Hysterectomy - heʻe - hoʻokuʻu
ʻO ʻoe i loko o ka haukapila e loaʻa ai kahi hysterectomy liʻiliʻi. ʻLelo kēia ʻatikala iā ʻoe i ka mea e kali ai a pehea e mālama ai iā ʻoe iho ke hoʻi ʻoe i ka home ma hope o ke kaʻina hana.
ʻOiai ʻoe i ka haukapila, loaʻa iā ʻoe kahi hysterectomy liʻiliʻi. Ua ʻokiʻoki kāu kauka lāʻau i kāu wahine. Ua wehe ʻia kou kōpū ma o kēia ʻoki.
Ua hoʻohana paha kāu kauka lāʻau i kahi laparoscope (kahi paipu lahilahi me kahi pahu paʻi liʻiliʻi ma luna) a me nā mea kani ʻē aʻe i hoʻokomo ʻia i loko o kou ʻōpū ma o nā ʻoki liʻiliʻi.
Ua hoʻoneʻe ʻia kahi ʻāpana a i ʻole āpau o kou kōpū. Ua wehe ʻia paha kāu mau paipu fallopian a i ʻole nā ovaries. Hiki paha iā ʻoe ke hoʻi i ka home i ka lā like me ke kahakaha, a i ʻole hoʻolilo ʻoe i 1 a 2 mau pō i ka haukapila.
He 3 a 6 mau pule paha ka lōʻihi o kou manaʻo. E loaʻa iā ʻoe ka hōʻoluʻolu nui i nā pule 2 mua. Pono ka hapanui o nā wahine e hoʻohana pinepine i ka lāʻau ʻeha a me ka palena ʻana i kā lākou hana i nā pule 2 mua. Ma hope o kēia manawa, luhi paha ʻoe akā ʻaʻole e ʻeha nui. ʻAʻole ʻoe makemake e ʻai nui.
ʻAʻohe ou scars ma kou ʻili ke hoʻohana ʻole kāu kauka i kahi laparoscope a me nā mea hana ʻē aʻe i hoʻokomo ʻia i loko o kou ʻōpū. I kēlā hihia, loaʻa iā ʻoe nā 2 a i ʻole 4 scars ma lalo o 1-inch (3 cm) ka lōʻihi.
E loaʻa paha ʻoe i kahi kiko kukui no 2 a 4 mau pule. He ʻākala, ʻulaʻula, a ʻeleʻele paha ia. ʻAʻohe ona ʻaʻala maikaʻi ʻole.
Inā loaʻa iā ʻoe ka hana moekolohe maikaʻi ma mua o ke kahakaha ʻana, pono ʻoe e hoʻomau i ka moekolohe maikaʻi ma hope. 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 hoʻonui mālie i ka nui o kāu hana i kēlā me kēia lā. E hele wāwae pōkole a hoʻonui i ka lōʻihi o kou hele lohi. Mai jogging, noho i luna, a i ʻole nā haʻuki ʻē aʻe a hiki i kou nānā ʻana me kāu mea hāʻawi.
Mai hāpai i kekahi mea ʻoi aku ke kaumaha ma mua o ka ipu waiū (3.8 L) no kekahi mau pule ma hope o ke kaha ʻana. Mai kalaiwa no nā pule 2 mua.
Mai hoʻokomo i kekahi mea i loko o kāu ʻōpū no 8 a 12 mau pule mua.Pākuʻi ʻia kēia a me ka hoʻohana ʻana i nā tampons.
Mai hoʻomaka i ka moekolohe ma kahi o 8 mau pule, a ma hope wale o ka ʻōlelo ʻana a kāu mea hāʻawi he maikaʻi. Inā loaʻa iā ʻoe nā hoʻoponopono āpau me kāu hysterectomy, pono ʻoe e kali i 12 mau pule no ka moekolohe. E hōʻoia me kāu mea hāʻawi.
Inā ua hoʻohana kāu kauka lāʻau i kahi laparoscope:
- Hiki iā ʻoe ke hemo i nā lole ʻeha a ʻauʻau i ka lā ma hope o ke kaha ʻana inā hoʻohana ʻia nā sutures (stitches), staples, a i ʻole glue e pani ai i kou ʻili.
- Uhi i kou mau ʻeha me ka wahī palu ma mua o ka holoi ʻana no ka pule mua inā hoʻohana ʻia nā ʻope lipi (Steri-Strips) e pani i kou ʻili. Mai hoʻāʻo e holoi i nā Steri-Strips. E hāʻule paha lākou 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 pulu i loko o kahi pahu wai a i ʻole pahu wai wela, a hele aku i ka ʻauʻau ʻana, a hiki i ke kauka ʻana e haʻi aku ua maikaʻi.
E hoʻāʻo e ʻai i nā mea ʻai liʻiliʻi ma mua o ka manawa maʻamau a loaʻa nā meaʻai māmā i waena. E ʻai i nā hua a me nā lau a nui a inu i nā kīʻaha 8 (2 L) o ka wai i kēlā lā i kēia lā e pale i ka pākī.
E mālama i kou ʻeha:
- E kauoha ana kāu mea hāʻawi i nā lāʻau ʻeha e hoʻohana ma ka home.
- Inā ʻoe e inu i nā pila ʻehaʻeha 3 a 4 mau manawa i ka lā, hoʻāʻo e lawe iā lākou i nā manawa like i kēlā me kēia lā no 3 a 4 mau lā. Hiki iā lākou ke hana ʻoi aku ka maikaʻi e hōʻoluʻolu i ka ʻeha i kēia ala.
- E hoʻāʻo e ala aʻe a neʻe a puni inā ʻoe e ʻeha ana i kou ʻōpū. E hoʻomāmā paha kēia i kou ʻeha.
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 hele i ke kākālina 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 o ka maʻi ʻoi aku ka ʻoi aku o ke kaumaha ma mua o ka nānā ʻana o ka māmā.
- He pehu a ʻulaʻula paha kou i kekahi o kou mau wāwae.
Hysterectomy puʻuwai - hoʻokuʻu; Kōkua ʻia ʻo Laparoscopically vaginal hysterectomy - hoʻokuʻu; LAVH - hoʻokuʻu
- Hysterectomy
ʻO Gambone JC. Nā kaʻina hana gynecologic: ke kiʻi ʻana i nā haʻawina a me nā ʻoki ʻana. I: Hacker NF, Gambone JC, Hobel CJ, eds. Hacker & Moore's Essentials of Obstetrics and Gynecology. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 31.
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.
Thurston J, Murji A, Scattolon S, et al. Helu 377 - Hysterectomy no nā ʻōnaehana gynaecologic benign. Ka Nūpepa o nā Obstetrics a me Gynecology Kanada (JOCG). 2019; 41 (4): 543-557. PMID: 30879487 pubmed.ncbi.nlm.nih.gov/30879487/.
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