Ukuguqulwa kwetubal ligation ukubuyela umva

Ukubuyiselwa umva kwe-Tubal ligation kukuhlinzwa okwenziwa ukuvumela owasetyhini obotshelelwe kwimibhobho yakhe (i-tubal ligation) ukuba akhulelwe kwakhona. Imibhobho yesibeleko iphinde yadityaniswa kolu tyando luguquliweyo. I-tubal ligation ayinakusoloko ibuyiselwa umva ukuba kukho ityhubhu encinci kakhulu eseleyo okanye ukuba yonakele.

Utyando lokuguqula umjelo weTubal lwenziwe ukuvumela owasetyhini obotshelelwe kwimibhobho yakhe ukuba akhulelwe. Nangona kunjalo, olu tyando alufane lwenziwe kwakhona. Kungenxa yokuba amaqondo okuphumelela nge-vitro fertilization (IVF) anyukile. Abasetyhini abanqwenela ukukhulelwa emva kokufumana i-tubal ligation, bahlala becetyiswa ukuba bazame i-IVF endaweni yotyando.

Izicwangciso zeinshurensi zihlala zingahlawuli olu tyando.

Umngcipheko we-anesthesia kunye notyando zezi:

• Ukopha okanye usulelo
• Ukonakala kwamanye amalungu (iiswini okanye iinkqubo zokuchama) kunokufuna utyando olungakumbi ukulungisa
• Ukunyanga kwamayeza kunyango
• Iingxaki zokuphefumla okanye inyumoniya
• Iingxaki zentliziyo

Imingcipheko yokuguqulwa kwetyhubhu ye-tubal yile:

• Nokuba utyando luphinda ludibanise iityhubhu, umfazi angangakhulelwa.
• Ithuba le-2% ukuya kwi-7% lokukhulelwa kwe-tubal (ectopic).
• Ukwenzakalisa amalungu akufutshane okanye izicubu ezivela kwizixhobo zotyando.

Soloko uxelela umboneleli wakho wezempilo ukuba ngawaphi amayeza owasebenzisayo, nditsho amayeza, amayeza, okanye izongezo ozithengileyo ngaphandle kommiselo.

Ngexesha leentsuku ngaphambi kokuhlinzwa kwakho:

• Unokucelwa ukuba uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), kunye nawaphi na amanye amayeza enza ukuba kube nzima kwigazi lakho ukuba lijiye.
• Buza umboneleli wakho ukuba ngawaphi amayeza ekufuneka uwathathe ngosuku lotyando lwakho.
• Ukuba uyatshaya, zama ukuyeka. Cela umboneleli 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 uwathabathe ngesiphuzo esincinci samanzi.
• Umboneleli wakho uza kukuxelela ukuba ufike nini esibhedlele okanye eklinikhi.

Uya kugoduka kwangolo suku unenkqubo. Abanye abantu basetyhini banokufuna ukulala esibhedlele ubusuku bonke. Uya kudinga ukukhwela ugoduke.

Ingathabatha iveki okanye nangaphezulu ukufumana kwakhona kolu tyando. Uya kuba nokuthamba kunye neentlungu. Umboneleli wakho uya kukunika amayeza amayeza eentlungu okanye akuxelele ukuba ngawaphi amayeza eentlungu onokuwathatha.

Abasetyhini abaninzi baya kuba neentlungu zamahlombe iintsuku ezimbalwa. Oku kubangelwa yirhasi esetyenziswa esiswini ukunceda ugqirha abone ngcono ngexesha lenkqubo. Ungayikhulula irhasi ngokulala phantsi.

Ungahlamba iiyure ezingama-48 emva kwenkqubo. Pat incision yomile ngetawuli. SUKUGQIBA ukusikwa okanye uxinzelelo kwiveki e-1. Izibonda ziya kunyibilika ngokuhamba kwexesha.

Umboneleli wakho uya kukuxelela ukuba uza kuthintela ixesha elingakanani ukuphakamisa ubunzima kunye nokwabelana ngesondo emva kotyando. Buyela kwimisebenzi yesiqhelo kancinci njengoko uziva ungcono. Jonga ugqirha we-1 iveki emva kotyando ukuqinisekisa ukuba ukuphilisa kuhamba kakuhle.

Uninzi lwabasetyhini alunangxaki notyando ngokwalo.

Uluhlu ukusuka kuma-30% ukuya kuma-50% ukuya kuma-70% ukuya kuma-80% abasetyhini banokukhulelwa. Nokuba ngaba umfazi uyakhulelwa emva kolu tyando kunokuxhomekeka:

• Iminyaka yakhe
• Ubukho bethishu ebomvu esinqeni
• Indlela esetyenzisiweyo xa kwenziwa i-tubal ligation
• Ubude betyhubhu obuya kudityaniswa
• Isakhono sogqirha

Uninzi lokukhulelwa emva kwale nkqubo lwenzeka kwisithuba seminyaka emi-1 ukuya kwezi-2.

Utyando lwe-Tubal re-anastomosis; Tuboplasty

UDeffieux X, uMorin Surroca M, uFaivre E, amaphepha F, uFernandez H, uGervaise A. Tubal anastomosis emva kokuvalwa kwetyhubhu: uphononongo. IArch Gynecol Obstet. Ngo-2011; 283 (5): 1149-1158. IINKCUKACHA: 21331539 www.ncbi.nlm.nih.gov/pubmed/21331539.

Karayalcin R, Ozcan S, Tokmak A, Gürlek B, Yenicesu O, Timur H. Iziphumo zokukhulelwa kwe-laparoscopic tubal reanastomosis: iziphumo ezibuyayo ezivela kwiziko elinye leklinikhi. J Int Med Res. Ngo-2017; 45 (3): 1245-1252. www.ncbi.nlm.nih.gov/pubmed/28534697.

IMonteith CW, iBerger GS, iZerden ML. Impumelelo yokukhulelwa emva kokubuyela umva kwe-hysteroscopic sterilization. IGynecol ebambekayo. Ngo-2014; 124 (6): 1183-1189. IINKCUKACHA: 25415170 www.ncbi.nlm.nih.gov/pubmed/25415170.