias. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 44.