He aha eha ma ectopic hāpai keiki, pehea eʻike?

Eia naʻe, uaʻawaʻawa loa diagnosed me ectopic hāpai keiki, alo 10-15% o na wahine. Ka inoa olelo no ka iho. Ma ka hōʻike noonoo nui nīnau: He aha ia mea, symptoms, ke kumu, pehea ka mea, eha ectopic hāpai keiki, a oi.

Ectopic hāpai keiki - ka IeIIeYOA o ka ovum a hiki i ka uterine paia mea ole. Na fertilized hua ke noho i loko o ka ovary, e paʻa ana i ka cervix paha, e komo i loko o ka abdominal lua. Ka loa, he pono ole hihia pū i ka IeIIeYOA o ka ovum a hiki i ka pa o ka fallopian Tube. Hāpai keiki ua wehewehe aku ma atypical IIeEeAIEUAA, a Hoʻoweliweli 'o ia i ke ola kino o na wahine, a koi kaʻenaʻenaʻoki lāʻau lapaʻau' uao.

hōʻikeʻano

Ma maʻamau hāpai keiki, ka hua manu ua pili i ka lalo a me ke kino o ka uterus. Haʻalele SARS hāpai keiki i mea ole o ka hua i loko o ka uterus. Ua loaʻa he henua 'ē aʻe: ma ka fallopian paipu, ovaries, abdomen. Oia ka hāpai keiki hiki ole ulu, ka mea, o ke ola-na olelo hooweliweli au a me ka mea i 'inikua PAaIEN no kona haʻahaʻa. Ua uaʻike ia i ka eha o ka ectopic hāpai keiki i loko o ka kakahiaka kahua o ka hoʻonaʻauao ka loa ikaika.

Ka wahine kēia pathology ke ole. Ma hope o nā mea a pau, ia mea clinically i okoa mai maʻamau hāpai keiki. He nui nā poʻe e noi aku i ka nīnau: "anei ka pahu eha ka wā i ectopic hāpai keiki? He kekahi kakahiaka maʻi? Ua loaʻa drowsiness? ".

Ae, o ka papa! Here a pau i ka mea hookahi: aia no he kali hou aku i loko o menstruation, a mahuahua nui mammary gland, mammary outlines Pńk'pika, hiki i pōniuniu, nawaliwali, nausea, ka luaʻi, salivation. E makau complication o ka hāpai keiki hiki e ke kahe ana ke koko, a me ka poho o ka ike paka i, i ka wahine e koke nīnau aku i ke kauka.

kumu

Ke kumu o keia maʻi mea he keʻakeʻa nei i ka hua manu fertilized mai ka ovary a hiki i ka uterus. Ua keʻakeʻa nei ua pili me ka ho'ēmi i kā patency o ka fallopian paipu (li nui ma hope o abortion, endometriosis, miscarriage, hoʻohana IUD like me ka contraceptive konohiki), abnormalities o? Acaeoey, e like me ovarian paha uterine Ka maʻi 'aʻai EUIAaIN ka maloko reproductive nā loko, hormonal kāna hana a loa hanau, ma hope a 'aʻaʻa adhesions i hana.

Eia hou, e ia ma kamepiula i nā wāhine ma luna o kona mau makahiki pae (ma 35 makahiki), mai i keia makahiki i ka wahine i lawa ka "waiwai" 'ia paha o nā maʻi somatic a me ka gynecological a me kāna hana, loli ma ka hormonal kūlana a me ka pinepine o ka loaʻa nui o ka abortion ma mōʻaukala.

Pehea oe i ike ia?

Inā he ectopic hāpai keiki eha ū ho'āʻo holehole mai ai i hōʻike i ka maikaʻi result. Pathology mea paʻakikī i ka manao. Naʻe, i ka nui o hCG e mau fluctuate a deviate mai ka maʻamau, e like me ka kekahi lā.

Oia ka hana hoihoi 'ana, IeAUPIIe, IAa IO pu ma kaʻawaʻawa loa hoʻokahi-kapakahi kaʻeha i loko o ka abdomen. hiki e mahuahua ma ka hoʻololi i ke kino kulanaʻawaʻawa loa ke ano. Pain i ka ectopic hāpai keiki paha e like me ka menstrual cramping.

Akā, i ka wale ike loea iaoia o e kukulu i ka hookomo ana i kēia mua aku fetus mea ultrasoundʻike, o transvaginal ke kula.

Me ka 'eleuʻike, a me kāu kiʻina hana o ka lapaʻau o ectopic hāpai keiki , aole ia i me ka nui loa ka hopena ma luna o ke kino. A i ka wā skillfully wae mahope lapaʻau he wahine hiki hou imi e lilo i ka makuwahine o nā mea a pau 3-6 mahina ma hope o ka haʻahaʻa o ka hāpai keiki.

Noho i ka ovum i loko o ka fallopian Tube ka mea, no o ka nele o ka elasticity o'aʻaʻa, aʻaʻole hiki ke hohola ka poʻe me ka hoomahuahua i ka nui embryo. Pipe rupture i, i ke koko me ka fetal nā'aʻaʻa a me ka hua komo i ka peritoneal lua, a hiki alakai i peritonitis. Eia hou, i kekahi hui, o ka nahā i e e ukali eʻoi eha ma ectopic hāpai keiki, a profuse kahe ana ke koko. He kūpono o ka wahine o ka ola a me ka pono koke hospitalization i loko o ka mālama nui mālama pa alima ma lalo o ka ikaika nā limahana o ke kauka.

Removal o ectopic hāpai keiki ua ana hana laparotomy. Ma ka mea uuku incision i loko o ka abdominal surgeon i waiwai ai komo i ka ovum. Ma kēia hihia, na mea hana a pau i nā mea e loaʻa ka mea nalo, a me kekahi manipulation hoʻomalu e hōʻike 'ia ma luna o ke kanaka hoʻoponopono. Ke kaumaha ma muli o ka kahua o ka hāpai keiki i kou kauka wale no ka i wehe fertilized hua manu, i ka hua a me ka'āpana o ka pōʻino, ua make'aʻaʻa a fallopian Tube loa. No laila, ka koke ia ka wahine i ke kauka, no ka emi pōʻino e e hana ai i kona ola. Pain ma hope o ka ectopic hāpai keiki, e lōʻihi noho i loko o ka hoomanao ana o ka wahine.

Naʻe, i ka iapaau ana, aole ia i pau i laila. Mau hea e undergo reparative Inc, e like me ka hoʻopau hiki kumu o ka recurrence o ectopic hāpai keiki. He mea pono ke hana i ka maʻiʻaʻai, li nui, e hoihoi hormonal imbalance.

Me ka 'eleuʻike, a me ka hoopau wale, e like me mahope lapaau a me ka pono hoʻopulapula, o ka wahine e e hiki ke hoopoina i ka eha o ka ectopic hāpai keiki i loko o ke kakahiaka kahua o ka hoʻonaʻauao. Ka mea, e hiki e ke ola a me ka hanau i ka olakino bebe.

kamepiula kumumea

Aia nā hihia ma i ka fertilized hua attaches mawaho o ka uterus no o ka 'aʻe' ana o kekahi paipu leki uea hula. He He complication, a ua kapaʻia he ectopic hāpai keiki. Eia naʻe, i kēia hua i hiki ole i ke ola. O kŰia loa pilikia no ke ola o ka wahine, e like me fraught me kahe ana ke koko a me ka ignoring i loaʻa ola.

Ma lalo o maʻamau rula, ka fertilized ovum ua kuu iho la i loko o ka uterus, a pili i kona pā pōhaku. Naʻe, ka wā ectopic hāpai keiki e ku pono ana, he oiaio, ko ia neiʻoniʻoni ma ke ala e hiki aku i mai ia, a pili paha ma kekahi paipu paha i loko o ka ovary, a nuiʻana i loko o ka abdominal lua. Ka nele o ka ho'ā 'ia no ka hooulu ana i ka wā e hiki mai bebe hoʻonāukiukiʻana mai o ulu ana o ka fetus i loko o ke kino, i ka i ana i pili. Hiki ai ma o na la maloko kahe ana ke koko.

E ho oka awale i ka hāpai keiki ma ovarian, Tubala a peritoneal. Ua pau hilinaʻi nui ma luna o ka wahi o ka embryo IeIIeYOA. O ka holo ana, ua ke kahua - he lōʻihi rarity, a ia lŘlŘ ma 1-2 hihia mai o 100.

Aia nō kekahi kamepiula kumumea:

• ina o ka hana ua i loko o ka wahi o ka abdominal lua;
• ole o hormonal kāʻei kua;
• ma muli o ka maʻi o ka wahine reproductive nā loko;
• benign ole malignant hikoko o ka reproductive nā loko.

Ua hoʻomaka ma ka like me mau, a me ka mea mua o ka i loaa like pule. Hana kupua symptoms hoʻomaka e hōʻike mai ka 3 a hiki i 9 pule. He aha eha ma ka ectopic hāpai keiki? mau symptoms pili ia ia.

• Pain maʻi pale me ka aching, hou ae la oia eha ma ka ectopic hāpai keiki. Ua lŘlŘ i loko o ka abdomen, i loko o ka wahi o ka IeIIeYOA o ka embryo. I ka emptying paha e ike eha.
• Pinepine kahe ana ke koko ke kino na moku, ma ka fertilized hua manu, a i e uterine koko kaawale ana. Holo nōhie e hoohalike ai menstruation, akā,ʻaʻole pēlā nui.

degere

Kauka mahele ia i loko o kekahi mau degere. Mua - kēia mea, i ka wa o ka embryo i kona ulu nahu i loko o ka paipu paia, a haehae ia. Ka lua o ka papahelu Ua maheleia i mau ano.

Mua - ka wā i ectopic hāpai keiki, kahi o ka eha o IeAUPIIe, IAa IO ke koʻikoʻi, wawahi aku ma luna o lākou iho i kēia mea, a me ka hua manu ua hookuu i loko o ka abdominal wahi. Pu e koko hookuuia a me kaʻeha. Ke uterus ua ho'ākeaʻia, akā,ʻaʻole i ka mea ia wā. Ua hāpai keiki Ua ana pu ma ka hoʻokahi-kapakahi kaʻeha i loko o ka abdomen. Discomfort i ke ano hoomainoino ia e loli ma ke kino kūlana. Pain ma ectopic hāpai keiki e hoohalike ai contractions a menstrual cramps. Aia kahe ana ke koko a me ka puaʻa pūkoʻa a.

II - he rupture o ka fallopian Tube. Pinepine i manawa 7 i 10 pule. Ma keia hihia, ia mea nui, eʻimi i kōkua koke! He ola mau olelo hooweliweli.

A wahine pono undergo i ka papa o ka hoʻopulapula, a AIM e hoʻihoʻi fertility ma hope o ka pilikia ka hāpai keiki. Ma awelika, me ka hoʻopulapula papa mau malama eono, ma hope i ka wahine ke hana i ka hoʻolālā o ke keiki.

I mea no ke aha la he mea keia hāpai keiki?

Na fertilized hua hiki i ka uterus, kūpono ma ka hewa wahi, a me kona'āno'ē? Acaeoey. oocyte maturation hiki ke lawe wahi i loko o ka fallopian şarkı, ovary a peritoneal lua. Ke kumu o:

• Abortion.
• Hypoplasia a'āno'ē kūpono 'ana o ka reproductive nenoaiu.
• Shortage a me ka liki ole o hormones.
• Blockage o ka fallopian paipu a me ka 'aʻe' ana o kā lākou innervation.
• Maʻi o ka endocrine nenoaiu.
• Contraception.

symptomatology

I ka hoʻomaka o ka ectopic hāpai keiki mea ole, eʻike mai ka maʻamau. Women i'ālike symptoms: mahuahua ikaika loa ka makemake - ia paha i ke ao a me ka po, kakahiaka maʻi - nausea kānāwai koke ai ka apana uuku na hope, nawaliwali, drowsiness, umauma no ka palupalu, e kaawale aku o ka menstruation. Wale ma hope 3-6 pule o ka hoomaka ana e hoike mai i na hoailona i ka hōʻike i ka wahine hāpai keiki pathology.

• Pain i ka ectopic hāpai keiki. Weliweli moku'āina ka wā a pau i ka whining, aʻaʻohe ikaika e hoomanawanui i keia. He aha eha ma ka ectopic hāpai keiki? Cramping ma ka abdominal wahi. IeAUPIIe, IAa IO ka mea, ua aching a cramping ma ka ano. Urination i eha, i kekahi manawa, i kawili pu ia me ke koko.
• Kahe ana ke koko. Kahe ana ke koko ma ectopic pregnancies ana i loko o abdominal polost.Takzhe i hoʻokoe 'ano a me ka uterine kahe ana ke koko. Ke kumu no keia o ka ho'āʻo 'ana e emi ma ka progesterone pae. He ka hōmona progesterone i loko o nā wāhine stimulates ka ulu ana o ka uterus. Ua ālai 'uterine contractions, a i hāpai keiki ka mea mahana i ka menstrual pōʻaiapuni.
• A moku'āina o ka hawewe. A hapai wahine ka ke koko, e hina ia. kulu i loko o ke koko, ua hoi me ka ka ho'ēmiʻana i loko o progesterone hōmonaʻilikai hou pili. Unhealthy ili waihoʻoluʻu hoʻomaka profuse kahe ana ke koko, a me ka hopena - pohō o ka ike paka i. E ala a me kaʻeha ma ka lalo abdomen i ka ectopic hāpai keiki.

Pehea e diagnose?

pono i maikaʻi hāpai keiki ho'āʻo a me ka hanana o ma ka liʻiliʻi loa kekahi o na ninau symptoms i ka wahine, e hele aku i ke kauka. like hana e e hāʻawi ai i kaʻike,.

A oi efficient makemake ultrasound i ma transvaginal. Ke kahuna lapaau e pono e ho oholo i ka lehulehu o kanaka chorionic gonadotropin. Inā uaʻaʻole i loaʻa ka hCG pae i ka 1500, akā, i ka PalekanaEND_LINK parades fertilized hua manu, alaila, i kaʻike, mea - he hāpai keiki mawaho o ka opu.

lapaʻau

Na wale ala, e hoʻoponopono i ka pilikia - ka mea, Alohaʻoki kino. Māhele ma ka laparoscopy. Iloko o ka hana, wehe 'ia ka fertilized hua mawaho o ka uterus paa. Inā 'oe i ka pilikia ae nanea ana eaʻoki kino. Lulaʻoki kino i ka pono o ka fallopian Tube hoihoi. Fallopian paipu e nui no ka hāpai keiki.

Ectopic hāpai keiki, diagnosed ma ke kakahiaka kahua o ka hoʻonaʻauao, ka mea, ua malamaia lakou nei, me ka chemotherapy. O ka holo omo o ka ovum hāpai methotrexate. Wehe i ka fallopian Tube pilikia loa. Kēia maoli ka likelihood o infertility a puana ectopic hāpai keiki.

He aha ka ka pilikia o ectopic hāpai keiki?

I haiia ae maluna,, ka fertilized hua komo ka fallopian Tube, a hoʻomaka e hoʻomohala ma laila. Ka pilikia o ia ka Tube mea i pono no ka ulu fetal, mahope mai o kona paia aʻole i lawa elasticity a me ka extensibility, a hoi mai i ka kŘpa a uuku anawaena.

Pakahi, a hiki i kekahi wahi (4-6-la pule o ka hāpai keiki), chorionic villi ulu i loko o ka paia o ka paipu, ma hope a kona rupture ia lŘlŘ a he mea he rupture o ke koko i loko o ka peritoneal lua (hemoperitoneum me ka hiki hou ana o ka peritonitis). Clinically ka mea, ua hoikea mai oia, i mau pahi oi "pahi" kekahi eha i loko o ka abdomen, mae, pōniuniu, anuanu, clammy, poho o ka ike paka i. Ka wā e wāwahi ai i ka nui ipu kahe ana ke koko hiki e ola-na olelo hooweliweli au, noi kōkua koke.

Ma kekahi mau hihia, ka uhaʻiʻana o ka pa o ka ovum, ma hope i ka mea, ua kipaku i loko o ka abdominal lua. Ka lapaʻau kiʻi hoʻopili like i ka mea o ka paipu, e uhai, akā, ka mea hiki e emi haʻi paha hou i Hawaiʻi ma manawa.

ka hopena

Ma hope o kekahi kōā o ka manawa, na symptoms o ectopic hāpai keiki eha emi iho, a me ka wahine ke aloha i ka mea maikai a pau, akā, i kēia mea he hoopunipuni pomaikai. Ma hope o nā mea a pau, i ke koko mau, e kahe ana i loko o ka abdominal lua. A no ke aha la oe i hiki ole haʻalele i kēia moku'āina me ka noonoo. A wahine E e urgently hospitalized a hoʻohana. Ua E hoi e kaulana i ua hoemiia ka pahiki o ka noho hapai maoli ai ma hope o ia he pathology, a me ka pilikia o ka hou-ha, piʻi pū.