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December 28, 2024
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ʻO nā fibroids, i ʻike ʻia hoʻi ma ke ʻano he uterine leiomyomas, he mau tumor e ulu ana i loko o ka uterus. He ʻano like ʻole ko lākou nui, helu, a me kahi, a he mea maʻamau loa ia, e pili ana i kahi nui o nā wāhine i ko lākou mau makahiki hānau. Ke hōʻike nei ka noiʻi a hiki i ka 70% o nā wāhine e loaʻa paha kēia mau ulu ʻana ma ka makahiki 50.
He mea nui ka hoʻomaopopo ʻana i ka nui o nā fibroids no kekahi mau kumu. ʻO ka mea mua, hiki i ka nui ke pili i nā hōʻailona e manaʻo ai ka wahine, e like me ka kahe nui o ke koko, ka ʻeha o ka pelvis, a i ʻole ka manaʻo o ke kaomi. Ke kōkua nei ka ʻike ʻana i ka nui maʻamau o ka fibroid ma nā milimita i ka hoʻoholo ʻana inā hiki i ka fibroid ke hoʻoulu i nā pilikia. Ma ke ʻano laulā, ʻike ʻia nā fibroids ma lalo o 5 mm he liʻiliʻi, nā mea ma waena o 5 mm a me 10 mm he waena, a ʻo nā mea ʻoi aku ma mua o 10 mm ua manaʻo ʻia he nui.
Eia kekahi, hiki i ke ana pololei ʻana i nā fibroids ke kōkua i ka hoʻoholo ʻana i ka mālama ʻana. Pono paha nā fibroids nui i ka mālama ʻana i ʻoi aku ka koʻikoʻi, ʻoiai hiki ke nānā ʻia nā mea liʻiliʻi ma hope o ka manawa. No laila, ke kōkua nei ka hoʻomaopopo ʻana i nā fibroids a me ko lākou nui i nā wāhine e kamaʻilio maikaʻi me kā lākou mau kauka e pili ana i ko lākou olakino a me nā koho mālama.
ʻO nā uterine fibroids he mau tumor ma ka paia muscular o ka uterus, he mea maʻamau i nā wāhine o ka makahiki hānau.
He ʻano like ʻole ko lākou nui, mai nā nodules liʻiliʻi, hiki ʻole ke ʻike ʻia a hiki i nā mea nui e hiki ke hoʻololi i ka uterus.
A hiki i ka 70-80% o nā wāhine e loaʻa paha nā fibroids ma ka makahiki 50, ʻoiai he nui ka poʻe ʻaʻohe hōʻailona.
Hiki i nā hōʻailona ke komo pū me:
Ke kahe nui a lōʻihi paha o ke koko menstrual.
ʻEha a i ʻole kaomi o ka pelvis.
Ka mimi pinepine a i ʻole ka paʻakikī e hoʻopau i ka ʻōpū.
Ka constipation, ka bloating, a i ʻole ka ʻeha o ke kua.
Nā pilikia hānau a i ʻole nā pilikia i ka hāpai ʻana.
ʻO nā kumu pilikia no ka loaʻa ʻana o nā fibroids e komo pū me:
Makahiki (ʻo 30-50 mau makahiki ka nui loa).
Mōʻaukala ʻohana o nā fibroids.
Nā pilikia hormonal e pili ana i ka estrogen a me ka progesterone.
Ka momona a me ke koko kiʻekiʻe.
Aia nā koho mālama ma ka nui, kahi, a me nā hōʻailona a komo pū me:
Nā lāʻau lapaʻau e hoʻoponopono i nā hormones a hoʻemi i nā hōʻailona.
Nā kaʻina hana liʻiliʻi e like me ka uterine artery embolization a i ʻole radiofrequency ablation.
Ka ʻoki kino e like me ka myomectomy (wehe ʻana i ka fibroid) a i ʻole hysterectomy i nā hihia koʻikoʻi.
a) Ka Hoʻololi ʻana o ka Nui o nā Fibroids: Hiki i nā fibroids ke ʻano like ʻole mai ka liʻiliʻi e like me ka hua (kekahi mau milimita) a hiki i ka nui e like me ka meliona (ma mua o 10 cm +). Hoʻokaʻawale pinepine ʻia lākou ma ke ʻano he liʻiliʻi (ma lalo o 2 cm), waena (2–6 cm), a i ʻole nui (ʻoi aku ma mua o 6 cm). Hiki i nā fibroids nui ke hoʻoulu i ka pehu ʻana o ka ʻōpū a me nā hōʻailona nui, ʻoiai hiki ke ʻike ʻole ʻia nā mea liʻiliʻi me ka ʻole o nā hoʻokolohua kiʻi.
b) Ka Hopena o ka Nui ma nā Hōʻailona: Hoʻoholo pinepine ka nui o ka fibroid i ka nui o nā hōʻailona. ʻOi aku ka nui o nā fibroids nui e hoʻoulu i ka ʻeha o ka pelvis, kahe nui o ke koko menstrual, a me ke kaomi ma nā ʻōnaehana kokoke e like me ka ʻōpū a i ʻole ka ʻōpū, e alakaʻi ana i ka mimi pinepine a i ʻole ka constipation. Hiki i nā fibroids liʻiliʻi ke ʻaʻohe hōʻailona akā hiki nō ke hoʻopilikia i ka hānau ʻana ma muli o ko lākou wahi.
c) Nā Manaʻo Lapaʻau no ka Nui: He mea nui ka nui i nā hoʻoholo mālama. Pono paha nā fibroids liʻiliʻi i ka nānā wale ʻana, ʻoiai pono pinepine nā fibroids waena a nui paha i ka hoʻoponopono ʻana, e like me nā lāʻau lapaʻau, nā kaʻina hana liʻiliʻi, a i ʻole ka ʻoki kino. Hoʻopili pū ka nui o ka fibroid i nā hopena hāpai ʻana, ʻoiai hiki i nā fibroids nui ke hoʻololi i ka uterus a alakaʻi i nā pilikia.
Ke Kaomi ʻana ma nā ʻŌnaehana Kokoke: Hiki i nā fibroids nui ke kaomi ma ka ʻōpū, e hoʻoulu ana i ka mimi pinepine, a i ʻole ma ka ʻōpū, e alakaʻi ana i ka constipation a i ʻole ka bloating.
Nā Hōʻailona Koʻikoʻi: ʻOi aku ka nui o ka hoʻoulu ʻana i ka kahe nui o ke koko menstrual, ka ʻeha o ka pelvis, a me ka pehu ʻana o ka ʻōpū.
Nā Pilikia Hānau: Hiki i nā fibroids nui ke hoʻololi i ka lua o ka uterus, e alakaʻi ana paha i ka infertility, ka miscarriage, a i ʻole nā pilikia i ka hāpai ʻana.
Nā Fibroids Liʻiliʻi (Ma lalo o 2 cm)
ʻAʻohe hōʻailona pinepine a ʻike ʻia ma ka manawa i nā hoʻokolohua kiʻi.
Hiki ke hoʻoulu i nā hōʻailona māmā e like me nā ʻano menstrual māmā a i ʻole ka ʻoluʻolu liʻiliʻi o ka pelvis.
ʻAʻole pinepine e hoʻopilikia i ka hānau ʻana a i ʻole ka hāpai ʻana akā hiki ke ulu ma hope o ka manawa a pono e nānā.
Nā Fibroids Waena (2–6 cm)
Hiki ke alakaʻi i nā hōʻailona i ʻike ʻia e like me ka ʻeha waena o ka pelvis, ke kaomi, a i ʻole ka kahe nui o ke koko menstrual.
Hiki ke hoʻopilikia i ka hānau ʻana, ʻoiai inā aia i loko a kokoke paha i ka laina o ka uterus.
Hoʻonui ʻia ka pilikia o nā pilikia e like me ka anemia ma muli o ke kahe lōʻihi.
Nā Fibroids Nui (ʻOi aku ma mua o 6 cm)
Hoʻoulu i nā hōʻailona koʻikoʻi, e komo pū ana ka ʻeha koʻikoʻi o ka pelvis, ka pehu nui o ka ʻōpū, a me ka kahe nui a lōʻihi paha o ke koko menstrual.
Hiki ke hoʻokaumaha i nā ʻōnaehana kokoke, e alakaʻi ana i ka mimi pinepine, ka constipation, a i ʻole ka ʻeha o ke kua.
ʻOi aku ka nui o nā pilikia hānau, e komo pū ana ka infertility, ka miscarriage, a i ʻole nā pilikia hāpai ʻana e like me ka preterm labor.
Pono i ka mālama lapaʻau, ʻoiai hiki i nā fibroids nui i mālama ʻole ʻia ke alakaʻi i ka anemia maʻi a i ʻole nā pilikia olakino ʻē aʻe.
ʻAʻohe hōʻailona pinepine nā fibroids liʻiliʻi (ma lalo o 2 cm) akā hiki ke ulu ma hope o ka manawa.
Hiki i nā fibroids waena (2–6 cm) ke hoʻoulu i ka ʻeha o ka pelvis, ka kahe nui o ke koko, a me nā pilikia hānau.
Alakaʻi nā fibroids nui (ma mua o 6 cm) i nā hōʻailona koʻikoʻi, e komo pū ana ke kaomi ʻana o nā ʻōnaehana, ka kahe nui o ke koko, a me nā pilikia hānau.
Hoʻonui ka nui o nā hōʻailona me ka nui o ka fibroid, e hōʻike ana i ka pono o ka ʻike mua a me ka hoʻokele.
ʻO wai ka nui o ka fibroid he mea maʻamau?
ʻO nā fibroids he mau ulu kūpono ʻole, no laila ʻaʻohe nui "maʻamau" no lākou. Eia naʻe, ʻoi aku ka liʻiliʻi o nā fibroids liʻiliʻi (ma lalo o 2 cm, e like me ka nui o ka pea) e hoʻoulu i nā hōʻailona a i ʻole ka mālama ʻana. Hoʻomaopopo ʻia ka nānā mau ʻana e hahai i ko lākou nui a me ka hopena ma ke olakino.
ʻO wai ka nui e pono ai e wehe ʻia nā fibroids?
ʻAʻohe nui kūikawā o nā fibroids e pono ai e wehe ʻia; ʻo ka mea mua, pono ʻoe e nānā ʻia e ke kauka, a e hāʻawi lākou iā ʻoe i ka mālama maoli.
Ua maikaʻi anei ke ola me nā fibroids?
Ke hilinaʻi nei ke ʻano kūpono ʻole o ka fibroid i kona nui. No laila, inā ʻoi aku ka nui ma mua o ka maʻamau, pono ʻoe e kūkā me ke kauka.
Hiki i ka fibroid ke ulu i loko o 3 mau mahina?
Hiki i ka fibroid, inā waiho ʻole ʻia, ke ulu i loko o 6 mau mahina. Hiki i kekahi mau fibroids ke ʻaʻohe hōʻailona, akā hiki i nā mea ʻē aʻe ke hōʻike pū.
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