Tērā pea kei te moemoeā kōrua ko tō hoa tāne kia whānau he pēpi. Engari, i ētahi wā, ahakoa te kaha o tā kōrua whakamātau, ka roa te wā kia tutuki ai taua moemoeā. He mea noa te pouri i ēnei wā. Kāore pea koe e mōhio, engari ko te take o tēnei he raruraru iti kei roto i tō tinana. I tēnei rā, ka kōrero tātou mō tētahi āhuatanga kāore anō kia rongohia e te tini tāngata, engari ka pā ki te momonatanga o ngā wāhine: Hydrosalpinx.
He aha te hydrosalpinx? Kia mārama tātou!
He whakarāpopototanga noa iho, ko te hydrosalpinx he āhuatanga e pupū ake ai te wai i roto i tētahi, i ngā rua rānei o ō
ngongo fallopian , ka ārai i a rātou. Āe, me titiro tātou he aha ēnei ngongo fallopian me tōna hiranga. Whakaarohia he rite tō
kōpū ki tētahi whare iti e tipu ai te pēpi. I te taha o tēnei whare, i ia taha, e rua
ngā ovaries . Ka tukuna e ēnei ovaries he hua manu i ia marama i roto i tō
huringa paheketanga . Nō reira, ko ngā ngongo angiangi e rua e kawe ana i te hua manu mai i ēnei ovaries ki te kōpū e kiia ana ko ngā ngongo fallopian. He rite te ngongo fallopian hauora ki tētahi huarahi kua horoia pai, kua horoia hoki. Ka haere te hua manu i tēnei huarahi. Ki te tūtaki te parāoa o tō tāne ki te hua manu i tēnei huarahi, koinei te mea e kiia nei e tātou ko
te whakatō . Kātahi ka hoki mai tēnei hua manu kua whakatōkia, arā,
te kukune , i tēnei ngongo fallopian ki te kōpū, ka whakatō ki roto i te pakitara kōpū, ka whanake hei
kukune , arā, he pēpi. Inaianei kua mārama koe ki te hiranga o ngā ngongo fallopian? Nō reira, i roto i te take o te hydrosalpinx, ka kī tēnei ngongo i te wai, ka āraia. He aha te mea ka tupu?
- Kāore e taea e te parāoa te tae atu ki te hua manu.
- Ahakoa ka puta te whakatō, kāore pea he ara e taea ai e te kukune te tae ki te kōpū.
He pēhea te noa o tēnei āhuatanga?
E 20% ki te 30% o ngā take kore tamariki nā te
kore tamariki i pāngia e te mate pāwera o te ngongo. O ēnei, 10% ki te 20% he hydrosalpinx. He mate onge tēnei, engari ka pā pea ki ētahi tāngata.
He aha te pānga o te hydrosalpinx ki tōku tinana? Ka ārai i te hāputanga?
Ae, ka uaua pea te hapu i te hydrosalpinx mēnā kāore i rongoātia. Ka piki ake hoki te tūponotanga o te whānautanga me ngā raruraru o te haputanga. Haunga te uaua o te haputanga mā te moepuku noa, ka puta mai anō hoki ētahi atu raruraru i te hydrosalpinx:
- Te pikinga ake o te mōrearea o te hāputanga ectopic : I ētahi wā, ka āraia te ngongo fallopian e te aukati i te whakatō o te kukune ki roto i te kōpū.Ki te kore e ngaro, ka taea te noho ki roto i te ngongo. Ka kiia tēnei he hapūtanga ectopic, he hapūtanga ngongo rānei. Kāore e angitu ēnei hapūtanga, ā, ki te kore e rongoatia wawetia, ka tūpono te ora o te whaea. He mate tino morearea tēnei.
- Te whakaiti i te tūponotanga o te haputanga mā te Whakatō In Vitro ( IVF ): Ko te IVF he tikanga e tangohia ai ō hua manu, ka whakatōngia ki waho o tō tinana, i roto i te taiwhanga, me te parāoa o tō hoa rangatira, o te kaituku rānei, ā, ka whakahokia te kukune hua ki roto i tō kōpū. Kāore e hiahiatia ngā ngongo fallopian . Heoi, ahakoa ka mahia te IVF ki tētahi tangata he hydrosalpinx, ka puta pea ngā raruraru i muri i te whakatōnga o te kukune ki roto i te kōpū. Kua whakaatuhia e ngā rangahau ka taea e te wai i roto i te hydrosalpinx te turuturu ki roto i te kōpū, ka hanga he taiao kino mō te kukune e tipu ana.
Nō reira, mā te rongoā i te hydrosalpinx ka nui ake te tūponotanga o te hāputanga hauora, ahakoa kei te whakaaro koe ki te IVF.
He aha ngā tohu o te hydrosalpinx?
I te nuinga o te wā,
kāore he tohu e puta mai i te hydrosalpinx. Ka kitea i ētahi wā i te wā e raru ana koe ki te hapu, ā, kei te ngana tō tākuta ki te rapu i te take. Ko te tikanga, kāore pea koe e mōhio kua āraihia ō ngongo fallopian. Heoi, i ētahi wā ka puta ngā tohu. Ki te puta tēnei, ka kite pea koe i ngā mea pēnei i:
- Mamae o te hope: Ka piki ake pea tēnei mamae, inā koa i te wā e pāngia ana, i muri rānei i te paheketanga.
- He rerenga tara rerekē: Tērā pea ka pāngia koe e te rerenga he rerekē te tae, he matotoru ake hoki i te mea noa.
He aha tēnei ka tupu ai? He aha ngā take o te hydrosalpinx?
Ko te tino take o te hydrosalpinx he mate kāore i rongoatia . Ka taea e ngā huakita kino te kino i ō ngongo fallopian, ka pupuhi, ka mumura. He maha ngā wā ka puta tēnei mumura i te pito o te ngongo fallopian e tata ana ki te ovary, e kiia nei ko
ngā fimbriae . He hanganga iti rite ki ngā maihao ngā fimbriae e āwhina ana ki te hopu i te hua manu e tukuna ana mai i te ovary me te ārahi i a ia ki roto i te ngongo fallopian. Nō reira, ina ora ēnei fimbriae nā te mate, ka piri tahi rātou i ētahi wā, ka aukati i te whakatuwheratanga o te ngongo fallopian. Kātahi ka hanga wai i roto i te ngongo, ka pupuhi te ngongo. Koinei te hydrosalpinx. Ko ētahi atu take pea o te hydrosalpinx ko:
- I mua kāore i rongoātiaNgā mate urutā e pā mai ana i te taatai ( STI ), hei tauira ko te Chlamydia me te Gonorrhea .
- Te Mate Mumura Pelvic (PID) Ka puta mai hoki tēnei i ngā mate STI kāore i rongoātia.
- He kiko koha e puta mai ana i muri i te pokanga o te puku, inā koa te pokanga i ngā ngongo fallopian.
- Ko te Endometriosis he mate e puta mai ana i te whakatakotoranga o te kiko.
- Ko ētahi momo pukupuku .
Me pēhea koe e mōhio ai mēnā kua āraia ō ngongo whakatō? He aha ngā whakamātautau e mahia ana?
Ka whakahaerehia e ngā tākuta ētahi whakamātautau hei tirotiro mēnā kua āraia ō ngongo fallopian:
- Matawai Ultrasound: Kāore e kitea ngā ngongo fallopian i te nuinga o te wā i te matawai ultrasound. Heoi, ki te kī tonu i te wai, ā, ka pupuhi, tera pea ka nui ake i te mea noa. I ētahi wā ka rite ki te hōtiti. Ka tono pea tō tākuta i ētahi atu whakamātautau hei whakatau mēnā ko te hydrosalpinx te take o tēnei huringa.
- Whakamātautau Hysterosalpingogram (HSG): He whakamātautau tae motuhake te HSG e mahia ana mā te hihi-X. Ka rapua ngā aukati i roto i ngā ngongo fallopian. He maha ngā wā ka whakamahia tēnei whakamātautau hei tātaritanga i te hydrosalpinx. Ka whakaurua e te tākuta he tae ki roto i tō kōpū, ā, ka whakamahia he hihi-X hei mātakitaki i te nekeneke o te tae. Mena ka turuturu te tae i roto i ngā ngongo, arā, ki roto i te kōhao pelvic, ka tuwhera ngā ngongo. Mena ka mutu te tae, ka aukatia ngā ngongo.
- Laparoscopy : He tikanga te Laparoscopy e hanga ana i ngā tapahi iti ki roto i tō puku. Mā tēnei ka taea e tō tākuta te titiro ki roto i tō puku. Ka mahia he tapahi iti ki roto i tō puku, ā, ka whakauruhia he kāmera (laparoscope) hei tirotiro i ō ngongo fallopian. I ētahi wā, ka whakauruhia he catheter mā roto i tō tenetene ki roto i tō cervix, ā, ka werohia he tae ki roto i tō kōpū me ngā ngongo fallopian hei tirotiro mō ngā aukati. Ka whakamahia hoki te Laparoscopy hei whakaū i ngā hua o te whakamātautau HSG.
He aha ngā maimoatanga mō te hydrosalpinx?
Mā te maimoatanga mō te hydrosalpinx ka whakapai ake i tō tupono ki te hapu. Ka whakawhirinaki te maimoatanga ka whiwhi koe ki ngā āhuatanga pēnei i te kaha o te aukati me tō tau. Mena he mate puku tōu, ka tohua e tō tākuta
he paturopi hei rongoā. Kei reira anō ngā maimoatanga pokanga:
- Te tango i te salpingo:Ko te tikanga o tēnei ko te tango i tētahi, i ngā ngongo e rua rānei (bilateral salpingectomy). Ka mahia tēnei mēnā kua tino pakaru te ngongo, ā, kāore e taea te whakatika. Ka mahia tēnei pokanga, inā koa i mua i te IVF, hei aukati i te rere o te wai kino ki roto i te kōpū.
- Salpingostomy (neosalpingostomy rānei): Ka mahia tēnei hei whakatika i tētahi aukati i roto i ō ngongo fallopian. Ko te tikanga ka mahia te salpingostomy mā te laparoscopy. Ka tapahia e te tākuta tētahi wahi iti ki roto i te ngongo fallopian ka ringihia te wai. Ka taea te tango i ngā wāhanga pakaru o te ngongo, ā, ka taea te whakatuwhera anō i ngā pito kua aukatia. Heoi, kāore tēnei pokanga i te rongonui pērā i mua, nā te mea kua whakaatuhia he angitu ake te IVF i te salpingostomy i ngā tau tata nei. Ka taea e ia te whakanui ake i te mōrearea o te materoto me ngā raruraru haputanga i muri i tēnei pokanga. He angitu ake te IVF i te salpingostomy.
He maha ngā tāngata e ngana ana ki te hapu ka rongoatia ki te hydrosalpinx, kātahi ka huri ki te IVF, arā, ka karohia katoatia ngā ngongo fallopian. Mā tō tākuta koe e tohutohu ki te kōwhiringa pai rawa atu mō tō āhuatanga.
He huarahi tūturu hei rongoā i te hydrosalpinx?
He pono,
kāore he maimoatanga taiao mō te hydrosalpinx. Mena he iti noa te kino o ō ngongo, ka taea pea e tō tākuta te whakatika mā te salpingostomy. Heoi, i roto i ngā take o te hydrosalpinx kino, me tango pea tetahi, e rua rānei ngā ngongo fallopian.
Me pēhea te whakaiti i te mōrearea o te hydrosalpinx?
Ko te huarahi pai hei ārai i te hydrosalpinx ko
te whakaiti i te tūponotanga o ngā mate tuku iho i te taatai (STI) . Mā te moe haumaru ka āwhina i te whakaiti i te tūponotanga o ngā mate ka pā ki ō whekau whakaputa uri. He mea nui hoki kia kite tonu koe i te tākuta mēnā ka pāngia koe e te mate.
Ka aha mēnā ka kore e rongoatia?
Ka taea e te hydrosalpinx kāore i rongoatia te whakaiti i tō kaha ki te hapu. Ka taea hoki e ia te whakanui ake i tō tupono ki ngā raruraru pēnei i te materoto me te haputanga ectopic.
Ka taea e te whiwhi maimoatanga te whakanui ake i tō tupono ki te hapu hauora. He mea whakamataku tēnei ki te ora?
Ehara te hydrosalpinx i te mea mōrearea ki te ora. Heoi, ka whakanui ake i te mōrearea o te hāputanga ectopic. Ki te kore e rongoatia wawetia te hāputanga ectopic, ka mōrearea pea ki te ora.
He aha ngā pātai me pātai atu e au ki te tākuta?
Ina kitea e koe he hydrosalpinx tōu, he mea noa te maha o ngā pātai. Pātai atu ki tō tākuta mō ngā mea penei:
- Kei te pāngia ahau e te mate pukupuku hope inaianei?
- Kia pēhea te kaha o taku hydrosalpinx?
- Kei roto i te ngongo kotahi te hydrosalpinx, kei roto rānei i ngā ngongo e rua?
- He aha te pānga o tēnei āhuatanga ki tōku āheinga ki te hapu?
- He aha ngā painga me ngā huakore o te whakatikatika i aku ngongo fallopian?
- He aha ngā painga me ngā huakore o te tango i aku ngongo fallopian?
- Kia pēhea te roa i muri i te maimoatanga mō te hydrosalpinx me whakamātau koe kia hapu?
- E taunaki ana koe i te maimoatanga IVF?
Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)
He tino pouri, he tino pōuri hoki te kitenga kei te pāngia koe e te hydrosalpinx, mō te tangata e ngana ana ki te whānau tamariki. He mea noa iho tēnā. Engari
kaua e ngakaukore .
Ko te mea nui, kei reira te rongoā mō tēnei mate. He maha ngā wāhine kua whiwhi rongoā kua whānau mai he pēpi hauora.
Kōrero ki tō tākuta mō te pānga o te hydrosalpinx ki ō mahere hapūtanga. Ko tō tākuta te tangata pai rawa atu hei whakamārama i te pānga o te hydrosalpinx ki tō whānautanga me ngā mahi pai hei mahi māu.
Mā te tohutohu hauora me te maimoatanga tika, ka taea hoki e koe te whakatutuki i tō moemoeā!
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