Tubal ligation

Tubal ligation kuvhiya kwekuvhara mazamu emukadzi. (Inombodaidzwa kuti "kusunga machubhu.") Matopu anobatanidza mazai nechibereko. Mukadzi akavhiyiwa uyu haachakwanise kubata nhumbu. Izvi zvinoreva kuti "haana chena."

Tubal ligation inoitwa muchipatara kana kiriniki yekunze.

• Iwe unogona kugamuchira general anesthesia. Iwe unenge wakarara uye usingakwanise kunzwa kurwadziwa.
• Kana, iwe unenge wakamuka uye uchapihwa musana kutindivadza. Iwe unogona zvakare kugamuchira mushonga kuti uite iwe uve nehope.

Maitiro acho anotora maminetsi makumi matatu.

• Chiremba wako achaita 1 kana 2 zvidiki zvekuvhiya mudumbu rako. Kazhinji kazhinji, ivo vanenge vakatenderedza bhatani remudumbu. Gasi rinogona kuputirwa mudumbu rako kuti riwedzere. Izvi zvinobatsira chiremba wako anovhiya kuti aone chibereko chako uye fallopian machubhu.
• Chubhu nhete ine kadiki kamera pamagumo (laparoscope) inoiswa mudumbu mako. Midziyo yekuvhara machubhu ako inozoiswa kuburikidza neiyo laparoscope kana kuburikidza nechero rakatemwa diki.
• Machubhu acho anogona kunge akapiswa akavharwa (cauterized), akasungwa nekamu clip kana ringi (bhendi), kana kubviswa zvachose kuvhiya.

Tubal ligation inogona zvakare kuitwa mushure mekunge iwe uine mwana kuburikidza nekadiki kakachekwa muguvhu. Izvo zvinogona zvakare kuitwa panguva yeC-chikamu.

Tubal ligation inogona kukurudzirwa kune vakadzi vakuru vane chokwadi chekuti havadi kuita nhumbu mune ramangwana. Zvakanakira iyo nzira zvinosanganisira nzira yechokwadi yekudzivirira kubva pakubata uye nenjodzi yakadzikira yekenza yeovarian.

Vakadzi vari mumakore avo makumi mana kana vane nhoroondo yemhuri yekenza yemazai vangangoda kubviswa chubhu yese kuitira kuti vawedzere kudzora njodzi yavo yekuzoita gomarara rezai.

Nekudaro, vamwe vakadzi vanosarudza tubal ligation vanodemba danho iri mumashure. Mudiki mukadzi wacho zvaari, ndipo paanonyanya kuzvidemba nekusungwa machubhu ake paanokura.

Tubal ligation inoonekwa senge yechigarire maitiro ekudzivirira kuberekwa. Izvo hazvikurudzirwe senzira pfupi-yenguva kana imwe inogona kudzoserwa. Zvisinei, kuvhiyiwa kukuru kunogona dzimwe nguva kudzorera kukwanisa kwako kuva nemwana. Izvi zvinonzi kudzosera kumashure. Vanopfuura hafu yevakadzi vane tubal ligation yavo yakadzorerwa vanokwanisa kuve nepamuviri. Imwe nzira yekuvhiya inodzosera tubal ndeye kuva IVF (in vitro fertilization).

Ngozi dzehubhu ligation ndeiyi:

• Kuvhara kusakwana kwemachubhu, izvo zvinogona kuita kuti nhumbu irambe ichikwanisika. Vanenge mumwe chete pavakadzi mazana maviri vane tubal ligation vanobata pamuviri gare gare.
• Kuwedzera njodzi yehubhu (ectopic) nhumbu kana nhumbu ikaitika mushure meiyo tubal ligation.
• Kukuvadza kunhengo dzepedyo kana zvinyama kubva kune zvekuvhiya.

Nguva dzose udza mupi wako wehutano:

• Kana iwe uri kana uchigona kuve nepamuviri
• Ndeapi madhiragi auri kutora, kunyangwe madhiragi, mahebhu, kana zvinowedzeredza zvawakatenga pasina mushonga

Munguva yemazuva usati wavhiyiwa:

• Iwe unogona kukumbirwa kumira kutora aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), uye chero mimwe mishonga inoita kuti zvive zvakaoma kuti ropa rako rigadzike.
• Ukasvuta, edza kurega. Kumbira mupiki wako kuti abatsire kurega.

Pazuva rekuvhiyiwa kwako:

• Iwe unowanzo bvunzwa kuti usamwe kana kudya chero chinhu pakati pehusiku husiku usati waitwa oparesheni, kana maawa masere nguva yekuvhiyiwa kwako isati yasvika.
• Tora mishonga yawakaudzwa nemupi wako kuti utore nekamwe kadiki kemvura.
• Mupiki wako anokuudza nguva yekuuya kuchipatara kana kukiriniki.

Iwe uchazoenda kumba zuva rimwe chete raunenge uine maitiro. Iwe uchazoda kukwira kuenda kumba uye uchazoda kuve nemumwe munhu newe kwehusiku hwekutanga kana uine general anesthesia.

Iwe unenge uine hunyoro uye kurwadziwa.Wako anokupa anokupa mushonga wemushonga wekurwadziwa kana kukuudza iwe mushonga wepamusoro-we-counter waunogona kutora.

Mushure me laparoscopy, vakadzi vazhinji vanozove nemarwadzo epafudzi kwemazuva mashoma. Izvi zvinokonzerwa negasi rinoshandiswa mudumbu kubatsira chiremba anovhiya kuti aone zvirinani panguva yekuita. Iwe unogona kusunungura gasi nekurara pasi.

Unogona kudzokera kuzviitiko zvakajairika mukati memazuva mashoma, asi unofanirwa kudzivirira kusimudza zvinorema kwemavhiki matatu.

Kana iwe uine iyo hysteroscopic tubal kuvharirwa maitiro, iwe uchafanirwa kuramba uchishandisa nzira yekudzivirira kuberekwa kusvika iwe uine bvunzo inonzi hysterosalpingogram mwedzi mitatu mushure mekuita kuti uve nechokwadi chekuti machubhu akavharika.

Vazhinji vakadzi havazove nematambudziko. Tubal ligation inzira inoshanda yekudzivirira kuberekwa. Kana maitiro acho akaitwa ne laparoscopy kana mushure mekusununguka mwana, HAUDI kuita imwe bvunzo kuti uve nechokwadi chekuti haugone kubata pamuviri.

Nguva dzako dzinofanira kudzokera kune yakasarudzika pateni. Kana iwe waishandisa mahormone kuberekwa kudzora kana iyo Mirena IUD zvisati zvaitika, ipapo nguva dzako dzinodzokera kune yako yakajairwa pateni mushure mekumira kushandisa nzira idzi.

Vakadzi vane tubal ligation vane njodzi yakaderera yekuva nekenza yemazai.

Kuvhiya kubereka - mukadzi; Tubal sterilization; Tube kusunga; Kusunga machubhu; Hysteroscopic tubal kuvharirwa maitiro; Kubata pamuviri - tubal ligation; Kuronga kwemhuri - tubal ligation

• Tubal ligation - kubuda

• Tubal ligation
• Tubal ligation - Series

Isley MM. Kuchengetwa kwepashure kwekubereka uye hutano hurefu kwenguva refu. Mune: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics yaGabbe: Yakajairika uye Dambudziko Pamuviri. 8th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 24.

Rivlin K, Westhoff C. Kuronga mhuri. Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chits.