Ua loaʻa anei iā ʻoe kahi ʻeha ʻōpū a i ʻole ka manaʻo o ka piha ma hope o kahi ʻoki ʻōpū, a hiki i nā makahiki ma hope? I kekahi manawa ʻaʻole paha ke kumu o kēia e like me kāu e manaʻo ai. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi kūlana i kapa ʻia ʻo 'adhesions' i ʻike ʻole ʻia e ka poʻe he nui, akā e hana pinepine ʻia ma hope o ke ʻoki ʻana.
He aha kēia mau mea hoʻopili o ka ʻōpū?
I ka ʻōlelo maʻalahi, he mau ʻāpana kēia o nā ʻiʻo ʻeha e hana ʻia ma waena o nā ʻōpū i loko o kou ʻōpū. E like me ka hana ʻana o kahi ʻeha i ka wā e ʻeha ai ko kākou ʻili, he ʻiʻo ʻeha kēia e hana ʻia i ka wā e ho'ōla ai kahi ʻeha i loko o ka ʻōpū, ʻoi aku hoʻi ma hope o ke ʻoki ʻana. Hiki i kēia mau mea hoʻopili ke hoʻopili i nā ʻōpū i loko o ka ʻōpū.
Hoʻokumu pinepine kēia mau mea hoʻopili ma waena o nā apo o kou ʻōpū liʻiliʻi. Hiki iā lākou ke hana ma waena o kekahi ʻano ʻē aʻe i loko o kou ʻōpū a me ka paia ʻōpū.
Ke ʻōlelo mākou i nā ʻōpū i loko o ko mākou ʻōpū, manaʻo ʻoe i:
- ʻŌnaehana hoʻoheheʻe (ʻōpū, naʻau)
- Nā kino o ka ʻōnaehana hānau wahine
- nā puʻupaʻa
- Ake
- ʻO ka pancreas
- ʻŌpū
Hiki ke hoʻopili ʻia nā ʻōpū ma waena o kekahi o kēia mau ʻōpū. Hiki iā lākou ke hana ma muli o ka hoʻopunipuni ʻana i nā ʻōpū i ka wā o ke ʻoki ʻana. ʻO ka ʻoiaʻiʻo, he ʻāpana kūlohelohe kēia o ke kaʻina hana ho'ōla o ke kino.
Pehea ka maʻamau o kēia mau mea hoʻopili?
ʻO kēia mau pipili ka hopena maʻamau o ke ʻoki ʻōpū. ʻO ka ʻoiaʻiʻo, ʻo ka hapa nui o ka poʻe i hana ʻia i ke ʻoki ʻōpū e loaʻa i kēia mau pipili. Akā ʻo ka nūhou maikaʻi, ʻaʻohe o ka hapa nui o ka poʻe i nā hōʻailona a ʻaʻole pono ka lāʻau lapaʻau.
Akā ʻo ka mea nui e hoʻomanaʻo ai, ʻo kēia mau mea hoʻopili ke kumu nui o ka ʻōpū liʻiliʻi. ʻO ka ʻōpū liʻiliʻi kahi maʻi koʻikoʻi e pono ai ka mālama olakino ulia pōpilikia.
He aha nā hōʻailona e kū mai ana inā he mau adhesions?
ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike nā pipili i kekahi mau hōʻailona. Akā i kekahi manawa, hiki i kēia mau pipili ke hoʻolilo i ko mākou mau ʻōpū i wili ʻia a paʻa ʻia, e like me ka paipu wai. Hiki ke hana ʻia kēia ma hope koke iho o ke ʻoki ʻana a i ʻole nā makahiki ma hope. Ke paʻa nā ʻōpū ma kēia ʻano, ʻaʻole hiki i ka meaʻai, nā wai, ka ea, a me nā ʻōpala ke hele ma waena.
A laila hiki iā ʻoe ke ʻike i nā hōʻailona e like me kēia:
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha nui ka ʻōpū | He ʻeha koke, hiki ʻole ke hoʻomanawanui. |
| ʻŌpū ʻeha | ʻEha ia me he mea lā e haehae ʻia ana koʻu ʻōpū. |
| Pehu ʻana | Pehu loa a paʻa ka ʻōpū. |
| Ka luaʻi a me ka luaʻi | Ka pinepine ʻana o ka nausea a me ka luaʻi ʻana. |
| ʻAʻohe kahe ʻana o ke kinoea a i ʻole ka noho | ʻAʻole hiki ke hoʻokuʻu i ka ea a i ʻole ka ʻōpala. Ua kapa ʻia kēia he paʻapū. |
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻonele i ka manawa a e hele koke i ka haukapila kokoke loa i ka Emergency Department (ETU). He pilikia weliweli kēia e hiki ai ke ola.
No ke aha e kū mai ai kēia mau mea hoʻopili? He aha nā kumu?
Ke hōʻino ʻia nā ʻiʻo i loko o ka ʻōpū, hoʻomaka ko mākou kino e ho'ōla iā ia. Ma ke ʻano he ʻāpana o kēia kaʻina hana ho'ōla, hoʻokumu ʻia kēia ʻiʻo ʻeha, a i ʻole nā mea hoʻopili.
ʻO ke ʻoki ʻōpū ke kumu nui o nā hoʻopili ʻana. ʻO ke ʻoki ʻana no 75% o nā hoʻopili āpau i ʻike ʻia. Eia kekahi, hiki ke hana ʻia e kekahi ʻeha, maʻi, a i ʻole ka lāʻau lapaʻau e hoʻoulu ai i ka mumū i loko o ka ʻōpū.
ʻO kekahi mau kumu ʻē aʻe:
- Nā maʻi o ka ʻōpū a i ʻole ke pelvis.
- ʻApendisitis.
- ʻO ka maʻi o Crohn.
- ʻO ka endometriosis.
- Ka maʻi mumū Pelvic (PID).
- Lapaʻau radiation i ka ʻōpū no ka maʻi ʻaʻai.
- ʻO ka dialysis peritoneal kahi lāʻau lapaʻau no ka hāʻule ʻana o ka puʻupaʻa.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia mau mea?
ʻO ka pilikia nui loa no ka poʻe i hana ʻia i ke ʻoki ʻōpū, ʻoiai:
- ʻO ke ʻoki hāmama (Laparotomy): He ʻoki kēia i hana ʻia ma o kahi ʻoki nui hoʻokahi ma ka ʻōpū. ʻOi aku ma mua o 90% o ka poʻe i loaʻa i kēia ʻano ʻoki e hoʻomohala i nā pipili.
- ʻO ke ʻoki kino Laparoscopic:Ma muli o ka hana ʻana i kekahi mau ʻoki liʻiliʻi, ua emi iki ka pilikia o ka hoʻopili ʻana.
- Nā ʻoki kino i hana ʻia ma ka ʻaoʻao haʻahaʻa o ka ʻōnaehana hoʻoheheʻe (colon, rectum).
- Inā ua loaʻa iā ʻoe nā ʻoki ʻōpū he nui.
- ʻOki ulia pōpilikia.
He aha nā pilikia e hiki ke hana ma muli o nā adhesions?
ʻO ka hapa nui o ka manawa, ʻaʻole nā pili e hoʻoulu i nā pilikia, akā inā hana lākou, hiki iā lākou ke lilo i mea koʻikoʻi.
- ʻŌpū liʻiliʻi: Hiki i ka ʻiʻo ʻeha ke hoʻowali a paʻa i nā ʻōpū. Inā ʻaʻole e mālama koke ʻia, hiki ke ulu mai kahi maʻi koʻikoʻi i kapa ʻia ʻo peritonitis, kahi mea e hoʻoweliweli ai i ke ola.
- ʻEha mau loa: Pale nā adhesions i nā ʻōpū mai ka neʻe manuahi ʻana, hiki ke hōʻeha i ka ʻeha mau loa i ka ʻōpū a i ʻole ka lua pelvic.
- ʻAʻohe keiki: Hiki i nā pipili ke pale i ka hui ʻana o ka hua manu a me ka sperm. Inā hoʻokumu ʻia nā pipili i loko o ka ʻōpū, ʻaʻole hiki i kahi hua manu i hoʻoulu ʻia (embryo) ke hoʻokomo i loko o ka ʻōpū. Ua kapa ʻia kēia mau pipili i hana ʻia i loko o ka ʻōpū ʻo Asherman's syndrome .
Pehea e ʻike ai ke kauka i kēia?
E nīnau aku kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. Hiki i kāu kauka ke kānalua i nā pipili, ʻoiai inā ua loaʻa iā ʻoe ka ʻeha o ka ʻōpū a me ke ʻoki ʻana o ka ʻōpū ma mua.
ʻO ka mea nui, ʻaʻole hiki ke ʻike pololei ʻia kēia mau mea i hoʻopili ʻia ma nā kiʻi X a i ʻole nā scan CT. Eia nō naʻe, inā ua hoʻopilikia kēia mau mea i ka ʻōpū, hiki ke ʻike ʻia ma kēia mau scan.
- Nā kiʻi X-ray a me nā kiʻi CT: Hiki i kēia ke hōʻike i nā ālai ʻana i loko o ka ʻōpū liʻiliʻi. Hiki i kahi kiʻi CT ke kōkua i ka hoʻoholo ʻana i ke koʻikoʻi o ka ālai ʻana.
- Hysterosalpingogram (HSG): Hana ʻia kēia hoʻāʻo e nānā i nā poloka i loko o ka ʻōpū a i ʻole nā tubes fallopian.
ʻO ka mea hope loa, ʻo ke ala wale nō e ʻike ai no ka 100% maopopo inā he mau adhesions kou, ʻo ia ke hana ʻoki kino.
Pono anei iaʻu e mālama i kēia?
He nui nā adhesions he asymptomatic a ʻaʻole pono e mālama ʻia.
A eia kekahi mea ʻē aʻe. Inā loaʻa iā ʻoe kekahi ʻoki kino ʻē aʻe e wehe i nā mea hoʻopili, hiki iā ia ke hana i nā mea hoʻopili hou. He hoʻoholo akahele loa kēia. Hiki i ke kauka lapaʻau ke ʻoki a hoʻokaʻawale i nā ʻiʻo i paʻa. Akā i ka pau ʻana o ke ʻoki kino, ʻaʻohe ala e pale aku ai i ka hoʻopili hou ʻana o nā ʻiʻo.
No laila, e ʻōlelo wale aku kāu kauka i ke ʻoki kino inā he pilikia olakino koʻikoʻi, e like me ke ālai ʻana o ka ʻōpū. Eia kekahi, inā paʻakikī nā mea hoʻopili i ka loaʻa ʻana o nā keiki, e hana ʻia ke ʻoki kino e wehe i nā mea hoʻopili.
E nalo aku anei kēia mau mea i hoʻopili ʻia? He mea hiki ʻole ke pale ʻia?
Hiki i kekahi mau mea hoʻopili ke ho'ōla iā lākou iho i ka hala ʻana o ka manawa. Inā ʻaʻole lākou e hoʻoulu i nā pilikia, ʻaʻole wehe pinepine nā kauka iā lākou.
Eia nō naʻe, ʻoiai aia kahi pilikia o nā pipili hou aʻe, i kekahi manawa pono ke ʻoki kino. E wehewehe kāu kauka i nā pono a me nā pōʻino o ke ʻoki kino iā ʻoe, ma muli o kāu mau hōʻailona.
ʻAʻohe mea hiki iā ʻoe a i ʻole kāu kauka lapaʻau ke hana e pale aku i nā pipili. Eia nō naʻe, ʻoi aku ka haʻahaʻa o ka pilikia o ka pipili ʻana o ke ʻoki laparoscopic no ka mea he liʻiliʻi nā ʻoki. ʻO ia ke kumu e koho nei nā kauka lapaʻau he nui i kēia manawa i ke ʻoki laparoscopic ma mua o ke ʻoki hāmama.
Leka Lawe-Home
- He mea maʻamau loa nā pipili ʻana o ka ʻōpū ma hope o ke ʻoki ʻana o ka ʻōpū. No ka hapa nui o nā kānaka, ʻaʻole lākou e hoʻopilikia.
- Eia nō naʻe, inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha nui o ka ʻōpū, ka luaʻi ʻana, ka pehu ʻana, a i ʻole ka paʻakikī o ka hoʻopuka ʻana i ke kinoea a i ʻole ka ʻōpala, hiki ke lilo i mea pale i ka ʻōpū. He pilikia kēia a pono ʻoe e hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
- Hiki i ke ʻoki ʻana e wehe i nā mea hoʻopili ke hana i nā mea hoʻopili hou. No laila, inā pono ke ʻoki ʻana he mea ia e kūkākūkā ai me kāu kauka a hoʻoholo.
- Hiki paha i ke ʻoki laparoscopic ke hōʻemi iki i ka pilikia o ka hoʻopili ʻana ma mua o ke ʻoki hāmama (laparotomy).
- Inā loaʻa iā ʻoe ka ʻeha i wehewehe ʻole ʻia ma hope o ke ʻoki ʻana o ka ʻōpū, e kamaʻilio me kāu kauka e pili ana i ia mea.
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