ʻO Hernia ke kinipuni o nā mea i loko a me nā'ōpū i waho a hiki ke hana i nā wahi likeʻole. Aia nā māhele i lalo:
- he hernial sac;
- ʻO ka puka kahi i puka aku ai ka pahu meaʻai;
- hernia kiko.
ʻO ka'einia palapū i loko o nā keiki he pale ma ka'āina inguinalina. Ma loko o kaʻehu henal kahi paha o ka'ōpū a o ka omentum paha, ma nā kaikamāhine -ʻo ke ovary.
ʻO ka'ōmiko heruinal pediatric ka maʻi maʻamau, hiki i ka 5% o nā keiki. A i likeʻole me ka umbilical, hiki ke pilikia nui. Hōʻikeʻike nā hōʻikeʻikeʻikepili i nā keiki ma muli o nā'ōpiopio hernias i loko o ka 3-10 manawa pinepine i nā kaikamahine. I nā kānaka, hiki i ka hernia ke hoʻopaʻa i ka'ōpala, a laila ua kapaʻiaʻo ia ka ingininal and scrotal hernia. I nā keiki, hana pinepine ia.Pehea eʻikeʻia ai ka hernia inoino?
Hiki i ka hernia maʻamau ke hana i loko o ka'ōpū o ka makuahine,ʻaʻole hiki keʻike i nā manawa a pau i ka hānauʻana o kahi keiki. ʻO ia ke kumu no ka mea nui i nā mahina mua ma hope o ka hānauʻiaʻana e hōʻike i ke pēpē i ka kauō.
I ka manawa ma mua, hiki ke ulu ka hernia i ka nui. Ma keʻano he kūlana,ʻike maopopoʻia ke kaniʻana a me ka ikaika o ke keiki. Ma kahi mālie, hiki ke hūnā i loko. I ka hapanui o nā hihia,ʻaʻohe mea e hopohopo ai ke keiki i ka hernia inguinal. Heʻanoʻeleʻele iki kona, aʻoluʻolu i ka pāʻana. Ke kāohi pinepineʻia i loko. I loko o nā keiki me ka lamaina me ka'alenia me keʻano o keʻano, he ingininal and scaryal hernia, ka mea maʻamau.
He aha ka'elemena maʻamau maʻamau?
ʻO ka hopena'alania i nā keiki he pilikino ia ma nāʻano pilikia. ʻO kahi laʻana, hiki i nā mea o loko o ke sac hernial ke hoʻoulu a me ka pilikia e hiki mai ināʻaʻohe hoʻokahi, akā he nui nāʻano hernias, a hikiʻole ke hōʻoleʻana i ka'ōpū. Akāʻo ka hoʻopiʻi pinepine aʻoi aku ka hopena,ʻo ia ka hōʻeha i ka hernia palaponi ma nā keiki. ʻO ia hoʻi, he moku kahi, no ka kaomi i nā puka komo hemnia, ka pilikia o ke koko i loko o nā'ōpū i loko o kaʻeke. Hiki ke hoʻoikaikaʻia ma muli o ka hoʻonuiʻana i ka pēpē i loko o ka lolo, ka paʻaʻana o ka'ōpū, nā maʻi o ke kino, a me nā mea like. Ma kēia hanana, hiki i ka necrosis (necrosis) o nā mea kino, ka līʻana o ka peritoneum - peritonitis, ka hoʻopiʻiʻana i keʻano o ka'ōpū. I loko o nā kaikamāhine, he pilikino ka necrosis no ka mea e ulu koke ana ia, i loko o 2-3 mau hola e make ai ke kōpiopio.
Nā hōʻailona weliweli o ka hernia palaponi ma nā keiki:
- ʻike mauʻia ka'ōmaia;
- ua lilo nā mea i mea paʻakikī;
- ʻeha kaʻeha o ke keiki, i ka wā e hoʻopili ai i ka hernia, e uwē anaʻo ia.
Ināʻikeʻia kēlā mau hōʻailona, ua'ōleloʻia ke keikiʻaʻole e hānai a kāhea koke aku i kahi kaʻahua.
Hanaʻiaʻana o ka hernia inguinal
Wahi a nā poʻe akamai, hiki i ka 5% o nā hernias inguinal i 5 mau makahiki i pani paʻaʻoleʻia. I nā kumu'ē aʻe,ʻo kahi maʻamau wale nō no ka hernia palapalina i loko o nā keiki, e like me nā keiki hānau hou, kahi hana.
ʻAʻole pono ka makaʻu i nā hana,ʻaʻohe mea weliweli ma loko. ʻO nā hana i kēia manawa eʻae iāʻoe e wehe i ka hernia me ka liʻiliʻi iki. A i hoʻokahi wale nō lā ke keiki i kahi haukapila.
Hoʻomaʻawaʻia keʻano o ka herina inguinalina i nā keiki me ke kālaiʻoleʻana i nā lāʻau lapaʻau. I kekahi manawa ua hiki ke hoʻopaʻa, aʻoi paha,ʻo ia ke ola hou. Akā, ma nā hihia a pau i loko o nā keiki maʻamau iʻole e "ʻaeʻole" i ka mālama ponoʻana, pono pono ke nīnau i kekahi limahana. Hiki ke mālamaʻia i loko o ka wā lōʻihi i ka wā o ka hihia.