Ngethuba le- vasectomy eliqhelekileyo, ukubonwa kwembini kwenziwa kwiprotum ukuvumela ukuba ugqirha ukuba afinyelele ngamnye kumntu ochaziweyo (izibini ezimbini ezithumela isidoda kwi-semen). Ngethuba le-vasalomy (engekho-scalpel vasectomy ( ekwabizwa ngokuba yi-keyhole vasectomy ), akukho zigqibo ezenziwe. Kunoko, ugqirha usebenzisa i-hemostat (i-lock locking with tip tip) ukugqithisa ngesikhumba sesikhwama esikhulayo.
Emva koko, ulusu luye lwasasazeka kancinci kuphela kwaze kube zombini iiferensi zingabonakaliswa. Ngenxa yokuba indawo yokuqhafaza imancinci kwaye iphela nje kwesikhumba, izibonda ayidingi kwaye ixesha lokuphulukisa likhawuleza. Njengoko kuthelekiswa ne-vasectomy yendabuko, indlela ye-scalpel ayiyona inqubo engaphantsi kunye neyokhawuleza (ixesha elipheleleyo elibandakanya i-prep kunye ne-aneshesia cishe malunga nemizuzu eyi-15 ukuya kwe-20).
Uvakalelo oluqhelekileyo kuluntu lwezonyango kukuba kufuneka kubekho i-push ye-scalpel vasectomies kuneendawo eziqhelekileyo. Kukho iingenelo ezicacileyo kule nkqubo exhasa ukuba indlela yokuziphatha engacwangciswanga kufuneka ilahlwe. Ukubhekiselele kwenkqubo encinci, ingekho i-scalpel inokulinga amadoda angaphezulu. Oku kuvumela amadoda ithuba lokuthatha inxaxheba enkulu kwinxaxheba yabo yokukhulelwa . Ekubeni imbali yocwangciso lwezesapho lujolise ngakumbi kubasetyhini (kuba yimpilo yabo echaphazelekayo ngqo ngokukhulelwa nokubeletha), ukubonelela amadoda ngokukhetha ukukhusela okukhuselekileyo kunye nokwenza ngcono ukhetho lwabo olukhawulelanayo xa kuziwa ekukhethweni kolawulo lokuzalwa.
Xa kunikezwe inkcaso encinci "yokuphazamisa" ukukwazi ukufumana i-vasectomy ngaphandle kwe-scalpel, amadoda angaphinda ahlaziywe kwisigqibo sokukhusela iintsapho kunye nobudlelwane kwaye angakhetha ukunyamekela uxanduva lokukhulelwa.
Inkqubo
Injongo ngexesha le-vasalomy (okanye i-keyhole vasectomy) engekho ye-scalpel (okanye i-keyhole vasectomy) iyafana ne-vasectomy yesiqhelo-ukudala ukuvimba kwi-deferens, ukuze i-sperm ayisakwazi ukuba yinxalenye yesilwanyana.
Oku kwenziwa ngokucima isiqhezu esifutshane se-vas deferens, ukususa, kunye nokugqithisa (ukudibanisa), ukucima okanye ukucutha (ukutshisa) i-remaining vas iphela. Ngethuba le-vasalomy ye-scalpel ayikho, i-vas (nganye ngexesha) ikhutshwe ngaphandle kwendawo enye yokutshitshiswa, kwaye oko kuvela. Abanye oogqirha bangathatha isinyathelo esongezelelweyo sokubambisana okubandakanya ukuthunga izicubu ezinxulumene nokuphela kwesiphelo se-prostatic (isiphelo esiseduze ne-urethra). Oku kudala isithintelo somzimba phakathi kwe-vasal. Olunye uphando lubonisa ukuba le nyathelo elongezelelweyo linciphisa amazinga okungaphumeleli, kodwa ubungqina bungahambelani ngeli xesha. Emva koko, ukuphela komgca we-vas bayavunyelwa ukuba baphinde baphinde baphinde baye kwi-scrotum.
Ngexesha le-vasectomy yendabuko, amadoda anganikwa unyulo lokuba "inkqubo evulekileyo". Oku kuthetha ukuba kuphela isiphelo seprotatic ye-vas sibophelelwe okanye sikhatywe. Ukuphela kwesicatshulwa (esiseduze ne-testis) ishiywe evulekile. Isizathu sokugcina esi siphelo sivulekile ukuvumela ukuvuza kwesidoda. Ayikho i-scalpel vasectomies ivumela ukuba le ndlela ivulekele. Olunye uphando luye lwabonisa ukuba ukuvumela oku kuvuza kukuvimbela ukuqina okanye ukwakha isidoda ngenxa yokuba isidoda sinokungena ngaphakathi kwaye sithathwe yi-scrotum.
Oku, kungakhokelela ekunyanzelekeni ngaphantsi-into ebangela ukuba intlungu emva kwe-vasectomy. Ubungcali obuvulekileyo buye lwaboniswa kwizinga elincinci leengxaki zeengxaki kunye namaxesha ambalwa epididymitis (xa i-epididymis ityhubhu emva kwetekisi ejongene nokugcina nokuphatha i-sperm iyavutha).
Uphando lubonisa ukuba amadoda angenawo-scalpel vasectomy abike ukwaneliseka ngokubanzi kwimpilo yabo yesondo kwaye banakho ukukhawuleza ukuphinda babelane ngesondo, imimiselo engasemva kokusebenza kwengqondo, ukunyamezela emva kokunyamekela emva, iimeko ezimbalwa zenkqubo yokuhamba emva kwexesha kunye nezihlandlo zokuphucula ngokukhawuleza.
Oku kufaka inkxaso engakumbi ngombono wokuthi akukho-scalpel vasectomy yindlela elula yokwenza i-vasectomy. Le nkqubo inokungeniswa kwimizuzu emininzi inikezela ngokuchanekileyo kwe-vasectomy yendabuko ngelixa inika ezininzi iinkonzo ezongezelelweyo.
Inzuzo
- Amadoda anokulungela ukufuna le nkqubo kuba livakala ngakumbi
- Ngaphantsi
- Umsebenzi wesondo ungahlaziywa ngokukhawuleza xa uziva ukhululekile
- Akukho zibonda okanye utywala
- 40-50% ukubuyisela ngokukhawuleza ngentlungu encinane
- Akunciphisi ngesondo
- Ngethuba elincinci lokunyuka kweengxaki
- Inkqubo yexesha elide, ingqiqo yokukhusela
- Eyona mpu melelo
- Umngcipheko ophantsi wokusuleleka (ngenxa yelonda elincinci, akukho nxeba elide)
Iingxaki
- Kusenokuba kuqwalaselwa kwinkqubo yokuhlinzwa (kodwa iyenziwa ngesigulana sokugula)
- Kudinga ukuqeqeshwa ngokuqhubekayo kunye namaqashiso ukuze asebenze phambi kokuba oogqirha bafumane ubuchule kule nkqubo
- Ngenxa yokuba isidoda sinokuthi sikhona kwi-vas ngaphaya kwendawo yokucima, le nkqubo ifuna ukuba amadoda asebenzise indlela yokubuyisela ukulawula ukuzalwa kokuqala kwe-15 ukuya kwi-20 ejaculations (okanye malunga neveki ezili-12) emva kwenkqubo
- Ukunikezela akukho khuselo kwiintsholongwane zesondo okanye i-HIV
- Kufuneka ucwangcise utyelelo logqirha olongezelelweyo ukwenzela ukuba uqiniseke ukuba akukho mveliso yesidoda ekhoyo kwi-semen yakho
- Okwangoku, i- tubal ligation yinto ethandwa kakhulu ngokusisigxina . Ehlabathini lonke, oogqirha abaninzi kufuneka baqeqeshwe kule nkqubo ye-vasectomy elula, banikezele kwizigulane zabo kwaye bandise ulwazi lwabantu malunga nalolu khetho. Ngenxa yesi sizathu, kunokuba nzima ukufumana ugqirha onogqirha.
Iimpembelelo ezingasemva
Ngokuqhelekileyo, i-vasectomy ye-scalpel ayinayo nayiphi na imiphumo emibi kwaye ixhomekeke kwithuba elincinane kakhulu lokusuleleka kunye nentlungu encinane. Unokufumana impendulo kwi-anesthesia yendawo. Amanye amadoda athetha ukunyameka kwexesha elifutshane kunye nendawo encinci yokutyumla emva kwenkqubo. Kukhona ithuba elincinci lokuphuhlisa i-sperm granuloma - i-pear-size-peed-size bump, ngenxa yesohluma esiswini esiphuthumayo esivela kwi-deferens evulekile. Ingqumbo ayingozi, ayifumanekanga impawu kwaye isoloko isombululo ngumbimbi ngexesha. Ngaphezu koko, inokwenza into ekhuselekileyo kwi-testis ne-epididymis. I-granuloma ityebile kwiimpawu eziphambili ze-epithelial ezingase zivule umdaka ngaphandle kwe-epididymis kwaye zikhusele ukunyuswa kwengcinezelo ukusuka kwintlobo yokukhulelwa kwesisu.
Iindleko
Ngokuqhelekileyo, i- vasectomies ithathwa njengento ephantsi yokunyangwa kwamaxabiso . Unokuhlawulwa ngokubambisana kokuqala kunye nokuhambela kwakho ukulandelelana ukuba uhlaziye isisu sakho. Kodwa, emva kweendleko zangaphambili, akukho zindleko eziqhubekayo zokugcina le ndlela yokukhusela. Le nkqubo ikhutshwe yiinkqubo ezininzi ze-inshurensi yabucala. Ngaphandle kwinshuwalense, ngokuxhomekeka kwindawo yakho yokuhlala kunye nesibonelelo okhetha ukuyisebenzisa, i-vasalomy ye-scalpel ayiyi kuba yindleko phakathi kwama-$ 500 ukuya kwii-1,000 zamawaka (ezinye izakhiwo ziya kubamba zonke iindleko zakho ngelixa ezinye zihlawulisa ngamnye ngamnye).
Impumelelo
I-vasectomy ayikho-scalpel isebenzayo kakhulu - i-99.85% ukuya kwi-99.9% esebenzayo, kodwa isekelwe kumntu usebenzisa ulawulo lokuzalwa emva kokuba sele ekhutshwe ngugqirha ukuba akukho ndoda eshiywe kuyo. Ngoko, oku kuthetha ukuba ngaphantsi kwe-1 kwabasetyhini abahlobo babo abanalo-scalpel vasectomy baya kukhulelwa ngonyaka.
Inqaku elikhethekileyo, i-vasalomy ayikho-scalpel ayikho i-100% eqinisekisiwe ukuba iyasebenza. Nangona xa inkqubo iyenziwa ngokugqibeleleyo, kungenzeka ukuba ukuhlaziywa kwakhona kuyenzeka. Yilapho i-sperm iyalula ukufumana indlela yayo ngaphaya kweemida ezivaliweyo ze-vas deferens. Ubunokwenzeka ukuba oku kwenzekayo kunqabile (ngaphantsi kwe-0.2% yexesha). Ukubuyiswa kwakhona ngokuqhelekileyo kwenzeke kwiinyanga ezi-2 ukuya kwezi-3 zokuqala emva kwe-scalpel vasectomy (isigxina 1/500), kodwa inokwenzeka nokuba yenzeke iminyaka emva kwenkqubo (nangona inqabile kakhulu, eneziganeko ezi-1 / 4,500). Yingakho kubaluleke kakhulu ukuba uhlalise isisu sakho emva kweeveki ezingama-6-12 emva kwe-vasectomy ukuba uqiniseke ngokuqinisekileyo ukuba akukho ndoda ekhoyo.
Isaziso sokugqibela malunga No-Scalpel Vasectomy
Le nkqubo inenjongo yokuba isigxina . Nangona iinkqubo zokuguqulwa kwe-vasectomy zikhoyo, zizinkqubo eziyinkimbinkimbi, ezibiza, kwaye zinezinga eliphumelelayo lokuphumelela. Kufuneka ukhethe kuphela ukufuna i-vasalomy ayikho-scalpel ukuba unesiqiniseko sokuthi awufuni ukuswela abantwana. Musa ukungena kwisigqibo esicinga, ngasemva kwengqondo yakho, ukuba unokuhlala uguqula ukuba imeko zakho okanye iingcinga zakho zitshintsha. Le nqubo ijoliswe kula madoda aziva e-100% ethembele ukuba yilokho bafunayo njengokhetho lwabo lokukhulelwa ... bonke ubomi babo.
- Abafundi babelane: Yintoni ekhusela wena ekufumaneni i-Vasectomy?
Imithombo:
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