ʻO kēiaʻano pilikino ka mea iʻike pinepineʻia ma nā wāhine pīpī. ʻO nā'ekepili, me ka hana kaumaha,ʻaʻohe mea e hana ai, akā, no ka hoʻonāukiukiʻana i ka hoʻohālikeʻana o ka'ōpū, i loaʻa i ka hoʻokomoʻana i nā lāʻau lapaʻau kūpono.
He aha nāʻano o nā mea nāwaliwali?
I pinepine pinepine,ʻaʻoleʻike nā wāhine i keʻano o ka'ōlelo "hana palupalu", aʻaʻole hoʻi e manaʻo heʻano likeʻole. He mea maʻamau ke kauʻana i nā hana maʻamau a me ke kula kiʻekiʻe. ʻO keʻano mua o keʻano o nā'āpana malū. ʻO ke lua, akā,ʻo ka hoʻomakaʻana o ka hana ke hele pū me nā kuʻina kūpono i ka ikaika, a ma hope iho o ka nāwaliwali o kekahi manawa. ʻO ka hopena,ʻaʻole e hiki ke weheʻia ka pūpū.
Ma muli o ka hopena o ka hana iʻeleʻeleʻole?
E like me ka mea i haʻi mua aʻe nei, hiki i nā kumu he nui no ke kumu e hanaʻia ai kahi hana palupalu. I kekahi mau kumu, hikiʻole ke hoʻokomoʻia. Eia naʻe,ʻo ka mea maʻamau:
- nāʻano pilikino o ka pāpū uterine (myoma). Loaʻa pinepine ma hope o ka maʻi mua;
- kahi noho o kahi mahele caesareone ma ka anamnesis;
- ka hōʻeha kūlana makuaʻole a iʻole nā hewa o ka'ōpū .
ʻO ka palekana o nā hana hana palupalu e pāʻani nui ana. ʻO ka mea mua, i ka hoʻomākaukauʻana o ka wahine maʻamau, a me ka lawe pūʻana i nā mea kanu huamaila a me ka mālamaʻana i ka mana o ka lā.