I kēia lā,ʻo ka nui o nā wāhine ma hope o nāʻoihana i ka waihoʻana ma ka homepū e waihoʻia me kahi maʻile. Ke wāwahiʻia ka paia o ka wahine,ʻaʻole e hiki koke mai ke ola. Ke hana mālie nei kēiaʻano, no laila, he pono ke hele pinepine aku i ke kauka e nānā i keʻano o ka maʻi.
Hiki ke hiki i ka hānauʻana i kēia moku, akā, inā he maʻile ka wahine i kona kōpū i ka wā o ke kōʻana, pono pono ke mālama pono i kona olakino a ho'āʻo e hana i ke kuʻiʻana i ka lōʻihi. I loko o nā wāhine maʻamau, ka maʻamau i kahi'ōpū 3.5 mm ka lōʻihi i ka manawa o 32-33 mau wiki, a ma 37-38, he 2 mm ka'ilā maʻamau. Akā, inā uaʻikeʻoleʻia ka'ōpū i ka maʻile i loko o ka pūpū,ʻo ia hoʻi,ʻaʻole ia e paʻa i ka mea e pono ai, a laila hiki paha ke kahā o ka pūpū me ka maʻile, e ulu ana i ka hānauʻana me nā pilikia. Ma keʻano maʻamau, ma ka hapanui o nā hihia,ʻo ka likeʻole o ka maʻile ma ka'ōpū e like me nā hōʻailona mua o ka'ōpū, a e alakaʻi i kekahi mau pilikia.
He aha ka hopena o ke olala o ka maʻile i loko o ka'ōpū?
ʻO keʻano o ka ho'ōlaʻana i ka paia o ka pūpū o ka pūpū e pili ana i nā kumu:
- microflora o ke kahawai hānau;
- ka lōʻihi o ke āpau anhydrous;
- ka ulu o nā pilikia ma ka hānauʻana;
- ʻokiʻia ma ka pūpū;
- keʻano o kaʻoki;
- nā mea e pono ai ka lī ma ka pūpū;
- ka lōʻihi o ka hana;
- ka nui o ke koko i nalo;
- manawa ma hope o ke kāpiliʻana.
Akā, me nā mea a pau i'ōleloʻia ma luna nei, aia nā hewa, i lilo ai ka maʻile ma loko o ka'ōpū i mea maʻalahi. Inā loaʻa ka wahine i kahi'ākau manawa lōʻihi (corporal) ma ka pūpū i ka wā o ka hanaʻana, a laila ma hope o ke kāpiliʻana no ka manawa pōkole, hikiʻole ke weheʻia ka maʻile. ʻO ka mea liʻiliʻi loa o ka hō'āʻole o ka maʻile heʻelua makahiki ma hope o ka hanaʻana, akā,ʻaʻole e hala aku i kēia mau makahiki ma mua o 4 mau makahiki.
ʻO ka nui o ka mea ma mua o ka pūpū i hanaʻia i kahi leka kū'ēʻole, ke huli kaʻaoʻao caesareania o keʻoki. ʻO kaʻoiaʻiʻo, i kēia hihia,ʻo kaʻili i ka'ōpū e hoʻopilikia mau ana, akā,ʻaʻole ka hopena o ka'ōpū hou i keʻano o ka maʻile.
ʻO ka hopena ka hopena o ka māhele caesareana
Ma hope o ka pauʻana o ka paukū, ma hope o ka manawa, hiki ke hana i ka endometriosis ma ka mahele o ka pūpū ma muli o ka maʻile ma luna o ke kola. ʻO kēiaʻano i hoʻonuiʻia i kaʻiʻo, kahiʻano like me ka mea o ka uterine. Akā, e like me nāʻeke mucous o ka pūpū, aia i loko o ia mea, e ulu ana ka'ōpipipio i waho o ka endometrium.
ʻO kēia pilikia e alakaʻi i ka hoʻonuiʻia o nā metastases ma nā kinipuni e pili ana, a me ka uluʻana i loko o nāʻiʻo pa'ū, ka paʻakikī mucous, kaʻili, ka fiber a me nā iwi. Hiki i ka hopena ke loaʻa i nā meaʻino, ka mea i loaʻa i ke kanesa, sarcoma a carcinocarcinoma paha o ka pūpū. Hoʻopilikiaʻia ka uluʻana o ka maʻi i nā hopena hormonal, keʻole ka hemahema o ka hōʻailona a iʻole ka nui o ka estrogene.
ʻO ke kauʻana o ka hana i loko o ka pahu uterine e alakaʻi pinepine ai i ka endometriosis ma 33.7 pakeneka o nā hihia.
Hanaʻia kahi'ilika kū'ēʻole i ka'ōpū e hoʻomaka me ka nānā mua a me ka hāʻawiʻana i nā ho'āʻo pono a pau. Eia kekahi, ke hanaʻia ka hōʻailona kūpono, a ma hope iho ua hoʻoholo ke kauka i kahi kūpono kūpono no kahi maʻi. I kekahi manawa pono i kahi wahine e hana hou i ka hana hou.