Ua pono anei ʻoe e hana i ke ʻoki ʻōpū? A i ʻole ua pono anei kekahi āu i ʻike ai? He mea maʻamau ka ʻeha a me ka ʻoluʻolu ʻole o ka ʻōpū ma hope o ia ʻoki ʻana. Akā, ua manaʻo anei ʻoe e hiki i kēia mau ʻoki ʻana ke hoʻopili i nā ʻōpū i loko o ko kākou ʻōpū? I kēia lā, e kamaʻilio mākou e pili ana i kēia mau 'hoʻopili ʻōpū', kahi i ʻike ʻole ʻia e ka poʻe he nui, akā he mea maʻamau loa ia ma hope o ke ʻoki ʻana.
I ka ʻōlelo maʻalahi, he aha kēia mau mea hoʻopili ʻōpū?
E noʻonoʻo inā ua ʻeha kou kuli a hemo ka ʻili, a i ka wā i ho'ōla ʻia ai ka ʻeha, ua hana ʻia kahi ʻeha ma luna, ʻeā? Hana like ka mea i loko o ko kākou kino, ʻoiai ma waena o nā ʻōpū o ko kākou ʻōpū. ʻO nā pipili ʻōpū he mau kaula o nā ʻiʻo ʻeha e hana ʻia ma waena o nā ʻōpū i loko o ko kākou ʻōpū a i ʻole ma waena o nā ʻōpū a me ka paia o ka ʻōpū. I ka pololei, ua like lākou me ka gum e hoʻopili ai i nā ʻōpū.
ʻO ka maʻamau, he ʻili pahee iki ko nā ʻōpū o loko o ka ʻōpū o ke kanaka olakino (e like me nā ʻōpū, ke akepaʻa, a me ka uterus), e hiki ai iā lākou ke neʻe manuahi. Akā i ka wā e hoʻopili ʻia ai kēia mau mea, nalowale kēlā kūʻokoʻa. Hiki i nā ʻōpū ke pili pū a paʻa.
ʻO nā ʻōkana nui i loko o ko mākou lua ʻōpū:
- ʻŌnaehana hoʻoheheʻe (ʻōpū, ʻōpū liʻiliʻi, ʻōpū nui)
- Nā ʻōnaehana hānau wahine (uterus, ovaries)
- nā puʻupaʻa
- Ake
- ʻO ka pancreas
- ʻŌpū
Hoʻokumu pinepine ʻia kēia mau hoʻopili ma waena o nā ʻāpana o ka ʻōpū liʻiliʻi, akā hiki iā lākou ke hana ma waena o kekahi o kēia mau ʻōkana ʻelua.
No ke aha e kū ai kēia mau mea e hoʻopili ai? He aha ke kumu nui?
ʻO ke kumu nui o kēia, ʻo ia ke ʻoki ʻōpū . ʻO ka ʻoiaʻiʻo, ʻoi aku ma mua o 90 o 100 mau kānaka i hana ʻia ke ʻoki ʻōpū e loaʻa i kēia mau pipili. E noʻonoʻo wale, i ka wā o ke ʻoki ʻana, pono nā kauka e hoʻopā a hoʻoneʻe i ko mākou mau kino. ʻO kēia hoʻopunipuni ʻana i nā kino ke kumu o kahi pōʻino a me ka ʻeha iki. I ka wā o ke kaʻina hana ho'ōla maoli o ko mākou kino, hana ʻia nā ʻiʻo ʻeha i ka wā e ho'ōla ai kēia mau wahi i ʻeha. ʻO kēlā ʻiʻo ʻeha ka mea i koe ma ke ʻano he mau pipili.
I ka ʻōlelo maʻalahi, ʻo nā pipili o ka ʻōpū he mau ʻeha kūloko e hana ʻia i loko o ke kino. He ʻāpana lākou o ke kaʻina hana ho'ōla maoli o ke kino.
ʻOiai ʻo ke ʻoki kino ke kumu nui, hiki ke hana ʻia kēia mau pipili e kekahi maʻi a mumū paha e kū mai ana i loko o ka ʻōpū. Eia kekahi laʻana:
- Nā maʻi pelvic
- ʻO ka appendicitis a me kona haki ʻana
- Nā maʻi ʻōpū e like me ka maʻi a Crohn
- Ke kūlana endometriosis
- Ka maʻi mumū Pelvic (PID)
- ʻO ka radiation therapy i ka ʻōpū no ka maʻi kanesa
He aha nā hōʻailona e hiki ai i kēia mau adhesions ke hana?
ʻO ka nūhou maikaʻi, ʻo ka hapa nui o ka manawa, ʻaʻole kēia mau mea hoʻopili e hōʻike i kekahi mau hōʻailona . ʻOiai inā he mau mea hoʻopili i loko o kou ʻōpū, hiki iā ʻoe ke ola i kahi ola maʻamau me ka ʻole o ka manaʻo i kekahi mea e pili ana iā lākou.
Akā i kekahi manawa, hiki i kēia mau mea hoʻopili ke hoʻoulu i nā pilikia. E like me ka hiki ʻana o ka paipu wai ke wili a kāohi i ke kahe ʻana o ka wai, hiki i kēia mau mea hoʻopili ke hoʻoulu i nā ʻōpū e wili, wili, a ālai ʻia paha. Kāhea mākou i kēia ʻo 'Small Bowel Obstruction' . Hiki ke hana koke ʻia kēia ma hope o ke ʻoki ʻana, a i ʻole hiki ke hana ʻia i nā makahiki ma hope.
He maʻi koʻikoʻi ka ʻōpū paʻa e pono ai ka mālama olakino ulia pōpilikia . Pale ia i ka meaʻai, ka wai, ka ea, a me nā ʻōpala mai ka neʻe ʻana ma o nā ʻōpū. Inā hana ʻia kēia, hiki iā ʻoe ke ʻike i kēia mau hōʻailona.
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha nui o ka ʻōpū | He ʻeha ʻoi a ʻūmiʻi e hiki mai ana kekahi ma hope o kekahi. |
| Ka pehu a me ka pehu | Manaʻo e like me ka ʻōpū e paʻa ana a pehu ana e like me ka pōhaku. |
| Ka luaʻi a me ka luaʻi | ʻAʻole wale ka ʻai ʻana a me ka inu ʻana, akā i kekahi manawa e luaʻi ana i ka ʻōmole ʻōmaʻomaʻo a ʻeleʻele paha. |
| ʻAʻohe o ka flatulence a me ka stool | He hiʻohiʻona koʻikoʻi loa kēia. Ke ālai ʻia nā ʻōpū, ʻaʻole hiki ke hoʻokuʻu ʻia ka ea a me ka ʻōpala. |
ʻO ka mea nui loa: Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona o ke ālai ʻana o ka ʻōpū, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila. ʻAʻole kēia he maʻi hiki ke mālama ʻia ma ka home. Hiki ke hoʻoweliweli i ke ola inā ʻaʻole mālama ʻia.
He aha nā pilikia ʻē aʻe e hiki ke hana ma muli o nā adhesions?
ʻO ke ālai ʻana o ka ʻōpū ka pilikia nui a weliweli loa. Ma waho aʻe o kēlā, hiki ke kū mai kekahi mau pilikia ʻē aʻe.
- ʻEha Mau Loa: Hiki i kekahi poʻe ke ʻeha lōʻihi ma ka ʻōpū a i ʻole ka ʻāpana pelvic. ʻO kēia no ka mea ua pale nā pili ʻana i nā kino mai ka neʻe manuahi ʻana. Hiki i kēia ke hana i ke kaomi a me ke kaomi ʻana ma nā kino.
- ʻAʻole hānau keiki: ʻO nā pipili, ʻoi aku hoʻi i nā wahine, hiki ke paʻakikī i ka loaʻa ʻana o nā keiki. Hiki i kēia mau pipili ke pale i ka hui ʻana o ka hua manu a me ka sperm, a pale paha i ka hoʻokomo ʻana o ka hua manu i hoʻoulu ʻia i loko o ka ʻōpū. ʻO kēia kūlana, ka mea i loaʻa i loko o ka ʻōpū, ua kapa ʻia hoʻi ʻo Asherman's syndrome .
Pehea e ʻike ai ke kauka i kēia mau mea hoʻopili?
He pilikia paʻakikī kēia, no ka mea, ʻaʻole hiki ke ʻike pololei ʻia kēia mau ʻiʻo ʻeha i kapa ʻia ʻo adhesions me kahi scan maʻamau, ʻo ia hoʻi, kahi X-ray a i ʻole kahi CT scan .
Eia nō naʻe, hiki i ke kauka ke kānalua i kēia ma ka nīnau ʻana e pili ana i kāu mau hōʻailona (e like me ka ʻeha o ka ʻōpū, ka luaʻi ʻana) a me kou mōʻaukala olakino (inā paha ua hana mua ʻoe i ke ʻoki ʻōpū).
ʻOiai inā ʻaʻole hōʻike nā scan i nā pipili, hiki iā lākou ke hōʻike maopopo i kekahi paʻa ʻana i loko o nā ʻōpū i hana ʻia e kēlā mau pipili. Hiki i kahi scan CT ke hoʻoholo i ke koʻikoʻi o ka paʻa ʻana.
100% . (laparoscopy) .
He aha nā lāʻau lapaʻau no kēia? Pono anei ke ʻoki kino?
Eia ka mea nui. ʻO ke ʻoki kino ke kumu nui o nā pipili o ka ʻōpū. Eia kekahi, ʻo ke ʻoki kino ʻē aʻe wale nō ka lāʻau e wehe ai i kēia mau pipili.
Maopopo iā ʻoe ka pilikia o kēia? Ke hana ʻia ʻoe i ke ʻoki kino e wehe i nā mea hoʻopili, aia kahi manawa kūpono loa e kū mai nā mea hoʻopili hou ma muli o kēlā ʻoki kino.
No kēia kumu, ʻaʻole ʻōlelo pinepine nā kauka i ke ʻoki ʻana e mālama i nā adhesions ke ʻole lākou e hoʻoulu i kahi pilikia koʻikoʻi.
- Inā ʻaʻohe ou hōʻailona: Inā ʻaʻohe ou pilikia, ʻaʻole paha ʻoe e pono i ka lāʻau lapaʻau ʻoiai inā he mau pipili kou.
- Ka ālai ʻana o ka ʻōpū: He pilikia kēia a pono ke ʻoki ʻana e hoʻokuʻu i ka ʻōpū i ālai ʻia.
- ʻO ke kumu o ka hānau ʻole ʻana:Inā ʻaʻole hiki iā ʻoe ke hāpai i kahi keiki ma muli o nā pipili, hiki ke hana ʻia ke ʻoki ʻana e wehe i nā pipili.
No laila, ʻo ka hoʻoholo maikaʻi loa e hana ʻia e kāu kauka ma hope o ka nānā pono ʻana i kou kūlana a me ke kaupaona ʻana i nā pono o ke ʻoki ʻana e kūʻē i nā pilikia kūpono (e like me nā hoʻopili hou).
ʻAʻole hiki ke pale ʻia kēia mau mea e hoʻopili ʻia ai?
ʻO ka mea pōʻino, ʻaʻole hiki iā ʻoe a me kāu kauka ʻoki ke pale loa i ka hoʻokumu ʻia ʻana o kēia mau pipili, no ka mea, he hana ho'ōla kūlohelohe ia o ke kino.
Akā aia kekahi mau ala e hōʻemi ai i ka pilikia:
- ʻO ke ʻoki Laparoscopic: Ke hoʻohālikelike ʻia me ke ʻoki hāmama/laparotomy, ʻo ke ʻoki puka kī, kahi e hoʻokomo ʻia ai kahi kāmela ma o kekahi mau ʻoki liʻiliʻi, e hōʻemi iki i ka hōʻino ʻana i nā kino. No laila, ua emi iki ka pilikia o ka hoʻopili ʻana.
- Nā Pale Kūikawā: I kekahi mau ʻoki kino, kau nā kauka ʻoki kino i kahi gel kūikawā a i ʻole membrane ma waena o nā kino e hoʻoheheʻe ana. Pale kēia i nā kino mai ka pipili ʻana i ka wā e ho'ōla ai.
Eia nō naʻe, ʻaʻole hiki i kēia mau ʻano hana ke pale i nā adhesions 100%.
Leka Lawe-Home
- He ʻano maʻamau loa nā pipili ʻōpū e kū mai ana ma hope o ke ʻoki ʻana o ka ʻōpū. He mau ʻiʻo ʻeha kēia e hana ʻia ana i loko o ke kino.
- He nui ka poʻe i loaʻa i kēia mau hoʻopili akā ʻaʻole lākou e ʻike i kekahi mau hōʻailona a pilikia paha.
- ʻO ka ʻeha ʻōpū nui koke, ka luaʻi ʻana, ka pehu ʻana, a me ka hiki ʻole ke hoʻokuʻu i ke kinoea a i ʻole ka ʻōpala he mau hōʻailona ia o ke ālai ʻana o ka ʻōpū. Inā loaʻa kēia mau mea, e hele koke i ka keʻena pilikia o ka haukapila (ETU) .
- ʻOiai ʻo ke ʻoki kino wale nō ke ala e wehe ai i nā mea hoʻopili, hiki i ke ʻoki kino ponoʻī ke hana i nā mea hoʻopili hou. No laila, ʻaʻole ʻōlelo nā kauka i ke ʻoki kino ke ʻole he mea pono loa.
- Inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū a i ʻole kekahi kānalua e pili ana i kēia, e kamaʻilio ākea me kāu kauka e pili ana i ia mea.
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