Inqubo yeT Tubal Ligation
I-colpotomy uhlobo lomshini olwenziwe emgqeni ongemuva wesifazane. Phakathi nesikhombiso se- tubal , udokotela wakho angasebenzisa i-colpotomy (eyaziwa nangokuthi i-vaginotomy) njengenye yezindlela zokufinyelela ama-tubespian tubes akho. I-tubal ligation esebenzisa ukuchotshozwa kwe-colpotomy kuthathwa njengokuhlinzwa okuncane okungenasidingo.
Sibutsetelo
Indlela ye-colpotomy ye- tubal ligation kwaba yindlela yokukhetha inzalo yesifazane.
Kodwa manje, odokotela bavame ukusebenzisa i- laparoscopy noma i- laparotomy ngoba lezi zinqubo zesisu sezibeletho zesisu azikho izingozi eziningi njenge-colpotomy.
Inqubo
I-colpotomy wuhlobo lokungcola okungasetshenziswa ngesikhathi senqubo yokuzalisa ubulili (enye indlela yenqubo ibizwa ngokuthi i- culdoscopy ). Phakathi nesikhombi se-tubot colpotomy, udokotela wakho wenza ukuchotshozwa kwi-fornix yangemva kwesisu (i-word fancy yezokwelapha ngemuva kwesifazane). Lokhu kuhlanganiswa kungenziwa ngokuzenzekelayo (ngakwesokunene) noma ngokuqondile (kuze kube phansi). Udokotela wakho ohlinzayo uzobe esefaka umsindo we-intrauterine ngokusebenzisa umshini wokugcoba futhi ungene emgodini we-peritoneal (isikhala ngaphakathi kwesisu esisemathunjini, isisu nesibindi). Umsindo we-intrauterine ungumshini wezokwelapha owenzelwe ukusiza ukuhlola futhi uvule imibhalo emzimbeni-kusiza udokotela wakho ohlinzayo ukuba abeke kahle isibeletho futhi alethe ama-tubes.
Abanye odokotela abahlinzayo bangasebenzisa i-endoscope (ithuluzi elincane le-telescope, elifana nokukhanya). Udokotela wakho ohlinzayo uzobe esethatha amashubhu akho angamaqabunga aphuma ngaphandle kokungena futhi angene emzimbeni. Ama-tubes akho angama-fallopian avaliwe / agxilwe-angaboshwa, aqoshwe, futhi / noma avaliwe. Okokugcina, udokotela wakho uzobuyisela endaweni yamatayipi, futhi ukuchotshozwa kwakho kugcizelelwe.
I-tubal ligation ehlanganisa ukuchotshozwa kwe-colpotomy kuthatha imizuzu engaba ngu-15 kuya kwangu-30. Abaningi besifazane bayakwazi ukubuyela ekhaya ngosuku olufanayo. Lolu hlobo lwenqubo lubhekwa njengendlela engapheli yokuvimbela ukukhulelwa .
Ukubizwa ngegama
I-Colpotomy: i-col · pot · o · my (käl'päd · ə · mē)
Yini okufanele ulindele emva kokulandela indlela
Ungalindela ukuthi ukutakula kwakho kusuka ku-colpotomy kuzothatha izinsuku ezimbalwa. Udokotela wakho cishe uzokululeka ukuba ulinde ukulala ngokocansi kuze kube yilapho ukuqubuka kwakho kuphulukiswe ngokuphelele-lokhu ngokuvamile kuthatha amasonto amaningana. Uma usuphulukise kusuka kuwe colpotomy, ngeke ube nezibazi ezibonakalayo.
Izinzuzo
Inzuzo enkulu yokuthola i-colpotomy ngesikhathi sakho se-tubal ligation ukuthi ayikho imibono esiswini sakho. Lolu hlobo lwe-tubal ligation lungabuye lunikeze izinzuzo ezengeziwe. I-colpotomy tubal ligation ingaba yindlela ephephile yabesifazane aba:
- Ingabe zikhuluphele
- Yiba nesibindi esiphundukile (isibeletho esibuyisela emuva esikhundleni sangaphambili)
- Yenza umlando wodonga lwesisu esiswini / ukulungiswa kwakhe
I-Cons
Abekho abahlinzayo abaningi e-United States abaqeqeshwe ukwenza i-colpotomy njengenqubo ye-tubal ligation. Ucwaningo lubonisa ukuthi le ndlela ingase iphephile kunokuba kucatshangwe ekuqaleni. Kodwa odokotela abaningi abahlinzayo bakhetha ukwenza izibilini zesisu zangasese ngenxa yokuthi amanani okuhlukunyezwa ahambisana ne-colpotomy tubal ligations avela kabili ngaphezulu, futhi amazinga okusebenza angase ahle kancane.
Imizila ye-tubolpolomy tubal nayo ihlanganiswe namazinga aphezulu okutheleleka. Abanye odokotela abahlinzayo bazokuhlinzeka ngama-antibiotic ukuthatha i-colptomy ukusiza ukuvimbela ukutheleleka. I-colpotomy ingase ibe nzima nakakhulu ukwenza ngoba idinga owesifazane ukuba abe yindawo ye-lithotomy (imilenze yakho isenkingeni) ngenkathi ngaphansi kwe-anesthesia yendawo.
Imithombo:
I-Ayhan A, i-Boynukalin K, i-Salman MC. "I-Tubal ligation nge-colpotomy yangemuva." I-International Journal of Gynecology & Obstetrics . 2006 Juni 30; 93 (3): 254-5. Isihloko esigcwele sifinyelelwe ngokubhaliselwe kwangasese.
Chang, WH et al. "I-Tubal ligation nge-colpotomy noma i-laparoscopy: Ucwaningo olulinganisa lokufunda." I-Archives ye-Gynecology ne-Obstetrics. 2011; 283 (4): 805-808. Isihloko esigcwele sifinyelelwe ngokubhaliselwe kwangasese.