Uke wahlinzwa ukuhlela umndeni, manje ngenxa yezinguquko ezithile empilweni yakho, uphupha ngokuba nomntwana futhi? Ungase ucabange, 'Angikwazi ukwenza lokho manje, ngibophe amapayipi ami.' Kodwa ungavumeli lokho kukudikibalise. Kukhona ithuba lokubuyisela emuva ukuhlinzwa obekukwenza. Lokhu yilokho esikubiza ngokuthi 'ukuguqulwa kwe-tubal ligation.' Namuhla, sizoxoxa ngakho konke ngendlela elula kakhulu.
Iyini i-Tubal Ligation kanye nokuguqulwa kwayo?
Kalula nje, ukubopha i-tubal kuyindlela yokuhlinzwa yokuvimbela ukukhulelwa. Kuhilela ukubopha, ukusika, noma ukushisa amapayipi akho e-fallopian. Lokhu kuvimbela ukudlula kweqanda elivela emaqanda kanye nesidoda sowesilisa, kuvimbele ukukhulelwa.
Manje, uma ufuna ukuba nomunye umntwana, unezinketho ezimbili eziyinhloko. Enye ukuhlinzwa kokubuyisela emuva. Enye ukukhulelwa kwe-in vitro (IVF) . I-IVF ayidingi amashubhu e-fallopian.
Ukuguqulwa kwe-Tubal Ligation inqubo yokuhlinzwa exhumanisa kabusha amashubhu e-fallopian avinjiwe, okuvumela iqanda nesidoda ukuthi kuhlangane. Empeleni inqubo yokuhlela umndeni eguqulwe. Ngezinye izikhathi ibizwa ngokuthi "i-Tubal Reanastomosis".
Ubani ofanelekela lolu hlinzo? Yiziphi izici ezithinta impumelelo?
Uma unethuba elikhulu lokukhulelwa ngemva kwalokhu kuhlinzwa, ungumuntu ofanelekile kulokhu. Kodwa leyo mpumelelo incike ezintweni ezimbalwa. Ake sibone ukuthi ziyini.
| Izici ezithinta impumelelo | Incazelo elula |
|---|---|
| iminyaka yakho | Abesifazane abasebasha banamathuba amaningi okukhulelwa ngokwemvelo futhi basengozini encane yokuphuphuma kwesisu kanye nokukhubazeka kokuzalwa. |
| Ezinye izimbangela zokungazali | Uma unezimo ezifana nokuya esikhathini okungajwayelekile, ama-fibroids esibeletho, izibazi ze-pelvic, noma i-endometriosis, amathuba akho okuphumelela angase anciphe. |
| Impilo yomlingani wakho | Impilo yesidoda somlingani wakho nayo ibaluleke kakhulu. Ngakho-ke, udokotela wakho angenza ukuhlaziywa kwesidoda. |
| Uhlobo lokuhlinzwa owakwenza | Ukuhlinzwa okuhilela ukubopha imisele ngama-clip noma ama-ring kulula ukukuguqula. Kodwa-ke, ukuhlinzwa kwe-electrocautery okuhilela ukubulala imisele kunzima kakhulu. |
| Ubude obusele beziteshi | Ukuze uxhume kabusha, kumele kube nezingxenye ezanele ezinempilo zeziteshi ezisele. |
Ingabe zikhona izimo ezingalungiseki?
Yebo. Uma iningi noma wonke amapayipi akho e-fallopian esusiwe, awakwazi ukulungiswa. Futhi, uma amadivayisi afana ne-`Essure®` kanye ne-`Adiana®` efakwe kumapayipi, lesi simo asinakuguqulwa. Uma uke wakwenza lokhu futhi ucabanga ngokuba nomntwana, qiniseka ukuthi ukhuluma nodokotela wakho.
Kwenzekani ngaphambi kokuhlinzwa futhi ungalungiselela kanjani?
Udokotela wakho uzokuchazela kahle ngokuhlinzwa futhi axoxe ngezingozi. Bazokwenza okulandelayo ukuze babone ukuthi ukulungele yini:
- Ukubukeza umlando wakho wezokwelapha: Bazokubuza ngokukhulelwa kwakho kwangaphambilini, imininingwane yanoma yikuphi ukuhlinzwa kokuhlelwa komndeni oke wakwenza, kanye nanoma yikuphi okunye ukuhlinzwa oke wakwenza.
- Ukuhlaziywa kwesidoda: Lokhu kubalulekile ukuhlola amathuba okukhulelwa ngemva kokuhlinzwa.
- Okunye ukuhlolwa: Kuye ngesimo sakho, ungase futhi uhlolwe igazi noma uhlolwe nge-scan.
Ungalungiselela kanjani?
Ekuhambeleni kwakho kokuqala kudokotela, kuyasiza ukuletha ikhophi yombiko wakho wokuhlinzwa kokuhlela umndeni . Uma amapayipi akho esusiwe, letha umbiko wesifo . Ukuze wandise amathuba akho okukhulelwa okunempilo, yenza okulandelayo:
- Gcina ezinye izimo zezokwelapha onazo (njengesifo sikashukela kanye nomfutho wegazi ophezulu) zilawulwa.
- Uma ubhema, yeka ngokuphelele.
- Nciphisa ukudla kwakho 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. Kwenziwa esibhedlela. Uzolaliswa ngaphansi kwe-anesthesia ejwayelekile, ngakho ngeke uzwe ubuhlungu . Ungaya ekhaya ngosuku olufanayo nokuhlinzwa.
Lapho enza ukuhlinzwa, udokotela uzolandela lezi zinyathelo:
1. Uzonikezwa umuthi wokubulala izinzwa ukuze ulale ngokuphelele.
2. Ngesikhathi sokuhlinzwa, kufakwa ipayipi (i-catheter) esinyeni ukuze kuqoqwe umchamo.
3. Ukusikwa okuncane ngaphansi komugqa we-bikini (i-mini-laparotomy) noma ukusikwa okuncane kakhulu esiswini (i-laparoscopy) kusetshenziselwa ukufinyelela amashubhu e-fallopian.
4. Amapayipi ayahlolwa ukuze kubonakale ukuthi angakhiwa kabusha yini. Uma kungenzeka, ukuhlinzwa kuzoqala ngokushesha.
5. Vula imikhawulo yeziteshi ezivinjiwe bese uxhuma kabusha ngokucophelela izingxenye ezimbili zeziteshi.
6. Bese kuthi kufakwe udayi esibelethweni ukuze kuhlolwe ukuthi amapayipi e-fallopian avulekile yini.
7. Ekugcineni, izimbobo zivalwa ngezithungo ezincibilikayo ngaphansi kwesikhumba, bese kufakwa ibhandishi.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Inzuzo enkulu yalokhu ukuthi ungazama ukukhulelwa ngokwemvelo njalo ngenyanga ngemva kokuhlinzwa. Futhi, kunethuba lokuba nezingane ezingaphezu kweyodwa ngaphandle kokwelashwa okunye.
Njengakuzo zonke izinhlobo zokuhlinzwa, kunezingozi ezincane, kodwa amathuba okuba zivele aphansi kakhulu.
- Ukutheleleka.
- Ukopha noma ukuqhekeka kwegazi.
- Ukungezwani komzimba ne-anesthesia.
- Ukulimala kwezinye izitho zomzimba ngesikhathi sokuhlinzwa.
Ingozi ebaluleke kakhulu: Ukukhulelwa Kwesibeletho
Kukhona ingozi enkulu kancane yokukhulelwa kwe-ectopic ngemuva kwalokhu kuhlinzwa. Lokhu kusho ukuthi umbungu ufakwa epayipini le-fallopian esikhundleni sesibeletho. Lesi yisimo esiphuthumayo sezokwelapha. Ngakho-ke, kubalulekile ukwazisa udokotela wakho ngokushesha nje lapho uthola ukuthi ukhulelwe.
Kuphumelele kangakanani ukuhlinzwa? Futhi kuthatha isikhathi esingakanani ukukhulelwa?
Izinga lempumelelo yokukhulelwa ngemva kwalokhu kuhlinzwa liyahlukahluka kusuka ku-50% kuya ku-80% . Kuncike ezintweni ezifana nobudala, isimo samapayipi e-fallopian, njll. Futhi, ulwazi lukadokotela owenza ukuhlinzwa lubaluleke kakhulu.
Ukukhulelwa okuningi kwenzeka phakathi nonyaka wokuqala noma emibili ngemva kokuhlinzwa, kodwa kufanele ulinde uze ube nemijikelezo okungenani emibili yokuya esikhathini ngaphambi kokuzama ukukhulelwa.
Kungenzeka yini ukuba nomntwana ngaphandle kokuhlinzwa? (Indlela ye-IVF)
Yebo, kungenzeka. Yilokho okwenziwa yi -IVF (In Vitro Fertilization) .Kukhona indlela. Uma ungafaneleki ukuhlinzwa, noma uma ukhetha i-IVF kunokuhlinzwa, udokotela wakho uzoyincoma kuwe.
I-IVF nayo inezinga eliphezulu lokukhulelwa. Kodwa futhi inezinkinga zayo. Isibonelo, kufanele uthathe imijovo yama-hormone nsuku zonke cishe izinsuku eziyi-10, futhi kufanele uye emitholampilo ukuze uyohlolwa njalo futhi uhlolwe igazi. Kuyinqubo eyinkimbinkimbi kancane.
Kungcono ukukhuluma nodokotela wakho bese unquma ukuthi iyiphi indlela engcono kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kokuhlelwa komndeni (i-tubal ligation) kungavamise ukuguqulwa, okukunika ithuba lokukhulelwa ngokwemvelo futhi.
- Impumelelo yokuhlinzwa incike eminyakeni yakho, uhlobo lokuhlinzwa kokuqala, isimo semigudu yokuphefumula, kanye nempilo yomlingani wakho.
- Ingozi enkulu ngemva kwalokhu kuhlinzwa ukukhulelwa okungavamile. Ngakho-ke, yazisa udokotela wakho ngokushesha nje lapho uthola ukuthi ukhulelwe.
- Uma ukuhlinzwa kungafunwa noma kungafaneleki, i-IVF iyindlela enhle kakhulu.
- Qiniseka ukuthi uxoxa ngalokhu nodokotela wakho ukuze uthole ukuthi iyiphi indlela engcono kakhulu esimweni sakho.
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