Ayikho ixesha elide
I-Adiana yayihlobo lolawulo lokuzalwa ngonaphakade kwabasetyhini. Imali kunokuba izizathu zokhuseleko, ukuvelisa, ukuthengiswa, nokusabalalisa kwe-Adiana kuye kwacinywa ngo-Apreli 2012. Ukuyeka ukunyusa akufanele kubangele ukuba ukhathazeke ngakumbi xa usebenzisa i-Adiana. Ukuba unomdla kwindlela efanayo yokulawulwa kokuzalwa, cela udokotela wakho malunga ne- Essure .
Sibanzi
I-Adiana yayisisigxina sokulawulwa kokuzalwa ngokusisigxina esifumene nokuvunyelwa kwe-FDA ngoJulayi 8, 2009. Olu khetho lokukhusela lwaluyinkqubo elula, ekhuselekile, engenakho i-hormone yokukhulelwa ngokusisigxina. I-Adiana yenzelwe ukuba ibe yindlela engaphantsi kwe- tubal ligation kwaye iyafaniswa nokuba neembatho zakho ziboshwe . U-Adiana wasebenza ngokuvuselela izicubu zomzimba wakho ukuze zikhule kunye neenxa zonke ezincinci, ezifakekileyo ezifakwe ngaphakathi kwee-tublopian tubes.
Amanyathelo eNkqubo
Inqubo ye-Adiana yayiqukelele ngamanyathelo amane awazange afake i-incision kwaye ingenziwa kwiofisi yegqirha usebenzisa i-aneshesia yendawo kwimizuzu engama-15:
- Isinyathelo soku-1: Isixhobo esincinane, esitshintshileyo siyadluliselwa kwisisu kunye nomlomo wesibeleko kwisibeleko kwaye uhambisa izinga elingaphantsi lamandla omsakazo ukuya kwincinci encinane kwiphubhu nganye. Amandla adala ukufudumala ukudala i-lesion.
- Isinyathelo sesi-2: Ingeniso encinci, esithambileyo (malunga nobukhulu beesanhlamvu).
- Inyathelo lesi-3: Iimpawu ezitsha ziqala ukuzungeza nge-Adiana. Ezi zicubu ziya kuphelisa ngokupheleleyo iibhulo zomhlaba, ukukhusela ngokusisigxina ukukhulelwa. Ibhinqa kufuneka lisebenzise ulawulo lwexeshana (njengamakhondom eendoda, iikhondom zowesifazana , isiponji , okanye i- spermicide ) ngeenyanga ezintathu zilandela inkqubo xa i-tissue entsha ikhula.
- Inyathelo 4: Kwiinyanga ezintathu, uvavanyo lwe hysterosalpingogram lwenziwe ukuqinisekisa ukuba izibhabhu zakho zivaliwe ngokupheleleyo. Olu vavanyo luya kuqinisekisa ukuba inkqubo ye-Adiana yolawulo lokuzalwa ngokusisigxina iphumelele.
Inzuzo
- Ukufumana ngokukhawuleza. Akukho zigqibo zokuphilisa kwaye akukho xesha lokubuyisela kwi-anesthesia jikelele. Uninzi lwabasetyhini luyakwazi ukubuyela kwimisebenzi yabo eqhelekileyo kwimini kwaye baxelele ngokungahambi kakuhle.
- Ungashiyi nto kwisibeleko sakho. Ukufakwa kwe-Adiana kugqityiwe ngaphakathi kwiibhulo zokulala, ungashiyi nto kwisibeletho sakho esinokuthi sinciphise izikhetho zakho kwiimvavanyo okanye kwiinkqubo ezizayo ze-gynecologic.
- I-Adiana iqulethe i-hormones kunye nokufakwa kwayo kwenziwe nge-silicone ye-grade-safe.
- Inqubo ye-Adiana ingenziwa emva kweenyanga ezintathu emva kokubeletha.
- Ngamana unokunceda ukumisa i-menorrhagia (ixesha eliqhelekileyo okanye elinde ixesha lokuya esikhathini), ngakumbi xa idibene ne-NovaSure Endometrial Ablation
Iingozi kunye neempembelelo ezingasemva
- Umngcipheko omncinci wokukhulelwa (kuquka ukukhulelwa kwe-ectopic).
- Ukungaphumeleli ukufezwa ngokuchanekileyo kokufakelwa kwisinye esinye okanye zombini zombini, okanye ukuba omnye okanye zombini izibilini aziyi kuvinjelwa ngokupheleleyo (ukuba ezi zenzeka, i-Adiana ayiyi kukhusela ngokuqinisekileyo ngokukhulelwa).
- Imiphumo emibi ngexesha okanye ngokukhawuleza emva kokuba inkqubo ingabandakanya ukunyanzelisa okwemodareyitha, ukuphazamiseka kwamanzi okanye ukuphuma kwegazi, intlungu okanye intlungu.
Tubal Uguquko
I-Adiana kufuneka ithathelwe ingqalelo ngokusisigxina kwaye ayiyi kubuyiselwa. Ngokutsho kweHologic, Inc. I-Women's Health Company, umenzi we-Adiana ulawulo lokuzaliswa ngokusisigxina, akukho datha ekhuselekileyo okanye ngokuphumelelayo kwanoma yimuphi umzamo wokugubha ukutshintsha inkqubo ye-Adiana.
Impumelelo
Ngokusekelwe kwiminyaka emithathu yedatha ye-klinikhi, i-Adiana i-98.4 yeepesenti esebenzayo ekukhuseleni ukukhulelwa, kodwa oku kuphela nje ugqirha wakho uqinisekisa ukuba izigulane zakho zokuhlala zivalwe ngokupheleleyo. Oku kuthetha ukuba kuwo onke amabhinqa angama-100 asebenzisa i-Adiana, i-1.6 iya kukhulelwa kunyaka owodwa.
Ezinye iindlela
Ukuba ucinga ukuba kukho nayiphi na ithuba lokuba ufuna ukuza kuba nezingane kwixesha elizayo, ukulawula ngokusisigxina akunakulungele.
Kodwa, ukuba ukhangele ukukhulelwa kwangunaphakade ngaphandle kokuhlinzwa, inkqubo ye- Essure ingaba yinto efanelekileyo.
Isisombululo sinikeza ukulawulwa kokuzalwa okungapheliyo ngokufakela ezimbini zentsimbi ezincinci ezifakwe kwiphubhu nganye. Ngokuhamba kwexesha, ukufakwa kuzoba nezicumba ezinqabileyo ukukhula zijikeleze kubo, kwaye ke izicubu ezibomvu ziza kubhawula ngokusisigxina iibhubhu. Umlinganiselo awukwazi ukuguqulwa- ngoko kungenakukukhetha okokuba uziva uxinzelelwe ngumnye umntu ukuba abe nenkqubo. Kwakhona, kuba inkqubo yeNkcazo isisigqibo esikhulu, akufanele ukhethe oku xa ukhe uxinzezelekileyo okanye phakathi kwenguqu enkulu yobomi (njengokuba ngexesha lomtshato okanye emva kokuphuma kwesisu).
> Umthombo:
> Anderson TL, Vancaillie TG. Inkqubo ye-Adiana yokukhulelwa ngokusisigxina: Ukukhusela nokusebenza ngempumelelo kwiminyaka emithathu. I-Journal ye-Gynecology encinci . 2011 ngo-Oktobha 31; 18 (5): 612-616.