He manawa kūikawā loa ka hāpai ʻana i ke ola o ka makuahine. Eia nō naʻe, hiki ke kū mai nā pilikia olakino he nui i kēia manawa. No kekahi mau makuahine, hoʻomaka ka wehe ʻana o ka cervix i kekahi mau pule ma mua o ka lā hānau i manaʻo ʻia. Hiki i kēia ke alakaʻi i ka hānau mua ʻana. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau kūikawā a nā kauka e ʻōlelo ai i ia mau manawa pilikia. ʻO ia hoʻi, ke kau ʻana i kahi suture ma ka cervix, a i ʻole ma nā ʻōlelo lapaʻau (Cervical Cerclage) .
He aha ka Cervical Cerclage?
He mea maʻalahi loa kēia e hoʻomaopopo. E noʻonoʻo i kou ʻōpū e like me kahi ʻeke liʻiliʻi. Ulu palekana ke pēpē i loko o kēia ʻeke. ʻO ka cervix ka waha o kēlā ʻeke. ʻO ka maʻamau, pono e pani paʻa ʻia ka waha o kēia ʻeke, ʻo ia hoʻi ka cervix, a hiki i ka hānau ʻana o ke pēpē.
Akā i kekahi manawa hiki i kēia cervix ke lilo i nāwaliwali. A laila, i ka wā e piʻi ai ke kaumaha o ka pēpē, hoʻomaka ka cervix e wehe mua. (Cervical Cerclage) ʻo ia ka wā e humuhumu ʻia ai ka cervix, e kokoke ana e wehe, me kahi kaula ikaika a hoʻopaʻa ʻia. I ka pololei, ua like ia me ke nakinaki ʻana i kahi ʻeke me ke kaula . Hana ʻia kēia e mālama pono i ka pēpē i loko o ka ʻōpū a hiki i ka lā hānau.
No ke aha ʻoe e pono ai e hana i kahi mea e like me kēia?
ʻAʻole ke kuhikuhi nei kāu kauka i kēia lāʻau lapaʻau me ke kumu ʻole. Aia paha kekahi mau kumu kikoʻī no ia mea.
- ʻO ka Cervix Kūpono ʻole: ʻO kēia ke kumu nui. ʻO nā ʻoki ʻana o ka cervix ma mua, e like me nā kaʻina hana LEEP, hiki ke hoʻonāwaliwali i ka cervix.
- Nā hāʻule keiki ma mua: Inā ua loaʻa iā ʻoe nā hāʻule keiki, ʻoiai hoʻi i ka lua o ka trimester o ka hāpai ʻana, ʻo ia hoʻi, ma waena o nā mahina 3 a me 6, ʻo ke kumu paha he nāwaliwali o ka cervix.
- Nā ʻano ʻē i ke ʻano o ka ʻōpū: I kekahi manawa hiki ke hana ʻia kēia ʻano e kekahi mau loli congenital i loko o ka ʻōpū.
No laila, inā ua loaʻa iā ʻoe kekahi mau pilikia me nā hāpai mua a i ʻole ua loaʻa iā ʻoe nā hāʻule ʻana, he mea nui loa ia e haʻi i kāu kauka e pili ana i kēia mau mea āpau.
Hoʻokomo pinepine ʻia kēia humuhumu ma waena o 12 a me 14 mau pule o ka hāpai ʻana, ʻo ia hoʻi, ma mua o ka hoʻomaka ʻana o ka lahilahi o ka cervix.
He aha ka mea e hana ʻia ma mua a i ka wā o ka mālama ʻana?
Ma mua o kēia, e nānā ke kauka i kou mōʻaukala olakino piha. A laila e nānā ʻo ia iā ʻoe.
Ma mua o ka mālama ʻana
E nānā ʻia kou cervix me kahi speculum, e like me ka hoʻāʻo Pap. Hiki iā ʻoe ke loaʻa i kahi scan ultrasound transvaginal . E aʻo ʻia hoʻi ʻoe e pale i ka moekolohe no hoʻokahi pule ma mua o ka hoʻāʻo. He mea maʻamau ke manaʻo iki i ka hopohopo a hopohopo paha ma mua o kēia hoʻāʻo. He manawa kūpono kēia e nīnau ai i kāu kauka i nā nīnau āu e loaʻa ai.
I ka wā o ka mālama ʻana
ʻO ka maʻamau, pau kēia i loko o kekahi mau minuke.
1. E noi ʻia ʻoe e moe i lalo ma kahi papa hoʻokolokolo a kau i kou mau wāwae ma luna o nā kākoʻo i hoʻolālā kūikawā ʻia.
2. A laila e hāʻawi ʻia ʻoe i kahi anesthetic kūloko e hoʻomāno i ka wahi . E ʻike ʻoe i kahi kui liʻiliʻi i ka wā e hāʻawi ʻia ai ka injection, akā ʻaʻole ʻoe e ʻeha ma hope.
3. Ma hope o ka hoʻomāʻū ʻana, hoʻohana ke kauka i kahi kaula ikaika e kau ai i kahi humuhumu a puni ka cervix, e hoʻopaʻa iā ia, a nakinaki iā ia.
Aia kekahi ʻeha ma hope o ka lāʻau lapaʻau?
He mea maʻamau ke loaʻa ʻana o kekahi ʻehaʻeha a me nā kiko e like me ka menstrual no kekahi mau lā ma hope o ka mālama ʻana. Mai hopohopo. Hiki ke hoʻomalu ʻia ka ʻeha me ka paracetamol.
Akā, e hoʻomanaʻo, inā loaʻa iā ʻoe ka ʻeha ʻōpū hiki ʻole ke hoʻomanawanui, pono ʻoe e kāhea koke i kāu kauka.
Ma hope o ka mālama ʻana, e mālama ʻia ʻoe ma ka haukapila no kekahi mau hola, a inā ʻaʻohe pilikia, e hoʻouna ʻia ʻoe i ka home i ka lā hoʻokahi. Hiki ke hāʻawi ʻia iā ʻoe kekahi mau lāʻau antibiotic e pale aku i ka maʻi. ʻOi aku ka maikaʻi o ka hoʻomaha maikaʻi ʻana i kēlā lā. No ka mea, he 10 mau lā e ho'ōla ai nā humuhumu, ke aʻo aku nei ke kauka iā ʻoe e pale i ka hana nui a me ka moekolohe i loko o ia manawa.
He aha nā pōmaikaʻi a me nā pilikia o kēia lāʻau lapaʻau?
ʻO ka Cervical Cerclage ke ala maikaʻi loa a maikaʻi loa e pale aku ai i ka hānau mua ʻana i kahi kanaka me ka cervix nāwaliwali. Ua maopopo kona mau pono. Akā e like me nā lāʻau lapaʻau āpau, loaʻa iā ia kekahi mau pilikia. E ʻōlelo mau ke kauka inā ʻoi aku ka maikaʻi o nā pono ma mua o nā pilikia.
| Pōpilikia / Pilikia | Ua wehewehe maʻalahi ʻia |
|---|---|
| Maʻi | Aia kahi manawa liʻiliʻi o ka maʻi ma kahi i humuhumu ʻia ai a i ʻole i loko o ka ʻōpū. |
| Ka hōʻino ʻana i ka cervix | Aia paha he pōʻino iki i ka cervix i ka wā o ka mālama ʻana. |
| Ka haki mua ʻana o nā membrane | Aia ke pēpē i loko o kahi ʻeke wai i kapa ʻia ʻo ka wai amniotic. Aia kahi pilikia liʻiliʻi e pahū koke kēia. |
| Ka hānau mua ʻana | I kekahi manawa hiki i kēia lāʻau like ke kumu o ka hānau mua ʻana. |
| Ka haki ʻana o ka ʻāʻī | Inā hoʻomaka ka hānau ʻana i ka wā e humuhumu ʻia ai, aia ka pilikia o ka haehae ʻana i ka cervix a i ʻole ka uterus. |
Āhea e wehe ʻia ai nā humuhumu?
ʻO ka maʻamau, waiho ʻia kēia mau humuhumu a hiki i ka pau ʻana o kou hāpai ʻana, ʻo ia hoʻi ma kahi o 37 mau pule . He mea maʻalahi loa ka wehe ʻana i nā humuhumu. Hiki ke hana pololei ʻia ma ke keʻena o kāu kauka.
E like me ke kau ʻia ʻana o nā humuhumu, e hoʻomoe ʻia ʻoe ma luna o kahi papa hoʻokolokolo, a e wehe ʻia nā humuhumu i loko o kekahi mau minuke. ʻAʻole pono kēia i ka anesthesia. Hiki ke hānau ʻia i kēlā me kēia manawa ma hope o ka wehe ʻia ʻana o nā humuhumu. Inā no kekahi kumu e haki ai kou wai ma mua o ia manawa, a inā hoʻomaka ka hānau ʻana, e wehe ʻia nā humuhumu ma mua o ia manawa.
Āhea ʻoe e kāhea koke aku ai i ke kauka?
Inā ʻike ʻoe i kekahi o nā hōʻailona ma hope o ka lāʻau lapaʻau, pono ʻoe e hoʻokaʻaʻike koke aku i kāu kauka me ka hoʻokaʻulua ʻole .
| Hōʻailona | He aha e hoʻolohe ai |
|---|---|
| kuni kiʻekiʻe | Mahana kino ma luna o 100°F (37.7°C). |
| ʻEha e hiki mai ana i nā manawa maʻamau | Inā hele mai ka ʻeha ma ka ʻōpū lalo, e like me ka ʻeha hānau, a hele mai a hele i kahi manawa i hoʻonohonoho ʻia (contractions). |
| He kahe ʻana o ka ʻōpū pilau | ʻO ka hoʻokahe ʻana o ka ʻōpū ʻala ʻino paha he hōʻailona ia o kahi maʻi. |
| Ka haki ʻana o ka ʻeke wai a i ʻole ka liki ʻana o ka wai | Ke hoʻokuʻu mau ʻia nei kahi wai wai mai loko mai o ka vagina. |
| Ke kahe koko nui | ʻAʻole wale he mau kulu koko, akā, he kahe koko nui. |
He mea maʻamau ke manaʻo iki i ka makaʻu ke lohe ʻoe e pili ana i kēia lāʻau lapaʻau. Akā he lāʻau lapaʻau ia e pili ana i ka 90% holomua . Inā loaʻa kēia ʻano ma ka hāpai ʻana hoʻokahi, hiki ke loaʻa i nā hāpai ʻana ma hope. No laila he mea nui e kamaʻilio ākea me kāu kauka a hoʻolālā no ka hāpai ʻana olakino.
Leka Lawe-Home
- He lāʻau lapaʻau kūpono loa ka Cervical Cerclage no ka hoʻoikaika ʻana i ka cervix nāwaliwali a pale aku i ka hānau keiki ʻana ma mua o ka manawa.
- Hana pinepine ʻia kēia ma waena o 12-14 mau pule o ka hāpai ʻana.
- He mea maʻamau ke ʻike i kekahi ʻeha iki a me ke kahe ʻana o ke koko no kekahi mau lā ma hope o ka mālama ʻana. Eia nō naʻe, inā ʻike ʻoe i ka ʻeha nui, ke kuni, a i ʻole ke kahe nui ʻana o ke koko, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
- He mea nui loa ia e hahai i ka ʻōlelo aʻo a kāu kauka, ʻoiai hoʻi e pili ana i ka hoʻomaha a me nā kapu hana.
- Mai kānalua e kūkākūkā ākea i kekahi mau hopohopo a makaʻu paha āu me kāu kauka.
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