Hānnia hernia

ʻO Hiatal hernia kahi ʻano kahi o ka ʻōpū e hoʻonui ai ma o ka wehe ʻana o ka diaphragm i loko o ka pahu. ʻO ka diaphragm ka lau o ka mākala e hoʻokaʻawale i ka pahu mai ka ʻōpū.

ʻAʻole ʻike ʻia ke kumu kūpono o ka hiatal hernia. ʻO ke kumu ma muli o ka nāwaliwali o nā mea i kākoʻo ʻia. Piʻi kou makaʻu no ka pilikia me ka makahiki, ka momona, a me ka puhipaka. ʻO ka Hiatal hernias ka mea maʻamau. Kū pinepine ka pilikia i ka poʻe ma mua o 50 mau makahiki.

Pili paha kēia ʻano i ka reflux (backflow) o ka waika gastric mai ka ʻōpū i loko o ka esophagus.

ʻO nā keiki me kēia ʻano hānau pinepine ʻia me ia (congenital). Kū pinepine ia me ka reflux gastroesophageal i nā pēpē.

Pākuʻi ʻia paha nā ʻōuli:

• ʻEha ʻeha
• ʻO Heartburn, ʻoi aku ka maikaʻi i ke kūlou ʻana a i ʻole ke moe ʻana i lalo
• Pahu i ka paʻakikī

ʻAʻole hiki i kahi hernia hiatal ma o ia iho ke kumu o nā ʻōuli. ʻO ka ʻeha a me ka hōʻoluʻolu ma muli o ke kahe o ka ʻōpū o ka ʻōpū, ka ea, a me ka bile.

ʻO nā hoʻāʻo e hiki ke hoʻohana ʻia:

• E ʻai ʻo Barium i ke kukuna
• ʻO Esophagogastroduodenoscopy (EGD)

ʻO nā pahuhopu o ka mālama ʻana e hoʻomaha i nā ʻōuli a pale i nā pilikia. Hiki i nā mālama ke hoʻopili:

• Nā lāʻau e kāohi ai i ka waikawa ʻōpū
• Ke ʻoki kino e hoʻoponopono i ka hiatal hernia a pale i ka reflux

Nā hana ʻē aʻe e hōʻemi ai i nā ʻōuli me:

• Hōʻalo i nā pāʻina nui a kaumaha paha
• ʻAʻole e moe ana i lalo a kūlou paha ma hope pono o ka pāʻina ʻana
• Ka hōʻemi ʻana i ke kaumaha a me ka puhi ʻole ʻana
• Ke hāpai nei i ke poʻo o ka moena 4 a 6 ʻīniha (10 a 15 mau kenimika)

Inā ʻaʻole kōkua nā lāʻau a me nā ʻano nohona i ka mālama ʻana i nā ʻōuli, pono ʻoe i ke ʻoki.

Hiki i ka mālama ʻana ke hoʻokuʻu i ka hapanui o nā ʻōuli o ka hiatal hernia.

Komo pū nā pilikia:

• Pulmonary (lung) aspiration
• Kahe kahe a me ka hemahema o ka hao anemia (ma muli o kahi hernia nui)
• Strangulation (pani) o ka hernia

Kāhea i kāu kahu mālama ola inā:

• He ʻōuli kou o ka hernia hiatal.
• Loaʻa iā ʻoe kahi hernia hiatal a ʻoi aku ka maikaʻi o kāu mau hōʻailona a hoʻomaikaʻi ʻole paha me ka lāʻau.
• Hoʻokumu ʻoe i nā ʻōuli hou.

ʻO ke kāohi ʻana i nā pilikia e like me ka momona ke kōkua i ka pale ʻana i ka hernia hernia.

Hernia - hiatal

• ʻOki kino Anti-reflux - hoʻokuʻu

• Hānnia hernia - x-ray
• Hānnia hernia
• Hoʻoponopono ʻo hernia hernia - moʻo

ʻO Brady MF. Hānnia hernia. I: Ferri FF, hoʻoponopono. ʻO Ferri's Clinical Advisor 2019. Piladelapia, PA: Elsevier; 2019: 663.e2-663.e5.

ʻO Falk GW, Katzka DA. Nā maʻi o ka esophagus. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 138.

Rosemurgy AS. Hānia paraesophageal. I: Cameron JL, Cameron AM, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 12th ed. Piladelapia, PA: Elsevier; 2017: 1534-1538.

ʻO Yates RB, ʻOelschlager BK, Pellegrini CA. ʻO ka maʻi reflux Gastroesophageal a me ka hernia hernia. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 42.