Ua pau anei kāu hānau keiki ʻana i kēia manawa a ua hoʻoholo paʻa ʻoe "ʻAʻole au makemake i kahi keiki ʻē aʻe"? A laila ua lohe paha ʻoe i kahi ʻoki kino i kapa ʻia ʻo 'LRT'. He ʻano hana kaohi hānau kaulana kēia i waena o nā poʻe he nui. Akā ʻoiai ua kamaʻilio ʻia, ʻaʻole maopopo i ka poʻe he nui ka mea e hana nei me kēia ʻoki kino, he aha kona mau pono a me nā hemahema, a me ka mea e hana ʻia ma hope o ke ʻoki kino. No laila i kēia lā, e aʻo kākou i nā mea āpau e pili ana i ia mea me ka maʻalahi.
I ka ʻōlelo maʻalahi, he aha ka tubal ligation?
He hana hoʻomalu hānau mau loa kēia no nā wāhine. Ua kapa ʻia hoʻi ʻo ia ʻo "female sterilization." He ʻano hana kūpono loa ia.
E noʻonoʻo, ʻekolu mau ʻāpana nui o kā mākou ʻōnaehana hānau keiki: ka ʻōpū , nā ovaries , a me nā fallopian tubes . I kēlā me kēia mahina, hoʻokuʻu ʻia kahi hua manu mai nā ovaries a hele i lalo i ka fallopian tube i ka uterus. Hiki wale ka hāpai ʻana inā hālāwai ia me kahi sperm i kēia huakaʻi.
ʻO kēia ʻoki kino e pili ana i ka ʻoki ʻana a me ke nakinaki ʻana i nā ʻōpū fallopian, a i ʻole ke ālai ʻana iā lākou me kahi ʻūmiʻi kūikawā a i ʻole ke kāʻei. Ua like ia me ke pani ʻana i ke alanui. A laila, ʻaʻole hiki i ka hua manu ke hālāwai me ka sperm, a ʻaʻole hiki i ka sperm ke hiki i ka hua manu. No laila, ʻaʻole hiki ke hāpai.
ʻO ka mea nui loa, ua manaʻo ʻia kēia he hana mau loa. ʻAʻole hāʻawi kēia ʻoki kino i kekahi pale ʻana i nā maʻi i laha ma ke ʻano moekolohe ( STIs ).
No ke aha e hoʻoholo ai kekahi e hana i kēia ʻoki kino?
ʻO ke kumu nui, ʻo ia ka hoʻōki mau loa ʻana i ka loaʻa ʻana o nā keiki. He ʻano hana kēia i ʻoi aku ma mua o 99% ka holomua. Ma hope o ke ʻoki ʻana, hiki iā ʻoe ke hauʻoli i kahi ola moekolohe hauʻoli me ka hopohopo ʻole e pili ana i ka hāpai ʻana.
Paipai pū nā kauka i kēia ʻoki kino no kekahi mau kumu lapaʻau. No ka laʻana, no nā wahine i loaʻa kekahi mau hoʻololi genetic (e like me ka hoʻololi ʻana o ka gene BRCA) e hoʻonui ai i ka pilikia o ka maʻi ʻaʻai ovarian, hiki ke paipai ʻia kēia ʻoki kino (hiki ke wehe loa ʻia nā ʻōpū fallopian) e hōʻemi i kēlā pilikia.
Pehea lā wau e ʻike ai inā ua mākaukau maoli wau no kēia?
ʻO kēia ka nīnau koʻikoʻi loa āu e pono ai e nīnau iā ʻoe iho. He mea nui e hoʻomanaʻo he mau loa kēia ʻoki kino. ʻOiai aia kekahi mau ʻoki kino hoʻohuli, he paʻakikī loa lākou, he pipiʻi, a he haʻahaʻa ka manawa e holomua ai.
- Inā ʻaʻole ʻoe maopopo 100% inā makemake ʻoe i kahi keiki ʻē aʻe a ʻaʻole paha, mai noʻonoʻo e pili ana i kēia ʻoki kino.
- Akā, ʻoi aku ka maikaʻi o ka noʻonoʻo ʻana i kahi hana manawa pōkole e like me nā pila hoʻomalu hānau a i ʻole kahi mea hana intrauterine (IUD) hiki ke hoʻōki ʻia i kēlā me kēia manawa.
- Ma mua o ka hoʻoholo ʻana i kēia hoʻoholo, e kamaʻilio me kāu hoa. Makemake paha ʻo ia e noʻonoʻo i kahi vasectomy, kahi ʻoki hoʻohemo kāne.
He mea nui e kūkākūkā i kāu mau nīnau a me kou mau hopohopo e pili ana i kēia me kāu kauka a wehewehe pono iā lākou.
He aha nā ʻano hana e hana ai i ke 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 maikaʻi loa ma muli o nā mea e like me kou olakino a inā paha e hana ʻoe ia mea ma hope o ka hānau ʻana.
1. Hoʻopaʻa ʻana i ka Tubal Laparoscopic
Ua kapa ʻia kēia e ka poʻe he "keyhole surgery " no ka mea, ʻaʻole ia e pili ana i kahi ʻoki nui.
- E hāʻawi ʻia ʻoe i ka anesthesia (hiamoe piha).
- Hana ʻia ʻelua mau ʻoki liʻiliʻi loa ma ka ʻūhā a me ka ʻōpū lalo.
- Hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela i kapa ʻia he laparoscope ma o hoʻokahi ʻoki ʻana, a hoʻopiha ʻia ka ʻōpū me ke kinoea (carbon dioxide) e ʻike maopopo ai i nā ʻōkana.
- Hoʻokomo ʻia kahi mea hana ʻoki ma o kekahi ʻoki ʻē aʻe, aia nā ʻōmole fallopian, a pani ʻia nā ʻōmole me ka hoʻohana ʻana i kahi clip, lipine, a i ʻole ke au uila (electrocoagulation).
- Hiki iā ʻoe ke ho'ōla koke ma hope o kēia. Hiki iā ʻoe ke hoʻi i ka home mai ka haukapila i loko o kekahi mau hola.
2. Ke ʻano hana laparotomy liʻiliʻi
Hana pinepine ʻia kēia ʻano hana i loko o 24 mau hola o ka hānau maʻamau.
- Inā loaʻa iā ʻoe kahi epidural i ka wā hānau keiki, e hoʻohana ʻia kēlā. A i ʻole e hāʻawi ʻia ʻoe i ka anesthesia spinal.
- Ma hope o ka hānau ʻana o ke pēpē, aia nō ka ʻōpū ma kahi kokoke i ka cervix, no laila ua hana ʻia kahi ʻoki liʻiliʻi ma lalo o ka cervix e ʻike maʻalahi i nā ʻōpū fallopian a nakinaki iā lākou me kahi kaula kūikawā.
3. Laparotomy
He ʻoki hāmama kēia. ʻAʻole hoʻohana nui ʻia kēia ʻano hana i kēia manawa no ka mea ua hana ʻia ma o kahi ʻoki nui iki ma ka ʻōpū. Eia nō naʻe, inā hana ʻia kēia ʻoki i ka manawa like me ka ʻoki C-section , he mea maʻalahi loa ia no ka mea ua hana ʻia ma o ka ʻoki like i hoʻohana ʻia no ka hānau ʻana o ka pēpē.
He aha ka mea e manaʻo ai ma hope o ke ʻoki ʻana
Ma hope o ke ʻoki ʻana, e mālama ʻia ʻoe i loko o kahi lumi kaʻawale no ka nānā ʻana a, inā holo pono nā mea āpau, e hoʻouna ʻia i ka home. Inā ua hana ʻia ma ke ʻano laparoscopically, hiki iā ʻoe ke haʻalele i loko o kekahi mau hola. Me nā ʻano hana ʻē aʻe, pono paha ʻoe e noho i ka haukapila no hoʻokahi lā. E mālama i kēia mau mea ma hope o kou hoʻi ʻana i ka home.
| ʻŌlelo Aʻo / Hōʻailona | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Ka hāpai kaumaha | Mai hāpai i kekahi mea kaumaha no 1-2 pule. Ma hope o ka hānau ʻana, mai hāpai i kekahi mea kaumaha ma mua o ke kaumaha o ka pēpē no 4 pule ma ka liʻiliʻi. |
| Ke hoʻokele nei | Mai kalaiwa no 24 mau hola. E pale i ka inu ʻana i ka waiʻona. |
| ʻAuʻau | ʻAʻohe pilikia me ka holoi ʻana i kou kino. Eia naʻe, mai ʻauʻau a ʻauʻau paha a hiki i ka hoʻōla ʻana o ka ʻoki (ma kahi o 2 pule). |
| Pehu ʻana | Ma hope o ka laparoscopy, hiki i ke kinoea e hoʻopiha ana i ka ʻōpū ke hōʻeha i nā poʻohiwi, ka ʻāʻī, a me ka umauma no 2-3 mau lā. Hiki i ka hele wāwae a me ka ʻauʻau ʻana i ka wai wela ke kōkua. |
| Ka luaʻi a me ka ʻeha | E ʻai i nā meaʻai māmā (sūpa, kī, berena, kuki). E lawe i nā lāʻau hoʻomaha ʻeha i kuhikuhi ʻia e ke kauka no ka ʻeha o ka ʻōpū. |
| Ke kahe koko ʻana o ka wahine | He mea maʻamau ke kahe iki ʻana o ke koko no hoʻokahi mahina ma hope o ke ʻoki ʻana. Hiki ke hala i 4-6 mau pule no kou wā e hiki mai ana. Ke hiki mai ia, hiki iā ʻoe ke ʻike i kahi kahe hou aʻe a me ka ʻeha hou aku. |
He aha nā pōmaikaʻi a me nā hemahema?
Nā Pōmaikaʻi
- Loaʻa ka pono a maʻalahi hoʻi: 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 lapaʻau i kēlā me kēia lā a i ʻole e hele i nā keʻena lapaʻau.
- ʻAʻohe hormones: He ʻano hana ʻaʻole hormonal kēia. No laila, ʻaʻole ia e hoʻopilikia i kāu pōʻaiapuni menstrual a ʻaʻole ia e hoʻoulu i ka menopause.
- Hoʻemi i ka pilikia o ka maʻi kanesa:Ua hōʻike ʻia nā noiʻi e hiki i kēia hana ke hōʻemi i ka pilikia o ka maʻi ʻaʻai ovarian ma kahi o 40%.
Nā hemahema
- Minamina: Hiki i kekahi mau wāhine (ʻoi aku ka poʻe i hoʻopau i ka hana ma mua o 30 mau makahiki) ke mihi ma hope, no laila e noʻonoʻo pono i ka hoʻoholo.
- Paʻa mau: Pono e manaʻo ʻia he ʻano paʻa kēia ʻaʻole hiki ke hoʻohuli ʻia.
- Nā pilikia o ke ʻoki kino: E like me nā ʻoki kino āpau, he mau pilikia liʻiliʻi loa, e like me nā maʻi allergies i ka anesthesia, ka maʻi, a me ka hōʻino ʻana i nā kino a puni.
I ka manawa e ʻike koke ai i ke kauka
He hana palekana loa ka ligation Tubal, akā pono ʻoe e kāhea koke i kāu kauka inā ʻike ʻoe i kekahi o kēia mau hōʻailona:
- ʻEha ʻōpū hiki ʻole ke hoʻomanawanui a i ʻole ka ʻeha ma ka ʻāpana ʻūhā.
- Inā he pus ka ʻoki, he kahe ke koko, a i ʻole he ʻulaʻula a pehu.
- Ke kuni nui (ma luna o 100°F / 37.7°C).
- Ke kahe nui ʻana o ke koko ma ka ʻōpū (inā ua pulu loa kahi pale i loko o ʻelua hola).
- Ka luaʻi mau ʻana.
- Inā ʻoe e manaʻo ana he poniuniu i nā manawa a pau.
ʻO kekahi mea nui e hoʻomaopopo ai, ʻoiai he mea kakaikahi loa, hiki i ka fallopian tube ke hoʻopili hou ma hope o ke ʻoki ʻana. Inā hāpai ka wahine, ʻoi aku ka nui o ka hāpai ʻana he ectopic, ka mea e ulu ana i loko o ka fallopian tube ponoʻī. He kūlana weliweli kēia e pono ai ka mālama ʻana i ka pilikia.
Kekahi mau nīnau i nīnau pinepine ʻia
He aha ka mea e hiki mai ana i kaʻu mau ovaries ma hope o ke ʻoki ʻana?
Ke hoʻomau nei kāu mau ovaries i ka hoʻokuʻu ʻana i nā hua i kēlā me kēia lā, akā no ka mea ʻaʻole hiki iā lākou ke hele ma o ka ʻōmole fallopian, ua hoʻihoʻi ʻia lākou i loko o kou kino.
Āhea e hiki ai iaʻu ke moe ma hope o ke ʻoki kino?
Hiki iā ʻoe ke moe ma kahi o hoʻokahi pule. Eia nō naʻe, inā ua hana ʻia ʻoe i ke ʻoki kino ma hope o ka hānau ʻana, pono ʻoe e kali a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe (ma kahi o 6 mau pule).
Hiki iaʻu ke hāpai hou ma hope o ke ʻoki kino?
He liʻiliʻi loa ka hakahaka. ʻAʻole i hiki i ka 1%.
Ke hāʻawi nei ia i ka palekana mai nā maʻi i laha ma ke moekolohe?
ʻAʻole. ʻAʻole loa. He mea koi ʻia ka hoʻohana ʻana i nā ʻano palekana e like me nā condom.
Leka Lawe-Home
- He ʻano hana hoʻomalu hānau mau loa ka Tubal Ligation. Pono ʻoe a me kāu hoa e noʻonoʻo pono ma mua o ka hana ʻana i kēia hoʻoholo.
- E kamaʻilio me kāu kauka e pili ana i kou mau pilikia a me kou mau makaʻu.
- ʻAʻole e hoʻōki kēia hana i kou mau wā a i ʻole e hoʻopau i ka menopause.
- Mai kēiaʻAʻole ia e pale aku i nā maʻi i laha ma ke moekolohe (STI). E hoʻohana i nā ʻano hana palekana ʻē aʻe.
- E makaʻala i nā hōʻailona weliweli (ʻeha nui, kuni, kahe koko nui) e hiki mai ana ma hope o ke ʻoki ʻana, a e ʻimi koke i ke kōkua lapaʻau inā loaʻa kekahi o kēia mau mea.
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