Ke ʻōlelo mai ke kauka, "Pono wau e wehe ʻia koʻu ʻōpū," e manaʻo paha ʻoe i ka makaʻu a me ka hopohopo. ʻO nā nīnau e like me 'Pehea lā e hele ai ke ʻoki kino?', 'He aha ka mea e hiki mai ana iaʻu?', 'Pehea lā e loli ai koʻu ola i ka wā e hiki mai ana?' e holo nei paha i loko o kou manaʻo. He mea maʻamau loa ia. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia ʻoki kino hysterectomy, ʻo ia hoʻi, ke ʻoki kino e wehe i ka ʻōpū, e ʻimi i nā pane i nā nīnau a pau āu e noʻonoʻo nei.
I ka ʻōlelo maʻalahi, he aha ka Hysterectomy?
He hana ʻoki kino ka hysterectomy e wehe ai i kou uterus . I ka manawa pinepine, wehe ʻia ka uterus me kahi ʻāpana o ka cervix. Ma muli o ke kumu o ke ʻoki kino, pono paha e wehe i nā ʻōpū a puni ka uterus, e like me nā fallopian tubes a me nā ovaries.
ʻO ka mea nui loa, ma hope o kēia ʻoki kino, ʻaʻole hiki iā ʻoe ke hānau keiki. A e pau loa hoʻi kou pōʻaiapuni menstrual, a i ʻole menstruation.
He aha nā ʻano hana hysterectomy e loaʻa ana?
E wehewehe kāu kauka iā ʻoe i ke ʻano o ke ʻoki kino āu e pono ai ma muli o kou kūlana olakino. E hoʻoholo kēia inā e wehe ʻia nā ovaries a me nā fallopian tubes me ka uterus. E nānā kākou i nā ʻano nui.
| ʻAno o ke ʻoki kino | Nā mea e wehe ai a me ka hopena |
|---|---|
| Ka hoʻopau ʻana i ka hysterectomy holoʻokoʻa | Ua wehe ʻia ka ʻōpū a me ke cervix, akā ua waiho ʻia nā ovaries ma ko lākou wahi. Ma muli o ka waiho ʻia ʻana o nā ovaries ma ko lākou wahi, ʻaʻole ʻoe e hele koke i ka menopause. |
| ʻO ka hysterectomy ma luna o ka cervix | ʻO ka ʻaoʻao o luna wale nō o ka ʻōpū e wehe ʻia, e waiho ana i ka cervix me ka ʻole o ka pilikia. No ka mea ua waiho ʻia ka cervix me ka ʻole o ka pilikia, pono ʻoe e hoʻomau i ka hana ʻana i nā Pap smears. |
| ʻO ka Hysterectomy holoʻokoʻa me ka Bilateral Salpingo-oophorectomy | Ua wehe ʻia ka ʻōpū, ka cervix, nā ʻōpū fallopian (salpingectomy), a me nā ovaries (oophorectomy). Ma muli o ka wehe ʻia ʻana o nā ovaries, e hele koke ʻoe i ka menopause ma hope o ke ʻoki ʻana. |
| ʻO ka Hysterectomy Radical | Ma waho aʻe o nā mea a pau i luna, ua wehe ʻia ka ʻaoʻao o luna o ka vagina a me nā ʻiʻo a puni a me nā lymph nodes. Hoʻohana pinepine ʻia kēia ʻano hana i nā hihia o ka maʻi kanesa. Maanei pū kekahi, ua wehe ʻia nā ovaries, e hopena ana i ka menopause koke. |
No ke aha he mea e pono ai ke hana ʻia ka hysterectomy?
Hoʻomaopopo pinepine nā kauka i ka hysterectomy ma ke ʻano he koho hope loa. Hana ʻia kēia ʻoki kino ke hāʻule nā lāʻau ʻē aʻe. I kekahi mau hihia, ʻo ia wale nō paha ka hopena.
Eia kekahi mau kumu nui no ka hana ʻana i kahi hysterectomy:
- Ke kahe koko ʻana o ka ʻōpū hiki ʻole ke hoʻōki, ʻano ʻē, a nui paha .
- ʻEha nui o ka pelvic hiki ʻole ke hoʻomanawanui.
- ʻO nā puʻupuʻu ʻaʻole he kanesa e kū ana i loko o ka ʻōpū, ʻoi aku hoʻi (nā fibroids uterine) .
- He maʻi koʻikoʻi loa ka Endometriosis .
- ʻO ka prolapse o ka ʻōpū : Hiki i kēia ke hana i ka incontinence.
- Nā maʻi ʻaʻai o ka cervix, ovaries, a i ʻole ka uterus.
- ʻO nā maʻi o ka uhi o ka ʻōpū, no ka laʻana (Hyperplasia) a i ʻole (Adenomyosis) .
- Nā pilikia koʻikoʻi i ka wā hānau, e like me ka haki ʻana o ka ʻōpū.
He aha nā ʻano hana e hana ai i ke ʻoki kino?
Ma muli o ke ʻano o ka hysterectomy āu e pono ai, e koho kāu kauka ʻoki i ke ʻano hana ʻoki kūpono loa. E ʻike pū mākou i kēlā mau ʻano hana.
| ʻAno hana ʻoki kino | Ka wehewehe a me ka manawa hoʻōla |
|---|---|
| ʻO ka hysterectomy vaginal | Hana ʻia kahi ʻoki liʻiliʻi ma luna o ka vagina a wehe ʻia ka uterus ma o ia mea. ʻAʻohe ʻoki ma ka ʻōpū. Hoʻohana ʻia nā humuhumu hiki ke hoʻoheheʻe ʻia. ʻO kēia ke ʻano me nā pilikia liʻiliʻi loa a me ka hoʻōla wikiwiki loa (ma kahi o 4 mau pule). I ka hapa nui o nā hihia, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. |
| ʻO ka hysterectomy vaginal Laparoscopic | Hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela (laparoscope) ma o ka ʻoki ʻana o ka vagina e ʻike maopopo i nā ʻōpū a puni. Hoʻoneʻe ʻia ka uterus ma o ka vagina. ʻAʻole pono kēia i nā ʻoki ʻana o ka ʻōpū. Wikiwiki ka hoʻōla ʻana. |
| ʻO ka hysterectomy ʻōpū Laparoscopic | Hana ʻia kahi ʻoki liʻiliʻi kokoke i ka cervix a hoʻokomo ʻia ka laparoscope ma o ia mea. Hoʻokomo ʻia nā mea hana ʻoki ma o kekahi mau ʻoki liʻiliʻi ʻē aʻe a ʻokiʻoki ʻia ka uterus i mau ʻāpana liʻiliʻi a wehe ʻia ma o nā ʻoki ʻōpū a i ʻole ka vagina. Hiki iā ʻoe ke hoʻi i ka home i hoʻokahi a ʻelua paha lā. He liʻiliʻi ka ʻeha a wikiwiki ka ho'ōla ʻana. |
| ʻO ka Hysterectomy Laparoscopic i kōkua ʻia e Robotic | Ua like ia me ke ʻano hana ma luna, akā naʻe, ke kāohi nei ke kauka lapaʻau i ke ʻoki ʻana me ke kōkua o kahi robot. Ua like ka manawa hoʻōla me ke ʻoki laparoscopic. |
| ʻO ka hysterectomy ʻōpū | Hoʻoneʻe ʻia ka ʻōpū ma o kahi ʻoki ʻana he 6-8 ʻīniha ma ka ʻōpū. Hoʻohana pinepine ʻia kēia kaʻina hana i nā hihia o ke kanesa, i ka wā e nui loa ai ka ʻōpū, a i ʻole i ka wā i laha ai ka maʻi i nā wahi ʻē aʻe. Pono ʻoe e noho ma ka haukapila no kekahi mau lā, a e lōʻihi ka manawa (ma kahi o 6 mau pule) e hoʻōla ai. |
He aha kāu e manaʻo ai ma hope o ke ʻoki kino?
Ka manawa hoʻōla a me nā kapu
E loli ka manawa hoʻōla ma muli o ke ʻano o ke ʻoki kino āu i hana ai. ʻO ka maʻamau, he 4-6 mau pule ka lōʻihi. I loko o kēia manawa, pono ʻoe e hahai i kekahi mau kapu.
- Ka hāpai kaumaha: Mai hāpai i nā mea i kaumaha ma mua o 4.5 kilokani (10 paona) no 4-6 mau pule.
- Moe kolohe: Mai moe kolohe no 6 mau pule ma hope o ke ʻoki kino.
- Nā mea ʻē aʻe:E hōʻalo i ka hoʻohana ʻana i nā tampons, ka ʻauʻau ʻana i loko o nā loko wai, a i ʻole ke kai no 4-6 mau pule.
- Ke hoʻokele nei: Inā ua hana ʻia ʻoe i ke ʻoki ʻōpū hāmama, e pale i ka hoʻokele ʻana no kahi o 2 mau pule. Hiki iā ʻoe ke hoʻokele i kekahi mau lā ma hope o ke ʻoki laparoscopic. Eia nō naʻe, inā ʻoe e lawe ana i nā mea ʻeha, mai hoʻokele a hiki i kou hoʻōki ʻana i ka lawe ʻana iā lākou.
- Ke hoʻi ʻana i ka hana: Ma muli o ke ʻano o kāu hana, hiki paha iā ʻoe ke hoʻi i ka hana i loko o 2-6 mau pule. E kamaʻilio me kāu kauka e pili ana i kēia.
Nā loli kino a me ka noʻonoʻo
He mea maʻamau ke manaʻo i kekahi mau loli i kou kino a me kou noʻonoʻo ma hope o ke ʻoki kino.
- Ma ke kino: E pau loa kou mau wā. Hiki paha iā ʻoe ke ʻeha iki, ka ʻeha ʻana, a i ʻole ka maneʻo ma nā wahi ʻoki no kekahi mau pule. E emi mālie kēia. Inā ua wehe ʻia kāu mau ovaries, hiki paha iā ʻoe ke ʻike i nā hōʻailona o ka menopause (e.g., nā ʻā wela, ka maloʻo o ka vagina, ka insomnia). E kamaʻilio me kāu kauka e pili ana i kēia mau mea, no ka mea, aia nā lāʻau lapaʻau i loaʻa.
- Manaʻo: Manaʻo paha kekahi poʻe ua kaumaha, mehameha, a ua like paha me he mea lā ua nalowale kekahi mea ma hope o kēia ʻoki kino. Manaʻo paha kekahi i ka hōʻoluʻolu nui mai ka ʻeha mau a i ʻole ke kahe koko nui. Inā ʻoe e hopohopo nei e pili ana i kou kūlana manaʻo, e kamaʻilio me kāu kauka, ʻohana, a i ʻole he hoaaloha hilinaʻi e pili ana i ia mea.
Āhea ʻoe e kamaʻilio ai me ke kauka?
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona i kou wā ma ka home ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- Ke kahe koko ʻulaʻula ʻālohilohi o ka ʻōpū.
- Ke kuni ma luna o 38 kekelē Celsius (100.4 Fahrenheit).
- Ka luaʻi nui a i ʻole ka luaʻi ʻana.
- Ka paʻakikī o ka mimi ʻana, ka maʻi ʻaʻai mimi, a i ʻole ka mimi pinepine ʻana.
- ʻUlaʻula, hoʻonui i ka pehu , a i ʻole ka wai e like me ka pus e kahe ana mai ka ʻoki ʻia.
- Hoʻonui mālie ka ʻeha ma kahi o ka emi ʻana.
Leka Lawe-Home
- He hana ʻoki kino nui maʻamau ka hysterectomy. Mai makaʻu pono ʻole i ia mea.
- ʻO ke ʻano o ke ʻoki kino āu e pono ai a pehea e hana ʻia ai e pili ana i kou kūlana.
- He manawa ka lōʻihi e hoʻōla piha ai ma hope o ke ʻoki ʻana. He mea nui loa e hahai pololei i nā ʻōlelo a ke kauka.
- He mea nui like ke olakino noʻonoʻo me ke olakino kino. E kamaʻilio me kahi āu e hilinaʻi ai e pili ana i kou manaʻo.
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai, ma mua a ma hope o ke ʻoki ʻana.
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