Ukubuyiselwa emuva kwe-Tubal ligation

Ukuguqulwa kwe-Tubal ligation ukuhlinzwa kwenziwa ukuze kuvunyelwe owesifazane oboshwe amashubhu akhe (i-tubal ligation) ukuthi aphinde akhulelwe. Amashubhu we-fallopian aphinde axhunywe kulokhu kuhlinzwa okubuyela emuva. I-tubal ligation ayikwazi ukuhlehliswa njalo uma kusele ithubhu encane kakhulu noma uma yonakele.

Ukuhlinzwa kabusha kwe-Tubal ligation kuyenziwa ukuvumela owesifazane oboshwe amashubhu akhe ukuba akhulelwe. Kodwa-ke, ukuhlinzwa akuvamile ukwenziwa futhi. Lokhu kungenxa yokuthi amazinga okuphumelela nge-in vitro fertilization (IVF) akhuphukile. Abesifazane abafisa ukukhulelwa ngemuva kokuthola i-tubal ligation, bavame ukwelulekwa ngokuzama i-IVF esikhundleni sokubuyiselwa emuva kokuhlinzwa.

Izinhlelo zomshwalense kaningi azikhokhi ngalokhu kuhlinzwa.

Izingozi ze-anesthesia nokuhlinzwa yilezi:

• Ukopha noma ukutheleleka
• Ukulimala kwezinye izitho (izinhlelo zamathumbu noma zomchamo) kungadinga ukuhlinzwa okwengeziwe ukulungisa
• Ukungezwani komzimba nemithi
• Izinkinga zokuphefumula noma inyumoniya
• Izinkinga zenhliziyo

Izingozi zokubuyiselwa emuva kwe-tubal ligation yilezi:

• Noma ukuhlinzwa kuxhuma kabusha amashubhu, owesifazane kungenzeka angakhulelwa.
• Ithuba elingu-2% kuya ku-7% lokukhulelwa kwe-tubal (ectopic).
• Ukulimala kwezitho noma izicubu eziseduze ezivela ezintweni zokuhlinza.

Hlala utshela umhlinzeki wakho wezempilo ukuthi yimiphi imithi oyiphuzayo, ngisho nemithi, amakhambi, noma izithako ozithengile ngaphandle kwencwadi kadokotela.

Phakathi nezinsuku ngaphambi kokuhlinzwa kwakho:

• Ungacelwa ukuthi uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), nanoma yimiphi eminye imithi eyenza kube nzima ngegazi lakho ukuminyana.
• Buza umhlinzeki wakho ukuthi imiphi imithi okufanele uyithathe ngosuku lokuhlinzwa kwakho.
• Uma ubhema, zama ukuyeka. Cela umhlinzeki usizo lokuyeka.

Ngosuku lokuhlinzwa kwakho:

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

Cishe uzoya ekhaya ngosuku olufanayo onenqubo ngalo. Abanye besifazane bangadinga ukuhlala esibhedlela ubusuku bonke. Uzodinga ukugitshelwa ekhaya.

Kungathatha isonto noma ngaphezulu ukuthola kabusha kulokhu kuhlinzwa. Uzoba nobumnene nobuhlungu obuthile. Umhlinzeki wakho uzokunikeza incwadi kadokotela wezinhlungu noma akutshele ukuthi imuphi umuthi wezinhlungu ongawuthatha ungawuthatha.

Abesifazane abaningi bazoba nobuhlungu behlombe izinsuku ezimbalwa. Lokhu kudalwa igesi esetshenziswa esiswini ukusiza udokotela ohlinzayo abone kangcono ngesikhathi senqubo. Ungakhulula igesi ngokulala phansi.

Ungageza amahora angama-48 ngemuva kwenqubo. Phamba imbobo yomile ngethawula. UNGAGQOBI ukusikeka noma ubunzima isonto elilodwa. Imithungo izoncibilika ngokuhamba kwesikhathi.

Umhlinzeki wakho uzokutshela ukuthi kuzothatha isikhathi esingakanani ukugwema ukuphakamisa okunzima kanye nocansi ngemuva kokuhlinzwa. Buyela emisebenzini ejwayelekile kancane njengoba uzizwa ungcono. Bona udokotela ohlinzayo isonto eli-1 ngemuva kokuhlinzwa ukuze uqiniseke ukuthi ukwelashwa kuhamba kahle.

Iningi labesifazane alinankinga ngokuhlinzwa uqobo.

Ububanzi obusukela ku-30% kuye ku-50% kuze kufike ku-70% kuya ku-80% wabesifazane kungakhulelwa. Ukuthi owesifazane ukhulelwa ngemuva kwalokhu kuhlinzwa kungaxhomeka ku:

• Iminyaka yakhe
• Ukuba khona kwezicubu ezibomvu esinqeni
• Indlela esetshenzisiwe lapho kwenziwa i-tubal ligation
• Ubude beshubhu le-fallopian elihlanganisiwe futhi
• Ikhono likadokotela ohlinzayo

Ukukhulelwa okuningi ngemuva kwale nqubo kwenzeka kungakapheli unyaka owodwa kuya kwemibili.

Ukuhlinzwa kwe-Tubal re-anastomosis; I-Tuboplasty

UDeffieux X, uMorin Surroca M, uFaivre E, amakhasi F, uFernandez H, uGervaise A. Tubal anastomosis ngemuva kokuvala inzalo: ukubuyekeza. I-Arch Gynecol Obstet. 2011; 283 (5): 1149-1158. I-PMID: 21331539 www.ncbi.nlm.nih.gov/pubmed/21331539.

Karayalcin R, Ozcan S, Tokmak A, Gürlek B, Yenicesu O, Timur H. Umphumela wokukhulelwa we-laparoscopic tubal reanastomosis: imiphumela ebuyisa emuva evela esikhungweni esisodwa somtholampilo. J Int Med Res. 2017; 45 (3): 1245-1252. www.ncbi.nlm.nih.gov/pubmed/28534697.

IMonteith CW, iBerger GS, iZerden ML. Impumelelo yokukhulelwa emuva kokuguqulwa kwe-hysteroscopic inzalo. Isikhubekiso seGynecol. 2014; 124 (6): 1183-1189. I-PMID: 25415170 www.ncbi.nlm.nih.gov/pubmed/25415170.