Hnia umbilical

ʻO kahi hernia umbilical kahi kūwaho o waho (protrusion) o ka pale o ka ʻōpū a i ʻole kahi ʻāpana o ka ʻōpū o ka ʻōpū ma o ka wahi a puni ka pihi ʻōpū.

Hiki i kahi hernia umbilical i loko o kahi pēpē ke kū ʻole ka mākala ma loko o ka umbilical cord ma hope o ka hānau ʻana.

ʻO nā hernias Umbilical ka mea maʻamau i nā pēpē. Kū pinepine pinepine lākou i nā ʻAmelika ʻAmelika. ʻAʻole pili ka hapa nui o nā hernia umbilical i ka maʻi. Pili kekahi hernias umbilical me nā kūlana maʻamau e like me Down Syndrome.

Hiki i kahi hernia ke loli i ka laulā mai ka liʻiliʻi ma mua o 1 kenimika (cm) a ʻoi aku ma mua o 5 cm.

Aia ka pehu palupalu ma luna o ka pihi o ka ʻōpū e pīpī pinepine i ka wā e noho ai ka pēpē, uē ai, a i ʻole nā ​​ʻūnana. Pālahalaha paha ka puʻu ke moe ke pēpē ma ke kua a mālie. ʻO ka hernias Umbilical ka mea maʻamau ʻole.

Loaʻa pinepine kahi hernia e ka mea mālama ola i ka wā o kahi hoʻokolohua kino.

ʻO ka hapanui o nā hernias i nā keiki e hoʻōla iā lākou iho. Pono nā ʻoki kino e hoʻoponopono hou i ka hernia ma nā hihia wale nō:

• ʻAʻole hoʻōla ka hernia ma hope o ke keiki he 3 a 4 mau makahiki.
• Pōpō ka ʻōpū a i ʻole nāʻiʻo ʻē aʻe a nalowale i kona lako o ke koko (e ʻoki ʻia). He pilikia kēia e pono ai ke kahakaha koke.

ʻOi aku ka maikaʻi o ka hapanui o nā hernias umbilical me ka ʻole o ka mālama ʻia e ka manawa o 3 a 4 mau makahiki o ke keiki. Inā pono ke kahakaha, maikaʻi loa ia.

Kākaʻikahi ka Strangulation o nā ʻōpū o ka ʻōpū, akā koʻikoʻi, a pono koke ke kahakaha.

Kāhea i kāu mea lawelawe a i ʻole hele i ka lumi pilikia inā fussy loa ka pēpē a i ʻole inā ʻeha ka ʻeha o ka ʻōpū a i ʻole inā palupalu, pehu, a wali paha ka hernia.

ʻAʻohe ala i ʻike ʻia e pale aku ai i kahi hernia umbilical. ʻO ke kāʻei ʻana a i ʻole ke kaula ʻana i kahi hernia umbilical ʻaʻole ia e hele.

• Hnia umbilical

ʻO Nathan AT. ʻO ka umbilicus. 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 125.

ʻO Sujka JA, Holcomb GW. Umbilical a me nā hernia paia ʻōpū. I: Holcomb GW, Murphy JP, St. Peter SD, eds. ʻO Holcomb a me Ashcraft's Pediatric Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2020: chap 49.