Tubal ligation inodzosera

Tubal ligation reversal ndiko kuvhiya kunoitwa kubvumira mukadzi anga akasungirwa machubhu (tubal ligation) kuti ave nepamuviri zvakare. Iyo fallopian machubhu akabatanidzwazve mune ino shandura kuvhiya. Tubal ligation haigone kudzoserwa nguva dzose kana paine pombi chubhu shoma kana kana zvakuvara.

Tubal ligation kudzosera kumashure kuvhiya kunoitirwa kubvumira mukadzi uyo akasungwa machubhu ake kuti ave nepamuviri. Zvisinei, kuvhiyiwa kwacho hakuwanzo kuitwazve. Izvi zvinodaro nekuti mitengo yekubudirira ine in vitro fetiraiza (IVF) yakwira. Vakadzi vanoshuvira kuve nepamuviri mushure mekuita tubal ligation, vanowanzo kurairwa kuyedza IVF pachinzvimbo chekuchinja kwekuvhiya.

Zvirongwa zveinishuwarenzi kazhinji hazvibhadhare kuvhiya uku.

Ngozi dzeanesthesia uye kuvhiyiwa ndeizvi:

• Kubuda ropa kana hutachiona
• Kukuvadza kune dzimwe nhengo (ura kana weti masisitimu) kungangoda kuvhiiwa kwakawanda kugadzirisa
• Allergic reaction kumishonga
• Matambudziko ekufema kana mabayo
• Zvinetso zvemwoyo

Ngozi dzekudzora tubal ligation kudzoka ndidzo:

• Kunyangwe kana kuvhiya kuchisanganazve machubhu, mukadzi anogona kunge asiri kuita nhumbu.
• A 2% kusvika 7% mukana wehutachiona (ectopic) nhumbu.
• Kukuvadza kunhengo dzepedyo kana zvinyama kubva kune zvekuvhiya.

Nguva dzose udza mupi wako wezvehutano kuti ndeapi mishonga yauri kutora, kunyangwe mishonga, mishonga, kana zvinowedzera zvaunotenga pasina tsamba yekunyora.

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.
• Kumbira mupi wako kuti ndeapi mishonga yaunofanirwa kutora pazuva rekuvhiyiwa kwako.
• Ukasvuta, edza kurega. Kumbira mupiki 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 kapfu kemvura.
• Mupiki wako anokuudza nguva yekuuya kuchipatara kana kukiriniki.

Iwe uchazoenda kumba zuva rimwe chete raunenge uine maitiro. Vamwe vakadzi vangangoda kugara muchipatara husiku. Iwe unozoda kukwira kuenda kumba.

Zvinogona kutora vhiki kana kupfuura kuti uwanezve kubva mukuvhiya uku. Iwe unenge uine hunyoro uye kurwadziwa. Wako anokupa anokupa mushonga wemushonga wekurwadziwa kana kukuudza kuti ndeupi mushonga wepamusoro-we-counter ungatore.

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 kugeza maawa makumi mana nemasere maitiro acho. Pat iyo incision yakaoma nejira. Usakoze incision kana kushushikana kwevhiki rimwe. Iwo matinji anonyungudika nekufamba kwenguva.

Wako mupi anokuudza iwe kuti inguva yakareba sei kudzivirira kunorema kusimudza uye bonde mushure mekuvhiyiwa. Dzokera kuzvinhu zvakajairika zvishoma nezvishoma paunenge uchinzwa zvirinani. Ona chiremba chiremba 1 vhiki mushure mekuvhiyiwa kuti uone kuti kuporesa kuri kufamba zvakanaka.

Vazhinji vakadzi havana matambudziko nekuvhiya kwacho.

Kubva 30% kusvika 50% kusvika 70% kusvika 80% yevakadzi vanogona kubata nhumbu. Kunyangwe mukadzi akava nepamuviri mushure mekuvhiyiwa uku kunogona kuvimba ne:

• Zera rake
• Kuvapo kwemavanga matsvuku muhudyu
• Maitiro aishandiswa pakaitwa tubal ligation
• Kureba kweye fallopian chubhu inosanganiswazve
• Unyanzvi hwachiremba

Mimba zhinji mushure meiyi nzira inoitika mukati megore rimwe kana maviri.

Tubal re-anastomosis kuvhiya; Tuboplasty

Deffieux X, Morin Surroca M, Faivre E, Mapeji F, Fernandez H, Gervaise A. Tubal anastomosis mushure mekubereka tubal sterilization: ongororo. Arch Gynecol Chibvumirano. 2011; 283 (5): 1149-1158. PMID: 21331539 www.ncbi.nlm.nih.gov/pubmed/21331539.

Karayalcin R, Ozcan S, Tokmak A, Gürlek B, Yenicesu O, Timur H. Mhedzisiro yekubata laparoscopic tubal reanastomosis: mhedzisiro yekudzoka kubva kune imwe kiriniki nzvimbo. J Int Med Res. 2017; 45 (3): 1245-1252. www.ncbi.nlm.nih.gov/pubmed/28534697.

Monteith CW, Berger GS, Zerden ML. Kubata kwepamuviri mushure meiyo hysteroscopic sterilization kudzoka. Obstet Gynecol. 2014; 124 (6): 1183-1189. PMID: 25415170 www.ncbi.nlm.nih.gov/pubmed/25415170.