yu don geht pikin naw en yu don disayd tranga wan "a no wan oda pikin"? Dɔn yu go dɔn yɛri bɔt wan ɔpreshɔn we dɛn kɔl ‘LRT’. Dis na wan we we bɔku pipul dɛn lɛk fɔ kɔntrol bɔn pikin. Bɔt pan ɔl we dɛn kin tɔk bɔt am, bɔku pipul dɛn nɔ kin ɔndastand klia wan wetin rili apin wit dis ɔpreshɔn, wetin na di bɛnifit ɛn bad tin dɛn we i gɛt, ɛn wetin go apin afta di ɔpreshɔn. So tide, lɛ wi lan ɔltin bɔt am rili simpul wan.
Fɔ tɔk am simpul wan, wetin na tubal ligation?
Dis na ɔpreshɔn we dɛn kin du fɔ mek uman dɛn nɔ bɔn pikin ɔltɛm. Dɛn kin kɔl am bak "female sterilization." Na wan we we rili wok.
Imajin se wi riprodaktiv sistɛm gɛt tri men pat dɛn: di uterus , ovaries , ɛn fallopian tubes . εvri mכnt, wan eg de kכmכt frכm di ovaria dεm εn i de travul dכn di fallopian tכb go na di uterus. di bεlε de apin כnli if i mit sεl dεm we i de du dis joyn.
Dis ɔpreshɔn kin min fɔ kɔt ɛn tay di fallopian tyub dɛn, ɔ blok dɛn wit spɛshal klip ɔ band. I tan lɛk se yu de lɔk rod. Dɔn di eg nɔ kin ebul fɔ mit di swɛt, ɛn di swɛt nɔ kin ebul fɔ rich na di eg. So bɛlɛ nɔ kin apin.
Di tin we impɔtant pas ɔl na dat, dɛn kin tek dis as tin we dɛn kin du fɔ ɔltɛm. Dis ɔpreshɔn nɔ de gi ɛni prɔtɛkshɔn frɔm sik dɛn we pɔsin kin gɛt we i du mami ɛn dadi biznɛs ( STI ).
Wetin mek sɔmbɔdi go disayd fɔ mek dɛn du dis ɔpreshɔn?
Di men rizin na fɔ stɔp fɔ bɔn pikin fɔ ɔltɛm. Dis na wan we we de wok pas 99%. Afta di ɔpreshɔn, yu kin ɛnjɔy fɔ gɛt gladi at fɔ du mami ɛn dadi biznɛs wit yu ɛn nɔ wɔri bɔt fɔ gɛt bɛlɛ.
Dɔktɔ dɛn kin se bak fɔ du dis ɔpreshɔn fɔ sɔm rizin dɛn we gɛt fɔ du wit mɛrɛsin. fכ egzampl, fכ uman dεm we gεt sכm jεnεtik mכtεshכn (lεk di BRCA jin mכtεshכn) we de inkrεs di risk fכ ovarian kεnsar, dεn kin rεkomεnd dis כpεrayshכn (we i kin bi fכ pul di fallopian tyub dεm kכmplit) fכ ridyus da risk de.
Aw a go no if a rili rɛdi fɔ dis?
Dis na di impɔtant kwɛstyɔn we yu nid fɔ aks yusɛf. I impɔtant fɔ mɛmba se dis ɔpreshɔn na fɔ ɔltɛm . Pan ɔl we sɔntɛnde dɛn kin du ɔpreshɔn fɔ mek dɛn chenj di we aw dɛn de du tin, dɛn kin rili kɔmplikt, dɛn kin dia, ɛn dɛn nɔ kin gɛt bɛtɛ chans fɔ mek dɛn ebul fɔ du am.
- If yu nɔ shɔ 100% if yu want ɔda pikin ɔ yu nɔ want am, nɔ ivin tink bɔt dis ɔpreshɔn.
- Bifo dat, i bεtε fכ tink bכt wan tεmporari mεtכd lεk bכn kכntrכl pils כ wan intrauterine device (IUD) we dεn kin stכp εni tεm.
- Bifo yu disayd fɔ du dis, tɔk to yu patna. I kin want bak fɔ tink bɔt fɔ pul di vasectomy, we na ɔpreshɔn fɔ mek man nɔ bɔn pikin.
I impɔtant fɔ tɔk bɔt ɔl yu kwɛstyɔn ɛn tin dɛn we yu de fred bɔt dis wit yu dɔktɔ ɛn ɛksplen am gud gud wan.
Wetin na di we dɛn fɔ du di ɔpreshɔn?
di tubal ligation opareshכn kin bi tri men we dεm. Yu dɔktɔ go disayd di bɛst we fɔ du am bay tin dɛn lɛk yu wɛlbɔdi ɛn if yu go de du am afta yu bɔn pikin.
1. Laparoskopik Tubal Ligashɔn
Bɔku pipul dɛn kin kɔl dis "keyhole surgery " bikɔs i nɔ kin gɛt fɔ du wit big say we dɛn kɔt am.
- Dɛn go gi yu anestezi (kɔmplit slip).
- tu sכm sכm sכm say dεm dεn kin mek na di groin εn di lכw bכdi.
- Dɛn kin put wan tin tiub we gɛt kamɛra we dɛn kɔl laparoskop tru wan say we dɛn kɔt, ɛn dɛn kin mek di bɛlɛ ful-ɔp wit gas (kabɔn dayɔgzayd) fɔ mek di ɔgan dɛn si klia wan.
- dɛn kin put ɔspitul inschrumɛnt tru di ɔda say we dɛn kɔt, dɛn kin put di fallopian tyub dɛn, ɛn dɛn kin lɔk di tiub dɛn bay we dɛn yuz klip, tep, ɔ ilɛktrik kɔrɛnt (ilɛktrokoaguleshɔn).
- Yu kin wɛl kwik kwik wan afta dis. Bɔku tɛm, yu kin go na os frɔm ɔspitul insay sɔm awa.
2. Mini-laparotomy we dɛn kin du
dis mכt dεn kin du am bכku tεm insay 24 awa afta di nכmal dεlivεri.
- If yu bin gɛt epidural we yu bin de bɔn pikin, dɛn go yuz dat. Ɔ dɛn go gi yu spɛshal anɛstɛsia.
- afta dεn bכn di pikin, di uterus stil de nia di sεviks, so dεn kin mek sכm sכm pat dכn di sεviks fכ izi fכ no di fallopian tכb dεm εn tay dεm wit spεshal strכng.
3. Laparotomi we dɛn kin du
Dis na ɔpreshɔn we dɛn kin du opin wan. Dɛn nɔ de yuz dis we bɔku igen bikɔs dɛn kin du am tru wan say we big smɔl na di bɛlɛ. Bɔt if dɛn du dis ɔpreshɔn di sem tɛm we dɛn du C-section , i go fayn bikɔs dɛn kin du am tru di sem say we dɛn kɔt di pikin.
Wetin fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn
Afta di ɔpreshɔn, dɛn go kip yu na wan sɛpret rum fɔ mek dɛn wach yu ɛn if ɔltin go fayn, dɛn go sɛn yu na os. If dɛn bin du am wit laparoskopi, yu kin kɔmɔt de insay sɔm awa. Wit ɔda we dɛn, yu kin gɛt fɔ de na ɔspitul fɔ wan de. Tek kia ɔf dɛn tin ya afta yu dɔn go na os.
| Advays / Simptom | Diskripshɔn ɛn wetin fɔ du |
|---|---|
| We yu de lif di wet | Nɔ es ɛnitin we ebi fɔ 1-2 wik. afta yu bכn, nכ lif εnitin we ebi pas di pikin in wet fכ at le 4 wik. |
| Fɔ drayv | Nɔ drayv fɔ 24 awa. Nɔ drink rɔm. |
| Was | No prɔblɛm nɔ de fɔ was yu bɔdi. Bɔt nɔ was ɔ swim te di say we dɛn kɔt am wɛl (lɛk 2 wik). |
| Fɔ blo | Afta laparoscopy, di gas we de ful-ɔp di bɛlɛ kin mek pɔsin fil pen na di sholda, nɛk, ɛn chɛst fɔ 2-3 dez. We yu waka ɛn sok insay ɔt wata, dat kin ɛp. |
| Nɔs ɛn pen | It layt it (sup, ti, bred, krak). Tek di pen kil we di dɔktɔ gi yu fɔ mek yu bɛlɛ pen. |
| Blɔd we de kɔmɔt na di vagina | I nɔmal fɔ mek yu gɛt sɔm layt blɔd fɔ lɛk wan mɔnt afta dɛn dɔn du di ɔpreshɔn. I kin tek 4-6 wiks fɔ yu nɛks prɛgnɛshɔn fɔ kam. We i du dat, yu kin gɛt smɔl mɔ blɔd ɛn yu kin gɛt mɔ pen. |
Wetin na di bɛnifit ɛn bad tin dɛn we de apin?
Di bɛnifit dɛn we pɔsin kin gɛt
- Rili ifɛktiv ɛn izi: Ɔva 99% ifɛktiv. I de gi pɔsin in layf fɔ protɛkt insɛf frɔm bɛlɛ. Nɔ nid fɔ tek pils ɛvride ɔ go na klinik.
- Nɔ ɔmon: Dis na we we nɔ gɛt ɔmon. So i nɔ de afɛkt yu menstrual saykl ɛn i nɔ de mek yu menɔpauz.
- I de ridyus di risk fɔ gɛt kansa:stכdi dεn sho se dis כpεrayshכn kin ridyus di risk fכ ovarian kεnsar bay lεk 40%.
Di bad tin dɛn we kin apin
- Rigrɛt: Sɔm uman dɛn (especially di wan dɛn we kin mek dɛn du am bifo dɛn ol 30 ia) kin rigrɛt am leta, so tink gud wan bɔt di disayd.
- Pɔrmanent: Dɛn fɔ tek dis as we fɔ ɔltɛm we dɛn nɔ go ebul fɔ chenj.
- Di bad tin dɛn we kin apin we pɔsin du ɔpreshɔn: Lɛk ɛni ɔpreshɔn, smɔl smɔl tin dɛn de we kin apin to pɔsin, lɛk we i nɔ gɛt alɛji to anestezi, infekshɔn, ɛn pwɛl di ɔgan dɛn we de rawnd am.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
Tubal ligation na tin we rili sef, bɔt yu fɔ kɔl yu dɔktɔ wantɛm wantɛm if yu si ɛni wan pan dɛn sayn ya:
- Bɛlɛ pen ɔ pen we yu nɔ go ebul fɔ bia na di hip eria.
- If di say we dɛn kɔt de ɔz pus, blɔd de kɔmɔt, ɔ i rɛd ɛn swel.
- Ay fiva (ɔva 100°F / 37.7°C).
- ebi blɔd we de kɔmɔt na di vagina (if wan pad dɔn sok ɔl insay tu awa).
- We yu de vɔmit ɔltɛm.
- If yu fil diziz ɔltɛm.
Wan ɔda impɔtant tin we wi fɔ no na dat, pan ɔl we i nɔ kin apin so ɔltɛm, di fallopian tube kin kɔnɛkt bak afta dɛn dɔn ɔpreshɔn am. if bεlε de apin, i go bכku fכ bi εktopik bεlε, we de divεlכp insay di fallopian tכb insεf. Dis na denja sik wae nid fɔ gɛt tritmɛnt kwik kwik wan.
Sɔm kwɛstyɔn dɛn we dɛn kin aks bɔku tɛm
Wetin go apin to mi ovaria afta di ɔpreshɔn?
yu ovary dεm de kכntinyu fכ rilis eg dεm kכlכsכl εvride, bכt biכs dεn nכ kin pas tru di fallopian tכb, dεn de riabzכp bak insay yu bכdi.
Ustɛm a kin du mami ɛn dadi biznɛs afta dɛn dɔn du mi ɔpreshɔn?
Bɔku tɛm, yu kin du mami ɛn dadi biznɛs insay lɛk wan wik so. Bɔt if dɛn du ɔpreshɔn pan yu afta yu bɔn pikin, yu fɔ wet te yu dɔktɔ tɛl yu fɔ du am (bɔku tɛm na lɛk 6 wik).
A kin gɛt bɛlɛ bak afta dɛn dɔn du mi ɔpreshɔn?
Di ples rili smɔl. I nɔ rich 1%.
Yu tink se i de protɛkt pɔsin frɔm sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs?
Nɔ, nɔto so atɔl. I fɔ yuz we fɔ protɛkt yusɛf lɛk kɔndɔm.
Mɛsej we dɛn kin kɛr go na os
- Tubal Ligation na wan we fɔ kɔntrol di pikin fɔ ɔltɛm. Yu ɛn yu patna fɔ tink gud wan bifo una disayd fɔ du dis.
- Tɔk to yu dɔktɔ bɔt ɔl yu prɔblɛm ɛn tin dɛn we yu de fred.
- Dis ɔpreshɔn nɔ go stɔp yu fɔ gɛt mɔnt ɔ mek yu nɔ gɛt bɛlɛ.
- Frɔm disI nɔ de protɛkt pɔsin frɔm sik dɛn we pɔsin kin gɛt we i du mami ɛn dadi biznɛs (STI). Yuz ɔda we dɛn fɔ protɛkt yusɛf.
- Yu fɔ no bɔt di denja sayn dɛm (we yu de fil pen pasmak, yu gɛt fiva, yu de blɔd pasmak) we yu go gɛt afta yu du di ɔpreshɔn, ɛn go to dɔktɔ wantɛm wantɛm if ɛni wan pan dɛn tin ya apin.
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