Myomectomy

ʻO ka myomectomy (mai-o-MEK-tuh-me) kahi hana ʻoki kino e wehe ai i nā fibroids o ka ʻōpū - i kapa ʻia hoʻi ʻo nā leiomyomas (lie-o-mai-O-muhs). Hōʻike ʻia kēia mau ulu maʻamau ʻaʻohe kanesa i loko o ka ʻōpū. Hoʻomohala pinepine ʻia nā fibroids o ka ʻōpū i nā makahiki hānau keiki, akā hiki ke loaʻa i kēlā me kēia makahiki.

Hiki i kāu kauka ke ʻōlelo aku i ka myomectomy no nā fibroids e hoʻoulu ana i nā hōʻailona e pilikia ana a i ʻole e hoʻopilikia i kāu mau hana maʻamau. Inā pono ʻoe i ka ʻoki kino, ʻo nā kumu e koho ai i ka myomectomy ma mua o ka hysterectomy no nā fibroids o ka uterus e komo pū me: Ke hoʻolālā nei ʻoe e hānau i nā keiki Ke kuhikuhi nei kāu kauka ua hoʻopilikia paha nā fibroids o ka uterus i kou hiki ke hānau keiki Makemake ʻoe e mālama i kou uterus

He emi ka nui o nā pilikia o ka myomectomy. Akā naʻe, he ʻano pilikia kūikawā kēia hana. ʻO nā pilikia o ka myomectomy: ka nalowale nui o ke koko. He nui nā wāhine me nā uterine leiomyomas i emi iho ka nui o ke koko (anemia) ma muli o ke kahe nui o ke koko i ka wā o ka menstruation, no laila, ʻoi aku ka nui o ka pilikia ma muli o ka nalowale o ke koko. Hiki i kāu kauka ke manaʻo i nā ala e hoʻonui ai i ka nui o kou koko ma mua o ke ʻoki kino. I ka wā o ka myomectomy, e hana nā kauka i nā hana hou aku e pale aku ai i ka nui o ke kahe koko. Hiki i kēia ke komo pū me ka pale ʻana i ke kahe mai nā arteries uterine ma ka hoʻohana ʻana i nā tourniquets a me nā clamps a me ka hoʻopili ʻana i nā lāʻau lapaʻau a puni nā fibroids e hoʻopaʻa ai i nā kīʻaha koko. Akā naʻe, ʻaʻole i hoʻemi ka hapa nui o nā hana i ka pilikia o ka pono ʻana i ka transfusion. Ma ke ʻano laulā, hōʻike nā haʻawina aia ka emi o ke koko me ka hysterectomy ma mua o ka myomectomy no nā uteruses like nui. ʻO ka ʻili ʻili. Hiki i nā incisions i loko o ka uterus e wehe i nā fibroids ke alakaʻi i nā adhesions - nā kāʻei o ka ʻili ʻili e hiki ke ulu ma hope o ke ʻoki kino. Hiki i ka laparoscopic myomectomy ke hopena i nā adhesions emi ma mua o ka abdominal myomectomy (laparotomy). Nā pilikia o ka hāpai keiki a i ʻole ka hānau ʻana. Hiki i ka myomectomy ke hoʻonui i kekahi mau pilikia i ka wā o ka hānau ʻana inā hāpai ʻoe. Inā pono i kāu kauka ke hana i kahi incision hohonu i loko o kou paia uterine, hiki i ke kauka nāna e mālama i kou hāpai keiki ma hope ke manaʻo e hana i ka cesarean delivery (C-section) e pale aku ai i ka haki ʻana o ka uterus i ka wā o ka hana hānau, he pilikia maʻamau loa o ka hāpai keiki. Hoʻopili pū ʻia nā fibroids i nā pilikia o ka hāpai keiki. Ka manawa liʻiliʻi o ka hysterectomy. Ma nā manawa liʻiliʻi, pono i ke kauka ke wehe i ka uterus inā hiki ʻole ke kaohi ʻia ke kahe koko a i ʻole nā ​​mea ʻē aʻe i loaʻa ma waho o nā fibroids. Ka manawa liʻiliʻi o ka hoʻolaha ʻana i kahi tumor cancerous. Ma nā manawa liʻiliʻi, hiki ke kuhi hewa ʻia kahi tumor cancerous i kahi fibroid. ʻO ka lawe ʻana i ka tumor, ʻoiai inā ua haki ʻia i nā ʻāpana liʻiliʻi (morcellation) e wehe ma o kahi incision liʻiliʻi, hiki ke alakaʻi i ka hoʻolaha ʻana o ka maʻi kanesa. Hoʻonui ka pilikia o kēia mea ma hope o ka menopause a me ka nui o nā wāhine. I ka 2014, aʻo aku ka Food and Drug Administration (FDA) e kūʻē i ka hoʻohana ʻana i ka laparoscopic power morcellator no ka hapa nui o nā wāhine e hele ana i ka myomectomy. Manaʻo ka American College of Obstetricians and Gynecologists (ACOG) e kamaʻilio ʻoe me kāu kauka e pili ana i nā pilikia a me nā pono o ka morcellation.

Ma muli o ka nui, ka nui a me kahi o kāu mau fibroids, hiki i kāu kauka ʻoki ke koho i kekahi o nā ʻano ʻoki ʻekolu i ka myomectomy.