Hernia incisional: he aha ia, nā ʻōuli, nā kumu a me nā lāʻau

Anter

• Nā hōʻailona nui
• Pehea e hōʻoia ai i ke kuhi
• Nā kumu kūpono a pehea e hōʻalo ai
• Pehea e hana ai i ka lāʻau
• Nā pilikia i hiki

ʻO ka hernia incisional kahi ʻano o ka hernia e kū ma kahi kahua o ka ʻoki ʻana ma ka ʻōpū. Hana kēia ma muli o ke koʻikoʻi nui a me ka lawa ʻole o ka hoʻōla o ka paia ʻōpū. Ma muli o ke ʻoki ʻana o nā mākala, nāwaliwali ka paia o ka ʻōpū, a hoʻolilo i ka ʻōpū, a i ʻole nā ​​mea ʻē aʻe ma lalo o ka pūnaewele incision, maʻalahi e neʻe a kaomi i ka pūnaewele scar, e alakaʻi ana i ka hoʻokumu ʻana o kahi pehu liʻiliʻi ma ia wahi.

ʻOiai he pilikia maʻamau ka hernias incisional i kēlā me kēia kanaka i loaʻa i ka ʻōpū o ka ʻōpū, ʻoi aku ka maʻamau o ka poʻe me ka momona, ka mea i loaʻa i ka maʻi ʻeha, a i ʻole he pilikia olakino ma mua, e like me ka maʻi kō, ka maʻi ʻaʻa, a i ʻole nā ​​maʻi. hoʻonui ia i ke kaomi i loko o ka ʻōpū.

I ka manawa e kānalua ʻia e ulu ana kahi hernia incidence ma hope o ke kaha ʻana, pono nui e hele i ka haukapila a e nīnau i ke kauka nāna i hana i ke ʻoki, i hiki ai ke loiloi i ka hernia a hoʻomaka koke ka lapaʻau ʻana i ka wā hiki.

Nā hōʻailona nui

ʻO ka ʻōuli maʻamau o ka hernia incisional ka helehelena o ka pehu ma ka ʻaoʻao o ka ʻili mai ka ʻoki ʻana i ka ʻōpū, akā naʻe, he mea maʻamau ia no nā ʻōuli ʻē aʻe i ʻike ʻia, e like me:

• Paʻi a hōʻoluʻolu paha ma ka pūnaewele hernia;
• Nusea a me ka luaʻi;
• Fiva ma lalo o 39ºC;
• Hīkiʻi paʻakikī
• Hoʻololi i ka lawe ʻana o ka ʻōpū, paʻa paʻa a i ʻole ka palahō.

Hōʻike maʻamau ka hernia incisional i ka 3 a i ka 6 mau mahina ma hope o ke kaha ʻana, akā hiki ke hōʻike ʻia ma mua o kēlā wā. Hoʻohui, he mea maʻamau hoʻi ka nānā pinepine ʻana o ka hernia i ke kū ʻana a i ʻole ka loaʻa ʻana o ke kaumaha, a nalowale paha ke noho a hoʻomaha.

Pehea e hōʻoia ai i ke kuhi

I ka hapanui o nā hihia, hiki ke ʻike ʻia ka hernia incidence e kahi kauka laula a lāʻau lapaʻau paha, ma ka nānā wale ʻana i nā ʻōuli a me ka loiloi ʻana i ka mōʻaukala olakino. No laila, aʻoaʻo ʻia i kēlā me kēia manawa ke kānalua ʻia ka hernia, e hele i ka Family Health Center a i ʻole e hoʻopaʻa manawa me kahi kauka nāna i hana i ke ʻoki.

Nā kumu kūpono a pehea e hōʻalo ai

Hiki i ka hernia incidence ke hana i kēlā me kēia hihia kahi e ʻoki ʻia ai i nā mākala o ka paia o ka ʻōpū a, no laila, he mea maʻamau ia ma hope o ke kaha ʻana ma ka ʻōpū. Eia nō naʻe, aia kekahi mau mea e hoʻonui i ka makaʻu o ka hoʻomohala ʻana i kēia ʻano hernia, e like me:

• Loaʻa i kahi maʻi i ka pūnaewele scar;
• Kaumaha a obesity paha;
• ʻO ka puhipaka;
• E hoʻohana i kekahi mau lāʻau, ʻo ia hoʻi nā lāʻau pale lāʻau a i ʻole nā ​​steroid;
• Loaʻa i nā pilikia olakino ʻē aʻe, e like me ka maʻi kō, a me nā puʻuwai a me nā maʻi lolo.

ʻO ka ʻōlelo aʻoi maikaʻi loa no ka hōʻemi ʻana i ka makaʻu o ka hoʻomōhala ʻana i kahi hernia incisional, ma waho o ka hōʻalo ʻana i nā kumu pilikia, ʻo ia ke kali i ka manawa i ʻōlelo ʻia e ke kauka ma mua o ka hoʻomaka ʻana i nā hana i hiki ke hoʻokau i ka ʻōpū, e like me ka hāpai ʻana.

Pehea e hana ai i ka lāʻau

Pono e loiloi pinepine ʻia ka mālama ʻana i ka hernia incisional me ke kauka, e pili ana i ke kūlana olakino laulā, anatomy a me kahi o ka hernia. Eia nō naʻe, ʻo ke ʻano o ka lapaʻau e hoʻohana pinepine ʻia, ʻo ia ke kaha ʻana, kahi e hiki ai i ke kauka ke wehe hou i ka ʻili a ʻokiʻoki liʻiliʻi paha i ka ʻili e hoʻokomo i kahi ʻupena e kōkua i ka hoʻoikaika ʻana i nā mākala o ka paia o ka ʻōpū, ka pale ʻana i nā ʻokena mai ka hala ʻana a me ke kaumaha. ma luna o ka ʻili.

ʻOi aku ka paʻakikī o ka hernias nui aku i ka mālama ʻana a no laila koi i kahi ʻoki kilika, kahi e wehe hou ai ka ʻili. ʻO nā hernias liʻiliʻi, ma ka ʻaoʻao ʻē aʻe, hiki ke mālama ʻia me ka laparoscopy, kahi e hana ai ke kauka i nā ʻoki liʻiliʻi a puni ka hernia e hoʻoponopono ai, me ka ʻole e wehe hou i ka ʻili mai kahi ʻoki mua.

Nā pilikia i hiki

Ke mālama maikaʻi ʻole ʻia, hiki i ka hernia incidence ke hoʻopau i ka ʻoki ʻana i ka ʻōpū, ʻo ia hoʻi ka liʻiliʻi o ke koko me ka oxygen e hōʻea i ka ʻāpana i paʻa. Ke hiki kēia, hiki i kahi kūlana koʻikoʻi o ka make o nā ʻōpū o ke kino ke ulu.

Hoʻohui, ʻoiai inā liʻiliʻi ka nui o ka hernia, i ka holo ʻana o ka manawa, hiki nō paha ke hoʻonui i ka nui, nā ʻōuli e hōʻeha ana a me ka hana ʻana i ka lāʻau ʻoi aku ka paʻakikī.