Ke makaʻu nei ʻoe i ka mālama ʻana iā LEEP? (Loop Electrosurgical Excision Procedure) E kamaʻilio maʻalahi kākou e pili ana i kēia.

He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke haʻi aku kāu kauka iā ʻoe he ʻokoʻa iki kāu mau hopena Pap smear. A laila, ke haʻi aku ʻo ia iā ʻoe e pono ʻoe e hana i kahi kaʻina hana LEEP, hiki i kēlā makaʻu ke ʻoi aku ka nui. He mea maʻamau ke noʻonoʻo, "He aha ka hana a kēia?" Akā he aha maoli ka LEEP? He mea weliweli anei? E kamaʻilio maopopo kākou e pili ana i ia mea, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo, me he mea lā e kamaʻilio ana ʻoe me kahi hoaaloha.

He aha ka LEEP ma nā huaʻōlelo maʻalahi?

I ka ʻōlelo maʻalahi, ʻo LEEP (Loop Electrosurgical Excision Procedure) kahi hana minimally invasive e wehe ana i kahi papa o nā cell abnormal mai ka ʻili o kou cervix. E like me ka ʻili mālie ʻana i ka ʻili mai kahi mea kanu, ua wehe ʻia kēia papa o nā cell abnormal me kahi loop uea liʻiliʻi e hoʻohana ana i ka uila.

I kēia manawa, e nīnau paha ʻoe, "No ke aha e wehe ʻia ai kēia mau pūnaewele?" Inā hōʻike kāu Pap smear a colposcopy paha i nā pūnaewele ʻē ma kou cervix, hiki i kāu kauka ke paipai i kēia kaʻina hana LEEP. Ua kapa ʻia kēia ʻano pūnaewele ʻē he cervical dysplasia .

Pehea ʻoe e hoʻomākaukau ai ma mua o ka mālama ʻana?

Ma mua o ka hana ʻana i kēia kaʻina hana, e nānā kāu kauka e hōʻoia i ka maikaʻi o nā mea āpau. No ka laʻana, inā loaʻa iā ʻoe ka maʻi mumū pelvic (PID) a i ʻole cervicitis, pono e mālama ʻia kēia mau mea ma mua o ka hana ʻana iā LEEP.

Hiki ke hoʻāʻo ʻia ʻoe e ʻike inā ua hāpai ʻoe. Inā hāpai ʻoe, e koho kāu kauka i kahi manawa kūpono loa iā ʻoe e hana ai i kēia lāʻau. ʻO ka maʻamau, hana ʻia kēia i ka lā ʻaʻole ʻoe e loaʻa i kou wā.

He mea nui loa e hahai pono i nā ʻōlelo a ke kauka ma mua o ka mālama ʻana.

• Mai moe kolohe a me ka hoʻohana ʻana i nā ʻaila vaginal no 24 mau hola ma mua o ka mālama ʻana.
• E lawe mai i kahi ʻūpā kino e hoʻohana ma hope o ka lāʻau lapaʻau.
• Inā ʻoe e lawe nei i ka lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (e like me ka aspirin), pono ʻoe e haʻi i kāu kauka e pili ana i ia mea a e ʻimi i kāna ʻōlelo aʻo.
• Inā ʻōlelo kāu kauka, e lawe i ka lāʻau hoʻopau ʻeha (e like me Panadol) ma kahi o 30 mau minuke ma mua o ka lāʻau lapaʻau.
• I ke komo ʻana, e ʻaʻahu i nā lole ʻoluʻolu a palupalu hoʻi e hiki ke wehe maʻalahi.

He aha ka mea e hana ʻia i ka wā o ka mālama ʻana iā LEEP?

Hiki ke hana ʻia kēia ma ke keʻena o ke kauka a i ʻole ma ka ʻoihana outpatient o ka haukapila. ʻO ka mālama ʻana holoʻokoʻa he 10 a 20 mau minuke wale nō. Ua ala ʻoe i kēia manawa, akā ʻaʻole ʻoe e ʻike nui i ka ʻeha.

1. Hoʻomākaukau: ʻO ka mea mua, e noi ʻia ʻoe e moe i lalo ma kahi papa hoʻokolokolo, e like me kāu e hana ai no ka hoʻokolokolo gynecological maʻamau, me kou mau wāwae i loko o nā stirrups. A laila, e kau ʻia kahi pad grounding ma kou mau ʻūhā. E pale aku kēia iā ʻoe mai ka uila i hoʻohana ʻia i ka wā o ka mālama ʻana. A laila, e hoʻokomo ke kauka i kahi mea i kapa ʻia he speculum a hoʻonui iki i kou vagina i ʻike maopopo ʻia kou cervix.

2. Ke ʻike ʻana i nā pūnaewele ʻē: ʻO ka mea aʻe, ua hoʻopili ʻia kahi wai kūikawā (ʻakika acetic a i ʻole ka iodine solution) i ka cervix e ʻike nui ʻia ai nā pūnaewele ʻē. Hoʻokomo ʻia kahi mea hana e like me ke kāmela i hoʻonui ʻia i kapa ʻia he colposcope kokoke i ka vagina a nānā ʻia. He mea hana kēia i waiho ʻia ma waho o ke kino.

3. Hoʻonui ʻia ka Cervical: ʻO kēia ka ʻāpana a ka poʻe he nui e makaʻu nei. Akā, ʻaʻohe mea e makaʻu ai. E hoʻokomo ke kauka i kahi inikini hoʻomānoino (`(Lidocaine)` me `(Epinephrine)`) i loko o kou cervix me kahi nila lahilahi loa . E like ia me ka ʻūlū ʻana i kou ʻāʻī ke huki ʻia kou niho, e like me kahi nila liʻiliʻi e hoʻokomo ʻia ana, a laila e ʻike ʻoe i kahi ʻā iki no kekahi mau kekona . ʻO ka `(Epinephrine)` i loko o ka inikini e hoʻonui iki i kou puʻuwai a e manaʻo paha ʻoe i kahi poniuniu iki . E nalo loa ia i loko o kekahi mau minuke, no laila mai hopohopo no ia mea.

4. Ka wehe ʻana i nā ʻiʻo maʻamau ʻole: Ma hope o ka mae loa ʻana o ka cervix, e hoʻohana ke kauka i kahi kaula uila e ʻoki ai i nā ʻiʻo maʻamau ʻole. He mea nui e noho mālie ʻoe i kēia manawa. Hiki iā ʻoe ke manaʻo i kahi ʻano ʻūlū iki, akā ʻaʻole ʻeha. I kekahi manawa hiki ke hana ʻia kēia i ka lua o ka manawa e wehe ai i nā ʻāpana ma lalo o ka cervix. E hoʻouna ʻia ka hāpana ʻiʻo i kahi lab e hoʻāʻo ʻia no nā ʻāpana kanesa.

5. E hoʻōki i ke kahe ʻana o ke koko: ʻO ka mea hope loa, ua hoʻopili ʻia kahi kāpili lāʻau lapaʻau kūikawā (ka kāpili a Monsel) i ka ʻeha e hoʻōki i ke kahe ʻana o ke koko a pale i ka maʻi.

He aha ka mea e manaʻo ai ma hope o ka mālama ʻana?

Ma hope o ka pau ʻana o ka lāʻau lapaʻau, e hoʻouna ʻia ʻoe i ka home ma hope o ka hoʻomaha ʻana a hiki i kou hoʻōla piha ʻana (ma kahi o 30-60 mau minuke). I loko o kēia manawa, hiki iā ʻoe ke nīnau i kāu kauka inā he mau nīnau kāu. Ma hope o kou hoʻi ʻana i ka home, aia kekahi mau mea e pono ai ʻoe e hahai, a me nā loli i kou kino i kou wā e hoʻōla ai.

E ulu hou mai ana anei ka ʻōpū o ka ʻāʻī?

ʻAe. Hoʻololi ʻia ka ʻiʻo i wehe ʻia e nā hunaola olakino hou a hoʻi ka cervix i ka maʻamau. He 4-6 mau pule kēia.

I ka manawa e ʻike koke ai i ke kauka

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​​​​​he hōʻailona paha ia o kahi maʻi. No laila e kelepona i kāu kauka a i ʻole e hele koke i ka haukapila.

• Ke kahe nui ʻana o ke koko ma mua o ke kahe maʻamau o ka menstrual (ka pulu ʻana ma mua o hoʻokahi pad i kēlā me kēia hola)
• Ke hele nei i nā ʻōpū koko nui
• He kahe ʻana o ka ʻōpū ʻala ikaika e lilo ana i mea ʻino i kēlā me kēia lā
• kuni
• ʻEha nui o ka ʻōpū hiki ʻole ke hoʻomanawanui

He aha ka mea e hana ma hope o ka hiki ʻana mai o nā hopena?

He hana hōʻoia a hoʻōla ka LEEP. I ka hapanui o nā hihia, ke wehe ʻia nā hunaola ʻē, ua hoʻōla loa ʻia ke ʻano.

Eia nō naʻe, i kekahi manawa inā hōʻike ka hōʻike he mau pūnaewele ʻē aʻe ma nā kaʻe o ka ʻiʻo i wehe ʻia, pono paha e hana i kahi lāʻau LEEP ʻē aʻe e wehe i nā pūnaewele i koe.

ʻO kekahi mea e hoʻomanaʻo ai, ʻo ke kumu nui o kēia mau pūnaewele ʻano ʻē i loko o ka cervix he maʻi i kapa ʻia ʻo HPV (Human Papillomavirus) . Hoʻopau wale ka lāʻau LEEP i nā pūnaewele ʻano ʻē i hoʻokumu ʻia e ka maʻi, ʻaʻole ka maʻi ponoʻī . No laila, ʻoiai ma hope o ka lāʻau lapaʻau, he mea nui e loaʻa mau nā Pap smears e like me ka ʻōlelo a kāu kauka.