Ke manaʻo nei ʻoe i kekahi manawa he ʻano ʻē loa kou wā? A i ʻole ʻike ʻoe i kahi koko liʻiliʻi ma hope o ka pau ʻana o kou wā (ma hope o ka menopause)? He mea maʻamau loa ke manaʻo iki i ka makaʻu a me ka hopohopo ke ʻike ʻoe i kahi mea e like me kēia. Akā i ka hapa nui o ka manawa, ʻo ke kumu o kēia he ʻano polyp liʻiliʻi e ulu ana i loko o ka uterus. I kēia lā, e kamaʻilio kākou e pili ana i nā polyps uterine, a i ʻole `(Uterine Polyps)`, me ka makaʻu ʻole, a maʻalahi.
He aha nā polyps o ka ʻōpū?
ʻAe, e hoʻomaopopo maʻalahi kākou i kēia. E noʻonoʻo he uhi kou i loko o kou ʻōpū. Ma nā ʻōlelo lapaʻau, kapa mākou ia he endometrium . Hoʻokahe ʻia kēia uhi i kēlā me kēia mahina i ka wā menstruation. Lilo kekahi mau wahi o ka endometrium i ulu nui a ulu i loko o ka ʻōpū e like me kahi puʻupuʻu liʻiliʻi, e like me ka polyp liʻiliʻi. ʻO ia ka mea a mākou e kapa nei he 'Uterine Polyps'.
Aia paha kekahi a ʻoi aku paha o kēia mau mea. Hiki iā lākou ke ʻokoʻa ka nui mai ka liʻiliʻi e like me ka hua sesame a i ka nui e like me ka pōpō kolepa. Hoʻopili pinepine ʻia lākou i ka paia o ka ʻōpū e kahi ʻōpala liʻiliʻi.
ʻO ka mea nui , ʻo ka hapa nui o kēia mau ulu ʻana ʻaʻole ia he maʻi kanesa (benign) . No laila, mai hopohopo ke lohe ʻoe i kēia inoa. Eia nō naʻe, hiki iā lākou ke hoʻopilikia i ka menstruation a i kekahi manawa he hopena iki i ka momona.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia mau mea?
Piʻi ka likelika o ka ulu ʻana o kēia mau ulu me ka makahiki. ʻOi aku ka maʻamau ma waena o 40 a me 50 mau makahiki , ʻo ia ka manawa e hoʻokokoke ana i ka menopause (perimenopause). Hiki iā lākou ke hana ma hope o ka menopause (postmenopause). Eia nō naʻe, he mea kakaikahi loa kēia ʻano i ka poʻe ma lalo o 20 mau makahiki.
Eia kekahi, ʻoi aku ka nui o kou pilikia inā loaʻa iā ʻoe kēia mau mea:
- Inā nui loa kou kaumaha o ke kino: ʻO ia hoʻi, ua kaumaha nui ʻoe a momona paha.
- Inā he koko kiʻekiʻe kou (hypertension).
- Inā ʻoe e lawe ana i ka lāʻau Tamoxifen: He lāʻau kēia i hāʻawi pinepine ʻia no ka maʻi ʻaʻai umauma.
- Inā ʻoe e lawe nei i ka lāʻau lapaʻau hormone i loaʻa nā nui kiʻekiʻe o ka hormone estrogen.
He aha nā hōʻailona o kēia?
ʻO ka pinepine, ʻo ka hōʻailona nui a maʻamau o kēia mau puʻupuʻu, ʻo ia ke kahe koko kūpono ʻole . Eia nō naʻe, hiki i kekahi poʻe ke loaʻa iā lākou me ka ʻole o nā hōʻailona. I kekahi manawa ʻike ʻia lākou me ka ulia pōpilikia ke hana ʻia kekahi mea e like me ke scan no kekahi mea ʻē aʻe.
E nānā kākou i nā hōʻailona nui.
| Hōʻailona | I ka ʻōlelo maʻalahi... |
|---|---|
| Nā hana hewa o ka menstruation | ʻOkoʻa ka helu o nā lā o ka menstrual cycle, no laila hiki ʻole ke wānana pololei i ka wā e hiki mai ai. |
| Kahe nui ʻana o ke koko | Ke kahe koko nei ma mua o ka mea maʻamau i ka wā menstruation. |
| Ke kahe ʻana o ke koko i ka wā o ka menstruation | Nā kiko, ʻoiai i nā lā ʻaʻole ʻoe e menstruation. |
| Ke kahe koko ma hope o ka menopause | Ke kahe ʻana o ke koko a i ʻole ka ʻōhū ʻana mai ka ʻōpū ma hope o ka pau ʻana o kou wā. ʻAʻole kēia he mea maʻamau a pono ʻoe e ʻike koke i ke kauka. |
| Ka paʻakikī i ka hānau keiki ʻana (Infertility) | Ke hoʻāʻo nei e hāpai akā ʻaʻole i holomua a i ʻole ua hāʻule ka pēpē. |
| Ke kahe koko ma hope o ka moekolohe | I kekahi mau hihia, hiki i kēia ke lilo i hōʻailona. |
Ke kumu nei kēia i ka ʻeha?
ʻO ka maʻamau, ʻaʻole nui ka ʻeha o nā fibroids uterine. Eia nō naʻe, inā nui lākou, hiki iā lākou ke hana i kahi ʻeha palupalu ma ka ʻōpū haʻahaʻa a i ʻole ke kua, e like me ka mea i ʻike ʻia i ka wā o ka menstruation. Eia naʻe, ʻaʻole ʻo ka ʻeha ka hōʻailona nui o kēia maʻi.
No ke aha i hoʻokumu ʻia ai kēia mau puʻupuʻu i loko o ka ʻōpū?
ʻAʻole i ʻike ʻia ke kumu kikoʻī o kēia. Eia nō naʻe, manaʻoʻiʻo nā kānaka noiʻi he kuleana ko nā pae hormone , ʻoiai kahi hormone i kapa ʻia ʻo estrogen . E noʻonoʻo e pili ana i ia mea, ʻo ka estrogen ka mea e hoʻomānoanoa ai i ka uhi o kou uterus (endometrium) i kēlā me kēia mahina. No laila, ua manaʻoʻiʻo ʻia ma muli o ka hopena o kēia hormone e ulu nui ai kekahi mau wahi o ka paia uterine a hana ʻia kēia mau puʻupuʻu.
Pehea e ʻike ai ke kauka i kēia?
Ke ʻike ʻoe i ke kauka no nā hōʻailona āu i ʻōlelo ai ma luna, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona. E nīnau ʻo ia iā ʻoe i nā nīnau he nui e pili ana i kou pōʻaiapuni menstrual, ka nui o ke kahe ʻana o ke koko, pehea ka lōʻihi o kou loaʻa ʻana i kēia pilikia, a pēlā aku. A laila e hana ʻo ia i kahi hoʻokolokolo gynecological.
A laila, no ka hōʻoia ʻana inā he wili ʻiʻo kēia, e noi ʻia ʻoe e hana i hoʻokahi a ʻoi aku paha o nā hoʻokolohua ma lalo nei.
| Hoʻāʻo | I ka ʻōlelo maʻalahi, eia ka mea e hana nei ... |
|---|---|
| ʻO ka Ultrasound Transvaginal | Ua like kēia me ke scan maʻamau. Eia nō naʻe, hoʻokomo ʻia kahi mea liʻiliʻi a lahilahi ma o ka vagina e ʻike maopopo i loko o ka uterus. Hiki i kēia ke ʻike i nā mea e like me nā mānoanoa kūpono ʻole i loko o ka paia o ka uterine a me nā polyps. |
| Sonohysterography | ʻO kēia kekahi ʻanuʻu o ke scan like me ka mea i ʻōlelo ʻia ma luna. Maanei, ua hoʻokomo ʻia kahi liʻiliʻi o ka wai sterile, e like me ka saline, i loko o ka uterus ma o kahi ʻōmole lahilahi e hoʻopiha i ka uterus. ʻAe kēia i ke scan e ʻike maopopo i nā puʻupuʻu liʻiliʻi o ka ʻiʻo i loko. |
| Hysteroscopy | ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hoʻokomo ʻia ʻana o kahi ʻōmole lahilahi loa me kahi kāmela i hoʻopili ʻia (hysteroscope) ma o ka vagina a me ka cervix i loko o ka uterus. ʻAe kēia i ke kauka e nānā i nā mea i loko o ka uterus me kona mau maka ponoʻī. ʻO ka pōmaikaʻi nui o kēia, ʻo ia hoʻi,Inā he mau ʻiʻo pōpō palaoa, hiki iā ʻoe ke wehe koke iā lākou me ka hoʻohana ʻana i nā mea hana liʻiliʻi. |
| ʻO ka Biopsy Endometrial | Maanei, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka paia o loko o ka ʻōpū a hoʻouna ʻia i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana. Hiki i kēia ke ʻike inā he mau ʻāpana ʻē, e like me nā ʻāpana kanesa. |
He aha nā lāʻau lapaʻau no kēia?
ʻO ka mālama ʻia ʻana a i ʻole ka ʻole ʻana paha, ma muli ia o kekahi mau kumu, e like me kou mau hōʻailona, kou mau makahiki, a me kou pilikia o ka loaʻa ʻana o ka maʻi kanesa o ka māmā.
1. Ke kali makaʻala: Inā he ʻōpiopio ʻoe, ʻaʻole i hala i ka menopause, a ʻaʻohe hōʻailona, e ʻōlelo paha kāu kauka iā ʻoe e kali iki, no ka mea, e nalowale paha kekahi mau puʻupuʻu liʻiliʻi ma o lākou iho.
2. Nā lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau (e like me nā progestins) e hoʻoponopono i nā hormones ke kōkua i ka kaohi ʻana i nā hōʻailona. Eia nō naʻe, hoʻi pinepine nā hōʻailona ke hoʻōki ʻia ka lāʻau lapaʻau.
3. Wehe ʻoki kino: Inā he mau hōʻailona, inā ua postmenopausal ʻoe, a inā he pilikia iki o ka maʻi kanesa, e hoʻoholo ke kauka e wehe i ka polyp (polypectomy). Hana pinepine ʻia kēia me ka hoʻohana ʻana i ke ʻano hysteroscopy i ʻōlelo ʻia ma luna. He ʻano pololei loa a palekana hoʻi. ʻO ka polyp i wehe ʻia ma kēia ʻano e hoʻouna ʻia i ka lab e hoʻāʻo ʻia no nā cell kanesa.
He mea kākaʻikahi loa, ʻo ia hoʻi, inā ua hōʻoia ʻia aia nā hunaola kanesa i loko o ka ʻiʻo i wehe ʻia, pono paha ʻoe e hana i kahi ʻoki kino e wehe ai i ka ʻōpū (hysterectomy). Akā e hoʻomanaʻo he mea kākaʻikahi loa kēia.
Pono anei au e hopohopo no kēia? Hiki paha ke lilo i ka maʻi ʻaʻai?
ʻO kēia ka makaʻu nui loa a ka poʻe he nui.
ʻO ka nūhou maikaʻi, ʻaʻole ma kahi o 95% o nā fibroids uterine he maʻi kanesa . ʻO ia hoʻi, ma kahi o 5 o 100 mau wahine e loaʻa ka pilikia o ka loaʻa ʻana o ka maʻi kanesa. ʻOi aku ka kiʻekiʻe o kēia pilikia no kekahi mea i loaʻa ke kahe koko maʻamau ma hope o ka menopause.
ʻO ia ke kumu inā ʻike ke kauka i kahi puʻupuʻu, ʻoi aku hoʻi i loko o kekahi me nā hōʻailona, e wehe lākou a nānā iā ia. Hiki i kēlā ke hōʻoia 100% inā he mau hunaola kanesa a ʻaʻole paha. No laila, mai makaʻu pono ʻole, akā, mai hoʻowahāwahā i nā hōʻailona.
Leka Lawe-Home
- Inā he ʻano ʻē ke kahe ʻana o ke koko, ke kahe nei ke koko ma waena o nā menstruation, a i ʻole ma hope iki o ka menopause , mai hoʻowahāwahā iā ia a e ʻike pono i ke kauka.
- He maʻi maʻamau nā polyps o ka ʻōpū. Mai makaʻu e kapa iā lākou he maʻi ʻaʻai ke lohe ʻoe i ka inoa. ʻAʻole ka hapa nui o lākou he maʻi ʻaʻai.
- Aia ka lāʻau lapaʻau i kāu mau hōʻailona a me ke kūlana. Hiki paha iā ʻoe ke kali, lawe i ka lāʻau lapaʻau, a i ʻole e hana i kahi ʻoki maʻalahi e wehe ai.
- Ua holomua loa a palekana nā ʻoki kino e wehe ai i kēia mau mea. No laila, ʻaʻohe kumu e makaʻu ai. E kamaʻilio ākea me kāu kauka e pili ana i kēia.
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