Ke manaʻo nei ʻoe i kekahi manawa i ke kaumaha i loko o kou ʻōpū, kahi manaʻo o kahi mea e iho mai ana, a i ʻole kahi manaʻo liʻiliʻi e like me ka pōpō? Hiki i kekahi mau wahine ke ʻike i kēia, ʻoiai ma hope o ka loaʻa ʻana o nā keiki a i ko lākou wā ʻelemakule. Hiki i kēia kūlana ke paʻakikī i ka hana ʻana i nā hana o kēlā me kēia lā. No laila i kēia lā, e kamaʻilio kākou e pili ana i kahi ʻoki kino hiki ke lilo i hopena maikaʻi no kēia.
He aha ʻo Colporrhaphy? E hoʻomaopopo maʻalahi kākou.
He hana ʻoki kino ʻo Colporrhaphy e hoʻoponopono ai i ka nāwaliwali o nā paia o kou vagina. He lāʻau lapaʻau ia no kahi maʻi i kapa ʻia ʻo Pelvic Organ Prolapse (POP) . E noʻonoʻo i kēia ʻano: ʻo nā ʻōpū i loko o ko kākou pelvis, e like me ka mimi ʻōpū a me ka rectum, ua paʻa ʻia e nā ʻiʻo a me nā ʻiʻo i loko o nā paia o ka vagina. Ua like ia me ka paia e hoʻokaʻawale ana i kahi lumi.
I kēia manawa, ke nāwaliwali kēia mau paia me ka ʻelemakule, ma muli o ka hānau keiki ʻana, a i ʻole ma muli o ka hāpai kaumaha ʻana, hoʻomaka nā ʻōpū e iho i lalo a i ʻole e kūlou i loko o ka vagina. ʻO ia ka mea a mākou e kapa nei he 'Pelvic Organ Prolapse (POP)'.
No laila, ʻo ka mea a ke ʻoki colporrhaphy e hana ai, ʻo ia ka hoʻoikaika ʻana i kēlā mau ʻiʻo a me nā ʻiʻo i nāwaliwali a hoʻihoʻi i nā ʻōpū i iho i lalo i ko lākou kūlana mua.
ʻElua ʻano nui o ke ʻoki ʻana o ka colporrhaphy:
Ua māhele nui ʻia kēia ʻoki kino i ʻelua ʻāpana. I kekahi manawa e hoʻoholo paha kāu kauka e hana pū i hoʻokahi a i ʻole nā ʻāpana ʻelua, ma muli o ka pono.
| ʻAno o ke ʻoki kino | He wehewehe maʻalahi |
|---|---|
| ʻO ke Colporrhaphy mua (Hoʻoponopono Cystocele) | Hana ʻia kēia i ka wā e nāwaliwali ai ka paia mua o kou ʻōpū. Ma hope o kēia paia ka ʻōpū mimi. Ke nāwaliwali ka paia, iho mai ka ʻōpū mimi a paʻi i loko o ka ʻōpū. Hana kēia ʻoki kino e hoʻoikaika hou i kēlā paia mua. |
| ʻO ke Colporrhaphy hope (Hoʻoponopono Rectocele) | Hana ʻia kēia e ka paia hope o kou vagina.Ke nāwaliwali. Ma hope o kēia paia ka anus. Ke nāwaliwali ka paia, iho mai ka anus a paʻi i loko o ka vagina. Hoʻoikaika kēia ʻoki kino i kēlā paia hope. |
He hana ʻoki kino nui anei kēia?
ʻAe, ua manaʻo ʻia ʻo colporrhaphy he ʻoki kino nui . Akā he pono kona. ʻO ka hapa nui o ka manawa, hana ʻia kēia ʻoki kino ma o ka vagina. ʻO ia hoʻi, ʻaʻohe pono e ʻoki i ka ʻōpū. No laila, ʻoi aku ka liʻiliʻi o nā pilikia a hiki ke ho'ōla wikiwiki ma mua o nā ʻoki kino ʻōpū.
No ke aha paha ʻoe e pono ai i kēia lāʻau lapaʻau?
Inā he mea hoʻopilikia nui nā hōʻailona i hoʻokumu ʻia e ka POP i kou ola o kēlā me kēia lā, pono ʻoe e noʻonoʻo i kēia ʻoki kino.
- ʻO ka incontinence mimi ka nalowale ʻana o ka mimi me ka makemake ʻole i ka wā e ʻū ana, ʻakaʻaka, a hāpai paha i nā mea kaumaha.
- Ka paʻakikī o ka hoʻokahe ʻana.
- ʻEha i ka wā o ka moekolohe.
Hiki i kēia mau mea ke hoʻolilo i mea paʻakikī ke ola i kahi ola hauʻoli. Hiki i ke ʻoki ʻana o Colporrhaphy ke kōkua iā ʻoe e lanakila ma luna o kēia mau nāwaliwali, hoʻopau i nā hōʻailona, a ola hou i kahi ola ʻoluʻolu.
ʻO ka mea nui, ʻaʻole pono ʻoe e ʻeha hoʻokahi me kēia ʻano ʻeha. Aia nā lāʻau lapaʻau maikaʻi no kēia.
No wai kēia ʻoki kino e kūpono ai?
ʻAʻole ʻōlelo ʻia kēia ʻoki kino no nā kānaka a pau. Inā he moho kūpono ʻoe no kēia ʻoki kino, pili ia i kekahi mau kumu.
- Inā ʻaʻole holo pono nā lāʻau ʻē aʻe: Aia nā lāʻau lapaʻau ʻoki ʻole no kēia ʻano. Hoʻāʻo mua ʻia nā hoʻoikaika kino pelvic (Kegels), nā mea hana vaginal (pessaries), a me ka hormone therapy. Inā ʻaʻole kēia mau mea e hōʻoluʻolu i kāu mau hōʻailona, hiki ke noʻonoʻo ʻia ke ʻoki ʻana ma hope.
- Inā koʻikoʻi kou mau hōʻailona: ʻAʻole ʻike nui kekahi poʻe me ka POP i ka ʻoluʻolu ʻole. No kēlā poʻe, ʻaʻole pono ka pilikia o ke ʻoki ʻana. Akā inā he mea hoʻopilikia nui ia i kou ola o kēlā me kēia lā, ʻo ke ʻoki ʻana paha ka hopena maikaʻi loa.
- Inā ʻaʻole ʻoe e hoʻolālā e loaʻa hou aku nā keiki: Inā loaʻa iā ʻoe kekahi keiki ma hope o kēia ʻoki kino, hiki i ke kaomi i ka wā hāpai a me ka hānau keiki ke hoʻonāwaliwali hou i nā wahi i hoʻoponopono ʻia. No laila, ʻōlelo pinepine nā kauka he ʻoi aku ka maikaʻi o ka hana ʻana i kēia ʻoki kino inā manaʻo ʻoe ua piha ka ʻohana.
He aha ka mea e hana ʻia ma mua a i ka wā o ke ʻoki kino?
Ma mua o ke ʻoki kino
E hana kāu kauka i kēia mau mea ma mua o ke ʻoki ʻana:
- E kūkākūkā i kāu mau hōʻailona a me ka mōʻaukala lapaʻau: Ke ʻike pono ʻoe i nā pilikia āu e loaʻa nei, ʻoi aku ka maʻalahi o ke kauka e hoʻoholo pono i kahi e hoʻoponopono ai i ka wā o ke ʻoki ʻana.
- Hana i kahi hoʻokolokolo kino:Hana ʻia kahi hoʻokolohua pelvic bimanual e nānā i nā wahi nāwaliwali a me ka nui o ka prolapse.
- E kauoha ʻia nā hoʻokolohua inā pono: ʻO ka hapa nui o ka manawa, ʻaʻohe pono o nā hoʻokolohua hou aʻe. Eia nō naʻe, i kekahi manawa e noi ʻia paha ʻoe e hana i kahi mea e like me ka MRI scan e loiloi maikaʻi i ke kūlana o nā ʻiʻo.
- Lāʻau lapaʻau e pale ai i ka maʻi: Hiki ke hāʻawi ʻia iā ʻoe kahi lāʻau antibiotic e lawe i ka lā o ke ʻoki ʻana.
- Inā ʻoe he postmenopausal: Hiki ke hāʻawi ʻia iā ʻoe kahi kirīmi i loaʻa ka hormone estrogen e kau ai i kou vagina. E mānoanoa kēia i nā ʻiʻo i loko o nā paia vaginal, e maʻalahi ai ke ʻoki ʻana.
I ka wā o ke ʻoki kino
ʻAʻole ʻoe e ʻeha i ka wā o ke ʻoki kino.
1. Anesthesia: Hoʻohana ʻia ka "anesthesia laulā", ka mea e hoʻohiamoe loa iā ʻoe, a i ʻole ka "anesthesia kūloko", ka mea e hoʻomānoʻonoʻo wale i ka ʻōpū lalo.
2. Hoʻomākaukau: E hoʻomoe ʻia ʻoe ma luna o kahi moena kūikawā e ʻoluʻolu ai ke ʻoki ʻana. E hoʻokomo ʻia kahi paipu (catheter) e hoʻokahe i kou mimi.
3. ʻOki kino: E hoʻohana ke kauka i kahi speculum e nānā i ka vagina. A laila e hana ʻo ia i kahi ʻoki liʻiliʻi loa ma ka paia o ka vagina e ʻike ai i nā ʻiʻo a me nā ʻiʻo i nāwaliwali.
4. Hoʻoponopono: A laila, hoʻohui ʻia nā ʻiʻo ikaika a hoʻoikaika ʻia nā wahi me ka hoʻohana ʻana i nā sutures hiki ke hoʻoheheʻe ʻia.
5. Suturing: ʻO ka hope loa, ua pani ʻia ka ʻoki i hana ʻia ma ka paia o ka vagina me nā humuhumu hiki ke hoʻoheheʻe ʻia.
Hiki i kēia ʻoki kino ke lawe ma kahi o 30 mau minuke a i hoʻokahi hola a ʻoi aku paha , ma muli o ka nui o ka hoʻoponopono ʻana.
Ma hope o ke ʻoki kino a me ka wā hoʻōla
Ma hope o ke ʻoki kino
Ma muli o ke ʻano o ke ʻoki ʻana, hiki paha iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi a noho paha i ka haukapila i ka pō hoʻokahi.
- Ma hope o ke ʻoki ʻana, hiki ke waiho ʻia kahi ʻeke i loko o ka vagina e omo i kekahi kahe koko. E wehe ʻia ia ma kahi o 24 mau hola.
- Hoʻopau pinepine ʻia ka catheter i hoʻokahi a ʻelua paha lā.
- I mea e pale ai i ke kaumaha i ka wā o ka neʻe ʻana o ka ʻōpū, e aʻo ʻia paha ʻoe e lawe i kahi mea palupalu ʻōpala no kekahi manawa.
- Hiki paha iā ʻoe ke ʻike i kahi kahe koko o ka ʻōpū no kekahi mau lā ma hope o ke ʻoki ʻana a me kahi kahe momona no kekahi mau pule. He mea maʻamau kēia i ka wā e heheʻe ai nā humuhumu i loko.
- Aia paha he ʻeha iki o ka ʻōpū no 4-6 mau pule.
E mālama i kēia mau mea i ka wā e hoʻōla ai
Hiki ke hala a hiki i 3 mau mahina e ho'ōla piha ai. I loko o kēia manawa, e hāʻawi aku kāu kauka iā ʻoe i kēia mau kuhikuhi:
- Mai hāpai i nā mea kaumaha ma mua o 2-3 kilokani.
- E hōʻalo i ka hoʻoikaika kino ikaika (kūlou, hāpai kaumaha).
- Mai hoʻoluhi ikaika i ka wā e kahe ai ka wai.
- Mai moe kolohe no 6-8 mau pule.
- Mai puka i waho o ka ʻauʻau a ʻauʻau.
- Mai hoʻohana i ka douching a i ʻole nā tampons.
ʻO ka maʻamau, i loko o 3-4 mau pule e hiki iā ʻoe ke hele wāwae, hoʻokele kaʻa, a hoʻi i ka hana inā ʻaʻole paʻakikī loa kāu hana.
He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?
Nā Pōmaikaʻi:
- Hoʻomaha i nā hōʻailona POP.
- ʻOiai ʻaʻole i ʻoki ʻia ka ʻōpū, hiki iā ʻoe ke ho'ōla koke.
- Ma hope o ka ho'ōla hou ʻana, hiki iā ʻoe ke hoʻi hou i kou ola moekolohe maʻamau.
Nā Pōʻino:
E like me nā ʻoki kino āpau, aia kekahi mau pilikia, akā he mea kakaikahi loa.
- Ka paʻa ʻana o ka ʻōpū
- Ke kahe koko nui
- ʻEha i ka wā o ka moekolohe
- Ka maʻi ʻeha
- Nā maʻi ʻōpū mimi (UTI)
E kamaʻilio ākea me kāu kauka e pili ana i kēia a e nīnau i kāu mau nīnau.
Leka Lawe-Home
- ʻAʻole pono ʻoe e ʻeha hoʻokahi me ka ʻeha i hoʻokumu ʻia e ka vaginal prolapse (POP). He lāʻau lapaʻau kūpono loa ʻo Colporrhaphy no kēia.
- ʻAʻole pono nā kānaka a pau i kēia ʻoki kino i kēia manawa koke. He mea nui e hoʻāʻo mua i nā lāʻau lapaʻau ʻole me ke ʻoki kino.
- Inā hoʻoholo ʻoe e hana i ke ʻoki kino, e kamaʻilio pono me kāu kauka e pili ana i nā pōmaikaʻi, nā pōʻino, a me nā pilikia.
- He mea nui loa ka hahai pono ʻana i nā ʻōlelo kuhikuhi i hāʻawi ʻia ma hope o ke ʻoki ʻana no ka hoʻōla wikiwiki a me ka holomua.
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