E mārama ana ahau ki te mataku me te pouri o tō ngākau ina kī mai te tākuta he ' hāputanga ectopic ' te haputanga i tumanakohia e koe. Nā te rongonga i aua kupu, kua rite tō ao katoa ki te hinga. Engari kaua e manukanuka. Ehara i te he nāu. Me kōrero tāua mō tēnei āhuatanga, mō ngā mea ka taea te mahi, me ngā kōwhiringa maimoatanga.
He aha te tikanga o te hāputanga ectopic?
I te nuinga o te wā, ka haere te hua manu kua whakatōkia ki roto i te ngongo fallopian, ka whakatōngia, ā, ka tīmata te whanake hei pēpi i roto i te kōpū . Nā te mea ko te kōpū anake kei a ia te wāhi, te kai, me te tiaki katoa e hiahiatia ana e te pēpi kia tipu tika ai.
Heoi, i roto i te hāputanga ectopic, ka whakatōngia te hua manu kua whakatōkia ki waho o te kōpū. Neke atu i te 90% o te wā, ka puta ki roto i te ngongo Fallopian . Koia i ētahi wā ka kiia ko te "hāputanga ngongo." Nā te raruraru o te hua manu, o te ngongo rānei, kāore e taea e te hua manu te whakaoti i tana haerenga ki te kōpū.
Ko te mea nui rawa atu, kāore he huarahi e taea ai e te pēpi te tipu i waho o te kōpū. Nō reira, heoi anō, me whakamutu ngā hāputanga kore i whakamaheretia katoa. He mate morearea tēnei, nō reira he mea nui kia rapua wawetia he maimoatanga .
Me pēhea te whiriwhiri i te tākuta pai rawa atu māu?
I mua, ko te pokanga anake te huarahi mō tēnei mate. Engari i nāianei, nā te whanaketanga o te pūtaiao hauora, ka taea te whakahaere i tēnei mate mā te rongoā. Ka whakatauhia e tō tākuta te huarahi hei rongoā i a koe i runga i ētahi āhuatanga:
- Kia pēhea te roa o te wā e hapu ai: He wawe tēnei, he roa rānei?
- Te wāhi o te kukune : Kei hea i roto i te ngongo fallopian, me te mea kua pakaru.
- Ō tohumate: Kei te pāngia koe e ētahi tohumate kino, pērā i te mamae nui, te toto rānei?
- Ngā taumata homoni hCG: Ka ine tēnei whakamātautau i te taumata o tēnei homoni i hangaia e te tinana i te wā e hapū ana.
I runga i ēnei āhuatanga, ka whakatau tō tākuta mēnā he pai ake te rongoā, te pokanga rānei mōu.
| Tikanga maimoatanga | Whakaahuatanga, ā, ko wai te mea tino pai mōna? |
|---|---|
| Rongoā | He pai tēnei tikanga mō te hunga kei ngā wāhanga tōmua o te hapūtanga, he iti ngā taumata o te homoni hCG, ā, kāore anō kia pakaru ngā ngongo fallopian. Ka hoatu he werohanga e kiia nei ko te Methotrexate. |
| Pokanga | Mena kāore e whai hua ngā rongoā, he teitei ngā taumata hCG, he kino ngā tohu, kua pakaru rānei te ngongo fallopian, me tino hiahiatia te pokanga. |
Te rongoā rongoā (Werohanga Methotrexate)
Kia tirohia tēnei me ētahi atu taipitopito. Mēnā kāore tō āhua i te kino rawa, ka whakatau pea tō tākuta ki te hoatu i tētahi werohanga e kīia nei ko te Methotrexate .
Ka ahatia tēnei rongoā?
He māmā noa iho, ko tā tēnei kano ārai he aukati i te tere o te wehenga o ngā pūtau e pā ana ki te hapūtanga. Kātahi, i roto i te wā, ka taea e te tinana te mimiti haere i taua kiko me te tango atu.
Ngā mea hei mōhio
- Ngā pānga taha: Ka pā mai pea ētahi pānga taha iti i tēnei rongoā. Kei roto i ēnei ko te whakapairuaki, te ruaki, te whanoke, te mamae o te puku , me ētahi wā he mate pukupuku waha. He mea noa anō hoki te mamae o te puku mō ngā rā e rua, e toru rānei i muri i te tango i te kano kano.
- Aroturuki: Kāore koe e hiahia ki te noho ki te hōhipera pērā i mua. Ka taea tēnei te mahi i waho o te hōhipera. Heoi, ka haere tonu tāu tākuta ki te aroturuki i ngā taumata o tō homoni hCG mā te whakamātautau toto mō ētahi wiki. He mea tino nui kia tino mohio kua heke ngā taumata ki te kore. I ētahi wā, kāore pea ngā taumata e heke i te kotahi werohanga. Ki te tupu tēnā, me whiwhi pea koe i tētahi atu werohanga.
Ngā take e hiahiatia ai te pokanga
Ki te kore e taea e te rongoā te whakahaere i te āhua, ko te pokanga te mahi e whai ake nei. Waihoki, mō te hunga he tino tiketike ngā taumata hCG, he kino ngā tohu, me te hunga kua pakaru, kua pakaru rānei ngā ngongo fallopian, ko te pokanga anake te huarahi.
Ngā momo pokanga
I ēnei rā, ka whakahaerehia ngā pokanga mā te whakamahi i ngā tikanga tino matatau.
- Pokanga Laparoscopic: Koinei te tikanga tino pai ki ngā tākuta. Ka kiia hoki ko te "pokanga kōhao-kī". I konei, ka mahia he tapahi iti kotahi, neke atu rānei ki te puku, ka whakauruhia he kāmera me ngā taputapu ngawari hei tango i te haputanga. Ka taea e tēnei te tere ake te ora.
- Pokanga tuwhera (Laparotomy): Mēnā he āhuatanga ohorere, inā koa ka pakaru te ngongo, ā, he nui te toto i roto i te tinana, ka mahia te pokanga tuku iho mā roto i tētahi tapahi nui ake i te puku.
He aha te mea ka tupu ki te ngongo fallopian?
- Mena ka taea te whakaora i te ngongo (Salpingostomy): Mena he iti noa te kino o te ngongo, ka ngana te tākuta ki te whakaora i te ngongo, ā, ka tangohia marietia te haputanga o roto.
- Mena me tango te ngongo (Salpingectomy): Mena kua pakaru te ngongo, ā, kua tino pakaru, me tango katoa te ngongo fallopian.
I muri i te pokanga, ka aroturukitia ō taumata hCG kia tino whakakorea rawatia te haputanga. Tērā pea ka werohia ētahi tāngata ki te methotrexate i muri i te pokanga.
Ngā Tohu Whakatūpato - Kia aro nui ki ēnei!
I ētahi wā, i mua i tō mōhio he haputanga ectopic tōu, ka pakaru pea tō ngongo fallopian. He āhuatanga ohorere tēnei e morearea ana ki te ora. Ki te pāngia koe e tētahi o ēnei tohu, haere tonu ki te Tari Ohorere o te hōhipera tata (ETU).
- Te mamae ohorere, te mamae nui, te mamae kore e taea te whakamanawanui i te puku, i te puku o raro rānei.
- Mamae o te pito o te pakihiwi (Ka puta tēnei ina rere te toto ki roto i te tinana ka pā ki te uaua o te diaphragm)
- Te ngoikore rawa o te ngākau, te whanoke, te hemo rānei.
- Te werawera me te kiri makariri.
Kaua e noho ki te kāinga i tēnei wā. Kaua e taraiwa ko koe anake. Haere ki te hōhipera i te wā e taea ai me te āwhina a tetahi.
Karere Tangohia ki te Kāinga
- Ko te hāputanga ectopic ko te whakatōnga o te tamaiti ki waho o te kōpū. He mate kino tēnei e hiahia ana kia arohia tonutia e te rata.
- Ko te tikanga maimoatanga (rongoā, pokanga rānei) ka whakatauhia e ngā āhuatanga pēnei i te kaha o tō mate me ngā taumata homoni hCG.
- Ko ngā tohu pēnei i te mamae ohorere o te puku, te whanoke, me te mamae o te pakihiwi, tera pea nā te pakaru o te ngongo uterine. Mēnā ka puta tēnei , haere tonu ki te Tari Mate Whawhati Tata (ETU).
- He wheako tino uaua tēnei, ā-tinana, ā-hinengaro hoki. He mea noa te pōuri me te riri. Kōrerohia tēnei ki tō tāne, ki tō whānau, ki tētahi hoa pono rānei.
- Kaua e wehi kei mate te pēpi. Ko te nuinga o ngā wāhine ka whai haputanga angitu, hauora hoki. Kia tumanako, me kōrero ki tō tākuta mō ngā tohutohu i mua i te ngana anō ki te hapu.
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