Tubal ligation hnuah naute dang i duh em? Hemi chungchang hi han sawi ila (Tubal Ligation Reversal) .

I chhungte chu an tling tawh niin i ngai a, tubal ligation, family planning procedure i nei tawh mai thei. Mahse, tunah chuan rei vak lo hnuah, in lama nuih leh tur chuan naute tê tê i mamawh leh tawh angin i inhria em? Chutianga inhriat chu thil pangngai tak a ni. Mi tam tak chuan hei hi tihdanglam theih loh niin an ngai. Mahse, a ni tak tak em? Vawiin hian tubal ligation kan neih hnua fa neih leh theih dan tur kan sawi dawn nia.

A hmasain he ‘tubal ligation’ tih awmzia hi han en ila.

A awlsam zawngin sawi ila, hei hi naupai venna atana operation a ni. Hei hian i fallopian tubes te chu tan, khih emaw, hal emaw a huam a ni. Fallopian tube hi ovary atanga egg leh mipa atanga sperm inhmuhna hmun a ni. Chuvangin heng tube pahnih hi an block chuan egg leh sperm inhmuhkhawmna tur a awm tawh lo. Chuvangin naupai a awm thei lo.

He surgery hnu hian naute neih leh i duh chuan duhthlan tur lian pahnih i nei a ni. Pakhat chu vawiin a kan sawi tur surgery hi a ni a, chu chu tube te inzawmkhawm leh (`Tubal Ligation Reversal`) a ni . A dang chu in vitro fertilization a ni a, `In Vitro Fertilization (IVF) tia hriat bawk a ni.` IVF hian fallopian tube a mamawh lo. Thiltih dan pahnihte hian a thatna leh that lohna a nei vek a.

Chuvangin, `Tubal Ligation Reversal` hi a hmaa surgery an neih tawh kha reversal a ni. Hetah hian fallopian tube block tawhte chu an inzawm leh a, chu chuan egg leh sperm kalna tur kawng a siam ta a ni. Hei hi a hlawhtlin chuan natural takin nau i pai leh thei a ni.

Mi zawng zawng hian he surgery hi an nei thei ang em? Tu tan nge a tha ber?

He surgery hnua naupai theihna chance sang tak i neih chuan hei hi candidate tha tak i ni. He surgery hlawhtlinna hi thil engemaw zatah a innghat a ni. Eng nge an nih i en ang u.

• I kum: I nau neih theihna chu kum upat deuh deuhin a pianphungah a tlahniam thin. Chuvangin i naupan poh leh he surgery hnua naupai theihna chance a sang zawk. Tin, i naute nau pai leh genetic defects a awm theihna a hniam zawk bawk.
• Naupai chungchanga harsatna dang: Nausen piang mumal lo, nausen pum chhunga fibroids, emaw endometriosis (nausen pum pawn lama nausen pum chhunga awm tur tissue lo thang lian) ang chi natna i neih chuan i hlawhtlinna chance chu a hniam deuh mai thei.
• I kawppui hriselna: Hetah hian i kawppui chi (sperm) hriselna pawh a pawimawh hle a, chuvangin zai hma pawhin enfiah a ni ang.
• I tubal ligation hmasa ber awm dan: I fallopian tubes te kha a hmain clip emaw ring emaw hmanga khar a nih chuan inzawm leh a awlsam hle. Mahse, electric current hmanga halna hmanrua electrocautery hmanga khar a nih chuan inzawm leh chu a harsa deuh thei.
• Fallopian tube la awmte sei zawng: Operation hnua tube pahnih inzawm leh tur chuan tube section hrisel tak tak a awm tawk tur a ni.

In sak thar leh theih lohna tur kawng a awm em?

Ni e, case thenkhat a awm. I fallopian tubes te chu lakchhuah vek a nih chuan, emaw, tube tawp lam chu cut leh lakchhuah a nih chuan a inzawm leh thei tawh lo.

Tin, hmanraw chi hnih `Essure®` leh `Adiana®` tih te hi a hmain hman a ni tawh bawk. Hengte hi non-surgical method a ni a, vagina kaltlangin fallopian tube chhungah dahin block a ni. Tunah chuan hengte hi market atangin an paih chhuak ta a ni. Heng hmanrua te hian tube a tihchhiat chu a let leh thei lo. Heng hmanrua te hi i hman tawh a, tunah hian nau neih i tum a nih chuan i doctor pan ngei ngei tur a ni.

Surgery neih hmain eng nge thleng?

Hei hi i ngaihtuah a nih chuan i doctor rawn hmasa phawt tur a ni. Surgery chungchang chu a hrilhfiah ang che a, a hlauhawmna te pawh a hrilhfiah ang che a, i fit tha em tih en turin a hnuaia mi ang hian a ti ang:

• Medical history: I naupai tawhte ngun taka thlirletna, tubal ligation operation i neih tawh zawng zawng chipchiar taka thlirletna, leh operation dang i neih tawh leh neih loh te.
• Semen analysis: I kawppui sperm count leh quality test a ni a, operation hnua i naupai theihna chance hriat theih nan.
• Test dang: I medical history a zirin thisen test leh scan te pawh i neih a ngai thei bawk.

Engtin nge operation atan ka inbuatsaih ang?

I doctor i hmuh hmasak ber ṭumin i tubal ligation hmasa ``operation report`` i rawn keng tel a ṭangkai hle. I tubes te chu lakchhuah a nih chuan ``pathology report`` pawh rawn keng la.

Naupai hrisel tak neih theihna chance tihpun nan hengte hi ti rawh:

• Damdawi lam harsatna dang i neih (zunthlum leh thisen sang ang chi) te chu thunun la.
• Meizial i zu a nih chuan chawlhsan ngei ang .
• Caffeine ei tlem, zu leh coffee te hi tih tlem tur a ni.
• Folic acid awmna multivitamin emaw nau neih hmaa vitamin emaw ei tan rawh.

Surgery neih chhung hian eng nge thleng?

He surgery hi darkar hnih atanga darkar thum vel a ni tlangpui. Chumi ni vek chuan i haw thei tawh ang. Surgery hi general anesthesia hmanga tih a ni a, chu chu engmah i hre lo tihna a ni.

Surgery tih dan hi kawng hnih a awm a. Pakhat chu `mini-laparotomy` tih dan a ni. Hetah hian bikini line hnuai inches 2 vel a incision te tak te siam a ni a, microscope hmangin operation chu tih a ni. A dang chu `robotic-assisted laparoscopy` tih a ni. Hetah hian pum chhungah khur tenau engemaw zat siam a ni a, robot kut hmangin operation chu tih a ni.

Surgery neih chhung hian:

1. Anesthetized vek i ni ang.

2. Tube (catheter) te tak te chu bladder chhungah dahin zun lakkhawm a ni.

3. Fallopian tubes luh theihna turin pum chhungah incision te tak te emaw, khur engemaw zat emaw siam a ni.

4. A hmasain tube te hi siamthat theih tur dinhmunah a awm em tih kan enfiah thin. A theih chuan chutah chuan surgery chu kan chhunzawm leh thin.

5. Tube blocked tawp chu hawn a, tube section pahnih chu inzawm leh a ni.

6. Tichuan, nausen pum chhungah tui bik (`dye`) an kalpui a, chu chuan tube te chu a inhawng em tih leh tui chu a chhungah a luang lut em tih enfiah a ni.

7. A tawp berah chuan incision chu vun hnuaiah dissolvable sutures hmangin an sew up a, bandage an vuah bawk.

Engtin nge surgery hi a kal zel? Eng nge a hlawkna leh a hlauhawmna?

Operation hnuah pawh natna i nei lovang, a chhan chu anesthesia hnuaiah i awm a ni. Doctor chuan anesthesia a reh deuh deuh chuan natna tidam turin painkiller a pe ang che. Ni engemaw zat chu operation na hmunah hian natna engemaw zat i nei thei.

Operation hnu darkar hnih vel chu damdawi inah enkawlna hnuaiah dah i ni ang. Engkim a tha tih finfiah a nih veleh in lama haw phalsak i ni ang. Anesthesia hian a nghawng avang hian mut a hah deuh mai thei. Chuvângin, mi pakhatin in lama hruai tûra lo kal chu a pawimawh hle .

He surgery hi engtiang chiahin nge a hlawhtlin?

A tlangpuiin he operation hnua naupai zat hi 50% atanga 80% inkar a ni. He hlawhtlinna hi a hmaa kan sawi tawh kum, fallopian tube dinhmun leh operation titu doctor-in a tawn danah a innghat a ni.

Eng chen nge tihdam a ngaih?

Mi tam zawk chu kar khat emaw kar hnih emaw chhungin an hnathawh dan pangngaiah an kir leh thei a, mahse chiang zawka hriat theih nan i doctor hnenah zawt rawh.

Surgery zawhah naupai theih nan eng chen nge a duh?

Naupai tam zawk hi operation hnu kum khat emaw kum hnih emaw chhungin a thleng thin. Mahse, doctor-te chuan nau pai tum hmain thlasik vawi hnih tal i zawh hma chu nghah turin an fuih.

Surgery tel lo chuan nau a pai thei lo em ni? IVF tih option chu

Awle. `IVF` (in vitro fertilization) tih hi a dang a ni. Hei hian naupai hlawhtlinna rate sang tak a nei bawk. Mahse zai a ngai lo.

IVF-ah chuan ni 10 vel hormone injection pek che a ni a, i egg te chu a lo thang lian a, chu egg te chu i taksa atangin lakchhuah a ni a, lab-ah i partner sperm nen an inzawm khawm a, embryo an siam a ni. Chu embryo chu i uterus-ah dah a ni ta a ni.

Tubal Reversal surgery atana candidate tha tak i nih loh chuan, emaw, surgery aiin he method hi i duh zawk a nih chuan, i doctor chuan IVF hi a rawn rawt thei ang che.

Engtikah nge Doctor ka hmuh leh ang?

Operation hnu kar khat emaw kar hnih emaw vel hnuah lo kal leh turin an ti ang che. Chumi hun hmaa harsatna a awm chuan engtikah nge i inbiakna tur tih hriattirna pek i ni bawk ang.

Doctor chuan operation hnu thla engemaw zat hnuah X-ray test ``HSG'' tih a rawt thei bawk a, chu chu fallopian tube a la inhawng em tih enfiah a ni.

I tube te kha i khih a nih chuan naute dang i nei thei tawh lo tihna a ni lo. I duh chuan Tubal Ligation Reversal hi a tha hle mai thei. Mahse, i kum leh hriselna a zirin IVF hi a tha zawk mai thei. Hemi chungchang hi i doctor nen inbia la, eng method nge i tan a tha ber tih i rel a tha ber.