Pyosalpinx: Nā ʻōuli, nā kumu, nā hopena ma ka momona, ka mālama ʻana, a me nā mea hou aʻe
Anter
- He aha nā hōʻailona?
- He aha ke kumu o kēia ʻano?
- Pehea ia ʻike?
- Pelvic ultrasound
- Pelvic MRI
- Laparoscopy
- Pehea e mālama ʻia ai?
- Hiki iā ʻoe ke pale i ka pyosalpinx?
- Outlook
He aha ka pyosalpinx?
ʻO Pyosalpinx kahi kūlana kahi e hoʻopihapiha ai ka pahu fallopian a pehu me ka pā. ʻO ka paipu fallopian ka ʻāpana o ka anatomy wahine e hoʻopili i nā ovaries i ka pūpū. Hele nā hua i nā ovaries ma o ka fallopian tube, a i ka kōpū.
ʻO Pyosalpinx kahi pilikia o ka maʻi pelvic inflammatory (PID). ʻO PID kahi maʻi o nā ʻano hānau o ka wahine. Hana ʻo Pyosalpinx e pili ana i nā hihia PID āpau. Hiki ke kumu ʻia ʻo Pyosalpinx e nā ʻano maʻi ʻē aʻe, e like me gonorrhea a i ʻole tuberculosis. ʻO ka mea maʻamau i nā wahine mai 20 a 40 mau makahiki.
He aha nā hōʻailona?
ʻAʻole loaʻa i kēlā me kēia wahine nā ʻōuli mai pyosalpinx. Ke hiki mai nā hōʻailona, hiki iā lākou ke hoʻopili:
- ʻeha ma ka ʻōpū o lalo e paʻa mau ana, a i ʻole hele mai a hele paha
- puʻupuʻu ʻeha ma ka ʻōpū o lalo
- ʻeha ma mua o kāu manawa
- fiva
- ʻeha i ka wā o ka moekolohe
ʻO ka infertility he hōʻailona paha ia o pyosalpinx. ʻO ia no ka mea pono nā huakaʻi e iho i lalo i ka paipu fallopian e hoʻomomona a hoʻokomo i ka kōpū. Inā pale ʻia nā paipu fallopian me ka pā a i ʻole hōʻino ʻia e pyosalpinx, ʻaʻole hiki iā ʻoe ke hāpai.
He aha ke kumu o kēia ʻano?
Hiki iā ʻoe ke loaʻa pyosalpinx inā ua mālama ʻole ʻoe iā PID. ʻO PID kahi maʻi o ka wahine reproductive tract i kumu ʻia e nā maʻi hoʻoili kolohe (STD) e like me chlamydia a me gonorrhea. ʻO nā ʻano maʻi ʻē aʻe, me tuberculosis, hiki ke hana i kēia pilikia.
Ke loaʻa kahi maʻi i kou kino, hoʻouna kou ʻōnaehana pale kaua i kahi pūʻali koa o ke koko keʻokeʻo e kaua iā ia. Hiki ke hoʻopaʻa ʻia kēia mau hunaola i loko o kāu pahu fallopian. Kapa ʻia kahi kūkulu ʻana o nā hunaola keokeo make i pus. Ke hoʻopiha ka paipu fallopian me ka pā, pehu a hoʻonui. ʻO kēia ke kumu o pyosalpinx.
Pehea ia ʻike?
Nā ho'āʻo e kōkua i kāu kauka e hōʻoia i ka pyosalpinx me:
Pelvic ultrasound
Hoʻohana kēia hoʻokolohua i nā nalu kani e hana i nā kiʻi o kāu mau tuba fallopian a me nā mea pelvic ʻē aʻe. I ka wā o ka hoʻokolohua, kau ka mea ʻenehana i kahi gel kūikawā ma kahi mea i kapa ʻia he transducer. Hoʻokomo ʻia ka transducer ma luna o kou ʻōpū a i ʻole hoʻokomo ʻia i loko o kāu ʻōpū. Hoʻokumu ka ultrasound i nā kiʻi o kāu mau mea hānau ma ka papapihi kamepiula.
Pelvic MRI
Hoʻohana kēia ho'āʻo i nā mākēneka ikaika a me nā nalu lekiō e hana i nā kiʻi o kāu kino pelvic. Loaʻa paha iā ʻoe kahi ʻoki o kahi kala kūikawā ma mua o ka hoʻāʻo. ʻO kēia kala e hōʻike akāka aʻe ai i kāu mau lālā i nā kiʻi.
I ka manawa o ka MRI, e moe ʻoe ma ka papa, e heʻe ia i kahi mīkini. Lohe paha ʻoe i kahi walaʻau i ka wā o ka hoʻāʻo.
Laparoscopy
E hōʻoia i kāu hōʻoia, e nānā paha kāu kauka i kāu mau paipu fallopian me kēia kaʻina hana. E hiamoe pinepine ʻoe i ka wā o kahi laparoscopy. E hana ʻoki loa ke kaukipoki ma kahi o kou ʻōpū pihi a hoʻopiha i kou ʻōpū me ka ʻaila. Hāʻawi ke gas i ke kaukipō i ka ʻike akāka o kāu kino pelvic. Hoʻokomo ʻia nā mea hana kīʻaha ma o nā ʻoki liʻiliʻi ʻelua ʻē aʻe.
I ka wā o ka hoʻāʻo ʻana, e nānā ana kāu kauka i kou kino pelvic, a hemo paha i kahi hāpana o ke kino no ka hoʻāʻo ʻana. Kapa ʻia kēia he biopsy.
Pehea e mālama ʻia ai?
E mālama kāu kauka iā PID me nā lāʻau antibiotic.
Hiki paha iā ʻoe ke ʻoki inā lōʻihi ka pyosalpinx a loaʻa iā ʻoe nā ʻōuli. ʻO ke ʻano o ke ʻoki a kou kauka i koi ai ma muli o ka paʻakikī o kou maʻi.
ʻO nā koho ʻoki pū me:
- Laparoscopy. Hiki ke hoʻohana i kēia kaʻina hana e wehe i ka pā me ka ʻole o ka hōʻino ʻana i kāu mau paipu fallopian a i ʻole nā ovaries.
- Salpingectomy bilateral. Hiki ke hoʻohana i kēia ʻoki e wehe i nā paipu fallopian.
- Oophorectomy. Hoʻohana ʻia kēia ʻoki e wehe i hoʻokahi a i ʻole nā ovaries ʻelua. Hiki ke hana pū ʻia me kahi salpingectomy.
- Hysterectomy. Lawe ʻia kēia mea ʻoki lāʻau i kahi ʻāpana a i ʻole āpau paha o kou kōpū, e like pū paha me kāu cervix. Hiki ke hana ʻia inā loaʻa ʻoe i kahi maʻi.
Inā hiki i kāu kauka ke mālama i ka pyosalpinx me ka laparoscopy, hiki paha iā ʻoe ke mālama i kāu momona. ʻO ka wehe ʻana i kāu mau paipu fallopian, nā ovaries, a i ʻole ka ʻōpū e hoʻopili i kou hiki ke hāpai.
Hiki iā ʻoe ke pale i ka pyosalpinx?
ʻAʻole hiki ke pale ʻia ʻo Pyosalpinx, akā hiki iā ʻoe ke hoʻohaʻahaʻa i kou makaʻu i ka loaʻa ʻana o ka PID ma o ka hāhai ʻana i kēia mau ʻōlelo aʻoaʻo:
- hoʻohana i ka condom ke loaʻa iā ʻoe ka moekolohe
- e kaupalena i ka helu o nā hoa moekolohe ʻokoʻa āu
- e hoʻāʻo no nā STD e like me chlamydia a me gonorrhea, inā ʻoe e hōʻoia maikaʻi, e mālama ʻia me nā lāʻau ʻaloʻalo
- mai douche, hoʻonui ia i kou makaʻu no ka maʻi.
Outlook
Kaukaʻi ʻia i ka paʻakikī o kou ʻano, hiki iā ʻoe ke mālama a hoʻihoʻi i ka momona ma hope o ka mālama ʻana no pyosalpinx. I nā hihia ʻē aʻe, pono paha ʻoe i kahi ʻoki e hoʻopili i ka momona. E hoʻomaopopo i kāu kauka inā ʻoe e noʻonoʻo i nā keiki i ka wā e hiki mai ana ma mua o ka hoʻomaka ʻana i kahi hoʻolālā mālama.