Hoʻoponopono hernia Umbilical
ʻO ka hoʻomaʻemaʻe hernia Umbilical kahi ʻoki e hoʻoponopono hou i kahi hernia umbilical. ʻO kahi hernia umbilical kahi ʻeke (ʻeke) i hana ʻia mai ka pale o loko o kou ʻōpū (ʻōpū o ka ʻōpū) e pahu i loko o ka lua o ka paia o ka ʻōpū ma ka pihi ʻōpū.
E loaʻa paha iā ʻoe ka anesthesia laulā (hiamoe a ʻaʻohe ʻeha) no kēia ʻoki kino. Inā liʻiliʻi kāu hernia, hiki iā ʻoe ke loaʻa i ke kuamoʻo, ka pale epidural, a i ʻole ka anesthesia kūloko a me ka lāʻau e hoʻomaha ai iā ʻoe. E ala ana ʻoe akā ʻaʻohe ʻeha.
Eʻokiʻoki kāu kaukipoki ma lalo o ka pihi o kou ʻōpū.
- E ʻike kāu kaukukō i kāu hernia a hoʻokaʻawale iā ia mai nā aʻa a puni ia. A laila e hoʻokuʻikuʻi aku kāu kauka hana i nā mea o ka ʻōpū i loko o ka ʻōpū.
- E hoʻohana ʻia nā humuhumu ikaika e hoʻoponopono ai i ka lua a i ʻole ka nāwaliwali i hoʻokumu ʻia e ka umbilical hernia.
- E hoʻomoe paha kāu kauka lāʻau i kahi ʻāpana mesh ma luna o ka nāwaliwali (ʻaʻole maʻamau i nā keiki) e hoʻoikaika ai.
Hiki ke hoʻoponopono hou ʻia ka hernia Umbilical me ka hoʻohana ʻana i ka laparoscope. ʻO kēia kahi ʻōmole lahilahi, kukui e hōʻike i ke kauka i loko o kou ʻōpū. E hoʻokomo ʻia ka laulā ma o kekahi o nā ʻoki liʻiliʻi. E hoʻokomo ʻia nā mea kani ma o nā ʻoki ʻē aʻe.
Inā loaʻa kāu keiki i kēia ʻoki, e kūkākūkā ka kaukō lapaʻau i ke ʻano anesthesia e loaʻa i kāu keiki. E wehewehe pū ka kaukōʻau pehea e hana ai ke ʻoki.
KEIKI
ʻO nā hernias Umbilical ka mea maʻamau i nā keiki. Kuhi kahi hernia i ka wā hānau i ka pihi o ka ʻōpū. Hōʻike hou ia i ka wā e uē ai kahi pēpē no ka mea ʻo ke kaomi o ka uē ka mea e hoʻonui nui ai ka hernia.
I nā pēpē, ʻaʻole mālama pinepine ʻia ka pilikia me ke ʻoki kino. ʻO ka hapanui o nā manawa, ʻūlū ka hernia umbilical a pani iā ia iho e ka manawa he 3 a 4 mau makahiki paha o ke keiki.
Pono paha ka hernia Umbilical hernia i nā keiki no kēia mau kumu:
- He ʻeha ka hernia a paʻa i ke kūlana ʻōhū.
- Hoʻopili ʻia ka hāʻawi koko i ka ʻōpū.
- ʻAʻole i pani ka hernia e ka makahiki 3 a i ʻole 4.
- Nui a hewahewa ʻole ka hewa i nā mākua ma muli o ke ʻano o ka nānā ʻana i kā lākou keiki. ʻOiai i kēia mau hihia, e ʻōlelo paha ke kauka e kali ana a hiki i ka manawa he 3 a 4 paha kāu keiki e ʻike inā pani ka hernia ma kāna iho.
NA MAKAHIKI
ʻO ka hernias Umbilical ka mea maʻamau i nā mākua. ʻIke ʻia lākou i nā mea kaumaha a me nā wahine, keu hoʻi ma hope o ka hāpai ʻana. Hoʻonui lākou i ka nui o ka manawa.
Hiki ke nānā ʻia nā hernias liʻiliʻi me nā ʻōuli ʻole i kekahi manawa. Hiki i nā ʻokiʻoki ke hoʻoweliweli i nā poʻe me nā pilikia olakino koʻikoʻi.
Me ka ʻole o ke kaha ʻana, aia kahi makaʻu e paʻa kekahi momona a ʻāpana paha o ka ʻōpū (hoʻopaʻa ʻia) i loko o ka hernia a lilo i hiki ʻole ke hoʻokuʻi i loko. He ʻeha mau kēia. Inā ʻoki ʻia ke koko i kēia wahi (ʻoki ʻia), pono ke ʻoki kino. Hiki paha iā ʻoe ke ʻike i ka nausea a i ʻole ka luaʻi, a e polū a ʻāpana kala ʻeleʻele paha ka wahi ʻōhū.
I mea e hōʻalo ai i kēia pilikia, paipai pinepine nā kauka lapaʻau i ka hoʻoponopono ʻana i ka hernia umbilical i nā mākua. Hoʻohana ʻia kahi ʻoki lāʻau no ka hernias e hoʻonui ana a ʻeha paha. Mālama ke ʻoki kino i ka nāwaliwali o ka paia o ka paia o ka ʻōpū (fascia) a pani i nā lua.
E kiʻi koke i ka lāʻau lapaʻau inā loaʻa iā ʻoe kahi hernia ʻeha, a hernia paha e liʻiliʻi ʻole ke moe ʻoe i lalo a i ʻole hiki ʻole iā ʻoe ke hoʻoku i loko.
ʻO nā makaʻu o ke ʻoki kino ʻana no ka hernia umbilical he haʻahaʻa loa ia, ke ʻole he pilikia koʻikoʻi koʻikoʻi kekahi.
Nā pilikia o ka anesthesia a me ke kahakaha ʻana ma:
- Nā hopena i nā lāʻau a i ʻole nā pilikia hanu
- Kahe ʻana o ke kahe, ke koko koko, a i ʻole ka maʻi
ʻO nā pōʻino o ke kahakaha hernia umbilical me kekahi o kēia mau mea:
- Ka hōʻeha i ka ʻōpū nui a nui paha (laha ʻole)
- Hernia e hoʻi mai (liʻiliʻi iki)
ʻO kāu kauka lapaʻau a i ʻole anesthesia kauka (anesthesiologist) e ʻike iā ʻoe a hāʻawi iā ʻoe i nā kuhikuhi no ʻoe a no kāu keiki paha.
E kūkākūkā ka mea anesthesiologist i kāu (a i ʻole keiki a kāu) mōʻaukala e hoʻoholo ai i ka nui kūpono a me ke ʻano o ka anesthesia e hoʻohana ai. E noi ʻia ʻoe a i ʻole ʻaʻole e ʻānai i kāu keiki i ka ʻai ʻana a inu paha i 6 mau hola ma mua o ke kaha ʻana. E ʻike pono i kāu mea mālama ola e pili ana i nā lāʻau, nā maʻi āpau, a i ʻole ka mōʻaukala o nā pilikia kahe.
I kekahi mau lā ma mua o ke kaha ʻana, noi ʻia ʻoe e haʻalele i ka lawe ʻana:
- Aspirin a i ʻole nonsteroidal anti-inflammatory drug (NSAIDs), e like me ibuprofen, Motrin, Advil, a me Aleve
- ʻO nā lāʻau lapaʻau ʻiliʻili ʻē aʻe
- Kekahi vitamina a me nā mea hoʻohui
ʻO ka hapa nui o nā hernia umbilical hernia i hana ʻia ma kahi kumu maʻi maʻi. ʻO kēia ke ʻano e hoʻi paha ʻoe i ka home i ka lā like. Pono paha kekahi mau hoʻoponopono e hana i kahi haukapila pōkole inā nui ka hernia.
Ma hope o ke kahakaha ʻana, e nānā kāu mea hāʻawi i kāu mau hōʻailona koʻikoʻi (pulse, kaomi koko, a me ka hanu). E noho ʻoe i kahi e hoʻōla ai a kūpaʻa ʻoe. E kauoha kāu mea hāʻawi i ka lāʻau ʻeha inā pono ʻoe.
E hāhai i nā ʻōkuhi pehea e mālama ai i ka incision a kāu keiki i ka home. E haʻi aku kāu mea hāʻawi iā ʻoe ke hoʻomaka hou kāu keiki i kāu mau hana maʻamau. No nā mākua, kēia ma 2 a 4 mau pule. Hiki paha i nā keiki ke hoʻi i ka hapa nui o nā hana i kēia manawa.
Aia kahi manawa kūpono e hoʻi ai ka hernia. No ka poʻe olakino, haʻahaʻa loa ka makaʻu o ka hoʻi ʻana mai.
ʻOki kino hernia Umbilical
- Ke lawe nei i kāu keiki e kipa i kahi kaikaina maʻi loa
- Mālama ʻeha ʻeha - wehe
Hoʻoponopono hernia Umbilical - moʻo
Blair LJ, Kercher KW. Hoʻoponopono hernia Umbilical. I: Rosen MJ, hoʻoponopono. ʻO Atlas o ka hana hou ʻana o ka Abdominal Wall. ʻElua ed. Piladelapia, PA: Elsevier; 2017: chap 20.
Carlo WA, Ambalavanan N. Ka umbilicus. I: Kliegman RM, Stanton BF, St. Geme JF, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 105.
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.