He aha ka Torsion Ovarian?

Anter

• He aha nā hōʻailona?
• He aha ke kumu o kēia ʻano, a ʻo wai ka mea makaʻu?
• Pehea ia ʻike?
• He aha nā koho lapaʻau e loaʻa ai?
• Nā kaʻina hana
• Laau Lapaʻau
• Hiki paha nā pilikia?
• He aha ke kuanaʻike?

He mea maʻamau paha?

Hana ʻia ka ovarian torsion (adnexal torsion) ke wili ʻia kahi ovary a puni nā aʻa e kākoʻo iā ia. I kekahi manawa, wili ʻia paha ka paipu fallopian. ʻO kēia ʻano ʻeha e ʻokiʻoki i ka hāʻawi koko i kēia mau lālā.

ʻO ka Torsion ovarian kahi pilikia olakino. Inā mālama ʻole ʻia, hiki i ka hopena ke lilo i ovary.

ʻAʻole maopopo i ka pinepine o ka hana ʻana o ka ovarian torsion, akā ʻae nā kauka he hōʻailona maʻamau ʻole ia. E ʻike paha ʻoe i ka taryion ovarian inā loaʻa iā ʻoe kahi cista ovarian, kahi e hoʻonā ai i ka ovary. Hiki paha iā ʻoe ke hōʻemi i kou makaʻu ma ka hoʻohana ʻana i ka kaohi hānau hormonal a i ʻole nā ​​lāʻau ʻē aʻe e kōkua i ka hōʻemi ʻana i ka nui o nā cist.

E hoʻomau i ka heluhelu ʻana e aʻo ai i nā ʻōuli e kiaʻi ai, pehea e hoʻoholo ai i kāu pilikia āpau, ke ʻike ʻoe i kāu kauka, a me nā mea hou aʻe.

He aha nā hōʻailona?

Hiki i ka torsion ovarian ke kumu:

• ʻeha, ʻehaʻeha hiki ʻole i ka ʻōpū o lalo
• cramping
• nausea
• ka luaʻi

Kū koke kēia mau ʻōuli me ka ʻole o ka ʻōlelo aʻoaʻo.

I kekahi mau hihia, ʻeha, ʻūlū, a palupalu hoʻi i ka ʻōpū o lalo e hele mai a hele no kekahi mau pule. Hiki i kēia ke hana inā hoʻāʻo ka ovary e wili hou i kahi kūpono.

Kū ʻole kēia ʻano me ka ʻole o ka ʻeha.

Inā loaʻa ʻoe i ka nausea a i ʻole ka luaʻi me ka ʻole o ka ʻeha, he ʻano kumu ʻokoʻa kāu. Ma kēlā me kēia ala, pono ʻoe e ʻike i kāu kauka no ka hōʻoia.

He aha ke kumu o kēia ʻano, a ʻo wai ka mea makaʻu?

Hiki ke hana i ka Torsion inā kūpaʻa ʻole ka ovary. ʻO kahi laʻana, hiki i kahi cyst a i ʻole ovarian mass ke kumu i ka ovary e lilo i lopsided, e paʻa ʻole ai.

E hoʻomohala paha ʻoe i ka ovarian torsion inā ʻoe:

• loaʻa i ka polycystic ovarian syndrome
• he ligament ovarian lōʻihi, ʻo ia ka fibrous stalk e hoʻohui i ka ovary i ka uterus
• ua loaʻa he tubigation ligation
• he
• ke mālama nei i nā hōʻailona hormonal, maʻamau no ka infertility, hiki ke hoʻoulu i ka ovary

ʻOiai hiki kēia i nā wahine a me nā kaikamahine i kēlā me kēia makahiki, hiki ke hana ʻia i nā makahiki hānau.

Pehea ia ʻike?

Inā ʻoe e ʻike nei i nā ʻōuli o ka ovary torsion, e ʻimi koke i ka lāʻau. ʻO ka lōʻihi o ke ʻano e mālama ʻole ʻia ai, ʻo ka nui paha ia o kou ʻike i nā pilikia.

Ma hope o ka loiloi ʻana i kāu mau hōʻailona a me ka loiloi ʻana i kāu mōʻaukala olakino, e hana ana kāu kauka i kahi hoʻokolohua pelvic e huli i nā wahi o ka ʻeha a me ka palupalu. E hana pū lākou i kahi ultrasound transvaginal e nānā i kāu ovary, tube fallopian, a me ke kahe o ke koko.

E hoʻohana pū kāu kauka i nā hoʻokolohua koko a me ka mimi e kāpae i nā diagnose kūpono ʻē aʻe, e like me:

• maʻi maʻi urinary tract
• abscess ovarian
• hāpai keiki ectopic
• pākuʻi

ʻOiai hiki i kāu kauka ke hana i kahi hōʻailona mua o ka ovary torsion e pili ana i kēia mau hopena, hana pinepine ʻia kahi wehewehe paʻa i ka wā o ka hoʻoponopono pololei.

He aha nā koho lapaʻau e loaʻa ai?

E hana ʻia ka ʻoki kino e wehe i kāu ovary, a, inā pono, i kāu Tube fallopian. Ma hope o ke kahakaha ʻana, hiki i kāu kauka ke kuhikuhi i ka lāʻau e hōʻemi i kou makaʻi o ka hoʻi hou ʻana. ʻO ka manawa he pono paha e hemo i ka ovary i loli.

Nā kaʻina hana

E hoʻohana kāu kauka i hoʻokahi o nā kaʻina hana ʻelua e wehe i kāu ovary:

• Laparoscopy: E hoʻokomo kāu kauka i kahi mea hana uila, i kukui ʻia i loko o kahi incision liʻiliʻi i loko o kou ʻōpū o lalo. E ʻae kēia i kāu kauka e ʻike i kāu nā loko o loko. E hana lākou i kahi ʻokiʻoki hou e ʻae ai i ke komo ʻana i ka ovary. Ke kiʻi ʻia ka ovary, e hoʻohana kāu kauka i kahi kuʻina kipi a i ʻole nā ​​mea hana e wili iā ia. Pono kēia kaʻina hana i ka anesthesia ākea a hana pinepine ʻia ma kahi kumu maʻi maʻi. Koi paha kāu kauka i kēia ʻoki ʻana inā hāpai ʻoe.
• Laparotomy: Me kēia kaʻina hana, e hana kāu kauka i kahi ʻokiʻoki nui aʻe i kou ʻōpū o lalo e ʻae iā lākou e kiʻi i loko a wehe i ka ovary me ka lima. Hana ʻia kēia ʻoiai ʻoe ma lalo o ka anesthesia laulā, a koi ʻia ʻoe e noho ma ka haukapila i ka pō.

Inā hala ka manawa nui loa - a ʻo ka lilo lōʻihi o ke kahe o ke koko i make ai nā mea a puni - e kāʻili ke kauka iā ia:

• Oophorectomy: Inā ʻaʻole hiki ke ola i kāu kino ovarian, e hoʻohana kāu kauka i kēia hana laparoscopic e wehe i ka ovary.
• ʻO Salpingo-Oophorectomy: Inā ʻaʻole hiki ke ola i ka ʻola āpau a me ka fallopian, e hoʻohana kāu kauka i kēia kaʻina hana laparoscopic e hemo iā lāua ʻelua. Paipai paha lākou i kēia kaʻina hana e pale i ka hoʻi hou ʻana o nā wahine postmenopausal.

E like me kēlā me kēia ʻoki ʻana, hiki i nā pilikia o kēia mau kaʻina hana ke hoʻopili i ke kō ʻana o ke koko, ka maʻi, a me nā pilikia mai anesthesia.

Laau Lapaʻau

Hiki i kāu kauka ke koi aku i nā mea hōʻemi ʻeha ma luna o ka counter e kōkua i ka hōʻoluʻolu ʻana i kāu mau hōʻailona i ka wā o ke ola ʻana

• acetaminophen (Tylenol)
• ibuprofen (Advil)
• naproxen (Aleve)

Inā ʻoi aku ka ʻeha o kou ʻeha, hiki i kāu kauka ke kauoha i nā opioids e like me:

• ʻoxycodone (OxyContin)
• ʻoxycodone me ka acetaminophen (Percocet)

Hiki i kāu kauka ke kauoha i nā lāʻau hoʻomake hānau hānau nui a i ʻole nā ​​ʻano o ka kaohi hānau hormonal e hōʻemi i kou makaʻi o ka hoʻi hou ʻana.

Hiki paha nā pilikia?

ʻO ka lōʻihi o ka loaʻa ʻana o kahi hōʻailona a me ka mālama ʻana, ʻo ka lōʻihi o ka makaʻu o kāu kiko ovarian.

Ke hiki mai ka torsion, kahe ke koko i kāu ovary - a hiki paha i kāu tub fallopian - hoʻemi ʻia. ʻO ka hoʻemi hoʻolōʻihi ʻia ʻana i ke kahe o ke koko e hiki ai i ka necrosis (ka make ʻana o ka ʻaʻa. Inā kū kēia, e hoʻoneʻe kāu kauka i ka ovary a me nā mea ʻē aʻe i hoʻopili ʻia.

ʻO ke ala wale nō e hōʻalo ai i kēia pilikia ka ʻimi koke ʻana i ka lāʻau no kāu mau ʻōuli.

Inā nalowale kahi ovary i ka nekrosis, hiki nō i ka hāpai ʻana a me ka hāpai ʻana. ʻAʻole pili ka Torsion ovarian i ka momona i kekahi ʻano.

He aha ke kuanaʻike?

Manaʻo ʻia ʻo ka ovarian torsion he ulia pōpilikia, a koi ʻia ke ʻoki e hoʻoponopono iā ia. Hiki i ka lohi a me ka mālama ʻana ke hoʻonui i kou makaʻu i nā pilikia a hopena paha i nā ʻokiʻoki hou aʻe.

Ke kāhea ʻia ka ovary a wehe ʻia paha, ʻōlelo ʻia ʻoe e lawe i ka hānau hānau hormonal e hoʻemi i kou makaʻi o ke hoʻi hou ʻana. ʻAʻohe o Torsion hopena i kou hiki ke hāpai a hāpai i kahi hāpai keiki a hiki i ka manawa.