Nā ʻōkuhi hāpai Ectopic a me nā ʻano nui

Anter

• Nā ʻano nui o ka hāpai hāpai ectopic
• Pehea e hana ai i ka lāʻau

Hoʻohālikelike ʻia ka hāpai Ectopic e ka implantation a me ka hoʻomohala ʻana o ka embryo ma waho o ka kōpū, i hiki ke hana ʻia i nā paipu, ovary, cervix, ʻōpū o ka pūpū a i ʻole ka cervix. ʻO ke ʻano o ka ʻeha o ka ʻōpū nui a me ke kahe o ke koko ma o ka ʻōpū, keu hoʻi i ka trimester mua o ka hāpai ʻana, he hōʻailona paha no ka hāpai ʻana ectopic, a he mea nui e nīnau aku i ke kauka e hana i ka hōʻailona.

He mea nui e ʻike kikoʻī i kahi o ka embryo, no ka mea hiki ke hoʻoholo pono ʻia ka lapaʻau kūpono loa, ʻoiai ke hiki i ka hakahaka o ka ʻōpū, hiki ke hoʻomau i ka hāpai ʻana, ʻoiai he ʻano laha ʻole a lahilahi ia.

Nā ʻano nui o ka hāpai hāpai ectopic

ʻO ka Ectopic hāpai kahi mea maʻamau kahi e hiki ai ke hoʻokomo i ka embryo i nā ʻāpana like ʻole o ke kino, e like me ka tuba fallopian, ovary, ʻōpū o ka ʻōpū a i ʻole cervix, ʻo ia ka wā e ulu ai ka ʻōpū i ka pūpū. ʻO nā ʻano liʻiliʻi o nā hāpai hāpai ectopic:

• ʻO ka hāpai hāpai interstitial Ectopic: Kū i ka wā e ulu ai ka embryo i ka mahele interstitial o ka paipu. I kēia hihia, aia ka hoʻonui ʻana o ka Beta HCG a hana pinepine ʻia ka mālama ʻana me nā lāʻau a me ka potassium chloride, i loko o kekahi mau kaha;
• ʻO ka hāpai male ʻO ia ka wā e ulu ai ka embryo i loko o ka cervix, hiki ke hoʻoulu i ke kahe ikaika. Hiki ke hana i ka mālama ʻana me ka embolization, curettage a i ʻole ka injection kūloko o ka methotrexate, no ka laʻana;
• Ectopic hāpai keiki ma ka cesarean scar: He kākaʻikahi loa ia, akā hiki ke hiki, e koi ana i ka mālama ʻana me ka methotrexate a me nā lāhui waikawa folinic, ma kahi o 1 pule;
• ʻO ka hāpai hāpai ʻana o ʻOvarian: I kekahi manawa ʻike wale ʻia ia i ka wā curettage a no laila ʻaʻole hoʻohana ʻia ka methotrexate;
• Heterotopic hāpai keiki: Aia ia i ka wā e ulu ai ka embryo ma waena o ka kōpū a me ka paipu, akā ʻike wale ʻia ia ma hope o ka haki ʻana o ka paipu a no laila ʻo ke kauka ka hoʻohana pinepine ʻia.

Ma waho o kēia mau ʻano, aia kekahi hāpai ʻōpū ectopic, ʻo ia ka wā e ulu ai ka pēpē i ka peritoneum, ma waena o nā meaola. He kūlana kakaʻī loa kēia a pono e nānā pākahi ʻia kēlā me kēia hihia. He hapai paʻakikī kēia ma muli o ka ulu ʻana o ka pēpē, kaomi ʻia nā mea o ka makuahine a hiki ke wāwahi ʻia nā kīʻaha koko, make make paha. Eia nō naʻe, aia kekahi mau moʻolelo e pili ana i nā wahine i hiki ke loaʻa i ka pēpē a hiki i 38 mau pule o ka hānau ʻana, me kahi ʻāpana cesarean no ka hānau ʻana.

Pehea e hana ai i ka lāʻau

Pono e alakaʻi ʻia ka mālama ʻana no ka hāpai hāpai ectopic e kahi ʻōpū, no ka mea pili ia i ka wahi kikoʻī o ka embryo, akā hiki ke hana ʻia me ka hoʻohana ʻana i nā lāʻau e hoʻolauna i ka hāpai keiki a i ʻole ke ʻoki ʻana e kāpae i ka embryo a kūkulu hou i ka ʻōpū uterine, no ka laʻana .

I kekahi mau hihia, ke ʻike ʻia kahi hāpai ectopic ma mua o 8 mau pule o ka hāpai ʻana, a liʻiliʻi loa ka embryo, hiki i ke kauka ke koi aku e lawe i kahi lāʻau i kapa ʻia ʻo Methotrexate e hoʻohuli ai i ka hāpai keiki, akā ke hoʻonui ʻia ka hāpai ʻana, pono e hana ʻia i ka ʻokiʻoki no kona hemo ʻana.

E ʻike i nā kikoʻī hou aʻe o ka mālama ʻana i ka manawa o ka hāpai ʻana ectopic.