He hāpai ectopic paha ia? E ʻike kākou me ka makaʻu ʻole!

Ua lohe paha ʻoe e pili ana i ka 'ectopic pregnancy' mai kahi hoaaloha a ʻohana paha. A i ʻole hopohopo paha ʻoe no ia mea. ʻOiai he mea weliweli paha ia, he mea nui e makaʻala iā ia. I kēia lā, e kamaʻilio mākou e pili ana i ia mea me nā kikoʻī a ma ke ʻano maʻalahi loa.

No laila he aha ka hāpai ectopic?

I ka ʻōlelo maʻalahi, ʻo ka hāpai ʻana o kahi pēpē ectopic ka wā e hāpai ʻia ai kahi pēpē ma waho o kou ʻōpū. ʻO ka maʻamau, hele ka hua i hoʻoulu ʻia i lalo o ka Fallopian tube a hoʻokomo iā ia iho i loko o ka paia o ka ʻōpū. ʻO ia ka manawa e hoʻomaka ai ka pēpē e ulu pono. Eia nō naʻe, i kēia hihia, paʻa ka hua i hoʻoulu ʻia ma kahi ʻē aʻe ma mua o ka hiki ʻana i ka ʻōpū.

ʻO ka hapa nui o ka manawa, ma kahi o 90% o ka manawa, hana ʻia kēia i loko o kāu mau ʻōpū fallopian . ʻO nā ʻōpū fallopian ʻelua mau ʻōpū liʻiliʻi e hoʻopili ana i kāu mau ovaries i kou uterus. He mea kākaʻikahi loa, hiki i kahi hua manu ke hoʻokomo i loko o ka ovary, ka ʻōpū, a i ʻole ka cervix.

ʻO ka mea nui loa, ʻo ka hāpai ʻana e like me kēia e hana ʻia ma waho o ka ʻōpū ʻaʻole hiki ke hoʻomau ʻia, no ka mea, ʻo ke kaiapuni e pono ai ke keiki e ulu aʻe aia ma loko o ka ʻōpū wale nō.

ʻO ka mea pōʻino, hiki i kēia ʻano hāpai ke hoʻoweliweli i ke ola. ʻOi aku hoʻi, inā hoʻokomo ʻia ka hua manu i loko o ka ʻōpū fallopian a ulu, hiki i ka ʻōpū ke haki. Ua kapa ʻia kēia he "Ruptured ectopic pregnancy". Inā hana ʻia kēia, hiki ke hoʻoulu i ke kahe koko nui, ka maʻi, a i kekahi manawa make. No laila, he pilikia olakino kēia. Pono nā kauka e mālama i kēia maʻi i ka hikiwawe loa.

Pehea ka maʻamau o kēia ʻano?

Ma ke ʻano helu, loaʻa kahi hāpai ectopic ma kahi o 2 o kēlā me kēia 100 hāpai ʻana. ʻO ke ʻano kēia, ʻoiai ʻaʻole paha e like me ka mea maʻamau, hiki ke hiki i kekahi.

He aha nā hōʻailona o kēia?

I nā pae mua, hiki i nā hōʻailona o ka hāpai ʻana o ka ectopic ke like loa me nā hōʻailona o ka hāpai ʻana maʻamau. ʻO ia hoʻi, nā mea e like me ka hala ʻana o nā menstruation, ka ʻeha o ka umauma, a me ka nausea. Eia nō naʻe, aia paha kekahi mau hōʻailona ʻē aʻe.

Nā hōʻailona hiki ke ʻike ʻia i nā pae mua:

• Ke kahe koko ʻano ʻē o ka ʻōpū: He ʻeleʻele māmā paha kēia, a he poni māmā paha, a he ʻulaʻula ʻeleʻele paha. E ʻokoʻa ia mai kou kahe koko maʻamau o ka menstruation.
• ʻEha ma ka ʻōpū lalo, pelvis, a me ke kua lalo: Hiki ke ʻeha kēia ʻaoʻao hoʻokahi, a i ʻole hiki ke ʻeha ma ka ʻōpū lalo holoʻokoʻa. I kekahi manawa, e ʻoi aku ka ʻino o kēia ʻeha.
• Manaʻo poniuniu a nāwaliwali paha.

Nā hōʻailona koʻikoʻi e hiki ke kū mai inā haki ka ʻōmole fallopian:

ʻO kēia ka manawa weliweli loa.Inā haki kahi ʻōmole fallopian, hiki ke koʻikoʻi loa ka ʻeha a me ke kahe ʻana o ke koko. Hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• Ka nalowale o ka ʻike.
• Ka hāʻule koke ʻana o ke koko (Hypotension).
• ʻEha ma ka ʻāpana poʻohiwi: He mea kupanaha paha kēia, akā i ka wā e hōʻiliʻili ai ke koko i loko o ka lua ʻōpū, hiki ke ʻike ʻia ka ʻeha ma ka poʻohiwi ma o nā aʻalolo.
• Kaomi rectal a i ʻole ka paʻakikī i ka hoʻokahe ʻana.

Inā loaʻa iā ʻoe ka ʻeha koke, ʻoi, a hiki ʻole ke hoʻomanawanui ma kou ʻōpū lalo, he hōʻailona paha ia o ka haki ʻana o ka ʻōpū fallopian. He pilikia olakino kēia! Pono ʻoe e ʻike koke i kāu kauka a i ʻole e hele i ka lumi pilikia ma ka haukapila kokoke loa iā ʻoe.

No ke aha lā kēia e hana nei? He aha nā kumu?

I ka hapanui o nā hihia, ʻo ke kumu nui o ka hāpai ʻana o ka ectopic, ʻo ia kekahi mea e ālai ana i ka huakaʻi o ka hua i hoʻoulu ʻia ma o ka ʻōmole fallopian i ka uterus. ʻO ke ʻano kēia, ua lohi a ua oki loa paha ka huakaʻi o ka hua. Aia kekahi mau kumu e hiki ai ke hana ʻia kēia:

• ʻO nā ʻiʻo ʻeha, nā pipili, a i ʻole nā ​​kūlana mumū ma ka ʻāpana pelvic mai ke ʻoki kino ma mua. No ka laʻana, inā ua loaʻa iā ʻoe kahi ʻoki cesarean ma mua a i ʻole ua loaʻa iā ʻoe ke ʻoki kino e wehe i kahi puʻupuʻu, hiki i kēlā mau ʻoki kino ke hana i nā loli liʻiliʻi ma ka ʻāpana a puni kāu mau tuba fallopian.
• Ka hōʻino ʻana i nā ʻōpū fallopian: ʻO ke kumu nui o kēia, ʻo ia nā maʻi i laha ma ke ʻano moekolohe (STI). No ka laʻana, hiki i nā maʻi e like me Chlamydia ke hōʻino i nā ʻōpū fallopian a hoʻopaʻa iā lākou.
• Loaʻa kahi maʻi hānau ʻole o nā ʻōpū fallopian.
• Loaʻa kekahi ʻano ulu (e like me ka puʻupuʻu) e ālai ana i ka ʻōmole fallopian.

Pehea e ʻike ai inā loaʻa iaʻu kēia pilikia?

Aia kekahi mau kumu e hoʻonui ai i ka pilikia o ka hāpai ʻana o ka ʻōpū. Inā ua loaʻa iā ʻoe kekahi mea e like me kēia, aia paha ʻoe i kahi pilikia kiʻekiʻe iki aʻe:

• Inā ua loaʻa iā ʻoe kahi hāpai ectopic ma mua, ʻo ia ke kumu nui o ka pilikia.
• Inā he moʻolelo kou o ka maʻi mumū pelvic (PID). He maʻi ka PID e hiki ai ke hana i nā ʻiʻo ʻeha ma nā wahi e like me nā fallopian tubes, uterus, ovaries, a me ka cervix.
• Inā ua hana ʻia ʻoe i ke ʻoki ʻana ma kāu mau ʻōpū fallopian, no ka laʻana, inā ua hana ʻia ʻoe i kahi ligation tubal ma ke ʻano he kaʻina hana hoʻolālā ʻohana, a inā ua hana ʻia ʻoe i ke ʻoki ʻana ma kekahi ʻano kino ʻē aʻe ma ka ʻāpana pelvic.
• Inā ua hana mua ʻia ʻoe i ka mālama ʻana i ka hānau ʻole ʻana, ʻoiai nā lāʻau lapaʻau e like me In Vitro Fertilization (IVF).
• Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo endometriosis.I loko o kēia, ulu kahi ʻano ʻiʻo i loaʻa i loko o ka ʻōpū ma waho o ka ʻōpū, ma nā wahi ʻē aʻe.
• Inā loaʻa iā ʻoe nā maʻi i laha ma ke moekolohe (STI).
• Inā ua hoʻokomo ʻia kahi mea hana intrauterine (IUD) i loko o kou ʻōpū i ka wā o ka hāpai ʻana. Inā hāpai ʻoe i ka wā e kau ana ka IUD, nui ka manawa kūpono e lilo ia i hāpai ectopic.
• Inā he moʻolelo kou no ka puhi paka.

E hoʻomanaʻo pono: Inā loaʻa iā ʻoe kahi mea hana intrauterine (IUD) i ka wā e ʻike ai ʻoe ua hāpai ʻoe, a inā paha ua loaʻa iā ʻoe kahi ligation tubal, pono ʻoe e ʻike koke i ke kauka. ʻO kēia no ka mea ʻoi aku ka kiʻekiʻe o ka pilikia o ka hāpai ʻana o ka ectopic i kēia mau hihia.

Eia kekahi, hiki ke piʻi aʻe kēia pilikia me ka makahiki. ʻOi aku ka nui o ka pilikia o nā wāhine ma luna o 35 mau makahiki ma mua o ka poʻe ʻōpio ma mua o kēlā.

Akā, he mea kupanaha, a hiki i ka 50% o nā wahine i loaʻa i ka hāpai ectopic ʻaʻole paha i loaʻa i kekahi o kēia mau mea pilikia. No laila, he mea nui e makaʻala i kēia mau hōʻailona.

He aha nā pilikia e hiki ai i kēia ke hana?

He pilikia olakino ka hāpai ʻana o ka ectopic. E like me kaʻu i ʻōlelo ai ma mua, ʻo ka ʻōpū wale nō ke kino e hiki ke hoʻokipa i kahi fetus e ulu ana. Hiki iā ia ke kīkoʻo a hoʻonui i ka ulu ʻana o ka fetus. Eia naʻe, ʻaʻole palupalu kāu mau tuba fallopian. ʻAʻole hiki iā lākou ke hoʻomanawanui i ke kaomi. I ka ulu ʻana o ka hua manu i hoʻoulu ʻia, hiki i ka tuba fallopian ke pohā.

Inā hana ʻia kēia, hiki ke hoʻoulu i ke kahe koko nui i loko o ke kino, kahi mea e hoʻoweliweli ai i ke ola. He mea weliweli loa kēia. No laila, pono e mālama koke ʻia kahi `Ectopic pregnancy` i mea e pale ai i ka hōʻino ʻia ʻana o ka fallopian tube a me nā ʻōpū ʻē aʻe, ke kahe koko i loko, a me ka make paha.

Pehea e ʻike ʻia ai kēia?

ʻIke wale nā ​​​​wahine he nui he ectopic ko lākou hāpai ʻana ma hope o ka hoʻokolokolo lapaʻau, ka hoʻāʻo koko, a i ʻole ka ultrasound scan i ka wā mua o ka hāpai ʻana. Manaʻo paha kāu kauka i kēia ma muli o kāu mea e ʻōlelo ai ma kēia hālāwai, a i ʻole ma muli o nā hoʻokolohua a lākou e hana ai.

No ka hoʻoholo ʻana inā he hāpai ectopic kou, e hana kāu kauka i kekahi mau hoʻokolohua. Hoʻokomo pū kēia i kahi hoʻokolokolo vaginal a me ka hōʻoia ʻana o ka hāpai ʻana.

ʻO nā hoʻokolohua i hana pinepine ʻia:

• Hoʻāʻo mimi: Ma kēia, mimi ʻoe ma luna o kahi ʻāpana hoʻāʻo ma ke keʻena o ke kauka, a i ʻole mimi ʻoe i loko o ke kīʻaha a laila kau i kahi ʻāpana hoʻāʻo ma luna. Hiki i kēia ke haʻi iā ʻoe inā hāpai ʻoe a ʻaʻole paha.
• Hoʻāʻo koko: E ana kāu kauka i ka nui o ka 'HCG (Human Chorionic Gonadotropin)' i loko o kou koko.Nānā ʻia ka pae o ka hormone. Hoʻopuka ʻia kēia hormone i loko o ke kino ke hāpai ʻoe. Ke hoʻokomo ʻia ka hua manu i loko o ka ʻōpū, piʻi koke ka pae o ka `HCG`. Eia nō naʻe, i ka `Ectopic pregnancy`, ʻoi aku ka haʻahaʻa o kēia pae `HCG` ma mua o ka hāpai maʻamau, a i ʻole ʻaʻole paha e piʻi e like me ka mea i manaʻo ʻia.
• ʻO ke scan ultrasound: Hoʻohana ka ultrasound i nā nalu kani e hana i nā kiʻi o nā ʻōpū i loko o ke kino. E hoʻohana kāu kauka i kēia hoʻāʻo e ʻike i kahi i hoʻokomo ʻia ai ka hua manu i hoʻoulu ʻia. Inā ʻaʻohe embryo i ʻike ʻia i loko o ka ʻōpū a kiʻekiʻe nā pae HCG, hiki ke kānalua ʻia kahi hāpai ectopic.

He mea kākaʻikahi loa, inā he kānalua ua haki kahi hāpai ectopic, hiki i nā kauka ke hana i kahi hoʻokolohua i kapa ʻia he culdocentesis . Eia naʻe, ʻaʻole hoʻohana pinepine ʻia kēia i kēia manawa.

Ke hōʻoia kāu kauka he hāpai ectopic kou a loaʻa iā ʻoe kahi kikoʻī o ka hua manu i hoʻoulu ʻia, e kūkākūkā lākou i kahi hoʻolālā lapaʻau me ʻoe. E hoʻomanaʻo, he pilikia kēia, no laila he mea nui loa ka loaʻa ʻana o ka lāʻau lapaʻau.

Pehea ka wikiwiki e hiki ai iā kākou ke ʻike i kēia?

ʻIke pinepine ʻia ka hāpai ʻana o ka ʻōpū ectopic i ka wā mua o ka hāpai ʻana. Hoʻomaopopo pinepine nā kauka iā ia i ka wā o ka trimester mua, ʻo ia hoʻi ma kahi o 12 mau pule. Eia nō naʻe, ʻaʻole ʻike ka hapa nui o nā wahine he hāpai ʻōpū ectopic ko lākou a hiki i ka 8 mau pule o ko lākou hāpai ʻana.

Pehea e mālama ʻia ai kēia?

Hoʻoponopono nā kauka i ka hāpai ectopic me ka lāʻau lapaʻau a i ʻole ke ʻoki ʻana.

Lāʻau lapaʻau: Methotrexate

I kekahi mau hihia, hiki i kāu kauka ke kuhikuhi i ka hoʻohana ʻana i kahi lāʻau i kapa ʻia ʻo methotrexate e hoʻōki i ka ulu ʻana o ka hua manu i hoʻoulu ʻia. E hoʻopau kēia i ka hāpai ʻana. ʻAʻole hōʻeha kēia lāʻau i kāu mau ʻōpū fallopian. Eia nō naʻe, inā ua ālai ʻia kāu mau ʻōpū fallopian, ʻaʻole hiki ke hoʻohana ʻia kēia lāʻau.

E hāʻawi kāu kauka iā ʻoe i hoʻokahi inikini o ka methotrexate. ʻOiai ʻoi aku ka liʻiliʻi o kēia ma mua o ke ʻoki kino, pono nō ʻoe e ʻike i kāu kauka e nānā i kāu mau pae hCG. He mea nui e hahai pono i nā ʻōlelo a kāu kauka. I kekahi manawa, pono paha ka lua o ka inikini inā ʻaʻole i emi pono kāu mau pae hCG me hoʻokahi mahele o ka methotrexate. E kamaʻilio me kāu kauka e pili ana i nā hopena ʻaoʻao a me nā pilikia o ka methotrexate a me nā mea e manaʻo ai.

Lapaʻau ʻoki kino

Inā ua haki kāu ʻōpū fallopian a i ʻole ua pilikia paha e haki, makemake paha kāu kauka e wehe i ka hāpai ectopic ma ke ʻoki kino. He hana ulia pōpilikia kēia a he lāʻau lapaʻau e hoʻōla ola ai.

ʻO ka hapa nui, hana ʻia kēia ʻokiʻoki ma ke ʻano laparoscopic.He hana ʻoki kino kēia e pili ana i ka hoʻomoe ʻana iā ʻoe ma lalo o ka anesthesia, e hana ana i kekahi mau ʻoki liʻiliʻi ma kou ʻōpū, a me ka hoʻohana ʻana i kahi kāmela a me nā mea hana palupalu. Hiki i ke kauka lapaʻau ke wehe i ka ʻōpū fallopian holoʻokoʻa ʻoiai e noho ana ka hua manu i loko, a i ʻole (inā hiki) e waiho i ka ʻōpū fallopian a wehe wale i ka hua manu mai ka ʻōmole.

Hiki iaʻu ke hāpai hou ma hope o ka hāpai ectopic?

Hiki i nā wahine he nui i loaʻa i ka hāpai ectopic ma mua ke loaʻa nā hāpai holomua. Eia nō naʻe, i ka wā i loaʻa ai iā ʻoe ka hāpai ectopic, aia kahi pilikia liʻiliʻi o ka hana hou ʻana. No laila, he mea nui e kamaʻilio me kāu kauka e pili ana i ke kumu o kāu hāpai ectopic a me nā mea e pilikia ai no ka loaʻa ʻana o kahi hāpai ectopic hou i ka wā e hiki mai ana.

Pehea ka lōʻihi e kali ai au ma mua o koʻu hāpai hou ʻana?

Ma hope o ka mālama ʻana no ka hāpai ʻana o kahi ʻōpū ectopic, he mea nui e kamaʻilio me kāu kauka e pili ana i nā hāpai ʻana e hiki mai ana. ʻOiai hiki ke hāpai koke ma hope o ka mālama ʻana, ʻoi aku ka maikaʻi o ke kali ʻana ma kahi o ʻekolu mahina. Hāʻawi kēia i kāu mau ʻōpū fallopian i ka manawa e ho'ōla ai a hōʻemi i ka pilikia o kahi hāpai ʻē aʻe ectopic.

Inā ua wehe ʻia kekahi o kaʻu mau ʻōpū fallopian, hiki iaʻu ke loaʻa kahi pēpē?

I ka hapanui o nā hihia, hiki nō iā ʻoe ke loaʻa kahi pēpē ʻoiai inā ua wehe ʻia kekahi o kāu mau ʻōpū fallopian. Hānau ʻia ka hapa nui o nā wahine me ʻelua mau ʻōpū fallopian. Hoʻokahi wale nō ʻōpū fallopian e pono ai e hāpai. Hiki i nā hua ke hele i lalo i kāu ʻōpū fallopian i koe. Eia kekahi, aia nā lāʻau lapaʻau kōkua hānau , e like me ka in vitro fertilization (IVF), ʻaʻole pili i kāu mau ʻōpū fallopian. E kamaʻilio ākea me kāu kauka e pili ana i kou hopohopo e pili ana i nā hāpai ʻana i ka wā e hiki mai ana. Hiki iā ʻoe ke hana i kahi hoʻolālā a kūkākūkā i nā ala e hōʻemi ai i kāu mau kumu pilikia.

Hiki ke pale ʻia ka hāpai ʻana o ka ectopic?

ʻAʻole hiki ke pale loa i ka hāpai ʻana o ka ʻōpū. Eia nō naʻe, hiki iā ʻoe ke hoʻāʻo e hōʻemi i kou pilikia ma ka hoʻohana ʻana i nā ʻano nohona maikaʻi, e like me ka puhi ʻole ʻana, ka mālama ʻana i ke kaumaha olakino, a me ka pale ʻana i nā maʻi i hoʻoili ʻia ma ke ʻano moekolohe (STI) . Ma mua o kou hoʻāʻo ʻana e hāpai, e kamaʻilio me kāu kauka e pili ana i kāu mau kumu pilikia.

Hiki iaʻu ke hoʻomau i kaʻu hāpai ʻana ma hope o ka hāpai ʻana o ka ectopic?

ʻO ka mea pōʻino, he mea make ka hāpai ʻana o ka ectopic i ka fetus, a ʻaʻole hiki ke hoʻomau i kou hāpai ʻana. Ke hoʻokomo ʻia kahi hua manu ma waho o ka ʻōpū, ʻaʻohe ala e hoʻihoʻi ai i loko o ka ʻōpū. He mea nui e mālama koke i ka hāpai ʻana o ka ectopic. Inā hoʻokomo ʻia ka hua manu i loko o ka ʻōpū fallopian a haki ka ʻōpū, hiki ke kahe koko nui i loko.

Hiki i ka hāpai ʻana o ka ʻōpū ke lilo i mea weliweli a manaʻo ʻole ʻia. Nui paha kou mau manaʻo i kēia manawa, me ke kaumaha, ka haʻalulu, a me ka hopohopo. ʻOiai inā ʻaʻole i hoʻolālā ʻia kou hāpai ʻana, hiki i ka hele ʻana i ka hāpai ʻana o ka ʻōpū ke lilo i mea hoʻoweliweli i ka naʻau. Hiki i ke kamaʻilio ʻana me kāu hoa, kauka, a i ʻole ke kākāʻōlelo olakino noʻonoʻo ke kōkua iā ʻoe e hoʻoponopono i kou mau manaʻo. I ka hala ʻana o ka manawa, e hoʻōla ʻia ʻoe mai ka hāpai ʻana o ka ʻōpū. Inā ʻoe e hoʻolālā ana e loaʻa hou kahi hāpai ʻana i ka wā e hiki mai ana, e kamaʻilio me kāu kauka e pili ana i ka pilikia o kahi hāpai ʻana o ka ʻōpū.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻAe, no laila, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi ʻike maikaʻi aʻe o ka 'Ectopic Pregnancy' mai nā mea a mākou i kūkākūkā ai. E hoʻomanaʻo hou kākou iā ʻoe i nā mea nui loa:

• He pilikia olakino ka hāpai ectopic, no laila e makaʻala i nā hōʻailona.
• Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha nui o ka ʻōpū ma lalo, ke kahe koko ʻano ʻē, a i ʻole ka poniuniu, e ʻimi koke i ke kōkua lapaʻau. Mai hoʻonele i ka manawa.
• Inā ua loaʻa iā ʻoe kahi hāpai ectopic ma mua, nā kūlana e like me PID, a inā ʻoe e puhipaka, ʻoi aku ka nui o kou pilikia. E kamaʻilio me kāu kauka e pili ana i kēia.
• Aia nā lāʻau lapaʻau. Hiki ke mālama ʻia kēia maʻi me ka lāʻau lapaʻau a i ʻole ke ʻoki kino.
• Hiki i nā poʻe he nui ke hāpai holomua ma hope o ka hāpai ʻana o ka ectopic. Eia nō naʻe, he mea nui e ʻimi i ke aʻo lapaʻau ma mua o ka hoʻāʻo ʻana e hāpai hou.
• He ʻike paʻakikī kēia, ʻoiai ma ka naʻau. Inā makemake ʻoe i ke kōkua, mai makaʻu e kamaʻilio e pili ana.

ʻO kou olakino ka mea nui loa. No laila, inā he kānalua kou, mai kānalua e nīnau i ke kauka no ka ʻōlelo aʻo.

ʻO ka hāpai ʻana i ka ʻōpū (Ectopic), ka hāpai ʻana ma waho o ka ʻōpū, ka ʻōpū Fallopian, ka hāpai ʻana maʻamau ʻole, ke olakino wahine, nā pilikia o ka hāpai ʻana, ka mālama ʻana i ka pilikia