Ke ulu nei kaʻu pēpē ma waho o ka ʻōpū? He maʻalahi nā mea āpau e pili ana i ka (Ectopic Pregnancy).

Ua lohe paha ʻoe i ka huaʻōlelo `(Ectopic Pregnancy)`, a i ʻole ua ʻike paha ʻoe i kekahi i kū i kēia ʻano. He mea weliweli iki ia, akā inā ʻike pono ʻoe i kēia, inā ʻike mua ʻoe, hiki iā ʻoe ke hōʻemi i nā pilikia he nui. No laila i kēia lā e kamaʻilio maʻalahi mākou e pili ana i ke ʻano o `(Ectopic Pregnancy)` a i ʻole ka hāpai ʻana ma waho o ka ʻōpū, no ke aha e hana ai, he aha kona mau hōʻailona, ​​a pehea e mālama ʻia ai.

He aha ka hāpai maʻamau? E hoʻomaopopo mua kākou i kēlā.

I ka ʻōlelo maʻalahi, i ka hāpai ʻana olakino, ʻo ka hua manu i hoʻoulu ʻia, ka embryo liʻiliʻi i hana ʻia mai nā pūnaewele o ka makuahine a me ka makuakāne, e hoʻokomo pololei iā ia iho i loko o ka ʻōpū o ka makuahine. He wahi ʻeke liʻiliʻi ka ʻōpū, he wahi palekana no ka pēpē e mālama ʻia, hānai ʻia, a ulu ʻia no ʻeiwa mahina. Loaʻa iā ia nā mea āpau e pono ai ka pēpē e ulu pono.

No laila he aha ka hāpai ectopic?

I kēia manawa, ua maopopo paha iā ʻoe ke ʻano maʻamau. Akā i loko o kahi `(Ectopic Pregnancy)`, ʻaʻole hiki ka hua i hoʻoulu ʻia i ka uterus, akā hoʻokomo iā ia iho ma kahi ʻē aʻe. ʻO ka hapa nui o ka manawa, ʻo ia hoʻi, ma kahi o 90 mai ka 100, hoʻokomo kēia hua iā ia iho i loko o nā `(Fallopian tubes)` . ʻO kēia mau fallopian tubes he ʻelua mau ʻōmole lahilahi e lawe ana i ka hua mai ka ovary a i ka uterus. ʻO ia ke kumu i kapa pinepine ʻia ai ʻo `(Ectopic Pregnancy)` ʻo `(Tubal Pregnancy)`.

Eia nō naʻe, ʻaʻole wale i loko o nā ʻōpū fallopian, akā he mea kakaikahi loa, hiki i kēia hua manu ke hoʻokomo ʻia i loko o ka ovary , cervix , a i ʻole i loko o ka lua ʻōpū .

E noʻonoʻo wale, inā kanu kākou i kahi mea kanu liʻiliʻi ma kahi me ka lepo momona a me ka ākea, e ulu aʻe ia i lāʻau nui. Ma ke ʻano like, pono ka ʻōpū i kahi ʻōpū e ulu pono ai.

ʻAʻohe o kēia mau wahi, ʻo ia hoʻi, i loko o ka ʻōpū fallopian a i ʻole ka ovary, he wahi a i ʻole kahi kūpono no ka ulu ʻana o kahi embryo a hānai pono ʻia. No laila, i ka ulu ʻana o ka embryo ma laila, ʻaʻole hiki i ke kino i hoʻokomo ʻia ai (no ka laʻana, ka ʻōpū fallopian) ke kākoʻo iā ia. I ka hopena, hiki ke pahū . Inā hana ʻia kēlā, aia kahi pilikia o ke kahe nui ʻana o ke koko a me kahi hoʻoweliweli koʻikoʻi i ke ola o ka makuahine. ʻO ia ke kumu he mea weliweli loa kēia.

ʻO kekahi mea ʻē aʻe, ʻo kahi embryo i waiho ʻia ma waho o ka ʻōpū ma kēia ʻano , ʻaʻole ia e ulu aʻe i pēpē olakino.

No ke aha e hana ʻia ai kēia? He aha nā mea pilikia e hoʻopilikia ai i kēia?

He mea paʻakikī ke ʻōlelo maopopo i ke kumu hoʻokahi. Akā hiki i kekahi mau mea ke hoʻonui i ka manawa kūpono o ka hāpai ʻana o ka ʻōpū, a i ʻole ka pilikia.

• Inā ua loaʻa iā ʻoe kahi hāpai ectopic ma mua: ʻO ka mea i loaʻa i kēia maʻi i hoʻokahi manawa, ʻoi aku ka nui o ka loaʻa hou ʻana.
• Inā ua hōʻino ʻia nā ʻōpū fallopian:Inā ua hōʻino ʻia, ālai ʻia, a ʻeha paha nā ʻōpū fallopian ma muli o kahi maʻi, e like me ka maʻi mumū pelvic (PID) , i hoʻokumu ʻia e nā maʻi i laha ma ke moekolohe (STIs), ʻaʻole paha e hiki i ka hua manu ke hiki pono i ka uterus.
• Inā ua hana ʻia ʻoe i ke ʻoki ʻana ma kāu mau ʻōpū fallopian: No ka laʻana, inā ua nakinaki ʻia kāu mau ʻōpū fallopian a laila hoʻopili hou ʻia (hoʻohuli ʻia o ka tubal ligation).
• ʻO kekahi mau lāʻau lapaʻau hānau keiki: Hiki ke hoʻonui iki ʻia kēia pilikia, ʻoiai me nā lāʻau lapaʻau e like me IVF.
• Inā ʻoe e puhipaka: ʻOi aku ke kiʻekiʻe o kēia pilikia no nā wahine e puhipaka ana.
• Inā ʻoe ma luna o 35 mau makahiki.
• Inā hāpai ʻoe i ka wā e loaʻa ana iā ʻoe ka IUD: He ʻano hana hoʻomalu hānau maikaʻi loa ka IUD. Eia nō naʻe, he mea kakaikahi loa iā ʻoe ke hāpai i ka wā e loaʻa ana iā ʻoe ka IUD. Inā hana ʻoe, ʻoi aku ka nui o ka hāpai ʻana he ectopic.

He aha nā hōʻailona o kēia? Pehea e hiki ai iā kākou ke ʻike mua?

He mea nui loa kēia, no ka mea, inā ʻike ʻia i ka wā mua, ʻoi aku ka maʻalahi o ka mālama ʻana a emi iho ka pilikia.

E like me ka hāpai maʻamau,

• Ka pau ʻana o ka menstruation
• ʻEha umauma, paʻa
• Hiki ke ʻike mua ʻia nā hōʻailona e like me ka luaʻi a me ka nausea.

Eia nō naʻe, aia kekahi mau hōʻailona e pili pono ana i ka "Ectopic Pregnancy" a pono ʻoe e makaʻala :

• ʻEha ʻōpū hoʻokahi ʻaoʻao: ʻO kēia ka hōʻailona nui. Hiki ke hoʻomaka me he ʻeha palupalu a ʻeha hoʻi ma kekahi ʻaoʻao o ka ʻōpū (ʻo ka ʻākau a hema paha), a i kekahi manawa hiki ke koʻikoʻi, ʻeha, a ʻeha paha. Hiki i kēia ʻeha ke mau a hele mai a hele aku.
• Ke kahe koko ʻano ʻē o ka ʻōpū: ʻAʻole like kēia me ka wā maʻamau. Hiki ke māmā, ʻeleʻele, a wai paha. I kekahi poʻe, hiki ke ʻulaʻula ʻeleʻele.
• ʻEha poʻohiwi: Me he mea lā he hōʻailona ʻē kēia, akā inā he koko i loko o ka lua o ka ʻōpū, hiki ke loaʻa kēia ʻano ʻeha no ka mea hoʻoulu ke koko i ka diaphragm, he ʻiʻo.
• Ke ʻeha nei i ka wā e kīhaʻi ai a i ʻole ka mimi ʻana.
• Nāwaliwali, poniuniu, maule: He mau hōʻailona weliweli loa kēia. ʻO ia hoʻi, he nui ke kahe koko i loko a e hele paha ʻoe i ka haʻalulu . Inā hana ʻia kekahi mea e like me kēia, pono ʻoe e hele koke i ka haukapila.

E noʻonoʻo i kahi hoaaloha ou, e ʻōlelo kākou ʻo Shyama. Ua lohi kona wā ʻōpiopio, ua loaʻa iā ia kahi hoʻāʻo hāpai ma ka home maikaʻi, a hauʻoli loa ʻo ia. Akā i kekahi mau lā ma hope mai, hoʻomaka ʻo ia e ʻeha ma kekahi ʻaoʻao o kona ʻōpū, a me kahi kahe koko iki. Manaʻo ʻo ia, "ʻĀ, malia paha he mea ʻē aʻe kēia ke hoʻopili ʻia ka pēpē." Akā, piʻi mālie ka ʻeha.I nā manawa e like me kēia e pono ai mākou e ʻike i ke kauka.

Pehea lā e ʻike pono ai ke kauka i kēia?

Inā loaʻa iā ʻoe kekahi o nā hōʻailona i ʻōlelo ʻia ma luna a manaʻo ʻoe ua hāpai ʻoe, ʻoi aku ka maikaʻi o ka ʻike ʻana i ke kauka i ka wā hikiwawe loa. E nīnau ke kauka iā ʻoe i nā nīnau a nānā iā ʻoe. A laila hiki iā ia ke hana i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.

• He hoʻāʻo mimi a i ʻole he hoʻāʻo koko: E nānā inā hāpai ʻoe.
• ʻO ka Ultrasound Transvaginal: ʻO kēia ke scan koʻikoʻi loa . Pili kēia scan i ke komo ʻana i kahi mea liʻiliʻi ma o ka vagina a hiki iā ʻoe ke ʻike maopopo inā aia ka embryo i loko a i waho paha o ka uterus.
• Nā hoʻāʻo koko e nānā i ka pae o ka hormone `(hCG)`: ʻO `(hCG)` kahi hormone i hūnā ʻia i ka wā hāpai. I ka hāpai maʻamau, piʻi koke ka pae o kēia hormone. Eia nō naʻe, i ka `(Ectopic Pregnancy)`, lohi paha ka wikiwiki o ka piʻi ʻana, a i ʻole e mau paha ma ka pae like. Hana ʻia kēia hoʻāʻo koko ma kahi o kēlā me kēia ʻelua lā.
• I kekahi manawa he ʻoki kino `(Laparoscopy)`: Inā ʻaʻole hiki i nā hoʻokolohua ʻē aʻe ke loaʻa ke kumu pololei, a inā he pilikia ia, hoʻokomo ʻia kahi hāmeʻa me kahi kāmela liʻiliʻi i loko o ka ʻōpū a nānā pololei iā ia. Ua kapa ʻia kēia ʻo `(Laparoscopy)`.

He aha nā lāʻau lapaʻau no kēia?

Inā ua hōʻoia ʻia kahi "Ectopic Pregnancy", ʻaʻole hiki ke hoʻomau ʻia ka hāpai ʻana no ka mea he mea hoʻoweliweli ia i ke ola o ka makuahine. No laila, ʻo ka pahuhopu nui o ka mālama ʻana, ʻo ia ka wehe ʻana i nā ʻiʻo fetal i hoʻokomo ʻia ma waho o ka ʻōpū a pale i ka makuahine.

Aia kekahi mau koho lapaʻau. Aia ia i nā kumu he nui, me ke ʻano o ka embryo, kahi i loaʻa ai, inā he kahe koko, a me kou olakino holoʻokoʻa.

1. Hoʻokele lapaʻau:

• Ma kēia, hāʻawi ʻia kahi lāʻau lapaʻau i kapa ʻia ʻo "Methotrexate" ma ke ʻano he inikini. Hoʻōki kēia lāʻau lapaʻau i ka ulu ʻana o nā ʻāpana e māhele wikiwiki ana (ʻo ia hoʻi nā ʻāpana embryonic).
• Hiki wale nō kēia lāʻau lapaʻau inā ʻike ʻia ka hāpai ectopic i ka wā mua loa , ʻaʻole nui ka embryo, a ʻaʻole i haki ka fallopian tube.
• Ma hope o ka hāʻawi ʻana i ka `(Methotrexate)`, hana mau ʻia nā hoʻāʻo koko a hiki i ka emi ʻana o ka pae `(hCG)`.

2. Hoʻokele ʻoki kino:

• Laparoscopy (ʻoki puka kī): ʻO kēia ke kaʻina hana maʻamau. Hana ʻia ke ʻoki ma o kekahi mau ʻoki liʻiliʻi ma ka ʻōpū, me ka hoʻohana ʻana i kahi kāmela a me nā mea hana palupalu. ʻElua mau ʻano hana:
• Salpingostomy: ʻOki ʻia ka ʻōmole fallopian, wehe wale ʻia ka ʻiʻo i hoʻoulu ʻia, a waiho ʻia ka ʻōmole me ka ʻole o ka pilikia. Hana ʻia kēia i hiki ke hoʻohana hou ʻia ka ʻōmole i ka wā e hiki mai ana, ke ʻole ka nui o ka pōʻino.
• Hoʻopau ʻana i ka salpingoid:Hoʻoneʻe ʻia ka ʻōmole fallopian holoʻokoʻa e loaʻa ana ka embryo. Hana ʻia kēia inā ua hōʻino nui ʻia ka ʻōmole a i ʻole ke kahe nui nei ke koko.
• Laparotomy (ʻoki hāmama): I kahi kūlana pilikia kahi i haki ai ka ʻōmole fallopian a nui ke kahe koko, pono paha kahi ʻoki nui e pili ana i kahi ʻoki ʻana i loko o ka ʻōpū.

E nānā pono nā kauka i kou kūlana a kūkākūkā me ʻoe i ke ʻano o ka lāʻau lapaʻau kūpono loa iā ʻoe.

He aha ka mea e hana ʻia ma hope o kēia? Hiki iaʻu ke loaʻa hou kahi pēpē?

He ʻike paʻakikī maoli ka "(Ectopic Pregnancy)" no ka wahine, ma ke kino a me ka noʻonoʻo.

• Ka hopena noʻonoʻo: Hiki iā ʻoe ke kaumaha, hoʻohoka, a huhū paha no ka nalowale ʻana o ka manaʻolana. He mea nui loa e kamaʻilio me kāu kāne, ʻohana, a me nā hoaaloha e pili ana i kēia a e ʻimi i kā lākou kōkua i kēia manawa. Hiki iā ʻoe ke ʻimi i ke aʻo ʻana inā pono. E hoʻomanaʻo ʻaʻole ʻoe hoʻokahi.
• Hoʻōla kino: Inā ua hana ʻia ke ʻoki kino, e lōʻihi ka manawa e hoʻōla ai. E hahai pono i nā ʻōlelo a ke kauka.
• Hāpai keiki i ka wā e hiki mai ana: He nui nā wāhine i loaʻa nā hāpai keiki olakino a kūleʻa ma hope o ka hāpai keiki ectopic. Eia nō naʻe, inā ua wehe ʻia kekahi ʻōmole fallopian a inā ua hōʻino ʻia nā ʻōmole, e emi iki paha ka manawa e hāpai hou ai. Eia kekahi, ʻoi aku ka kiʻekiʻe o ka pilikia o kahi hāpai keiki ectopic ʻē aʻe.

No laila, inā ʻoe e noʻonoʻo ana e loaʻa hou kahi pēpē, he mea nui loa ia e kamaʻilio me kāu kauka e pili ana i ia mea a e ʻimi i kāna ʻōlelo aʻo. I kou hāpai ʻana aʻe, he mea pono e ʻike mua i ke kauka a loaʻa kahi scan e hōʻoia ai aia nō ia i loko o ka ʻōpū.

ʻO nā mea nui loa e pono ai kākou e aʻo mai kēia

ʻAe, mai nā mea a mākou i kūkākūkā ai i kēia lā, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi ʻike maikaʻi aʻe o ka `(Ectopic Pregnancy)`. Eia kekahi o nā mea nui e hoʻomanaʻo:

• He maʻi koʻikoʻi ka hāpai ʻana o ka ectopic, akā hiki ke mālama maikaʻi ʻia inā ʻike ʻia i ka wā mua.
• Inā ʻike ʻoe i kekahi o nā hōʻailona hāpai maʻamau, e like me ka ʻeha ma kekahi ʻaoʻao o ka ʻōpū, ke kahe koko ʻokoʻa, a i ʻole ka ʻeha poʻohiwi , e ʻike koke i ke kauka.
• ʻAʻole kēia he hewa o kekahi.
• E hāʻawi iā ʻoe iho i ka manawa e hoʻōla ai i ke kino a me ka noʻonoʻo ma hope o ka lāʻau lapaʻau. E kiʻi i ke kōkua āu e pono ai.
• E hiki i nā kānaka he nui ke loaʻa kahi pēpē olakino i ka wā e hiki mai ana. E hoʻomau i kou manaʻolana.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e nīnau i kāu kauka. E noho olakino!

Hāpai ʻEctopic , Hāʻule ʻana o ka Hānau, Nā Tubes Fallopian, Hāpai ʻEctopic, Hāpai, Ola Kino Wahine, Mālama Pilikia