He aha te Tubal Ligation? Te Whāinga, te Hātepe me ngā Hua

Ko te tubal ligation he hātepe pokanga e aukati ana i te hapūtanga mō ake tonu atu mā te aukati, te tapahi rānei i ngā ngongo fallopian. Ko te nuinga e kīia ana ko te "here i ō ngongo", ko tēnei pokanga waho-pāpā he aukati i ngā hua manu mai i ō ovaries ki tō kōpū, e kore ai e taea te hapū. E whakaarohia ana ko tētahi o ngā momo whakahaere whānau mō ake tonu atu, e whiriwhiria ana e miriona wahine puta noa i te ao e mōhio ana kāore rātou e hiahia ana ki te hapū anō.

He aha te tubal ligation?

Ko te tubal ligation he hātepe pokanga iti e hanga ana i tētahi arai mō ake tonu atu i ō ngongo fallopian. Ka tapahia, ka hīra, ka aukatia rānei e tō tākuta pokanga ēnei ngongo e kawe ana i ngā hua manu mai i ō ovaries ki tō kōpū i ia marama. Ki te kore tēnei ara, e kore e taea e te pūtau tane te tae atu ki te hua manu, ā, e kore e taea te hapū i te ara māori.

I ētahi wā ka kīia te hātepe ko te whakawhānau wahine, engari he maha ngā wahine e pai ana ki te kupu "tubal ligation" nā te mea he tika ake i te rongoā. Ka mahi tonu ō ovaries i muri i te pokanga, nō reira ka noho tonu ō taumata homoni. Ka whai tonu koe i ngā wāhanga o te marama, ā, ka haere tonu tō tinana i tōna huringa marama māori.

E whakaarohia ana ko tēnei pokanga he whakahaere whānau mō ake tonu atu, ahakoa kei te noho tonu ngā hātepe whakahoki. Heoi, he nui ake te uaua o te whakahoki, ā, kāore e taurangi ana ka taea e koe te hapū anō. Koia te take e tūtohu ana ngā tākuta kia whakaaro nui ki tēnei whakatau, ā, kia kōrero tahi ki tō kaiwhakarato hauora.

He aha te take e mahia ana te tubal ligation?

Ka whiriwhiria e ngā wahine te tubal ligation i te wā e tino mōhio ana rātou kāore rātou e hiahia ana kia hapū anō a muri ake nei. Ko tēnei whakatau ka puta i muri i te whakaoti i te rahi o te whānau e hiahia ana rātou, i te whakatau rānei ka tūpono te hapūtanga ki ngā raru hauora nui. Ka whiriwhiria hoki e ētahi wahine tēnei hātepe kia kore ai e tukuna ngā āhuatanga ira ki ngā tamariki.

Ka tohutohu pea tō tākuta i te here ngongo ki te whai koe i ngā āhuatanga hauora e mōrearea ai te hapū. Ka uru pea tēnei ki te mate ngākau nui, ētahi momo mate pukupuku, ētahi atu raruraru hauora rānei e mōrearea ai tō ora i te hapū. I ēnei wā, ka whai wāhi te whakawātea tūturu i te rangimārie me te whakakore i te hiahia ki te whakamahi tonu i ngā tikanga ārai hapū.

He maha ngā wāhine e whiriwhiri ana i tēnei tikanga mō ngā take whaiaro i muri i te whakaaro nui. Ka mōhio pea koe kua oti i a koe te whānau tamariki, kāore rānei koe i hiahia kia hapū. E pai ana ētahi wāhine ki te ārai hapū tūturu i ngā tikanga homoni wā-roa, ētahi atu rānei tikanga ārai hapū.

He aha te tikanga mō te here ngongo?

Ko te here ngongo te nuinga ka mahia hei tikanga tūroro waho mā te whakamahi i ngā tikanga iti nei te whakaeke. Ko te nuinga, ka whakamahi tō tākuta i te laparoscopy, e uru ana ki te hanga i ngā tapahi iti i tō puku me te whakamahi i tētahi kāmera iti hei ārahi i te pokanga. Ko tēnei huarahi ka hua i te whakaora tere me te iti o te kiko i te whakataurite ki te pokanga tuwhera tuku iho.

I te wā o te tikanga, ka whiwhi koe i te rongoā whānui kia moe katoa koe, kia pai hoki. Ka hanga e tō tākuta tētahi, e rua rānei ngā tapahi iti, te nuinga e tata ana ki tō pito me te raina makawe o te iwi. Ka whakauru rātou i tētahi laparoscope (he ngongo angiangi, mārama me te kāmera) kia kite mārama i ō ngongo fallopian i runga i te aroturuki.

Ka whakamahi tō tākuta i tētahi o ngā tikanga maha hei aukati i ō ngongo mō te tūturu. Anei te mea ka tupu i te wā o tō tikanga:

• Te tapahi me te hiri i ngā ngongo ki te au hiko (electrocautery)
• Te whakatakoto i ngā topenga, i ngā mowhiti rānei ki te taha o ngā ngongo hei aukati i a rātou
• Te tango i ngā wāhanga o ngā ngongo katoa
• Te hiri i ngā ngongo ki ngā porowhita motuhake, ki ngā mono rānei

E 30 ki te 60 meneti te roa o te tikanga katoa. Ko te nuinga o nga wahine ka hoki ki te kainga i te ra ano i muri i etahi haora o te whakaora. Me whai tangata koe hei taraiwa i a koe ki te kainga na te mea ka moe koe i te rongoa mo etahi haora.

Me pehea te whakarite mo to here ngongo?

Ko te whakarite mo te here ngongo ka uru ki te tinana me te hinengaro. Ka whakarite to taakuta i tetahi korero i etahi wiki i mua i to pokanga ki te matapaki i te tikanga, ki te whakautu i o patai, me te whakarite kia mohio koe ki te whakatau. He mea nui tenei wa tatari na te mea he pumau te whakatau, a me tino mohio koe.

Ka arotakehia e to kaiwhakarato hauora to hitori rongoa, a tera pea ka tono whakamatautau toto, etahi atu whakamatautau ranei. E hiahia ana ratou ki te whakarite kia kaua koe e hapu, kia hauora koe mo te pokanga. Mena kei te tango koe i etahi rongoa, ka whakamohio to taakuta ki a koe ko wai hei haere tonu me wai hei whakamutu i mua i te tikanga.

Anei me pehea e taea ai e koe te whakarite mo to ra pokanga:

• Kati te kai me te inu i muri i te waenganui po i te po i mua i te pokanga
• Whakaritea tetahi hei taraiwa i a koe ki te kainga me te noho ki a koe mo te 24 haora
• Mau i nga kakahu pai, he wewete ki to hui
• Tangohia nga whakapaipai katoa, nga whakapaipai, me te whao whao
• Tangohia nga rongoa kua tohua e te taakuta

He mea nui ano te whakarite i to kainga mo te whakaora. Whakakiia ki nga kai pai, kia rite nga peeke huka mo nga raruraru, me te whakarite awhina mo te hiki taumaha, nga mahi kaha ranei mo nga ra tuatahi. Ko te nuinga o nga wahine ka reri ki te hoki ki nga mahi noa i roto i te wiki.

Me pehea te panui i o hua here ngongo?

Kāore i rite ki te maha o ngā whakamātautau rongoā, kāore te here ngongo e whakaputa ana i ngā "hua" tuku iho e hiahia ana koe ki te whakamāori. Engari, ka whakapūmau tō tākuta i te otinga pai o te mahi i muri tonu i te pokanga. Ka whakamōhio rātou ki a koe i te tikanga i whakamahia me te pai o te haere o ngā mea katoa.

Ka whakarite tō tākuta i tētahi tūpono whai muri i roto i ngā wiki ruarua hei tirotiro i ō wāhi tapahi me te whakarite kia ora pai ana koe. I te wā o tēnei haerenga, ka whakapūmau rātou i te angitu o te mahi me te whakautu i ngā pātai, āwangawanga rānei e pā ana ki te whakaora.

Ko te "hua" tūturu o te here ngongo ko tōna whai huatanga ki te ārai i te hapūtanga. Neke atu i te 99% te whai huatanga o te mahi, ko te tikanga he iti iho i te 1 i roto i te 100 ngā wāhine ka hapū i muri i te here i ō rātou ngongo. Nō reira tētahi o ngā momo whakahaere whānau tino pono e wātea ana.

Ka mōhio koe kei te mahi te mahi mā te kore e hapū. Heoi anō, he mea nui kia mahara kāore te here ngongo e ārai ana i ngā mate e pā ana ki te moepuku, nō reira me whakamahi tonu koe i ngā tikanga ārai pēnei i te kāreti ki te mea he āwangawanga te ārai i te STI.

He pēhea te whai hua o te here ngongo?

He tino whai hua te here ngongo, neke atu i te 99% te angitu. Ko te tikanga, i roto i te 1,000 ngā wāhine i mahi i te mahi, he iti iho i te 5 ka hapū i roto i te tau tuatahi. Ka noho tiketike tonu te whai huatanga i te roanga o te wā, e waiho ana tētahi o ngā momo whakahaere whānau pumau tino pono e wātea ana.

Ka taea te puta te tūponotanga iti o te hapūtanga i muri i te here ngongo mō ētahi take. I ētahi wā ka tipu ngātahi anō ngā ngongo, he mahi e kīia ana ko te recanalization. I ngā wā onge, kāore pea te pokanga i te aukati katoa i ngā ngongo, ka kitea pea e te hua manu tētahi ara kē ki te whakawhānau.

Mēnā ka hapū koe i muri i te here ngongo, he nui ake te tūponotanga ka puta ki waho o te kōpū (i waho o te kōpū). Koinei te take he mea nui kia whakapā atu ki tō tākuta tonu mēnā ka pā mai ngā tohu hapū i muri i te mahi. He tūpono ka tūkinotia te hapū i waho o te kōpū, ā, me whai wāhi tonu te rongoā.

Ka rerekē te whai huatanga o te here ngongo i runga i te tikanga pokanga i whakamahia me tō tau i te wā o te pokanga. Ko ngā wāhine i pokanga i te wā e tamariki ana, he paku teitei ake te tūponotanga o te hapū i roto i tō rātou oranga, ahakoa he iti tonu te tūponotanga.

He aha ngā āhuatanga tūpono mō ngā raruraru here ngongo?

Ahakoa te nuinga o te wā he haumaru te here ngongo, ka taea e ētahi āhuatanga te whakanui i tō tūponotanga ki ngā raruraru. Mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina i a koe me tō tākuta ki te whakatau i te whakatau pai mō tō āhuatanga. Kāore te nuinga o ngā wāhine e pā ana ki ngā raruraru nui, engari he mea nui te mōhio ki ngā tūponotanga ka taea mō te whakatau whakatau mā te mōhio.

He nui te pānga o tō hauora whānui ki te tūponotanga pokanga. Ko ngā wāhine e pā ana ki ētahi āhuatanga hauora ka nui ake te tūponotanga i te wā o te pokanga, i muri rānei. Anei ngā āhuatanga ka whakanui i tō tūponotanga:

• Te momomo, ka uaua ake te pokanga me te whakaroa i te whakaora
• Te mate ngākau, ngā raruraru rānei o te manawa e pā ana ki te manawanui ki te rongoā whakamoho
• Te mate huka, ka whakaroa i te whakaora i te patunga me te whakanui i te tūponotanga o te mate
• Ngā pokanga puku o mua i hanga i te kiko kiko
• Te kai paipa, ka whakaiti i te rere o te hāora me te whakaroa i te whakaora
• Ngā raruraru o te whakaheke toto e pā ana ki te whakaora pokanga

Ka āta arotake tō tākuta i ēnei āhuatanga i te wā o tō kōrero. Mēnā he āhuatanga tūpono ō, ka tūtohu pea rātou i ngā whakatūpato motuhake, i ngā huarahi kē rānei hei whakaiti i ngā raruraru ka taea. I ētahi wā, ka tūtohu pea rātou kia tatari kia pai ake te whakahaere i ētahi āhuatanga.

He aha ngā raruraru ka puta i te here ngongo?

Pērā i ngā pokanga katoa, he tūponotanga kei te here ngongo, ahakoa he iti noa ngā raruraru nui. Ko te nuinga o ngā wāhine ka ora pai, he iti noa te mamae, ka hoki ki ngā mahi o ia rā i roto i te wiki. Mā te māramatanga ki ngā raruraru ka puta ka āwhina koe ki te mōhio ki te wā ki te rapu āwhina hauora me te whai māia ki tō whakatau.

Ko ngā raruraru e pā ana he ngawari, he rangitahi. Ka pāngia pea e koe te mamae i ngā wāhi i tapahia ai, te pupuhi mai i te hau i whakamahia i te wā o te pokanga, te ngenge rānei mai i te rongoā whakamoe. Ko ēnei tohumate ka ngaro i roto i ngā rā torutoru ki te wiki me te okiokinga me te manaakitanga tika.

Anei ngā raruraru ka puta, me mōhio koe, ka tīmata mai i te mea e pā ana:

• Te mate i ngā wāhi i tapahia ai, ka puta te whero, te mahana, te rere ke rānei
• Te toto i te wā o te pokanga, i muri rānei, ahakoa he onge te toto nui
• Te urupare ki te rongoā whakamoe, ka uru pea te whakapairuaki, te urupare mate pāwera rānei
• Te whara i ngā okana tata pērā i te whekau, te pūpū rānei i te wā o te pokanga
• Te mate i muri i te here ngongo, e pā ana ki ngā huringa i ngā tauira paheketanga
• Te hapū i waho i te kōpū mēnā ka rahua te tikanga

He onge rawa ngā raruraru nui, ka puta i roto i te iti iho i te 1% o ngā tikanga. Kua whakangungua tō rōpū pokanga ki te whakahaere i ngā raruraru ka puta, ā, ko te nuinga o ngā take ka taea te whakatau tere me te rongoā tika. Mā te whai i ngā tohutohu i muri i te pokanga ka āwhina ki te whakaiti i ēnei tūponotanga.

Āhea au e kite ai i te tākuta i muri i te here ngongo?

Ka whakarite tō tākuta i tētahi tūpono whai muri i roto i te 1-2 wiki i muri i tō tikanga ki te tirotiro i tō haere o te whakaora. Heoi, me whakapā atu koe ki tō kaiwhakarato hauora tonu mēnā ka pāngia e koe ētahi tohumate e pā ana i mua i tēnei haerenga kua whakaritea. He iti noa ngā take whakaora, engari mā te aro wawe ki ngā tohu whakatūpato ka whakarite i te putanga pai.

Me mātua rapu āwhina hauora tonu mō ētahi tohumate, tērā pea he tohu raruraru. Kaua e whakaroa ki te waea atu ki tō tākuta mēnā e māharahara ana koe mō tētahi āhuatanga o tō whakaoranga. He pai ake te kōrero ki tō kaiwhakarato hauora i te tatari me te māharahara.

Whakapā atu ki tō tākuta tonu mēnā ka pā ki a koe ētahi o ēnei tohumate:

• Te mamae nui o te puku e kaha ake ana, e kore rānei e pai ake i te rongoā mamae
• Ngā tohu o te mate, pērā i te kirika i runga ake i te 101°F, te mākākā, te tohumate rite rewharewha rānei
• Te nui o te toto, te wai rānei e mimiti ana i te papa i roto i te haora
• Te whero, te pūpū, te pūhi rānei i ngā wāhi tapahi
• Te whakapairuaki me te ruaki e kore ai koe e pupuri wai
• Te uaua ki te manawa, te mamae rānei o te uma
• Ngā tohu o te hapū, pērā i te kore o te wā, te mate rānei i te ata

Ka pai ake te nuinga o ngā wāhine i roto i te wiki i muri i te pokanga, nō reira ko ngā tohumate e mau tonu ana, e kaha ake ana rānei i tua atu i tēnei wā, me rapu āwhina hauora. E hiahia ana tō rōpū hauora ki te whakarite kia pai te haere o tō whakaoranga, ā, kei te wātea tonu rātou ki te whakatika i ō māharahara.

Ngā pātai e pātai pinepine ana mō te here ngongo

Q.1 Ka taea te whakahoki i te here ngongo?

Ka taea te whakahoki i te here ngongo, engari he nui ake te uaua i te tikanga taketake. Ko te pokanga e hāngai ana ki te hono anō i ngā wāhanga kua aukatia, kua tapahia rānei o ō ngongo fallopian, engari kāore i te taurangi te angitu. Ahakoa te angitu o te pokanga whakahoki, he rerekē ngā reiti hapū mai i te 30-80% i runga i ngā āhuatanga pērā i tō tau, te tikanga taketake i whakamahia, me te nui o te ngongo e toe ana.

He nui ake te pokanga whakahoki i te here ngongo taketake, he maha ngā wā e hiahia ana kia roa ake te wā whakaora, ā, he nui ake ngā tūponotanga. He maha ngā mahere inihua kāore e kapi ana i te pokanga whakahoki i te mea e kiia ana he kōwhiri. Koia te take e whakanui ana ngā tākuta i te hiranga o te tino mōhio ki tō whakatau i mua i te here ngongo.

Q.2 Ka pānga te here ngongo ki ngā taumata homoni?

Kāore te here ngongo e pā ki ō taumata homoni, nā te mea ka haere tonu te mahi o ō ovaries i muri i te tikanga. Ko te pokanga anake e aukati ana i te ara i waenga i ō ovaries me te kōpū, ehara i te hanga homoni. Ka noho tonu ō taumata estrogen me te progesterone, ā, ka haere tonu koe ki te whai i ngā huringa paheketanga.

E kī ana ētahi wahine he huringa i roto i ā rātou wā i muri i te here ngongo, engari he mea tūtaki noa tēnei, kāore i te tika i te pokanga. Ko ēnei huringa pea nā te whakamutu i te mana whakawhānau homoni, te koroheketanga tūturu, ētahi atu āhuatanga rānei. Ki te kite koe i ngā huringa nui i roto i tō huringa, kōrerohia ki tō tākuta kia whakakore i ētahi atu take.

Q.3 Ka taea tonu e au te hapū i muri i te here ngongo?

He tino onge te hapū i muri i te here ngongo engari kāore e kore. Neke atu i te 99% te whai hua o te tikanga, ko te tikanga he iti iho i te 1 i roto i te 100 wahine ka hapū i muri i te here i ō rātou ngongo. Ki te puta te hapū, he maha ngā wā i roto i te tau tuatahi i muri i te pokanga, ā, he nui ake te tūponotanga o te ectopic.

Ki te pā mai ngā tohu hapū i muri i te here ngongo, whakapā atu ki tō tākuta tonu. Ka mōrearea te hapū ectopic, ā, me rongoā tonu. Ahakoa he iti rawa ngā tūponotanga, he mea nui kia mōhio ki tēnei mea ka rapu rongoā ki te whai āwangawanga koe.

Q.4 Ka pā te here ngongo ki taku oranga moe?

Ko te here ngongo te tikanga kāore e pā kino ki tō oranga moe, ā, ka pai ake pea mō te maha o ngā wahine. Ki te kore te āwangawanga o te hapū kāore i whakamaherehia, he maha ngā tokorua e kite ana ka taea e rātou te whakangā me te pai ake i te whakatata. Kāore te tikanga e huri i tō anatomy i ngā huarahi e pā ana ki te kare ā-tinana, ki te mahi rānei.

E ai ki ētahi wahine ka piki ake te ngākau mō te moe i muri i te here i ngā ngongo fallopian, nā te mea kāore anō kia mōhio ki ngā tikanga whakahaere whānautanga ka raru pea i te ngākau. Heoi anō, kia mahara ko te here i ngā ngongo fallopian kāore e tiaki i ngā mate e pā ana ki te moe, nā reira me whakamahi tonu koe i ngā tikanga aukati mēnā he āwangawanga te aukati i ngā mate e pā ana ki te moe.

Q.5 Kia pēhea te roa o te whakaora mai i te here i ngā ngongo fallopian?

Ko te nuinga o ngā wāhine ka ora mai i te here i ngā ngongo fallopian i roto i te 1-2 wiki, ā, he maha ka hoki ki ngā mahi noa i roto i ngā rā torutoru. Ko te 24-48 haora tuatahi te nuinga o te wā ka raru, ka taea te whakahaere mā te rongoā mamae i runga i te kaute me te okioki. Ka pōuri pea koe i te rongoā mo te rā tuatahi, e rua rānei.

Ka taea e koe te hoki ki te mahi i roto i te 2-3 rā mēnā he mahi tēpu tāu, ahakoa me karo koe i te hiki taumaha, i te whakakori tinana kaha rānei mō te wiki. Ka hoatu e tō tākuta ngā aratohu motuhake i runga i tō ahunga whakamua me te momo mahi e mahia ana e koe. Ko te nuinga o ngā wāhine ka hoki katoa ki te noa i roto i ngā wiki e rua i muri i te mahi.