Ityhubhu yokubopha

I-Tubal ligation lutyando lokuvala iityhubhu zomfazi. (Ngamanye amaxesha ibizwa ngokuba "kukubopha iityhubhu.") Imibhobho yesibeleko idibanisa amaqanda esibelekweni. Umfazi okwenziwe olu tyando akasakwazi ukukhulelwa. Oku kuthetha ukuba "uyinyumba."

I-Tubal ligation yenziwa esibhedlele okanye kwiklinikhi yokugula.

• Unokufumana i-anesthesia ngokubanzi. Uya kulala kwaye ungakwazi kuva iintlungu.
• Okanye, uya kuvuka kwaye unikwe i-spinal anesthesia. Unokufumana iyeza lokukwenza wozele.

Inkqubo ithatha malunga nemizuzu engama-30.

• Ugqirha wakho uza kwenza i-1 okanye 2 ukusika okuncinci esiswini sakho. Rhoqo, zijikeleze iqhosha lesisu. Irhasi inokumpontshelwa kwisisu sakho ukuyandisa. Oku kunceda ugqirha wakho ukuba abone isibeleko sakho kunye neetyhubhu ze-fallopian.
• Umbhobho omncinci onekhamera encinci esiphelweni (i-laparoscope) ifakwe kwisisu sakho. Izixhobo zokuvala iityhubhu zakho ziya kufakwa kwilaptop okanye ngokusebenzisa ukusika okuncinci okuncinci.
• Iityhubhu ziyatshiswa zivaliwe (zenziwe nge-cauterised), zixinaniswe nekliphu encinci okanye iringi (ibhendi), okanye zisuswe ngokupheleleyo ngotyando.

I-Tubal ligation inokwenziwa kanye emva kokuba usana lusikiwe kancinci enkabeni. Inokwenziwa nakwicandelo le-C.

I-Tubal ligation inokucetyiswa kwabasetyhini abadala abaqinisekileyo ukuba abafuni ukukhulelwa kwixa elizayo. Izibonelelo zendlela zibandakanya indlela eqinisekileyo yokukhusela ekukhulelweni kunye nokwehlisa umngcipheko womhlaza we-ovari.

Abasetyhini abakwi-40 yabo okanye abanembali yosapho yomhlaza we-ovari banokufuna ukususwa yonke ityhubhu ukuze kuqhubeke ukunciphisa umngcipheko wokuba nomhlaza we-ovari.

Nangona kunjalo, abanye abantu basetyhini abakhetha i-tubal ligation bayazisola ngesigqibo esenziwe kamva. Ngokusemncinci umfazi, kokukhona uya kuzisola ngokubotshwa iityhubhu njengoko ekhula.

Tubal ligation ithathwa njengohlobo olusisigxina lolawulo lokuzalwa. Akukhuthazwa njengexesha elifutshane okanye enye enokubuyiselwa umva. Nangona kunjalo, utyando olukhulu ngamanye amaxesha lunokubuyisela amandla akho okufumana umntwana. Oku kubizwa ngokuba kukutshintsha. Ngaphezulu kwesiqingatha sabasetyhini abane-tubal ligation eguqulweyo bayakwazi ukukhulelwa. Enye indlela yotyando lokubuyela umva kumbhobho kukuba ne-IVF (in vitro fertilization).

Umngcipheko we-tubal ligation yile:

• Ukuvalwa okungagqitywanga kweetyhubhu, ezinokwenza ukukhulelwa kusenokwenzeka. Malunga ne-1 kwabasetyhini abangama-200 abaye banesifo se-tubal ligation bakhulelwa kamva.
• Umngcipheko okhulayo wokukhulelwa kwe-tubal (ectopic) ukuba ukukhulelwa kwenzeka emva kokubopha i-tubal ligation.
• Ukwenzakalisa amalungu akufutshane okanye izicubu ezivela kwizixhobo zotyando.

Soloko uxelela umboneleli wakho wezempilo:

• Ukuba ukhulelwe okanye unokukhulelwa
• Zeziphi iziyobisi ozithathayo, nditsho iziyobisi, amayeza, okanye izongezo ozithengileyo ngaphandle kommiselo

Ngexesha leentsuku ngaphambi kokuhlinzwa kwakho:

• Unokucelwa ukuba uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), kunye nazo naziphi na ezinye iziyobisi ezenza kube nzima kwigazi lakho ukuba lijiye.
• Ukuba uyatshaya, zama ukuyeka. Buza umboneleli wakho ngoncedo lokuyeka.

Ngomhla wotyando lwakho:

• Uya kuhlala ucelwa ukuba ungaseli okanye utye nantoni na emva kobusuku phakathi kobusuku ngaphambi kotyando lwakho, okanye iiyure ezisi-8 ngaphambi kwexesha lotyando lwakho.
• Thatha amayeza umboneleli wakho akuxelele ukuba uthathe ngesiphuzo esincinci samanzi.
• Umboneleli wakho uza kukuxelela ukuba ufike nini esibhedlele okanye eklinikhi.

Uya kugoduka kwangolo suku unenkqubo. Uya kudinga ukukhwela uye ekhaya kwaye kuya kufuneka ube nomntu othile kubusuku bokuqala ukuba une-anesthesia ngokubanzi.

Uya kuba nokuthamba kunye neentlungu.Umboneleli wakho uya kukunika amayeza amayeza eentlungu okanye akuxelele ukuba ngawaphi amayeza eentlungu onokuwathatha.

Emva kwe-laparoscopy, abaninzi abafazi baya kuba neentlungu zamahlombe iintsuku ezimbalwa. Oku kubangelwa yirhasi esetyenziswa esiswini ukunceda ugqirha abone ngcono ngexesha lenkqubo. Ungayikhulula irhasi ngokulala phantsi.

Unokubuyela kwimisebenzi yesiqhelo kwiintsuku nje ezimbalwa, kodwa kufuneka uphephe ukuphakamisa okunzima iiveki ezi-3.

Ukuba unayo inkqubo ye-hysteroscopic tubal occlusion, kuyakufuneka uqhubeke usebenzisa indlela yolawulo lokuzalwa de ube novavanyo olubizwa ngokuba yi-hysterosalpingogram kwiinyanga ezi-3 emva kwenkqubo yokuqinisekisa ukuba iityhubhu zivaliwe.

Uninzi lwabasetyhini aluyi kuba nangxaki. Tubal ligation yindlela esebenzayo yolawulo lokuzalwa. Ukuba inkqubo yenziwa nge-laparoscopy okanye emva kokubeleka umntwana, AKUSA KUFUNEKA uphinde wenze olunye uvavanyo ukuqinisekisa ukuba awungekhe ukhulelwe.

Amaxesha akho kufuneka abuyele kwipateni eqhelekileyo. Ukuba ubusebenzisa ulawulo lokuzalwa kwehomoni okanye iMirena IUD ngaphambili, amaxesha akho aya kubuyela kwipateni yakho yesiqhelo emva kokuba uyekile ukusebenzisa ezi ndlela.

Abasetyhini abane-tubal ligation banokunciphisa umngcipheko wokuba nomhlaza we-ovari.

Utyando inzalo - ababhinqileyo; Inzalo Tubal; Ukubopha ityhubhu; Ukubopha iityhubhu; Inkqubo ye-Hysteroscopic tubal occlusion; Ukuthintela ukukhulelwa - i-tubal ligation; Ukucwangcisa usapho - ityhubhu yokubopha

• Ukutsalwa kwetubal - ukubhobhoza

• Ityhubhu yokubopha
• Tubal ligation-Uthotho

Isley MM. Unonophelo lwasemva kokubeleka kunye nokuqwalaselwa kwezempilo kwexesha elide. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ii-eds. Ii-Obstetrics zikaGabbe: Ukukhulelwa okuqhelekileyo kunye neengxaki. Ngomhla we-8. IPhiladelphia, PA: Elsevier; 2021: isahluko 24.

URivlin K, Westhoff C. Ucwangciso losapho. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 13.