Njira ya Tubal Ligation
A colpotomy ndi mtundu wa kutengeka komwe kumapangidwa kumbuyo kwa chiberekero cha umaliseche. Pakati pa tubal ligation , dokotala wanu angagwiritse ntchito colpotomy (yotchedwanso vaginotomy) ngati imodzi mwa njira zofikira mazira anu othawa. A tubal ligation yomwe amagwiritsa ntchito colpotomy incision ikuwoneka ngati opaleshoni yochepa kwambiri.
Mwachidule
Njira yothandizira tubal ligation inali njira yowonjezeredwa yochepetsera akazi.
Koma tsopano madokotala nthawi zambiri amagwiritsa ntchito laparoscopy kapena laparotomy chifukwa njira za m'mimba za tubal sizingakhale zoopsa monga colpotomy.
The Procedure
A colpotomy ndi mtundu wa incision womwe ungagwiritsidwe ntchito panthawi yochizira (njira ina imatchedwa culdoscopy ). Pakati pa colpotomy tubal ligation, dokotala wanu amapanga mankhwala osokoneza bongo kumalo osakanikirana a m'mimba mwachisawawa (mawu achipatala kumbuyo kumaliseche). Kutsindika uku kungapangidwe kumbali kapena kumbali (mpaka pansi). Dokotala wanu adzaika phokoso la intrauterine kupyolera mu incision ndi m'kati mwake (malo omwe ali pamimba, m'mimba, ndi chiwindi). Phokoso la intrauterine ndi chida chachipatala chomwe chinapangidwira kuthandizira kufufuza ndi kutsegula mavesi m'thupi - zimathandiza dokotala wanu kuti awonetse bwino chiberekero ndi kubweretsa mazira akuwonekera.
Madokotala ena opaleshoni angagwiritse ntchito endoscope (chida chaching'ono monga telescope ndi kuwala). Dokotala wanu amatenga zitsulo zanu zamkati pogwiritsa ntchito incision ndi mukazi. Miphika yanu yamtambo imatsekedwa / imayikidwa-imatha kumangirizidwa, kutsekedwa, ndi / kapena kusindikizidwa. Potsirizira pake, dokotala wanu adzabwezeretsa miyendo yamtunduwu m'malo mwake, ndipo kutengeka kwanu kukuyang'aniridwa.
Tiyi ya tizilombo yomwe imaphatikizapo colpotomy incision imatenga mphindi 15 mpaka 30. Amayi ambiri amatha kupita kwawo tsiku lomwelo. Ndondomeko imeneyi imayesedwa kuti ndi njira yosatha ya kulera .
Kutchulidwa
Colpotomy: col · pot · o · my (käl'päd · ə · mē)
Zimene Tiyenera Kuyembekezera Patapita Ndondomeko
Mukhoza kuyembekezera kuti kuchira kwanu kuchokera ku colpotomy kudzatenga masiku angapo. Dokotala wanu angakulimbikitseni kuti mudikire kuti mugone mpaka kugwidwa kwanu kwachiritsidwa-izi zimatenga masabata angapo. Mukachiza kuchipatala, simudzakhala ndi zilonda zooneka.
Zotsatira
Chinthu chachikulu chokhala ndi colpotomy pamene mukugwiritsa ntchito tubal ligation ndikuti mulibe zovuta m'mimba mwanu. Mtundu uwu wa tubal ligation ungaperekenso zopindulitsa zina. A colpotomy tubal ligation ingakhale njira yabwino kwa amayi omwe:
- Ndi ochepa kwambiri
- Khalani ndi chiberekero cha retotted (chiberekero chomwe chimabwerera m'malo mmbuyo)
- Khalani ndi mbiriyakale ya khoma la m'mimba / kukonzanso matumba
Wotsutsa
Palibe madokotala ambiri opaleshoni ku United States amene amaphunzitsidwa kupanga colpotomy monga njira ya tubal ligation. Kafukufuku tsopano akuwonetsa kuti njira iyi ikhoza kukhala yotetezeka kusiyana ndi poyamba. Koma madokotala ambiri opaleshoni amakonda kupanga mimba ya m'mimba chifukwa chiwerengero cha chiwerengero chogwirizanitsa ndi colpotomy tubal ligations chimakhala chachiwiri, ndipo zotsatira zake zingakhale zochepa.
Colpotomy tubal ligations yakhalanso ndi chiwerengero chachikulu cha matenda. Madokotala ena opaleshoni adzakupatsani mankhwala opha tizilombo kuti mutenge colptomy kuti muteteze matenda. Chilombochi chingakhalenso chovuta kuchita chifukwa chimafuna kuti mayi akhale ndi lithotomy (miyendo yanu ikugwedezeka) pamene muli ndi anesthesia.
Zotsatira:
Ayhan A, Boynukalin K, Salman MC. "Tubal ligation kudzera posterior colpotomy." International Journal of Gynecology & Obstetrics . 2006 Jun 30; 93 (3): 254-5. Nkhani yowonjezera imapezeka kupyolera mwachinsinsi.
Chang, WH et al. "Tubal ligation kudzera colpotomy kapena laparoscopy: Kufufuza kofanana ndikuwerenga." Archives of Gynecology and Obstetrics. 2011; 283 (4): 805-808. Nkhani yowonjezera imapezeka kupyolera mwachinsinsi.