He ʻano ʻē loa anei kou wā? Ke kahe nui nei ke koko no kekahi mau lā i ka lālani? A i ʻole e hoʻōki loa ʻoe i ke kahe ʻana o ke koko, a laila hoʻomaka hou ke kahe ʻana o ke koko me nā kulu liʻiliʻi? He mea maʻamau ke manaʻo iki i ka makaʻu i ka wā e hana ʻia ai nā mea e like me kēia. ʻO ka hapa nui o ka manawa, ua hoʻokumu ʻia kēia mau hōʻailona e nā ulu liʻiliʻi i loko o ka ʻōpū. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia mau "Uterine Polyps". No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia. Mai hopohopo, ʻo ka hapa nui o ka manawa, ʻaʻole kēia he maʻi kanesa.
I ka ʻōlelo maʻalahi, he aha nā polyps uterine?
ʻO nā polyps uterine, a i ʻole "Uterine Polyps", he mau ulu keu o nā ʻiʻo e hana ʻia ma ka paia o loko o kou uterus, ʻo ia ka "Endometrium" kahi e ulu ai kahi pēpē ma hope o ka hāpai ʻana. Ua like lākou me nā ulu ʻiʻo liʻiliʻi e kau ana mai ko mākou ʻili i kekahi manawa.
Ulu kēia mau fibroids i loko o ka lua uterine ma ke kau ʻana iā lākou iho i ka paia uterine me kahi ʻōpala lahilahi a i ʻole kahi kumu ākea iki. Hiki iā lākou ke poepoe a i ʻole oval ke ʻano. Hiki iā lākou ke ʻokoʻa ka nui mai ka nui o kahi hua sesame liʻiliʻi loa a hiki i ka nui o kahi pōpō kolepa. Hoʻokahi wale nō fibroid o kekahi poʻe, aʻo kekahi poʻe he nui paha.
ʻO ka mea nui, ʻo ka hapa nui o kēia mau fibroids uterine ʻaʻole ia he maʻi kanesa (benign). Eia nō naʻe, i kekahi manawa hiki iā lākou ke hana i nā wā ʻino a hoʻopilikia i kou hānau keiki.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia mau mea?
He mea nui ka makahiki i kēia. ʻO nā wahine ma waena o 40 a me 50 mau makahiki, a i ʻole ma kahi o ka menopause (perimenopause), ʻo lākou ka mea e loaʻa ai kēia mau puʻupuʻu. Hiki iā lākou ke ulu ma hope o ka menopause (postmenopause). Eia naʻe, he mea kakaikahi loa lākou i nā poʻe ma lalo o 20 mau makahiki.
Eia kekahi, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o nā `(Uterine Polyps)` inā loaʻa iā ʻoe nā kūlana penei:
| Kumu pilikia | He wehewehe maʻalahi |
|---|---|
| Momona | Inā ʻoi aku ke kaumaha o kou kino ma mua o ka mea e pono ai no kou kiʻekiʻe (ʻoi aku ka BMI ma mua o 30). |
| Ke koko kiʻekiʻe (Hypertension) | Inā he kaomi kou. |
| ʻO ka lāʻau lapaʻau Tamoxifen | He lāʻau lapaʻau kēia i hoʻohana ʻia no ka mālama ʻana i ka maʻi ʻaʻai umauma. ʻAʻole hiki i nā kānaka a pau ke lawe i kēia lāʻau lapaʻau, akā kiʻekiʻe ka pilikia. |
| Hoʻōla lāʻau hormone | ʻOi loa aku inā ʻoe e lawe nei i ka lāʻau lapaʻau hormone e loaʻa ana nā dosis kiʻekiʻe o ka hormone estrogen. |
| Nā kūlana hoʻoilina | ʻO ka poʻe me nā maʻi genetic kakaʻikahi e like me Lynch syndrome a i ʻole Cowden syndrome ua piʻi nui ka pilikia. |
Loaʻa iā ʻoe kēia mau ʻano?
ʻO ka hapa nui o ka manawa, ʻo ka hōʻailona nui o ka `(Uterine Polyps)` ʻo ke kahe koko kūpono ʻole. He aha ke ʻano o ia mea? E noʻonoʻo, ua pau kou wā no kekahi mau makahiki, akā hoʻomaka hou ia me nā kulu. A i ʻole ma waho aʻe o nā lā i loaʻa ai iā ʻoe kou wā, loaʻa pū kekahi kahe koko ma waena. ʻO kēia nā hōʻailona nui.
E nānā kākou i kēia mau hōʻailona.
- ʻO ke kuʻina ʻole: ʻO ke ʻano kēia, ʻaʻohe ʻano kikoʻī no nā lā o ke kuʻina a me ka nui o ke koko i nalowale. I kekahi mau mahina he 20 mau lā paha, a ʻo kekahi he 40 mau lā paha.
- Ke kahe koko nui: Ke kahe koko nui loa ma mua o ka maʻamau i ka wā menstruation.
- Nā kiko: Nā kulu koko liʻiliʻi ma waena o nā menstruation.
- ʻAʻole hānau keiki: Paʻakikī i ka hāpai ʻana a i ʻole ka mālama ʻana i ka hāpai ʻana a hiki i ka manawa piha.
- Ke kahe koko ma hope o ka menopause: Nā kiko ʻulaʻula, poni, a ʻeleʻele paha a i ʻole ke kahe koko māmā ma hope o ka pau ʻana o ka menstruation.
- Ke kahe koko ma hope o ka moekolohe.
I kekahi manawa hiki ke loaʻa kēia mau puʻupuʻu me ka ʻole o nā hōʻailona. Loaʻa wale ke kauka iā lākou ma ka manawa kūpono ke hana ʻia kahi mea e like me ka ultrasound scan no kekahi kumu ʻē aʻe.
Ke hōʻeha nei kēia ʻiʻo pōpō?
ʻO ka maʻamau, ʻaʻohe ʻeha nui. Eia nō naʻe, inā nui iki ka puʻupuʻu, i kekahi manawa hiki ke ʻeha iki, e like me ka wā ma ka ʻōpū lalo a i ʻole ke kua.Hiki paha iā ʻoe ke ʻeha, akā, ʻaʻole ka ʻeha he hōʻailona maʻamau.
No ke aha lā e ulu ai kēia ʻiʻo?
ʻAʻole maopopo ke kumu maoli o kēia, akā manaʻoʻiʻo nā kānaka noiʻi he kuleana ko nā pae hormone, ʻoiai ka hormone estrogen .
I ka ʻōlelo maʻalahi, hana ia penei. I kēlā me kēia mahina i kou wā menstrual, hoʻoulu ka hormone estrogen i ka uhi o ka uterus (endometrium) e mānoanoa. Hoʻomākaukau kēia i ke kaiapuni no ka hāpai ʻana o kahi pēpē. I kekahi manawa, inā nui loa kēia mānoanoa, hiki i nā ʻiʻo ke hōʻiliʻili ma kēlā mau wahi a hana i nā puʻupuʻu e like me kēia. E hoʻomanaʻo i nā mea pilikia a mākou i kamaʻilio ai ma mua? ʻO ka nui o kēlā mau mea (momona, hormone therapy) e hoʻonui i nā pae estrogen i loko o ke kino.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke hele ʻoe e ʻike i ke kauka e pili ana i ke kahe koko ʻole, e nīnau ʻo ia iā ʻoe i kekahi mau nīnau. Nā mea e like me kou pōʻaiapuni menstrual, pehea ka lōʻihi o kona mau manawa, pehea ka pinepine o ka hana ʻana, nā lāʻau lapaʻau āu e lawe ai, a inā paha ʻoe e hoʻāʻo nei e loaʻa nā keiki.
A laila, e hana ʻia kahi hoʻokolokolo wahine. I ka manawa like, e ʻōlelo ʻia kekahi mau hoʻokolohua hou aʻe e hōʻoia inā loaʻa kēia mau puʻupuʻu.
| Hoʻāʻo | He aha ka mea e hana nei? |
|---|---|
| ʻO ka ultrasound transvaginal | He scan kēia e pili ana i ke komo ʻana i kahi mea hana liʻiliʻi ma o ka vagina. Hiki i kēia ke ʻike maopopo i loko o ka uterus. |
| Sonohysterography | I ka wā o ke kiʻi ʻana ma luna, ua hoʻokomo ʻia kahi wai e like me ka saline i loko o ka ʻōpū ma o kahi ʻōmole lahilahi. Hoʻonui iki kēia i ka ʻōpū, e ʻae ana i ke kiʻi e hōʻike maopopo i nā ʻiʻo i loko. |
| Hysteroscopy | I loko o kēia, ua hoʻokomo ʻia kahi ʻōmole lahilahi loa a lōʻihi me kahi kāmela i hoʻopili ʻia ma o ka vagina i loko o ka uterus, e ʻae ana i ke kauka e nānā pololei i loko o ka uterus ma kahi pale. |
| ʻO ka biopsy Endometrial / Curettage | ʻO kēia ke komo ʻana i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka paia o loko o ka ʻōpū a hoʻouna aku i kahi keʻena hoʻokolohua e nānā i nā ʻano ʻē, ʻoiai nā ʻano maʻi kanesa. Ua like ia me ka mea a mākou e kapa mau nei ʻo "ka hoʻomaʻemaʻe ʻana i ka ʻōpū." |
He aha nā lāʻau lapaʻau no kēia?
Hoʻoholo ʻia ka lāʻau lapaʻau ma ka noʻonoʻo ʻana i nā kumu he nui, e like me kou mau hōʻailona, ka makahiki, inā makemake ʻoe e loaʻa nā keiki, a me kou pilikia o ka maʻi kanesa.
1. Ke kali makaʻala: Inā ʻaʻole ʻoe i hiki i ka menopause, ʻaʻohe ou hōʻailona, a he liʻiliʻi loa ka puʻupuʻu, hiki i kāu kauka ke ʻōlelo aku e kali no kekahi manawa me ka ʻole o ka lāʻau lapaʻau. Hiki i kekahi mau puʻupuʻu liʻiliʻi ke nalowale iā lākou iho.
2. Nā lāʻau lapaʻau: Hiki i nā lāʻau lapaʻau kaulike hormone e like me 'Progestins' a i ʻole 'Gonadotropin-releasing hormone agonists' ke kōkua i ka kaohi ʻana i nā hōʻailona. Eia nō naʻe, he hopena manawa pōkole kēia. Hiki ke hoʻi hou mai nā hōʻailona ke hoʻōki ʻia ka lāʻau lapaʻau.
3. Wehe ʻoki kino:
- Hysteroscopy: ʻO kēia ke ʻano hana i hoʻohana pinepine ʻia. I ka wā o ke kaʻina hana hysteroscopy, hoʻokomo ʻia kahi mea hana kūikawā ma o ka ʻōmole e ʻoki a wehe i ka polyp. ʻO ka pōmaikaʻi o kēia, hiki i ke kauka ke ʻike maopopo i ka polyp a wehe pololei.
- Ka nānā ʻana i nā ʻiʻo i wehe ʻia: Hoʻouna ʻia kēlā me kēia ʻiʻo i wehe ʻia ma kēia ʻano i kahi keʻena hoʻokolohua e hoʻāʻo ʻia no nā hunaola kanesa. He mea nui loa kēia.
ʻAʻole pono e wehe ʻia nā puʻupuʻu āpau. Manaʻo pinepine ʻia ka wehe ʻana inā he postmenopausal ʻoe, loaʻa nā hōʻailona e like me ke kahe koko nui, pilikia ka hāpai ʻana, a inā manaʻo kāu kauka ua pilikia ʻoe i ka maʻi kanesa.
ʻO kekahi mau nīnau a ka poʻe he nui
He ʻeha anei ka wehe ʻana i kēia mau puʻupuʻu?
Ma mua o ke ʻoki ʻana, e hāʻawi ʻia ʻoe i ka anesthesia e hoʻomāʻū i ka wahi. No laila, ʻaʻole ʻoe e ʻeha nui. Hiki paha iā ʻoe ke manaʻo i kahi huki iki a i ʻole ke kaomi.
Pehea ka likelika o kēia mau mea he maʻi kanesa?
ʻO kēia ka makaʻu nui loa o nā kānaka a pau. Akā e hoʻomanaʻo, he hapa liʻiliʻi wale nō, ma kahi o 5%, o nā polyp uterine e ulu a lilo i maʻi kanesa.ʻOi aku ka kiʻekiʻe o ka pilikia inā he postmenopausal ʻoe a i ʻole he kahe koko kūpono ʻole. ʻO ia ke kumu e hoʻāʻo ʻia ai kekahi ʻiʻo i wehe ʻia.
Aia kekahi ala e pale aku ai i kēia mau mea?
ʻO ka mea pōʻino, ʻaʻohe ala maopopo e pale aku ai i kēia mau mea. Akā hiki iā ʻoe ke hōʻemi i kou pilikia i kekahi ʻano ma ka kaohi ʻana i kou kaumaha a me ke koko. ʻO ka mea nui loa, ʻo ia ke hele i nā nānā gynecological maʻamau . A laila hiki ke ʻike ʻia kekahi mea e like me kēia i ka wā mua.
I ka manawa hea e pono ai ʻoe e ʻike i ke kauka
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou a e ʻike koke i ke kauka kūpono.
- Inā he kiko a he kahe koko paha kou mai ka ʻōpū ma hope o ka pau ʻana o kou wā (ma hope o ka menopause).
- Inā ʻoe e kahe ke koko i ka wā o kou menstrual cycle.
- Inā he nui ke kahe koko i kou wā o ka menstruation a inā paha he ʻano ʻē loa kou pōʻaiapuni menstrual.
He mea maʻamau ka makaʻu ke loaʻa iā ʻoe ke kahe koko maʻamau ʻole e like me kēia. Akā i ka hapanui o nā hihia, ʻaʻole ke kumu o ka maʻi ʻaʻai, akā he puʻupuʻu e like me kēia. Akā he mea nui e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau e ʻike pono ai, a e wehe palekana ʻia inā pono.
Leka Lawe-Home
- He mea maʻamau nā polyp o ka ʻōpū, pinepine nā ulu ʻana ʻaʻole ia he maʻi ʻaʻai e kū ana ma ka paia o loko o ka ʻōpū.
- ʻO ka hōʻailona nui, ʻo ia ke kahe koko kūpono ʻole. E makaʻala i kēia, ʻoiai inā he kahe koko kou ma hope o ka menopause.
- ʻAʻole pono e wehe ʻia nā ʻiʻo āpau. Hoʻoholo ʻia ka lāʻau lapaʻau e kāu mau hōʻailona a me nā kumu pilikia.
- Inā he koko ʻē kou, mai hopohopo a noho ma ka home. E ʻike pono i ke kauka no ka hōʻoia kūpono a me ka ʻōlelo aʻoaʻo.
- He kūpono loa a palekana hoʻi nā lāʻau lapaʻau. Ke wehe ʻia, e pau loa nā hōʻailona.
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