Maopopo iaʻu kou makaʻu a me kou kaumaha ke haʻi aku ke kauka iā ʻoe he ' ectopic pregnancy ' ka hāpai ʻana āu e kakali nei. ʻO ka lohe ʻana i kēlā mau ʻōlelo, ua like paha kou ao holoʻokoʻa me he mea lā ua hiolo. Akā, mai hopohopo. ʻAʻole kēia kou hewa. E kamaʻilio kākou e pili ana i kēia kūlana, nā mea hiki ke hana ʻia, a me nā koho lapaʻau.
I ka ʻōlelo maʻalahi, he aha ka hāpai ectopic?
ʻO ka maʻamau, hele kahi hua i hoʻopulu ʻia i lalo o ka ʻōmole fallopian, hoʻokomo ʻia, a hoʻomaka e ulu ma ke ʻano he pēpē i loko o ka ʻōpū . ʻO kēia no ka mea ʻo ka ʻōpū wale nō ka mea nona ka hakahaka, ka meaʻai, a me ka pale e pono ai ka pēpē e ulu pono.
Eia nō naʻe, i ka hāpai ʻana o ka ʻōpū ma kahi ʻē aʻe, hoʻokomo ʻia ka hua i hoʻoulu ʻia ma kahi ʻē aʻe ma waho o ka ʻōpū. Ma mua o 90% o ka manawa, hana ʻia ia ma ka ʻōpū Fallopian . ʻO ia ke kumu i kapa ʻia ai i kekahi manawa he "tubal pregnancy." Ma muli o kahi pilikia me ka hua a i ʻole ka ʻōpū, ʻaʻole hiki i ka hua ke hoʻopau i kāna huakaʻi i ka ʻōpū.
ʻO ka mea nui loa, ʻaʻohe ala e hiki ai i kahi pēpē ke ulu ma waho o ka ʻōpū. No laila, ʻo ka mea pōʻino, pono e hoʻopau ʻia nā hāpai āpau i hoʻolālā ʻole ʻia. He kūlana hoʻoweliweli kēia i ke ola, no laila he mea nui e ʻimi koke i ka lāʻau lapaʻau .
Pehea ʻoe e koho ai i ke kauka maikaʻi loa nāu?
I ka wā ma mua, ʻo ke ʻoki kino wale nō ke koho no kēia maʻi. Akā i kēia manawa, me ka holomua o ka ʻepekema lapaʻau, hiki pinepine ke kāohi i kēia maʻi me ka lāʻau lapaʻau. E hoʻoholo kāu kauka pehea e mālama ai iā ʻoe ma muli o kekahi mau kumu:
- ʻEhia ka lōʻihi e hāpai ai: He kakahiaka nui kēia, a ua hala paha kekahi manawa?
- Kahi o ka embryo : Ma hea ia i loko o ka ʻōmole fallopian a inā ua hōʻino ʻia.
- ʻO kāu mau hōʻailona: Ke loaʻa nei iā ʻoe kekahi mau hōʻailona koʻikoʻi, e like me ka ʻeha nui a i ʻole ke kahe ʻana o ke koko?
- nā pae hormone hCG: Ke ana kēia hoʻāʻo i ka pae o kēia hormone i hana ʻia e ke kino i ka wā hāpai.
Ma muli o kēia mau kumu, e hoʻoholo kāu kauka inā ʻoi aku ka maikaʻi o ka lāʻau lapaʻau a i ʻole ke ʻoki ʻana iā ʻoe.
| ʻAno lapaʻau | Ka wehewehe ʻana a no wai ka mea kūpono loa? |
|---|---|
| Lāʻau lapaʻau | He kūpono kēia ʻano hana no ka poʻe i nā wā mua o ka hāpai ʻana, he haʻahaʻa ko lākou pae hormone hCG, a ʻaʻole i hōʻino ʻia nā ʻōpū fallopian. Hāʻawi ʻia kahi inikini i kapa ʻia ʻo Methotrexate. |
| ʻoki kino | Inā ʻaʻole kūleʻa nā lāʻau lapaʻau, kiʻekiʻe nā pae hCG, aia nā hōʻailona koʻikoʻi, a ua haki paha ka ʻōmole fallopian, pono maoli ke ʻoki ʻana. |
Ka lāʻau lapaʻau (Methotrexate Injection)
E nānā kākou i kēia me nā kikoʻī hou aku. Inā ʻaʻole koʻikoʻi kou kūlana, hiki i kāu kauka ke hoʻoholo e hāʻawi iā ʻoe i kahi pana i kapa ʻia ʻo Methotrexate .
He aha ka mea e hana ʻia me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, ʻo ka hana a kēia lāʻau pale, ʻo ia ke kāohi i nā pūnaewele e pili ana i ka hāpai ʻana mai ka māhele wikiwiki ʻana. A laila, i ka hala ʻana o ka manawa, hiki i ke kino ke omo mālie a wehe i kēlā ʻiʻo.
Nā mea e ʻike ai
- Nā hopena ʻaoʻao: Hiki i kēia lāʻau lapaʻau ke hana i kekahi mau hopena ʻaoʻao liʻiliʻi. ʻO kēia mau mea ka nausea, ka luaʻi ʻana, ka poniuniu, ka ʻeha o ka ʻōpū , a i kekahi manawa nā ʻeha waha. He mea maʻamau nō hoʻi ka ʻeha o ka ʻōpū no ʻelua a ʻekolu mau lā ma hope o ka lawe ʻana i ka lāʻau pale.
- Nānā ʻana: ʻAʻole pono ʻoe e noho i ka haukapila e like me ka wā ma mua. Hiki ke hana ʻia kēia ma ke ʻano outpatient. Eia nō naʻe, e hoʻomau kāu kauka i ka nānā ʻana i kāu mau pae hormone hCG me nā hoʻāʻo koko no kekahi mau pule. He mea nui loa ia e hōʻoia i ka hāʻule ʻana o nā pae i ka ʻole. I kekahi manawa, ʻaʻole paha e emi nā pae me hoʻokahi injection. Inā hana ʻia kēlā, pono paha ʻoe e loaʻa i kahi injection ʻē aʻe.
Nā hihia kahi e pono ai ke ʻoki kino
Inā ʻaʻole hiki i ka lāʻau lapaʻau ke kāohi i ke kūlana, ʻo ke ʻoki ʻana ke kaʻina hana aʻe. Eia kekahi, no ka poʻe me nā pae hCG kiʻekiʻe loa, nā hōʻailona koʻikoʻi, a me ka poʻe me nā ʻōpū fallopian i haki a hōʻino ʻia paha, ʻo ke ʻoki ʻana wale nō ke koho.
Nā ʻano hana ʻoki kino
I kēia mau lā, hana ʻia nā ʻokiʻoki me nā ʻano hana holomua loa.
- ʻO ke ʻoki Laparoscopic: ʻO kēia ke ʻano i makemake nui ʻia e nā kauka. Ua kapa ʻia hoʻi ʻo ia he "key-hole surgery." Maanei, hana ʻia kekahi mau ʻoki liʻiliʻi i loko o ka ʻōpū, kahi e hoʻokomo ʻia ai kahi kāmela a me nā mea hana palupalu e wehe i ka hāpai ʻana. Hiki i kēia ke alakaʻi i ka hoʻōla wikiwiki.
- ʻO ke ʻoki kino hāmama (Laparotomy): I kahi pilikia, ʻoiai inā pohā ka ʻōmole a nui ke kahe ʻana o ke koko i loko o ke kino, hana ʻia ke ʻoki kino kuʻuna ma o kahi ʻoki nui aʻe ma ka ʻōpū.
He aha ka mea e hana ʻia i ka ʻōpū fallopian?
- Inā hiki ke hoʻopakele ʻia ka ʻōmole (Salpingostomy): Inā liʻiliʻi ka pōʻino o ka ʻōmole, e hoʻāʻo ke kauka e hoʻopakele i ka ʻōmole a wehe pono i ka hāpai wale nō i loko.
- Inā pono e wehe ʻia ka ʻōmole (Salpingectomy): Inā ua haki ka ʻōmole a ua hōʻino nui ʻia, pono e wehe ʻia ka ʻōmole fallopian holoʻokoʻa.
Ma hope o ke ʻoki ʻana, e nānā ʻia kāu mau pae hCG e hōʻoia i ka hoʻopau loa ʻia ʻana o ka hāpai ʻana. Hiki ke hāʻawi ʻia kekahi poʻe i kahi inikini methotrexate ma hope o ke ʻoki ʻana.
Nā Hōʻailona ʻŌlelo Aʻo - E makaʻala pono i kēia mau mea!
I kekahi manawa, ma mua o kou ʻike ʻana he hāpai ectopic kou, hiki i kāu ʻōpū fallopian ke haki. He pilikia weliweli kēia e ola ai. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hele koke i ka ʻOihana Pilikia o ka haukapila kokoke loa (ETU).
- ʻEha koke, ʻaʻole hiki ke hoʻomanawanui, ʻeha nui ma ka ʻōpū a i ʻole ka ʻōpū lalo.
- ʻEha poʻohiwi (Hiki kēia ke kahe ke koko i loko o ke kino a hoʻopā i ka ʻiʻo i kapa ʻia ʻo ka diaphragm)
- Manaʻo o ka nāwaliwali loa, ka poniuniu, a i ʻole ka māʻule ʻana.
- ʻO ka hou a me ke anuanu o ka ʻili.
Mai noho ma ka home i kēia manawa. Mai hoʻokele wale. E hele i ka haukapila i ka hikiwawe loa me ke kōkua o kekahi.
Leka Lawe-Home
- ʻO ka hāpai ʻana o kahi keiki ma waho o ka ʻōpū he ectopic. He kūlana koʻikoʻi kēia e pono ai ke kōkua koke ʻia e ke kauka.
- Hoʻoholo ʻia ke ʻano lapaʻau (lāʻau lapaʻau a ʻoki paha) e nā mea e like me ke koʻikoʻi o kou kūlana a me kāu mau pae hormone hCG.
- ʻO nā hōʻailona e like me ka ʻeha nui o ka ʻōpū, ka poniuniu, a me ka ʻeha poʻohiwi ma muli paha o ka haki ʻana o ka ʻōmole fallopian. Inā hana ʻia kēia , e hele koke i ka ʻOihana Pilikia (ETU).
- He ʻike paʻakikī loa kēia, ma ke kino a me ka noʻonoʻo. He mea maʻamau ka manaʻo kaumaha a me ka huhū. E kamaʻilio e pili ana i kēia me kāu kāne, ʻohana, a i ʻole he hoaaloha hilinaʻi.
- Mai makaʻu i ka hāʻule ʻana o ka hāpai keiki. Hoʻomau ka hapa nui o nā wahine i ka hāpai ʻana i ka holomua a olakino. E lana ka manaʻolana a kamaʻilio me kāu kauka no ka ʻōlelo aʻo ma mua o ka hoʻāʻo ʻana e hāpai hou.
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