He mea maʻamau ka makaʻu iki i ka wā e hāpai ana ʻoe. ʻO nā mea e like me "Ua maikaʻi anei ke pēpē?", "E hewa anei kekahi mea?" e noʻonoʻo mau ana ʻoe. Ma waena o kēia mau mea, hoʻokahi mea a nā makuahine e makaʻu nei a hoʻoulu ai i ke kaumaha nui, ʻo ia ka hāʻule ʻana o ka hāpai keiki . ʻO ka lohe ʻana i kēia huaʻōlelo e hoʻoluhi nui iā ʻoe, ʻeā? Akā, he mea nui loa ia e makaʻala pono i kēia. No ka mea, a laila hiki iā ʻoe ke hana koke inā pono, me ka makaʻu ʻole.
I ka ʻōlelo maʻalahi, he aha ka hāʻule ʻana o ka naʻau?
ʻO ka hāʻule ʻana o ka hāpai ʻana ka nalowale ʻana o ka hāpai ʻana no kekahi kumu ma mua o 20 mau pule o ka hāpai ʻana. I kekahi manawa hiki ke hana ʻia kēia ma mua o kou ʻike ʻana ua hāpai ʻoe a i ʻole ma mua o kou hala ʻana o kou wā. ʻO ka hapa nui o nā hāʻule ʻana e hana ʻia i loko o nā pule 13 mua o ka hāpai ʻana, ʻo ia hoʻi ka trimester mua.
ʻO ka mea nui loa, ʻo ka hāʻule ʻana o ka hāpai keiki ʻaʻole ia he mea hiki iā kākou ke pale aku. No laila, inā loaʻa kekahi mea e like me kēia, mai hoʻāhewa iā ʻoe iho, me ka manaʻo he hewa kou. ʻAʻole na ʻoe ke kumu.
He mau hōʻailona paha kēia no ka hāʻule ʻana o ka hāpai keiki?
ʻO nā hōʻailona a mākou e kūkākūkā ai ma lalo nei he mea maʻamau i ka wā hāʻule keiki. Akā e hoʻomanaʻo, hiki ke hana ʻia kekahi o kēia mau hōʻailona e nā kumu ʻē aʻe. No laila, inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea, ʻo ka mea maikaʻi loa e hana ai, ʻaʻole e hopohopo a hoʻomaopopo i kāu kauka .
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Ke kahe koko ʻana o ka wahine | Hiki i kēia ke hoʻomaka ma ke ʻano he mau kiko koko liʻiliʻi a piʻi mālie a hiki i ke kahe koko nui, e like me ka menstruation. |
| ʻEha/ʻeha ma ka ʻōpū a i ʻole ke kua | ʻEha ma ka ʻōpū lalo a i ʻole ke kua, e like me nā ʻeha o ka menstruation, akā i kekahi manawa ʻoi aku ka koʻikoʻi. |
| Ka hoʻokuʻu ʻana o ka wai, nā ʻiʻo, a i ʻole nā ʻūpū koko ma ka vaginal | Hiki ke manaʻo ʻia e like me ka huʻa keʻokeʻo-ʻulaʻula, ka wai, a i ʻole nā ʻūpū koko, a i kekahi manawa e puka mai ana nā ʻāpana o ka ʻiʻo. |
| Kuni a me ka malaise | Hiki ke ʻike ʻia i kekahi manawa nā hōʻailona e like me ka nāwaliwali, ke kuni, a me ka luaʻi. |
| Ka emi koke ʻana o nā hōʻailona hāpai | Me he mea lā nā hōʻailona mua o ka hāpai ʻana, e like me ka maʻi kakahiaka a me ka ʻeha o ka umauma, ua nalo koke aku. |
| ʻO ka pohō kaumaha a me nā ʻūmiʻi | ʻO ka pohō kaumaha koke a i ʻole ka ʻeha o ka ʻōpū, e like me nā ʻeha hānau. |
Hihia kūikawā e makaʻala ai: Ka hāpai ʻana o ka ectopic
ʻO ka hāpai keiki Ectopic kahi kūlana i loaʻa nā hōʻailona like me ka hāʻule ʻana o ka ʻōpū, akā ʻoi aku ka koʻikoʻi a koi ʻia ka mālama olakino ulia pōpilikia . I ka ʻōlelo maʻalahi, ʻo ia ka wā e hoʻokomo ʻia ai ka hua manu i hoʻoulu ʻia ma waho o ka ʻōpū, maʻamau i loko o kahi ʻōmole Fallopian. He kūlana weliweli loa kēia. I ka ulu ʻana o ka embryo ma laila, hiki i ka ʻōmole fallopian ke haki a hoʻoulu i ke kahe koko i loko.
Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila:
- ʻEha nui o ka ʻōpū , ʻoiai ma kekahi ʻaoʻao o ka ʻōpū.
- Ke kahe koko ʻana o ka wahine a i ʻole ka ʻōʻili ʻana.
- ʻEha poʻohiwi a i ʻole ka manaʻo o ka pono e neʻe i loko o ka ʻōpū (hiki i kēia ke hōʻailona o ke kahe ʻana o ke koko mai ka ʻōpū fallopian).
- Māmā ke poʻo a i ʻole ka nāwaliwali.
E makaʻala i nā hōʻailona o kahi maʻi.
I kekahi manawa, hiki ke ulu kahi maʻi i loko o ka ʻōpū ma hope o ka hāʻule ʻana o ka pēpē. Pono e mālama koke ʻia kēia.He kūlana e lawe ʻia. Inā loaʻa iā ʻoe nā hōʻailona ma lalo nei, e hoʻomaopopo koke i kāu kauka. Pono paha ʻoe e lawe ʻia i ka haukapila.
- Ke kahe koko nui ʻana o ka ʻōpū.
- Ke kuni nui a me ke anu.
- He kahe ʻala pilau mai loko mai o ka vagina.
- ʻEha nui o ka ʻōpū .
Pehea e hiki ai i ke kauka ke hōʻoia i kēia kūlana?
Inā loaʻa iā ʻoe nā hōʻailona o ka hāʻule ʻana o kahi keiki, ʻo ka mea mua a kāu kauka e hana ai, ʻo ia ke nānā iā ʻoe. E komo pū kēia me kahi hoʻokolohua pelvic a me kahi scan ultrasound. Hiki i ke scan ke ʻike maopopo i loko o kou ʻōpū.
He aha nā koho lapaʻau?
Ma hope o ka hoʻāʻo ʻana, inā ua pau ka hāʻule ʻana o ka ʻōpū a ua hakahaka loa (maopopo), ʻaʻole paha ʻoe e pono i kekahi lāʻau hou aku.
Akā inā he mau ʻāpana ʻiʻo i koe i loko o ka ʻōpū , pono ka lāʻau lapaʻau e wehe iā lākou. ʻElua mau ʻano hana nui no ka hana ʻana pēlā.
1. ʻO ke ʻoki kino D&C (Dilation and Curettage): Ua kapa ʻia kēia ʻo "curettage of the uterus" ma ka ʻōlelo Sinhala. Maanei, hoʻonui iki ke kauka i ka cervix a wehe pono i nā ʻiʻo fetal i koe a i ʻole nā ʻāpana placental mai ka uterus me ka hoʻohana ʻana i kahi mea hana kūikawā.
2. Lāʻau lapaʻau: Ma ke ʻano he koho ʻē aʻe i ka D&C, hiki ke hoʻohana ʻia kekahi mau lāʻau lapaʻau. No ka laʻana, ke hāʻawi ʻia kahi lāʻau i kapa ʻia ʻo `(Misoprostol)`, hoʻoulu ia i ka ʻōpū e ʻūlū a hoʻokuke i nā mea i loko e like me ka wā o ka menstruation.
Pono ʻoe e kūkākūkā me kāu kauka i kahi o kēia mau ʻano hana ʻelua i kūpono loa iā ʻoe. Eia kekahi laʻana, inā loaʻa iā ʻoe kahi maʻi, ʻaʻole kūpono paha ka lāʻau lapaʻau.
Leka Lawe-Home
- He mea maʻamau ka hāʻule ʻana o ka hāpai keiki i waena o nā wahine hāpai. ʻAʻole na ʻoe ia hewa.
- E makaʻala i nā hōʻailona hōʻailona o ka hāʻule ʻana o ka ʻōpū, e like me ke kahe koko ʻana o ka ʻōpū a me ka ʻeha o ka ʻōpū.
- Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, mai hopohopo, e kāhea koke aku i kāu kauka.
- ʻO nā hōʻailona e like me ka ʻeha nui o ka ʻōpū, ka ʻeha poʻohiwi, a me ka nāwaliwali hiki ke lilo i mau hōʻailona o ka hāpai ʻana o ka ectopic, he pilikia ia. No laila e hele koke i ka haukapila.
- Inā pono ka lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana i ke ʻano lapaʻau e kūpono loa iā ʻoe a e hoʻoholo i ka hoʻoholo maikaʻi loa.
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