E kamaʻilio kākou e pili ana i ka cerclage cervical, ka mea e pale ai i ka hāʻule ʻana o ka hāpai keiki!

Inā hāpai ʻoe, ʻo kou manaʻolana nui loa ka hānau ʻana i kahi pēpē olakino i ke ao nei. Akā i kekahi manawa, inā paha no ka mea ua hāʻule mua ʻoe a i ʻole no ka mea ua haʻi aku kāu kauka iā ʻoe ua nāwaliwali iki kou cervix , hopohopo paha ʻoe e wehe ʻia kou ʻōpū ma mua o ka hānau ʻana o ke pēpē. I kēia lā, e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā i hana ʻia e pale aku i ka hānau mua ʻana no nā makuahine i pilikia. Ua kapa ʻia kēlā he cerclage cervical.

He aha ka Cervical Cerclage?

I ka ʻōlelo maʻalahi, he humuhumu kūikawā kēia e hoʻopaʻa pono ai i ka puka o kou uterus, a i ʻole cervix , i kou wā hāpai . E noʻonoʻo i kou uterus e like me kahi ʻeke liʻiliʻi. Aia kāu pēpē i loko. ʻO kou cervix ka puka o kēlā ʻeke. I kekahi manawa, hiki ke wehe ʻia ka puka o kēia ʻeke. A laila hoʻāʻo ka mea makamae i loko, ʻo kāu pēpē, e puka i waho i ka wā ʻōpiopio.

No laila, i loko o kahi `(Cervical Cerclage)`, hoʻohana ke kauka i kahi kaula ikaika e pani ai i ka waha o ka ʻeke, ʻo ia hoʻi, ka cervix, hiki ke wehe. ʻAe kēia i ka pēpē e noho palekana i loko o ka ʻōpū a hiki i kahi o 37 mau pule, ʻo ia hoʻi, a hiki i ka wā e ulu maikaʻi ai ka pēpē.

No ke aha e ʻōlelo ʻia ai ke kāpili ʻana i ka cervical?

ʻAʻole pono nā wahine hāpai a pau i kēia. E ʻōlelo wale aku kāu kauka i kēia lāʻau lapaʻau inā he mau kumu kikoʻī. ʻO ia ke kumu he mea nui loa e kamaʻilio me kāu kauka e pili ana i kāu hāpai ʻana a me nā ʻoki kino ma mua.

Hoʻokomo pinepine ʻia kēia humuhumu ma waena o 12 a me 14 mau pule o ka hāpai ʻana, ma mua o ka hoʻomaka ʻana o ka cervix e lahilahi a hāmama.

He aha ka mea e hana ʻia ma mua a i ka wā o kēia ʻoki kino?

He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo i ka wā e kū ai i kahi mea e like me kēia. No laila, e nīnau i kāu kauka i nā nīnau āu e loaʻa ai.

Ma mua o ke ʻoki kino...

Ma mua o ke ʻoki ʻana, e lawe kāu kauka i kahi mōʻaukala olakino piha. E nānā ʻo ia i kou cervix me ka hoʻohana ʻana i kahi speculum, e like me ka Pap smear. Hiki iā ʻoe ke loaʻa i kahi ultrasound transvaginal . E kōkua kēia i ka nānā ʻana i ka lōʻihi a me ke kūlana o kou cervix. E aʻo pinepine ʻia ʻoe e hōʻole i ka moekolohe no hoʻokahi pule ma mua o ke ʻoki ʻana.

I ka wā o ke ʻoki kino…

He hana ʻoki liʻiliʻi kēia i hana mau ʻia ma ka haukapila a ʻaʻole lōʻihi ka manawa.

• E hoʻomoe ʻia ʻoe ma kahi papa hoʻokolokolo a e noi ʻia ʻoe e kau i kou mau wāwae ma nā kākoʻo kūikawā.
• A laila, hoʻokomo ʻia kahi anesthetic kūloko e hoʻomānoʻino i ka ʻāpana a puni kou cervix i ʻole ʻoe e ʻeha . Hiki paha iā ʻoe ke ʻeha iki i ka wā e hoʻokomo ʻia ai ka nila, akā ʻaʻole ʻoe e ʻeha ma hope.
• Ke mae maikaʻi kou ʻōpū, e hoʻohana ke kauka i ke kaula ikaika e kau i kahi humuhumu a puni ka cervix, e hoʻopaʻa pono ana a pani pono iā ia.

He ʻeha anei kēia? He aha ka mea e hana ʻia ma hope o ke ʻoki kino?

No kekahi mau lā ma hope o ke ʻoki ʻana, hiki iā ʻoe ke ʻike i kahi ʻūlū iki a me nā kiko ma kou ʻōpū lalo, e like me kou wā. He mea maʻamau kēia. ʻAʻole koʻikoʻi ka ʻeha. Inā ʻike ʻoe i kekahi ʻeha, hiki iā ʻoe ke lawe i kahi mea e like me ka paracetamol . Eia nō naʻe, inā ʻike ʻoe i ka ʻeha ʻōpū koʻikoʻi hiki ʻole ke hoʻomanawanui , pono ʻoe e kāhea koke i kāu kauka.

E mālama ʻia ʻoe i loko o ka haukapila no ka nānā ʻana no kekahi mau hola ma hope o ke ʻoki ʻana a e hoʻouna ʻia i ka home i ka lā hoʻokahi inā ʻaʻohe pilikia. Hiki ke hāʻawi ʻia iā ʻoe nā lāʻau antibiotic e pale aku i ka maʻi.

He aha nā pōmaikaʻi a me nā pilikia o kahi humuhumu cervical?

ʻO kēia ke ala maikaʻi loa a me ka maikaʻi loa e pale aku ai i ka hānau mua ʻana no ka makuahine me ka cervical nāwaliwali. Loaʻa i kēia lāʻau lapaʻau kahi pae holomua kiʻekiʻe ma kahi o 90%. Eia nō naʻe, e like me nā lāʻau lapaʻau āpau, aia kekahi mau pilikia liʻiliʻi loa. Manaʻo ke kauka i kēia lāʻau lapaʻau no ka mea ʻoi aku ka maikaʻi o nā pono ma mua o kēia mau pilikia.

Āhea e wehe ʻia ai kēia humuhumu?

Ke hāpai ʻoe he 37 pule , ʻo ia hoʻi ua mākaukau ka pēpē e puka palekana mai, e wehe kāu kauka i kēia mau humuhumu. He mea maʻalahi loa kēia. E kau ʻia ʻoe ma ka papa hoʻokolokolo, e like me kou wā i kau ʻia ai nā humuhumu, a e ʻoki ʻia a wehe ʻia nā humuhumu i loko o kekahi mau minuke. No kēiaʻAʻohe pono no ka anesthesia .

ʻOiai inā haki koke kou wai ma mua o kēlā, a inā hoʻomaka ka ʻeha hānau, e wehe koke ke kauka i nā humuhumu.

He aha nā kūlana e pono ai ʻoe e kāhea koke aku i ke kauka?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ke ʻoki ʻana, pono ʻoe e hoʻokaʻaʻike koke aku i kāu kauka me ka hoʻokaʻulua ʻole. Inā pono, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.

ʻO ka Cervical Cerclage, ka pale ʻana i ka hoʻopau ʻana i ka hāpai keiki, ka hānau mua ʻana, ke olakino hāpai keiki, cervix, cervix kūpono ʻole