Ke hoʻopiʻi nei kāu kaikamahine liʻiliʻi i ka maneʻo a i ʻole ka ʻeha i loko o kona ʻōpū? A i ʻole ke hoʻopiʻi nei kāu kaikamahine ʻōpio i nā wā maʻamau ʻole a i ʻole ka ʻeha hiki ʻole ke hoʻomanawanui? He mea maʻamau ke hopohopo iki i nā manawa e like me kēia. Manaʻo ka nui o nā mākua he no nā wahine makua wale nō nā gynecologists. Akā, ʻaʻole pēlā. Hiki i nā kamaliʻi a me nā keiki liʻiliʻi ke loaʻa nā pilikia gynecological kikoʻī. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā.
He aha ka maʻi Gynecology Pediatric?
I ka ʻōlelo maʻalahi, he ʻoihana kūikawā ʻē aʻe kēia o ka gynecology. I ka pololei, ua kapa ʻia ʻo ia ʻo 'Pediatric and Adolescent Gynecology (PAG).' ʻO nā kauka i loaʻa i ke aʻo kūikawā ma kēia kahua e mālama i ke olakino hānau hou o nā kaikamahine mai ka hānau ʻana a hiki i ka wā ʻōpio.
E noʻonoʻo wale, ʻaʻole hiki iā ʻoe ke hāʻawi i kahi keiki i ka mālama like āu e hāʻawi ai i kahi pākeke. Pēlā nō, ʻokoʻa loa ke kino o kahi wahine makua mai ke kino o kahi kaikamahine liʻiliʻi a kaikamahine ʻōpio paha. He ʻokoʻa nō hoʻi ko lākou mau pono olakino. No laila, ua loaʻa i kēia mau kauka loea ke aʻo kūikawā e hana me nā keiki o kēia pae makahiki me ke aloha a me ka naʻauao.
Hoʻōla lākou i nā mea āpau mai ka ʻeha o ka ʻōpū, ka maneʻo, a me ka eczema a hiki i nā pilikia paʻakikī me ka ulu ʻana o ke keiki a me ka ʻōnaehana hānau. Hoʻokomo pū ka ʻōnaehana hānau i nā ʻōpū o waho a me loko e pili ana i ka momona, ka menstruation, a me ka hana moekolohe.
I mea e lilo ai i loea e like me kēia, ma hope o ke kula lapaʻau, pono lākou e hoʻopau i kahi kekelē kūikawā ma Obstetrics and Gynecology a i ʻole Pediatrics. Ma hope o kēlā, loaʻa iā lākou ke aʻo kūikawā (Fellowship) ma ka pediatric a me ka gynecology adolescent. I loko o kēia aʻo ʻana, lākou,
- Aʻo nā keiki e hana i nā hoʻokolohua me ka ʻole o ka makaʻu a me ka ʻoluʻolu ʻole.
- E aʻo i ka ʻike a me ka mālama ʻana i nā maʻi gynecological maʻamau a kakaʻikahi hoʻi e pili ana i kēia hui makahiki.
- Ke aʻo ʻana e mālama i nā ʻano paʻakikī o ka ʻōnaehana hānau keiki.
- Hoʻomaʻamaʻa pū lākou i nā ʻano hana ʻoki kino kūikawā i kūpono no nā keiki.
I ka manawa hea e pono ai iaʻu e lawe mua i kaʻu kaikamahine i ke kauka gynecologist?
He nīnau kēia a nā mākua he nui. Paipai ke Kulanui ʻAmelika o Obstetrics and Gynecology i kāu kaikamahine e hana i kāna hoʻokolohua gynecological mua ma waena o nā makahiki 13 a me 15 .
Eia nō naʻe, he mea nui loa ia e hoʻomanaʻo i kēia. Inā loaʻa i kāu keiki kekahi pilikia, no ka laʻana, ka ʻeha ma ka ʻāpana vaginal, ka maneʻo, ka maʻi, a i ʻole kekahi ʻano ulia pōpilikia, hiki iā lākou ke ʻike i kēia loea i kēlā me kēia manawa, me ka nānā ʻole i ka makahiki . ʻO ia hoʻi, hiki i kahi keiki hānau hou ke loaʻa i kēia ʻōlelo aʻoaʻo lapaʻau.
ʻOi aku ka maʻalahi o nā kaikamahine ʻōpio i nā maʻi a me kekahi mau ʻeha no ka mea he emi ka estrogen o ko lākou mau ʻiʻo vaginal . No laila, hoʻohana kēia mau kauka i nā mea hana liʻiliʻi kūikawā i hoʻolālā kūikawā ʻia no lākou e nānā a mālama i nā keiki ʻōpio. A hana ʻia kēia mau mea a pau ma kahi ʻoluʻolu kahi i makaʻu ʻole ai ke keiki a hoʻoweliweli paha.
He aha ka mea e hana ai ke lawe ʻoe i kāu kaikamahine no kahi nānā kino no ka manawa mua?
Ke lawe ʻoe i kāu kaikamahine i ke kauka wahine no ka manawa mua, he mea maʻamau iā ia a me ʻoe ke manaʻo iki i ka makaʻu a me ka hopohopo. Akā ʻo ka ʻoiaʻiʻo, ʻo kēia hālāwai mua e pili pinepine ana i ke kamaʻilio ʻana me ke kauka a me ke kūkulu ʻana i kahi pilina maikaʻi. ʻO ke kī ma ʻaneʻi, ʻo ia ke kūkulu ʻana i ka hilinaʻi i kāu keiki i hiki iā lākou ke kamaʻilio ākea a me ka ʻoiaʻiʻo e pili ana i ko lākou mau pilikia.
He hoʻonaʻauao a kūkākūkā nui kēia hālāwai mua. E kūkākūkā ke kauka i kēia mau mea me ke kaikamahine:
- E pili ana i ka wā ʻōpio : E kōkua i kāu kaikamahine e hoʻomaopopo he mea maʻamau nā loli i kona kino (e like me ka ulu ʻana o ka umauma a me ka ulu ʻana o ka lauoho ma nā wahi pilikino) a hiki i nā mea āpau, a kōkua i ka hoʻomaha ʻana i kona mau makaʻu.
- E pili ana i ke kaʻina hana menstrual: Wehewehe i ke ʻano o ke kaʻina hana menstrual maʻamau a pehea e ʻokoʻa ai mai kēlā kanaka a kēia kanaka.
- E pili ana i nā ʻano olakino : Ke kamaʻilio ʻana e pili ana i nā kumuhana kūpono i ka makahiki e like me ke olakino pilikino.
- Ke hoʻopau nei i nā manaʻo kuhihewa a me nā makaʻu: ʻO nā nīnau a ke kaikamahine (e pili ana i nā loli o ke kino, ka moekolohe) ua pane ʻia ma ke ʻano ʻepekema a maʻalahi hoʻi, e hoʻopau ana i nā makaʻu pono ʻole i loko o kona noʻonoʻo.
ʻO ka hapa nui o ka manawa, e hana wale ke kauka i kahi hoʻokolokolo waho. ʻO ia hoʻi, e nānā wale ana i nā umauma o kāu kaikamahine a me nā ʻāpana kino o waho. Inā ʻaʻole he kumu lapaʻau kūikawā, ʻaʻole e hana ʻia kahi hoʻokolokolo kūloko i ka hālāwai mua. He mea nui loa kēia iā ʻoe ma ke ʻano he makua e ʻike.
He aha ka mea e hana ʻia i ka wā o kahi hoʻokolohua maʻamau?
Ma hope o ka hālāwai mua, inā makemake ke kaikamahine, hiki iā iaHiki iā ʻoe ke ʻike i ke kauka. I ka wā o ka nānā maʻamau e like me kēia, hiki ke hana ʻia nā mea e like me kēia:
- Ke aʻo ʻana i ka nānā ponoʻī ʻana i ka umauma : Aʻo ke kauka i ke kaikamahine e pili ana i ke koʻikoʻi o ka nānā ʻana i kona mau umauma ponoʻī a me ke ala kūpono e hana ai. Manaʻo nui ʻia e hoʻomaka i kēia mau hoʻokolohua ma hope o 20 mau makahiki.
- Hoʻokolokolo Pelvic: Inā ʻeha kāu kaikamahine a pilikia paha me ka wā ʻōpio, hiki i ke kauka ke nānā i nā ʻōpū pelvic, e like me ka uterus, nā ovaries, a me ka vagina. ʻAʻole pono kēia hoʻokolokolo i nā manawa a pau.
- Pap smear: He hoʻāʻo kēia e ʻike ai i ke kanesa o ka ʻāʻī a i ʻole nā pūnaewele ʻano ʻē e hiki ke lilo i kanesa. Hana pinepine ʻia ka Pap smear mua ma hope o 21 mau makahiki.
- Ke hāʻawi nei i ka ʻōlelo aʻoaʻo e pili ana i ka kaohi hānau: Hiki i ke kauka ke kamaʻilio me ʻoe e pili ana i ka kaohi hānau a me nā koho i loaʻa i kāu kaikamahine. ʻAʻole hoʻohana wale ʻia ka kaohi hānau no ka pale ʻana i ka hāpai ʻana. Hoʻohana ʻia nō hoʻi ia e mālama i nā wā ʻeha, ke kahe koko nui, ka ʻāʻī, a me nā maʻi olakino ʻē aʻe.
- Ke kūkākūkā ʻana i nā hopohopo: Loaʻa i ke kaikamahine ka manawa kūpono e kamaʻilio manuahi me ke kauka e pili ana i nā ʻano ʻē, ʻeha, a i ʻole nā pilikia āna e ʻike nei i loko o kona kino.
- Ke nīnau nei i nā nīnau: Hiki i ke kaikamahine ke nīnau i kekahi nīnau e pili ana i kona kino, olakino, a me ka moekolohe.
He aha nā pilikia maʻamau a kēia poʻe loea e mālama ai?
Hiki ke kū mai nā pilikia gynecological i nā kaikamahine i kēlā me kēia makahiki. Eia kekahi o nā pilikia a me nā kūlana maʻamau.
| ʻAno pilikia | Nā laʻana a me nā wehewehena |
|---|---|
| Nā pilikia e pili ana i ka menstruation | |
| ʻAʻohe o ka menstruation | ʻO Amenorrhea ka nele o ka menstruation ma hope o ka wā ʻōpio, a i ʻole ka pau ʻana o ka menstruation ma hope o ka hoʻomaka ʻana o ka menstruation (Amenorrhea). |
| Kahe nui ʻana o ke koko | Ke kahe koko ʻana i ʻoi aku ke kaumaha ma mua o ka maʻamau a mau no kekahi mau lā (Menorrhagia). |
| ʻEha ka menstruation | ʻEha ʻōpū i hiki ʻole ke hoʻomanawanui a hiki ʻole ke hana i nā hana o kēlā me kēia lā (Dysmenorrhea). |
| Ka menstruation kūpono ʻole | ʻO nā pōʻaiapuni menstrual e hana ʻia ana i nā lā like ʻole, i hoʻopaneʻe ʻia no nā mahina (Nā wā irregular/Oligomenorrhea). |
| Ka lohi/ʻōpiopio mua | Ka lohi o ka wā ʻōpiopio a i ʻole ka wā ʻōpiopio mua. |
| Nā kūlana maʻamau ʻē aʻe | |
| Nā ʻano ʻino o ka umauma | Nā puʻupuʻu umauma, ʻeha, a i ʻole nā pilikia ulu. |
| Nā cysts ovarian | Nā ʻōpū ovarian. |
| Ke kūlana PCOS | ʻO ka Polycystic Ovarian Syndrome (PCOS) - kahi kūlana i kūlike ʻole ai ka hormonal. |
| Nā maʻi ʻōpū a me nā maʻi ʻōpū o waho | Ka maneʻo, ka mumū, a me ke kahe ʻana o ka waimaka ʻala ʻino (Vulvovaginitis). |
| Nā maʻi i laha ma ke ʻano moekolohe | Nā Maʻi Lapaʻau i Hoʻoili ʻia e ke Kaulike (STI). |
| Hoʻopili lehelehe vaginal | Nā hoʻopili labial, ʻoi aku hoʻi i nā keiki ʻōpio. |
| Nā kūlana kūikawā e pono ai ke ʻoki kino | |
| ʻO ka Endometriosis | ʻEha nui i hoʻokumu ʻia e nā ʻiʻo i pono e ulu i loko o ka ʻōpū e ulu ana ma waho ona. |
| Nā kīnā hānau | Nā ʻano kīnā hānau ʻole o ka ʻōnaehana hānau. |
| Ka pahele ʻana o nā mea haole | Nā mea ʻē e paʻa ana i loko o ka ʻōpū i ka wā o ka pāʻani a i ʻole ma ke kuhihewa. |
Pehea e mālama ʻia ai a hoʻokele ʻia ai kēia mau pilikia?
Aia ke ʻano o ka mālama ʻana i ke kūlana o ke keiki. ʻAʻohe hopena hoʻokahi e kūpono i nā mea āpau. I kekahi mau hihia, hiki i ke kauka ke lawe i kahi ala "kali a ʻike" . ʻO ia hoʻi, ʻaʻole e mālama i ke keiki a nānā i ke kūlana. Pono paha kekahi mau pilikia i ka noiʻi hou a me ka hoʻāʻo ʻana. Eia kekahi o nā lāʻau lapaʻau a me nā hoʻāʻo maʻamau:
- Colposcopy: Hoʻohana ʻia kēia kaʻina hana e nānā i ka cervix a me ka paia o ka vaginal no nā ʻiʻo ʻē inā ʻē nā hopena o kahi hoʻāʻo e like me ka Pap smear. Pili kēia i ka nānā ʻana i ka wahi me kahi kāmela kūikawā (hiki ke hoʻonui ʻia).
- ʻO ke ʻoki Laparoscopic: Ua kapa ʻia hoʻi kēia ʻo "keyhole surgery." He hana ʻoki ia e hoʻokomo ʻia ai kahi kāmela a me nā mea hana ma o kekahi mau ʻoki liʻiliʻi i loko o ka ʻōpū, ma mua o ka hana ʻana i kahi ʻoki nui. Hoʻohana ʻia ia e nānā a mālama i nā kūlana e like me nā puʻupuʻu ʻōpū, ka ʻeha pelvic, a me ka endometriosis.
- Vaginoscopy: Hoʻohana ʻia kēia ʻano hana e wehe i kekahi mea ʻē i paʻa i loko o ka vagina o ke keiki.
- Hoʻōla hormonal:No ka mālama ʻana i kekahi mau kūlana olakino, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau i loaʻa nā hormones. Hiki ke hele mai kēia mau mea ma ke ʻano o nā pila, nā inikini, nā ʻāpana ʻili, a i ʻole nā mea hana intrauterine.
- Nā lāʻau lapaʻau ʻē aʻe: Hiki ke kuhikuhi ʻia nā lāʻau lapaʻau ʻē aʻe e like me nā antibiotics, antivirals, a me nā painkiller (NSAIDs) inā pono.
ʻO ka mea nui loa, inā loaʻa i kāu kaikamahine kekahi o kēia mau pilikia wahine, mai manaʻo wale he "mea ia o ka ʻelemakule ʻana." ʻAʻole e nalowale kēia mau pilikia iā lākou iho. No laila, he mea nui e ʻike koke i ke kauka kūpono a loaʻa i ka ʻōlelo aʻoaʻo a me ka lāʻau kūpono.
Leka Lawe-Home
- He kahua lapaʻau kūikawā ʻo Pediatric and Adolescent Gynecology e kālele ana i ke olakino hānau hou o nā kaikamahine mai ka wā kamaliʻi a hiki i ka wā ʻōpio.
- ʻO ka manawa kūpono loa e lawe ai i kāu kaikamahine i kahi kauka wahine no ka manawa mua ma waena o 13-15 mau makahiki. Eia nō naʻe, he mea nui e ʻimi i ke aʻo lapaʻau i kēlā me kēia makahiki inā he mau hōʻailona a hopohopo paha.
- ʻAʻole pinepine ka hālāwai mua he mea e makaʻu ai, akā, he hālāwai kūkākūkā kahi e hiki ai iā ʻoe ke kamaʻilio me ke kauka a kūkulu i ka hilinaʻi. ʻAʻole hana pinepine ʻia nā hoʻokolohua kūloko.
- Mai hoʻowahāwahā i nā pilikia o ka menstruation e like me ka ʻeha nui, ke ʻano ʻē, a me ke kahe koko nui e like me ka mea maʻamau. Aia nā lāʻau lapaʻau kūpono loa no kēia mau mea.
- ʻAʻole e nalowale nā pilikia wahine i nā keiki ma o lākou iho. E ʻike mau i ke kauka kūpono no ka ʻike kūpono a me ka mālama ʻana.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 👩⚕️ ʻO wai ke kauka wahine?
He kauka lapaʻau wahine ke kauka lapaʻau wahine i loea i nā maʻi a me nā pilikia e pili ana i ka ʻōnaehana hānau o nā wahine a me nā kaikamahine. I ka ʻōlelo maʻalahi, mālama kēia mau kauka i kekahi maʻi o ka ʻōpū, nā ovaries, a me nā ʻōpū e pili ana.
💬 👧 No ke aha ʻoe e pono ai e lawe i kahi kaikamahine liʻiliʻi i ke kauka wahine?
Manaʻo ka poʻe he nui e pono ʻoe e kipa aku i kahi kauka wahine ma hope o ka male ʻana. Akā, ʻaʻole ia ka hihia. He mea nui ka mālama ʻana i ka Pediatric a me Adolescent Gynecology no nā pilikia e kū mai ana i ka wā ʻōpio i ke kaikamahine, nā wā ʻōpiopio, ka ʻeha nui, a me nā maʻi ma nā ʻāpana pilikino o nā keiki ʻōpio.
💬 🩺 E hopohopo anei ke keiki ke hōʻike ʻana i kahi kaikamahine i ke kauka e like me kēia?
ʻAʻole loa. Ua hoʻomaʻamaʻa kūikawā ʻia nā kauka wahine o nā keiki a me nā ʻōpio e mālama i nā keiki a me nā wahine ʻōpio ma ke ʻano aloha a akahai. Hoʻopau lākou i ka hilahila a me ka makaʻu o ke keiki, a hana i nā hoʻokolohua me ka palekana a me ka maʻalahi, no laila ʻaʻohe pono e makaʻu.
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