ʻO ke kuʻi ʻana o ka ovary: Hiki paha kēia iā ʻoe? E kamaʻilio kākou!

Ua loaʻa anei iā ʻoe kahi ʻeha ʻōpū koʻikoʻi koke? ʻOi loa aku hoʻi ma ka ʻōpū haʻahaʻa? I kekahi manawa manaʻo mākou he mea maʻamau kēia ʻano ʻeha. Eia naʻe, i kekahi manawa hiki ke lilo i pilikia olakino. ʻO kekahi o ia pilikia ka ovarian torsion, a i ʻole "Ovarian Torsion". E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, no ka mea, he mea kēia āu, ma ke ʻano he wahine, e pono ai ke ʻike.

He aha ka ovarian torsion?

I ka ʻōlelo maʻalahi, ʻo Ovarian Torsion ka wā e wili a huli ai kekahi o kāu mau ovaries a puni ka ʻiʻo e paʻa ana iā ia. E like me kou ʻike, ʻo nā ovaries ʻelua mau ʻōkana koʻikoʻi loa i loko o ka ʻōnaehana hānau o ka wahine. He ʻelua mau kelepa ʻano hua manu i loaʻa ma nā ʻaoʻao ʻelua o ka ʻōpū. I kou wā momona, hoʻokuʻu kēia mau ovaries i nā hua a hana i nā hormones e hoʻoponopono i kāu pōʻaiapuni menstrual a me ka hāpai ʻana. Hoʻopaʻa ʻia kēia mau ovaries i loko o ka lua pelvic e nā kaula o nā ʻiʻo i kapa ʻia ʻo ligaments.

E noʻonoʻo i ka mea e hana ʻia ke wili ka ovary e like me kēlā. Ua ʻoki ʻia ke kahe koko i ka ovary i wili ʻia, a hiki ke hōʻino iā ia. ʻO kēia ke kumu o ka ʻeha koke a hiki ʻole ke hoʻomanawanui ma ka ʻōpū lalo. Inā ʻaʻole e ʻimi ʻia ka lāʻau lapaʻau ulia pōpilikia i ka manawa e like me kēia, hiki i ka ʻiʻo ovarian ke make a hiki ke nalowale loa ka ovary. ʻO ia ke kumu he maʻi koʻikoʻi loa kēia.

I kekahi manawa, ʻaʻole wale ka ovary, akā ʻo ka fallopian tube kokoke hoʻi e wili. I kēlā hihia, ua kapa ʻia kēia kūlana he adnexal torsion.

Pehea ka maʻamau o kēia ʻano?

ʻAʻole maopopo i nā kānaka noiʻi pehea ka maʻamau o ka ovarian torsion i ka heluna kanaka maʻamau. Eia nō naʻe, ua hōʻike nā haʻawina ʻo ia ke kumu maʻamau ʻelima no ke ʻoki kino gynecological ulia pōpilikia. Ua manaʻo ʻia he 3% wale nō o nā kipa ʻana i ka keʻena ulia pōpilikia no nā kaʻina hana ʻoki kino e pili ana i ka ʻōnaehana hānau wahine no ka ovarian torsion.

He aha nā hōʻailona? Pehea e ʻike ai?

ʻO ka hōʻailona nui o kēia maʻi, ʻo ia ka ʻeha koke a koʻikoʻi o ka ʻōpū lalo. Akā, ʻo ka ʻeha o ka ʻōpū kahi hōʻailona o nā maʻi ʻē aʻe he nui, ʻeā? ʻAʻole mākou e wikiwiki i ka lumi pilikia no lākou āpau. Eia nō naʻe, i kēia hihia o `(Ovarian Torsion)`, ʻo ka hele koke ʻana i ka haukapila e hāʻawi iā ʻoe i kahi manawa kūpono e hoʻopakele ai i kāu ovary.

ʻO nā hōʻailona ʻē aʻe e hiki ke ʻike ʻia:

• ʻEha waena a nui paha ma ka ʻōpū lalo.
• Ka luaʻi a me ka luaʻi.

I kēia manawa, aia kekahi mau hōʻailona e hōʻike ana ua hoʻomaka ka make ʻana o nā ʻiʻo ovarian. Eia kēia:

• Kuni.
• Ke kahe koko ʻana o ka ʻōpū a i ʻole nā ​​​​​​mea ʻē aʻe.

Pehea ke ʻano o kēia ʻeha?

ʻOkoʻa ka ʻeha i ʻike ʻia e kēlā me kēia kanaka. No laila, he mea paʻakikī ke ʻike pono inā he pilikia e like me ka `(Ovarian Torsion)` a i ʻole kekahi mea ʻē aʻe ka ʻeha āu e ʻike nei. Eia nō naʻe, wehewehe pinepine ka hapa nui o ka poʻe i ka ʻeha o `(Ovarian Torsion)` he ʻeha waena a koʻikoʻi paha. ʻO ia hoʻi, he ʻeha i ʻike nui ʻia a paʻakikī ke hoʻowahāwahā.

Hiki ke nānā aku kēia ʻeha penei:

• ʻEha ʻoi a hou (ʻo kēia ka mea maʻamau) a ʻeha palupalu a ʻūlū paha i loko o ka ʻōpū.
• ʻEha ma ka ʻōpū lalo (he mea maʻamau kēia) a i ʻole ka ʻeha ma ka ʻaoʻao wale nō kahi i loaʻa ai ka ovary i wili ʻia (ʻo ka ʻaoʻao ʻākau maʻamau).
• Hiki ke kaupalena ʻia ka ʻeha i ka ʻōpū lalo, a i ʻole hiki ke pālahalaha i nā ʻūhā, nā ʻaoʻao, a me ke kua i lalo.
• Hiki ke mau ka ʻeha (he mea maʻamau kēia), a i ʻole hiki ke hele mai a hele aku i kēlā me kēia manawa (ʻaʻole maʻamau kēia).

ʻOiai he mea kakaikahi pinepine, i kekahi manawa hiki i kēia mau hōʻailona o ka `(Ovarian Torsion)` ke noho manawa ʻole. ʻO ia hoʻi, hiki mai ka ʻeha, emi no kekahi manawa, a laila hoʻi mai. I kekahi manawa hiki i ka ovary ke wili a laila kīkoʻo hou. Ke wili, pau ke kahe ʻana o ke koko a hiki mai ka ʻeha. Ke kīkoʻo hou, hoʻomaka ke kahe ʻana o ke koko a emi ka ʻeha. Ma muli o kēia ʻano manawa ʻole, ʻaʻole paha ʻoe e noʻonoʻo i ka mea e hana nei. Eia naʻe, inā hiki mai ka ʻeha i kēlā me kēia manawa, inā loaʻa iā ʻoe ka `(Ovarian Torsion)`, pono ʻoe e ʻike i ke kauka a loaʻa ka lāʻau lapaʻau.

No ke aha e wili nei kēia mau ovaries? He aha nā kumu?

I ka ʻōlelo maʻalahi, hana ʻia ka Ovarian Torsion ke hoʻopilikia ʻia ke kaulike e mālama ana i ka ovary ma kahi no kekahi kumu. No ka laʻana, inā he puʻupuʻu i loko o ka ovary, e like me ka ovarian cyst (ʻoi aku ka nui), hoʻohui ia i ke kaumaha keu i ka ovary. A laila ʻoi aku ka nui o ka wili a me ka milo a puni ka ligament i hoʻopili ʻia ai. ʻOiai ʻaʻole kēia he mea maʻamau, hiki i nā puʻupuʻu kanesa a i ʻole nā ​​​​​​mea paʻa ʻē aʻe i loko o ka ovary ke hana i kēia neʻe kaumaha a me ka milo.

ʻO wai ka mea i pilikia nui no kēia?

Aia kekahi mau mea pilikia e hiki ke kōkua i ka ulu ʻana o kēia maʻi, ʻo ia hoʻi ʻo Ovarian Torsion. E nānā kākou i ke ʻano o lākou:

• Makahiki: Ma kahi o ʻekolu hapahā o ka poʻe i ʻike ʻia me kēia maʻi aia i ko lākou mau makahiki hānau. ʻO ke ʻano kēia he mea maʻamau ia i ka poʻe ma waena o 29 a me 34 mau makahiki. Eia nō naʻe, hiki i kekahi me nā ovaries (ʻoiai he fetus i loko o ka ʻōpū) ke loaʻa i kēia maʻi.
• ʻO nā cysts ovarian: Ma kahi o 85% o ka poʻe i ʻike ʻia me ka ovarian torsion he mau cysts ovarian a i ʻole nā ​​​​​​pū ʻino ʻē aʻe. ʻOi aku ka nui o ka pilikia inā he 5 kenimika (ma kahi o 2 ʻīniha) a ʻoi aku paha ka nui o ka puʻupuʻu.
• ʻOi aku ka lōʻihi ma mua o nā ligaments ovarian maʻamau: Hānau ʻia kekahi poʻe me nā ligaments lōʻihi iki. Loaʻa i kēia poʻe ka pilikia kiʻekiʻe.
• Hāpai keiki:Ma kahi o ka hapahā o ka poʻe i ʻike ʻia me ka Ovarian Torsion ua hāpai. Hiki ke piʻi aʻe kēia pilikia ma muli o nā loli i ke kino i ka wā hāpai. No ka laʻana, ʻoi aku ka maʻamau o nā cysts corpus luteum i ka wā hāpai. Eia kekahi, ʻo nā loli hormonal ke kumu o ka palupalu o nā ligaments, e ʻoi aku ka maʻalahi o ka wili ʻana.
• Nā lāʻau lapaʻau hānau keiki: ʻO nā lāʻau lapaʻau e hoʻoulu ai i nā ovaries e hoʻokuʻu i nā hua hou aʻe (ovulation) e hoʻonui i ka pilikia o ka hoʻomohala ʻana i nā cysts follicular. ʻO ka follicle kahi ʻeke i loko o ka ovary e hoʻokuʻu ana i kahi hua. He mea maʻamau no nā cysts ke hana ʻia i loko o kēia follicle i ka wā o ka ovulation. No laila, ʻo ka ʻoi aku ka ikaika o nā follicles, ʻoi aku ka kiʻekiʻe o ka pilikia o ka hoʻomohala ʻana i nā cysts.

Aia paha kekahi mea ke kumu o kēia e hiki koke mai ana?

I kekahi manawa, hiki i kekahi mau neʻe ʻana i loko o kou kino ke hoʻoulu i nā hōʻailona o ka Ovarian Torsion. No kekahi poʻe, hiki ke ʻike ʻia kēia mau hōʻailona ma hope o ka moekolohe a i ʻole ma hope o ka hana kino ikaika.

Akā e hoʻomanaʻo, ʻaʻole pono ia he hanana kūikawā no ka hana ʻana o ka Ovarian Torsion.

He aha nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia?

ʻO ka hapa nui o ka manawa, hoʻopau ʻia ka ovarian torsion me ka ʻole o nā pilikia ke mālama ʻia. Eia nō naʻe, inā ʻaʻole mālama koke ʻia, hiki ke ʻoki ʻia ke kahe koko i ka ovary a hiki ke make ke ʻiʻo. ʻOiai hiki ke hāpai me hoʻokahi ovary wale nō, ua hōʻike nā haʻawina e hiki i ka wehe ʻana i kahi ovary ma muli o ka ovarian torsion ke hōʻemi i nā manawa kūpono o ka hāpai ʻana.

ʻOiai he mea kakaikahi loa kēia, hiki i nā ʻiʻo make ke hoʻoulu i kahi maʻi i loko o ka ʻōpū (peritonitis). Inā ʻaʻole i mālama koke ʻia, hiki i kēia maʻi ke laha i nā ʻōpū ʻē aʻe a me ke kahe koko. No laila he mea nui ka mālama koke ʻana.

Pehea e hana ʻia ai ka hōʻailona?

Hiki ke ʻike ʻia ka ovarian torsion me ka ultrasound transvaginal, kahi e hōʻike ana ʻaʻole lawa ke kahe koko o ka ovary. Eia nō naʻe, ʻo ke ala wale nō e ʻike pono ai inā hiki i ke kauka lapaʻau ke ʻike i ka ovary wili ʻia i loko o kou kino. ʻO ka hapa pinepine, e nānā pololei lākou i kāu ovaries me ka hoʻohana ʻana i kahi kaʻina hana i kapa ʻia he laparoscopy. Inā ʻike lākou he ovarian torsion kou i ka wā o ka laparoscopy, hiki iā lākou ke mālama koke iā ia.

He aha nā lāʻau lapaʻau?

Hoʻōla nā kauka lapaʻau i ka ovarian torsion ma ka hoʻopololei ʻana i ka ovary i wili ʻia. Hiki iā lākou ke wehe i nā cysts e hoʻoulu ai (ovarian cystectomy). Hiki ke hoʻōla ʻia kāu ovary.

ʻO ka hapa pinepine, hoʻohana nā kauka ʻoki i kahi kaʻina hana i kapa ʻia he laparoscopy e mālama i ka ovarian torsion. Ma kēia kaʻina hana, hana lākou i kekahi mau ʻoki liʻiliʻi i loko o kou ʻōpū. Hoʻokomo lākou i kahi mea i kapa ʻia he laparoscope ma o kekahi o nā ʻoki e ʻike ai inā ua wili ʻia kāu ovary. Inā hōʻoia ʻia ka ovarian torsion, hana ʻia ke ʻoki ma o kēlā mau ʻoki like e hoʻoponopono i ka pilikia.

I kekahi manawa, pono paha kahi ʻoki hāmama (laparotomy). Ma hope o ka laparoscopy, hiki paha iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Eia nō naʻe, he ʻoki nui ka laparotomy, no laila pono paha ʻoe e noho i ka haukapila i ka pō a hoʻōla hou no ka manawa lōʻihi.

He aha ka mea e hana ʻia inā kū ʻoe i kēia kūlana?

Ua mālama ʻia ka nui o nā poʻe me Ovarian Torsion a hoʻi i ko lākou ola maʻamau me ʻelua mau ovaries olakino a hana. Ua holomua ka ʻoki ʻana e hoʻolōʻihi i ka ovary he 90%.

Eia nō naʻe, inā manaʻo ke kauka lapaʻau ua hōʻino ʻia ka ʻiʻo a i ʻole ma muli o kahi puʻupuʻu kanesa ka cyst, hiki iā ia ke ʻōlelo aku e wehe i ka ovary. Eia naʻe, ʻaʻole kēia i maʻamau.

Aia kekahi mau ala e pale aku ai i kēia?

ʻAʻohe ala kikoʻī e pale aku ai i ka Ovarian Torsion.

Akā inā hoʻomau ʻoe i ka ovarian torsion (he mea kākaʻikahi loa ia), hiki i kāu kauka ke ʻōlelo aku i kahi ʻoki kino i kapa ʻia he oophoropexy. Hana ʻia kēia e hoʻopaʻa i ka ovary i ʻole e wili.

Paipai kekahi poʻe loea lapaʻau i kēia ʻoki kino "oophoropexy" no nā keiki i nalowale kekahi ovary ma muli o ka "Ovarian Torsion" i ka wā kamaliʻi. Mālama ia i ke koena ovary a hiki iā lākou ke loaʻa nā keiki i ka wā e hiki mai ana inā makemake lākou. Ke aʻo nei nā loea i nā pono o ka "oophoropexy" i ia mau hihia.

Āhea wau e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū haʻahaʻa i wehewehe ʻole ʻia, ʻoiai inā ʻike mua ʻoe he cyst ovarian kou, kahi e hoʻonui ai i kou pilikia o ka ovarian torsion, e hele koke i kahi lumi pilikia (ETU) .

ʻAʻole hiki i nā loea ke ʻōlelo pololei i ka lōʻihi o ka make ʻana o ke kino ma hope o ka haki ʻana o ka ovary a hoʻomaka nā hōʻailona. No laila he mea nui e noho ma ka ʻaoʻao palekana. ʻO ka wikiwiki o kou ʻike ʻana i ke kauka a loaʻa kahi hōʻailona, ​​ʻoi aku ka maikaʻi o ka loaʻa ʻana o kahi hopena holomua.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Inā loaʻa iā ʻoe kēia ʻano maʻi, he mea maikaʻi ke nīnau i ke kauka i kēia mau nīnau:

• He aha nā hana e pono iaʻu e pale aku i koʻu wā e ho'ōla ai mai ke ʻoki kino?
• Āhea wau e hoʻi mai ai e nānā i koʻu ho'ōla hou ʻana?
• He aha nā manawa kūpono e loaʻa hou ai iaʻu ka Ovarian Torsion?
• E hoʻopilikia anei kēia ʻoki kino i koʻu hānau keiki?
• He aha nā hōʻailona o kahi pilikia e pono iaʻu e makaʻala?

Hiki paha i kēia ke hoʻoweliweli i ke ola?

ʻAʻole maʻamau ka hoʻoweliweli ʻana o ka ovarian torsion i ke ola, akā hiki ke hana. He mea kākaʻikahi loa, hiki i kahi ovary make ke alakaʻi i kahi maʻi koʻikoʻi inā ʻaʻole mālama ʻia. Eia nō naʻe, ʻo ka mea ʻino loa e hiki ke hana i ka hapa nui o ka poʻe, ʻo ia ka nalowale ʻana o kahi ovary.

Hiki i ka mālama koke ke pale aku i nā mea ʻino loa o kēia mau mea, e like me ka nalowale ʻana o kahi lālā a i ʻole ka ulu ʻana o kahi maʻi e hoʻoweliweli ana i ke ola.

Pehea ka lōʻihi e hiki ʻole ai iā ʻoe ke ʻike inā ua puni kēia?

ʻIke ka hapa nui o ka poʻe me ka ovarian torsion i ke kauka i loko o hoʻokahi a ʻekolu mau lā o ka hoʻomaka ʻana o nā hōʻailona. Eia nō naʻe, ua loaʻa nā hōʻike e pili ana i ka poʻe me ka intermittent torsion i ʻike ʻole ʻia no nā mahina. ʻO kēia ka manawa e wili ai ka ovary a hoʻolōʻihi hou, e hana ana i ka ʻeha e hele mai a hele aku.

Akā, me ka ʻole o kahi hōʻailona kūhelu, ʻaʻohe ala e ʻike ai inā ʻo kēia ke kumu o kou ʻeha. He mea nui ka manawa ma ʻaneʻi. Inā loaʻa iā ʻoe nā hōʻailona, ​​​​mai kali. E hele i kahi lumi pilikia i ka hikiwawe loa.

E ʻoi aku ka maikaʻi o kēia ma kāna iho?

Hiki nō, akā, kākaʻikahi loa.

I ka intermittent ovarian torsion, wili a wehe ka ovary i kahi ʻano e hoʻi hope ai i kona kūlana maʻamau (ʻaʻole i wili ʻia).

Akā, mai manaʻo ʻoe e hoʻōla wale ʻia ka ʻeha ʻo `(Ovarian Torsion)`. ʻAʻole kēia he mea hiki ke waiho wale ʻia i ka manawa kūpono. Inā loaʻa iā ʻoe nā hōʻailona, ​​e hele koke i kahi lumi pilikia.

Ke loaʻa iā ʻoe kahi hōʻailona e like me ka ʻeha o ka ʻōpū haʻahaʻa, hiki ke hoʻonāukiuki a hopohopo hoʻi ke ʻike ʻole inā he mea liʻiliʻi a i ʻole he mea e pono ai ke kōkua koke ʻia e ke kauka. I ke ʻano o ka ovarian torsion, ʻaʻohe ala e ʻike ai inā ua hoʻokumu ʻia ka ʻeha e kahi ovary i wili ʻia a hiki i ka wā e hōʻoia ai kāu kauka. ʻO ka mea pōʻino, ʻaʻole ʻike ka nui o ka poʻe he maʻi ko lākou (pinepine ʻole) i kapa ʻia he ovarian cyst, he mea pilikia ia no ka ovarian torsion.

Mai hoʻāʻo. Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū ma lalo, e kiʻi koke i ke kōkua lapaʻau. ʻO ka hana wikiwiki ʻana hiki ke hoʻopakele i kāu mau ovaries. Hiki nō hoʻi iā ia ke hoʻopakele i kou ola.

No laila, he aha nā mea nui e pono ai kākou e hoʻomanaʻo mai kēia?

ʻAe, no laila, mai nā mea a mākou i kamaʻilio ai i kēia lā e pili ana i ka Ovarian Torsion, eia nā mea nui e hoʻomanaʻo:

• Inā loaʻa iā ʻoe ka ʻeha koke a koʻikoʻi o ka ʻōpū lalo, ka nausea, a me ka luaʻi ʻana, mai hoʻomāmā. He Ovarian Torsion paha kēia.
• He pilikia olakino kēia. Aia kahi manawa kūpono e hiki ai iā ʻoe ke hoʻopakele i kāu ovary ma ka hele ʻana i ka haukapila me ka hoʻonele ʻole i ka manawa.
• ʻOi aku ka kiʻekiʻe o kēia pilikia no ka poʻe me nā ovarian cysts, nā wahine hāpai, a me ka poʻe e mālama ʻia ana i ka mālama ʻana i ka hānau keiki. Eia nō naʻe, hiki ke loaʻa i kēlā me kēia kanaka.
• ʻO ka lāʻau maʻamau, ʻo ia ka wehe ʻana i ka ovary i wili ʻia me ka hoʻohana ʻana i ka laparoscopy. I ka hapanui o nā hihia, hiki ke hoʻōla ʻia ka ovary.
• Mai kali a "e maikaʻi kēia ma kāna iho." E ʻimi i ke kōkua lapaʻau i ka wā e loaʻa ai ka ʻeha.

E hoʻomanaʻo, ʻo ke ala maikaʻi loa e noho olakino ai, ʻo ia ka nānā ʻana i kou kino a hana i ka wā e ʻike ai ʻoe i kekahi mea ʻē. Inā he mau nīnau hou kāu e pili ana i kēia, mai makaʻu e kamaʻilio me kāu kauka.

ʻO ke kuʻi ʻana o ka ʻōpū, ʻeha ʻōpū, nā pilikia wahine, nā cysts ovarian, Laparoscopy, olakino wahine