Hoʻopiʻi Uterine

Hana ʻia ka ʻōpū ʻōpū i ka wā e hāʻule ai ka ʻōpū (uterus) a kaomi i ka wahi o ka wahine.

Mālama nā mākala, nā ligament, a me nā mea ʻē aʻe i ka uterus i loko o ke pelvis. Inā nāwaliwali a kīhaʻi paha kēia mau mea, hāʻule ka kōpū i loko o ke kaʻi wahine. Kapa ʻia kēia prolaps.

ʻOi aku ka maʻamau o kēia kūlana i nā wahine i loaʻa he 1 a ʻoi paha nā hānau ʻōpū.

ʻO nā mea ʻē aʻe i hiki ke kumu a alakaʻi paha i ka prolaps uterine e komo pū me:

• ʻElemakule maʻamau
• Ka nele o ka estrogen ma hope o ka menopause
• Nā kūlana e hoʻokau ana i nā mākala pelvic, e like me ka puʻu mau a me ka momona
• Pelvic tumor (kākaʻikahi)

ʻO ka hana pinepine ʻana i ka neʻe ʻana o ka ʻōpū ma muli o ka paʻa lōʻihi lōʻihi hiki ke hoʻonui i ka pilikia.

Pākuʻi ʻia paha nā ʻōuli:

• Ke kaomi a me ke kaumaha paha i ka pelvis a i ʻole ka paleko
• Nā pilikia me ka moekolohe
• ʻO ka pi i ka mimi a i ʻole ka noi koke ʻana e hoʻokahe i ka bladder
• ʻAcheiwi haʻahaʻa
• Uterus a me ka cervix e ʻōhū i loko o ka puka puka
• Hoʻopili hou i nā maʻi maʻi bladder
• Kahe koko ʻana
• Hoʻonui i ka hoʻokuʻu hoʻokuʻu ʻana

Eʻoi aku paha ka maikaʻi o nā ʻōuli ke kū aʻe a noho paha no ka manawa lōʻihi. ʻO ka hoʻoikaika kino a hāpai paha paha i mea e hōʻino ai i nā ʻōuli.

E hana kāu mea mālama ola i kahi hōʻike pelvic. E noi ʻia ʻoe e hāpai i lalo me he mea lā e hoʻāʻo ana ʻoe e hoʻokuke i kahi pēpē. Hōʻike kēia i ka mamao o ka hāʻule o kou kōpū.

• He akahai ka hoʻohaʻahaʻa Uterine ke hāʻule ka cervix i ka ʻaoʻao haʻahaʻa o ka lua.
• Kūpono ka prolaps Uterine ke hāʻule ka cervix mai ka hāmama ʻana.

Nā mea ʻē aʻe e hōʻike ai ka hōʻike pelvic:

• ʻO ka ʻōpū a me ka paia o mua o ka puki e ʻōhū ana i loko o ka lua (cystocele).
• ʻO ka rectum a me ka paia o hope o ka puki (rectocele) e ʻōhū nei i loko o ka lua.
• ʻO ka urethra a me ka puhā ma lalo o ka pelvis ma mua o ka maʻamau.

ʻAʻole pono ʻoe i ka lāʻau lapaʻau ke ʻole ʻoe e hoʻopilikia ʻia e nā ʻōuli.

E mālama ʻia nā wahine he nui i ka manawa e iho ai ka kōpū a hiki i ka hāmama ʻana o ka lua.

NA OLELO OLA

Hiki i ka mea aʻe ke kōkua iā ʻoe e kaohi i kāu mau hōʻailona.

• Lilo i ka paona inā nui ʻoe i ka momona.
• Hōʻalo i ka hāpai hāpai ʻana a i ʻole ke kānana ʻana.
• E mālama ʻia no ka maʻi kō mau. Inā pili kou palaho i ka puhipaka, hoʻāʻo e haʻalele.

PELEPELE VAGINAL

Koi aku paha kāu mea hāʻawi i ke kau ʻana i kahi kāpena a i ʻole ia palaka i like me ka Donut, i loko o ka ʻōpū. Kapa ʻia kēia he pessary. Mālama kēia mea i ka uterus ma kahi.

Hoʻohana ʻia ka pessary no ka wā pōkole a lōʻihi paha. Hoʻokomo ʻia ka hāmeʻa no kāu ʻōpala. Kūlike kekahi pessaries me kahi diaphragm i hoʻohana ʻia no ka kaohi hānau.

Pono e hoʻomaʻemaʻe pinepine i nā pessaries. I kekahi manawa pono lākou e hoʻomaʻemaʻe e ka mea hāʻawi. Hiki ke aʻo ʻia i nā wahine he nui e hoʻokomo, hoʻomaʻemaʻe, a hemo i kahi pessary.

ʻO nā hopena ʻē aʻe o nā pessaries:

• Hoʻokuʻu ʻaʻala ʻaʻala mai ka ʻōpū
• Hoʻonāukiuki i ka pale o ka ʻōpū
• Ulcer i ka puki
• Nā pilikia me ka moekolohe maʻamau

NA MEA HANA

ʻAʻole pono e hana i ke kaha a hiki i ka ʻoi aku o ka maikaʻi o nā hōʻailona prolaps ma mua o nā pilikia o ke ʻoki ʻana. E pili ana ke ʻano o ke kaha ʻana:

• ʻO ke koʻikoʻi o ka prolaps
• ʻO nā hoʻolālā a ka wahine no nā hāpai keiki e hiki mai ana
• ʻO ka makahiki o ka wahine, olakino, a me nā pilikia olakino ʻē aʻe
• ʻO ka makemake o ka wahine e hoʻomau i ka hana ʻoi

Aia kekahi mau hana ʻoki kino i hiki ke hana ʻia me ka ʻole o ka hemo ʻana o ka uterus, e like me ka hoʻopaʻa kapu. Pili kēia hana i ka hoʻohana ʻana i nā ligament kokoke e kākoʻo i ka kōpū. Loaʻa nā kaʻina hana ʻē aʻe.

ʻO ka manawa pinepine, hiki ke hana ʻia kahi hysterectomy liʻiliʻi ma ka manawa like me ke kaʻina hana e hoʻoponopono i ka prolaps uterine. Kekahi sagging o ka vaginal paia, urethra, bladder, a pololei hiki ke hoʻoponopono ʻoki kino i ka manawa like.

ʻO ka hapa nui o nā wahine me ka ʻole o ka uterine prolaps ʻaʻohe hōʻailona e koi ai i ka mālama.

Hiki ke maikaʻi nā pessaries vaginal no nā wahine he nui me ka prolaps uterine.

Hāʻawi pinepine ke kīʻaha i nā hopena maikaʻi loa. Eia nō naʻe, pono i kekahi mau wahine e hana hou i ka lāʻau i ka wā e hiki mai ana.

Ulceration a me ka maʻiʻaʻai o ka cervix a me ka vaginal paia hiki ke hana i loko o nā hihia nui o ka uterine prolaps.

Hiki ke loaʻa nā maʻi urinary tract a me nā hōʻailona urinary ma muli o kahi cystocele. Kūpilikiʻi a me nā hemorrhoids ma muli o kahi rectocele.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka prolaps uterine.

ʻO ka hoʻopaʻa ʻana i nā mākala pelvic ma ka hoʻohana ʻana i nā hana Kegel e kōkua i ka hoʻoikaika ʻana i nā mākala a hoʻoliʻiliʻi i ka makaʻu o ka hoʻomohala ʻana i ka uterine prolaps.

Hiki i ka Estrogen therapy ma hope o ka menopause ke kōkua me ka leo puʻupuʻu puʻupuʻu.

Hoʻomaha hoʻomaha pelvic - prolaps uterine; Hernia papahele pelvic; ʻŌpū ʻo Prolapsed; Kūpaʻa ʻole - prolaps

• Anatomia hānau wahine
• Uterus

ʻO Kirby AC, ʻo Lentz GM. Nā hemahema Anatomic o ka paia o ka ʻōpū a me ka papa pelvic: ka hernias o ka ʻōpū, inguinal hernias, a me ka pelvic organ prolaps: ʻike a me ka hoʻokele. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 20.

Magowan BA, Owen P, Thomson A. Pelvic organ prolaps. I: Magowan BA, Owen P, Thomson A, hua. ʻO nā Obstetrics Clinical a me nā Gynecology. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 10.

Newman DK, Burgio KL. Ka mālama Conservative o ka urinary incontinence: behavioral a me ka pelvic papahele therapy a me ka urethral a me nā pelvic manaʻo. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 80.

Winters JC, Smith AL, Krlin RM. ʻO ke kīʻaha hana hou a me ka ʻōpū no ka prolaps o ka pelvic organ. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 83.