Ua luhi anei ʻoe i ke kahe koko nui i kou wā mahina, ka ʻeha e mau ana no nā lā, a i ʻole ke kaomi nui ma kou ʻōpū lalo? Ua haʻi aku paha kāu kauka iā ʻoe ʻo ke kumu he fibroids uterine , kahi ʻano puʻupuʻu ʻaʻole kanesa e ulu ana i loko o ka ʻōpū. No laila i kēia lā ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau e hiki ke kōkua iā ʻoe e ho'ōla koke me ka ʻole o ke ʻoki kino nui. Ua kapa ʻia kēia ʻo Uterine Artery Embolization, a i ʻole UAE no ka pōkole.
I ka ʻōlelo maʻalahi, he aha kēia lāʻau lapaʻau UAE?
He lāʻau lapaʻau kūikawā ʻo UAE i hana ʻia me ka ʻole o kahi ʻoki nui, akā ma o kahi lua liʻiliʻi wale nō. Pili kēia i ke ālai ʻana i nā kīʻaha koko e hoʻolako ana i ke koko i kou ʻōpū a me nā fibroids. Ua like ia me ke ālai ʻana i kahi paipu wai. Ke ʻoki ʻia ke kahe koko, ʻaʻole loaʻa i nā fibroids kekahi meaʻai. A laila e emi mālie a emi iki lākou. Kōkua kēia i ka hōʻoluʻolu ʻana i kāu mau hōʻailona, e like me ke kahe koko nui a me ka ʻeha.
Hoʻohana pinepine mākou i nā huaʻōlelo UAE a me UFE (Uterine Fibroid Embolization) me ke ʻano like ʻole. Eia nō naʻe, aia kahi ʻokoʻa iki ma waena o nā mea ʻelua. ʻO UFE kahi lāʻau lapaʻau kūikawā no nā fibroids. Eia nō naʻe, hiki ke hoʻohana ʻia ʻo UAE e kāohi i ke kahe nui ʻana ma hope o ka hānau ʻana, ke kahe ʻana ma muli o nā puʻupuʻu kanesa, a i ʻole ke kahe ʻana ma muli o nā ulia, me nā fibroids.
He aha nā ʻano hihia e mālama ʻia ana ma UAE?
ʻAʻole pono nā kānaka a pau me nā fibroids i kēia lāʻau lapaʻau. E paipai wale kāu kauka i kēia lāʻau lapaʻau inā ʻike ʻoe i kekahi mau hōʻailona ma muli o nā fibroids. E nānā kākou i kēlā mau mea.
| Nā kūlana kahi e pono ai a ʻaʻole paha e pono ka mālama ʻana ma UAE | |
|---|---|
| Hiki iā ʻoe ke noʻonoʻo i ka UAE inā loaʻa iā ʻoe kēia mau hōʻailona: | |
| Kahe nui ʻana o ke koko | Ke kahe nui ʻana o ke koko a me nā ʻūpā koko i ka wā menstruation. |
| Kaomi/ʻeha o ka ʻōpū haʻahaʻa | Ke kaumaha mau a me ka ʻeha ma ka ʻōpū lalo. |
| Pono pinepine e mimi | Ka mimi pinepine ʻana ma muli o ke kaomi o ka ʻōpū ma luna o ka ʻōpū mimi. |
| Ka paʻa ʻana o ka ʻōpū | Ka paʻa ʻana o ka ʻōpū ma muli o ke kaomi ʻana o ka puʻupuʻu ma ka ʻōpū. |
| ʻEha i ka wā o ka moekolohe | ʻEha i ka wā o ka moekolohe. |
| ʻAʻole kūpono ka mālama ʻana me ka UAE i nā hihia ma lalo nei: | |
| Inā hāpai | ʻAʻole hana ʻia kēia lāʻau inā hāpai ʻoe. |
| Inā ʻaʻohe hōʻailona | ʻOiai inā he fibroids kou, inā ʻaʻole lākou e hoʻonāukiuki i kekahi ʻeha, ʻaʻohe pono o ka lāʻau. |
| Maʻi Pelvic | Inā he maʻi i loko o ka lua pelvic. |
| ʻAleʻaleʻa i ka Waihoʻoluʻu Hoʻohālikelike | Inā he maʻi ʻoe i kahi kala kikoʻī i hoʻohana ʻia i ka wā o ka mālama ʻana. |
He aha ka mea e hana ʻia ma mua, i ka wā, a ma hope o ka mālama ʻana?
ʻOiai ʻaʻole kēia he hana ʻoki kino nui, aia kekahi mau hoʻomākaukau ma mua. E kamaʻilio kākou e pili ana i kēlā mau ʻanuʻu.
Hoʻomākaukau ma mua o ka mālama ʻana
E hoʻoholo kāu kauka e mālama iā ʻoe ma UAE ma hope o ka nānā ʻana i kāu mōʻaukala olakino piha a me ka hana ʻana i kekahi mau hoʻokolohua e pono ai.
- Mōʻaukala lapaʻau: E kamaʻilio kāu kauka me ʻoe e pili ana i kāu mau maʻi allergies , nā lāʻau lapaʻau āu e lawe ai, nā kikoʻī o ke kaʻina hana menstrual, a ʻoiai inā makemake ʻoe e loaʻa nā keiki i ka wā e hiki mai ana, no ka mea, hiki i kēia lāʻau ke hoʻopilikia i ka momona .
- Nā hoʻāʻo: No ka ʻike ʻana i ke kumu kikoʻī o ke kahe ʻana o ke koko, hana ʻia nā hoʻāʻo e like me ka MRI scan, ultrasound scan , a i ʻole hysteroscopy (ke nānā ʻana i ka ʻōpū me ka hoʻohana ʻana i kahi kāmela).
- Biopsy: I kekahi manawa e lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka uhi o ka ʻōpū e nānā i nā hunaola kanesa.
- Nā Lāʻau Lapaʻau a me ka Meaʻai: E noi ʻia ʻoe e hoʻōki i ka lawe ʻana i ka aspirin, NSAID (nā lāʻau hoʻomāʻehaʻeha), a me nā lāʻau hoʻokahe koko i kekahi mau lā ma mua o ka mālama ʻana. Pono nō hoʻi ʻoe e pale i ka ʻai ʻana a i ʻole ka inu ʻana no kekahi mau hola ma mua o ka mālama ʻana. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī no kēia.
I ka wā o ka mālama ʻana
Hana pinepine ʻia kēia lāʻau lapaʻau ma ke ʻano ma waho o ka haukapila. ʻO ka lōʻihi o ke kaʻina hana holoʻokoʻa ma kahi o hoʻokahi hola a me ka hapa.
1. Radiologist Interventional: Hana ʻia kēia lāʻau lapaʻau e ke kauka loea e hoʻohana ana i nā ʻano hana kiʻi e like me nā scans e alakaʻi i ka lāʻau lapaʻau. (Interventional Radiologist).
2. Hoʻomākaukau: E moe ʻoe ma kahi papa hoʻokolokolo a e hoʻopili ʻia i nā mīkini e ana i nā mea e like me kou helu puʻuwai a me ke koko. E hāʻawi ʻia ʻoe i kahi inikini e hoʻomānoʻo i ka ʻili ma kou ʻāpana groin.
3. Hoʻomaha: Hāʻawi ʻia kahi hoʻomaha ma ke kino me ka saline e hoʻomaha ai ʻoe a hiamoe hoʻi. E pale aku kēia iā ʻoe mai ka ʻeha a i ʻole ka makaʻu.
4. Hoʻokomo ʻia ʻana o ke catheter: Hana ʻia kahi puka liʻiliʻi ma ka ʻili o ka ʻūhā, a hoʻokomo ʻia kahi ʻōmole lahilahi loa (catheter) ma loko o ia mea i loko o kekahi o kou mau kīʻaha koko.
5. Alakaʻi: Ma ka hoʻohana ʻana i kahi ʻano hana X-ray kūikawā i kapa ʻia ʻo fluoroscopy a me ka dye contrast (kahi wai e ʻālohilohi ana ma nā kukuna X), alakaʻi ʻia ka ʻōmole lahilahi i nā kīʻaha koko e hoʻolako koko i ka ʻōpū.
6. Ke ālai ʻia: Ke hiki ka ʻōmole i kahi kūpono, hoʻokomo ʻia nā ʻāpana liʻiliʻi (nā mea embolic) e like me nā ʻāpana one i loko o ke kīʻaha koko. Hele kēia mau ʻāpana a ālai i ke kīʻaha koko.
7. Hoʻopau ʻana: Ke pau ka hana, wehe ʻia ke catheter a hoʻopili ʻia kahi plaster liʻiliʻi i ka lua.
Ma hope o ka mālama ʻana
Pono ʻoe e hoʻomaha no kekahi mau hola ma hope o ka mālama ʻana. Hiki i ka hapa nui o ka poʻe ke hoʻi i ka home i ka lā hoʻokahi.
- ʻEha: Hiki iā ʻoe ke ʻeha nui i ka ʻōpū (cramps) i loko o nā hola 24 mua. He mea maʻamau kēia. E kuhikuhi kāu kauka i nā lāʻau ʻeha no kēia.
- Hoʻokuʻu ʻana o ka wahine:Hiki ke loaʻa kahi kahe wai a i ʻole ka mucus e like me ka vagina no kekahi mau pule. I kekahi poʻe, hiki i nā ʻāpana fibroid i ʻoki ʻia ke hele ma waena o ka vagina.
- Ka Māʻi: Hiki ke oki nā pōʻaiapuni māʻi no kekahi mau mahina. Ke hoʻomaka hou lākou, e emi iki ka nui o ke kahe ʻana o ke koko i ka wā mua, akā e hoʻi mālie i ka maʻamau (ʻoi aku ka maikaʻi ma mua o ka lāʻau lapaʻau).
- Hoʻōla: Hiki iā ʻoe ke hoʻi i nā hana maʻamau i loko o hoʻokahi a ʻelua paha pule . Hiki ke hala ma kahi o ʻekolu mahina no ka nalowale loa ʻana o nā hōʻailona. Manaʻo ka hapa nui o ka poʻe ua hoʻōla loa ʻia i loko o ʻeono mahina.
He aha nā pōmaikaʻi a me nā pilikia o kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, aia nā pono a me nā pilikia liʻiliʻi ma UAE. He mea nui e kūkākūkā ākea i kēia mau mea me kāu kauka.
| Nā Pōmaikaʻi | Nā Pōʻino |
|---|---|
| Kokoke i ka 90% o nā kānaka e ʻike i ka hōʻoluʻolu piha a kokoke paha i ka pau ʻana o nā hōʻailona. | Aia kahi manawa liʻiliʻi o ka maʻi ma kahi i hoʻokomo ʻia ai ka catheter. |
| He ʻoki nui, e ho'ōla koke ana no ka mea ʻaʻohe humuhumu. | He haʻahaʻa loa ka manawa e hele ai nā ʻāpana i ke kīʻaha koko kūpono ʻole a hōʻino i nā ʻiʻo olakino. |
| ʻAʻohe kahe koko nui. | Nā maʻi alerika i ka dye contrast a i ʻole nā lāʻau hoʻomānoʻa. |
| ʻOi aku ka invasive ma mua o ka hysterectomy a i ʻole ka myomectomy . | Ma waena o 1-5% o nā kānaka e loaʻa ka manawa kūpono e hoʻōki mau loa ai i ko lākou wā. |
| ʻO ka hiki ke pale aku i nā hopena ʻaoʻao o nā lāʻau lapaʻau hormonal. | Ka pilikia o nā hopena ma ka hānau keiki (hiki ke loaʻa nā keiki). |
ʻO nā mea e pono ai ʻoe e ʻike e pili ana i ka hānau ʻana o nā keiki
ʻOiai aia kekahi mau wahine i loaʻa nā pēpē olakino ma hope o ka mālama ʻana iā UAE, ʻaʻohe ʻikepili piha e pili ana i ka hopena o kēia lāʻau i ka hānau keiki. No laila, ʻaʻole i ʻōlelo pinepine ʻia ka mālama ʻana iā UAE no nā wahine e hoʻolālā ana e loaʻa nā keiki i ka wā e hiki mai ana. E aʻo ʻia lākou e kā lākou kauka e pili ana i nā koho e like me ka myomectomy. He mea nui loa e kamaʻilio maopopo me kāu kauka e pili ana i kāu mau hoʻolālā e hiki mai ana.
Āhea wau e ʻike ai i ke kauka ma hope o ka lāʻau lapaʻau?
He mea maʻamau ka ʻike ʻana i kekahi ʻeha, ka ʻoluʻolu ʻole, a me ke kuni haʻahaʻa i nā lā mua ma hope o ka mālama ʻana. Eia nō naʻe, inā ʻoe e ʻeha nui nei a ʻoluʻolu ʻole paha ma hope o ʻelua pule , e haʻi koke i kāu kauka. Eia kekahi, inā loaʻa iā ʻoe nā hōʻailona o ka maʻi, e like me ke kuni nui a i ʻole ke kahe ʻana o ka ʻōpū ʻala ʻino, e ʻimi koke i ke kōkua lapaʻau.
Leka Lawe-Home
- He lāʻau lapaʻau minimally invasive ka UAE, ʻaʻole invasive no ke kahe koko nui a me ka ʻeha i hoʻokumu ʻia e nā fibroids uterine.
- ʻAʻole kūpono kēia lāʻau lapaʻau no nā kānaka a pau. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa ma muli o kou mau hōʻailona, ka makahiki, a me nā manaʻolana no nā keiki e hiki mai ana.
- He mea maʻamau ke ʻike i kekahi ʻeha o ka ʻōpū ma lalo i nā lā mua ma hope o ka lāʻau lapaʻau, a ʻo ka manawa hoʻōla he pōkole ia e like me 1-2 mau pule.
- Inā ʻoe e manaʻolana ana e loaʻa nā keiki, e hoʻomaopopo pono e kūkākūkā i nā pilikia o kēia lāʻau lapaʻau a me nā lāʻau lapaʻau ʻē aʻe me kāu kauka.
- He ʻano lapaʻau kūpono loa ʻo UAE. Akā ma mua o ka hoʻoholo ʻana i kekahi mea, e ʻike pono, e kamaʻilio me kāu kauka, a e hoʻoholo pono.
ʻO ka hoʻokomo ʻana o ke aʻa o ka ʻōpū, UAE, Nā Fibroids ʻōpū, Nā Fibroids ʻōpū, Ke kahe koko nui, Nā maʻi o nā wāhine, Hysterectomy, Myomectomy, Gynecology
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo