ʻAlpuʻu tubal

ʻO ka ligation Tubal kahi ʻoki e hoʻopau ai i nā paipu fallopian o ka wahine. (Kāhea ʻia i kekahi manawa "nakinaki i nā paipu.") Hoʻohui nā paipu fallopian i nā ovaries i ka kōpū. ʻAʻole hiki i ka wahine i loaʻa i kēia ʻoki ke hāpai hou. ʻO kēia ka manaʻo he "sterile."

Hana ʻia ka tubigation ligation i kahi haukapila a i ʻole kahi haukapila maʻi.

• Loaʻa paha iā ʻoe ka anesthesia laulā. E hiamoe ʻoe a hiki ʻole ke ʻeha.
• A i ʻole, e ala ʻoe a hāʻawi i ka anesthesia spinal. Hiki paha iā ʻoe ke loaʻa ka lāʻau e hiamoe ai ʻoe.

ʻO ke kaʻina hana he 30 mau minuke.

• E ʻoki ana kāu kauka lāʻau iā 1 a i ʻole 2 mau ʻoki liʻiliʻi i loko o kou ʻōpū. ʻO ka pinepine, aia lākou a puni ka pihi ʻōpū. Hoʻomaʻu ʻia paha ke kōpena i loko o kou ʻōpū e hoʻonui. Kōkua kēia i kāu kauka lāʻau i kou kōpū a me nā paipu fallopian.
• Hoʻokomo ʻia kahi puʻupuʻu liʻiliʻi me kahi kāmela liʻiliʻi ma ka hopena (laparoscope) i loko o kou ʻōpū. E hoʻokomo ʻia nā mea kani e kāpae i kāu mau paipu ma o ka laparoscope a i ʻole ma kahi ʻoki liʻiliʻi ʻokoʻa.
• Puhi ʻia nā paipu i pani ʻia (cauterized), kāwili ʻia me kahi kaha liʻiliʻi a i ʻole ke komo lima (band), a i ʻole hoʻopau loa ʻia me ka lāʻau.

Hiki ke hana pono i ka tubigation ligation ma hope pono o kāu pēpē ma o kahi ʻoki liʻiliʻi i ka piko. Hiki iā ia ke hana i kahi mahele C.

Paipai ʻia ka tubigation ligation no nā wahine makua e ʻike ʻaʻole makemake lākou e hāpai i ka wā e hiki mai ana. ʻO nā pōmaikaʻi o ke kiʻina e hoʻopili i kahi ala kūpono e pale ai i ka hāpai ʻana a me ka hoʻohaʻahaʻa hoʻohaʻahaʻa ʻia o ka maʻi ʻaʻai ovarian

ʻO nā wahine i ke 40 a i ʻole he moʻolelo ʻohana o ka maʻi ʻaʻai ovarian makemake paha lākou e hemo ka paipu holoʻokoʻa i mea e hoʻoliʻiliʻi hou ai i ko lākou makaʻi o ka ulu ʻana i ka maʻi ʻaʻa ovarian.

Eia naʻe, mihi kekahi mau wahine i koho i nā tubigation ligation i ka hoʻoholo hope. ʻO ke kaikaina o ka wahine, e mihi paha ia i ka hoʻopaʻa ʻia ʻana o kāna mau paipu i kona wā ʻelemakule.

Manaʻo ʻia ʻo ka tubig ligation kahi ʻano paʻa o ka kaohi hānau. ʻAʻole ia e ʻōlelo ʻia ma ke ʻano he wā pōkole a i ʻole hiki ke hoʻohuli ʻia. Eia nō naʻe, hiki i ke kahakaha nui i kekahi manawa ke hoʻihoʻi i kou hiki ke hānau pēpē. Kapa ʻia kēia he hoʻokahuli. Ma mua o ka hapalua o nā wahine i hoʻohuli i kā lākou tubal ligation hiki ke hāpai. ʻO kahi ʻē aʻe i ke kahakaha hoʻohuli tubal e loaʻa iā IVF (in vitro fertilization).

Nā pilikia no ka hoʻīli tubal i:

• Pani ʻole o nā paipu, kahi e hiki ai i ka hāpai keiki ke hiki. Ma kahi o 1 o 200 mau wahine i loaʻa ka maʻi hānai tubal ma hope.
• Hoʻonui i ka makaʻu o kahi tubal (ectopic) hāpai keiki inā hāpai ma hope o kahi ligation tubal.
• ʻO ka hōʻeha i nā mea kokoke a i ʻole nā ​​aʻa mai nā mea hana ʻoki.

E haʻi mau i kāu mea mālama ola:

• Inā ʻoe a hāpai paha
• He aha nā lāʻau āu e lawe nei, ʻo nā lāʻau, nā mea kanu, a i ʻole nā ​​mea hoʻopihapiha āu i kūʻai ai me ka ʻole o ka lāʻau

I nā lā ma mua o kou ʻoki kino:

• E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i ka aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), a me nā lāʻau ʻē aʻe paʻakikī i kou koko ke ʻū.
• Inā puhi ʻoe, hoʻāʻo e kū. E noi i kāu mea nāna e hāʻawi i ke kōkua no ka haʻalele.

I ka lā o kou ʻoki kino:

• E noi pinepine ʻia ʻoe mai inu a ʻai ʻole i kekahi mea ma hope o ke aumoe i ka pō ma mua o kou ʻoki ʻana, a i ʻole 8 mau hola ma mua o ka manawa o kāu ʻoki.
• E lawe i nā lāʻau i haʻi aku ai kāu mea lawelawe iā ʻoe e lawe me kahi wai liʻiliʻi.
• E haʻi aku kāu mea lawelawe iā ʻoe i ka wā e hōʻea ai i ka haukapila a i ʻole ka haukapila.

E hoʻi paha ʻoe i ka home i ka lā like i loaʻa iā ʻoe ke kaʻina hana. Pono ʻoe e holo i ka home a pono e loaʻa kekahi me ʻoe no ka pō mua inā he anesthesia āpau kāu.

E loaʻa iā ʻoe kahi palupalu a me ka ʻeha.E hāʻawi kāu mea hāʻawi iā ʻoe i kauka no ka lāʻau ʻeha a haʻi paha iā ʻoe i ka lāʻau ʻeha over-the-counter hiki iā ʻoe ke lawe.

Ma hope o ka laparoscopy, nui nā wahine i ka ʻeha o ka poʻohiwi no kekahi mau lā. Hoʻokumu ʻia kēia e ke kinoea i hoʻohana ʻia i loko o ka ʻōpū e kōkua i ke kaukipō ʻike ʻoi aku ka maikaʻi i ke kaʻina hana. Hiki iā ʻoe ke hoʻokuʻu i ke kinoea ma ka moe ʻana i lalo.

Hiki iā ʻoe ke hoʻi i nā hana maʻamau i loko o kekahi mau lā, akā pono e hōʻalo i ka hāpai hāpai ʻana no 3 mau pule.

Inā loaʻa iā ʻoe ke kaʻina hana o ka hysteroscopic tubal, pono ʻoe e hoʻomau i ka hoʻohana ʻana i ke kaohi hanau a loaʻa iā ʻoe kahi hōʻike i kapa ʻia ʻo hysterosalpingogram 3 mau mahina ma hope o ke kaʻina hana e ʻike pono ai ke ālai ʻia nā paipu.

ʻAʻole pilikia ka hapanui o nā wahine. ʻO ka ligation tubal kahi ʻano kūpono o ka kaohi hānau. Inā hana ʻia ke kaʻina hana me ka laparoscopy a ma hope paha o ka hānau ʻana i kahi pēpē, ʻaʻole pono ʻoe e loaʻa hou i nā hoʻokolohua hou e ʻike ʻaʻole hiki iā ʻoe ke hāpai.

E hoʻi kāu mau manawa i kahi kumu maʻamau. Inā ʻoe i hoʻohana i ka kaohi hānau hormonal a i ʻole ka Mirena IUD ma mua, a laila e hoʻi hou kāu mau manawa i kāu kumu maʻamau ma hope o kou hoʻopau ʻana i ka hoʻohana ʻana i kēia mau ʻano.

ʻO nā wahine i loaʻa ka tubig ligation i ka hōʻemi o ka makaʻu o ka ulu ʻana i ka maʻi ʻaʻai ovarian.

ʻOki kino Sterilization - wahine; Tubal sterilization; ʻO ka hoʻopaʻa ʻana o Tube; Ke nakinaki nei i nā paipu; Hysteroscopic tubal hanana hana; Ka mea pale keiki - tubal ligation; Hoʻolālā ʻohana - ligation tubal

• ʻO ka ligation tubal - hoʻokuʻu

• ʻAlpuʻu tubal
• ʻO Tubigation ligation - Pūnaewele

ʻO Isley MM. Mālama ʻo Postpartum a me nā noʻonoʻo olakino lōʻihi. I: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Nā Kāpena Gabbe: Nā Pregnancies Maʻamau a me nā Pilikia. 8th ed. Piladelapia, PA: Elsevier; 2021: chap 24.

Rivlin K, Westhoff C. Hoʻolālā ʻohana. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 13.