He ʻeha loa ka hāpai ʻana o ka ʻōpū hānau ʻole (ectopic) a he mea hoʻoluhi hoʻi ia no ka noʻonoʻo a me ke kino. Ma hope o ia ʻano ʻike, nui nā nīnau e like me "E hiki anei iaʻu ke hānau hou i kahi pēpē?", "Pehea inā e hana hou ʻia?", "Ua hana ʻia kekahi mea i koʻu kino?" e holo nei i loko o kou noʻonoʻo. He mea maʻamau maoli nō ia. He mea kūpono ke loaʻa kēlā mau nīnau a makaʻu i ka manawa e like me kēia. No laila, i kēia lā, e kamaʻilio kākou e pili ana i nā mea nui loa āu e pono ai e ʻike e pili ana i kēia.
I ka ʻōlelo maʻalahi, ʻo ka hāpai ʻana o ka ectopic ka wā e hoʻokomo ʻia ai kahi hua manu i hoʻoulu ʻia ma waho o ka ʻōpū, pinepine i loko o ka ʻōpū fallopian, a hoʻomaka e ulu. ʻAʻole loa kēia he hāpai holomua. Eia kekahi, inā ʻaʻole ʻike ʻia a mālama koke ʻia kēia ʻano, hiki iā ia ke hoʻoweliweli i ke ola o ka makuahine.
ʻAe, e hele pololei kākou i nā nīnau nui ʻelua ma kou manaʻo.
1. Hiki ke hāpai hou ma hope o ka hāpai ʻana o ka ectopic?
ʻAe. He mea hiki nō ia. ʻO ka loaʻa ʻana o kahi hāpai ectopic ʻaʻole ia he manaʻo ʻaʻole hiki iā ʻoe ke loaʻa hou kahi pēpē olakino. He nui nā wahine i hāpai kūleʻa a hānau i nā pēpē olakino ma hope o ka hāpai ectopic.
2. Inā hāpai au e like me kēlā, aia kekahi manawa kiʻekiʻe o ka hāpai ʻana o ka ectopic ʻē aʻe?
ʻAe, ʻoi aku ka kiʻekiʻe o ka pilikia ma mua o ka wā ma mua. ʻO ka mea i ʻike i kēia kūlana i hoʻokahi manawa, ʻoi aku ka nui o ka manawa e loaʻa hou ai ia ma mua o ke kanaka maʻamau. Wahi a nā helu helu, ʻo kēia pilikia ma kahi o 10% - 15%. ʻO ia hoʻi, mai loko mai o 100 mau kānaka e hāpai i ka manawa aʻe, 85-90 e loaʻa kahi hāpai maʻamau a olakino .
He mea nui e hoʻomaopopo mua ʻaʻole kēia kou hewa. He maʻi olakino kēia. No laila, mai hoʻoluhi iā ʻoe iho me ke kumu ʻole.
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No ke aha he mea nui kou mōʻaukala lapaʻau?
He kuleana koʻikoʻi ko kāu mōʻaukala olakino i ka hoʻoholo ʻana i ke ʻano o kāu hāpai ʻana aʻe a me nā pilikia. He mea nui loa ia e ʻike i ke kumu o kāu hāpai ectopic ma mua. E noʻonoʻo pono kāu kauka i kēia mau mea i ke kamaʻilio ʻana me ʻoe.
E nānā i ka papa ma lalo no nā kumu pilikia nui no ka hāpai ectopic.
| Kumu Hoʻopilikia | Pehea e pili ai a me nā mea e pono ai ke ʻike |
|---|---|
| Loaʻa kahi hāpai ectopic ma mua | ʻO kēia ke kumu pilikia nui loa. Inā he kumu i pale ai i ka hua manu mai ka hiki ʻana i ka ʻōpū i ka manawa ma mua, aia nō paha kēlā kumu ma laila. |
| Nā pilikia me nā Tubes Fallopian | ʻO nā ʻōmole fallopian nā ʻōmole lahilahi ʻelua e lawe ana i ka hua manu mai ka ovary a i ka uterus. Inā ua hōʻino ʻia kēia mau ʻōmole, ua ālai ʻia, a i ʻole he ʻano ʻē i hānau ʻia, ʻaʻole hiki i ka hua manu i hoʻoulu ʻia ke hiki maʻalahi i ka uterus. |
| Nā maʻi i laha ma ke ʻano moekolohe (STIs) | ʻO nā maʻi, ʻoi aku hoʻi ka chlamydia, hiki ke hana i nā ʻeha i loko o nā ʻōpū fallopian. Hiki i kēia ʻeha ke ālai i nā ʻōpū a pale i ka hua manu mai ka hiki ʻana i ka ʻōpū. |
| Nā ʻoki kino ma mua | ʻO ke ʻoki ʻana ma ka ʻōpū a i ʻole ka ʻāpana pelvic, no ka laʻana, ka appendectomy, ka ʻoki cesarean, a i ʻole ke ʻoki ʻana e pili ana i nā ʻōpū fallopian, hiki ke hana i ka ʻeha a hoʻopilikia i nā ʻōpū. |
| Ka hānau ʻole ʻana | ʻO kekahi mau kūlana e hoʻoulu ai i ka hānau ʻole (e like me nā pilikia me nā ʻōpū fallopian) e hoʻonui pū i ka pilikia o ka hāpai ʻana o ka ectopic. Hiki i kekahi mau lāʻau lapaʻau no ka hānau ʻole ke hoʻonui iki i kēia pilikia. |
| Puhipaka | ʻOi aku ka nui o ka pilikia o ka hāpai ʻana o ka ectopic i nā wahine puhi paka ma mua o ka poʻe ʻaʻole. Ua ʻike ʻia ka nikotine i loko o nā cigarette e hoʻopilikia i ka hana o nā fallopian tubes. |
| Makahiki | He kiʻekiʻe iki aʻe kēia pilikia no nā wahine ma luna o 35 mau makahiki, ʻoiai ka poʻe e kokoke ana i 40. |
He aha kāu e hana ai inā ʻoe e noʻonoʻo ana i kāu hāpai ʻana e hiki mai ana?
He manawa ka lōʻihi no kou kino a me kou noʻonoʻo e hoʻōla ai mai kahi hāpai ectopic. No laila, mai wikiwiki. E hāʻawi iā ʻoe iho a me kāu hoa i ka manawa e kaumaha ai.
1. E ʻike i ke kauka ma mua o ka hoʻāʻo hou ʻana.
ʻO kēia ka hana nui loa. Ma mua o kou noʻonoʻo ʻana e pili ana i ka loaʻa hou ʻana o kahi pēpē, e kamaʻilio me kāu kauka wahine . Ua ʻike maikaʻi ʻo ia i kou kūlana a e hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo maopopo no ka mea e hana ai ma hope, pehea ka lōʻihi e kali ai, a me nā mea e makaʻala ai.
2. Kāohi i nā kumu pilikia
Inā ʻoe e puhipaka , ʻo kēia ka manawa kūpono loa e haʻalele ai. ʻO ka haʻalele ʻana i ka puhipaka ʻaʻole wale ia e hōʻemi i ka pilikia o ka hāpai ʻana o ka ectopic i kāu hāpai ʻana aʻe, akā he mea maikaʻi loa hoʻi ia no kou olakino holoʻokoʻa a me ke olakino o kāu pēpē i hānau ʻole ʻia.
3. Ua manaʻo ʻia ka hāpai ʻana aʻe he "pilikia kiʻekiʻe"
Mai hopohopo ke lohe ʻoe i kēia. ʻAʻole manaʻo ʻo "High-Risk" e makaʻu ʻoe. ʻO ia hoʻi, e nānā pono ana kāu kauka a me ka hui lapaʻau iā ʻoe a me kāu pēpē .
Pono ʻoe e ʻike i ke kauka ke ʻike koke ʻoe ua hāpai ʻoe. A laila:
- Hiki ke hana ʻia kahi scan ultrasound ma mua e hōʻoia inā ua hoʻokomo pono ʻia ka embryo i loko o ka ʻōpū.
- Hiki ke hana i nā hoʻāʻo koko e ʻike ai inā e piʻi maoli ana ka pae o ka hormone hāpai (hCG).
Ma muli o kēia nānā mua ʻana, ʻoiai inā e hana hou ʻia kahi hāpai ectopic, hiki ke ʻike koke ʻia a mālama ʻia ma mua o ka hana ʻia ʻana o kekahi pōʻino iā ʻoe.
Leka Lawe-Home
- He kiʻekiʻe loa ka manawa kūpono e hāpai maikaʻi ai me kahi pēpē olakino ma hope o ka hāpai ʻana o ka ectopic.
- ʻOiai ua piʻi iki ka pilikia o ka loaʻa ʻana o kahi hāpai ectopic ʻē aʻe, ʻo ka hapa nui o nā wahine (85%-90%) e hāpai maʻamau i ka manawa aʻe.
- Ma mua o ka hoʻāʻo ʻana e hāpai hou, he mea nui e kamaʻilio me kāu kauka a e ʻimi i ka ʻōlelo aʻo.
- E ʻike i ke kauka i ka wā e manaʻo ai ʻoe ua hāpai ʻoe. Hiki i kahi scan mua ke hōʻoia i ke kūlana kūpono o ka ʻōpū.
- Inā he mau mea pilikia hiki ke kāohi ʻia, e like me ka puhipaka, he mea nui loa ka hana ʻana i nā hana e hoʻopau iā lākou no kou olakino i ka wā e hiki mai ana.
- E kamaʻilio e pili ana i kou mau manaʻo me kāu hoa, he hoaaloha hilinaʻi, a i ʻole, inā pono, he kauka. ʻO ka hoʻōla ʻana o ka noʻonoʻo he mea nui ia e like me ka hoʻōla kino.
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