Honia hernia i loko o ka pēpē: he aha ia, nā kumu a me ka mālama ʻana
Anter
ʻO ka hernia umbilical pēpē kahi maʻi maikaʻi i ʻike ʻia ma ke ʻano he puʻupuʻu i ka piko. Hana ʻia ka hernia ke hiki i kahi ʻāpana o ka ʻōpū ke hele ma waena o ka mākala o ka ʻōpū, ʻo ka maʻa mau ma ka wahi o ke apo umbilical, ʻo ia ke kiko kahi i loaʻa ai ka pēpē i ka oxygen a me ka meaʻai i ka wā e ulu ana i ka kōpū o ka makuahine.
ʻO ka hernia i loko o ka pēpē ʻaʻole ia he kumu no ka hopohopo a ʻaʻole pono ia i ka lapaʻau, ʻoiai ma ka hapanui o nā hihia e nalo ka hernia e ia iho a hiki i ka makahiki o 3 mau makahiki.
ʻAʻole alakaʻi ka hernia Umbilical i ka hiʻona o nā hōʻailona a i ʻole nā hōʻailona, ʻike wale ʻia kahi puʻupuʻu i ka wā o ka loiloi e ka pediatrician a i ka wā e uē ai a haʻalele paha ka pēpē, no ka laʻana. Eia nō naʻe, hiki i nā ʻano hernia ʻē aʻe ke hoʻoulu i ka wahi, ka ʻeha a me ka luaʻi, a he mea nui e lawe i ka pēpē i ka lumi pilikia e loiloi a hiki ke hōʻike ʻia ka lāʻau ʻoi loa, a i loko o kēia mau hihia e pili ana i ka hana ʻana i kahi ʻoki liʻiliʻi. kaʻina hana.
Nā hōʻailona hernia Umbilical
ʻAʻole alakaʻi ka hernia Umbilical i nā pēpē i ke ʻano o nā ʻōuli a me nā ʻōuli, ke ʻike ʻia wale ke ʻakaʻaka ke keiki, ʻū, uē a haʻalele paha a hoʻi i ka maʻamau ke moe a hoʻomaha a hoʻomaha paha ke keiki.
Eia nō naʻe, inā hoʻonui ka hernia i ka nui a ʻoiai paha o nā ʻōuli i helu ʻia ma lalo, he mea nui e ʻimi i ka mālama olakino olakino, ʻoiai ʻaʻole paha he hernia umbilical wale nō ia:
- ʻO kaʻeha kūloko a me ka palpation;
- Hōʻoluʻolu ʻōpū;
- Pāhū nui i ka ʻāina;
- Discoloration o ka pūnaewele;
- ʻO ka luaʻi;
- Pohā a paʻa paʻa paha.
ʻO ke kuhi ʻia ʻana o ka hernia umbilical i loko o kahi pēpē e hana ʻia e ke kauka pediatrician, ka mea nāna e palpates ka piko a nānā inā aia ka hoʻonui ʻana o ka nui o ka leo i ka wā e hoʻoikaika ai ke keiki. I kekahi mau hihia, hiki i ke kauka ke kuhikuhi i ka ultrasound ʻōpū e loiloi i ka nui o ka hernia a me ka likelihood o nā pilikia e hana ana.
No ke aha e hana ai
Kū ka ulu ʻana o ka hernia umbilical ma muli o ka pani ʻole ʻana ma hope o ka hānau ʻia ʻana o ke apo umbilical, kahi e kūlike i kahi a ka umbilical cord e hele ai, e hopena ana i kahi ākea o ka ʻūpū o ka ʻōpū, e ʻae ai i ka hele ʻana o kahi ʻāpana o ka ʻōpū a iʻa paha. momona.
ʻOiai pinepine ka hernia umbilical i nā pēpē āpau, hiki ke hana ʻia i nā mākua ma muli o ka momona, hana kino nui a i ʻole hopena o nā loli i ka urethra a i ʻole cystic fibrosis, no ka laʻana. E ʻike hou aʻe e pili ana i ka hernia umbilical.
Pehea ka lāʻau
ʻAʻole pono ka hapanui o nā hihia o ka hernia umbilical, no ka nalowale ʻana o ka hernia a hiki i ka makahiki 3, akā he mea nui e hele pū ke keiki me kahi pediatrician i mea e loiloi ai i ka ulu ʻana o ka hernia a i ʻole ke ʻano o nā hōʻailona a hōʻailona paha. nā ʻōuli.
Ke nalo ʻole ka hernia a hiki i ka makahiki 5, pono paha e mālama i ka lāʻau, i kū i nā helu liʻiliʻi. No laila, pono paha e hana i kahi ʻoki liʻiliʻi, kahi lōʻihi o 30 mau minuke a pono e hoʻokō ʻia ma lalo o ka anesthesia laulaha, ʻoiai ʻaʻole pono ia no ke keiki i ka haukapila. E ʻike pehea e hana ai ke ʻoki no ka umbilical hernia.