Ke manaʻo nei ʻoe i kahi kaumaha a i ʻole kaomi ʻē i loko o kou ʻōpū? He enterocele paha ia!

Ke manaʻo nei ʻoe i kekahi manawa i ke kaumaha, ka piha, a i ʻole ke kaomi i loko o kou ʻōpū? Ke hoʻonui nei kēia ʻoluʻolu ʻole, ʻoiai ke kū ʻoe, ʻakaʻaka, a ʻū paha? Inā pēlā, he mea nui paha kēia iā ʻoe. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana i maʻamau i waena o nā wahine, akā ʻaʻole nui ka poʻe i ʻike e pili ana i ia mea. ʻO ia ka enterocele, a i ʻole i ka ʻōlelo maʻalahi, he ʻōpū liʻiliʻi prolapsed.

He aha ka Enterocele?

I ka ʻōlelo maʻalahi, ʻo ka enterocele kahi kūlana kahi e paʻi ai kahi hapa o ko mākou ʻōpū liʻiliʻi i loko o ka ʻāpana pelvic, ʻo ia hoʻi, ka ʻaoʻao o luna o ka vagina. E noʻonoʻo e pili ana i ia mea, pono nā ʻōpū i loko o ko mākou ʻōpū e noho ma ko lākou mau wahi kūpono. No laila, e iho iki mai kēia ʻōpū liʻiliʻi mai kahi e pono ai a paʻi i ka paia o ka vagina. Ua kapa ʻia hoʻi kēia ʻo Small Bowel Prolapse . He ʻano prolapse kēia o nā ʻōpū pelvic hiki ke hana i loko o ka ʻōnaehana hānau wahine.

Pehea ka maʻamau o kēia ʻano?

ʻOiaʻiʻo, aia kekahi mau wahine ma Sri Lanka i loaʻa nā pilikia prolapse o nā ʻōpū pelvic. Wahi a kekahi mau ʻikepili mai ka honua, hiki i kahi pakeneka liʻiliʻi o nā wahine (ma kahi o 3% - 6%) ke ʻike i kēia maʻi. He mea maʻamau kēia i waena o nā wahine ma hope o ka menopause , ʻo ia hoʻi, nā wahine i pau ka loaʻa ʻana o nā wā mahina. Eia kekahi, ʻōlelo kekahi mau hōʻike he mea maʻamau ia i waena o nā wahine keʻokeʻo a me Hispanic. Eia naʻe, hiki i kekahi ke ʻike i kēia maʻi.

No ke aha e hana ai ka enterocele?

ʻAe, e nānā kākou i ke kumu o kēia. Hana ʻia ko kākou papahele pelvic me nā ʻiʻo, nā ʻiʻo hoʻohui, a me nā ligaments. ʻO kēia nā mea e hoʻopaʻa ai i ko kākou mau kino e like me ko kākou uterus, nā ʻōpū, a me ka vagina ma kahi. Kākoʻo lākou i kēia mau kino e like me ka ʻupena.

No laila, inā nāwaliwali kēia mau ʻiʻo a me nā ʻiʻo, kīkoʻo, a haehae paha i kekahi manawa, ʻaʻole hana pono kēlā hāpai ʻana. ʻO ia ka manawa e kū mai ai kēia mau pilikia.

He ʻāpana koʻikoʻi ko kākou ʻōpū liʻiliʻi o kā kākou ʻōnaehana hoʻoheheʻe. ʻO ka maʻamau, aia kēia ʻōpū liʻiliʻi ma ka ʻōpū haʻahaʻa a me ke pelvis luna, i paʻa ʻia e nā ʻiʻo a me nā ligaments i ʻōlelo ʻia ma luna. Akā i ka wā e nāwaliwali ai kēia mau ʻiʻo, e paheʻe mālie ana ka ʻōpū liʻiliʻi i lalo a hāʻule i loko o ka hakahaka ma waena o ka vagina a me ka rectum. ʻO kēia ka manawa e hana ʻia ai ke kaomi ma ka paia o luna o ka vagina.

ʻO kekahi mea ʻē aʻe, hiki i kēia kūlana i kapa ʻia ʻo enterocele ke hana hoʻokahi, a i ʻole hiki ke hana pū me nā ʻano pelvic prolapse ʻē aʻe. ʻO ia hoʻi:

• ʻO ka prolapse bladder (Bladder prolapse a i ʻole Cystocele)
• ʻO ka prolapse Rectal a i ʻole Rectocele (kahi hernia o ka rectum e puka ana i loko o ka paia hope o ka vagina)
• ʻO ka prolapse o ka urethra a i ʻole Urethrocele
• Ka emi ʻana o ka ʻōpū
• ʻO ka prolapse vaginal

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia?

I kēia manawa, e nānā kākou i ka mea i ʻoi aku ka paʻakikī o ke komo ʻana i kēia kūlana.

ʻO kekahi o nā mea nui loa, ʻo ia ka menopause . I ka wā a ma hope o ka menopause, hana ko mākou kino i ka estrogen liʻiliʻi. Kōkua kēia hormone i ka mālama ʻana i nā ʻiʻo papahele pelvic i ikaika. No laila, ke hāʻule nā ​​​​pae estrogen, hiki i kēia mau ʻiʻo ke nāwaliwali. Hōʻike nā haʻawina he ʻoi aku ma mua o ka hapakolu o nā wahine me nā maʻi papahele pelvic ma waena o 60 a me 79 mau makahiki. A ma kahi o ka hapalua ma luna o 80.

Ma waho aʻe o kēlā, aia kekahi mau kumu ʻē aʻe e hoʻonāwaliwali ai i nā ʻiʻo o ka papahele pelvic a hoʻoulu i kahi enterocele:

• Hāpai keiki a me ka hānau keiki ʻana: ʻO ka hāpai ʻana i kahi pēpē i loko o ka ʻōpū a me ka hānau ʻana e kau i ka nui o ke kaomi ma luna o nā ʻiʻo pelvic. Hiki ke hoʻonui ʻia kēia pilikia ʻoiai i ka wā o ka hānau ʻana i nā keiki paʻakikī, nā pēpē nui, a i ʻole ke hānau ʻia ʻana o ka pēpē me ka hoʻohana ʻana i nā mea hana (forceps, vacuum).
• ʻŪhū mau: No ka laʻana, ʻo ka mea e ʻūhū mau ana, inā paha ma muli o kahi maʻi e like me ka hānō, ka bronchitis, a i ʻole ka puhi paka, e kau mau ana i ke kaomi ma luna o nā ʻiʻo pelvic. Hiki i kēia ke hoʻonāwaliwali i nā ʻiʻo.
• Nā maʻi pili pili: No ka laʻana, ʻo ka poʻe me nā kūlana genetic e like me ka Ehlers-Danlos syndrome e pilikia pū kekahi no ka mea ʻoi aku ka nāwaliwali o ka pili o ko lākou kino ma mua o ka maʻamau.
• Paʻa ʻōpū: Inā paʻa mau kou ʻōpū, pono paha ʻoe e hoʻoluhi i kou wā e hele ai i ka lua. Hoʻokomo pū kēia i ke kaomi pono ʻole ma ka papahele pelvic.
• Ka hāpai kaumaha: ʻOi aku ke kiʻekiʻe o kēia pilikia no ka poʻe e hāpai mau ana i nā kaumaha, ʻoiai ka poʻe e hāpai hewa ana i nā kaumaha. Pono ʻoe e makaʻala e pili ana i kēia i ka wā e hana ana i nā hana o ka home a ma ka hana.
• Ka momona: I ka piʻi ʻana o ke kaumaha o ke kino, piʻi pū ka ukana ma luna o nā ʻiʻo papahele pelvic. Hiki i kēia ke hoʻonāwaliwali i nā ʻiʻo i ka wā lōʻihi.
• ʻO ke ʻoki Pelvic: Ma hope o ke ʻoki ʻana, e like me ka hysterectomy, hiki i nā ʻano kākoʻo o ka papahele pelvic ke hoʻonāwaliwali ʻia i kekahi manawa.
• ʻO ka radiation therapy i ka ʻāpana pelvic: ʻO ka radiation therapy i ka ʻāpana pelvic no nā kūlana e like me ke kanesa hiki ke hōʻino a hoʻonāwaliwali i nā ʻiʻo.

He aha nā hōʻailona o ka maʻi enterocele?

ʻAʻole paha e loaʻa i kekahi mau wahine kekahi mau hōʻailona. ʻO ia hoʻi, ʻaʻole paha lākou e ʻike iā ia ʻoiai inā he enterocele ko lākou. Eia nō naʻe, ke ʻike ʻia nā hōʻailona, ​​​​hiki iā lākou ke ʻike i kēia mau mea:

• He manaʻo e like me kahi mea e like me ka pōpō i iho mai loko mai o ka vagina (ʻŌpū i loko o ka vagina): Hiki paha iā ʻoe ke hopu iā ʻoe iho.
• Paʻakikī i ka hoʻopau ʻana i ka neʻe ʻana o ka ʻōpū: Hiki ke manaʻo ʻia he paʻakikī iā ʻoe ke hele i ka ʻōpū, a i ʻole me he mea lā ʻaʻole ʻoe i hala loa. Pono paha kekahi poʻe e hoʻohana i ka manamana lima e kōkua iā lākou e hele i ka ʻōpū.
• Kaomi, kaumaha, ʻeha, a piha paha i ka ʻāpana pelvic: Hiki ke hoʻonui ʻia kēia ʻoluʻolu ʻole, ʻoiai i ka wā o ka moekolohe, hoʻoikaika kino, kū no ka wā lōʻihi, a i ʻole ke ʻū ʻana.
• ʻO ka incontinence urinary: Hiki paha iā ʻoe ke hoʻokahe i kahi liʻiliʻi o ka mimi i ka wā e ʻū ai ʻoe, ʻakaʻaka, ʻū, a hāpai paha i kahi mea kaumaha.
• ʻEha o ka ʻōpū a me ke kua i lalo: Me he mea lā e hōʻoluʻolu iki kēia ʻeha ke moe ʻoe.

E noʻonoʻo, ma hope o ka hana nui ʻana i ka lā a pau, i ke ahiahi, ke manaʻo nei ʻoe i ke kaumaha i loko o kou ʻōpū, me he mea lā e puka mai ana kekahi mea mai loko mai. ʻOi aku ka maikaʻi o ka manaʻo ke noho ʻoe a moe paha. Inā loaʻa iā ʻoe kēia ʻano ʻike, e makaʻala no ia mea.

Pehea e hōʻike ai i ka enterocele?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka. ʻO ke kauka wahine ka mea maʻamau e mālama i kēia mau maʻi.

Ke nānā kāu kauka iā ʻoe, e hana lākou i kahi hoʻokolokolo pelvic. Hiki i ke kauka ke manaʻo i kahi puʻupuʻu i hana ʻia e ka ʻōpū liʻiliʻi e paʻi ana i loko o ka vagina. Hiki i ke kauka ke noi iā ʻoe e ʻū a kaomi paha i lalo. A laila hiki ke ʻike ʻia ka puʻupuʻu a ʻike maikaʻi ʻia. Hiki iā lākou ke hana i kahi hoʻokolokolo rectal.

Eia kekahi, hiki ke hana ʻia hoʻokahi a ʻoi aku paha o nā hoʻokolohua aʻe:

• Cystoscopy: Ma kēia, hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela (cystoscope) ma o ka urethra e nānā i ka ʻōpū mimi, kona wahi, a me kona kūlana.
• Nā hoʻokolohua kiʻi: Hiki ke hana ʻia kahi MRI, ultrasound scan, a i ʻole CT scan e nānā i nā ʻiʻo papahele pelvic a ʻike pono i nā ʻōpū i prolapsed.
• Ka hoʻāʻo ʻana o ka Urodynamic: Kōkua kēia mau hoʻāʻo e hoʻoholo i ke ʻano o ka hana ʻana o ka ʻōpū mimi a me ke kumu o ka pilikia me ka mimi ʻana.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka nūhou maikaʻi, aia nā lāʻau lapaʻau no ka enterocele. Aia nā lāʻau lapaʻau ʻoki kino a me nā lāʻau lapaʻau ʻoki kino ʻole. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu ma muli o kou makahiki, ke olakino holoʻokoʻa, a me ke ʻano o kāu mau hōʻailona.

ʻEkolu mau ʻano lapaʻau nui:

1. Ke hoʻokomo ʻana i kahi pessary: ​​​​He mea hana kēia i hana ʻia me ka rubber (latex) a i ʻole ka plastic (silicone) hiki ke hoʻokomo ʻia i loko o ka vagina. Hana ia ma ke kākoʻo ʻana i nā ʻiʻo papahele pelvic. Hana ia ma ke ʻano he kākoʻo no ka ʻaoʻao haʻahaʻa o ka vagina. Hiki ke hoʻohana ʻia i ka wā e kali ana no ke ʻoki ʻana, a i ʻole hiki ke hoʻohana mau ʻia no ka poʻe hiki ʻole ke hana ʻoki ʻia. Eia naʻe, ʻaʻole ia e hoʻopau i ka enterocele, hoʻomalu wale ia i nā hōʻailona. E hōʻike kāu kauka iā ʻoe pehea e hoʻokomo ai, wehe iā ia, a mālama iā ia i ka maʻemaʻe.

2.Nā hoʻomaʻamaʻa papahele pelvic: Ua kapa ʻia kēia mau mea ʻo Kegels . Hoʻoikaika kēia mau hoʻomaʻamaʻa i nā ʻiʻo o ka papahele pelvic. Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi mea hoʻoponopono kino. Aia nā mea hoʻoponopono kino e loea i ka mālama ʻana i nā pilikia papahele pelvic. E aʻo lākou iā ʻoe pehea e hana ai i kēia mau hoʻomaʻamaʻa. Hiki iā lākou ke hoʻohana i nā ʻano hana e like me ka biofeedback e kōkua iā ʻoe e ʻike a hoʻomaʻamaʻa i nā ʻiʻo.

3. ʻOki kino: Inā ʻaʻole i holo pono nā ʻano hana ʻē aʻe, a inā ʻoi aku ka koʻikoʻi o ke kūlana, pono paha ke ʻoki kino. ʻO ke ʻoki kino e pili ana i ke kau ʻana i ka ʻōpū liʻiliʻi i kona wahi a me ka hoʻoponopono ʻana i nā ʻiʻo i haehae ʻia. ʻO ka hapa nui o ka manawa, hana ʻia kēia ʻoki kino ma o ka vagina, me ka ʻole o ka hana ʻana i kahi ʻoki nui, ma ke ʻano he hana minimally invasive. I kekahi manawa hiki ke hana ʻia ma o ka ʻōpū. E wehewehe kāu kauka i ke kaʻina hana ʻoki kino kūpono loa iā ʻoe.

Hiki ke pale ʻia ka enterocele?

ʻOiai ʻaʻole hiki ke pale loa ʻia, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ko mākou pilikia. Hiki i kēia mau mea ke kōkua i ka pale ʻana ʻaʻole wale i ka enterocele, akā, i nā pilikia ʻē aʻe o ka papahele pelvic:

• E ʻai i ka meaʻai kiʻekiʻe i ka fiber a inu i ka wai he nui: Hiki i kēia ke kōkua i ka pale ʻana i ka paʻa ʻana o ka ʻōpū. E hōʻemi kēia i ka hoʻoluhi ʻana. E hoʻokomo i nā greens, nā mea kanu, nā huaʻai, a me nā palaoa piha i kāu meaʻai.
• E kiʻi i ke kōkua i ka wā e hāpai ana i nā mea kaumaha, a hāpai pono i nā mea kaumaha: Mai hāpai i nā mea kaumaha hiki ʻole iā ʻoe ke lawelawe hoʻokahi. Inā ʻoe e hāpai i kahi mea kaumaha, e hoʻomau i kou kua i pololei a kūlou i kou mau kuli.
• E hōʻea a mālama paha i kahi kaumaha olakino: ʻO ka momona kahi kumu nui o kēia.
• E mālama i ka ʻū mau: Inā he ʻū kou, e ʻimi i ke kumu a mālama iā ia.
• Inā ʻoe e puhipaka, e hoʻōki: ʻAʻole wale ka puhipaka e hoʻoulu ai i ka ʻū ʻana, akā hiki iā ia ke hōʻino i nā ʻiʻo.

He aha ka wānana no ka poʻe me ka enterocele? (Prognosis)

I ka hapanui o nā hihia, hiki ke hoʻomalu maikaʻi ʻia nā hōʻailona me nā lāʻau lapaʻau ʻoki ʻole. ʻAʻole pono paha kekahi mau wahine i kekahi lāʻau lapaʻau inā ʻaʻohe o lākou mau hōʻailona. He mea kākaʻikahi nā pilikia koʻikoʻi mai kahi enterocele, no laila ʻaʻohe pono e hopohopo pono ʻole. ʻO ka mea nui loa, ʻo ia ke ʻimi i ka ʻōlelo aʻoaʻo lapaʻau inā loaʻa iā ʻoe nā hōʻailona.

Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻike pono i ke kauka:

• Nā pilikia kaohi ʻana i ka ʻōpū mimi.
• Koko i loko o ka mimi.
• ʻO ka mimi ʻeha a i ʻole ka mimi pinepine.
• Ka paʻa ʻana o ka ʻōpū a i ʻole ka pilikia o ka neʻe ʻana o ka ʻōpū.
• Inā ʻoe e manaʻo i kahi kaumaha kūikawā, kaomi, a i ʻole puʻupuʻu i loko o kou vagina.

Mai hoʻowahāwahā i kēia mau mea. ʻO ka loaʻa ʻana o ka lāʻau lapaʻau i ka wā mua e hiki ke pale i ka maʻi mai ka ʻino ʻana.

He aha nā nīnau āu e nīnau ai i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, mai kānalua e nīnau i nā nīnau e pili ana i kou manaʻo. Eia kekahi laʻana, hiki iā ʻoe ke nīnau i nā mea e like me:

• No ke aha i loaʻa ai iaʻu kēia enterocele?
• He aha ke ʻano lapaʻau kūpono loa iaʻu?
• Aia anei iaʻu ka pilikia o ka hoʻomohala ʻana i nā pilikia ʻē aʻe ma muli o kēia?
• He aha nā pilikia e pono iaʻu e hopohopo?
• He aha nā hoʻololi e pono iaʻu e hana i koʻu nohona ma hope o ka mālama ʻana?

He mea nui loa ka nīnau ʻana i nā nīnau e like me kēia a loaʻa kahi ʻike maikaʻi aʻe i kou kūlana.

E hoʻomanaʻo ma ke ʻano he hōʻuluʻulu manaʻo (Leka Lawe-Home)

ʻO ka Enterocele, a i ʻole ka prolapse o ka ʻōpū liʻiliʻi, he ʻano ia e kū pinepine ai i nā wahine postmenopausal a me nā wahine i loaʻa i nā keiki he nui. Eia nō naʻe, ʻaʻohe hōʻailona o ka nui o ka poʻe a ʻaʻole paha e pono ke mālama ʻia.

Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona e like me ke kaumaha o ka ʻōpū, ke kaomi, a i ʻole ka paʻakikī i ka hele ʻana i ka ʻōpala, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka e pili ana i ia mea. I ka manawa pinepine, hiki ke hoʻomalu ʻia nā hōʻailona ma ka hoʻohana ʻana i kahi pessary a i ʻole ka hana ʻana i nā hoʻomaʻamaʻa papahele pelvic e like me Kegels. ʻAʻole pono pinepine ke ʻoki ʻana.

ʻO ka mea nui loa, ʻo ia ka hoʻomaopopo ʻana ʻaʻole kēia kou pilikia wale nō a mai makaʻu e noi i ke kōkua. E kōkua kāu kauka iā ʻoe.

ʻEnterocele , prolapse ʻōpū liʻiliʻi, prolapse o nā ʻōpū pelvic, vagina, olakino wahine, menopause, hoʻomaʻamaʻa Kegel