Ukuhlanganiswa kweTubal

I-Tubal ligation ukuhlinzwa ukuvala amashubhu wesifazane. (Kwesinye isikhathi kubizwa ngokuthi "ukubopha amashubhu.") Amashubhu obeletho axhumanisa amaqanda esibelethweni. Owesifazane okuhlinzwa lokhu akasakwazi ukukhulelwa. Lokhu kusho ukuthi "uyinyumba."

I-Tubal ligation yenziwa esibhedlela noma emtholampilo wabangalaliswa ngaphandle.

• Ungathola i-anesthesia ejwayelekile. Uzobe ulele futhi ungakwazi ukuzwa ubuhlungu.
• Noma, uzobe uvukile futhi unikezwe i-anesthesia yomgogodla. Ungase futhi uthole umuthi wokukwenza uzele.

Inqubo ithatha cishe imizuzu engama-30.

• Udokotela wakho ohlinzayo uzokwenza ukusikeka oku-1 noma okuncane okuncane esiswini sakho. Imvamisa, zizungeze inkinobho yesisu. Igesi ingafakwa esiswini sakho ukuyikhulisa. Lokhu kusiza udokotela wakho ohlinzayo ukuthi abone isibeletho sakho namashubhu e-fallopian.
• Ishubhu encane enekhamera encane ekugcineni (i-laparoscope) ifakwa esiswini sakho. Amathuluzi okuvimba amashubhu akho azofakwa nge-laparoscope noma nge-cut encane ehlukile.
• Amashubhu angashiswa avaliwe (aboshwe), aboshwe ngesiqeshana esincane noma iringi (ibhendi), noma asuswe ngokuphelele ngokuhlinzwa.

I-Tubal ligation nayo ingenziwa ngemuva nje kokuba usuthole ingane ngokusika okuncane enkabeni. Kungenziwa futhi ngesikhathi sesigaba se-C.

I-Tubal ligation inganconywa kwabesifazane abadala abaqinisekile ukuthi abafuni ukukhulelwa ngokuzayo. Izinzuzo zendlela zifaka indlela eqinisekile yokuvikela ukukhulelwa kanye nengozi eyehlisiwe yomdlavuza we-ovari.

Abesifazane abaseminyakeni yama-40s noma abanomlando womndeni womdlavuza we-ovari bangafuna ukususwa yonke ithubhu ukuze kuqhutshekwe kunciphiswe ingozi yokuba nomdlavuza we-ovari kamuva.

Kodwa-ke, abanye besifazane abakhetha i-tubal ligation bayazisola ngalesi sinqumo ngokuhamba kwesikhathi. Owesifazane omncane, unamathuba amaningi okuthi azisole ngokuboshwa kwamashubhu akhe njengoba ekhula.

I-Tubal ligation ibhekwa njengendlela ehlala njalo yokulawulwa kokuzalwa. Akunconyiwe njengendlela yesikhathi esifushane noma enye engaguqulwa. Kodwa-ke, ukuhlinzwa okukhulu kwesinye isikhathi kungabuyisa amandla akho okuthola umntwana. Lokhu kubizwa ngokuthi ukuguqulwa. Abesifazane abangaphezu kwesigamu abaguqulwe nge-tubal ligation yabo bayakwazi ukukhulelwa. Enye indlela yokuhlinzwa yokuguqulwa kwamatayipi ukuba ne-IVF (in vitro fertilization).

Izingozi ze-tubal ligation yilezi:

• Ukuvalwa okungaphelele kwamashubhu, okungenza ukuthi ukukhulelwa kusenokwenzeka. Cishe abesifazane abayi-1 kwabangu-200 abake baba ne-tubal ligation bakhulelwa kamuva.
• Ingozi eyengeziwe yokukhulelwa kwe-tubal (ectopic) uma ngabe ukukhulelwa kwenzeka ngemuva kwe-tubal ligation.
• Ukulimala kwezitho noma izicubu eziseduze ezivela ezintweni zokuhlinza.

Njalo utshele umhlinzeki wakho wezokunakekelwa kwempilo:

• Uma ukhulelwe noma ungakhulelwa
• Yiziphi izidakamizwa oziphuzayo, ngisho nezidakamizwa, amakhambi, noma izithako ozithengile ngaphandle kwencwadi kadokotela

Phakathi nezinsuku ngaphambi kokuhlinzwa kwakho:

• Ungacelwa ukuthi uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), kanye nanoma iziphi ezinye izidakamizwa ezenza kube nzima ngegazi lakho ukuminyana.
• Uma ubhema, zama ukuyeka. Cela umhlinzeki wakho akusize uyeke.

Ngosuku lokuhlinzwa kwakho:

• Imvamisa uzocelwa ukuthi ungaphuzi noma ungadli lutho ngemuva kwamabili ebusuku ngaphambi kokuhlinzwa kwakho, noma amahora ayisishiyagalombili ngaphambi kwesikhathi sokuhlinzwa kwakho.
• Thatha izidakamizwa umhlinzeki wakho akutshele ukuthi uziphuze ngesiphuzo esincane samanzi.
• Umhlinzeki wakho uzokutshela ukuthi ufika nini esibhedlela noma emtholampilo.

Cishe uzoya ekhaya ngosuku olufanayo onenqubo ngalo. Uzodinga ukugibela uye ekhaya futhi uzodinga ukuba nomuntu ozoba naye ubusuku bokuqala uma une-anesthesia ejwayelekile.

Uzoba nobumnene nobuhlungu obuthile.Umhlinzeki wakho uzokunikeza incwadi kadokotela wezinhlungu noma akutshele ukuthi imuphi umuthi wezinhlungu ongawuthenga.

Ngemuva kwe-laparoscopy, abesifazane abaningi bazoba nobuhlungu behlombe izinsuku ezimbalwa. Lokhu kudalwa igesi esetshenziswa esiswini ukusiza udokotela ohlinzayo abone kangcono ngesikhathi senqubo. Ungakhulula igesi ngokulala phansi.

Ungabuyela emisebenzini ejwayelekile ezinsukwini ezimbalwa, kepha kufanele ugweme ukuphakamisa okunzima amasonto ama-3.

Uma unenqubo yokuvalelwa kwesigaxa se-hysteroscopic, kuzodingeka ukuthi uqhubeke nokusebenzisa indlela yokulawula ukubeletha uze ube nokuhlolwa okubizwa nge-hysterosalpingogram ezinyangeni ezintathu ngemuva kwenqubo yokuqinisekisa ukuthi amashubhu ayavalwa.

Iningi labesifazane ngeke libe nezinkinga. I-Tubal ligation iyindlela esebenzayo yokulawulwa kokuzalwa. Uma inqubo yenziwa nge-laparoscopy noma ngemuva kokubeletha ingane, AKUDINGEKI ukuthi uphinde uhlolwe ukuze uqiniseke ukuthi awukwazi ukukhulelwa.

Izikhathi zakho kufanele zibuyele kuphethini ejwayelekile. Uma ngabe usebenzise ukulawulwa kokuzalwa kwe-hormonal noma iMirena IUD ngaphambili, izinkathi zakho zizobuyela kuphethini yakho ejwayelekile ngemuva kokuyeka ukusebenzisa lezi zindlela.

Abesifazane abane-tubal ligation banengozi enciphile yokuba nomdlavuza we-ovari.

Ukuhlinzwa kwenzalo - owesifazane; Inzalo Tubal; Ukubopha izigaxa; Ukubopha amashubhu; Inqubo ye-Hysteroscopic tubal occlusion; Ukuvimbela inzalo - i-tubal ligation; Ukuhlela umndeni - i-tubal ligation

• I-tubal ligation - ukukhipha

• Ukuhlanganiswa kweTubal
• Tubal ligation - Uchungechunge

Isley MM. Ukunakekelwa kwangemva kokubeletha nokucatshangelwa kwezempilo kwesikhathi eside. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ama-eds. Ama-Obstetrics kaGabbe: Ukukhulelwa Okujwayelekile Nenkinga. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2021: isahluko 24.

URivlin K, Westhoff C. Ukuhlela umndeni. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 13.