Mea Kākau: Marcus Baldwin
Lā O Ka Hana: 13 Iune 2021
HōʻAno Hou I Ka Lā: 24 Iune 2024
Anonim
The EXCRUCIATING Anatomy of Bowel Obstructions
Wikiō: The EXCRUCIATING Anatomy of Bowel Obstructions

Anter

Umbilical hernia, i kapa ʻia ka hernia i ka umbilicus, kūlike i kahi protrusion e ʻike ʻia ma ka wahi o ka umbilicus a hana ʻia e ka momona a ʻāpana paha o ka ʻōpū i hiki ke hele ma waena o ka ʻūpū ʻōpū. ʻO kēia ʻano hernia ʻoi aku ka pinepine i nā keiki, akā hiki ke hana ʻia i nā mākua, a hiki ke ʻike ʻia ke koʻikoʻi ke kanaka i ka ʻōpū i ka wā e ʻakaʻaka ana lākou, e hāpai ana i ke kaumaha, ʻū a hoʻohana paha i ka lua no ka neʻe ʻana, no ka laʻana.

ʻO ka hapa nui o ka manawa o ka hernia i ka piko ʻaʻole i alakaʻi i ke ʻano o nā ʻōuli, eia nō naʻe ke nui ka nui o ke kanaka ke ʻeha, hōʻoluʻolu a me ka nausea, ke hāpai hoʻi i nā kaupaona, kaohi ʻana i nā mākala o ka ʻōpū a kū no ka lōʻihi. manawa. ʻOiai ʻaʻole manaʻo ʻia ka hernia umbilical he koʻikoʻi, he mea nui ia e ʻike ʻia a mālama ʻia e hiki ai ke pale ʻia nā pilikia. E aʻo hou e pili ana i ka hernias.

Nā hōʻailona nui

ʻO ka hōʻailona nui a me ka hōʻailona e hōʻike ana i ka hernia umbilical ke alo o kahi ʻōhū i ka piko e hiki ai ke hōʻeha a me ka hōʻoluʻolu ʻole. Eia hou, ke nui ka hernia, hiki paha i nā hōʻailona ʻē aʻe a me nā ʻōuli, e like me ka nausea a me ka luaʻi, ke ʻike ʻia ke hana ʻana a me ke ʻano o nā puʻupuʻu liʻiliʻi i palpable ke kū ke kanaka, akā nalowale i ka wā e moe ana i lalo. .


Nā ʻōuli o ka hernia umbilical i ka pēpē

Ma ka laulā, hoʻomohala nā pēpē i nā hōʻailona like me nā mākua, a ʻike pinepine ʻia ka hernia ma hope o ka hāʻule ʻana o ka ʻōpu umbilical ma hope o ka hānau ʻana. Hoʻi pinepine ka hernia i ka maʻamau a hiki i ka 5 mau makahiki, akā he mea nui e loiloi ʻia ke keiki e ka pediatrician inā he hernia umbilical ia.

ʻOiai me ka hōʻike ʻole ʻia o nā hōʻailona ʻeha, pono e lawe i nā keiki i ka pediatrician e loiloi i ke koʻikoʻi o ka pilikia, no ka mea inā koʻikoʻi a mālama ʻole ʻia, hiki i ka hernia ke ulu a paʻa i ka ʻili umbilical, e hopena ana i ka hernia umbilical i hoʻopaʻa ʻia, hiki ke hoʻokau i ka pēpē. ola i ka pilikia, koi koi ʻoki ʻana.

ʻO ka maʻamau, hiki ke hana i ka mālama ʻana i ka hernia umbilical i nā pēpē ma ke kau ʻana i kahi kaula a i ʻole nā ​​kaula e kaomi i ka piko i loko o ka lua o ka ʻōpū. Eia nō naʻe, inā nui a nui ʻole ka hernia umbilical a nalo ʻole a hiki i ka makahiki o 5, hiki i ka pediatrician ke ʻōlelo e hana i ke ʻoki e hoʻonā i ka pilikia.


Honia hernia i ka hāpai keiki

ʻO ka hernia Umbilical i ka hāpai hāpai ka mea maʻamau o nā wahine i loaʻa ka hernias i ka wā kamaliʻi, ʻoiai ka hoʻonui ʻana o ke kaomi i loko o ka ʻōpū o ka wahine hāpai hāpai i kumu e wehe ai ka ʻūpū o ka ʻōpū, nāwaliwali hoʻi, e ʻae ana i ka puʻupuʻu o kahi ʻāpana liʻiliʻi.

ʻO ka maʻamau, ʻaʻole weliweli ka hernia umbilical no ka pēpē, ʻaʻole pili i ke olakino o ka makuahine, a ʻaʻole ia e ālai i ka hana. Kaukaʻi ʻia i ka nui o ka hernia, hiki i ke kaukō lapaʻau maʻamau a i ʻole ke kauka ʻōpū ke paipai i ka hoʻohana ʻana o ka pale i ka wā o ka hāpai ʻana a e loiloi i ka hiki ke hana ʻia i kahi ʻoki e hoʻomaikaʻi hou i ka hernia umbilical ma hope o ka hānau ʻana a i ʻole i ka manawa o ka ʻāpana cesarean.

ʻO wai ka mea e loaʻa hou aku

Hiki i kekahi mau mea ke makemake i ka hoʻokumu ʻana i nā hernias umbilical, e like me ka mōʻaukala o hernias, cystic fibrosis, cryptorchidism, nā keiki hānau mua, hāpai keiki, momona, nā loli i ka urethra, dysplasia o ka hoʻomohala ʻana o ka hip a me nā hoʻoikaika kino nui. Eia hou, ʻo ka hiʻohiʻona o ka hernia umbilical ka mea maʻamau i nā keikikāne ʻeleʻele a me nā keiki.


Pehea e hana ʻia ai ke kuhi

Hana ʻia ke kuhi o ka umbilical hernia mai ka loiloi ʻana i nā hōʻailona a me nā hōʻailona i hōʻike ʻia e ke kanaka, a me ka nānā ʻana a me ka palpation o ka umbilicus. Eia hou, hiki i ke kauka ke paipai e hana i kahi ultrasound o ka paia o ka ʻōpū e loiloi i ka nui o ka hernia a nānā i kahi pilikia o nā pilikia.

Ke hiki ke paʻakikī i ka hernia umbilical

ʻAʻole kumu maʻamau ka hopnia Umbilical hernia no ka hopohopo, akā inā paʻa ia, kahi hanana i kapa ʻia ʻo ka umbilical hernia incarceration, kahi e loaʻa ai ke paʻa ka ʻōpū i loko o ka hernia a ʻaʻole hiki ke hoʻi hou i loko o ka ʻōpū, pono e hana koke ke ʻoki. Ma muli o kēia, pono i kēlā me kēia kanaka me ka hernia umbilical ke ʻoki kino e hemo ai.

Aia kahi wikiwiki e hana i ka hana no ka mea ʻo ka ʻāpana o ka ʻōpū i paʻa e pili ana i ke kahe ʻana o ke koko, me ka make ʻana o nā mea pono, pono e hemo. Hiki i kēia kūpilikiʻi ke hoʻopili i ka poʻe me nā hernias nui a liʻiliʻi paha i loko o ka umbilicus, a ʻaʻole hiki ke wānana ʻia, a hiki i nā poʻe i loaʻa ka hernia no 1 lā a i ʻole nā ​​makahiki he nui.

ʻO nā ʻōuli e hoʻopaʻa ʻia ka hernia umbilical he ʻeha piko nui ka lōʻihi i hala he mau hola. Hiki ke hoʻopau i ka ʻōpū i ka hana a pehu paha ka ʻōpū. ʻO Nusea a me ka luaʻi kekahi i loaʻa mau.

Pehea e hana ai i ka lapaʻau

ʻO ke kīpoki hernia Umbilical, i kapa ʻia hoʻi ʻo herniorrhaphy, ke ʻano maikaʻi loa o ka mālama ʻana no ka hernia umbilical a ua hana ʻia me ka pahuhopu o ka hoʻoponopono ʻana i ka pilikia a me ka pale ʻana i nā pilikia, e like me ka maʻi kōpū a i ʻole ka make ʻana o ke kino ma muli o ke kahe o ke kahe o ke koko i ka ʻāina.

Maʻalahi kēia ʻano ʻoki, hiki ke hana ʻia i nā keiki mai 5 mau makahiki a loaʻa iā SUS. Hiki ke hana ʻia ʻo Herniorrhaphy e nā ʻano hana ʻelua:

  1. ʻO Videolaparoscopy, hana ʻia ia ma lalo o ka anesthesia laulā a me 3 mau ʻoki liʻiliʻi i hana ʻia i loko o ka ʻōpū e ʻae i ke komo ʻana o kahi microcamera a me nā mea hana lāʻau ʻē aʻe e pono ai e hoʻoponopono i ke kūlana;
  2. ʻOki i loko o ka ʻōpū, hana ʻia ma lalo o ka anesthesia epidural a hana ʻia kahi ʻokiʻoki i loko o ka ʻōpū i mea e pahu ʻia ai ka hernia i loko o ka ʻōpū a laila pani ʻia ka paia o ka ʻōpū me nā humuhumu.

ʻO ka maʻamau i ka wā o ke kaha ʻana, hoʻonoho ke kauka i kahi hei pale pale a i ʻole hei i pale ʻia i mea e pale aku ai i ka hernia mai ka hoʻouka hou ʻana a i ka hoʻonui ʻana i ka paia o ka ʻōpū Maopopo ke ʻano o ka hoʻōla ma hope o ke kaha ʻana.

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