Ua piha anei kou umauma i ka ea i kou wā? (Catamenial Pneumothorax) E aʻo kākou e pili ana i ia mea!

He manawa paʻakikī pinepine ka maʻi ʻōpū no kekahi o kā mākou mau wāhine. ʻOiai ke manaʻo nei mākou he mea maʻamau nā mea e like me ka ʻeha o ka ʻōpū a me ke kua, i kekahi manawa i loko o kēia manawa, hiki ke loaʻa nā ʻeha umauma ʻē a me ka paʻakikī o ka hanu ʻana. I kēlā mau manawa, pono mākou e makaʻala iki e pili ana i kēia kūlana kūikawā a mākou e kamaʻilio nei i kēia lā. ʻOiai he mea weliweli iki kēia, e hoʻomaopopo maʻalahi kākou.

He aha kēia (Catamenial Pneumothorax)?

I ka ʻōlelo maʻalahi, ʻo `(Catamenial Pneumothorax)` ka hōʻiliʻili ʻana o ka ea ma waena o kou mau māmā a me ka uhi o kou umauma, a puni ka manawa o kou wā, a i ʻole i loko o ia mau lā. ʻO ke ʻano o ka huaʻōlelo ``Catamenial`` ``pili i ka menstruation.`` ʻO ``Pneumothorax`` ʻo ia hoʻi he ea i loko o ka lua o ka umauma. Hiki i kēia hōʻiliʻili ʻana o ka ea ke hoʻoulu i ke kaomi a puni nā māmā, a i kekahi manawa hiki i kahi hapa a i ʻole ka māmā holoʻokoʻa ke hiolo. E noʻonoʻo e like me kahi pōpō i nalowale kekahi ea. No ka hapa nui o ka poʻe, hoʻopilikia kēia i ka māmā ʻākau.

He aha nā hōʻailona o kēia maʻi?

E noʻonoʻo, e kou hoaaloha, e kapa kākou iā ia ʻo 'Samadhi'. Ua ʻeha nui ka umauma o Samadhi ma ka ʻaoʻao ʻākau no ʻelua a ʻekolu paha lā ma mua o ka hoʻomaka ʻana o kona wā, a ua manaʻo iki ʻo ia he pōkole ka hanu. Ua manaʻo ʻo ia he mea maʻamau kēia, malia paha ma muli o ka hoʻoikaika kino. Akā i kona ʻike ʻana i ke kauka wale nō i ʻike ai ʻo ia e pili ana i kēia maʻi i kapa ʻia ʻo `(Catamenial Pneumothorax)`. No laila, inā ʻike pū ʻoe i kēia mau hōʻailona, ​​​​he mea nui e hopohopo e pili ana i ia mea:

• ʻEha umauma: ʻO kēia ka hōʻailona nui. Hiki ke koke, ʻoi, ʻō, a i kekahi manawa ʻō. Hiki ke ʻoi aku ka ʻeha i ka wā e hanu ai a i ʻole ke ʻū ʻana.
• Pōkole o ka hanu: Hiki iā ia ke manaʻo e like me ʻaʻole hiki iā ʻoe ke hanu, ke hanu nei ʻoe, a ua paʻa paha kou umauma.
• Kuke: Hiki ke loaʻa kahi kuke ʻeha a maloʻo.
• ʻUmi ʻana i ke koko (Hemoptysis): I kekahi manawa, hiki ke puka mai kahi koko liʻiliʻi me ka phlegm. ʻAʻole kēia e hana i nā kānaka a pau.
• Hoʻonui ʻia ka nui o ka hanu ʻana a i ʻole ka piʻi ʻana o ka nui o ka puʻuwai.
• ʻO ke kala polū o ka ʻili, nā lehelehe, a i ʻole nā ​​​​kui lima (Cyanosis): He hōʻailona koʻikoʻi kēia. Hana ʻia kēia ke loaʻa ʻole i ke kino ka oxygen lawa. Inā ʻike ʻoe i kahi mea e like me kēia, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.

ʻIke pinepine ʻia kēia mau hōʻailona i kekahi mau lā ma mua o ka hoʻomaka ʻana o kou wā (hoʻokahi a ʻelua paha lā) a i ʻole i loko o kekahi mau lā (ʻo 72 mau hola) ma hope o kona hoʻomaka ʻana.

No ke aha lā kēia e hana nei? He aha nā kumu?

ʻO ka ʻoiaʻiʻo, ʻo ka pilina ma waena o kou pōʻaiapuni menstrual a me kou mau māmā e piha ana i ka ea he mea ʻē paha ia, a i kekahi manawa paʻakikī i nā kauka ke kuhikuhi i ke kumu pololei. Akā aia kekahi mau mea kānalua nui.

ʻO ke kumu nui i manaʻo ʻia he kūlana i kapa ʻia ʻo "Endometriosis". ʻO kēia ka wā e ulu ai ka uhi o kou ʻōpū .ʻO ka Endometriosis ka ulu ʻana o nā ʻiʻo e like me ka uhi o ka uterus ma waho o ka uterus, ma nā wahi ʻē aʻe o ke kino. No ka laʻana, inā ulu kēia ʻiʻo i loko o kou mau māmā, ka pleurae (ka membrane lahilahi e hoʻopuni ana i nā māmā) a i ʻole ka diaphragm (ka ʻiʻo e hoʻokaʻawale ana i ka umauma a me ka ʻōpū), hiki i kēia ʻiʻo ke kahe koko a haki paha i ka wā o ka menstruation. Hiki i kēia ke hoʻoulu i ka ea e kahe i loko o ka pleural space a puni nā māmā. ʻO ia ka manawa e hana ai kahi pneumothorax. Inā ʻike maopopo ʻoe ua hoʻokumu ʻia kēia ʻano e ka endometriosis, ua kapa ʻia hoʻi he endometriotic pneumothorax.

Eia naʻe, ʻaʻole nā ​​​​kānaka a pau i loaʻa i ka pneumothorax catamenial he endometriosis. ʻO ka loli ʻana o nā pae hormone a me ka mumū e kū mai ana i kou wā hiki ke hoʻopilikia i kou mau māmā. ʻO kekahi mau kumu ʻē aʻe e hiki ke kōkua i ka pneumothorax i ka wā menstruation:

• Ka emi ʻana o ke kahe koko ma muli o nā kemika i kapa ʻia ʻo `(Prostaglandins): He mau kemika kēia e hana like me nā hormones. Hana nui ʻia lākou i kou wā. Ua manaʻo ʻia e hiki i kēia mau mea ke hana i nā ʻeke ea / blebs i loko o kou mau māmā e pohā, e hoʻoulu ai i ka ea e kahe i loko o ka hakahaka a puni kou mau māmā.
• Ke ea e hele ana ma o ka ʻōnaehana hānau: I kekahi manawa, hiki i ka ea ke komo i loko o ka umauma mai ka ʻōpū o ka ʻōpū ma o nā kīnā liʻiliʻi, congenital i loko o kou diaphragm.

He aha ka mea e hana ai inā pālahalaha ka Endometriosis i nā māmā?

Inā loaʻa iā ʻoe ka endometriosis i loko o kou mau māmā a i ʻole nā ​​​​​​hale a puni, hiki iā ia ke hana i kahi maʻi i kapa ʻia ʻo Thoracic Endometriosis Syndrome. Ma waho aʻe o ka pneumothorax, hiki i kēia mau mea ke hana pū:

• Ke hoʻopiha nei ke koko i ka hakahaka a puni nā māmā (Hemothorax)
• Nā puʻupuʻu pulmonary (nā puʻupuʻu liʻiliʻi i loko o nā māmā)
• ʻO ka hemoptysis catamenial (ʻū ʻana i ke koko a puni ka manawa o ka menstruation)

I kekahi manawa, ʻoiai inā ʻaʻole ʻoe i ʻike ʻia me ka endometriosis, inā loaʻa iā ʻoe kahi pneumothorax ma waena o nā wā, hiki ke kumu o ka ulu ʻana o ka ʻiʻo endometrial i loko o nā māmā a i ʻole ka diaphragm.

ʻO wai ka mea i pilikia nui no kēia maʻi?

ʻO ka pneumothorax catamenial kahi kūlana i loaʻa pinepine i nā wahine ma waena o 30 a me 40 mau makahiki e ovulating ana (ʻo ia hoʻi, ka menstruation mau). I kekahi manawa, hiki ke loaʻa i nā wahine e hoʻohana ana i ka hormonal birth control a i ʻole ka poʻe hāpai. Inā ʻoe a i ʻole kekahi o kou ʻohana he endometriosis, aia ʻoe i kahi pilikia kiʻekiʻe iki o ka loaʻa ʻana o kēia kūlana.

Hiki i kēia ke hoʻoulu i nā pilikia?

I kekahi mau hihia, hiki i ka pneumothorax ke alakaʻi i nā pilikia koʻikoʻi, e like me ka hāʻule ʻana o ka hanu a i ʻole ka hāʻule ʻana o ka puʻuwai . ʻOiai he mea kakaikahi kēia, he mea nui e ʻike i ke kauka inā loaʻa iā ʻoe nā hōʻailona o ka pneumothorax.Ma muli o ka like o kēia mau hōʻailona me nā maʻi koʻikoʻi ʻē aʻe, ʻaʻole lākou e nalo wale.

Pehea ʻoe e ʻike ai i kēia?

ʻO ka maʻamau, ʻike nā kauka i kahi maʻi i kapa ʻia ʻo "Catamenial Pneumothorax" ma ka hoʻolohe pono ʻana i kāu mau hōʻailona, ​​​​​​ka hoʻolohe ʻana i kou mau māmā, a me ka hoʻohana ʻana i nā hoʻokolohua kiʻi like ʻole. ʻO kēia mau hoʻokolohua:

• X-ray umauma: Hiki i kēia ke nānā inā ua ʻomi ʻia nā māmā a piha paha i ka ea.
• CT scan: Hiki i kēia ke hana i nā kiʻi ʻoi aku ka maopopo a me nā kikoʻī ma mua o kahi X-ray. Hiki iā ia ke nānā no ka endometriosis.
• ʻO ke kani ultrasound o ka māmā: Kōkua pū kēia i ka ʻike ʻana i ka pneumothorax.

I mea e kōkua ai i ke kauka e ʻike i ke kumu, he mea kōkua inā hiki iā ʻoe ke haʻi iā lākou i kēia mau mea:

• E hoʻomaka koke ana kou wā?
• Inā ua hoʻomaka koke nei kou wā.
• He mea nui ka ʻike inā ua loaʻa iā ʻoe kēia mau hōʻailona i kou wā ma mua.

I kekahi manawa, me ke ʻoki ʻole ʻana (no ka laʻana, laparoscopy a thoracoscopy paha) a i ʻole biopsy, ʻaʻole hiki i ke kauka ke ʻike inā he endometriosis a i ʻole kekahi mea ʻē aʻe ke kumu pololei o ka pneumothorax.

He aha nā lāʻau lapaʻau no kēia?

I ka hapa nui o ka manawa, e hoʻopau wale ʻia kahi pneumothorax liʻiliʻi. Eia nō naʻe, inā koʻikoʻi kou mau hōʻailona a i ʻole ua hiolo loa kou māmā, pono paha ʻoe e hana i kahi kaʻina hana i kapa ʻia he thoracentesis e wehe i ka ea mai kou umauma, a i ʻole kahi ʻōmole umauma. ʻAe kēia i kou māmā e hoʻonui hou.

I mea e pale ai i kēia maʻi mai ka hoʻi hou ʻana, hiki i kāu kauka ke ʻōlelo i kēia mau mea:

• ʻO ke thoracoscopy kōkua wikiō (VATS): Pili kēia i ke komo ʻana i kahi kāmela a me nā mea kani ma o kekahi mau ʻoki liʻiliʻi, e ʻae ana i ke kauka e wehe i nā ʻiʻo endometrial, hoʻoponopono i nā lua i loko o ka diaphragm, a pani paha i nā ʻeke ea (blebs).
• Nā lāʻau lapaʻau: Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e kāohi i kāu mau pae hormone, hoʻolohi i ka ulu ʻana o ka endometriosis, a hoʻōki i ka ovulation. No ka laʻana, hiki i kāu kauka ke kuhikuhi i nā pila hoʻomalu hānau, nā agonists hormone hoʻokuʻu gonadotropin (GnRH agonists), a i ʻole danazol.
• Pleurodesis: I ka wā o ke ʻoki ʻana, hoʻopili ʻia kou māmā i ka paia o ka umauma, ma o ka hoʻohana ʻana i nā kemika a i ʻole ma ka hana ʻana i kahi ʻoki liʻiliʻi i loko o ka ʻili o kou māmā (pleura). Hoʻōki kēia i ka hiolo ʻana o ka māmā no ka mea ʻaʻohe wahi no ka ea e hōʻiliʻili ai.
• Hysterectomy me ka bilateral oophorectomy: Inā hāʻule nā ​​​​lāʻau lapaʻau ʻē aʻe a pau, a koʻikoʻi loa nā hōʻailona, ​​​​ma ke ʻano he koho hope loa, e wehe ʻia ka uterus a me nā ovaries ma ke ʻoki ʻana, e hoʻōki loa ana i ka ovulation a me ka menstruation.

He mea nui: Hoʻoholo ʻia kēia mau lāʻau lapaʻau e kāu kauka ma muli o kou kūlana olakino, ka makahiki, nā pahuhopu hānau keiki, a me nā kumu ʻē aʻe he nui. No laila, he mea nui loa e hahai i nā ʻōlelo a kāu kauka a kūkākūkā i nā nīnau a hopohopo paha āu e loaʻa ai me kāu kauka.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona ʻoluʻolu ʻole e like me kēia (ʻoiai ka ʻeha o ka umauma, ka pōkole o ka hanu) e pili ana i kou wā, mai hoʻokuʻu wale iā ia me he "kou wā wale nō" a e kamaʻilio pono me ke kauka.

He mea kōkua paha ka nīnau ʻana i kāu kauka i nā nīnau e like me kēia:

• He aha kou manaʻo no ke kumu o kēia kūlana iaʻu?
• He aha nā koho lapaʻau aʻu e loaʻa ai? He aha nā pōmaikaʻi a me nā pōʻino?
• Inā pono iaʻu e hoʻokomo i kahi ʻōmole umauma, pehea ka lōʻihi e pono ai iaʻu e mālama iā ia i loko?
• Pono anei au e noho i loko o ka haukapila?
• Pehea e mālama ai iaʻu iho ma ka home? He aha kekahi mau mea ʻaʻole pono iaʻu e hana?
• Pehea e hoʻohana ai au i kēia mau lāʻau lapaʻau i kuhikuhi ʻia? Hiki iā lākou ke hana i nā hopena ʻaoʻao?

Āhea wau e hele ai i ka Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe nā hōʻailona o ka pneumothorax, e like me ka ʻeha nui o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole nā ​​lehelehe polū, e hele koke i ka Emergency Room (ER). Hiki i kēia ke lilo i mau hōʻailona o nā maʻi koʻikoʻi ʻē aʻe, a pono paha ʻoe i ka mālama ʻana i ka pilikia. Mai hoʻonele i ka manawa.

He aha kaʻu e manaʻo ai me kēia kūlana?

ʻAʻole maʻamau ka pneumothorax catamenial he maʻi hoʻoweliweli i ke ola. Eia nō naʻe, inā loaʻa iā ʻoe i hoʻokahi manawa a waiho ʻole ʻia e mālama ʻia, ʻoi aku ka nui o ka hiki ke hana hou ʻia, pinepine i kēlā me kēia mau mahina. ʻO ia ke kumu he mea nui e loaʻa kahi hōʻailona kūpono a me ka mālama ʻana. Pono paha ʻoe i ka hui pū ʻana o nā lāʻau lapaʻau (e like me ke ʻoki ʻana a me ka lāʻau lapaʻau) e mālama ai.

Hiki ke pale ʻia ka `(Catamenial Pneumothorax)`?

ʻO ka pneumothorax catamenial kahi maʻi e hiki ke hoʻi hou pinepine. Eia nō naʻe, ma muli o ke kumu, hiki i ke ʻoki kino (ʻoi aku hoʻi ʻo VATS), nā lāʻau lapaʻau hoʻoponopono hormone, a i ʻole ka hui pū ʻana o nā mea ʻelua ke kōkua i ka pale ʻana a i ʻole ka hōʻemi ʻana i ka hoʻi hou ʻana.

No laila, he aha nā mea nui e pono ai kākou e hoʻomanaʻo mai kēia moʻolelo?

ʻOiai he mea maʻamau ka loaʻa ʻana o kekahi ʻoluʻolu ʻole i kou wā, ʻaʻole ia he mea maʻamau ka loaʻa ʻana o nā pilikia māmā. ʻO ka mea pōmaikaʻi, ʻo kēia kūlana, i kapa ʻia ʻo "Catamenial Pneumothorax," ʻaʻole ia he mea hoʻoweliweli i ke ola. A aia nā lāʻau lapaʻau e hiki ke kōkua i ka pale ʻana iā ia mai ka hana hou ʻana.

ʻO ka mea nui loa, inā loaʻa iā ʻoe nā hōʻailona mau e like me ka ʻeha o ka umauma a me ka pōkole o ka hanu i ka wā o ka menstruation, mai hoʻowahāwahā iā ia a haʻi aku i ke kauka. A laila hiki iā ia ke ʻike inā he `(Catamenial Pneumothorax)` kēia a i ʻole kekahi mea ʻē aʻe, a hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo a me ka lāʻau kūpono loa. E hoʻomanaʻo, ʻo ka mea nui loa, ʻo ia ka mālama ʻana i kou olakino a kamaʻilio ākea e pili ana i kāu mau pilikia. Mai hopohopo, aia nā hopena i nā mea āpau!

ʻO ka Pneumothorax Catamenial, pneumothorax, menstruation, period, ʻeha umauma, pōkole o ka hanu, endometriosis, olakino o ka māmā, olakino wahine, Menstruation, ʻeha umauma, pōkole o ka hanu, māmā, endometriosis, olakino wahine