Aloha! I kēia lā, e kamaʻilio kākou e pili ana i kahi ʻōkana kūikawā a waiwai nui i loko o kou kino ma ke ʻano he wahine. ʻO ia ka ʻōpū, a i ʻole ma ka ʻōlelo Pelekania, ka ʻāpana a mākou e kapa nei he `(Uterus)`. He wahi kupaianaha maoli kēia i hoʻolālā ʻia i loko o ke kino wahine. No laila, e nānā kākou i ke ʻano o kēia ʻōpū, ka mea e hana ʻia iā ia, a me nā mea e pono ai kākou e ʻike e mālama i kona olakino.
He aha ke ʻano o ka ʻōpū? Pehea kona ʻano?
I ka ʻōlelo maʻalahi, he ʻano liʻiliʻi ka ʻōpū, e like me ke ʻeke, i loko o ka ʻōnaehana hānau wahine, ke ʻano e like me ka hua (ʻoi aku ka pololei, e like me ka pea i hoʻohuli ʻia). Wahi a kekahi ua like ia me kahi kukui liʻiliʻi. ʻO ka maʻamau, ua like ia me ka nui o ka poho lima.
E noʻonoʻo, ʻo kēia ʻōkana liʻiliʻi kahi e hānau ʻia ai ke ola hou. Aia i loko o kēia ʻōpū kahi e hoʻokomo ʻia ai kahi hua manu i hoʻoulu ʻia a ulu a lilo i pēpē no nā mahina. ʻO ia hoʻi kahi e hana ʻia ai kou wā mahina.
Aia i hea ka ʻōpū?
Aia kou ʻōpū i loko o kou pelvis, ma hope o kou ʻōpū mimi a ma mua o kou rectum. Me he mea lā aia ia ma kahi palekana. Paʻa ʻia ia e nā ʻiʻo a me nā ligaments ʻē aʻe ma kou papahele pelvic.
He aha nā ʻāpana nui o ka ʻōpū?
ʻAʻole hoʻokahi ʻeke ka ʻōpū. He ʻāpana like ʻole kona.
- Fundus: ʻO kēia ka ʻāpana luna a ākea loa o ka ʻōpū. Hoʻopili nā ʻōpū Fallopian ʻelua i kēia.
- Kino: ʻO kēia ka ʻāpana nui o ka ʻōpū. Ke hāpai ʻia kahi pēpē, hoʻokomo ʻia ka embryo i loko o kēia ʻāpana.
- Isthmus: Aia kēia ma waena o ke kino a me ka cervix. Maanei kahi e hoʻomaka ai ka uterus e lahilahi iki.
- Cervix: ʻO kēia ka ʻāpana haʻahaʻa loa o ka ʻōpū. Wehe ia i loko o ka vagina. Ke hānau ʻia kahi pēpē, ʻo kēia ka cervix e wehe.
He aha nā hana nui o ka ʻōpū?
ʻEkolu mau hana koʻikoʻi o ka ʻōpū.
1. Hāpai keiki: Ke hānau ʻia kahi pēpē, hoʻonui ʻia ka ʻōpū a kīkoʻo i mea e loaʻa ai kahi no ka pēpē e ulu ai. Eia kekahi, ke hānau ʻia ke pēpē, ʻūmiʻi ka ʻōpū (kīkoʻo) e kōkua i ka hoʻokuke ʻana i ka pēpē i waho o ka ʻōpū.
2. Ka hānau keiki ʻana: Hoʻomaka ka hāpai ʻana i ka wā e hoʻokomo ʻia ai kahi hua manu i hoʻoulu ʻia i loko o ka ʻōpū (`implantation'). No laila, he mea nui ka ʻōpū no ka mea e manaʻolana ana e loaʻa kahi keiki.
3. Kaʻapuni Menstrual: I kēlā me kēia mahina ke loaʻa iā ʻoe kou menstruation, ʻo ke koko a me nā ʻiʻo e puka mai ana mai ka uhi o ka ʻōpū.
He aha ka pilina ma waena o ke kaʻina hana menstrual a me ka uterus?
Ke hiki mai kāu pōʻaiapuni menstrual, ua hoʻokahe ʻia ka papa o loko o ka uterus, a mākou e kapa nei ʻo ka endometrium.Ua ʻōlelo ʻia hoʻi he nui nā loli nui e hana ʻia ana i loko. I ka hoʻokokoke ʻana mai o ka ovulation, mānoanoa mālie kēia papa i kapa ʻia ʻo ka endometrium a hoʻolako maikaʻi ʻia me ke koko. ʻIke anei ʻoe i ke kumu? Ua like ia me ka hoʻomākaukau ʻana i kahi papa lepo maikaʻi no kahi mea kanu hou, e hana i kahi kūpono no kahi hua manu i hoʻoulu ʻia e hoʻokomo a ulu.
I kēia manawa, inā hoʻomomona ʻia kahi hua manu i loko o kēlā pōʻaiapuni menstrual, e hele mai ia a hoʻokomo iā ia iho i loko o kēia endometrium mānoanoa. ʻO ia ka manawa e hoʻomaka ai ka hāpai ʻana. Inā hana ʻia kēlā, ʻaʻole ʻoe e loaʻa i kou menstruation i kēlā mahina.
Eia nō naʻe, inā ʻaʻole i hoʻomoe ʻia ka hua manu, ʻaʻole pono hou kēia papa endometrial mānoanoa. A laila hoʻokahe ʻia a kipaku ʻia ma o ka vagina me ke koko. ʻO kēia ka mea a mākou e kapa nei he menstruation, a i ʻole menstruation. Inā ʻaʻole hāpai, hana hou ʻia kēia kaʻina hana i kēlā me kēia mahina.
He aha ka mea e hana ʻia i ka uterus i ka wā hāpai?
Inā hoʻomomona ʻia kahi hua manu e kahi sperm i ka wā o ka menstrual cycle (conception), hoʻokomo ka hua manu i hoʻomomona ʻia (i kapa ʻia ʻo 'blastocyte') iā ia iho i loko o ka ʻili o loko o ka uterus, ʻo ia ka endometrium. Ua kapa ʻia kēia ʻo 'implantation'. ʻO kēia ka manawa e hoʻomaka ai ka hāpai ʻana, a e pau kou wā.
A laila hana ʻia kekahi mea kupaianaha! ʻO kou ʻōpū, e like me ka pōpō, e hoʻomaka ana e hoʻonui a kīkoʻo i ka wā e ulu ana kāu pēpē i loko ou. E noʻonoʻo, hiki i kahi ʻōpū e like me ka nui o ka lemona ke ulu a hiki i ka nui o ka wai meli i ka wā e hānau ai ʻoe! I ka manawa e hānau ai ʻoe, hiki i kou ʻōpū ke kaumaha a hiki i ʻelua paona (ʻaneʻane hoʻokahi kilokani).
Ke hānau ʻia ke pēpē, ʻūlū ikaika ka ʻōpū e hoʻokuke i ke pēpē i waho o ka ʻōpū. Ma hope o ka hānau ʻana o ke pēpē, ma kahi o ʻeono pule ma hope mai, e emi mālie ana ka ʻōpū i kona nui ma mua o ka hāpai ʻana (malia paha he nui iki aʻe, i ʻike ʻia ua kīkoʻo ʻia). Kāhea pū mākou i kēia kaʻina hana ʻo 'involution'.
Pehea i hoʻokumu ʻia ai ka ʻōpū? (Nā Papa)
E like me ka ʻili o ka ʻakaʻakai, he ʻekolu papa nui ko ka ʻōpū:
- Perimetrium: ʻO kēia ka papa waho loa, ka papa pale.
- Myometrium: ʻO kēia ka papa mānoanoa a ʻiʻo hoʻi ma waenakonu. Hoʻolōʻihi a hoʻonui ia i ka wā hāpai, a ʻo kēia papa e ʻaelike a hoʻokuke i ka pēpē i waho i ka wā hānau.
- Endometrium: ʻO kēia ka papa o loko loa, a i ʻole ka paia o loko, o ka uterus. ʻO kēia ka papa i hoʻokahe ʻia i ka wā o ka menstruation. ʻO ia hoʻi kahi e hoʻokomo ʻia ai kahi hua manu i hoʻoulu ʻia.
Hiki ke loli ke kūlana o ka ʻōpū? (Nā Kūlana o ka ʻUterus)
ʻAʻole like ke ʻano o ka ʻōpū o kēlā me kēia wahine. Hiki ke ʻokoʻa iki kona kūlana.
- Kūlana Maʻamau (Uterus Anteverted): ʻO ka hapa nui o nā wāhine, ua hoʻokiʻekiʻe iki ʻia ko lākou uterus i mua mai ka cervix, e kū pono ana i ka ʻōpū. Ua kapa ʻia kēia he "uterus Anteverted".
- ʻUterus Retroverted: I kekahi manawa hiki ke hoʻohuli ʻia ka ʻōpū i hope, i ka iwi kuamoʻo, ma mua o mua. Ua kapa ʻia kēia he "uterus retroverted" a i ʻole he "tipped" a i ʻole "tilted".
- ʻUterus i hoʻopololei mua ʻia: Maanei, ua hoʻokiʻekiʻe nui ʻia ka ʻōpū i mua . Hiki i kēia ke kau i ke kaomi ma ka ʻōpū a i ʻole ka ʻōpū mimi, e hōʻeha ana i nā hōʻailona.
- Uterus Retroflexed: ʻO kēia ka wā e hoʻokiʻekiʻe nui ʻia ai ka uterus i hope , hiki ke kau i ke kaomi ma ke kua lalo.
I ka hapa nui o ka manawa, ʻaʻole paha ʻoe e loaʻa i kekahi mau hōʻailona o ka prolapse uterine. Eia nō naʻe, ʻike kekahi poʻe i nā hōʻailona a pono paha e ʻimi i ke kōkua lapaʻau.
He aha nā kūlana maʻamau e hiki ke kū i loko o ka ʻōpū?
E like me nā ʻano kino ʻē aʻe, hiki i ka ʻōpū ke loaʻa nā ʻano maʻi like ʻole. Eia kekahi o lākou:
- ʻO nā fibroids uterine: He mau ʻōpū liʻiliʻi kēia, ʻaʻole hiki ke hoʻoulu ʻia i loko o ka ʻōpū.
- Nā polyp o ka ʻōpū: He mau ulu liʻiliʻi kēia e kū mai ana ma ka paia o loko o ka ʻōpū (endometrium).
- Ka maʻi ʻōpū: Nā maʻi ʻōpū e like me ke kanesa endometrial a i ʻole ka sarcoma uterine.
- Endometriosis: ʻO kēia ka wā e ulu ai ka ʻiʻo e uhi ana i loko o ka uterus (endometrium) ma waho o ka uterus, no ka laʻana, ma nā ovaries a me nā fallopian tubes.
- ʻO ka maʻi mumū Pelvic (PID): He maʻi o nā ʻōpū o ka ʻōnaehana hānau keiki.
- ʻO ka prolapse o ka ʻōpū: Heʻe ka ʻōpū i lalo mai kona kūlana maʻamau.
- ʻAʻole hānau keiki: Ka emi ʻana a i ʻole ka hiki ʻole ke hānau keiki.
He aha nā hōʻailona o ka maʻi ʻōpū?
Inā he pilikia me kou uterus, hiki iā ʻoe ke ʻike i nā hōʻailona penei:
- Nā hana hewa o ke kaʻina hana o ka menstruation (e.g. menstruation kūpono ʻole, kahe koko nui, e mau ana no kekahi mau lā).
- Ke kahe koko ʻana o ka ʻōpū ma ke ʻano kūpono ʻole (ma waho o ka menstruation).
- ʻEha ma ka ʻāpana pelvic (ʻeha ʻōpū lalo).
- Ka hoʻokahe ʻana o ka ʻōpū ma ke ʻano ʻē.
- Ka paʻakikī i ka loaʻa ʻana o nā keiki.
- ʻEha i ka wā e mimi ai (i kapa ʻia hoʻi ʻo 'dysuria').
Mea nui: Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, e ʻike pono i ke kauka no ka ʻōlelo aʻo. Hiki ke mālama maikaʻi ʻia nā kūlana he nui inā ʻike mua ʻia.
Hiki ke loaʻa nā ʻano ʻē o ka ʻōpū? (Nā ʻano ʻē o ka ʻōpū hānau)
ʻAe, i kekahi manawa hiki ke loaʻa kekahi mau loli hānau i ke ʻano o ka ʻōpū. ʻO ka maʻamau, i ka wā e ulu ai kahi fetus, nā ala MullerianHoʻokumu ʻia ka lua o ka ʻōpū ke hui pū ʻia nā ʻōmole ʻelua. I kekahi poʻe, ʻaʻole hui pono nā ʻōmole, a hiki ke hopena i kahi ʻōpū ʻano ʻē. He mau kūlana kēia i loaʻa i ka wā hānau.
Eia kekahi mau ʻano like ʻole:
- ʻO ka uterus bicornuate: He uterus i like ke ʻano me ka puʻuwai.
- ʻO ka uterus ʻākuʻi: Ua like ia me ka uterus biconcave, akā ʻaʻole hohonu ma mua o ka uterus puʻuwai.
- ʻUterus Septate: Ua māhele ʻia ka uterus i ʻelua ʻāpana e kahi membrane.
- ʻUterus unicornuate: He ʻōpū ʻano ʻē me hoʻokahi wale nō ʻōmole fallopian.
- ʻO ka ʻōpū o Didelphys: ʻO ka hānau ʻia ʻana me ʻelua mau ʻōpū.
ʻOiai me kēia mau ʻano ʻē, ʻaʻole paha e ʻike kekahi poʻe i kekahi mau hōʻailona. Eia nō naʻe, i kekahi manawa hiki i kēia ke hana i nā mea e like me nā wā ʻeha, nā hāʻule ʻana o ka hāpai keiki, a me ka paʻakikī o ka hāpai ʻana.
He aha nā hoʻokolohua e hoʻohana ʻia e ʻike ai i nā maʻi uterine?
Hoʻohana nā kauka i nā ʻano hoʻokolohua like ʻole e ʻike i nā pilikia me ka ʻōpū. Hiki i kēia mau hoʻokolohua ke kōkua i ka ʻike mua ʻana i ke kanesa, nānā i ka ulu ʻana o ka pēpē i ka wā hāpai, ʻike i nā kumu o ka hānau ʻole ʻana, a ʻike i nā maʻi ʻē aʻe.
ʻO kekahi o nā hoʻokolohua i hana pinepine ʻia:
- Hoʻokolokolo Pelvic: Nānā ke kauka i kou uterus, cervix, vagina, ovaries, a me nā ʻano kino hānau ʻē aʻe.
- Ultrasound: Hoʻohana kēia i nā nalu kani e hana i kahi kiʻi o loko o ka ʻōpū. Hiki ke hana ʻia kēia ma ka ʻōpū a i ʻole ma o ka vagina.
- Hysteroscopy: Hoʻokomo ʻia kahi ʻōmole lahilahi a hoʻomālamalama ʻia me kahi kāmela ma o ka vagina i loko o ka uterus e nānā i loko o ka uterus. Hiki iā ia ke nānā inā ua wehe ʻia nā ʻōmole fallopian.
- MRI scan (MRI - Magnetic Resonance Imaging): Hoʻohana i nā magnet a me nā nalu lekiō e hana i nā kiʻi kikoʻī o ka ʻōpū a me nā ʻōpū ʻē aʻe i loko o ka lua pelvic.
He aha nā lāʻau lapaʻau no nā maʻi ʻōpū?
ʻO ka mālama ʻana no nā maʻi uterine e pili ana i ke kumu a me nā hōʻailona.
ʻO nā lāʻau lapaʻau i hoʻohana pinepine ʻia:
- Nā lāʻau lapaʻau: No ka laʻana, nā lāʻau antibiotic no nā maʻi, ka lāʻau lapaʻau hormone no nā hemahema hormonal.
- ʻO ke ʻoki kino: Pono paha kekahi mau kūlana, e like me nā fibroids nui, polyps, a me ka endometriosis, i ke ʻoki kino.
- Hysterectomy: I kekahi mau hihia koʻikoʻi, no ka laʻana, i nā hihia o ke kanesa, pono paha e wehe ʻia ka ʻōpū ma ke ʻoki kino. Ua kapa ʻia kēia he hysterectomy. Ma muli o ke kumu o ke ʻoki kino, hiki ke wehe ʻia ka cervix, nā fallopian tubes, a me nā ovaries.
ʻO nā mea nui a mākou e makemake ai e lawe i ka home mai kēia moʻolelo
No laila, ua maopopo paha iā ʻoe i kēia manawa ke waiwai nui a kupaianaha o kahi ʻōkana o ka uterus i loko o ke kino o ka wahine.
E hoʻomanaʻo, pili kou ʻōpū i ʻekolu mau mea nui loa: ka menstruation, ka hāpai ʻana, a me ka momona.
- Aia kēia ʻano ʻano pea i loko o kou lua pelvic.
- I kekahi manawa hiki ke loaʻa ka ʻeha ma muli o nā loli i ke ʻano a i ʻole ke kūlana o ka ʻōpū.
- E like me nā ʻōpū ʻē aʻe, hiki i ka ʻōpū ke loaʻa nā maʻi like ʻole a me nā maʻi ʻaʻai, e pono ai ka mālama lapaʻau.
- Inā loaʻa iā ʻoe kekahi mau pilikia e like me ka ʻeha ʻē i ka wā o ka menstruation, ke kahe nui ʻana o ke koko, ka menstruation kūpono ʻole, ka ʻeha mau ma ka ʻōpū lalo, a i ʻole ka paʻakikī o ka hāpai ʻana, mai hoʻowahāwahā iā ia. E hōʻoia e ʻike i ke kauka a e ʻimi i ka ʻōlelo aʻo.
ʻO ka ʻike i kou kino kekahi o nā mea nui loa hiki iā ʻoe ke hana e mālama i kona olakino. No laila, ke lana nei koʻu manaʻo he kōkua kēia ʻike iā ʻoe!
ʻUterus , olakino wahine, olakino hānau hou, pōʻaiapuni menstrual, hāpai keiki, gynecology, endometriosis











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