Kodi mwatha kukhala ndi ana tsopano ndipo mwatsimikiza mtima kuti "Sindikufuna mwana wina"? Ndiye muyenera kuti mwamvapo za opaleshoni yotchedwa 'LRT'. Iyi ndi njira yodziwika bwino yolerera pakati pa anthu ambiri. Koma ngakhale ikukambidwa, anthu ambiri samvetsa bwino zomwe zimachitika ndi opaleshoniyi, ubwino wake ndi kuipa kwake, komanso zomwe zidzachitike pambuyo pa opaleshoniyi. Chifukwa chake lero, tiyeni tiphunzire zonse zokhudza opaleshoniyi mosavuta.
Mwachidule, kodi tubal ligation ndi chiyani?
Iyi ndi opaleshoni yokhazikika yoletsa kubereka kwa akazi. Imatchedwanso "kuletsa kubereka kwa akazi." Ndi njira yothandiza kwambiri.
Tangoganizirani, njira yathu yoberekera ili ndi magawo atatu akuluakulu: chiberekero , mazira , ndi machubu a fallopian. Mwezi uliwonse, dzira limatuluka m'machubu a fallopian ndipo limayenda pansi pa chubu cha fallopian kupita ku chiberekero. Mimba imachitika pokhapokha ngati yakumana ndi umuna paulendowu.
Opaleshoni iyi imaphatikizapo kudula ndi kumanga machubu a fallopian, kapena kuwatseka ndi chogwirira chapadera kapena bandeji. Zili ngati kutseka msewu. Kenako dzira silingakumane ndi umuna, ndipo umuna sungafike ku dzira. Choncho mimba siichitika.
Chofunika kwambiri, ichi chimaonedwa kuti ndi njira yokhazikika. Opaleshoni iyi sipereka chitetezo chilichonse ku matenda opatsirana pogonana ( matenda opatsirana pogonana ).
N’chifukwa chiyani munthu angasankhe opaleshoni imeneyi?
Chifukwa chachikulu ndi kusiya kubereka kwamuyaya. Iyi ndi njira yomwe imagwira ntchito bwino ndi 99%. Mukamaliza opaleshoni, mutha kusangalala ndi moyo wogonana wosangalala popanda kuda nkhawa kuti mutenga mimba.
Madokotala amalimbikitsanso opaleshoni iyi pazifukwa zina zachipatala. Mwachitsanzo, kwa akazi omwe ali ndi kusintha kwa majini (monga kusintha kwa majini a BRCA) komwe kumawonjezera chiopsezo cha khansa ya m'chiberekero, opaleshoni iyi (mwina kuchotsa kwathunthu machubu a fallopian) ingalimbikitsidwe kuti achepetse chiopsezo chimenecho.
Ndingadziwe bwanji ngati ndili wokonzekadi kuchita izi?
Funso lofunika kwambiri lomwe muyenera kudzifunsa. Ndikofunikira kukumbukira kuti opaleshoni iyi ndi yokhalitsa . Ngakhale nthawi zina pamakhala opaleshoni yobwezeretsa, imakhala yovuta kwambiri, yokwera mtengo, ndipo ili ndi mwayi wochepa wopambana.
- Ngati simukudziwa 100% ngati mukufuna mwana wina kapena ayi, musaganizepo za opaleshoni iyi.
- M'malo mwake, ndi bwino kuganizira njira yakanthawi monga mapiritsi oletsa kubereka kapena chipangizo cha intrauterine (IUD) chomwe chingaimitsidwe nthawi iliyonse.
- Musanapange chisankho ichi, kambiranani ndi mnzanu. Angafunenso kuganizira za vasectomy, opaleshoni yochotsa mimba mwa amuna.
Ndikofunikira kukambirana mafunso anu onse ndi mantha anu okhudza izi ndi dokotala wanu ndikuwafotokozera bwino.
Kodi njira zochitira opaleshoni ndi ziti?
Opaleshoni yolumikiza ma tubes ingachitike m'njira zitatu zazikulu. Dokotala wanu adzasankha njira yabwino kwambiri kutengera zinthu monga thanzi lanu komanso ngati mudzachite izi mukabereka.
1. Laparoscopic Tubal Ligation
Anthu ambiri amatcha opaleshoni iyi kuti "keyhole surgery" chifukwa sikutanthauza kudula kwakukulu.
- Mudzapatsidwa mankhwala oletsa ululu (tulo tofa nato).
- Mabala awiri ang'onoang'ono kwambiri amapangidwa m'mimba ndi m'munsi mwa bere.
- Chubu chopyapyala chokhala ndi kamera yotchedwa laparoscope chimayikidwa kudzera mu kudula kamodzi, ndipo mimba imadzazidwa ndi mpweya (carbon dioxide) kuti ziwalo ziwonekere bwino.
- Chipangizo chopangira opaleshoni chimayikidwa kudzera mu chocheka china, machubu a fallopian amapezeka, ndipo machubuwo amatsekedwa pogwiritsa ntchito chogwirira, tepi, kapena magetsi (electrocoagulation).
- Mukhoza kuchira msanga mukatha izi. Nthawi zambiri mukhoza kupita kunyumba kuchokera kuchipatala pakatha maola ochepa.
2. Njira ya Mini-laparotomy
Njira imeneyi nthawi zambiri imachitika mkati mwa maola 24 kuchokera pamene mwana wabadwa mwachibadwa.
- Ngati munagwiritsa ntchito epidural panthawi yobereka, idzagwiritsidwa ntchito. Kapena mudzapatsidwa mankhwala oletsa ululu msana.
- Mwana akabadwa, chiberekero chimakhalabe pafupi ndi khomo lachiberekero, kotero kudula pang'ono kumapangidwa pansi pa khomo lachiberekero kuti mupeze mosavuta machubu a fallopian ndikumangirira ndi ulusi wapadera.
3. Laparotomy
Iyi ndi opaleshoni yotseguka. Njirayi sigwiritsidwanso ntchito kwambiri chifukwa imachitidwa kudzera mu kudula pang'ono m'mimba. Komabe, ngati opaleshoniyi ichitika nthawi imodzi ndi opaleshoni ya C-section , ndi njira yabwino kwambiri chifukwa imachitidwa kudzera mu kudula komweko komwe kunagwiritsidwa ntchito pobereka mwana.
Zoyenera kuyembekezera mutachita opaleshoni
Pambuyo pa opaleshoni, mudzasungidwa m'chipinda china kuti muwonedwe ndipo ngati zonse zikuyenda bwino, mudzatumizidwa kunyumba. Ngati mwachita opaleshoni ya laparoscopic, mutha kuchoka patatha maola ochepa. Ndi njira zina, mungafunike kukhala m'chipatala kwa tsiku limodzi. Chitani izi mukapita kunyumba.
| Malangizo / Zizindikiro | Kufotokozera ndi choti muchite |
|---|---|
| Kukweza zolemera | Musanyamule chilichonse cholemera kwa milungu 1-2. Mukabereka, musanyamule chilichonse cholemera kuposa kulemera kwa mwana kwa milungu yosachepera 4. |
| Kuyendetsa galimoto | Musayendetse galimoto kwa maola 24. Pewani kumwa mowa. |
| Bafa | Palibe vuto kusamba thupi lanu. Komabe, musasambe kapena kusambira mpaka chotupacho chitachira (pafupifupi milungu iwiri). |
| Kutupa | Pambuyo pa laparoscopy, mpweya wodzaza m'mimba ukhoza kuyambitsa kupweteka m'mapewa, khosi, ndi pachifuwa kwa masiku awiri kapena atatu. Kuyenda ndi kuviika m'madzi otentha kungathandize. |
| Kusanza ndi kupweteka | Idyani zakudya zopepuka (supu, tiyi, buledi, makeke). Imwani mankhwala ochepetsa ululu omwe dokotala wakupatsani chifukwa cha kupweteka m'mimba. |
| Kutuluka magazi m'mimba | Ndizachilendo kutuluka magazi pang'ono kwa mwezi umodzi mutachita opaleshoni. Zingatenge milungu 4-6 kuti msambo wanu wotsatira ubwere. Mukatero, mutha kumva magazi ambiri komanso kupweteka kwambiri. |
Kodi ubwino ndi kuipa kwake ndi kotani?
Ubwino
- Yothandiza kwambiri komanso yosavuta: Yogwira ntchito yoposa 99%. Imapereka chitetezo cha moyo wonse ku mimba. Palibe chifukwa chomwa mapiritsi tsiku lililonse kapena kupita kuzipatala.
- Palibe mahomoni: Iyi si njira yogwiritsira ntchito mahomoni. Choncho siikhudza nthawi yanu ya msambo ndipo siimayambitsa kusamba.
- Amachepetsa chiopsezo cha khansa:Kafukufuku wasonyeza kuti opaleshoniyi ingachepetse chiopsezo cha khansa ya m'chiberekero ndi pafupifupi 40%.
Zoyipa
- Chisoni: Azimayi ena (makamaka omwe amachita izi asanakwanitse zaka 30) angadandaule pambuyo pake, choncho ganizirani mosamala za chisankhocho.
- Yokhazikika: Iyi iyenera kuonedwa ngati njira yokhazikika yomwe singasinthidwe.
- Zoopsa za opaleshoni: Monga opaleshoni ina iliyonse, pali zoopsa zazing'ono kwambiri, monga ziwengo za mankhwala oletsa ululu, matenda, ndi kuwonongeka kwa ziwalo zozungulira.
Nthawi yoti mukaonane ndi dokotala nthawi yomweyo
Kutseka ma tubes ndi njira yotetezeka kwambiri, koma muyenera kuyimbira dokotala nthawi yomweyo ngati mukukumana ndi zizindikiro zotsatirazi:
- Kupweteka kwa m'mimba kosapiririka kapena kupweteka m'chiuno.
- Ngati balalo likutuluka mafinya, likutuluka magazi, kapena lafiira komanso lotupa.
- Malungo aakulu (oposa 100°F / 37.7°C).
- Kutuluka magazi ambiri m'mimba (ngati pepala lanyowa kwathunthu mkati mwa maola awiri).
- Kusanza kosalekeza.
- Ngati mukumva kukomoka nthawi zonse.
Chinthu china chofunika kudziwa ndi chakuti, ngakhale kuti n’zosowa kwambiri, thireyi imatha kubwereranso pambuyo pa opaleshoni. Ngati mimba yachitika, nthawi zambiri imakhala mimba yotuluka m’mimba, yomwe imakula mu thireyi yokha. Iyi ndi vuto loopsa lomwe limafuna chithandizo chadzidzidzi.
Mafunso ena omwe amafunsidwa kawirikawiri
Kodi chidzachitike ndi mazira anga obadwa pambuyo pa opaleshoni?
Mazira anu amapitiriza kutulutsa mazira pafupifupi tsiku lililonse, koma chifukwa chakuti sangathe kudutsa mu chubu cha fallopian, amabwereranso m'thupi lanu.
Kodi ndingachite liti zogonana nditatha opaleshoni?
Nthawi zambiri mumatha kugonana pakatha pafupifupi sabata imodzi. Komabe, ngati munachitidwa opaleshoni mutabereka, muyenera kudikira mpaka dokotala wanu atakuuzani kuti muchite (nthawi zambiri pamatha pafupifupi milungu 6).
Kodi ndingathe kutenga mimba kachiwiri nditachita opaleshoni?
Malo ake ndi ochepa kwambiri. Osakwana 1%.
Kodi zimateteza matenda opatsirana pogonana?
Ayi. Ayi ndithu. Ndikofunikira kugwiritsa ntchito njira zodzitetezera monga makondomu.
Uthenga Wopita Nawo Kunyumba
- Kutsekeka kwa Tubal ndi njira yolerera yokhazikika. Inu ndi mnzanu muyenera kuganizira mosamala musanapange chisankho ichi.
- Lankhulani ndi dokotala wanu za mavuto anu onse ndi mantha anu.
- Opaleshoni iyi siidzaletsa msambo wanu kapena kuyambitsa kusamba.
- Kuchokera apaSiziteteza ku matenda opatsirana pogonana (STIs). Gwiritsani ntchito njira zina zodzitetezera.
- Dziwani zizindikiro zoopsa (kupweteka kwambiri, kutentha thupi, kutuluka magazi kwambiri) zomwe zingachitike mutachita opaleshoni, ndipo funsani upangiri wa dokotala nthawi yomweyo ngati chimodzi mwa izi chikachitika.
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