Usuqedile ukuba nabantwana manje futhi usunqume ngokuqinile ukuthi "Angifuni omunye umntwana"? Kufanele ukuthi uke wezwa ngokuhlinzwa okubizwa ngokuthi 'i-LRT'. Lena indlela yokuvimbela inzalo ethandwayo kubantu abaningi. Kodwa yize kukhulunywa ngayo, abantu abaningi abanalo ukuqonda okucacile kokuthi kwenzekani ngempela ngalokhu kuhlinzwa, yiziphi izinzuzo nezinkinga zako, nokuthi kuzokwenzekani ngemva kokuhlinzwa. Ngakho-ke namuhla, ake sifunde konke ngakho kalula.
Kalula nje, kuyini ukubopha kwe-tubal?
Lokhu kuyindlela yokuhlinzwa yokuvimbela inzalo yaphakade kwabesifazane. Kubizwa nangokuthi "ukuvala inzalo kwabesifazane." Kuyindlela ephumelela kakhulu.
Cabanga nje, uhlelo lwethu lokuzala lunezingxenye ezintathu eziyinhloko: isibeletho , ama-ovari , kanye nama-fallopian tubes . Njalo ngenyanga, iqanda liyakhishwa kuma-ovari bese lihamba liye esibelethweni liye e-fallopian tube. Ukukhulelwa kwenzeka kuphela uma lihlangana nesidoda phakathi nalolu hambo.
Lokhu kuhlinzwa kuhilela ukusika nokubopha amapayipi e-fallopian, noma ukuwavala nge-clip noma i-band ekhethekile. Kufana nokuvala umgwaqo. Ngemuva kwalokho iqanda alikwazi ukuhlangana nesidoda, futhi isidoda asikwazi ukufika eqandeni. Ngakho ukukhulelwa akwenzeki.
Okubaluleke kakhulu, lokhu kubhekwa njengenqubo ehlala njalo. Lokhu kuhlinzwa akunikezi sivikelo ezifweni ezithathelwana ngocansi ( ama-STI ).
Kungani umuntu anganquma ukwenza lokhu kuhlinzwa?
Isizathu esiyinhloko ukuyeka unomphela ukuba nabantwana. Lena indlela ephumelela ngaphezu kuka-99%. Ngemva kokuhlinzwa, ungajabulela impilo yocansi ejabulisayo ngaphandle kokukhathazeka ngokukhulelwa.
Odokotela batusa futhi lokhu kuhlinzwa ngezizathu ezithile zezokwelapha. Isibonelo, kwabesifazane abanezinguquko ezithile zofuzo (njengokuguqulwa kwezakhi zofuzo ze-BRCA) okwandisa ingozi yomdlavuza wesibeletho, lokhu kuhlinzwa (mhlawumbe ukususwa ngokuphelele kwama-fallopian tubes) kunganconywa ukunciphisa leyo ngozi.
Ngingazi kanjani ukuthi sengikulungele ngempela lokhu?
Lona ngumbuzo obaluleke kakhulu okudingeka uzibuze wona. Kubalulekile ukukhumbula ukuthi lokhu kuhlinzwa kuhlala njalo . Nakuba ngezinye izikhathi kukhona ukuhlinzwa okubuyiselwa emuva, kuyinkimbinkimbi kakhulu, kuyabiza, futhi kunethuba eliphansi lokuphumelela.
- Uma ungaqiniseki ngokuphelele ukuthi ufuna omunye umntwana noma cha, ungacabangi ngisho nangalo kuhlinzwa.
- Kunalokho, kungcono ukucabangela indlela yesikhashana efana namaphilisi okuvimbela inzalo noma idivayisi yangaphakathi kwesibeletho (i-IUD) engamiswa nganoma yisiphi isikhathi.
- Ngaphambi kokwenza lesi sinqumo, khuluma nomlingani wakho. Angase futhi afune ukucabangela i-vasectomy, ukuhlinzwa kokuvala inzalo kwabesilisa.
Kubalulekile ukuxoxa ngayo yonke imibuzo yakho kanye nokwesaba kwakho ngalokhu nodokotela wakho bese uyichaza kahle.
Yiziphi izindlela zokwenza ukuhlinzwa?
Ukuhlinzwa kwe-Tubal ligation kungenziwa ngezindlela ezintathu eziyinhloko. Udokotela wakho uzonquma indlela engcono kakhulu ngokusekelwe ezicini ezifana nesimo sakho sempilo nokuthi uzoyenza yini ngemva kokubeletha.
1. I-Laparoscopic Tubal Ligation
Abantu abaningi babiza lokhu ngokuthi " ukuhlinzwa kwe-keyhole" ngoba akubandakanyi ukusikwa okukhulu.
- Uzonikezwa i-anesthesia (ukulala ngokuphelele).
- Kwenziwa izimbobo ezimbili ezincane kakhulu embotsheni nasesiswini esingezansi.
- Kufakwa ipayipi elincane elinekhamera ebizwa ngokuthi i-laparoscope ngokusika okukodwa, bese isisu sigcwala umoya ngegesi (i-carbon dioxide) ukuze izitho zibonakale kahle.
- Ithuluzi lokuhlinza lifakwa ngenye indlela, kutholakale amashubhu e-fallopian, bese amashubhu evalwa kusetshenziswa i-clip, i-tape, noma ugesi (i-electrocoagulation).
- Ungalulama ngokushesha ngemva kwalokhu. Ngokuvamile ungabuya ekhaya usuka esibhedlela emahoreni ambalwa.
2. Indlela ye-mini-laparotomy
Le ndlela ivame ukwenziwa zingakapheli amahora angama-24 kusukela ekulethweni okuvamile.
- Uma ube nokuhlinzwa kwe-epidural ngesikhathi sokubeletha, kuzosetshenziswa lokho. Noma uzonikezwa i-anesthesia yomgogodla.
- Ngemva kokuzalwa komntwana, isibeletho siseseduzane nomlomo wesibeletho, ngakho-ke kwenziwa ukusikwa okuncane ngaphansi komlomo wesibeletho ukuze kutholakale kalula amapayipi e-fallopian bese ewabopha ngentambo ekhethekile.
3. Ukuhlinzwa kweLaparotomy
Lokhu ukuhlinzwa okuvulekile. Le ndlela ayisasetshenziswa kakhulu ngoba yenziwa ngokusikwa okukhulu kancane esiswini. Kodwa-ke, uma lokhu kuhlinzwa kwenziwa ngesikhathi esifanayo nokuhlinzwa ngokuhlinzwa kwe-C , kulula kakhulu ngoba kwenziwa ngokusikwa okufanayo okwasetshenziswa ukubeletha umntwana.
Ongakulindela ngemva kokuhlinzwa
Ngemva kokuhlinzwa, uzogcinwa ekamelweni elihlukile ukuze uhlolwe, futhi uma konke kuhamba kahle, uzothunyelwa ekhaya. Uma kwenziwe nge-laparoscopically, ungahamba emahoreni ambalwa. Ngezinye izindlela, kungadingeka uhlale esibhedlela usuku lonke. Nakekela lezi zinto ngemva kokubuyela ekhaya.
| Iseluleko / Izimpawu | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Phakamisa izinsimbe ezisindayo | Ungaphakamisi lutho olusindayo isonto eli-1-2. Ngemva kokubeletha, ungaphakamisi lutho olusindayo kunesisindo somntwana okungenani amasonto ama-4. |
| Ukushayela | Ungashayeli amahora angama-24. Gwema ukuphuza utshwala. |
| Ibhavu | Akukho nkinga ngokugeza umzimba wakho. Kodwa-ke, ungagezi noma ubhukude kuze kube yilapho inxeba selipholile (cishe amasonto amabili). |
| Ukuqunjelwa | Ngemva kwe-laparoscopy, igesi egcwalisa isisu ingadala ubuhlungu emahlombe, entanyeni nasesifubeni izinsuku ezingu-2-3. Ukuhamba nokucwilisa emanzini ashisayo kungasiza. |
| Isicanucanu nobuhlungu | Yidla ukudla okulula (isobho, itiye, isinkwa, ama-crackers). Thatha imithi yokubulala ubuhlungu enikezwe udokotela ngenxa yobuhlungu besisu. |
| Ukopha kwangasese | Kujwayelekile ukuba nokopha okuncane cishe inyanga eyodwa ngemva kokuhlinzwa. Kungathatha amasonto ama-4-6 ukuthi isikhathi sakho esilandelayo sifike. Uma kwenzeka, ungase uzwe ukopha okwengeziwe kanye nobuhlungu obukhulu. |
Yiziphi izinzuzo kanye nokungalungi?
Izinzuzo
- Isebenza kahle kakhulu futhi ilula: Isebenza kahle ngaphezu kuka-99%. Ihlinzeka ngokuvikelwa kokuphila konke ekukhulelweni. Akunasidingo sokuthatha amaphilisi nsuku zonke noma ukuya emitholampilo.
- Awekho ama-hormone: Lena indlela engeyona eye-hormone. Ngakho-ke ayithinti umjikelezo wakho wokuya esikhathini futhi ayibangeli ukunqamuka kokuya esikhathini.
- Kunciphisa ingozi yomdlavuza:Ucwaningo lukhombisile ukuthi lokhu kuhlinzwa kunganciphisa ingozi yomdlavuza wesibeletho cishe ngo-40%.
Ukungalungi
- Ukuzisola: Abanye besifazane (ikakhulukazi labo abakwenza ngaphambi kweminyaka engama-30) bangase bazisole kamuva, ngakho cabanga ngokucophelela ngesinqumo.
- Okuhlala Njalo: Lokhu kufanele kubhekwe njengendlela ehlala njalo engenakushintshwa.
- Izingozi zokuhlinzwa: Njenganoma yikuphi ukuhlinzwa, kunezingozi ezincane kakhulu, njengokungezwani komzimba nokubulala izinzwa, ukutheleleka, kanye nomonakalo ezithweni ezizungezile.
Isikhathi sokubona udokotela ngokushesha
Ukubopha i-tubal kuyindlela ephephile kakhulu, kodwa kufanele ushayele udokotela wakho ucingo ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo:
- Ubuhlungu besisu obungabekezeleleki noma ubuhlungu endaweni yesinqe.
- Uma inxeba liphuma ubomvu, liphuma igazi, noma libomvu futhi livuvukele.
- Umkhuhlane ophezulu (ngaphezu kuka-100°F / 37.7°C).
- Ukopha okukhulu kwesitho sangasese sowesifazane (uma iphedi limanzi ngokuphelele zingakapheli amahora amabili).
- Ukuhlanza okuqhubekayo.
- Uma uzizwa uphelelwa amandla ngaso sonke isikhathi.
Enye into ebalulekile okufanele uyiqaphele ukuthi, nakuba ingavamile kakhulu, i-fallopian tube ingaphinde ixhumane ngemva kokuhlinzwa. Uma ukukhulelwa kwenzeka, kungenzeka kakhulu ukuthi kube ukukhulelwa okuphuma ngaphandle kwesisu, okuvela e-fallopian tube uqobo. Lesi yisimo esiyingozi esidinga ukwelashwa okuphuthumayo.
Eminye imibuzo evame ukubuzwa
Kuzokwenzekani kuma-ovari ami ngemva kokuhlinzwa?
Ama-ovari akho ayaqhubeka nokukhipha amaqanda cishe nsuku zonke, kodwa ngenxa yokuthi awakwazi ukudlula ngepayipi le-fallopian, aphinde amuncwe emzimbeni wakho.
Ngingaya nini ocansini ngemva kokuhlinzwa?
Ngokuvamile ungaya ocansini cishe ngesonto. Kodwa-ke, uma uhlinzwe ngemva kokubeletha, kufanele ulinde kuze kube yilapho udokotela wakho ekutshele ukuthi wenze kanjalo (ngokuvamile cishe amasonto ayisithupha).
Ngingakhulelwa futhi ngemva kokuhlinzwa?
Isikhala sincane kakhulu. Ngaphansi kuka-1%.
Ingabe kuyavikela ezifweni ezithathelwana ngocansi?
Cha. Lutho neze. Kuyimpoqo ukusebenzisa izindlela zokuzivikela ezifana namakhondomu.
Umlayezo Wokuya Nawe Ekhaya
- I-Tubal Ligation iyindlela yokuvimbela inzalo ehlala njalo. Wena nomlingani wakho kufanele nicabange ngokucophelela ngaphambi kokwenza lesi sinqumo.
- Khuluma nodokotela wakho ngazo zonke izinkinga zakho nokwesaba kwakho.
- Lokhu kuhlinzwa ngeke kumise ukuya kwakho esikhathini noma kubangele ukunqamuka kokuya esikhathini.
- Kusukela kulokhuAkuvikeli ezifweni ezithathelwana ngocansi (ama-STI). Sebenzisa ezinye izindlela zokuzivikela.
- Qaphela izimpawu eziyingozi (ubuhlungu obukhulu, umkhuhlane, ukopha ngokweqile) ezingase zivele ngemva kokuhlinzwa, futhi funa iseluleko sezokwelapha ngokushesha uma kwenzeka noma yikuphi kwalokhu.
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