Hysteroscopy

ʻO Hysteroscopy kahi hana e nānā ai i loko o ka ʻōpū (kōpū). Hiki i kāu mea mālama ola ke nānā i ka:

• Wehe i ka ʻōpū (cervix)
• I loko o ka ʻōpū
• ʻO nā wehe o nā paipu fallopian

Hoʻohana pinepine ʻia kēia kaʻina hana e kuhikuhi i nā pilikia kahe o ke kahe i nā wahine, hemo i nā polyps a i ʻole fibroids, a i ʻole hana i nā kaʻina hana sterilization. Hana ʻia paha ia i ka haukapila, kikowaena kikowaena o waho, a i ʻole ke keʻena o ka mea hāʻawi.

Loaʻa ka inoa ʻo Hysteroscopy mai ka mea lahilahi, mehana i hoʻohana ʻia e ʻike i ka ʻōpū, i kapa ʻia he hysteroscope. Hoʻouna kēia mea hana i nā kiʻi o loko o ka ʻōpū i kahi nānā wikiō.

Ma mua o ke kaʻina hana, e hāʻawi ʻia ʻoe i ka lāʻau e kōkua iā ʻoe e hoʻomaha a ālai i ka ʻeha. I kekahi manawa, hāʻawi ʻia ka lāʻau e kōkua ai iā ʻoe e hiamoe. Ma ke kaʻina hana:

• Hoʻokomo ka mea hoʻolako i ka laulā ma o ka ʻōpū a me ka cervix, i loko o ka ʻōpū.
• Hoʻokomo ʻia ke kōkō a i ʻole ka wai i loko o ka ʻōpū a laila hoʻonui ia. Kōkua kēia i ka mea hoʻolako e ʻike i ka maikaʻi o ka wahi.
• Hiki ke ʻike ʻia nā kiʻi o ka ʻōpū ma ka pakuhi wikiō.

Hiki ke kau ʻia nā mea hana liʻiliʻi ma o ka laulā e kāpae i nā ulu ulu ʻole (fibroids a polyps paha) a i ʻole nā ​​mea no ka hoʻokolokolo ʻana.

• ʻO kekahi mau mālama ʻana, e like me ka hoʻopau ʻana, hiki ke hana ʻia ma o ka laulā. Hoʻohana ʻo Ablasyon i ka wela, ke anuanu, ka uila, a i ʻole nā ​​nalu lekiō e hoʻopau i ka uhi o ka ʻōpū.

Hiki ke hala ka Hysteroscopy mai 15 mau minuke a ʻoi aku ma mua o 1 hola, ke kaukaʻi ʻia i ka mea i hana ʻia.

Hana ʻia kēia kaʻina hana i:

• Hana i nā wā kaumaha a i ʻole kaulike
• E ālai i nā paipu fallopian e pale ai i ka hāpai keiki
• Hoʻomaopopo i ke ʻano ʻokoʻa o ka ʻōpū
• ʻIke i ka mānoanoa o ka uhi o ka ʻōpū
• E ʻike a hemo i nā ulu ulu ʻole e like me polyps a fibroids paha
• E ʻike i ke kumu o ka hana hewa hou ʻana a wehe paha i nā mea ma hope o ka pohō hāpai
• Wehe i kahi mea intrauterine (IUD)
• Wehe i kaʻiʻo makaʻu mai ka ʻōpū
• Lawe i kahi kiko kiko (biopsy) mai ka cervix a i ʻole ka ʻōpū

Loaʻa paha i kēia kaʻina hana nā hoʻohana ʻē aʻe i helu ʻole ʻia ma aneʻi.

Pākuʻi ʻia paha nā pilikia o ka hysteroscopy:

• Hole (perforation) i ka paia o ka ʻōpū
• ʻO ka maʻi o ka uterus
  
• ʻO ka wili ʻana o ka pale o ka ʻōpū
• Poino i ka cervix
• Pono no ka ʻoki kino e hoʻoponopono hou i ka pohō
• Ka omo wai maʻamau ʻole i ke kaʻina hana e alakaʻi ana i nā pae sodium haʻahaʻa
• Kahe nui ke koko
• Poino i ka ʻōpū

Hiki i nā pilikia o nā ʻoki pelvic ke hoʻopili pū ʻia:

• Ka hōʻino ʻana i nā meaola a i ʻole nā ​​nāʻaʻa
• ʻO ke kahe o ke koko, hiki ke hele i nā akemāmā a make loa (laha ʻole)

Nā pilikia o ka anesthesia me:

• ʻO Nusea a me ka luaʻi
• Puʻupuʻu
• ʻEha poʻo
• Nā pilikia hanu
• Maʻi ʻaʻai

ʻO nā pōʻino o nā ʻoki kino pū kekahi:

• Maʻi kīnā
• Kahena

Loaʻa nā hopena biopsy ma waena o 1 a 2 mau pule.

Kauoha paha kāu mea hāʻawi i ka lāʻau e wehe i kou cervix. ʻOi aku ka maʻalahi o kēia e hoʻokomo i ka laulā. Pono ʻoe e lawe i kēia lāʻau ma kahi o 8 a 12 mau hola ma mua o kāu kaʻina hana.

Ma mua o kekahi ʻoki ʻana, e haʻi i kāu mea hāʻawi:

• E pili ana i nā lāʻau a pau āu e lawe ai. Hoʻopili kēia i nā huaora, nā mea kanu, a me nā mea hoʻohui.
• Inā loaʻa ʻoe i ka maʻi diabetes, maʻi puʻuwai, maʻi kidney, a i ʻole nā ​​pilikia olakino ʻē aʻe.
• Inā ʻoe a hāpai paha.
• Inā puhi ʻoe, hoʻāʻo e kū. E noi i kāu mea hāʻawi mai i kōkua. Hiki i ka puhihihi ke hoʻolohi i ka hōʻeha ʻana i ka ʻeha.

I nā 2 mau pule ma mua o kāu kaʻina hana:

• Pono paha ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau i paʻakikī i kou koko ke naue. Hoʻopili kēia i ka aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), clopidogrel (Plavix), a me warfarin (Coumadin). E haʻi aku kāu mea hāʻawi iā ʻoe i ka mea āu e lawe ai.
• E noi i kāu mea hāʻawi i nā lāʻau hiki iā ʻoe ke lawe i ka lā o kāu kaʻina hana.
• E haʻi i kāu mea hāʻawi inā loaʻa ʻoe i ke anu, flu, fever, oute herpes, a i ʻole nā ​​maʻi ʻē aʻe.
• E haʻi ʻia ʻoe i ka wā e hōʻea ai i ka haukapila. E noi inā pono ʻoe e hoʻonohonoho no kekahi e hoʻokele iā ʻoe i kou home.

I ka lā o ke kaʻina hana:

• E noi ʻia ʻoe ʻaʻole e inu a ʻai paha i kekahi mea ma mua o 6 a 12 mau hola ma mua o kāu kaʻina hana.
• E lawe i nā lāʻau i ʻae ʻia me kahi wai liʻiliʻi.

Hele paha ʻoe i ka hale i ka lā like. Kākaʻikahi, pono ʻoe e noho i ka pō. Loaʻa iā ʻoe:

• ʻO ke kūpikipiki e like me ka haehae a me ke kahe o ke kahe liʻiliʻi no 1 a 2 mau lā. E nīnau inā hiki iā ʻoe ke lawe i ka lāʻau ʻehaʻeha loa no ka cramping.
• ʻO kahi hoʻokuʻu wai no nā pule he nui.

Hiki iā ʻoe ke hoʻi i nā hana maʻamau o kēlā me kēia lā ma waena o 1 a 2 mau lā. Mai moekolohe a haʻi aʻe kāu mea lawelawe ua maikaʻi.

E haʻi aku kāu mea hāʻawi iā ʻoe i nā hopena o kāu kaʻina hana.

ʻOki kino Hysteroscopic; Operative hysteroscopy; Endoscopy Uterine; Uteroscopy; Kahe koko - hysteroscopy; Kahe ʻana o ka Uterine - hysteroscopy; Adhesions - hysteroscopy; Nā kīnā hānau - hysteroscopy

ʻO Carlson SM, Goldberg J, Lentz GM. Endoscopy: hysteroscopy a me laparoscopy: nā hōʻike, nā contraindications, a me nā pilikia. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 10.

Howitt BE, CM wikiwiki, Nucci MR, Crum CP. ʻO Adenocarcinoma, carcinosarcoma, a me nā tumo epithelial ʻē aʻe o ka endometrium. I: Crum CP, Nucci MR, Howitt BE, Granter SR, et al. nā ʻaoʻao Palekana Gynecologic a me nā Pathology Obstetric. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2018: chap 19.