Mhlawumbi ubucinga ukuba usapho lwakho luphelele kwaye belune-tubal ligation, inkqubo yocwangciso losapho. Kodwa ngoku, emva kwexesha elithile, ngaba uziva ngathi udinga usana oluncinci ukuze uncume kwakhona ekhaya? Kuqhelekile ukuvakalelwa ngaloo ndlela. Abantu abaninzi bacinga ukuba oku akunakuphikiswa. Kodwa ngaba kunjalo ngokwenene? Namhlanje, masithethe ngeendlela zokufumana umntwana kwakhona emva kokuba ne-tubal ligation.
Okokuqala, masibone ukuba oku kuthetha ukuthini 'ukubopha i-tubal'.
Ngamafutshane, olu lutyando lokuthintela ukukhulelwa. Oku kuquka ukusika, ukubopha, okanye ukutshiza iityhubhu zakho ze-fallopian. Iityhubhu ze-fallopian kulapho iqanda elivela kwi-ovary kunye ne-sperm evela kwindoda zidibana khona. Ngoko ke xa ezi tyhubhu zimbini zivalekile, akukho ndlela yokuba iqanda kunye ne-sperm zihlangane. Ke ngoko, ukukhulelwa akunakwenzeka.
Emva kolu tyando, ukuba ufuna ukuphinda ube nomntwana, uneendlela ezimbini eziphambili onokukhetha kuzo. Olunye lutyando esithetha ngalo namhlanje, olubandakanya ukuphinda kudityaniswe iityhubhu (`Tubal Ligation Reversal`) . Olunye lutyando lwe-in vitro fertilization, olukwaziwa ngokuba yi-`In Vitro Fertilization (IVF) .` I-IVF ayifuni iityhubhu ze-fallopian. Zombini ezi ndlela zinezibonelelo kunye neengxaki zazo.
Ngoko ke, i-`Tubal Ligation Reversal` yindlela yokutshintsha utyando lwangaphambili. Apha, iityhubhu ze-fallopian ezivaliweyo ziyaxhunyaniswa kwakhona, zenze indlela yokuhamba kweqanda kunye nesidoda. Ukuba oku kuyaphumelela, ungakhulelwa ngokwendalo kwakhona.
Ngaba wonke umntu angalutyanda olu tyando? Ngubani olungele lona?
Ukuba unethuba elikhulu lokukhulelwa emva kolu tyando, ungumntu ofanelekileyo kolu tyando. Impumelelo yolu tyando ixhomekeke kwizinto ezininzi. Masibone ukuba zeziphi.
- Ubudala bakho: Ukuzala kwakho ngokwemvelo kuncipha ngokuhamba kweminyaka. Ngoko ke, okukhona umncinci , kokukhona amathuba akho okukhulelwa emva kolu tyando aphezulu. Kwaye kokukhona umngcipheko wokuphuphuma kwesisu kunye neziphene zemfuza kumntwana wakho uyancipha.
- Ezinye iingxaki zokuzala: Ukuba uneemeko ezifana nokuya exesheni okungacwangciswanga, ii-fibroids zesibeleko, okanye i-endometriosis (ukukhula kwezicubu ekufuneka zibe sesibelekweni ngaphandle kwesibeleko), amathuba akho okuphumelela anokuba mancinci.
- Impilo yeqabane lakho: Impilo yesidoda seqabane lakho nayo ibaluleke kakhulu apha, ngoko ke iya kuhlolwa nangaphambi kotyando.
- Uhlobo lwe-tubal ligation yakho yangaphambili: Ukuba ii-fallopian tubes zakho bezivaliwe ngaphambili ngee-clip okanye iiringi, kulula ukuzidibanisa kwakhona. Nangona kunjalo, ukuba bezivaliwe nge-electrocautery, eyindlela yokuzitshisa ngombane, kunokuba nzima ngakumbi ukuzidibanisa kwakhona.
- Ubude beetyhubhu ze-fallopian eziseleyo: Ukuze kuphinde kuqhagamshelwe kwakhona iityhubhu ezimbini emva kotyando, kufuneka kubekho iityhubhu ezaneleyo eziphilileyo eziseleyo.
Eyona nto ibalulekileyo kukuxoxa ngokukhululekileyo nogqirha wakho ngako konke oku ukuze ukwazi ukugqiba ukuba loluphi ukhetho olulungele wena.
Ngaba kukho iindlela zokwenza kube nzima ukwakha kwakhona?
Ewe, kukho iimeko ezithile. Ukuba iityhubhu zakho ze-fallopian zisusiwe ngokupheleleyo, okanye ukuba isiphelo setyhubhu sinqunyulwe saza sasuswa, asinakuphinda sidityaniswe kwakhona.
Kwakhona, iintlobo ezimbini zezixhobo ezibizwa ngokuba yi-`Essure®` kunye ne-`Adiana®` bezisetyenziswa ngaphambili. Ezi ziindlela ezingezizo ezotyando ezifakwa ngelungu lobufazi kwiityhubhu ze-fallopian ukuze zithintelwe. Ezi ngoku zisusiwe kwimarike. Umonakalo kwiityhubhu obangelwe zezi zixhobo awunakuguqulwa. Ukuba ukhe wazisebenzisa ezi ndlela kwaye ngoku uzama ukuba nomntwana, qiniseka ukuba ubona ugqirha wakho.
Kwenzeka ntoni ngaphambi kotyando?
Ukuba ucinga ngale nto, kufuneka uqale ubonane nogqirha wakho. Uza kukuchazela ngolu tyando, kuquka neengozi, aze enze oku kulandelayo ukuze abone ukuba ukulungele na:
- Imbali yezonyango: Uhlolo olupheleleyo lokukhulelwa kwakho kwangaphambili, iinkcukacha zalo naluphi na utyando lwe-tubal ligation owakha walwenza, kunye nokuba ngaba wakha wenza olunye utyando.
- Uhlalutyo lwamadlozi: Ubungakanani besidoda kunye nomgangatho weqabane lakho kuvavanywa ukuze kufunyanwe umbono wamathuba akho okukhulelwa emva kotyando.
- Ezinye iimvavanyo: Ngokuxhomekeke kwimbali yakho yezonyango, kunokufuneka ukuba wenze uvavanyo lwegazi kunye neeskeni.
Ndingayilungiselela njani le nkqubo yotyando?
Xa uqala ukubona ugqirha wakho, kuyanceda ukuzisa "ingxelo yotyando" ye-tubal ligation yakho yangaphambili. Ukuba iityhubhu zakho zisusiwe, zise "ingxelo yesifo" nayo.
Ukuze wandise amathuba akho okukhulelwa okunempilo, yenza ezi zinto zilandelayo:
- Gcina ezinye izifo onazo (ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu) zilawuleka.
- Ukuba uyatshaya, yeka ngokuqinisekileyo .
- Nciphisa ukutya i-caffeine, njengotywala nekofu.
- Qala ukuthatha i-multivitamin okanye i-vitamin yokukhulelwa equlethe i-folic acid.
Kwenzeka ntoni ngexesha lotyando?
Olu tyando ludla ngokuthatha malunga neeyure ezimbini ukuya kwezintathu. Uya kukwazi ukuya ekhaya ngaloo mini inye. Olu tyando lwenziwa phantsi kwe-anesthesia eqhelekileyo, oko kuthetha ukuba awuyi kuva nto.
Kukho iindlela ezimbini zokwenza olu tyando. Enye yindlela ye-`mini-laparotomy`. Apha, kwenziwa umsikelo omncinci malunga nee-intshi ezi-2 ngaphantsi komgca we-bikini, kwaye utyando lwenziwa kusetyenziswa imakroskopu. Enye indlela yi-`robotic-assisted laparoscopy`. Apha, kwenziwa imingxunya emininzi emincinci esiswini, kwaye utyando lwenziwa kusetyenziswa ingalo yerobhothi.
Ngexesha lotyando:
1. Uza kupholiswa ngokupheleleyo yintlungu.
2. Kufakwa umbhobho omncinci (i-catheter) kwisinyi ukuze kuqokelelwe umchamo.
3. Kwenziwa umngxuma omncinci okanye imingxunya emininzi esiswini ukuze kufikelelwe kwimibhobho ye-fallopian.
4. Okokuqala, sijonga ukuba iityhubhu zikwimeko yokulungiswa na. Ukuba kunokwenzeka, siyaqhubeka notyando apho.
5. Iziphelo zeetyhubhu ezivaliweyo ziyavulwa kwaye amacandelo amabini etyhubhu axhunyelelwa kwakhona.
6. Emva koko, ulwelo olukhethekileyo (`idayi`) ludluliselwa kwisibeleko ukujonga ukuba imibhobho ivulekile na kwaye ulwelo luhamba ngayo.
7. Ekugqibeleni, i-incision ithungwa nge-sutures ezinyibilikayo phantsi kwesikhumba kwaye kufakwa ibhandeji.
Luhamba njani olu tyando? Zithini iingenelo kunye neengozi?
Awuyi kuva ntlungu emva kotyando, kuba uphantsi kwe-anesthesia. Ugqirha uza kukunika amayeza okuthomalalisa iintlungu ukunceda kwiintlungu njengoko i-anesthesia iphela. Ungaziva ubuhlungu kwindawo yotyando kangangeentsuku ezimbalwa.
Uza kugcinwa esibhedlele kangangeeyure ezimbini emva kotyando. Uza kuvunyelwa ukuba uye ekhaya xa yonke into iqinisekisiwe ukuba ilungile. Ungaziva ulele kancinci ngenxa yeziphumo ze-anesthesia. Ngoko ke, kubalulekile ukuba kubekho umntu oza kukuthatha akuse ekhaya .
| Iingenelo | Iingozi/Iingxaki |
|---|---|
| Eyona nzuzo inkulu yolu tyando kukuba ungazama ukukhulelwa ngokwendalo inyanga nenyanga. Akukho nyango lokuzala olufunekayo. | Iingozi zolu tyando ziphantsi kakhulu, kodwa njengakuyo nayiphi na indlela yotyando, kukho iingozi ezifana nosulelo, ukopha, kunye ne-aleji xa utyando lungasebenzi. |
| Ukuba uphumelele, ungaba nabantwana abangaphezu komnye. | Kukho umngcipheko ophezulu kancinci wokukhulelwa ngaphandle kwesibeleko emva kwale nkqubo. Oku kwenzeka xa iqanda elivundisiweyo lingena kwi-fallopian tube endaweni yesibeleko. Le yimeko efuna unyango olungxamisekileyo. Nangona kunjalo, ngokubanzi, le ngozi iphantsi kakhulu (malunga ne-2%-7%). |
Luphumelele kangakanani olu tyando?
Ngokwesiqhelo, izinga lokukhulelwa emva kolu tyando lihluka ukusuka kwi-50% ukuya kwi-80%. Eli zinga lempumelelo lixhomekeke kwiminyaka esixoxe ngayo ngaphambili, imeko yeetyhubhu ze-fallopian, kunye namava kagqirha owenza utyando.
Kuthatha ixesha elingakanani ukuphiliswa?
Uninzi lwabantu lunokubuyela kwimisebenzi yesiqhelo kwiveki okanye ezimbini, kodwa jongana nogqirha wakho ukuze uqiniseke.
Kuthatha ixesha elingakanani ukukhulelwa emva kotyando?
Uninzi lokukhulelwa luqala kunyaka wokuqala okanye emibini emva kotyando. Nangona kunjalo, oogqirha bacebisa ukuba ulinde ude ugqibe ubuncinane imijikelo emibini yokuya exesheni ngaphambi kokuba uzame ukukhulelwa.
Ngaba awunakukhulelwa ngaphandle kotyando? Ukhetho olubizwa ngokuba yi-IVF
Ewe. `IVF` (ukuchumisa kwi-vitro) lolunye ukhetho. Oku kukwanezinga eliphezulu lokuphumelela kokukhulelwa. Kodwa akudingi utyando.
Kwi-IVF, unikwa inaliti yeehomoni kangangeentsuku ezili-10, amaqanda akho ayakhula, loo maqanda asuswa emzimbeni wakho, aze adityaniswe nesidoda seqabane lakho kwilebhu ukuze kwenziwe i-embryo. Loo mbungu emva koko ifakwa kwisibeleko sakho.
Ukuba awungomntu ufanelekileyo kutyando lweTubal Reversal, okanye ukuba ukhetha le ndlela kunotyando, ugqirha wakho unokucebisa i-IVF kuwe.
Ndifanele ndiphinde ndimbone ugqirha kwakhona?
Uza kucelwa ukuba ubuye emva kweveki okanye ezimbini emva kotyando. Uza kunikwa nemiyalelo yokuba uza kuthetha nini xa kuvela iingxaki ngaphambi kwelo xesha.
Eyona nto ibalulekileyo kukufowunela ugqirha wakho kwangoko wakufumanisa ukuba ukhulelwe emva kovavanyo lomchamo ekhaya. Qinisekisa ukuba ukhulelwe ngaphandle kwe-ectopic ngokukhawuleza.
Ugqirha angacebisa novavanyo lwe-X-ray olubizwa ngokuba yi-"HSG" kwiinyanga ezimbalwa emva kotyando ukuze kubonwe ukuba iityhubhu ze-fallopian zisavuliwe na.
Ukubopha imibhobho yakho akuthethi ukuba awunakuba nomnye umntwana. Ukuba unomdla, iTubal Ligation Reversal inokuba lukhetho olufanelekileyo. Nangona kunjalo, kuxhomekeke kwiminyaka yakho nempilo yakho, i-IVF inokuba lolona khetho lungcono. Kungcono ukuthetha nogqirha wakho ngale nto uze ugqibe ukuba yeyiphi indlela efanelekileyo kuwe.
Umyalezo Wokuya Ekhaya
- Ukuba ufuna ukuba nomntwana kwakhona emva kokuba ufakwe i-tubal ligation, kukho iindlela ezinje nge-tubal ligation reversal okanye i-in vitro fertilization (IVF).
- Impumelelo yotyando lokubuyisela isibeleko ixhomekeke kwiminyaka yakho, uhlobo lotyando lwangaphambili, kunye nemeko yeetyhubhu zakho ze-fallopian.
- Umngcipheko wokukhulelwa ngaphandle kokukhulelwa uyanda kancinci emva kolu tyando. Kungoko ke, kubaluleke kakhulu ukwazisa ugqirha wakho kwangoko wakufumanisa ukuba ukhulelwe.
- Ngaphambi kokuba wenze utyando, xoxa ngononophelo ngezinto ezilungileyo nezingalunganga, kunye nezinye iindlela ezifana ne-IVF, nogqirha wakho uze wenze isigqibo esinolwazi.
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