Makemake ʻoe i kahi pēpē hou ma hope o ka ligation tubal? E kamaʻilio kākou e pili ana i kēia (Tubal Ligation Reversal)

Ua manaʻo paha ʻoe ua piha kou ʻohana a ua hana ʻia kahi tubal ligation, kahi hana hoʻolālā ʻohana. Akā i kēia manawa, ma hope o kekahi manawa, ke manaʻo nei ʻoe e pono ana ʻoe i kahi pēpē liʻiliʻi e minoʻaka hou ma ka home? He mea maʻamau loa ia e manaʻo pēlā. Manaʻo ka poʻe he nui he mea hiki ʻole ke hoʻihoʻi ʻia kēia. Akā, he ʻoiaʻiʻo anei? I kēia lā, e kamaʻilio kākou e pili ana i nā ala e loaʻa hou ai kahi keiki ma hope o ka hana ʻana i kahi tubal ligation.

ʻO ka mea mua, e nānā kākou i ke ʻano o kēia 'tubal ligation'.

I ka ʻōlelo maʻalahi, he hana kēia e pale ai i ka hāpai ʻana. Pili kēia i ka ʻoki ʻana, ka nakinaki ʻana, a i ʻole ke kuni ʻana i kāu mau ʻōpū fallopian. ʻO nā ʻōpū fallopian kahi e hui ai ka hua manu mai ka ovary a me ka sperm mai ke kāne. No laila, ke ālai ʻia kēia mau ʻōpū ʻelua, ʻaʻohe ala e hui ai ka hua manu a me ka sperm. No laila, ʻaʻole hiki ke hāpai.

Ma hope o kēia ʻoki kino, inā makemake ʻoe e loaʻa hou kahi pēpē, ʻelua mau koho nui āu. ʻO kekahi ʻo ke ʻoki kino a mākou e kamaʻilio nei i kēia lā, ʻo ia hoʻi ka hoʻopili hou ʻana i nā ʻōmole (`Tubal Ligation Reversal`) . ʻO kekahi, ʻo ia ka hoʻoulu ʻana i loko o ka vitro, i ʻike ʻia hoʻi ʻo `In Vitro Fertilization (IVF) . ʻAʻole pono ka IVF i nā ʻōmole fallopian. Loaʻa i nā ʻano hana ʻelua ko lākou mau pono a me nā hemahema.

No laila, ʻo ka `Tubal Ligation Reversal` he hoʻohuli ʻana ia o ke ʻoki kino ma mua. Maanei, ua hoʻopili hou ʻia nā ʻōpū fallopian i paʻa, e hana ana i ke ala no ka hua manu a me ka sperm e hele ai. Inā holomua kēia, hiki iā ʻoe ke hāpai hou ma ke ʻano kūlohelohe.

Hiki i nā kānaka a pau ke hana i kēia ʻoki kino? No wai ka mea kūpono loa?

Inā loaʻa iā ʻoe kahi manawa kūpono e hāpai ai ma hope o kēia ʻoki kino, he moho maikaʻi ʻoe no kēia. ʻO ka holomua o kēia ʻoki kino e pili ana i kekahi mau kumu. E nānā kākou i ke ʻano o lākou.

• Kou makahiki: E emi maoli ana kou momona me ka ʻelemakule. No laila, ʻo ka ʻōpiopio o kou ʻōpio, ʻoi aku ka kiʻekiʻe o kou manawa e hāpai ai ma hope o kēia ʻoki kino. A ʻo ka haʻahaʻa o ka pilikia o ka hāʻule ʻana o ka hāpai keiki a me nā kīnā genetic i kāu pēpē.
• Nā pilikia hānau keiki ʻē aʻe: Inā loaʻa iā ʻoe nā kūlana e like me nā wā kūpono ʻole, nā fibroids uterine, a i ʻole endometriosis (ka ulu ʻana o nā ʻiʻo e pono ai i loko o ka ʻōpū ma waho o ka ʻōpū), e emi iki paha kou kūlana o ka holomua.
• Ke olakino o kāu hoa: He mea nui loa hoʻi ke olakino o ka sperm o kāu hoa ma ʻaneʻi, no laila e nānā ʻia hoʻi ma mua o ke ʻoki ʻana.
• ʻO ke ʻano o kāu ligation tubal ma mua: Inā ua pani mua ʻia kāu mau tuba fallopian me nā clip a i ʻole nā ​​apo, maʻalahi ke hoʻopili hou iā lākou. Eia nō naʻe, inā ua pani ʻia lākou me ka electrocautery, ʻo ia ke ʻano o ka cauterizing iā lākou me kahi au uila, hiki ke paʻakikī iki ke hoʻopili hou iā lākou.
• ʻO ka lōʻihi o nā ʻōpū fallopian i koe: I mea e hoʻopili hou ai i nā ʻōpū ʻelua ma hope o ke ʻoki ʻana, pono e lawa nā ʻāpana ʻōpū olakino i koe.

Aia kekahi mau ala e hiki ʻole ai ke kūkulu hou ʻia?

ʻAe, aia kekahi mau hihia. Inā ua wehe loa ʻia kāu mau ʻōpū fallopian, a inā ua ʻoki ʻia a wehe ʻia ka hopena o ka ʻōpū, ʻaʻole hiki ke hoʻopili hou ʻia.

Eia kekahi, ʻelua ʻano mea hana i kapa ʻia ʻo `Essure®` a me `Adiana®` i hoʻohana mua ʻia. He mau ʻano hana ʻoki ʻole kēia i hoʻokomo ʻia ma o ka vagina i loko o nā fallopian tubes e ālai iā lākou. Ua wehe ʻia kēia mau mea mai ka mākeke. ʻAʻole hiki ke hoʻihoʻi ʻia ka hōʻino ʻana i nā tubes i hana ʻia e kēia mau mea hana. Inā ua hoʻohana ʻoe i kēia mau ʻano hana a ke hoʻāʻo nei e loaʻa kahi pēpē, e ʻike pono i kāu kauka.

He aha ka mea e hana ʻia ma mua o ke ʻoki kino?

Inā ʻoe e noʻonoʻo ana i kēia, pono ʻoe e ʻike mua i kāu kauka. E wehewehe ʻo ia i ke ʻoki kino iā ʻoe, me nā pilikia, a e hana i kēia mau mea e ʻike ai inā kūpono ʻoe:

• Moʻolelo lapaʻau: He loiloi piha o kāu mau hāpai mua ʻana, nā kikoʻī o nā hana hoʻopaʻa tubal āu i hana ai, a inā paha ua hana ʻia kekahi mau ʻoki kino ʻē aʻe.
• Ka nānā ʻana i ka sperm: Hoʻāʻo ʻia ka helu a me ka maikaʻi o ka sperm o kāu hoa e loaʻa ai kahi manaʻo o kou manawa e hāpai ai ma hope o ke ʻoki ʻana.
• Nā hoʻokolohua ʻē aʻe: Ma muli o kou mōʻaukala olakino, pono paha ʻoe e loaʻa nā hoʻokolohua koko a me nā scan.

Pehea e hoʻomākaukau ai au no ke ʻoki kino?

I kou ʻike mua ʻana i kāu kauka, he mea kōkua ka lawe ʻana mai i ka "hōʻike hana" o kāu ligation tubal ma mua. Inā ua wehe ʻia kāu mau tubes, e lawe pū mai i ka "hōʻike pathology".

No ka hoʻonui ʻana i kou kūlana o ka hāpai olakino, e hana i kēia mau mea:

• E mālama i nā maʻi ʻē aʻe āu e loaʻa nei (e like me ka maʻi diabetes a me ke koko kiʻekiʻe).
• Inā ʻoe e puhipaka, e hoʻōki pono .
• E hōʻemi i ka lawe ʻana i ka caffeine, e like me ka waiʻona a me ke kofe.
• E hoʻomaka e lawe i kahi multivitamin a i ʻole ka huaora prenatal i loaʻa ka folic acid.

He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?

ʻO ka maʻamau, ʻelua a ʻekolu hola ka lōʻihi o kēia hana ʻoki kino. Hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Hana ʻia ke ʻoki kino ma lalo o ka anesthesia laulā, ʻo ia hoʻi, ʻaʻole ʻoe e manaʻo i kekahi mea.

ʻElua ʻano hana no ke ʻoki kino. ʻO kekahi he ʻano hana `mini-laparotomy`. Maanei, hana ʻia kahi ʻoki liʻiliʻi ma kahi o 2 ʻīniha ma lalo o ka laina bikini, a hana ʻia ke ʻoki me ka hoʻohana ʻana i kahi microscope. ʻO kekahi ʻano hana ʻo `robotic-assisted laparoscopy`. Maanei, hana ʻia kekahi mau lua liʻiliʻi ma ka ʻōpū, a hana ʻia ke ʻoki kino me ka hoʻohana ʻana i kahi lima robotic.

I ka wā o ke ʻoki kino:

1. E hoʻomaʻemaʻe loa ʻia ʻoe.

2. Hoʻokomo ʻia kahi ʻōmole liʻiliʻi (catheter) i loko o ka ʻōpū mimi e hōʻiliʻili i ka mimi.

3. Hana ʻia kahi ʻoki liʻiliʻi a i ʻole kekahi mau puka i loko o ka ʻōpū e komo ai i nā ʻōpū fallopian.

4. ʻO ka mea mua, nānā mākou e ʻike inā hiki ke hoʻoponopono ʻia nā ʻōmole. Inā hiki, hoʻomau mākou i ke ʻoki ʻana ma laila.

5. Ua wehe ʻia nā wēlau o nā paipu i ālai ʻia a ua hoʻopili hou ʻia nā ʻāpana paipu ʻelua.

6. A laila, hoʻokomo ʻia kahi wai kūikawā (`dye`) ma o ka ʻōpū e nānā inā ua wehe ʻia nā ʻōmole a ke kahe nei ka wai ma o lākou.

7. ʻO ka hope loa, ua humuhumu ʻia ka ʻoki me nā humuhumu hiki ke hoʻoheheʻe ʻia ma lalo o ka ʻili a ua kau ʻia kahi kāʻei.

Pehea ke ʻano o ke ʻoki kino? He aha nā pono a me nā pilikia?

ʻAʻole ʻoe e ʻeha ma hope o ke ʻoki ʻana, no ka mea, aia ʻoe ma lalo o ka anesthesia. E hāʻawi ke kauka iā ʻoe i nā lāʻau ʻeha e kōkua i ka ʻeha i ka pau ʻana o ka anesthesia. Hiki paha iā ʻoe ke ʻeha iki ma kahi o ke ʻoki ʻana no kekahi mau lā.

E mālama ʻia ʻoe ma ka haukapila no ʻelua hola ma hope o ke ʻoki kino. E ʻae ʻia ʻoe e hoʻi i ka home ke hōʻoia ʻia ua maikaʻi nā mea āpau. Hiki paha iā ʻoe ke hiamoe iki ma muli o nā hopena o ka anesthesia. No laila, he mea nui e hele mai kekahi e lawe iā ʻoe i ka home .

Pehea ka holomua o kēia ʻoki kino?

ʻO ka maʻamau, ʻokoʻa ka nui o ka hāpai ʻana ma hope o kēia ʻoki kino mai 50% a 80%. Aia kēia helu kūleʻa i ka makahiki a mākou i kūkākūkā ai ma mua, ke kūlana o nā ʻōpū fallopian, a me ka ʻike o ke kauka e hana ana i ke ʻoki kino.

ʻEhia ka lōʻihi e ho'ōla ai?

Hiki i ka hapanui o ka poʻe ke hoʻi i nā hana maʻamau i loko o hoʻokahi a ʻelua paha pule, akā e nīnau i kāu kauka e ʻike pono.

ʻEhia ka lōʻihi e hāpai ai ma hope o ke ʻoki kino?

ʻO ka hapa nui o nā hāpai ʻana e hana ʻia i loko o ka makahiki mua a ʻelua paha ma hope o ke ʻoki ʻana. Eia nō naʻe, ke aʻo aku nei nā kauka e kali a hiki i kou hoʻopau ʻana i ʻelua mau pōʻaiapuni menstrual ma mua o ka hoʻāʻo ʻana e hāpai.

ʻAʻole hiki ke hāpai me ka ʻole o ke ʻoki kino? ʻO ke koho i kapa ʻia ʻo IVF

ʻAe. ʻO ka IVF (in vitro fertilization) kekahi koho ʻē aʻe. Loaʻa i kēia kahi helu holomua kiʻekiʻe o ka hāpai ʻana. Akā, ʻaʻole pono ke ʻoki kino.

I ka IVF, hāʻawi ʻia ʻoe i nā inikini hormone no kahi o 10 mau lā, hoʻomohala ʻia kāu mau hua, lawe ʻia kēlā mau hua mai kou kino, a hui pū ʻia me ka sperm o kāu hoa i loko o kahi lab e hana i kahi embryo. A laila hoʻokomo ʻia kēlā embryo i loko o kou uterus.

Inā ʻaʻole ʻoe he moho maikaʻi no ke ʻoki ʻana i ka Tubal Reversal, a inā makemake ʻoe i kēia ʻano hana ma mua o ke ʻoki ʻana, hiki i kāu kauka ke ʻōlelo aku iā IVF nāu.

Āhea wau e ʻike hou ai i ke kauka?

E noi ʻia ʻoe e hoʻi mai i loko o hoʻokahi a ʻelua paha pule ma hope o ke ʻoki kino. E hāʻawi ʻia aku nō hoʻi iā ʻoe nā kuhikuhi no ka wā e kamaʻilio ai inā kū mai kekahi pilikia ma mua o kēlā manawa.

Hiki paha i ke kauka ke ʻōlelo aku i kahi hoʻāʻo X-ray i kapa ʻia ʻo "HSG" i kekahi mau mahina ma hope o ke ʻoki ʻana e ʻike ai inā e wehe mau ana nā ʻōpū fallopian.

ʻO ka nakinaki ʻana i kāu mau ʻōmole ʻaʻole ia he manaʻo ʻaʻole hiki iā ʻoe ke loaʻa hou kahi pēpē. Inā makemake ʻoe, he koho maikaʻi paha ka Tubal Ligation Reversal. Eia nō naʻe, ma muli o kou makahiki a me kou olakino, ʻoi aku ka maikaʻi o ka IVF. ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i kēia a hoʻoholo i ke ʻano hana kūpono loa iā ʻoe.