Mea Kākau: Judy Howell
Lā O Ka Hana: 27 Iulai 2021
HōʻAno Hou I Ka Lā: 18 Nowemapa 2024
Anonim
Infant With MASSIVE INGUINAL HERNIA | Dr. Paul
Wikiō: Infant With MASSIVE INGUINAL HERNIA | Dr. Paul

Anter

Hana ʻia kahi hernia ke kuʻi ʻia kahi ʻāpana o ka ʻili a i ʻole nā ​​meaola (e like me ka ʻōpū) ma o ka papa o waho i paʻa mau i ka wahi i loko.

Aia kekahi mau ʻano hernia ʻokoʻa - a hiki i kekahi ke ʻehaʻeha loa a me nā pilikia olakino.

E hoʻomau i ka heluhelu ʻana e ʻike hou aʻe e pili ana i ka hernias, me ka nānā ʻana i nā kiʻi o kekahi o nā ʻano hernia maʻamau.

He aha ka hernia?

ʻO ka maʻamau, nā pale pale o nā kiko i kapa ʻia ʻo fascia e hoʻopaʻa i nā ʻokena a me nā ʻaʻa ma kahi. Hana lākou ma ke ʻano he uhi waho ikaika e mālama i ke kiko a kākoʻo ʻia i kahi.

Akā i kekahi manawa hiki i ka fascia ke hoʻomohala i nā kiko nāwaliwali. Ma kahi o ka paʻa ʻana o ka iʻa i loko, ʻae ia i ka iwi e ʻōhū a i waho o ka wahi nāwaliwali. Kāhea nā mea mālama ola i kēia hernia.

ʻAʻole koi pinepine ʻo Hernias i ka lāʻau, akā ʻaʻole lākou e hele maʻa mau iā lākou iho. I kekahi manawa hiki i kahi mea mālama ola ke ʻōlelo i ke ʻoki e pale ai i nā pilikia hou mai kahi hernia.

Kiʻi hernia incisional

He aha ia

Hiki i kahi hernia incidence ke kū ma hope o kāu hana ʻana i kāu ʻōpū.


ʻO ke ʻano e loaʻa paha ke loaʻa i kahi kanaka i ka ʻoki ʻana o ka ʻōpū waena.

Me kēia ʻano ʻokiʻoki, pinepine ka nui o ke kaomi ʻana i nā mākala o ka ʻōpū ma kēlā wahi, e like me kahi ʻatikala i paʻi ʻia ma ka puke pai BJS Open.

Loaʻa kahi hernia āpau e pili ana i nā hana ʻōpū, e like me ka loiloi 2018 i paʻi ʻia i loko o ka puke pai ʻO Deutsches Arzteblatt International.

Hiki iā ia ke kumu i nā hōʻailona e like me:

  • ʻeha
  • huhū gastrointestinal
  • manaʻo mau o ka piha ʻōpū

Pehea e mālama ʻia ai

ʻO ka helu o ka paʻahao (kahi paʻa ʻole o nā kiko) o kahi hernia incisional mai hea mai, e like me ka loiloi 2018 i hōʻike ʻia ma mua.

Inā loaʻa kahi hernia incidence i nā ʻōuli a i ʻole ke makaʻu nui paha no ka paʻahao, e ʻōlelo pinepine kahi mea mālama ola i ke ʻoki e hoʻoponopono iā ia.

Pehea e mālama ai iā ʻoe iho

Inā ʻoluʻolu kāu kauka lapaʻau me ka nānā ʻana i ka hernia, pono ʻoe e hoʻomaopopo koke iā lākou inā he mau hōʻailona kāu e ʻōlelo nei i ka ʻoki ʻana, a hiki ke hoʻopili ʻia:


  • ʻeha ʻeha o ka ʻōpū
  • nausea i wehewehe ʻole ʻia
  • ka hana ʻole i ka gas a i ʻole ka neʻe ʻana o ka ʻōpū maʻa mau

ʻO Hiatal hernia kiʻi

He aha ia

Hiki mai kahi hernia hiatal ke hele a kahi ʻāpana o ka ʻaoʻao luna o ka ʻōpū ma o ka diaphragm.

ʻO ka maʻamau, mālama paʻa ka diaphragm i ka ʻōpū ma kahi, akā hiki i nā hemahema ke hoʻomohala i ka ʻōpū e piʻi i luna i luna.

Aia nā ʻano hernia hiatal ʻokoʻa.

ʻO ka mea maʻamau ka ʻano henia hernia kahi o kahi e hui ai ka esophagus a me ka ʻōpū e piʻi i luna ma o ka diaphragm, e like me ka Society of American Gastrointestinal and Endoscopic Surgeons.

Hoʻokumu pinepine kēia mau ʻano hernia i nā maʻi reflux gastroesophageal (GERD).

Pehea e mālama ʻia ai

Inā loaʻa ka GERD koʻikoʻi i kekahi kanaka, pilikia i ka ale ʻana, a i ʻole nā ​​maʻi puʻu o ka ʻōpū pinepine ma muli o kahi ʻano I hiatal hernia, hiki i kā lākou kahu mālama ola ke ʻōlelo i ke ʻoki e hoʻoponopono hou ia.

Hiki i nā ʻano hernia hiatal ʻē aʻe ke koi i ka hana ʻoki no ka mea ʻo nā ʻōpū a i ʻole kahi ʻōpū nui e hele ana ma o ka diaphragm.


Pehea e mālama ai iā ʻoe iho

Inā ʻaʻole koi kāu kauka olakino i kahi ʻoki no ka hernia hiatal, hiki iā ʻoe ke hana i nā hana e hōʻalo ai i nā hōʻailona reflux.

ʻO nā laʻana me:

  • ka hōʻalo ʻana i nā meaʻai nīoi a momona
  • lawe i nā antacids over-the-counter (OTC)
  • ke lawe nei i nā H2 receptor blockers e like me famotidine (Pepcid) e hōʻemi i nā ʻōuli
  • lawe i nā mea pale pump proton e like me lansoprazole (Prevacid)

ʻO ke kiʻi hernia wahine

He aha ia

Loaʻa kahi hernia femoral i ka hapa haʻahaʻa o ka pelvis, kokoke i ka ʻūhā o loko a ma ka ʻaoʻao ʻākau o ke kino.

I kekahi manawa hiki i kahi mea mālama ola ke kuhikuhi mua i kahi hernia ma ke ʻano henia hernia. Eia naʻe, ma hope o ka nānā pono ʻana, ʻike lākou i kona wahi haʻahaʻa e hōʻike ana he hernia wahine.

ʻAʻole ʻike pinepine ʻia kēia ʻano hernia, aia ma lalo o 3 pākēneka o nā ʻano hernia āpau i ke aʻa, e like me.

Hoʻomohala nā wahine i kēia ʻano hernia ma mua o nā kāne, no ka mea ke ʻano o kā lākou pelvis.

Pehea e mālama ʻia ai

ʻOi aku ka nui o ka lāʻi wahine i ka hernia wahine, ʻo ia hoʻi ka ʻokiʻoki o ke kino i ke kahe o ke koko i ka ʻōpū e hū. Kuhi ʻia kahi hopena o lākou i ka haʻi ʻia, e like me StatPearls.

Hiki iā ʻoe ke loaʻa i kahi hernia femoral a me kahi inguinal. A ʻo kahi hopena, e paipai ka hapanui o nā mea lawelawe i ka hoʻoponopono kino.

Pehea e mālama ai iā ʻoe iho

ʻAʻole hiki i kekahi hernia wahine ke kumu i nā ʻōuli.

Inā ʻoe e ʻike i kahi ʻōhū i loko o kou aʻa, kahi e loaʻa pinepine ai ka hernia femoral, e kamaʻilio me kāu kauka.

He mea nui e nānā i kahi hernia femoral i nānā ʻia. Inā ʻoki ʻia ka hernia, ka makaʻu o ka make, e like me kahi ʻatikala i paʻi ʻia ma ka puke pai Annals of Surgery.

ʻO ke kiʻi hernia Epigastric

He aha ia

Kū aʻe nā hernias Epigastric ma luna iki o ka pihi ʻōpū a ma lalo o ka iwi ʻaoʻao.

Hiki ke hana ʻia kahi hernia epigastric i ka nui o ka heluna kanaka, me nā keiki a me nā mākua, e like me kahi ʻatikala ma ka puke pai ʻo Hernia.

ʻOiai ʻaʻole kēia mau ʻano hernias e hana mau i nā ʻōuli, hiki paha iā ʻoe ke manaʻo i kahi puʻupuʻu liʻiliʻi a i ʻole ka nui i manaʻo palupalu i kekahi manawa.

Pehea e mālama ʻia ai

ʻO ka hoʻoponopono ʻoki wale nō ka "hoʻōla" ʻoiaʻiʻo no ka hernia epigastric. ʻAʻole paha e hāʻawi pinepine kahi mea mālama ola i ka mālama ʻana i ka hernia inā ʻaʻole ia e hoʻokumu i nā hōʻailona a liʻiliʻi liʻiliʻi ka nui.

Pehea e mālama ai iā ʻoe iho

Hiki iā ʻoe ke nānā i ka nui o kāu hernia a hoʻomaopopo aku i kāu kauka inā he mea nui a hoʻomaka paha i nā hōʻailona.

E mālama nui i ka wā

E ʻimi i ka lāʻau lapaʻau pilikia inā loaʻa iā ʻoe nā hōʻailona e like me:

  • ʻeha
  • palupalu
  • nā pilikia i loaʻa i ka ʻōpū

Kiʻi hernia Umbilical

He aha ia

ʻO kahi hernia umbilical kahi hernia e kū kokoke ana i ka pihi ʻōpū.

Kū pinepine ke ʻano i nā keiki, e hele maʻamau i ka makahiki 4.

I ka poʻe mākua, ua koho ʻia he 90 pākēneka i loaʻa, ma muli o ke kaomi o ka puʻe a i ʻole ke kanikau ʻana ke loaʻa ka ʻōpū, e like me ka American College of Surgeons.

Pehea e mālama ʻia ai

Inā hiki i kahi kanaka ke pahu i ka hernia i kona wā e puka ai (kahi i kapa ʻia he "reducible" hernia), ʻaʻole hiki i kahi kauka olakino ke koi aku i ke ʻoki e hoʻoponopono iā ia.

Eia naʻe, ʻo ke ala wale nō e mālama maoli ai i ka hernia ka hana ʻana i ke kaha.

Pehea e mālama ai iā ʻoe iho

E nānā i ka hernia a me kona nui. Inā ʻaʻole hiki iā ʻoe ke hoʻokuʻi hou i ka hernia a i ʻole hoʻomaka paha ia e nui aʻe, e haʻi i kāu kauka.

e mālama nui i ka wā

E ʻimi i ka lāʻau olakino kūpilikia inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha a me ka luaʻi ʻana e like me ka mea e hōʻike ai i ka hernia ua ʻoki ʻia a hoʻopaʻa ʻia paha.

ʻO Inguinal hernia kiʻi

He aha ia

Loaʻa kahi hernia inguinal ke loaʻa kahi ʻāpana nāwaliwali i ka paia o ka ʻōpū o lalo. ʻO ka maʻamau, hiki i ka momona a i ʻole ka ʻōpū liʻiliʻi ke ʻōhū.

Hiki i kekahi mau wahine ke loaʻa i kahi ovary protrude ma o ka paia o ka ʻōpū. Hiki i nā kāne ke loaʻa i ka hernia inguinal e hoʻopili i kā lākou testes a scrotum paha.

ʻO ka hapa nui o nā hernias inguinal ma ka ʻaoʻao ʻākau, e like me ka National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK).

ʻO ka hernia inguinal ka mea maʻamau i nā pēpē a me kēlā mau makahiki 75 a 80.

Pehea e mālama ʻia ai

E ʻōlelo paha kahi mea mālama ola i ke ʻoki e hoʻoponopono hou i kahi hernia inguinal. Hoʻoemi kēia i ka makaʻu e lilo ka hernia i mea ʻoki ʻia a hōʻino i ka ʻōpū a i ʻole nā ​​meaola e pili ana.

Inā ʻaʻohe o ke kanaka hōʻailona, ​​hiki i kahi mea mālama ola ke ʻōlelo pono e nānā pono i ka hernia.

Eia nō naʻe, hōʻike ka NIDDK i ka hapa nui o nā kāne e lohi ana i ke kahakaha hernia inguinal e ʻike paha i nā hōʻailona hōʻino a i ʻole pono ke ʻoki ʻana ma waena o 5 mau makahiki o ka loaʻa ʻana o nā ʻōuli.

Pehea e mālama ai iā ʻoe iho

Inā koho ʻoe ʻaʻole e loaʻa ka ʻoki ma kāu hernia inguinal, e nānā i kona nui a haʻi i kāu kauka inā hoʻomaka ʻoe i ka ʻeha a me ka hōʻoluʻolu ʻole me ka hernia.

E mālama nui i ka wā

E ʻimi i ka lāʻau lapaʻau pilikia inā loaʻa iā ʻoe:

  • ʻeha nui a mau paha
  • ka luaʻi
  • nā pilikia e hele ana i ka lua

ʻO ka lawe lawe ʻana

Hiki i kahi hernia ke hana i nā ʻano like ʻole o nā ʻōuli.

Hiki ke kau ʻia nā ʻōuli mai kahi puʻupuʻu liʻiliʻi hiki iā ʻoe ke noʻonoʻo i kekahi manawa (ʻo ka maʻamau ke kū ʻoe i luna) a kahi wahi e ʻeha ai ka ʻeha no ka mea ke mimilo a nalowale ke kahe o ke koko ke hele ia i loko o ka fascia.

Hiki iā ʻoe ke loaʻa kahi hernia i hiki ʻole iā ʻoe ke manaʻo, e like me ka hiatal hernia i ka gastrointestinal tract.

Aia kekahi ʻano o nā ʻano hernia. I ka hapanui o nā hihia, ʻo ke ʻoki wale nō ke ala e mālama ai i ka hernia.

Mai nānā ʻole i nā ʻōuli e like me ka ʻeha a me ka nausea e pili ana i ka hernia. Hiki iā lākou ke hōʻike i ka lawa ʻole o ke kahe o kou koko.

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