He aha ka Endometrial Ablation? Ke Kumu, nā Pae/Kaʻina Hana & Nā Hopena

ʻO ka endometrial ablation kahi hana lapaʻau e wehe a luku paha i ka ʻiʻo lahilahi e uhi ana i kou ʻōpū, i kapa ʻia ʻo ka endometrium. Kōkua kēia lapaʻau liʻiliʻi e hōʻemi i ke kahe ʻana o ke koko i ka wā e hana ʻole ai nā lapaʻau ʻē aʻe.

E noʻonoʻo iā ia he ala i manaʻo ʻia e hoʻoponopono i ka uhi ʻana o ka ʻōpū e hoʻopilikia nei iā ʻoe i kēlā me kēia mahina. Hoʻohana kāu kauka i nā mea hana kūikawā e wehe pono i kēia ʻiʻo, hiki ke hoʻomāmā i kāu mau manawa a i ʻole e hoʻōki loa iā lākou.

He aha ka endometrial ablation?

Wehe ka endometrial ablation i ka endometrium, ʻo ia ka ʻiʻo e kūkulu ai i kēlā me kēia mahina a hāʻule i ka wā o kāu pōʻai menstrual. Hoʻopaʻa ka hana i kēia uhi kikoʻī me ka hoʻopilikia ʻole i nā papa hohonu o kou ʻōpū.

I ka wā o ka lapaʻau, hoʻohana kāu kauka i ka wela, ke anu, ka ikehu uila, a i ʻole nā ​​ʻano ʻē aʻe e luku i ka ʻiʻo endometrial. Pale kēia i ka ulu hou ʻana o ka uhi, e hōʻemi ana i ka nui o ke kahe ʻana o ke koko menstrual āu e ʻike ai.

Manaʻo ʻia ka hana he liʻiliʻi no ka mea hana ʻia ma kou ʻōpū a me ka ʻāʻī. ʻAʻole pono kāu kauka e ʻoki i kou ʻōpū, ʻo ia hoʻi ka hoʻōla wikiwiki a me ka liʻiliʻi o ka ʻoluʻolu i hoʻohālikelike ʻia me ke ʻoki nui.

No ke aha e hana ʻia ai ka endometrial ablation?

Hoʻomaʻamaʻa ka endometrial ablation i ke kahe ʻana o ke koko menstrual e pili nui ana i kou ola i kēlā me kēia lā. Inā kaumaha kou mau manawa e hoʻololi ana ʻoe i nā pads a i ʻole tampons i kēlā me kēia hola, ke kahe ana no nā lā ʻoi aku ma mua o ʻehiku, a i ʻole ka ʻike ʻana i ka wai a me nā clots, hiki i kēia hana ke kōkua.

Hoʻomaopopo maʻamau kāu kauka i ka ablation ke hāʻawi ʻole nā ​​lapaʻau ʻē aʻe i ka hōʻoluʻolu. Hiki i kēia ke komo i nā lāʻau hormonal, nā lāʻau hoʻomalu hānau, a i ʻole kahi IUD e hoʻokuʻu i nā hormones e hoʻomāmā i nā manawa.

He hana maikaʻi ka hana no nā wāhine i hoʻopau i ko lākou ʻohana a ʻaʻole makemake i nā keiki hou aʻe. Hiki ke pilikia ka hāpai ʻana ma hope o ka endometrial ablation no ka makuahine a me ka pēpē, no laila he mea nui kēia e noʻonoʻo ai.

Koho kekahi mau wahine i ka ablation e hoʻomaikaʻi i ko lākou maikaʻi o ke ola. Hiki i ke kahe nui ke hoʻoulu i ka anemia, ka luhi, a keakea i ka hana, ka hoʻoikaika kino, a me nā hana pili kanaka. Nui ka poʻe i loaʻa ke kōkua nui ma hope o ke kaʻina hana.

He aha ke kaʻina hana no ka endometrial ablation?

Hana ʻia ka endometrial ablation ma ke ʻano he hana outpatient, ʻo ia hoʻi hiki iā ʻoe ke hele i ka home i ka lā like. E kūkākūkā kāu kauka i ke ala maikaʻi loa no kāu kūlana a me ka mōʻaukala olakino.

Ma mua o ka hoʻomaka ʻana o ke kaʻina hana, e loaʻa iā ʻoe ka lāʻau lapaʻau e kōkua iā ʻoe e hoʻomaha a mālama i nā pilikia. A laila e hoʻokomo mālie kāu kauka i kahi mea lahilahi a maʻalahi ma o kou ʻōpū a me ka ʻāʻī e hiki ai i kou ʻōpū.

Aia ke ʻano ablation maoli i ke ʻano i koho ai kāu kauka. Eia nā ala nui i hoʻohana ʻia:

• Hoʻohana ka radiofrequency ablation i ka ikehu uila e wela a luku i ka ʻiʻo
• Hoʻopaʻa ʻo Cryoablation i ka laina endometrial me nā mahana anuanu loa
• Hoʻopiha ka lāʻau lapaʻau balloon wela i kou ʻōpū me kahi balloon piha i ka wai wela
• Hoʻohana ka microwave ablation i ka ikehu microwave e wela i ka ʻiʻo
• Hoʻopuni ka ablation wai wela i ka hopena saline wela ma kou ʻōpū

Hoʻopau pono kēlā me kēia ʻano i ka ʻiʻo endometrial, ʻoiai e ʻokoʻa paha ke ʻano kikoʻī ma muli o ke ʻano o kou ʻōpū a me ka ʻike o kāu kauka. ʻO ka hana holoʻokoʻa e lawe maʻamau i 15 a 45 mau minuke.

E hoʻomaha ʻoe i kahi wahi hoʻōla ma hope aʻe i ka wā e pau ai ka sedation. ʻO ka hapa nui o nā wahine e ʻike i ka ʻeha e like me nā ʻeha menstrual, e hoʻomaikaʻi maʻamau i loko o kekahi mau hola.

Pehea e hoʻomākaukau ai no kāu endometrial ablation?

E hoʻomaka ana kāu hoʻomākaukau i kekahi mau pule ma mua o ke kaʻina hana me nā kamaʻilio nui me kāu hui mālama ola. E kūkākūkā ʻoe i kāu mōʻaukala olakino, nā lāʻau lapaʻau o kēia manawa, a me nā hopohopo e pili ana i ka mālama ʻana.

Hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau e lahilahi i kou laina endometrial ma mua o ke kaʻina hana. ʻOi aku ka maikaʻi o kēia i ka ablation a lawe ʻia ma kahi o hoʻokahi mahina ma mua.

Pono ʻoe e hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home ma hope o ke kaʻina hana no ka mea e loaʻa iā ʻoe ka sedation. E hoʻolālā e lawe i ke koena o ia lā mai ka hana a i ʻole nā hana ikaika.

I ka lā o kāu kaʻina hana, e noi ʻia ʻoe e pale i ka ʻai ʻana a i ʻole ka inu ʻana no kekahi mau hola ma mua. E hāʻawi kāu hui lapaʻau iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka manawa e hooki ai i ka ʻai a me ka inu.

Manaʻo kekahi mau kauka e lawe i ka lāʻau lapaʻau ʻeha ma kahi o hoʻokahi hola ma mua o kāu manawa. Hiki i kēia ke kōkua i ka mālama ʻana i ka ʻeha i ka wā a ma hope o ke kaʻina hana.

Pehea e heluhelu ai i kāu hopena ablation endometrial?

Hoʻoholo ʻia ka holomua ma hope o ka ablation endometrial e ka nui o ka emi ʻana o kou kahe ʻana o ka menstrual. ʻIke ka hapa nui o nā wahine i ka hoʻomaikaʻi nui ʻana i loko o kekahi mau mahina, ʻoiai hiki ke lawe i hoʻokahi makahiki e ʻike i nā hopena piha.

Ma kahi o 40 a 50 pakeneka o nā wahine e hooki i ka loaʻa ʻana o nā manawa ma hope o ka ablation. ʻO kekahi 35 a 40 pakeneka e ʻike i nā manawa māmā loa i ʻoi aku ka maʻalahi ma mua.

E hahai kāu kauka me ʻoe i nā manawa maʻamau e nānā i kāu holomua. E nīnau lākou e pili ana i kāu mau hiʻohiʻona kahe, nā pae ʻeha, a me ka ʻoluʻolu holoʻokoʻa me nā hopena.

Hoʻomau kekahi mau wahine i ka loaʻa ʻana o ka spotting māmā a i ʻole nā manawa pōkole a māmā. He mea maʻamau kēia a hōʻike mau i kahi hopena kūleʻa inā ua hoʻoponopono ʻia kāu pilikia kahe nui.

Inā ʻaʻole ʻoe e ʻike i ka hoʻomaikaʻi ʻana ma hope o ʻeono mahina, a i ʻole inā hoʻi mai ke kahe nui, e haʻi i kāu kauka. I kekahi manawa pono paha kahi kaʻina hana ʻelua a i ʻole kahi ala lapaʻau ʻokoʻa.

He aha ka hopena maikaʻi loa no ka ablation endometrial?

ʻO ka hopena maikaʻi loa ke hōʻemi nui ʻia a i ʻole ke pau ʻana o kou kahe ʻana o ke koko nui, e ʻae ana iā ʻoe e hoʻi i kāu mau hana maʻamau me ka hopohopo ʻole. Nui nā wahine e hōʻike ana i ka manaʻo nui aʻe a me ka hilinaʻi ma hope o ka ablation kūleʻa.

He mea pilikino loa ka kūleʻa a pili i nā mea e like me kou makahiki, ka nui a me ke ʻano o kou ʻōpū, a me ke kumu o kou kahe nui ʻana. ʻOi aku ka nui o nā wahine ʻōpio e ʻike i ke kahe ʻana i ka manawa.

ʻO ka hapa nui o nā wahine e ʻike i ka hoʻomaikaʻi nui ʻana i ko lākou maikaʻi o ke ola. Hiki iā ʻoe ke ʻike ʻaʻole ʻoe e hopohopo hou e pili ana i ka wai, e lawe ana i nā lako hou, a i ʻole e hoʻolālā ana i nā hana a puni kāu pōʻai menstrual.

Hoʻemi pū ka hana i nā ʻeha menstrual a me nā hōʻailona ʻē aʻe e pili ana i ka manawa. Nui nā wahine e hōʻike ana i ka hiamoe maikaʻi aʻe a me ka nui o ka ikehu i loko o ka mahina.

He aha nā mea pilikia no nā pilikia ablation endometrial?

Hiki i kekahi mau mea ke hoʻonui i kou pilikia o nā pilikia i ka wā a i ʻole ma hope o ka ablation endometrial. ʻO ka hoʻomaopopo ʻana i kēia mau mea e kōkua iā ʻoe a me kāu kauka e hana i ka hoʻoholo maikaʻi loa no kou kūlana.

ʻO ka loaʻa ʻana o kahi ʻōpū nui loa a i ʻole nā ​​fibroids uterine nui hiki ke paʻakikī i ke kaʻina hana. Hiki i kāu kauka ke ʻōlelo aku e mālama mua i kēia mau maʻi a i ʻole e hōʻike i nā lāʻau lapaʻau ʻē aʻe.

ʻO nā ʻāpana cesarean mua a i ʻole nā ​​ʻoki ʻōpū ʻē aʻe hiki ke hana i ka ʻiʻo ʻeha e hoʻopilikia i ka ablation. E nānā pono kāu kauka i kāu mōʻaukala ʻoki i ka wā o kāu kūkākūkā.

Pono e mālama piha ʻia nā maʻi pelvic ikaika ma mua o ka hiki ke hana palekana ʻia ka ablation. E hoʻopaneʻe nā hōʻailona o ka maʻi i kāu kaʻina hana a hiki i kou ola piha ʻana.

Hoʻopilikia kekahi mau maʻi i kou moho no ke kaʻina hana. Pākuʻi ʻia kēia:

• Hāpai ʻana i kēia manawa a i ʻole i ka wā i hala koke iho nei
• Makemake e hāpai i ka wā e hiki mai ana
• Nā ʻano IUD kekahi e pono e wehe mua ʻia
• Nā hopena Pap smear ʻokoʻa e pono ai ka loiloi hou
• Ka maʻi kanesa endometrial a i ʻole nā loli ma mua o ka maʻi kanesa

E loiloi pono kāu kauka i kēia mau mea i ka wā o kāu kūkākūkā ʻana. ʻO ke kamaʻilio ākea e pili ana i kāu mōʻaukala olakino a me nā hoʻolālā e hiki mai ana e kōkua i ka hōʻoia ʻana i ka hopena palekana loa.

ʻOi aku ka maikaʻi o ka loaʻa ʻana o ka ablation endometrial a i ʻole nā lāʻau lapaʻau ʻē aʻe?

Aia ka lāʻau lapaʻau maikaʻi loa i kāu kūlana kikoʻī, makahiki, a me nā pahuhopu hoʻolālā ʻohana. He hana maikaʻi ka ablation endometrial no nā wahine he nui, akā ʻaʻole ia ke koho kūpono no nā mea a pau.

Inā makemake ʻoe e loaʻa nā keiki i ka wā e hiki mai ana, ʻaʻole ʻōlelo ʻia ka ablation no ka mea hiki ke pilikia ka hāpai ʻana ma hope o ke kaʻina hana. ʻOi aku ka maikaʻi o nā lāʻau lapaʻau hormonal a i ʻole nā koho hiki ke hoʻohuli ʻia.

No nā wahine i hoʻopau i kā lākou ʻohana a makemake i kahi hopena mau loa, hāʻawi ka ablation i nā hopena maikaʻi me ka liʻiliʻi o ka manawa hoʻōla ma mua o ka hysterectomy. Eia naʻe, hōʻoia ka hysterectomy e pau loa nā manawa.

Makemake kekahi mau wahine e hoʻāʻo mua i nā lāʻau lapaʻau liʻiliʻi, e like me nā IUD hormonal a i ʻole nā lāʻau lapaʻau. Hiki ke maikaʻi loa kēia mau mea a hiki ke hoʻohuli ʻia inā hoʻololi ʻoe i kou manaʻo.

E kōkua kāu kauka iā ʻoe e kaupaona i nā pōmaikaʻi a me nā pilikia o kēlā me kēia koho e pili ana i kāu mau pono a me nā makemake.

He aha nā pilikia hiki ke loaʻa o ka ablation endometrial?

ʻO ka hapa nui o nā wahine e ʻike i nā hopena ʻaoʻao liʻiliʻi e hoʻoponopono i loko o kekahi mau lā a i ʻole mau pule. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai e kōkua iā ʻoe e hoʻomākaukau a ʻike i ka manawa e hoʻokaʻaʻike aku ai i kāu kauka.

ʻO nā hopena ʻaoʻao manawa pōkole maʻamau e pili ana i ka ʻeha, ke kahe koko māmā a i ʻole ka ʻike ʻana, a me ka hoʻokuʻu wai e hiki ke mau no kekahi mau pule. He mau ʻāpana maʻamau kēia o ke kaʻina hana hoʻōla.

He mea maʻamau ʻole nā pilikia koʻikoʻi, akā hiki nō ke loaʻa. He mea nui e ʻike i nā hōʻailona hōʻike e pono ai ka mālama olakino koke:

• Ke kahe nui ʻana o ke koko e pulu ai i ka pale i kēlā me kēia hola
• ʻEha nui o ka ʻōpū ʻaʻole e hoʻomaikaʻi me ka lāʻau
• Nā hōʻailona o ka maʻi e like me ke kuni, nā anu, a i ʻole ka hoʻokuʻu ʻana me ka pilau
• He paʻakikī ke mimi a i ʻole ke koko i loko o ka mimi
• Nāwaliwali a me ka luaʻi ʻana e pale ai i ka mālama ʻana i nā wai

I nā manawa maʻamau, hiki i ke kaʻina hana ke hōʻeha i ka ʻōpū a i ʻole ka ʻōpū, a i ʻole e hana i lua i loko o ka pā o ka ʻōpū. Pono pinepine kēia mau pilikia i ke ʻoki hou ʻana, akā he mea maʻamau ʻole loa.

Hoʻomohala kekahi mau wahine i kahi maʻi i kapa ʻia ʻo ka maʻi ma hope o ka ablation, kahi e paʻa ai ke koko menstrual ma hope o ka ʻiʻo ʻōpala. Hiki i kēia ke hana i ka ʻeha nui i kēlā me kēia mahina a pono paha i ka mālama hou.

I ka manawa hea wau e ʻike ai i ke kauka ma hope o ka ablation endometrial?

Pono ʻoe e hoʻokaʻaʻike koke i kāu kauka inā loaʻa iā ʻoe ke kahe nui ʻana o ke koko, ka ʻeha nui, a i ʻole nā hōʻailona o ka maʻi ma hope o kāu kaʻina hana. Hiki i kēia mau hōʻailona ke hōʻike i nā pilikia e pono ai ka mālama koke.

E hoʻonohonoho i kahi manawa e hahai ai inā ʻaʻole e hoʻomaikaʻi kāu mau hiʻohiʻona kahe koko ma hope o kekahi mau mahina. ʻOiai hiki ke lawe i ka manawa e ʻike i nā hopena piha, hiki i kāu kauka ke loiloi inā he mea kōkua ka mālama hou.

He mea nui ka mālama gynecologic maʻamau ma hope o ka ablation kūleʻa. Pono nō ʻoe i nā smears Pap a me nā hoʻokolohua pelvic e like me ka ʻōlelo a kāu kauka.

Inā loaʻa iā ʻoe nā hōʻailona hou e like me ka ʻeha maʻamau ʻole, nā loli i ka hoʻokuʻu ʻana, a i ʻole nā hōʻailona ʻē aʻe e pili ana, mai kānalua e hoʻokaʻaʻike aku i kāu mea mālama ola. ʻO ke kamaʻilio mua ʻana e kōkua pinepine i ka pale ʻana i nā pilikia liʻiliʻi mai ka lilo ʻana i nā pilikia nui.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka ablation endometrial

He maikaʻi anei ka ablation endometrial no nā manawa nui?

ʻAe, ua hoʻolālā kūikawā ʻia ka endometrial ablation e mālama i ke kahe nui ʻana o ke koko menstrual a he mea maikaʻi loa ia no kēia kumu. Hōʻike nā haʻawina ma kahi o 85 a 90 pākēneka o nā wāhine e ʻike i nā wā māmā a i ʻole ka pau ʻana o ke kahe ʻana ma hope o ke kaʻina hana.

He mea maikaʻi loa ka lapaʻau no nā wāhine nona ke kahe nui ʻana o ke koko ma muli o ka laina endometrial ponoʻī, ma mua o nā kūlana e like me nā fibroids nui a i ʻole nā ​​polyps. E loiloi kāu kauka i ke kumu o kou kahe nui ʻana o ke koko e hoʻoholo ai inā ʻo ka ablation ke koho kūpono.

Ua hana ʻo endometrial ablation i ka menopause mua?

ʻAʻole, ʻaʻole i hana ka endometrial ablation i ka menopause a i ʻole e hoʻopilikia i kāu pae hormone. Wehe wale ke kaʻina hana i ka laina uterine a ʻaʻole ia e hoʻopilikia i kou ovaries, e hoʻomau ana i ka hana ʻana i nā hormones maʻamau.

Hiki nō iā ʻoe ke ʻike i nā hōʻailona maʻamau o ka pōʻai menstrual e like me nā loli o ke ʻano, ka palupalu o ka umauma, a i ʻole ka ʻōhū ʻana, ʻoiai inā e māmā a pau paha kāu mau wā. Hoʻomau kou kino i kāna mele hormonal maoli.

Hiki iaʻu ke hāpai ma hope o ka endometrial ablation?

Hiki ke hāpai ma hope o ka endometrial ablation akā ua paipai ikaika ʻia no ka mea hiki ke pilikia no ka makuahine a me ka pēpē. Hoʻemi nui ke kaʻina hana i nā manawa o ka hāpai ʻana, akā ʻaʻole i manaʻo ʻia he ʻano hilinaʻi o ka mana hānau.

Inā loaʻa ka hāpai ʻana, aia ka pilikia nui o ka hāʻule ʻana, ka hoʻopili ʻana o ka placental abnormal, a me nā pilikia koʻikoʻi ʻē aʻe. Manaʻo ka hapa nui o nā kauka i ka sterilization mau a i ʻole ka contraception hilinaʻi loa ma hope o ka ablation.

Pehea ka lōʻihi o ka hoʻōla ʻana ma hope o ka endometrial ablation?

Hoʻōla ka hapa nui o nā wāhine mai ka endometrial ablation a hiki ke hoʻi i nā hana maʻamau i loko o kekahi mau lā. Hiki iā ʻoe ke ʻike i ka ʻeha a me ke kahe māmā no kekahi mau lā a i nā pule i ka wā e hoʻōla ai kou kino.

E hōʻalo i ka hāpai ʻana i nā mea kaumaha, ka hoʻoikaika kino nui, a me ka hana moe kolohe no hoʻokahi pule a i ʻole e like me ke kuhikuhi ʻana a kāu kauka. Nui nā wahine e hoʻi i ka hana i loko o hoʻokahi a ʻelua paha lā, ma muli o ke ʻano o ka hana a lākou e hana ai.

E pono anei au i nā Pap smears ma hope o ka endometrial ablation?

ʻAe, e pono ana ʻoe i nā Pap smears maʻamau a me nā hoʻokolokolo gynecologic ma hope o ka endometrial ablation. ʻAʻole pili ka hana i kou ʻāʻī a i ʻole kou pilikia o ka maʻi kanesa o ka ʻāʻī, no laila he mea nui ka nānā maʻamau.

E hoʻomau ana kāu kauka e nānā i kou olakino gynecologic holoʻokoʻa a hiki ke ʻōlelo aku i ka papa manawa nānā like āu i loaʻa ai ma mua o ke kaʻina hana. Kōkua pū nā nānā maʻamau e hōʻoia i ka hana maikaʻi ʻana o ka ablation iā ʻoe.