Kua mutu tāu whānau tamariki, ā, kua tino whakatau koe "Kāore au e hiahia ki tētahi atu tamariki"? Kua rongo pea koe i tētahi pokanga e kīia nei ko 'LRT'. He tikanga whakahaere whānau rongonui tēnei i waenga i te tini o te tangata. Ahakoa e kōrerohia ana, he tokomaha kāore i te tino mārama ki te aha tonu ka puta mai i tēnei pokanga, ōna painga me ōna ngoikoretanga, me te aha ka puta i muri i te pokanga. Nō reira, i tēnei rā, kia ako tātou i ngā mea katoa mōna, kia māmā noa iho.
He aha te herenga o ngā ngongo?
He pokanga ārai whānau tūturu tēnei mā ngā wāhine. Ka kiia hoki ko te "whakakorenga wahine". He tikanga tino whai hua.
Whakaarohia, e toru ngā wāhanga matua o tō tātou pūnaha whakaputa uri: te kōpū , ngā ovaries , me ngā ngongo fallopian. I ia marama, ka tukuna he hua manu mai i ngā ovaries ka haere ki raro i te ngongo fallopian ki te kōpū. Ka puta te haputanga mēnā ka tūtaki ki tētahi parāoa i roto i tēnei haerenga.
Ko tēnei pokanga he tapahi me te here i ngā ngongo fallopian, he ārai rānei i a rātou ki tētahi topenga motuhake, ki tētahi here rānei. He rite ki te kati i tētahi huarahi. Kātahi ka kore e taea e te hua manu te tūtaki ki te parāoa, ā, kāore e taea e te parāoa te tae atu ki te hua manu. Nō reira, kāore e puta te hāputanga.
Ko te mea nui, e kiia ana tēnei he tikanga pumau. Kāore tēnei pokanga e whakarato i tētahi tiaki mai i ngā mate tuku iho i te taatai ( STI ).
He aha te take e whakatau ai tetahi ki te mahi i tēnei pokanga?
Ko te take matua he whakamutu i te whānau tamariki mō ake tonu atu. He tikanga angitu tēnei e 99% neke atu. I muri i te pokanga, ka taea e koe te pārekareka ki te oranga moepuku harikoa me te kore e manukanuka kei hapu koe.
E taunaki ana hoki ngā tākuta i tēnei pokanga mō ētahi take hauora. Hei tauira, mō ngā wāhine he rerekētanga ira kei a rātou (pērā i te whakarerekētanga ira BRCA) e whakanui ana i te mōrearea o te mate pukupuku ovarian, ka tūtohutia pea tēnei pokanga (tērā pea ka tangohia katoatia ngā ngongo fallopian) hei whakaiti i taua mōrearea.
Me pēhea taku mōhio kua tino rite ahau mō tēnei?
Koinei te pātai tino nui me pātai koe ki a koe anō. He mea nui kia mahara he mahi pumau tēnei pokanga. Ahakoa he pokanga whakahurihuri i ētahi wā, he tino uaua, he utu nui, ā, he iti te tūponotanga kia angitu.
- Ki te kore koe e tino mōhio mēnā kei te hiahia koe ki tētahi atu tamaiti, kaua e whakaaro ki tēnei pokanga.
- Engari, he pai ake te whakaaro ki tētahi tikanga rangitahi pērā i ngā pire ārai whānau , i tētahi taputapu IUD rānei ka taea te whakamutu i ngā wā katoa.
- I mua i te whakatau i tēnei, kōrero ki tō hoa. Tērā pea ka hiahia ia ki te whakaaro ki te pokanga tango i te kōpū o te tāne, arā, te pokanga whakamomori.
He mea nui kia kōrerotia ō pātai me ō wehi katoa mō tēnei mea ki tō tākuta, me te whakamārama hoki i aua mea kia mārama.
He aha ngā tikanga hei whakahaere i te pokanga?
E toru ngā huarahi matua e taea ai te mahi pokanga here ngongo. Mā tō tākuta e whakatau te tikanga pai rawa atu i runga i ngā āhuatanga pēnei i tō āhua hauora me te mea ka mahia e koe i muri i te whānautanga.
1. Te Herenga o ngā Ngongo Tubal Laparoscopic
He tokomaha e kī ana i tēnei ko te " pokanga kōhao kī" nā te mea kāore he tapahi nui e hiahiatia ana.
- Ka hoatu he rongoā whakamoe (moe katoa) ki a koe.
- E rua ngā tapahi iti rawa ka mahia ki te hope me te puku o raro.
- Ka whakauruhia he ngongo angiangi me te kāmera e kiia nei ko te laparoscope mā te tapahi kotahi, ā, ka pupuhihia te puku ki te hau (hauora waro) kia mārama ai te kitea o ngā whekau.
- Ka whakaurua he taputapu pokanga mā te pokanga kē atu, ka kimihia ngā ngongo fallopian, kātahi ka katihia ngā ngongo mā te whakamahi i te topenga, te rīpene, te iahiko hiko rānei (electrocoagulation).
- Ka taea e koe te ora wawe i muri i tēnei. I te nuinga o te wā ka taea e koe te hoki ki te kāinga i te hōhipera i roto i ētahi haora.
2. Tikanga pokanga iti-laparotomy
Ko te nuinga o te wā ka mahia tēnei tikanga i roto i ngā haora 24 o te whānautanga noa.
- Mena i whakamahia he epidural i te wā e whānau ana koe, ka whakamahia tēnā. Ki te kore, ka hoatu he rongoā whakamoe tuaiwi ki a koe.
- I muri i te whānautanga o te pēpi, kei te tata tonu te kōpū ki te kaki o te ū, nō reira ka tapahia he wahi iti i raro i te kaki o te ū kia māmā ai te kimi i ngā ngongo fallopian me te herea ki tētahi miro motuhake.
3. Te pokanga puku
He pokanga tuwhera tēnei. Kāore e whakamahia nuitia ana tēnei tikanga i ēnei rā nā te mea ka mahia mā roto i tētahi tapahi nui ake i te puku. Heoi, ki te mahia tēnei pokanga i te wā kotahi me te pokanga c-section , he tino whai hua tēnei nā te mea ka mahia mā roto i te tapahi kotahi i whakamahia hei whānau i te pēpi.
He aha te mea hei tumanako i muri i te pokanga
I muri i te pokanga, ka puritia koe ki tētahi rūma motuhake hei tirotiro māu, ā, ki te pai ngā mea katoa, ka tukuna koe ki te kāinga. Mena i mahia mā te laparoscopy, ka taea e koe te haere i roto i ētahi haora. Mō ētahi atu tikanga, me noho pea koe ki te hōhipera mō te rā kotahi. Tiakina ēnei mea i muri i tō hokinga ki te kāinga.
| Tohutohu / Tohu | Whakaahuatanga me ngā mea hei mahi |
|---|---|
| Te hiki taumaha | Kaua e hiki i tētahi mea taumaha mō te 1-2 wiki. I muri i te whānautanga, kaua e hiki i tētahi mea taumaha atu i te taumaha o te pēpi mō te iti rawa 4 wiki. |
| Te taraiwa | Kaua e taraiwa mō ngā hāora 24. Kaua e inu waipiro. |
| Kaukau | Kāore he raruraru ki te horoi i tō tinana. Heoi, kaua e kaukau, kaua hoki e kaukau kia ora rā anō te patunga (mō te rua wiki pea). |
| Pupuhi | I muri i te laparoscopy, ka mamae pea ngā pakihiwi, te kaki, me te uma i te hau e whakakī ana i te puku mō ngā rā e 2-3. He āwhina te hikoi me te kaukau i roto i te wai wera. |
| Whakapairuaki me te mamae | Kai i ngā kai māmā (hupa, tī, taro, pihikete). Tangohia ngā rongoā whakamamae mamae kua tohua e te tākuta mō te mamae o te puku. |
| 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 te roa mō te taenga mai o tō paheketanga e whai ake nei. Ina puta, tera pea ka nui ake te toto me te mamae. |
He aha ngā painga me ngā ngoikoretanga?
Ngā Painga
- Tino whai hua, ā, ngāwari hoki: Neke atu i te 99% te whai huatanga. Ka whakarato i te tiakitanga mō te wā katoa mai i te hāputanga. Kāore he take ki te tango pire i ia rā, ki te haere rānei ki ngā wāhi rongoā.
- Kāore he homoni: He tikanga kore-homoni tēnei. Nō reira, kāore e pā ki tō huringa paheketanga, ā, kāore hoki e puta ai te paheketanga.
- Ka whakaiti i te mōrearea o te mate pukupuku:Kua whakaatuhia e ngā rangahau ka taea e tēnei pokanga te whakaiti i te mōrearea o te mate pukupuku whatukuhu mā te 40%.
Ngā ngoikoretanga
- Te pouri: Tērā pea ētahi o ngā wāhine (ina koa ko te hunga i oti i mua i te 30 tau te pakeke) ka pouri i muri mai, nō reira whakaarohia marietia te whakatau.
- Pūmau: Me whakaaro tēnei he tikanga pumau, kāore e taea te whakakore.
- Ngā mōrearea o te pokanga: Pērā i ngā pokanga katoa, he iti noa ngā mōrearea, pērā i te mate pāwera ki te rongoā whakamoe, te mate pāwera, me te kino ki ngā whekau e karapoti ana.
Āhea te wā tika kia kite tonu i te tākuta
He tikanga tino haumaru te here i ngā ngongo, engari me waea atu ki tō tākuta tonu mēnā ka pāngia koe e tētahi o ngā tohu e whai ake nei:
- Te mamae o te puku e kore e taea te whakamanawanui, te mamae rānei i te rohe hope.
- Mena kei te turuturu te pirau i te motu, kei te toto rānei, kei te whero rānei, kei te pupuhi.
- Te kirika nui (neke atu i te 37.7°C).
- Te toto nui o te tara (mēnā kua mākū katoa te whakapuru i roto i ngā haora e rua).
- Te ruaki tonu.
- Ki te mea kei te pōuri tonu koe.
Ko tētahi atu mea nui hei mōhio, ahakoa he tino onge, ka taea e te ngongo fallopian te hono anō i muri i te pokanga. Mena ka puta he haputanga, he nui ake te tūponotanga he haputanga ectopic, ka puta i roto i te ngongo fallopian tonu. He mate morearea tēnei e hiahia ana kia rongoatia wawetia.
Ētahi pātai e pātai pinepinetia ana
Ka ahatia aku ovaries i muri i te pokanga?
Ka tukuna tonutia e ō ovaries ngā hua tata ki ia rā, engari nā te mea kāore e taea e rātou te haere mā roto i te ngongo fallopian, ka mimia anōtia ki roto i tō tinana.
Āhea ahau ka taea te moe i muri i te pokanga?
I te nuinga o te wā ka taea e koe te moe i roto i te wiki. Heoi, ki te mea i pokangahia koe i muri i te whānautanga, me tatari koe kia kīia koe e tō tākuta (e ono wiki pea te roa).
Ka taea e au te hapu anō i muri i te pokanga?
He iti rawa te wāhi. I raro iho i te 1%.
He ārai tēnei i ngā mate tuku iho i te taatai?
Kāo. Kāore rawa. He mea whakahau kia whakamahia ngā tikanga tiaki pēnei i te mau ure tāne.
Karere Tangohia ki te Kāinga
- He tikanga ārai whānau tuturu te here i ngā ngongo. Me ata whakaaro kōrua ko tō hoa i mua i te whakatau i tēnei.
- Kōrero ki te tākuta, ā, whakatauhia ō pātai me ō wehi katoa.
- E kore tēnei pokanga e aukati i tō paheketanga, e kore hoki e meinga te paheketanga.
- Mai i tēneiKāore e ārai i ngā mate tuku iho (STI). Whakamahia ētahi atu tikanga tiaki.
- Kia tūpato ki ngā tohu mōrearea (mamae nui, kirika, toto nui) ka puta i muri i te pokanga, ā, rapua tonutia he tohutohu hauora mēnā ka puta tētahi o ēnei.
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