Ua hana ʻia anei ke ʻoki ʻōpū iā ʻoe? A i ʻole ua hana ʻia kekahi o kou mau hoaaloha a ʻohana paha? I kekahi manawa, hiki i nā kānaka e like me ia ke hoʻomohala i nā mea hoʻopili liʻiliʻi i loko o ko lākou ʻōpū. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi i kapa ʻia ʻo Abdominal Adhesions .
He aha kēia mau mea hoʻopili ʻōpū? E wehewehe pono kākou!
I ka ʻōlelo maʻalahi, ʻo nā pipili he mau kaula o nā ʻiʻo ʻeha e hana ʻia i loko o kou ʻōpū, ma waena o nā ʻōpū i loko o kou lua ʻōpū, a i ʻole ma waena o kahi ʻōpū a me ka paia ʻōpū. I ka pololei, hana ʻia lākou i ka wā e ho'ōla ʻia ai kekahi ʻeha, e like me ka hana ʻana o kahi ʻeha i ka wā e hōʻeha ʻia ai ko kākou ʻili.
E noʻonoʻo, he nui nā ʻōkana koʻikoʻi i loko o kou ʻōpū.
- ʻO kā mākou ʻōnaehana hoʻoheheʻe , ʻo ia hoʻi, nā mea e like me ka ʻōpū , ka ʻōpū liʻiliʻi, a me ka ʻōpū nui.
- ʻO nā ʻōpū hānau wahine nā ʻōpū o ka ʻōnaehana hānau wahine .
- Nā puʻupaʻa, nā kelepa adrenal.
- ʻAkepaʻa .
- ʻO ka pancreas .
- ʻŌpū .
ʻO kēia nā wahi e hoʻopili pinepine ʻia ai nā mea e hoʻopili ʻia ai. He mea maʻamau lākou i loko o ka ʻōpū liʻiliʻi . Hoʻokumu ʻia kēia mau mea e hoʻopili ʻia ai ke loaʻa kahi ʻeha, ka maʻi, a i ʻole ka mumū i loko o ka ʻōpū. Mai kahaha, i kekahi manawa hiki iā lākou ke hoʻopili ʻia i ka wā o ke ʻoki ʻana, ʻoiai ke hoʻopā ʻia nā ʻōpū. ʻO ka ʻoiaʻiʻo, ʻike pinepine ʻia kēia mau mea e hoʻopili ʻia ai ma hope o ke ʻoki ʻana o ka ʻōpū. Hoʻokumu ʻia kēia ʻiʻo ʻeha ma ke ʻano he ʻāpana o ke kaʻina hana ho'ōla maoli o ke kino, a i kekahi manawa hoʻomaka nā ʻiʻo e hoʻopili pū.
Pehea ka maʻamau o kēia mau ʻano maʻi ʻona? Loaʻa anei i nā kānaka a pau?
ʻO ka ʻoiaʻiʻo, nui ka poʻe i hana ʻia i ke ʻoki ʻōpū e loaʻa i kēia mau hoʻopili. ʻO ia ka hopena ʻaoʻao maʻamau . Eia nō naʻe, ʻaʻohe o ka nui o ka poʻe i nā hōʻailona a ʻaʻole pono ka lāʻau lapaʻau.
Akā, aia kekahi mea ʻē aʻe. ʻO kēia mau mea hoʻopili ke kumu nui o ka ālai ʻana o ka ʻōpū liʻiliʻi . ʻO ka ālai ʻana o ka ʻōpū liʻiliʻi kahi maʻi koʻikoʻi e pono ai ke kōkua lapaʻau koke. ʻO ia hoʻi, ua ālai piha ʻia a hapa paha ka ʻōpū.
He aha nā hōʻailona e hiki ke kū mai inā he mau adhesions i loko o ka ʻōpū?
ʻO ka hapa nui o ka manawa, e like me kaʻu i ʻōlelo ai ma mua, ʻaʻole kēia mau mea hoʻopili e hōʻike i kekahi mau hōʻailona . ʻAʻole paha ʻoe e ʻike ua loaʻa iā ʻoe lākou.
Eia nō naʻe, i kekahi manawa hiki i kēia mau mea hoʻopili ke hoʻopili i kou mau ʻōpū. Ua like ia me kahi paipu wai e paʻa ana. Hiki ke hana koke ʻia kēia ma hope o ke ʻoki ʻana, a i ʻole hiki ke hana ʻia i nā makahiki ma hope. ʻO kēia ka manawa e hana ʻia ai ke ālai ʻana o ka ʻōpū liʻiliʻi aʻu i ʻōlelo ai.
Inā paʻa kou ʻōpū, ʻaʻole hiki i ka meaʻai, ka wai, ka ea, a me ka ʻōpala ke hele ma waena o lākou. Hiki iā ʻoe ke ʻike i nā hōʻailona e like me:
- Hiki iā ʻoe ke loaʻa i ka ʻeha nui o ka ʻōpū .
- Hiki paha iā ʻoe ke manaʻo i ka ʻūmiʻi a i ʻole ka ʻeha i loko o kou ʻōpū.
- Hiki ke pehu .
- Hiki ke loaʻa ka luaʻi a me ka luaʻi .
- Hiki i ka ʻōpū ke puʻupuʻu i mua (distension ʻōpū).
- Hiki ke loaʻa nā kūlana e like me ka hiki ʻole ke hoʻokuʻu i ka ea a me ka hiki ʻole ke kipaku (obstipation).
He mea nui: Inā loaʻa iā ʻoe kēia mau hōʻailona o ke ālai ʻana o ka ʻōpū, pono ʻoe e hele koke i ka ʻoihana pilikia o ka haukapila (ETU) . Hiki i kēia ke hoʻoweliweli i ke ola inā ʻaʻole mālama koke ʻia.
No ke aha e hoʻopili ʻia ai kēia mau ʻōpū? He aha nā kumu?
Hoʻokumu ʻia nā pipili o ka ʻōpū ke hoʻoponopono hou kou kino i nā ʻiʻo i hōʻino ʻia i loko o kou lua ʻōpū. Ua like lākou me nā ʻōpala e hana ʻia i loko o kou kino. Inā hōʻino ʻia kekahi ʻōkana a ʻiʻo paha i loko o kou ʻōpū, e hoʻoulu kāu ʻōnaehana pale i ka mumū e hoʻoponopono i kēlā ʻiʻo. Ma ke ʻano he ʻāpana o kēia kaʻina hana ho'ōla, hana ʻia nā ʻiʻo ʻōpala ma luna o nā ʻiʻo i hōʻino ʻia.
E noʻonoʻo, inā ʻoe e ʻoki i kou kuli a loaʻa kahi ʻoki, e mae wale ka ʻeha ma hope o kekahi manawa a ʻaʻole ʻoe e ʻike aia ma laila. Akā, ʻaʻole e nalowale wale kēia mau mea e hoʻopili ʻia ana i loko o ka ʻōpū. Akā, hiki i nā ʻili i hōʻino ʻia ke pili pū.
Ua ʻōlelo ʻia ma kahi o 75% o nā hoʻopili i ʻike ʻia ua hana ʻia e ke ʻoki ʻana i ka ʻōpū . Eia nō naʻe, hiki iā lākou ke ulu ma ke ʻano he pane i kekahi ʻeha, kūlana olakino, a i ʻole ka lāʻau lapaʻau e hoʻoulu ai i ka pehu ʻana i loko o ka ʻōpū. Eia kekahi laʻana:
- Nā maʻi ʻōpū a i ʻole pelvic.
- ʻApendisitis.
- ʻO ka maʻi o Crohn.
- ʻO ka diverticulitis.
- ʻO ka endometriosis.
- Ka maʻi mumū Pelvic (PID).
- ʻO ka radiation therapy i kou ʻōpū (kahi lāʻau lapaʻau no ka maʻi kanesa).
- ʻO ka dialysis peritoneal (kahi lāʻau lapaʻau no ka hāʻule ʻana o ka puʻupaʻa).
ʻO wai ka mea i ʻoi aku ka pilikia o ka hoʻomohala ʻana i kēia mau mea?
ʻO ke kumu pilikia nui loa no ka hoʻomohala ʻana i nā hoʻopili ʻana o ka ʻōpū ʻo ia ka hana ʻoki ʻana i ka ʻōpū .
- ʻO ke ʻoki kino hāmama (Laparotomy):Hoʻokahi ʻoki nui kēia. Loaʻa kēia mau pipili ma mua o 90% o nā ʻoki kino hāmama.
- Ua emi iki ka pilikia o kēia mau hoʻopili ʻana i ka wā o ke ʻoki laparoscopic , no ka mea, i ka wā o ke ʻoki laparoscopic, hana nā kauka ʻoki i ke ʻoki ma o kekahi mau ʻoki liʻiliʻi ma kahi o hoʻokahi ʻoki nui.
- ʻO ke ʻoki ʻana i hana ʻia ma nā ʻōpū ma ka ʻaoʻao haʻahaʻa o kāu ʻōnaehana hoʻoheheʻe, e like me ka colon a me ka rectum .
- ʻEhia mau manawa i hana ʻia ai ʻoe i ke ʻoki ʻōpū?
- ʻOki ulia pōpilikia.
He aha nā pilikia e hiki mai ana mai kēia mau pipili ʻana o ka ʻōpū? He mea weliweli anei lākou?
ʻAʻole pilikia ka hapa nui o nā mea hoʻopili. Eia nō naʻe, inā loaʻa kahi pilikia, hiki i nā pilikia ke koʻikoʻi loa.
Hiki i nā pilikia ke komo pū me:
- ʻO ke ālai ʻana o ka ʻōpū liʻiliʻi: Hiki i kēia ʻiʻo ʻeha ke hana i nā apo o ka ʻōpū liʻiliʻi e wili a ʻūlū paha, e hana ana i kahi ālai. Inā ʻaʻole e mālama koke ʻia, hiki i kēia ālai ke alakaʻi i kahi maʻi hoʻoweliweli ola i kapa ʻia ʻo peritonitis .
- ʻEha mau loa: Hiki i kēia mau mea hoʻopili ke pale i kou mau kino mai ka neʻe manuahi ʻana. Hiki i kēia ke hana i ka ʻeha visceral lōʻihi i loko o kou lua pelvic a i ʻole ka ʻōpū.
- ʻAʻohe keiki: Hiki i nā pipili ke hana i ka hānau ʻole. Hiki i kēia ʻiʻo ʻeha ke pale i ka hui ʻana o ka hua manu a me ka sperm, e pale ana i ka hāpai ʻana. Hiki i ka ʻiʻo ʻeha i loko o ka uterus ke pale i ka hua manu i hoʻoulu ʻia (embryo) mai ke kanu ʻana i loko o ka paia o ka uterine. Ua kapa ʻia kēia mau pipili i loko o ka uterus he intrauterine adhesions , a i ʻole Asherman's syndrome .
Pehea e ʻike ai nā kauka i kēia?
E nīnau aku kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona a me kou mōʻaukala olakino. Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha o ka ʻōpū, a inā ua hana mua ʻia ʻoe i ke ʻoki ʻōpū, hiki i kāu kauka ke kānalua i kēia mau pipili.
Eia nō naʻe, ʻaʻole hiki i ka ʻenehana kiʻi, ʻo ia hoʻi nā scan, ke ʻike pololei i nā mea pipili i loko o ka ʻōpū. Eia nō naʻe, hiki i kēia mau hoʻokolohua ke ʻike i nā mea ālai ʻōpū e pili ana paha i nā mea pipili.
- Hiki i nā kiʻi X-ray a me nā kiʻi CT o kou ʻōpū ke hōʻike i nā poloka i loko o kou ʻōpū liʻiliʻi. Hiki i kahi scan CT ke hoʻoholo i ke koʻikoʻi o ka poloka.
- Hiki i kahi hoʻokolohua i kapa ʻia ʻo hysterosalpingogram (HSG) ke hōʻike i nā poloka i loko o kāu ʻōpū a i ʻole nā tubes fallopian.
ʻO ke ala wale nō e ʻike pono ai inā he mau adhesions kou, ʻo ia ke hana ʻoki kino .
Pono ʻoe i ka lāʻau no nā pipili o ka ʻōpū?
ʻAʻole hōʻike ka nui o nā hoʻopili ʻana i nā hōʻailona a no laila ʻaʻole pono ka mālama ʻana.
Eia kekahi, hiki i nā ʻokiʻoki hou aku ke hoʻoulu i nā pipili hou aku. E noʻonoʻo e pili ana i kēia ʻano: Hiki i kāu kauka lapaʻau ke ʻoki a "wehe" i nā kaula o nā ʻiʻo i hoʻopaʻa ʻia. Eia nō naʻe, i ka pau ʻana o ke ʻoki ʻana, ʻaʻohe ala e pale aku ai i ka ʻiʻo mai ka hoʻopili hou ʻana.
No laila, e pale aku paha kāu kauka i ke ʻoki kino ke ʻole he pilikia olakino koʻikoʻi, e like me ke ālai ʻana o ka ʻōpū. Pono paha ʻoe i ke ʻoki kino e wehe i nā mea hoʻopili o ka ʻōpū e pale ana iā ʻoe mai ka loaʻa ʻana o kahi pēpē.
Aia kekahi ala e pale ai i ka hoʻopili ʻana o kēia mau ʻōpū?
I ka ʻoiaʻiʻo, ʻaʻohe mea kikoʻī e hiki iā ʻoe a i ʻole kāu kauka lapaʻau ke hana e pale aku ai i ka hoʻopili ʻana o ka ʻōpū.
Eia nō naʻe, ʻoi aku ka liʻiliʻi o nā ʻoki i ka wā o ke ʻoki laparoscopic, no laila ʻaʻole hiki ke hoʻopili ʻia nā mea pili. No laila, ke koho nei nā kauka ʻoki i ke ʻoki laparoscopic ma mua o ke ʻoki hāmama no nā ʻoki ʻōpū he nui.
Eia kekahi, hiki i kāu kauka lapaʻau ke kau i nā pale ma waena o nā ʻili o nā ʻiʻo i ka wā o ke ʻoki ʻana e pale aku iā lākou mai ka pipili ʻana ma muli o nā ʻiʻo ʻeha. Loaʻa kēia mau pale i nā mea paʻa, nā wai, nā gels, a me nā pīpī e hoʻoheheʻe ʻia i loko o ke kino. Eia nō naʻe, me kēia mau pale, ʻo ka hoʻokumu ʻana o nā ʻiʻo ʻeha he ʻāpana ia e hiki ʻole ke pale ʻia o ke kaʻina hana ho'ōla.
Ke hoʻomau nei ka noiʻi ʻana i ka loaʻa ʻana o nā hopena e hiki ai ke hōʻemi i nā pilikia i hoʻokumu ʻia e kēia mau hoʻopili.
He aha ka wā e hiki mai ana no kekahi me kēia maʻi?
ʻOiai inā he nui nā mea e hoʻopili ʻia ana i loko o kou ʻōpū, ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona. Eia nō naʻe, inā he mau keʻakeʻa ʻana o ka ʻōpū, a inā he keʻakeʻa piha kāu, pono paha ʻoe i ke ʻoki ʻana.
Ke nalowale nei nā mea pipili o ka ʻōpū i ka hala ʻana o ka manawa?
Hiki i kekahi mau mea hoʻopili ʻōpū ke hoʻomaikaʻi i ka hala ʻana o ka manawa. A, inā ʻaʻole lākou e hoʻoulu i nā pilikia, ʻaʻole wehe pinepine nā kauka iā lākou.
Eia nō naʻe, i kekahi manawa, pono ke ʻoki ʻana, ʻoiai inā he pilikia o nā pipili hou aʻe. E kōkua kāu kauka iā ʻoe e hoʻoholo i nā pono a me nā pōʻino o ke ʻoki ʻana, ma muli o kāu mau hōʻailona.
He aha nā mea e hiki ke hana ʻia no ka ʻeha i hoʻokumu ʻia e nā pipili ʻana o ka ʻōpū?
Hiki i kāu kauka ke kuhikuhi i nā lāʻau ʻeha i hiki iā ʻoe ke kūʻai ma ka hale kūʻai lāʻau.
Manaʻo kekahi mau noiʻi e hiki i kahi ʻano hana hoʻōla kino i kapa ʻia ʻo ka mobilization ʻiʻo palupalu ke kōkua i ka hōʻemi ʻana i ka ʻeha e pili ana i nā pipili. Eia nō naʻe, pono ka noiʻi hou aku e hoʻomaopopo i nā pono o kēia lāʻau lapaʻau.
Hiki ke wehe ʻia kēia ʻiʻo ʻeha (nā mea e hoʻopili ai) ma ka ʻōpū?
ʻO ke ala wale nō e uhaʻi ai i kēia ʻiʻo ʻeha, a i ʻole nā pili, ʻo ia ke hana ʻoki kino . E kamaʻilio kāu kauka me ʻoe e pili ana i nā pono a me nā pilikia o ke ʻoki kino, ma muli o kāu mau hōʻailona.
Aia kekahi mau meaʻai a mea inu paha e pono ʻoe e pale aku inā loaʻa iā ʻoe nā maʻi allergies?
ʻAʻohe meaʻai "maikaʻi ʻole" kikoʻī āu e pale aku ai inā he mau pipili kou. Eia nō naʻe, inā he ʻano kou e like me ka pale ʻana o ka ʻōpū hapa, hiki i kāu kauka ke ʻōlelo aku iā ʻoeUa ʻōlelo ʻia e ʻai i nā meaʻai palupalu a i ʻole nā meaʻai haʻahaʻa i ka fiber. ʻO kēia no ka mea hiki i kēlā mau meaʻai ke hele maʻalahi ma kou ʻōpū.
Āhea wau e ʻimi ai i ke aʻo lapaʻau?
Inā loaʻa iā ʻoe ka ʻeha ʻōpū i wehewehe ʻole ʻia, a inā pilikia ʻoe i ka hele ʻana i ka ʻōpala a i ʻole ke kahe ʻana i ke kinoea, e ʻike koke i kāu kauka. Loaʻa paha iā ʻoe nā mea e hoʻopili ai a i ʻole kahi paʻa i loko o kou ʻōpū.
He mea hoʻoweliweli ke pani piha ʻana o ka ʻōpū! Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻimi koke i ke kōkua lapaʻau:
- ʻEha nui o ka ʻōpū a i ʻole ke kuʻi ʻana.
- Ka pehu nui a i ʻole ka pehu ʻana.
- Ka luaʻi a i ʻole ka luaʻi ʻana.
He mea maʻamau ka hoʻomohala ʻana i nā pipili i loko o ka ʻōpū ma hope o ke ʻoki ʻana i ka ʻōpū. ʻO ka mea pōmaikaʻi, ʻaʻole loa e hoʻopilikia ka hapa nui o nā pipili. Eia nō naʻe, inā ʻike ʻoe i nā hōʻailona o ke ālai ʻana o ka ʻōpū, e like me ka ʻeha o ka ʻōpū, ka paʻakikī i ka hoʻopuka ʻana i ke kinoea, a i ʻole ka neʻe ʻana o ka ʻōpū, e ʻimi koke i ke kōkua lapaʻau ulia pōpilikia. Hiki i kēia ʻiʻo e like me ka ʻeha ke hoʻopilikia i nā makahiki ma hope o ke ʻoki ʻana. ʻO ka ʻike ʻana i nā hōʻailona hōʻailona e hiki ke kōkua iā ʻoe e loaʻa koke ke kōkua.
ʻO ka mea hope loa, ʻo ka mea nui loa āu e hoʻomanaʻo ai (Leka Lawe-Home)
ʻAe, no laila, mai nā mea a mākou i kamaʻilio ai, eia nā mea nui loa e pono ai ʻoe e hoʻomanaʻo:
- He mea maʻamau loa ka hana ʻana o nā hoʻopili ʻana e like me kēia ma hope o ke ʻoki ʻana o ka ʻōpū.
- Eia nō naʻe, ʻaʻole ʻike ka hapa nui o ka poʻe i kekahi mau hōʻailona a pilikia paha mai kēia, no laila mai hopohopo.
- ʻO ka mea nui loa, ʻo ia ka makaʻala i nā hōʻailona hōʻailona (ʻeha nui o ka ʻōpū, pehu ʻana, luaʻi ʻana, a me ka paʻa ʻana o ka ʻōpū) e hiki ke kū mai inā hana kēia mau hoʻopili ʻana i kahi mea e like me ke ālai ʻana o ka ʻōpū.
- Inā kū mai kēlā mau hōʻailona, hiki ke hoʻōla ola ke ʻimi koke i ke kōkua lapaʻau me ka hoʻonele ʻole i ka manawa .
- Ma mua o ke ʻoki ʻana, e kamaʻilio me kāu kauka e pili ana i kēia mau hoʻopili ʻana. E nīnau inā hiki i nā kaʻina hana e like me ka laparoscopy ke hōʻemi i ka pilikia.
No laila, ke lana nei koʻu manaʻo he mea pono kēia ʻike iā ʻoe. E noho olakino!











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