He aha ka Vaginal Prolapse?

Anter

• He aha nā hōʻailona?
• He aha ke kumu?
• Hoʻonui ka makaʻu paha kekahi mau wahine?
• Pehea ia ʻike?
• He aha nā lapaʻau e loaʻa ai?
• Nā koho lapaʻau Conservative
• ʻOki kino
• He aha nā pilikia kūpono?
• He aha e manaʻo ai

Hōʻike Overview

Hana ka vaginal prolaps i ka nāwaliwali o nā mākala e kākoʻo i nā lālā i ka pelvis o ka wahine. ʻAe kēia mea nāwaliwali i ka uterus, urethra, bladder, a i ʻole ke kolokū e iho i lalo i ka liʻiliʻi. Inā hoʻonāwaliwali nā mākala pelvic i ka liʻiliʻi, hiki i kēia mau mea ke puka i waho o ka lua.

Aia kekahi ʻano o ka prolaps.

• Anterior vaginal prolaps (cystocele a i ʻole urethrocele) ke hana ʻia i ka wā e hāʻule ai ka maʻi bladder i loko o ka moku.
• ʻO ka prolior vaginal prolaps (rectocele) ka wā e hoʻokaʻawale ai ka paia i ka pololei mai ka liʻiliʻi. Hāʻawi kēia i ka pololei i ka puʻu i loko o ka lua.
• ʻO ka prolaps utterine ke iho ka uterus i lalo i ka liʻiliʻi.
• ʻO ka prolical Apical (vaginal vault prolaps) ka wā e hāʻule ai ka cervix a i ʻole ka ʻaoʻao luna o ka puʻupuʻu i lalo i ka ʻōpala.

He aha nā hōʻailona?

ʻAʻole pinepine nā wahine i nā hōʻailona mai ka hoʻolaha ʻana o ka ʻōpū. Inā loaʻa iā ʻoe nā ʻōuli, pili kāu mau ʻōuli i ka meaola i hoʻonui ʻia.

Hiki i nā ʻōuli ke hoʻohui pū:

• he manaʻo piha i ka ʻōpū
• he puʻupuʻu i ka wehe ʻana o ka lua
• kahi ʻano kaumaha a i ʻole kaomi i ka pelvis
• he manaʻo e like me ʻoe e "noho ma kahi pōpō"
• ʻeha ʻeha ma kou kua i lalo e ʻoi aku ka maikaʻi ke moe ʻoe i lalo
• he pono e mimi pinepine hou aʻe ma mua o ka maʻamau
• pilikia i ka neʻe ʻana o ka ʻōpū a i ʻole ka hoʻonele ʻana i kou ʻōpū
• maʻi kīnā pinepine
• kahe koko ʻole mai ka ʻōpala
• kahe ʻana o ka mimi i ka wā e uha ai ʻoe, e ʻalalā ai, e ʻakaʻaka ai, e moe kolohe ai, a i ʻole ka hoʻoikaika kino ai
• ʻeha i ka wā o ka moekolohe

He aha ke kumu?

Kahi hammock o nā mākala, i kapa ʻia nā mākala pelvic papahele, kākoʻo i kou kino pelvic. Hiki i ke hānau keiki ke hoʻolōʻihi a hoʻonāwaliwali hoʻi i kēia mau mākala, keu hoʻi inā he pilikia ka lawe ʻana.

Hiki i ka ʻelemakule a me ka nalo ʻana o ka estrogen i ka manawa o ka menopause ke hoʻonāwaliwali hou i kēia mau mākala, e ʻae ana i nā kino pelvic e iho i lalo i ka liʻiliʻi.

ʻO nā kumu ʻē aʻe o ka hoʻolaha ʻana o ka pūhaʻi:

• batukū mau mai ka maʻi maʻi mau loa
• puʻe mai ka nui kaupaona
• paʻa paʻa
• hāpai ana i nā mea kaumaha

Hoʻonui ka makaʻu paha kekahi mau wahine?

Hiki paha iā ʻoe ke loaʻa i ka wahine ke hele mai inā ʻoe:

• loaʻa nā hānau hānau, ʻoi aku ka paʻakikī
• ua hele i loko o ka menopause
• uahi
• kaumaha keu
• uha nui mai ka maʻi maʻi māmā
• paʻa pinepine a pono e kānana i kahi ʻōpū o ka ʻōpū
• he lālā ʻohana kona, e like me ka makuahine a kaikuahine paha, me ka prolaps
• hāpai pinepine i nā mea kaumaha
• he fibroids

Pehea ia ʻike?

Hiki ke ʻike ʻia ka hoʻopili ʻana o ka iwi ma o ka hōʻike pelvic. I ka wā o ka hoʻokolohua, e noi paha kāu kauka iā ʻoe e hoʻomanawanui me he mea lā ke hoʻāʻo nei ʻoe e pahu i ka ʻōpū.

E noi paha kāu kauka iā ʻoe e hoʻopaʻa a hoʻokuʻu i nā mākala āu e hoʻohana ai e kū a hoʻomaka i ke kahe o ka mimi. Nānā kēia hoʻāʻo i ka ikaika o nā mākala e kākoʻo i kou ʻōpū, kōpū, a me nā mea pelvic ʻē aʻe.

Inā loaʻa iā ʻoe kahi pilikia e mimi, loaʻa paha iā ʻoe nā hoʻokolohua e nānā ai i kāu hana o ka maʻi ʻaʻai. Kapa ʻia kēia he hoʻāʻo urodynamic.

• Ana ʻo Uroflowmetry i ka nui a me ka ikaika o kāu kahawai mimi.
• Hoʻoholo ʻo Cystometrogram i ka piha o kāu ʻai e pono ai e kiʻi ma mua o kou hele ʻana i ka lua.

E hana paha kāu kauka i hoʻokahi a ʻoi paha o kēia mau hoʻokolohua kiʻi ʻana e nānā no nā pilikia me kāu kino pelvic:

• Pelvic ultrasound. Hoʻohana kēia hoʻokolohua i nā nalu kani e nānā i kāu ʻōpū a me nā meaola ʻē aʻe.
• Pākuʻi pelvic MRI. Hoʻohana kēia ho'āʻo i nā mākēneka ikaika a me nā nalu lekiō e hana i nā kiʻi o kāu kino pelvic.
• CT scan o kou ʻōpū a me kou pelvis. Hoʻohana kēia ho'āʻo i kahi X-ray e hana i nā kiʻi kikoʻī o kāu kino pelvic.

He aha nā lapaʻau e loaʻa ai?

E paipai aku kāu kauka i nā ʻano hana ʻoi loa o ka conservative.

Nā koho lapaʻau Conservative

ʻO nā haʻuki pelvic papahele, i kapa ʻia hoʻi ʻo Kegels, hoʻoikaika i nā mākala e kākoʻo i kou ʻōpū, ʻōpū, a me nā mea pelvic ʻē aʻe. E hana iā lākou:

• Hoʻopili i nā mākala āu e hoʻohana ai e paʻa a hoʻokuʻu i ka mimi.
• E paʻa i ka contraction no kekona kekona, a laila e hoʻokuʻu.
• Hana iā 8 a 10 i kēia mau hoʻolālā, ʻekolu manawa i ka lā.

E kōkua i ke aʻo ʻana ma kahi o nā mākala pelvic o ka papahele, i ka manawa aʻe e pono ai ʻoe e mimi, kū i ka mimi waena, a laila hoʻomaka hou, a kū. E hoʻohana i kēia hana e aʻo ai kahi o nā mākala, ʻaʻole ia he hana hoʻomau. I ka hoʻomaʻamaʻa hou aku, hiki iā ʻoe ke hana i kēia ma nā manawa ʻē aʻe ma mua o ka mimiki ʻana. Inā ʻaʻole hiki iā ʻoe ke loaʻa nā mākala kūpono, hiki i kahi mea hoʻoponopono kino ke hoʻohana i ka biofeedback e kōkua iā ʻoe e ʻimi iā lākou.

Hiki ke kōkua i ka hōʻemi kino. Hiki i ka lilo o ke kaupaona ke lawe i kekahi o ke kaomi i kāu bladder a i ʻole nā ​​mea pelvic ʻē aʻe. E noi i kāu kauka i ka nui o ke kaumaha e pono ai e lilo.

ʻO kekahi koho he pessary. ʻO kēia hāmeʻa, i hana ʻia mai ka palekiko a i ʻole ka haʻalulu, e hele i loko o kāu ʻōpala a paʻa i nā mea huʻa i ka wahi. Maʻalahi e aʻo pehea e hoʻokomo ai i kahi pessary a kōkua ia e pale i ke kahakaha.

ʻOki kino

Inā kōkua ʻole nā ​​ʻano hana ʻē aʻe, makemake paha ʻoe e noʻonoʻo i ke kaha ʻana e hoʻihoʻi i nā kino pelvic i kahi a paʻa iā lākou ma laila. E hoʻohana ʻia kahi ʻāpana o kou kino ponoʻī, nāʻiʻo mai kahi mea hāʻawi, a i ʻole nā ​​mea i hana ʻia e ke kanaka e kākoʻo i nā mākala palupalu nāwaliwali. Hiki ke hana i kēia ʻoki ma o ka ʻōpū, a ma o nā ʻoki liʻiliʻi (laparoscopically) i loko o kou ʻōpū.

He aha nā pilikia kūpono?

Pili nā pilikia mai ka puʻupuʻu puʻupuʻu i ka pili o nā meaola, akā hiki iā lākou ke hoʻopili:

• ʻeha i loko o ka lua inā ʻāhū ka ʻōpū a i ʻole ka cervix
• ua hoʻonui ʻia ka makaʻu no nā maʻi maʻi urinary
• pilikia i ka mimi ʻana a i ʻole ka neʻe ʻana o ka ʻōpū
• pilikia i ka moekolohe

He aha e manaʻo ai

Inā loaʻa iā ʻoe kekahi mau ʻōuli o ka polina, me ke ʻano o ka piha i loko o kou ʻōpū o lalo a i ʻole kahi ʻōhū i loko o kāu ʻōpū, e ʻike i kāu gynecologist no kahi hōʻike. ʻAʻole weliweli kēia ʻano, akā hiki ke loaʻa ka hopena maikaʻi ʻole i kou ʻano o ke ola.

Hiki ke mālama ʻia ke kūpuna ʻana o ka iwi. Hiki ke hoʻomaikaʻi i nā hihia momona me nā mālama noninvasive e like me nā hana Kegel a me ka pohō kaumaha. No nā hihia ʻoi loa, hiki ke hoʻokō ʻia ke kaha ʻana. Eia nō naʻe, hiki i ka hoʻoliʻiliʻi vaginal ke hoʻi i kekahi manawa ma hope o ke kahakaha ʻana.