Zvinotarisirwa neMukadzi wese Kuziva Nezvekubereka Kwevakadzi

Zvemukati

• Chii chinonzi vakadzi mbereko?
• Ndeupi musiyano uripo pakati pekuvhiya nekuvhiya kwekuvhiya?
• Kuberekesa kwevakadzi kunoshanda sei?
• Kuvharirwa kwechikadzi kunoitwa sei?
• Tubal ligation
• Nonsurgical mbereko (Essure)
• Kudzoreredza kubva kune vakadzi sterilization
• Inobudirira sei vakadzi mbereko?
• Ndeapi mabhenefiti ekudzivirira kwevakadzi?
• Ndezvipi zvakanakira kuberekesa kwevakadzi?
• Ndedzipi njodzi dzekubereka vakadzi?
• Kubereka kwevakadzi vs. vasectomies
• Outlook

Chii chinonzi vakadzi mbereko?

Kubereka kwevakadzi inzira yekusingaperi yekudzivirira kubata nhumbu. Inoshanda nekudzivirira iyo fallopian machubhu. Vakadzi pavanosarudza kusava nevana, kubereka kunogona kuita sarudzo yakanaka. Iyo zvishoma zvishoma yakaoma uye inodhura maitiro kupfuura kuvharisa kwevanhurume (vasectomy). Maererano neongororo kubva kuna, vangangoita 27 muzana yevakadzi veAmerica vezera rekubereka vanoshandisa mbereko yechikadzi senzira yavo yekudzivirira kubereka. Izvi zvakaenzana nemamiriyoni gumi nemamiriyoni evakadzi. Iyi ongororo yakawana zvakare kuti vakadzi vatema vaiwanzoshandisa sterilization yevakadzi (37 muzana) kupfuura vakadzi vachena (24 muzana) uye vakadzi vemuSpanish vanozvarwa (27 muzana). Kubereka kwevakadzi kunowanzoitika munyika dzichiri kusimukira. Vakadzi vane makore makumi mana kusvika kumakumi mana nemana ekuberekwa vane mukana wakanyanya kudarika mamwe ese mazera ekushandisa mbereko yevakadzi, vachisarudza senzira yavo yekutanga yekudzivirira. Kune maviri akakosha mhando dzevakadzi sterilization: kuvhiya uye kusavhiya.

Ndeupi musiyano uripo pakati pekuvhiya nekuvhiya kwekuvhiya?

Maitiro ekuvhiya ndeye tubal ligation, mune iyo fallopian machubhu anotemwa kana akanamwa. Iyo dzimwe nguva inotaurwa nezvayo sekutora machubhu ako akasungwa. Maitiro acho anowanzoitwa pachishandiswa kuvhiya kushoma kunodenha kunodaidzwa kunzi laparoscopy. Izvo zvinogona zvakare kuitwa mushure mekuberekwa kwemadzimai kana kuburitswa kwechareya (inowanzozikanwa seC-chikamu). Maitiro ekuvhiya anoshandisa zvishandiso zvakaiswa mumatopopian machubhu kuzvisimbisa. Midziyo inoiswa kuburikidza nepanhengo uye chibereko, uye kuiswa kwacho hakudi kunonoka.

Kuberekesa kwevakadzi kunoshanda sei?

Mbereko inovhara kana inovhariridza matope. Izvi zvinodzivirira zai kuti risasvika muchibereko uyezve rinoita kuti urume husasvike muzai. Pasina kusangana kwezai, nhumbu haigone kuitika. Tubal ligation inoshanda pakarepo mushure mekuita. Kuvarairwa kwekuvhiya kusingaite kunogona kutora kusvika kumwedzi mitatu kuti ibudirire sezvinoita mavanga enyama. Mhedzisiro yemaitirwo ese ari maviri anogara aine njodzi diki yekutadza.

Kuvharirwa kwechikadzi kunoitwa sei?

Chiremba anofanirwa kuita yako mbereko. Zvichienderana nemaitiro, zvinogona kuitwa muhofisi yechiremba kana kuchipatara.

Tubal ligation

Kune iyo tubal ligation, iwe unoda anesthesia. Chiremba wako anokwenya dumbu rako negasi uye anoita incision diki kuti uwane nhengo dzako dzekubereka pamwe neiyo laparoscope. Vanobva vavhara yako fallopian machubhu. Chiremba anogona kuita izvi na:

• kucheka nekupeta machubhu
• kubvisa zvikamu zvemachubhu
• ichivhara machubhu nemabhandi kana zvikamu

Dzimwe nzira dzekuvharisa dzinoda chimbo chimwe chete uye kukanda, nepo dzimwe dzichida mbiri. Kurukurai maitiro chaiwo nachiremba wako zvisati zvaitika.

Nonsurgical mbereko (Essure)

Parizvino, chishandiso chimwe chakashandiswa pakusavhara mbichana. Yakatengeswa pasi pezita rekuti Essure, uye ndiyo nzira yainoshandiswa inonzi fallopian tube occlusion. Inosanganisira maviri madiki esimbi coils. Imwe inoiswa mune yega yega fallopian chubhu kuburikidza nemukadzi uye chibereko. Pakupedzisira, zvinyama zvinyoro zvinomira zvakakomberedza makoiri uye zvinodzivirira fallopian tubes. Essure yakayeukwa muUnited States, kutanga kwaDecember 31, 2018. MunaEpril 2018, iyo US Chikafu neDrug Administration (FDA) yakadzora mashandisiro ayo kunhamba shoma yezvivakwa zvehutano. Varwere vanga vataura nezvekurwadziwa, kubuda ropa, uye kugadzikana. Zvakare, kwave kune zviitiko zvekuisirwa kubaya chibereko kana kusimuka kubva panzvimbo. Vanopfuura zviuru gumi nezvitanhatu zvevakadzi vekuUS vari kukwidza Bayer pamusoro peEssure. The akabvuma kuti pakave nematambudziko akakomba ane chekuita nekudzivirira pamuviri uye akaraira zvimwe yambiro uye zvidzidzo zvekuchengetedza.

Kudzoreredza kubva kune vakadzi sterilization

Mushure mekuita, unoongororwa wega maminetsi gumi neshanu kweawa kuti uve nechokwadi chekuti uri kupora uye kuti hapana zvinetswa. Vanhu vazhinji vanoburitswa musi iwoyo iwoyo, kazhinji mukati memaawa maviri. Kudzoreredza kazhinji kunotora pakati pemazuva maviri kusvika mashanu. Chiremba wako angangokukumbira iwe kuti udzoke kuzoteedzana musangano vhiki imwe mushure mekuita kwacho.

Inobudirira sei vakadzi mbereko?

Kuberekesa kwevakadzi kunoda kusvika zana muzana zvinobudirira mukudzivirira kubata pamuviri. Sekureva kweSosaiti yeVadzvanyiriri uye maGynecologists eCanada, vangangoita 2-10 kubva pavakadzi chiuru vanogona kubata nhumbu mushure mekutakura tubal. Chidzidzo chakaburitswa mumagazini Contraception chakawana kuti vakadzi makumi maviri nemana kusvika makumi matatu kubva pavane chiuru vakabata pamuviri mushure mekutapurwa kwetubal.

Ndeapi mabhenefiti ekudzivirira kwevakadzi?

Kuvharirwa kwemadzimai inzira yakanaka kune vakadzi vanoda kubata nekuzvarwa zvachose. Iyo yakachengeteka kune vangangoita vese vakadzi uye ine yakanyanya kuderera kukundikana mwero. Mbereko inoshanda pasina kutungamira kumhedzisiro sedzimwe nzira, senge mapiritsi ekudzivirira kubereka, kuisirwa, kana kunyangwe iyo intrauterine mudziyo (IUD). Semuenzaniso, maitiro acho haatapure mahormone ako, kuenda kumwedzi, kana kuda bonde. Humwe humbowo hunoratidzawo kuti kuvharisa kwevakadzi kunogona kudzikisira zvishoma njodzi yekenza yeovarian.

Ndezvipi zvakanakira kuberekesa kwevakadzi?

Nekuti ndeyekusingaperi, kubereka kwevakadzi haisi sarudzo yakanaka kune vakadzi vangangoda kutora mimba mune ramangwana. Dzimwe tubal ligations dzinogona kudzoserwa, asi zvinodzokororwa kazhinji hazvishande. Vakadzi havafanire kutarisira mukana wekudzoka. Uye isina kuvhiya sterilization haife yakadzorerwa. Kana paine chero mukana ungangoda mwana mune ramangwana, kubereka pamwe kungave kusina kukodzera iwe. Taura nachiremba wako nezve dzimwe sarudzo. IUD inogona kunge iri sarudzo iri nani. Inogona kusiiwa panzvimbo kusvika makore gumi, uye kubviswa kweIUD kunodzosera kubereka kwako. Kusiyana nedzimwe nzira dzekudzivirira kubereka, vakadzi kuvharisa hakubatsire vakadzi vanoda kana kuda kubata matambudziko ekumwedzi. Kuvharirwa kwechikadzi hakudziviriri kubva kuzvirwere zvepabonde (STIs) futi. Panogona kunge paine zvimwe zvikonzero zvekuti vamwe vakadzi vagare mupfungwa kana vachifunga nezvevakadzi mbereko. Semuenzaniso, vakadzi vane njodzi huru yekusagadzikana kweanesthesia vanogona kusakwanisa kuvhiyiwa. Kune vakadzi vanoda kuitisa mbereko zvisina kuvhiyiwa, pane zvimwe zvinorambidzwa. Parizvino, kuvharirwa kwekuvhiya hakusi sarudzo kune avo:

• vane imwechete chete fallopian chubhu
• ndakave neyese kana mbiri fallopian machubhu akavharirwa kana akavharwa
• zvinopesana neaya dhayi anoshandiswa panguva yeX-ray

Ndedzipi njodzi dzekubereka vakadzi?

Kune dzimwe njodzi dzinobatanidzwa mune chero nzira yekurapa. Utachiona uye kubuda ropa hazviwanzoitika mhedzisiro yehubhu ligation. Taura nachiremba wako nezve njodzi dzisati dzaitwa. Muzviitiko zvisingawanzoitika, machubhu anogona kupora pakarepo mushure mekubereka. Sekureva kwePlanned Parenthood, pane mukana chero nhumbu inoitika panguva ino ichave ectopic. Ectopic nhumbu inoitika kana iyo fetus inodyara mu fallopian chubhu panzvimbo yechibereko. Icho chinetso chinogona kunge chakakomba chekurapa. Kana ikasabatwa munguva, inogona kutyisidzira hupenyu. Zvekuberekesa uchishandisa inowisa, njodzi dzakawanikwa dzakakomba zvekuti Essure yabviswa pamusika sekupera kwegore ra2018.

Kubereka kwevakadzi vs. vasectomies

Vasectomies inzira dzekusingaperi dzekuvharisa varume. Ivo vanoshanda nekusunga, kutema, kucheka, kana kusimbisa iyo vas deferens kudzivirira kuburitsa urume. Maitiro acho anogona kana angangoda zvidiki zvidiki zvekuita uye yemuno anesthesia. Vasectomy inowanzo kutora pakati pemwedzi miviri nemana kuti ibudirire mushure mekuita. Mushure megore rimwe, rinenge richinyanya kushanda kupfuura kuvharisa kwevakadzi. Kufanana nevakadzi sterilization, vasectomy haidziviriri pakurwisa njovhera. Vakaroorana vanosarudza kusarudza vasectomy vanogona kudaro nekuti:

• zvinowanzoita zvisingadhuri
• inoonekwa seyakachengeteka uye, mune dzimwe nguva, maitiro mashoma ekupinda
• haina kukwidza njodzi ye ectopic nhumbu

Kune rimwe divi, varoorani vanosarudza kuberekesa kwevakadzi vanogona kuzviita nekuti tubal ligation inoshanda nekukasira, nepo vasectomies inogona kutora mwedzi mishoma kuti ibudirire.

Outlook

Ita musangano nachiremba wako kuti ukurukure kuvharisa kwevakadzi uye uone kana iriyo sarudzo yekuzvarwa yakanakira iwe. Kana iwe ukasarudza kuvharwa kwekuvhiya, iwe unofanirwa kushandisa imwe nzira yekudzivirira kubereka kwemwedzi mitatu mushure mekuita. Iwe unenge uchiri nenguva yako, uye hauzowana kudonha mu libido. Hapana shanduko yemararamiro inodiwa nevakadzi sterilization. Zvakakosha kuyeuka kuti nepo kutapudza kwevakadzi kuchidzivirira kubata pamuviri, hakudziviriri pakurwara pabonde. Kana muchida kuchengetedzwa nenjovhera, shandisai makondomu.