ʻO ka hauʻoli āu e ʻike ai ke ʻike ʻoe ua hāpai ʻoe, ʻaʻole hiki ke ʻōlelo ʻia. Akā i ka manawa like, ua hopohopo iki ʻoe, ʻeā? E holo pono anei nā mea a pau a e maikaʻi anei ka pēpē? I ka hapa nui o ka manawa, holo pono nā mea a pau. Akā i kekahi manawa, pono mākou e kū i nā mea a mākou i manaʻo ʻole ai, ʻoi aku ka koʻikoʻi. ʻO kekahi pilikia e pono ai ke kōkua lapaʻau, ʻo ia ka hāpai ʻana o ka ʻōpū. ʻOiai he kumuhana weliweli iki kēia, he mea nui loa iā ʻoe ke makaʻala i kēia.
I ka ʻōlelo maʻalahi, he aha ka hāpai ʻana o ka ectopic?
ʻO ka mea maʻamau e hana ʻia, ʻo ia ka hoʻopili ʻana o kahi hua manu i hoʻoulu ʻia i ka paia o kou ʻōpū, kahi e ulu mālie ai i loko o kahi pēpē. Ua like ia me ke kanu ʻana i kahi mea kanu ma ka lepo maikaʻi. ʻO ka ʻōpū kahi kūpono loa no ia.
Eia nō naʻe, i loko o ka "Ectopic Pregnancy", hoʻokomo ʻia ka hua manu i hoʻoulu ʻia ma kahi ma waho o ka ʻōpū. Ma mua o 90% o ka manawa, hana ʻia kēia ma ka "Fallopian tube". No laila, ua kapa ʻia kēia ʻano he "Tubal pregnancy". Eia kekahi, hiki i ka embryo ke hoʻokomo ma nā wahi e like me ka "Ovary", ka "Abdominal cavity" a i ʻole ka "Cervix".
ʻO ka mea nui, ʻaʻole hiki i kahi fetus i hoʻokomo ʻia ma waho o ka ʻōpū ke ola a ulu paha i pēpē olakino . No ka mea, ʻaʻole ia e loaʻa i ke koko, ka hakahaka, a me ka meaʻai e pono ai ma waho o ka ʻōpū, pau mau kēia i ka hāʻule ʻana o ka hāpai keiki ('Pregnancy loss').
Inā ʻaʻole ʻike ʻia a mālama ʻia kēia ʻano i ka wā mua, hiki i ke kino (ʻo ka fallopian tube pinepine) kahi i hoʻokomo ʻia ai ka embryo ke haki (rupture). Inā hana ʻia kēia, hiki iā ia ke hoʻoulu i ke kahe koko nui i loko a hiki ke hoʻoweliweli i ke ola. No laila, he mea nui loa ka makaʻala i kēia.
He aha nā hōʻailona o kēia maʻi?
I nā pae mua, ua like loa nā hōʻailona o ka hāpai ʻana o ka ectopic me nā hōʻailona o ka hāpai ʻana maʻamau. Hiki iā ʻoe ke hala i kou wā, loaʻa ka ʻeha o ka umauma, a manaʻo iki i ka ʻeha i loko o kou ʻōpū. No laila hiki ke paʻakikī iki ke ʻike iā ia i ka wā mua.
Eia nō naʻe, hoʻomaka pinepine nā hōʻailona kikoʻī e ʻike ʻia ma waena o 4 a me 12 mau pule.
| Nā hōʻailona mua | Wehewehena |
|---|---|
| Ke kahe koko ʻana o ka wahine | He ʻokoʻa paha ia mai ke kahe koko maʻamau o ka menstruation, a hiki ke hele mai ma ke ʻano o kahi kahe ʻeleʻele māmā. |
| ʻEha ʻōpū haʻahaʻa | Hiki iā ʻoe ke loaʻa i kahi ʻeha ʻoi aʻe e hoʻonui ana ma kekahi ʻaoʻao o kou ʻōpū. |
| Pōʻino a me ka nāwaliwali | Hiki paha iā ʻoe ke ʻike i ka poniuniu koke a i ʻole ka manaʻo o ke poʻo māmā. |
| ʻEha poʻohiwi | He ʻano ʻē kēia o kahi hōʻailona. Ke kahe ke koko i loko o ka ʻōpū, hiki ke hoʻoulu ʻia nā aʻalolo a ʻike ʻia he ʻeha ma ka piko o ka poʻohiwi. |
| Ka luaʻi a me ka nausea | Hiki i ka luaʻi ke hele pū me ka ʻeha o ka ʻōpū. |
| E hoʻomaopopo i kahi pilikia (Ruptured Ectopic Pregnancy)! | |
Inā haki kahi ʻōmole fallopian, he pilikia ia e hoʻoweliweli ana i ke ola . Inā loaʻa iā ʻoe kēia mau hōʻailona, e hele koke i ka lumi pilikia o ka haukapila (ETU) a kāhea aku paha i kahi ambulance.
| |
No ke aha e hana ʻia ai kēia? He aha nā kumu pilikia?
He mea paʻakikī pinepine ka loaʻa ʻana o kahi kumu kikoʻī no kēia. Eia nō naʻe, ʻo ke kumu nui paha, ua hōʻino ʻia ka ʻōmole fallopian ma kekahi ʻano, e paʻakikī ai i ka hua i hoʻoulu ʻia ke hele i ka ʻōpū.
Hiki paha iā ʻoe ke hoʻonui i ka pilikia o ka loaʻa ʻana o kahi hāpai ectopic inā:
- Inā ʻoe e puhipaka: Hiki i ka puhipaka ke hoʻopilikia i ka hana o nā ʻōpū fallopian .
- Inā ʻoe ma luna o 35 mau makahiki.
- Inā ua loaʻa iā ʻoe kahi maʻi i laha ma ke ʻano moekolohe (STI) ma mua: ʻO nā maʻi, ʻoi aku ka chlamydia, hiki ke hōʻino i nā paia palupalu o nā ʻōpū fallopian a hana i nā ʻeha.
- Inā ua hana ʻia ʻoe i ke ʻoki ʻana ma kou ʻōpū a i ʻole pelvis: No ka laʻana, hiki i kahi appendectomy a i ʻole kahi ʻoki cesarean ke hana i kekahi manawa i ka ʻeha o loko.
- Inā ua loaʻa iā ʻoe kahi hāpai ectopic ma mua: Inā ua loaʻa iā ʻoe kekahi, kiʻekiʻe ka pilikia o ka hana hou ʻana.
- Inā ua loaʻa iā ʻoe ka tubal ligation ma ke ʻano he hana hoʻolālā ʻohana a inā ua loaʻa iā ʻoe ke ʻoki kino e hoʻohuli iā ia.
- Inā ua loaʻa iā ʻoe nā lāʻau hoʻouluulu e like me IVF.
- Inā hāpai ʻoe i ka wā e hoʻohana ana i kahi ʻano kaohi hānau e like me ka IUD, aia kahi manawa kūpono e lilo ka hāpai ʻana i ka hāpai ectopic.
- Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo "Endometriosis": Ma kēia, ulu nā ʻiʻo like me ka mea i loaʻa i loko o ka ʻōpū ma waho o ka ʻōpū. Hiki i kēia ke hana i ka paʻa ʻana o nā ʻōmole fallopian.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Inā loaʻa iā ʻoe kekahi o nā hōʻailona i ʻōlelo ʻia ma luna, e nānā kāu kauka iā ʻoe. Hana pinepine ʻia nā hoʻokolohua aʻe:
1. Hoʻokolokolo Pelvic: Nānā i ka ʻeha a me ka nui o ka ʻōpū.
2. Hoʻāʻo koko: Ke ana kēia i ka pae o ka hormone hāpai `hCG` (`human chorionic gonadotropin`). I loko o kahi `(Ectopic Pregnancy)`, ʻoi aku ka haʻahaʻa o ka pae o kēia hormone ma mua o ka hāpai maʻamau, a ʻaʻole paha e piʻi koke e like me ka mea i manaʻo ʻia.
3. Ke nānā ʻana i ka ultrasound: ʻO kēia ka hoʻāʻo koʻikoʻi loa. Hiki i ke kauka ke ʻike inā aia ka ʻeke gestational i loko a i waho paha o ka uterus. I kekahi manawa, ma waho aʻe o ke nānā ʻana ma ka ʻili o ka ʻōpū, hiki ke hana ʻia kahi nānā ʻana ma o ka vagina (transvaginal ultrasound), no ka mea, hiki ke ʻike maopopo ʻia nā fallopian tubes a me nā ovaries.
Pehea e mālama ʻia ai?
No ka mea, ʻaʻole hiki i ka hāpai ʻana o ka ʻōpū ke ulu ma waho o ka ʻōpū a he mea hoʻoweliweli i ke ola o ka makuahine, he mea nui e wehe i ka ʻōpū. ʻElua mau ʻano nui no kēia. Na kāu kauka e hoʻoholo i ka lāʻau kūpono loa e pili ana i kou kūlana, ka ulu ʻana o ka ʻōpū, a inā paha ua haki ka ʻōpū fallopian.
1. Ka mālama ʻana me ka lāʻau lapaʻau
Inā ʻike mua ʻia ke kūlana, ʻaʻole i haki ka ʻōpū fallopian a aia ka pae hCG ma lalo o kekahi pae, hiki ke hāʻawi ʻia kahi lāʻau i kapa ʻia ʻo methotrexate ma ke ʻano he injection. Hoʻōki kēia injection i ka ulu ʻana o nā hunaola fetal. A laila, i loko o 4-6 mau pule, omo kou kino i nā ʻiʻo ma kāna iho. ʻAʻole pono kēia ʻano hana i ke ʻoki kino. Eia nō naʻe, e nānā ke kauka iā ʻoe a hiki i ka hāʻule ʻana o ka pae hCG i ka ʻole.
2. Lapaʻau ʻana ma o ke ʻoki kino
I nā hihia ʻē aʻe, pono ke ʻoki kino.
- Laparoscopy: ʻO kēia ke ʻoki maʻamau. Ua kapa ʻia hoʻi ʻo "keyhole surgery." Hana ʻia kekahi mau ʻoki liʻiliʻi loa ma ka ʻōpū lalo, a hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela e wehe i ka embryo "ectopic". Inā ua hōʻino ʻia ka ʻōmole fallopian, pono paha e wehe pū ʻia me ka ʻōmole.
- Laparotomy: He hana ʻoki ulia pōpilikia i hana ʻia ma ka wehe ʻana i ka ʻōpū i ka wā e haki ai ka ʻōpū fallopian a me ke kahe nui ʻana o ke koko.
E luhi paha ʻoe a loaʻa ka ʻeha o ka ʻōpū no kekahi mau pule ma hope o ka mālama ʻana. Pono ʻoe e hāʻawi iā ʻoe iho i ka manawa e ho'ōla ai i ke kino a me ka noʻonoʻo.
Ma hope o kēia ʻike ...
He ʻeha loa ka hāpai ʻana o kahi keiki ʻōpū (ectopic), ma ke kino a me ka naʻau. Hiki ke paʻakikī ke hoʻomanawanui i ke kaumaha o ka nalowale ʻana o kahi keiki. He mea nui loa ia e kamaʻilio e pili ana i kēia me kāu kāne, ʻohana, a i ʻole he hoaaloha hilinaʻi. Inā pono, mai kānalua e ʻimi i ke kōkua o kahi kākāʻōlelo loea.
Ma mua o ka hoʻāʻo ʻana e hāpai hou, pono ʻoe e hāʻawi i kou kino i ka manawa e ho'ōla ai. Manaʻo pinepine nā kauka e kali ma ka liʻiliʻi he 3 mahina. E kamaʻilio me kāu kauka e hoʻoholo i ka manawa kūpono loa iā ʻoe. Inā ua wehe ʻia kekahi ʻōmole fallopian akā olakino kekahi ʻōmole, hiki iā ʻoe ke hāpai hou ma ke ʻano maʻamau. E kamaʻilio pū me kāu kauka e pili ana i kēlā.
Leka Lawe-Home
- ʻO ka hāpai ʻana o ka ʻōpū ectopic kahi maʻi koʻikoʻi kahi e hoʻokomo ʻia ai ke keiki ma waho o ka ʻōpū a pono e mālama koke ʻia e ke kauka.
- Hiki ke like nā ʻōuli mua me nā hōʻailona o ka hāpai ʻana maʻamau, akā e hopohopo nui e pili ana i ke kahe koko ʻokoʻa o ka ʻōpū, ka ʻeha nui ma kekahi ʻaoʻao o ka ʻōpū, a me ka poniuniu.
- Inā loaʻa iā ʻoe ka ʻeha ʻōpū koke a hiki ʻole ke hoʻomanawanui, ke kahe koko nui, a i ʻole ka nalowale o ka ʻike,E hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.
- Aia nā lāʻau lapaʻau. Inā ʻike mua ʻia, hiki ke mālama ʻia kēia ʻano me ka lāʻau lapaʻau a i ʻole ke ʻoki kino.
- He mea maʻamau ke kaumaha a me ke kaumaha e pili ana i kēia ʻike. Mai hūnā i kēlā mau manaʻo. E kamaʻilio me kāu kauka, a inā pono, he kākāʻōlelo olakino noʻonoʻo, no ke kākoʻo.
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