Hoʻoponopono hernia wahine
ʻO ka hoʻoponopono ʻana ʻo hernia femoral kahi ʻoki e hoʻoponopono ai i kahi hernia kokoke i ke aʻa a i ʻole ka ʻūhā kiʻekiʻe. ʻO ka hernia femoral kahi kiko e puʻupuʻu mai kahi wahi nāwaliwali i ke aʻa. ʻO ka maʻa mau kēia ʻāpana o ka ʻōpū.
I ka wā o ke ʻoki e hoʻomaikaʻi hou i ka hernia, hoʻoneʻe hou ʻia ka puʻupuʻu o ka maʻi. Hiki ke hana i kēia hoʻoponopono me ke kaha hāmama a i ʻole laparoscopic. Hiki iā ʻoe a me kāu kauka ke kūkākūkā i ke ʻano o ke ʻoki kūpono āu.
I ka ʻoki ākea:
- Loaʻa paha iā ʻoe ka anesthesia laulā. ʻO kēia ka lāʻau e hiamoe ai ʻaʻohe ʻeha. A i ʻole, loaʻa paha iā ʻoe ka anesthesia āpana, kahi e numbs ai iā ʻoe mai ka pūhaka a i kou mau wāwae. A i ʻole, koho paha kāu mea kauka iā ʻoe e hāʻawi iā ʻoe i ka maʻi anesthesia a me ka lāʻau e hoʻomaha ai iā ʻoe.
- Lawe kāu kauka lāʻau i kahi ʻoki (incision) i kāu wahi ʻūlū.
- Aia ka hernia a hoʻokaʻawale ʻia mai nā aʻa a puni ia. Hiki ke hoʻoneʻe ʻia i kekahi o nā kiko hernia keu. ʻO ke koena o ka hernia i kipaku mālie ʻia i loko o kou ʻōpū.
- Hoʻopili ke kaukipō i kou mau mākala nāwaliwali me nā humuhumu.
- Hoʻohui pū ʻia kahi ʻāpana hei i wahi e hoʻoikaika ai i kou paia ʻōpū. Hoʻoponopono kēia i ka nāwaliwali i ka paia.
- I ka hopena o ka hoʻoponopono, hoʻopaʻa ʻia nā ʻoki i pani ʻia.
I ke kahakaha laparoscopic:
- Hana ke kaukōkō i 3 a 5 mau ʻoki liʻiliʻi i kou pū a me kou ʻōpū haʻahaʻa.
- Hoʻokomo ʻia kahi mea lapaʻau i kapa ʻia he laparoscope ma o kekahi o nā ʻoki. ʻO ka laulā kahi ʻōmole lahilahi, uila me ka pahu paʻi kiʻi ma ka hopena. Hōʻike ia i ke kaukipō ʻike i loko o kou ʻōpū.
- Hoʻokomo ʻia nā mea hana ʻē aʻe ma o nā ʻoki ʻē aʻe. Hoʻohana ka mea hoʻopuka i kēia mau mea hana e hoʻoponopono i ka hernia.
- E hana ʻia ka hana like e like me ke ʻoki ākea.
- I ka hopena o ka hoʻoponopono, wehe ʻia ka laulā a me nā mea hana ʻē aʻe. Kuʻi ʻia nā ʻoki.
Pono e hoʻoponopono hou i kahi hernia femoral, ʻoiai ʻaʻole ia e kumu i nā ʻōuli. Inā ʻaʻole hoʻomaikaʻi ʻia ka hernia, hiki i ka ʻōpū ke paʻa i loko o ka hernia. Kapa ʻia kēia he hernia i loko o ka hale paʻahao. Hiki iā ia keʻoki i ka hāʻawi koko i nā ʻōpū. Hiki i kēia ke hoʻoweliweli i ke ola. Inā kū kēia, pono ʻoe i kahi ʻoki pōpilikia.
Nā pilikia no ka anesthesia a me ke kahakaha ʻana ma:
- Nā hopena i nā lāʻau
- Nā pilikia hanu
- Kahe ʻana o ke kahe, ke koko koko, a i ʻole ka maʻi
ʻO nā pilikia no kēia ʻoki kino penei:
- Hoʻopōʻino i nā kīʻaha koko e hele i ka wāwae
- Poino i ke aʻalolo kokoke
- ʻO ka hōʻino ma kahi kokoke i nā hua hānau, no nā wahine
- ʻEha wā lōʻihi
- Hoʻi o ka hernia
E haʻi i kāu kaukukō a kahu maʻi paha inā:
- Hāpai paha ʻoe
- Ke lawe nei ʻoe i nā lāʻau, e laʻa me nā lāʻau, nā mea hoʻopili, a i ʻole nā mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau
I loko o ka pule ma mua o kou ʻoki kino:
- E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā mea lahilahi o ke koko. Hoʻopili kēia i ka aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin, Jantoven), naproxen (Aleve, Naprosyn), a me nā mea ʻē aʻe.
- E noi i kāu kaukipona i nā lāʻau e pono ai ʻoe e lawe i ka lā o ke ʻoki.
I ka lā o ke kaha ʻana:
- E hāhai i nā ʻōkuhi e pili ana i ka wā e hōʻoki ai i ka ʻai a me ka inu ʻana.
- E lawe i nā lāʻau a kāu kauka lāʻau i kauoha ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
- E hōʻea i ka haukapila i ka manawa.
Hiki i ka hapa nui o ka poʻe ke hoʻi i ka home i ka lā like me ke ʻoki. Pono kekahi e noho i ka haukapila i ka pō. Inā ua hana ʻia kāu ʻoki kino me he ulia pōpilikia lā, pono ʻoe e noho ma ka haukapila i kekahi mau lā hou aku.
Ma hope o ke kahakaha ʻana, loaʻa paha iā ʻoe kahi pehu, ʻeha a ʻeha hoʻi e pili ana i nā ʻokiʻoki. Hiki ke kōkua i ka lawe ʻana i nā lāʻau ʻeha a neʻe pono.
E hāhai i nā ʻōkuhi e pili ana i ka hana i hiki ke ola hou ʻia. Hoʻopili paha kēia:
- Ke hoʻi nei i nā hana māmā ma hope koke o ka hoʻi ʻana i ka home, akā ka hōʻalo ʻana i nā hana ikaika a me ka hāpai hāpai ʻana no kekahi mau pule.
- Ke pale nei i nā hana i hiki ke hoʻonui i ke kaomi i ka ʻeha. E neʻe mālie mai kahi wahaheʻe i kahi noho.
- Hōʻalo i ka ʻūlū ʻana a i ʻole ka ʻeha ikaika ʻana.
- Ke inu nei i ka nui o nā wai a me ka ʻai ʻana i nā fiber he nui e pale ai i ka paʻa paʻa.
ʻO nā hopena o kēia ʻoki maikaʻi maikaʻi loa. I kekahi poʻe, hoʻi ka hernia.
Hoʻoponopono femorocele; Herniorrhaphy; ʻO Hernioplasty - femoral
Dunbar KB, Jeyarajah DR. ʻO nā hernias ʻōpū a me ka gastric volvulus. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 26.
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.