Hysterectomy

ʻO Hysterectomy kahi ʻoki e wehe ai i ka ʻōpū o kahi wahine (uterus). ʻO ka pūpū kahi pūnana muscular hollow e hānai i ka pēpē e ulu ana i ka wā hāpai.

Hiki paha iā ʻoe ke hoʻoneʻe i kahi āpau a ʻāpana paha o ka uterus i ka wā o ka hysterectomy. Hiki ke wehe ʻia nā paipu fallopian a me nā ovaries.

Nui a hewahewa nā ala e hana ai i kahi hysterectomy. Hana ʻia ia ma:

• ʻOkiʻoki i ka ʻōpū (kapa ʻia hāmama a i ʻole ʻōpū)
• ʻEkolu a ʻehā mau ʻoki liʻiliʻi i loko o ka ʻōpū a laila e hoʻohana ana i kahi laparoscope
• ʻO kahi ʻokiʻoki i ʻokiʻoki ʻia, kōkua ʻia e ka hoʻohana ʻana i ka laparoscope
• ʻO kahi ʻokiʻoki i ʻokiʻoki me ka hoʻohana ʻole ʻia o kahi laparoscope
• ʻEkolu a ʻehā mau ʻoki ʻoki liʻiliʻi i loko o ka ʻōpū, i mea e hana ai i ka robotic

E hoʻoholo ʻoe a me kāu kauka i ke ʻano o nā kaʻina hana. E hilinaʻi ka koho i kāu moʻolelo olakino a me ke kumu o ke ʻoki.

Nui nā kumu e pono ai i ka wahine he hysterectomy, e like me:

• ʻO Adenomyosis, kahi ʻano e kaumaha ai nā kau kaumaha
• Ka maʻi ʻaʻai o ka kōpū, ʻo ka maʻi ʻaʻai endometrial pinepine
• Ka maʻi ʻaʻai o ka cervix a i ʻole nā ​​hoʻololi ʻana i ka cervix i kapa ʻia ʻo ka cerpliptric displasia e hiki ai i ka maʻi ʻaʻai
• Ka maʻi ʻaʻai o ka ovary
• ʻEha pelvis wā lōʻihi (mau)
• Endometriosis loa ʻaʻole maikaʻi me nā lāʻau ʻē aʻe
• ʻO ke kahe nui, wā lōʻihi o ke kahe e kaohi ʻole ʻia me nā ʻano lāʻau ʻē aʻe
• ʻO ka paheʻe ʻana o ka kōpū i loko o ka lua (prolaps uterine)
• ʻO nā tumors i ka kōpū, e like me nā fibroids uterine
• Kahe ke kaohi ʻole ʻia i ka wā hānau

ʻO ka Hysterectomy kahi ʻoki nui. Hiki ke mālama ʻia i kekahi mau ʻano me nā kaʻina hana hoʻoemi liʻiliʻi e like me:

• Hoʻokomo ʻia ke aʻa Uterine
• Hoʻopau hoʻopau endometrial
• Ke hoʻohana nei i nā lāʻau hoʻomake hānau
• Ke hoʻohana nei i nā lāʻau ʻeha
• Ke hoʻohana nei i kahi IUD (mea intrauterine) e hoʻokuʻu i ka progestin hormone
• ʻO laparoscopy pelvic

Nā pilikia o kekahi ʻoki kino:

• Nā hopena āpau i nā lāʻau
• Nā pilikia hanu
• Hoʻopili ke koko, kahi e make ai ke hele lākou i nā ake māmā
• Kahena
• Maʻi kīnā
• ʻO ka hōʻeha i nā wahi o ke kino kokoke

Nā pilikia o ka hysterectomy:

• Hoʻopilikia i ka ʻōpū a i ʻole nā ​​ureter
• ʻEha i ka wā o ka moekolohe
• Menopause mua inā hemo nā ovaries
• Hoemi i ka hoihoi i ka moekolohe
• Hoʻonui i ka makaʻu o ka maʻi puʻuwai inā lawe ʻia nā ovaries ma mua o ka menopause

Ma mua o ka hoʻoholo ʻana e loaʻa i kahi hysterectomy, e nīnau i kāu mea mālama ola he aha ka mea e manaʻo ai ma hope o ke kaʻina hana. ʻIke nā wahine he nui i nā loli i ko lākou kino a me ko lākou manaʻo e pili ana iā lākou iho ma hope o ka hysterectomy. E kamaʻilio me ka mea hoʻolako, ʻohana, a me nā hoaaloha e pili ana i kēia mau loli ma mua o kāu ʻoki ʻana.

E haʻi i kāu hui mālama ola e pili ana i nā lāʻau āpau āu e lawe nei. Hoʻopili kēia i nā mea kanu, nā mea hoʻopiha, a me nā lāʻau ʻē aʻe āu i kūʻai ai me ka ʻole o ka lāʻau.

I nā lā ma mua o ke kaha ʻana:

• E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i ka aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin), a me nā lāʻau ʻē aʻe e like me kēia.
• E nīnau i kāu mea hāʻawi i nā lāʻau e pono ai e lawe i ka lā o kou ʻoki ʻana.
• Inā puhi ʻoe, hoʻāʻo e kū. E noi i kāu mea nāna e hāʻawi i ke kōkua no ka haʻalele.

I ka lā o kou ʻoki kino:

• E noi pinepine ʻia ʻoe mai inu a ʻai ʻole i kekahi mea no 8 mau hola ma mua o ke kaha.
• E lawe i nā lāʻau a kāu mea hāʻawi i kauoha ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E hōʻea i ka haukapila i ka manawa.

Ma hope o ke kahakaha ʻana, e hāʻawi ʻia iā ʻoe nā lāʻau ʻeha.

He paipu paha kāu, i kapa ʻia he catheter, hoʻokomo ʻia i loko o kāu pēke e hele i ka mimi. ʻO ka hapanui o ka manawa, hemo ka catheter ma mua o ka haʻalele ʻana i ka haukapila.

E noi ʻia ʻoe e ala aʻe a neʻe i ka wā e hiki ai ma hope o ke kaha ʻana. Kōkua kēia i ka pale ʻana i nā kahe koko mai kou mau wāwae a wikiwiki i ka hoʻōla.

E noi ʻia ʻoe e ala aʻe e hoʻohana i ka lumipaku ke hiki iā ʻoe. Hiki paha iā ʻoe ke hoʻi i kahi papaʻai maʻamau ke hiki ke hana me ka ʻole o ka nausea a me ka luaʻi.

Pehea kou lōʻihi e noho ai i ka haukapila pili i ka ʻano o ka hysterectomy.

• Hiki paha iā ʻoe ke hoʻi i ka home i ka lā aʻe ke hoʻopau ʻia ke kīʻaha ma o ka ʻōpū, me kahi laparoscope, a ma hope paha o ke keʻoki robotic.
• Ke hana ʻia kahi ʻoki ʻoki nui (incision) i loko o ka ʻōpū, pono paha ʻoe e noho i ka haukapila no 1 a 2 mau lā. Pono ʻoe e noho lōʻihi inā hana ʻia ka hysterectomy ma muli o ke kanesa.

Pehea ka lōʻihi e hoʻōla ai iā ʻoe e pili ana i ka ʻano o ka hysterectomy. ʻO nā manawa hoʻōla awelika ʻo:

• Hysterectomy ʻōpū: 4 a 6 mau pule
• Hysterectomy puʻuwai: 3 a 4 mau pule
• Kōkua iā Robot a i ʻole huila laparoscopic hysterectomy: 2 a 4 mau pule

Kuhi kahi hysterectomy i ka menopause inā hemo kāu ovaries. Hiki i ka hemo ʻana o nā ovaries ke alakaʻi i ka hoʻoliʻiliʻi sex drive. Koi paha kāu kauka iā estrogen replacement therapy. Kūkākūkā me kāu mea hāʻawi i nā pilikia a me nā pōmaikaʻi o kēia hoʻomaʻamaʻa.

Inā ua hana ʻia ka hysterectomy no ka maʻi ʻaʻai, pono ʻoe i kahi lāʻau hou aʻe.

Hysterectomy puʻupuʻu; Hysterectomy ʻōpū; Supracervical hysterectomy; Hysterectomy radical; Ka hemo ʻana o ka uterus; Hysterectomy Laparoscopic; Kōkua ʻia ʻo Laparoscopically vaginal hysterectomy; LAVH; Hysterectomy laparoscopic holoʻokoʻa; TLH; Laparoscopic supracervical hysterectomy; Kōkua me ka Robotically hysterectomy

• Hysterectomy - ʻōpū - hoʻokuʻu
• Hysterectomy - laparoscopic - hoʻokuʻu
• Hysterectomy - heʻe - hoʻokuʻu
• Mālama ʻeha ʻeha - wehe
• ʻO ke komo ʻana o ke aʻa Uterine - hoʻokuʻu

• Pelvic laparoscopy
• Hysterectomy
• Uterus
• Hysterectomy - Pūnaewele

Komite no ka hana Gynecologic. Manaʻo o ke kōmike no 701: ke koho ʻana i ke ala o ka hysterectomy no ka maʻi maikaʻi. ʻO Obstet Gynecol. 2017; 129 (6): e155-e159. PMID: 28538495 pubmed.ncbi.nlm.nih.gov/28538495/.

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.

ʻO Karram MM. Hysterectomy puʻupuʻu. I: Baggish MS, Karram MM, eds. Nā Atlas o ka Pelvic Anatomy a me nā ʻōpala Gynecologic. ʻEhā ed. Piladelapia, PA: Elsevier; 2016: chap 53.

ʻO Thakar R. He hui moe kolohe ka uterus? Hana moekolohe ma hope o ka hysterectomy. Sex Med Rev.. 2015; 3 (4): 264-278. PMID: 27784599 pubmed.ncbi.nlm.nih.gov/27784599/.