Inkqubo yeT Tubal Ligation
I-colpotomy yinto yokutshintshwa okwenziwe kwindonga yangasemva yesini. Ngethuba le- tubal ligation , ugqirha wakho unokusebenzisa i-colpotomy (eyaziwa ngokuba yi-vaginotomy) njengenye yeendlela zokufikelela kwizibilini zakho. I-tubal ligation esebenzisa i-colpotomy incision ibhekwa njengobuncinane bokuhlinzwa.
Sibanzi
Inkqubo ye-colpotomy ye- tubal ligation yakuba yindlela ekhethiweyo yokutyalwa kwezilwanyana.
Kodwa ngoku, oogqirha basoloko basebenzisa i- laparoscopy okanye i- laparotomy kuba le miqathango yesisu yomzimba ayinayo ingozi efana ne-colpotomy.
Inkqubo
I-colpotomy luhlobo lwesicatshulwa esingasetyenziselwa kwinkqubo yokuzalisa ubulili (enye inqubo ebizwa ngokuba yi- culdoscopy ). Ngethuba le-colpotomy tubal ligation, ugqirha wakho wenza i-inclination kwisigxina esingasemva kwesigxina sesisu (igama lezonyango elincinci kumqolo wesisu). Esi sikhokelo singenziwa sichitha (ngapha nangapha) okanye ngokuzenzekelayo (ukuya phezulu). Udokotela wakho othabatha uya kufaka isandi se-intrauterine ngokusebenzisa ukungena kunye ne-peritoneal cavity (isikhala ngaphakathi kwesisu esisemathumbu, isisu, nesibindi). Isandi se-intrauterine sisona sixhobo sezokwelapha esilungiselelwe ukuncedisa kunye neempembelelo ezivulekileyo emzimbeni-inceda ugqirha wakho ukuba abeke i-uterus ngokuchanekileyo aze avelise izibhabhane ze-fallopian.
Abanye oogqirha bangasebenzisa i-endoscope (into encinci, njenge-telescope ifayili yonyango kunye nokukhanya). Udokotela wakho othabatha uya kuthatha amathambo akho aphuma ngaphandle kokungena kunye nokulala. Iibhubhu zakho zokuhlala zivaliwe / zigxininiswe-ziyakhonkxwa, zihlulwe, kunye / okanye zivaliwe. Ekugqibeleni, ugqirha wakho uza kufaka iindawo zokuhlala, kwaye uhlalutyo lwakho lugqityiwe.
I-tubal ligation equka i-colpotomy incision ithatha malunga nemizuzu eyi-15 ukuya kwe-30. Uninzi lwabafazi banako ukubuyela ekhaya ngaloo mini. Olu hlobo lwenkqubo lubhekwa njengendlela engunaphakade yokukhulelwa .
Ukubizwa
I-Colpotomy: i-colpotomi (käl'päd · ə · mē)
Yintoni enokuyilindela emva kweNkqubo-nkqubo
Unokulindela ukuba ukubuyiswa kwakho kwi-colpotomy kuya kuthatha iintsuku ezimbalwa. Ugqirha wakho mhlawumbi uya kukucebisa ukuba ulinde ukuba ulale ngesondo uze uhlalutye ngokupheleleyo-oku kufuthi kuthatha iiveki ezimbalwa. Emva kokuba uphilisile kuwe colpotomy, awuyi kuba naziphi izibazi ezibonakalayo.
Iinkonzo
Inzuzo enkulu yokuba ne-colpotomy ngexesha lakho le-tubal ligation kukuba akukho zikhokelo kwisisu sakho. Olu hlobo lwe-tubal ligation lunokunika uncedo olongezelelweyo. I-colpotomy tubal ligation ingaba yindlela ekhuselekileyo yabasetyhini aba:
- Uphelile
- Yiba nesisu esisisigxina (i-uterus ebuyisela emuva endaweni yangaphambili)
- Yiba nembali yokulungiswa kwodonga / ityhini yesisu
Umxhasi
Akuninzi abagqirha baseUnited States abaqeqeshwe ukwenza i-colpotomy njengenkqubo ye-tubal ligation. Uphando ngoku lubonisa ukuba le ndlela ingakhuseleka kunokuba kucatshangwe ekuqaleni. Kodwa oogqirha abaninzi banqwenela ukwenza i-tubal ligations ligings ngenxa yokuba amazinga ezinkcenkceshelo ezinxulumene ne-colpotomy tubal ligations zibonakala ziphindwe kabini, kwaye ixabiso lokusebenza lingahle lincinci.
I-Colpotomy tubal ligations idibaniswe kunye namazinga aphezulu asulelo. Abanye oogqirha baya kunika i-antibiotics ukuthatha emva kwe-colptomy ukunceda ukukhusela intsholongwane. I-colpotomy ingaba nzima ngakumbi ukwenza okokuba kufuna ukuba owesifazane abe kwindawo ye-lithotomy (imilenze yakho iqhubekile) ngelixa i-anesthesia yendawo.
Imithombo:
Ayhan A, Boynukalin K, Salman MC. "Tubal ligation ngokusebenzisa posterior colpotomy." I-International Journal ye-Gynecology & Obstetrics . 2006 Juni 30; 93 (3): 254-5. Inqaku elipheleleyo lifikeleleke ngokubhalisa kwangasese.
Chang, WH et al. "IT Tubal ligation nge colpotomy okanye laparoscopy: Ukufunda okuthelekisayo." IiNqolobane zeGynecology kunye ne-Obstetrics. 2011; 283 (4): 805-808. Inqaku elipheleleyo lifikeleleke ngokubhalisa kwangasese.