He tangata koe e whakaaro ana ki te whānau tamariki i nāianei, ā, kāore he tūmanako kia hapu anō? Kua rongo pea koe i te kōrero mō te 'tiub tied', te pokanga whakawhānau wahine rānei. He tokomaha te hunga kāore i te tino mārama ki tēnei, ā, he maha hoki ā rātou pātai. Nō reira, i tēnei rā ka kōrero tātou mō tēnei pokanga whakamahere whānau, arā, ko te '(Tubal Ligation)', i roto i te huarahi tino mārama, tino māmā hoki.
He aha te herenga o ngā ngongo ngongo?
He tino māmā noa iho. Kei roto i tō pūnaha whakaputa uri tētahi wāhanga e kiia nei ko ngā ngongo whēkau. He ngongo angiangi ēnei e rua e toro atu ana i ia taha o tō kōpū ki ō ovaries. Ka haere te hua manu i tukuna mai i ō ovaries ki tō kōpū mā roto i ēnei ngongo whēkau. Kei roto i ēnei ngongo ka tūtaki ai tēnei hua manu ki te parāoa, ā, ka whakamomonatia.
Ko te Herenga Tubal he tikanga pokanga e whakamahi ana i te tapahi, te here, te aukati rānei i ngā ngongo fallopian ki te topenga, ki tētahi atu tikanga rānei. Mā tēnei ka ārai i te hua manu kia tae atu ki te parāoa. Ko te tikanga tēnei kāore e puta te whakatō, ā, kāore hoki e puta te haputanga. Koinei te tikanga māmā rawa.
Ka kiia hoki tēnei ko te whakawhānau wahine. Ka taea te mahi i muri i te whānautanga noa, i te wā e pokanga ana (C-section), i te wā e pokanga puku ana, he pokanga motuhake rānei.
Ko te mea nui, he tikanga whakahaere whānau pumau tēnei. Kāore e whakarato i tētahi parenga ki ngā mate tuku iho i te taatai (STI).
He aha te tini o te tangata e whiriwhiri ai i tēnei pokanga?
Ko te take matua mō tēnei he tikanga pumau, he tino whai hua hoki mō te ārai whānau . Neke atu i te 99% tōna angitu. Mena kei te tino mohio koe kāore koe e hiahia ana ki ētahi atu tamariki, koinei te tikanga haumaru me te ngāwari rawa atu. Ka whai wāhi koe ki te pārekareka ki tō oranga moepuku me te kore e manukanuka ki te haputanga i muri i te pokanga.
Hei tāpiritanga, ka tūtohu hoki ngā tākuta kia tangohia ngā ngongo fallopian hei rongoā mō ētahi mate hauora. Ina koa, mēnā he whakarerekētanga ira (hei tauira, ngā whakarerekētanga ira BRCA) e whakanui ana i te tūponotanga o te mate pukupuku ovarian, ka tūtohutia pea tēnei pokanga hei whakaiti i taua tūponotanga.
Me pēhea koe e mōhio ai kua tino rite koe mō tēnei pokanga?
He whakatau nui rawa tēnei māu e whakatau i roto i tōu ao. Nā te mea he mea pumau. I ētahi wā, ahakoa te angitu o ngā pokanga "whakahoki", he tino uaua, he utu nui, ā, kāore he taurangi ka angitu. Nō reira me whakaaro koe ki tēnei he mea pumau.
Mena kei a koe tonu te whakaaro iti mō te whānau tamariki, ehara tēnei pokanga i te mea māu. Engari, ka taea e koe te whakamahi i tētahi tikanga ārai whānau ka taea te whakahuri, hei tauira:
- Ngā pire ārai whānau
- Te koropiko `(IUD - Pūrere Intrauterine)`
- Kōwhiria he tikanga pēnei i te ure tāwharau.
Ehara hoki tēnei whakatau i te mea māu anake e whakatau. Kōrerohia hoki ki tō hoa mō tēnei. Tērā tētahi pokanga whakamomori "(Vasectomy)" ka taea hoki e ngā tāne te mahi. He tino whai hua hoki, ā, he māmā ake te tikanga i tēnei pokanga.
He aha ngā tikanga e whakamahia ana hei mahi i tēnei pokanga?
E toru ngā huarahi matua e taea ai te mahi pokanga here i ngā ngongo. Mā tō tākuta e whakatau te tikanga tino tika māu i runga i tō āhua hauora me te wā o te pokanga (hei tauira, i muri i te whānautanga).
| Tikanga pokanga | Me pēhea te mahi | Ngā tohu motuhake |
|---|---|---|
| Te Herenga o ngā Ngongo Laparoscopic | E rua ngā tapahi iti rawa ka mahia mā roto i te pito me te puku o raro, ka whakauruhia he taputapu ātaahua me te kāmera (laparoscope), ā, ka purua ngā ngongo fallopian i raro i te kanohi mataara o te aroturuki. | Koinei te tikanga e whakamahia whānuitia ana. He tino iti ngā tapahi, nō reira ka tere te ora. I te nuinga o te wā ka taea e koe te hoki ki te kāinga i roto i ētahi haora. |
| Te pokanga-iti | Ka tapahia he tapahi iti (tata ki te inihi) ki te puku o raro, ka tangohia ngā ngongo fallopian, ka herea, ka āraia. | Ko te nuinga o te wā ka mahia tēnei tikanga i roto i ngā haora 24 o te whānautanga noa nā te mea he teitei te kōpū i taua wā, ā, he māmā ake te tae atu ki ngā ngongo fallopian. |
| Te mahi laparotomi | He pokanga e mahia ana mā roto i tētahi tapahi nui (2-5 inihi) i te puku. | He pokanga nui tēnei. He roa te wā e ora ai. Kāore i te tino whakamahia tēnei tikanga i ēnei rā. Heoi, i te wā e mahi ana i te pokanga tākihi, ka whakamahia tēnei tikanga mēnā ka mahia anō tēnei pokanga mā te tapahi kotahi. |
He aha ngā mea hei tumanakohia i muri i te pokanga?
I muri i te pokanga, ka haria koe ki tētahi wāhanga motuhake (wāhi whakaora) hei tirotiro māu. Mena i pokangahia koe mā te laparoscopy, ka taea e koe te hoki ki te kāinga i roto i ētahi haora. Mō ētahi atu tikanga, me noho pea koe ki te hōhipera mō te rā kotahi, e rua rānei.
Ngā mea hei whakaaroaro i muri i te pokanga
Tērā pea ka pāngia koe e te mamae i muri i te pokanga. He mea noa tēnei.
- Te hiki taumaha: Kaua e hiki i ngā mea taumaha mō te wiki kotahi, e rua rānei. Mena i pokangahia koe i muri i te whānautanga, kaua e hiki i tētahi mea taumaha atu i te taumaha o tō pēpi mō te wiki e whā pea.
- Te taraiwa me te waipiro: Kaua e taraiwa, kaua hoki e inu waipiro mō te iti rawa 24 hāora.
- Kaukau: Ka taea e koe te horoi i tō tinana pērā i ngā wā katoa. Engari kaua e tomo ki te kaukau, kaua hoki e kaukau mō ngā wiki e rua. Me ora pai te motu.
- Mamae pakihiwi: Tērā pea ka pāngia koe e te mamae pakihiwi, kaki, me te uma mō ngā rā e rua, e toru rānei nā te hau waro hauhā e pupuhi ana ki roto i tō puku i te wā e pokanga ana. Mā te kaukau mahana, te whakamahi i te papa whakamahana, me te hikoi haereere ka āwhina i tēnei.
- Te ruaki me te whakapairuaki: Kai i tētahi kai māmā (hei tauira, tī, hupa, taro, pihikete).
- Mamae: Tērā pea ka roa te pupuhi me te mamae o te puku mō ētahi rā. Whakamahia ngā rongoā whakamamae mamae kua tohua e tō tākuta kia rite ki ngā tohutohu.
- Te toto o te tara: He mea noa te puta o te toto iti mō te marama i muri i te pokanga. E 4-6 wiki pea ka tīmata anō tō huringa paheketanga. I taua wā, ka nui ake pea te mamae me te taumaha o tō paheketanga.
He aha ngā painga me ngā ngoikoretanga o tēnei pokanga?
Pērā i ngā tikanga hauora katoa, he pai, he kino anō hoki ōna. He mea nui kia mōhio ki ngā mea e rua i mua i te whakatau.
| Ngā Painga | Ngā ngoikoretanga |
|---|---|
| Tino whai hua, ā, he watea hoki: Neke atu i te 99% te whai huatanga. Ka whakarato i te tiakitanga mō te wā katoa mai i te haputanga. Kāore he take ki te tango pire i ia rā, ki te haere rānei ki ngā wāhi rongoā. | Te pouri: E whakaatu ana ngā rangahau he iti noa te ōrau o te hunga i pokangahia i mua i te 30 tau te pakeke ka pouri i muri mai. Nō reira, me whakatau marie. |
| Kāore e pā ki ngā homoni: He tikanga ārai whānau kore-homoni tēnei. Kāore e pā ki tō huringa paheketanga, ki tō paheketanga rānei. | Pūmau: He tikanga pūmau tēnei. He iti rawa te tūponotanga ka angitu te pokanga whakakore. |
| Ka whakaiti i te mōrearea o te mate pukupuku: E whakaatu ana ngā rangahau ka taea e tēnei pokanga te whakaiti i te mōrearea o te mate pukupuku whatukuhu mā te 40%. | Ngā mōrearea o te pokanga: Pērā i ngā pokanga katoa, he iti noa ngā mōrearea o te rongoā whakamoe, pērā i te mate pāwera me te mate pāwera. Heoi, he pokanga tino haumaru tēnei. |
Ko ēhea ngā wā tino nui hei toro atu ki te tākuta?
Ahakoa he pokanga tino haumaru tēnei, he iti noa te tūponotanga o ngā raruraru. Mena kei a koe ētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu atu , haere rānei ki te tari urupare ohorere (ETU) o te hōhipera.
- Te ruaki me te whakapairuaki tonu, e roa ana mō te neke atu i te rā.
- He kirika neke atu i te 37.3 nekehanga Celsius (100 Fahrenheit) mō te neke atu i te kotahi te rā.
- Te whero, te pupuhi, te pupuhi, te toto rānei huri noa i te wāhi i tapahia.
- Te toto nui, te toto rānei kua pupū ake ka mimiti katoa te paraikete i roto i ngā haora e rua.
- Te mamae nui o te puku, o te hope rānei.
- E rite ana ki te namu.
He tino onge te tūhono anō o ngā ngongo fallopian kua purua. Mēnā ka puta tēnei, ka puta pea he hāputanga ectopic. He āhuatanga morearea tēnei e hiahia ana kia rongoatia wawetia.
Ētahi pātai e pātai pinepinetia ana
Ka pā mai ōku paheketanga i muri i te pokanga?
Āe, tino tika. Kāore tēnei pokanga e pā ki ō homoni, ki tō huringa paheketanga rānei. Ka rite tonu tō paheketanga ki te tikanga noa.
Ka ahatia aku ovaries i muri i te pokanga?
Ahakoa i muri i te pokanga, ka tukuna tonutia e ō ovaries he hua manu i ia marama (whakaputa uri) pērā i te tikanga. Engari ināianei, nā te mea kua āraia ngā ngongo fallopian, kāore e taea e te hua manu te haere ki te kōpū. Nō reira, ka mimiti anō te tinana i te hua manu.
Ka taea e au te hapu i muri i te pokanga?
He tino iti te tūponotanga o tēnei, iti iho i te 1%. Engari he tino onge te tūponotanga.
Kia pēhea te roa i muri i te pokanga ka taea e au te moe tāne?
I te nuinga o te wā ka taea e koe te tīmata anō i te moe tāne i roto i te wiki pea. Heoi, ki te mea i mahia tēnei pokanga i muri i te whānautanga, me tatari koe kia tohutohu mai tō tākuta (e ono wiki pea te roa).
Karere Tangohia ki te Kāinga
- He tikanga ārai whānau tuturu te here i ngā ngongo. I mua i te whakatau i tēnei, whakaarohia marietia mēnā kei te tino mōhio koe. Kōrerohia hoki tēnei ki tō hoa.
- He pokanga tino haumaru tēnei, neke atu i te 99% te angitu.
- Kāore tēnei pokanga e pā ki ō homoni, ki tō huringa paheketanga rānei.
- Kia tūpato ki ngā raruraru pea i muri i te pokanga. Mēnā ka pāngia koe e ētahi tohu kino, me toro atu ki tō tākuta tonu.
- Ko te mea nui, kāore tēnei pokanga e tiaki i ngā mate urutā (STI). He mea nui kia whakamahia ngā tikanga tiaki pēnei i te mau ure tāne.
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