Tērā pea kei te moemoeā kōrua ko tō hoa rangatira ki te whakatū whānau. Heoi, i ētahi wā ahakoa ō kōrua mahi tino pai, ka roa ake te wā e tutuki ai taua moemoeā i te mea e tumanakohia ana. He mea noa te pōuri ina pāngia koe e tēnei wero. Kāore pea koe e mōhio, engari ko te take pea he raruraru iti i roto i tō tinana. I tēnei rā, i Nirogi Lanka, e hiahia ana mātou ki te kōrero mō tētahi āhuatanga kāore anō kia rangona e te tini, engari ka pā nui ki te momonatanga o te wahine: Hydrosalpinx.
He aha te Hydrosalpinx? Me whakamārama tātou!
I te whakarapopototanga, ka puta te Hydrosalpinx ina āraia tetahi, tetahi rānei o ō ngongo fallopian , ā, ka kī i te wai. Kia mārama ake ai tātou ki tēnei, me titiro tātou ki ngā mea o ngā ngongo fallopian me te hiranga o aua mea.
Whakaarohia tō kōpū hei kāinga whakamarie hei wāhi e tipu ai tō pēpi. Kei ia taha o tēnei kāinga ō ovaries . I ia marama, whai muri i tō huringa paheketanga , ka tukuna e ō ovaries he hua manu. Ko ngā ngongo fallopian te ara angiangi e kawe ana i ēnei hua manu mai i ō ovaries ki te kōpū.
He rite te ngongo whooping hauora ki tētahi ara mārama, kāore he arai. Koinei tonu te ara e haerehia ana e tō hua manu. Ki te tūtaki te parāoa o tō hoa ki te hua manu i tēnei ara, ka kiia ko te whakatō . Kia whakatōkia, ka haere te kukune mā roto i taua ngongo whooping anō ki te kōpū, ka whakatōkia ki te pakitara kōpū kia tipu hei kukune , hei pēpi rānei.
Kua kite koe he aha te hiranga o ngā ngongo fallopian? Mō te Hydrosalpinx, ka whakakīia te ngongo e te wai, ka ārai i te ara. Ka hua ake tēnei i ngā raruraru matua e rua:
- Kāore e taea e te parāoa te tae atu ki te hua manu.
- Ahakoa ka puta te whakatō, kāore pea te kukune e mārama te ara ki te kōpū.
He pēhea te noa o tēnei āhuatanga?
Mō ngā take kore tamariki , e 20% ki te 30% o ngā tāne me ngā wāhine e pāngia ana e ngā raruraru e pā ana ki te kore tamariki o te tubal factor. I roto i ēnei take, 10% ki te 20% pea nā Hydrosalpinx. Ahakoa ehara i te mea e kōrerohia whānuitia ana, he take nui tēnei mō te tini o ngā wāhine e raru ana ki te hapu.
He aha ngā pānga o te Hydrosalpinx ki ahau? He arai tēnei ki te hāputanga?
Ae, ka uaua te hapu mēnā kāore i rongoatia te Hydrosalpinx. Ka taea hoki e ia te whakanui ake i te mōrearea o te materoto me ngā raruraru haputanga. Haunga te uaua o te haputanga mā te moepuku maori, kei a Hydrosalpinx ētahi atu mōrearea:
- Te pikinga ake o te mōrearea o te hāputanga ectopic : I ētahi wā, nā te aukati i roto i te ngongo fallopian, kāore e taea e te kukune te tae ki te kōpū , engari ka whakatōkia ki roto i te ngongo tonu. Ka kiia tēnei he hāputanga ectopic ( haputanga ngongo). Kāore e taea e ēnei hāputanga te haere ki te wā whānau, ā, he morearea ki te ora mēnā kāore e rongoatia tonutia. He āhuatanga hauora ohorere tēnei. Tena koa rapu awhina i tō tari ohorere tata, i tō hōhipera rānei mēnā ka pāngia koe e te mamae nui o te puku.
- Te whakahekenga o ngā reiti angitu mō te Whakatōnga In Vitro ( IVF ): Ko te IVF ko te tiki i ō hua manu me te whakatōnga i roto i te taiwhanga me te parāoa , kātahi ka whakahokia te kukune hua ki roto i tō kōpū. I roto i tēnei tukanga, ka karohia ngā ngongo fallopian . Heoi, e whakaatu ana ngā rangahau ka taea e te wai i roto i te ngongo kua āraia te rere anō ki roto i te kōpū, ka hanga he taiao kino mō te kukune, ā, ka whakaiti i te tūponotanga o te whakaurunga angitu.
Nō reira, mā te rongoā i a Hydrosalpinx, ahakoa kei te whakaaro koe ki te IVF, ka nui ake te tūponotanga o tō hāputanga hauora.
He aha ngā tohu o te Hydrosalpinx?
He maha ngā wā, kāore he tohu o te Hydrosalpinx. He maha ngā wāhine ka kitea noa iho i te wā e toro atu ai rātou ki te tākuta ki te rapu awhina mō te kore tamariki. Tērā pea kāore koe i te mōhio kua āraihia ō ngongo fallopian.
Heoi, ki te puta mai ngā tohu, ka uru atu pea ēnei ki:
- Mamae o te hope: Tērā pea ka kino ake tēnei i te wā o te paheketanga, i muri rānei i te paheketanga.
- He rerenga tara rerekē: Tērā pea ka kite koe i tētahi panonitanga o te tae, o te āhua rānei, ki te whakaritea ki tō rerenga noa.
He aha tēnei ka puta ai? He aha te take o te Hydrosalpinx?
Ko te tino take o te Hydrosalpinx ko te mate kāore i rongoatia . Ka taea e ngā huakita kino te kino i ō ngongo fallopian, ka pupuhi, ka mumura hoki. Ko te tikanga ka puta tēnei mumura i te pito o te ngongo e tata ana ki te ovary, e mōhiotia ana ko ngā fimbriae . Ko ngā fimbriae he pūwero rite ki ngā maihao e tango ana i te hua manu i tukuna mai i te ovary ka ārahi ki roto i te ngongo.
Ina ora te mate, ka piri pea ngā fimbriae, ka hiritia te whakatuwheratanga o te ngongo. Nō reira, ka kohia te wai ki roto, ka pupuhi te ngongo. Ko Hydrosalpinx tēnei.
Ko ētahi atu take pea o te hydrosalpinx ko:
- Ngā mate urutā i te taatai ( STI ) kāore i rongoātia, pērā i te Chlamydia me te Gonorrhea .
- Te Mate Mumura Pelvic (PID) , e puta pinepine ana i ngā mate STI kāore i rongoatia.
- He kiko koha i puta mai i muri i ngā pokanga pelvic, inā koa ngā pokanga e pā ana ki ngā ngongo fallopian.
- Te hanganga kiko mai i te Endometriosis .
- Ētahi momo pukupuku .
Me pēhea taku mōhio mēnā kua āraia aku ngongo uterine? He aha ngā whakamātautau ka mahia?
Hei whakatau mēnā he aukati kei roto i ō ngongo fallopian, ka tūtohu pea tō tākuta i ētahi whakamātautau tātaritanga:
- Matawai Ultrasound: I te nuinga o te wā, kāore e kitea ngā ngongo fallopian hauora i runga i te ultrasound. Heoi, ki te mea kua purua, kua kī tonu i te wai, tera pea ka nui ake i te mea noa, ka rite ki te hōtiti i ētahi wā. Tērā pea ka tono tō tākuta i ētahi atu whakamātautau hei whakaū mēnā he hydrosalpinx tēnei āhua.
- Hysterosalpingogram (HSG): He tikanga hihi-X motuhake te HSG e whakamahi ana i te tae rerekē hei tirotiro mō ngā aukati i roto i ō ngongo fallopian. Koinei te whakamātautau tino noa e whakamahia ana hei tautuhi i te hydrosalpinx. Ka werohia e tō tākuta te tae ki roto i tō kōpū, ā, ka tirohia tōna nekehanga mā te hihi-X. Mena ka maringi te tae mai i ngā ngongo ki roto i tō kōhao hope, he tohu tēnei kua tuwhera ngā ngongo. Mena ka mutu te tae, ka whakaū he aukati.
- Laparoscopy : He pokanga iti rawa te whakaekenga e mahia ana mā roto i ngā tapahi iti, kia taea ai e tō tākuta te tiro tika i tō kōhao puku. Ka whakauruhia he kāmera iti (laparoscope) hei tirotiro tata i ngā ngongo fallopian. I ētahi wā, ka whakauruhia he catheter mā roto i te cervix hei pupuhi i te tae ki roto i te kōpū me ngā ngongo hei tirotiro mō ngā aukati. Ka whakamahia hoki te Laparoscopy hei whakaū i ngā kitenga o te HSG.
He aha ngā kōwhiringa maimoatanga mō te Hydrosalpinx?
Mā te rongoā i te hydrosalpinx ka nui ake te tūponotanga o te haputanga. Ko te huarahi rongoā motuhake ka whakawhirinaki ki ētahi āhuatanga, tae atu ki te kaha o te aukati me tō tau.
Mena he mate pāwera tōu, ka tohua e tō tākuta he paturopi hei whakakore i te mate. Ko ngā kōwhiringa pokanga ko:
- Te tango i te salpingo:Ko tēnei tikanga he tango i tētahi, i ngā ngongo e rua rānei (bilateral salpingectomy). Mena kua tino pakaru tētahi ngongo, ā, kāore e taea te whakatika, he maha ngā wā ka tūtohutia kia tangohia. He mea tino noa tēnei i mua i te IVF hei ārai i te wai paitini mai i te ngongo kua āraia kei uru ki te kōpū, ka pā kino pea ki te whakaurunga.
- Salpingostomy (neosalpingostomy rānei): Ko te whāinga o tēnei pokanga he whakatika i te ngongo kua purua. I te nuinga o te wā ka mahia mā te laparoscopy, ka hangaia e te tākuta he kōhao iti ki roto i te ngongo fallopian hei tango i te wai, hei tango hoki i ngā wāhanga kua pakaru hei whakatuwhera anō i te ara. Heoi, kei te heke haere te auau o tēnei tikanga nā te mea he maha ngā wā ka nui ake te angitu o te IVF. Kia mōhio koe, i muri i te salpingostomy, he nui ake te mōrearea o te hāputanga ectopic me ētahi atu raruraru hāputanga.
He tokomaha ngā tāngata e ngana ana ki te hapu ka whiriwhiri i te maimoatanga hydrosalpinx, kātahi ka haere tika ki te IVF hei karo i ngā ngongo kua pakaru. Mā tō tākuta koe e ārahi ki te huarahi mahi pai mō tō āhuatanga.
He rongoā taiao anō kei te wātea mō te Hydrosalpinx?
I roto i ngā kupu poto, kāore he rongoā taiao hei whakaora i 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, ko te tango pokanga o tētahi, o ngā ngongo e rua rānei te wawaotanga hauora e tika ana.
Me pēhea te whakaiti i te mōrearea o te whakawhanake i te Hydrosalpinx?
Ko te huarahi tino whai hua hei ārai i te hydrosalpinx ko te whakaiti i te tūponotanga o te pangia e ngā mate tuku iho i te taatai (STI) . Mā te moe haumaru ka tino whakaiti i te tūponotanga o ngā mate ka kino pea ō whekau whakaputa uri. Mena kei te whakapae koe he mate, he mea nui te rapu awhina hauora tonu hei ārai i ngā kino mō te wā roa.
Ka aha mēnā ka waiho kia kore e rongoatia?
Ka taea e te hydrosalpinx kāore i rongoātia te whakaiti i tō momonatanga, me te whakanui ake i te mōrearea o ngā raruraru pēnei i te materoto, te hāputanga ectopic rānei. Mā te rapu maimoatanga ngaio ka nui ake te tūponotanga kia hauora tō hāputanga.
He āhuatanga mōrearea tēnei ki te ora?
Ehara te hydrosalpinx i te mea morearea ki te ora. Heoi, ka whakanui ake i te mōrearea o te hāputanga ectopic. Nā te mea he āhuatanga ohorere te hāputanga ectopic, ki te pāngia koe e te mamae ohorere, nui, rapua tonutia te awhina hauora i te tari ohorere tata.
He aha ngā pātai me pātai atu e au ki taku tākuta?
He mea noa te noho pōuri i muri i te tātaritanga mate. Anei ētahi pātai ka hiahia pea koe ki te pātai atu ki tō tākuta:
- He mate pāwera puku tōku?
- Kia pēhea te kaha o taku hydrosalpinx?
- E pā ana ki te ngongo kotahi, ki ngā ngongo e rua rānei?
- He aha te pānga o tēnei āhuatanga ki taku momonatanga?
- He aha ngā painga me ngā huakore o te ngana ki te whakatika i aku ngongo?
- He aha ngā painga me ngā huakore o te tango i aku ngongo?
- Kia pēhea te roa i muri i te maimoatanga me tatari ahau i mua i te ngana ki te hapu?
- E taunaki ana koe i te IVF mō taku take motuhake?
He karere whakamutunga mai i Nirogi Lanka
He uaua te āhua o te hinengaro mēnā ka kitea he hydrosalpinx i a koe e ngana ana ki te hapu. Kia mōhio koe he tika ō kare ā-roto, engari kaua e ngoikore te tumanako .
Ko te mea nui ko te mōhio kei te wātea ngā maimoatanga whai hua. He maha ngā wāhine kua whiwhi i te maimoatanga, ā, kua whānau hauora, kua harikoa hoki ō rātou hāputanga.
Kōrerohia mā te tuwhera ki tō tākuta mō te pānga o tēnei mate ki tō haerenga whakawhānau tamariki, me ngā mahi whai muri māu. Mā te aratohu hauora tika me te mahere maimoatanga tika, kei te mahi koe i ngā mahi pai rawa atu hei whakatutuki i tō moemoeā kia noho hei mātua!
