Oko Wonke Umfazi Afanele Ukwazi Ngokubulala Inzalo Abasetyhini

Umxholo

• Yintoni inzalo yabasetyhini?
• Nguwuphi umahluko phakathi kwenzalo yotyando neyokuhlinzwa?
• Isebenza njani inzalo yabasetyhini?
• Yenziwa njani inzalo yabasetyhini?
• Ityhubhu yokubopha
• Ukucoca inzalo (okungafunekiyo)
• Ukuvuselelwa kwenzalo yabasetyhini
• Lisebenza njani inzalo yabasetyhini?
• Zithini izibonelelo zokuvalwa kwenzalo ngabafazi?
• Zeziphi izinto ezingathandekiyo kwenzalo yabasetyhini?
• Yeyiphi imingcipheko yenzalo yabasetyhini?
• Inzalo yabasetyhini ngokuchasene nevasectomies
• Imbonakalo

Yintoni inzalo yabasetyhini?

Inzalo yabasetyhini yinkqubo esisigxina yokuthintela ukukhulelwa. Isebenza ngokuthintela iityhubhu zomzimba. Xa abafazi bekhetha ukungabinabo abantwana, inzalo kunokuba yinto elungileyo. Yinkqubo entsonkothileyo kwaye ebiza kancinci kunenzalo yamadoda (vasectomy). Ngokophando olusuka ku, malunga neepesenti ezingama-27 zabasetyhini baseMelika abakwiminyaka yokuzala basebenzisa inzalo njengamabhinqa. Oku kulingana ne-10.2 yezigidi zabafazi. Olu pho nonongo lufumene ukuba abafazi abamnyama babenokusebenzisa inzalo yabasetyhini (iipesenti ezingama-37) kunabesifazane abamhlophe (iipesenti ezingama-24) kunye nabasetyhini base-Hispanic abazalwa e-US (ama-27 ekhulwini). Ukuvalwa kwenzalo kwabasetyhini kuxhaphake kakhulu kumazwe asaphuhlayo. Abasetyhini abaneminyaka engama-40 ukuya kwengama-44 kunokwenzeka kakhulu kunawo onke amanye amaqela ukuba basebenzise inzalo yabasetyhini, ngokuyikhetha njengeyona ndlela yabo yolawulo lokuzalwa. Zimbini iintlobo eziphambili zokuvalwa kwenzalo ngabafazi: uqhaqho kunye nonyango.

Nguwuphi umahluko phakathi kwenzalo yotyando neyokuhlinzwa?

Inkqubo yotyando kukufaka i-tubal ligation, apho kusikwa khona okanye kutywinwe iityhubhu ze-fallopian. Ngamanye amaxesha kubhekiswa njengokubopha iityhubhu zakho. Inkqubo ihlala iqhutywa kusetyenziswa utyando oluncinci olungenayo into ebizwa ngokuba yi-laparoscopy. Inokwenziwa kwakhona emva kokuhanjiswa kwesini okanye ukuhanjiswa kwe-cesarean (ebizwa ngokuba yiC-c). Iinkqubo ezingezizo ezotyando zisebenzisa izixhobo ezibekwe kwimigudu yokutywina. Ezi zixhobo zifakwa kwilungu lobufazi kunye nesibeleko, kwaye ukubekwa akudingi kuqunjelwa.

Isebenza njani inzalo yabasetyhini?

Iibhloko zokucoca okanye zitywina imibhobho. Oku kuthintela iqanda ekubeni lifikelele esibelekweni kwaye kugcina isidoda singafiki eqandeni. Ngaphandle kokuchumisa kweqanda, ukukhulelwa akunakwenzeka. Tubal ligation iyasebenza kwangoko emva kwenkqubo. Ukucoca inzalo kungathathwa ukuya kuthi ga kwiinyanga ezintathu ukuze zisebenze kakuhle njengezicwili zomzimba. Iziphumo zazo zombini iinkqubo zihlala zisisigxina kunye nomngcipheko omncinci wokungaphumeleli.

Yenziwa njani inzalo yabasetyhini?

Ugqirha kufuneka enze inzalo yakho. Kuxhomekeka kwinkqubo, inokwenziwa kwiofisi kagqirha okanye esibhedlele.

Ityhubhu yokubopha

Nge-tubal ligation, uya kufuna i-anesthesia. Ugqirha wakho uhambisa isisu sakho ngerhasi kwaye wenze incision encinci ukufikelela kumalungu akho okuzala kunye ne-laparoscope. Emva koko batywina ityhubhu yakho. Ugqirha unokukwenza oku ngoku:

• ukusika nokusonga iityhubhu
• ukususa amacandelo eetyhubhu
• ukuvimba iityhubhu ezinamaqela okanye iiklip

Ezinye iinkqubo zenzalo zifuna isixhobo esinye kunye nokusikwa, ngelixa ezinye zifuna ezimbini. Xoxa ngenkqubo ethile kunye nogqirha wakho kwangaphambili.

Ukucoca inzalo (okungafunekiyo)

Okwangoku, isixhobo esinye sisetyenziselwe ukungasebenzi kakuhle kwabasetyhini. Yathengiswa phantsi kwegama lophawu lwe-Essure, kwaye yinkqubo esetyenziselwa yona ibizwa ngokuba yi-fallopian tube occlusion. Inezinto ezimbini zentsimbi. Inye ifakwe kwityhubhu nganye yokuya kwilungu lobufazi kunye nomlomo wesibeleko. Ekugqibeleni, iifom zamabala abomvu zijikeleze iikhoyili kunye neebhloko zemibhobho. I-Essure iye yakhunjulwa e-United States, nge-31 kaDisemba ka-2018. Ngo-Epreli 2018, i-US yokutya kunye noLawulo lweeDrug (FDA) yathintela ukusetyenziswa kwayo kwinani eliqingqiweyo lamaziko ezempilo. Izigulana ziye zaxela iintlungu, ukopha, kunye neempendulo ezithile. Kukho iimeko zokumiliselwa kwesibeleko okanye ukuphuma endaweni. Ngaphezulu kwabafazi abayi-16,000 base-US abasetyhini abamangalela iBayer ngaphezulu kwe-Essure. U-Lord uvumile ukuba bekukho iingxaki ezinkulu ezinxulunyaniswa nokuthintela ukukhulelwa kwaye uyalele ezinye izilumkiso kunye nezifundo zokhuselo.

Ukuvuselelwa kwenzalo yabasetyhini

Emva kwenkqubo, ujongiwe yonke imizuzu eli-15 kangangeyure ukuqinisekisa ukuba uyachacha kwaye akukho zingxaki. Uninzi lwabantu luyakhululwa kwangolo suku, ngesiqhelo kwiiyure ezimbini. Ukuchacha kuhlala kuthatha iintsuku ezimbini ukuya kwezintlanu. Ugqirha wakho uya kucela ukuba ubuyele ekuqeshweni kokulandelelana kwiveki enye emva kwenkqubo.

Lisebenza njani inzalo yabasetyhini?

Ukuvalwa kwenzalo kwabasetyhini kuphantse kube liipesenti ezili-100 ezisebenzayo ekuthinteleni ukukhulelwa. Ngokwe-Society of Obstetricians kunye ne-Gynecologists yase-Canada, malunga ne-2 ukuya kwe-10 kwabasetyhini abayi-1 banokukhulelwa emva kwetyhubhu yokubopha. Uphononongo olupapashwe kwiphephancwadi lokuthintela ukukhulelwa lubonise ukuba bangama-24-30 abasetyhini kwabali-1 000 abakhulelweyo emva kokubethwa kwetyhubhu.

Zithini izibonelelo zokuvalwa kwenzalo ngabafazi?

Ukucoca inzalo kwabasetyhini lukhetho olufanelekileyo kwabasetyhini abafuna ulawulo olusebenzayo nolusisigxina lokuzalwa. Kukhuselekile phantse kubo bonke abantu basetyhini kwaye kunenqanaba lokungaphumeleli eliphantsi kakhulu. Inzalo iyasebenza ngaphandle kokukhokelela kwiziphumo ebezingalindelekanga ezifanayo nezinye iindlela, ezinje ngeepilisi zolawulo lokuzalwa, ukufakelwa, okanye isixhobo se-intrauterine (IUD). Umzekelo, le nkqubo ayichaphazeli iihomoni zakho, ukuba sexesheni, okanye umnqweno wesini. Obunye ubungqina bubonisa ukuba inzalo yabasetyhini inokunciphisa umngcipheko womhlaza we-ovari.

Zeziphi izinto ezingathandekiyo kwenzalo yabasetyhini?

Ngenxa yokuba isisigxina, inzalo yabasetyhini ayisiyonto ilungileyo kwabasetyhini abanokufuna ukukhulelwa kwixa elizayo. Eminye imitya ye-tubal inokubuyiselwa umva, kodwa ukubuyela umva akusebenzi. Abasetyhini akufuneki babale ukubuyela umva. Kwaye inzalo ye-nonsurgical ayinakuze iphinde ibuye. Ukuba kukho naliphi na ithuba onokufuna ngalo umntwana kwixa elizayo, inzalo mhlawumbi ayikufanelanga. Thetha nogqirha wakho ngezinye iindlela onokukhetha kuzo. IUD inokuba lukhetho olungcono. Ingashiywa endaweni yayo ukuya kuthi ga kwiminyaka eli-10, kwaye ukususwa kwe-IUD kubuyisela ukuzala kwakho. Ngokungafaniyo nezinye iindlela zolawulo lokuzalwa, inzalo yabasetyhini ayincedi abasetyhini abafuna okanye abafuna ukulawula iingxaki zomjikelo wokuya esikhathini. Ukucoca inzala kwabasetyhini akukhuseli kwizifo ezidluliselwa ngeentlobano zesini (ii-STIs) nokuba. Kukho izinto ezongezelelweyo kubafazi abathile ukuba bagcine engqondweni xa bejonga inzalo yabasetyhini. Umzekelo, abasetyhini abanomngcipheko omkhulu wokuphendula gwenxa kwi-anesthesia abanakho ukwenza utyando. Kwabasetyhini abafuna ukwenza inzalo ngaphandle kotyando, kukho ezinye izithintelo. Okwangoku, inzalo engenzi nzuzo ayisiyiyo inketho kwabo:

• unetyhubhu enye kuphela
• ndinenye okanye zombini ii-fallopian tubes zithintelwe okanye zavalwa
• azidibani nokwahlula idayi esetyenziswe ngexesha le-X-ray

Yeyiphi imingcipheko yenzalo yabasetyhini?

Kukho umngcipheko othile obandakanyekayo kuyo nayiphi na inkqubo yonyango. Usulelo kunye nokopha ziziphumo ebezingalindelekanga ezinqabileyo ze-tubal ligation. Thetha nogqirha wakho malunga neengozi ngaphambi kwenkqubo. Kwiimeko ezinqabileyo, iityhubhu zinokuphilisa ngokuzenzekelayo emva kokubola. NgokwesiCwangciso soMzali, kukho ithuba lokuba nakuphi na ukukhulelwa okwenzekayo kweli nqanaba kuya kuba yi-ectopic. Ukukhulelwa kwe-ectopic kwenzeka xa ukufakwa komntwana kumbhobho wesibeleko endaweni yesibeleko. Ingxaki enokuba yingozi kakhulu kwezonyango. Ukuba ayibanjwanga ngexesha, inokusongela ubomi. Ukulungiselela inzalo kusetyenziswa ukufakwa, umngcipheko ufunyaniswe ubaluleke kakhulu kangangokuba i-Essure ikhutshiwe kwintengiso ukuphela kuka-2018.

Inzalo yabasetyhini ngokuchasene nevasectomies

IiVasectomies ziinkqubo zenzalo esisigxina emadodeni. Basebenza ngokudibanisa, ukusika, ukusika, okanye ukutywina i-vas deferens ukunqanda ukukhutshwa kwesidoda. Inkqubo inokuthi okanye ingadingi ukubonwa okuncinci kunye neanesthesia yendawo. I-vasectomy ihlala ithatha phakathi kweenyanga ezimbini ukuya kwezine ukuze isebenze emva kwenkqubo. Emva konyaka omnye, iyasebenza kancinci kunenzalo yabasetyhini. Njengokuzala inzalo yabasetyhini, i-vasectomy ayikhuseli kwi-STIs. Amaqabane akhetha ukukhetha i-vasectomy angenza njalo kuba:

• ngokwesiqhelo ifikeleleke ngakumbi
• ithathwa njengekhuselekileyo kwaye, kwezinye iimeko, inkqubo encinci yokungena
• ayiphakamisi umngcipheko wokukhulelwa kwe-ectopic

Kwelinye icala, izibini ezikhetha ukuvala inzala kwabasetyhini zingenza njalo ngenxa yokuba i-tubal ligation isebenza ngokukhawuleza, ngelixa ii-vasectomies zingathatha iinyanga ezimbalwa ukuba zisebenze.

Imbonakalo

Yenza idinga nogqirha wakho ukuba nixoxe ngokuzala kwabasetyhini kwaye nigqibe ukuba loluphi olona khetho lokulawula inzala. Ukuba ukhetha inzalo engeyiyo eyonyango, kuyakufuneka usebenzise enye indlela yolawulo lokuzalwa kangangeenyanga ezintathu emva kwenkqubo. Uza kuba nexesha lakho, kwaye awuyi kuba nehla kwi-libido. Akukho lutshintsho kwindlela yokuphila luyimfuneko ngokuzala kwabasetyhini. Kubalulekile ukuba ukhumbule ukuba ngelixa inzalo yabasetyhini ithintela ukukhulelwa, ayikhuseli kwi-STIs. Ukuba ufuna ukhuseleko lwe-STI, sebenzisa iikhondom.