Mea Kākau: Lewis Jackson
Lā O Ka Hana: 7 Mei 2021
HōʻAno Hou I Ka Lā: 17 Nowemapa 2024
Anonim
Uterine Prolapse and Vaginal Prolapse for USMLE
Wikiō: Uterine Prolapse and Vaginal Prolapse for USMLE

Anter

He aha ka ʻōpū prolapsed?

ʻO ka uterus (ʻōpū) kahi ʻano muscular i paʻa ʻia e nā mākala pelvic a me nā liga. Inā kolo a nāwaliwali paha kēia mauʻiʻo a i ʻole nāwaliwali, ʻaʻole hiki iā lākou ke kākoʻo i ka uterus, e hana ana i ka prolaps.

Hana ʻia ka ʻōpū i ka wā e hāʻule ai ka uterus a paheʻe paha mai kona kūlana maʻamau a i loko o ka ʻōpū (canal hānau).

ʻAʻole piha a piha paha ka prolter Uterine. Kū kekahi prolaps pau ʻole i ka wā e liʻuliʻu wale ana ka uterus i loko o ka ʻōpū. Hana ʻia kahi prolaps piha i ka wā e hina ai ka ʻōpū i lalo loa a puka kekahi mau mea ma waho o ka ʻōpala.

He aha nā hōʻailona o ka prolaps uterine?

ʻO nā wahine i loaʻa i kahi prolaps uterine liʻiliʻi ʻaʻole paha e loaʻa kekahi mau ʻōuli. Kūkulu ke kaulike i ka prolaps koʻikoʻi i nā ʻōuli, e like me:

  • ka manaʻo e noho ana ʻoe ma kahi pōpō
  • kahe koko
  • hoʻonui hoʻonui
  • nā pilikia me ka moekolohe
  • ka uterus a i ʻole ka cervix e puka mai ana i waho o ka ʻōpū
  • kahi huki a i ʻole kaumaha kaumaha i ka pelvis
  • paʻa paʻa a paʻakikī i ka hele ʻana i kahi noho
  • nā maʻi palahalaha hou a i ʻole paʻakikī e hoʻokaʻawale i kāu ʻōpū

Inā hoʻomohala ʻoe i kēia mau ʻōuli, pono ʻoe e ʻike i kāu kauka a loaʻa koke i ka lāʻau. Me ka nānā pono ʻole, hiki i ke ʻano ke hoʻopilikia i kou ʻōpū, ʻōpū, a me ka moekolohe.


Aia kekahi mau kumu pilikia?

Hoʻonui ka makaʻu o ka loaʻa ʻana o kahi kōpū prolapsed i ka wā e emi ai ka makahiki o ka wahine a hoʻemi ʻia kāna mau estrogen. ʻO Estrogen ka hormone e kōkua ai i ka mālama ʻana i nā mākala pelvic ikaika. ʻO ka hōʻino ʻana i nā mākala pelvic a me nā ʻaʻa i ka wā o ka hāpai ʻana a me ka hānau hānau ʻia e alakaʻi i ka prolaps. ʻO nā wahine i ʻoi aku ma mua o hoʻokahi hānau hānau a i ʻole postmenopausal i ka makaʻu kiʻekiʻe loa.

ʻO kēlā me kēia hana e kau i ke kaomi ma luna o nā mākala pelvic hiki ke hoʻonui i kou makaʻu i kahi prolaps uterine. Nā kumu ʻē aʻe i hiki ke hoʻonui i kou makaʻu no ka maʻi me:

  • momona
  • ʻūhā mau
  • paʻa paʻa

Pehea e ʻike ʻia ai kēia maʻi?

Hiki i kāu kauka ke hōʻoia i ka prolaps uterine ma o ka loiloi ʻana i kāu mau ʻōuli a me ka hana ʻana i kahi hōʻike pelvic. I loko o kēia hoʻokolohua, e hoʻokomo kāu kauka i kahi mea i kapa ʻia he speculum e ʻae iā lākou e ʻike i loko o ka ʻōpala a nānā i ka aʻa a me ka pū. E moe paha ʻoe i lalo, a i ʻole e noi paha kāu kauka iā ʻoe e kū ma kēia hōʻike.


E noi paha kāu kauka iā ʻoe e hoʻomanawanui me he mea lā ke neʻe nei kou ʻōpū e hoʻoholo i ke kiʻekiʻe o ka prolaps.

Pehea e mālama ʻia ai?

ʻAʻole pono ka hoʻomaʻamaʻa mau no kēia ʻano. Inā koʻikoʻi ka prolaps, e kamaʻilio me kāu kauka e pili ana i kahi koho kūpono e kūpono iā ʻoe.

ʻO nā mālama Nonsurgical pū kekahi:

  • ke kaupaona ʻana i ke kaupaona e lawe i ke koʻikoʻi mai nā pelvic kūkulu
  • pale i ka hāpai hāpai kaumaha
  • hana i nā hana Kegel, ʻo ia nā papa pelvic papahele e kōkua i ka hoʻoikaika ʻana i nā mākala puʻupuʻu
  • komo i ka pessary, kahi mea i hoʻokomo ʻia i loko o ka ʻōpū e komo pono ma lalo o ka cervix a kōkua i ka pahu ʻana a hoʻokūpaʻa i ka pūpū a me ka pūpū

Ua aʻo maikaʻi ʻia ka hoʻohana ʻana o ka estrogen estrogen a hōʻike i ka hoʻomaikaʻi ʻana i ka hoʻoponopono hou ʻana o nā aʻa a me ka ikaika. ʻOiai e hoʻohana ana i ka estrogen vaginal e kōkua i ka hoʻonui ʻana i nā koho lapaʻau ʻē aʻe he mea kōkua, ma kāna iho ʻaʻole ia e hoʻohuli i ke alo o kahi prolaps.

ʻO nā hana ʻoki kino me ka hoʻomaha ʻana o ka uterine a i ʻole ka hysterectomy. Ma ke kau ʻana o ka uterine, hoʻonoho hou kāu mea kauka i ka uterus i kona kūlana kumu ma o ke hoʻopili hou ʻana i nā ligament pelvic a i ʻole me ka hoʻohana ʻana i nā mea ʻoki. I ka manawa o ka hysterectomy, hoʻoneʻe kāu mea kauka i ka uterus mai ke kino ma o ka ʻōpū a i ʻole ka pūpū.


Hoʻomaʻamaʻa pinepine ke kīʻaha, akā ʻaʻole ia e koi ʻia no nā wahine e hoʻolālā e hana keiki. Hiki i ka hāpai a me ka hānau ʻana ke kau i kahi kānana nui loa ma nā mākala pelvic, hiki ke wehe i nā hoʻoponopono ʻoki ʻana o ka kōpū.

Aia kekahi ala e pale ai i ka prolaps uterine?

ʻAʻole hiki ke pale ʻia ka prolter Uterine i kēlā me kēia kūlana. Eia nō naʻe, hiki iā ʻoe ke hana i kekahi mau mea e hōʻemi i kou makaʻu, me:

  • ke kiʻi ʻana i ka hoʻoikaika kino kino mau
  • ka mālama ʻana i kahi kaupaona olakino
  • hoʻomaʻamaʻa i nā hoʻoikaika kino Kegel
  • e ʻimi nei i ka lāʻau no nā mea e hoʻonui ai i ka nui o ke kaomi i ka pelvis, e laʻa me ka constipation mau a i ʻole ka tale

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