Akukho isikhathi eside esitholakalayo
I-Adiana yayihlobo lokulawulwa kokuzalwa okungapheli kwabesifazane. Ngenxa yezizathu zemali kunokuphepha, ukukhiqiza, ukudayiswa, nokusabalalisa kwe-Adiana kuphelile ngo-Ephreli 2012. Ukuyeka ukungafanelekile kungabangela ukukhathazeka okwenziwe ngokwengeziwe uma usebenzisa i-Adiana. Uma unesithakazelo sohlobo olufanayo lokulawulwa kokuzalwa, cela udokotela wakho nge- Essure .
Sibutsetelo
I-Adiana yayiyindlela yokulawula ukuzalwa okuhlala njalo eyathola imvume ye-FDA ngoJulayi 8, 2009. Lolu khetho lokukhulelwa lwaluyinkqubo elula, ephephile, engenakho i-hormone evinjelwe ukukhulelwa. I-Adiana iklanyelwe ukuba ibe yindlela engaphansi-engavumelani ne- tubal ligation futhi ifaniswe nokuba ne-tubes yakho eboshelwe . U-Adiana wasebenza ngokuvuselela izicubu zomzimba wakho ukuze zikhule futhi zizungeze izinto ezincane, ezifakela kancane ezibekwe ngaphakathi kwamatayipi akho angama-fallopian.
Izinyathelo Zenqubo
Inqubo ye-Adiana yayinezinyathelo ezine ezingazange zibandakanye ukukhwabanisa futhi zingenziwa ehhovisi likadokotela besebenzisa i-anesthesia yendawo esikhathini esingaphansi kwemizuzu engu-15:
- Isinyathelo 1: Ithuluzi elincane, eliguquguqukayo liyadluliselwa ngesisu nesisu sombelethisi esibelethweni futhi sinikeza izinga elincane le-radiofrequency energy kuze kube yingxenye encane ngayinye ye-tube fallopian. Leli gesi lenza ukushisa ukudala i-lesion yangaphandle.
- Isinyathelo sesibili: Ukufakwa okuncane, okufingqiwe (mayelana nosayizi we-rice okusanhlamvu) kubekwa kuwo wonke amashubhu wezintambo ngqo lapho amandla asetshenziswa khona.
- Isinyathelo 3: Izicubu ezintsha ziqala ukwakha ezungeze i-Adiana. Lezi zicubu zizovimbela ngokuphelele amashubhu we-fallopian, okuvimbela unomphela ukukhulelwa. Owesifazane kumele asebenzise ukulawulwa kokubeletha okwesikhashana (njengamakhondomu abesilisa , amakhondomu abesifazane , isiponji , noma i- spermicide ) phakathi nezinyanga ezintathu ezilandela inqubo ngenkathi izicubu ezintsha zikhula.
- Isinyathelo 4: Ezinyangeni ezintathu, kuhlolwa i-hysterosalpingogram ukuqinisekisa ukuthi amashubhu akho avinjiwe ngokugcwele. Lolu hlelo luzoqinisekisa ukuthi inqubo yokulawulwa kokuzalwa kwa-Adiana iphumelele.
Izinzuzo
- Ukutakula okusheshayo. Azikho iziphakamiso zokuphulukisa futhi azikho isikhathi sokuphumula kusuka ku-anesthesia jikelele. Abaningi besifazane bangabuyela emisebenzini yabo evamile kungakapheli usuku bese bebika kabi.
- Ungashiyi lutho esiswini sakho. Izindatshana ze-Adiana zihlanganiswe ngokuphelele ngaphakathi kwamatayipi angama-fallopian, zingashiyi lutho esiswini sakho okungase zikhawulele izinketho zakho zokuhlola noma izinqubo ezizayo zogciwane.
- I-Adiana iqukethe ama-hormone futhi ukufakwa kuyenziwe nge-silicone ephephile, yezokwelapha.
- Inqubo ye-Adiana ingenziwa izinyanga ezintathu emva kokubeletha.
- Kwangathi kungasiza ukumisa i-menorrhagia (izinkathi ezingavamile noma ezinde isikhathi sokuya esikhathini), ikakhulu uma zihlanganiswa ne-NovaSure Endometrial Ablation
Izingozi nemiphumela emibi
- Ingozi encane yokukhulelwa (kufaka phakathi ukukhulelwa kwe-ectopic).
- Ukuhluleka ukuthola ukufakwa okulungile kokufaka kokubili kokubili kokubili, noma ukuthi amashubhu eyodwa noma womabili angeke avinjelwe ngokuphelele (uma kwenzeka lokhu, i-Adiana ngeke ivikele ngokuqinile ngokukhulelwa).
- Imithelela emibi ngesikhathi noma ngokushesha emva kwenqubo ingafaka ukuchoboza okuncane kuya ekunciphiseni, ukuphazamiseka kwesisu noma ukuphuma kwegazi, ubuhlungu besisu noma emuva, noma / noma isicanucanu.
Ukuguqulwa kweTubal
I-Adiana kufanele ibhekwe njengomphela futhi ingabuyiselwa. Ngokusho kukaHologic, Inc. I-Women's Health Company, umkhiqizi we-Adiana ukulawulwa kokuzalwa okuphakade, akukho idatha ephathelene nokuphepha noma ukusebenza kwanoma yimuphi umzamo wokuhlinzwa wokuguqula inqubo ye-Adiana.
Ukuphumelela
Ngokusekelwe eminyakeni emithathu yedatha yemitholampilo, i-Adiana ingu-98.4% ephumelelayo ekuvikeleni ukukhulelwa, kodwa lokhu kuphela nje lapho udokotela wakho eqinisekisa ukuthi amashubhu akho amathanga avinjelwe ngokuphelele. Lokhu kusho ukuthi kubo bonke abesifazane abangu-100 abasebenzisa i-Adiana, 1.6 bazokhulelwa ngonyaka owodwa.
Ezinye izindlela
Uma ucabanga ukuthi kukhona ithuba lokuthi ufuna ukuba nezingane esikhathini esizayo, ukulawulwa kokuzalwa okungapheli kungenzeka ukuthi akulungile kuwe.
Kodwa, uma ufuna ukuvimbela ukuvimbela unomphela ngaphandle kokuhlinzwa, inqubo ye-Essure ingase ibe yindlela enhle.
I-Essure inikeza ukulawulwa kokuzalwa okungapheli ngokufaka izinto ezimbili zensimbi ezincane ezibekwe ku-tube ngayinye yezintambo. Ngokuhamba kwesikhathi, ukufakwa kuzoba nezicubu ezincane ukuze zikhule zizungezile, bese izicubu ezibomvu zizovimba izilimo eziyizigaxa. Ukuhlunga akukwazi ukuguqulwa- ngakho kungase kungabi ukukhetha okufanele uma uzizwa ucindezelwa omunye umuntu ukuba enze inqubo. Futhi, ngoba inqubo ye-Essure iyisinqumo esiyinhloko, akufanele wenze lokhu kukhetho uma uphansi kokucindezeleka noma phakathi kokuguquka kokuphila okukhulu (njengokungathi ngesikhathi sehlukaniso noma emva kokukhulelwa kwesisu).
> Umthombo:
> Anderson TL, u-Vancaillie TG. Isistimu ye-Adiana yokukhulelwa kokuhlala unomphela: Ukuphepha nokuphumelela eminyakeni emithathu. I-Journal ye-Gynecology encane encane . 2011 Oct 31; 18 (5): 612-616.