Tērā pea kua kōrerotia e tō tākuta ki a koe mō te pokanga 'Salpingectomy'. Kua rongo pea koe mō tēnei mea i tētahi wāhi. Tērā pea he ahua whakamataku te ingoa, engari he pokanga tēnei e pāngia ana e te tini o ngā wāhine mō ngā take maha. Nō reira kaua e mataku. I tēnei rā, ka kōrerohia e tātou tēnei pokanga Salpingectomy, te take i mahia ai, me pēhea te mahi, me ngā mea ka tupu i muri i te pokanga, he māmā noa iho, he mārama hoki.
He aha tonu te Salpingectomy?
I te whakarapopototanga, ko te tango pokanga i tētahi, i ngā rua rānei o ō ngongo whakapūpū. Tērā pea kei te whakaaro koe he aha ēnei ngongo whakapūpū. Whakaarohia ēnei hei ngongo iti e rua i waenganui i ō ovaries me tō kōpū. Ka haere te hua manu i tukuna mai i te ovaries ki te kōpū mā roto i ēnei ngongo whakapūpū ki te tūtaki ki te parāoa. Nō reira, he mea tino nui ēnei ngongo e rua mō te haputanga o te tamaiti. I te nuinga o te wā, e rua ngā ngongo whakapūpū o ia wahine.
E rua ngā momo matua o te pokanga salpingectomy:
E rua ngā huarahi matua hei mahi i tēnei pokanga. Mā te tākuta e whakatau ko tēhea te mea pai mōu i runga i tō āhua.
| Momo pokanga | He whakamārama māmā |
|---|---|
| Te tango i te ngongo fallopian kotahi (Unilateral salpingectomy) | Ko te tikanga o tēnei ko te tango i tētahi o ō ngongo whakatō. I ētahi wā, ko tētahi wāhanga anake o te ngongo ka tangohia. Whai muri i tēnei, ka whai wāhi tonu koe ki te whānau tamariki mā te taiao , nā te mea kei te mahi tonu te ngongo kē atu. He maha ngā wā ka mahia tēnei momo i roto i ngā take o te hāputanga ectopic. |
| Te tango i ngā ngongo fallopian e rua (bilateral salpingectomy) | I roto i tēnei, ka tangohia katoatia ō ngongo whatukuhu e rua. Whai muri i tēnei pokanga, kāore e taea e koe te hapu ā-tūturu. Ka mahia tēnei pokanga mō ngā mea pēnei i te mate pukupuku i roto i ngā ngongo whatukuhu, hei whakamutu rānei i te whānau tamariki mō ake tonu atu (hei tikanga whakamahere whānau mō ake tonu atu). |
He aha te take e hiahia ai te wahine ki tēnei pokanga?
He maha ngā take e taea ai te tango i te kiri. I ētahi wā ka mahia hei rongoā, ā, i ētahi wā ka mahia hei ārai i tētahi mate.
- Hapūtanga Kōpikopiko: Koinei te tino take. Ko te mea e tupu ana i konei, kāore te hua manu e whakatō ki roto i te kōpū, engari ka tīmata te tipu ki roto i te ngongo fallopian. He āhuatanga tino morearea tēnei. Mēnā ka pakaru te ngongo, ka puta he toto nui, tae atu ki te mate. Nō reira, me tango te ngongo.
- Ngā āhuatanga mate pukupuku: Mena he mate pukupuku kei roto i te kōpū, i ngā ovaries, i ngā ngongo fallopian rānei, ka tangohia ēnei ngongo hei maimoatanga.
- Ngā mate urutā i roto i ngā ngongo fallopian: Ka taea e ētahi mate urutā kino te kino i ngā ngongo fallopian, ā, ka kohia te wai hua. I ēnei wā, me tango pea ngā ngongo.
- Te Endometriosis: I roto i tēnei āhuatanga, ka taea e te kiko e rite ana ki te mea kei roto i te kōpū te tipu ki roto i ngā ngongo fallopian. Ka taea e tēnei te whakararu i te mamae nui me te aukati i ngā ngongo.
- Ngā ngongo fallopian kua āraia, kua pakaru rānei: Mena kua āraia, kua pakaru rānei ngā ngongo fallopian mō tētahi take, ka whakatau pea ngā tākuta kia tangohia.
- Hei tikanga whakamahere whānau tuturu: Ki te kore koe e hiahia ki te whānau tamariki anō, ka taea te tango i ngā ngongo e rua hei tikanga whakahaere whānau tuturu.
Hei tāpiritanga, he mate ira kei ētahi wāhine ki te whakawhanake i te mate pukupuku ovarian, te mate pukupuku ū rānei (hei tauira, ngā whakarerekētanga ira BRCA ). Kua kitea e ngā rangahau tata nei ko te nuinga o ngā mate pukupuku ovarian kua horapa ka tīmata i roto i ngā ngongo fallopian. Nō reira, mō ngā wāhine e mōrearea ana, ka tūtohu pea tō tākuta i tēnei tikanga hei huarahi hei whakaiti i tō mōrearea .
Me pēhea te mahi i te pokanga?
E rua ngā tikanga matua mō tēnei mahi: te pokanga laparoscopic me te pokanga tuwhera o te puku.
| Tikanga pokanga | Te āhua o te tupu |
|---|---|
| Te tango i te salpingoscope | Koinei te "pokanga kōhao kī" e whakamahia whānuitia ana.Ka karangatia hoki. I konei, ka mahia he maha ngā tapahi iti rawa ki te puku, ā, ka whakaurua he taputapu angiangi me te kāmera (laparoscope) mā roto i tētahi. Ka pupuhihia te puku ki te hau kia pai ake ai te tirohanga o roto. Ka whakaurua ngā taputapu pokanga mā roto i ētahi atu tapahi, ā, ka tangohia ngā ngongo fallopian. He iti ake te kiripaka e toe ana i tēnei tikanga, he iti ake te mamae, ā, he tere ake te ora. |
| Te tango i te puku tuwhera | Ka mahia te pokanga mā te tapahi nui kotahi (laparotomy) i te puku o raro. Tērā pea ka hiahiatia tēnei tikanga i ngā take uaua nā te mea ka taea e te taote pokanga te kite pai ake i ngā whekau. Heoi, he roa ake te wā whakaora e hiahiatia ana mō tēnei tikanga. |
I te nuinga o te wā, ka ngana ngā tākuta ki te mahi i te pokanga mā te laparoscopy. Heoi, i roto i ngā āhuatanga ohorere, pērā i te pakaru o te ngongo fallopian nā te hāputanga ectopic, me mahi pea he pokanga tuwhera. Ka taea e koe te kōrero ki tō tākuta i mua i te pokanga.
He aha ngā mea ka tupu i muri i te pokanga?
Kia maumahara, e kore tēnei pokanga e aukati i tō paheketanga. E kore e puta he huringa nui ki ō homoni, nā te mea ka puta ngā homoni, ā, ko ngā ovaries me te kōpū te kaiwhakahaere o te paheketanga, ehara i te mea ko ngā ngongo fallopian.
I muri i te pokanga, ka haria koe ki te wāhanga tirotiro. Mena i pokangahia koe mā te laparoscopy, tera pea ka taea e koe te hoki ki te kāinga i taua rā anō. Mena i pokangahia koe mā te tuwhera, me noho koe ki te hōhipera mō te rā kotahi, e rua rānei.
Whakaora:
- Mā te pokanga laparoscopic, ka taea e koe te hoki ki te āhua noa i roto i ētahi rā. E 1-2 wiki pea te roa hei whakaora katoa.
- E 4-6 wiki pea te roa o te whakaora i te pokanga tuwhera.
I muri i te pokanga, me karo koe i te hiki taumaha me te whakakori tinana uaua mō tētahi wā. Mā tō tākuta koe e tohutohu mō tēnei.
Ngā Pātai Auau
He aha te mea ka tupu ki ngā hua manu ina tangohia ngā ngongo fallopian?
He pātai pai. Ko te tukunga o te hua manu mai i ngā ovaries he mea noa. Engari nā te mea kāore he ngongo hei haere mā te hua manu, ka rewa i roto i te tinana, ā, ka mimitihia anō e te tinana. Ehara tēnei i te mea rerekē, koinei te mea e pā ana ki ngā hua manu kāore i whakamahia ahakoa i roto i te huringa paheketanga noa i te wā kāore koe e hapu ana.
Kāore e taea e au te whānau tamariki i muri i tēnei pokanga?
Kei te momo pokanga i mahia ki a koe tēnei.
- Mena kotahi anake te ngongo i tangohia (Takitahi): Mena he hauora te ngongo kē atu, kei a koe tonu te whai wāhi ki te hapu ā-taiao.
- Ki te tangohia ngā ngongo e rua (Takirua): Kāore e taea e koe te hapu māori. Heoi, ki te ora tō kōpū me ō ovaries, ka taea pea e te hangarau IVF (whakatōkī in vitro) te āwhina i a koe ki te hapu.He wāhi tēnei hei whāngai i tētahi tamaiti mā te whakatōnga in vitro. Ko te whakatōnga i tētahi o ō hua manu me ō parāoa i roto i te taiwhanga, kātahi ka whakatō tika i te kukune ki roto i te kōpū.
He aha ngā painga me ngā mōrearea o te pokanga?
Pērā i ngā pokanga katoa, he painga anō tō tēnei pokanga, engari he iti anō hoki ngā mōrearea.
Ngā Painga:
- Ka taea e ia te whakamamae i te mamae i puta mai i ngā āhuatanga pēnei i te endometriosis.
- Ka taea te whakaiti nui i te mōrearea o te mate pukupuku ovarian.
- He tikanga ārai whānau pumau tēnei.
- Ka taea e koe te karo i tētahi āhuatanga morearea pēnei i te hāputanga ectopic.
Ngā Tūponotanga:
He mea tino onge ēnei.
- Te toto e puta mai ana i te wāhi i pokangahia.
- Ngā urupare kino ki te rongoā whakamoe.
- Ngā toto totoka.
- Te kino ki ngā whekau e karapoti ana.
- Ngā āhuatanga pangia.
| Ki te pāngia koe e ēnei tohu i muri i te pokanga, me toro atu ki tō tākuta tonu. | |
|---|---|
| - He pupuhi, he whero, he rerenga wai rānei mai i te wāhi i tapahia ai | - Te māuiui, te makariri rānei |
| - Te mamae nui, te haunga kino rānei o te wai o te tara | - Te mamae nui i te wā e mimi ana |
| - Te pupuhi, te mamae rānei o ngā waewae (tērā pea he tohu o te toto totoka) | - Mamae puku e kore e taea te whakamanawanui |
He tikanga whakaora ora te tango i te salpingectomy, ā, i ētahi wā ka whakarerekē i te ora. He mea noa te maha o ngā wehi, ngā āwangawanga, me ngā pātai mō tēnei mea. Ko te mea nui ko te kōrero ki tō tākuta mō ō pātai me ō āwangawanga katoa me te kore whakaroa.
Karere Tangohia ki te Kāinga
- Ko te salpingectomy te tango pokanga i tētahi, i ngā ngongo fallopian e rua rānei.
- Ka mahia tēnei pokanga mō te hāputanga ectopic, te mate pukupuku, ngā mate urutā, me te tikanga whakamahere whānau tuturu.
- E kore tēnei pokanga e aukati i tō paheketanga, e kore hoki e puta he huringa nui ki ō homoni.
- Ki te tangohia te ngongo kotahi anake, ka taea e koe te hapu ā-tūturu. Ahakoa ka tangohia ngā ngongo e rua, ka taea tonu e koe te whānau tamariki mā te hangarau IVF.
- Mō te hunga he nui te mōrearea ki te pāngia e te mate pukupuku whatukuhu, he mea tino nui tēnei pokanga hei whakaiti i taua mōrearea.
- Mena he pātai, he āwangawanga rānei āu, kōrero mārire ki tō tākuta.
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