Loaʻa iā ʻoe kekahi mau pilikia e like me nā pōʻaiapuni menstrual kūpono ʻole a me ke kahe nui ʻana o ke koko no kekahi mau lā? A i ʻole ke kahe mau nei ke koko ma hope o ka menopause? He mea maʻamau iā ʻoe ke manaʻo iki i ka makaʻu a me ka hopohopo ma muli o nā mea e like me kēia. Ke hele ʻoe e ʻike i ke kauka i ka manawa e like me kēia, a haʻi ʻo ia iā ʻoe e pono ʻoe e loaʻa i kahi "Endometrial Biopsy", he nui kāu mau nīnau e hiki mai ana i kou manaʻo, ʻeā? "He aha ia? E ʻeha anei? He hana nui anei ia?" He nui nā mea e like me kēia e hiki mai ana i ka noʻonoʻo. No laila, i kēia lā ke kamaʻilio nei mākou e pili ana i ka moʻolelo maoli ma hope o kēia huaʻōlelo e hoʻoweliweli nei iā ʻoe.
I ka ʻōlelo maʻalahi, he aha ka biopsy endometrial?
ʻAʻole kēia he mea nui e like me kou manaʻo. I ka ʻōlelo maʻalahi, pili ia i ka lawe ʻana i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka uhi o kou uterus (ka mea a mākou e kapa nei i ka endometrium ma ke ʻano lapaʻau) a nānā iā ia ma lalo o kahi microscope. E like me kā mākou lawe ʻana i kahi ʻāpana lole, nānā ke kauka i kekahi o nā ʻāpana i loko o ka uterus.
Hiki i kēia hoʻāʻo ke kōkua iā ʻoe e ʻike pono i ke kumu o kāu mau hōʻailona. Hiki iā ia ke nānā i nā cell ʻē, nā cell cancerous hiki ke loaʻa, a i ʻole nā maʻi. ʻO ka ʻāpana maikaʻi loa, ʻo ke kaʻina hana holoʻokoʻa e lawe ma lalo o 15 mau minuke a hiki ke hana ʻia ma ke keʻena o ke kauka (outpatient). ʻAe, hiki iā ʻoe ke manaʻo i kahi ʻeha iki, e like me ka wā. Akā he manawa pōkole ia.
No ke aha nā kumu e ʻōlelo ai ke kauka i kēia hoʻokolohua?
ʻO ka maʻamau, e ʻōlelo aku kāu kauka i kēia hoʻāʻo e noiʻi hou aku i kekahi mau hōʻailona. Hiki ke hana ʻia hoʻi e hōʻoia i kahi mea āu i ʻike ai ma kahi ultrasound scan a i ʻole Pap smear.
Eia nā kūlana e hana nui ʻia ai kahi biopsy endometrial:
| Hōʻailona a kūlana paha | He wehewehe maʻalahi |
|---|---|
| Ka menstruation kūpono ʻole | ʻO kēia nā mea e like me ke kahe nui ʻana o ke koko no nā lā he nui, ʻaʻohe manawa no nā mahina, a me ke kahe ʻana o ke koko ma waena o nā wā. |
| Ke kahe koko ma hope o ka menopause | Inā ʻike hou ʻoe i ke kahe koko ma hope o ka pau ʻana o kou wā (menopause), he mea ia e nānā ai. |
| Ke kahe koko i ka wā o ka lāʻau lapaʻau hormone | Inā loaʻa iā ʻoe ke kahe koko maʻamau i ka wā e lawe ana i nā lāʻau hormonal e like me Tamoxifen , kahi lāʻau lapaʻau maʻi kanesa. |
| Ka mānoanoa o ka paia o ka uterine | Inā hōʻike ka scan ua ʻoi aku ka mānoanoa o ka uhi o loko o kou uterus (endometrium) ma mua o ka maʻamau. |
| He hōʻike hoʻāʻo Pap maʻamau ʻole | Inā hōʻike kāu hoʻāʻo Pap i nā pūnaewele ʻano ʻē i loko o kou cervix. |
ʻO kēia ka hoʻokolohua pololei loa a hana pinepine ʻia no ka ʻike ʻana i ka maʻi ʻaʻai endometrial, ʻoiai hoʻi i nā wahine ma luna o 35 mau makahiki.
Hoʻohana ʻia kēia hoʻāʻo i kekahi manawa e nānā i nā pilikia me ka uhi o ka ʻōpū i loko o kekahi e pilikia ana i ka hāpai ʻana. Akā e hoʻomanaʻo, ʻaʻole hiki ke hana ʻia kēia hoʻāʻo inā hāpai ʻoe.
ʻAe, pehea ʻoe e hana ai i kēia? Pono ʻoe e makaʻu?
Mai makaʻu iki. E kamaʻilio kākou e pili ana i ke ʻano o kēia hana ma kēlā me kēia ʻanuʻu. A laila e loaʻa iā ʻoe kahi ʻike maikaʻi aʻe i kēia.
Pono ʻoe e hoʻomākaukau ma mua o ka hoʻokolohua?
ʻAʻohe mea nui e hoʻomākaukau ai. Akā e makaʻala i kēia mau mea:
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora a me nā mea hoʻohui). Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau (ʻoi aku hoʻi nā lāʻau hoʻokahe koko) i kekahi mau lā ma mua o ka hoʻāʻo.
- E hōʻoia e hoʻomaopopo mai iā mākou e pili ana i kekahi mau maʻi allergies āu e loaʻa ai.
- No ka hōʻemi ʻana i ka ʻeha, hiki i kāu kauka ke ʻōlelo iā ʻoe e lawe i kahi mea hoʻomaha ʻeha (NSAID) e like me ka ibuprofen ma kahi o hoʻokahi hola ma mua o ka hoʻāʻo.
- I kekahi manawa, hāʻawi ʻia paha ʻoe i lāʻau lapaʻau e palupalu i ka cervix i ʻelua lā ma mua o ke kaʻina hana.
E nīnau i kāu kauka i nā nīnau āu e pili ana i kēia ma mua. E kōkua nui ia iā ʻoe e lanakila ma luna o kou mau makaʻu.
He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?
Hana pinepine kēia ma ke keʻena o kāu kauka, me ka ʻole o ka anesthesia.
1. ʻO ka mea mua, e noi ʻia ʻoe e wehe i kou mau lole mai ka pūhaka a i lalo a uhi iā ʻoe iho me kahi pākeke.
2. A laila, e like me ka Pap smear, pono ʻoe e moe i lalo ma ka papa hoʻokolokolo me kou mau wāwae i loko o nā ʻūmiʻi kūikawā.
3. E hoʻokomo ke kauka i kahi mea i kapa ʻia he speculum i loko o kou vagina a paʻa iā ia i hiki iā ʻoe ke ʻike i kou cervix. Hana ʻia kēia i ka wā o ka Pap smear.
4. Ma hope o kēlā, hoʻomaʻemaʻe ʻia ka cervix me kahi wai kūikawā.
5. I kekahi manawa hiki ke hoʻohana ʻia kekahi mea liʻiliʻi i kapa ʻia he tenaculum e hoʻopaʻa i ka cervix ma kahi. ʻO kekahi poʻe ke ʻeha nui loa i kēia hana.
6. ʻO ka mea hope loa, e hoʻokomo ke kauka i kahi ʻōmole lahilahi a palupalu ma o ka cervix i loko o ka uterus a hoʻohana i kahi ʻano omo e wehe i kahi ʻāpana liʻiliʻi o ka ʻiʻo endometrial. Hiki paha iā ʻoe ke manaʻo i kahi manaʻo huki iki i loko o kou ʻōpū i kēia manawa.
7. Hoʻouna ʻia ka hāpana ʻiʻo i kahi keʻena hoʻokolohua, kahi e nānā ai kekahi pathologist iā ia ma lalo o kahi microscope a kākau i kahi hōʻike.
Ma waena o 5 a me 15 mau minuke wale nō ka lōʻihi o kēia kaʻina hana holoʻokoʻa.
He aha ka mea e manaʻo ai ma hope o ka hoʻāʻo?
Ma hope o ka wehe ʻia ʻana o nā lako, hiki iā ʻoe ke ʻaʻahu ma ke ʻano maʻamau. Ma hope o ka hoʻomaha ʻana no kekahi manawa, hiki iā ʻoe ke hoʻokele i ka home ma kāu iho.
E mālama i kēia mau mea ma hope o kou hoʻi ʻana i ka home:
He mea maʻamau loa ka loaʻa ʻana o ka ʻeha o ka ʻōpū a me ke kahe ʻana o ke koko i loko o ka ʻōpū no kekahi mau lā ma hope o ka hoʻāʻo ʻana. Mai hopohopo no ia mea.
| Nā mea e hana ai (Do's) | Nā mea ʻaʻole e hana ʻia |
|---|---|
| E hoʻohana i nā pads sanitary no ke kahe ʻana o ke koko. | Mai hoʻohana i nā tampons no hoʻokahi pule ma ka liʻiliʻi. |
| Inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū, e lawe i kahi lāʻau hoʻopau ʻeha e like me ka paracetamol a i ʻole ibuprofen. | Mai moe a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe (ʻo ka maʻamau he 7 lā). |
| E hoʻomaha maikaʻi. | E hōʻalo i ka hāpai kaumaha, ka hoʻoikaika kino, ka ʻauʻau ʻana, a me ka luʻu ʻana i loko o ka ʻauʻau wela no kekahi mau lā. |
| E hahai pono i nā ʻōlelo a kāu kauka. | E pale i ka holoi ʻana i ka ʻōpū (he mea kēia āu e hana ʻole ai). |
E ʻoi aku ka maikaʻi o kou manaʻo i loko o ʻelua a ʻekolu mau lā.
Aia kekahi mau hopena ʻaoʻao a me nā pilikia?
E like me nā hana lapaʻau a pau, he liʻiliʻi loa nā pilikia. Akā, he mea kākaʻikahi loa kēia.
- Ka maʻi ʻana.
- Ke kahe koko nui.
- ʻEha ka ʻōpū a me ke kahe koko māmā no kekahi mau lā.
- Ka puka ʻana a i ʻole ka haehae ʻana o ka ʻōpū a i ʻole ka cervix ( he mea kākaʻikahi loa kēia ).
I ka manawa e kāhea koke aku ai i ke kauka
Inā ʻike ʻoe i kēia mau hōʻailona, e kāhea koke aku i kāu kauka.
- ʻEha nui ka ʻōpū e mau ana ma mua o ʻelua a ʻekolu paha lā .
- Inā ʻoi aku ka lōʻihi o ke kahe ʻana o ke koko ma mua o ʻekolu lā a i ʻole inā nui loa ke kahe ʻana a hoʻomaʻū i kahi ʻāpana hoʻomaʻemaʻe i kēlā me kēia ʻelua hola.
- Nā hōʻailona e like me ke kuni a me ke anu.
- He kahe ʻala pilau mai loko mai o ka vagina.
He aha ka ʻōlelo a ka hōʻike noiʻi?
ʻO ka maʻamau, e loaʻa iā ʻoe ka hōʻike i loko o hoʻokahi pule.
- Inā maʻamau nā hopena: ʻO ke ʻano kēia ʻaʻohe pūnaewele ʻē i loaʻa i loko o kou ʻiʻo ʻōpū.
- Inā ʻano ʻē nā hopena: ʻO ia hoʻi, ua loaʻa kahi ʻano cell ʻano ʻē. Aia paha kekahi mau kumu no kēia. ʻOiai he "ʻano ʻē" ia, ʻaʻole ia he manaʻo he maʻi kanesa ia.
Nā mea e hiki ai ke hopena i kahi hopena kūpono ʻole:
- Nā ulu liʻiliʻi i loko o ka ʻōpū (nā polyps uterine a i ʻole fibroids).
- Nā maʻi o ka paia o loko o ka ʻōpū.
- Nā hemahema o ka hormonal.
- Ka maʻi ʻaʻai endometrial.
I kekahi manawa, inā ʻaʻole lawa ka nui o ka hāpana kiko, hiki i ka hopena ke "ʻaʻole maopopo." I ia mau hihia, hiki i kāu kauka ke hana i kahi D&C (Dilation and Curettage), e pili ana i ka lawe ʻana i kahi ʻāpana nui o ka ʻiʻo a nānā iā ia.Ua paipai ʻia e hana i ke kaʻina hana ma lalo nei.
ʻO ka mea nui loa, ʻoiai ke ʻano o ka hopena o kāu hōʻike, e kūkākūkā pono me kāu kauka a hoʻoholo i ka mea e hana ai ma hope.
Leka Lawe-Home
- He mea nui loa ka Endometrial Biopsy, palekana, a wikiwiki hoʻi e ʻike ai i ke kumu o nā pilikia e like me ke kahe koko ʻana o ka ʻōpū ma ke ʻano kūpono ʻole.
- ʻO ka ʻeha āu e ʻike ai i kēia wā he manawa pōkole wale nō ia, e like me ka ʻeha ʻōpū i kou wā. Mai makaʻu iā ia.
- E hahai pono i nā ʻōlelo a kāu kauka ma mua a ma hope o ka hoʻāʻo ʻana.
- Inā he "ʻano ʻē" ka hopena o ka hoʻāʻo, ʻaʻole ia he manaʻo he maʻi kanesa. Na kāu kauka e alakaʻi iā ʻoe i nā hana aʻe e hana ai.
- E ʻoluʻolu e kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu. ʻO kou kuleana ia.
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