Ke manaʻo nei ʻoe i kekahi manawa e iho mai ana kekahi mea mai kou ʻōpū, e like me ke kaumaha a i ʻole ke kaomi? A i ʻole ke manaʻo ʻoluʻolu ʻole nei ʻoe i kou noho ʻana, e like me ʻoe e noho ana ma luna o kahi pōpō liʻiliʻi? ʻO ʻoe wale nō paha ka mea e ʻeha nei i kēia mau mea. Hiki ke hana kēia ʻano i nā wahine he nui. No laila i kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻoki kino hiki ke lilo i mea hoʻonā i kēia.
I ka ʻōlelo maʻalahi, he aha ʻo Colporrhaphy?
He hana ʻoki kino ʻo Colporrhaphy e hoʻoponopono ai i nā nāwaliwali o nā paia o kou vagina. Hana pinepine ʻia ia ma ke ʻano he lāʻau lapaʻau no kahi maʻi i kapa ʻia ʻo pelvic organ prolapse (POP).
E noʻonoʻo, inā nāwaliwali kahi pā o ko mākou hale, e kūlou ia i loko, e like me ka hoʻāʻo ʻana e hoʻokuke i nā mea i waho. ʻO nā ʻōpū i loko o kou pelvis, e like me ka ʻōpū mimi, ka uterus, a me ka rectum, ua paʻa ʻia e nā paia o kou vagina a me nā ʻiʻo a puni lākou. I ka hala ʻana o ka manawa, ʻoiai ma hope o ka hānau ʻana a me kou wā ʻelemakule, nāwaliwali kēia mau ʻiʻo a me nā ʻiʻo. A laila hoʻomaka kēlā mau ʻōpū e iho i lalo, a i ʻole e paʻi i loko o ka vagina. ʻO ia ka mea a mākou e kapa nei he `(Pelvic Organ Prolapse - POP)`.
Hana ke ʻoki ʻana o Colporrhaphy ma ka hoʻoikaika ʻana i nā ʻiʻo a me nā ʻiʻo i nāwaliwali a me ka hoʻihoʻi ʻana i ke kino i hoʻohaʻahaʻa ʻia i kona kūlana mua.
ʻElua ʻano nui o ke ʻoki ʻana o ka colporrhaphy:
Ma muli o kou pilikia, hiki i kāu kauka ke hoʻoholo e hana i kekahi o kēia mau ʻano ʻelua, a i ʻole paha i hui pū ʻia.
| ʻAno o ke ʻoki kino | ʻO ka mea e hana wale ʻia |
|---|---|
| Hoʻoponopono paia mua (Anterior Colporrhaphy) (Ua kapa ʻia hoʻi he hoʻoponopono cystocele) | Ke nāwaliwali ka paia ma waena o kou ʻōpū mimi a me ka vagina, e hāʻule ana ka ʻōpū mimi i lalo ma ka paia mua o ka vagina. Hoʻoikaika kēia ʻoki kino i kēlā paia mua a hoʻihoʻi i ka ʻōpū mimi i kona kūlana kūpono. |
| Posterior Colporrhaphy (Hoʻoponopono ʻana i ka paia hope) (I kapa ʻia hoʻi ʻo Rectocele repair) | Ke nāwaliwali ka paia ma waena o kou rectum a me kou vagina, hāʻule ka rectum i lalo ma ka paia hope o ka vagina. Hana kēia ʻoki kino e hoʻoikaika i kēlā paia hope a hoʻihoʻi i ka rectum i kona wahi. |
He hana ʻoki kino nui anei kēia? ʻO wai ka mea e pono ai kēia?
ʻAe, he ʻoki kino nui ka colporrhaphy. Akā ʻoi aku ka maʻalahi a he pōkole ka manawa hoʻōla ma mua o nā ʻoki kino ʻōpū, no ka mea, hana ʻia ia ma o ka vagina.
ʻAʻole pono nā kānaka a pau i kēia ʻoki kino. E nānā kāu kauka i kekahi mau kumu ma mua o ka ʻōlelo ʻana aku.
ʻO ka maʻamau, e manaʻo ʻia ʻoe he kūpono no kēia ʻoki kino inā:
- Inā ʻaʻole holo pono nā lāʻau ʻē aʻe: Ma mua o ka noʻonoʻo ʻana i ke ʻoki kino, hiki i kāu kauka ke ʻōlelo aku i nā lāʻau maʻalahi ʻē aʻe. No ka laʻana, nā hoʻomaʻamaʻa ʻiʻo papahele pelvic (Kegels), nā mea hana e like me nā pessaries, a i ʻole ka lāʻau lapaʻau hormone. Inā ʻaʻole kōkua kēia mau mea i kāu mau hōʻailona, ʻo ke ʻoki kino paha ke kaʻina hana aʻe.
- Inā ke hoʻopilikia nei nā hōʻailona i kou ola: ʻAʻole ʻoluʻolu nui kekahi poʻe me kēia kūlana "(POP)". Akā inā pilikia pinepine ʻoe i ka kaohi ʻana i kou mimi a i ʻole ka ʻōpala, inā loaʻa iā ʻoe ka ʻeha i ka wā moe, inā ʻoluʻolu ʻole kēia mau mea i kou ola o kēlā me kēia lā, hiki i ke ʻoki kino ke hoʻopau i kēia mau ʻoluʻolu ʻole.
- Inā ʻaʻole ʻoe e hoʻolālā e loaʻa hou nā keiki: He mea nui loa kēia. Inā loaʻa iā ʻoe kekahi pēpē ma hope o ka colporrhaphy, e nāwaliwali hou nā ʻiʻo i hoʻoponopono ʻia, e hoʻonui ana i ka pilikia o ka hoʻi hou ʻana o ka pilikia. No laila, ʻoi aku ka maikaʻi o ka hana ʻana i kēia ʻoki kino inā manaʻo ʻoe ua piha kou ʻohana.
He aha ka mea e hana ʻia ma mua a i ka wā o ke ʻoki kino?
Ma hope o kou ʻae ʻana i ke ʻoki kino, e wehewehe ke kauka iā ʻoe i nā pono, nā pōʻino, a me nā pilikia āpau.
Ma mua o ke ʻoki kino
E hana kāu kauka i kēia mau mea:
- E kamaʻilio pono e pili ana i kāu mōʻaukala olakino piha a me nā hōʻailona.
- Hana ʻia kahi hoʻokolohua pelvic bimanual e hoʻoholo pono ai i kahi o ka nāwaliwali a me nā ʻano o loko i hoʻohaʻahaʻa ʻia.
- I kekahi manawa, inā pono, hiki iā lākou ke kauoha i kahi mea e like me ka MRI scan e nānā i ke kūlana o nā ʻiʻo, akā ʻaʻole pono mau ia.
- Hāʻawi ʻia nā lāʻau antibiotic i ka lā o ke ʻoki ʻana e hōʻemi i ka pilikia o ka maʻi.
- Inā ʻoe he postmenopausal, e noi ʻia paha ʻoe e hoʻohana i kahi kirīmi i loaʻa ka hormone "(estrogen)" e hoʻomānoanoa i ka ʻiʻo vaginal a maʻalahi ke ʻoki ʻana.
I ka wā o ke ʻoki kino
ʻO ka maʻamau, he 30 mau minuke a i hoʻokahi hola a ʻoi aku paha ka lōʻihi o kēia hana ʻoki kino, ma muli o ka nui o ka wahi e hoʻoponopono ʻia.
1. Anesthesia: Hāʻawi ʻia ka anesthesia i ʻole ʻoe e ʻeha. Hiki iā ia ke "anesthesia laulā", ka mea e hoʻohiamoe loa iā ʻoe, a i ʻole "anesthesia kūloko", ka mea e hoʻomānoʻonoʻo wale i ke kua haʻahaʻa.
2. Hoʻomākaukau: E kau ʻia kou mau wāwae ma luna o nā kākoʻo kūikawā e ʻoluʻolu ai ʻoe no ke ʻoki ʻana. E hoʻokomo ʻia kahi catheter e hoʻokahe i kou mimi.
3. ʻOki ʻana: Hana ke kauka i kahi ʻoki liʻiliʻi ma o ka vagina a hele i kahi i nāwaliwali ai nā ʻiʻo a me nā ʻiʻo. A laila, hoʻohui ʻia nā ʻiʻo ikaika a hoʻoikaika ʻia ka wahi me nā humuhumu hiki ke hoʻoheheʻe ʻia . ʻO ka hope loa, pani ʻia ka ʻoki.
He aha kāu e manaʻo ai ma hope o ke ʻoki kino?
Ma muli o ke ʻano o ke ʻoki ʻana, pono paha ʻoe e hoʻi i ka home i ka lā hoʻokahi a noho paha i ka haukapila i ka pō hoʻokahi.
Nā mea e manaʻo ai ma hope o ke ʻoki kino:
- Hiki iā ʻoe ke kau i kahi ʻeke liʻiliʻi i loko o ka vagina e omo i ke kahe ʻana o ke koko no nā hola 24 mua.
- Lawe ʻia ka catheter i loko o hoʻokahi a ʻelua paha lā.
- Hāʻawi ʻia nā mea palupalu noho e pale ai i ke kaomi ma luna o nā humuhumu a e maʻalahi ai ka hele ʻana o ka noho.
- Hiki paha iā ʻoe ke ʻike i nā kiko māmā a i ʻole kahi kahe momona mai kou vagina no kekahi mau pule. He mea maʻamau kēia i ka wā e heheʻe ai nā humuhumu i loko.
- Aia paha kekahi ʻeha ma ka ʻāpana vaginal, kahi e emi mālie ai i loko o 4-6 mau pule.
Ka manawa hoʻōla a me nā mea e pono ai ke hoʻomaopopo
Hiki ke hala a hiki i 3 mau mahina e ho'ōla piha ai. I loko o kēia manawa, he mea nui loa e hahai pololei i nā kuhikuhi a kāu kauka.
E hoʻomanaʻo, pono ʻoe e hāʻawi i kou kino i ka manawa e ho'ōla ai. Mai wikiwiki.
Nā mea e pono e hahai ʻia:
- No 6-8 pule: E hōʻalo i ka hāpai kaumaha (ʻoi aku ma mua o 2-3 kg), ka hoʻoikaika kino nui, ka moekolohe, ka hoʻohana ʻana i nā tampons, ka douching, a me ka ʻauʻau ʻana i loko o ka ʻauʻau. E ʻauʻau.
- No 6 pule: Mai hoʻoluhi i ka wā e neʻe ai ka ʻōpū. E lawe i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka.
- Ma hope o 3-4 mau pule: Hiki iā ʻoe ke hoʻomaka e hana i nā hana maʻamau e like me ka hele wāwae a me ka hoʻokele kaʻa. Inā ʻaʻole koi kino kāu hana, hiki paha iā ʻoe ke hele i ka hana. E kūkākūkā i kēia me kāu kauka.
He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?
ʻO ka pōmaikaʻi nui, ʻo ia ka hoʻokuʻu ʻia ʻana mai ka ʻeha āu e ʻike ai ma muli o ke kūlana `(POP)`. Eia kekahi, hiki ke hana ʻia kēia ma ke ʻano maʻalahi, me ka ʻole o ka hana ʻoki nui e pili ana i ka ʻoki ʻana i ka ʻōpū. Ma hope o ke ʻoki ʻana, hiki iā ʻoe ke loaʻa kahi ola moekolohe maʻamau.
E like me nā ʻoki kino āpau, aia kekahi mau pilikia, akā he mea kakaikahi loa.
- Ke kahe koko nui ʻana.
- Nā hopena i ka anesthesia.
- Ka maʻi ʻeha.
- Nā maʻi ʻōpū mimi (UTI).
- Ka paʻa ʻana o ka ʻōpū.
- ʻEha i ka wā o ka moekolohe.
E wehewehe pono kāu kauka i kēia mau mea a pau iā ʻoe. E nīnau iā ia e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai.
Leka Lawe-Home
- ʻO Colporrhaphy kahi ʻoki kino e hoʻoikaika i nā paia nāwaliwali o ka vagina a hoʻihoʻi i nā ʻōkana i hoʻohaʻahaʻa ʻia i ko lākou kūlana kūpono.
- Manaʻo ʻia kēia ʻoki kino inā loaʻa iā ʻoe nā hōʻailona e hoʻopilikia nei i kou ola a ʻaʻole hiki ke kaohi ʻia me nā lāʻau lapaʻau maʻalahi ʻē aʻe.
- He mau mahina ka lōʻihi e ho'ōla piha ai mai ke ʻoki kino. I loko o kēia manawa, he mea nui loa e hahai pono i nā ʻōlelo a kāu kauka.
- Inā loaʻa iā ʻoe kēia ʻano ʻoluʻolu ʻole, mai hilahila a makaʻu paha e ʻike i ke kauka kūpono a kamaʻilio me lākou. Aia nā lāʻau lapaʻau kūpono no kēia mau mea.











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