Wena neqabane lakho nisenokuba kwinqanaba apho niziva ngathi usapho lwenu luphelele kwaye anifuni bantwana bangakumbi. Xa ucinga ngocwangciso-ntsapho, uninzi lwabantu lucinga ngeendlela zokukhetha abafazi. Nangona kunjalo, kukho indlela yocwangciso-ntsapho esebenzayo kakhulu, ekhuselekileyo, nehlala ihleli engasetyenziswa ngamadoda. Yiloo nto siza kuthetha ngayo namhlanje. Ibizwa ngokuba lutyando lokuvala inzala, okanye i-vasectomy.
Yintoni le ndlela yokubulala iintsholongwane (vasectomy)?
Ngamafutshane, i-vasectomy yindlela encinci yotyando eyenziwa kumadoda ukuze iwathintele ukuba abe nabantwana ngokusisigxina. Yindlela yokulawula ukuzala/yokuthintela ukukhulelwa esisigxina.
Imbewu yesidoda, okanye isidoda sendoda, siveliswa kumasende omzimba wethu. Ezi mbewu zidlula kwiityhubhu ezimbini ezintle kakhulu ezibizwa ngokuba yi-vas deferens ukuze zijoyine ulwelo lwesidoda. Kolu tyando, ii-vas deferens ezimbini ziyasikwa zize zivalwe kuzo zombini iziphelo. Oku kuthintela isidoda ukuba singaphumi emzimbeni.
Eyona nto ibalulekileyo: Oku kuthintela kuphela ukukhulelwa. Akuniki naluphi na ukhuselo kwizifo ezidluliselwa ngesondo (ii-STI). Kubalulekile ukusebenzisa iindlela zokuzikhusela ezifana neekhondom.
Kwenzeka ntoni emzimbeni emva kotyando?
Le yingxaki kubantu abaninzi. Emva kotyando, amasende ayaqhubeka nokuvelisa isidoda. Kodwa ekubeni loo masende engenakukwazi ukuphuma, ayafa emva kwexesha elithile aze aphinde afunxwe ngumzimba. Le yinkqubo eqhelekileyo, njengokuba nezinye iiseli emzimbeni wethu ziyafa kwaye kwakheka iiseli ezintsha.
Olu tyando aluyi kuzichaphazela ezi zinto kuwe:
- Inkanuko Yakho Yesondo/Inkanuko Yokuthanda Ukwabelana Ngesondo
- Ukukwazi ukufumana ulwaluko
- Ubuchule bokukhupha isidoda
Umahluko kuphela kukuba akukho sperm kwi-ejaculated fluid. Akukho mahluko ngobukhulu, inkangeleko, okanye incasa.
Ingaba le ndlela iphumelele nge-100%?
Akukho ndlela yokulawula inzala esebenza ngokupheleleyo. Ukuzila ukutya yindlela ekuphela kwayo esebenza ngokupheleleyo ngokupheleleyo. Nangona kunjalo, xa kuthelekiswa nezinye iindlela zokulawula inzala, iVasectomy yeyona isebenzayo kakhulu .
Oku kunezinga eliphantsi kakhulu lokungaphumeleli. Kusenokubakho isidoda esishiyekileyo kwimbewu kwiinyanga ezi-3-6 zokuqala emva kotyando. Kodwa emva koko, umngcipheko wokungaphumeleli ungaphantsi kwe-1%. Nokuba xa zisetyenziswa ngokuchanekileyo, iikhondom zinezinga lokungaphumeleli le-2% ekuthinteleni ukukhulelwa. Ucinga ngaloo nto, unokucinga ukuba oku kusebenza kangakanani.
Izinto ekufuneka uzazi kunye namalungiselelo ngaphambi kotyando
Le asinto onokuyenza yonke ngaxeshanye. Kukho amanyathelo aliqela ngaphambi koko.
1. Ukubonisana ngezonyango (Ukubonisana)
Eli lelona nyathelo libalulekileyo. Ukuba ucinga ngolu tyando, kufuneka uqale uthethe kakuhle neqabane lakho. Emva koko, kufuneka udibane nogqirha ukuze nixoxe ngale nto. Kufuneka uqiniseke ukuba awufuni bantwana bangakumbi. Kuba olu tshintsho alusoloko luphumelela, kwaye lubiza kakhulu.
Gqirha, ungabuza imibuzo efana nale.
| Umbuzo | Kutheni oko kubalulekile? |
|---|---|
| Ingaba unesifo sokopha kakhulu okanye izifo ezinxulumene negazi? | Ukuvavanya iingozi ezinokubakho ngexesha lotyando. |
| Ngaba kukho naziphi na ii-allergies kwi-local anesthesia okanye kwamanye amayeza? | Ukuqinisekisa ukhuseleko ngexesha lotyando. |
| Ngaba kukho naziphi na iingxaki zesikhumba (umz. i-acne eyosulelekileyo) ezinxulumene namasende? | Ukunciphisa umngcipheko wokosuleleka. |
| Ngawaphi amanye amayeza (kuquka amayeza okuthintela ukugabha kwegazi, iimveliso zezityalo) owasebenzisayo? | Ukufumanisa ukuba amayeza athile kufuneka ayekiswe ngaphambi kotyando. |
| Ngaba ukhe wenzakala okanye watyandwa olunye uhlobo (umz. utyando lwe-hernia) kwindawo yesinqe okanye emasendeni? | Ukufumana ulwazi olubalulekileyo xa uceba utyando. |
Khumbula: Le yinkqubo yokuzithandela. Yenza oku kuphela ukuba uqinisekile nge-100%. Ukuba uneengxaki, thetha ngazo nogqirha wakho ngaphambi kokuba wenze le nkqubo.
2. Ukulungiselela utyando
- Ukucoca: Ngobusuku bangaphambi okanye kusasa kotyando, cheba indawo ejikeleze isinqe kunye nendawo yemiphunga kakuhle. Kungcono ukusebenzisa i-razor elahlwayo. Emva koko hlamba loo ndawo kakuhle ngesepha yokubulala iintsholongwane uze uyomise.
- Impahla: Xa uza kutyando, kubalulekile ukuba uphathe impahla yangaphantsi eqinileyo nexhasayo (umxhasi wezemidlalo/umtya wejoki) okanye iibhulukhwe ezimfutshane eziqinileyo.
- Ukutya: Musa ukutya isidlo esipheleleyo ngaphambi kotyando, kwaye ungakuzili ukutya. Zisa ukutya okulula kunye neziselo.
Indlela oluqhutywa ngayo utyando
Olu tyando lwenziwa yingcali yomchamo, ugqirha wotyando ogxile kwiinkqubo zomchamo nezokuzala. Ngokwesiqhelo lunokugqitywa kwimizuzu eli-15-30 kuphela. Awuyi kunikwa i-anesthesia, kodwa endaweni yoko inaliti okanye i-spray (local anesthesia) iya kusetyenziswa ukudambisa kuphela indawo etyandwayo.
Kukho iindlela ezimbini eziphambili:
1. I-Incision Vasectomy: Kwenziwa umsike omnye okanye emibini emincinci kakhulu eluswini lwe-scrotum, i-vas deferens iyasuswa, inqunyulwe, kwaye iziphelo ziyavalwa.
2. I-No-Scalpel Vasectomy: Kule nkqubo, endaweni yokwenza i-incision eluswini, kwenziwa umngxuma omncinci ngesixhobo esibukhali kwaye i-vas deferens isuswe ngayo. Le ndlela yeyona idumileyo kuba ayibuhlungu kakhulu kwaye ayiphumi kakhulu.
Kuzo zombini iimeko, iivas deferens ivalwa ngokusika, ukubopha, kwaye ngamanye amaxesha ukutshiza isiphelo ngombane.
Iingenelo kunye neengozi zotyando
Njengayo yonke into, kukho iingenelo kunye neengozi ezincinci.
Iinzuzo
- Isebenza kakuhle kakhulu: Njengoko besitshilo ngaphambili, le yenye yezona ndlela zisebenzayo zokulawula ukukhulelwa ezikhoyo.
- Kuphela kanye: Kunye kwanele. Akukho pilisi okanye inaliti zemihla ngemihla.
- Kulula kunotyando lwabasetyhini: Oku kulula, kukhuselekile, kwaye kubiza kancinci kunokubopha i-tubal kwabasetyhini.
- Ukukhululeka kwiqabane: Kunganceda iqabane ekuxinezelekeni elikuvayo malunga neendlela zokulawula inzala kunye nemiphumo emibi yeepilisi zehomoni.
Iingozi ezincinci
Njengalo naluphi na utyando, kukho iingozi ezincinci, kodwa azixhaphakanga kangako.
- Intlungu: Kunokubakho iintlungu ezincinci kunye nokudumba kangangeentsuku ezimbalwa emva kotyando.
- Usulelo: Kukho umngcipheko omncinci wosulelo oluvela kumanxeba.
- I-Sperm Granuloma:Imbewu ethile inokuvuza kwi-vas deferens, yenze iqhuma elincinci elifana nethambo. Oku akuyongozi kwaye kudla ngokufunxwa ngumzimba.
- I-Post-Vasectomy Pain Syndrome: Amaxesha amaninzi (1-2%) iintlungu ezihlala ixesha elide emasendeni zinokwenzeka emva kotyando. Nangona kunjalo, kukho iindlela zonyango zoku.
Ukubuyiselwa kunye nokhathalelo emva kotyando
Kubalulekile ukuphumla iintsuku ezimbini ukuya kwezintathu emva kotyando.
- Iiyure zokuqala ezingama-48: Ukunciphisa ukudumba nentlungu, faka ipakethe yomkhenkce ebhijelwe ngetawuli rhoqo (malunga nemizuzu engama-20).
- Ukuphakamisa iintsimbi: Musa ukuphakamisa ubunzima obungaphezulu kwe-5 kg kangangeveki okanye ezimbini.
- Ukuzilolonga: Ukuzilolonga okulula njengokuhamba kungaqalwa kwiintsuku ezimbalwa. Kodwa kuphephe ukuzilolonga okunzima kunye nemidlalo efana nokubaleka, ukutsiba, kunye nokuphakamisa iintsimbi ubuncinane iiveki ezi-2-4.
- Isenzo sokwabelana ngesondo: Kuphephe ukulala okanye ukuphulula amalungu esini ubuncinane iveki .
Uhlalutyo lwamadlozi luyimfuneko
Le yeyona nto ibalulekileyo: Kungathatha iiveki okanye iinyanga ezininzi ukuba isidoda esisele kwi-vas deferens sisuswe ngokupheleleyo emva kotyando. Ke ngoko, kubalulekile ukuba kuvavanywe isampulu yesidoda (Uhlalutyo lwamadlozi) kwiinyanga ezi-2-3 emva kotyando . De olo vavanyo luqinisekise ukuba akukho sidoda (esingenasidoda), kufuneka kusetyenziswe enye indlela yokulawula ukuzala (umz. iikhondom). Ukuba oku akwenziwanga, ukukhulelwa kunokwenzeka.
Ixesha lokubona ugqirha ngoko nangoko
Ukuba unayo nayiphi na kwezi mpawu emva kotyando, bonana nogqirha wakho ngoko nangoko.
- Umkhuhlane, ukubanda, kunye nokungcangcazela.
- Ukopha kakhulu okanye ubomvu obuvela kwisilonda.
- Ukubomvu okugqithisileyo, ukudumba, kunye nentlungu eyandayo kwindawo yesinqe.
- Intlungu ebuhlungu engenakulawuleka ngamayeza okudambisa iintlungu achazwe ngugqirha.
Umyalezo Wokuya Ekhaya
- I-Vasectomy yindlela yokulawula ukuzala ehlala ihleli, esebenza kakhulu, kwaye ikhuselekile kumadoda.
- Olu tyando aluyi kuchaphazela iminqweno yakho yesondo, ukuvuka kwakho, okanye ukuphuma kwakho exesheni.
- Ngaphambi kokuba uthathe isigqibo sotyando, thetha ngononophelo neqabane lakho kunye nogqirha ukuqinisekisa ukuba lukulungele ngokupheleleyo.
- Qiniseka ukuba usebenzisa olunye uhlobo lolawulo lokuzalwa de kube luvavanyo lwembewu oluqhutywe kwiinyanga ezi-2-3 emva kotyando oluqinisekisa ukuba akukho mbewu.
- Nangona oku kuthathwa njengenkqubo esisigxina, utyando lokubuyisela umva luyafumaneka ukuba kuyimfuneko, kodwa alusoloko luphumelela.
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