Ingabe udokotela wakho ukutshelile ukuthi udinga ukuhlinzwa nge-salpingectomy? Noma uke wezwa ngakho ndawana thize futhi unesifiso sokwazi okwengeziwe ngakho? Mhlawumbe umngane noma isihlobo sakho kuhlelwe ukuthi kwenziwe lokhu kuhlinzwa. Igama lingase lizwakale lingavamile, kodwa ungakhathazeki. Lolu uhlobo oluvamile lokuhlinzwa olwenziwa ku-gynecology ngezizathu ezahlukene. Ngakho-ke namuhla, ake sithole izimpendulo zayo yonke imibuzo yakho ngalokhu. Ake sixoxe ngakho konke kalula nangendlela ongayiqonda, ngaphandle kokubeka noma yimuphi umthwalo engqondweni yakho.
Kalula nje, kuyini i-salpingectomy?
Kulungile, ake siqale ekuqaleni. I-salpingectomy inqubo yokuhlinzwa esusa ipayipi elilodwa noma womabili e-fallopian.
Manje ungase uzibuze ukuthi ayini la mapayipi e-fallopian. Cabanga ngakho, kunezingxenye ezimbili eziyinhloko zesimiso sokuzala sowesifazane, ama-ovari kanye nesibeletho. Ama-ovari yilapho kukhiqizwa khona amaqanda. Isibeletho yilapho kukhiqizwa khona umntwana. Ngakho-ke, kunezimbobo ezimbili ezincane ezithwala iqanda lisuka esibelethweni liye esibelethweni. Lawo mapayipi amabili yilokho esikubiza ngokuthi amapayipi e-fallopian . Afana namabhuloho amabili athwala amaqanda lisuka esibelethweni liye esibelethweni. Isikhathi esiningi, ukukhulelwa kwenzeka ngaphakathi kwala mapayipi e-fallopian.
Ngakho-ke, ekuhlinzweni kwe-salpingectomy, ipayipi elilodwa noma womabili asuswa ngokuphelele ngokuhlinzwa.
Yiziphi izinhlobo eziyinhloko zalokhu kuhlinzwa?
Lokhu kuhlinzwa kungahlukaniswa ngezinhlobo ezimbili eziyinhloko. Kuncike ekutheni ipayipi elilodwa noma womabili asusiwe yini. Kubaluleke kakhulu ukuqonda kahle lokhu.
| Uhlobo lokuhlinzwa | Incazelo | Kungenzeka ukukhulelwa |
|---|---|---|
| Ukususwa kwepayipi elilodwa le-fallopian ( Unilateral Salpingectomy ) | Lokhu kuhilela ukususa ipayipi elilodwa kuphela lamapayipi akho amabili e-fallopian. Ngezinye izikhathi, ingxenye kuphela yepayipi ingasuswa. Isibonelo, lokhu kuhlinzwa kwenziwa ezimweni zokukhulelwa okungaphandle kwesibeletho. | Yebo, ungakwazi.Uma elinye ipayipi le-fallopian liphilile futhi lisebenza kahle, usenalo ikhono lokukhulelwa ngokwemvelo. |
| Ukususwa kwamapayipi womabili e-fallopian ( Bilateral Salpingectomy ) | Kule nqubo, udokotela ohlinzayo ususa ngokuphelele womabili amapayipi akho e-fallopian. Lokhu kuhlinzwa kwenzelwa ukwelapha umdlavuza wamapayipi e-fallopian, ukutheleleka okukhulu, noma njengendlela ehlala njalo yokuhlela umndeni. | Cha, awukwazi. Ngemva kokususwa kwamapayipi womabili, ayikho indlela yokuthi iqanda lifinyelele esibelethweni, ngakho awukwazi ukukhulelwa ngokwemvelo. Kodwa sizoxoxa ngezinye izindlela (njenge-IVF) kamuva. |
Kungani umuntu engafuna ukwenza lokhu kuhlinzwa?
Ungase uzibuze, "Kungani ungasusa nje amapayipi akho e-fallopian?" Kungaba nezizathu eziningana zalokhu. Ezinye ziyizimo eziphuthumayo, ezisindisa impilo, kanti ezinye zihlelelwe ukunciphisa ingozi yesikhathi esizayo.
Nazi ezinye zezizathu eziyinhloko:
- Ukukhulelwa Kwesibeletho: Lesi yisona sizathu esiyinhloko salokhu kuhlinzwa okuphuthumayo. Ngokuvamile, umbungu kufanele ufakwe esibelethweni. Kodwa ngezinye izikhathi ufakwa epayipini le-fallopian. Njengoba umbungu ungenandawo yokukhula ngaphakathi kwepayipi, ipayipi lingaqhuma. Lokhu kungabangela ukopha okukhulu kwangaphakathi futhi kube yingozi ngisho nokuphila. Ngakho-ke, ezimweni ezinjalo, kubalulekile ukususa ipayipi le-fallopian elonakele.
- Umdlavuza: Uma kukhona umdlavuza esibelethweni, ema-ovari, noma emapayipini e-fallopian, lokhu kuhlinzwa kungenziwa njengokwelashwa.
- Ukunciphisa ingozi yomdlavuza: Leli iphuzu elibaluleke kakhulu. Sekutholakale ukuthi eminye imidlavuza ye-ovarian eyingozi iqala emapayipini e-fallopian. Ngakho-ke, lokhu kuhlinzwa kunconywa kwabesifazane abanengozi yofuzo yomdlavuza (isibonelo, labo abane -BRCA gene mutations ) ukuze kuncishiswe ingozi yokuba nomdlavuza we-ovarian esikhathini esizayo.
- Ukutheleleka kwamapayipi e-fallopian: Ezinye izifo ezinzima zingalimaza amapayipi e-fallopian futhi zibangele ukuthi agcwale ubomvu. Lesi simo sibizwa ngokuthi `(Hydrosalpinx)`. Ezimweni ezinjalo, ipayipi kungadingeka lisuswe.
- I-Endometriosis: Kulesi simo, izicubu ezifana nalezo ezitholakala ngaphakathi kwesibeletho zikhula ezindaweni ezifana namapayipi e-fallopian. Lokhu kungabangela izinkinga ezifana nobuhlungu obukhulu kanye namapayipi avalekile. Ezimweni ezinjalo, ukuhlinzwa kungaba yisisombululo.
- Amapayipi Avinjiwe Noma Alimele: Uma amapayipi e-fallopian onakele noma evinjiwe ngenxa yokutheleleka kwangaphambilini, ukuhlinzwa, noma ezinye izizathu, odokotela bangase batuse ukuthi asuswe.
- Ukulawula Ukuzala Okuhlala Njalo: Ukuhlinzwa kwe-bilateral salpingectomy, okuhlanganisa nokususwa kwamapayipi womabili e-fallopian, manje sekusetshenziswe kabanzi njengendlela yokulawula ukuzala okuhlala njalo kulabo abangasafuni abantwana.
Kwenziwa kanjani ukuhlinzwa?
Kunezindlela ezimbili eziyinhloko zokwenza lokhu kuhlinzwa. Udokotela ohlinzayo uzokhetha indlela efanele kakhulu ngokusekelwe esimweni sakho kanye nesizathu sokuhlinzwa.
| Indlela yokuhlinzwa | Kwenzeka kanjani |
|---|---|
| Ukuhlinzwa kwe-Laparoscopic Salpingectomy | Lokhu kubizwa nangokuthi "ukuhlinzwa kwe-keyhole." Esikhundleni sokwenza i-incision enkulu esiswini, kwenziwa imivimbo emincane eminingana (ngokuvamile emi-3 noma emi-4), enobukhulu obungangenkinobho. Ithuluzi elincane elinekhamera (i-laparoscope) lifakwa ngenye yemivimbo ukuze kubhekwe kahle ingaphakathi lesisu. Izinsimbi zokuhlinzwa zifakwa ngezinye izimbobo ukuze kususwe amapayipi e-fallopian. Le ndlela inenzuzo enkulu. Ayibuhlungu kakhulu, iphola ngokushesha, futhi ayishiyi isilonda esikhulu. |
| Vula i-Abdominal Salpingectomy | Kulokhu, kwenziwa ukusika okukhulu kancane eduze komugqa we-bikini noma esiswini esingezansi, bese isisu sivulwa bese kwenziwa ukuhlinzwa. Le ndlela manje ayisasetshenziswa kaningi. Kodwa-ke, le ndlela ingadingeka ezimweni zokutheleleka okukhulu, izimila ezinkulu, noma ukunamathela esiswini okuvela ekuhlinzweni kwangaphambilini. Kuthatha isikhathi ukuphulukiswa ngemva kwalokhu. |
Uma uhlelelwe ukuhlinzwa, qiniseka ukuthi ubuza udokotela wakho ukuthi iyiphi indlela ezosetshenziswa nokuthi kungani leyo ndlela ikhethiwe. Kuyimpumuzo enkulu kuwe ukwazi konke ngokucacile.
Kwenzekani ngemva kokuhlinzwa? Sinjani isikhathi sokululama?
Isikhathi sokululama ngemva kokuhlinzwa siyahlukahluka kakhulu kuye ngohlobo lokuhlinzwa okwenzile.
- Ngemva kokuhlinzwa kwe-laparoscopic:
- Cishe uzokwazi ukuya ekhaya ngalobo busuku.
- Izinsuku ezimbalwa, ungase uzwe ubuhlungu obuncane ekusikeni kanye nomuzwa omncane wokugcwala esiswini sakho. Udokotela uzokunika imithi yokwelapha izinhlungu ngalokho.
- Ngokuvamile ungabuyela emisebenzini evamile phakathi nesonto noma amabili .
- Ngemva kokuhlinzwa okuvulekile:
- Kuzodingeka uhlale esibhedlela usuku olulodwa noma ngaphezulu.
- Ukusika kukhulu, ngakho ubuhlungu bungaba bukhulu kakhulu. Kungase kube nzima nokuhambahamba.
- Kungathatha cishe amasonto amane kuya kwayisithupha ukululama ngokugcwele nokubuyela empilweni evamile.
Khumbula lezi zinto ngesikhathi sokululama kwakho:
- Ungaphakamisi izinsimbi: Ungaphakamisi noma yiziphi izinsimbi kuze kube yilapho udokotela wakho ekuyala ukuba uphakamise.
- Ukuzivocavoca: Gwema ukuzivocavoca okunzima isikhashana.
- Ucansi: Khuluma nodokotela wakho ngalokhu bese ulandela iseluleko sakhe.
- Ukushayela: Gwema ukushayela uze uthathe imithi yobuhlungu futhi uzizwe uphilile ngokuphelele.
Imibuzo Evame Ukubuzwa (Imibuzo Evame Ukubuzwa)
Uma bekhuluma ngalokhu kuhlinzwa, abesifazane abaningi banemibuzo efanayo engqondweni yabo. Ake sithole izimpendulo zayo futhi.
Ingabe ukuya kwami esikhathini kuyaphela uma amapayipi ami e-fallopian ekhishwa?
Cha. Isikhathi sakho silawulwa ama-hormone akhiqizwa ama-ovari akho. Njengoba ama-ovari akho engasuswa phakathi nalokhu kuhlinzwa, umjikelezo wakho wokuya esikhathini uzoqhubeka njengokujwayelekile. Uzoba nesikhathi sakho njalo ngenyanga.
Ingabe ngizoqala ukuya esikhathini ngaphambi kwesikhathi ngenxa yalolu kuhlinzwa?
Cha. Ukunqamuka kokuya esikhathini nakho kwenzeka lapho ama-ovari eyeka ukusebenza. Ukususwa kwamapayipi e-fallopian akunamthelela kulokho.
Ngakho-ke, kwenzekani ngeqanda elikhishwa emaqanda angasuswanga?
Lona umbuzo abantu abaningi abawubuzayo. Njengoba kungekho mbhobho we-fallopian, ayikho indlela yokuthi iqanda lifinyelele esibelethweni. Ngakho-ke, iqanda liyancibilika emgodini wesisu bese liphinde limuncwe umzimba. Lokhu kuvamile kakhulu. Lokhu kuyinto efanayo eyenzeka ngesikhathi somjikelezo ojwayelekile wokuya esikhathini ngaphandle kokukhulelwa. Akulimazi umzimba.
Ingabe ngeke ngikwazi ukuthola umntwana ngemva kokuhlinzwa?
Lokhu kuncike ohlotsheni lokuhlinzwa okwenzile.
- Uma kususwa ipayipi elilodwa kuphela (i-Unilateral): Uma elinye ipayipi liphilile, ungakhulelwa ngokwemvelo .
- Uma womabili amapayipi esusiwe (Izinhlangothi ezimbili): Awukwazi ukukhulelwa ngokwemvelo. Kodwa-ke, uma isibeletho sakho nama-ovari kuphilile, ungase ube nethuba lokuthola umntwana nge- In Vitro Fertilization (IVF) . I-IVF ihilela ukufaka umquba kwelinye lamaqanda akho kanye nesidoda somlingani wakho elabhorethri, bese ufaka umbungu ophumayo ngqo esibelethweni sakho.
Yiziphi izimpawu ezidinga ukubona udokotela ngemva kokuhlinzwa?
Kubaluleke kakhulu ukunakekela umzimba wakho uma ubuyela ekhaya ngemva kokuhlinzwa. Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze nawe.
- Ukubomvu ngokweqile noma ukuvuvukala okuzungeze indawo yokusikwa.
- Uketshezi oluphuzi noma into efana nobomvu iyaphuma enxebeni.
- Ubuhlungu besisu obungabekezeleleki.
- Umkhuhlane noma ukubanda okukhulu.
- Ukushisa noma ubuhlungu lapho uchama.
- Ubuhlungu noma ukuvuvukala emilenzeni, ikakhulukazi endaweni yembobo (lokhu kungaba uphawu lokuqhekeka kwegazi).
Umlayezo Wokuya Nawe Ekhaya
- I-Salpingectomy ukususwa ngokuhlinzwa kwepayipi elilodwa noma womabili ama-fallopian.
- Lokhu kuhlinzwa kwenziwa ngezizathu ezahlukene, njengokwelapha ukukhulelwa okubangelwa yi-ectopic, ukunciphisa ingozi yomdlavuza, kanye nendlela yokuhlela umndeni unomphela.
- Indlela ye-laparoscopic (keyhole) ivame kakhulu futhi idinga isikhathi esincane sokululama.
- Lokhu kuhlinzwa ngeke kumise ukuya kwakho esikhathini, futhi ngeke udlule esikhathini sokunqamuka kokuya esikhathini.
- Labo abakhishwe ipayipi elilodwa bangakhulelwa ngokwemvelo. Labo abakhishwe womabili amapayipi bangasebenzisa ubuchwepheshe be-IVF uma kudingeka.
- Njenganoma yikuphi ukuhlinzwa, lokhu kungaba yinto eyesabekayo nekhathazayo. Qiniseka ukuthi uxoxa nganoma yimiphi imibuzo noma ukukhathazeka onakho nodokotela wakho. Ukuthola ukuqonda okucacile kuzoba umfutho omkhulu wengqondo.
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