Hoʻoponopono hernia Ventral

ʻO ka hoʻoponopono ʻana ʻo hernia ʻo Ventral kahi hana e hoʻoponopono ai i kahi hernia ventral. ʻO ka hernia ventral kahi ʻeke (ʻeke) i hana ʻia mai ka pale o loko o kou ʻōpū (ʻōpū) e pahu ai i ka puka o ka paia o kou ʻōpū.

Kū pinepine nā hernias Ventral ma ke kahua o kahi ʻokiʻoki kahiko (incision). Kapa ʻia kēia ʻano hernia i ka hernia incisional.

E loaʻa paha iā ʻoe ka anesthesia ākea no kēia ʻoki kino. E hiamoe kēia a ʻeha ʻoe.

Inā liʻiliʻi kāu hernia, hiki iā ʻoe ke loaʻa i ke kuamoʻo a i ʻole epidural block a me ka lāʻau e hoʻomaha ai iā ʻoe. E ala ana ʻoe, akā ʻaʻohe ʻeha.

• E ʻokiʻoki kāu kaukipō i kāu ʻōpū.
• E ʻike kāu kauka lāʻau i ka hernia a hoʻokaʻawale iā ia mai nā aʻa a puni ia. A laila nā mea o ka hernia, e like me nā ʻōpū, e pahu mālie ʻia i loko o ka ʻōpū. E ʻoki wale ke kaukōpō i nā ʻōpū inā ua hōʻino ʻia.
• E hoʻohana ʻia nā humuhumu ikaika e hoʻoponopono i ka lua a i ʻole ka nāwaliwali i hoʻokumu ʻia e ka hernia.
• E hoʻomoe paha kāu kauka lāʻau i kahi ʻāpana mesh ma luna o ka nāwaliwali e hoʻoikaika ai. Kōkua ka hei i ka hernia mai ka hoʻi ʻana mai.

Hiki paha i kāu kauka lāʻau ke hoʻohana i kahi laparoscope e hoʻoponopono ai i ka hernia. ʻO kēia kahi ʻōmole lahilahi, uila me kahi pahu paʻi kiʻi ma ka hope. Hōʻike ia i ke kaukipō ʻike i loko o kou ʻōpū. Hoʻokomo ka kaukipō i ka laparoscope ma o kahi ʻoki liʻiliʻi i kou ʻōpū a hoʻokomo i nā mea kani ma o nā ʻoki liʻiliʻi ʻē aʻe. Hoʻola pinepine kēia ʻano hana i ka wikiwiki, a me ka ʻeha a me ka ʻili liʻiliʻi. ʻAʻole hiki ke hoʻoponopono i nā hernias āpau me ke kahakaha laparoscopic.

ʻOi aku ka maʻamau o nā hernias Ventral i nā mākua. Hoʻonui lākou i ka nui o ka manawa a ʻoi aku paha ma mua o hoʻokahi i ka helu.

ʻO nā kumu pilikia me:

• ʻOki ʻōpū nui
• Kaumaha nui ʻana
• Diabetes
• Ke kānana nei i ka wā e hoʻohana ana i ka lua
• ʻUha nui
• Hāpai hāpai kaumaha
• Hapai keiki

I kekahi manawa, hiki ke nānā ʻia nā hernias liʻiliʻi me nā ʻōuli ʻole. 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. Hiki ke hōʻoki ʻia ke kahe o ke koko i kēia wahi. Hiki paha iā ʻoe ke ʻike i ka nausea a i ʻole ka luaʻi, a lilo ka wahi i bulging i polū a i ʻole ʻeleʻele ʻeleʻele ma muli o ka nalo ʻana o ka lako o ke koko. ʻO kēia kahi pilikia olakino a pono ke ʻokiʻoki wikiwiki.

I mea e hōʻalo ai i kēia pilikia, paipai pinepine nā kauka lapaʻau i ka hoʻoponopono ʻana i ka hernia ventral.

E mālama koke i ka lāʻau lapaʻau inā loaʻa iā ʻoe kahi hernia ʻaʻole e liʻiliʻi i ka wā e moe ana ʻoe i lalo a i ʻole he hernia hiki ʻole iā ʻoe ke hoʻi i loko.

ʻO nā pilikia o ka hoʻoponopono hou ʻana i ka hernia ventral he haʻahaʻa loa ia, ke ʻole ka maʻi i loaʻa i nā pilikia olakino koʻikoʻi ʻē aʻe.

ʻO nā pilikia o ka loaʻa ʻana o kahi anesthesia a me nā ʻoki kino:

• Nā hopena i nā lāʻau
• Nā pilikia hanu, e like me ka niumonia
• Nā pilikia puʻuwai
• Kahena
• Huʻi koko
• Maʻi kīnā

ʻO kahi pilikia kūikawā o ke kīpoki hernia ventral ka ʻeha i ka ʻōpū (liʻiliʻi a i ʻole ʻōpū nui). Kākaʻikahi kēia.

E ʻike kāu kauka iā ʻoe a hāʻawi iā ʻoe i nā ʻōkuhi.

E kūkākūkā kahi anesthesiologist i kāu mōʻaukala olakino e hoʻoholo i ka nui kūpono a me ke ʻano o ka anesthesia e hoʻohana ai. E noi ʻia paha ʻoe e haʻalele i ka ʻai ʻana a me ka inu ʻana he 6 a 8 mau hola ma mua o ke kaha ʻana. E ʻike pono i kāu kauka a kahu hānai paha 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:

• ʻO Aspirin a me nā lāʻau anti-inflammatory nonsteroidal (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 hoʻoponopono hernia ventral e hana ʻia ma kahi kumu o waho. ʻO ke kumu o kēia e hoʻi paha ʻoe i ka home i ka lā like. Inā nui ka hernia, pono ʻoe e noho i ka haukapila no ʻelua mau lā.

Ma hope o ke kahakaha ʻana, e nānā ʻia kāu mau hōʻailona koʻikoʻi e like me ka lāʻau lāʻau, ke koko, a me ka hanu ʻana. E noho ʻoe i kahi e hoʻōla ai a kūpaʻa ʻoe. Na kāu kauka e kau i ka lāʻau ʻeha inā pono ʻoe.

E aʻoaʻo paha kāu kauka a kahu hānai paha iā ʻoe e inu i nā wai he nui a me kahi papaʻai momona. E kōkua ana kēia i ka pale ʻana i ka pilikia i ka neʻe ʻana o ka ʻōpū.

Hoʻoiho maʻalahi i ka hana. E ala aʻe a holoholo ma nā manawa he nui i ka lā e pale aku ai i ke koko koko.

Ma hope o ke kahakaha ʻana, aia kahi haʻahaʻa haʻahaʻa e hoʻi hou ka hernia. Eia nō naʻe, e hōʻemi i ka makaʻu o ka loaʻa hou ʻana i kahi hernia, pono ʻoe e mālama i kahi nohona olakino, e like me ka mālama ʻana i kahi kaupaona olakino.

Malangoni MA, Rosen MJ. Hernias. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 44.

Miller HJ, Novitsky YW. ʻO Ventnia hernia a me nā ʻōnaehana hoʻokuʻu ʻōpū. I: Yeo CJ, hoʻoponopono. ʻO Shackelford's Surgery o ke Alimentary Tract. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 52.

Webb DL, Stoikes NF, Voeller GR. E wehe i ka hoʻoponopono hernia ventral me ka hei onlay. I: Rosen MJ, hoʻoponopono. ʻO Atlas o ka hana hou ʻana o ka Abdominal Wall. ʻElua ed. Piladelapia, PA: Elsevier; 2017: chap 8.