Kei te hiahia koe ki tētahi atu pēpi i muri i te pokanga whakamahere whānau? Me kōrero tāua mō tēnei (Whakahokinga o te Tubal Ligation)

Kua mahia he pokanga whānau, ā, nā ētahi huringa o tō ao, kei te moemoeā koe kia whānau anō he pēpi? Tērā pea kei te whakaaro koe, 'Kāore e taea e au te mahi i tēnā inaianei, nāku i here aku ngongo.' Engari kaua e tukua kia whakapōrearea koe. Tērā pea ka taea te whakakore i te pokanga kua mahia e koe. Koinei te mea e kiia nei e mātou ko te 'tubal ligation reversal.' I tēnei rā, ka kōrerohia e mātou ngā mea katoa i roto i te huarahi tino māmā.

He aha te herenga o ngā ngongo me tōna whakakorenga?

He ngāwari noa iho, he mahi pokanga te here i ngā ngongo uterine hei ārai i te hāputanga. Ko te here, te tapahi, te tahu rānei i ngā ngongo uterine. Ka ārai tēnei i te haerenga o te hua manu mai i ngā ovaries me te parāoa o te tāne, ka ārai i te hāputanga.

Nā, ki te hiahia koe ki te whānau anō i tētahi atu tamaiti, e rua āu kōwhiringa matua. Ko tētahi ko te pokanga whakahurihuri. Ko tētahi ko te whakatōnga in vitro (IVF) . Kāore e hiahiatia ngā ngongo fallopian mō te IVF.

Ko te Whakahoki i te Tūpā he tikanga pokanga e hono anō ana i ngā ngongo pūkahukahu kua āraia, kia taea ai te tūtaki i te hua manu me te parāoa. He tikanga whakamahere whānau tēnei e hurihia ana. I ētahi wā ka kiia ko te "Tubal Reanastomosis".

Mā wai tēnei pokanga e pai ai? He aha ngā āhuatanga e pā ana ki te angitu?

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

He āhuatanga kāore e taea te whakakore?

Āe. Mena kua tangohia te nuinga, te katoa rānei o ō ngongo whekau, kāore e taea te whakatika. Waihoki, ki te whakaurua ngā taputapu pēnei i a `Essure®` me `Adiana®` ki roto i ngā ngongo, kāore e taea te whakakore i te āhua. Mena kua mahia tēnei e koe, ā, kei te whakaaro koe kia whānau he pēpi, me kōrero ki tō tākuta.

He aha ngā mea ka mahia i mua i te pokanga, ā, me pēhea te whakarite?

Ka whakamāramahia e tō tākuta te pokanga ki a koe me te matapaki i ngā mōrearea. Ka mahia e rātou ēnei e whai ake nei hei tirotiro mēnā he pai koe:

• Te arotake i tō hītori hauora: Ka pātai atu rātou ki a koe mō ō hāputanga o mua, ngā taipitopito o ngā pokanga whakamahere whānau kua mahia e koe, me ētahi atu pokanga kua mahia e koe.
• Te tātari purapura: He mea nui tēnei hei tirotiro i te tūponotanga o te haputanga i muri i te pokanga.
• Ētahi atu whakamātautau: I runga i tō āhua, ka taea hoki te whakahaere i ngā whakamātautau toto, i ngā matawai rānei.

Me pēhea e taea ai e koe te whakarite?

I tō haerenga tuatahi ki te tākuta, he mea āwhina te kawe mai i tētahi kape o tō pūrongo pokanga whakamahere whānau . Mena i tangohia ō ngongo, mauria mai te pūrongo pathology . Hei whakanui ake i tō tupono ki te haputanga hauora, me mahi i ēnei e whai ake nei:

• 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 kai paipa koe, kati rawa.
• Whakawhāitihia te nui o te kawheine e kainga ana e koe, 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 mahia i roto i te hōhipera. Ka whakamoea koe i raro i te mate whakamoe whānui, kia kore ai koe e mamae . Ka taea e koe te hoki ki te kāinga i te rā tonu o te pokanga.

I te wā e mahi ana te tākuta i te pokanga, ka whai ia i ēnei mahi:

1. Ka hoatu he rongoā whakamoe ki a koe hei whakamoe i a koe.

2. I te wā o te pokanga, ka whakauruhia he ngongo (catheter) ki roto i te pūkahukahu hei kohi mimi.

3. Ka whakamahia he tapahi iti i raro i te rārangi bikini (mini-laparotomy) he maha rānei ngā tapahi iti rawa i te puku (laparoscopy) hei uru atu ki ngā ngongo fallopian.

4. Ka tirohia ngā awaawa kia kitea ai mēnā ka taea te hanga anō. Ki te taea, ka tīmata tonu te pokanga.

5. Whakatuwheratia ngā pito o ngā awa kua āraia, ā, āta hono anō ngā wāhanga awa e rua.

6. Kātahi ka tukuna he tae mā roto i te kōpū hei tirotiro mēnā kei te tuwhera ngā ngongo whēkau.

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

He aha ngā painga me ngā mōrearea o tēnei pokanga?

Ko te painga nui o tēnei ko te taea e koe te whakamātau ki te hapu ā-taiao i ia marama i muri i te pokanga. Waihoki, tera pea ka nui atu i te kotahi te tamaiti ka whānau mai, me te kore he maimoatanga kē atu.

Pērā i ngā pokanga katoa, he iti noa iho ngā mōrearea, engari he iti rawa te tūponotanga ka puta.

• Te mate urutā.
• Te toto toto, te toto rānei kua pūmau.
• Mate pāwera ki te rongoā whakamoe.
• Te pakaru o ētahi atu okana i te wā e pokanga ana.

He pēhea te angitu o te pokanga? Ā, kia pēhea te roa o te wā e hapu ai?

Ko te angitu o te hāputanga i muri i tēnei pokanga kei waenga i te 50% ki te 80% . Kei runga i ngā āhuatanga pēnei i te tau, te āhua o ngā ngongo fallopian, me ētahi atu. He mea tino nui anō hoki te wheako o te tākuta e mahi ana i te pokanga.

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

Ka taea te whānau tamariki me te kore pokanga? (tikanga IVF)

Āe, ka taea. Koinei te mahi a te IVF (In Vitro Fertilization) .Tērā tētahi tikanga. Mena kāore koe i te pai mō te pokanga, ki te pai ake rānei koe ki te IVF i te pokanga, ka tūtohu atu tō tākuta ki a koe.

He nui hoki ngā haputanga o te IVF. Engari he ngoikoretanga anō hoki. Hei tauira, me werohanga homoni koe i ia rā mō te 10 rā pea, ā, me haere koe ki ngā wāhi rongoā mō ngā karapa me ngā whakamātautau toto. He tukanga uaua rawa atu tēnei.

He pai ake te kōrero ki tō tākuta, me te whakatau ko tēhea tikanga te mea pai mōu.