ʻO ka hāpai ma hope o ka hoʻoulu ʻana o ka Tubal: E ʻike i nā ʻōuli

Anter

• He aha ka pilikia o ka hāpai keiki ma hope o ka tubal ligation?
• Nā ʻōuli o ka hāpai ʻana
• Nā ʻōuli o kahi hāpai hāpai ectopic
• Nā ʻanuʻu aʻe

Hōʻike Overview

ʻO ka ligation tubal, ʻo ia hoʻi ka "hoʻopaʻa paʻa ʻana i kāu mau paipu," kahi koho no nā wahine makemake ʻole e hānau keiki. Hoʻopili kēia hana ʻoki kino i waho i ka pale ʻana a ʻoki ʻana i nā paipu fallopian. Pale ia i kahi hua manu i hoʻokuʻu ʻia mai kāu ovary mai ka huakaʻi ʻana i kāu kōpū, kahi e hiki ai ke momona i ka hua manu.

ʻOiai ka maikaʻi o ka ligation tubal i ka pale ʻana i ka hapai nui ʻana, ʻaʻole ia he paʻa loa. Kuhi ʻia he 1 mai kēlā me kēia 200 mau wahine e hāpai ma hope o ka tubal ligation.

Hiki i ka ligation tubal ke hoʻonui i kou makaʻu i kahi hāpai ectopic. ʻO kēia kahi i hoʻokomo ʻia ai kahi hua manu i hoʻomomona ʻia i nā paipu fallopian ma kahi o ka huakaʻi ʻana i ka kōpū. Hiki ke hoʻololi i kahi hāpai ectopic i kahi pilikia. He mea nui e makaʻala i nā ʻōuli.

He aha ka pilikia o ka hāpai keiki ma hope o ka tubal ligation?

Ke hana kahi kauka i kahi tubigation ligation, hoʻopaʻa ʻia nā paipu fallopian, ʻoki, hoʻopaʻa ʻia, a hoʻopaʻa ʻia paha. Hiki i ka tubigation ligation ke hopena i ka hāpai keiki inā ulu hou nā paipu fallopian ma hope o kēia kaʻina.

ʻOi aku ka makaʻu o ka wahine i kēia hanana ʻōpio ke loaʻa iā ia kahi ligation tubal. Wahi a ke Kulanui Lapaʻau ʻo Pittsburgh, nā helu o ka hāpai ʻana ma hope o ka hoʻoilina tubal.

• 5 pakeneka o nā wahine ma mua o 28
• 2 pakeneka o nā wahine ma waena o nā makahiki 28 a 33
• 1 pakeneka o nā wahine i ʻoi aku ma mua o 34

Ma hope o ke kaʻina hana ligation tubal, ʻike paha kahi wahine ua hāpai ʻo ia. ʻO kēia no ka mea ua hoʻokomo mua ʻia kahi hua manu momona i loko o kāna kōpū ma mua o kāna kaʻina hana. No kēia kumu, koho nā wahine he nui i ka tubigation ligation ma hope pono o ka hānau ʻana a ma hope paha o ka manawa menstrual, ke haʻahaʻa ka makaʻu o ka hāpai keiki.

Nā ʻōuli o ka hāpai ʻana

Inā ua ulu hou kāu puʻupuʻu fallopian ma hope o ka tubal ligation, hiki paha iā ʻoe ke hāpai i kahi wā piha. Koho pū kekahi mau wahine e loaʻa i kahi tubal ligation hoʻohuli, kahi a ke kauka e hoʻihoʻi pū ai i nā paipu fallopian. ʻAʻole maikaʻi kēia i nā manawa a nā wahine e makemake ana e hāpai, akā hiki nō.

Nā ʻōuli e pili pū ana me ka hāpai ʻana:

• palupalu o ka umauma
• ʻiʻo ʻai
• ke manaʻo nei i ka maʻi ke noʻonoʻo e pili ana i kekahi mau meaʻai
• nalowale ana he manawa
• nausea, keu hoʻi i ke kakahiaka
• luhi luhi ʻole
• urencing hou pinepine

Inā manaʻo ʻoe he hāpai ʻoe, hiki iā ʻoe ke lawe i kahi hōʻike hāpai hāpai ma ka home. ʻAʻole hiki ke hilinaʻi ʻia he 100 pakeneka i kēia mau hoʻāʻo, ʻo ia hoʻi i ka wanaʻao o kou hāpai ʻana. Hiki i kāu kauka ke hana i kahi hōʻoia koko a i ʻole ultrasound e hōʻoia i ka hāpai ʻana.

Nā ʻōuli o kahi hāpai hāpai ectopic

ʻO ka loaʻa ʻana o ke kīkala pelvic a i ʻole ka tubigation ligation hiki ke hoʻonui i ka makaʻu o kahi hāpai ectopic. Heʻoiaʻiʻo nō hoʻi kēia inā hoʻohana ʻoe i kahi mea intrauterine (IUD) ma ke ʻano he ʻano hana hana pale.

ʻO nā ʻōuli i pili me ka hāpai hāpai ectopic hiki ke nānā mua e like me ka hāpai kuʻuna. ʻO kahi laʻana, inā ʻoe e lawe i kahi hōʻike hāpai keiki, e maikaʻi ia. Akā ʻaʻole i hoʻokomo ʻia ka hua manu momona i kahi e ulu ai. ʻO ka hopena, ʻaʻole hiki ke hāpai i ka hāpai ʻana.

Ma waho aʻe o nā ʻōuli hāpai ʻōiwi, hiki i nā ʻōuli o kahi hāpai ectopic ke hoʻopili pū ʻia:

• abdominal eha
• kahe koko liʻiliʻi
• ʻeha pelvis
• kaomi pelvic, keu hoʻi i ka neʻe ʻana o ka ʻōpū

ʻAʻole pono e nānā i kēia mau ʻōuli. Hiki i kahi hāpai ectopic ke kumu i ka haki o ka paipu fallopian, a hiki i ka hopena i ke kahe ʻana o loko e hiki ai i ka maʻule a me ka haʻalulu. E ʻimi koke i ka lāʻau lapaʻau inā ʻike ʻoe i kēia mau ʻōuli me kahi hāpai ectopic:

• me ka ʻālohilohi a hala loa paha i waho
• ʻeha nui i kou ʻōpū a pelvis
• kahe koko nui
• ʻeha poʻohiwi

Inā hoʻoholo kāu kauka he ectopic kou hāpai ʻana i ka wā mua, hiki iā lākou ke kuhikuhi i kahi lāʻau i kapa ʻia ʻo methotrexate. Hiki i kēia lāʻau ke hōʻoki i ka hua manu mai ka ulu ʻana aʻe a i ʻole ke kumu e kahe ana ke kahe. E nānā kāu kauka i kāu mau pae o ka gonadotropin chorionic kanaka (hCG), kahi hormone e pili ana i ka hāpai ʻana.

Inā maikaʻi ʻole kēia ala, pono paha ke ʻoki e hemo i ka nāʻaʻa. E hoʻāʻo kāu kauka e hoʻoponopono hou i ka ʻōmole fallopian. Inā hiki ʻole ia, e hoʻoneʻe ʻia ka paipu fallopian.

Mālama nā kauka i kahi puʻupuʻu fallopian ruptured me ke ʻoki e hoʻoponopono a lawe aku paha iā ia. E koi paha ʻoe i nā huahana koko inā ua nui nā koko i hala iā ʻoe. E nānā pū kāu kauka iā ʻoe no nā hōʻailona o ka maʻi, e like me ke kuni a me ka paʻakikī e mālama i ke kahe o ke koko maʻamau.

Nā ʻanuʻu aʻe

ʻOiai ʻo ka tubig ligation kahi hana kaohi pono loa, ʻaʻole ia e pale aku i ka hāpai keiki 100 pakeneka o ka manawa. He mea nui e hoʻomanaʻo pū me ka hana ʻole o ke kaʻina hana i ka pale ʻana i nā maʻi kolohe. Inā ʻaʻohe ou a me kāu pakanā hoʻokahi monogamous, he mea nui e hoʻohana i ka pale pale i kēlā me kēia manawa ke moe kolohe ʻoe.

E kamaʻilio me kāu kauka inā hopohopo ʻoe ʻaʻole maikaʻi kāu ligation tubal. Inā loaʻa iā ʻoe kāu kaʻina hana i kou wā ʻōpio a i ʻole inā ʻoi aku ia ma mua o ke anahulu mai kou loaʻa ʻana i kāu kaʻina hana, hiki i kahi liʻiliʻi akā hoʻonui i ka makaʻu o ka hāpai keiki. Hiki iā ʻoe a me kāu hoa ke hoʻohana i nā koho kaohi ʻē aʻe e hōʻemi i nā pilikia. Hiki i kēia mau mea ke komo i kahi vasectomy (male sterilization) a i ʻole condom.