Ngesikhathi se- Vasectomy ejwayelekile, kwenziwa ukucubungula okubili esikhungweni sokuvumela ukuthi udokotela ohlinzayo afinyelele ngayinye yezinselelo zomuntu (ama-tubes amabili adlulisa isidoda emzimbeni). Ngesikhathi se-vasectomy engekho-scalpel ( futhi ebizwa ngokuthi i-keyhole vasectomy ), ayikho imibono eyenziwa. Esikhundleni salokho, udokotela ohlinzayo usebenzisa i-hemostat (i-locking forceps nge-tip ekhaliphile) ukufaka isikhumba esikhwameni se-scrotal sac.
Khona-ke, isikhumba sinyatheliswa kahle kuze kube yilapho bobabili bebhekene nezimpikiswano. Ngenxa yokuthi indawo yokuqhafaza incane kakhulu futhi isuke isikhumba nje, iziqu ngokuvamile azidingeki futhi isikhathi sokuphulukisa siyashesha. Uma kuqhathaniswa ne-vasectomy yendabuko, indlela engena-scalpel yindlela encane engavamile futhi esheshayo (isikhathi esiphelele kufaka hlangana i-prep kanye ne-anesthesia cishe imizuzu engama-15 ukuya kwangu-20).
Umzwelo jikelele emphakathini wezokwelapha wukuthi kufanele kube nokuningi kokucindezela ukwenza ama-vasectomies angenawo-scalpel esikhundleni sokwejwayelekile. Kukhona izinzuzo ezicacile kule nqubo esekela ukuthi indlela yokungcola kufanele ilahlwe. Okushiwo yinkambiso encane engavamile, ayikho insika ye-scalpel engayilingela amadoda amaningi. Lokhu kuvumela amadoda ithuba lokuthatha indima enkulu emithwalweni yabo yokukhulelwa . Njengoba umlando wokuhlela umndeni ugxile ikakhulukazi kwabesifazane (ngoba impilo yabo ethinteka ngokuqondile nokukhulelwa nokubeletha), ukuhlinzeka ngamadoda ngendlela yokukhulelwa ekhangayo futhi ephumelelayo kakhulu kwandisa izinqumo zabo ezilinganiselwe uma kuziwa ekukhethweni kokulawula kokuzalwa.
Uma kunikezwa inketho encane "yokwesaba" yokukwazi ukusebenzisa i-vasectomy ngaphandle kwe-scalpel, amadoda angaphinda abuyele emuva ezinqumweni zokukhulelwa kwemindeni yabo kanye nobudlelwane futhi angakhetha ukuthwala umthwalo wokukhulelwa.
Inqubo
Umgomo ngesikhathi se-vasectomy ye-non-scalpel (noma i-keyhole vasectomy) ifana ne-vasectomy evamile - ukudala ukuvinjelwa kwamagciwane, ngakho-ke umuthi awusakwazi ukuba yingxenye ye-semen.
Lokhu kwenziwa ngokusika isiqeshana esifushane se-vas deferens, sisuse, bese sigxila (ukuxhuma), ukuchofoza noma ukucubungula (ukuvutha) okushiwo okusele kuphelile. Ngesikhathi se-vasectomy engekho-scalpel, i-vas ngayinye (eyodwa ngesikhathi) empeleni iphakanyiswa ngaphandle kwesayithi elilodwa lokuphumula, bese kuthi ukukhishwa kwenziwa. Abanye odokotela abahlinzayo bangathatha isinyathelo esingeziwe sokwakhiwa kwezinto eziphathekayo ezihlanganisa ukuthunga izicubu ezixhumene naphezu kokuphela kokuphela kwesisu se-vas (ekugcineni okukude ne-urethra). Lokhu kudala umgoqo wesisindo phakathi kwe-vasal ekugcineni. Olunye ucwaningo lubonisa ukuthi lesi sinyathelo esingeziwe sinciphisa izinga lokuhluleka , kodwa ubufakazi abuhambisani nalesi sikhathi. Khona-ke, ukuphela ngakunye kwe-vas kuvunyelwe ukubuyela emuva ku-scrotum.
Ngesikhathi se-vasectomy yendabuko, amadoda anganikezwa ukukhetha ukuba nenqubo "evulekile". Lokhu kusho ukuthi kuphela kuphela ukuphela kwesisu se-vas okuboshwe noma okuphethwe yi-cauterized. Isiphetho se-testicular (esiseduze ne-testis) sishiywe sivulekile. Isizathu sokugcina lokhu kuphelile ukuvumela ukuvuza kwesidoda. Awekho ama-vasectomie e-scalpel avumela le nketho evulekile. Olunye ucwaningo luye lwabonisa ukuthi ukuvumela lokhu kuvuza kuvimbela ukuqina noma ukwakha isibalo ngoba isidoda singangena bese sithathwa yi-scrotum.
Lokhu, kungaholela ekucindezelweni okuncane - imbangela engabangela ubuhlungu be-post-vasectomy. Amasu avulekile abuye aboniswe emazingeni aphansi okuhlukana kanye namacala ambalwa epididymitis (lapho ithini le-epididymis engemuva kwethempulethi elibhekele ukugcina nokuthwala isidoda livutha).
Ukucwaninga kubonisa ukuthi amadoda angaphansi kwe-non-scalpel vasectomy abike ukwaneliseka jikelele emiphakathini yabo yezocansi futhi akwazi ukuphinda aphinde abuyele ocansini, izimo ezinengqondo ezithuthumayo zokuzivocavoca umzimba, ubuhlungu obuqanjwe ngemuva kokusebenza ngemva kwesikhathi, izinkinga ezimbalwa zokuhamba emva kwesikhathi kanye nezikhathi zokuvuselela okusheshayo.
Lokhu kuholela ekusekelweni okwengeziwe ngombono wokuthi i-vasectomy engekho-scalpel iyindlela elula yokwenza i-vasectomy. Le nqubo encane engavamile ihlinzeka ngokuqondile kwe-vasectomy yendabuko ngenkathi inikeza izinzuzo eziningi ezengeziwe.
Izinzuzo
- Amadoda angase azimisele kakhulu ukufuna le nqubo ngoba izwakala ekhangayo nakakhulu
- I-invasive encane
- Umsebenzi wobulili ungahle uphinde uqale ngokushesha uma uzizwa ukhululekile
- Azikho iziqu noma ukukhishwa
- 40-50% ukululama okusheshayo nokuzwa okuncane
- Awunciphisi ubulili obuphansi
- Ithuba elingaphansi lokucindezeleka kwegazi
- Isikhathi eside, ukukhetha kokukhulelwa okuqondayo
- Iphumelele kakhulu
- Ingozi encane yokutheleleka (ngenxa yesilonda esincane, akukho ukugxila okude)
Ukungalungi
- Isacutshungulwa njengendlela yokuhlinza (kodwa yenziwa ngesisekelo sokugula)
- Kudinga ukuqeqesha okuqhubekayo nokunye okuzokwenza ngaphambi kokuba odokotela bahlinzekele ubuchwepheshe kule nqubo
- Ngenxa yokuthi isidoda singase sibe khona ku-vas ngaphesheya kokungena, le nqubo idinga ukuthi amadoda asebenzise indlela yokuvuselela yokulawula kokuzalwa kokuqala kokungu -15 ukuya ku-20 ejaculations (noma cishe amasonto angu-12) ngemuva kwenqubo
- Akunikezi ukuvikeleka ekufakeni izifo zocansi noma nge-HIV
- Kumelwe uhlele ukuvakasha kokwedluliselwa okwedlule ukuze uqiniseke ukuthi ayikho isidoda esivela esitheni sakho
- Okwamanje, i- tubal ligation iyona ethandwa kakhulu kunomphela . Emhlabeni wonke, odokotela abaningi kudingeka baqeqeshwe kule ndlela elula ye-vasectomy, banikeze iziguli zabo futhi bakhulise ukuqwashiswa kwamadoda ngalokhu akukho okukhethwa kwesikhumba. Ngenxa yalesi sizathu, kungase kube nzima ukuthola udokotela ohlinzayo onekhono.
Imiphumela emibi engenzeka
Ngokuvamile, i-vasectomy engekho-scalpel ayinayo imiphumela emibi kakhulu futhi ixhunywe nesikhathi esincane kakhulu sokutheleleka kanye nobuhlungu obuncane. Ungase uhlangabezane nokuphendula kwe-anesthesia yendawo. Amanye amadoda abika ububele besikhathi esifushane kanye nokulimala okuncane ngemuva kwenqubo. Kukhona ithuba elincanyana lokuthuthukisa i-granuloma yesilisa - i-pea-sized pepper-hardened pepper-size, ngenxa yesikhukhula esivela ekupheleni. Isibungu asiyingozi, asivamile ukuba nesimangaliso futhi siphendulelwa ngaso sonke isikhathi umzimba ngokuhamba kwesikhathi. Ngaphezu kwalokho, ingase isebenze isici sokuzivikela ku-testis ne-epididymis. I-granuloma icebile eziteshini eziphethwe yi-epithelial ezingase zithuthukise umuthi ngaphandle kwe-epididymis futhi zivikeleke ekucindezeni okwandayo kusuka ekuvinjeni kwesidoda.
Izindleko
Ngokuvamile, i- vasectomies ithathwa njengokukhethwa okuphansi kwezindleko . Ungakhokhiswa ngokubonisana kokuqala kanye nokuhambela kwakho kokulandelela ukuze uhlaziye isisu sakho. Kodwa, emva kwalezi zindleko ezingaphambili, azikho izindleko eziqhubekayo zokugcina le ndlela yokukhulelwa. Le nqubo ihlanganiswa nezinhlelo eziningi zomshuwalense wangasese. Ngaphandle komshuwalense, kuye ngokuthi indawo yakho nendawo oyisebenzisayo ukuyisebenzisa, i-vasectomy ye-scalpel ngeke ilahleke phakathi kuka-$ 500 kuya ku-$ 1,000 (ezinye izakhiwo zizohlanganisa zonke izivakashi zakho ngamanani owodwa kanti abanye bangakhokhisa ngamunye ngamunye).
Ukuphumelela
I-vasectomy ye-no-scalpel iphumelela kakhulu - i-99.85% kuya ku-99.9% esebenzayo, kodwa lokhu kusekelwe kumuntu osebenzisa ukulawulwa kokuzalwa kokuzalwa kuze kube yilapho esuliwe udokotela ukuthi ayikho isidoda esisele esitini sakhe. Ngakho-ke, lokhu kusho ukuthi abesifazane abangaphansi kwabangu-1 kwabangu-100 abalingani babo ababenaso-scalpel vasectomy bazokhulelwa minyaka yonke.
Ngokuphawula okukhethekile, i-vasectomy ye-non-scalpel ayiqinisekisiwe eyi-100% ukuthi iyasebenza. Ngisho nalapho inqubo isenziwa ngokugcwele, kungenzeka ukuthi ukubuyiswa kabusha kungenzeka. Yilapho i-sperm iqondisa ukuthola indlela yayo ngaphesheya kwemigqa evinjiwe ye-vas deferens. Kungenzeka lokhu kwenzeka kakhulu (kungaphansi kuka-0.2% wesikhathi). Ukubuyiswa kabusha kubonakala njalo ezinyangeni ezimbili kuya kwezingu-3 emva kwe-vasectomy engekho-scalpel (isigalo 1/500), kodwa kungenzeka ngisho neminyaka emva kwenqubo (nakuba iyingqayizivele kakhulu, ene-1 / 4,500). Yingakho kubaluleke kakhulu ukuthi uhlaziye isisu sakho semasontweni ayisithupha kuya kwangu-12 kuya kweyisithupha ukuze uqiniseke ukuthi akukho mzimba okhona.
Inothi Lokugcina Nge-Non-Scalpel Vasectomy
Le nqubo ihloselwe ukuhlala unomphela . Nakuba izinqubo zokuguqulwa kwe-vasectomy ziyatholakala, ziyizinto eziyinkimbinkimbi, ezibizayo, futhi zinezinga eliphumelelayo lokuphumelela. Kufanele ukhethe kuphela ukufuna i-vasectomy engekho-scalpel uma uqinisekile ukuthi awusayifuni ukuba nezingane. Ungangeni esinqumweni sokucabanga, ngemuva kwengqondo yakho, ukuthi ungayiguqula ngaso sonke isikhathi uma izimo zakho noma imicabango yakho ishintsha. Le nqubo ihloswe kulabo bantu abazwa 100% beqiniseka ukuthi yilokho abafunayo njengokukhetha kwabo kokubeletha ... impilo yabo yonke.
- Abafundi Kwabelwana: Yini Okuvimbela Wena Ukusuka I-Vasectomy?
Imithombo:
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