Hoʻoponopono i ka hernia inguinal
ʻO ka hoʻoponopono ʻo Inguinal hernia kahi ʻoki e hoʻoponopono ai i kahi hernia i kāu ʻūlū. ʻO kahi hernia kahiʻiʻo e puʻupuʻu mai kahi wahi nāwaliwali i ka paia o ka ʻōpū. Pīpī paha kāu ʻōpū ma o kēia wahi nāwaliwali.
I ka wā o ke kīʻaha e hoʻoponopono ai i ka hernia, hoʻoneʻe ʻia ka pūpū i loko. Hoʻoikaika a kākoʻo ʻia kou paia ʻōpū me nā sutures (nā kuʻi), a i kekahi manawa hei. 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.
E hoʻoholo kāu kauka lāʻau i ke ʻano anesthesia e loaʻa iā ʻoe:
- ʻO ka anesthesia laula ka lāʻau lapaʻau e hiamoe ai ʻoe a ʻaʻohe ʻeha.
- Anesthesia āpana, kahi e numbs iā ʻoe mai ka pūhaka a i kou mau wāwae.
- Anesthesia kūloko a me ka lāʻau e hoʻomaha ai iā ʻoe.
I ka ʻoki ākea:
- ʻOkiʻoki kāu kauka kauō kokoke i ka hernia.
- Aia ka hernia a hoʻokaʻawale ʻia mai nā aʻa a puni ia. Wehe ʻia ka hernia sac a i ʻole hoʻoneʻe mālie ʻia ka hernia 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 o kou ʻōpū.
- I ka hopena o ka hoʻoponopono, hoʻopaʻa ʻia ka ʻoki.
I ke kahakaha laparoscopic:
- ʻEkolu a ʻelima paha mau ʻoki liʻiliʻi a ka mea hōʻoki ma kou ʻōpū o lalo.
- 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.
- Hoʻopili ʻia kahi kinoea kolohe ʻole i loko o kou ʻōpū e hoʻonui i ka hakahaka. Hāʻawi kēia i ke kaukipala i kahi lumi hou aʻe e ʻike a hana ai.
- 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 me ka hana hou i ke ʻoki ākea.
- I ka hopena o ka hoʻoponopono, wehe ʻia ka laulā a me nā mea hana ʻē aʻe. Kuʻi ʻia nā ʻoki.
Hiki paha i kāu kauka ke ʻōlelo aku i ke kahakaha hernia inā ʻeha ʻoe a i ʻole hoʻonāukiuki paha kāu hernia iā ʻoe i kāu hana o kēlā me kēia lā. Inā ʻaʻole pilikia ka hernia iā ʻoe, ʻaʻole pono ʻoe e ʻoki kino. Eia nō naʻe, ʻaʻole hele pinepine kēia mau hernias iā lākou iho, a nui aʻe paha lākou.
I kekahi manawa hiki ke paʻa i ka ʻōpū i loko o ka hernia. Kāhea ʻia kēia he hernia paʻa a i ʻole ʻoki ʻia. 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:
- Poino i nā kīʻaha koko a i ʻole nā ʻokena
- Poino i nā aʻalolo
- Hoʻopilikia i nā testicle inā hōʻeha ʻia kahi kīʻaha koko e pili ana iā lākou
- ʻO kaʻeha lōʻihi ma kahi ʻoki
- 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 lāʻau lahilahi. Hoʻopili kēia i ka aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin), naprosyn (Aleve, Naproxen), 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 hele i waho o kahi moe i hoʻokahi hola a ʻoi paha ma hope o kēia ʻoki ʻana. Hiki i ka hapanui ke hoʻi i ka home i ka lā like, akā pono paha kekahi e noho ma ka haukapila i ka pō.
Loaʻa paha i kekahi mau kāne i ka pilikia i ka hele ʻana i ka mimi ma hope o ke kahakaha hernia. Inā loaʻa iā ʻoe kahi pilikia e mimi, pono paha ʻoe i ka catheter. ʻO kēia kahi paipu wīwī lahilahi i hoʻokomo ʻia i loko o kāu pēpē no kahi manawa pōkole e hoʻokahe i ka mimi.
Ma hope o nā ʻōkuhi e pili ana i kāu hana ke hiki ke ola hou. 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 ke aʻa a me ka ʻōpū. 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.
E hāhai i nā ʻōkuhi mālama pilikino ʻē aʻe e kōkua i ka wikiwiki i kou ola ʻana.
ʻO ka hopena o kēia ʻoki maikaʻi loa. I kekahi poʻe, hoʻi ka hernia.
Herniorrhaphy; Hernioplasty - inguinal
- Hoʻoponopono i ka hernia inguinal - hoʻokuʻu
Kuwada T, Stefanidis D. Ka mālama ʻana i ka hernia inguinal. I: Cameron JL, Cameron AM, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 12th ed. Piladelapia, PA: Elsevier; 2017: 623-628.
Malangoni MA, Rosen MJ. Hernias. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery: Ke kumu kumu olaola o ka hana ʻoki ʻana o kēia ao. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 44.