Ebia wususuwii sɛ w’abusua no awie na wɔayɛ no tubal ligation, abusua nhyehyɛe ho nhyehyɛe. Nanso seesei, bere bi akyi no, so wote nka sɛ wuhia akokoaa ketewaa bi na watumi aserew wɔ fie bio? Ɛyɛ ade a ɛfata koraa sɛ wobɛte nka saa. Nnipa pii susuw sɛ eyi yɛ nea wontumi nsakra. Nanso so ɛte saa ampa? Ɛnnɛ, momma yɛnka akwan a wobɛfa so awo abofra bio bere a wɔayɛ tubal ligation awie no ho asɛm.
Nea edi kan no, ma yɛnhwɛ nea saa ‘tubal ligation’ yi kyerɛ.
Sɛ yɛbɛka no tiawa a, eyi yɛ oprehyɛn a wɔyɛ de siw nyinsɛn ano. Eyi hwehwɛ sɛ wutwitwa, kyekyere, anaa wobɛhyew wo fallopian tubes. Fallopian tubes no ne baabi a nkesua a efi awotwaa mu ne mmadwoa a efi ɔbarima no mu hyia. Enti sɛ wɔsiw saa nsukorabea abien yi a, ɔkwan biara nni hɔ a ɛwo ne mmadwoa no betumi ahyia. Enti, nyinsɛn ntumi mma.
Oprehyɛn yi akyi no, sɛ wopɛ sɛ wosan wo akokoaa bio a, wowɔ akwan atitiriw abien a wubetumi afa so. Biako ne oprehyɛn a yɛreka ho asɛm nnɛ, a ɛfa sɛ wɔsan de nhama no bom (`Tubal Ligation Reversal`) . Ɔfoforo no ne in vitro fertilization, a wɔsan frɛ no `In Vitro Fertilization (IVF) .` IVF nhia fallopian tubes no. Akwan abien no nyinaa wɔ mfaso ne ɔhaw ahorow.
Enti, `Tubal Ligation Reversal` yɛ oprehyɛn a atwam no a wɔdannan no. Ɛha no, wɔsan de awotwaa mu ntini a asiw no bom, na ɛma ɛyɛ ɔkwan a ɛwo ne mmadwoa no fa so. Sɛ eyi yɛ yiye a, wubetumi anyinsɛn bio wɔ awosu mu.
So obiara betumi ayɛ oprehyɛn yi? Henanom na eye ma wɔn?
Sɛ wowɔ hokwan kɛse sɛ wubenyinsɛn wɔ oprehyɛn yi akyi a, woyɛ obi a ɔfata ma eyi. Oprehyɛn yi nkonimdi gyina nneɛma pii so. Ma yɛnhwɛ nea wɔyɛ.
- Wo mfe: Wo awo so tew fi awosu mu bere a obi nyin no. Enti dodow a woyɛ abofra no , dodow no ara na hokwan a wowɔ sɛ wubenyinsɛn wɔ oprehyɛn yi akyi no yɛ kɛse. Na dodow no ara na asiane a ɛwɔ hɔ sɛ wo ba no betu nyinsɛn ne awosu mu sintɔ ahorow no so tew.
- Awo ho nsɛm afoforo: Sɛ wowɔ tebea horow te sɛ bra a ɛnkɔ so daa, awotwaa mu ntini a ɛyɛ den, anaa endometriosis (ntini a enyin a ɛsɛ sɛ ɛwɔ awotwaa no mu wɔ awotwaa no akyi) a, ebia hokwan a wowɔ sɛ wubedi nkonim no bɛyɛ ketewaa bi.
- Wo hokafo akwahosan: Wo hokafo mmadwoa akwahosan nso ho hia yiye wɔ ha, enti wɔbɛhwɛ nso ansa na wɔayɛ oprehyɛn no.
- Sɛnea na wo kan tubal ligation te: Sɛ kan no na wɔde clips anaa rings to wo fallopian tubes mu a, ɛnyɛ den sɛ wobɛsan de abɔ mu. Nanso, sɛ wɔde anyinam ahoɔden a ɛyɛ ɔkwan a wɔfa so de anyinam ahoɔden hyew wɔn na ɛtoo mu a, ebetumi ayɛ den kakra sɛ wɔbɛsan de abɔ mu.
- Fallopian ntini a aka no tenten: Sɛnea ɛbɛyɛ na wɔasan abɔ ntini abien no mu wɔ oprehyɛn akyi no, ɛsɛ sɛ aka ntini no afã horow a ɛte apɔw a ɛdɔɔso.
Nea ɛho hia sen biara ne sɛ wo ne wo duruyɛfo bɛbɔ eyinom nyinaa ho nkɔmmɔ pefee sɛnea ɛbɛyɛ a wubetumi asi nea eye sen biara ma wo ho gyinae.
So akwan bi wɔ hɔ a wobetumi afa so ama ayɛ den sɛ wɔbɛsan akyekye?
Yiw, nsɛm bi wɔ hɔ. Sɛ wɔayi wo fallopian tubes no koraa, anaasɛ wɔatwitwa tube no awiei na wɔayi afi hɔ a, wontumi nsan mfa nhyɛ mu bio.
Afei nso, na wɔde mfiri ahodoɔ mmienu a wɔfrɛ no `Essure®` ne `Adiana®` di dwuma kane. Eyinom yɛ akwan a ɛnyɛ oprehyɛn a wɔde fa ɔbea no awotwaa mu hyɛ awotwaa no mu de siw ano. Mprempren wɔayi eyinom afi gua so. Wontumi nsan nsɛe nsukorade a mfiri yi de ba no. Sɛ wode saa akwan yi adi dwuma na seesei worebɔ mmɔden sɛ wobɛwo akokoaa a, hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn.
Dɛn na ɛba ansa na wɔayɛ oprehyɛn no?
Sɛ woredwen eyi ho a, ɛsɛ sɛ wudi kan kɔ wo duruyɛfo nkyɛn. Ɔbɛkyerɛkyerɛ oprehyɛn no mu akyerɛ wo, a asiane ahorow a ɛwom ka ho, na ɔbɛyɛ nea edidi so yi de ahwɛ sɛ wo ho yɛ den yiye anaa:
- Aduruyɛ ho abakɔsɛm: Wo nyinsɛn a atwam no mu nhwehwɛmu a edi mũ, oprehyɛn biara a wɔde kyekyere wo ntini mu ho nsɛm a ɛkɔ akyiri, ne sɛ ebia wɔayɛ wo oprehyɛn foforo biara anaa.
- Nkwaboaa mu nhwehwɛmu: Wɔsɔ wo hokafo mmadwoa dodow ne ne su hwɛ na ama wɔanya hokwan a wowɔ sɛ wubenyinsɛn wɔ oprehyɛn akyi no ho adwene.
- Nhwehwɛmu afoforo: Ɛdenam w’ayaresa ho abakɔsɛm so no, ebia ɛho behia nso sɛ woyɛ mogya mu nhwehwɛmu na woyɛ scan.
Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ma oprehyɛn no?
Sɛ wodi kan kɔ wo duruyɛfoɔ nkyɛn a, ɛboa sɛ wode ``oprehyɛn amanneɛbɔ`` a ɛfa wo tubal ligation a atwam no ho bɛba. Sɛ wɔyii wo tubes no a, fa ``pathology report`` no nso bra.
Sɛnea ɛbɛyɛ a hokwan a wowɔ sɛ wubenyinsɛn yiye no ayɛ kɛse no, yɛ nneɛma yi:
- Ma ayaresa tebea afoforo a wowɔ (te sɛ asikreyare ne mogya mmoroso) nni so.
- Sɛ wonom sigaret a, akyinnye biara nni ho sɛ gyae .
- Tew caffeine a wonom te sɛ nsa ne kɔfe so.
- Fi ase nom multivitamin anaa vitamin a wɔde ma ansa na wɔawo a folic acid wom.
Dɛn na ɛba bere a wɔreyɛ oprehyɛn no?
Mpɛn pii no, oprehyɛn yi gye bɛyɛ nnɔnhwerew abien kosi abiɛsa. Wobɛtumi akɔ fie da no ara. Wɔde aduru a wɔde kum nipadua no nyinaa na ɛyɛ oprehyɛn no, na ɛkyerɛ sɛ worente biribiara nka.
Akwan abien na wɔfa so yɛ oprehyɛn no. Biako ne `mini-laparotomy` kwan. Ɛha yi, wɔtwa ketewaa bi wɔ bikini nhama no ase bɛyɛ nsateakwaa 2, na wɔde afiri a wɔde hwɛ nneɛma nketenkete na ɛyɛ oprehyɛn no. Ɔkwan foforo ne `robotic-assisted laparoscopy`. Ɛha no, wɔyɛ ntokuru nketenkete pii wɔ yafunu no mu, na wɔde robɔt nsa na ɛyɛ oprehyɛn no.
Bere a wɔreyɛ oprehyɛn no:
1. Wɔbɛma wo aduru a ɛma obi dwensɔ koraa.
2. Wɔde afiri ketewa bi (catheter) hyɛ akisikuru no mu de boaboa nsu ano.
3. Wɔyɛ twitwa ketewaa bi anaa ntokuru pii wɔ yafunu no mu na ama wɔatumi akɔ awotwaa no mu.
4. Nea edi kan no, yɛhwɛ sɛ nsukorade no wɔ baabi a ɛsɛ sɛ wosiesie anaa. Sɛ ɛbɛyɛ yiye a, yɛtoa oprehyɛn no so wɔ hɔ.
5. Wobue nsukorade a asiw no awiei na wɔsan de nsukorade no afã abien no bom.
6. Afei, wɔde nsuo soronko bi (`dye`) fa awotwaa no mu hwɛ sɛ nsuo no abue na nsuo no resen fa mu anaa.
7. Awiei koraa no, wɔde nhama a ɛtumi nwene nwene baabi a wɔatwa no wɔ honam ani no ase na wɔde aduru a wɔde kyekyere honam ani.
Oprehyɛn no rekɔ so dɛn? Mfaso ne asiane bɛn na ɛwɔ so?
Worente ɛyaw biara nka wɔ oprehyɛn no akyi, efisɛ wɔde aduru a ɛma obi dwensɔ. Oduruyɛfo no bɛma wo nnuru a wɔde kum ɛyaw a ɛbɛboa ma ɛyaw no bere a aduru a wɔde kum ɛyaw no sa. Ebia wobɛte ɛyaw bi nka wɔ baabi a wɔreyɛ wo oprehyɛn no nna kakraa bi.
Wɔbɛhwɛ wo wɔ ayaresabea bɛyɛ nnɔnhwerew abien wɔ oprehyɛn no akyi. Wɔbɛma wo kwan ma woakɔ fie bere a wɔasi so dua sɛ biribiara ye no. Ebia wobɛte nka sɛ woada kakra esiane nea nnuru a wɔde kum nipadua no de ba nti. Enti, ɛho hia sɛ obi ba bɛfa wo fie .
| Mfaso a ɛwɔ so | Asiane/Nsɛnnennen a Ɛba |
|---|---|
| Mfaso kɛse a ɛwɔ oprehyɛn yi so ne sɛ wubetumi abɔ mmɔden sɛ wubenyinsɛn wɔ awosu mu ɔsram biara. Awo ho ayaresa foforo biara ho nhia. | Asiane a ɛwɔ oprehyɛn yi mu no sua koraa, nanso sɛnea ɛte wɔ oprehyɛn biara mu no, asiane ahorow te sɛ ɔyare mmoawa, mogya a ɛbɛtɔ, ne aduru a wɔde kum nipadua no ho akisikuru wɔ hɔ. |
| Sɛ wudi nkonim a, wubetumi awo mma bɛboro biako. | Asiane a ɛwɔ hɔ sɛ wobenya nyinsɛn a ɛwɔ awotwaa no akyi wɔ saa adeyɛ yi akyi no yɛ kɛse kakra. Eyi ne bere a nkesua a wɔahyɛ no ma no de hyɛ awotwaa no mu sen sɛ ɛbɛhyɛ awotwaa no mu. Eyi yɛ tebea a egye ayaresa ntɛm ara. Nanso, ne nyinaa mu no, asiane yi sua koraa (bɛyɛ 2%-7%). |
Oprehyɛn yi di yiye dɛn?
Mpɛn pii no, nyinsɛn dodow a ɛba wɔ oprehyɛn yi akyi no gu ahorow fi 50% kosi 80%. Saa nkonimdi yi gyina mfe a yɛadi kan aka ho asɛm, sɛnea awotwaa mu ntini no te, ne osuahu a oduruyɛfo a ɔreyɛ oprehyɛn no anya so.
Bere tenten ahe na egye ansa na asa?
Nnipa dodow no ara betumi asan akɔ wɔn dwumadi ahorow a wɔtaa yɛ no mu wɔ dapɛn biako anaa abien ntam, nanso kɔ wo duruyɛfo nkyɛn na ama woahu.
Bere tenten ahe na egye na obi anyinsɛn bere a wɔayɛ no oprehyɛn awie no?
Nyinsɛn dodow no ara ba wɔ afe biako anaa abien a edi kan wɔ oprehyɛn akyi. Nanso, nnuruyɛfo tu fo sɛ twɛn kosi sɛ anyɛ yiye koraa no wubewie brayɛ bere abien ansa na woabɔ mmɔden sɛ wubenyinsɛn.
Wontumi nnyinsɛn a wɔnyɛ no oprehyɛn? Ɔkwan a wɔfa so yɛ a wɔfrɛ no IVF
Aane. `IVF` (in vitro fertilization) ne ɔkwan foforo a wɔfa so yɛ. Eyi nso ma nyinsɛn mu nkonimdi kɛse. Nanso enhia sɛ wɔyɛ no oprehyɛn.
Wɔ IVF mu no, wɔma wo hormone injections bɛyɛ nnafua 10, wo nkesua no nyin, woyi saa nkesua no fi wo nipadua mu, na wɔde ka wo hokafo mmadwoa ho wɔ lab mu ma ɛyɛ awotwaa. Afei wɔde saa awotwaa no hyɛ w’awotwaa mu.
Sɛ wonyɛ obi a ɔyɛ papa sɛ wɔbɛyɛ Tubal Reversal oprehyɛn, anaasɛ wopɛ saa kwan yi sen oprehyɛn a, ebia wo duruyɛfo bɛkamfo IVF akyerɛ wo.
Bere bɛn na ɛsɛ sɛ mesan kɔ oduruyɛfo nkyɛn bio?
Wɔbɛka akyerɛ wo sɛ san bra bɛyɛ dapɛn biako anaa abien akyi wɔ oprehyɛn no akyi. Wɔbɛma wo akwankyerɛ nso wɔ bere a ɛsɛ sɛ wokasa ho sɛ ɔhaw bi sɔre ansa na saa bere no adu a.
Ade a ɛho hia sen biara ne sɛ wobɛfrɛ wo duruyɛfo bere a wuhu sɛ woanyinsɛn afi fie nsu mu nhwehwɛmu mu ara pɛ. Hwɛ hu sɛ ɛyɛ nyinsɛn a ɛwɔ awotwaa no akyi ntɛm ara sɛnea wubetumi.
Oduruyɛfo no nso betumi akamfo akyerɛ sɛ wɔnyɛ X-ray nhwehwɛmu a wɔfrɛ no ``HSG'' wɔ oprehyɛn no akyi asram kakraa bi de hwɛ sɛ ebia awotwaa no da so ara abue anaa.
Sɛ wɔkyekyere wo nsukorade a, ɛnkyerɛ sɛ wuntumi nwo akokoaa foforo. Sɛ w’ani gye ho a, ebia Tubal Ligation Reversal bɛyɛ ɔkwan pa a wobɛfa so. Nanso, ebia IVF bɛyɛ ɔkwan a eye sen biara a egyina mfe a woadi ne w’akwahosan so. Ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa eyi ho na wusi ɔkwan a eye ma wo ho gyinae.
Nkrasɛm a Wɔde Kɔ Fie
- Sɛ wopɛ sɛ wosan wo ba bio bere a wɔayɛ no tubal ligation akyi a, akwan horow bi wɔ hɔ te sɛ tubal ligation reversal anaasɛ in vitro fertilization (IVF).
- Sɛnea oprehyɛn a wɔde dannan wo ho no bɛyɛ yiye no gyina mfe a woadi, sɛnea oprehyɛn a woadi kan ayɛ no te, ne sɛnea wo fallopian tubes no te so.
- Asiane a ɛwɔ hɔ sɛ obi benyinsɛn wɔ awotwaa no akyi no yɛ kɛse kakra wɔ oprehyɛn yi akyi. Enti, ɛho hia paa sɛ wobɔ wo duruyɛfo amanneɛ bere a woahu sɛ woanyinsɛn ara pɛ.
- Ansa na wobɛyɛ oprehyɛn no, wo ne wo duruyɛfo susuw mfaso ne ɔhaw ahorow, ne akwan afoforo te sɛ IVF ho yiye na si gyinae a ɛfata.
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