Ukukhulelwa Ngemuva Kwe-Tubal Ligation: Yazi Izimpawu

-Delile

• Iyini ingozi yokukhulelwa ngemuva kwe-tubal ligation?
• Izimpawu zokukhulelwa
• Izimpawu zokukhulelwa kwe-ectopic
• Izinyathelo ezilandelayo

Ukubuka konke

I-Tubal ligation, eyaziwa nangokuthi "ukubopha amashubhu akho," kuyindlela yabesifazane abangasafuni ukuba nezingane. Le nqubo yokuhlinza abagulayo ibandakanya ukuvimba noma ukusika amashubhu we-fallopian. Kuvimbela iqanda elikhishwe esibelethweni sakho ukuba liye esibelethweni sakho, lapho iqanda lingavundiswa khona.

Ngenkathi i-tubal ligation isebenza kahle ekuvikeleni ukukhulelwa okuningi, akuyona ngokuphelele. Kulinganiselwa ukuthi owesifazane oyedwa kwabangu-200 uzokhulelwa ngemuva kwesigaxa se-tubal.

I-Tubal ligation ingakhuphula ubungozi bokukhulelwa kwe-ectopic. Yilapho okufakwa khona iqanda elikhulelisiwe kumashubhu e-fallopian esikhundleni sokuya esibelethweni. Ukukhulelwa kwe-ectopic kungaphenduka kube yisimo esiphuthumayo. Kubalulekile ukuqaphela izimpawu.

Iyini ingozi yokukhulelwa ngemuva kwe-tubal ligation?

Lapho udokotela ohlinzayo enza i-tubal ligation, amashubhu angama-fallopian ayaboshwa, asikwe, avalelwe noma aboshwe. I-Tubal ligation ingaholela ekukhulelweni uma amashubhu e-fallopian ekhula ndawonye ngemuva kwale nqubo.

Owesifazane usengozini enkulu yokuthi lokhu kwenzeke lapho esemncane lapho ene-tubal ligation. Ngokuya nge-University of Pittsburgh Medical Center, amazinga wokukhulelwa ngemuva kwe-tubal ligation yile:

• Amaphesenti ama-5 kwabesifazane abangaphansi kweminyaka engama-28
• Amaphesenti ama-2 kwabesifazane abaphakathi kweminyaka engama-28 nengama-33
• Iphesenti eli-1 kwabesifazane abadala kunama-34

Ngemuva kwenqubo ye-tubal ligation, owesifazane angathola nokuthi ubesekhulelwe vele. Lokhu kungenxa yokuthi iqanda elikhulelisiwe kungenzeka ukuthi selivele lafakwa esibelethweni sakhe ngaphambi kwenqubo yakhe. Ngalesi sizathu, abesifazane abaningi bakhetha i-tubal ligation ngemuva nje kokubeletha noma ngemuva nje kokuya esikhathini, lapho ubungozi bokukhulelwa buncane.

Izimpawu zokukhulelwa

Uma i-fallopian tube yakho isikhule yabuye yahlangana ngemuva kwe-tubal ligation, kungenzeka ukuthi ube nokukhulelwa okugcwele. Abanye besifazane futhi bakhetha ukuguqulwa kabusha kwe-tubal ligation, lapho udokotela ehlanganisa khona amashubhu we-fallopian. Lokhu akusebenzi ngaso sonke isikhathi kwabesifazane abafuna ukukhulelwa, kepha kungaba njalo.

Izimpawu ezihambisana nokukhulelwa zifaka:

• isisa sebele
• izifiso zokudla
• ukuzizwa ngigula lapho ngicabanga ngokudla okuthile
• ngiphuthelwa yisikhathi
• isicanucanu, ikakhulukazi ekuseni
• ukukhathala okungachazeki
• ukuchama kaningi

Uma ucabanga ukuthi kungenzeka ukhulelwe, ungavivinya ekhaya. Lezi zivivinyo azithembeki ngamaphesenti ayi-100, ikakhulukazi ekuqaleni kokukhulelwa kwakho. Udokotela wakho angenza nokuhlolwa kwegazi noma i-ultrasound ukuqinisekisa ukukhulelwa.

Izimpawu zokukhulelwa kwe-ectopic

Ukuba nokuhlinzwa kwangaphambilini kwe-pelvic noma i-tubal ligation kungakhuphula ubungozi bokukhulelwa kwe-ectopic. Lokhu kuyiqiniso futhi uma usebenzisa i-intrauterine device (IUD) njengendlela yokuvimbela inzalo.

Izimpawu ezihambisana nokukhulelwa kwe-ectopic ekuqaleni zingabukeka njengokukhulelwa kwendabuko. Isibonelo, uma wenza ukuhlolwa kokukhulelwa, kuzoba kuhle. Kodwa iqanda elikhulelwe alifakwa endaweni lapho lingakhula khona. Ngenxa yalokho, ukukhulelwa akukwazi ukuqhubeka.

Ngaphandle kwezimpawu zendabuko zokukhulelwa, izimpawu zokukhulelwa kwe-ectopic zingafaka:

• ubuhlungu besisu
• ukuphuma kwegazi lesitho sangasese sowesifazane okukhanyayo
• ubuhlungu be-pelvic
• ingcindezi ye-pelvic, ikakhulukazi ngesikhathi sokuhamba kwamathumbu

Lezi zimpawu akufanele zinganakwa. Ukukhulelwa kwe-ectopic kungadala ukuthi kuqhume ishubhu, okungaholela ekopheni kwangaphakathi okuholela ekuqulekeni nasekuthukeni. Funa ukwelashwa ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo nge-ectopic pregnancy:

• uzizwe unekhanda ngokweqile noma udlula
• ubuhlungu obukhulu esiswini sakho noma okhalweni
• ukopha okukhulu kwesitho sangasese sowesifazane
• ubuhlungu behlombe

Uma udokotela wakho enquma ukuthi ukukhulelwa kwakho kuyi-ectopic kusenesikhathi, bangahle bakunikeze umuthi obizwa nge- methotrexate. Lo muthi ungavimbela iqanda ekubeni likhule ngokuqhubekayo noma libangele ukopha. Udokotela wakho uzoqapha amazinga akho e-chorionic gonadotropin (hCG), i-hormone ehlotshaniswa nokukhulelwa.

Uma le ndlela ingasebenzi, kungadingeka ukuhlinzwa ukuze kususwe izicubu. Udokotela wakho uzozama ukulungisa ithubhu le-fallopian. Uma lokho kungenzeki, ithubhu le-fallopian lizosuswa.

Odokotela belapha ishubhu eliqhumile ngokuhlinzwa ukuze balilungise noma balikhiphe. Ungadinga imikhiqizo yegazi uma ulahlekelwe yigazi eliningi. Udokotela wakho uzokuqapha nezimpawu zokutheleleka, njengomkhuhlane noma ubunzima bokugcina umfutho wegazi ojwayelekile.

Izinyathelo ezilandelayo

Ngenkathi i-tubal ligation iyindlela ephumelela kakhulu yokuvimbela inzalo, ayivikeli ekukhulelweni amaphesenti ayi-100 esikhathi. Kubalulekile ukukhumbula futhi ukuthi inqubo ayivikeli ezifweni zocansi. Uma wena nomlingani wakho ningashadile, kubalulekile ukusebenzisa ikhondomu njalo uma niya ocansini.

Khuluma nodokotela wakho uma ukhathazekile ngokuthi i-tubal ligation yakho ngeke isebenze. Uma ngabe ubenenqubo yakho usemncane noma uma sekuphele iminyaka engaphezulu kweshumi unenqubo yakho, ungaba sengozini encane kodwa eyandayo yokukhulelwa. Wena nomlingani wakho ningasebenzisa ezinye izindlela zokuvimbela inzalo ukunciphisa izingozi. Lokhu kungafaka i-vasectomy (inzalo yabesilisa) noma amakhondomu.