He aha ka mea e manaʻo ai mai Salpingo-Oophorectomy
Anter
- ʻO wai ka mea i loaʻa i kēia kaʻina hana?
- Pehea wau e hoʻomākaukau ai?
- He aha ka hana ma ke kaʻina hana?
- ʻOki ʻōpū wehe
- ʻOki kino Laparoscopic
- ʻOki kino Robotic
- He aha ke ʻano o ka hoʻōla?
- He aha nā hopena a me nā pilikia?
- Outlook
Hōʻike Overview
ʻO Salpingo-oophorectomy ke keʻoki e wehe i nā ovaries a me nā paipu fallopian.
Kapa ʻia ka hemo ʻana o hoʻokahi Tube ovary a me fallopian i unilateral salpingo-oophorectomy. Ke wehe ʻia nā mea ʻelua, kapa ʻia kahi salpingo-oophorectomy bilateral.
Hoʻohana ʻia kēia kaʻina hana e mālama i nā ʻano ʻano like ʻole, me ka maʻi ʻaʻai ovarian.
I kekahi manawa hemo nā ovaries olakino a me nā paipu fallopian e kōkua i ka pale ʻana i ka maʻi ʻaʻai ovarian i nā wahine e kūpilikiʻi nui nei. ʻIke ʻia kēia ma ke ʻano he hoʻemi hoʻoliʻiliʻi salpingo-oophorectomy.
Ua hōʻike ʻia ka maikaʻi o kēia ʻoki kino ʻana i ka hoʻohaʻahaʻa ʻana i ka makaʻu o ka umauma a me ka maʻi ʻaʻai ovarian. E aʻo hou aʻe e pili ana i nā kumu a me nā kumu pilikia no ka maʻi ʻaʻai ovarian.
ʻAʻole pili ka Salpingo-oophorectomy i ka hemo ʻana o ka uterus (hysterectomy). Akā ʻaʻole ia he mea maʻamau ke hoʻokō ʻia nā kaʻina hana ʻelua i ka manawa like.
ʻO wai ka mea i loaʻa i kēia kaʻina hana?
He moho maikaʻi paha ʻoe no kēia kaʻina hana inā pono ʻoe i ka lāʻau no:
- maʻi ʻaʻai ovarian
- endometriosis
- tumors, cista, a i ʻole abscesses
- ovarian torsion (wili o ka ovary)
- he maʻi pelvic
- hāpai keiki ectopic
Hiki nō ke hoʻohana ʻia e hōʻemi i ka makaʻu o ka maʻi ʻaʻai a me ka maʻi ʻaʻai o ka umauma i nā wahine kūpilikiʻi nui, e like me ka poʻe e hāpai ana i nā hoʻololi genic BRCA. ʻO ka hōʻemi ʻana i ka makaʻu o ka umauma a me ka maʻi ʻaʻai ovarian kekahi koho kūpono a me ke kumu kūʻai kūpono.
Ma hope o ka hemo ʻana o kāu mau ovaries, e hānau ʻole ʻoe. He manaʻo nui kēlā inā premenopausal ʻoe a makemake e hāpai i kahi keiki.
Pehea wau e hoʻomākaukau ai?
I ka manawa e hemo ai nā ovaries ʻelua a me nā paipu fallopian, ʻaʻohe ou manawa hou a hiki ʻole ke hāpai. No laila inā ʻoe makemake e hāpai, e kūkākūkā i kāu mau koho āpau me kāu kauka.
Akamai paha e launa me kahi loea hānau ma mua o ka hoʻonohonoho ʻana i ke ʻoki.
Ma hope o ke kaha ʻana, ua hōʻea ʻoe i ka menopause piha a he hopena ʻē aʻe ka hopena o ka estrogen. E kamaʻilio me kāu kauka e pili ana i nā hopena āpau e hiki ai i kēia ʻoki a me nā ala e hoʻomākaukau ai no nā loli āu e ʻike ai.
Hiki ke hana i ke ʻoki me ka hoʻohana ʻana i kahi ʻoki nui, kahi laparoscope, a i ʻole ka lima robotic. E nīnau i kāu kauka i ke ʻano ʻoi loa no ʻoe a no ke aha.
Ma muli o ka hana ʻana o kāu ovaries i ka hapa nui o ka estrogen a me ka progesterone i loko o kou kino, e nīnau e pili ana i nā pōmaikaʻi a me nā maikaʻi ʻole o ka hoʻoliʻiliʻi hormone. E haʻi i kāu kauka e pili ana i nā ʻano olakino ʻē aʻe a me nā lāʻau āpau āu e lawe ai.
E hoʻomaopopo pono e kāhea aku i kāu ʻinikua e ʻike inā e uhi lākou i kēia kaʻina hana. Hiki i ke keʻena o kāu kauka ke kōkua iā ʻoe me kēia.
Eia kekahi mau ʻōlelo aʻoaʻo aʻoaʻo hou aʻe:
- ʻAʻole hiki iā ʻoe ke hoʻokele iā ʻoe iho i ka home mai ka haukapila, no laila e kau i ka holo ma mua.
- Hoʻonohonoho i ke kōkua ma hope o ke kaha. E noʻonoʻo e pili ana i ka mālama keiki, nā hana, a me nā hana o ka hale.
- Inā ʻoe e hana, makemake ʻoe e hoʻonohonoho i ka manawa me kāu luna hana i hiki iā ʻoe ke hoʻihoʻi mai ke kaʻina hana. Hiki paha iā ʻoe ke hoʻohana i nā keu kīnā wā pōkole, inā loaʻa. E kamaʻilio i kāu ʻoihana kumuwaiwai kanaka e aʻo e pili ana i kāu koho.
- Paka i kahi ʻeke haukapila me nā paheʻe a i nā kākini paha, ka ʻaahu, a me kekahi mau mea ʻauʻau. Mai poina i ka lawe ʻana mai i nā lole leʻaleʻa maʻalahi e hoʻokomo no ka huakaʻi home.
- Mālama i ka lumi kuke me nā mea e pono ai a hoʻomākaukau i kekahi mau lā no ka ʻai no ka pahu hau.
E hāʻawi kāu kauka i nā ʻōkuhi e pili ana i ka manawa e hōʻoki ai i ka ʻai a me ka inu ma mua o ke ʻoki ʻana.
He aha ka hana ma ke kaʻina hana?
Hiki ke hoʻokokoke aku iā Salpingo-oophorectomy i kekahi mau ʻano. Lawe ka ʻoki ma waena o 1 a me 4 mau hola.
ʻOki ʻōpū wehe
Pono ke ʻoki kuʻuna i ka anesthesia ākea. Hoʻokomo ka lāʻau lapaʻau i kahi ʻoki i loko o kou ʻōpū a hemo i nā ovaries a me nā paipu fallopian. A laila humuhumu ʻia, hoʻopaʻa ʻia a hoʻopili ʻia ka ʻokiʻoki.
ʻOki kino Laparoscopic
Hiki ke hana i kēia kaʻina hana ma lalo o ka anesthesia ākea a kūloko paha. ʻO kahi laparoscope kahi paipu me kahi kukui a me kahi kāmela, no laila hiki i kāu kauka keʻike i kāu mau pūpū pelvic me ka hana ʻole i kahi ʻokiʻoki nui.
Ma kahi o, ua hana ʻia he mau ʻoki liʻiliʻi no nā pono hana o ke kauka lāʻau e komo i nā ovaries a me nā paipu fallopian. Lawe ʻia kēia mau mea ma o nā ʻoki liʻiliʻi. ʻO ka hope, ua pani ʻia nā ʻokiʻoki.
ʻOki kino Robotic
Hana ʻia kēia hana ma o nā ʻoki liʻiliʻi. Hoʻohana ka mea hoʻopuka i ka lima robotic ma kahi o ka laparoscope.
Hoʻokomo ʻia me kahi kāmela, ʻae ka lima robotic i ka hiʻohiʻona kiʻekiʻe. ʻO nā neʻe kikoʻī o ka lima robotic e ʻae i ka kaukipō e huli a hemo i nā ovaries a me nā paipu fallopian. A laila pani ʻia nā ʻokiʻoki.
He aha ke ʻano o ka hoʻōla?
Hiki i ke kāpili laparoscopic a i ʻole robotic ke komo i ka noho ʻana i ka haukapila i hoʻokahi pō akā hiki i kekahi manawa ke hana ʻia ma kahi kumu maʻi maʻi. ʻO ke kaʻina o ka ʻōpū hāmama e koi paha i kekahi mau lā i ka haukapila.
Ma hope o ke kahakaha ʻana, loaʻa paha iā ʻoe nā bandages ma luna o kāu mau ʻokiʻoki. E haʻi aku kāu kauka iā ʻoe ke hiki iā ʻoe ke hemo iā lākou. Mai kau i nā lotions a i ʻole nā hamo ma nā ʻeha.
E kauoha paha kāu kauka i nā lāʻau antibiotic e pale aku i ka maʻi. Pono paha ʻoe i lāʻau lapaʻau ʻeha, keu hoʻi inā he ʻoki ākea kāu.
Ma hope iki o kou ala ʻana, paipai ʻia ʻoe e ala aʻe a hele wāwae. ʻO ka neʻe pinepine ʻana e kōkua i ka pale ʻana i ke koko. E aʻo ʻia ʻoe e hōʻalo i ka hāpai ʻana ma mua o kekahi mau paona a i ʻole ke komo ʻana i ka hoʻoikaika ikaika no kekahi mau pule.
Hiki iā ʻoe ke manaʻo i kahi hemo puka ma hope o ke kahakaha ʻana, akā pale i nā tampons a me ke douching.
Hiki paha iā ʻoe ke ʻike i nā lole leʻaleʻa ʻoi aku ka ʻoluʻolu i ka wā o ke ola.
Kaukaʻi ʻia i nā kikoʻī o kāu ʻoki ʻana, e hāʻawi ke kauka iā ʻoe i nā ʻōkuhi e pili ana i ka ʻauʻau a me ka ʻauʻau ʻana, a ke hiki iā ʻoe ke hoʻomaka hou i ka moekolohe. E haʻi aku kāu kauka iā ʻoe i ka manawa e hele mai ai no kahi ukali.
E hoʻomanaʻo, ke ola nei kēlā me kēia kanaka i kā lākou uku ponoʻī.
Ma ka laulaha, laparoscopic a me robotic surgeries e hoʻemi i ka liʻiliʻi o ka maʻi posturgical a me ka liʻiliʻi o ka scarring ma mua o ka ʻoki ʻana o ka ʻōpū. Hiki paha iā ʻoe ke hoʻomaka hou i nā hana maʻamau i loko o ʻelua a ʻekolu mau pule, a he ʻeono a ʻewalu paha mau pule no ka ʻoki ʻana i kou ʻōpū.
He aha nā hopena a me nā pilikia?
Manaʻo ʻia ʻo Salpingo-oophorectomy kahi hana e palekana ai, akā e like me nā ʻoki ʻana, aia kekahi mau mea ʻino. Hoʻopili kēia i ke kahe ʻana, ka maʻi, a i ʻole kahi hopena maikaʻi ʻole i ka anesthesia.
ʻO nā pilikia ʻē aʻe paha:
- huʻi koko
- ʻeha i kāu wahi urinary a i ʻole nā meaola e pili ana
- pōʻino nerve
- hernia
- ka hoʻokumu ʻana i nā ʻaʻa maka
- ālai ʻōpū
E haʻi koke i kāu kauka inā loaʻa iā ʻoe:
- ʻulaʻula a ʻōhū paha i ka wahi incision
- fiva
- kahe a wehe paha o ka ʻeha
- e hoʻonui nei i ka ʻeha o ka ʻōpū
- kahe nui kahe o ke kahe
- hoʻokuʻu hoʻokuʻu ʻaʻala
- pilikia i ka mimiki a neʻe paha i kou ʻōpū
- nausea a luaʻi paha
- pokole o ka hanu
- ʻeha ka umauma
- maule ana
Inā ʻaʻole ʻoe ma ʻō ma mua o ka menopause, hiki i ka hemo ʻana o nā ovaries ʻelua ke kumu koke i nā hopena i pili me kēia hoʻololi. Pākuʻi ʻia kēia mau mea:
- ʻālohilohi wela a me ka hou ka pō
- Maloʻo maloʻo
- paʻakikī i ka hiamoe
- hopohopo a me ke kaumaha
I ka wā lōʻihi, hoʻonui ka menopause i ka makaʻu o ka maʻi puʻuwai a me ka osteoporosis. E aʻo hou aʻe e pili ana i ka mea e kali ai i ka wā o ka menopause.
Outlook
Ua hōʻike ʻia ʻo Salpingo-oophorectomy e hoʻonui i ke ola no nā wahine e hāpai ana i nā hoʻololi genCCC.
Hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau ma waena o ʻelua a ʻeono pule.