E aʻo wale kākou e pili ana i ka Myomectomy, ke ʻoki ʻana e wehe i nā fibroids uterine.

ʻO kahi pilikia i loaʻa i nā wahine he nui, ʻo ia ka ulu ʻana o kēia mau puʻupuʻu i loko o ka ʻōpū. Ua kapa pū kekahi poʻe i kēia mau fibroids. Ma muli o kēia, hiki iā ʻoe ke ʻeha i nā mea e like me ke kahe koko nui i ka wā o ka menstruation a me ka ʻeha ʻōpū hiki ʻole ke hoʻomanawanui. Hiki i kēia ke lilo i mea kaumaha nui no kekahi e manaʻolana ana e loaʻa kahi keiki. No laila, ʻo ka hopena maikaʻi loa e wehe i kēia mau puʻupuʻu, akā me ka ʻole o ka hōʻino ʻana i ka ʻōpū a me ka mālama ʻana i ka hiki ke loaʻa kahi keiki i ka wā e hiki mai ana, ʻo ia ka ʻoki 'myomectomy'. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī, maʻalahi loa, i kēia lā.

I ka ʻōlelo maʻalahi, he aha kēia ʻoki Myomectomy?

ʻO ka Myomectomy kahi hana ʻoki e wehe ai i nā fibroids uterine, a i ʻole leiomyomas e like me ka kapa ʻana o kekahi, mai kou uterus. Hana ʻia kēia mau puʻupuʻu me nā ʻiʻo pili a me nā ʻiʻo. Hiki iā lākou ke ulu i loko a i waho paha o ka uterus. ʻO ka nūhou maikaʻi, ʻaʻole kēia mau puʻupuʻu he maʻi kanesa (benign) . Hiki iā lākou ke kū mai ma ke ʻano he hoʻokahi a ʻoi aku paha nā fibroids o nā nui like ʻole.

I loko o kahi myomectomy, wehe wale ke kauka i nā fibroids a mālama i nā ʻiʻo o kou uterus me ka hōʻino ʻole iā lākou. ʻO ke ʻano kēia, loaʻa iā ʻoe ka hiki ke hāpai i kahi keiki i ka wā e hiki mai ana. ʻO kēia ka pōmaikaʻi nui loa o kēia ʻoki kino.

I nā hihia hea e pono ai ka myomectomy?

Inā ke kumu nei kāu fibroids i nā hōʻailona aʻe, hiki i kāu kauka ke ʻōlelo i kēia ʻoki kino:

• ʻEha mau o ka pelvic.
• Ke kahe koko ʻana me ke ʻano kūpono ʻole, a i ʻole ma waena o nā wā.
• Ka kahe koko nui o ka menstruation.
• He manaʻo o ka hiki ʻole ke hoʻokuʻu loa i ka ʻōpū mimi.

ʻOi loa aku, inā ʻoe e manaʻo nei e loaʻa kahi keiki i ka wā e hiki mai ana a makemake ʻoe e mālama i kou momona, ʻo ke ʻoki ʻana i ka myomectomy kahi koho maikaʻi loa nāu.

E ʻike kākou i ka ʻokoʻa ma waena o nā ʻoki Myomectomy a me Hysterectomy.

ʻAʻole maopopo ka poʻe he nui i kēia mau ʻoki kino ʻelua. E nānā kākou i nā ʻokoʻa nui ma waena o kēia mau ʻoki kino ʻelua ma kahi papa e like me kēia. E kōkua kēia iā ʻoe e loaʻa kahi manaʻo maikaʻi aʻe.

He aha ka mea e manaʻo ai ma mua o ke ʻoki kino?

E hāʻawi kāu kauka iā ʻoe i nā kuhikuhi kikoʻī e pili ana i nā mea e pono ai ʻoe e hana ma mua o ke ʻoki ʻana. Eia kekahi laʻana, pehea ka lōʻihi e pono ai ʻoe e hoʻōki i ka ʻai ʻana a me ka inu ʻana ma mua o ke ʻoki ʻana, a i ʻole inā pono ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau.

E kūkākūkā i nā mea āpau ma mua, me ka lōʻihi o kou noho ʻana ma ka haukapila ma hope o ke ʻoki ʻana, a me nā mea e makaʻala ai ma hope o kou hoʻi ʻana i ka home. E nīnau i kāu kauka i nā nīnau āu e loaʻa ai ma mua o ke ʻoki ʻana.

I ka lā o ke ʻoki kino, hiki i kēia mau mea ke hana:

• E hoʻokomo ʻia kahi laina IV i loko o kahi aa koko ma kou lima. Maanei e hāʻawi ʻia ai ʻoe i nā wai a me nā lāʻau lapaʻau i ka wā o ke ʻoki ʻana. E hāʻawi pū ia iā ʻoe i ka anesthesia e hoʻopau i kou ʻeha.
• I ka wā o ke ʻoki kino, e hoʻopili ʻia ʻoe i nā monitor e ana i kou helu puʻuwai a me nā hōʻailona koʻikoʻi ʻē aʻe.
• Hiki ke hoʻokomo ʻia kahi catheter e hoʻokahe i ka mimi i ka wā o ke ʻoki ʻana.

Aia kekahi mau ʻano o ke ʻoki ʻana o ka myomectomy?

ʻAe, ʻekolu mau ʻano nui o ke ʻoki ʻana o ka myomectomy. ʻO ke ʻano o ke ʻoki ʻana i kūpono loa iā ʻoe e hilinaʻi ʻia i kekahi mau kumu, me ka nui o kāu mau fibroids, ehia o lākou i loaʻa iā ʻoe, a me ko lākou wahi i loko o kou ʻōpū.

1. Wehe ʻia ka Myomectomy

Ua kapa ʻia hoʻi kēia he Abdominal Myomectomy. Pili kēia i ka hana ʻana i kahi ʻoki ma kou ʻōpū. Hiki i kēia ʻoki ke kū pololei a i ʻole ka pae. ʻOi aku ka maikaʻi o kēia ʻano hana no ka poʻe me nā fibroids nui loa . ʻO kēia no ka mea hiki i ke kauka ʻoki ke ʻike maopopo i kou mau kino pelvic āpau. ʻOiai he ʻoki nui kēia, ʻoi aku ka lōʻihi o ka manawa hoʻōla.

• Pono ʻoe e noho i ka haukapila no kekahi mau lā.
• Hiki ke hala ma kahi o ʻeono pule e hoʻōla piha ai a hoʻi hou i nā hana maʻamau.

2. Minimally Invasive Laparoscopic a i ʻole Robotic Myomectomy

ʻO kēia ke ʻano hana maʻamau i hoʻohana ʻia i kēia lā. ʻOi aku ka liʻiliʻi o ka manawa hoʻōla e pono ai kēia mau ʻoki ʻana a ʻaʻole hoʻi i ʻoluʻolu ʻole.

• ʻO ka Laparoscopic a i ʻole Robotic Myomectomy: ʻO kēia ke komo ʻana i kahi kāmela liʻiliʻi ma o kou vagina, e hana ana i kekahi mau ʻoki liʻiliʻi i loko o kou ʻōpū, a me ke komo ʻana i nā mea hana ʻoki ma o lākou e wehe i nā fibroids. A laila wehe ʻia nā fibroids ma o ka vagina a i ʻole ma o kēlā mau ʻoki liʻiliʻi. Hoʻohana kekahi mau kauka i kahi robot (Robotic Myomectomy) e hana i kēia ʻoki.
• ʻO ka myomectomy puka hoʻokahi: Ma kēia kaʻina hana, hoʻokomo ʻia nā mea hana āpau ma o kahi ʻoki hoʻokahi kokoke i ka anus, ʻaʻohe waiho ʻana i nā ʻeha ma ka ʻōpū.

3. Hysteroscopic Myomectomy (ʻoki ʻana me ka ʻole o nā ʻoki ʻia)

ʻAʻole koi kēia ʻano hana i kekahi ʻoki . Inā aia nā fibroids i loko o ka ʻōpū, hiki i ke kauka ke hoʻokomo i kahi kāmela kūikawā ma o ka vagina i loko o ka ʻōpū a wehe i nā fibroids. Ke hoʻohālikelike ʻia me nā ʻano hana ʻē aʻe, he hana wikiwiki loa kēia.

He aha nā pilikia e hiki mai ana ma hope o ke ʻoki kino?

E like me nā ʻoki kino āpau, aia kekahi mau pilikia e pili ana. Eia naʻe, he mea kakaikahi loa kēia. E hana kāu hui lapaʻau i kā lākou mea maikaʻi loa e pale aku iā lākou.

• Ke kahe koko nui
• Maʻi
• Nā ʻūpā koko
• Ka hōʻino ʻana i nā ʻōpū a puni
• ʻAleʻaleʻa i ka anesthesia
• ʻO ka hoʻonui ʻia o ka pilikia o ka hana ʻana i kahi ʻāpana cesarean i ka wā e loaʻa ai kahi pēpē i ka wā e hiki mai ana.

Pehea ka manawa ho'ōla ma hope o ke ʻoki kino?

ʻO ka manawa hoʻōla e pili pono ana i ke ʻano o ke ʻoki ʻana i loaʻa iā ʻoe. Aia paha kekahi ʻeha no nā lā mua. E hāʻawi ke kauka iā ʻoe i nā lāʻau hōʻeha no kēlā. Eia kekahi, e aʻo ʻia ʻoe e neʻe iki ma hope o ke ʻoki ʻana e pale aku i nā ʻūpē koko.

• Open Myomectomy (ʻoki ʻana i ka ʻōpū): Hiki ke hala ma kahi o ʻeono pule e ho'ōla piha ai a hoʻi hou i nā hana maʻamau.
• Laparoscopic Myomectomy (ʻoki ʻana i hana ʻia ma o kahi ʻoki liʻiliʻi): Hiki paha iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. He ʻelua a ʻehā pule paha e hoʻōla ai mai ka home.
• ʻO ka Myomectomy Hysteroscopic (ʻoki ʻana i hana ʻia me ka ʻole o nā ʻoki ʻia): Hiki iā ʻoe ke ho'ōla piha i loko o kekahi mau lā.

E manaʻo i kēia mau mea ma hope o ke ʻoki ʻana

• Aia paha he wahi koko liʻiliʻi a i ʻole ka kahe ʻana mai ka ʻōpū no kekahi mau pule.
• Mai hāpai i ke kaumaha ma mua o 2-4 paona i ka pule mua. Hiki ke lōʻihi kēia manawa inā ua hana ʻia ke ʻoki ʻōpū.
• E pale i ka moekolohe no ʻeono pule. ʻAʻole kūpono ke hoʻokomo i kekahi mea i loko o ka vagina i ka wā ho'ōla.
• E hoʻomaka mālie i kāu hana maʻamau i kēlā me kēia lā. Mai hoʻomaka koke e hana i nā mea āpau e like me kāu i hana ai ma mua.

He aha nā hōʻailona e pono ai ke kōkua koke ʻia e ke kauka?

• Ke kahe koko nui ʻana.
• Nā hōʻailona o ka maʻi flū e like me ke kuni, ka ʻūhā, a me ka haʻalulu.
• ʻEha nui hiki ʻole ke kāohi ʻia me ka lāʻau lapaʻau.
• ʻEha ka umauma a i ʻole ka paʻakikī o ka hanu ʻana.
• ʻUlaʻula nā wāwae, pehu, a ʻeha (he hōʻailona paha kēia o kahi ʻūpā koko).