👨‍⚕️ Dr. BOSS 的一般外科衛教室｜Episode 05：疝氣手術

👨‍⚕️ Dr. BOSS 的一般外科衛教室｜Episode 05：疝氣手術 Dr. BOSS’s General Surgery Health Classroom｜Episode 05: Hernia Surgery 副標 / Subtitle 👨‍⚕️ Dr. BOSS × 🐨 Koala | 疝氣：腸道「小凸包」的小麻煩 👨‍⚕️ Dr. BOSS × 🐨 Koala | Hernia: The Intestine “Bulge” Problem --- 🟦 對話稿 Dialogue（中英對照） Koala： BOSS醫生，疝氣是什麼啊？ Doctor BOSS, what is a hernia? BOSS 醫生： 疝氣是指腹腔內的器官或組織，比如腸子，從腹壁薄弱處凸出，形成一個可見或可摸到的腫塊。 A hernia occurs when an organ or tissue, like the intestine, protrudes through a weak spot in the abdominal wall, forming a visible or palpable bulge. Koala： 疝氣會痛嗎？ Does a hernia hurt? BOSS 醫生： 早期可能只是腫塊或脹感，活動或用力時會加重。若發生嵌頓或腸管受壓，會劇烈疼痛甚至腸壞死。 Early on, it may just be a bulge or discomfort, worse with activity or straining. If incarcerated or strangulated, it can cause severe pain and bowel necrosis. --- 🟦 診斷篇 Diagnosis（中英對照） 症狀 / Symptoms 腹部或腹股溝腫塊、脹感、疼痛，有時伴惡心或嘔吐。 Abdominal or groin bulge, bloating, pain, sometimes nausea or vomiting. 檢查 / Examination 醫師觸診腫塊，可做超音波或CT判斷疝囊內容物與大小。 Physical exam detects the bulge; ultrasound or CT can assess contents and size. --- 🟦 治療方式 Treatment Methods（中英對照） 非手術治療 / Non-surgical management 小型、無症狀疝氣可觀察，避免用力或重物。 Small, asymptomatic hernias can be observed; avoid heavy lifting or straining. 手術治療 / Surgical treatment 常見方法包括疝氣修補術（開放或腹腔鏡），將凸出的腸子或組織放回腹腔，並加補網片加固腹壁。 Hernia repair (open or laparoscopic) returns the protruded tissue to the abdomen and reinforces the abdominal wall with mesh. --- 🟦 術後照護 Postoperative Care（中英對照） 疼痛控制 / Pain management 服用醫師指示的止痛藥。 Take prescribed pain medication. 活動與復健 / Activity & rehabilitation 避免提重物或劇烈運動 4–6 週，慢慢增加活動量。 Avoid heavy lifting or vigorous exercise for 4–6 weeks; gradually increase activity. 傷口照護 / Wound care 保持傷口乾燥清潔，觀察紅腫或滲液。 Keep incision clean and dry; watch for redness or discharge. 復發預防 / Recurrence prevention 維持健康體重，避免便秘與腹壓過高。 Maintain healthy weight, prevent constipation and excessive abdominal pressure. --- 🟦 小知識 Mini Note（中英對照） Koala： 疝氣會自己好嗎？ Can hernias heal by themselves? BOSS 醫生： 疝氣不會自己消失，隨時間可能越大，且有嵌頓風險，所以多數需要手術修補。 Hernias do not resolve on their own; they may enlarge over time and risk incarceration, so most require surgical repair. --- 🟦 小貼士 Quick Tip 中文：若腹股溝或腹部出現腫塊、疼痛或紅腫，應及早就醫，避免延誤治療。 English: Seek prompt medical care if a bulge, pain, or redness appears in the groin or abdomen to avoid complications.