Mukufuna mwana wina pambuyo pa kumangidwa kwa tubal? Tiyeni tikambirane za izi (Kubwerera kwa Tubal Ligation)

Mwina munaganiza kuti banja lanu linali lathunthu ndipo munali ndi tubal ligation, njira yolerera. Koma tsopano, patapita kanthawi, kodi mukumva ngati mukufuna mwana wamng'ono kuti muzimusekereranso kunyumba? Ndizachilendo kumva choncho. Anthu ambiri amaganiza kuti izi sizingatheke. Koma kodi ndi zoona? Lero, tiyeni tikambirane za njira zoberekera mwana kachiwiri mutachitidwa tubal ligation.

Choyamba, tiyeni tiwone tanthauzo la 'kulumikiza ma tubes'.

Mwachidule, iyi ndi opaleshoni yopewera kutenga mimba. Izi zimaphatikizapo kudula, kumanga, kapena kuwotcha machubu anu a fallopian. Machubu a fallopian ndi komwe dzira lochokera ku ovary ndi umuna wochokera kwa mwamuna zimakumana. Choncho machubu awiriwa akatsekedwa, palibe njira yoti dzira ndi umuna zikumane. Chifukwa chake, mimba singachitike.

Pambuyo pa opaleshoni iyi, ngati mukufuna kukhala ndi mwana kachiwiri, muli ndi njira ziwiri zazikulu. Choyamba ndi opaleshoni yomwe tikukamba lero, yomwe imaphatikizapo kulumikizanso machubu (`Tubal Ligation Reversal`) . China ndi feteleza wa in vitro, womwe umadziwikanso kuti `In Vitro Fertilization (IVF) .` IVF sifunikira machubu a fallopian. Njira zonsezi zili ndi ubwino ndi kuipa kwake.

Kotero, `Tubal Ligation Reversal` ndi kusintha kwa opaleshoni yakale. Apa, machubu otsekedwa a fallopian amalumikizidwanso, zomwe zimapangitsa kuti dzira ndi umuna ziziyenda. Ngati izi zikuyenda bwino, mutha kutenga mimba mwachibadwa.

Kodi aliyense angapatsidwe opaleshoniyi? Kodi ndi yani yabwino kwa iye?

Ngati muli ndi mwayi waukulu wokhala ndi pakati mutachita opaleshoniyi, ndinu woyenera kuchita izi. Kupambana kwa opaleshoniyi kumadalira zinthu zingapo. Tiyeni tiwone zomwe zili.

• Zaka zanu: Kubereka kwanu kumachepa mwachibadwa mukakula. Choncho mukakhala wamng'ono , mwayi wanu wokhala ndi pakati mukatha opaleshoniyi umawonjezeka. Ndipo chiopsezo chotaya mimba ndi zilema za majini mwa mwana wanu chimachepa.
• Mavuto ena okhudzana ndi kubereka: Ngati muli ndi matenda monga kusakhazikika kwa msambo, uterine fibroids, kapena endometriosis (kukula kwa minofu yomwe iyenera kukhala m'chiberekero kunja kwa chiberekero), mwayi wanu wopambana ukhoza kukhala wochepa pang'ono.
• Thanzi la mnzanu: Thanzi la umuna wa mnzanu ndilofunikanso kwambiri pano, kotero lidzawunikidwanso musanachite opaleshoni.
• Mtundu wa kumangidwa kwa ma tubes omwe mudali nawo kale: Ngati ma tubes anu a fallopian anali atatsekedwa kale ndi ma clip kapena mphete, n'zosavuta kuwalumikizanso. Komabe, ngati anatsekedwa ndi electrocautery, yomwe ndi njira yowaphikira ndi magetsi, zingakhale zovuta pang'ono kuwalumikizanso.
• Kutalika kwa machubu otsala a fallopian: Kuti mulumikizanenso machubu awiriwa mutachita opaleshoni, payenera kukhala magawo okwanira a chubu chathanzi.

Kodi pali njira zoti zilepheretse kumangidwanso?

Inde, pali zochitika zina. Ngati machubu anu a fallopian achotsedwa kwathunthu, kapena ngati kumapeto kwa chubucho kwadulidwa ndikuchotsedwa, sichingalumikizidwenso.

Komanso, mitundu iwiri ya zipangizo zotchedwa `Essure®` ndi `Adiana®` zinkagwiritsidwa ntchito kale. Izi ndi njira zosagwiritsa ntchito opaleshoni zomwe zimayikidwa kudzera mu nyini m'machubu a fallopian kuti zitseke. Izi tsopano zachotsedwa pamsika. Kuwonongeka kwa machubu komwe kumachitika chifukwa cha zipangizozi sikungatheke. Ngati mwagwiritsa ntchito njirazi ndipo tsopano mukuyesera kukhala ndi mwana, onetsetsani kuti mwaonana ndi dokotala wanu.

Kodi chimachitika ndi chiyani opaleshoni isanachitike?

Ngati mukuganiza izi, choyamba muyenera kuonana ndi dokotala wanu. Iye adzakufotokozerani za opaleshoniyi, kuphatikizapo zoopsa zake, ndipo adzachita izi kuti aone ngati muli bwino:

• Mbiri ya zachipatala: Kuwunikanso bwino mimba yanu yakale, tsatanetsatane wa opaleshoni iliyonse yolumikiza tubal, komanso ngati munachitidwapo opaleshoni ina iliyonse.
• Kusanthula umuna: Kuchuluka kwa umuna ndi ubwino wa mnzanu zimayesedwa kuti mudziwe mwayi wanu wokhala ndi pakati mutachita opaleshoni.
• Mayeso Ena: Kutengera ndi mbiri yanu yachipatala, mungafunikenso kuyesedwa magazi ndi kujambulidwa.

Kodi ndiyenera kukonzekera bwanji opaleshoniyi?

Mukayamba kuonana ndi dokotala wanu, ndi bwino kubweretsa "lipoti la opaleshoni" la opaleshoni yanu yakale. Ngati machubu anu adachotsedwa, bweretsaninso "lipoti la matenda".

Kuti muwonjezere mwayi wanu wokhala ndi mimba yabwino, chitani izi:

• Sungani bwino matenda ena omwe muli nawo (monga matenda a shuga ndi kuthamanga kwa magazi).
• Ngati mukusuta, siyani ndithu .
• Chepetsani kumwa caffeine, monga mowa ndi khofi.
• Yambani kumwa multivitamin kapena vitamini yobereka yomwe ili ndi folic acid.

Kodi chimachitika ndi chiyani panthawi ya opaleshoni?

Opaleshoni iyi nthawi zambiri imatenga maola awiri kapena atatu. Mudzatha kupita kunyumba tsiku lomwelo. Opaleshoniyi imachitika pansi pa mankhwala oletsa ululu, zomwe zikutanthauza kuti simudzamva chilichonse.

Pali njira ziwiri zochitira opaleshoniyi. Njira imodzi ndi ya `mini-laparotomy`. Apa, kudula pang'ono kumapangidwa pafupifupi mainchesi awiri pansi pa mzere wa bikini, ndipo opaleshoniyi imachitika pogwiritsa ntchito maikulosikopu. Njira ina ndi `robotic-assisted laparoscopy`. Apa, mabowo angapo ang'onoang'ono amapangidwa m'mimba, ndipo opaleshoniyi imachitika pogwiritsa ntchito mkono wa robotic.

Pa nthawi ya opaleshoni:

1. Mudzapatsidwa mankhwala oletsa ululu kwathunthu.

2. Kachubu kakang'ono (catheter) kamalowetsedwa mu chikhodzodzo kuti katenge mkodzo.

3. Pamimba pamakhala kabowo kakang'ono kapena mabowo angapo kuti alowe m'machubu a fallopian.

4. Choyamba, timayang'ana ngati machubu ali pamalo oyenera kukonzedwa. Ngati n'kotheka, timapitiriza opaleshoni kumeneko.

5. Malekezero a machubu otsekedwa amatsegulidwa ndipo magawo awiri a chubu amalumikizidwanso.

6. Kenako, madzi apadera (`dye`) amadutsa m'chiberekero kuti awone ngati machubu ali otseguka ndipo madziwo akuyenda kudzera mwa iwo.

7. Pomaliza, chodulidwacho chimasokedwa ndi ma suture osungunuka pansi pa khungu ndipo bandeji imayikidwa.

Kodi opaleshoniyi ikuyenda bwanji? Kodi ubwino ndi zoopsa zake ndi ziti?

Simudzamva ululu uliwonse mukatha opaleshoni, chifukwa muli pansi pa opaleshoni. Dokotala adzakupatsani mankhwala ochepetsa ululu kuti akuthandizeni ndi ululu pamene opaleshoniyo ikutha. Mungamve kupweteka pang'ono pamalo ochitira opaleshoni kwa masiku angapo.

Mudzayang'aniridwa kuchipatala kwa maola awiri mutachita opaleshoni. Mudzaloledwa kupita kunyumba mukatsimikizira kuti zonse zili bwino. Mungamve ngati mukugona pang'ono chifukwa cha mankhwala oletsa ululu. Chifukwa chake, ndikofunikira kuti wina abwere kudzakutengani kunyumba .

Kodi opaleshoniyi yapambana bwanji?

Kawirikawiri, kuchuluka kwa mimba pambuyo pa opaleshoniyi kumasiyana pakati pa 50% ndi 80%. Kupambana kumeneku kumadalira zaka zomwe takambirana kale, momwe machubu a fallopian alili, komanso zomwe dokotalayo wakumana nazo pochita opaleshoniyi.

Zimatenga nthawi yayitali bwanji kuti munthu achire?

Anthu ambiri amatha kubwerera ku zochita zawo zachizolowezi mkati mwa sabata imodzi kapena ziwiri, koma funsani dokotala wanu kuti mutsimikize.

Kodi kutenga mimba kumatenga nthawi yayitali bwanji mutachita opaleshoni?

Mimba yambiri imachitika mkati mwa chaka choyamba kapena ziwiri mutachita opaleshoni. Komabe, madokotala amalangiza kuti mudikire mpaka mutamaliza kusamba kawiri musanayese kutenga pakati.

Kodi simungathe kutenga mimba popanda opaleshoni? Njira yotchedwa IVF

Inde. `IVF` (kubereka mwana m'mimba mwa mayi) ndi njira ina. Izi zimathandizanso kuti mimba ipambane kwambiri. Koma sizimafuna opaleshoni.

Mu IVF, mumapatsidwa jakisoni wa mahomoni kwa masiku pafupifupi 10, mazira anu amapangidwa, mazira amenewo amachotsedwa m'thupi lanu, ndipo amaphatikizidwa ndi umuna wa mnzanu mu labu kuti apange mluza. Kenako mluza umenewo umayikidwa m'chiberekero chanu.

Ngati simuli woyenera opaleshoni ya Tubal Reversal, kapena ngati mumakonda njira iyi kuposa opaleshoni, dokotala wanu angakulangizeni IVF.

Ndiyenera kukaonananso ndi dokotala liti?

Mudzapemphedwa kuti mubwererenso pakatha pafupifupi sabata imodzi kapena ziwiri kuchokera pamene opaleshoniyo inachitika. Mudzapatsidwanso malangizo a nthawi yoti mulankhule ngati pakhala vuto lililonse nthawiyo isanafike.

Dokotala angalimbikitsenso kuti ayesedwe X-ray yotchedwa ``HSG'' miyezi ingapo pambuyo pa opaleshoni kuti aone ngati machubu a fallopian akadali otseguka.

Kumanga machubu anu sikutanthauza kuti simungathe kubereka mwana wina. Ngati mukufuna, Tubal Ligation Reversal ikhoza kukhala njira yabwino. Komabe, kutengera zaka zanu ndi thanzi lanu, IVF ikhoza kukhala njira yabwino. Ndi bwino kulankhula ndi dokotala wanu za izi ndikusankha njira yomwe ili yoyenera kwa inu.