Kāore e taea te kī te harikoa e pā ana ki a koe ina mōhio koe kei te hapu koe. Engari i te wā anō, kei te mataku koe, kāore? Ka pai ngā mea katoa, ā, ka ora te pēpi? I te nuinga o te wā, ka pai ngā mea katoa. Engari i ētahi wā, me tūtaki tātou ki ngā mea kāore i whakaarohia e tātou, he mea nui ake. Ko tētahi āhuatanga ohorere e hiahia ana kia arohia e te hauora ko te haputanga ectopic. Ahakoa he kaupapa whakamataku tēnei, he mea nui kia mōhio koe ki tēnei.
He kupu ngāwari noa iho, he aha te Hapūtanga Ectopic?
Ko te mea e tupu ana i te nuinga o te wā, ka piri te hua manu kua whakatōkia ki te pakitara o tō kōpū, ā, ka āta whanake hei pēpi. He rite ki te whakato i tētahi tipu ki te oneone pai. Ko te kōpū te taiao tino pai mōna.
Heoi, i roto i te "Hapūtanga Ectopic", ka whakatōngia te hua manu kua whakatōkia ki tētahi wāhi i waho o te kōpū. Neke atu i te 90% o te wā, ka puta tēnei i roto i te "Tūpū Fallopian". Nō reira, ka kiia hoki tēnei āhuatanga ko te "Hapūtanga Tubal". Hei tāpiri, ka taea e te kukune te whakatōngia ki ngā wāhi pēnei i te "Ovary", te "Kōhao Puku" me te "Cervix" rānei.
He mea nui, kāore e taea e te tamaiti kua whakatōkia ki waho o te kōpū te ora, te whanake rānei hei pēpi hauora . Nā te mea kāore e whiwhi i te toto, te wāhi, me te kai e hiahiatia ana e ia i waho o te kōpū, ka mutu tonu tēnei ki te materoto ('Ngaronga Hapūtanga').
Ki te kore tēnei āhuatanga e kitea, e rongoatia wawetia rānei, ka pakaru pea te okana (te nuinga o te wā ko te ngongo fallopian) kei reira te kukune e whakatōkia ana. Mēnā ka tupu tēnei, ka puta he toto nui ki roto, ā, ka mate pea. Nō reira, he mea nui kia mōhio ki tēnei.
He aha ngā tohu o tēnei mate?
I ngā wāhanga tōmua, he tino rite ngā tohu o te hāputanga ectopic ki ērā o te hāputanga noa. Tērā pea ka ngaro tō paheketanga, ka mamae ō ū, ā, ka paku mamae tō puku. Nō reira, he uaua pea te kite i te tīmatanga.
Heoi anō, ka tīmata ngā tohu motuhake te puta i waenga i te 4 me te 12 wiki.
| Ngā tohu tōmua | Whakaahuatanga |
|---|---|
| Te toto o te tara | Tērā pea he rerekē i te toto paheketanga noa, ā, ka puta mai pea he rerenga parauri mārama. |
| Mamae o raro o te puku | Tērā pea ka pāngia koe e te mamae koi, e piki haere ana i te taha kotahi o tō puku. |
| Pōuri me te ngoikore | Tērā pea ka pāngia koe e te whanoke ohorere, e te māuiui rānei o te upoko. |
| Mamae pakihiwi | He tohu rerekē tēnei. Ina toto te toto i roto i te puku, ka taea te whakaoho i ngā io, ā, ka rongohia he mamae i te pito o te pakihiwi. |
| Te ruaki me te whakapairuaki | Tērā pea ka haere tahi te ruaki me te mamae o te puku. |
| Kia mōhio ki tētahi āhuatanga ohorere (Te Wāhi Hapūtanga Ectopic Ruptured)! | |
Ki te pakaru te ngongo fallopian, he āhuatanga ohorere tēnei e morearea ana ki te ora . Ki te pā mai ēnei tohu, haere tonu ki te rūma ohorere o te hōhipera (ETU) , waea atu rānei ki te waka tūroro.
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He aha tēnei ka tupu ai? He aha ngā āhuatanga mōrearea?
He uaua te kimi i tētahi tino take mō tēnei. Heoi, ko te tino take pea he pakaru te ngongo fallopian i tētahi ara, ā, he uaua ki te haere te hua manu kua whakatōkia ki te kōpū.
Tērā pea ka nui ake tō tūponotanga ki te pāngia koe e te hāputanga ectopic mēnā:
- Ki te kaipaipa koe: Ka taea e te kaipaipa te whakararu i te mahi a ngā ngongo uterine .
- Mena kua neke atu i te 35 tau tō pakeke.
- Mena kua pāngia koe e te mate urutā (STI) i mua: Ka taea e ngā mate urutā, inā koa ko te chlamydia, te kino i ngā pakitara ngawari o ngā ngongo fallopian me te puta he koha.
- Mena kua pokangahia tō puku, tō hope rānei: Hei tauira, ka pā mai he whara o roto i te pokanga appendectomy, i te pokanga cesarean rānei.
- Mena kua pāngia koe e te hāputanga ectopic i mua: Mena kua pāngia koe e te hāputanga ectopic, he nui te mōrearea kei puta anō.
- Mena kua herea ō ngongo whatukuhu hei tikanga whakamahere whānau , kua pokanga rānei koe hei whakakore i tēnei.
- Mena kua whai maimoatanga whakawhānau koe pēnei i te IVF.
- Ki te hapu koe i te wā e whakamahi ana i tētahi tikanga ārai whānau pēnei i te IUD, he nui te tūponotanga ka puta he haputanga ectopic.
- Mena kei a koe tētahi mate e kiia nei ko te "Endometriosis": I roto i tēnei, ka tupu te kiko e rite ana ki te mea kei roto i te kōpū i waho o te kōpū. Ka taea hoki e tēnei te ārai i ngā ngongo fallopian.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Mena kei a koe tētahi o ngā tohu kua whakahuatia ake nei, ka tirohia koe e tō tākuta. Ko ngā whakamātautau e whai ake nei te tikanga ka mahia:
1. Whakamātautau hope: Ka tirohia ngā mea pēnei i te wāhi i mamae ai me te rahi o te kōpū.
2. Whakamātautau toto: Mā tēnei ka ine i te taumata o te homoni hapūtanga `hCG` (`human chorionic gonadotropin`). I roto i te `(Hapūtanga Ectopic)`, tera pea ka iti iho te taumata o tēnei homoni i te hapūtanga noa, kāore rānei e tere te piki e ai ki te whakaaro.
3. Matawai Ultrasound: Koinei te whakamātautau tino nui. Mā tēnei ka taea e te tākuta te kite mēnā kei roto, kei waho rānei i te kōpū te pēke hapūtanga. I ētahi wā, hei tāpiri atu ki te matawai i te mata o te puku, ka taea hoki te mahi i te matawai mā te tara (transvaginal ultrasound), nā te mea ka taea te kite mārama ake i ngā ngongo fallopian me ngā ovaries.
Me pēhea te rongoā?
Nā te mea kāore e taea e te hāputanga ectopic te whanake i waho o te kōpū, ā, ka tūpono ki te ora o te whaea, he mea nui kia tangohia te tamaiti. E rua ngā tikanga matua mō tēnei. Mā tō tākuta e whakatau te maimoatanga tino tika i runga i tō āhua, te whanaketanga o te tamaiti, me te mea kua pakaru te ngongo fallopian.
1. Te rongoā
Mena ka kitea wawe te mate, kāore anō kia pakaru te ngongo fallopian, ā, kei raro iho i tētahi taumata te taumata hCG, ka taea te hoatu he rongoā e kiia nei ko te methotrexate hei werohanga. Ka mutu te tipu o ngā pūtau fetal i tēnei werohanga. Kātahi, i roto i ngā wiki 4-6, ka mimiti te kiko e tō tinana. Kāore e hiahiatia he pokanga mō tēnei tikanga. Heoi, ka tirotirohia koe e te tākuta kia tino heke te taumata hCG ki te kore.
2. Te maimoatanga mā te pokanga
I ētahi atu wā, me mahi pokanga.
- Laparoscopy: Koinei te pokanga tino noa. Ka kiia hoki ko te "pokanga kōhao kī". Ka mahia he tapahi iti noa iho ki te puku o raro, ā, ka whakauruhia he ngongo angiangi me te kāmera hei tango i te kukune "ectopic". Mena kua pakaru te ngongo fallopian, me tango pea me te ngongo.
- Laparotomy: He pokanga ohorere mā te whakatuwhera i te puku mēnā ka pakaru te ngongo fallopian me te toto nui.
Tērā pea ka ngenge koe, ka mamae hoki tō puku mō ētahi wiki i muri i te maimoatanga. Me hoatu he wā ki a koe anō kia ora ai te tinana me te hinengaro.
I muri i tēnei wheako...
He tino mamae te hāputanga ectopic, ā-tinana, ā-hinengaro hoki. He uaua ki te whakamanawanui i te pouri o te matenga o te tamaiti. He mea nui rawa kia kōrerohia tēnei ki tō tāne, ki tō whānau, ki tētahi hoa pono rānei. Mēnā e tika ana, kaua e mangere ki te rapu āwhina i tētahi kaiwhakatakoto whakaaro ngaio.
I mua i te ngana anō ki te hapu, me tuku he wā ki tō tinana kia ora. Ko te tikanga, ka tūtohu ngā tākuta kia tatari kia toru marama te iti rawa. Kōrero ki tō tākuta kia whakatauhia ai te wā pai mōu. Mena kua tangohia tetahi o ngā ngongo whoodle engari kei te ora tetahi atu ngongo, ka taea e koe te hapu anō i te āhua noa. Kōrero ki tō tākuta mō tēnā.
Karere Tangohia ki te Kāinga
- He mate kino te hāputanga ectopic e whakatōkia ai te tamaiti ki waho o te kōpū, ā, me tere tonu te awhina a te rata.
- Ahakoa he rite ngā tohu tōmua ki ērā o te hapūtanga noa, kia tino āwangawanga koe mō te toto rerekē o te tara, te mamae nui i te taha kotahi o te puku, me te whanoke.
- Ki te pāngia koe e te mamae ohorere o te puku, te toto nui, te ngaro rānei o te māramatanga,Haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
- He maimoatanga kei reira. Mēnā ka kitea wawetia tēnei mate, ka taea te whakahaere mā te rongoā, mā te pokanga rānei.
- He mea noa te pōuri me te ngakau pouri mō tēnei wheako. Kaua e huna i aua kare ā-roto. Kōrero ki tō tākuta, ā, ki te tika, ki tētahi kaitohutohu hauora hinengaro, mō te tautoko.
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