Ngaba ugqibile ukuba nabantwana ngoku kwaye sele ugqibe kwelokuba "Andifuni omnye umntwana"? Ngoko ke kufuneka ukuba uvile ngotyando olubizwa ngokuba yi-'LRT'. Le yindlela yokulawula ukuzala ethandwayo phakathi kwabantu abaninzi. Kodwa nangona kuthethwa ngayo, abantu abaninzi abanalo ulwazi olucacileyo malunga nokuba kwenzeka ntoni kanye kanye ngolu tyando, ziziphi iingenelo kunye neengxaki zalo, kunye nokuba kuza kwenzeka ntoni emva kotyando. Ngoko ke namhlanje, masifunde yonke into ngayo ngokulula.
Ngamafutshane, yintoni i-tubal ligation?
Olu lutyando oluhlala luhleli lokulawula ukuzala kwabasetyhini. Lukwabizwa ngokuba "kukwenza inzala kwabasetyhini." Luyindlela esebenzayo kakhulu.
Khawucinge nje, inkqubo yethu yokuzala ineenxalenye ezintathu eziphambili: isibeleko , ii-ovari , kunye neetyhubhu ze-fallopian. Nyanga nganye, iqanda liyakhutshwa kwii-ovari kwaye lihamba liye kwi-fallopian tube ukuya kwi-uterus. Ukukhulelwa kwenzeka kuphela xa lidibana ne-sperm ngeli xesha lohambo.
Olu tyando lubandakanya ukusika nokubopha imibhobho ye-fallopian, okanye ukuyivala nge-clip okanye i-band ekhethekileyo. Kufana nokuvala indlela. Emva koko iqanda alikwazi ukudibana ne-sperm, kwaye i-sperm ayinakufikelela kwiqanda. Ngoko ke ukukhulelwa akwenzeki.
Okubaluleke kakhulu, oku kuthathwa njengenkqubo esisigxina. Olu tyando aluboneleli ngokhuseleko kwizifo ezidluliselwa ngesondo ( ii-STI ).
Kutheni umntu enokuthi agqibe ekubeni enze olu tyando?
Eyona nto iphambili kukuyeka ukuzala abantwana unaphakade. Le yindlela ephumelele ngaphezu kwe-99%. Emva kotyando, ungonwabela ubomi bokwabelana ngesondo obonwabisayo ngaphandle kokukhathazeka ngokukhulelwa.
Oogqirha bakwacebisa olu tyando ngenxa yezizathu ezithile zonyango. Umzekelo, kubafazi abaneenguqu ezithile zemfuza (ezifana nokuguqulwa kwezakhi zofuzo ze-BRCA) ezonyusa umngcipheko womhlaza wesibeleko, olu tyando (mhlawumbi ukususwa ngokupheleleyo kweetyhubhu ze-fallopian) lunokucetyiswa ukunciphisa loo mngcipheko.
Ndingayazi njani ukuba ndikulungele ngokwenene oku?
Lo ngumbuzo obaluleke kakhulu ekufuneka uzibuze wona. Kubalulekile ukukhumbula ukuba olu tyando luhlala luhleli . Nangona ngamanye amaxesha kukho utyando olutshintshayo, lunzima kakhulu, lubiza kakhulu, kwaye lunamathuba amancinci okuphumelela.
- Ukuba awuqinisekanga ngokupheleleyo ukuba ufuna omnye umntwana okanye awufuni, ungacingi nokucinga ngolu tyando.
- Kunoko, kungcono ukuqwalasela indlela yexeshana efana neepilisi zokulawula ukukhulelwa okanye isixhobo sangaphakathi kwesibeleko (i-IUD) esinokuyekiswa nangaliphi na ixesha.
- Ngaphambi kokuba wenze esi sigqibo, thetha neqabane lakho. Lisenokufuna ukuqwalasela i-vasectomy, utyando lokuvala inzala lwamadoda.
Kubalulekile ukuxoxa ngayo yonke imibuzo yakho kunye noloyiko lwakho malunga noku nogqirha wakho uze uyichaze kakuhle.
Ziziphi iindlela zokwenza utyando?
Utyando lokubopha ityhubhu lunokwenziwa ngeendlela ezintathu eziphambili. Ugqirha wakho uya kugqiba ngendlela efanelekileyo ngokusekelwe kwiimeko ezifana nempilo yakho kunye nokuba uza kuyenza na emva kokubeleka.
1. I-Laparoscopic Tubal Ligation
Abantu abaninzi bayibiza le nto ngokuthi " lutyando lwe-keyhole" kuba ayibandakanyi ukusikwa okukhulu.
- Uza kunikwa i-anesthesia (ubuthongo obupheleleyo).
- Kwenziwa imingxunya emibini emincinci kakhulu emqolo nakwisisu esisezantsi.
- Ityhubhu encinci enekhamera ebizwa ngokuba yi-laparoscope ifakwa ngesingxobo esinye, kwaye isisu sivuthelwa yigesi (i-carbon dioxide) ukuze amalungu omzimba abonakale ngokucacileyo.
- Isixhobo sotyando sifakwa ngenye indlela, iityhubhu ze-fallopian zifumaneka, kwaye iityhubhu zivaliwe kusetyenziswa i-clip, iteyiphu, okanye umbane (i-electrocoagulation).
- Ungaphila ngokukhawuleza emva koku. Ngokwesiqhelo ungabuyela ekhaya uvela esibhedlele kwiiyure ezimbalwa.
2. Indlela ye-Mini-laparotomy
Le ndlela idla ngokwenziwa kwiiyure ezingama-24 emva kokunikezelwa okuqhelekileyo.
- Ukuba ubune-epidural ngexesha lokubeleka, loo nto iya kusetyenziswa. Okanye uza kunikwa i-spine anesthesia.
- Emva kokuba umntwana ezelwe, isibeleko sisekufutshane nomlomo wesibeleko, ngoko ke kwenziwa umngxuma omncinci ngaphantsi komlomo wesibeleko ukuze kufumaneke lula iityhubhu ze-fallopian kwaye zibotshwe ngentambo ekhethekileyo.
3. I-Laparotomy
Olu lutyando oluvulelekileyo. Le ndlela ayisasetyenziswa kakhulu kuba yenziwa ngokusikwa okukhulu kancinci esiswini. Nangona kunjalo, ukuba olu tyando lwenziwa ngaxeshanye notyando lwe -C-section , kulula kakhulu kuba lwenziwa ngokusikwa okufanayo nokwasetyenziswa ekubelekeni umntwana.
Yintoni onokuyilindela emva kotyando
Emva kotyando, uza kugcinwa kwigumbi elahlukileyo ukuze ujongwe, kwaye ukuba yonke into ihamba kakuhle, uza kuthunyelwa ekhaya. Ukuba kwenziwe nge-laparoscopically, ungahamba emva kweeyure ezimbalwa. Ngezinye iindlela, kusenokufuneka uhlale esibhedlele usuku lonke. Zinyamekele ezi zinto emva kokuba ubuyele ekhaya.
| Ingcebiso/Iimpawu | Inkcazo kunye nento omawuyenze |
|---|---|
| Ukwenyusa iintsimbi | Musa ukuphakamisa nantoni na enzima kangangeveki e-1-2. Emva kokubeleka, musa ukuphakamisa nantoni na enzima ngaphezu kobunzima bomntwana ubuncinane iiveki ezi-4. |
| Ukuqhuba | Musa ukuqhuba iiyure ezingama-24. Kuphephe ukusela utywala. |
| Ibhafu | Akukho ngxaki ngokuhlamba umzimba wakho. Nangona kunjalo, musa ukuhlamba okanye ukudada de inxeba liphole (malunga neeveki ezimbini). |
| Ukudumba | Emva kwe-laparoscopy, igesi ezalisa isisu inokubangela iintlungu emagxeni, entanyeni, nasesifubeni kangangeentsuku ezi-2-3. Ukuhambahamba nokuntywila emanzini ashushu kunokunceda. |
| Isicaphucaphu kunye nentlungu | Yitya ukutya okulula (isuphu, iti, isonka, iicrackers). Sela amayeza okudambisa iintlungu achazwe ngugqirha xa unesifo sesisu. |
| Ukopha kwangasese | Kuqhelekile ukuba nokopha kancinci kangangenyanga emva kotyando. Kungathatha iiveki ezi-4-6 ukuba ixesha lakho elilandelayo lifike. Xa lifika, unokufumana ukopha kancinci kunye nentlungu engakumbi. |
Zithini iingenelo kunye neengxaki?
Iingenelo
- Isebenza kakuhle kakhulu kwaye ilula: Isebenza ngaphezu kwama-99%. Ibonelela ngokhuseleko lobomi bonke ekukhulelweni. Akukho mfuneko yokusela iipilisi yonke imihla okanye ukuya kwiikliniki.
- Akukho mahormone: Le yindlela engeyiyo eyehomoni. Ngoko ke ayichaphazeli umjikelo wakho wokuya exesheni kwaye ayibangeli ukunqamka ukuya exesheni.
- Inciphisa umngcipheko womhlaza:Izifundo zibonise ukuba olu tyando lunokunciphisa umngcipheko womhlaza wesibeleko ngama-40%.
Iingxaki
- Ukuzisola: Abanye abafazi (ingakumbi abo bakwenza oku ngaphambi kokuba bafikelele kwiminyaka engama-30) banokuzisola kamva, ngoko cingisisa ngesigqibo.
- Isigxina: Le kufuneka ithathwe njengendlela esisigxina engenakuguqulwa.
- Iingozi zotyando: Njengalo naluphi na utyando, kukho iingozi ezincinci kakhulu, ezifana nokunganyamezelani ne-anesthesia, usulelo, kunye nomonakalo kwizitho ezingqongileyo.
Ixesha lokubona ugqirha ngoko nangoko
Ukubopha ityhubhu yinkqubo ekhuselekileyo kakhulu, kodwa kufuneka ufowunele ugqirha wakho ngokukhawuleza ukuba ufumana naziphi na kwezi mpawu zilandelayo:
- Intlungu yesisu enganyamezelekiyo okanye intlungu esinqeni.
- Ukuba inxeba liphuma ubomvu, liphuma igazi, okanye libomvu kwaye lidumbile.
- Umkhuhlane ophezulu (ngaphezulu kwe-100°F / 37.7°C).
- Ukopha kakhulu kwilungu lobufazi (ukuba iphedi imanziswe ngokupheleleyo kwiiyure ezimbini).
- Ukuhlanza okungapheliyo.
- Ukuba uziva utyhafile ngalo lonke ixesha.
Enye into ebalulekileyo ekufuneka uyiqaphele kukuba, nangona ingaqhelekanga, ityhubhu ye-fallopian inokuphinda ihlangane emva kotyando. Ukuba ukukhulelwa kwenzeka, kunokwenzeka ukuba kube kukukhulelwa okuphuma kwi-ectopic tube, okuvela kwityhubhu ye-fallopian ngokwayo. Le yimeko eyingozi efuna unyango olungxamisekileyo.
Eminye imibuzo ebuzwa rhoqo
Kuza kwenzeka ntoni kwii-ovari zam emva kotyando?
Amaqanda akho aqhubeka nokukhupha amaqanda phantse yonke imihla, kodwa ngenxa yokuba awakwazi ukudlula kwityhubhu ye-fallopian, aphinda afunxwe emzimbeni wakho.
Ndingalala nini emva kotyando?
Ngokwesiqhelo ungabelana ngesondo kwisithuba esingangeveki. Nangona kunjalo, ukuba wenze utyando emva kokubeleka, kufuneka ulinde de ugqirha wakho akuxelele ukuba wenze njalo (ngesiqhelo malunga neeveki ezi-6).
Ndingakhulelwa kwakhona emva kotyando?
Indawo incinci kakhulu. Ngaphantsi kwe-1%.
Ngaba ikhusela kwizifo ezidluliselwa ngesondo?
Hayi. Akunjalo konke konke. Kunyanzelekile ukusebenzisa iindlela zokuzikhusela ezifana neekhondom.
Umyalezo Wokuya Ekhaya
- I-Tubal Ligation yindlela yokulawula inzala esisigxina. Wena neqabane lakho nifanele nicinge ngononophelo ngaphambi kokuba nenze esi sigqibo.
- Thetha nogqirha wakho ngazo zonke iingxaki zakho kunye noloyiko lwakho.
- Olu tyando aluyi kuyimisa ixesha lakho lokuya exesheni okanye lubangele ukuyeka ukuya exesheni.
- Ukusuka kokuAyikhuseli kwizifo ezidluliselwa ngesondo (ii-STI). Sebenzisa ezinye iindlela zokuzikhusela.
- Lumka ngeempawu eziyingozi (iintlungu ezigqithisileyo, umkhuhlane, ukopha kakhulu) ezinokuvela emva kotyando, kwaye funa ingcebiso kagqirha ngokukhawuleza ukuba kukho nayiphi na kwezi.
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