I-tubal ligation (ebizwa ngokuqhelekileyo ngokuthi "iindawo ezinamathele ezibophekileyo") utyando oluvala iibhubhu zomfazi. Iibhubhu ezikhohlakeleyo zinceda ukuthwala iqanda elikhutshwe kwiiyunithi ukuya kwisibeleko, kwaye ngokuqhelekileyo indawo apho iqanda litsalwa ngumntu. Emva kokuba iibhulo zivaliwe okanye "ziboshwe," isidoda asikwazi ukufikelela iqanda, ngoko ukukhulelwa akunakwenzeka.
I-tubal ligation ingathunyelwa kwakhona ngokuthi:
- Ukudibanisa iibhubhu
- Inzalo yeT Tubal
- Ukutyalwa kwesisu
- Ukuba nezibatho zakho ziboshwe
- Utyando (insikazi)
- Tube ukudibanisa
- Ukungapheli
Kukho ukhetho oluninzi lwe-tubal ligation .
I-Tubal Ligation InguPhepha lokuLawula ngonaphakade
Inkqubo yokugulisa i-tubal yenza ukuba umfazi angenasigxina (angakwazi ukukhulelwa). Le nkqubo ivame ukucetyiswa kwabasetyhini abadala abaqinisekileyo ukuba abafuni ukukhulelwa kwikamva.
I-Tubal ligation ithathwa njengendlela yokulawula ngokusisigxina . Idla ukuba yinto ethandwa kakhulu kuba abafazi bayaqonda ukuba le ndlela ingabonelela ngokukhuselekileyo ukukhusela ukukhulelwa kwabo bonke abantwana babo bokuzala . Abaninzi banokutsalana nokulungelelaniswa kwayo kunye neyonto yokuba ayifaki imiphumo emibi ehambelana neendlela zokulawula ixesha lokuzalwa .
IT Tubal Ligation Reversal
Ibhinqa kufuneka liqwalasele ingqalelo ukuba ingaba i-tubal ligation iyindlela engcono.
Amanye amabhinqa anquma ukuba le nkqubo inokuzisola kwisigqibo sabo kamva.
Ibhinqa liya kuba nokuzisola ukuba izibhanki zakhe zibophelelwe ukuba zenziwe ngenkqubo:
- Xa eselula
- Ukuba unabantwana abancinci okanye abangabikho
- Ukuba wakhetha le ndlela kuba iqabane lakhe lalifuna ukuba liye
- Ukuba uthe wagqiba kwi-tubal ligation ngenxa yokuba wayekholelwa ukuba iza kulungisa iingxaki zemali kunye / okanye ukuba olu khetho luya kulungisa iingxaki zobudlelwane
I-tubal ligation ayifanele icingelwe nje ngexeshana. Ngamanye amaxesha ukuguqulwa kwe-tubal kuyenzeka ukuba umfazi kamva uthatha isigqibo sokuba ufuna ukukhulelwa. Nangona kunjalo, ukuguqulwa kwe-tubal yinkqubo ephambili yokuhlinzwa engasoloko ibangela ukukhulelwa. I-50% ukuya kwi-80% yabasetyhini abanokuguqulwa kwe-tubal bangakhulelwa.
Inkqubo yeT Tubal Ligation
I-tubal ligation ivela esibhedlele okanye kwiklinikhi yokugula. Uhlobo lwe-anesthesia olusetyenzisiweyo luxhomekeke kwindlela yokutyunjwa ekhethiweyo. I-tubal ligation ingenziwa nge-consciousation (uhlobo lwe- anesthesia apho lo mfazi evukile, kodwa ekhululekile kwaye elele) okanye i-sedation ejulile (lona wesifazane ulele). I-Anesthesia inokuba yindawo yangaphakathi, kwingingqi (umzimba uphawulwe ukusuka kwintonga yehla), okanye jikelele (okubandakanya umzimba wonke).
Ngethuba le nkqubo, iibhubhu zokulala zivaliwe. Abanye bangadinga iincinci ezincinci ezenziwe kwisisu. Kule nkqubo, iibhulo zicutshulwa, zinqunywe kunye / okanye zixutywe (zivaliwe). Enye inketho, eyaziwa ngokuba yi- Essure ayifuni i-incision kwaye isebenzise ukufaka ukukhutshwa kwezibhubhu.
Yiyiphi inkqubo yeT Tubal Ligation yokuSebenzisa
Imeko yempilo yowesifazane ingayichaza ukuba yeyiphi indlela yokhetho lwe-tubal ligation efanelekileyo.
Imiba emibini xa ukhetha inkqubo ekhuselekileyo ibandakanya umzimba womzimba wesifazane kwaye ingaba uye wahlinzwa ngaphambili.
Ingaphezulu kwesigamu sazo zonke izigulana ze-tubal zenziwa emva kokubeleka kwesisu ngokucoca encinci kufuphi neqhosha lesisu, ngexesha lesigaba sokugcina, okanye ukukhipha isisu. Isigqibo sokuba ne-tubal ligation eyenziwe ngeli xesha kufuneka senziwe kwangaphambili kunye nogqirha wakho. I-Essential, akukho-incision method , ayikwazi ukuyenza de ubuncinane iiveki ezi-6 emva kokuba umfazi abelethe, unesisu, okanye ukhuphe isisu .
Izingozi zeT Tubal Ligation
Ngokuqhelekileyo, kukho iintlobo ezintathu zeengozi ezinxulumene ne-tubal ligation.
- Iingozi ngenxa yenkqubo yangempela: Ezi zingabandakanya ukuvalwa okungapheliyo kweethubhu, ezinokubangela ukuba owesifazane akhulelwe kwixesha elizayo (oku kuchaphazelekayo malunga nabesifazane aba-1 kwabangama-200), ukulimala kwizitho ezikufuphi okanye izakhiwo ezibangelwa zizixhobo zokuvuthwa, kwaye ukunyuka kwendlela yokukhulelwa kwe-ectopic xa ukukhulelwa kwenzeka emva kwe-tubal ligation.
- Izingozi ezivela ekusebenziseni i- anesthesia : Ezi ziquka ukuphendula kumachiza kunye neengxaki zokuphefumla.
- Izingozi zokuhlinzwa, ngokubanzi: Ezi ziquka usulelo kunye nokuphuma kwegazi.
Yintoni ongayilindela emva kweNkqubo yeT Tubal Ligation
Uninzi lwabasetyhini luya kuphinda lusebenze emva kweentsuku ezimbalwa emva kokuba lube ne-tubal ligation. Iyeza zonyango zinokukunceda ukukhulula nayiphi na into engeyiyo. Kunconywa ukuba abafazi bawuthintele ukuzivocavoca ngamandla kwiintsuku eziliqela. Ngokuqhelekileyo, abaninzi abafazi baziva bekulungele ukulala ngesibini kwiveki.
Uninzi lwabasetyhini luya kuvela kule nkqubo ngaphandle kweengxaki. Ngokungafani nokuzaliswa kwendoda ( vasectomy ), akukho mvavanyo efunekayo ukujonga ukuthotywa.
I-tubal ligation ayiyeki ukunciphisa ubulili bhinqa kwaye ayikuchaphazeli ubufazi bayo. Ekubeni akukho zigulane okanye izitho ezisuswe okanye zitshintshile kwaye zonke i-hormone ziya kuveliswa, i-tubal ligation ayinakuguqula ukuziphatha ngokwesini okanye iphazamise ukusebenza komzimba wesini.
Iindleko zeT Tubal Ligation
Ixabiso lexesha elilodwa le-tubal ligation, xa kuthelekiswa nezinye iindlela zokukhusela , kunokukugcina amakhulu emadola ngaphaya kwexesha.
Iindleko zokuba ne-tubal ligation zingaba phakathi kwe-$ 1,000 ukuya kwi-3,000. Ibhinqa kufuneka lijonge umgaqo-nkqubo we-inshorensi yempilo njengoko uhlaselo lolawulo lokuzalwa luhluka. I-insicaid kunye ne-yinshorensi yempilo yabucala ingabandakanya iindleko ze-tubal ligation.
Isebenza njani ngeT Tubal Ligation?
I-tubal ligation ingaphezulu kwe-99% esebenzayo kunyaka wokuqala. Oku kuthetha ukuba kuwo onke amabhinqa angama-100 ayenayo le nkqubo, abangaphantsi kwe-1 baya kukhulelwa ngunyaka wokuqala wokusetyenziswa.
Kuze ku-1 kwabasetyhini abayi-100 baya kukhulelwa kunyaka ngamnye olandelayo emva konyaka wokuqala (xa kwenziwa inkqubo). Oku kubangelwa ukuba kunokwenzeka ukuba ama-tublopian tubes angakwazi ukuxhuma kwakhona.
Kuwo onke a bafazi aba-1 abaye bafumana i-tubal ligation, malunga ne-18.5 baya kukhulelwa ngaphakathi kweminyaka eyi-10. Ezi zibalo zigqitywe yi-US yokuBambisana ngokuBambisana kweNkcenkceshela kwiindawo zabo zokufunda. Nangona kunjalo, kuxhomekeka kwindlela esetyenzisiweyo kunye neminyaka yowesifazane xa sele yenze inkqubo, le nqanaba ingaba phezulu okanye iphantsi.
Ukuba ukukhulelwa kwenzeka emva kwe-tubal ligation, kunama-33% amathuba okuba ukhulelwe nge-ectopic. Nangona kunjalo, izinga lokukhulelwa liphantsi kakhulu, ukuba ithuba lomfazi lokuba nokukhulelwa kwe-ectopic liphantsi kakhulu kunokuba linikezelwe ukuba wayengenayo i-tubal ligation eyenziwe kwindawo yokuqala.
Khuselo lwe STD?
I-tubal ligation ayinikezeli ukhuselo kwizifo ezithathelwana ngesondo .
Umthombo:
Peterson, HB, Xia, Z., Hughes, JM, Wilcox, LS, Tylor, LR, & Trussell, J. (1996). Umngcipheko wokukhulelwa emva kokutyalwa kwe-tubal: Iziphumo ezivela kwi-United States YokuBonisana ngokuBambisana kweNzalo. I-American Journal ye-Obstetrics ne-Gynecology, 174, iphe. 1161-1170. Ufikeleleke ngokubhalisa ngokukhawuleza.