Hysterectomy - laparoscopic - hoʻokuʻu
Aia ʻoe i ka haukapila e hana i kahi ʻoki e wehe i kou kōpū. Ua hoʻoneʻe ʻia paha nā paipu fallopian a me nā ovaries. ʻO kahi laparoscope (kahi paipu lahilahi me kahi kāmela liʻiliʻi ma luna) i hoʻokomo ʻia ma o nā ʻoki liʻiliʻi i loko o kou ʻōpū i hoʻohana ʻia no ka hana.
ʻOiai ʻoe i ka haukapila, ua hana ʻoe i kahi keʻoki e wehe i kou kōpū. Kapa ʻia kēia he hysterectomy. Ua hana ke kaukōkō i 3 a 5 mau ʻoki liʻiliʻi i loko o kou ʻōpū. Ua hoʻokomo ʻia kahi laparoscope (kahi paipu lahilahi me kahi pahu paʻi liʻiliʻi ma luna) a me nā mea hana ʻoki liʻiliʻi ʻē aʻe i loko o kēlā mau ʻokiʻoki.
Ua hoʻoneʻe ʻia kahi ʻāpana a i ʻole āpau o kou kōpū. Ua lawe ʻia aku paha kāu mau tuba fallopian a i ʻole nā ovaries.
Ua hala paha ʻoe i kahi lā 1 i ka haukapila.
E lawe paha ma kahi o 4 a 6 mau pule nāu e ʻike ai i ka maikaʻi loa ma hope o kou ʻoki ʻana. ʻO nā hebedoma ʻelua iʻoi aku ka paʻakikī loa. Pono paha ʻoe e inu i nā lāʻau ʻeha mau.
Hiki i ka hapa nui o ka poʻe ke hōʻoki i ka lawe ʻana i ka lāʻau ʻeha a hoʻonui i ka pae o ka hana ma hope o ʻelua pule. Hiki i ka hapa nui o ka poʻe ke hana i nā hana maʻamau i kēia manawa, ma hope o ʻelua pule e like me ka hana pākaukau, ka hana keʻena, a me ka hele wāwae māmā. I ka hapanui o nā hihia, lawe ia i 6 a 8 mau pule no ka pae o ka ikehu e hoʻi i ka maʻamau.
Inā loaʻa iā ʻoe ka hana moekolohe maikaʻi ma mua o ke kaha ʻana, pono ʻoe e hoʻomau i ka moekolohe maikaʻi ma hope o kou hoʻōla piha ʻana. Inā loaʻa iā ʻoe nā pilikia me ke kahe nui ma mua o kāu hysterectomy, hoʻomaikaʻi pinepine ka hana moekolohe ma hope o ke kahakaha ʻana. Inā loaʻa iā ʻoe kahi hōʻemi o kāu hana moekolohe ma hope o kāu hysterectomy, e kamaʻilio me kāu mea mālama ola e pili ana i nā kumu a me nā hana kūpono.
E hoʻomaka i ka hele wāwae ma hope o ke kaha ʻana. E hoʻomaka i kāu hana i kēlā me kēia lā ke noʻonoʻo ʻoe i ia. Mai jogging, noho i luna, a pāʻani i nā haʻuki a hiki i kou nānā ʻana me kāu mea hāʻawi.
Neʻe a puni ka hale, ʻauʻau, a hoʻohana i ke alapiʻi ma ka home i ka pule mua. Inā ʻeha ke hana ʻoe i kekahi mea, e hoʻōki i ka hana i kēlā hana.
E nīnau i kāu mea hāʻawi e pili ana i ka hoʻokele. Hiki paha iā ʻoe ke hoʻokele ma hope o 2 a 3 mau lā inā ʻaʻole ʻoe e lawe i nā lāʻau ʻeha narcotic.
Hiki iā ʻoe ke hāpai i 10 mau paona a i ʻole 4.5 kilokilo (e pili ana i ke kaupaona ʻana o ke galani a i ʻole 4 liters o ka waiū) a ʻoi aku paha. MAI hana i kekahi hāpai hāpai kaumaha a i ʻole ke kanikau no nā 3 mau pule mua. Hiki paha iā ʻoe ke hoʻi i kahi hana pākaukau i loko o ʻelua mau pule. Akā, māluhiluhi paha ʻoe i kēia manawa.
Mai hoʻokomo i kekahi mea i loko o kāu ʻōpū no 8 a 12 mau pule mua. Hoʻopili kēia i ka douching a me nā tampons.
Mai moe kolohe ma kahi o 12 mau pule, a ma hope wale o ka ʻōlelo ʻana a kāu mea hāʻawi he maikaʻi. Ke hoʻomau nei i ka moekolohe ma mua o ka hiki ke alakaʻi i nā pilikia.
Inā hoʻohana ʻia nā sutures (stitches), staples, a i ʻole glue e pani ai i kou ʻili, hiki iā ʻoe ke hemo i nā pale o kou ʻeha (bandages) a ʻauʻau i ka lā ma hope o ke kaha ʻana.
Inā hoʻohana ʻia nā ʻope lipi e pani i kou ʻili, e hāloi lākou iā lākou iho ma kahi o hoʻokahi pule. Inā kū lākou ma kahi o 10 mau lā, e hoʻoneʻe iā lākou ke ʻōlelo ʻole kāu kauka iā ʻoe.
MAI hele a ʻauʻau a pulu paha i loko o ka pahu ʻauʻau a i wai wai wela a hiki i ka haʻi ʻana aku o kāu mea lawelawe iā ʻoe ua maikaʻi.
E hoʻāʻo e ʻai i nā meaʻai liʻiliʻi ma mua o ka maʻamau. E ʻai i nā meaʻai māmā i waena o nā meaʻai. E ʻai i nā hua a me nā lau a nui a inu hoʻi i 8 mau kīʻaha (2 liters) o ka wai i kēlā lā i kēia lā e pale i ka pākī.
Kāhea i kāu mea hāʻawi inā:
- Loaʻa kou kuni ma luna o 100.5 ° F (38 ° C).
- Ke kahe nei kou ʻeha ʻoki kino, ʻulaʻula a mehana hoʻi e hoʻopā, a i ʻole ka mānoanoa, melemele, a me ke kahawai ʻōmaʻomaʻo.
- ʻAʻole kōkua kāu lāʻau ʻeha i kou ʻeha.
- Paʻa ka hanu.
- He ʻūhū kāu hele ʻole.
- ʻAʻole hiki iā ʻoe ke inu a ʻai paha.
- He lōlō paha kou a luaʻi paha.
- ʻAʻole hiki iā ʻoe ke hoʻohele i kekahi gas a i ʻole ke neʻe ʻana o ka ʻōpū.
- He ʻeha a ʻā paha kou i ka wā e mimi ʻoe, a i ʻole hiki ʻole iā ʻoe ke mimī.
- Loaʻa iā ʻoe kahi hoʻokuʻu mai kāu ʻōpala i loaʻa kahi ʻala maikaʻi ʻole.
- Loaʻa iā ʻoe ke kahe ʻana o kou lua i ʻoi aku ka nui o ke kaumaha ma mua o ka nānā ʻana o ka māmā.
- Loaʻa iā ʻoe kahi hoʻokuʻu nui a me ka wai mai ka ʻōpala.
- He pehu a ʻulaʻula paha kou i kekahi o kou mau wāwae.
Supracervical hysterectomy - hoʻokuʻu; Ke hemo ʻana o ka kōpū - hoʻokuʻu; Laparoscopic hysterectomy - hoʻokuʻu; Huina laparoscopic hysterectomy - hoʻokuʻu; TLH - hoʻokuʻu; Laparoscopic supracervical hysterectomy - hoʻokuʻu; Kōkua ʻo Robotic hysterectomy laparoscopic - hoʻokuʻu
- Hysterectomy
Ke KulanuiʻAmelika o nā Obstetrics a me Gynecology. ʻO nā nīnau i nīnau pinepine ʻia, FAQ008, nā kaʻina hana kūikawā: hysterectomy. www.acog.org/Patients/FAQs/Hysterectomy. Hoʻohou ʻia ʻOkakopa 2018. Loaʻa iā Malaki 28, 2019.
ʻO Carlson SM, Goldberg J, Lentz GM. Endoscopy: hysteroscopy a me laparoscopy: nā hōʻike, nā contraindications a me nā pilikia. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 10.
ʻO Jones HW. ʻOki kino Gynecologic. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 70.
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