Inā nānā kāu kauka iā ʻoe a ʻōlelo mai, "He puʻupuʻu kou ma kou ʻōpū haʻahaʻa," he mea maʻamau ke manaʻo makaʻu loa a me ka hopohopo. Ke lohe mākou i ka huaʻōlelo "puʻupuʻu," noʻonoʻo koke ko mākou manaʻo i kahi mea weliweli. Akā, mai hopohopo. ʻO ka hapa nui o nā puʻupuʻu i ʻike ʻia ma kēia ʻano, i kapa ʻia ʻo "adnexal masses," ʻaʻole ia he maʻi kanesa. No laila, e kamaʻilio kākou e pili ana i kēia ma ke ʻano maʻalahi a pololei.
He aha maoli kēia Adnexal Mass?
I ka ʻōlelo maʻalahi, ʻo ka "adnexal mass" he ulu a he puʻupuʻu paha e ulu kokoke ana i kou uterus, ʻo ia hoʻi, i loko o nā ʻōpū e pili ana iā ia. Hoʻohana nā kauka i kēia inoa e wehewehe i nā ʻano puʻupuʻu like ʻole e ulu ana ma kou wahi pelvic.
ʻO ke ʻano o ka huaʻōlelo "adnexa" ʻo ia hoʻi "nā ʻāpana i hoʻopili ʻia." I kēia hihia, pili ia i nā ovaries, nā fallopian tubes, a me nā ʻiʻo hoʻohui e kākoʻo ana i kēia mau ʻōpū . No laila, ʻo kēlā me kēia puʻupuʻu e ulu ana ma kēia mau ʻāpana ua kapa ʻia ʻo "adnexal mass."
E hoʻomanaʻo, hiki ke hoʻopiha ʻia kekahi o kēia mau puʻupuʻu me ka wai (kapa mākou i kēia mau cysts), aʻo kekahi e paʻa. ʻO ka mea nui, ʻo ka hapa nui o kēia mau "Adnexal Masses" ʻaʻole ia he maʻi kanesa (benign). A hele wale kekahi o lākou i loko o kekahi mau mahina me ka ʻole o ka lāʻau lapaʻau.
He aha nā hōʻailona o kēia maʻi?
ʻAʻole loaʻa i nā kānaka a pau nā hōʻailona. I kekahi manawa ʻike ʻia lākou ma ke ʻano ulia i ka wā o kahi scan i hana ʻia no kekahi kumu ʻē aʻe. Akā inā loaʻa nā hōʻailona, hiki ke ʻokoʻa nā hōʻailona ma muli o kahi o ka puʻupuʻu a me kona kumu.
E nānā i ka papa ma lalo e ʻike i nā hōʻailona i ʻike pinepine ʻia.
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha Pelvic | Hiki ke lilo i ʻeha mau a i ʻole he ʻeha nui a koke. |
| Paʻakikī ke mimi | Hiki paha iā ʻoe ke paʻakikī i ka mimi ʻana a i ʻole pono e mimi pinepine. |
| Ka menstruation kūpono ʻole | Hiki ke ʻano ʻē aʻe ke ʻano o ka menstruation o kēlā me kēia mahina a ʻaʻole like me ka mea maʻamau. |
| Pehu ʻana | Ke pehu nei ka ʻōpū, me he mea lā ua piha i ke kinoea. |
| Ka paʻa ʻana o ka ʻōpū | Ka paʻakikī o ka hoʻokahe ʻana e like me ka mea maʻamau. |
| ʻEha i ka wā o ka moekolohe | Ke ʻeha nei i ka wā e moe ai me kāu kāne. |
He aha nā kumu o ka hoʻokumu ʻana o ka nui o ka adnexal?
Hiki i kēia mau puʻupuʻu ke ulu ma muli o nā kumu gynecological a me nā kumu non-gynecological. Eia nō naʻe, ʻo ka hapa nui o ka ulu ʻana ma muli o nā kumu e pili ana i ka ʻōnaehana hānau .
Nā kumu o ke kino wahine
ʻO kēia nā kumu i maʻamau pinepine ʻia.
- ʻO nā cysts ovarian: Nā cysts piha i ka wai e hana ʻia ma luna o ka ʻili o nā ovaries. He mea maʻamau kēia. ʻO ka hapa nui o ka manawa, ʻaʻohe ʻeha a ʻaʻohe hōʻailona.
- Nā puʻupuʻu ovarian ʻaʻole cancerous: ʻO nā pūnaewele i loko o nā ovaries e ulu ana ma ke ʻano ʻē, e hana ana i nā puʻupuʻu paʻa. He maikaʻi kēia a ʻaʻole maʻamau e laha i nā wahi ʻē aʻe.
- Hāpai Ectopic: Hoʻokomo ʻia kahi hua manu i hoʻoulu ʻia ma kahi ʻē aʻe, e like me ka fallopian tube, ma kahi o loko o ka ʻōpū. He kūlana weliweli loa kēia. Hiki iā ia ke hoʻoulu i ke kahe koko i loko a me ka ʻeha nui. Inā ʻaʻole mālama ʻia, hiki iā ia ke hoʻoweliweli i ke ola o ka makuahine.
- ʻO ke Kino Luteum Corpus: He ʻōpū ʻeha ʻole a ʻeha ʻole e hana ʻia i ka wā o ka ovulation. Nalo wale kēia mau mea ma hope o ka ovulation.
- PCOS (Polycystic Ovary Syndrome): He kūlana hormonal kēia e hiki ai ke hana i nā cysts liʻiliʻi he nui ma nā ovaries.
- Endometriomas: Pili kēia i kahi maʻi i kapa ʻia ʻo endometriosis. ʻO kēia kahi e hana ʻia ai nā cysts i piha i ka wai i piha i ke koko menstrual i loko o nā ovaries.
- Hydrosalpinx: He kūlana kahi e piha ai ka ʻōmole fallopian i ka wai a hana i kahi ʻano like me ka ʻeke. ʻOiai he asymptomatic ia, hiki i kekahi manawa ke hōʻeha i ka ʻōpū lalo a i ʻole ka paʻakikī o ka hāpai ʻana.
- Ka Maʻi ʻAʻai ʻŌpū: Inā lilo kahi puʻupuʻu i hana ʻia i loko o kahi ovary i mea ʻino, hiki iā ia ke ulu a laha i nā ʻāpana ʻē aʻe o ke kino. Akā e hoʻomanaʻo, he hapa liʻiliʻi wale nō o nā puʻupuʻu adnexal i lilo i maʻi ʻaʻai.
Nā kumu nongecologic
ʻO ka maʻamau, kū mai kēia mau mea mai nā ʻāpana o ka ʻōnaehana digestive a i ʻole ka ʻōnaehana urinary. ʻAʻohe o lākou pilina me ka uterus, ovaries, a i ʻole fallopian tubes.
- Nā puʻupuʻu i loko o ka kolona, ka ʻōpū mimi, a me ka appendix.
- I nā hihia kakaikahi, hiki ke ulu aʻe kēia ʻano puʻupuʻu i ka wā e laha ai nā maʻi kanesa ʻē aʻe, e like me ke kanesa o ka umauma a i ʻole ke kanesa o ka kolona, (metastasize) i ka ʻāpana pelvic.
Hiki i kahi puʻu adnexal ke lilo i mea weliweli?
ʻAʻole weliweli ka hapa nui o nā puʻupuʻu adnexal. Eia nō naʻe, hiki i kekahi mau puʻupuʻu ke hana i nā pilikia koʻikoʻi. ʻO ka hāpai ʻana o ka ectopic, nā puʻupuʻu maʻi kanesa, nā puʻupuʻu adnexal i haki, a me ka wili ʻana o ka ovary a i ʻole ka fallopian tube (adnexal torsion) he mau kūlana e pono ai ke kōkua lapaʻau koke.
Inā loaʻa iā ʻoe kahi "Adnexal Mass" a ke ʻike nei hoʻi i nā hōʻailona e like me ka ʻeha nui o ka ʻōpū ma lalo, ka nausea a i ʻole ka luaʻi ʻana, a me ke kuni, he hōʻailona paha ia o kahi pilikia. I kēlā mau hihia, e ʻike koke i ke kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila.
ʻOiai he puʻupuʻu kou, ʻaʻole ia he manaʻo he maʻi kanesa ia. ʻO ka hapa nui o nā puʻupuʻu, ʻaʻole ia he maʻi kanesa (benign). Eia nō naʻe, ʻoi aku ka nui o ka pilikia o ka lilo ʻana i maʻi kanesa (malignant) i kahi puʻupuʻu adnexal e ulu ana i nā wahine ma hope o ka menopause.
Pehea e ʻike ai ke kauka i kēia a mālama i kēia?
ʻO ka maʻamau, kānalua ke kauka he puʻupuʻu kou i ka wā o ka hoʻokolokolo pelvic. A laila e kauoha lākou i kahi scan ultrasound e nānā pono aku. I kekahi manawa, pono paha kahi biopsy a i ʻole ke ʻoki kino e nānā i nā hunaola kanesa i loko o ka puʻupuʻu.
Eia kekahi, hiki ke hana ʻia nā hoʻokolohua e like me ka hoʻāʻo hāpai, nā hoʻāʻo koko, a inā pono, kahi CT scan a i ʻole MRI scan e kāpae i kahi hāpai ectopic.
Aia ka lāʻau lapaʻau i nā kumu he nui, me ke kumu o ka puʻupuʻu, kona nui, a me kāu mau hōʻailona. ʻEkolu mau koho lapaʻau nui.
| ʻAno lapaʻau | Āhea e hana ʻia ai kēia? |
|---|---|
| Me ka ʻole o ka lāʻau lapaʻau | Inā liʻiliʻi ka puʻupuʻu, ʻaʻole ʻeha, a ua hilinaʻi ke kauka ʻaʻole ia he maʻi kanesa, ʻaʻole paha ʻo ia e ʻōlelo i kekahi lāʻau lapaʻau. |
| Ka nānā pono ʻana | Inā ʻaʻole maopopo ke kumu kikoʻī o ka puʻupuʻu, a inā he hopohopo e pili ana i ka nui o ka puʻupuʻu a i ʻole nā hōʻailona, e hana ke kauka i nā scan pinepine e nānā i kāna mau loli. |
| ʻoki kino | Inā manaʻo ʻia he maʻi ʻaʻai ka puʻupuʻu, he nui ka nui (ʻoi aku ma mua o 6-10 kenimika), ke hōʻeha nui nei iā ʻoe, a i ʻole he hāpai ectopic, e wehe ʻia ma ke ʻoki ʻana. |
Nā mea e nīnau aku ai i kāu kauka
Ke ʻike ʻoe he "(Adnexal Mass)" kou, e nīnau i kāu kauka i nā nīnau āu e loaʻa ai. Eia kekahi laʻana:
- E pono anei iaʻu ke ʻoki kino?
- ʻEhia pinepine ʻoe e nānā ai i kēia puʻupuʻu?
- He liʻiliʻi anei ka manawa kūpono e hiki ai ke lilo i maʻi kanesa?
- He aha nā hōʻailona e pono iaʻu e hōʻike koke inā loaʻa lākou?
ʻOiai he mea maʻamau ka makaʻu ke lohe ʻoe i ka huaʻōlelo "tumor," mai hoʻāʻo e hopohopo a hiki i kou kamaʻilio ʻana me kāu kauka a loaʻa ka ʻike kūpono. E hoʻomanaʻo, ʻaʻole weliweli ka hapa nui o kēia mau mea, a e hoʻomaikaʻi kekahi iā lākou iho.
Leka Lawe-Home
- ʻO ka "Adnexal Mass" he puʻupuʻu e ulu ana i loko o nā ʻōpū e hoʻopuni ana i ka ʻōpū. ʻO ka hapa nui o kēia mau mea ʻaʻole ia he maʻi kanesa.
- Mai hopohopo no kou lohe ʻana i ka huaʻōlelo "tumor." E noho mālie a hiki i ka loaʻa ʻana o kahi hōʻoia kūpono.
- ʻAʻole paha e ʻike kekahi poʻe i kekahi mau hōʻailona. Inā loaʻa nā hōʻailona, hiki iā lākou ke ʻeha i ka ʻōpū lalo a me ka paʻakikī o ka mimi.
- Aia ka lāʻau lapaʻau i ke kumu o ka puʻupuʻu, kona nui, a me kāu mau hōʻailona. I ka manawa pinepine, ua lawa ka nānā ʻana.
- E hahai i nā ʻōlelo a kāu kauka a hele i nā hoʻokolohua ma nā lā i hoʻonohonoho ʻia.
- Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha nui o ka ʻōpū, ke kuni, ka nausea, a i ʻole ka luaʻi ʻana, e ʻimi koke i ke kōkua lapaʻau no ka mea he pilikia paha ia.
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