Ukuhlinzwa Okuvamile Ukuthola 'Izibungulu Zakho Eziboshiwe'
I-mini-laparotomy (eyaziwa nangokuthi i-mini-lap) ingenye yezindlela ezintathu ezivame kakhulu ze- tubal ligation . Lezi zinhlobo ezikhethiwe zokukhulelwa kokubeletha zivame ukubizwa ngokuthi "ukuba nezibhamu zakho ziboshelwe." Amanye amasu afaka i-laparotomy ne- laparoscopy .
I-mini-lap iyindlela encane engavumayo ye-laparotomy. Kuhilela ukucubungula okuncane futhi kwenziwa ngesikhathi noma ngemva kokubeletha.
I-laparotomy, ngokuphambene, yenziwa nganoma isiphi isikhathi futhi idinga ukugxila okukhudlwana ngenxa yokuthi amashubhu ayizintambo ayifinyeleleki kalula.
Inketho yesithathu, i-laparoscopy, inqubo yokuhlinzwa eyinkimbinkimbi lapho idivaysi ye-fiber-optic efakwa ngodonga lwesisu ngokusebenzisa isisindo se-keyhole. Kuyinkambiso encane engavamile engasetshenziswa kaningi ngesineke.
Ukuqhathanisa i-Mini-Laparotomy ne-Laparoscopy
I-mini-lap iyindlela evamile eyaziwa ukuthi iphephile futhi iphumelele ekuvimbeleni ukukhulelwa esikhathini esizayo ngokuvimba amaqanda wesifazane ukuze afinyelele emathangeni akhe okulala lapho ukukhulelwa kwenzeka khona.
Ibeka izinzuzo ezimbalwa phezu kwe-laparoscopy ngoba idinga imishini encane eyinkimbinkimbi, ikhono elingaphansi lokwenza, futhi lingenziwa esibhedlela ngokushesha ngemuva kokubeletha noma ngaphambi kokukhishwa. Ngokuvamile, lenziwa emahoreni angu-48 okubeletha.
Izinkinga ezivela emgodini omncane ziphakeme kakhulu kunezo ze-laparoscopy, kodwa, kuzo zombili izimo, azivamile. Uma kwenzeka, bavame ukuhlobana nokukhulelwa ngokwawo kunokuba kwenziwe inqubo.
Indlela i-Mini-Laparotomy eyenziwa ngayo
Abahlinza abaningi abahlinzayo bakhetha ukwenza umzila we-tubal ngemva nje kokubeletha.
Lokhu kungenxa yokuthi usuvele usesibhedlela, futhi udonga lwakho lwesisu lukhululekile. Ngaphezu kwalokho, ukukhulelwa kudonsa phezulu kwesibeletho sakho eduze kwenkinobho yesisu lapho ukukhwabanisa kuzokwenziwa khona. Lokhu kuvumela ukufinyelela okulula kuma-tubes falsipian.
Ukuze uthole i-mini-laparotomy, uzonikezwa i-anesthesia jikelele noma yesifunda (ngokuvamile i-epidural). Ukuhlinzwa kwakuzokwenziwa ngalezi zinyathelo ezilandelayo:
- Udokotela ohlinzayo uzokwenza ukukhanya okuncane kodwa okubonakalayo kungakapheli kwe-umbilicus.
- Ama-tubes angama-fallopian azokhishwa bese ephuma ekungeneni.
- Ama-tubes azobe esebuyiselwa endaweni futhi ukuchotshozwa kuvaliwe ngeziqu.
Abaningi besifazane baphila ezinsukwini ezimbalwa noma ngaphezulu uma ukukhwabanisa kukhulu. Izinkinga zingavamile kodwa zingabandakanya ukutheleleka (kokubili kwangaphakathi nangesayithi lokungena) kanye nokuhlukaniswa kwama-tubes ahlangene.
Ingozi Yokukhulelwa Kulandela i-Mini-Laparotomy
Izinkinga zokukhulelwa emva kwesigqoko se-tubal ngu-1.2 / 1,000 kusukela owokuqala kuya eminyakeni emibili no-7.5 / 1,000 eminyakeni engaphezu kwengu-7 kuya kwengu-12, ngakho kubhekwa njengendlela ephumelela kakhulu yokulawulwa kokuzalwa. Nakuba izinkinga ziphansi, owesifazane angakhulelwa emva kwe-mini-laparotomy uma okulandelayo kwenzeka:
- Ukuhlinzeka ukuhluleka ukuvala ukuhamba komunye owodwa noma kokubili amashubhu wezintambo.
- Ama-tubes wesibindi akhula emuva ndawonye futhi.
- Ukuqalwa kabusha kwenzeke, okuholela ekwakhiweni kwendima entsha evumela iqanda nesidoda ukuba zihlangane.
- Owesifazane wayesekhulelwe kakade lapho kuhlinzwa.
Ukukhulelwa emva kwe-laparotomy encane kwandisa ingozi yokukhulelwa kwe-ectopic, isimo lapho umntwana eqala khona ngaphandle kwesibeletho (ngokuvamile esivumelwaneni sangaphandle).
Ukukhulelwa kwe-Ectopic yisifo esibucayi sezempilo futhi, uma kungashiywa ngaphandle kokuphulukiswa, kungaholela ekuqhekekeni kwe-tube fallopian, ukuphuma kwangaphakathi, ukushaqeka, ngisho nokufa. Izimpawu zihlanganisa ukuyeka isikhathi sokuya esikhathini, ukuphuma kwegciwane lesisu, ubuhlungu obunzima, ubuhlungu behlombe, nobuhlungu obukhulu besisu noma isisu.
Ukukhulelwa kwe-ectopic ephawulekayo kubhekwa njengesimo esiphuthumayo sezokwelapha esidinga ukunakekelwa okusheshayo.
> Imithombo:
> Daniels, K .; Ukuthobeka, J .; UJones, J .; noMosher, W. "Ukusetshenziswa Kwamanje Nokuhlukana Ngokwezinhlobo Ezikhethiwe Phakathi Kwabesifazane Abadala 15-44: United States, 2011-2013." Imibiko Yezibalo Zezempilo Zikazwelonke. 2014; 86.
> Moss C, Isley MM. "Inzalo: Ukubuyekezwa nokuvuselelwa." Imitholampilo ye-Obstetrics and Gynecology eNyakatho Melika . 2015; 42 (4): 713-24. doi: 10.1016 / j.ogc.2015.07.003.
> Patil E, Jensen JT. Ukuvuselela Okukhethwa Kokuqapha Okuqhubekayo kwabesifazane. Umbono wamanje ku-Obstetrics and Gynecology. 201527 (6): 465-470; doi: 10.1097 / GCO.0000000000000213