He cyst ovarian kou? Makaʻu ʻoe i ke ʻoki kino? E kamaʻilio kākou (Ovarian Cystectomy)

Ua haʻi aku anei ke kauka iā ʻoe he cyst kou ma kou ovary a pono ʻoe e hana ʻoki e wehe iā ia? He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke lohe ʻoe i kēlā. "He aha kēia ʻoki?", "E ʻeha nui anei?", "Pehea ka lōʻihi e ho'ōla ai?", "ʻAʻole loa wau e hiki ke loaʻa hou nā keiki?" He miliona mau nīnau paha e hiki mai ana i ka noʻonoʻo. Mai hopohopo. ʻAʻole ʻoe hoʻokahi. I kēia lā, e kamaʻilio mākou e pili ana i kēia ʻoki i kapa ʻia ʻo 'Ovarian Cystectomy', ʻo ia ke ʻoki e wehe i nā cyst ma nā ovaries, ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.

ʻO ka mea mua, e nānā kākou, he aha ka ovarian cyst?

I ka ʻōlelo maʻalahi, he ʻeke liʻiliʻi piha i ka wai ka cyst ovarian e hana ʻia ma kāu ovary. E noʻonoʻo iā ia e like me ka pehu ma kou ʻili. He mau maʻi maʻamau kēia e ulu ai ka hapa nui o nā wahine. ʻO ka hapa nui o ka manawa, hele lākou iā lākou iho i loko o kekahi mau mahina, me ka ʻole o nā pilikia a i ʻole nā ​​​​lāʻau lapaʻau.

Akā i kekahi manawa hiki i kēia mau cysts ke hoʻomau, ulu nui, a hōʻeha paha. ʻO ia ka manawa e hoʻoholo ai ke kauka e wehe i ka cyst ma ke ʻoki ʻana. Ua kapa ʻia kēia ʻoki ʻana he 'Ovarian Cystectomy'.

He aha nā ʻano hana e hana ai i kēia ʻoki kino?

ʻElua ʻano hana nui e wehe ai i nā cysts ovarian. Na kāu kauka e hoʻoholo i ke ʻano hana maikaʻi loa iā ʻoe ma muli o kou kūlana.

1. Laparoscopic Ovarian Cystectomy: ʻO kēia ke kaʻina hana maʻamau i kēia lā. Ua kapa pū kekahi poʻe iā ia he "key-hole surgery." ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hana ʻia ʻana o kahi ʻoki liʻiliʻi loa i loko o kou ʻōpū, a ua hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia iā ia (he `laparoscope`) i loko o kou ʻōpū. Me kēlā kāmela, hiki i ke kauka ke ʻike i nā mea āpau i loko o kou ʻōpū, me kāu mau ovaries a me ka uterus, me he mea lā ma kahi pale TV nui. A laila, hana ʻia ʻelua mau ʻoki liʻiliʻi hou i loko o kou ʻōpū, a ua hoʻokomo ʻia nā mea hana lahilahi e pono ai no ke ʻoki ʻana i loko , a ua ʻoki pono ʻia a wehe ʻia ka cyst.

2. Open Cystectomy / Laparotomy: ʻO kēia ke ʻano kuʻuna. Maanei, hana ʻia kahi ʻoki nui iki ma ka ʻōpū lalo, wehe ʻia ka ʻōpū, a wehe ʻia ka cyst. Koho ke kauka i kēia ʻano hana ma kekahi mau hihia kūikawā. Eia kekahi laʻana:

• Inā nui loa ka puʻupuʻu.
• Inā he kānalua iki paha he maʻi kanesa ka puʻupuʻu.

Maanei ua ʻoi aku ka maopopo o ka ʻokoʻa ma waena o kēia mau ʻano ʻelua.

No ke aha i hoʻokumu ʻia ai kēia mau cysts ovarian?

He paʻakikī ke kuhikuhi i hoʻokahi kumu no kēia. Hiki ke hoʻopili ʻia kekahi mau kumu.

• Nā loli i ka hana hormonal: ʻOi aku ma muli o nā kūlana e pili ana i ka hormone e like me PCOS (Polycystic Ovary Syndrome).
• Ka hoʻoulu ʻana o ka hua:I kekahi manawa, hiki ke ulu aʻe kēia ʻano cysts i ka wā o ke kaʻina hana ovulation. Hiki ke hana ʻia e kekahi mau lāʻau hormonal i hoʻohana ʻia e kōkua iā ʻoe e hāpai.
• Endometriosis: ʻO kēia ka wā e ulu ai ka ʻiʻo e uhi ana i loko o ka uterus ma waho o ka uterus, e like me nā ovaries. Hiki i kēia ke hana i nā cysts.
• ʻO ka maʻi mumū Pelvic: He maʻi koʻikoʻi o ka ʻōnaehana hānau keiki.
• Nā kūlana maʻi kanesa: Eia nō naʻe, he mea kākaʻikahi loa kēia. Ma kahi o 95 o 100 o nā cysts ovarian ʻaʻole ia he maʻi kanesa.

I nā hihia hea e pono ai ke ʻoki kino?

E like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole pono e wehe ʻia nā puʻupuʻu āpau. Eia nō naʻe, hiki i kāu kauka ke hoʻoholo he manaʻo maikaʻi ke ʻoki ʻana no nā kumu aʻe:

• Inā nui ka nui o ka puʻupuʻu: Manaʻo nui ʻia e wehe i nā puʻupuʻu i ʻoi aku ma mua o 2.5 - 3 ʻīniha (6-7 cm).
• Inā loaʻa iā ʻoe ka ʻeha: ʻO ka ʻeha pinepine a koʻikoʻi ma ka ʻōpū haʻahaʻa a i ʻole ke kua i hana ʻia e kēia puʻupuʻu.
• Inā he kānalua he maʻi ʻaʻai paha ka puʻupuʻu: Inā kū mai kēlā kānalua mai nā scan a me nā hoʻāʻo koko, e wehe ʻia ka puʻupuʻu e hōʻoia a mālama iā ia.

Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?

E hāʻawi aku kāu kauka iā ʻoe i nā kuhikuhi a pau āu e pono ai ma mua o ka lā o ke ʻoki kino. He mea nui loa ia e hahai pololei iā lākou.

• ʻAi a me ka Mea Inu: E ʻike pono i ka nui o nā hola ma mua o ke ʻoki ʻana e pono ai ʻoe e hoʻōki i ka ʻai ʻana a me ka inu ʻana.
• Lāʻau lapaʻau: Inā ʻoe e lawe nei i ka lāʻau lapaʻau no kekahi maʻi ʻē aʻe (e like me ka maʻi diabetes, ke koko kiʻekiʻe), e nīnau i kāu kauka inā pono ʻoe e lawe a hoʻōki paha i ka lawe ʻana i kēlā lāʻau lapaʻau i ka lā o ke ʻoki kino.
• E nīnau i nā nīnau: E nīnau i kāu kauka i nā nīnau āu e loaʻa ai, ʻaʻohe mea liʻiliʻi. Mai makaʻu e nīnau.
• Kekahi e kōkua: He mea maʻalahi loa ka loaʻa ʻana o kekahi e kōkua iā ʻoe me nā hana o ka home a mālama iā ʻoe no kekahi mau lā ma hope o ke ʻoki ʻana.

He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?

ʻAʻole pono ʻoe e hopohopo nui no kēia. No ka mea, e noho ʻoe ma lalo o ka anesthesia laulā a hiamoe maikaʻi i ka wā o ke ʻoki kino holoʻokoʻa. ʻAʻole ʻoe e manaʻo i kekahi mea.

E hoʻomaka ke kauka i ke ʻoki ma hope o kou hiamoe ʻana.

• I ke ʻoki laparoscopic: Hoʻokomo ʻia kahi kāmela ma o kahi ʻoki liʻiliʻi, a hoʻopiha ʻia ka ʻōpū me kahi liʻiliʻi o ke kinoea kalapona ʻokikene. ʻAe kēia i ke kauka e ʻike maopopo i loko o ka ʻōpū a hana i ke ʻoki. A laila, hoʻokomo ʻia nā mea hana ma o nā ʻoki ʻē aʻe e wehe i ka puʻupuʻu. I kekahi manawa, hoʻouna ʻia kahi ʻāpana liʻiliʻi o ka puʻupuʻu no kahi biopsy e nānā i ka maʻi ʻaʻai. Ke pau ke kaʻina hana, wehe ʻia ke kinoea, a pani ʻia nā ʻoki liʻiliʻi me kahi ʻano suture hiki ke hoʻoheheʻe ʻia.
• I ke ʻoki kino hāmama: Hana ʻia kahi ʻoki nui, wehe pono ʻia ka puʻupuʻu ma ka ovary, a humuhumu hou ʻia ka ʻili i loko o kekahi mau papa.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino?

Ma hope o ke ʻoki ʻana, e lawe ʻia ʻoe i kahi lumi hoʻōla. Hiki paha iā ʻoe ke ʻeha a ʻoluʻolu ʻole paha ke ala ʻoe. E hāʻawi nā kahu maʻi iā ʻoe i nā mea hoʻomaha ʻeha. E nānā ʻia kou puʻuwai a me ke koko.

• Inā ua hana ʻia ʻoe i ke ʻoki laparoscopic, hiki iā ʻoe ke hoʻi i ka home i loko o kekahi mau hola, i ke ahiahi hoʻokahi a i ke kakahiaka aʻe paha.
• Inā ua hana ʻia ʻoe i ke ʻoki hāmama, pono ʻoe e noho i ka haukapila no ʻelua a ʻekolu mau lā a ʻoi aku paha.

Na ke kauka e hāʻawi iā ʻoe i kahi hoʻonohonoho o nā kuhikuhi e hahai ai ma hope o kou hoʻi ʻana i ka home.

• Mai ka manawa hea e hiki ai iā ʻoe ke ʻauʻau?
• Pehea e mālama ʻia ai nā ʻeha i ka maʻemaʻe?
• Pehea ka lōʻihi e pono ai iaʻu ke hoʻōki i ka hāpai ʻana i nā mea kaumaha a me ka hana ʻana i ka hana luhi?
• Āhea wau e hele hou ai e ʻike i ke kauka?
• He aha ka lāʻau lapaʻau e pono iaʻu ke lawe no ka ʻeha?
• Pehea ka lōʻihi e pono ai ʻoe e hōʻalo i ka moekolohe?

He mea nui ka hahai pono ʻana i kēia mau mea a pau no ka hoʻōla koke ʻana.

He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?

Nā Pōmaikaʻi:

ʻO ka pōmaikaʻi nui ka wehe ʻana i kahi puʻupuʻu e hoʻoulu ai i ka ʻeha, ka ʻoluʻolu ʻole, a hiki paha ke lilo i mea weliweli i ka wā e hiki mai ana. Aia ʻelua mau pilikia koʻikoʻi e hiki ke hana ma muli o nā cysts ovarian:

• ʻO ka haki ʻana o ka Ovarian Cyst: Inā haki koke ka cyst, hiki iā ia ke hōʻeha nui a hiki ʻole ke hoʻomanawanui.
• ʻO ke kuʻi ʻana o ka ʻōpū: Hiki i ke kaumaha o ka puʻupuʻu ke hana i ka ʻōpū e wili e like me ke kaula. Inā hana ʻia kēia, hiki ke ʻoki ʻia ke kahe koko i ka ʻōpū, e lilo ai i mea hana ʻole loa. He pilikia nō hoʻi kēia.

Kōkua ke ʻoki kino i ka pale ʻana mai nā mea e like me kēia.

Nā Pōʻino:

E like me nā hana ʻoki kino āpau, aia kekahi mau pilikia liʻiliʻi, akā he mea kakaikahi loa kēia.

• Ka maʻi ʻeha.
• Ke kahe ʻana o ke koko i ka wā o ke ʻoki kino.
• Ka maʻi ʻaleka i ka anesthesia.
• Nā ʻūpā koko ma nā wāwae.
• Hoʻi hou ma hope o ka wehe ʻana i ka puʻupuʻu.
• ʻAʻole pinepine loa, hōʻino ʻia ka ovary a i ʻole ka fallopian tube.
• I kekahi manawa, inā ʻaʻole hiki ke wehe ʻia ka puʻupuʻu, pono paha e wehe ʻia ka ovary holoʻokoʻa ('Oophorectomy').

E wehewehe kāu kauka i kēia mau mea āpau iā ʻoe. Inā loaʻa iā ʻoe nā maʻi e like me ka puhipaka, ka maʻi diabetes, a i ʻole ka momona, ʻoi aku ka kiʻekiʻe o ka pilikia o nā pilikia.

ʻO ka nīnau koʻikoʻi loa a nā mea a pau: Hiki iaʻu ke hānau keiki ma hope o ke ʻoki ʻana?

Akā he mea nui e hoʻomanaʻo e hiki i ke kūlana i hoʻokumu i kāu ovarian cyst (e like me ka endometriosis a i ʻole PCOS) ke hoʻopilikia i kou hiki ke loaʻa nā keiki i kekahi ʻano. No laila, inā ʻoe e manaʻolana nei e loaʻa nā keiki i ka wā e hiki mai ana, he mea nui loa ia e kamaʻilio ākea me kāu kauka e pili ana i ia mea ma mua o ke ʻoki ʻana. E hāʻawi ʻo ia iā ʻoe i ka ʻōlelo aʻoaʻo maikaʻi loa.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona ma hope o ke ʻoki ʻana, e haʻi koke aku i kāu kauka .

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o kāu ʻoki ʻana, mai hopohopo a kāhea koke aku i kāu kauka. A i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila.

• Inā ʻulaʻula ka ʻeha, pehu, a ke puka mai nei ka pehu.
• Inā loaʻa iā ʻoe ke kuni kiʻekiʻe a nāwaliwali kou manaʻo.
• Inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū lalo hiki ʻole ke hoʻomanawanui.
• Inā he ʻeha a wela paha i ka wā e mimi ai.
• Inā he nui ke kahe koko ʻana o ka ʻōpū.
• Inā pehu a ʻeha kou mau wāwae.