Hoʻopau hoʻopau endometrial

ʻO kahi hoʻopau ʻana ʻo Endometrial kahi ʻoki a i ʻole ke kaʻina hana i hana ʻia e hōʻino ai i ka uhi o ka uterus i mea e hōʻemi ai i ke kahe menstrual kaumaha a hoʻolōʻihi paha. Kapa ʻia kēia uhi ka endometrium. Hana ʻia ke kīʻaha ma kahi haukapila, kikowaena kikowaena o waho, a i ʻole ke keʻena o ka mea hāʻawi.

ʻO kahi hoʻopau hopena endometrial kahi hana i hoʻohana ʻia e mālama ai i ke kahe koko ʻole ʻana e ka luku ʻana i nā kiko i ka uhi ʻana o ka uterine. Hiki ke hoʻoneʻe ʻia ke kiko ma ka hoʻohana ʻana:

• Nā hawewe lekiō kiʻekiʻe
• Ikehu ikehu
• Nā wai hoʻoulu
• Hoʻoikaika Balloon
• Paʻahau hau
• Au uila

Hana ʻia kekahi ʻano o nā kaʻina hana me ka hoʻohana ʻana i ka paipu lahilahi, kukui i kapa ʻia he hysteroscope nāna e hoʻouna i nā kiʻi o loko o ka ʻōpū i kahi nānā wikiō. Hoʻohana ʻia ka hapa nui o ka manawa anesthesia āpau no laila hiamoe ʻoe a manu ʻole ka ʻeha.

Eia nō naʻe, hiki ke hana i nā hana hou me ka hoʻohana ʻole ʻana i ka hysteroscope. No kēia mau mea, ua kī ʻia kahi kī o nā lāʻau numbing i loko o nā ʻalolo a puni ka cervix e ālai ai i ka ʻeha.

Hiki i kēia kaʻina hana ke mālama i nā wā kaumaha a i ʻole kaulike. E hoʻāʻo paha kāu mea mālama ola i nā lāʻau ʻē aʻe ma mua, e like me nā lāʻau hormone a i ʻole kahi IUD.

ʻAʻole e hoʻohana ʻia ka hoʻopau ʻana o endometrial inā makemake ʻoe e hāpai i ka wā e hiki mai ana. ʻOiai ʻaʻole kēia kaohi e pale iā ʻoe mai ka hāpai ʻana, hoʻemi ia i kou manawa e hāpai ai. He mea nui ka pale ʻana i ka hilinaʻi i nā wahine āpau i loaʻa ke kaʻina hana.

Inā hāpai ka wahine ma hope o ke kaʻina hana hoʻopau, hāʻule pinepine ka hāpai ʻana a i ʻole ke kiʻekiʻe paha o ka makaʻu ma muli o ka ʻili maka ma ka pūpū.

Nā pilikia o ka hysteroscopy me:

• Hole (perforation) i ka paia o ka ʻōpū
• ʻO ka wili ʻana o ka pale o ka ʻōpū
• ʻO ka maʻi o ka uterus
• Poino i ka cervix
• Pono no ka ʻoki kino e hoʻoponopono hou i ka pohō
• Kahe nui ke koko
• Poino i ka ʻōpū

Hoʻololi nā pilikia o nā kaʻina hana hoʻopau i ka hana i hoʻohana ʻia. Pākuʻi ʻia paha nā pilikia:

• Loaʻa i ka wai o ka nui o ka wai
• Ka hopena hoʻowali
• Pain a cramping ma hope o ke kaʻina hana
• Burns a i ʻole nā ​​ʻinoʻino mai nā hana e hoʻohana ana i ka wela

ʻO nā pōʻino o kēlā me kēia ʻano pelvic:

• 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

E mālama ʻia kahi biopsy o ka endometrium a i ʻole ka pale o ka kōpū i loko o nā pule ma mua o ke kaʻina hana. Hiki ke mālama ʻia nā wahine ʻōpio me ka hōmona e ālai ana i ka estrogen mai ka hana ʻia ʻana e ke kino no 1 a 3 mau mahina ma mua o ke kaʻina hana.

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 kino:

• E haʻi mau i kāu mea hoʻolako e pili ana i nā lāʻau āpau āu e lawe ai. Hoʻopili kēia i nā huaora, nā mea kanu, a me nā mea hoʻohui.
• E haʻi i kāu mea hāʻawi inā loaʻa ʻoe i ka maʻi diabetes, maʻi puʻuwai, maʻi ʻōpū, a i ʻole nā ​​pilikia olakino ʻē aʻe.

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 paha iā ʻoe nā pēpē e like me ka menstrual a me ke kahe o ke kahe liʻiliʻi no 1 a 2 mau lā. E noi i kāu mea hāʻawi inā hiki iā ʻoe ke lawe i ka lāʻau ʻehaʻeha loa no ka cramping.
• Loaʻa paha kahi hoʻokuʻu wai iā ʻoe a hala i mau pule.
• 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.
• Loaʻa nā hopena biopsy me 1 a 2 mau pule.

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

Hoʻola ka pale o kou kōpū ma ka scarring. ʻO nā wahine e loaʻa pinepine i ka liʻiliʻi o ke kahe o ka menstrual ma hope o kēia kaʻina hana. E hōʻoki loa i kahi 30% a 50% o nā wahine i ka loaʻa ʻana o nā wā. ʻOi aku ka hopena o kēia i nā wahine kahiko.

Hysteroscopy - hoʻopau hoʻopau endometrial; Hoʻomaha hoʻopau kukuna; Hoʻopau hoʻopau endometrial - radiofrequency; Hoʻopau hoʻopau endometrial - hoʻoiho pāluna wela; Hoʻokiʻiliʻi Rollerball; Hoʻokiʻiliʻi hydrothermal; Hoʻomaha hoʻopau

ʻO Baggish MS. Hoʻokiʻiliʻi endometrial nonhysteroscopic minimally invasive. I: Baggish MS, Karram MM, eds. Atlas o ka pelvic anatomy a me ka ʻoki kino gynecologic. ʻEhā ed. Piladelapia, PA: Elsevier; 2016: chap 110.

ʻO Carlson SM, Goldberg J, Lentz GM. Endoscopy, hysteroscopy a me laparoscopy: nā hōʻailona, ​​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.