Hysteroscopy: nā mea āpau e pono ai ʻoe e ʻike e pili ana i ia mea

Ua loaʻa paha iā ʻoe nā wā ʻano ʻole? Malia paha he nui kou kahe koko no kekahi mau lā. A i ʻole he iki paha kou kahe koko ma hope o ka pau ʻana o kou wā. Ke hele ʻoe i ke kauka me kēia pilikia, ua haʻi aku anei ʻo ia iā ʻoe e pono ʻoe e hana i kahi "Hysteroscopy"? Ke lohe ʻoe i kēia inoa, e hopohopo iki paha ʻoe, "He aha kāu manaʻo ma ke kau ʻana i kahi kāmela i loko?" Akā he hana holomua loa kēia, maʻalahi loa a palekana hoʻi. I kēia lā, e kamaʻilio mākou e pili ana i kēia e hoʻopau i kou mau kānalua a me kou mau makaʻu.

I ka ʻōlelo maʻalahi, he aha ka Hysteroscopy?

ʻO ka Hysteroscopy, i ka ʻōlelo maʻalahi, he hoʻāʻo e nānā i loko o kou ʻōpū. Hana ʻia kēia me ka hoʻohana ʻana i kahi ʻōmole lahilahi loa, ʻoi aku ka mānoanoa ma mua o ka penikala, me ke kukui a me ke kāmela ma ke alo. Kāhea mākou i kēia mea hana he hysteroscope . Hoʻokomo pono ʻia ia ma o kou ʻōpū a hoʻokomo ʻia ma o kou cervix i loko o kou ʻōpū. A laila hiki i ke kauka ke ʻike i nā kiʻi mai ke kāmela ma kahi monitor, i hoʻonui ʻia a maopopo.

ʻElua ʻano nui o kēia:

1. Diagnostic Hysteroscopy: Hana ʻia kēia e nānā i nā pilikia i loko o ka ʻōpū. No ka laʻana, hiki iā ia ke kōkua i ka hoʻoholo ʻana i ke kumu o ke kahe koko kūpono ʻole, inā he mau puʻupuʻu i loko o ka ʻōpū, a i ʻole kekahi mau mea ʻē aʻe. I kekahi manawa hana ʻia ma hope o ka ultrasound scan e hōʻoia i ka hōʻailona.

2. Hysteroscopy no ka mālama ʻana (Operative Hysteroscopy): ʻO kēia kahi e ʻike ʻole ʻia ai ka maʻi, akā mālama ʻia hoʻi ma kahi. E noʻonoʻo, inā ʻike ʻia kekahi mea e like me ka polyp i ka wā o ka hoʻokolokolo ʻana, hiki ke hoʻokomo ʻia kahi mea hana liʻiliʻi ma o ka hysteroscope a hiki ke wehe ʻia ka polyp. Ma kēia ʻano, hiki ke hana ʻia ka hoʻokolokolo ʻana a me ke ʻoki ʻana i ka manawa like, no laila ʻaʻohe pono e hana hou i ke ʻoki ʻana.

I ka manawa hea e pono ai ka hysteroscopy?

ʻO ka hapa nui, e ʻōlelo aku kāu kauka wahine i kēia hoʻāʻo inā manaʻo lākou he pilikia me kou ʻōpū. Eia kekahi o nā kūlana e hiki ai ke hana ʻia kēia.

He aha ka mea e hana ʻia ma mua o kēia hoʻāʻo?

E nānā pono kāu kauka iā ʻoe ma mua o ka hana ʻana i kēia hoʻokolohua a hoʻoholo inā kūpono ia iā ʻoe.

• E nīnau lākou e pili ana i kāu mōʻaukala olakino piha. E nīnau pū lākou e pili ana i nā lāʻau lapaʻau a me nā huaora āu e lawe nei. E noi paha lākou iā ʻoe e hoʻōki i ka lawe ʻana i nā lāʻau hoʻokahe koko (anticoagulants) no kekahi mau lā.
• E hana ʻia kahi hoʻokolohua kino a me ka hoʻokolohua pelvic. E hana ʻia kahi hoʻāʻo e ʻike ai inā hāpai ʻoe.
• ʻO ka mea nui loa, ʻo ke koho ʻana i ka manawa kūpono loa e hana ai i kēia. Inā ʻo kou wā ma ka lā i manaʻo ʻia, e hāʻawi pinepine ke kauka iā ʻoe i kahi lā e hana ai i kēia i loko o ka pule mua ma hope o ka pau ʻana o kou wā . ʻO kēia no ka mea ʻike maopopo ʻia ka ʻaoʻao o loko o ka ʻōpū i kēlā manawa.

He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?

Mai makaʻu ʻoe ke lohe ʻoe i kēia, e hana ʻia ke kaʻina holoʻokoʻa me ka ʻole o kou ʻoluʻolu ʻole.

1. Hoʻomākaukau: E hoʻololi ʻia ʻoe i kahi lole haukapila a e moe i lalo ma kahi papa hoʻokolokolo. E kau ʻia kou mau wāwae i loko o kahi kākoʻo i hoʻolālā kūikawā ʻia.

2. Anesthesia: ʻO ka hapa nui o ka manawa, hana ʻia kēia ma lalo o ka anesthesia laulā, ʻo ia hoʻi, ʻaʻole ʻoe e manaʻo i kekahi mea. No kekahi mau hoʻokolohua liʻiliʻi, ʻo ka ʻōpū haʻahaʻa wale nō paha e mae (anesthesia kūloko). E wehewehe mua kāu kauka i kēia iā ʻoe.

3. Hoʻokolokolo: E nānā mua ke kauka i ka vagina. A laila, e wehe iki ʻia ka cervix (dilated) e ʻae i ka hysteroscope e hoʻokomo ʻia.

4. Hoʻokomo ʻana o ka hysteroscope: ʻO ka mea aʻe, hoʻokomo pono ʻia ka mea hana i loko o ka ʻōpū.

5. Ka hoʻomaʻemaʻe ʻana i ka ʻōpū: Hoʻokomo ʻia kahi wai hoʻoheheʻe, e like me ka saline, i loko o ka ʻōpū e pehu iki a ʻike ʻia. Hoʻopau kēia i kekahi koko a mucus paha i loko, e ʻae ana i ke kauka e ʻike maopopo i nā paia o ka ʻōpū a me nā puka o nā ʻōpū fallopian.

6. Lapaʻau (inā pono): Inā he mea e like me ka puʻupuʻu a i ʻole ka pipili ʻana, wehe ʻia me nā mea hana liʻiliʻi e hele ana ma o ka hāmeʻa.

Hiki i kēia kaʻina hana holoʻokoʻa ke lawe ma kahi o 5 mau minuke a hiki i hoʻokahi hola, ma muli o ka mea he hoʻāʻo wale nō a inā ʻoe e hana nei i ka lāʻau lapaʻau.

He aha ka mea e manaʻo ai ma hope o ka hoʻāʻo?

Ma hope o ka hoʻāʻo ʻana, e mālama ʻia ʻoe i loko o kahi lumi hoʻōla no kekahi mau hola a laila e hoʻouna ʻia i ka lumi.

• He mea maʻamau ka loaʻa ʻana o kekahi ʻūpā ma kou ʻōpū haʻahaʻa (e like me ka wā o ka menstruation) a me kekahi kahe koko māmā no kekahi mau lā. Mai hopohopo no ia mea.
• E like me ka ʻōlelo a kāu kauka, pono ʻoe e pale i ka moekolohe, ka hoʻohana ʻana i nā tampons, a me ka ʻauʻau wela no kahi o ʻelua pule .

Aia kekahi mau hopena ʻaoʻao? Āhea ʻoe e ʻike koke ai i ke kauka?

He hana palekana loa ka Hysteroscopy. Loaʻa nā hopena ʻaoʻao ma lalo o 1% o nā hihia. Eia nō naʻe, e like me nā hana lapaʻau āpau, he mea maikaʻi ke makaʻala i nā hihia kakaikahi loa e hiki ke hana. No ka laʻana, nā maʻi, ke kahe nui ʻana o ke koko, a me nā hopena i ka anesthesia.

Eia nō naʻe, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​pono ʻoe e kāhea koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa iā ʻoe:

He like anei ka Hysteroscopy a me ka D&C?

ʻAʻole. He mea kēia e huikau ai ka poʻe he nui. Ma ke kaʻina hana D&C `(Dilation and Curettage)`, e ʻānai ʻia nā paia o ka ʻōpū a lawe ʻia kahi hāpana ʻiʻo. I kēlā hihia , ʻaʻole hiki i ke kauka ke ʻike i loko, a lawe ʻia ka ʻiʻo ma ke kuhi ʻana. Akā ma ka Hysteroscopy , hiki ke hoʻohana ʻia kahi kāmela e ʻike maopopo i loko o ka ʻōpū, e ʻike i kahi kikoʻī o ka pilikia, a wehe wale i kēlā ʻāpana me ke akahele loa. No laila, he ʻano pololei a pololei loa ka Hysteroscopy.