E aʻo e pili ana i ka Pelvic Organ Prolapse a me ke ʻoki kino Sacrocolpopexy

Ke manaʻo nei ʻoe i kekahi manawa i ke kaumaha a i ʻole ke kaomi ma kou ʻōpū haʻahaʻa, me he mea lā e puka mai ana kekahi mea e like me ka pōpō mai loko mai o kou ʻōpū? He ʻano olakino kēia i ʻike ʻia e nā wāhine he nui, akā kānalua iki lākou e kamaʻilio e pili ana i ke kaiāulu. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻo Pelvic Organ Prolapse. Mai hopohopo, he mea maʻamau kēia. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau holomua loa no kēia ʻano, ʻo ia hoʻi ke ʻoki ʻana o Sacrocolpopexy.

I ka ʻōlelo maʻalahi, he aha ka pelvic organ prolapse?

E noʻonoʻo ʻoe ua kau ʻia nā ʻōpū koʻikoʻi i loko o ko kākou pelvis, e like me ka uterus, ka ʻōpū mimi, a me ka rectum, i loko o kahi hammock i hana ʻia me ka mesh. ʻO kēia hammock ko kākou mau ʻiʻo papahele pelvic. Hoʻopaʻa kēia mau ʻiʻo a me nā ligaments i kēia mau ʻōpū a pau. Eia naʻe, no kekahi kumu, i ka wā e nāwaliwali ai kēia mau ʻiʻo a kīkoʻo paha, e kūlou ana ka hammock, a hoʻomaka pū nā ʻōpū i loko e kūlou, ʻo ia hoʻi, i ka ʻaoʻao o ka vagina. ʻO ia ka mea a mākou e kapa nei he pelvic organ prolapse. Nui nā ʻano o kēia, ma muli o ke ʻano e hoʻohaʻahaʻa ʻia nei.

• Ka emi ʻana o ka ʻōpū : Hāʻule ka ʻōpū a me ke cervix i loko o ka vagina . I kekahi manawa hiki ke ʻike ʻia ma waho o ka vagina.
• ʻO ka prolapse vaginal: ʻO ka ʻaoʻao o luna o ka vagina e iho i lalo i loko o ke kanaka i loaʻa i ka hysterectomy .
• Cystocele : Ka iho ʻana o ka ʻōpū mimi i loko o ka vagina.
• Rectocele: Ka puka ʻana o ka rectum i loko o ka vagina.
• ʻEnterocele : ka puka ʻana o ka ʻōpū liʻiliʻi i loko o ka paia o ka vaginal.

He aha nā kumu o kēia kūlana?

I ka manawa pinepine, hiki ke loaʻa ma mua o hoʻokahi kumu no kēia ʻano. ʻO nā kumu nui:

• Hānau keiki maʻamau : ʻO ka hānau ʻana o kahi pēpē kaumaha a i ʻole ka hānau paʻakikī ʻana hiki ke hōʻino i nā ʻiʻo o ka papahele pelvic.
• Ka ʻelemakule ʻana : Hoʻonāwaliwali maoli nā ʻiʻo me ka ʻelemakule.
• ʻO ke ʻoki Pelvic: Hiki ke hana ʻia kēia ʻano ma muli o nā ʻoki mua.
• Ka hāpai pinepine ʻana i ke kaumaha :Ka hāpai kaumaha a i ʻole ka hoʻoikaika kino.
• Hoʻonui ʻia ke kaomi i loko o ka ʻōpū: ma muli o nā mea e like me ke kuʻi lōʻihi, ka hoʻoluhi pinepine ʻana ma muli o ka paʻa ʻana o ka ʻōpū , a pēlā aku.
• Nā kumu hoʻoilina: Hiki ke hānau ʻia kekahi poʻe me nā ʻiʻo pelvic nāwaliwali a me nā ʻiʻo pili.

Loaʻa iā ʻoe kēia mau hōʻailona?

Aia ma ka papa ma lalo nei kekahi mau hōʻailona maʻamau i ʻike ʻia e ka poʻe he nui me kēia maʻi.

No laila, he aha kēia ʻoki kino i kapa ʻia ʻo Sacrocolpopexy?

I ka ʻōlelo maʻalahi, ʻo Sacrocolpopexy kahi ʻoki kino e hoʻihoʻi i nā ʻōpū pelvic i ko lākou kūlana kūpono a hoʻopaʻa iā lākou ma kahi. Ma kēia, hoʻohana ke kauka ʻoki kino i kahi ʻupena ʻoki kino kūikawā. Hana kēia ʻupena e like me ke alahaka, e hoʻopili ana i ka ʻaoʻao o luna o ka vagina prolapsed i ka iwi haʻahaʻa o kou iwi kuamoʻo (sacrum). Hāʻawi kēia i ke kākoʻo maikaʻi no nā ʻōpū prolapsed, e huki ana iā lākou i luna a i kahi. ʻO ka hapa nui o ka manawa, hana ʻia kēia ʻoki kino laparoscopically . ʻO ia hoʻi, ma kahi o ka hana ʻana i kahi ʻoki nui i loko o ka ʻōpū, hana ʻia ma kahi o 4-5 mau lua liʻiliʻi loa a hoʻokomo ʻia kahi kāmela a me nā mea hana palupalu ma o lākou. ʻO ka hopena o kēia i ka manawa hoʻōla liʻiliʻi a me ka ʻeha liʻiliʻi. I kekahi manawa hoʻohana ʻia ka ʻenehana robotic no kēia. I kekahi mau hihia, hiki i kāu kauka ke ʻōlelo aku e wehe i ka uterus (hysterectomy) i ka manawa like me kēia ʻoki kino. Aia ia i kou mōʻaukala olakino, ka pilikia o ka maʻi ʻaʻai, a me kāu mau makemake.

Nā mea e noʻonoʻo ai i ka wā e hoʻōla ai ma hope o ke ʻoki kino

I mea e hōʻoia ai i ka hoʻōla wikiwiki a me ka holomua ma hope o ke ʻoki ʻana, he mea nui loa ia e hahai pololei i nā kuhikuhi a kāu kauka. ʻO ka maʻamau, he 6 a 8 mau pule e hoʻōla piha ai.

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

He lāʻau lapaʻau holomua loa kēia. ʻOi aku ka kiʻekiʻe o ka holomua ma kahi o 90%. ʻO ke ʻano kēia, inā he 10 mau kānaka e hana ʻia ke ʻoki ʻana, e loaʻa i 9 nā hopena maikaʻi. Eia naʻe, e like me nā ʻoki ʻana a pau, hiki i ke ʻoki ʻana o Sacrocolpopexy ke loaʻa kekahi mau pilikia. He mea nui e makaʻala iā lākou ma mua.

• Ka hōʻino ʻana i nā ʻōpū a puni e like me ka ʻōpū mimi a me nā ʻōpū.
• Ke kahe koko nui ʻana.
• Ka maʻi ʻana.
• Nā ʻūpā koko.
• Nā pilikia me ka ʻupena i hoʻohana ʻia (e.g., ka ʻupena e puka mai ana mai ka paia o ka ʻōpū).
• Ke mau nei ka ʻeha ma hope o ke ʻoki ʻana.

He haʻahaʻa loa kēia mau pilikia. E wehewehe kāu kauka lapaʻau i kēia mau mea āpau iā ʻoe, no laila ʻaʻohe pono e makaʻu.

I ka manawa e ʻimi koke ai i ke aʻo lapaʻau

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

• Ke kuni ma luna o 38 kekelē Celsius (100.4 Fahrenheit) a i ʻole ke anuanu.
• ʻEha nui hiki ʻole ke kāohi ʻia ʻoiai me nā lāʻau ʻeha.
• Lilo nā ʻoki ʻoki i ʻulaʻula, pehu, a puka mai paha kahi wai ʻala ʻino .
• ʻO ke kahe koko ʻana o ka ʻōpū i lawa ka nui e hoʻomohu ai ma mua o hoʻokahi pad i kēlā me kēia hola.
• Ka hoʻokahe ʻana o ka ʻōpū me kahi ʻala pilau .
• ʻAʻole hiki ke mimi no nā hola a i ʻole ka mimi liʻiliʻi loa.
• Ka luaʻi a i ʻole ka luaʻi ʻana.
• ʻEha a me ka pehu ʻana ma nā wāwae.

Mai hoʻowahāwahā i kēia mau hōʻailona. Hiki i ka mālama mua ʻana ke pale i nā maʻi koʻikoʻi. ʻO ka prolapse o ka ʻōpū, Sacrocolpopexy, Pelvic Organ Prolapse, ʻoki kino, Ola kino o nā wāhine, Vagina, Bladder prolapse, Laparoscopy, ʻupena ʻoki kino