Laparoscopy no Ectopic hāpai keiki: hiʻona o ka hana, i ka hopena o

Ma keia 'atikala, ua kaumaha aku oe no ka ike me ka laparoscopic ectopic hāpai keiki, a ia lŘlŘ loa pinepine, ma kahi o 5%. Eia naʻe, ke keiki ka hoʻopakeleʻana i i loaa ia oe, o ka mua hoopau wale o na ana ia ana, no ka nui wale, e hoola appendages a ka wahine o ka ola. Inā e 'ike i nā hōʻailona o ka hāpai keiki, oe e ike koke aku i ka gynecologist. Ka koke hana ultrasound, ka wikiwiki a me ka hiki pono o 'oe ke kiʻi pohaku uinihepa, o ka meaʻawaʻawa loa hopena. Eia hou kekahi, ultrasound kokua ho oholo i ka wahi o ka implantation o ka ovum. Inā i ultrasound hōʻike i ectopic hāpai keiki, ia mea pono e hana koke (? A? Uaaiey). Ma ka hoi ka mea hiki ke hana? He aha ka laparoscopy şarkı me ka ectopic hāpai keiki? e huli i kēia mau nīnau a pau e ka pane i loko o kēia 'atikala.

ectopic hāpai keiki

No ka hoʻomaka mākou nana i fertilization i wahi pehea. Kēia kuʻi nukeliu o elua gametes (sperm a me ka pio) i loko o ka fallopian Tube. Ma hope iho o kēia kaʻina ua ua fertilized hua e neʻe aku i loko o ka uterus, a ua pili i ka paia. Kēia mea he laʻana o ka maʻamau hāpai keiki, a ia lŘlŘ ma ka kanaiwa-Elima oʻu hahau ana mai o ka haneri. Ma nā hihia, ka fertilized hua ua paa ia ma ka fallopian Tube, a hoopaa iho la anywhere mawaho o ka uterine lua. Where ka embryo hiki ke paa:

• fallopian Tube;
• i loko o ka abdominal lua;
• i loko o ka ovary.

Kēia misplacement fertilized ovum ua kapaʻia he ectopic hāpai keiki. Mālama i ke keiki i loko o keia hihia, aole ia i hana, ke kauka ua koi 'ia e koho i kekahi kaʻina hana no ka hoopau wale. Laparoscopy no ka Ectopic hāpai keiki - o ka loa a me ka hanohano akahai iaoia o ka lapaau. Inā i ka manawa e lawe hana, a laila, ma hope oʻoki kino ma hope o kekahi iāʻoe e hoʻomaka hoʻolala i ka hanau ana o ke keiki.

Ectopic a me Tubala hāpai keiki - mea he pathology, ma a ka fertilized hua ua kanu pūʻia ana ma waho o ka uterus. Ua mea waiwai 'ana i kumumanaʻo i nei ua e ulu ana i ka helu o ka hihia.

He aha nō nā kumu i kāhea keia pathology? O nā nā kēia:

• infectious maʻi o ka uterus;
• hoʻomanawanui iki mai appendages;
• kāna hana a me keʻano o ka hanaʻana hoʻoʻino 'ia i loko o ka urinary bladder;
• congenital'āno'ē 'ole o nāʻohe;
• hana, hoolilo i ka fallopian paipu;
• hormonal ole;
• pinepine abortions;
• alo helix (ano o ka contraception);
• lōʻihi papa o ka iapaau ana me ka hormonal hoomakaukau;
• wahine endometriosis;
• ʻeho fallopian paipu, a no laila, ma luna o.

Laparoscopy Tube me ka ectopic hāpai keiki e hoʻomōhala ana i loko o ka fallopian paipu, mea he pono. I ka mua o kaʻike, o keia pathology, a lawe mai i ka hana, i ka mea i oi aku ka pahiki o ke ola i ke kai o ka appendages. Eia hou kekahi, e pono e loaʻa mai i ke kumu, a lawe ka lapaʻauʻia, e pale aku recurrence.

Kind o ectopic hāpai keiki

Kekahi ke kuhikuhi aku i ka kēia Mea Maluna o ectopic hāpai keiki (ma ka wahi o hoʻopunipuni ka ovum)

• paipu;
• ovarian;
• abdominal;
• cervical.

Keʻano mua o ka loa, he pono ole (98% o na hihia a pau). I ka wā o ka paipu, mākia ihola ectopic hāpai keiki ia lŘlŘ i loko o kekahi o ka mucosa o ka fallopian paipu. Pela ia mea hiki ke puunaue omo ano kekahi mau subspecies (aie i ka wahi i loko o ka fallopian Tube):

• ampullar;
• isthmic;
• interstitial;
• fimbrial.

ʻO nā ekolu laha 'ana o kēia mau mea loa pohihihi keia. I ka ovarian ectopic hāpai keiki ia lŘlŘ ka hoʻohuiʻana i loko o ka lua o ka follicle, oiai abdominal - i loko o ka abdominal lua, cervical - i loko o ka cervix.

therapies

Loa nui manawa e huai ae i ke alo o ka ectopic hāpai keiki. Kēia e kōkua i kona symptoms. Mua, he wahine i haha aku aching, paha ia e hāʻawi aku i loko o ka puhaka. Inā ma keia kahua, aole ia e ike i ke kauka, i kaʻeha e koke e huʻi. Ia mea,ʻaʻole e pono ke lawe eha ka lapaʻauʻia, e like me keia e ālai ia 'aʻe i kaʻike, o ectopic hāpai keiki. E like me ka wahine ke haha aku i ka ikaika nawaliwali, a me ka pōniuniu nausea.

E lohe i ka auaaeaiea, ka mea, ke i ke koko kala like 'ole, i kēia Hōʻike maloko kahe ana ke koko ma muli o ka poino i na appendages. Inā ka hāpai keiki hoao ana ka maikaʻi a me ka oe i hai mau symptoms, eʻoiaʻiʻo, e hele i ka gynecologist. Eʻoluʻolu, e hoailona oukou i ka poho o ka ike paka i - ia mea no hoi he symptom o keia maʻi.

Ke kauka Pono e hoouna aku oe no ka ultrasound hōʻike, i ka hopena o i e e loaʻa i ke kahua o ka implantation o ka ovum. Ma hope o ka loaa ana i ka hopena o ka gynecologist prescribes lapaau. Aoao e pakele o ectopic hāpai keiki:

• laparotomy (operative 'uao, i komo ai ka weheʻana i ka abdominal pa, ka wehe' ana i ka embryo me ka ohe a ovary);
• laparoscopy (he ectopic hāpai keiki o ka mea maikai a me ka emi weliweli ala, i ka hanaʻo ia wale nō ka meaʻuʻuku puncture);
• ka lapaʻauʻia.

Ano, e ka'ōlelo i ka uuku hou e pili ana i kēlā me kēia hana.

Laparotomy - i ka wehe 'ana o ka ovum, a e alakai i ka wehe şarkı paha ovary. Kēia hana i hoʻohana mua, ma mua o ka Hekikai o laparoscopy. Naʻe, i loko o kekahi mau nā keʻena lāʻau lapaʻau ka mea, ua hana a hiki i kēia lā. Kēia paha ia i ka i kēia hihia.

• 'Aʻole i loaʻa ka mea e pono ai kēia lako a pan;
• i hoʻomalu i hiki ke hana i keʻoki kino laparoscopy;
• ka pilikia ano o ka wahine, hoʻoweliweli i kona ola.

Laparotomy ua mālama 'ia i loko o kekahi mau aoao:

• milking;
• tubotomiya;
• tubektomiya.

Ka papa hana mua e leie aku i ka malama a hoomalu nae lakou i ka oki fallopian Tube. Ovum ua extruded, he mea hiki, ina e kahi kokoke i ka OAAIeOO o ka Tube. Ma hope o ka hana i ka wahine ke kiʻi hapai.

Tubotomiya komo ai incision ole ana o ka Tube pu me ka fetal Kepakailiula. Ma ka io i keia hana, ina ka fertilized hua e wehe i hiki ole ma ka extrusion. Pahiki hou hāpai keiki i loko o nā wāhine ma hope oʻoki kino i koe, akā, me ka nui loa hoemiia.

Tubektomiya - i ka wehe 'ana o ka fallopian şarkı, a me ka ovary ina e pono ai. O ka holo ana, hapai na wahine a pau, aolie ia i ole koho akā, e hoola i kona ola ana i hiki. E like me ka rula, i kēia papa hana ua io ia wale nō ma ka loa wahi, i hiki kekona manao mai ai i ka wā.

Mākou e huli i ka nui a ianoiyuaa a kaulana iaoia, uaʻoki kino - laparoscopy me ka ectopic hāpai keiki. Ua Ua manaʻo emi pilikia loa a me ka akahai. Kēia hana ma lalo nei mākou, e uku i ka hailona hou manawa.

Na hope ala - keia ka lapaʻauʻia. Ua mea waiwai 'ana i kumumanaʻo i na kumu mai i paulele ia, hoopakela aku i keʻoki kino. Kēia papa hana ua hoʻohana loa kākaʻikahi, a ma ka mea uuku manawa. Kona o Mānoa, ke moe i loko o ka hoʻokomo 'ia' o "Methotrexate" ka lāʻau e pepehi i ka embryo mahaeʻana. Paha e lilo hapai ma hope holomua lāʻau lapaʻau ua kokoke e hoemi like i ka mea ia i mua.

laparoscopy

E like me ka olelo mua, laparoscopy me ka ectopic hāpai keiki - ka mea, o ka pono ano o ka nohoʻana. Koke ia E e kaulana i ka mea i emi traumatic. Laparoscopy kōkua nō painlessly pakele o ectopic hāpai keiki, i mea na kekahi mea e hoʻomōhala ana i waho o ka uterus. Ka wahine iʻoki kino paha e haha aku i kekahi eha paha discomfort, e like me ka mea ua hanaʻia ma lalo mau anesthesia.

Ke surgeon mea e hana i kekahi meaʻuʻuku incision i loko o ka abdominal lua, a, e mai i ka kūikawā paahana me a oe ke wehe i ka embryo mai ka fallopian Tube. Ka mea a pau ana ua hoi malalo o ko ultrasound machines.

E like me ua lilo akaka, ke keiki laparoscopy ectopic hāpai keiki hiki ole ola. Akā, ma ka manawa, e hana i keʻoki kino kōkua, e hoola i ke ola a me ka ola o ka wahine. Ma ka hoʻohuoiʻia mua o ka ectopic hāpai keiki e hele i ke kauka. Ka wikiwiki e e lawe wale i nā ectopic hāpai keiki, o ka nui paha o ka wahine i loko o ka wā e hiki mai no i na keiki.

Ua i ka hana, ke kauka hoʻoholo, e hoopaa i ka Tube paha ole. A pau i kēia hilinaʻi nui ma luna o kekahi mau aʻe. Fallopian Tube ua hoopaa iho la o inā:

• pōkole kau hāpai keiki;
• salpinxʻaʻole nui iʻa.

Inā i kēia mau mea nui ana no keia mau mea, ua halawai, ke kauka hana i ka mea uuku incision e wehe i ka gestational sac. Ma hope o ka hana ana o ia i kekahi wahine ua noho maikaʻi a me ka mālama i kou reproductive ola. I ole ia (ina ka ovum 'ano nui a me ka ikaika traumatized fallopian şarkı) ke kauka hoʻoholo i ka wehe' ana a me nā mea a pau o ka ohe.

Once hou au i hele aku i kou noonoo ana i ka mea i ka mua e imi kōkua mai i ka gynecologist, na nui wale, e hookoe i ko lakou reproductive ola. E hooikaika, a hoolohe mai i ka lepa o kou kino. E hōʻuluʻulu keia pauku, au makemake e kahińuli i ka pono o kēiaʻoki kino i kapa laparoscopy:

• Small hemorrhage;
• kokololio loaa ma hope ana;
• pohihihi keia postoperative complications;
• ole scars.

Ma keia hana, eia nō kekahi pono:

• Ua lŘlŘ oiai laundering laparoscopy ka abdominal lua mai i ke koko (koko o ke kumu o ke kahua o adhesions, i ka hope, ma ka huli, ke alakai i ka repetition o ectopic hāpai keiki);
• Ma hope oʻoki kino, ka surgeon hiki Loiloi i ka moku'āina o ka lua o ka ohe a me appendages;
• hiki reconstructive 'uao (colliotomy, hoihoi patency paipu).

Na koke oe e ka lanakila i ka laparoscopy, no ka nui wale o ka i kō ai ke ola i ke kamaiki i loko o ka wā e hiki mai.

e hoola i paipu

Laparoscopy no ectopic hāpai keiki me ka malama ana o ka paipu ua lawe mai ma lalo o kekahi mau rula: gestational uuku Tube ua i wela. Ma nā hihia, ke kauka eʻaʻole e hiki i ka haʻalele i ka ohe, no ka mea, hiki i ka recurrence o ka maʻi, me e hou e lawe mai kona pololei nuʻukia.

Laparoscopy me ectopic hāpai keiki me ka malama ana o ka paipu mea hiki me ka 'eleu lapaʻau i ka haukapila wale. Listen i kou kino i ka lepa. ? Ac? O ectopic hāpai keiki ka pilikia i loko o ia i ka pā o ka fallopian tube E kikoo me ka māhuahua ovum. E like me ka hopena, aole lakou e i ku mai a me ka moku. Ma keia kahua ia mea nui, e ua conserved i ka ohe, a me ka wahine o ka ola.

Inā e haha aku i ka symptoms mua o ka ectopic hāpai keiki, e kelepona i ka gynecologist. Diagnosing ka mea, ua hoemi ia kekahi mau kumu:

• kaʻohiʻana i ke koko mea o loko hCG;
• ultrasound.

Inā he ectopic hāpai keiki hōʻike, i pilipu iho la lakou mau wahi i noho ai, e hōʻike i ka maikaʻi result. Naʻe, i ka ultrasound ua 'akomi i ka ovum i loko o ka uterine lua. Ma keia hihia, i ka manaʻo e pono e hele i ka meaʻike, laparoscopic. Inā e poina i ka hana i kēia, i ka manawa o ke ola i ke kai o ka ohe, a me ka mālama 'ana o reproductive ola ka nui loa.

ana o ka Tube

Hana laparoscopic ectopic hāpai keiki me ka wehe 'ana o ka Tube ka loa nō i loko o kekahi mau hihia. Ma ia oe, e aʻo i loko o keia pauku o ka Haawina.

Ke hana ia mea loa palekana a me ka kokololio ke ola au i kekahi wahine ma hope o ia. Ua mea ma lalo mau anesthesia. No kona manaʻo pono hana ekolu puncture (anawaena i oi aku mamua o kekahi kenimika) no ka laparoscope a me laparoscopic paipu. Ka lua ua pono i ka mea e hōʻike 'ana i ke kiʻi, i mea e pono e Loiloi i ka moku'āina Aupuni.

Laparoscopy eiaao mauʻano:

• tubotomiya (o a mākou i olelo ma luna, i ka surgeonʻoki i ka fallopian Tube, a wehe i ka fertilized hua manu, e malama ana i ka papa ohe);
• tubektomiya (ana o ka fallopian Tube).

Laparoscopy Fallopian paipu i ka ectopic hāpai keiki me ka wehe 'ana o ka Tube ua pono ai ma ka pilikia wahi, i hiki, a me ka loa kaumaha (ina ka hoopakele ana i ka fallopian Tube hāpai oi kamepiula ma mua o kona wehe' ana). Mālama i ka mea i hiki i ka hanana i ole mall loli, i ole ia ia mea pointless a me ka weliweli.

No laila, tubektomiya hana inā:

• i irreversible loli ma fallopian Tube;
• ectopic hāpai keiki me ka hai implantation i loko o ka ia paipu me mua ma hope o tubotomii;
• adhesions ma na pelvis.

I ka anu u mezosalpinks excised a isthmic kaawale. Salpinx wehe pu me ka fetal Kepakailiula. Loiloi i ka moku'āina o "hapai" paipu nana e kokua i ka 'ē aʻe. Ma hope o ka noiʻiʻana i ka surgeon hana i ka hooholo ana: oe e haʻalele i ka hoʻomanawanui Tube paha ia mea maikaʻi, e wehe.

E malama i ka reproductive ola kino, a me ka manawa kūpono o ka noho hapai, a me ke ola i ke kamaiki e aole e hookaulua i ke kipa i ka gynecologist. 'Eleu lapaau a me ka lapaau - o ke ki i kou hauʻoli wā e hiki mai.

ke ola

Pela laparoscopy - o ka wehe 'ana o ka ectopic hāpai keiki, a, ina mea oi akahai' eleu lapaau. Mākou Ua kahiāuli mua i ka pono o keia hana. Kekahi o ia mau mea - he ola hou ana o na wahine ma hope o laparoscopy. Removal o ectopic hāpai keiki me ke kōkua o kēia iaoia moe i loko o ka hou lua uuku no ka hoike o kūikawā manaʻo. Ma keia manao, e wehe 'ia i nā sutures ma ka lima a me ka hiku o ka lā ma hope oʻoki kino i loko o ka wa e kaawale aku o ka li nui.

Koi o na kauka ma ka postoperative au:

• iapaau ana o ka eha me ka iodine mau pule;
• elua wale pule, e lawe i ka ua auanei;
• ole ai oily a me ka spicy;
• anal Ua hiki ma hope o ka hoihoi hou ia ana o ka menstrual pōʻaiapuni wale;
• Hoʻolala hāpai keiki ua kūkākūkā me ke kauka (ke kumukuai o ka hoohalua ana 1 ka malama i ka 4).

kahe ana ke koko

Ma keia pauku, ua kūkākūkā kahe ana ke koko ma hope o laparoscopic ectopic hāpai keiki. Ua nui na wahine ka mea i loaʻa iā ia i kēia hana, i kekahi 'ia ma hope o 20-30 lā o ka hamama kahe ana ke koko. Ka mea hewa ia ia ma kaʻaoʻao kanawai o ka hoakakaia lapaau. Lalo mea he hāpana papa inoa o ka ai 'no ka hoʻopulapula:

• kalipuna koloriside;
• "Metrogil";
• "Aktovegin";
• "TSikloferon";
• "AGT";
• "Diclofenac";
• "Gluconate CA";
• "Voebenzim";
• "Rotramitsin";
• "Viferon".

I ka papa o ka lapaʻau e e hoʻomaka 'koke ma hope o ka hana, hana mau ai', ka poe e koho i ka hele kauka. Ma mua o ka weheʻana i ke kahe ana ke koko i haʻalele i nā clots koko, keia mea he maʻamau ma hope o laparoscopy. E wehe i ke kahe ana ke koko - he mea ole ia e like malama.

koho

Puaʻa pūkoʻa a ma hope o laparoscopic ectopic hāpai keiki Kūkākūkā e pili ana i ka hiki mai ka mahina. Koke ma hope oʻoki kino, e ole e make koke ina ke koho e e "poni" külana. Inā puaʻa pūkoʻa a ikea mai la mua aku ma mua o 25-30 lā ma hope o ka hana, e Hōʻike uterine kahe ana ke koko. Mai poina e nīnau aku i ke kauka.

Nō hoʻi, mai pale ae la i ka makaikai ana i ka gynecologist ina he mea ole hookuuia oi ma mua o ka mahina ma hope o kaʻoki kino. Kēia e hōʻike 'ana i hoʻopōʻino hormonal kaulike a me ka pono i kekahi, i ka kūikawā papa o ka lapaau.

Inā he mea i maʻiʻaʻai i loko o ke kino, i ke kalaʻana aku, e i kaʻawaʻawa loa ala. Ka mea, e hoohalike ai i ka hana mau o ka porridge. Mai poina i ka hele ma ka hookolokolo a me ka lapaau.

Mahina ma hope oʻoki kino

Mahina ma hope o laparoscopic ectopic hāpai keiki hiki ole ma hope ma mua o ke kanakolu lā ma hope o ka hana. Mai hopohopo ina e ike koko clots.

Amenorrhea paipai hormonal ole ma hope oʻoki kino. Kamaʻilio i kou kauka. He ua koiia e hoouna aku oe no ka ho'āʻo e hōʻoia 'ole höʻoia' i kēia kumumanaʻo. Inā deviations kekahi mai ke kūmau e hoouna koke ae no ka kuka ana i ka gynecologist.

Hāpai keiki ma hope o laparoscopy

Hāpai keiki ma hope o laparoscopic ectopic hāpai keiki me ke kūʻokoʻa. Eʻoluʻolu, e hoailona oukou i ka mea i pono, e kukakuka lakou ma keia mea me ka gynecologist. Inā loaʻa nā ole contraindications, e hiki hoʻomaka hoʻolālā e lilo i hapai i ka hope o ka malama.

He waiwai e noonoo pono i ka mea e ma ka mea e pale aku i ka recurrence o ectopic hāpai keiki e undergo i ka piha hookolokolo a me ka hooholo i ka pono o kona hanana. Ma hope o nä a me ka hoʻopunipuni kekahi pilikia, e hiki paa e kekahi hou hoao oe bebe hapai ana.

Ka lōʻihi-kakali hāpai keiki ma hope o laparoscopy, ectopic hāpai keiki hiki ole hele i ka lōʻihi manawa. Ma kēia hihia, na wahine i ke kākoʻo mai o ka IVF ina hana. He nui ka hōʻike i kēia iaoia hiki kiʻi hāpaiʻo ia mau mea kaikamahine a me na wahine, ka poe i Ua wehe 'ia he uterine şarkı i ka hana.

Reviews

Laparoscopy ectopic hāpai keiki ka loa maikaʻi nāʻana. Ma hope o nā mea a pau, i kēia iaoia ua wehewehe aku e kokololio hoʻopulapula, a me ka hiki i ka malama reproductive ola. Eia hou, ke kauka iʻoki kino ke hoʻopau i nō kekahi pilikia i Hāʻule maila hapai wahine. O nā ka dissection o adhesions a me Tubala patency hoihoi hou ana.