Skip to main content

Ua ʻike anei ʻoe i nā fibroids uterine? E kamaʻilio kākou e pili ana iā lākou me nā kikoʻī!

Ua ʻike anei ʻoe i nā fibroids uterine? E kamaʻilio kākou e pili ana iā lākou me nā kikoʻī!

Ke ʻike nei ʻoe i kekahi manawa i ke kahe koko hiki ʻole ke hoʻomanawanui i kou wā? A i ʻole ke manaʻo wale nei ʻoe i ka piha a i ʻole ke kaumaha ma kou ʻōpū lalo? Malia paha kēia ma muli o kahi ʻano puʻupuʻu e ulu ana i loko o ka uterus. I kēia lā e kamaʻilio mākou e pili ana i kahi mea a nā wahine he nui e ulu ai, akā ʻaʻole nui ka poʻe i ʻike. ʻO ia ka uterine fibroids, a i ʻole e like me kā mākou e ʻōlelo nei ma ka ʻōlelo Pelekania, `(Uterine Fibroids)`.

He aha nā fibroids uterine?

I ka ʻōlelo maʻalahi, ʻo nā fibroids uterine he mau ulu ʻana i hana ʻia e nā ʻiʻo a me nā ʻiʻo e hana ʻia ma ka paia o kou uterus, a i loko a i waho paha o ka uterus. Ua kapa ʻia lākou ʻo "Leiomyomas". ʻO ka mea nui, ʻaʻole kēia mau puʻupuʻu he maʻi kanesa (ʻo ia hoʻi, he "benign" lākou). ʻO ka ʻoiaʻiʻo, ʻo ia ke ʻano maʻamau o ka puʻupuʻu ʻaʻole kanesa i loaʻa i nā wahine.

Hiki i kēia mau fibroids uterine ke hana i nā hōʻailona like ʻole i kekahi manawa, e like me ka ʻeha, ke kahe koko nui a ʻano ʻole o ka vaginal, a pēlā aku. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa kēia mau fibroids me ka ʻole o nā hōʻailona. ʻAʻole paha lākou e ʻike he loaʻa iā lākou. ʻO ka mālama ʻana i nā fibroids a i ʻole e mālama ʻia e hoʻoholo pinepine ʻia e nā hōʻailona āu e loaʻa ai.

Ma hea e ulu ai kēia mau nati?

Hiki i nā puʻupuʻu ʻōpū ke ulu aʻe ma ke ʻano he puʻupuʻu hoʻokahi ('puʻupuʻu hoʻokahi') a i ʻole he hui. Hiki i kēia mau puʻupuʻu ke ʻokoʻa ka nui mai ka liʻiliʻi o 1 milimita a i ka nui o 20 kenimika (ma kahi o 8 ʻīniha) a ʻoi aku paha. E noʻonoʻo, hiki iā lākou ke ulu mai ka liʻiliʻi e like me ka hua a i ka nui e like me ka wai meli! Hiki iā lākou ke ulu i loko o ka paia o kou ʻōpū, i loko o ka lua nui o ka ʻōpū, a i ʻole ma ka ʻili o waho o ka ʻōpū.

He aha nā ʻano o nā fibroids uterine?

Aia nā ʻano fibroids uterine like ʻole, ma muli o kahi e hana ʻia ai a pehea e hoʻopili ʻia ai i ka uterus. ʻO nā ʻano nui:

  • Nā fibroids intramural: ʻO kēia ke ʻano maʻamau. Aia kēia mau fibroids i loko o ka paia ʻiʻo o ka ʻōpū.
  • Nā fibroids submucosal: Ulu kēia mau mea ma lalo o ka uhi o ka ʻōpū. ʻO kēia pinepine ke kumu o ke kahe koko nui.
  • Nā fibroids subserosal: Hoʻomohala ʻia kēia ʻano fibroids ma lalo o ka papa waho o ka ʻōpū. I kekahi manawa hiki iā lākou ke ulu nui loa a hoʻolōʻihi i loko o ka lua pelvic.
  • ʻO nā fibroids pedunculated: ʻO kēia nā ʻano i maʻamau ʻole ʻia. Hoʻopili ʻia kēia mau fibroids i ka ʻōpū e kahi ʻāpana e like me ke kumu. Ua kapa ʻia hoʻi lākou he "mushroom-like" no ka mea he kumu ko lākou a me kahi ʻāpana ākea ma luna, e like me ka mushroom.

He mea maʻamau anei nā fibroids uterine?

ʻAe, he ulu maʻamau kēia mau puʻupuʻu.Ua ʻōlelo ʻia aia ma waena o 40% a me 80% o nā wahine me ka ʻōpū he mau cysts kēia. Hoʻomohala pinepine lākou i nā wahine ma waena o 30 a me 50 mau makahiki. ʻAʻole ulu pinepine kēia mau cysts i nā wahine i loaʻa ʻole ko lākou wā mua. ʻAʻole lākou i maʻamau i nā wahine i hala i ka menopause.

He aha nā hōʻailona o nā fibroids uterine?

ʻAʻole hōʻike ka hapa nui o nā cysts liʻiliʻi i kekahi mau hōʻailona. No laila, ʻaʻohe lāʻau lapaʻau e pono ai ma mua o nā nānā maʻamau me ke kauka. Eia nō naʻe, inā he cysts nui kou, hiki iā ʻoe ke ʻike i nā ʻano hōʻailona like ʻole. ʻO kekahi o lākou:

  • Ke kahe koko nui a ʻeha paha i kou wā.
  • Ke kahe ʻana o ke koko ma waena o nā wā menstrual.
  • Ka manaʻo o ka piha a i ʻole ka pehu ʻana ma ka ʻōpū lalo.
  • Pono e mimi pinepine (hiki ke hana i kēia ke kaomi ʻia kahi puʻupuʻu ma ka ʻōpū mimi).
  • Ke ʻeha nei i ka wā o ka moekolohe.
  • ʻEha hope.
  • Ka paʻa ʻana o ka ʻōpū a i ʻole ke ʻano o ke kaomi i loko o ka ʻōpū.
  • Ka hoʻokahe mau ʻana o ka ʻōpū.
  • ʻAʻole hiki ke mimi a i ʻole e hoʻokahe loa i ka ʻōpū mimi.
  • ʻO ka hoʻonui ʻana o ka ʻōpū, kahi e hoʻomaka ai e like me ka ʻōpū hāpai.

ʻO ka maʻamau, paʻa a nalo paha kēia mau hōʻailona ma hope o kou hele ʻana i ka menopause. ʻO kēia no ka mea ua emi nā pae hormone o ke kino.

He aha ke ʻano o ka ʻeha mai nā fibroids uterine?

Inā loaʻa iā ʻoe nā cysts, hiki iā ʻoe ke manaʻo i nā ʻano manaʻo like ʻole. Inā loaʻa iā ʻoe nā cysts liʻiliʻi, ʻaʻole paha ʻoe e manaʻo i kekahi mea a ʻike paha aia lākou ma laila. Akā i ka wā e loaʻa ai iā ʻoe nā cysts nui, hiki iā ʻoe ke manaʻo i ka ʻoluʻolu ʻole a me ka ʻeha. Hiki i kēia mau cysts ke hōʻeha i ke kua, ka ʻeha ʻoi i loko o ka ʻōpū, a me ka ʻeha i ka wā moe kolohe.

Pehea ke ʻano o kēia mau nati?

ʻO ka maʻamau, ua like nā hua me nā puʻupuʻu poepoe a laumania. I kekahi manawa, e like me ka mea i ʻōlelo ʻia ma mua, hiki ke hoʻopili ʻia i kahi kumu lahilahi a like me nā halo.

He aha ke kumu o nā fibroids uterine?

ʻAʻole ʻike ʻia ke kumu kikoʻī o kēia . Eia nō naʻe, manaʻo nā kauka he ʻelua mau hormones i kapa ʻia ʻo estrogen a me progesterone e pāʻani i kahi kuleana. Hoʻomohala pinepine kēia mau puʻupuʻu i nā wahine o ka makahiki hānau keiki. Ua hōʻike ʻia nā noiʻi e ulu ana kēia mau puʻupuʻu i nā wā o nā pae hormone kiʻekiʻe (e like me ka wā hāpai) a emi iho i nā wā o nā pae hormone haʻahaʻa (e like me ka wā menopause).

He aha nā mea e pilikia ai no ka hoʻomohala ʻana i nā fibroids uterine?

Aia kekahi mau kumu pilikia e hiki ke hoʻopilikia i kou kūlana o ka loaʻa ʻana o nā ʻōpū. ʻO kekahi o lākou:

  • Ka momona a me ke kiʻekiʻe o ka helu helu kino (`BMI`).
  • Loaʻa kahi moʻolelo ʻohana o ka loaʻa ʻana o nā cysts.
  • Keiki ʻole.
  • Ka hoʻomaka mua ʻana o ka menstruation.
  • Ka makahiki lohi no ka menopause.

He aha nā pilikia i hoʻokumu ʻia e nā fibroids uterine?

ʻAʻole hoʻoulu ka hapa nui o nā fibroids uterine i nā pilikia koʻikoʻi. Eia naʻe, ʻo nā pilikia maʻamau:

  • ʻEha hiki ʻole ke hoʻokele.
  • ʻO ka pehu ʻana i loko o kou ʻōpū a i ʻole ka ʻāpana pelvic.
  • Ke kahe koko nui ʻana.
  • ʻAʻohe maʻi koko.
  • Ka emi ʻana o ka hiki ke hānau keiki ('Infertility`) (he mea kākaʻikahi loa kēia).

Hiki i nā ʻōpū ke hana i ka anemia?

ʻAe, ʻoiaʻiʻo nō. ʻO ka anemia kahi maʻi e kū mai ana i ka wā ʻaʻole lawa nā hunaola koko ʻulaʻula olakino e lawe i ka oxygen i nā ʻōpū o kou kino. Hiki i ka poʻe i loaʻa pinepine a kaumaha paha ke loaʻa i ka anemia. Hiki i kēia mau cysts ke hoʻoulu i kou mau wā i kaumaha loa, a i ʻole e kahe ke koko ma waena o nā wā. Inā loaʻa iā ʻoe nā hōʻailona o ka anemia (ʻoi aku ka luhi nui) ʻoiai he cysts kāu, e kamaʻilio me ke kauka.

Pehea e ʻike ai inā he mau fibroids uterine kāu?

ʻO ka hapa pinepine, ʻike ke kauka i nā fibroids uterine i ka wā o ka hoʻokolokolo pelvic. Hiki i ke kauka ke kānalua i kahi fibroid ma muli o ke kahe koko nui a me nā hōʻailona ʻē aʻe. Aia kekahi mau hoʻokolohua e hiki ke hōʻoia inā aia kahi fibroid a e hoʻoholo i kona nui a me kona wahi:

  • Ultrasonography (ultrasound scan): He hoʻāʻo ʻeha ʻole kēia e hoʻohana ana i nā nalu kani e hana i kahi kiʻi o kou mau ʻōpū o loko.
  • Magnetic Resonance Imaging (MRI): Hoʻohana kēia hoʻāʻo i nā magnet a me nā nalu lekiō e hana i nā kiʻi kikoʻī o kāu mau ʻōpū o loko.
  • `(Computed Tomography - CT scan)` (CT scan): Hoʻohana ka CT scan i nā kiʻi X-ray e hana i nā kiʻi kikoʻī o kou mau kino o loko mai nā kihi like ʻole.
  • Hysteroscopy: Ma kēia kaʻina hana, hoʻohana ke kauka i kahi scope (he ʻōmole lahilahi a palupalu me kahi kāmela i hoʻopili ʻia) e nānā i loko o ka uterus. Hoʻokomo ʻia ka scope ma o ka vagina a me ka cervix i loko o ka uterus.
  • Hysterosalpingography (HSG): He hoʻāʻo X-ray kikoʻī kēia. Hoʻokomo ke kauka i kahi mea kūikawā (mea hoʻohālikelike) a laila lawe i nā kiʻi X-ray o ka ʻōpū.
  • Sonohysterography: Ma kēia hoʻokolohua, hoʻokomo ke kauka i kahi catheter liʻiliʻi i loko o ka vagina a hoʻokomo i ka wai saline i loko o ka uterus. ʻAe kēia wai keu no nā kiʻi ʻoi aku ka maopopo ma mua o ka ultrasound maʻamau.
  • Laparoscopy: Ma kēia hoʻokolohua, hana ke kauka i kahi ʻoki liʻiliʻi ma kou ʻōpū lalo. Hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu me kahi kāmela ma o ka ʻoki ʻana e nānā i loko o kou kino.

Pehea e mālama ʻia ai nā fibroids uterine?

Hiki ke ʻokoʻa ka mālama ʻana no nā fibroids uterine ma muli o ka nui, ka helu, ka wahi, a me nā hōʻailona o nā cysts. Inā ʻaʻohe ou hōʻailona mai nā cysts, ʻaʻole paha ʻoe e pono i ka mālama ʻana. Hiki ke waiho wale ʻia nā cysts liʻiliʻi me ka ʻole o ka mālama ʻana. ʻAʻohe o kekahi poʻe i loaʻa i nā hōʻailona a pilikia paha me nā cysts. I ia mau hihia, e haʻi aku kāu kauka iā ʻoe e hana i nā hoʻokolohua pelvic maʻamau a i ʻole nā ​​​​scan ultrasound e nānā i nā cysts.

Akā inā loaʻa iā ʻoe nā hōʻailona o kahi puʻupuʻu (e like me ka anemia ma muli o ke kahe nui ʻana o ke koko, ka ʻeha waena a koʻikoʻi, nā pilikia o ke ala mimi a me ka ʻōpū), pono paha ʻoe i ka lāʻau lapaʻau e kōkua. E hilinaʻi kāu hoʻolālā lapaʻau i kekahi mau mea:

  • ʻEhia mau nati āu?
  • ʻO ka nui o kāu mau nati.
  • ʻAuhea kāu mau nati?
  • He aha kāu mau hōʻailona e pili ana i nā tumors?
  • ʻO kou makemake e mālama i kou ʻōpū.

I ke koho ʻana i ke koho lapaʻau maikaʻi loa nāu, pono ʻoe e noʻonoʻo i kāu mau hoʻolālā no nā hāpai ʻana e hiki mai ana. E hōʻoia e kūkākūkā i kāu mau pahuhopu hānau keiki me kāu kauka i ke kūkākūkā ʻana i nā koho lapaʻau.

Hiki i nā koho lapaʻau no nā fibroids uterine ke komo pū me:

Nā lāʻau lapaʻau

  • Nā lāʻau ʻeha ma luna o ke kūʻai aku (OTC): Hiki i kēia mau lāʻau ke kōkua i ka kaohi ʻana i ka ʻeha a me ka ʻoluʻolu ʻole i hoʻokumu ʻia e nā ʻōpū. ʻO kēia mau mea me ka acetaminophen (e like me Panadol) a me ibuprofen.
  • Nā mea hoʻohui hao: Inā loaʻa iā ʻoe ka anemia ma muli o ke kahe nui ʻana o ke koko, hiki i kāu kauka ke haʻi iā ʻoe e lawe i kahi mea hoʻohui hao.
  • Kaohi hānau: Hiki i ka kaohi hānau ke kōkua i ka kaohi ʻana i nā hōʻailona o nā cysts (ʻoi aku ke kahe koko nui i ka wā a ma hope o ka menstruation, a me nā ʻeha menstrual). Nui nā koho kaohi hānau hiki iā ʻoe ke hoʻohana. No ka laʻana, nā pila hoʻomalu hānau waha, nā apo, nā inikini, a me nā mea hana intrauterine (IUD).
  • ʻO nā agonists hormone hoʻokuʻu gonadotropin (GnRH): Hoʻemi kēia mau lāʻau i nā puʻupuʻu. Hoʻohana ʻia lākou i kekahi manawa ma mua o ke ʻoki ʻana e hoʻemi i kahi puʻupuʻu a maʻalahi hoʻi e wehe. Eia nō naʻe, he manawa pōkole kēia mau lāʻau. Hiki i ka puʻupuʻu ke ulu hou ke hoʻōki ʻoe i ka lawe ʻana iā lākou.
  • Nā lāʻau lapaʻau waha: ʻO Elagolix kahi lāʻau lapaʻau waha hou no ka kaohi ʻana i ke kahe koko kaumaha i nā wahine me nā fibroids uterine symptomatic ʻaʻole i menopause. Hiki ke lawe ʻia a hiki i 24 mau mahina. E kamaʻilio me kāu kauka e pili ana i nā pono a me nā pōʻino o kēia lāʻau lapaʻau. ʻO kekahi lāʻau lapaʻau waha i kapa ʻia ʻo tranexamic acid e hoʻohana ʻia e mālama i ke kahe koko kaumaha i nā wahine me nā fibroids uterine.

Mea nui: He mea nui loa e kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe ai. E kūkākūkā mau i nā lāʻau lapaʻau hou me kāu kauka ma mua o ka hoʻomaka ʻana, a e makaʻala i nā pilikia e hiki mai ana.

ʻO ke ʻoki ʻana o ka fibroid

Aia kekahi mau mea e noʻonoʻo ai i ka wā e noʻonoʻo ai i nā ʻano ʻoki kino like ʻole. ʻO ka nui, kahi, a me ka helu o nā cysts e hoʻopilikia i ke ʻano o ke ʻoki kino, a ʻo kou mau manaʻolana no nā hāpai ʻana i ka wā e hiki mai ana hiki ke lilo i mau mea nui i ka hoʻomohala ʻana i kahi hoʻolālā lapaʻau. Mālama kekahi mau koho ʻoki kino i kou uterus a ʻae iā ʻoe e hāpai i ka wā e hiki mai ana. ʻOiai ʻo nā koho ʻē aʻe e hōʻino paha i kou uterus a koi aku paha i ka wehe piha ʻana o kou uterus.

Myomectomy: He ʻoki kino kēia e hiki ai i ke kauka ke wehe wale i nā fibroids. Nui nā ʻano myomectomy. ʻO ke ʻano hana maikaʻi loa nou e hilinaʻi ia ma kahi o kāu mau fibroids, pehea ko lākou nui, a me ka nui o lākou. ʻO nā ʻano hana myomectomy e wehe ai i nā fibroids e komo pū ana me:

  • Hysteroscopy: Hoʻokomo ke kauka i kahi scope (he mea lahilahi, palupalu, e like me ka paipu) ma o ka vagina a me ka cervix i loko o ka uterus. A laila hoʻohana ʻia ka scope e ʻoki a wehe i nā cysts.
  • Laparoscopy: Ma kēia kaʻina hana, hoʻohana ke kauka i kahi scope e wehe i ka cyst. ʻAʻole e like me ka hysteroscopy, pili kēia kaʻina hana i ka hana ʻana i kekahi mau ʻoki liʻiliʻi i loko o kou ʻōpū. Hoʻokomo ʻia a wehe ʻia ka scope ma o kēia mau ʻoki.
  • Laparotomy (wehe ʻana i ka ʻōpū): Ma kēia kaʻina hana, hana ke kauka i hoʻokahi ʻoki nui i loko o kou ʻōpū a wehe i ka puʻupuʻu ma o kēlā ʻoki.

Inā ʻaʻole ʻoe e hoʻolālā e loaʻa nā keiki i ka wā e hiki mai ana, aia kekahi mau koho ʻē aʻe a kāu kauka e ʻōlelo ai. Hiki i kēia mau koho ke lilo i mea kūpono loa, akā pale pinepine lākou i nā hāpai ʻana i ka wā e hiki mai ana. Hiki iā lākou ke komo pū me:

  • Hysterectomy: I loko o kahi hysterectomy, wehe kāu kauka i kou ʻōpū. ʻO ka hysterectomy wale nō ke ala e ho'ōla ai i nā fibroids. Ke wehe loa ʻia ka ʻōpū, ʻaʻole hiki i nā fibroids ke ulu hou, a e nalowale kāu mau hōʻailona. Inā waiho ʻia kāu mau ovaries ma kahi, ʻaʻole ʻoe e hele i ka menopause ma hope o ka hysterectomy. Hiki ke ʻōlelo ʻia kēia ʻoki kino inā he nui kou kahe koko mai nā fibroids a inā he nui kāu mau fibroids. ʻO nā Hysterectomies he mau kaʻina hana minimally invasive hiki ke hana ʻia ma ke ʻano vaginal, laparoscopically, a i ʻole ka hoʻohana ʻana i ka ʻenehana robotic.
  • `(Uterine fibroid embolization)` (e ālai ana i ke kahe koko i nā fibroids uterine):Hana kekahi radiologist interventional, me ke kōkua o kāu gynecologist, i kēia kaʻina hana. Hoʻokomo lākou i kahi catheter liʻiliʻi i loko o kou aʻa uterine a i ʻole ke aʻa radial a hoʻokomo i nā ʻāpana liʻiliʻi i loko. Hoʻōki kēia i ke kahe koko mai ke aʻa a i nā puʻupuʻu. Ke pau ke kahe koko, emi nā puʻupuʻu a hoʻomaikaʻi i kāu mau hōʻailona. ʻAʻole kūpono kēia ʻano hana no nā mea āpau.
  • ʻO ka Radiofrequency ablation (RFA): He ala palekana a maikaʻi kēia no ka mālama ʻana i nā fibroids uterine. Hoʻohana ia i ka ikehu microwave (RF). Manaʻo ʻia no nā wahine i hala ʻole i ka menopause. Hoʻohana ʻia ia e mālama i nā fibroids liʻiliʻi.

He aha nā pilikia o ka mālama ʻana i ka fibroid uterine?

Aia nā pilikia me kekahi lāʻau lapaʻau. Hiki i nā lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao, a ʻaʻole kūpono kekahi iā ʻoe. Ma mua o ka hoʻomaka ʻana i kahi lāʻau lapaʻau hou, e kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me kāu mōʻaukala olakino piha. Inā loaʻa iā ʻoe nā hopena ʻaoʻao ma hope o ka hoʻomaka ʻana i kahi lāʻau lapaʻau hou, e kamaʻilio me kāu kauka e pili ana i kāu mau koho.

Aia nā pilikia me ka myomectomy. E like me nā ʻoki kino āpau, loaʻa iā ʻoe ka pilikia o ka maʻi a me ke kahe ʻana o ke koko, a me nā pilikia e pili ana i ka anesthesia. ʻO kekahi pilikia hou aʻe me ka myomectomy ka hopena i nā hāpai keiki e hiki mai ana. Hiki i kekahi mau koho ʻoki kino ke pale i nā hāpai keiki e hiki mai ana. ʻO ka myomectomy kahi hana e wehe wale i nā fibroids, e ʻae ana i nā hāpai keiki e hiki mai ana. Eia nō naʻe, pono paha nā wahine i loaʻa ka myomectomy e hana i kahi ʻoki cesarean (C-section) inā loaʻa iā lākou nā keiki i ka wā e hiki mai ana.

Pehea ka nui o nā fibroids uterine e pono ai ke wehe ʻia ma ke ʻoki ʻana?

ʻAʻohe nui i hoʻonohonoho ʻia no kahi puʻupuʻu e pono ai ke wehe ʻia. Na kāu kauka e hoʻoholo inā pono ke ʻoki ʻana ma muli o kāu mau hōʻailona. No ka laʻana, ʻo kahi puʻupuʻu e like me ka nui o kahi kinikini liʻiliʻi e hiki ke hoʻoulu i ke kahe koko nui ma muli o kona wahi. Hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i nā hōʻailona e pono ai ke ʻoki ʻana.

He aha ka mea e hana inā waiho ʻole ʻia nā cysts me ka mālama ʻole?

Inā ʻaʻohe ou hōʻailona, ​​ʻaʻole paha ʻoe e pono e mālama i kāu mau cysts. Eia nō naʻe, inā he nui kou mau cysts, a inā paha e hōʻeha a ʻoluʻolu ʻole paha kāu mau hōʻailona, ​​ʻo ka lāʻau lapaʻau paha ke koho maikaʻi loa. ʻO ʻoe wale nō a me kāu kauka ke hoʻoholo i ke koho lapaʻau maikaʻi loa, a inā paha he pono ka lāʻau lapaʻau.

Hiki iaʻu ke hāpai inā he mau fibroids uterine koʻu?

ʻAe, hiki iā ʻoe ke hāpai inā loaʻa iā ʻoe nā fibroids uterine. Inā ʻike ʻoe he fibroids kou i kou wā e hāpai ai, e hana pū kāu kauka me ʻoe e hoʻomohala i kahi hoʻolālā e nānā i kāu fibroids. I ka wā hāpai, hoʻokuʻu kou kino i nā hormones hou aʻe. Kōkua kēia mau hormones i ka mālama ʻana i ka hāpai ʻana. Eia nō naʻe, hiki iā lākou ke hoʻonui i kāu fibroids. Hiki i nā fibroids nui ke hana i nā pilikia i ka wā hāpai, e like me:

  • Hoʻonui ʻia ka pilikia o ka hānau ʻana o ke pēpē ma o ka ʻoki caesarean (C-section) no ka mea ʻaʻole hiki i ka fetus ke hoʻohuli i ke poʻo i lalo.
  • ʻAʻole holomua ka hana.
  • Ka haki ʻana o ka placenta.
  • Ka hānau mua ʻana.

Hiki ke loli nā hua i ka manawa?

ʻO kaʻoiaʻiʻo, hiki i nā cysts ke emi a ulu paha i ka hala ʻana o ka manawa. Hiki iā lākou ke loli koke i ka nui, a i ʻole hiki iā lākou ke loli mālie i ka nui i kahi manawa lōʻihi. Nui nā kumu no kēia, akā i ka hapa nui o ka manawa, pili ka nui o kēia mau cysts i ka nui o nā hormones i loko o kou kino. Hiki i nā cysts ke ulu i ka wā e kiʻekiʻe ai kou pae hormone. Hiki ke hana i kēia i nā manawa kūikawā o kou ola (e like me ka wā hāpai). Hiki i nā cysts ke emi i ka wā e haʻahaʻa ai kou pae hormone. He mea maʻamau kēia ma hope o ka menopause. I nā hihia he nui, e hoʻomaikaʻi pū kāu mau hōʻailona ma hope o ka menopause.

E nalowale ana nā warts iā lākou iho?

Hiki i kekahi mau wahine ke ʻike i ka emi ʻana o kā lākou cysts ma hope o ka menopause. ʻO kēia no ka mea e emi ana nā pae hormone. I ka emi ʻana o nā cysts, e nalowale paha kāu mau hōʻailona. Inā liʻiliʻi kāu mau cysts a ʻaʻole hoʻi e hōʻike i kekahi mau hōʻailona, ​​ʻaʻole paha ʻoe e pono i ka lāʻau lapaʻau.

Ua luhi anei ʻoe ma muli o nā nati?

ʻAʻole ka luhi ka hōʻailona maʻamau o nā fibroids uterine. Eia nō naʻe, he hōʻailona maʻamau ia o ka anemia. Hiki ke loaʻa ka anemia ke kahe nui ke koko. Inā ʻoe e luhi loa ana, e kamaʻilio me ke kauka i hiki iā lākou ke ʻike i ke kumu.

Hoʻonui anei nā puʻupuʻu i kou ʻōpū?

ʻAe, hiki i nā fibroids uterine nui ke hoʻoulu i kou ʻōpū e pehu a ʻike nui ʻia paha.

Hiki ke pale ʻia nā puʻupuʻu?

ʻO ka maʻamau, ʻaʻole hiki iā ʻoe ke pale i ka hoʻokumu ʻia ʻana o nā cysts. Akā hiki iā ʻoe ke hōʻemi i kou pilikia ma ka mālama ʻana i ke kaumaha olakino a me ka loaʻa ʻana o nā hoʻokolohua pelvic maʻamau. Inā he mau cysts liʻiliʻi kou, e hana pū me kāu kauka e hoʻomohala i kahi hoʻolālā e nānā pono ai iā lākou.

Āhea wau e ʻike ai i ke kauka?

E ʻike i ke kauka inā loaʻa iā ʻoe nā hōʻailona o nā fibroids uterine, e like me:

  • Ke kahe koko nui a kūpono ʻole hoʻi o ka ʻōpū.
  • Ke kahe ʻana o ke koko ma waena o nā wā.
  • ʻEha pelvis.
  • ʻEha i ka wā o ka moekolohe.
  • Ke kaumaha a piha paha i loko o ka ʻōpū.

Ma muli o kēia mau hōʻailona he mau hōʻailona maʻamau o nā maʻi gynecological ʻē aʻe, he mea nui loa ia e kamaʻilio me ke kauka e pili ana iā lākou.

He maʻi kanesa anei nā ʻōpū?

He mea kākaʻikahi loa ka loli ʻana o kahi puʻupuʻu a lilo i mea ʻino.ʻO ka ʻoiaʻiʻo, hoʻokahi wale nō i loko o 350 mau kānaka me nā cysts e loaʻa i ka maʻi kanesa. ʻAʻohe hoʻāʻo pololei 100% no ka ʻike ʻana i nā maʻi kanesa kakaikahi e pili ana me nā cysts. Eia nō naʻe, he mea nui e ʻimi koke i ke kōkua lapaʻau no nā wahine me nā cysts uterine e ulu wikiwiki ana, a i ʻole no ka poʻe e ulu ana i nā cysts ma hope o ka menopause.

ʻO nā fibroids uterine kahi maʻi maʻamau i ʻike ʻia e ka poʻe he nui i kekahi manawa o ko lākou ola. I kekahi manawa he liʻiliʻi nā fibroids a ʻaʻohe hōʻailona. I kekahi manawa, hiki i nā fibroids ke hana i nā hōʻailona paʻakikī, e like me ka ʻeha a me ke kahe koko nui o ka vaginal. Inā ʻoe e ʻike nei i kekahi ʻeha a ʻeha paha, e kamaʻilio me kāu kauka. E hoʻomanaʻo, hiki ke mālama ʻia nā fibroids.

Nā mea nui loa āu e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, no laila, e ʻae mai iaʻu e haʻi aku iā ʻoe i kekahi mau mea e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

  • ʻO nā fibroids uterine kahi ʻano puʻupuʻu e kū mai ana i nā wahine he nui a ʻaʻole ia he maʻi kanesa.
  • ʻAʻole e ʻike nā kānaka a pau i nā hōʻailona, ​​akā e makaʻala inā loaʻa iā ʻoe nā hōʻailona e like me ke kahe koko nui, ka ʻeha o ka ʻōpū ma lalo, a i ʻole ka mimi pinepine.
  • ʻOiai ʻaʻole ʻike ʻia ke kumu kikoʻī, ua manaʻoʻiʻo ʻia he kuleana ko nā hormones (ʻEstrogen`, ʻProgesterone`).
  • Inā loaʻa iā ʻoe nā hōʻailona, ​​mai hopohopo. Nui nā ʻano lapaʻau like ʻole i loaʻa, me ka lāʻau lapaʻau a me ke ʻoki kino.
  • Mai hopohopo inā ʻike ʻoe he puʻupuʻu kou, me ka manaʻo he maʻi ʻaʻai ia. He mea kākaʻikahi loa ia. Eia nō naʻe, inā ulu koke ka puʻupuʻu a i ʻole e nui aʻe ma hope o ka menopause, e ʻike koke i ke kauka.
  • E kamaʻilio ākea me kāu kauka e pili ana i kāu mau hōʻailona a me nā hoʻolālā ʻohana e hiki mai ana, a koho i ka lāʻau lapaʻau e kūpono loa iā ʻoe.
  • He mea nui loa ia e mālama i kahi nohona olakino a e hana i nā hoʻokolohua lapaʻau mau.

No laila, ke lana nei koʻu manaʻo he kōkua kēia ʻike iā ʻoe. Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e nīnau i kāu kauka. E noho olakino!


ʻO nā Fibroids Uterine, Ke kahe koko ʻana, ʻEha ʻōpū lalo, Gynecology, Ola Kino Wahine, Myomectomy

Frequently Asked Questions (FAQ)

He aha nā pilikia o ka mālama ʻana i ka fibroid uterine?

Aia nā pilikia me kekahi lāʻau lapaʻau. Hiki i nā lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao, a ʻaʻole kūpono kekahi iā ʻoe. Ma mua o ka hoʻomaka ʻana i kahi lāʻau lapaʻau hou, e kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me kāu mōʻaukala olakino piha. Inā loaʻa iā ʻoe nā hopena ʻaoʻao ma hope o ka hoʻomaka ʻana i kahi lāʻau lapaʻau hou, e kamaʻilio me kāu kauka e pili ana i kāu mau koho.

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

💬 Comments (0)

ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.

Hoʻohui i kāu manaʻo

E ʻoluʻolu e helu: 8 + 3 =
Ua ʻike anei ʻoe i nā fibroids uterine? E kamaʻilio kākou e pili ana iā lākou me nā kikoʻī!
Ola hānau hou5 Iulai 2026

Ua ʻike anei ʻoe i nā fibroids uterine? E kamaʻilio kākou e pili ana iā lākou me nā kikoʻī!

Ke ʻike nei ʻoe i kekahi manawa i ke kahe koko hiki ʻole ke hoʻomanawanui i kou wā? A i ʻole ke manaʻo wale nei ʻoe i ka piha a i ʻole ke kaumaha ma kou ʻōpū lalo? Malia paha kēia ma muli o kahi ʻano puʻupuʻu e ulu ana i loko o ka uterus. I kēia lā e kamaʻilio mākou e pili ana i kahi mea a nā wahine he nui e ulu ai, akā ʻaʻole nui ka poʻe i ʻike. ʻO ia ka uterine fibroids, a i ʻole e like me kā mākou e ʻōlelo nei ma ka ʻōlelo Pelekania, `(Uterine Fibroids)`.

He aha nā fibroids uterine?

I ka ʻōlelo maʻalahi, ʻo nā fibroids uterine he mau ulu ʻana i hana ʻia e nā ʻiʻo a me nā ʻiʻo e hana ʻia ma ka paia o kou uterus, a i loko a i waho paha o ka uterus. Ua kapa ʻia lākou ʻo "Leiomyomas". ʻO ka mea nui, ʻaʻole kēia mau puʻupuʻu he maʻi kanesa (ʻo ia hoʻi, he "benign" lākou). ʻO ka ʻoiaʻiʻo, ʻo ia ke ʻano maʻamau o ka puʻupuʻu ʻaʻole kanesa i loaʻa i nā wahine.

Hiki i kēia mau fibroids uterine ke hana i nā hōʻailona like ʻole i kekahi manawa, e like me ka ʻeha, ke kahe koko nui a ʻano ʻole o ka vaginal, a pēlā aku. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa kēia mau fibroids me ka ʻole o nā hōʻailona. ʻAʻole paha lākou e ʻike he loaʻa iā lākou. ʻO ka mālama ʻana i nā fibroids a i ʻole e mālama ʻia e hoʻoholo pinepine ʻia e nā hōʻailona āu e loaʻa ai.

Ma hea e ulu ai kēia mau nati?

Hiki i nā puʻupuʻu ʻōpū ke ulu aʻe ma ke ʻano he puʻupuʻu hoʻokahi ('puʻupuʻu hoʻokahi') a i ʻole he hui. Hiki i kēia mau puʻupuʻu ke ʻokoʻa ka nui mai ka liʻiliʻi o 1 milimita a i ka nui o 20 kenimika (ma kahi o 8 ʻīniha) a ʻoi aku paha. E noʻonoʻo, hiki iā lākou ke ulu mai ka liʻiliʻi e like me ka hua a i ka nui e like me ka wai meli! Hiki iā lākou ke ulu i loko o ka paia o kou ʻōpū, i loko o ka lua nui o ka ʻōpū, a i ʻole ma ka ʻili o waho o ka ʻōpū.

He aha nā ʻano o nā fibroids uterine?

Aia nā ʻano fibroids uterine like ʻole, ma muli o kahi e hana ʻia ai a pehea e hoʻopili ʻia ai i ka uterus. ʻO nā ʻano nui:

  • Nā fibroids intramural: ʻO kēia ke ʻano maʻamau. Aia kēia mau fibroids i loko o ka paia ʻiʻo o ka ʻōpū.
  • Nā fibroids submucosal: Ulu kēia mau mea ma lalo o ka uhi o ka ʻōpū. ʻO kēia pinepine ke kumu o ke kahe koko nui.
  • Nā fibroids subserosal: Hoʻomohala ʻia kēia ʻano fibroids ma lalo o ka papa waho o ka ʻōpū. I kekahi manawa hiki iā lākou ke ulu nui loa a hoʻolōʻihi i loko o ka lua pelvic.
  • ʻO nā fibroids pedunculated: ʻO kēia nā ʻano i maʻamau ʻole ʻia. Hoʻopili ʻia kēia mau fibroids i ka ʻōpū e kahi ʻāpana e like me ke kumu. Ua kapa ʻia hoʻi lākou he "mushroom-like" no ka mea he kumu ko lākou a me kahi ʻāpana ākea ma luna, e like me ka mushroom.

He mea maʻamau anei nā fibroids uterine?

ʻAe, he ulu maʻamau kēia mau puʻupuʻu.Ua ʻōlelo ʻia aia ma waena o 40% a me 80% o nā wahine me ka ʻōpū he mau cysts kēia. Hoʻomohala pinepine lākou i nā wahine ma waena o 30 a me 50 mau makahiki. ʻAʻole ulu pinepine kēia mau cysts i nā wahine i loaʻa ʻole ko lākou wā mua. ʻAʻole lākou i maʻamau i nā wahine i hala i ka menopause.

He aha nā hōʻailona o nā fibroids uterine?

ʻAʻole hōʻike ka hapa nui o nā cysts liʻiliʻi i kekahi mau hōʻailona. No laila, ʻaʻohe lāʻau lapaʻau e pono ai ma mua o nā nānā maʻamau me ke kauka. Eia nō naʻe, inā he cysts nui kou, hiki iā ʻoe ke ʻike i nā ʻano hōʻailona like ʻole. ʻO kekahi o lākou:

  • Ke kahe koko nui a ʻeha paha i kou wā.
  • Ke kahe ʻana o ke koko ma waena o nā wā menstrual.
  • Ka manaʻo o ka piha a i ʻole ka pehu ʻana ma ka ʻōpū lalo.
  • Pono e mimi pinepine (hiki ke hana i kēia ke kaomi ʻia kahi puʻupuʻu ma ka ʻōpū mimi).
  • Ke ʻeha nei i ka wā o ka moekolohe.
  • ʻEha hope.
  • Ka paʻa ʻana o ka ʻōpū a i ʻole ke ʻano o ke kaomi i loko o ka ʻōpū.
  • Ka hoʻokahe mau ʻana o ka ʻōpū.
  • ʻAʻole hiki ke mimi a i ʻole e hoʻokahe loa i ka ʻōpū mimi.
  • ʻO ka hoʻonui ʻana o ka ʻōpū, kahi e hoʻomaka ai e like me ka ʻōpū hāpai.

ʻO ka maʻamau, paʻa a nalo paha kēia mau hōʻailona ma hope o kou hele ʻana i ka menopause. ʻO kēia no ka mea ua emi nā pae hormone o ke kino.

He aha ke ʻano o ka ʻeha mai nā fibroids uterine?

Inā loaʻa iā ʻoe nā cysts, hiki iā ʻoe ke manaʻo i nā ʻano manaʻo like ʻole. Inā loaʻa iā ʻoe nā cysts liʻiliʻi, ʻaʻole paha ʻoe e manaʻo i kekahi mea a ʻike paha aia lākou ma laila. Akā i ka wā e loaʻa ai iā ʻoe nā cysts nui, hiki iā ʻoe ke manaʻo i ka ʻoluʻolu ʻole a me ka ʻeha. Hiki i kēia mau cysts ke hōʻeha i ke kua, ka ʻeha ʻoi i loko o ka ʻōpū, a me ka ʻeha i ka wā moe kolohe.

Pehea ke ʻano o kēia mau nati?

ʻO ka maʻamau, ua like nā hua me nā puʻupuʻu poepoe a laumania. I kekahi manawa, e like me ka mea i ʻōlelo ʻia ma mua, hiki ke hoʻopili ʻia i kahi kumu lahilahi a like me nā halo.

He aha ke kumu o nā fibroids uterine?

ʻAʻole ʻike ʻia ke kumu kikoʻī o kēia . Eia nō naʻe, manaʻo nā kauka he ʻelua mau hormones i kapa ʻia ʻo estrogen a me progesterone e pāʻani i kahi kuleana. Hoʻomohala pinepine kēia mau puʻupuʻu i nā wahine o ka makahiki hānau keiki. Ua hōʻike ʻia nā noiʻi e ulu ana kēia mau puʻupuʻu i nā wā o nā pae hormone kiʻekiʻe (e like me ka wā hāpai) a emi iho i nā wā o nā pae hormone haʻahaʻa (e like me ka wā menopause).

He aha nā mea e pilikia ai no ka hoʻomohala ʻana i nā fibroids uterine?

Aia kekahi mau kumu pilikia e hiki ke hoʻopilikia i kou kūlana o ka loaʻa ʻana o nā ʻōpū. ʻO kekahi o lākou:

  • Ka momona a me ke kiʻekiʻe o ka helu helu kino (`BMI`).
  • Loaʻa kahi moʻolelo ʻohana o ka loaʻa ʻana o nā cysts.
  • Keiki ʻole.
  • Ka hoʻomaka mua ʻana o ka menstruation.
  • Ka makahiki lohi no ka menopause.

He aha nā pilikia i hoʻokumu ʻia e nā fibroids uterine?

ʻAʻole hoʻoulu ka hapa nui o nā fibroids uterine i nā pilikia koʻikoʻi. Eia naʻe, ʻo nā pilikia maʻamau:

  • ʻEha hiki ʻole ke hoʻokele.
  • ʻO ka pehu ʻana i loko o kou ʻōpū a i ʻole ka ʻāpana pelvic.
  • Ke kahe koko nui ʻana.
  • ʻAʻohe maʻi koko.
  • Ka emi ʻana o ka hiki ke hānau keiki ('Infertility`) (he mea kākaʻikahi loa kēia).

Hiki i nā ʻōpū ke hana i ka anemia?

ʻAe, ʻoiaʻiʻo nō. ʻO ka anemia kahi maʻi e kū mai ana i ka wā ʻaʻole lawa nā hunaola koko ʻulaʻula olakino e lawe i ka oxygen i nā ʻōpū o kou kino. Hiki i ka poʻe i loaʻa pinepine a kaumaha paha ke loaʻa i ka anemia. Hiki i kēia mau cysts ke hoʻoulu i kou mau wā i kaumaha loa, a i ʻole e kahe ke koko ma waena o nā wā. Inā loaʻa iā ʻoe nā hōʻailona o ka anemia (ʻoi aku ka luhi nui) ʻoiai he cysts kāu, e kamaʻilio me ke kauka.

Pehea e ʻike ai inā he mau fibroids uterine kāu?

ʻO ka hapa pinepine, ʻike ke kauka i nā fibroids uterine i ka wā o ka hoʻokolokolo pelvic. Hiki i ke kauka ke kānalua i kahi fibroid ma muli o ke kahe koko nui a me nā hōʻailona ʻē aʻe. Aia kekahi mau hoʻokolohua e hiki ke hōʻoia inā aia kahi fibroid a e hoʻoholo i kona nui a me kona wahi:

  • Ultrasonography (ultrasound scan): He hoʻāʻo ʻeha ʻole kēia e hoʻohana ana i nā nalu kani e hana i kahi kiʻi o kou mau ʻōpū o loko.
  • Magnetic Resonance Imaging (MRI): Hoʻohana kēia hoʻāʻo i nā magnet a me nā nalu lekiō e hana i nā kiʻi kikoʻī o kāu mau ʻōpū o loko.
  • `(Computed Tomography - CT scan)` (CT scan): Hoʻohana ka CT scan i nā kiʻi X-ray e hana i nā kiʻi kikoʻī o kou mau kino o loko mai nā kihi like ʻole.
  • Hysteroscopy: Ma kēia kaʻina hana, hoʻohana ke kauka i kahi scope (he ʻōmole lahilahi a palupalu me kahi kāmela i hoʻopili ʻia) e nānā i loko o ka uterus. Hoʻokomo ʻia ka scope ma o ka vagina a me ka cervix i loko o ka uterus.
  • Hysterosalpingography (HSG): He hoʻāʻo X-ray kikoʻī kēia. Hoʻokomo ke kauka i kahi mea kūikawā (mea hoʻohālikelike) a laila lawe i nā kiʻi X-ray o ka ʻōpū.
  • Sonohysterography: Ma kēia hoʻokolohua, hoʻokomo ke kauka i kahi catheter liʻiliʻi i loko o ka vagina a hoʻokomo i ka wai saline i loko o ka uterus. ʻAe kēia wai keu no nā kiʻi ʻoi aku ka maopopo ma mua o ka ultrasound maʻamau.
  • Laparoscopy: Ma kēia hoʻokolohua, hana ke kauka i kahi ʻoki liʻiliʻi ma kou ʻōpū lalo. Hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu me kahi kāmela ma o ka ʻoki ʻana e nānā i loko o kou kino.

Pehea e mālama ʻia ai nā fibroids uterine?

Hiki ke ʻokoʻa ka mālama ʻana no nā fibroids uterine ma muli o ka nui, ka helu, ka wahi, a me nā hōʻailona o nā cysts. Inā ʻaʻohe ou hōʻailona mai nā cysts, ʻaʻole paha ʻoe e pono i ka mālama ʻana. Hiki ke waiho wale ʻia nā cysts liʻiliʻi me ka ʻole o ka mālama ʻana. ʻAʻohe o kekahi poʻe i loaʻa i nā hōʻailona a pilikia paha me nā cysts. I ia mau hihia, e haʻi aku kāu kauka iā ʻoe e hana i nā hoʻokolohua pelvic maʻamau a i ʻole nā ​​​​scan ultrasound e nānā i nā cysts.

Akā inā loaʻa iā ʻoe nā hōʻailona o kahi puʻupuʻu (e like me ka anemia ma muli o ke kahe nui ʻana o ke koko, ka ʻeha waena a koʻikoʻi, nā pilikia o ke ala mimi a me ka ʻōpū), pono paha ʻoe i ka lāʻau lapaʻau e kōkua. E hilinaʻi kāu hoʻolālā lapaʻau i kekahi mau mea:

  • ʻEhia mau nati āu?
  • ʻO ka nui o kāu mau nati.
  • ʻAuhea kāu mau nati?
  • He aha kāu mau hōʻailona e pili ana i nā tumors?
  • ʻO kou makemake e mālama i kou ʻōpū.

I ke koho ʻana i ke koho lapaʻau maikaʻi loa nāu, pono ʻoe e noʻonoʻo i kāu mau hoʻolālā no nā hāpai ʻana e hiki mai ana. E hōʻoia e kūkākūkā i kāu mau pahuhopu hānau keiki me kāu kauka i ke kūkākūkā ʻana i nā koho lapaʻau.

Hiki i nā koho lapaʻau no nā fibroids uterine ke komo pū me:

Nā lāʻau lapaʻau

  • Nā lāʻau ʻeha ma luna o ke kūʻai aku (OTC): Hiki i kēia mau lāʻau ke kōkua i ka kaohi ʻana i ka ʻeha a me ka ʻoluʻolu ʻole i hoʻokumu ʻia e nā ʻōpū. ʻO kēia mau mea me ka acetaminophen (e like me Panadol) a me ibuprofen.
  • Nā mea hoʻohui hao: Inā loaʻa iā ʻoe ka anemia ma muli o ke kahe nui ʻana o ke koko, hiki i kāu kauka ke haʻi iā ʻoe e lawe i kahi mea hoʻohui hao.
  • Kaohi hānau: Hiki i ka kaohi hānau ke kōkua i ka kaohi ʻana i nā hōʻailona o nā cysts (ʻoi aku ke kahe koko nui i ka wā a ma hope o ka menstruation, a me nā ʻeha menstrual). Nui nā koho kaohi hānau hiki iā ʻoe ke hoʻohana. No ka laʻana, nā pila hoʻomalu hānau waha, nā apo, nā inikini, a me nā mea hana intrauterine (IUD).
  • ʻO nā agonists hormone hoʻokuʻu gonadotropin (GnRH): Hoʻemi kēia mau lāʻau i nā puʻupuʻu. Hoʻohana ʻia lākou i kekahi manawa ma mua o ke ʻoki ʻana e hoʻemi i kahi puʻupuʻu a maʻalahi hoʻi e wehe. Eia nō naʻe, he manawa pōkole kēia mau lāʻau. Hiki i ka puʻupuʻu ke ulu hou ke hoʻōki ʻoe i ka lawe ʻana iā lākou.
  • Nā lāʻau lapaʻau waha: ʻO Elagolix kahi lāʻau lapaʻau waha hou no ka kaohi ʻana i ke kahe koko kaumaha i nā wahine me nā fibroids uterine symptomatic ʻaʻole i menopause. Hiki ke lawe ʻia a hiki i 24 mau mahina. E kamaʻilio me kāu kauka e pili ana i nā pono a me nā pōʻino o kēia lāʻau lapaʻau. ʻO kekahi lāʻau lapaʻau waha i kapa ʻia ʻo tranexamic acid e hoʻohana ʻia e mālama i ke kahe koko kaumaha i nā wahine me nā fibroids uterine.

Mea nui: He mea nui loa e kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe ai. E kūkākūkā mau i nā lāʻau lapaʻau hou me kāu kauka ma mua o ka hoʻomaka ʻana, a e makaʻala i nā pilikia e hiki mai ana.

ʻO ke ʻoki ʻana o ka fibroid

Aia kekahi mau mea e noʻonoʻo ai i ka wā e noʻonoʻo ai i nā ʻano ʻoki kino like ʻole. ʻO ka nui, kahi, a me ka helu o nā cysts e hoʻopilikia i ke ʻano o ke ʻoki kino, a ʻo kou mau manaʻolana no nā hāpai ʻana i ka wā e hiki mai ana hiki ke lilo i mau mea nui i ka hoʻomohala ʻana i kahi hoʻolālā lapaʻau. Mālama kekahi mau koho ʻoki kino i kou uterus a ʻae iā ʻoe e hāpai i ka wā e hiki mai ana. ʻOiai ʻo nā koho ʻē aʻe e hōʻino paha i kou uterus a koi aku paha i ka wehe piha ʻana o kou uterus.

Myomectomy: He ʻoki kino kēia e hiki ai i ke kauka ke wehe wale i nā fibroids. Nui nā ʻano myomectomy. ʻO ke ʻano hana maikaʻi loa nou e hilinaʻi ia ma kahi o kāu mau fibroids, pehea ko lākou nui, a me ka nui o lākou. ʻO nā ʻano hana myomectomy e wehe ai i nā fibroids e komo pū ana me:

  • Hysteroscopy: Hoʻokomo ke kauka i kahi scope (he mea lahilahi, palupalu, e like me ka paipu) ma o ka vagina a me ka cervix i loko o ka uterus. A laila hoʻohana ʻia ka scope e ʻoki a wehe i nā cysts.
  • Laparoscopy: Ma kēia kaʻina hana, hoʻohana ke kauka i kahi scope e wehe i ka cyst. ʻAʻole e like me ka hysteroscopy, pili kēia kaʻina hana i ka hana ʻana i kekahi mau ʻoki liʻiliʻi i loko o kou ʻōpū. Hoʻokomo ʻia a wehe ʻia ka scope ma o kēia mau ʻoki.
  • Laparotomy (wehe ʻana i ka ʻōpū): Ma kēia kaʻina hana, hana ke kauka i hoʻokahi ʻoki nui i loko o kou ʻōpū a wehe i ka puʻupuʻu ma o kēlā ʻoki.

Inā ʻaʻole ʻoe e hoʻolālā e loaʻa nā keiki i ka wā e hiki mai ana, aia kekahi mau koho ʻē aʻe a kāu kauka e ʻōlelo ai. Hiki i kēia mau koho ke lilo i mea kūpono loa, akā pale pinepine lākou i nā hāpai ʻana i ka wā e hiki mai ana. Hiki iā lākou ke komo pū me:

  • Hysterectomy: I loko o kahi hysterectomy, wehe kāu kauka i kou ʻōpū. ʻO ka hysterectomy wale nō ke ala e ho'ōla ai i nā fibroids. Ke wehe loa ʻia ka ʻōpū, ʻaʻole hiki i nā fibroids ke ulu hou, a e nalowale kāu mau hōʻailona. Inā waiho ʻia kāu mau ovaries ma kahi, ʻaʻole ʻoe e hele i ka menopause ma hope o ka hysterectomy. Hiki ke ʻōlelo ʻia kēia ʻoki kino inā he nui kou kahe koko mai nā fibroids a inā he nui kāu mau fibroids. ʻO nā Hysterectomies he mau kaʻina hana minimally invasive hiki ke hana ʻia ma ke ʻano vaginal, laparoscopically, a i ʻole ka hoʻohana ʻana i ka ʻenehana robotic.
  • `(Uterine fibroid embolization)` (e ālai ana i ke kahe koko i nā fibroids uterine):Hana kekahi radiologist interventional, me ke kōkua o kāu gynecologist, i kēia kaʻina hana. Hoʻokomo lākou i kahi catheter liʻiliʻi i loko o kou aʻa uterine a i ʻole ke aʻa radial a hoʻokomo i nā ʻāpana liʻiliʻi i loko. Hoʻōki kēia i ke kahe koko mai ke aʻa a i nā puʻupuʻu. Ke pau ke kahe koko, emi nā puʻupuʻu a hoʻomaikaʻi i kāu mau hōʻailona. ʻAʻole kūpono kēia ʻano hana no nā mea āpau.
  • ʻO ka Radiofrequency ablation (RFA): He ala palekana a maikaʻi kēia no ka mālama ʻana i nā fibroids uterine. Hoʻohana ia i ka ikehu microwave (RF). Manaʻo ʻia no nā wahine i hala ʻole i ka menopause. Hoʻohana ʻia ia e mālama i nā fibroids liʻiliʻi.

He aha nā pilikia o ka mālama ʻana i ka fibroid uterine?

Aia nā pilikia me kekahi lāʻau lapaʻau. Hiki i nā lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao, a ʻaʻole kūpono kekahi iā ʻoe. Ma mua o ka hoʻomaka ʻana i kahi lāʻau lapaʻau hou, e kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me kāu mōʻaukala olakino piha. Inā loaʻa iā ʻoe nā hopena ʻaoʻao ma hope o ka hoʻomaka ʻana i kahi lāʻau lapaʻau hou, e kamaʻilio me kāu kauka e pili ana i kāu mau koho.

Aia nā pilikia me ka myomectomy. E like me nā ʻoki kino āpau, loaʻa iā ʻoe ka pilikia o ka maʻi a me ke kahe ʻana o ke koko, a me nā pilikia e pili ana i ka anesthesia. ʻO kekahi pilikia hou aʻe me ka myomectomy ka hopena i nā hāpai keiki e hiki mai ana. Hiki i kekahi mau koho ʻoki kino ke pale i nā hāpai keiki e hiki mai ana. ʻO ka myomectomy kahi hana e wehe wale i nā fibroids, e ʻae ana i nā hāpai keiki e hiki mai ana. Eia nō naʻe, pono paha nā wahine i loaʻa ka myomectomy e hana i kahi ʻoki cesarean (C-section) inā loaʻa iā lākou nā keiki i ka wā e hiki mai ana.

Pehea ka nui o nā fibroids uterine e pono ai ke wehe ʻia ma ke ʻoki ʻana?

ʻAʻohe nui i hoʻonohonoho ʻia no kahi puʻupuʻu e pono ai ke wehe ʻia. Na kāu kauka e hoʻoholo inā pono ke ʻoki ʻana ma muli o kāu mau hōʻailona. No ka laʻana, ʻo kahi puʻupuʻu e like me ka nui o kahi kinikini liʻiliʻi e hiki ke hoʻoulu i ke kahe koko nui ma muli o kona wahi. Hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i nā hōʻailona e pono ai ke ʻoki ʻana.

He aha ka mea e hana inā waiho ʻole ʻia nā cysts me ka mālama ʻole?

Inā ʻaʻohe ou hōʻailona, ​​ʻaʻole paha ʻoe e pono e mālama i kāu mau cysts. Eia nō naʻe, inā he nui kou mau cysts, a inā paha e hōʻeha a ʻoluʻolu ʻole paha kāu mau hōʻailona, ​​ʻo ka lāʻau lapaʻau paha ke koho maikaʻi loa. ʻO ʻoe wale nō a me kāu kauka ke hoʻoholo i ke koho lapaʻau maikaʻi loa, a inā paha he pono ka lāʻau lapaʻau.

Hiki iaʻu ke hāpai inā he mau fibroids uterine koʻu?

ʻAe, hiki iā ʻoe ke hāpai inā loaʻa iā ʻoe nā fibroids uterine. Inā ʻike ʻoe he fibroids kou i kou wā e hāpai ai, e hana pū kāu kauka me ʻoe e hoʻomohala i kahi hoʻolālā e nānā i kāu fibroids. I ka wā hāpai, hoʻokuʻu kou kino i nā hormones hou aʻe. Kōkua kēia mau hormones i ka mālama ʻana i ka hāpai ʻana. Eia nō naʻe, hiki iā lākou ke hoʻonui i kāu fibroids. Hiki i nā fibroids nui ke hana i nā pilikia i ka wā hāpai, e like me:

  • Hoʻonui ʻia ka pilikia o ka hānau ʻana o ke pēpē ma o ka ʻoki caesarean (C-section) no ka mea ʻaʻole hiki i ka fetus ke hoʻohuli i ke poʻo i lalo.
  • ʻAʻole holomua ka hana.
  • Ka haki ʻana o ka placenta.
  • Ka hānau mua ʻana.

Hiki ke loli nā hua i ka manawa?

ʻO kaʻoiaʻiʻo, hiki i nā cysts ke emi a ulu paha i ka hala ʻana o ka manawa. Hiki iā lākou ke loli koke i ka nui, a i ʻole hiki iā lākou ke loli mālie i ka nui i kahi manawa lōʻihi. Nui nā kumu no kēia, akā i ka hapa nui o ka manawa, pili ka nui o kēia mau cysts i ka nui o nā hormones i loko o kou kino. Hiki i nā cysts ke ulu i ka wā e kiʻekiʻe ai kou pae hormone. Hiki ke hana i kēia i nā manawa kūikawā o kou ola (e like me ka wā hāpai). Hiki i nā cysts ke emi i ka wā e haʻahaʻa ai kou pae hormone. He mea maʻamau kēia ma hope o ka menopause. I nā hihia he nui, e hoʻomaikaʻi pū kāu mau hōʻailona ma hope o ka menopause.

E nalowale ana nā warts iā lākou iho?

Hiki i kekahi mau wahine ke ʻike i ka emi ʻana o kā lākou cysts ma hope o ka menopause. ʻO kēia no ka mea e emi ana nā pae hormone. I ka emi ʻana o nā cysts, e nalowale paha kāu mau hōʻailona. Inā liʻiliʻi kāu mau cysts a ʻaʻole hoʻi e hōʻike i kekahi mau hōʻailona, ​​ʻaʻole paha ʻoe e pono i ka lāʻau lapaʻau.

Ua luhi anei ʻoe ma muli o nā nati?

ʻAʻole ka luhi ka hōʻailona maʻamau o nā fibroids uterine. Eia nō naʻe, he hōʻailona maʻamau ia o ka anemia. Hiki ke loaʻa ka anemia ke kahe nui ke koko. Inā ʻoe e luhi loa ana, e kamaʻilio me ke kauka i hiki iā lākou ke ʻike i ke kumu.

Hoʻonui anei nā puʻupuʻu i kou ʻōpū?

ʻAe, hiki i nā fibroids uterine nui ke hoʻoulu i kou ʻōpū e pehu a ʻike nui ʻia paha.

Hiki ke pale ʻia nā puʻupuʻu?

ʻO ka maʻamau, ʻaʻole hiki iā ʻoe ke pale i ka hoʻokumu ʻia ʻana o nā cysts. Akā hiki iā ʻoe ke hōʻemi i kou pilikia ma ka mālama ʻana i ke kaumaha olakino a me ka loaʻa ʻana o nā hoʻokolohua pelvic maʻamau. Inā he mau cysts liʻiliʻi kou, e hana pū me kāu kauka e hoʻomohala i kahi hoʻolālā e nānā pono ai iā lākou.

Āhea wau e ʻike ai i ke kauka?

E ʻike i ke kauka inā loaʻa iā ʻoe nā hōʻailona o nā fibroids uterine, e like me:

  • Ke kahe koko nui a kūpono ʻole hoʻi o ka ʻōpū.
  • Ke kahe ʻana o ke koko ma waena o nā wā.
  • ʻEha pelvis.
  • ʻEha i ka wā o ka moekolohe.
  • Ke kaumaha a piha paha i loko o ka ʻōpū.

Ma muli o kēia mau hōʻailona he mau hōʻailona maʻamau o nā maʻi gynecological ʻē aʻe, he mea nui loa ia e kamaʻilio me ke kauka e pili ana iā lākou.

He maʻi kanesa anei nā ʻōpū?

He mea kākaʻikahi loa ka loli ʻana o kahi puʻupuʻu a lilo i mea ʻino.ʻO ka ʻoiaʻiʻo, hoʻokahi wale nō i loko o 350 mau kānaka me nā cysts e loaʻa i ka maʻi kanesa. ʻAʻohe hoʻāʻo pololei 100% no ka ʻike ʻana i nā maʻi kanesa kakaikahi e pili ana me nā cysts. Eia nō naʻe, he mea nui e ʻimi koke i ke kōkua lapaʻau no nā wahine me nā cysts uterine e ulu wikiwiki ana, a i ʻole no ka poʻe e ulu ana i nā cysts ma hope o ka menopause.

ʻO nā fibroids uterine kahi maʻi maʻamau i ʻike ʻia e ka poʻe he nui i kekahi manawa o ko lākou ola. I kekahi manawa he liʻiliʻi nā fibroids a ʻaʻohe hōʻailona. I kekahi manawa, hiki i nā fibroids ke hana i nā hōʻailona paʻakikī, e like me ka ʻeha a me ke kahe koko nui o ka vaginal. Inā ʻoe e ʻike nei i kekahi ʻeha a ʻeha paha, e kamaʻilio me kāu kauka. E hoʻomanaʻo, hiki ke mālama ʻia nā fibroids.

Nā mea nui loa āu e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, no laila, e ʻae mai iaʻu e haʻi aku iā ʻoe i kekahi mau mea e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

  • ʻO nā fibroids uterine kahi ʻano puʻupuʻu e kū mai ana i nā wahine he nui a ʻaʻole ia he maʻi kanesa.
  • ʻAʻole e ʻike nā kānaka a pau i nā hōʻailona, ​​akā e makaʻala inā loaʻa iā ʻoe nā hōʻailona e like me ke kahe koko nui, ka ʻeha o ka ʻōpū ma lalo, a i ʻole ka mimi pinepine.
  • ʻOiai ʻaʻole ʻike ʻia ke kumu kikoʻī, ua manaʻoʻiʻo ʻia he kuleana ko nā hormones (ʻEstrogen`, ʻProgesterone`).
  • Inā loaʻa iā ʻoe nā hōʻailona, ​​mai hopohopo. Nui nā ʻano lapaʻau like ʻole i loaʻa, me ka lāʻau lapaʻau a me ke ʻoki kino.
  • Mai hopohopo inā ʻike ʻoe he puʻupuʻu kou, me ka manaʻo he maʻi ʻaʻai ia. He mea kākaʻikahi loa ia. Eia nō naʻe, inā ulu koke ka puʻupuʻu a i ʻole e nui aʻe ma hope o ka menopause, e ʻike koke i ke kauka.
  • E kamaʻilio ākea me kāu kauka e pili ana i kāu mau hōʻailona a me nā hoʻolālā ʻohana e hiki mai ana, a koho i ka lāʻau lapaʻau e kūpono loa iā ʻoe.
  • He mea nui loa ia e mālama i kahi nohona olakino a e hana i nā hoʻokolohua lapaʻau mau.

No laila, ke lana nei koʻu manaʻo he kōkua kēia ʻike iā ʻoe. Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e nīnau i kāu kauka. E noho olakino!


ʻO nā Fibroids Uterine, Ke kahe koko ʻana, ʻEha ʻōpū lalo, Gynecology, Ola Kino Wahine, Myomectomy

Frequently Asked Questions (FAQ)

He aha nā pilikia o ka mālama ʻana i ka fibroid uterine?

Aia nā pilikia me kekahi lāʻau lapaʻau. Hiki i nā lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao, a ʻaʻole kūpono kekahi iā ʻoe. Ma mua o ka hoʻomaka ʻana i kahi lāʻau lapaʻau hou, e kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me kāu mōʻaukala olakino piha. Inā loaʻa iā ʻoe nā hopena ʻaoʻao ma hope o ka hoʻomaka ʻana i kahi lāʻau lapaʻau hou, e kamaʻilio me kāu kauka e pili ana i kāu mau koho.

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

💬 Comments (0)

ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.

Hoʻohui i kāu manaʻo

E ʻoluʻolu e helu: 8 + 3 =