Kei te hiahia koe ki tētahi atu pēpi i muri i te herenga o te ngongo? Me kōrero tāua mō tēnei (Te Whakahoki i te Herenga o te ngongo)

Tērā pea i whakaaro koe kua oti tō whānau, ā, kua herea ngā ngongo ure, he tikanga whakamahere whānau. Engari ināianei, i muri i tētahi wā, kei te whakaaro koe me hiahia koe ki tētahi pēpi iti kia menemene anō ki te kāinga? He mea noa te whakaaro pēnā. He tokomaha te hunga e whakaaro ana kāore e taea te whakakore i tēnei. Engari he pono? I tēnei rā, me kōrero tātou mō ngā huarahi ki te whānau anō i tētahi tamaiti i muri i te herea o ngā ngongo ure.

Tuatahi, kia tirohia te tikanga o tēnei 'herenga ngongo'.

He mahi ngāwari tēnei hei ārai i te hāputanga. Ko te tikanga o tēnei he tapahi, he here, he tahu rānei i ō ngongo tāne. Ko ngā ngongo tāne te wāhi e tūtaki ai te hua manu mai i te ovary me te parāoa mai i te tāne. Nō reira, ina aukatia ēnei ngongo e rua, kāore he huarahi e tūtaki ai te hua manu me te parāoa. Nō reira, kāore e taea te hāputanga.

I muri i tēnei pokanga, ki te hiahia koe kia whānau anō he pēpi, e rua āu kōwhiringa matua. Ko tētahi ko te pokanga e kōrerohia ana i tēnei rā, arā, ko te hono anō i ngā ngongo (`Tubal Ligation Reversal`) . Ko tētahi ko te whakatōnga in vitro, e mōhiotia ana ko te `In Vitro Fertilization (IVF) . Kāore e hiahiatia ngā ngongo fallopian mō te IVF. He pai, he ngoikoretanga hoki ō ngā tikanga e rua.

Nō reira, ko te 'Tubal Ligation Reversal' he whakahuri i te pokanga o mua. I konei, ka honoa anō ngā ngongo fallopian kua āraia, ka hanga he ara mō te hua manu me te parāoa ki te haere. Ki te angitu tēnei, ka taea e koe te hapu anō i roto i te āhua tūturu.

Ka taea e te katoa te mahi i tēnei pokanga? Mā wai te mea pai rawa atu?

Mena he nui te tūponotanga ka hapu koe i muri i tēnei pokanga, he pai koe mō tēnei. Ko te angitu o tēnei pokanga e whakawhirinaki ana ki ētahi āhuatanga. Kia kite tātou he aha ēnei.

• Tō tau: Ka heke iho tō momonatanga i te pakeketanga. Nō reira, ki te iti ake tō pakeketanga, ka nui ake te tūponotanga ka hapu koe i muri i tēnei pokanga. Ā, ka iti ake te tūponotanga o te materoto me ngā hapa ira o tō pēpi.
• Ētahi atu raruraru momona: Mena kei a koe ngā āhuatanga pēnei i te paheketanga koretake, te fibroids uterine, te endometriosis rānei (te tipu o te kiko e tika ana kia noho ki roto i te kōpū i waho o te kōpū), tera pea ka iti ake te tūponotanga ka angitu koe.
• Te hauora o tō hoa: He mea tino nui hoki te hauora o te parāoa o tō hoa i konei, nō reira ka tirohia anō hoki i mua i te pokanga.
• Te āhua o tō herenga o ngā ngongo o mua: Mena i katihia ō ngongo o mua ki ngā topenga, ki ngā mowhiti rānei, he māmā noa iho te hono anō. Heoi, mena i katihia ki te electrocautery, he tikanga tahu hiko, ka uaua ake te hono anō.
• Te roa o ngā ngongo uterine e toe ana: Hei hono anō i ngā ngongo e rua i muri i te pokanga, me nui ngā wāhanga ngongo hauora e toe ana.

He huarahi anō kei reira hei ārai i te kore e taea te hanga anō?

Āe, tera ētahi wā. Mena kua tangohia katoatia ō ngongo whooping, kua tapahia rānei te pito o te ngongo, ā, kua tangohia, kāore e taea te hono anō.

I tua atu, e rua ngā momo taputapu i whakamahia i mua, ko te `Essure®` me te `Adiana®`. He tikanga kore-pokanga ēnei, ka whakaurua mā roto i te tenetene ki roto i ngā ngongo fallopian hei aukati i a rātou. Kua tangohia ēnei i te mākete ināianei. Kāore e taea te whakakore i te kino o ngā ngongo i puta mai i ēnei taputapu. Mena kua whakamahia e koe ēnei tikanga, ā, kei te ngana koe ki te whānau pēpi, kia kite koe i tō tākuta.

He aha ngā mea ka tupu i mua i te pokanga?

Ki te mea kei te whakaaro koe mō tēnei, me toro atu koe ki tō tākuta i te tuatahi. Māna e whakamārama te pokanga ki a koe, tae atu ki ngā mōrearea, ā, māna e mahi ngā mea e whai ake nei kia kite ai mēnā he pai koe:

• Hītori hauora: He arotake hōhonu i ō hāputanga o mua, ngā taipitopito o ngā pokanga here ngongo kua mahia e koe, me te mea kua mahia e koe ētahi atu pokanga.
• Tātaritanga purapura: Ka whakamātauria te maha me te kounga o te purapura a tō hoa kia mōhio ai koe ki te tūponotanga ka hapu koe i muri i te pokanga.
• Ētahi atu whakamātautau: I runga i tō hītori hauora, me whai whakamātautau toto me ngā karapa pea koe.

Me pēhea taku whakarite mō te pokanga?

Ina kite tuatahi koe i tō tākuta, he mea āwhina te kawe mai i te "pūrongo pokanga" o tō herenga ngongo o mua. Mena i tangohia ō ngongo, me kawe mai hoki te "pūrongo mate".

Hei whakanui ake i tō tupono ki te haputanga hauora, me mahi ēnei mea:

• Kia mau tonu te whakahaere i ētahi atu mate hauora kei a koe (pēnei i te mate huka me te toto toto tiketike).
• Ki te mea he kai paipa koe, kati rawa .
• Whakaitihia te kai kawheine, pērā i te waipiro me te kawhe.
• Tīmata ki te tango i tētahi multivitamin, i tētahi huaora rānei mō te wā e hapu ana, kei roto ko te waikawa folic.

He aha ngā mea ka tupu i te wā o te pokanga?

E rua ki te toru hāora te roa o tēnei pokanga. Ka taea e koe te hoki ki te kāinga i taua rā anō. Ka mahia te pokanga i raro i te mate whakamoe whānui, arā, kāore koe e rongo i tetahi mea.

E rua ngā tikanga mō te mahi i te pokanga. Ko tētahi he tikanga 'mini-laparotomy'. I konei, ka tapahia he tapahi iti i te 2 inihi i raro i te rārangi bikini, ā, ka whakamahia he karuārai hei mahi i te pokanga. Ko tētahi atu tikanga ko te 'robotic-assisted laparoscopy'. I konei, ka hangaia he maha ngā kōhao iti ki te puku, ā, ka whakamahia he ringa robotic hei mahi i te pokanga.

I te wā o te pokanga:

1. Ka whakamoea rawatia tō manawa.

2. Ka whakauruhia he ngongo iti (catheter) ki roto i te pūkahukahu hei kohi mimi.

3. Ka tapahia he kōhao iti, ka hangaia rānei ki te puku hei urunga atu ki ngā ngongo whēkau.

4. Tuatahi, ka tirohia e mātou mēnā kei te pai ngā ngongo hei whakatika. Ki te taea, ka haere tonu te pokanga ki reira.

5. Ka whakatuwheratia ngā pito o ngā ngongo kua āraia, ā, ka honoa anō ngā wāhanga ngongo e rua.

6. Kātahi ka tukuna he wai motuhake (`tae`) mā roto i te kōpū hei tirotiro mēnā kei te tuwhera ngā ngongo, ā, kei te rere te wai mā roto.

7. Hei whakamutunga, ka tuia te tapahi ki ngā tuitui wairewa i raro i te kiri, kātahi ka tāpirihia he takai.

Kei te pēhea te haere o te pokanga? He aha ngā painga me ngā mōrearea?

Kāore koe e mamae i muri i te pokanga, nā te mea kei raro koe i te mate whakamoe. Ka hoatu e te tākuta he rongoā whakamamae hei āwhina i te mamae i te memeha haere o te mate whakamoe. Tērā pea ka mamae koe i te wāhi i pokangahia ai mō ētahi rā.

Ka tirotirohia koe i te hōhipera mō te rua hāora i muri i te pokanga. Ka whakaaetia koe kia hoki ki te kāinga ina whakaūtia kei te pai ngā mea katoa. Tērā pea ka hiamoe koe nā te pānga o te rongoā whakamoe. Nō reira, he mea nui kia haere mai tetahi ki te kawe i a koe ki te kāinga .

He pēhea te angitu o tēnei pokanga?

Ko te tikanga, ko te auau haputanga i muri i tēnei pokanga kei waenga i te 50% ki te 80%. Ko tēnei auau angitu e whakawhirinaki ana ki te tau i kōrerotia i mua ake nei, te āhua o ngā ngongo fallopian, me te wheako o te tākuta e mahi ana i te pokanga.

Kia pēhea te roa o te wā e ora ai?

Ka taea e te nuinga o te tangata te hoki ki ā rātou mahi o ia rā i roto i te wiki, e rua rānei, engari me whakapā atu ki tō tākuta kia tino mōhio ai koe.

Kia pēhea te roa o te wā e hapu ai i muri i te pokanga?

Ko te nuinga o ngā hāputanga ka puta i roto i ngā tau tuatahi, e rua rānei i muri i te pokanga. Heoi, ka kī ngā tākuta me tatari kia oti i a koe te rua o ngā huringa paheketanga i mua i te ngana ki te hapu.

Kāore e taea te hapu me te kore he pokanga? Ko te kōwhiringa e kiia nei ko te IVF

Āe. Ko te 'IVF' (whakatōkī in vitro) tētahi atu kōwhiringa. He nui hoki te angitu o tēnei mō te hapūtanga. Engari kāore e hiahiatia he pokanga.

I roto i te IVF, ka werohia he homoni mō te 10 rā pea, ka whanakehia ō hua manu, ka tangohia aua hua manu i tō tinana, ā, ka honoa ki te parāoa o tō hoa i roto i te taiwhanga hei hanga i tētahi kukune. Kātahi ka whakatōkia taua kukune ki roto i tō kōpū.

Mena ehara koe i te kaitono pai mō te pokanga Whakahuri i te Tubal Reversal, ki te mea rānei he pai ake ki a koe tēnei tikanga i te pokanga, ka tūtohu pea tō tākuta i te IVF māu.

Āhea ahau me kite anō i te tākuta?

Ka tonoa koe kia hoki mai i roto i te wiki, i ngā wiki e rua rānei i muri i te pokanga. Ka hoatu hoki he tohutohu ki a koe mō te wā hei kōrero mēnā ka puta he raruraru i mua i taua wā.

Tērā pea ka tūtohu te tākuta i tētahi whakamātautau hihi-X e kiia nei ko te "HSG" i ētahi marama i muri i te pokanga hei tirotiro mēnā kei te tuwhera tonu ngā ngongo fallopian.

Ahakoa te herea o ō ngongo, ehara i te mea kāore e taea e koe te whānau anō. Ki te hiahia koe, he kōwhiringa pai pea te Tubal Ligation Reversal. Heoi, i runga i tō tau me tō hauora, he kōwhiringa pai ake pea te IVF. He pai ake te kōrero ki tō tākuta mō tēnei, me te whakatau ko tēhea tikanga te mea pai mōu.