Hoʻokomo ʻia ke aʻa Uterine

ʻO ka embterization o ke aniani Uterine (UAE) kahi hana e mālama ai i nā fibroids me ka ʻole o ke kahakaha. Uterine fibroids are noncancerous (benign) tumors that develop in the uterus (ʻōpū).

I ka wā o ke kaʻina hana, ʻoki ʻia ka hāʻawi koko i nā fibroids. ʻO kēia ke kumu o ka emi ʻana o nā fibroids.

Hana ʻia ʻo UAE e ke kauka i kapa ʻia he radiologist intervenal.

E ala ʻoe, akā ʻaʻole ʻoe e ʻeha. Kapa ʻia kēia he sedation ʻike. Hana ke kaʻina hana ma kahi o 1 a 3 mau hola.

Hana pinepine ʻia nā kaʻina hana i kēia ala:

• Loaʻa iā ʻoe kahi lāʻau hoʻohiamoe. ʻO kēia ka lāʻau e hoʻomaha a hiamoe ai ʻoe.
• Hoʻopili ʻia kahi painkiller kūloko (anesthetic) i ka ʻili a puni kou ʻūlū. Hoʻomaʻamaʻa kēia i ka wahi no laila ʻaʻole ʻoe e ʻeha.
• Hana ka radiologist i kahi ʻoki liʻiliʻi (incision) i kou ʻili. Hoʻokomo ʻia kahi paipu lahilahi (catheter) i loko o kou aʻa wahine. Aia kēia aʻa i luna o kou wāwae.
• Hoʻopili ka radiologist i ka catheter i loko o ke aʻa o kou uterine. Hāʻawi kēia aʻa i ke koko i ka kōpū.
• Hoʻokomo ʻia nā mea ʻili liʻiliʻi a gelatin paha ma o ka catheter i loko o nā kīʻaha koko e hāʻawi i ke koko i nā fibroids. Paʻa kēia mau huna i ka lako o ke koko i nā aʻa liʻiliʻi e lawe i ke koko i nā fibroids. Me ka ʻole o kēia loaʻa o ke koko, emi nā fibroids a make.
• Hana ʻia ʻo UAE i kou ʻaoʻao hema a me kou ʻaoʻao ʻākau ma o ka ʻokiʻoki like. Inā pono, mālama ʻia ma mua o 1 fibroid.

He ala maikaʻi ʻo UAE e mālama ai i nā ʻōuli i hoʻokumu ʻia e kekahi ʻano fibroids. Kūkākūkā me kāu kahu mālama ola inā e kūleʻa paha kēia kaʻina hana no ʻoe.

ʻO nā wahine i loaʻa iā UAE:

• Loaʻa nā ʻōuli e like me ke kahe ʻana o ke koko, ka helu haʻahaʻa o ke koko, ka ʻeha pelvic a i ʻole ke kaomi, ala ala i ka pō e mimi, a me ka constipation
• Ua hoʻāʻo mua i nā lāʻau a i ʻole nā ​​hormones e hōʻemi i nā ʻōuli
• I kekahi manawa ua loaʻa ʻo UAE ma hope o ka hānau hānau ʻana e mālama i ke kahe ʻana o ka maʻi puʻupuʻu nui loa

Palekana ʻo UAE i ka palekana.

ʻO nā pōʻino o nā kaʻina hana invasive he:

• Kahena
• ʻO kahi hopena maikaʻi ʻole i ka anesthetic a i ʻole ka lāʻau i hoʻohana ʻia
• Maʻi kīnā
• ʻUpala

ʻO nā pōʻino o UAE nā:

• ʻEha i kahi artery a i ʻole i ka kōpū.
• ʻAʻole hiki ke hoʻoliʻiliʻi i nā fibroids a mālama pono paha i nā ʻōuli.
• Nā pilikia kūpono me ka hāpai ʻana i ka wā e hiki mai ana. ʻO nā wahine e makemake ana e hāpai e kūkākūkā pono i kēia kaʻina hana me kā lākou mea lawelawe, ʻoiai e hoʻoliʻiliʻi paha ia i nā manawa o kahi hāpai hāpai maikaʻi.
• Ka nele o nā menstrual wā.
• Nā pilikia me ka hana ovarian a i ʻole ka menopause ma mua.
• ʻO ka hōʻoia ʻole a wehe i kahi ʻano maʻi ʻaʻai ʻano laha ʻole e hiki ke ulu i nā fibroids (leiomyosarcoma). ʻO ka hapa nui o nā fibroid he noncancerous (benign), akā ʻo nā leiomyosarcomas e hana i kahi helu liʻiliʻi o fibroids. ʻAʻole mālama a kuhi ʻole ʻo Embolization i kēia ʻano a hiki ke alakaʻi i ka ʻike lohi, a ʻo ka hopena maikaʻi paha ke mālama ʻia ia.

E haʻi mau i kāu mea hāʻawi:

• Inā hiki iā ʻoe ke hāpai, a i ʻole hoʻolālā ʻoe e hāpai i ka wā e hiki mai ana
• He aha nā lāʻau āu e lawe nei, e like me nā lāʻau, nā mea hoʻopili, a i ʻole nā ​​mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau

Ma mua o UAE:

• 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 noi i kāu kauka i nā lāʻau e pono ai ʻoe e lawe i ka lā o kou ʻoki ʻana.
• Inā puhi ʻoe, hoʻāʻo e kū. Hiki i kāu mea hāʻawi ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo a me ka ʻikepili e kōkua iā ʻoe e haʻalele.

I ka lā o UAE:

• E noi ʻia ʻoe ʻaʻole e inu a ʻai paha i kekahi mea no 6 a 8 mau hola ma mua o kēia kaʻina hana.
• E lawe i nā lāʻau a kāu kauka i haʻi aku ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E hōʻea i ka manawa kūpono i ka haukapila e like me ke kauoha.

Noho paha ʻoe i ka haukapila i ka pō. A i ʻole hiki iā ʻoe ke hoʻi i ka hale i ka lā like.

E loaʻa iā ʻoe ka lāʻau ʻeha. E aʻo ʻia ʻoe e moe pālahalaha no 4 a 6 mau hola ma hope o ke kaʻina hana.

E hāhai i nā ʻōkuhi ʻē aʻe e pili ana i ka mālama ʻana iā ʻoe iho ma hope o kou hoʻi ʻana i ka home.

ʻO ka maʻamau a paʻakikī i nā ʻōpū o ka ʻōpū a me nā pelvic ka mea maʻamau no 24 mau hola ma hope o ke kaʻina hana. Kū paha lākou i kekahi mau lā i 2 mau pule. Kūpilikiʻi paha nā kuʻi a ʻoi aku paha ma mua o 6 mau hola i ka manawa.

ʻO ka hapa nui o nā wahine e ola wikiwiki a hiki ke hoʻi i nā hana maʻamau ma waena o 7 a 10 mau lā. I kekahi manawa hiki i nā ʻāpana o ke kiko fibroid i mālama ʻia ke hele ma waena o kāu wahine.

Hana maikaʻi ʻo UAE e hoʻēmi i ka ʻeha, kaomi, a me ke kahe ʻana o ke koko mai ka fibroids i ka hapa nui o nā wahine i loaʻa ke kaʻina hana.

ʻAʻole hoʻoweliweli ʻo UAE ma mua o nā hana ʻoki lāʻau no nā fibroids uterine. Hiki i nā wahine he nui ke hoʻi wikiwiki i nā hana ma mua o ka ʻoki ʻana.

Hōʻike ka hapa nui o nā noiʻi e koi ana kekahi mau wahine i nā kaʻina hana hou e mālama piha i kā lākou mau hōʻailona. Hoʻopili kēia mau kaʻina hana i ka hysterectomy (ʻoki kino e hemo i ka uterus), myomectomy (ʻoki e wehe i ka fibroid) a i ʻole hana hou i ka UAE.

Uterine fibroid embolization; UFE; UAE

• ʻO ke komo ʻana o ke aʻa Uterine - hoʻokuʻu

ʻO Dolan MS, Hill C, Valea FA. Nā lehele wahine gynecologic Benign: ʻāpau, ʻōpua, ʻehaʻeha, uterus, oviduct, ovary, kiʻi ultrasound o nā pelvic. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 18.

Moravek MB, Bulun SE. Nā fibroids ʻōterine. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 131.

Kiu JB, Czeyda-Pommersheim F. Uterine fibroid embolization. I: Mauro MA, Murphy KPJ, Thomson KR, Venbrux AC, Morgan RA, eds. Nā hana alakaʻi alakaʻi kiʻi. ʻElua ed. Piladelapia, PA: Elsevier Saunders; 2014: chap 76.