Ua manaʻo paha ʻoe i kahi makaʻu a me ka hopohopo iki i ka wā i haʻi aku ai kāu kauka iā ʻoe he mea ʻē aʻe i kāu mau hopena Pap smear. A laila, ua haʻi aku paha ke kauka iā ʻoe e pono ʻoe e hana i kahi kaʻina hana i kapa ʻia ʻo LEEP. No laila, i ka lohe ʻana i kēia inoa, ua manaʻo paha ʻoe, "Auē, he aha ka hana o kēia?" Mai makaʻu. I kēia lā, e kamaʻilio mākou e pili ana i kēia kaʻina hana LEEP ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.
He aha maoli ka LEEP?
I ka ʻōlelo maʻalahi, he hana ʻoki liʻiliʻi ʻo LEEP e wehe ai i kahi ʻāpana o nā pūnaewele ʻano ʻē mai ka ʻili o kou cervix. ʻO LEEP ke kū nei no Loop Electrosurgical Excision Procedure . E wehewehe iki kākou.
- Loop: pili i kahi loop uea liʻiliʻi.
- Electrosurgical: ʻO ke ʻano kēia e hoʻouna ʻia ana kahi au uila malū ma o kēia loop uea.
- Ke Kaʻina Hana ʻOki: Ke kaʻina hana o ka ʻoki ʻana a me ka wehe ʻana i kekahi mea.
Ua maopopo iā ʻoe i kēia manawa? ʻO LEEP kahi hana e hoʻohana ana i kahi loop uea liʻiliʻi e hoʻohana ana i ka uila e ʻoki a wehe i kahi me nā cell ʻano ʻē.
A laila hoʻouna ʻia ka ʻiʻo i wehe ʻia i kahi keʻena hoʻokolohua e nānā i nā hunaola kanesa a i ʻole nā hunaola precancerous. Ua kapa ʻia kēia ʻano precancerous he cervical dysplasia . ʻAʻole ia he kanesa. Eia naʻe , inā ʻaʻole mālama ʻia, hiki iā ia ke lilo i kanesa cervical i ka hala ʻana o ka manawa . ʻO ia ke kumu e ʻōlelo ai nā kauka e wehe i kēia mau hunaola ʻano ʻē i ka wā mua.
ʻO ka maʻamau, e ʻōlelo aku kāu kauka i ka LEEP ma hope o ka Pap smear a i ʻole colposcopy. Hoʻohana ʻia nō hoʻi ia e mālama i nā maʻi e like me nā polyps cervical a me nā ʻōuli genital.
Pehea ʻoe e hoʻomākaukau ai no ka LEEP?
Aia kekahi mau mea e pono ai ʻoe e makaʻala ma mua o ka hana ʻana i kēia lāʻau lapaʻau. E hāʻawi ke kauka iā ʻoe i nā kuhikuhi maopopo no kēia.
ʻO ka mea mua, e nānā ke kauka inā he mau kūlana olakino kou e pale aku ai iā ʻoe mai ka hana ʻana i kēia lāʻau. Eia kekahi laʻana:
- Inā loaʻa iā ʻoe kahi maʻi e like me ka Pelvic Inflammatory Disease (PID).
- Inā loaʻa iā ʻoe kahi maʻi e like me ka cervicitis.
I kēia mau hihia, ʻaʻole i hana ʻia kahi LEEP. Hiki ke hoʻāʻo ʻia ʻoe e ʻike inā hāpai ʻoe. Inā hāpai ʻoe, na kāu kauka e hoʻoholo i ka manawa kūpono e hana ai i ka LEEP. E hoʻonohonoho ʻia ka lāʻau no kahi lā i ka wā ʻaʻole ʻoe e loaʻa i kou wā .
E nānā kākou i ka papa ma lalo nei e ʻike pehea e hoʻomākaukau ai ma mua o ka mālama ʻana.
| He aha e hoʻomākaukau ai | Ka wehewehe a me nā mea e hoʻomanaʻo ai |
|---|---|
| Moe a me nā kirīmi | Mai moe kolohe no 24 mau hola ma mua o ka mālama ʻana. Eia kekahi, mai hoʻohana i nā kirīmi vaginal. |
| Nā pale hoʻomaʻemaʻe | Ma hope o ka mālama ʻana, hiki iā ʻoe ke ʻike i kahi kahe ʻana o ka ʻōpū. E lawe mai i kahi pale e hoʻohana ai no kēia. |
| Nā mea hoʻokahe koko | Inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko e like me ka aspirin, e hōʻoia e haʻi i kāu kauka e pili ana i ia mea. Hiki iā ia ke noi iā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau no kekahi mau lā. |
| Nā lāʻau hoʻopau ʻeha | Hiki i kāu kauka ke ʻōlelo aku iā ʻoe e lawe i kahi lāʻau hoʻomaha ʻeha (e.g., Ibuprofen, Panadol) ma kahi o 30 mau minuke ma mua o ka mālama ʻana. E kōkua kēia i ka hōʻemi ʻana i ka ʻoluʻolu ʻole i ka wā o ka mālama ʻana. |
| Nā lole | E ʻaʻahu i nā lole palupalu e maʻalahi ke wehe. E hāʻawi ʻia ʻoe i kahi lole ʻokoʻa e ʻaʻahu ai ma ka haukapila. |
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?
Ma kahi o 10-20 mau minuke ka lōʻihi o kēia lapaʻau. Hiki ke hana ʻia ma ke keʻena o kāu kauka wahine, ma ka haukapila, a i ʻole ma kahi keʻena outpatient. Ua ala ʻoe i kēia manawa. ʻAʻole ʻoe e ʻike i kekahi ʻeha, koe wale nō kahi ʻoluʻolu ʻole iki.
1. Hoʻomākaukau
Hoʻomaka ia e like me ka hoʻokolokolo pelvic maʻamau. E noi ʻia ʻoe e moe i lalo ma kahi papa hoʻokolokolo me kou mau wāwae i loko o nā stirrups. ʻOiai ʻo ka LEEP e hoʻohana i ka uila, e kau ʻia kahi pad grounding ma kou ʻūhā e pale iā ʻoe. A laila, e hoʻokomo ke kauka i kahi mea i kapa ʻia he speculum e hoʻonui i kou vagina a e hōʻoia i ka ʻike maopopo ʻia o kou cervix.
2. Ke hōʻike nei i nā ʻano huna like ʻole
ʻO ka mea aʻe, ua hoʻopili ʻia kahi wai, e like me ka waikawa acetic, i ka cervix i mea e maʻalahi ai ka ʻike ʻana i nā cell ʻano ʻē. A laila, ua hoʻokomo ʻia kahi mea i kapa ʻia he colposcope kokoke i ka vagina. Hoʻonui kēia i ka cervix. Ua like ia me ke aniani hoʻonui. ʻAʻole i hoʻokomo ʻia kēia mea i loko o ke kino.
3. Hoʻonui ʻia ka cervical
I kēia manawa, e hoʻomāʻū ke kauka i kou cervix. Hana ʻia kēia ma ka hāʻawi ʻana i kahi inikini liʻiliʻi o kahi lāʻau hoʻomāʻū, e like me ka lidocaine . E hana kēia i kahi ʻeha a me ke kuni, e like me ka inikini āu e loaʻa ai i loko o kou ʻāʻī ma mua o ka unuhi ʻana i ka niho. Hiki i ka epinephrine i loko o kēia lāʻau ke hoʻoikaika iki i kou puʻuwai a hoʻolilo iā ʻoe i poniuniu. Akā, mai hopohopo, e nalo loa ia i loko o kekahi mau minuke.
4. Ka wehe ʻana i nā ʻiʻo ʻē
Ma hope o ka hoʻonui ʻia ʻana o ka cervix, e ʻoki pono ke kauka i nā ʻiʻo kūpono ʻole me ke kaula uea i hoʻopili ʻia i ka uila. He mea nui loa ʻaʻole ʻoe e neʻe iki i kēia manawa. I kekahi manawa hiki ke hoʻohana ʻia kekahi loop ʻē aʻe e wehe i nā cell ma luna o ka cervix. Hiki iā ʻoe ke manaʻo i kahi manaʻo mahana a i ʻole kahi haʻalulu iki i kēia manawa.
5. Hoʻōki i ke kahe ʻana o ke koko
ʻO ka mea hope loa, i mea e hoʻōki ai i ke kahe ʻana o ke koko a pale i ke kahe hou ʻana o ke koko, hoʻopili ke kauka i kahi kāpili kūikawā (Monsel's paste) i ka ʻeha.
Inā ʻoe e ʻeha i ka wā o ke kaʻina hana holoʻokoʻa, mai makaʻu e haʻi aku i ke kauka a i ʻole ke kahu maʻi e pili ana i ia mea.
He aha nā pōmaikaʻi a me nā pilikia o kēia?
He kaʻina hana palekana loa ʻo LEEP. He kākaʻikahi nā pilikia. ʻO kekahi pōmaikaʻi nui, hiki ke hana ʻia me ka ʻole o ka anesthesia piha.
E like me nā ʻoki kino āpau, aia kahi pilikia liʻiliʻi o ka maʻi a me ke kahe ʻana o ke koko. Eia kekahi, ʻoiai e nāwaliwali iki paha ka cervix ma hope o ka mālama ʻana iā LEEP, aia kahi pilikia liʻiliʻi o ka hānau mua ʻana inā hāpai ʻoe i ka wā e hiki mai ana. Inā he mau hopohopo a nīnau paha kāu e pili ana i kēia, e kamaʻilio me kāu kauka ma mua o ka mālama ʻana.
Akā, he mea liʻiliʻi loa kēia mau pilikia i hoʻohālikelike ʻia me nā pono. ʻO ka pono nui loa a koʻikoʻi loa ma ʻaneʻi, ʻo ia ka wehe ʻana i nā pūnaewele e hiki ke alakaʻi i ka maʻi ʻaʻai cervical a pale iā ʻoe mai ka maʻi ʻaʻai.
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
Ma hope o ka pau ʻana o ka lāʻau lapaʻau, hiki iā ʻoe ke hoʻi i ka home. E noi ʻia paha ʻoe e hoʻomaha no 30-60 mau minuke. I kēlā manawa, e wehewehe ke kauka a me nā kahu maʻi i nā kuhikuhi e pono ai ʻoe e hahai ma ka home. E nīnau i nā nīnau āu e loaʻa ai i kēlā manawa.
Hiki iā ʻoe ke manaʻo i kēia mau mea i kou wā e hoʻōla hou ai.
| Nā mea e manaʻo ai | Wehewehena |
|---|---|
| ʻEha ʻōpū (Cramping) | I nā lā mua, hiki iā ʻoe ke ʻike i nā ʻeha ʻōpū iki, e like me nā mea i ʻike ʻia i ka wā o ka menstruation. Hiki ke hoʻomalu ʻia kēia ma ka lawe ʻana i kahi lāʻau ʻeha i kauoha ʻia e kāu kauka. |
| Ka hoʻokuʻu ʻana o ka wahine/nā kiko | Hiki ke puka mai kahi kahe ʻana o ka ʻōpū no 1 a 3 mau pule. I ka wā mua, hiki ke ʻōmaʻomaʻo-melemele ka kahe ʻana a he ʻala iki ʻoluʻolu ʻole. Ma hope mai, hiki ke ʻike ʻia kahi kahe ʻeleʻele-ʻeleʻele. He mea maʻamau loa kēia. E hoʻohana i nā pads no kēia. Mai hoʻohana i nā tampons. |
| Ka pilikia | E ʻike paha ʻoe i kahi ʻeha a ʻoluʻolu ʻole paha i loko o ka vagina a i ʻole ka ʻōpū. E ʻike paha ʻoe i kahi ʻano ʻūlū ma ka ʻāpana cervical, e like me ke aʻalolo i ʻoki ʻia. E nalo ana kēia ma hope o kekahi mau lā. |
| Ka hoʻomau ʻana o ka mahina | ʻAʻole e loaʻa ka hopena nui o kēia lāʻau lapaʻau i kāu pōʻaiapuni menstrual mahina. E hoʻomau ʻia ia e like me ka maʻamau. |
Nā mea e pale aku ai i ka wā hoʻōla
He 4-6 pule ka lōʻihi o ka ho'ōla piha ʻana o ka ʻōpū o ka ʻōpū. I loko o kēia manawa, pono ʻoe e pale i kekahi mau mea.
- Hoʻoikaika Kino a me ka Hana Nui: E hōʻalo i ka hana nui no 48 mau hola ma hope o ka lāʻau lapaʻau. Mai hoʻoikaika kino no hoʻokahi pule ma ka liʻiliʻi. Inā hoʻomaka ʻoe e hoʻoikaika kino ma hope o hoʻokahi pule a ʻike ʻoe i ke kahe ʻana o ke koko (ʻaʻole kou wā), e hoʻōki i ka hoʻoikaika kino a hāʻawi i kou kino i kahi manawa hou e ho'ōla ai.
- Moe kolohe: E pale i ka moe kolohe no 4 mau pule ma ka liʻiliʻi . Eia kekahi, mai hoʻokomo i kekahi mea i loko o ka vagina, e like me nā tampons a i ʻole nā mea pāʻani moe kolohe.
- ʻAuʻau: He mea maikaʻi ke ʻauʻau mau. Eia nō naʻe, e pale i ka ʻauʻau ʻana i loko o ka ʻauʻau a i ʻole ka loko ʻauʻau a hiki i ka ʻae ʻana o kāu kauka.
He aha ka mea e hana ʻia ma hope o ka loaʻa ʻana o nā hopena LEEP?
E like me kā mākou i kūkākūkā ai ma mua, he hana hōʻoia a he hana hoʻōla hoʻi ʻo LEEP. I ka hapanui o nā hihia, ʻo ka wehe ʻana i ke kaha ʻē o nā cell e hoʻoponopono i ka pilikia.
Akā i kekahi manawa, inā ʻaʻole i wehe loa ʻia nā ʻāpana ʻē, pono paha kekahi LEEP ʻē aʻe. Eia kekahi, inā loaʻa iā ʻoe kahi ʻano kiʻekiʻe o ka Human Papillomavirus (HPV) , aia kahi manawa liʻiliʻi e ulu hou ai nā ʻāpana ʻē i ka wā e hiki mai ana.
ʻO ka mea nui, ʻo ia ka wehe ʻana o LEEP i nā hunaola ʻē i hoʻokumu ʻia e ka maʻi HPV. Eia naʻe, ʻaʻole ia e wehe i ka maʻi HPV ponoʻī mai ke kino.
No laila, ʻoiai ma hope o ka mālama ʻana, he mea nui loa ka loaʻa ʻana o nā hoʻokolohua Pap a me nā hoʻokolohua HPV i nā manawa i hoʻonohonoho ʻia e like me ka ʻōlelo a ke kauka.
Āhea ʻoe e pono ai e ʻike i ke kauka?
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e kāhea koke aku i kāu kauka a i ʻole e hele i ka haukapila . He mau hōʻailona paha kēia o kahi maʻi.
- Ke kahe koko nui (ʻoi aku ma mua o kou wā maʻamau o kēlā me kēia mahina)
- Nā ʻūpā koko
- ʻAla ikaika mai ke kahe ʻana o ka vaginal
- kuni
- ʻEha nui ka ʻōpū
He mea maʻamau ke makaʻu i ka lohe ʻana e pili ana i ka LEEP. Akā e hoʻomanaʻo, hana ʻia kēia me ka ʻole o ka ʻeha nui no ka mea ua mae kou cervix. ʻOi aku ka nui o ka hiki ke loaʻa i ka maʻi kanesa i ka wā e hiki mai ana ma mua o ka ʻoluʻolu ʻole o kēia mau minuke 10-20. Mai kānalua e kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e pili ana i kēia kaʻina hana.
Leka Lawe-Home
- He lāʻau palekana a maikaʻi hoʻi ka LEEP e wehe ana i nā hunaola ʻano ʻē e hiki ke ulu i loko o ka maʻi ʻaʻai kōpū.
- Hana ʻia kēia ma ka hoʻonui ʻana i ka cervix, no laila ua liʻiliʻi ka ʻeha a me ka ʻoluʻolu ʻole.
- He mea maʻamau ke loaʻa ʻana o ka hoʻokahe ʻana o ka ʻōpū a me nā ʻeha ʻōpū iki no kekahi mau pule ma hope o ka mālama ʻana. Mai hopohopo no kēlā.
- E hahai pono i nā ʻōlelo a kāu kauka i kou wā e hoʻōla ai, ʻoiai e pili ana i ka pale ʻana i ka moekolohe a me ka hoʻoikaika kino.
- Inā ʻike ʻoe i nā hōʻailona e like me ke kahe koko nui, ke kuni, a i ʻole ka ʻeha nui, e ʻimi koke i ke kōkua lapaʻau.
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