Hoʻololi tubigation ligation

Hana ʻia ka tubigation ligation i mea e ʻae ai i kahi wahine i hoʻopaʻa ʻia kāna mau paipu (tubal ligation) e hāpai hou. Hoʻopili hou nā paipu fallopian i kēia ʻoki hoʻohuli. ʻAʻole hiki ke hoʻohuli i kahi ligation tubal inā aia ka liʻiliʻi o ka paipu i koe a inā ua hōʻino ʻia.

Hana ʻia ka ʻoki hoʻohuli tubal ligation e ʻae i kahi wahine i hoʻopaʻa ʻia kāna mau paipu e hāpai. Eia nō naʻe, kākaʻikahi ka hana ʻoki ʻana. ʻO kēia no ka mea ua piʻi aʻe nā helu kūleʻa me ka vitro fertilization (IVF). ʻO nā wahine e makemake ana e hāpai ma hope o ka loaʻa ʻana o ka tubigation ligation, ʻōlelo pinepine ʻia e hoʻāʻo iā IVF ma kahi o ka hoʻohuli ʻana o ka ʻoki.

ʻAʻole uku pinepine nā hoʻolālā ʻinikua no kēia ʻoki kino.

Nā pilikia no ka anesthesia a me ke kahakaha ʻana:

• Kahe a me ka maʻi
• ʻO ka hōʻino ʻana i nā mea ʻē aʻe (ʻōpū a i ʻole nā ​​ʻōnaehana urinary) pono paha i kahi ʻoki hou aʻe e hoʻoponopono
• Nā hopena āpau i nā lāʻau
• Nā pilikia hanu a i ʻole ka niumonia
• Nā pilikia puʻuwai

Nā pōpilikia no ka hoʻohuli ʻia ʻana o ka tubigation ligation:

• ʻOiai ke hoʻopili hou ʻia ke kahakaha i nā paipu, ʻaʻole paha hāpai ka wahine.
• A 2% a 7% loaʻa o kahi tubal (ectopic) hāpai keiki.
• 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 i nā lāʻau āu e lawe nei, a me 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.
• E nīnau i kāu mea hāʻawi i nā lāʻau e pono ai ʻoe e lawe i ka lā o kou ʻoki ʻana.
• Inā puhi ʻoe, hoʻāʻo e kū. E noi i ka mea nāna e hāʻawi i ke kōkua no ka haʻalele ʻana.

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 a kāu mea hāʻawi i kauoha aku ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• 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 paha kekahi mau wahine e noho i ka haukapila i ka pō. Pono ʻoe e holo i ka home.

Hoʻokahi paha pule a ʻoi paha e ola ai mai kēia ʻoki ʻana. 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 kahi lāʻau ʻehaʻeha ʻoi loa-counter āu e lawe ai.

He nui nā wahine e ʻeha i 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 ʻauʻau i nā hola he 48 ma hope o ke kaʻina hana. E hoʻomaloʻo i ka ʻokiʻoki me kahi kāwele. Mai hamo i ka ʻokiʻoki a kānana paha no 1 pule. E hoʻoheheʻe ʻia nā kuʻi i ka manawa.

E haʻi aku kāu mea lawelawe iā ʻoe i ka lōʻihi e hōʻalo ai i ka hāpai kaumaha a me ka moekolohe ma hope o ke kaha. E hoʻi mālie i nā hana maʻamau ke maikaʻi ʻoe. E ʻike i ke kaukipō 1 hebedoma ma hope o ke kaha ʻana e hōʻoia i ka maikaʻi o ka hoʻōla.

ʻAʻohe pilikia o ka hapa nui o nā wahine me ke ʻoki ponoʻī.

Loaʻa kahi pae mai 30% a 50% a 70% a 80% o nā wahine i hāpai. Inā hāpai ka wahine ma hope o ke ʻano o kēia ʻoki ʻana:

• Kona mau makahiki
• Ke kūʻana o nāʻiʻo makaʻu i ka pelvis
• Hoʻohana ʻia ke ʻano hana ke hana ʻia ka tubigation ligation
• ʻO ka lōʻihi o ka paipu fallopian i hoʻohui hou ʻia
• Ka mākaukau o ke kauka

ʻO ka hapanui o nā hāpai ʻana ma hope o kēia kaʻina hana i loko o 1 a 2 mau makahiki.

ʻOki hou Tubal anastomosis; Tuboplasty

Deffieux X, Morin Surroca M, Faivre E, ʻAoʻao F, Fernandez H, Gervaise A. Tubal anastomosis ma hope o ka sterilization tubal: he loiloi. ʻO Arch Gynecol Obstet. 2011; 283 (5): 1149-1158. PMID: 21331539 www.ncbi.nlm.nih.gov/pubmed/21331539.

Karayalcin R, Ozcan S, Tokmak A, Gürlek B, Yenicesu O, Timur H. ʻO ka hopena hāpai o ka laparoscopic tubal reanastomosis: nā hopena hope loa mai kahi kikowaena kikowaena hoʻokahi. ʻO J Int Med Res. 2017; 45 (3): 1245-1252. www.ncbi.nlm.nih.gov/pubmed/28534697.

ʻO Monteith CW, Berger GS, Zerden ML. Ka kūleʻa o ka hāpai ma hope o ka hoʻohuli ʻana o ka sterilization hysteroscopic. ʻO Obstet Gynecol. 2014; 124 (6): 1183-1189. PMID: 25415170 www.ncbi.nlm.nih.gov/pubmed/25415170.