Mhlawumbi ugqirha wakho ukuxelele ngotyando lwe-'Salpingectomy'. Okanye mhlawumbi ukhe weva ngalo ndaweni ithile. Eli gama lisenokuvakala lisoyikisa kancinci, kodwa eneneni olu lutyando oluqhutywa ngabafazi abaninzi ngezizathu ezahlukeneyo. Ngoko ke ungoyiki. Namhlanje, siza kuthetha ngokulula nangokucacileyo ngolu tyando lwe-Salpingectomy, isizathu sokuba lwenziwe, indlela oluqhutywa ngayo, kunye nokuba kwenzeka ntoni emva kotyando.
Yintoni kanye kanye iSalpingectomy?
Ngamafutshane, i-salpingectomy kukususwa ngotyando kwetyhubhu enye okanye zombini. Ngoku usenokuba uzibuza ukuba zeziphi ezi tyhubhu ze-fallopian. Zicinge njengeetyhubhu ezimbini ezincinci phakathi kwamaqanda akho kunye nesibeleko. Iqanda elikhutshwa kwi-ovary lihamba liye esibelekweni ngezi tyhubhu ze-fallopian ukuze lidibane nesidoda. Ngoko ke ezi tyhubhu zimbini zibaluleke kakhulu ekukhulelweni komntwana. Ngokwesiqhelo, wonke umfazi unetyhubhu ezimbini ze-fallopian.
Kukho iintlobo ezimbini eziphambili zotyando lwe-salpingectomy:
Zimbini iindlela eziphambili zokwenza olu tyando. Ugqirha uya kugqiba ukuba yeyiphi efanelekileyo kuwe ngokwemeko yakho.
| Uhlobo lotyando | Ingcaciso elula |
|---|---|
| Ukususwa kombhobho omnye we-fallopian (Unilateral Salpingectomy) | Oku kuquka ukususwa kwetyhubhu enye kuphela. Ngamanye amaxesha, yinxalenye kuphela yetyhubhu enokususwa. Emva koko, usenethuba lokuba nabantwana ngokwendalo , kuba enye ityhubhu isasebenza ngokwesiqhelo. Olu hlobo ludla ngokwenziwa kwiimeko zokukhulelwa okungaphandle kwesibeleko. |
| Ukususwa kweetyhubhu ze-fallopian zombini (Bilateral Salpingectomy) | Kule meko, zombini iityhubhu zakho ze-fallopian zisuswa ngokupheleleyo. Emva kolu tyando, awuyi kukwazi ukukhulelwa ngokwendalo. Olu tyando lwenzelwa izinto ezifana neemeko zomhlaza kwityhubhu ze-fallopian, okanye ukuyeka ukuzala abantwana ngokusisigxina (njengendlela yokucwangcisa usapho ngokusisigxina). |
Kutheni umfazi engathanda ukwenza olu tyando?
Kukho izizathu ezahlukeneyo zokuba kwenziwe i-salpingectomy. Ngamanye amaxesha yenziwa njengonyango, kwaye ngamanye amaxesha isetyenziselwa ukuthintela isifo.
- Ukukhulelwa Okubangelwa Yi-Ectopic: Le yeyona nto ixhaphakileyo. Okwenzekayo apha kukuba iqanda alifakwanga esibelekweni kodwa endaweni yoko liqala ukukhula ngaphakathi kwityhubhu ye-fallopian. Le yimeko eyingozi kakhulu. Ukuba ityhubhu iyagqabhuka, inokubangela ukopha okukhulu kwanokufa. Ke ngoko, ityhubhu kufuneka isuswe.
- Iimeko zomhlaza: Ukuba kukho umhlaza kwisibeleko, kumaqanda, okanye kwiityhubhu ze-fallopian, ezi tyhubhu ziyasuswa njengonyango.
- Usulelo kwimibhobho ye-fallopian: Ezinye izifo ezinzulu zingonakalisa imibhobho ye-fallopian kwaye zibangele ukuba ubomvu buqokeleleke. Kwimeko ezinjalo, imibhobho inokufuneka isuswe.
- I-Endometriosis: Kule meko, izicubu ezifana nezo zifumaneka ngaphakathi kwesibeleko zinokukhula ngaphakathi kwimibhobho ye-fallopian. Oku kunokubangela iintlungu ezinzulu kunye nokuvaleka kwemibhobho.
- Iityhubhu ze-fallopian ezivalekileyo okanye ezonakeleyo: Ukuba iityhubhu ze-fallopian zivalekile okanye zonakele nangasiphi na isizathu, oogqirha banokugqiba ekubeni bazisuse.
- Njengendlela yokucwangcisa usapho esisigxina: Ukuba awufuni ukuphinda ube nabantwana, ungasuswa zombini iityhubhu njengendlela yokulawula ukuzala esisigxina.
Ukongeza, abanye abafazi banesifo sofuzo esibangela ukuba babe nomhlaza wesibeleko okanye umhlaza webele (umz., utshintsho lwezakhi zofuzo lwe-BRCA ). Uphando lwakutshanje lufumanise ukuba uninzi lomhlaza wesibeleko oluphambili luqala kwimibhobho ye-fallopian. Ke ngoko, kubafazi abasengozini, ugqirha wakho unokucebisa le nkqubo njengendlela yokunciphisa umngcipheko wakho .
Lwenziwa njani olu tyando?
Kukho iindlela ezimbini eziphambili zokwenza olu tyando: i-laparoscopic kunye nesisu esivulekileyo.
| Indlela yotyando | Kwenzeka njani oku |
|---|---|
| Utyando lwe-Laparoscopic Salpingectomy | Olu lolona "tyando lwe-keyhole" olusetyenziswa kakhulu.Kwakhona kuthiwa. Apha, kwenziwa imingxunya emininzi emincinci esiswini, kwaye kufakwa isixhobo esincinci esinekhamera (i-laparoscope) ngesinye. Isisu sivuthelwa ngumoya ukuvumela umbono ongcono wangaphakathi. Izixhobo zotyando zifakwa ngezinye izigcawu kwaye iityhubhu ze-fallopian ziyasuswa. Le ndlela ishiya amanxeba amancinci, ayibuhlungu kangako, kwaye iphola ngokukhawuleza. |
| I-Open Abdominal Salpingectomy | Olu tyando lwenziwa ngokusika okukhulu (i-laparotomy) kwisisu esisezantsi. Le ndlela inokuba yimfuneko kwiimeko ezinzima kuba ugqirha unokubona amalungu omzimba ngcono. Nangona kunjalo, le ndlela ifuna ixesha elide lokuchacha. |
Ngokwesiqhelo, oogqirha bazama ukwenza olu tyando nge-laparoscopically. Nangona kunjalo, kwiimeko ezingxamisekileyo, ezifana nokuqhekeka kombhobho we-fallopian ngenxa yokukhulelwa okuphuma etyhini, utyando oluvulekileyo lunokuba yimfuneko. Ungaxoxa ngale nto nogqirha wakho ngaphambi kotyando.
Kwenzeka ntoni emva kotyando?
Khumbula, olu tyando aluyi kuyimisa ixesha lakho lokuya exesheni. Aluyi kubangela naluphi na utshintsho olukhulu kwiihomoni zakho, kuba iihomoni ziyaveliswa kwaye ukuya exesheni kulawulwa zii-ovari kunye nesibeleko, kungekhona ziityhubhu ze-fallopian.
Emva kotyando, uza kusiwa ewadini ukuze ujongwe. Ukuba wenze utyando lwe-laparoscopic, unokukwazi ukuya ekhaya ngaloo mini inye. Ukuba wenze utyando oluvulekileyo, kuya kufuneka uhlale esibhedlele usuku olunye okanye ezimbini.
Ukubuyisela kwimeko yesiqhelo:
- Ngotyando lwe-laparoscopic, ungabuyela kwisiqhelo kwiintsuku ezimbalwa. Kuthatha malunga neveki enye ukuya kwezimbini ukuze uphile ngokupheleleyo.
- Utyando oluvulekileyo lunokuthatha malunga neeveki ezi-4 ukuya kwezi-6 ukuze luphile.
Emva kotyando, kufuneka uphephe ukuphakamisa izinto ezisindayo kunye nokuzilolonga okunzima okwethutyana. Ugqirha wakho uza kukunika iingcebiso ngale nto.
Imibuzo ebuzwa qho
Kwenzeka ntoni kumaqanda xa kususwa imibhobho ye-fallopian?
Umbuzo omhle. Ukukhululwa kweqanda kwii-ovari kwenzeka ngokwesiqhelo. Kodwa kuba kungekho mbhobho weqanda onokudlula kuwo, liyanyibilika ngaphakathi emzimbeni lize lifunxwe ngumzimba. Oku akuqhelekanga, oku kwenzeka kumaqanda angasetyenziswanga nangona usexesheni xa ungakhulelwanga.
Andinakuba nabantwana emva kolu tyando?
Oku kuxhomekeke kuhlobo lotyando olwenzileyo.
- Ukuba kususwe ityhubhu enye kuphela (i-Unilateral): Ukuba enye ityhubhu iphilile, usenethuba lokukhulelwa ngokwendalo.
- Ukuba zombini iityhubhu zisusiwe (ezimbini): Awunakukhulelwa ngokwendalo. Nangona kunjalo, ukuba isibeleko sakho kunye namaqanda akho asempilweni, iteknoloji ye-IVF (in vitro fertilization) inokukunceda ukhulelwe.Kukho ithuba lokukhulisa umntwana ngokumfaka kwi-in vitro fertilization. Oku kuquka ukuchumisa elinye lamaqanda akho kunye nesidoda kwilebhu uze ufake i-embryo ngqo kwisibeleko.
Ziziphi iingenelo kunye neengozi zotyando?
Njengalo naluphi na utyando, olu luneengenelo kunye neengozi ezincinci.
Iingenelo:
- Ingathomalalisa iintlungu ezibangelwa ziimeko ezifana ne-endometriosis.
- Umngcipheko womhlaza wesibeleko ungancitshiswa kakhulu.
- Yindlela yokulawula inzala esisigxina.
- Ungayiphepha imeko esongela ubomi efana nokukhulelwa okuphuma ebaleni.
Iingozi:
Ezi zizinto ezinqabileyo kakhulu.
- Ukopha kwindawo yotyando.
- Iimpendulo ezingalunganga kwi-anesthesia.
- Amahlwili egazi.
- Ukonakala kwamalungu omzimba angqongileyo.
- Iimeko ezibangela usulelo.
| Ukuba ufumana ezi mpawu emva kotyando, bonana nogqirha wakho ngoko nangoko. | |
|---|---|
| - Ukudumba, ukuba bomvu, okanye ukukhupha okufana nobomvu kwindawo yokusikwa | - Ukuziva umkhuhlane okanye ubanda |
| - Intlungu egqithisileyo okanye ulwelo olungcolileyo oluphuma kwilungu lobufazi | - Intlungu ebuhlungu ngexesha lokuchama |
| - Ukudumba okanye intlungu emilenzeni (kusenokuba luphawu lokuqhekeka kwegazi) | - Intlungu yesisu enganyamezelekiyo |
I-Salpingectomy yinkqubo esindisa ubomi, kwaye ngamanye amaxesha itshintsha ubomi. Kuqhelekile ukuba noloyiko oluninzi, iinkxalabo, kunye nemibuzo ngayo. Eyona nto ibalulekileyo kukuthetha nogqirha wakho ngayo yonke imibuzo neenkxalabo zakho ngaphandle kokuthandabuza.
Umyalezo Wokuya Ekhaya
- I-Salpingectomy kukususwa ngotyando kwetyhubhu enye okanye zombini ze-fallopian.
- Olu tyando lwenziwa xa ukhulelwe ngaphandle kokukhulelwa, umhlaza, usulelo, kwaye njengendlela yokucwangcisa usapho esisigxina.
- Olu tyando aluyi kuyimisa i-period yakho yokuya exesheni (ukuya exesheni) okanye lubangele naluphi na utshintsho olukhulu kwiihomoni zakho.
- Ukuba kususwa ityhubhu enye kuphela, ungakhulelwa ngokwendalo. Nokuba zombini iityhubhu zisusiwe, usenokufumana abantwana ngeteknoloji ye-IVF.
- Kwabo basengozini enkulu yokuba nomhlaza wesibeleko, olu tyando lubaluleke kakhulu ukunciphisa loo mngcipheko.
- Ukuba unemibuzo okanye izinto ezikuxhalabisayo, thetha ngokukhululekileyo nogqirha wakho.
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