Nā kumu nui o ka hāpai ʻana o ka tubal (ectopic) a pehea e mālama ai

Anter

• Nā kumu nui
• Nā hōʻailona a me nā ʻōuli o ka hāpai hāpai tubal
• Nā hana no ka hāpai hāpai ectopic
• Ke kuhikuhi ʻia ke ʻoki
• Ke kuhikuhi ʻia nā lāʻau
• Hiki paha ke hāpai i hope o ke kahakaha ʻana?

ʻO ka hāpai hāpai ʻana, a ʻo ka hāpai hāpai ʻia kekahi ʻano o ka hāpai hāpai ectopic kahi i hoʻokomo ʻia ai ka embryo ma waho o ka kōpū, i kēia hihia, i nā paipu fallopian. Ke hiki kēia, hiki ke hōʻino ʻia ka ulu ʻana o ka hāpai ʻana, no ka mea hiki ʻole i ka embryo ke neʻe i loko o ka kōpū a ʻaʻole hiki i nā paipu ke hoʻolōʻihi, kahi e hiki ai ke wāwahi a hoʻoweliweli i ke ola o ka wahine.

Hiki i kekahi mau mea ke makemake i ka hoʻomohala ʻana o ka hāpai ʻana o ka tuba, e like me nā maʻi i lawe ʻia i ka moekolohe, endometriosis a i ʻole he ligation tubal, e laʻa me. ʻO ka maʻamau, ʻike ʻia kēia ʻano hāpai a hiki i ka hebedoma he 10 o ka hānau ma ka ultrasound, akā hiki ke ʻike ʻia ma hope.

Eia nō naʻe, inā ʻaʻole ʻike ʻia ka pilikia, hiki i ka paipu ke wāwahi a kapa ʻia he hāpai hāpai ectopic ruptured, a he mea ia e hōʻeha ai ke kahe o ka kūloko, a he mea make ia.

Nā kumu nui

Hiki ke makemake ʻia ka hanana o ka hāpai hāpai tubal e nā mea he nui, ʻo nā mea nui:

• E hoʻohana i kahi IUD;
• Pākuʻi mai ke kīkō pelvic;
• ʻŌhumu pelvic;
• Endometriosis, ʻo ia ka ulu ʻana o nā kiko endometrial ma waho o ka kōpū;
• ʻO ka hāpai mua ectopic;
• ʻO Salpingitis, ka mea i hōʻike ʻia e ka mumū a i ʻole deformation o nā paipu fallopian;
• Nā pilikia o chlamydia;
• ʻO ke kāpili mua i nā paipu fallopian;
• Malformation o nā paipu fallopian;
• Ina o ka infertility;
• Loaʻa i nā sterilized i nā paipu.

Hoʻohui ʻia, ʻoi aku ka nui o nā makahiki 35, ka vitro fertilization a me ka ʻoiaʻiʻo o ka loaʻa ʻana o nā hoa kolohe i hiki ke makemake i ka ulu ʻana o kahi hāpai ectopic.

Nā hōʻailona a me nā ʻōuli o ka hāpai hāpai tubal

ʻO kekahi o nā hōʻailona a me nā ʻōuli e hōʻike i ka hāpai ʻana ma waho o ka kōpū me ka ʻeha ma hoʻokahi ʻaoʻao o ka ʻōpū, e ʻoi aku ka maikaʻi i kēlā me kēia lā, i nā manawa āpau i kahi ʻano kūloko a me nā colic, a me ke kahe o ka maʻi puʻupaʻa, hiki ke hoʻomaka me kekahi mau kulu o ke koko. , akā ikaika koke kēlā. E ʻike i nā kumu ʻē aʻe o ka colic i ka hāpai ʻana.

Hiki i ka hoʻowalewale hoʻokolohua hoʻokolohua ke hoʻomaopopo he hāpai ka wahine, akā ʻaʻole hiki ke ʻike inā he hāpai ectopic ia, pono e hana i kahi hōʻike ultrasound e hōʻoia pono i kahi o ka pēpē. Ma ke ʻano he ectopic hāpai hiki ke wāwahi ʻia ma mua o ka hebedoma 12 o ka hānau ʻana, ʻaʻole lawa ka manawa no ka ʻōpū e hoʻomaka e ulu, lawa e ʻike ʻia e nā poʻe ʻē aʻe. E aʻo pehea e ʻike ai i nā hōʻailona a me nā ʻōuli o ka hāpai hāpai ectopic.

Nā hana no ka hāpai hāpai ectopic

Hiki ke hana i ka mālama ʻana no ka hāpai hāpai ectopic ma o ka hoʻohana ʻana i ka methotrexate lāʻau, ka mea e hoʻoulu ai i ka hāpai keiki, a i ʻole ma o ke kaha ʻana e wehe i ka embryo a hana hou i ka paipu.

Ke kuhikuhi ʻia ke ʻoki

Hiki ke hana i kahi hana no ka hemo ʻana o ka embryo e ka laparostomy a i ʻole ke kīpē hāmama, a ua hōʻike ʻia inā ʻoi aku ka nui o ka embryo ma mua o 4 cm ke anawaena, ʻoi aku ka nui o ka hōʻike Beta HCG ma mua o 5000 mUI / ml a i ʻole ke hōʻike ʻia o ka haki o ka embryo. Tube , ka mea e hoʻoweliweli i ke ola o ka wahine.

I kēlā me kēia hihia, ʻaʻole hiki i ka pēpē ke ola a pono e hemo loa ka embryo a ʻaʻole hiki ke hoʻokomo ʻia i loko o ka kōpū.

Ke kuhikuhi ʻia nā lāʻau

Hoʻoholo paha ke kauka e hoʻohana i nā lāʻau e like me methotrexate 50 mg, i ke ʻano o ke kuikui ke ʻike ʻia kahi hāpai ectopic ma mua o 8 mau pule o ka hāpai ʻana, ʻaʻole hōʻike ka wahine i ka haki o ka paipu, ʻoi aku ka liʻiliʻi o ka ʻeke ma mua o 5 cm, ʻo ka hōʻike Beta hōʻike HCG ma lalo o 2000 mUI / ml a ʻaʻole e kuʻi ana ka puʻuwai embryo.

I kēia hihia, lawe ka wahine i 1 mahele lāʻau o kēia lāʻau a ma hope o 7 mau lā pono iā ia ke hana i kahi Beta HCG hou, a hiki i ka wā e ʻike ʻole ʻia ai. Inā ʻike ke kauka he ʻoi aku kona palekana, hiki iā ia ke kuhikuhi he 1 hou aʻe o kēia lāʻau like e hōʻoia i ka hoʻonā ʻia ʻana o ka pilikia. Pono e hana hou i ka Beta HCG i loko o 24 mau hola a laila i kēlā me kēia 48 mau hola e ʻike inā e emi mālie ana.

I loko o kēia mālama ʻana, a hiki ke hala i 3 mau pule, ua ʻōlelo ʻia:

• Mai hana i ka hoʻokolohua pili liʻiliʻi ma muli o ka hopena o ka haʻihaʻi o nā kiko;
• ʻAʻohe pili pili;
• Hōʻalo i ka lā i ka lā no ka mea hiki i ka lāʻau ke hoʻohaumia i ka ʻili;
• Mai lawe i nā lāʻau anti-inflammatory ma muli o ka pilikia o ka anemia a me nā pilikia gastrointestinal e pili ana i ka lāʻau.

Hiki ke hana ʻia ke ultrasound hoʻokahi manawa i kēlā me kēia pule e nānā inā ua nalowale ka nui no ka mea ʻoiai ke emi nei ka nui o ka beta HCG, aia nō ka hiki ke haki ka pahu.

Hiki paha ke hāpai i hope o ke kahakaha ʻana?

Inā ʻaʻole i hoʻopōʻino ʻia nā paipu e ka hāpai hāpai ectopic, loaʻa i ka wahine nā manawa hou o ka hāpai hou ʻana, akā inā i haki a i ʻole ʻeha ʻia kekahi o nā paipu, ʻoi aku ka haʻahaʻa o ka hāpai hou ʻana, a inā ua haki nā aʻa ʻelua a i ʻole ua hoʻopili ʻia. , ʻo ka hopena kūpono loa e lilo i ka hoʻouluulu vitro. Eia pehea e hāpai ai ma hope o ka hāpai ʻana o ka tubal.