Ingabe ungumuntu ocabanga ukuba nezingane manje futhi ongenalo ithemba lokukhulelwa futhi? Khona-ke kumelwe ukuthi uke wezwa 'ngokuhlinzwa ngamapayipi aboshwe' noma ukuhlinzwa kokuvala inzalo kwabesifazane. Abantu abaningi abakuqondi kahle lokhu, futhi banemibuzo eminingi. Ngakho-ke namuhla sizokhuluma ngalokhu kuhlinzwa kokuhlelwa komndeni, noma ngokwezokwelapha `(Tubal Ligation)`, ngendlela ecacile nelula.
Kalula nje, iyini i-Tubal Ligation?
Kulula kakhulu. Uhlelo lwakho lokuzala lunengxenye ebizwa ngokuthi ama-Fallopian tubes. Lawa ama-tubes amabili amancane asuka ohlangothini ngalunye lwesibeletho sakho aye kuma-ovari akho. Iqanda elikhishwa kuma-ovari akho liya esibelethweni sakho ngalezi zimbobo ze-fallopian. Kungaphakathi kwalezi zimbobo lapho leli qanda lihlangana khona nesidoda bese livundiswa.
I-Tubal Ligation inqubo yokuhlinzwa ehilela ukusika, ukubopha, noma ukuvimba amashubhu e-fallopian nge-clip noma enye indlela. Lokhu kuvimbela iqanda ukuthi lingafiki esidoda. Lokhu kusho ukuthi ukukhulelwa akwenzeki futhi ukukhulelwa akwenzeki. Lena inqubo elula kakhulu.
Lokhu kubizwa nangokuthi ukuvala inzalo kwabesifazane. Kungenziwa ngemva kokubeletha okuvamile, ngesikhathi sokuhlinzwa (ukuhlinzwa kwesisu), ngesikhathi sokuhlinzwa kwesisu okunye, noma njengokuhlinzwa okuhlukile.
Okubaluleke kakhulu, lena yindlela yokuvimbela inzalo ehlala njalo . Ayinikezi noma yiluphi uhlobo lokuvikela ezifweni ezithathelwana ngocansi (ama-STI).
Kungani abantu abaningi kangaka bekhetha lokhu kuhlinzwa?
Isizathu esiyinhloko salokhu ukuthi kuyindlela ehlala njalo nephumelelayo kakhulu yokulawula inzalo . Izinga layo lempumelelo lingaphezu kuka-99%. Uma uqiniseka ngokuphelele ukuthi awufuni ezinye izingane, lena yindlela ephephile futhi elula etholakalayo. Uzothola ithuba lokujabulela impilo yakho yocansi ngaphandle kokukhathazeka ngokukhulelwa ngemva kokuhlinzwa.
Ngaphezu kwalokho, odokotela batusa nokususa amashubhu e-fallopian njengokwelashwa kwezimo ezithile zezokwelapha. Ikakhulukazi, uma kukhona izinguquko ezithile zezakhi zofuzo (isibonelo, izinguquko zezakhi zofuzo ze-BRCA) ezandisa ingozi yokuba nomdlavuza wesibeletho, lokhu kuhlinzwa kunganconywa futhi ukuze kuncishiswe leyo ngozi.
Wazi kanjani ukuthi usukulungele ngempela lokhu kuhlinzwa?
Lesi yisinqumo esikhulu kakhulu okufanele usithathe empilweni yakho. Ngoba kuyinto ehlala njalo. Ngezinye izikhathi, nakuba ukuhlinzwa "kokubuyisela emuva" kuphumelela, kuyinkimbinkimbi kakhulu, kuyabiza, futhi akukho siqinisekiso sokuthi kuzophumelela. Ngakho-ke kufanele ucabange ngalokhu njengento ehlala njalo.
Uma usenombono omncane wokuba nezingane, lokhu kuhlinzwa akukufanele. Esikhundleni salokho, ungasebenzisa indlela yokulawula inzalo eguquguqukayo, isibonelo:
- Amaphilisi okuvimbela inzalo
- Iluphu `(IUD - Idivayisi ye-Intrauterine)`
- Khetha indlela efana namakhondomu.
Futhi, lesi sinqumo akuyona into okufanele uyenze wedwa. Khuluma nomlingani wakho ngalokhu futhi. Kukhona ukuhlinzwa kokubulala inzalo ``(Vasectomy)`` okungenziwa nangamadoda. Kusebenza kahle kakhulu futhi kuyindlela elula kunalokhu kuhlinzwa.
Yiziphi izindlela ezisetshenziswayo ukwenza lokhu kuhlinzwa?
Ukuhlinzwa kwe-Tubal ligation kungenziwa ngezindlela ezintathu eziyinhloko. Udokotela wakho uzonquma indlela efanele kakhulu kuwe ngokusekelwe esimweni sakho sempilo kanye nesikhathi sokuhlinzwa (isb., ngemva kokubeletha).
| Indlela yokuhlinzwa | Indlela yokukwenza | Amaphuzu akhethekile |
|---|---|---|
| Ukubopha Amashubhu eLaparoscopic | Kwenziwa izimbobo ezimbili ezincane kakhulu enkabeni nasesiswini esingezansi, kufakwa ithuluzi elibucayi elinekhamera (i-laparoscope), bese amapayipi e-fallopian evalwa ngaphansi kweso elibukhali le-monitor. | Lena yindlela evame ukusetshenziswa kakhulu. Amanxeba mancane kakhulu, ngakho-ke aphulukisa ngokushesha. Ngokuvamile ungaya ekhaya usuka esibhedlela emahoreni ambalwa. |
| I-mini-laparotomy | Kwenziwa ukusikwa okuncane (cishe isentimitha) esiswini esingezansi, amapayipi e-fallopian ayasuswa, aboshwe, bese evalwa. | Le nqubo ivame ukwenziwa zingakapheli amahora angu-24 kusukela ekubelethweni okuvamile ngoba isibeletho sisuke siphezulu ngaleso sikhathi, okwenza kube lula ukufinyelela emapayipini e-fallopian. |
| Ukuhlinzwa kwe-Laparotomy | Ukuhlinzwa kwenziwe ngokusebenzisa ukusikwa okukhulu (amasentimitha angu-2-5) esiswini. | Lokhu ukuhlinzwa okukhulu. Kuthatha isikhathi ukuphulukiswa. Le ndlela ngokuvamile ayisetshenziswa kakhulu manje. Kodwa-ke, lapho kwenziwa ukuhlinzwa, le ndlela isetshenziswa uma lokhu kuhlinzwa kwenziwa ngokuhlinzwa okufanayo. |
Yini ongayilindela ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzoyiswa ewadini ehlukile (indawo yokululama) ukuze uhlolwe. Uma uhlinzwe nge-laparoscopic, uzokwazi ukuya ekhaya zingakapheli amahora ambalwa. Kwezinye izinqubo, kungadingeka uhlale esibhedlela usuku olulodwa noma ezimbili.
Izinto okufanele uzicabangele ngemva kokuhlinzwa
Ungase uzizwe ungakhululekile ngemva kokuhlinzwa. Lokhu kuyinto evamile.
- Ukuphakamisa izinto ezisindayo: Gwema ukuphakamisa izinto ezisindayo okungenani isonto elilodwa noma amabili. Uma uhlinzwe ngemuva kokubeletha, ungaphakamisi lutho olusindayo kunesisindo somntwana wakho okungenani amasonto amane.
- Ukushayela notshwala: Ungashayeli noma uphuze utshwala okungenani amahora angama-24.
- Ukugeza: Ungageza umzimba wakho njengenjwayelo. Kodwa gwema ukungena ebhavini noma ukubhukuda amasonto amabili. Ukusika kufanele kuphole kahle.
- Ubuhlungu behlombe: Ungase ube nobuhlungu behlombe, intamo, kanye nesifuba izinsuku ezimbili kuya kwezintathu ngenxa yegesi ye-carbon dioxide egcwala esiswini sakho ngesikhathi sokuhlinzwa. Ukugeza ngamanzi afudumele, ukusebenzisa i-heating pad, nokuhambahamba kancane kungasiza kulokhu.
- Ukuhlanza kanye nesicanucanu: Yidla ukudla okulula (isib. itiye, isobho, isinkwa, ama-crackers).
- Ubuhlungu: Ukuvuvukala kwesisu nobuhlungu kungase kuthathe izinsuku ezimbalwa. Sebenzisa imithi yobuhlungu enqunywe udokotela wakho njengoba kuqondiswe.
- Ukopha kwesitho sangasese sowesifazane: Kujwayelekile ukopha okuncane cishe inyanga eyodwa ngemva kokuhlinzwa. Kungathatha amasonto angu-4-6 ukuthi umjikelezo wakho wokuya esikhathini ojwayelekile uphinde uqale. Ngaleso sikhathi, isikhathi sakho sokuya esikhathini singase sibe nzima futhi sibe buhlungu kakhulu.
Yiziphi izinzuzo kanye nokungalungi kwalokhu kuhlinzwa?
Njenganoma iyiphi inqubo yezokwelapha, inezinzuzo nezinkinga zayo. Kubalulekile ukuzazi zombili ngaphambi kokwenza isinqumo.
| Izinzuzo | Ukungalungi |
|---|---|
| Isebenza kahle kakhulu futhi ilula: Isebenza kahle ngaphezu kuka-99%. Ihlinzeka ngokuvikelwa kokuphila konke ekukhulelweni. Akunasidingo sokuthatha amaphilisi nsuku zonke noma ukuya emitholampilo. | Ukuzisola: Ucwaningo lubonise ukuthi iphesenti elincane labantu abenza lokhu kuhlinzwa ngaphambi kweminyaka engama-30 liyazisola kamuva. Ngakho-ke, yenza isinqumo ngokucophelela. |
| Akuyithinti ama-hormone: Lena indlela yokuvimbela inzalo engeyona eye-hormone. Ngeke ithinte umjikelezo wakho wokuya esikhathini noma ukunqamuka kokuya esikhathini. | Ukuhlinzwa Okuhlala Njalo: Lena inqubo ehlala njalo. Amathuba okuhlinzwa okuphindisela emuva aphansi kakhulu. |
| Kunciphisa ingozi yomdlavuza: Ucwaningo lubonisa ukuthi lokhu kuhlinzwa kunganciphisa ingozi yomdlavuza wesibeletho cishe ngo-40%. | Izingozi zokuhlinzwa: Njenganoma yikuphi ukuhlinzwa, kunezingozi ezincane, njengokungezwani komzimba kanye nokutheleleka, ezithinta i-anesthesia. Kodwa-ke, lokhu kuyindlela yokuhlinzwa ephephile kakhulu. |
Yiziphi izikhathi ezibaluleke kakhulu zokuya kudokotela?
Nakuba lokhu kuyindlela yokuhlinzwa ephephile kakhulu, kunethuba elincane lezinkinga. Uma unezinye zezimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uye emnyangweni wezimo eziphuthumayo wesibhedlela (ETU).
- Ukuhlanza okuqhubekayo kanye nesicanucanu esihlala isikhathi esingaphezu kosuku.
- Umkhuhlane ongaphezu kwama-degree Celsius angu-37.3 (100 Fahrenheit) isikhathi esingaphezu kosuku olulodwa.
- Ubomvu, ukuvuvukala, ubomvu, noma ukuphuma kwegazi eduze kwesilonda.
- Ukopha okukhulu noma amahlule egazi acwilisa ngokuphelele iphedi yokuhlanzeka zingakapheli amahora amabili.
- Ubuhlungu obukhulu besisu noma be-pelvic.
- Ukuzizwa njengonogwaja.
Akuvamile kakhulu ukuthi amapayipi e-fallopian avimbekile aphinde axhumane. Uma lokhu kwenzeka, ukukhulelwa kwe-ectopic kungenzeka. Lesi yisimo esiyingozi esidinga ukwelashwa okuphuthumayo.
Eminye imibuzo evame ukubuzwa
Ingabe ngizoya esikhathini ngemva kokuhlinzwa?
Yebo, impela. Lokhu kuhlinzwa ngeke kuthinte ama-hormone akho noma umjikelezo wakho wokuya esikhathini. Uzoba nesikhathi sakho sokuya esikhathini esijwayelekile.
Kuzokwenzekani kuma-ovari ami ngemva kokuhlinzwa?
Ngisho nangemva kokuhlinzwa, ama-ovari akho asazokhipha iqanda njalo ngenyanga (ukuvuthwa) njengokujwayelekile. Kodwa manje, ngenxa yokuthi amapayipi e-fallopian avaliwe, iqanda alikwazi ukuya esibelethweni. Ngakho-ke, umzimba uphinde umunce iqanda.
Ngingakhulelwa yini ngemva kokuhlinzwa?
Amathuba alokhu aphansi kakhulu, angaphansi kuka-1%. Kodwa kungenzeka kaningi kakhulu.
Ngingaya ocansini ngokushesha kangakanani ngemva kokuhlinzwa?
Ngokuvamile ungaqhubeka nokwenza ucansi cishe ngesonto. Kodwa-ke, uma wenze lokhu kuhlinzwa ngemva kokubeletha, kuzodingeka ulinde kuze kube yilapho udokotela wakho ekuyala (ngokuvamile cishe amasonto ayisithupha).
Umlayezo Wokuya Nawe Ekhaya
- Ukubopha i-tubal kuyindlela yokuvimbela inzalo ehlala njalo. Ngaphambi kokwenza lesi sinqumo, cabanga ngokucophelela ngokuthi uqinisekile ngokuphelele yini. Khuluma futhi ngalokhu nomlingani wakho.
- Lokhu kuyindlela yokuhlinzwa ephephile kakhulu enezinga lempumelelo elingaphezu kuka-99%.
- Lokhu kuhlinzwa ngeke kuthinte ama-hormone akho noma umjikelezo wakho wokuya esikhathini.
- Qaphela izinkinga ezingaba khona ngemva kokuhlinzwa. Uma uhlangabezana nanoma yiziphi izimpawu eziyingozi, bona udokotela wakho ngokushesha.
- Okubaluleke kakhulu, lokhu kuhlinzwa akunikezi sivikelo ezifweni ezithathelwana ngocansi (STIs). Kubalulekile ukusebenzisa izindlela zokuzivikela ezifana namakhondomu.
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