Ukukhulelwa Emva kweTubal Ligation: Yazi Iimpawu

Umxholo

• Nguwuphi umngcipheko wokukhulelwa emva kokubanjwa kwe-tubal?
• Iimpawu zokukhulelwa
• Iimpawu zokukhulelwa kwe-ectopic
• Amanyathelo alandelayo

Ushwankathelo

I-Tubal ligation, ekwabizwa ngokuba "kukubopha iityhubhu zakho," lukhetho kubantu basetyhini abasasafuni ukuba nabantwana. Olu tyando lwangaphandle lubandakanya ukuvimba okanye ukusika imibhobho. Ithintela iqanda elikhutshwe kwi-ovary yakho ekuhambeni kwisibeleko sakho, apho iqanda linokuchunyiswa khona.

Ngelixa i-tubal ligation isebenza ngokukuko ekukhuseleni uninzi lokukhulelwa, ayisiyiyo kwaphela. Uqikelelo kumfazi omnye kwabangama-200 oza kukhulelwa emva kokubanjwa kwetyhubhu.

I-Tubal ligation inokunyusa umngcipheko wokukhulelwa kwe-ectopic. Kulapho ukufakwa kweqanda kuchumileyo kwimibhobho yesibeleko endaweni yokuya esibelekweni. Ukukhulelwa kwe-ectopic kunokuba yinto engxamisekileyo. Kubalulekile ukuba uqaphele iimpawu.

Nguwuphi umngcipheko wokukhulelwa emva kokubanjwa kwe-tubal?

Xa ugqirha esenza i-tubal ligation, ii-fallopian tubes ziboshwe, zisikwe, zitywinwe okanye zibotshwe. I-Tubal ligation inokubangela ukukhulelwa ukuba iityhubhu ze-fallopian zikhula zibuye kunye emva kwale nkqubo.

Umfazi usemngciphekweni wokuba oku kwenzeke xa emncinci xa ene-tubal ligation. NgokweYunivesithi yasePittsburgh Medical Centre, amaqondo okukhulelwa emva kwetyhubhu yokubopha yile:

• Iipesenti ezi-5 kwabasetyhini abangaphantsi kweminyaka engama-28
• Iipesenti ezi-2 kwabasetyhini abaphakathi kweminyaka engama-28 ukuya kuma-33
• Ipesenti enye kwabasetyhini abadala kunama-34

Emva kwenkqubo ye-tubal ligation, umfazi unokufumanisa ukuba sele ekhulelwe. Kungenxa yokuba iqanda elichumileyo lisenokuba sele lifakwe kwisibeleko ngaphambi kwenkqubo yakhe. Ngesi sizathu, uninzi lwabasetyhini lukhetha i-tubal ligation emva nje kokubeleka okanye emva kwexesha lokuya exesheni, xa umngcipheko wokukhulelwa usezantsi.

Iimpawu zokukhulelwa

Ukuba ityhubhu yakho ye-fallopian ikhule yabuya kunye emva kwe-tubal ligation, kunokwenzeka ukuba unokukhulelwa ngokusisigxina. Abanye abantu basetyhini bakhetha ukubuyela umva kwisimo se-tubal ligation, apho ugqirha abeka khona ii-tublopian tubes. Oku akusoloko kusebenza kubasetyhini abafuna ukukhulelwa, kodwa kunokuba njalo.

Iimpawu ezinxulumene nokukhulelwa zibandakanya:

• ukuthamba kwebele
• ukutya ukutya
• ukuziva ugula xa ucinga ngokutya okuthile
• ndiphoswe lixesha
• isicaphucaphu, ingakumbi kusasa
• Ukudinwa okungachazwanga
• ukuchama rhoqo

Ukuba ucinga ukuba ukhulelwe, unokuthatha uvavanyo lokukhulelwa ekhaya. Ezi mvavanyo azithembekanga nge-100, ngakumbi xa ukhulelwe. Ugqirha wakho unokwenza uvavanyo lwegazi okanye i-ultrasound ukuqinisekisa ukukhulelwa.

Iimpawu zokukhulelwa kwe-ectopic

Ukuba notyando lwangaphambili lwethambo okanye i-tubal ligation inokunyusa umngcipheko wokukhulelwa kwe-ectopic. Kuyinyani oku ukuba usebenzisa isixhobo se-intrauterine (IUD) njengendlela yothintelo.

Iimpawu ezinxulunyaniswa nokukhulelwa kwe-ectopic ekuqaleni zinokujongeka njengokukhulelwa kwendabuko. Umzekelo, ukuba uthatha uvavanyo lokukhulelwa, iya kuba ntle. Kodwa iqanda elichumileyo alifakwanga kwindawo apho linokukhula khona. Ngenxa yoko, ukukhulelwa akunakuqhubeka.

Ngaphandle kweempawu zokukhulelwa kwendabuko, iimpawu zokukhulelwa kwe-ectopic zingabandakanya:

• intlungu zesisu
• ukuphuma kwegazi kwilungu lobufazi
• iintlungu zangasese
• uxinzelelo lwe-pelvic, ngakumbi ngexesha lokuhamba kwamathumbu

Ezi mpawu akufuneki zingahoywa. Ukukhulelwa kwe-ectopic kunokubangela ukuba ityhubhu ye-fallopian iphuke, enokubangela ukopha ngaphakathi okukhokelela ekuphelelweni nasemothukweni. Funa unyango kwangoko ukuba ufumana ezi mpawu zilandelayo ngokukhulelwa kwe-ectopic:

• ndiziva ndinentloko engenasidima okanye ndidlula
• Ubuhlungu obukhulu esiswini sakho okanye kwi-pelvis
• ukopha kakhulu kwilungu lobufazi
• iintlungu zamagxa

Ukuba ugqirha wakho ugqiba ukuba ukukhulelwa kwakho yi-ectopic kwinqanaba lokuqala, banokumisela iyeza elibizwa ngokuba yi-methotrexate. La mayeza anokuthintela iqanda ekubeni likhule ngakumbi okanye libangele ukopha. Ugqirha wakho uya kubeka esweni amanqanaba akho e-chorionic gonadotropin (hCG), ihomoni enxulunyaniswa nokukhulelwa.

Ukuba le ndlela ayisebenzi, kunokufuneka kwenziwe utyando ukususa izicwili. Ugqirha wakho uya kuzama ukulungisa ityhubhu yobudala. Ukuba akunakwenzeka, ityhubhu ye-fallopian iya kususwa.

Oogqirha banyanga ityhubhu eqhekekileyo ngoqhaqho ukuze bayilungise okanye bayisuse. Unokufuna iimveliso zegazi ukuba ulahlekelwe ligazi elininzi. Ugqirha wakho uya kukujonga esosulelweni, njengomkhuhlane okanye ubunzima bokugcina uxinzelelo lwegazi oluqhelekileyo.

Amanyathelo alandelayo

Ngelixa i-tubal ligation iyindlela esebenzayo yokuthintela ukukhulelwa, ayikhuseli ekukhulelweni iipesenti ezili-100 zexesha. Kubalulekile ukukhumbula kananjalo ukuba le nkqubo ayikhuseli kwizifo ezidluliselwa ngeentlobano zesini. Ukuba wena neqabane lakho anitshatanga, kubalulekile ukuba nisebenzise ikhondom ngalo lonke ixesha nisabelana ngesondo.

Thetha nogqirha wakho ukuba unomdla wokuba i-tubal ligation yakho ayizukusebenza. Ukuba ubunenkqubo yakho usemncinci okanye ukuba sele ingaphezulu kweshumi ukusukela oko ubenenkqubo yakho, unokuba kumngcipheko omncinci kodwa owandayo wokukhulelwa. Wena neqabane lakho ninokusebenzisa ezinye iindlela zokucwangcisa ukunciphisa umngcipheko. Oku kunokubandakanya i-vasectomy (inzalo yamadoda) okanye iikhondom.