He kākoʻo no kou ʻōpū - e aʻo kākou e pili ana i ka Uterosacral Ligament?

ʻO ka hapa nui o ka manawa, ʻaʻole mākou e noʻonoʻo nui i kekahi mau ʻāpana o ko mākou kino, ʻeā? Akā, he kuleana koʻikoʻi ko kēlā me kēia ʻāpana liʻiliʻi. ʻO kahi mea nui loa no mākou nā wāhine, akā ʻaʻole i kamaʻilio nui ʻia, ʻo ia ka Uterosacral Ligament. E kamaʻilio kākou e pili ana i ia mea me nā kikoʻī hou aku i kēia lā.

He aha ka Uterosacral Ligament?

I ka ʻōlelo maʻalahi, he ʻāpana mānoanoa a ikaika kēia o nā ʻiʻo e hoʻopili ana i ka ʻaoʻao haʻahaʻa o kou uterus, ʻo ia hoʻi ka cervix, i ka ʻaoʻao haʻahaʻa loa o kou iwi kuamoʻo, ʻo ia hoʻi ka sacrum. E noʻonoʻo iā ia e like me ke kaula. Hana pū ia me nā ligaments a me nā ʻiʻo ʻē aʻe e kōkua i ka hoʻopaʻa ʻana i nā ʻōpū i loko o kou lua pelvic, ʻoiai ka uterus, ma kahi. E noʻonoʻo wale, ʻoiai ma hope o ka hysterectomy, hoʻohana nā kauka ʻoki i kēia ligament uterosacral e kākoʻo i ka ʻaoʻao o luna o ka vagina. Pēlā ke koʻikoʻi.

Aia i hea kēia?

Holo kēia ligament uterosacral mai mua a i hope. ʻO ia hoʻi, mai kou uterus a i kou iwi kuamoʻo. ʻElua mau ligaments o kēia mau ligaments, hoʻokahi ma ka hema a hoʻokahi ma ka ʻākau. Holo kou rectum i lalo ma waena o kēia mau ligaments ʻelua, a hiki i kou anus.

Pehea ka nui o kēia?

ʻO ka ligament uterosacral maʻamau ma kahi o 5 ʻīniha (12 a 14 kenimika) ka lōʻihi. Ua like ia me ke kiʻekiʻe o kahi kini Coke. He ʻīniha (0.5 kenimika) ka laulā. Eia naʻe, lilo ia i mea ākea iki ma kahi e pili ai i ka cervix.

He aha ka mea i hana ʻia ai kēia?

ʻO ka maʻamau, hana ʻia nā ligaments me nā ʻiʻo hoʻopili. He fibrous ke ʻano o ka hapa nui. Eia nō naʻe, ʻokoʻa iki nā ligaments uterosacral. ʻAʻole lākou i fibrous, ʻoi aku ka like me ka membrane ikaika. Loaʻa iā lākou kekahi mau kīʻaha koko a me nā aʻalolo, ʻoi aku hoʻi ma kahi a puni ka cervix.

He aha ka hana o ka ligament uterosacral?

ʻO kāna hana nui ka hāʻawi ʻana i ke kākoʻo no kou ʻōpū. He ʻāpana koʻikoʻi loa ka ʻōpū o ka ʻōnaehana hānau wahine. No laila, ʻo kēia ligament uterosacral, me nā ligaments a me nā ʻiʻo ʻē aʻe ma ka ʻāpana pelvic, e kōkua i ka mālama ʻana i nā mea āpau ma kahi a ʻaʻole e kūlou. E like me nā paia o ka hale, ʻo ia nā mea e mālama ai i nā ʻōpū i loko.

He aha nā pilikia nui e pili ana i kēia ligament?

ʻElua mau pilikia nui e pili ana i ka ligament uterosacral. ʻO lākou kēia:

• ʻO ka Endometriosis :ʻO kēia ka manawa e ulu ai nā pūnaewele e hoʻopili mau ana i loko o kou uterus (endometrium) i nā wahi ʻē aʻe.
• ʻO ka prolapse vaginal : ʻO kēia ka manawa e hāʻule ai kou mau kino pelvic mai ko lākou kūlana maʻamau no ka mea ʻaʻole lākou i kākoʻo pono ʻia.

He aha ka Endometriosis?

I loko o ke kūlana i kapa ʻia ʻo endometriosis, hoʻomaka nā pūnaewele e hoʻopili ana i loko o kou ʻōpū, i kapa ʻia ʻo endometrium, e ulu ana ma nā wahi i pono ʻole ai. Hahai pū kēia mau pūnaewele i kāu pōʻaiapuni menstrual. ʻO ia hoʻi, mānoanoa lākou, haki, a kahe ke koko i kēlā me kēia mahina. Eia naʻe, ʻaʻohe ala o kēia mau pūnaewele e haʻalele ai i ke kino. I hiki ai i ke koko ke hōʻiliʻili a hoʻoulu i ka mumū, nā ʻiʻo ʻeha, a me nā cysts. Nui ka poʻe me ka endometriosis e ʻeha a me ka hānau ʻole. ʻO ka ligament uterosacral kahi e ʻike pinepine ʻia ai kahi ʻano kikoʻī o ka endometriosis i kapa ʻia ʻo deep infiltrating endometriosis. I kēia hihia, loaʻa nā pūnaewele endometrial ma lalo o ka ʻiʻo e hoʻopili ana i ka lua pelvic (peritoneum).

Pehea e mālama ʻia ai ka endometriosis o ka ligament uterosacral?

ʻO kaʻoiaʻiʻo, ʻaʻohe lāʻau lapaʻau mau loa no ka endometriosis. Eia nō naʻe, hiki i nā kauka ke kāohi i nā hōʻailona a hōʻemi i ka ulu ʻana o kēia ʻiʻo endometrial. Aia kekahi mau koho lapaʻau:

• Nā lāʻau hoʻopau ʻeha : Hōʻoluʻolu i nā hōʻailona liʻiliʻi.
• Lapaʻau hormone : E kāohi i ke kaʻina hana menstrual o kēlā me kēia mahina a i ʻole e hoʻōki i ka menstruation .
• ʻOki kino: Wehe i nā ulu ʻana o ka endometrial a i ʻole nā ​​​​ʻiʻo ʻeha .
• Hysterectomy: Wehe ʻana i ka ʻōpū a me nā ovaries paha.

He aha ka Vaginal Prolapse?

ʻO ka prolapse vaginal ka wā e hāʻule ai kou vagina, uterus, bladder, a i ʻole rectum mai ko lākou kūlana maʻamau. Hoʻokumu pinepine ʻia kēia e ka nāwaliwali a i ʻole ka hoʻolōʻihi ʻana o nā ʻiʻo pelvic a me nā ligaments, me ka ligament uterosacral, kahi e hōʻemi ai i ke kākoʻo.I kekahi mau hihia koʻikoʻi, hiki i ka ʻiʻo i prolapsed ke puka i waho o ka vagina.

He aha nā kumu o ka prolapse vaginal?

Hiki i kekahi mau kumu ke hoʻopilikia i kēia kūlana.

• Hānau keiki: Ka hana hānau ʻana, ʻoiai ma o ka ʻōpū.
• ʻOki ʻia ka ʻōpū.
• Ka ʻelemakule ʻana.
• Ka hāpai kaumaha.
• Hoʻonui ʻia ke kaomi i loko o ka ʻōpū: ma muli o nā mea e like me ke kaumaha nui, ka hoʻoluhi ʻana i ka wā o ka neʻe ʻana o ka ʻōpū, a i ʻole ka ʻū mau.
• Nā maʻi pili pili genetic.

He aha nā hōʻailona o ka prolapse vaginal?

E nānā inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• Ke manaʻo nei i ke kaomi a i ʻole kekahi mea e puka mai ana mai loko mai o ka vagina.
• ʻEha i ka wā o ka moekolohe.
• Nā pilikia mimi a i ʻole ka ʻōpala.

Hiki i kēia ligament ke hoʻoulu i ka ʻeha lōʻihi ke piʻi ka vagina?

ʻAe, hiki i ka ligament uterosacral ke hoʻoulu i ka ʻeha pelvic mau loa a i ʻole ka ʻeha hope . Akā, ʻaʻole kēia he mea maʻamau loa. ʻO kēia no ka mea ua hohola nui ʻia ka ligament ʻoiai inā haʻahaʻa iki ka uterus (minor uterine prolapse). Hiki i kēia ʻeha lōʻihi ke hoʻoulu i nā mea e like me ka luhi, ka huhū, a me ke kaumaha. No laila, ua manaʻo kekahi mau kauka i ka wā ma mua he mea noʻonoʻo kēia ʻeha ligament uterosacral.

Pehea e mālama ai i ka prolapse vaginal?

Aia nā koho lapaʻau ʻoki kino a me nā koho lapaʻau ʻoki ʻole no ka prolapse vaginal. Inā loaʻa iā ʻoe ka prolapse ma hope o ka hysterectomy, hiki i kāu kauka lapaʻau ke hana i kahi kaʻina hana i kapa ʻia he uterosacral ligament suspension . Pili kēia i ka hoʻopili ʻana i kāu ligament uterosacral (a i ʻole kekahi ligament) i ka piko o kou vagina ma o kahi ʻoki liʻiliʻi (transvaginally).

Pehea e pale aku ai i nā pilikia e pili ana i ka ligament uterosacral?

E like me kā mākou i kūkākūkā ai ma mua, ʻo ka ligament uterosacral kahi maʻamau no ka endometriosis. ʻAʻohe ala i ʻike ʻia e pale aku ai i ka endometriosis i kēia manawa. No laila, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike mua i ka maʻi. Inā loaʻa mau ʻoe i nā hoʻokolohua gynecological, a i ʻole nā ​​​​hoʻokolohua pelvic, hiki iā ʻoe ke loaʻa i kekahi mau pilikia i ka wā mua. Eia kekahi, he kuleana nui ka ligament uterosacral i ke kākoʻo ʻana i kāu mau kino pelvic. He mea nui e mālama i ka ikaika o kou papahele pelvic i kou wā ʻelemakule, ʻoiai inā ua hānau ʻoe i loko o ka vaginal.

E hoʻāʻo i nā mea e like me nā hoʻomaʻamaʻa Kegel. Eia kekahi, e hana i nā hoʻomaʻamaʻa e hoʻoikaika i kou mau ʻiʻo koʻikoʻi, e like me ka yoga a me Pilates. Hiki i kēia mau hoʻomaʻamaʻa ke kōkua iā ʻoe e kaohi i kou mimi (urinary continence) a pale i ka prolapse.

Hiki iā ʻoe ke hoʻomaikaʻi i kou olakino pelvic ma o ka hahai ʻana i kēia mau hana:

• E pale i ke kaumaha ʻana i ka wā e kahe ai ka wai.
• E inu i ʻeono a ʻewalu mau kīʻaha o nā wai i ʻole ka caffeine i ka lā.
• E hoʻēmi i ka caffeine a me ka waiʻona.
• E mālama i ke kaumaha olakino nou.
• Inā loaʻa iā ʻoe ka paʻa mau ʻana o ka ʻōpū, e mālama ʻia.
• E hana pū me kāu kauka e hoʻōki i ka puhipaka .
• E hoʻohana i ke kūlana kūpono i ka wā e hāpai ana i nā mea kaumaha.

Leka Hoʻihoʻi Hope Loa

ʻAe, no laila, ʻo nā pilikia ligament uterosacral a mākou i kamaʻilio ai i kēia lā he mea maʻamau ia, akā e hoʻomanaʻo hiki ke mālama ʻia . Inā loaʻa iā ʻoe ka ʻeha pelvic, ke kaomi, a i ʻole nā ​​​​hōʻailona ʻē aʻe, e kamaʻilio me kāu kauka. A laila hiki iā ia ke wehewehe iā ʻoe i nā koho lapaʻau āpau e hiki ke kōkua i ka kaohi ʻana i kāu mau hōʻailona a hāʻawi i ka hōʻoluʻolu lōʻihi. Mai makaʻu, ʻo ke kamaʻilio ākea e pili ana i kēia mau mea ka hana mua.

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ʻO ka ligament uterosacral, ke kākoʻo ʻōpū, endometriosis, prolapse vaginal, olakino pelvic, olakino wahine, uterus