Ukuvuthwa Okuqhelekileyo Ukufumana 'Izibilini Zakho Ezibophelelwe'
I-mini-laparotomy (eyaziwa ngokuba yi-mini-lap) enye yeendlela ezintathu eziqhelekileyo ze- tubal ligation . Ezi ndlela ezikhethiweyo zokuqhawula ukukhulelwa kwezicathulo zivame ukubhekwa ngokuthi "zinezibilini zakho eziboshwe." Ezinye iindlela ziquka i-laparotomy kunye neparoscopy .
I-lap-mini iyindlela engaphantsi kwe-laparotomy. Kuquka ukutyhulwa okuncinci kwaye kwenziwa ngexesha okanye emva kokubeleka.
I-laparotomy, ngokuphambene, iyenziwa nanini na ixesha kwaye idinga ukukhutshwa okukhulu kuba iibhubhu ze-fallopian ziyafinyeleleka.
Inketho yesithathu, i-laparoscopy, yinkqubo yokucwangcisa eyinkimbinkimbi apho idivaysi yefiber-optic ifakwe kwisalathisi esiswini ngokusebenzisa isicatshulwa. Yinkqubo encinci ye-invasive enokuthi iyenze isenziwa ngokusisigxina.
Ukuthelekisa i-Mini-Laparotomy neLaparoscopy
I-mini-lap iyinkqubo eqhelekileyo eyaziwayo ukuba ikhuselekile kwaye isebenzayo ekukhuseleni ukukhulelwa kwangaphambili ngokuyeka amaqanda amabhinqa ukuba afinyelele kwizibatho zakhe zokulala apho kuhluma khona.
Ibeka iingenelo ezininzi ngaphezu kwe-laparoscopy ngokufuna ixhobo ezincinci, ubuncwane bokusebenza, kwaye zingenziwa esibhedlele ngokukhawuleza emva kokuziswa okanye ngaphambi kokukhutshwa. Ngokuqhelekileyo, kuqhutywa kwiiyure ezingama-48 zokubeletha.
Iingxaki ezivela kwi-mini-lap iphezulu kakhulu kunezo i-laparoscopy, kodwa, kuzo zombini iimeko, azinqabile. Ukuba zenzeke, zivame ukudibaniswa nokukhulelwa ngokwalo kunenkqubo.
Indlela i-Mini-Laparotomy eyenziwa ngayo
Amagqirha amaninzi anqwenela ukwenza i-tubal ligation kungekudala emva kokubeleka.
Oku kungenxa yokuba sele usesibhedlele, kwaye udonga lwakho lwesisu lukhululekile. Ukongezelela, ukukhulelwa kukunyusa phezulu kwesibeleko sakho kufuphi neqhosha lomzimba apho kuya kwenziwa khona. Oku kuvumela ukuba kufinyeleleke lula kuma-tublopian tubes.
Ukufumana i-mini-laparotomy, uya kunikwa i-anesthesia jikelele okanye yesithili (ngokuqhelekileyo i-epidural). Utyando lwaluza kwenziwa ngoko ma nyathelo alandelayo:
- Ugqirha uya kwenza i-incision encinci kodwa ebonakalayo phantsi kwe-umbilicus.
- Iibhulo zomgubo ziya kuthi zikhutshwe kwaye ziphuma ngaphandle kwe-incision.
- Iibhulo ziza kubuyiselwa kwakhona kwindawo leyo kwaye isiza sivaliwe ngeziqu.
Uninzi lwabasetyhini luya kufikelela kwiintsuku ezimbalwa okanye ixesha elide xa ukukhwabanisa kukukhulu. Iingxaki aziqhelekanga kodwa zingabandakanya ukusuleleka (ngaphakathi kunye nakwindawo yesicatshulwa) kunye nokuhlukana kweethubhu eziboshwe.
Ingozi yokukhulelwa Ilandela i-Mini-Laparotomy
Iingxaki zokukhulelwa emva kwe-tubal ligation yi-1.2 / 1,000 kwiyokuqala ukuya kwiminyaka emibini kunye no-7.5 / 1,000 ngaphezulu kweminyaka engama-7 ukuya kwe-12, ngoko kubonwa njengendlela efanelekileyo yokulawula ukuzalwa. Nangona iimeko ziphantsi, umfazi angakhulelwa emva kwe-mini-laparotomy ukuba oku kulandelayo kwenzeka:
- Utyando lwahluleka ukuvala umgca kwelinye okanye ezimbini zombini.
- Iibhubhu ezikhohlakeleyo zikhula kwakhona kwakhona.
- Ukubuyiswa kwakhona kwenzeke, kubangele ukwakhiwa kwegatshana elitsha elivumela iqanda kunye nesidoda ukuba zidibane.
- Lo mfazi wayesekhulelwe xa utyando lwaqhutywa.
Ukukhulelwa emva kwe-mini-laparotomy inomngcipheko okhulayo wokukhulelwa kwe-ectopic, imeko apho umntwana ekhulayo ngaphandle kwesibeletho (ngokuqhelekileyo kwi-tube fallopian).
Ukukhulelwa kwe-Ectopic yinkinga enkulu yonyango kwaye, xa ingashiywanga ingathotywanga, inokukhokelela ekugqibeleni kwebhubhu, ukuphuma kwamanzi, ukuphazamiseka, kunye nokufa. Iimpawu ziquka ukuyeka kwexesha lokuya esikhathini, ukuphuma kwamanzi ngesisu, ubuhlungu besisu, intlungu yesisu, kunye nobuhlungu obukhulu besisu okanye intlungu.
Ukukhulelwa kwe-ectopic kucatshangelwa kuthathwa njengongxamiseko lwezonyango oludinga ukunakekelwa kwangangoko.
> Imithombo:
> Daniels, K .; Utyando, J .; Jones, J .; kunye noMosher, W. "Ukusetyenziswa kweNkqubo yokuLawula kwangoku kunye nokuhluka kohlobo oluthile phakathi kwabasetyhini abaneminyaka eli-15-44: i-United States, ngo-2011-2013." Imibiko yeeNkcukacha zeMpilo zeSizwe. 2014; 86.
> Moss C, Isley MM. "Inzalo: Ukubuyiselwa nokuhlaziywa." Iiklinikhi ze-Obstetrics kunye ne-Gynecology yaseNyakatho Melika . 2015; 42 (4): 713-24. i-doi: 10.1016 / j.ogc.2015.07.003.
> Patil E, Jensen JT. Ukuhlaziywa kwiiNkcazo zokuLawula ngonaphakade kwiBasetyhini. I-Opinion yamanje kwi-Obstetrics and Gynecology. 201527 (6): 465-470; i-doi: 10.1097 / GCO.0000000000000213