ʻO ka piko, i ʻike ʻia e ka huaʻōlelo umbilicus (mai ka Latin umbilicus), ʻo ia ka ʻili i waiho ʻia e ka hāʻule ʻana o ka umbilical cord, ma ka pae o ka ʻōpū o lalo.

Kūkulu piko. ʻO ka piko, a i ʻole umbilicus, kahi ʻili fibrous e kū ana ma hope o ka hāʻule ʻana o ka umbilical cord, kahi meaola e hoʻopili i ka placenta o ka makuahine hāpai i ka embryo a laila i ka fetus.

ʻO ke ʻano o ka laina keʻokeʻo o ka ʻōpū. ʻO ke kūmole fibrous, kūlike ka laina keʻokeʻo i ka waena waena o ka ʻōpū, i hana ʻia e ka piko.

Kahi o ka hoʻololi i ka wā hāpai. ʻO ka umbilical cord ka mea hiki ke hoʻolako pono i ka pēpē i hānau ʻole ʻia me ka oxygen a me nā meaola a me ka neʻe ʻana i ka ʻōpala a me ka carbon dioxide mai ke kino o ka pēpē.

Ke hoʻokumu ʻana i ka piko i ka wā o ka hāʻule ʻana o ka umbilical cord. I ka wā hānau, ʻoki ʻia ka umbilical cord, ka mea e pono ʻole ai ka pēpē hou. Noho mau kekahi mau kenimika o ka umbilical cord i ka pēpē no ʻelima a ʻewalu paha mau lā ma mua o ka hemo ʻana a hoʻomaloʻo ʻana (1). Hoʻomaka ka hōʻike hoʻōla a hōʻike i ke ʻano o ka piko.

Hnia umbilical. Lawe ʻia ke ʻano o kahi puʻupuʻu i ka piko a hana ʻia e ka puka o kahi ʻāpana o ka ʻōpū (ʻōpū, momona, a me nā mea ʻē aʻe) ma o ka piko (2).

• I nā keiki, ʻike pinepine ʻia i nā mahina mua ma hope o ka hānau ʻana. Kūmau ia a maʻa mau a hoʻopau hope loa ʻia.
• I nā mākua, pili ia i ka nāwaliwali o nā aʻa o ka laina keʻokeʻo, nā kumu e hiki ai ke lilo i ka malformation congenital, momona a i ʻole ka hāpai ʻana i nā kaumaha nui. Pono pono e mālama iā ia e pale i ke kiki ʻana i nā ʻōpū.

Laparoschisis a me omphalocele. Hōʻike ʻia kēia mau hanana ʻano ʻelua likelika ʻole he 3,4 e ka pani piha ʻole ʻana a i ʻole ka ʻole o ka paia o ka ʻōpū. Koi lākou i ka mālama olakino mai ka hānau ʻana (5).

ʻO Omphalite. Kūlike ia i kahi maʻi bacteria o ka umbilicus i hoʻokumu ʻia e ka disinfection maikaʻi ʻole o ka wahi umbilical i nā keiki hānau hou (5).

Intertrigo. Kū kēia ʻano ʻili i nā pale o ka ʻili (nā lima lima, ka piko, ma waena o nā manamana lima a me nā manamana wāwae, a pēlā aku.).

ʻO ka ʻeha o ka ʻōpū a me nā ʻōpala. ʻO ka pinepine, hiki iā lākou ke loaʻa nā kumu like ʻole. I ka wahi umbilical, pili pinepine lākou me nā ʻōpū a i kahi liʻiliʻi me ka ʻōpū a me ka pancreas.

ʻĀpepa. Hōʻike ia e like me ka ʻehaʻeha kokoke i ka piko a pono e mālama koke. ʻO nā hopena mai ka mumū o ka hoʻopili, kahi ulu liʻiliʻi i ka ʻōpū nui.

Nā mālama ʻili kūloko. Inā loaʻa ka maʻi me nā bacteria a fungi paha, pono ka noi ʻana i nā mea hamo antiseptic a i ʻole antifungal.

Nā lāʻau lapaʻau. Kaukaʻi ʻia i nā kumu o ka ʻeha o ka ʻōpū a me ka cramp, hiki ke kuhikuhi ʻia nā antispasmodics a i ʻole nā ​​laxatives. Hiki ke hoʻopili ʻia i nā lāʻau lapaʻau a homeopathic paha i kekahi mau hihia.

Lapaʻau ʻoki kino. I ka hihia o ka umbilical hernia i nā mākua, appendicitis, ʻoi aku ka nui o nā malformations congenital i nā keiki, e hoʻokō ʻia ke ʻoki. I ka hihia o ka hernias nui loa, hiki ke hana ʻia kahi omphalectomy (ka hemo ʻana o ka waikawa olombic).

Ninaninau kino. Loiloi ʻia ka ʻeha piko e ka hoʻokolohua hoʻokolohua.

ʻO nā hoʻokolohua kiʻi olakino. Hiki ke hoʻohana ʻia ka scan CT ʻōpū, ultrasound parietal, a i ʻole MRI e hoʻopau i ke kuhi.

Laparoscopy. Aia kēia hoʻokolokolo i ka hoʻokomo ʻana o kahi mea kani (laporoscope), i hoʻopili ʻia i kahi kumuwaiwai māmā, ma o kahi puka liʻiliʻi i hana ʻia ma lalo o ka piko. Hāʻawi kēia hōʻike iā ʻoe e ʻike i loko o ka ʻōpū.

Nānā-piko. Pili pinepine ka piko me ka egocentricity e like me kahi laʻana i nā huaʻōlelo "e nānā ana i ka piko" (6) a i ʻole "ʻo ka piko o ka honua" (7).