He aha ka mea e manaʻo ai mai Myomectomy

Anter

• ʻO wai ka moho maikaʻi?
• Pehea ʻoe e hoʻomākaukau ai no ke kaha?
• He aha ka hana ma ke kaʻina hana?
• Myomectomy ʻōpū
• Laparoscopic myomectomy
• Myomectomy Hysteroscopic
• Pehea ke ola?
• Pehea kona hopena?
• He aha nā pilikia a me nā pilikia?
• Pehea ke ʻano o ka ʻili?
• Nā kiʻi o nā scars myomectomy
• Pehea e pili ai kahi myomectomy i nā hāpai e hiki mai ana?
• He aha e manaʻo ai
• Q&A: Nā pilikia o ka hāpai ma hope o ka myomectomy
• Q:
• A:

He aha ka myomectomy?

ʻO Myomectomy kahi ʻano o ke kaha ʻana e hoʻohana ai e hemo i nā fibroids uterine. Koi paha kāu kauka i kēia ʻoki inā loaʻa i kāu fibroids nā hōʻailona e like me:

• ʻeha pelvis
• wā kaumaha
• kahe koko ʻole
• urination pinepine

Hiki ke hana ʻia kahi myomectomy i kekahi o nā ala ʻekolu:

• Hiki i ka myomectomy ʻōpū ke lawe i kāu kauka lāʻau i kāu fibroids ma o kahi ʻoki ākea ākea i loko o kou ʻōpū o lalo.
• ʻO ka myarectomy laparoscopic e ʻae i kāu kaukipō ma luna o kou fibroids ma o nā ʻoki liʻiliʻi. Hiki ke hana i kēia ma robot. ʻOi aku ka liʻiliʻi o ka invasive a ʻoi aku ka wikiwiki o ka hoʻōla ma mua o ka myomectomy o ka ʻōpū.
• Koi aku ʻo Hysteroscopic myomectomy i kāu kaukukō e hoʻohana i kahi laulā kūikawā e hemo ai i kāu fibroids ma o kāu ʻōpala a me kou pūpū.

ʻO wai ka moho maikaʻi?

ʻO Myomectomy kahi koho no nā wahine me nā fibroid e makemake e hāpai i ka wā e hiki mai ana, a i ʻole makemake e mālama i kā lākou kōpū no kekahi kumu ʻē aʻe.

ʻAʻole like me ka hysterectomy, lawe i kāu uterus holoʻokoʻa, wehe ʻo myomectomy i kāu fibroids akā haʻalele i kāu kōpū ma kahi. ʻAe kēia iā ʻoe e hoʻāʻo no nā keiki i ka wā e hiki mai ana.

Ke ʻano o ka myomectomy a ke kauka e paipai ai i ka nui a me kahi o kāu fibroids:

• Maikaʻi paha ka myomectomy ʻōpū iā ʻoe inā he nui a nui paha nā fibroids e ulu ana i kou paia uterine.
• Maikaʻi paha ka laparoscopic myomectomy inā he ʻoi aku ka liʻiliʻi a me ka liʻiliʻi o nā fibroids.
• Hiki ke ʻoi aku ka maikaʻi o ka myomectomy Hysteroscopic inā ʻoe he fibroids liʻiliʻi i loko o kou kōpū.

Pehea ʻoe e hoʻomākaukau ai no ke kaha?

Ma mua o kou ʻoki ʻana, hiki i kāu kauka ke kuhikuhi i ka lāʻau e hōʻemi i ka nui o kāu fibroids a maʻalahi hoʻi e hemo.

ʻO nā agonist hormonone hoʻokuʻu ʻia ʻo Gonadotropin, e like me leuprolide (Lupron), nā lāʻau lapaʻau e ālai i ka hana o ka estrogen a me ka progesterone. E hoʻokomo lākou iā ʻoe i ka menopause manawa ʻole. Ke hōʻoki loa ʻoe i ka lawe ʻana i kēia mau lāʻau, hoʻi mai kou wā menstrual a pono hiki ke hāpai.

Ke hui ʻoe me kāu kauka e hele i ke kaʻina hana, e hōʻoia e nīnau i kāu nīnau e pili ana i ka hoʻomākaukau a me ka mea e kali ai i kāu wā ʻoki.

Pono paha ʻoe i nā hoʻokolohua e hōʻoia i kou olakino no ke ʻoki. E hoʻoholo kāu kauka i nā hoʻokolohua āu e pono ai e pili ana i kāu mau pilikia. Hiki i kēia mau mea ke:

• hoʻāʻo koko
• uila uila
• MRI hoʻoili
• pelvic ultrasound

Hiki paha iā ʻoe ke haʻalele i ka lawe ʻana i kekahi mau lāʻau i mua o kāu myomectomy. E haʻi i kāu kauka e pili ana i kēlā me kēia lāʻau āu e lawe ai, e like me nā wikamina, nā mea hoʻopiha, a me nā lāʻau i kūʻai pono ʻole ʻia. E noi i kāu kauka i nā lāʻau e pono ai ʻoe e hōʻoki i ka lawe ʻana ma mua o kāu ʻoki a pehea ka lōʻihi e pono ai ʻoe e haʻalele iā lākou.

Inā ʻoe puhi, kū i ʻeono a ʻewalu mau pule ma mua o kou ʻoki ʻana. Hiki i ka puhihihi ke hoʻolohi i kāu hana hoʻōla a me ka hoʻonui ʻana i kou makaʻi i nā hanana cardiovascular i kou wā ʻoki. E noi i kāu kauka no ka ʻōlelo aʻoaʻo pehea e haʻalele ai.

Pono ʻoe e hōʻoki i ka ʻai ʻana a me ka inu ʻana i ke aumoe i ka pō ma mua o kāu ʻoki ʻana.

He aha ka hana ma ke kaʻina hana?

E ʻokoʻa ka hana ma muli o ke ʻano o ka myomectomy āu e loaʻa nei.

Myomectomy ʻōpū

Ma kēia kaʻina hana, e hoʻonoho ʻia ʻoe ma lalo o ka anesthesia laulā.

E hana mua kāu kaukipoki i kahi ʻokiʻoki ma o kou ʻōpū ma lalo i kou kōpū. Hiki i kēia ke hana i nā ʻano ʻelua:

• Kahi ākea ākea 3 a 4 ʻīniha ka lōʻihi, ma luna pono o kou iwi pubic. ʻO kēia ʻano ʻokiʻoki e hōʻemi i ka ʻeha a waiho i kahi ʻili liʻiliʻi akā ʻaʻole lawa paha e wehe i nā fibroids nui.
• ʻO kahi kīʻaha kū i luna mai lalo pono o kāu ʻōpū a i luna pono o kou iwi iwi. ʻAʻole hoʻohana pinepine ʻia kēia ʻano lūlū i kēia lā akā hiki ke hana ʻoi aku ka maikaʻi no nā fibroids nui a ʻokiʻoki i ke kahe ʻana.

I ka manawa i hana ʻia ai ka ʻokiʻoki, e hoʻoneʻe kāu mea kauka i kāu fibroids mai kou paia uterine. A laila e humuhumu pū lākou i nā papa o ka mākala uterine iā lākou.

ʻO ka hapa nui o nā wahine i loaʻa i kēia kaʻina hana he hoʻokahi a ʻekolu mau lā i ka haukapila.

Laparoscopic myomectomy

ʻOiai aia ʻoe ma lalo o ka anesthesia laulā, e hana ana kāu mea kauka iā ʻehā mau ʻoki liʻiliʻi. ʻO kēia mau mea ma kahi o ½-inch ka lōʻihi i kou ʻōpū o lalo. E hoʻopiha ʻia kou ʻōpū i ke kinoea kalapona e kōkua i ke kaukipō ʻike i loko o kou ʻōpū.

A laila kau ka mea lapaʻau i kahi laparoscope i hoʻokahi o nā ʻokiʻoki. ʻO ka laparoscope kahi Tube lahilahi, uila me ka pahu paʻi kiʻi ma kekahi wēlau. E hoʻokomo ʻia nā mea kani liʻiliʻi i loko o nā ʻokiʻoki ʻē aʻe.

Inā hana ʻia ke ʻoki lopopō, e kāohi kāu kauka lāʻau i nā mea kani i ka hoʻohana ʻana i ka lima robotic.

Hiki paha i kāu kaukipoki keʻokiʻoki i kou fibroids i mau ʻāpana liʻiliʻi e hemo iā lākou. Inā nui lākou, hiki i kāu kaukipoki ke loli i kahi myomectomy ʻōpū a hana i kahi ʻoki nui i loko o kou ʻōpū.

Ma hope, e hoʻoneʻe kāu kauka lapaʻau i nā mea kani, hoʻokuʻu i ke kinoea, a pani i kāu mau ʻokiʻoki. ʻO ka hapa nui o nā wahine i loaʻa i kēia kaʻina hana e noho i ka haukapila no hoʻokahi pō.

Myomectomy Hysteroscopic

E loaʻa iā ʻoe kahi anesthetic kūloko a waiho ʻia ma lalo o ka anesthesia ākea i kēia kaʻina hana.

E hoʻokomo ke kauka i kahi ākea lahilahi, i hoʻomālamalama ʻia ma o kāu ʻōpala a me kou pūpū i loko o kou kōpū. E kau lākou i kahi wai i loko o kou kōpū e hoʻonui iā ia e ʻae iā lākou e ʻike i ka maopopo o kāu fibroids.

E hoʻohana kāu kaukōkō i kahi loop loop e kahi i nā ʻāpana o kou fibroid. A laila, e holoi ka wai i nā ʻāpana o fibroid i lawe ʻia.

Hiki iā ʻoe ke hoʻi i ka home i ka lā like me kou ʻoki kino.

Pehea ke ola?

E loaʻa iā ʻoe kahi ʻeha ma hope o kāu ʻoki ʻana. Hiki i kāu kauka ke hāʻawi i ka lāʻau e mālama ai i kou pilikia. E ʻike pū ʻoe i kekahi mau wahi i kekahi mau lā i kahi mau pule.

Pehea ka lōʻihi e kali ai ʻoe ma mua o ka hoʻi ʻana i kāu mau hana maʻamau e pili ana i ke ʻano o ke kaʻina hana i loaʻa iā ʻoe. ʻO ke kahakaha wehe ka lōʻihi o ka manawa hoʻōla.

ʻO nā manawa hoʻōla no kēlā me kēia kaʻina hana:

• myomectomy ʻōpū: ʻehā a ʻeono pule
• myarectomy laparoscopic: ʻelua i ʻehā mau pule
• myomectomy hysteroscopic: ʻelua i ʻekolu mau lā

Mai hāpai i kekahi mea kaumaha a hoʻoikaika ikaika a hiki i ka hōʻoki ʻana o kāu mau ʻokiʻoki. E haʻi aku kāu kauka iā ʻoe ke hiki iā ʻoe ke hoʻi i kēia mau hana.

E noi i kāu kauka ke palekana iā ʻoe ke moekolohe. E kali paha ʻoe a ʻeono pule.

Inā makemake ʻoe e hāpai, e nīnau i kāu kauka ke hiki ke hoʻomaka palekana e hoʻāʻo. E kali paha ʻoe i ʻekolu a ʻeono mau mahina no kou kōpū e hoʻōla piha ai ke kauka ʻia i kāu ʻano o ke ʻoki.

Pehea kona hopena?

Loaʻa ka hapanui o nā wahine i nā hōʻoluʻolu e like me ka ʻeha pelvic a me ke kahe nui o ka menstrual ma hope o kā lākou ʻoki ʻana. Eia nō naʻe, hiki i nā fibroids ke hoʻi mai ma hope o ka myomectomy, keu hoʻi i nā wahine ʻōpio.

He aha nā pilikia a me nā pilikia?

Hiki ke loaʻa nā pōpilikia i kēlā me kēia ʻoki, a ʻaʻohe ʻokoʻa ka myomectomy. Kākaʻikahi nā pilikia o kēia kaʻina hana, akā hiki iā lākou ke hoʻopili:

• maʻi maʻi
• kahe nui ke koko
• poino i nā lālā kokoke
• he puka (perforation) i loko o kou kōpū
• nāʻiʻo e hiki ke ālai i kāu Tube fallopian a i ʻole ke alakaʻi i nā pilikia momona
• nā fibroid hou e koi ana i kahi kaʻina hana hoʻoneʻe ʻē aʻe

Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli ma hope o kāu kaʻina hana.

• kahe nui ke koko
• fiva
• ʻeha ʻeha loa
• pilikia hanu

Pehea ke ʻano o ka ʻili?

Inā loaʻa iā ʻoe kahi myomectomy o kou ʻōpū, ma kahi paha o hoʻokahi ʻīniha kou maʻa ma lalo o kāu laina lauoho pubic, ma lalo o kou kapa komo. Pau pū kēia welu i ka hala ʻana o ka manawa.

Palupalu paha kou ʻili a palaka paha i loko o nā mahina he nui, akā e emi kēia i ka manawa. E kamaʻilio me kāu kauka inā hoʻomau kou ʻeha, a i ʻole ke lilo i mea maʻalahi. I kekahi mau hihia, hiki i kāu kauka ke paipai e wehe hou i ka ʻili i hiki ke hoʻōla hou.

Hiki ke hōʻike ʻia nā scars mai kahi laparoscopic myomectomy ke kau nei i kahi bikini haʻahaʻa a i luna i ʻoki ʻia. ʻOi aku ka liʻiliʻi o kēia mau kaha ma mua o ka poʻe mai ka myomectomy o ka ʻōpū a hemo hoʻi lākou i ka manawa.

Nā kiʻi o nā scars myomectomy

Pehea e pili ai kahi myomectomy i nā hāpai e hiki mai ana?

Pili kou likelihood o ka hāpai ʻana i ke ʻano a me ka helu o nā fibroids i loaʻa iā ʻoe. ʻO nā wahine i ʻoi aku i ka ʻeono mau fibroid i hoʻoneʻe ʻia ma mua o ka poʻe i lawe ʻia nā fibroids liʻiliʻi.

Ma muli o kēia kaʻina hana e hoʻonāwaliwali ai i kou kōpū, aia kahi manawa e hiki ai i kāu kōpū ke haehae i ka wā o kou hāpai ʻana a i ʻole i ka wā o ka hana. E paipai paha kāu kauka iā ʻoe i kahi hoʻouna cesarean e pale ai i kēia pilikia. Paipai paha lākou i ka hoʻonohonoho ʻana i kēia ma mua koke o kou lā kūpono.

Hiki paha ke hoʻokō ʻia kāu cesarean ma o kāu pūnaewele incision myomectomy. Hiki i kēia ke hōʻemi i ka helu o nā scars i loaʻa iā ʻoe.

He aha e manaʻo ai

Inā loaʻa iā ʻoe nā fibroids uterine e hoʻomaka nei i nā ʻōuli, hiki ke hoʻohana ʻia ka myomectomy e hemo iā lākou a hoʻomaha i kāu mau hōʻailona. ʻO ke ʻano o ke kaʻina myomectomy āu e pili ai i ka nui o kāu fibroids a ma hea lākou e noho ai.

E kamaʻilio me kāu kauka e ʻike inā pono kēia ʻoki nou. E ʻike pono i ka ʻike i nā pono kūpono a me nā pilikia ma mua o ka hoʻoholo ʻana e hele i mua me ke kaʻina hana.

Q&A: Nā pilikia o ka hāpai ma hope o ka myomectomy

Q:

E noʻonoʻo ʻia ka hāpai ʻana ma hope o kahi myomectomy i ka makaʻu nui?

A:

Aia nā pilikia ma hope o kēia kaʻina hana, akā hiki iā lākou ke mālama maikaʻi ʻia e ke kamaʻilio pū ʻana me kāu kauka. Pono ʻoe e hoʻomaopopo i kāu kauka inā loaʻa kahi myomectomy ma mua o ka hāpai ʻana. He mea nui kēia i ka manawa a pehea ʻoe e hāʻawi ai, ka mea i ʻōlelo ʻia ma ke ʻano he ʻāpana cesarean, e hōʻalo i ka hana ʻana o kou kōpū. Ma muli o ka hana ʻia ʻana o kou kōpū, aia kekahi mauwaliwali i ka mākala o ka uterine. E hoʻomaopopo ʻoe i kāu kauka inā loaʻa ʻoe i ka ʻeha uterine a i ʻole ke kahe ʻana o ka wahine i ka wā e hāpai ana, ʻoiai he hōʻailona kēia o ka haki o ka uterine.