Ke kahe nui nei ke koko ma mua o ka maʻamau i kou wā? A i ʻole ke manaʻo mau nei ʻoe i ka paʻa a me ka ʻeha ma kou ʻōpū lalo? ʻO ke kumu nui o kēia mau hōʻailona he mau puʻupuʻu ʻaʻole kanesa i kapa ʻia ʻo fibroids e hana ʻia i loko o ka ʻōpū. I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻano hana kūpono e mālama ai i kēia kūlana ʻaʻole pono ke ʻoki kino nui.
I ka ʻōlelo maʻalahi, he aha ka Uterine Artery Embolization (UAE)?
He hana minimally invasive ka Uterine Artery Embolization (UAE) e hoʻohana ana i kahi ʻoki liʻiliʻi loa, me ka ʻole o kahi ʻoki nui. Hoʻopili maoli ia i nā kīʻaha koko (arteries) e hoʻolako koko i kou uterus.
Hoʻohana pinepine ʻia kēia lāʻau lapaʻau e kāohi i ke kahe nui ʻana o ke koko i hoʻokumu ʻia e nā puʻupuʻu ʻaʻole maʻi kanesa i loko o ka ʻōpū, i kapa ʻia ʻo fibroids uterine . Hoʻohana ʻia nō hoʻi ia i nā kūlana pilikia e like me ke kahe koko postpartum, ke kahe koko ma muli o kahi ulia, a i ʻole ke kahe koko i hoʻokumu ʻia e nā puʻupuʻu gynecological maʻi kanesa.
Ua lohe paha ʻoe i ka Uterine Fibroid Embolization (UFE). ʻOiai ua manaʻo ʻia kēia mau mea ʻelua he like, aia kahi ʻokoʻa iki. ʻO UFE ka inoa i hoʻohana ʻia i ka wā e hoʻohana ʻia ai ʻo UAE e mālama i nā fibroids wale nō. He huaʻōlelo ākea ʻo UAE. Mālama ia i nā fibroids a me ke kahe ʻana o ke koko mai nā kumu ʻē aʻe.
I nā hihia hea e hana ʻia ai ka mālama ʻana ma UAE?
ʻO ka hapa pinepine, hoʻohana ʻia kēia lāʻau lapaʻau no ka poʻe e ʻeha nei i nā ʻōuli like ʻole ma muli o nā fibroids uterine. E nānā kākou i ke ʻano o lākou.
| Hōʻailona | Wehewehena |
|---|---|
| Kahe nui o ke kahe ʻana o ka menstrual | Ke kahe ʻana o ke koko ma mua o ka maʻamau i ka wā o ka menstruation. Hiki paha kēia ke ʻano inā pono ʻoe e hoʻololi i kou pad ma mua o ka hala ʻana o hoʻokahi a ʻelua paha hola, a inā paha e kahe ana ʻoe i nā ʻūpā koko. |
| Kaomi a kaumaha paha ma ka ʻōpū lalo | ʻO ka ʻeha mau, ke kaomi, a i ʻole ke kaumaha ma ka ʻōpū lalo ma muli o ka nui o nā cysts. |
| Pono pinepine e mimi | ʻO ka pono pinepine e mimi ma muli o ke kaomi o ka uterus ma luna o ka ʻōpū mimi. |
| Ka paʻa ʻana o ka ʻōpū | Ka paʻa ʻana o ka ʻōpū ma muli o ke kaomi o ka cyst ma luna o ka colon. |
| ʻEha i ka wā o ka moekolohe | I kekahi manawa aia ka ʻeha i ka wā o ka moekolohe. |
Ma waho aʻe o kēia mau hōʻailona, hiki i kāu kauka ke ʻōlelo aku i ka mālama ʻana iā UAE no nā kūlana ʻē aʻe, e like me ke kahe koko nui ma hope o ka hānau ʻana, ke kahe koko ma muli o kahi ulia, a i ʻole ke kahe koko ma muli o nā puʻupuʻu kanesa.
I nā hihia hea e pono ʻole ai e hana ʻia ka lāʻau lapaʻau UAE?
I kekahi mau hihia, ʻaʻole kūpono kēia lāʻau lapaʻau iā ʻoe.
- ʻOiai inā he mau fibroids uterine kou, ʻaʻohe ou hōʻailona.
- Inā hāpai ʻoe.
- Inā loaʻa iā ʻoe kahi maʻi ma kou wahi pelvic.
- Inā he maʻi koʻikoʻi kou.
- Inā he maʻi allergy kou i nā dyes contrast kikoʻī i hoʻohana ʻia i kēia lāʻau lapaʻau.
Pehea e hana ai kēia lāʻau lapaʻau?
E noʻonoʻo ʻoe ua like ke keiki i loko o ka ʻōpū me kahi mea kanu i hānai ʻia e ka wai. He aha ka mea e hana ʻia inā e pani mālie kākou i nā paipu e hāʻawi ana i ka wai i kēia mea kanu? Me ka ʻole o ka wai, e make mālie ka mea kanu, ʻeā? Hana ʻia kekahi mea like ma ka mālama ʻana iā UAE.
I ka ʻōlelo maʻalahi, ua hoʻokomo ʻia nā ʻāpana liʻiliʻi, e like me nā hua one, i loko o nā kīʻaha koko e hoʻolako ana i ke koko i kou ʻōpū (nā ʻaʻa uterine). Alakaʻi ʻia kēia mau ʻāpana i kahi kikoʻī ma o kahi ʻōmole lahilahi a palupalu i kapa ʻia he catheter . Hoʻokomo ʻia kēia ʻōmole a hoʻohana ʻia kahi ʻano hana i kapa ʻia ʻo fluoroscopy, e like me ka X-ray, e nānā iā ia i kona hele ʻana.
Ke ālai ʻia nā kīʻaha koko penei:
- Hoʻomalu ʻia ke kahe nui ʻana o ke koko.
- Ua nalowale ke koko o nā fibroids, a emi mālie lākou a liʻiliʻi.
He aha kaʻu e hana ai ma mua o ka mālama ʻana?
E paipai kāu kauka i ka lāʻau lapaʻau UAE ma hope o ka nānā pono ʻana i kāu mōʻaukala olakino piha a me nā hōʻailona. Pono ʻoe e hana i kēia mau mea ma mua o ka lāʻau lapaʻau.
- E nīnau kāu kauka e pili ana i kou olakino, nā maʻi ʻaleka, nā lāʻau lapaʻau āu e lawe ai, a me ke kaʻina hana menstrual. E kūkākūkā pū ʻo ia inā ʻoe e hoʻolālā ana e loaʻa nā keiki i ka wā e hiki mai ana, no ka mea, hiki i kēia lāʻau ke hoʻopilikia i ka hānau keiki.
- No ka hoʻoholo ʻana i ke kumu kikoʻī o ke kahe ʻana o ke koko, e hana ʻia kahi hoʻāʻo e like me ka MRI scan , ultrasound scan , a i ʻole hysteroscopy .
- I kekahi manawa e lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka uhi o ka ʻōpū a nānā ʻia (biopsy) e ʻike inā he mau hunaola kanesa.
- E noi ʻia ʻoe e hoʻōki i ka lawe ʻana i nā lāʻau ʻeha e like me ka aspirin, NSAID (e.g., Ibuprofen, Diclofenac), a me nā lāʻau hoʻokahe koko i kekahi mau lā ma mua o ka mālama ʻana.
- E noi ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no kekahi mau hola ma mua o ka mālama ʻana. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī e pili ana i kēia.
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?
ʻO ka UAE he hana ma waho o ka haukapila maʻamau, ʻo ia hoʻi hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi me ka ʻole o ka noho ʻana i ka haukapila. ʻO ka maʻamau, hoʻokahi hola a me ka hapa (90 mau minuke) ka lōʻihi o ke kaʻina hana holoʻokoʻa.
Penei ka hana ʻana o ka lāʻau lapaʻau:
1. Hana ʻia kēia lāʻau e kahi Radiologist Interventional . ʻO ia hoʻi, he loea e hana ana i nā lāʻau lapaʻau minimally invasive me ka hoʻohana ʻana i ka ʻenehana kiʻi lapaʻau.
2. E hoʻomoe ʻia ʻoe ma kahi papa hoʻokolokolo a e hoʻopili ʻia i nā mīkini e nānā i nā mea e like me kou helu puʻuwai a me ke koko.
3. E hoʻopili ʻia kahi lāʻau anesthetic ma kou ʻāpana groin.
4. E hāʻawi ʻia ʻoe i ka saline a me kahi mea hoʻomaha ma o kahi laina IV e hoʻomaha iā ʻoe a hoʻohiamoe iā ʻoe.
5. Hana ʻia kahi lua liʻiliʻi loa ma ka ʻili o ka ʻūhā a hoʻokomo ʻia kahi nila lahilahi ma loko.
6. Me ka hoʻohana ʻana i ke kiʻi X-ray (fluoroscopy) a me kahi kala kūikawā (kala hoʻohālikelike), ua alakaʻi ʻia kahi ʻōmole lahilahi i kapa ʻia he catheter i kou mau aʻa uterine. Hoʻomaopopo kēia kala i nā kīʻaha koko ma ka kiʻi X-ray.
7. Ke kau ʻia ke catheter, e hoʻokomo ʻia nā ʻāpana liʻiliʻi (i hana ʻia me ka gelatin a i ʻole ka plastic) i kapa ʻia he embolic agents i loko o ke kīʻaha koko. Hele kēia mau ʻāpana a ālai i ke kīʻaha koko.
8. Ke pau ka hana, wehe ʻia ke catheter, hoʻomalu ʻia ke kahe ʻana o ke koko mai kahi i hou ʻia ai, a kau ʻia kahi kāʻei liʻiliʻi.
He aha kāu e manaʻo ai ma hope o ka lāʻau lapaʻau?
Hiki i ka hapa nui o ka poʻe ke haʻalele i ka haukapila a hoʻi i ka home i kekahi mau hola ma hope o ka mālama ʻana. Ma hope o kēlā, hiki iā ʻoe ke manaʻo i nā mea e like me kēia.
- Hiki ke noi ʻia ʻoe e moe ma kahi moe no kekahi mau hola ma hope o ka mālama ʻana.
- E hāʻawi ke kauka iā ʻoe i nā mea ʻeha a me nā lāʻau antibiotic e lawe i ka home.
- Hiki ke ʻike ʻia kahi hoʻokahe wai a mucus paha e like me ka vagina no kekahi mau pule.
- Hiki ke ʻike ʻia nā ʻeha pelvic ma ke ʻano waena a koʻikoʻi paha i loko o nā hola 24 mua. He mea maʻamau kēia.
- Hiki i ka hapa nui o ka poʻe ke hoʻi hou i kā lākou hana maʻamau i loko o hoʻokahi a ʻelua paha pule.
- Hiki ke oki kou pōʻaiapuni menstrual no kekahi mau mahina. Ke hoʻomaka hou ia, e māmā mua ke kahe ʻana o ke koko ma mua o ka maʻamau, akā e hoʻi mālie i ka maʻamau.
- Inā mālama ʻia nā fibroids, e hoʻomaka nā hōʻailona e emi iho i loko o ʻelua a ʻekolu pule. Hiki i kekahi poʻe ke loaʻa nā ʻāpana o ka ʻiʻo fibroid e hele ana ma o ka vagina. Manaʻo ka hapa nui o ka poʻe ua ho'ōla piha ʻia i loko o ʻeono mahina.
He aha nā pōmaikaʻi o kēia ʻano lapaʻau?
Kokoke i ka 90% o ka poʻe i loaʻa i ka mālama ʻia no nā fibroids ma UAE e ʻike i ka hōʻoluʻolu piha a koʻikoʻi paha o nā hōʻailona.
| Pōmaikaʻi | Wehewehena |
|---|---|
| ʻO ka hoʻopilikia iki ʻole ʻana | ʻAʻole ʻoi aku ka nui o ke komo ʻana ma mua o nā ʻoki kino nui e like me ka hysterectomy a i ʻole ka myomectomy, me kahi ʻoki liʻiliʻi wale nō e pono ai. |
| Hoʻōla wikiwiki | ʻOiai ʻaʻohe ʻoki nui a i ʻole nā humuhumu, ua pōkole loa ka manawa ho'ōla. |
| Ka emi ʻana o ke kahe koko | He liʻiliʻi loa ke kahe ʻana o ke koko ma hope o ka mālama ʻana. |
| Nā pilikia liʻiliʻi | ʻOi aku ka haʻahaʻa o ka pilikia o nā pilikia ke hoʻohālikelike ʻia me ke ʻoki kino hāmama. |
| ʻO ka anesthesia kūloko | Hiki ke hoʻomāʻū wale i ka wahi kūpono me ka ʻole o ka anesthesia piha. |
He aha nā pilikia o kēia?
E like me nā lāʻau lapaʻau āpau, aia kekahi mau pilikia.
| Pōpilikia | Wehewehena |
|---|---|
| Nā maʻi | He wahi liʻiliʻi loa ka hiki ke hōʻino ʻia nā kīʻaha koko a puni a i ʻole ka maʻi i ke komo ʻana o ka catheter. |
| Ka hōʻino ʻana i nā ʻiʻo olakino | Inā hele nā ʻāpana embolic i ke kīʻaha koko hewa, hiki ke hoʻopilikia ʻia ka lako koko i nā ʻiʻo olakino (kākaʻikahi loa). |
| Nā maʻi ʻaleka | Hiki ke loaʻa nā maʻi allergies i nā X-ray dye a i ʻole nā lāʻau anesthetic. |
| Ka pau ʻana o ke kaʻina hana menstrual | No ma waena o 1% a me 5% o nā kānaka, hiki ke oki mau loa ke kaʻina hana menstrual ma hope o ka lāʻau lapaʻau. |
| Ka hāʻule ʻana o ka lāʻau lapaʻau | I kekahi manawa e hoʻi hou mai nā hōʻailona, e koi ana i ka lua o ka UAE a i ʻole ka hysterectomy. |
| Nā hopena ma ka hānau keiki | Aia kahi hiki ke nalowale a hoʻemi ʻia paha ka hiki ke hānau keiki (infertility). |
He palekana anei ka lāʻau lapaʻau UAE? He kūpono anei ia no ka poʻe makemake e loaʻa nā keiki?
ʻAe, i ka hapanui o nā hihia, he lāʻau palekana ka Uterine Artery Embolization. E wehewehe kāu kauka i nā pilikia iā ʻoe ma muli o kou mōʻaukala olakino.
Eia nō naʻe, he mea nui kēia e noʻonoʻo ai inā ʻoe e hoʻolālā ana e loaʻa nā keiki i ka wā e hiki mai ana. ʻOiai ua loaʻa nā hōʻike o nā hānau olakino ma hope o ka mālama ʻana iā UAE, ua kaupalena ʻia ka ʻikepili ma kēia. ʻAʻole maopopo loa pehea e pili ai kēia lāʻau i ka hānau keiki.
No laila, ke ʻōlelo nei kekahi mau kauka i ka wehe ʻana i nā fibroids (myomectomy) no nā wahine e hāpai ana i nā keiki, no ka mea, ʻo ka pilikia o ka hāʻule ʻana o ka naʻau, ka ʻoki ʻana o ka cesarean, a me ke kahe koko nui ma hope o ka hānau keiki ʻana e hoʻonui iki ʻia i ka wā hāpai ma hope o ka mālama ʻana iā UAE.
Inā hāpai ʻoe a i ʻole e kali ana i nā keiki i ka wā e hiki mai ana, e kamaʻilio mālie me kāu kauka e pili ana i nā pilikia o kēia lāʻau.
Āhea wau e ʻike hou ai i ke kauka?
He mea maʻamau ka ʻeha o ka ʻōpū ma lalo, ka luhi, ka nausea iki, a me ke kuni haʻahaʻa no nā hola 24 mua a me kekahi mau lā ma hope o ka mālama ʻana. Hoʻi ka hapa nui o ka poʻe i ke ola maʻamau i loko o 10 mau lā.
Eia nō naʻe, inā ʻoe e ʻeha nui nei a me ka ʻoluʻolu ʻole i ʻelua pule ma hope o ka mālama ʻana, e ʻike hou i kāu kauka.
Leka Lawe-Home
- He ala kūleʻa ka Uterine Artery Embolization (UAE) no ka mālama ʻana i ke kahe koko nui i hoʻokumu ʻia e nā fibroids a me nā kumu ʻē aʻe, me ka ʻole o ka pono no ke ʻoki kino nui.
- Hoʻopili kēia i ke ālai ʻana i nā kīʻaha koko e hoʻolako i ka ʻōpū, e hoʻemi ana i ka puʻupuʻu a hoʻōki paha i ke kahe ʻana o ke koko.
- He pōkole ka manawa ho'ōla a he kakaikahi nā pilikia, akā hiki i ka ʻeha ma ka ʻōpū lalo ke mau no kekahi mau lā.
- ʻAʻole kūpono kēia lāʻau lapaʻau no nā kānaka a pau. He mea nui e kūkākūkā i nā pono a me nā pōʻino me kāu kauka ma mua o ka noʻonoʻo ʻana i kēia lāʻau lapaʻau, ʻoiai inā ʻoe e hoʻolālā ana e loaʻa nā keiki i ka wā e hiki mai ana.
- Ma hope o ka mālama ʻana iā UAE, ʻike ka nui o ka poʻe i ka hōʻoluʻolu nui mai nā hōʻailona i loko o kekahi mau mahina.
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