Hoʻoponopono i ka paia mua o ka paia

ʻO ka hana hou o ka paia mua kahi hana ʻoki. Hoʻopili kēia ʻoki i ka paia mua (mua) o ka lua.

Hiki i ka paia mua ke lele i loko (prolaps) a puʻu paha. Kū kēia i ka wā e komo ai ka puhaka a i ʻole ka urethra i loko o ka lua.

E hana paha ka hoʻoponopono hou aia ʻoe ma lalo o:

• General anesthesia: E hiamoe ʻoe a hiki ʻole ke ʻeha.
• Anesthesia iwi kuamoʻo: E ala ʻoe, akā e nū ʻoe mai ka pūhaka a ʻaʻole ʻoe e ʻeha. E hāʻawi ʻia nā lāʻau iā ʻoe e hoʻomaha ai.

ʻO kāu kauka:

• E hana i kahi ʻokiʻoki ma ka paia o mua o kāu ʻōpala.
• E hoʻoneʻe i kāu pēpē i kona wahi maʻamau.
• Hiki paha ke pelu i kāu ʻōpala, a ʻokiʻoki paha i kahi o ia.
• E kau i nā sutures (nā humuhumu) i loko o nā mea ma waena o kāu puʻupuʻu a me ka wai. E paʻa kēia i nā paia o kāu puki ma kahi kūpono.
• E kau i kahi pale ma waena o kāu pēpē a me kou lua. Hiki ke hana i kēia kāpili i nā mea olaola i loaʻa i kūʻai ʻia (cadaveric tissue).Ua pāpā aku ʻo FDA i ka hoʻohana ʻana i nā mea synthetic a me nā holoholona i loko o ka ʻōpala e mālama ai i ka prolaps paia mua.
• Hoʻopili i nā sutures i nā paia o ka puki i nā mea kiko ma ka ʻaoʻao o kou pelvis.

Hoʻohana ʻia kēia kaʻina hana e hoʻoponopono i ka poholo ʻana a i ʻole ka huʻa ʻana o ka paia mua o ka paia.

ʻO nā ʻōuli o ka paia o ka paia pili mua:

• ʻAʻole hiki iā ʻoe ke hoʻokuʻu i kāu ʻōpū a pau loa.
• ʻIke paha kāu kīʻaha i nā manawa āpau.
• ʻIke paha ʻoe i ke kaomi i loko o kāu ʻōpala.
• Hiki paha iā ʻoe ke ʻike a ʻike paha i kahi ʻōhū i ka wehe o ka lua.
• Hiki paha iā ʻoe ke ʻeha ke moe ʻoe.
• Hiki paha iā ʻoe ke kahe i ka mimi ke hemo ʻoe, ʻūlū, a hāpai paha i kekahi mea.
• Loaʻa paha ʻoe i nā maʻi maʻi bladder.

ʻAʻole mālama kēia ʻoki ʻana iā ia iho i ka incontinence o ke koʻikoʻi. ʻO ka incontinence koʻikoʻi ke kahe ʻana o ka mimi ke hemo ʻoe, ʻūlū, a hāpai paha. ʻO ke kaha e hoʻoponopono i ke koʻikoʻi urinary incontinence hiki ke hana ʻia me nā ʻoki ʻē aʻe.

Ma mua o ka hana ʻana i kēia ʻoki, loaʻa paha i kāu kauka ola:

• E aʻo i nā hoʻoikaika kino mākua pelvic (hoʻoikaika kino Kegel)
• E hoʻohana i ka kirimaina estrogen i loko o kāu lua
• E hoʻāʻo i kahi hāmeʻa i kapa ʻia he pessary i loko o kāu puki e hoʻoikaika i ka mākala a puni ka wili

Nā pilikia no ka anesthesia a me ke kahakaha ʻana ma:

• Nā hopena i nā lāʻau
• Nā pilikia hanu
• Kahe ʻana o ke kahe, kahe koko
• Maʻi kīnā

Nā pilikia no kēia kaʻina hana:

• ʻO ka hōʻino i ka urethra, bladder, a i ʻole nā ​​ʻōpū
• Huʻi huhū
• Nā loli i ka ʻōpū (prolapsed vagina)
• ʻO ka mimi o ka mimi mai ka puki a i ʻole ka ʻili (fistula)
• Hoʻonui ʻole i ka miki ʻole
• ʻEha mau loa
• Nā pilikia mai nā mea i hoʻohana ʻia i ke kau ʻana (mesh / grafts)

E haʻi mau i kāu mea hoʻolako i nā lāʻau āu e lawe nei. E haʻi pū aku i ka mea hoʻolako e pili ana i nā lāʻau, nā mea hoʻopili, a i ʻole nā ​​mea kanu 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), warfarin (Coumadin), a me nā lāʻau ʻē aʻe paʻakikī i kou koko ke ʻū.
• E nīnau i kāu mea hāʻawi i nā lāʻau e pono ai e lawe i ka lā o kou ʻoki ʻana.

I ka lā o kou ʻoki kino:

• E noi pinepine ʻia ʻoe ʻaʻole e inu a ʻai i kekahi mea no 6 a 12 mau hola ma mua o ke kaha.
• E lawe i nā lāʻau a kāu mea hāʻawi i kauoha aku ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E haʻi aku kāu mea lawelawe iā ʻoe i ka wā e hōʻea ai i ka haukapila.

Loaʻa paha iā ʻoe kahi catheter e hoʻokahe i ka mimi no 1 a i ʻole 2 mau lā ma hope o ke kaha ʻana.

Aia ʻoe ma ka papaʻai wai a ma hope pono o ke kahakaha ʻana. Ke hoʻi mai kāu ʻōpū maʻamau, hiki iā ʻoe ke hoʻi i kāu papaʻai maʻamau.

ʻAʻole ʻoe e hoʻokomo i kekahi mea i loko o ka lua, hāpai i nā mea kaumaha, a i ʻole e moekolohe a hiki i ka ʻōlelo ʻana a kāu kauka lapaʻau ua maikaʻi.

E hoʻoponopono pinepine kēia ʻoki ʻana i ka prolaps a e hala nā ʻōuli. E mau ana kēia hoʻomaikaʻi no nā makahiki.

Hoʻoponopono i ka paia o ke kino; Colporrhaphy - hana hou i ka paia vaginal; Hoʻoponopono Cystocele - hana hou i ka paia vaginal

• Hoʻomaʻamaʻa Kegel - mālama pono iā ʻoe iho
• ʻO ka catheterization ponoʻī - wahine
• Mālama pōpoki Suprapubic
• Nā huahana incontinence urinary - mālama pono iā ʻoe iho
• ʻOki kino incontinence - wahine - hoʻokuʻu
• Nā ʻeke hoʻokahe mimi
• Ke loaʻa ʻoe i ka incontinence urinary

• Hoʻoponopono i ka paia mua o ka paia
• ʻO Cystocele
• Hoʻoponopono i ka paia o mua o ka paia (ka lāʻau ʻoki ʻana o ka incontinence urinary) - moʻo

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.

ʻO Winters JC, Krlin RM, Halllner B. ʻO ke kīpē a me nā ʻōpū o ka ʻōpū no ka prolaps o ka pelvic organ. I: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Piladelapia, PA: Elsevier; 2021: chap 124.

ʻO Wolff GF, Winters JC, Krlin RM. Hoʻoponopono ka mea pelvic organ mua. I: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, eds. ʻO Hinman's Atlas of Urologic Surgery. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 89.