ʻO ke komo ʻana o ke aʻa Uterine - hoʻokuʻu

ʻO ka embterization o ke aniani Uterine (UAE) kahi hana e mālama ai i nā fibroids me ka ʻole o ke kahakaha. Uterine fibroids are noncancerous (benign) tumors that develop in the uterus (ʻōpū). Hōʻike kēia ʻatikala iā ʻoe i ka mea āu e pono ai e mālama iā ʻoe iho ma hope o ke kaʻina hana.

Loaʻa iā ʻoe ka emberization o ka ʻaʻa uterine (UAE). ʻO UAE kahi hana e mālama ai i nā fibroids e hoʻohana ana i ka radiology ma kahi o ke ʻoki. I ka wā o ke kaʻina hana, ua ālai ʻia ka lako o nā fibroids. Ua hōʻemi kēia iā lākou. Ua hana nā kaʻina hana ma kahi o 1 a 3 mau hola.

Hāʻawi ʻia ʻoe i kahi lāʻau hōʻoluʻolu a ʻeha kūloko (anesthetic). Ua hana kahi radiologist intervenal i kahi 1/4-inch (0.64 centimetres) -ʻoki lōʻihi i kou ʻili ma luna o kou aʻa. Hoʻokomo ʻia kahi catheter (kahi paipu lahilahi) i loko o ke aʻa wahine ma ka piko o kou wāwae. Hoʻopili ka radiologist i ka catheter i loko o ke aʻa e hāʻawi i ke koko i kāu kōpū (arter uterus).

Ua hoʻokomo ʻia i loko o nā kīʻaha koko e lawe i ke koko i nā fibroids. Paʻa kēia mau mea i ka lako o ke koko i nā fibroids. Me ka ʻole o kēia lako o ke koko, e emi nā fibroids a laila make.

Loaʻa paha ʻoe i ke kuni haʻahaʻa a me nā ʻōuli ma kahi o hoʻokahi pule ma hope o ke kaʻina hana. ʻO kahi ʻūpā liʻiliʻi kahi i hoʻokomo ʻia ai ka catheter kahi mea maʻamau. Hiki paha iā ʻoe ke ʻoluʻolu i ka ʻeha cramping ʻeha no 1 a 2 mau pule ma hope o ke kaʻina hana. E hāʻawi aku kāu mea mālama ola iā ʻoe i ka palapala no ka lāʻau ʻeha.

Pono ka hapa nui o nā wahine i 1 i 2 mau pule e ola ai ma hope o UAE ma mua o ka hoʻi ʻana i ka hana. Lōʻihi paha ka 2 i ka 3 mau mahina no ka emi ʻana o kāu fibroids no nā ʻōuli e hoʻēmi a hoʻi hou kāu maʻamau i ka maʻamau. E hoʻomau ka emi ʻana o nā fibroid i ka makahiki e hiki mai ana.

Māmā i kou hoʻi ʻana mai i ka home.

• E neʻe mālie, no nā kau pōkole wale nō āu e hoʻi ai i ka home.
• Hōʻalo i nā hana ikaika e like me ka hana hale, ka hana ma ka pā, a me ka hāpai ʻana i nā keiki no 2 mau lā. Hiki iā ʻoe ke hoʻi i kāu hana maʻamau, māmā i 1 pule.
• E noi i kāu mea nāna e hāʻawi i ka lōʻihi o kou kali ʻana ma mua o ka moekolohe ʻana. Ma kahi paha o hoʻokahi mahina.
• Mai kalaiwa no 24 mau hola ma hope o kou hoʻi ʻana i ka hale.

E hoʻāʻo e hoʻohana i nā compresses mehana a i ʻole pad hoʻomehana no ka ʻeha pelvic. E lawe i kāu lāʻau ʻeha e like me ka mea a kāu mea i haʻi aku ai iā ʻoe. E ʻike pono i ka lako pono o nā pale hoʻomaʻemaʻe ma ka home. E noi i kāu mea nāna e hāʻawi i ka lōʻihi o kāu e hōʻole ai i ka hoʻohana ʻana i nā tampons a i ʻole ke douching ʻana.

Hiki iā ʻoe ke hoʻomau i kahi papaʻai olakino maʻamau ke hoʻi ʻoe i ka home.

• Inu iā 8 a 10 mau kīʻaha (2 a 2.5 liters) o ka wai a i ʻole ka wai momona ʻole i ka lā.
• E hoʻāʻo e ʻai i nā meaʻai i loko o ka hao he nui i kou wā e kahe ana i ke kahe.
• ʻAi i nā meaʻai fiber kiʻekiʻe e hōʻalo ai i ka paʻa paʻa. ʻO kou lāʻau ʻeha a me ka hana ʻole hiki ke hoʻonā i ka paʻa paʻa.

Hiki paha iā ʻoe ke lawe i nā ua i ka wā e hoʻi ai i ka home.

Mai lawe i nā ʻauʻau ʻauʻau, e hoʻopulu i ka paipu wela, a i ʻole hele i ka ʻauʻau no 5 mau lā.

E hāhai me kāu mea hāʻawi e hoʻonohonoho i nā ultrasound pelvic a me nā hōʻike.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• ʻO ka ʻehaʻeha ʻaʻole hiki ke kaohi ʻia i kāu lāʻau ʻeha
• ʻOi aku ka wela ma mua o 101 ° F (38.3 ° C)
• Nausea a i ʻole ka luaʻi
• Kahe i kahi i hoʻokomo ʻia ai ka catheter
• ʻO nā ʻeha ʻē aʻe kahi i hoʻokomo ʻia ai ka catheter a i ʻole ka wāwae i hoʻokau ʻia ai ka catheter
• Nā loli i ke kala a i ʻole ka mahana o kēlā me kēia wāwae

Uterine fibroid embolization - hoʻokuʻu; UFE - hoʻokuʻu; UAE - hoʻokuʻu

ʻO Dolan MS, Hill C, Valea FA. Nā ʻeha ʻeha gynecologic Benign. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 18.

Manyonda I, Belli AM, Lumsden MA, et al. Uterine-artery embolization a i ʻole myomectomy no ka uterine fibroids. N Engl J Med. 2020; 383 (5): 440-451. PMID: 32726530 pubmed.ncbi.nlm.nih.gov/32726530/.

ʻO Moss JG, Yadavali RP, Kasthuri RS. Nā hana o ka genitourinary vascular. I: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. ʻO Grainger & Allison's Diagnostic Radiology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 84.

Kiu JB. Uterine fibroid embolization. I: Mauro MA, Murphy KPJ, Thomson KR, Venbrux AC, Morgan RA, eds. Nā hana alakaʻi alakaʻi kiʻi. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2021: chap 43.

• Hysterectomy
• Hoʻokomo ʻia ke aʻa Uterine
• Nā fibroids ʻōterine

• Nā Fibroid Uterine