Makemake ʻoe i kahi pēpē hou ma hope o ke ʻoki hoʻolālā ʻohana? E kamaʻilio kākou e pili ana i kēia (Tubal Ligation Reversal)

Ua hana ʻoe i kahi hana hoʻolālā ʻohana a i kēia manawa, ma muli o kekahi mau loli i kou ola, ke moeʻuhane nei ʻoe e loaʻa hou kahi pēpē? Ke noʻonoʻo nei paha ʻoe, 'ʻAʻole hiki iaʻu ke hana i kēlā i kēia manawa, ua nakinaki au i kaʻu mau ʻōmole.' Akā, mai hoʻokuʻu i kēlā e hoʻonāwaliwali iā ʻoe. Aia kahi hiki ke hoʻohuli i ke hana āu i hana ai. ʻO kēia ka mea a mākou e kapa nei ʻo 'tubal ligation reversal.' I kēia lā, e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi loa.

He aha ka Tubal Ligation a me kona hoʻohuli ʻana?

I ka ʻōlelo maʻalahi, ʻo ka tubal ligation kahi hana ʻoki e pale ai i ka hāpai ʻana. Pili ia i ka nakinaki ʻana, ka ʻoki ʻana, a i ʻole ke puhi ʻana i kāu mau fallopian tubes. Ke ālai nei kēia i ke hele ʻana o kahi hua manu mai nā ovaries a me ka sperm o ke kāne, e pale ana i ka hāpai ʻana.

I kēia manawa, inā makemake ʻoe e loaʻa kahi keiki ʻē aʻe, ʻelua āu koho nui. ʻO kekahi ka hana hoʻohuli. ʻO kekahi ka hoʻoulu ʻana i loko o ka vitro (IVF) . ʻAʻole pono ka IVF i nā ʻōpū fallopian.

ʻO ka Tubal Ligation Reversal kahi hana ʻoki e hoʻopili hou i nā ʻōpū fallopian i paʻa, e ʻae ana i ka hua manu a me ka sperm e hui. He hana hoʻolālā ʻohana ia i hoʻohuli ʻia. I kekahi manawa ua kapa ʻia ʻo "Tubal Reanastomosis".

No wai kēia ʻoki kino maikaʻi loa? He aha nā mea e pili ana i ka holomua?

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

Aia kekahi mau kūlana hiki ʻole ke hoʻihoʻi ʻia?

ʻAe. Inā ua wehe ʻia ka hapa nui a i ʻole nā ​​​​​​mea āpau o kāu mau ʻōpū fallopian, ʻaʻole hiki ke hoʻoponopono ʻia. Eia kekahi, inā ua hoʻokomo ʻia nā mea hana e like me `Essure®` a me `Adiana®` i loko o nā ʻōpū, ʻaʻole hiki ke hoʻohuli ʻia ke kūlana. Inā ua hana ʻia kēia a ke noʻonoʻo nei ʻoe e loaʻa kahi pēpē, e kamaʻilio me kāu kauka.

He aha ka mea e hana ʻia ma mua o ke ʻoki ʻana a pehea e hiki ai iā ʻoe ke hoʻomākaukau?

E wehewehe pono kāu kauka i ke ʻoki kino iā ʻoe a kūkākūkā i nā pilikia. E hana lākou i kēia mau mea e ʻike ai inā kūpono ʻoe:

• Ke nānā hou nei i kāu mōʻaukala olakino: E nīnau lākou iā ʻoe e pili ana i kāu mau hāpai mua, nā kikoʻī o nā ʻoki hoʻolālā ʻohana āu i loaʻa ai, a me nā ʻoki ʻē aʻe āu i loaʻa ai.
• Ka nānā ʻana i ka sperm: He mea nui kēia e nānā i nā manawa kūpono o ka hāpai ʻana ma hope o ke ʻoki ʻana.
• Nā hoʻokolohua ʻē aʻe: Ma muli o kou kūlana, hiki iā ʻoe ke loaʻa nā hoʻokolohua koko a i ʻole nā ​​​​scan.

Pehea ʻoe e hoʻomākaukau ai?

I kou kipa mua ʻana i ke kauka, he mea kōkua ka lawe ʻana mai i kope o kāu hōʻike ʻoki hoʻolālā ʻohana . Inā ua wehe ʻia kāu mau ʻōmole, e lawe pū me ʻoe i ka hōʻike pathology . No ka hoʻonui ʻana i kou manawa kūpono no 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 loa.
• E hōʻemi i kāu 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 paha hola ka lōʻihi o kēia ʻoki kino. Hana ʻia ia ma ka haukapila. E hoʻomoe ʻia ʻoe ma lalo o ka anesthesia laulā, no laila ʻaʻole ʻoe e ʻeha . Hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi me ke ʻoki kino.

I ka wā e hana ai i ke ʻoki kino, e hahai ke kauka i kēia mau hana:

1. E hāʻawi ʻia iā ʻoe ka lāʻau hoʻomoe hiamoe e hoʻohiamoe loa iā ʻoe.

2. I ka wā o ke ʻoki kino, hoʻokomo ʻia kahi paipu (catheter) i loko o ka ʻōpū mimi e hōʻiliʻili i ka mimi.

3. Hoʻohana ʻia kahi ʻoki liʻiliʻi ma lalo o ka laina bikini (mini-laparotomy) a i ʻole kekahi mau ʻoki liʻiliʻi loa ma ka ʻōpū (laparoscopy) e komo ai i nā ʻōpū fallopian.

4. Nānā ʻia nā ducts e ʻike inā hiki ke hana hou ʻia. Inā hiki, e hoʻomaka koke ke ʻoki ʻana.

5. E wehe i nā wēlau o nā kahawai i ālai ʻia a e hoʻopili hou pono i nā ʻāpana kahawai ʻelua.

6. A laila, hoʻokomo ʻia kahi kala ma o ka ʻōpū e nānā inā ua wehe ʻia nā ʻōpū fallopian.

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

He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?

ʻO ka pōmaikaʻi nui o kēia, hiki iā ʻoe ke hoʻāʻo e hāpai ma ke ʻano kūlohelohe i kēlā me kēia mahina ma hope o ke ʻoki ʻana. Eia kekahi, aia kahi manawa e loaʻa ai ma mua o hoʻokahi keiki me ka ʻole o kekahi lāʻau ʻē aʻe.

E like me nā ʻoki kino āpau, aia kekahi mau pilikia liʻiliʻi, akā haʻahaʻa loa ka likelika o lākou e hana ʻia.

• Ka maʻi ʻana.
• Ke kahe ʻana o ke koko a i ʻole nā ​​ʻūpā koko.
• Ka maʻi ʻaleka i ka anesthesia.
• Ka hōʻino ʻana i nā ʻōpū ʻē aʻe i ka wā o ke ʻoki ʻana.

Pehea ka holomua o ke ʻoki kino? A pehea ka lōʻihi e hāpai ai?

ʻOkoʻa ka nui o ka holomua o ka hāpai ʻana ma hope o kēia ʻoki kino mai 50% a 80% . Aia ia i nā mea e like me ka makahiki, ke kūlana o nā ʻōpū fallopian, a pēlā aku. Eia kekahi, he mea nui loa ka ʻike o ke kauka e hana ana i 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, akā pono ʻoe e kali a hiki i ka loaʻa ʻana o ʻelua mau menstrual cycle ma mua o ka hoʻāʻo ʻana e hāpai.

Hiki ke loaʻa kahi keiki me ke ʻoki ʻole ʻana? (ʻano IVF)

ʻAe, hiki nō. ʻO ia ke kumu o ka IVF (In Vitro Fertilization) .Aia kekahi ʻano hana. Inā ʻaʻole ʻoe kūpono no ke ʻoki kino, a inā makemake ʻoe i ka IVF ma mua o ke ʻoki kino, e paipai aku kāu kauka iā ʻoe.

He kiʻekiʻe hoʻi ka nui o ka hāpai ʻana o ka IVF. Akā he mau hemahema nō hoʻi kona. No ka laʻana, pono ʻoe e lawe i nā inikini hormone i kēlā me kēia lā no kahi o 10 mau lā, a pono ʻoe e hele i nā keʻena lapaʻau no nā scan pinepine a me nā hoʻāʻo koko. He hana paʻakikī iki ia.

ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka a hoʻoholo i ke ʻano hana kūpono loa iā ʻoe.