He kanaka anei ʻoe e noʻonoʻo nei e loaʻa nā keiki i kēia manawa a ʻaʻohe manaʻolana e hāpai hou? A laila ua lohe paha ʻoe e pili ana i nā 'tubes tied' a i ʻole ke ʻoki kino hoʻomake wahine. ʻAʻole maopopo loa i ka nui o ka poʻe i kēia, a he nui nō hoʻi kā lākou mau nīnau. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia ʻoki kino hoʻolālā ʻohana, a i ʻole ma nā huaʻōlelo lapaʻau `(Tubal Ligation)`, ma ke ʻano maopopo a maʻalahi hoʻi.
I ka ʻōlelo maʻalahi, he aha ka Tubal Ligation?
He mea maʻalahi loa ia. Aia i loko o kāu ʻōnaehana hānau kahi ʻāpana i kapa ʻia ʻo nā tuba Fallopian. He ʻelua mau tuba lahilahi kēia e hoʻolōʻihi ʻia mai kēlā ʻaoʻao kēia ʻaoʻao o kou ʻōpū a i kāu mau ovaries. Hele kahi hua manu i hoʻokuʻu ʻia mai kāu mau ovaries i kou ʻōpū ma o kēia mau tuba fallopian. Aia i loko o kēia mau tuba e hālāwai ai kēia hua manu me ka sperm a hoʻomoe ʻia.
ʻO ka Tubal Ligation kahi hana ʻoki kino e pili ana i ka ʻoki ʻana, ka nakinaki ʻana, a i ʻole ke ālai ʻana i nā ʻōpū fallopian me kahi clip a i ʻole kekahi ʻano hana ʻē aʻe. Pale kēia i ka hua manu mai ka hiki ʻana i ka sperm. ʻO ke ʻano kēia, ʻaʻole e hana ka fertilization a ʻaʻole e hana ka hāpai ʻana. ʻO kēia ke kaʻina hana maʻalahi loa.
Ua kapa ʻia kēia he sterilization wahine. Hiki ke hana ʻia ma hope o ka hānau maʻamau, i ka wā o ka ʻoki cesarean (C-section), i ka wā o kekahi ʻoki ʻōpū ʻē aʻe, a i ʻole he ʻoki ʻokoʻa.
ʻO ka mea nui loa, he ʻano kaohi hānau mau loa kēia. ʻAʻole ia e hāʻawi i kekahi pale e kūʻē i nā maʻi i laha ma ke moekolohe (STI).
No ke aha e koho ai ka poʻe he nui i kēia ʻoki kino?
ʻO ke kumu nui o kēia, he ʻano hana mau loa ia no ka kaohi hānau ʻana . ʻOi aku kona kūleʻa ma mua o 99%. Inā maopopo iā ʻoe he 100% ʻaʻole ʻoe makemake i nā keiki hou aku, ʻo ia ke ʻano palekana a maʻalahi hoʻi. E loaʻa iā ʻoe ka manawa kūpono e hauʻoli ai i kou ola moekolohe me ka hopohopo ʻole e pili ana i ka hāpai ʻana ma hope o ke ʻoki kino.
Eia kekahi, paipai pū nā kauka i ka wehe ʻana i nā ʻōpū fallopian ma ke ʻano he lāʻau lapaʻau no kekahi mau maʻi. ʻOi aku hoʻi, inā he mau hoʻololi genetic (no ka laʻana, nā hoʻololi gene BRCA) e hoʻonui ai i ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai ovarian, hiki ke paipai ʻia kēia ʻoki kino e hōʻemi i kēlā pilikia.
Pehea ʻoe e ʻike ai inā ua mākaukau maoli ʻoe no kēia ʻoki kino?
He hoʻoholo nui loa kēia e hana ai i kou ola. No ka mea, he mea mau loa ia. I kekahi manawa, ʻoiai ua holomua nā ʻoki kino "hoʻohuli", he paʻakikī loa lākou, he pipiʻi, a ʻaʻohe mea e hōʻoiaʻiʻo ai e holomua lākou. No laila, pono ʻoe e noʻonoʻo i kēia he mea mau loa.
Inā loaʻa iā ʻoe ka manaʻo iki e pili ana i ka loaʻa ʻana o nā keiki, ʻaʻole kēia ʻoki kino nou. Akā, hiki iā ʻoe ke hoʻohana i kahi ʻano hana hoʻomalu hānau hiki ke hoʻohuli ʻia, no ka laʻana:
- Nā lāʻau hoʻomalu hānau
- ʻO ka loop `(IUD - Intrauterine device)`
- E koho i kahi ʻano hana e like me ka condoms.
Eia kekahi, ʻaʻole kēia hoʻoholo he mea āu e hana ai hoʻokahi. E kamaʻilio pū me kāu hoa e pili ana i kēia. Aia kekahi ʻoki hoʻomake ʻana "(Vasectomy)" hiki ke hana ʻia e nā kāne. He mea kūpono loa hoʻi ia a he ʻano maʻalahi ma mua o kēia ʻoki ʻana.
He aha nā ʻano hana i hoʻohana ʻia e hana ai i kēia ʻoki kino?
Hiki ke hana ʻia ke ʻoki ʻana i ka tubal ligation ma ʻekolu mau ʻano nui. Na kāu kauka e hoʻoholo i ke ʻano kūpono loa nāu ma muli o kou kūlana olakino a me ka manawa o ke ʻoki ʻana (e.g., ma hope o ka hānau ʻana).
| ʻAno hana ʻoki kino | Pehea e hana ai | Nā kiko kūikawā |
|---|---|---|
| Hoʻopaʻa ʻana i ka Tubal Laparoscopic | Hana ʻia ʻelua mau ʻoki liʻiliʻi ma o ka piko a me ka ʻōpū lalo, hoʻokomo ʻia kahi mea hana akahele me kahi kāmela (laparoscope), a ua pani ʻia nā ʻōpū fallopian ma lalo o ka maka makaʻala o kahi mea nānā. | ʻO kēia ke ʻano hana i hoʻohana pinepine ʻia. He liʻiliʻi loa nā ʻoki, no laila e ho'ōla koke lākou. Hiki iā ʻoe ke hoʻi i ka home mai ka haukapila i loko o kekahi mau hola. |
| Mini-laparotomy | Hana ʻia kahi ʻoki liʻiliʻi (ma kahi o hoʻokahi ʻīniha) ma ka ʻōpū lalo, wehe ʻia nā ʻōpū fallopian, nakinaki ʻia, a ālai ʻia. | Hana pinepine ʻia kēia kaʻina hana i loko o 24 mau hola o ka hānau maʻamau no ka mea ua kiʻekiʻe ka ʻōpū i kēlā manawa, e maʻalahi ai ke hiki i nā ʻōpū fallopian. |
| Laparotomy | He ʻoki ʻana i hana ʻia ma o kahi ʻoki nui (2-5 ʻīniha) ma ka ʻōpū. | He ʻoki kino nui kēia. He lōʻihi ka manawa e ho'ōla ai. ʻAʻole i hoʻohana nui ʻia kēia ʻano hana i kēia manawa. Eia nō naʻe, i ka wā e hana ai i kahi ʻoki cesarean, hoʻohana ʻia kēia ʻano hana inā hana ʻia kēia ʻoki kino ma o ka ʻoki like. |
He aha ka mea e manaʻo ai ma hope o ke ʻoki kino?
Ma hope o ke ʻoki ʻana, e lawe ʻia ʻoe i kahi keʻena ʻokoʻa (wahi hoʻōla) no ka nānā ʻana. Inā ua hana ʻia ʻoe i ke ʻoki laparoscopic, hiki iā ʻoe ke hoʻi i ka home i loko o kekahi mau hola. No nā kaʻina hana ʻē aʻe, pono paha ʻoe e noho ma ka haukapila no hoʻokahi a ʻelua paha lā.
Nā mea e noʻonoʻo ai ma hope o ke ʻoki ʻana
Hiki paha iā ʻoe ke loaʻa i kahi ʻoluʻolu ʻole ma hope o ke ʻoki ʻana. He mea maʻamau kēia.
- Ka hāpai kaumaha: E pale i ka hāpai ʻana i nā mea kaumaha no hoʻokahi a ʻelua paha pule. Inā ua hana ʻia ʻoe i ke ʻoki kino ma hope o ka hānau ʻana, mai hāpai i kekahi mea kaumaha ma mua o ke kaumaha o kāu pēpē no ʻehā pule.
- Ka hoʻokele kaʻa a me ka waiʻona: Mai hoʻokele kaʻa a inu paha i ka waiʻona no 24 mau hola.
- ʻAuʻau: Hiki iā ʻoe ke holoi i kou kino e like me ka mea maʻamau. Akā, e pale i ke komo ʻana i loko o ka ʻauʻau a i ʻole ka ʻauʻau ʻana no ʻelua pule. Pono e ola maikaʻi ka ʻoki.
- ʻEha poʻohiwi: Hiki iā ʻoe ke ʻeha i ka poʻohiwi, ka ʻāʻī, a me ka umauma no ʻelua a ʻekolu mau lā ma muli o ke kinoea kalapona dioxide i hoʻopiha ʻia i loko o kou ʻōpū i ka wā o ke ʻoki ʻana. ʻO ka ʻauʻau ʻana mehana, ka hoʻohana ʻana i kahi pale hoʻomehana, a me ka hele wāwae ʻana e kōkua i kēia.
- Ka luaʻi a me ka nausea: E ʻai i ka meaʻai māmā (e like me ke kī, ka sopa, ka berena, nā kuki).
- ʻEha: Hiki ke mau ka pehu ʻana o ka ʻōpū a me ka ʻeha no kekahi mau lā. E hoʻohana i nā lāʻau hoʻomaha ʻeha i kuhikuhi ʻia e kāu kauka e like me ke kuhikuhi ʻana.
- Ke kahe koko ʻana o ka ʻōpū: He mea maʻamau ke loaʻa ʻana o ke kahe koko māmā no hoʻokahi mahina ma hope o ke ʻoki ʻana. Hiki ke hala he 4-6 mau pule no ka hoʻomaka hou ʻana o kāu pōʻaiapuni menstrual maʻamau. I kēlā manawa, ʻoi aku ka kaumaha a me ka ʻeha o kou wā.
He aha nā pōmaikaʻi a me nā pōʻino o kēia ʻoki kino?
E like me nā hana lapaʻau āpau, he mau pono a me nā pōʻino kona. He mea nui e ʻike i nā mea ʻelua ma mua o ka hoʻoholo ʻana.
| Nā Pōmaikaʻi | Nā hemahema |
|---|---|
| Loaʻa ka pono a me ka maʻalahi: Ma luna o 99% ka pono. Hāʻawi i ka palekana no ke ola holoʻokoʻa mai ka hāpai ʻana. ʻAʻohe pono e lawe i nā lāʻau i kēlā me kēia lā a i ʻole e hele i nā keʻena lapaʻau. | Minamina: Ua hōʻike ʻia nā noiʻi he hapa liʻiliʻi o ka poʻe i hana i kēia ʻoki kino ma mua o 30 mau makahiki e mihi ana ma hope. No laila, e hoʻoholo pono. |
| ʻAʻole ia e hoʻopilikia i nā hormones: He ʻano hana kaohi hānau ʻaʻole hormonal kēia. ʻAʻole ia e hoʻopilikia i kāu pōʻaiapuni menstrual a i ʻole menopause. | Paʻa mau: He hana paʻa kēia. Haʻahaʻa loa ka manawa kūpono o ke ʻoki hoʻohuli kūleʻa. |
| Hoʻemi i ka pilikia o ka maʻi kanesa: Hōʻike nā haʻawina e hiki i kēia ʻoki kino ke hōʻemi i ka pilikia o ka maʻi kanesa ovarian ma kahi o 40%. | Nā pilikia o ke ʻoki kino: E like me nā ʻoki kino āpau, aia kekahi mau pilikia liʻiliʻi, e like me nā maʻi allergies a me ka maʻi, i ka anesthesia. Eia nō naʻe, he ʻoki kino palekana loa kēia. |
He aha nā manawa koʻikoʻi loa e ʻike ai i ke kauka?
ʻOiai he ʻoki kino palekana loa kēia, aia kahi manawa liʻiliʻi o nā pilikia. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e kelepona koke i kāu kauka a i ʻole e hele i ka keʻena pilikia o ka haukapila (ETU).
- ʻO ka luaʻi mau ʻana a me ka nausea e mau ana ma mua o hoʻokahi lā.
- He kuni ma luna o 37.3 kekelē Celsius (100 Fahrenheit) no nā lā a ʻoi aku ma mua o hoʻokahi.
- ʻUlaʻula, pehu, pus, a i ʻole ke kahe ʻana o ke koko a puni ka ʻoki.
- Ke kahe nui ʻana o ke koko a i ʻole nā ʻūpā koko e hoʻomaʻū loa i kahi ʻūpā kino i loko o ʻelua hola.
- ʻEha nui o ka ʻōpū a i ʻole ka pelvis.
- Manaʻo e like me ka nalo.
I ka liʻiliʻi loa, hiki i nā ʻōpū fallopian i paʻa ke hoʻopili hou. Inā hana ʻia kēia, hiki ke hāpai ʻia kahi hāpai ectopic. He kūlana weliweli kēia e pono ai ka mālama olakino ulia pōpilikia.
Kekahi mau nīnau i nīnau pinepine ʻia
E loaʻa anei koʻu mau wā ma hope o ke ʻoki kino?
ʻAe, ʻoiaʻiʻo nō. ʻAʻole e hoʻopilikia kēia ʻoki kino i kāu mau hormones a i ʻole ke kaʻina hana menstrual. E loaʻa iā ʻoe kou wā menstrual e like me ka mea maʻamau.
He aha ka mea e hiki mai ana i kaʻu mau ovaries ma hope o ke ʻoki ʻana?
ʻOiai ma hope o ke ʻoki ʻana, e hoʻokuʻu mau ana kāu mau ovaries i kahi hua manu i kēlā me kēia mahina (ovulation) e like me ka maʻamau. Akā i kēia manawa, no ka mea ua ālai ʻia nā ʻōpū fallopian, ʻaʻole hiki i ka hua manu ke hele i ka uterus. No laila, hoʻopili hou ke kino i ka hua manu.
Hiki iaʻu ke hāpai ma hope o ke ʻoki kino?
He haʻahaʻa loa ka hiki ke hana i kēia, ʻaʻole i hiki i ka 1%. Akā hiki ke hana kākaʻikahi loa.
I ka manawa hea ma hope o ke ʻoki kino e hiki ai iaʻu ke moe?
Hiki iā ʻoe ke hoʻi hou i ka hana moekolohe ma kahi o hoʻokahi pule. Eia nō naʻe, inā ua hana ʻia kēia ʻoki kino ma hope o ka hānau ʻana, pono ʻoe e kali a hiki i ka wā e aʻo aku ai kāu kauka iā ʻoe (ma kahi o ʻeono pule).
Leka Lawe-Home
- He ʻano hana hoʻomalu hānau mau ka tubal ligation. Ma mua o ka hoʻoholo ʻana i kēia hoʻoholo, e noʻonoʻo pono inā maopopo ʻoe he 100%. E kamaʻilio pū e pili ana i kēia me kāu hoa.
- He hana ʻoki kino palekana loa kēia me ka nui o ka holomua ma luna o 99%.
- ʻAʻole e hoʻopilikia kēia ʻoki kino i kāu mau hormones a i ʻole ke kaʻina hana menstrual.
- E makaʻala i nā pilikia e hiki mai ana ma hope o ke ʻoki ʻana. Inā loaʻa iā ʻoe kekahi mau hōʻailona weliweli, e ʻike koke i kāu kauka .
- ʻO ka mea nui loa, ʻaʻole hāʻawi kēia ʻoki kino i kekahi palekana mai nā maʻi i laha ma ke moekolohe (STI). He mea nui e hoʻohana i nā ʻano palekana e like me nā condom.
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