Ke manaʻo nei ʻoe i kekahi manawa i ke kaumaha mau ma kou ʻōpū haʻahaʻa, kahi manaʻo e like me ke kaomi ʻana o kekahi mea iā ʻoe? Malia paha ke manaʻo nei ʻoe e like me kahi mea e like me ka pōpō e puka mai ana mai kou ʻōpū? Loaʻa iā ʻoe kahi pilikia me ka incontinence urinary, ʻo ia hoʻi ka nalowale o ka mimi ke ʻakaʻaka ʻoe, uē, a ʻū paha? He mau pilikia kēia e ʻeha ai nā wahine he nui me ka leo ʻole, akā hilahila iki lākou e kamaʻilio e pili ana. Akā, ʻaʻole kēia he mea āu wale nō. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi maʻi i kapa ʻia ʻo Pelvic Organ Prolapse, ka mea e hoʻoulu ai i kēia mau hōʻailona, a me kahi ʻoki kino holomua loa i kapa ʻia ʻo Sacrocolpopexy .
I ka ʻōlelo maʻalahi, he aha ka pelvic organ prolapse?
E noʻonoʻo ʻoe aia nā ʻōpū o kou ʻōpū haʻahaʻa, e like me kou uterus, ka ʻōpū mimi, a me ka rectum, i loko o kahi hammock. Hana ʻia kēia hammock i nā mea a mākou e kapa nei he mau ʻiʻo papahele pelvic a me ko lākou mau ʻiʻo pili. ʻO kēia nā mea e hoʻopaʻa ai i kēia mau ʻōpū āpau.
Eia nō naʻe, i ka hala ʻana o ka manawa, ʻoi aku hoʻi ma hope o ka hānau ʻana, ma muli o ka hāpai kaumaha, a i ko kākou ʻelemakule ʻana, hoʻomaka kēia mau ʻiʻo a me nā ʻiʻo e nāwaliwali a kīkoʻo. A laila, me he mea lā e kūlou ana ka moena mesh, hoʻomaka pū nā ʻōpū i loko e paʻi i lalo, ʻo ia hoʻi, i ka vagina. ʻO kēia ka mea a mākou e kapa nei he pelvic organ prolapse. ʻO kahi lāʻau lapaʻau no kēia he ʻoki kino i kapa ʻia ʻo Sacrocolpopexy. Pili kēia i ka lawe ʻana mai i nā ʻōpū i hāʻule i luna a me ka hoʻohana ʻana i kahi mesh ʻoki kino kūikawā e hoʻopaʻa iā lākou i ko lākou kūlana kūpono.
He aha nā ʻōkana e hiki ke hoʻohaumia ʻia e like me kēia?
Ua māhele ʻia kēia ʻano i kekahi mau ʻano ma muli o ke kino i hoʻopilikia ʻia. I mea e maʻalahi ai ke hoʻomaopopo ʻana, e nānā kākou i kēia mau kikoʻī.
| ʻAno o ka iho ʻana | I ka ʻōlelo maʻalahi, he aha ka mea e hana ʻia? |
|---|---|
| Ka emi ʻana o ka ʻōpū | Iho ka ʻōpū a me ke cervix ma o ka vagina. I kekahi manawa, hiki iā lākou ke puka loa i waho o ka vagina. |
| ʻO ka prolapse o ka vaginal | Kūlou i lalo ka ʻaoʻao o luna o ka vagina i ke kanaka i hana ʻia ka hysterectomy. |
| ʻO ka prolapse o ka ʻōpū mimi (Cystocele) | Hoʻokuʻi ʻia ka ʻōpū mimi i ka paia mua o ka vagina. |
| ʻO ka Rectocele | Ua paʻi ʻia ka rectum i ka paia hope o ka vagina. |
| ʻO ka emi ʻana o ka ʻōpū liʻiliʻi (Enterocele) | Piʻi ka ʻōpū liʻiliʻi i luna i ka ʻaoʻao o luna o ka vagina a iho i lalo. |
E ʻike inā loaʻa iā ʻoe kēia mau hōʻailona pū kekahi ...
ʻO kēia kekahi o nā hōʻailona maʻamau o ka Pelvic Organ Prolapse:
- ʻO ke ʻano a i ʻole ka manaʻo o kahi mea e like me ka puʻu a pōpō paha e puka mai ana mai loko mai o ka vagina.
- ʻEha o ka ʻōpū lalo, ʻo ia hoʻi ka manaʻo kaumaha, kaomi, a i ʻole kekahi mea i paʻa i loko o ke pelvis.
- He liʻiliʻi ka mimi e kahe wale ana i ka wā e ʻakaʻaka ai, e ʻū ana, a i ʻole e hāpai ana i kahi mea kaumaha.
- Paʻakikī ke kahe koko. I kekahi manawa manaʻo ʻia me he mea lā ʻaʻole i hoʻokuʻu loa ʻia ka ʻōpala.
- Ka paʻakikī ke hoʻokomo ʻana i nā mea e like me nā tampons i loko o ka vagina.
- ʻEha i ka wā o ka moekolohe.
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, he mea nui e kamaʻilio me ke kauka me ka hilahila ʻole, no ka mea, aia nā lāʻau lapaʻau kūpono no kēia.
No ke aha lā kēia e hana nei? He aha nā kumu nui?
Aia kekahi mau kumu nui e nāwaliwali ai nā ʻiʻo o ka papahele pelvic.
- Hānau keiki ma ke ʻano he wahine: Hiki ke hōʻino ʻia kēia mau ʻiʻo, ʻoiai i ka wā e hānau ai i nā keiki he nui, he pēpē kaumaha nui i ka wā hānau, a i ʻole he hānau paʻakikī.
- ʻO ke ʻoki ʻōpū: ʻOi aku nā mea e like me ka hysterectomy.
- Ka ʻelemakule ʻana: I ko kākou ʻelemakule ʻana, nāwaliwali maoli nā ʻiʻo o ke kino.
- Ka hāpai pinepine ʻana i nā mea kaumaha: Ka hāpai pinepine ʻana i nā mea kaumaha e like me nā bākeke wai a me nā pahu kinoea ma ka hana a i ʻole e hana ana i nā hana o ka hale.
- Kaomi pinepine ma ka ʻōpū lalo:Hiki ke hana ʻia kēia kūlana e nā mea e like me ka ʻū mau, ka hānō, a me ka paʻa pinepine ʻana o ka ʻōpū.
- Nā kumu hoʻoilina: Hānau ʻia kekahi poʻe me nā ʻiʻo pili nāwaliwali, kahi e hoʻonui ai iā lākou i ka pilikia.
ʻAe, pehea ʻoe e hoʻoponopono ai i kēia me kēia ʻoki Sacrocolpopexy?
He hana ʻokiʻoki holomua loa a holomua hoʻi ʻo Sacrocolpopexy no kēia pilikia. He maʻalahi loa ia.
Hana ke kauka lapaʻau i kekahi mau ʻoki liʻiliʻi i loko o kou ʻōpū a hoʻohana i kahi kāmela (laparoscope) e hana i kēia ʻoki. Ua kapa ʻia kēia he ʻoki laparoscopic . I kekahi manawa hoʻohana ʻia ka ʻenehana robotic no kēia.
Ma kēia kaʻina hana, ua hoʻopili ʻia kahi ʻupena ʻoki kūikawā i ka ʻaoʻao o luna o kou ʻōpū, ka ʻōpū mimi, a i ʻole ka rectum i hāʻule. A laila ua hoʻopili ʻia kekahi ʻaoʻao o ka ʻupena i ka iwi haʻahaʻa loa o kou iwi kuamoʻo, ʻo ia hoʻi ka sacrum. Hana kēia ʻupena e like me ke alahaka, e huki ana i kāu mau ʻōpū i hoʻohaʻahaʻa ʻia i luna a hoʻopaʻa iā lākou ma ko lākou wahi kūpono.
I kekahi manawa, ma muli o kou mōʻaukala olakino a me nā makemake, hiki ke hana ʻia kahi hysterectomy i ka manawa like me kēia ʻoki kino. Hoʻopau loa kēia i ka pilikia o ka maʻi ʻaʻai uterine.
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
E hāʻawi aku ka haukapila iā ʻoe i kahi hoʻonohonoho o nā kuhikuhi ma mua o ke ʻoki kino. He mea nui loa ia e hahai pololei iā lākou.
- E noi ʻia ʻoe e hōʻalo loa i ka ʻai ʻana a i ʻole ka inu ʻana ma hope o ke aumoe o ka pō ma mua o ke ʻoki kino.
- Inā he mea puhi paka ʻoe, pono ʻoe e hoʻōki i ka puhi paka ma hope o ke aumoe o ka pō ma mua o ke ʻoki kino.
- ʻO kekahi mau lāʻau lapaʻau āu e lawe ai (e like me nā lāʻau hoʻokahe koko) e koi paha iā ʻoe e hoʻōki i ka lawe ʻana iā lākou no kekahi mau lā. E kamaʻilio me kāu kauka e pili ana i kēia.
- Hiki ke ʻae ʻia ʻoe e inu i nā wai e like me ka wai, ke kī me ka ʻono ʻole, a i ʻole ke kofe a hiki i kekahi mau hola ma mua o ke ʻoki ʻana.
Pehea e hana ʻia ai ke ʻoki ʻana i kēlā me kēia ʻanuʻu
Mai makaʻu i ke ʻoki kino. ʻO ka ʻike ʻana i ke ʻano o ka hana ʻana e kōkua iā ʻoe e lanakila ma luna o kou makaʻu.
1. ʻO ka mea mua, e hoʻokomo ʻia ʻoe ma lalo o ka anesthesia laulā . No laila, ʻaʻole ʻoe e ʻeha a e hiamoe maikaʻi ʻoe.
2. E hana ke kauka ʻoki i 4 a i ʻole 5 mau ʻoki liʻiliʻi, ma kahi o hoʻokahi kenimika ka laulā, ma kou ʻōpū.
3. A laila hoʻopiha ʻia ka ʻōpū me ke kinoea kalapona ʻokikene. Hana ʻia kēia e hana i kahi no ke ʻoki ʻana a e ʻike maopopo i nā ʻōpū.
4. Hoʻokomo ʻia kahi kāmela (laparoscope) a me nā mea hana ʻoki ma o kēia mau ʻoki liʻiliʻi.
5. ʻOiai e nānā ana i nā kiʻi mai ke kāmela ma kahi monitor, hoʻopili ke kauka i ka ʻupena i ʻōlelo ʻia ma luna o ka vagina a me ka sacrum, e hāpai ana i ke kino.
6. Inā ua piʻi ka ʻōpū mimi a i ʻole ka rectum, e hoʻoponopono ʻia nō hoʻi i kēia manawa.
7. I ka pau ʻana o ke ʻoki kino, ua hoʻokomo ʻia kahi kāmela liʻiliʻi e nānā i kekahi pōʻino i ka ʻōpū mimi.
8. ʻO ka hope loa, ua lawe ʻia i waho nā mea hana a pau, ua wehe ʻia ke kinoea i loko o ka ʻōpū, a ua pani ʻia nā ʻoki liʻiliʻi.
ʻO ka maʻamau, ma waena o 2 a me 4 mau hola kēia hana ʻoki kino.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino? He aha nā mea e manaʻo ai i ka wā e hoʻōla ai
Ma hope o ke ʻoki ʻana, e lawe ʻia ʻoe i kahi lumi hoʻōla. Ke ala ʻoe mai ka anesthesia, hiki iā ʻoe ke hiamoe iki a hiamoe paha. He mea maʻamau kēia.
ʻO ka mea aʻe, e loaʻa iā ʻoe kahi hoʻāʻo hoʻokahe e ʻike ai inā hiki iā ʻoe ke mimi ma kāu iho. Ua loaʻa paha iā ʻoe kahi catheter ma kahi ma mua o ke ʻoki ʻana. I loko o kēia hoʻāʻo, e wehe ʻia a e hoʻāʻo ʻia ʻoe e ʻike inā hiki iā ʻoe ke hoʻokahe i kou ʻōpū mimi ma kāu iho. Inā ʻaʻole hiki iā ʻoe, e hoʻouna ʻia paha ʻoe i ka home me kahi catheter e hoʻohana ai ma ka home no kekahi mau lā. Mai hopohopo no kēlā.
Ma waena o 6 a me 8 mau pule e ho'ōla piha ai. I loko o kēia manawa, pono ʻoe e hana i kekahi mau hoʻololi i kou nohona.
| He aha ka mea e manaʻo ai ma hope o ke ʻoki ʻana | E hana i kēia mau mea e ho'ōla koke ai |
|---|---|
| ʻEha: Aia paha kekahi ʻeha a me ka ʻeha o ka ʻōpū no nā lā mua. E lawe i nā lāʻau hoʻomaha ʻeha i kauoha ʻia e kāu kauka i ka manawa kūpono. | E hoʻomaha nui: ʻOi aku ka maikaʻi o ke loaʻa ʻana o kekahi e kōkua iā ʻoe, ma ka liʻiliʻi no nā lā mua ʻelua. |
| ʻŌpū ʻōpū: ʻO ke kinoea i loko o ka ʻōpū i ka wā o ke ʻoki ʻana e hōʻeha ai i ka ʻōpū a me ka pehu no 2-3 mau lā. | E hele wāwae: ʻO ka hele mālie ʻana i loko o ka hale e hōʻemi ana i ka ʻeha o ka naʻau a pale pū i nā ʻūpā koko. |
| Hoʻokahe ʻana o ka ʻōpū: Hiki iā ʻoe ke ʻike i kahi koko liʻiliʻi a i ʻole kahi kahe keʻokeʻo/melemele no kahi o 6 mau pule. He mea maʻamau kēia. | Nā wai a me ka meaʻai: E inu i ka wai he nui. E ʻai i nā meaʻai māmā e like me nā kuki a me ka sopa moa no nā lā mua. E pale i nā meaʻai momona. |
| Paʻa ʻōpū: Hiki i nā lāʻau ʻeha ke hoʻoulu i ka paʻa ʻōpū. E nīnau i kāu kauka e pili ana i ka lawe ʻana i kahi mea palupalu ʻōpala. | Nā hoʻomaʻamaʻa hanu: Inā hāʻawi ʻia ʻoe i kahi mea i kapa ʻia he incentive spirometer, e hanu hohonu me ia i hoʻokahi manawa i ka hola. |
Mai hana i kēia mau mea a hiki i kou ho'ōla ʻia ʻana! (Nā mea e pale aku ai)
No ka hōʻoia ʻana i kahi manawa hoʻōla holomua, pono ʻoe e hahai i kēia mau kuhikuhi.
- Mai ʻauʻau i ka wai no 48 mau hola ma hope o ke ʻoki ʻana. Ma hope o kēlā, hiki iā ʻoe ke ʻauʻau.
- Mai noho i loko o ka wai (ʻauʻau, noho i loko o ka ʻauʻau) no 4-6 mau pule.
- Mai hāpai i nā mea kaumaha, e paʻi, a e huki paha no 4-6 mau pule. Mai hāpai i kekahi mea kaumaha ma mua o 2-3 kg (e laʻa me nā bākeke wai, nā ʻeke kūʻai, nā keiki liʻiliʻi, nā holoholona).
- E hōʻalo i ka hoʻohana ʻana i ka mea hoʻomaʻemaʻe mīkini a i ʻole ke kaomi ʻana i nā puka kaumaha i kēia manawa.
- Mai moe kolohe no 6 mau pule ma ka liʻiliʻi. Eia kekahi, e pale i ka hoʻohana ʻana i nā tampons a me ka douching.
- Inā ʻoe e lawe ana i nā lāʻau ʻeha ikaika i kauoha ʻia e kāu kauka, mai hoʻokele kaʻa .
Pehea ka holomua o kēia ʻoki kino? Aia kekahi mau pilikia?
He hana ʻoki kino ʻo Sacrocolpopexy me ka holomua o 90% . ʻO ia hoʻi, maikaʻi loa nā hopena.
E like me nā ʻoki kino āpau, aia kekahi mau pilikia. Eia nō naʻe, ua manaʻo ʻia he kaʻina hana palekana loa. E kūkākūkā kāu kauka i kēia mau pilikia me ʻoe ma mua o ke kaʻina hana.
Ma waena o nā pilikia e hiki mai ana:
- Ka hōʻino ʻana i nā ʻōpū a puni e like me ka ʻōpū mimi a me nā ʻōpū.
- Ke kahe koko nui.
- Nā ʻūpā koko.
- Ka maʻi ʻana.
- Nā pilikia e pili ana i ka ʻupena i hoʻohana ʻia (e.g., ka ʻino ʻana o ka ʻupena ma o nā ʻiʻo o ka wahine).
- Paʻakikī i ka mimi ʻana a i ʻole ka ʻōpala.
- ʻEha i ka wā o ka moekolohe.
He mea kākaʻikahi loa kēia mau pilikia, akā he mea nui e ʻike iā lākou.
Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka!
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona i kou wā ma ka home ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka a i ʻole e hele i ka haukapila.
- Ke kuni ma luna o 38 Celsius (100.4 Fahrenheit) a i ʻole ke anu.
- Inā ʻulaʻula nā ʻoki, pehu, a he wai hoʻi e kahe ana .
- Ka luaʻi ʻana a i ʻole ka nausea hiki ʻole ke kāohi.
- Ke kahe koko nui o ka ʻōpū e hoʻomohu ana ma mua o hoʻokahi ʻāpana hoʻomaʻemaʻe i kēlā me kēia holaInā aia.
- Inā he ʻala pilau kou o ka ʻōpū .
- Inā loaʻa iā ʻoe ka ʻeha nui hiki ʻole ke kāohi ʻia me ka lāʻau lapaʻau.
- ʻEha a me ka pehu ʻana ma nā wāwae.
- ʻO ka mimi ʻala ʻino, ʻeleʻele ke kala, a i ʻole he ʻano wela i ka wā e mimi ai.
Leka Lawe-Home
- ʻO ka pelvic organ prolapse kahi maʻi e hoʻopilikia ai i nā wahine he nui, akā hiki ke mālama pono ʻia. Mai hilahila iā ia.
- He ʻoki kino holomua a palekana hoʻi ʻo Sacrocolpopexy e hiki ke hoʻomaikaʻi nui i kou ola.
- He manawa ka lōʻihi e hoʻōla piha ai ma hope o ke ʻoki ʻana. He mea nui ka hahai pono ʻana i nā ʻōlelo a ke kauka no ka hoʻōla wikiwiki ʻana.
- I mea e pale ai i ka hoʻi hou ʻana mai o kēia maʻi, he mea nui loa ia e pale i ka hāpai ʻana i nā mea kaumaha, kaohi i ke kaumaha o ke kino, a pale i ka paʻa ʻana o ka ʻōpū.
- Inā loaʻa iā ʻoe nā hōʻailona i hōʻike ʻia ma kēia ʻatikala, mai kānalua e kamaʻilio me kāu kauka e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu.
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