He hāputanga ectopic rānei? Kia kitea tātou, kaua e mataku!

Tērā pea kua rongo koe i tētahi hoa, i tētahi mema rānei o te whānau mō te 'hāputanga ectopic'. Tērā pea kei te āwangawanga koe mōna. Ahakoa he āhua whakamataku, he mea nui kia mōhio koe ki tēnei. I tēnei rā, ka kōrerohia e tātou tēnei mea me te taipitopito, me te ngāwari hoki.

Na, he aha te hāputanga ectopic?

He māmā noa iho, ko te hāputanga ectopic ko te wā e hapu ana te pēpi i waho o tō kōpū. I te nuinga o te wā, ka haere te hua manu kua whakatōkia ki raro i te ngongo Fallopian ka whakatōkia ki te pakitara o te kōpū. Koinei te wā ka taea e te pēpi te tīmata ki te whanake tika. Heoi, i tēnei wā, ka piri te hua manu kua whakatōkia ki tētahi atu wāhi i mua i tōna taenga ki te kōpū.

I te nuinga o te wā, tata ki te 90% o te wā, ka puta tēnei i roto i ō ngongo whakatō . Ko ngā ngongo whakatō he ngongo iti e rua e hono ana i ō ovaries ki tō kōpū. He tino onge, ka taea e te hua manu te whakatō ki roto i te ovaries, te puku, te cervix rānei.

Ko te mea nui, kāore e taea te haere tonu o tētahi hāputanga pēnei e puta ana i waho o te kōpū, nā te mea ko te taiao e tika ana mō te tamaiti kia tipu ake kei roto noa i te kōpū.

Engari, ka taea e tēnei momo hāputanga te whakararu i te ora. Ina koa, ki te whakatōngia te hua manu ki roto i te ngongo fallopian ka tipu, ka pakaru te ngongo. Ka kiia tēnei he "hāputanga ectopic pakaru". Ki te tupu tēnei, ka puta he toto nui, he mate, ā, i ētahi wā ka mate. Nō reira, he āhuatanga ohorere hauora tēnei. Me rongoā wawe tonu tēnei mate e ngā tākuta.

He pēhea te noa o tēnei āhuatanga?

E ai ki ngā tatauranga, e rua i roto i te 100 o ngā hāputanga ka puta he hāputanga ectopic. Ko te tikanga o tēnei, ahakoa te āhua nei kāore i te tino noa, ka taea e te tangata te pā ki tēnei.

He aha ngā tohu o tēnei?

I ngā wāhanga tōmua, ka tino rite ngā tohu o te hāputanga ectopic ki ērā o te hāputanga noa. Arā, ko ngā āhuatanga pēnei i te korenga o te paheketanga, te mamae o te ū, me te whakapairuaki. Heoi anō, tera pea ētahi atu tohu.

Ngā tohu ka kitea i ngā wāhanga tuatahi:

• Te toto o te tara rerekē: He parauri mārama pea tēnei, he māwhero mārama rānei, he whero pouri rānei. Ka rerekē te ahua i tō toto paheketanga noa.
• Te mamae i te puku o raro, te hope, me te tuara o raro: Ka pā tēnei mamae ki te taha kotahi anake, ka pā rānei ki te puku o raro katoa. I ētahi wā, ka kino haere tēnei mamae.
• Te pōuri, te ngoikore rānei.

Ngā tohu kino ka puta mēnā ka pakaru te ngongo fallopian:

Koinei te wā tino mōrearea.Ki te pakaru te ngongo uterine, ka tino kaha te mamae me te toto. Tērā pea ka pāngia koe e ngā tohu pēnei i:

• Te ngaronga o te māramatanga.
• Te hekenga ohorere o te toto toto (Hypotension).
• Te mamae i te pakihiwi: He mea miharo pea tēnei, engari ina kohia te toto ki te puku, ka taea te rongo i te mamae i te pakihiwi mā roto i ngā io.
• Te pēhanga o te kume, te uaua rānei ki te tutae.

Ki te pāngia koe e te mamae ohorere, koi, kāore e taea te whakamātau i roto i tō puku o raro, he tohu pea tēnei kua pakaru te ngongo fallopian. He āhuatanga ohorere hauora tēnei! Me toro atu koe ki tō tākuta tonu, me haere rānei ki te rūma ohorere i te hōhipera tata ki a koe.

He aha tēnei e tupu nei? He aha ngā take?

I te nuinga o te wā, ko te take matua o te hāputanga ectopic ko te mea kei te aukati i te haerenga o te hua manu kua whakatōkia mā roto i te ngongo fallopian ki te kōpū. Ko te tikanga o tēnei kua puhoi, kua mutu rānei te haerenga o te hua manu. He maha ngā take ka puta ai tēnei:

• Ngā kiko whara, ngā piri, ngā mate mumura rānei i te rohe hope mai i te pokanga o mua. Hei tauira, mēnā kua whānau koe i mua i te pokanga cesarean, kua pokanga rānei koe hei tango i tētahi pukupuku, ka taea e aua pokanga te whakaputa i ngā huringa ngawari ki te rohe e karapoti ana i ō ngongo fallopian.
• Te kino o ngā ngongo uterine: Ko te tino take o tēnei ko ngā mate pāwera ira tangata (STI). Hei tauira, ka taea e ngā mate pēnei i te Chlamydia te kino i ngā ngongo uterine, ā, ka ārai i a rātou.
• He āhua whānau kore o ngā ngongo fallopian.
• He momo tipu (pērā i te pukupuku) e ārai ana i te ngongo fallopian.

Me pēhea taku mōhio mēnā kei a au tēnei mōrearea?

He maha ngā āhuatanga e whakanui ake ana i te mōrearea o te hāputanga ectopic. Mena kua pāngia koe e tētahi mea pēnei, tera pea he paku teitei ake tō mōrearea:

• Mena kua pāngia koe e te hāputanga ectopic i mua, koinei te tino take mōrearea.
• Mena he hītori tōu mō te mate mumura o te hope (PID). He mate te PID ka puta ai he kiko koha i ngā wāhi pēnei i ngā ngongo fallopian, te kōpū, ngā ovaries, me te cervix.
• Mena kua pokaina ō ngongo whatukuhu, hei tauira, mena kua herea ō ngongo whatukuhu hei tikanga whakamahere whānau, mena rānei kua pokaina koe i tētahi atu okana i te rohe hope.
• Mena kua rongoatia koe mō te kore tamariki i mua, inā koa ngā maimoatanga pēnei i te In Vitro Fertilization (IVF).
• Mena kei a koe tētahi mate e kiia nei ko te endometriosis.I roto i tēnei, ka tipu tētahi momo kiko e kitea ana i roto i te kōpū i waho o te kōpū, i ētahi atu wāhi.
• Mena kei a koe ngā mate urutā (STI).
• Mena i whakauruhia he taputapu IUD ki roto i tō kōpū i te wā e hapu ana. Mena ka hapu koe i te wā e mau ana te IUD, he nui te tūponotanga ka puta he haputanga ectopic.
• Mena he hītori tōu mō te momi tupeka.

Kia maumahara rawa: Ki te mea kei a koe he taputapu intrauterine (IUD) ina kitea e koe kei te hapu koe, ki te mea rānei kua herea ō ngongo, me toro atu koe ki te tākuta tonu. Nā te mea he nui ake te mōrearea o te haputanga ectopic i ēnei wā.

Waihoki, ka piki ake pea tēnei mōrearea i te pakeketanga. He nui ake te mōrearea o ngā wāhine neke atu i te 35 tau te pakeke i ērā e tamariki ake ana i taua tau.

Engari, he mea miharo, tae atu ki te 50% o ngā wāhine e pāngia ana e te hapūtanga ectopic, kāore pea i a rātou tētahi o ēnei āhuatanga mōrearea. Nō reira, he mea nui kia mōhio ki ēnei tohu.

He aha ngā raruraru ka pā mai i tēnei?

He āhuatanga ohorere hauora te hāputanga ectopic. E ai ki taku kōrero i mua ake nei, ko te kōpū anake te okana ka taea te whakauru i tētahi tamaiti e tipu haere ana. Ka taea e ia te totoro me te whānui i te tipu o te tamaiti. Heoi, kāore ō ngongo fallopian i te tino ngāwari. Kāore e taea e rātou te tu atu i te pēhanga. I te tipu o te hua manu kua whakatōkia, ka pakaru pea te ngongo fallopian.

Ki te tupu tēnei, ka puta he toto nui i roto i te tinana, ka mōrearea pea te ora. He tino morearea tēnei. Nō reira, me rongoā tonu te 'hāputanga ectopic' kia kore ai e kino te ngongo fallopian me ētahi atu okana, te toto o roto, me te mate pea.

Me pēhea te tautuhi i tēnei?

He maha ngā wāhine ka kitea he ectopic tō rātou haputanga i muri i te tirotiro hauora, te whakamātautau toto, te matawai ultrasound rānei i te tīmatanga o te haputanga. Tērā pea ka whakapae tō tākuta i tēnei i runga i tāu e kī ai i tēnei wā, i runga rānei i ngā whakamātautau e mahia ana e rātou.

Hei whakatau mēnā he hāputanga ectopic tōu, ka whakahaerehia e tō tākuta ētahi whakamātautau. Kei roto i tēnei ko te tirotiro tara me te whakaū i te hāputanga.

Ko ngā whakamātautau e mahia ana i te nuinga o te wā ko:

• Whakamātautau mimi: I tēnei, ka mimi koe ki runga i tētahi rīpene whakamātautau i te tari tākuta, ka mimi rānei koe ki roto i tētahi kapu, kātahi ka tāpirihia he rīpene whakamātautau ki runga. Mā tēnei ka taea e koe te mōhio mēnā kei te hapu koe, kāore rānei.
• Whakamātautau toto: Ka ine tō tākuta i te nui o te 'HCG (Human Chorionic Gonadotropin)' i roto i tō toto.Ka tirohia te taumata o te homoni. Ka puta noa tēnei homoni i roto i te tinana ina hapu koe. Ina whakatōkia te hua manu kua whakatōkia ki roto i te kōpū, ka tere te piki o te taumata o te `HCG`. Heoi, i roto i te `hapūtanga ectopic`, tera pea ka iti iho tēnei taumata `HCG` i te hapūtanga noa, kāore rānei e piki pērā i te mea e tumanakohia ana.
• Matawai Ultrasound: Ka whakamahia e te ultrasound ngā ngaru oro hei hanga whakaahua o ngā whekau i roto i te tinana. Ka whakamahia e tō tākuta tēnei whakamātautau hei tirotiro i te wāhi i whakatōkia ai te hua manu kua whakatōkia. Mena kāore he kukune e kitea ana i roto i te kōpū, ā, he teitei ngā taumata HCG, tera pea ka whakapaehia he hāputanga ectopic.

He tino onge, mēnā he whakapae kua pakaru te hāputanga ectopic, ka whakahaerehia pea e ngā tākuta he whakamātautau e kiia nei ko te culdocentesis . Heoi, kāore tēnei e whakamahia whānuitia ana i ēnei rā.

Kia whakaūtia e tō tākuta he hapūtanga ectopic tōu, ā, kia kitea te wāhi tika o te hua manu kua whakatōkia, ka matapakihia e rātou he mahere maimoatanga māu. Kia maumahara, he āhuatanga ohorere tēnei, nō reira he mea tino nui kia whiwhi maimoatanga.

Kia pēhea te roa ka mōhio ai tātou ki tēnei?

Ka kitea te hāputanga ectopic i te tīmatanga o te hāputanga. He maha ngā tākuta e tātaritanga ana i te toru marama tuatahi, arā, tata ki te 12 wiki. Heoi, ko te nuinga o ngā wāhine kāore e mōhio he hāputanga ectopic tā rātou tae noa ki te 8 wiki o te hāputanga.

Me pēhea te rongoā mō tēnei?

Ka rongoatia e ngā tākuta te hāputanga ectopic mā te rongoā, te pokanga rānei.

Te rongoā rongoā: Methotrexate

I ētahi wā, ka tūtohu pea tō tākuta kia whakamahia he rongoā e kiia nei ko te methotrexate hei aukati i te tipu o te hua manu kua whakatōkia. Mā tēnei ka mutu te hāputanga. Kāore tēnei rongoā e kino ki ō ngongo fallopian. Heoi, ki te mea kua purua kē ō ngongo fallopian, kāore e taea te whakamahi i tēnei rongoā.

Ka hoatu e tō tākuta he werohanga kotahi o te methotrexate ki a koe. Ahakoa he iti ake te whakaekenga o tēnei i te pokanga, me toro tonu koe ki tō tākuta hei tirotiro i ō taumata hCG. He mea nui kia ata whai i ngā tohutohu a tō tākuta. I ētahi wā, ka hiahiatia pea he werohanga tuarua mēnā kāore ō taumata hCG e heke rawaka me te kotahi horopeta o te methotrexate. Kōrero ki tō tākuta mō ngā pānga taha me ngā mōrearea pea o te methotrexate me ngā mea hei tumanako atu.

Te maimoatanga pokanga

Mena kua pakaru tō ngongo kōpū, kei te mōrearea rānei te pakaru, ka hiahia pea tō tākuta ki te tango i te hāputanga ectopic mā te pokanga. He tikanga ohorere tēnei, ā, he maimoatanga whakaora ora.

Ko te tikanga ka mahia tēnei pokanga mā te laparoscopy.He tikanga pokanga tēnei e whai wāhi ana ki te whakamoe i a koe i raro i te rongoā whakamoe, te hanga i ētahi tapahi iti ki tō puku, me te whakamahi i tētahi kāmera me ngā taputapu ngawari. Tērā pea ka tangohia e te taote pokanga te ngongo fallopian katoa i te mea kei roto tonu te hua manu, ka waiho rānei (mēnā ka taea) te ngongo fallopian kia kore e pakaru, ka tangohia ko te hua manu anake mai i te ngongo.

Ka taea e au te hapu anō i muri i te haputanga ectopic?

He maha ngā wāhine kua pāngia e te hāputanga ectopic i mua, ā, ka taea te whai hāputanga angitu i muri i tērā. Heoi, i muri i te pāngia e te hāputanga ectopic, he iti noa te tūponotanga ka puta anō. Nō reira, he mea nui kia kōrero koe ki tō tākuta mō te take o tō hāputanga ectopic me ō āhuatanga mōrearea mō te pāngia anō e te hāputanga ectopic ā muri ake nei.

Kia pēhea te roa me tatari ahau i mua i taku haputanga anō?

I muri i te maimoatanga mō te hāputanga ectopic, he mea nui kia kōrero koe ki tō tākuta mō ngā hāputanga ā muri ake nei. Ahakoa ka taea te hāpu i muri tata mai i te maimoatanga, he pai ake te tatari mō te toru marama. Mā tēnei ka whai wā ō ngongo fallopian ki te whakaora, ā, ka whakaiti i te tūponotanga o tētahi atu hāputanga ectopic.

Me i tangohia tētahi o aku ngongo whekau, ka taea tonu e au te whānau tamariki?

I te nuinga o te wā, ka taea tonu e koe te whānau pēpi ahakoa kua tangohia tētahi o ō ngongo whakatō. Ko te nuinga o ngā wāhine e whānau mai ana me ngā ngongo whakatō e rua. Kotahi noa te ngongo whakatō e hiahiatia ana hei hapu. Ka taea tonu e ngā hua te haere ki raro i ō ngongo whakatō e toe ana. Hei tāpiri, kei reira ngā maimoatanga āwhina mō te whakawhānau , pērā i te whakatōnga in vitro (IVF), kāore e uru ki ō ngongo whakatō. Kōrerohia marietia ki tō tākuta mō ō āwangawanga mō ngā haputanga ā muri ake nei. Ka taea e kōrua te mahi tahi ki te whakarite mahere me te matapaki i ngā huarahi hei whakaiti i ō tūponotanga.

Ka taea te ārai i te hāputanga ectopic?

Kāore e taea te ārai katoa i te hāputanga ectopic. Heoi, ka taea e koe te whakaiti i tō mōrearea mā te whai i ngā tikanga noho pai, pērā i te kore momi hikareti, te pupuri i te taumaha hauora, me te karo i ngā mate pāwera i te taatai ​​(STI) . I mua i tō whakamātau ki te hāpu, kōrero ki tō tākuta mō ngā āhuatanga mōrearea e pā ana ki a koe.

Ka taea e au te haere tonu i taku hapūtanga i muri i te hapūtanga ectopic?

Engari, he mate te pēpi i roto i te kōpū, ā, kāore e taea te haere tonu o tō hāputanga. Kia whakatōkia te hua manu ki waho o te kōpū, kāore he huarahi hei whakahoki anō ki roto i te kōpū. He mea nui kia tere te rongoā i te hāputanga. Ki te whakatōkia te hua manu ki roto i te ngongo fallopian, ā, ka pakaru te ngongo, ka puta he toto nui o roto.

He wheako ohorere, he wheako whakamataku hoki te hāputanga ectopic. Tērā pea kei te pāngia koe e te maha o ngā kare ā-roto i tēnei wā, tae atu ki te pouri, te ohorere, me te manukanuka. Ahakoa kāore i whakamaheretia tō hāputanga, ka pāngia pea koe e te mamae o te kare ā-roto mā te kōrero ki tō hoa rangatira, ki tō tākuta, ki tētahi kaiwhakatakoto whakaaro hauora hinengaro rānei. Ka taea e te kōrero ki tō hoa rangatira, ki tō tākuta, ki tētahi kaiwhakatakoto whakaaro hauora hinengaro rānei te āwhina i a koe ki te whakatau i ō kare ā-roto. I roto i te wā, ka ora ake koe i te hāputanga ectopic. Mena kei te whakamahere koe kia whānau anō ā muri ake nei, kia mōhio koe ki te kōrero ki tō tākuta mō te mōrearea o tētahi atu hāputanga ectopic.

Hei whakamutunga, ngā mea hei maumahara

Āe, ko tāku tumanako kua mārama ake koe ki te 'Hapūtanga Ectopic' mai i ngā mea kua kōrerohia e tātou. Me whakamahara anō tātou ki a koe i ngā mea tino nui:

• He āhuatanga ohorere hauora te hāputanga ectopic, nō reira kia tūpato ki ngā tohu.
• Ki te pāngia koe e ngā tohu pēnei i te mamae nui o te puku o raro, te toto rerekē, te whanoke rānei, rapua tonutia he tohutohu hauora. Kaua e moumou taima.
• Mena kua pāngia koe e te hāputanga ectopic i mua, ngā āhuatanga pēnei i te PID, mēnā rānei he kaipaipa koe, he nui ake tō tūponotanga. Kōrero ki tō tākuta mō tēnei.
• He maimoatanga kei reira. Ka taea te rongoā i tēnei mate mā te rongoā, mā te pokanga rānei.
• He tokomaha te hunga ka taea te hapu angitu i muri i te haputanga ectopic. Heoi, he mea nui kia rapu tohutohu hauora i mua i te ngana anō ki te hapu.
• He wheako uaua tēnei, ahakoa kei te taha hinengaro. Ki te hiahia āwhina koe, kaua e wehi ki te kōrero mōna.

Ko tō hauora te mea nui rawa atu. Nō reira, ki te mea he ruarua āu, kaua e mangere ki te toro atu ki te tākuta mō ētahi tohutohu.

Hapūtanga Ectopic , Hapūtanga i waho o te kōpū, Ngongo Fallopian, Hapūtanga rerekē, Hauora o ngā wāhine, Ngā raruraru o te hapūtanga, Maimoatanga ohorere