Myomectomy: Wehe i nā fibroids uterine a mālama i kou manaʻolana e lilo i makuahine

ʻO kahi pilikia olakino e hoʻopilikia nei i nā wahine he nui ka ulu ʻana o nā fibroids uterine, a mākou e kapa nei hoʻi he fibroids. Ma muli o kēia, ʻike kekahi poʻe i ke kahe koko nui i ka wā o ka menstruation, ka ʻeha ʻōpū hiki ʻole ke hoʻomanawanui, a me ka pono e mimi pinepine. Hiki i kēia mau mea ke loaʻa ka hopena nui i kou ola o kēlā me kēia lā. No laila, inā ʻoe e ʻeha nei i kēia mau pilikia, he mea nui loa ia iā ʻoe e makaʻala i ke ʻoki Myomectomy e wehe ai i kēia mau fibroids.

I ka ʻōlelo maʻalahi, he aha kēia ʻoki Myomectomy?

ʻO ka myomectomy kahi hana ʻoki e wehe wale i nā fibroids i loko o kou uterus me ka ʻole o ka hōʻino ʻana. ʻO nā fibroids he mau puʻupuʻu maikaʻi e ulu ana mai nā ʻiʻo a me nā ʻiʻo pili o ka uterus. Hiki iā lākou ke lilo i hoʻokahi a ʻoi aku paha, o nā nui like ʻole, i loko a i waho paha o ka uterus.

ʻO ka pōmaikaʻi nui o ka myomectomy, ʻaʻole ia e wehe i ka uterus, no laila hiki iā ʻoe ke loaʻa nā hāpai ʻana i ka wā e hiki mai ana, he koho maikaʻi ia i ka hysterectomy, ʻo ia ka wehe piha ʻana o ka uterus.

I nā hihia hea e pono ai ka myomectomy?

Hiki i kāu kauka ke ʻōlelo aku i kēia ʻoki kino inā loaʻa iā ʻoe nā hōʻailona e like me kēia ma muli o nā fibroids:

• ʻEha lōʻihi ma ka ʻāpana pelvic (ʻōpū lalo).
• Ke kahe koko e kū pinepine ʻole a i ʻole ma waena o nā wā menstrual.
• Ka nui o ke kahe koko i ka wā o ka menstruation.
• Manaʻo ʻaʻole hiki ke hoʻokuʻu loa i ka ʻōpū mimi.

ʻOiai inā ʻoe kekahi e manaʻolana nei e loaʻa nā keiki i ka wā e hiki mai ana, ʻo kēia ʻoki kino, ka mea e wehe wale i nā cysts me ka ʻole e wehe i ka uterus, ʻo ia paha ke koho maikaʻi loa nāu.

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He aha ka ʻokoʻa ma waena o nā ʻoki Myomectomy a me Hysterectomy?

He nui ka poʻe i huikau e pili ana i kēia mau ʻoki kino ʻelua. E nānā kākou i nā ʻokoʻa nui ma waena o nā mea ʻelua. E kōkua kēia iā ʻoe e koho i ka mea kūpono loa iā ʻoe, ma hope o ke kamaʻilio ʻana me kāu kauka.

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

ʻAe, na kāu kauka e hoʻoholo i ke kaʻina hana ʻoki kūpono loa nou ma muli o ka nui, kahi, a me ka helu o kāu mau fibroids. ʻEkolu mau ʻano nui o ke ʻoki ʻana.

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

Aia ka manawa hoʻōla i ke ʻano o ke ʻoki kino āu i hana ai. Eia nō naʻe, hiki iā ʻoe ke ʻike i kekahi ʻeha no nā lā mua ma hope o ke ʻoki kino. E kuhikuhi kāu kauka i nā lāʻau ʻeha no kēia.

• Ma hope o kahi myomectomy hāmama, hiki ke hala ma kahi o 4-6 mau pule e hoʻōla piha ai a hoʻi hou i nā hana maʻamau.
• Ma hope o ke ʻoki ʻana i ka puka kī (Laparoscopic Myomectomy) , hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. He 2-4 mau pule e hoʻōla piha ai.
• ʻO ka ho'ōla hou ʻana ma hope o ka myomectomy hysteroscopic he mau lā wale nō ia.

E hoʻomanaʻo i kēia mau mea i kou wā e hoʻōla hou ai:

• Aia paha he wahi koko liʻiliʻi a i ʻole ka kahe ʻana mai ka ʻōpū no kekahi mau pule.
• Mai moe kolohe no 6 mau pule ma hope o ke ʻoki kino.
• Mai hāpai i nā mea kaumaha. Mai hana i nā hana kaumaha a hiki i ka wā e ʻōlelo aku ai kāu kauka.
• Mai hoʻomaka i kāu hana maʻamau i kēlā me kēia lā i ka manawa hoʻokahi, e hoʻomaka mālie .

He aha nā pilikia o ke ʻoki ʻana o ka myomectomy?

E like me nā hana ʻoki kino āpau, aia kekahi mau pilikia e pili ana, akā he mea kakaikahi kēia.

• Kahe nui ʻana o ke koko
• Nā maʻi
• Nā ʻūpā koko
• ʻAleʻaleʻa i ka anesthesia
• Ka hōʻino ʻana i nā ʻōpū a puni
• Inā hāpai ʻoe i ka wā e hiki mai ana, aia paha ʻoe i ka nui o ka pilikia o ka hānau ʻana i kāu pēpē ma ka ʻoki cesarean (C-section).

Mai hopohopo, ua haʻahaʻa loa ka hiki ke loaʻa kēia mau pilikia. A ke hana nei kāu hui lapaʻau i kā lākou mea maikaʻi loa e pale aku i kēia mau mea mai ka hiki ʻana mai. E kamaʻilio ākea me kāu kauka e pili ana i ia mea.

I ka manawa e ʻike koke ai i ke kauka

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ka hoʻi ʻana i ka home mai ke ʻoki ʻana, e hoʻomaopopo koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.

• Ke kahe koko nui ʻana.
• Nā hōʻailona e like me ke kuni a me ke anu.
• ʻEha nui hiki ʻole ke kāohi ʻia ʻoiai me nā lāʻau ʻeha.
• ʻEha ka umauma a i ʻole ka paʻakikī o ka hanu ʻana.
• Ka pehu ʻana, ka ʻulaʻula, a i ʻole ka ʻeha ma nā wāwae.

ʻO ka mea hope loa, he maʻi hiki ke mālama ʻia nā fibroids. E kamaʻilio me kāu kauka e pili ana i kāu mau hōʻailona, ​​​​nā hoʻolālā e hiki mai ana (e like me ka loaʻa ʻana o nā keiki), a koho i ka lāʻau lapaʻau e kūpono loa iā ʻoe.