I-tubal ligation (evame ukubhekwa ngokuthi "ukubhebhetheka izibhamu zakho") yindlela yokuhlinza evimbela amashubhu omfazi wesifazane. Ama- tubes wesibindi asiza ukuthwala iqanda elikhishwe kuma-ovaries kuya esibelethweni, futhi kuvame ukuhlala lapho iqanda livuthwa khona ngesidoda. Uma izibhubhu zivaliwe noma "ziboshwe," isidoda ngeke sikwazi ukufinyelela iqanda, ngakho ukukhulelwa ngeke kwenzeke.
I-tubal ligation ingase ikhishwe futhi ngokuthi:
- Ukuhlanganisa ama-tubes
- Inzalo ye-Tubal
- Ukwenziwa komzimba wesifazane
- Ukuba nama-tubes akho aboshwe
- Ukuhlinza inzalo (owesifazane)
- I-Tube ukuhlanganisa
- Ukungapheli okungapheli
Kunezinketho eziningana zokuhlinza nge-tubal ligation .
I-Tubal Ligation Iyinqubo Yokubeletha Okuphakade
Inqubo ye- tubal ligation yenza ukuba owesifazane abe oyinyumba unomphela (akakwazi ukukhulelwa). Le nqubo ivame ukuphakanyiswa kwabesifazane abadala abadala ukuthi abafuni ukukhulelwa esikhathini esizayo.
I-tubal ligation ibhekwa njengendlela yokulawula ukuzalwa ngokuphakade . Kuvame ukuba yinto ethandwa kakhulu ngoba abesifazane bayaqaphela ukuthi le ndlela ingahlinzeka ngokuvikelwa kokukhulelwa okuphumelelayo kakhulu eminyakeni yabo yonke yokuzala . Abaningi nabo bakhangwa ukuhleleka kwayo nokuthi iqiniso alithinti imiphumela emibi ehambisana nezindlela zokulawula okwesikhashana .
Ukuguqulwa kweT Tubal Ligation
Owesifazane kufanele acabange ngokucophelela ukuthi noma ngabe yini i-tubal ligation iyindlela engcono kakhulu kuye.
Abanye besifazane abanquma ukwenza le nqubo bagcina sebezisola ngesinqumo sabo kamuva.
Owesifazane uzoba nokuzisola ukuthi izibhamu zakhe ziboshelwe uma kwenziwa inqubo:
- Lapho esemncane
- Uma unezingane ezimbalwa noma ezingekho
- Uma wakhetha le ndlela ngoba umlingani wakhe wayemfuna
- Uma inqume ukugxila emathanjeni ngenxa yokuthi wayekholelwa ukuthi izoxazulula izinkinga zemali kanye / noma ukuthi lokhu kuzokulungisa izinkinga zobudlelwane
I-ligal ligation akufanele icatshangwe njengesikhashana. Ngezinye izikhathi ukuguqulwa kwe-tubal kungenzeka uma owesifazane kamuva ekhetha ukuthi ufuna ukukhulelwa. Kodwa-ke, ukuguqulwa kwe-tubal kuyindlela enkulu yokuhlinzwa engahlali njalo ekukhulelweni. Amaphesenti angama-50% kuya ku-80% abuyele ekutheni abuyele.
Inqubo YeT Tubal Ligation
I-tubal ligation kwenzeka esibhedlela noma emtholampilo ophulukisiwe. Uhlobo lwe-anesthesia elisetshenziswe lusekelwe endleleni yokuhlinzwa ekhethiwe. I-tubal ligation ingenziwa nge-sedation (i- anesthesia lapho owesifazane ephapheme, kodwa ekhululekile futhi elele) noma sedation ejulile (owesifazane ulele). I-anesthesia ingaba yendawo, isifunda (isidumbu sinomphefumulo kusuka emgodini phansi), noma jikelele (okubandakanya wonke umzimba).
Ngenkathi yenqubo, amashubhu we-fallopian avaliwe. Abanye bangadinga ukucubungula okuncane okwenziwe esiswini. Kulezi zinqubo, ama-tubes aqoshiwe, anqunywe futhi / noma ahlanganiswe (kuvaliwe). Enye indlela, eyaziwa ngokuthi i- Essure ayidingi ukukwenziwa futhi isebenzisa ifaka ukukhuthaza ukuvimbela amashubhu.
Iyiphi Inqubo YeT Tubal Ligation Yokusebenzisa
Isimo sempilo yowesifazane singase sibonise ukuthi iyiphi inketho ye-tubal ligation engcono kakhulu.
Izici ezimbili uma kunqunywa inqubo ephephile kubandakanya isisindo somzimba wesifazane nokuthi ngabe uye wahlinzwa ngaphambili noma cha.
Ngaphezulu kwengxenye yazo zonke izigulane ze-tubal zenziwa ngemuva kokubeletha kokubeletha ngesisu esincane eduze nenkinobho yesisu, ngesikhathi sesigaba se-cearean, noma isisu. Isiqunto sokuba nomswakama we-tubal okwenziwe ngalesi sikhathi kufanele senziwe kusengaphambili nodokotela wakho. I-Essure, akukho-incision method , ayikwazi ukwenziwa kuze kube yilapho okungenani amasonto ayisithupha emva kokuba owesifazane abelethe, abe nesisu, noma akhuphe isisu .
Izingozi ze-Tubal Ligation
Ngokuvamile, kunezinhlobo ezintathu zezingozi ezihlobene ne-tubal ligation.
- Izingozi ngenxa yenqubo yangempela: Lezi zingabandakanya ukuvalwa okungaphelele kwama-tubes, okungaholela ekubeni owesifazane akhulelwe esikhathini esizayo (lokhu kuthinta abesifazane abangaba ngu-1 kwabangu-200), ukulimala ezithombeni eziseduze noma izakhiwo ezibangelwa izinsimbi zokuhlinzwa, futhi ukukhula okungaphezulu kokukhulelwa kwe-ectopic uma ukukhulelwa kwenzeka ngemva kokuguliswa kwe-tubal.
- Izingozi ezivela ekusetshenzisweni kwe- anesthesia : Lokhu kungabandakanya ukuphendula emithini kanye nezinkinga zokuphefumula.
- Izingozi zokuhlinzwa, ngokujwayelekile: Lokhu kuhlanganisa ukutheleleka nokuphuma kwegazi.
Yini Okumele Yilindele Ngemva Kwendlela Yokuguqula I-Tubal Ligation
Abaningi besifazane bangabuyela emsebenzini emasontweni ambalwa emva kokuba banesibindi. Imithi yokwelapha ingasiza ekunciphiseni noma yikuphi ukungakhululeki. Kunconywa ukuthi abesifazane bagweme ukuzivocavoca okunzima izinsuku ezimbalwa. Ngokuvamile, iningi labesifazane bazizwa belungele ukulala ocansini phakathi nesonto.
Abaningi besifazane baphulukiswa kule nqubo ngaphandle kwezinkinga. Ngokungafani nenzalo yesilisa ( vasectomy ), akukho ukuhlolwa okudingekayo ukuze kuhlolwe ubumpofu.
I-tubal ligation ayinciphisi injabulo yobulili yowesifazane futhi ayikuthinti ubufazi bayo. Njengoba kungekho izigulane noma izitho ezisuswa noma zishintshiwe futhi wonke ama-hormone azokwenziwa, i-tubal ligation akufanele ishintshe ubulili noma iphazamise ukusebenza komzimba wesifazane wesifazane.
Izindleko ze-Tubal Ligation
Izindleko zesikhathi esisodwa ze-tubal ligation, uma kuqhathaniswa nezinye izindlela zokukhulelwa , zingakusindisa amakhulu ezinkulungwane zamahora ngaphezulu kwesikhathi.
Izindleko zokuba ne-tubal ligation zingaba phakathi kuka-$ 1,000 kuya ku-3,000. Owesifazane kufanele ahlole inqubomgomo yomshuwalense wezempilo njengoba ukuhlolwa kokulawulwa kokuzalwa kuhluka. Umshuwalense wezempilo kanye nempilo yangasese ingase ihlanganise izindleko ze-tubal ligation.
Ukusebenza Kanjani I-Tubal Ligation?
I-Tubal ligation ingaphezulu kuka-99% ephumelelayo ngonyaka wokuqala. Lokhu kusho ukuthi phakathi kwabesifazane abangu-100 abanenqubo enjalo, abangaphansi kwe-1 bazokhulelwa phakathi nonyaka wokuqala wokusetshenziswa.
Kuze kwaba ngu-1 kwabangu-100 abesifazane bazokhulelwa ngonyaka ngamunye olandelayo emva konyaka wokuqala (lapho inqubo isenziwa). Lokhu kungenxa yokuthi kungenzeka ukuthi ama-tublopian tubes angazihlanganisa kabusha.
Kuwo wonke abesifazane abangu-1 000 abaye bathola i-tubal ligation, cishe u-18.5 uzokhulelwa zingakapheli iminyaka eyishumi. Lezi zibalo zaphethwe yi-US Ukubambisana Okubambisana Okubambisana Ngokwezintandokazi ekutheni bafunde nge-Crest study. Kodwa-ke, kuye ngokuthi indlela esetshenzisiwe nokuthi iminyaka yowesifazane uma inqubo isenziwe, lelizinga lingase liphakeme noma liphansi.
Uma ukukhulelwa kwenzeka ngemuva kwesigqoko se-tubal, kunethuba elingama-33% lokuba yi-ectopic pregnancy. Kodwa-ke, izinga jikelele lokukhulelwa liphansi kangangokuthi ithuba lomama lokuba nokukhulelwa kwe-ectopic liphansi kakhulu kunokuba lingahlinzekwa ukuthi akanalo ukuqhutshwa kwe-tubal kwenziwa kuqala.
Ukuvikelwa kwe-STD?
I-tubal ligation ayinikeli isivikelo ekubhekaneni nezifo ezithathelwana ngocansi .
Umthombo:
Peterson, HB, Xia, Z., Hughes, JM, Wilcox, LS, Tylor, LR, & Trussell, J. (1996). Ingozi yokukhulelwa emva kwenzalo ye-tubal: Okutholakele ekubuyekezweni okubambisana kwe-US kokubambisana. I-American Journal of Obstetrics and Gynecology, 174, iphe. 1161-1170. Kufinyelelwe nge-subscription engezansi.