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.

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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