Mhlawumbe ubucabanga ukuthi umndeni wakho uphelele futhi une-tubal ligation, inqubo yokuhlela umndeni. Kodwa manje, ngemva kwesikhathi esithile, uzizwa sengathi udinga ingane encane ukuze imomotheke futhi ekhaya? Kujwayelekile kakhulu ukuzizwa ngaleyo ndlela. Abantu abaningi bacabanga ukuthi lokhu akunakulungiseka. Kodwa ingabe kunjalo ngempela? Namuhla, ake sixoxe ngezindlela zokuthola umntwana futhi ngemva kokwenza i-tubal ligation.
Okokuqala, ake sibone ukuthi kusho ukuthini lokhu 'ukubopha i-tubal'.
Kalula nje, lokhu kuwukuhlinzwa kokuvimbela ukukhulelwa. Lokhu kuhilela ukusika, ukubopha, noma ukucwilisa amapayipi akho e-fallopian. Amapayipi e-fallopian yilapho kuhlangana khona iqanda elivela esibelethweni kanye nesidoda esivela endodeni. Ngakho-ke uma la mapayipi amabili evalekile, ayikho indlela yokuthi iqanda nesidoda sihlangane. Ngakho-ke, ukukhulelwa akunakwenzeka.
Ngemva kwalokhu kuhlinzwa, uma ufuna ukuba nomntwana futhi, unezinketho ezimbili eziyinhloko. Okokuqala ukuhlinzwa esikhuluma ngakho namuhla, okuhilela ukuxhuma kabusha amapayipi (`Tubal Ligation Reversal`) . Okunye ukukhulelwa kwe-in vitro, okwaziwa nangokuthi `In Vitro Fertilization (IVF)` . I-IVF ayidingi amapayipi e-fallopian. Zombili izindlela zinezinzuzo kanye nokungalungi kwazo.
Ngakho-ke, i-`Tubal Ligation Reversal` iwukuguqulwa kokuhlinzwa kwangaphambilini. Lapha, amashubhu e-fallopian avinjiwe ayaxhunyaniswa kabusha, okwenza indlela yokuhamba kweqanda nesidoda. Uma lokhu kuphumelele, ungakhulelwa ngokwemvelo futhi.
Ingabe wonke umuntu angahlinzwa lokhu? Kungcono kubani?
Uma unethuba elikhulu lokukhulelwa ngemva kwalokhu kuhlinzwa, ungumuntu ofanelekile kulokhu. Impumelelo yalokhu kuhlinzwa incike ezintweni eziningana. Ake sibone ukuthi ziyini.
- Iminyaka yakho: Ukuzala kwakho kwehla ngokwemvelo njengoba ukhula. Ngakho-ke uma usemncane , amathuba akho okukhulelwa ayanda ngemva kwalokhu kuhlinzwa. Futhi kunciphisa ingozi yokuphuphuma kwesisu kanye nokukhubazeka kofuzo enganeni yakho.
- Ezinye izinkinga zokuzala: Uma unezimo ezifana nokuya esikhathini okungajwayelekile, i-uterine fibroids, noma i-endometriosis (ukukhula kwezicubu okufanele kube sesibelethweni ngaphandle kwesibeletho), amathuba akho okuphumelela angase anciphe kancane.
- Impilo yomlingani wakho: Impilo yesidoda somlingani wakho nayo ibaluleke kakhulu lapha, ngakho-ke izohlolwa nangaphambi kokuhlinzwa.
- Uhlobo lwe-tubal ligation yakho yangaphambilini: Uma ama-fallopian tube akho ayevalwe ngeziqeshana noma amaringi ngaphambilini, kulula ukuwaxhumanisa kabusha. Kodwa-ke, uma ayevalwe nge-electrocautery, okuyindlela yokuwafaka ngogesi, kungaba nzima kakhulu ukuwaxhumanisa kabusha.
- Ubude bamapayipi asele e-fallopian: Ukuze kuxhunywe kabusha amapayipi amabili ngemva kokuhlinzwa, kumele kube nezingxenye zamapayipi anempilo ezanele ezisele.
Into ebaluleke kakhulu ukuxoxa ngakho konke lokhu ngokukhululekile nodokotela wakho ukuze ukwazi ukunquma ukuthi iyiphi indlela engcono kakhulu kuwe.
Ingabe zikhona izindlela zokwenza kube nzima ukwakha kabusha?
Yebo, kunezinye izimo. Uma amapayipi akho e-fallopian esusiwe ngokuphelele, noma uma ukuphela kwepayipi kunqunyiwe futhi kwasuswa, akukwazi ukuphinda kuxhunywe.
Futhi, izinhlobo ezimbili zamadivayisi abizwa ngokuthi i-`Essure®` kanye ne-`Adiana®` zazisetshenziswa ngaphambilini. Lezi izindlela ezingezona ezokuhlinzwa ezifakwa ngesitho sangasese sowesifazane emapayipini e-fallopian ukuze ziwavimbe. Lezi manje sezisusiwe emakethe. Umonakalo kumapayipi obangelwa yilezi zixhobo awukwazi ukuguqulwa. Uma uke wasebenzisa lezi zindlela futhi manje uzama ukuba nomntwana, qiniseka ukuthi ubona udokotela wakho.
Kwenzekani ngaphambi kokuhlinzwa?
Uma ucabanga ngalokhu, kufanele uqale ubonane nodokotela wakho. Uzokuchazela ngokuhlinzwa, okuhlanganisa nezingozi, futhi uzokwenza okulandelayo ukuze abone ukuthi ukulungele yini:
- Umlando wezokwelapha: Ukubuyekezwa okuningiliziwe kokukhulelwa kwakho kwangaphambilini, imininingwane yanoma yikuphi ukuhlinzwa kwe-tubal ligation oke wakwenza, nokuthi ngabe uke wakwenza yini okunye ukuhlinzwa.
- Ukuhlaziywa kwesidoda: Inani lesidoda somlingani wakho kanye nekhwalithi kuyahlolwa ukuze kutholakale umbono wamathuba akho okukhulelwa ngemva kokuhlinzwa.
- Ezinye izivivinyo: Kuye ngomlando wakho wezokwelapha, kungadingeka futhi ukuthi uhlolwe igazi futhi uhlolwe.
Kufanele ngilungiselele kanjani ukuhlinzwa?
Uma uqala ukubona udokotela wakho, kuyasiza ukuletha "umbiko wokuhlinzwa" we-tubal ligation yakho yangaphambilini. Uma amapayipi akho esusiwe, letha "umbiko we-pathology" nawo.
Ukuze wandise amathuba akho okukhulelwa okunempilo, yenza lezi zinto:
- Gcina ezinye izimo zezokwelapha onazo (njengesifo sikashukela kanye nomfutho wegazi ophezulu) zilawulwa.
- Uma ubhema, yeka nakanjani .
- Nciphisa ukudla i-caffeine, njengotshwala nekhofi.
- Qala ukuthatha i-multivitamin noma i-vitamin yokukhulelwa equkethe i-folic acid.
Kwenzekani ngesikhathi sokuhlinzwa?
Lokhu kuhlinzwa kuvame ukuthatha cishe amahora amabili kuya kwamathathu. Uzokwazi ukuya ekhaya ngalolo suku. Ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile, okusho ukuthi ngeke uzwe lutho.
Kunezindlela ezimbili zokwenza ukuhlinzwa. Enye indlela `ye-mini-laparotomy`. Lapha, kwenziwa ukusika okuncane cishe ngamasentimitha angu-2 ngaphansi komugqa we-bikini, bese kwenziwa ukuhlinzwa kusetshenziswa imakroskopu. Enye indlela `i-robotic-assisted laparoscopy`. Lapha, kwenziwa izimbobo eziningana ezincane esiswini, futhi ukuhlinzwa kwenziwa kusetshenziswa ingalo yerobhothi.
Ngesikhathi sokuhlinzwa:
1. Uzophelelwa yizinzwa ngokuphelele.
2. Kufakwa ipayipi elincane (i-catheter) esinyeni ukuze kuqoqwe umchamo.
3. Kwenziwa imbobo encane noma izimbobo eziningana esiswini ukuze kufinyelelwe kumapayipi e-fallopian.
4. Okokuqala, sihlola ukuthi amapayipi asesimweni sokulungiswa yini. Uma kungenzeka, siyaqhubeka nokuhlinzwa lapho.
5. Iziphetho zamapayipi avinjiwe ziyavulwa bese izingxenye ezimbili zamapayipi zixhunywa kabusha.
6. Ngemuva kwalokho, uketshezi olukhethekile (`udayi`) ludluliselwa esibelethweni ukuze kuhlolwe ukuthi amapayipi avulekile yini nokuthi uketshezi lugeleza kuwo.
7. Ekugcineni, ukusikwa kuthungwa ngemithungo encibilikayo ngaphansi kwesikhumba bese kufakwa ibhandishi.
Kuhamba kanjani ukuhlinzwa? Ziyini izinzuzo nezingozi?
Ngeke uzwe ubuhlungu ngemva kokuhlinzwa, ngoba ungaphansi kwe-anesthesia. Udokotela uzokunika imithi yobuhlungu ukuze ikusize ngobuhlungu njengoba i-anesthesia iphela. Ungase uzwe ubuhlungu endaweni yokuhlinzwa izinsuku ezimbalwa.
Uzogcinwa uqashwe esibhedlela cishe amahora amabili ngemuva kokuhlinzwa. Uzovunyelwa ukuya ekhaya uma konke sekuqinisekisiwe ukuthi kulungile. Ungase uzizwe ulele kancane ngenxa yemiphumela ye-anesthesia. Ngakho-ke, kubalulekile ukuthi othile eze azokuthatha akuyise ekhaya .
| Izinzuzo | Izingozi/Izinkinga |
|---|---|
| Inzuzo enkulu yalokhu kuhlinzwa ukuthi ungazama ukukhulelwa ngokwemvelo njalo ngenyanga. Azikho ezinye izindlela zokwelapha ukuzala ezidingekayo. | Izingozi zalokhu kuhlinzwa ziphansi kakhulu, kodwa njenganoma yikuphi ukuhlinzwa, kunezingozi ezifana nokutheleleka, ukopha, kanye nokungezwani komzimba nokubulala izinzwa. |
| Uma uphumelela, ungaba nezingane ezingaphezu kweyodwa. | Kukhona ingozi enkulu kancane yokukhulelwa kwe-ectopic ngemuva kwale nqubo. Lokhu kwenzeka lapho iqanda elivundisiwe lifakwa epayipini le-fallopian esikhundleni sesibeletho. Lesi yisimo esidinga ukwelashwa okuphuthumayo. Kodwa-ke, iyonke, le ngozi iphansi kakhulu (cishe u-2%-7%). |
Kuphumelele kangakanani lokhu kuhlinzwa?
Ngokuvamile, izinga lokukhulelwa ngemva kwalokhu kuhlinzwa liyahlukahluka kusuka ku-50% kuya ku-80%. Leli zinga lempumelelo lincike eminyakeni esixoxe ngayo ekuqaleni, isimo samapayipi e-fallopian, kanye nolwazi lukadokotela owenza ukuhlinzwa.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Iningi labantu lingabuyela emisebenzini evamile phakathi nesonto noma amabili, kodwa hlola nodokotela wakho ukuze uqiniseke.
Kuthatha isikhathi esingakanani ukukhulelwa ngemva kokuhlinzwa?
Ukukhulelwa okuningi kwenzeka phakathi nonyaka wokuqala noma emibili ngemva kokuhlinzwa. Kodwa-ke, odokotela bacebisa ukuthi ulinde uze uqede okungenani imijikelezo emibili yokuya esikhathini ngaphambi kokuzama ukukhulelwa.
Awukwazi ukukhulelwa ngaphandle kokuhlinzwa? Inketho ebizwa ngokuthi i-IVF
Yebo. `I-IVF` (ukukhulelwa kwe-in vitro) ingenye indlela. Lokhu futhi kunezinga eliphezulu lempumelelo yokukhulelwa. Kodwa akudingi ukuhlinzwa.
Ku-IVF, unikezwa imijovo yama-hormone cishe izinsuku eziyi-10, amaqanda akho ayakhula, lawo maqanda ayasuswa emzimbeni wakho, bese ehlanganiswa nesidoda somlingani wakho elebhu ukuze kudalwe umbungu. Lowo mbungu ube usufakwa esibelethweni sakho.
Uma ungeyena umuntu ofanele ukuhlinzwa kwe-Tubal Reversal, noma uma ukhetha le ndlela kunokuhlinzwa, udokotela wakho angase akuncomele i-IVF.
Kufanele ngiphinde ngimbone nini udokotela?
Uzocelwa ukuthi ubuye cishe ngemva kwesonto elilodwa noma amabili ngemva kokuhlinzwa. Uzonikezwa neziqondiso zokuthi kufanele ukhulume nini uma kuvela izinkinga ngaphambi kwaleso sikhathi.
Into ebaluleke kakhulu ukushayela udokotela wakho ucingo ngokushesha nje lapho uthola ukuthi ukhulelwe ekuhlolweni komchamo ekhaya. Qiniseka ukuthi ukukhulelwa okuphuma ngaphandle kokukhulelwa ngokushesha okukhulu.
Udokotela angase futhi ancome ukuhlolwa kwe-X-ray okubizwa ngokuthi "i-HSG" ezinyangeni ezimbalwa ngemva kokuhlinzwa ukuze kubonakale ukuthi amapayipi e-fallopian asavuliwe yini.
Ukubopha amapayipi akho akusho ukuthi awukwazi ukuthola omunye umntwana. Uma unesifiso, i-Tubal Ligation Reversal ingaba inketho enhle. Kodwa-ke, kuye ngeminyaka yakho kanye nempilo yakho, i-IVF ingaba inketho engcono. Kungcono ukukhuluma nodokotela wakho ngalokhu bese unquma ukuthi iyiphi indlela engcono kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- Uma ufuna ukuba nomntwana futhi ngemva kokufakwa kwe-tubal ligation, kunezindlela zokwenza njengokufakwa kwe-tubal ligation reversal noma ukufakwa kwe-in vitro fertilization (IVF).
- Impumelelo yokuhlinzwa kokubuyisela emuva incike eminyakeni yakho, uhlobo lokuhlinzwa kwangaphambilini, kanye nesimo samapayipi akho e-fallopian.
- Ingozi yokukhulelwa kwe-ectopic iyanda kancane ngemva kwalokhu kuhlinzwa. Ngakho-ke, kubaluleke kakhulu ukwazisa udokotela wakho ngokushesha nje lapho uthola ukuthi ukhulelwe.
- Ngaphambi kokuhlinzwa, xoxa ngokucophelela ngobuhle nobubi, kanye nezinye izinketho ezifana ne-IVF, nodokotela wakho bese wenza isinqumo esinolwazi.
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