ʻO ka hernia Spiegel, i kapa ʻia hoʻi ʻo hernia ventral lateral, kahi ʻano laha ʻole o ka hernia i kū i ka paia o ka ʻōpū. Ke neʻe neʻe ʻole ʻia nei kahi ʻōpū i loko o ka ʻōpū. Pono ka hoʻokele ʻoki e kaupalena i ka makaʻu o nā pilikia.

Ka wehewehe ʻana o ka hernia a Spiegel

ʻO kahi hernia ka protrusion o kahi ʻola a i ʻole ʻāpana o kahi ʻokena mai kona kūlana maʻamau. ʻO kā Spiegel hernia (Spigel a i ʻole Spieghel) kahi ʻano laha ʻole o ka hernia i kū i loko o kahi ʻano anatomical o ka paia o ka ʻōpū: ka laina Spiegel. Ua like ia me kahi o ka nāwaliwali, kahi "hakahaka" ma waena o nā mākala ʻaoʻao o ka paia o ka ʻōpū.

ʻElua mau laina o Spiegel, hoʻokahi ma kēlā me kēia ʻaoʻao o ka paia ʻōpū. E ʻike pono iā lākou, kūlike lākou i ka laina keʻokeʻo (waena o ka paia ʻōpū). No ka maʻalahi, hāʻawi ʻia ʻo hernia ʻo Spiegel i kahi hernia ventral hernia.

Nā kumu a me nā kumu pilikia

Loaʻa pinepine ka hernia a Spiegel, ʻo ia hoʻi, ʻaʻole i ka wā hānau. Hiki ia i ke ola ma ke ʻano he hopena o ka hoʻonui ʻia o ke kaomi i loko o ka ʻōpū. Ua ʻike ʻia kekahi mau kumu pilikia. Aia ma waena o lākou he kikoʻī:

• ka momona;
• ka hāpai keiki;
• paʻa paʻa;
• hāpai pinepine i nā ukana kaumaha.

ʻO ka ʻike hernie a Spiegel

Hiki ke ʻike ʻia ke alo o Spiegel's hernia e ka palpation o ka paia ʻōpū. I kekahi mau hihia, ʻaʻole lawa paha ka hoʻokolokolo kino ʻana e hōʻoia ai i ke kuhi. Ma nā kikoʻī, hiki ke hana i nā hoʻokolohua kiʻi olakino e hōʻoia i ka hernia a Spiegel i nā poʻe momona, i ka hanana o kahi hernia liʻiliʻi e palpable a i ʻole ka hanana o ka hernia nui i kuhihewa ʻia no kahi tumo.

ʻO ka poʻe i hoʻopilikia ʻia e ka hernia a Spiegel

ʻOiai he mea maʻamau nā hernia ʻōpū, he ʻano laha ʻole ka hernia o Spiegel. Ua manaʻo ʻia e hōʻike ma waena o 0,1% a me 2% o ka hernias paia ʻōpū. ʻIke pinepine ʻia ia i ka poʻe makahiki 40 a ʻoi paha.

ʻO ka hernia a Spiegel he asy asymatic. ʻAʻole ʻike ʻia nā ʻōuli. Hiki i kā Spiegel's hernia ma ke ʻano he puʻupuʻu liʻiliʻi ma ka laina Spiegel. Hiki paha iā ia ke hōʻoluʻolu iki.

Ka pilikia o nā pilikia

Kuhi ʻia kahi hernia e ka protrusion o kahi ʻola a i ʻole ʻāpana o kahi meaola mai kona kūlana maʻamau. ʻO ka makaʻu ka hopu ʻia ʻana o kēia ʻōpala, kahi e hiki ai ke hōʻeha i ka physiological. ʻO kahi laʻana, hiki iā mākou ke ʻike i kahi pani a hoʻopau piha paha o ka lawe ʻōpū i ka wā e paʻa paʻa ai ka ʻōpū liʻiliʻi. ʻO kēia kūlana, i kapa ʻia ʻo ke kīnā o ka ʻōpū, hiki ke hōʻike ʻia me ke ʻeha mau loa, kahoʻi a me ka luaʻi.

ʻO ka hoʻokele o Spiegel's hernia kahi ʻoki lāʻau. ʻO ka pinepine, pili ia i ke kau ʻana i kahi prostesis i mea e pale ai i ka hoʻoneʻe ʻana o nā mea ʻino ma ka pae o ka laina Spiegel.

Kūpono ka pale ʻana i nā kumu pilikia. Pēlā paha e aʻoaʻo aku ai e hakakā kūʻē i ka loaʻa ʻana o ke kaupaona ma ke ʻae ʻana i kahi nohona olakino me nā ʻano ʻai maikaʻi a me ka hana o ka hoʻoikaika kino maʻamau.