E aʻo kākou e pili ana i kahi ʻoki kūikawā e hoʻohaʻahaʻa i ka ʻōpū (Colpocleisis)

Ua lohe paha ʻoe i kou makuahine a kupuna wahine paha e ʻōlelo ana i kahi mea e like me "prolapsed uterus" a i ʻole "low uterus"? I kekahi manawa ke koʻikoʻi iki kēia, manaʻo ʻia he ʻōkana e puka mai ana mai ka vagina. He kūlana ʻoluʻolu ʻole a hilahila hoʻi kēia no nā wahine he nui. No laila, hana ʻia kahi ʻoki kūikawā i kapa ʻia ʻo Colpocleisis e mālama i kēia. I kēia lā, e kamaʻilio mākou e pili ana i kēia, kona mau pono a me nā hemahema, a me nā mea āpau ma ke ʻano maʻalahi.

ʻO ka mea mua, e nānā kākou he aha ka Pelvic Organ Prolapse?

I ka ʻōlelo maʻalahi, ʻo nā ʻōpū i loko o ko kākou lua pelvic, e like me ka uterus, ka mimi ʻōpū, a me ka rectum, ua paʻa ʻia e kahi ʻupena o nā ʻiʻo a me nā ʻiʻo. Kāhea mākou i kēia mau mea he mau ʻiʻo papahele pelvic. Me ka hala ʻana o ka manawa, ʻoiai mākou e ʻelemakule ana a loaʻa iā mākou kekahi mau keiki, nāwaliwali mālie kēia mau ʻiʻo.

E noʻonoʻo e like me nā kaula o kahi ʻeke kaumaha e ʻelemakule a kīkoʻo i ka hala ʻana o ka manawa. Ke nāwaliwali kēia mau ʻiʻo, hoʻomaka nā kino e hina a hāʻule paha i lalo. ʻO kēia ka mea a mākou e kapa nei he pelvic organ prolapse (POP) . I kekahi manawa, ke koʻikoʻi, hiki i nā kino ke hāʻule maoli i waho o ka vagina.

No laila he aha kēia ʻoki kino i kapa ʻia ʻo Colpocleisis?

ʻElua ʻano hana nui e mālama ai i kēia ʻano o ka ʻōpū. ʻO Colpocleisis kekahi o lākou. E nānā kākou i nā ʻokoʻa ma waena o nā mea ʻelua.

ʻElua ʻano o ke ʻoki ʻana o ka colpocleisis

ʻElua ʻano nui o ke ʻoki ʻana o ka colposcopy.

1. Colpocleisis Holoʻokoʻa: Ma kēia, ua humuhumu piha ʻia nā paia mua a me hope o ka vagina. Ua kokoke e pani piha ʻia ka vagina.

2. ʻĀpana/Le Fort Colpocleisis: Hoʻopōkole kēia a pani i ka ʻōpū. Eia nō naʻe, waiho ia i ʻelua mau puka liʻiliʻi no nā mea huna mai ka ʻōpū (no ka laʻana, ke koko menstrual) e puka i waho. No laila, kūpono kēia ʻano hana no ka mea i wehe ʻole ʻia kāna ʻōpū .

No wai kēia ʻoki kino i ʻōlelo ʻia?

ʻAʻole kēia he ʻoki kino no nā kānaka a pau. E noʻonoʻo kāu kauka i kekahi mau kumu ma mua o ka ʻōlelo ʻana aku. He kūpono pinepine kēia ʻoki kino no:

• No ka poʻe i nele i ka manaʻolana e moe kolohe ma ka ʻōpū i ka wā e hiki mai ana , no ka mea, e pōkole loa ka ʻōpū ma hope o ke ʻoki ʻana a hiki ʻole ke hana pēlā.
• No nā poʻe me nā maʻi olakino ʻē aʻe (e like me ka maʻi puʻuwai) ʻaʻole hiki ke ʻae i ke ʻoki hana hou nui. He maʻalahi kēia ʻoki a he emi nā pilikia.
• No ka poʻe i koʻikoʻi loa ka prolapse uterine i hiki ʻole ke kaohi ʻia me nā lāʻau maʻalahi e like me nā hoʻomaʻamaʻa Kegel.
• He hopena maikaʻi loa kēia no nā wāhine ʻelemakule, ka poʻe i loko o ko lākou mau makahiki 80 a me 90 .

He aha ka mea e hana ʻia ma mua o ke ʻoki kino?

Inā hoʻoholo ʻoe e hana i kēia ʻoki kino, e nānā pono ke kauka iā ʻoe ma mua o ka hana ʻana pēlā.

Hiki iā ʻoe ke hana i kēia mau mea ma mua o ke ʻoki ʻana:

• Loiloi olakino: Nā hoʻāʻo koko, EKG e nānā i ka hana o ka puʻuwai, nā nīnau e pili ana i nā lāʻau lapaʻau āu e lawe nei, a pēlā aku.
• Nā hoʻokolohua mua: ʻOiai ʻaʻole hiki ke hana ʻia nā hoʻokolohua vaginal ma hope o ke ʻoki ʻana, hiki ke hana ʻia nā hoʻokolohua e like me ka Pap smear, endometrial biopsy, a me ka transvaginal ultrasound ma mua o ke kaʻina hana.
• Inā ʻoe e puhipaka:E noi ʻia ʻoe e hoʻōki i ka puhipaka ma ka liʻiliʻi he 4-6 mau pule ma mua o ke ʻoki ʻana, no ka mea hiki i ka puhipaka ke hoʻopaneʻe i ka ho'ōla ʻana o ka ʻeha.

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

Ma hope o ke ʻoki ʻana, hiki paha iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi, a i ʻole pono paha ʻoe e noho i ka haukapila i ka pō. Hiki iā ʻoe ke manaʻo i kēia mau mea i nā lā mua:

• Ke kahe koko ʻana o ka ʻōpū a me ka ʻeha: E emi ana kēia i loko o hoʻokahi pule. Hiki iā ʻoe ke lawe i nā mea ʻeha i kuhikuhi ʻia e kāu kauka no ka ʻeha.
• Ka hoʻokahe melemele: Mai hopohopo. He mea kēia e hana ʻia ke hoʻoheheʻe ʻia nā humuhumu hiki ke hoʻoheheʻe ʻia i loko ou. E ho'ōla loa kēia i loko o 6-8 mau pule.
• Paʻakikī ka mimi ʻana: Hiki ke paʻakikī iki i ka wā mua. Pono paha ʻoe e komo i kahi catheter no kekahi mau lā. Akā e maikaʻi kēia me ka hala ʻana o ka manawa.
• Paʻa ʻōpū: Pono paha ʻoe e hoʻohana i nā laxatives no kekahi manawa.

Ka manawa ho'ōla: Hiki ke hala ma kahi o 6 mau pule e ho'ōla piha ai a ho'i i nā hana ma'amau. I loko o kēia manawa, pono ʻoe e pale i ka hāpai ʻana i nā mea kaumaha a i ʻole ka hana ʻana i ka hoʻoikaika kino ikaika.

He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?

E like me nā mea ʻē aʻe, loaʻa i kēia ʻano nā pono a me nā hemahema.

He mea nui: ʻOiai ʻaʻole hiki ke moe kolohe ma ka ʻōpū, hiki nō ke loaʻa ka hiki ke orgasm ma o ka hoʻoulu ʻana o waho (hoʻoulu ʻana o ka clitoral) . No laila, aia nō ka manawa kūpono e loaʻa ai kahi ola moekolohe olakino.

I ka manawa hea e ʻike ai i ke kauka

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ka hoʻi ʻana i ka home mai ke ʻoki ʻana, pono ʻoe e kāhea koke i kāu kauka .

• Kuni.
• ʻEha nui o ka ʻōpū.
• Hoʻonui ʻia ka paʻakikī o ka mimi ʻana.
• He kahe ʻana o ka ʻōpū me ke ʻala pilau.
• Inā e ʻoi aku ka ʻeha o ka ʻoki ʻia.
• Inā e kahe nui ana ke koko i ka ʻoki a i ʻole ʻaʻole e pau ke kahe ʻana o ke koko.