A̱ngbarum

A̱ngbarum A̱ yet rwa wruk kap rwam nyai ka̱bvwa ka kun sshi ni da ni di du̱nna, ka̱ram ka̱yaan ku na yet rwa nkyang ka̱hwa nyai an tswu nyi ka̱bawon ka a̱ sshi ka̱hwa ni nyai ka yet hywan a̱tuyring.

A̱ngbarum a̱ sshi a̱zagbang kā̇hwa bu a̱zgbang ka̱tyai bu̱ kop bu̱ na̱bvwa na̱yaan.

A̱ngbarum a̱ cong bu̱ yya rwam bu̱ tssok bu̱ ka̱hwa ron bu̱ kkwot ba̱tyak. Ka̱bvwa ka a̱ na moi an brang ku a̱yin a̱ ta̱kkwut.

Bangbarum an sshi an sot, most commonly involving the abdomen, and specifically the groin. Groin hernias are most commonly inguinal hernias but may also be femoral hernias. Other types of hernias include hiatus, incisional, and umbilical hernias. Symptoms are present in about 66% of people with groin hernias. This may include pain or discomfort in the lower abdomen, especially with coughing, exercise, or urinating or defecating. Often, it gets worse throughout the day and improves when lying down. A bulge may appear at the site of hernia, that becomes larger when bending down.

Groin hernias occur more often on the right than left side. The main concern is bowel strangulation, where the blood supply to part of the bowel is blocked. This usually produces severe pain and tenderness in the area. Hiatus, or hiatal hernias often result in heartburn but may also cause chest pain or pain while eating.

Risk factors for the development of a hernia include smoking, chronic obstructive pulmonary disease, obesity, pregnancy, peritoneal dialysis, collagen vascular disease and previous open appendectomy, among others. Predisposition to hernias is genetic and occur more often in certain families. Deleterious mutations causing predisposition to hernias seem to have dominant inheritance (especially for men). It is unclear if groin hernias are associated with heavy lifting. Hernias can often be diagnosed based on signs and symptoms. Occasionally, medical imaging is used to confirm the diagnosis or rule out other possible causes. The diagnosis of hiatus hernias is often done by endoscopy.

Groin hernias that do not cause symptoms in males do not need immediate surgical repair, a practice referred to as "watchful waiting". However most men tend to eventually undergo groin hernia surgery due to the development of pain. For women, however, repair is generally recommended due to the higher rate of femoral hernias, which have more complications. If strangulation occurs, immediate surgery is required. Repair may be done by open surgery, laparoscopic surgery, or robotic-assisted surgery. Open surgery has the benefit of possibly being done under local anesthesia rather than general anesthesia. Laparoscopic surgery generally has less pain following the procedure. A hiatus hernia may be treated with lifestyle changes such as raising the head of the bed, weight loss and adjusting eating habits. The medications H2 blockers or proton pump inhibitors may help. If the symptoms do not improve with medications, a surgery known as laparoscopic Nissen fundoplication may be an option.