Njira Yowunika

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Njira Yowunika

Ndondomeko ya Kufunika ndi njira yopanda kupaleshoni, yosasinthika . Katemera woterewu sichifuna chilichonse chomwe chimaphatikizapo ndipo chimakhala ndi zofewa zofewa, zomwe zimapangidwira m'matope. Imeneyi ndi njira yabwino kwa tubal ligation chifukwa mitundu yonse ya kuperewera kwa amayi imafuna kutsegula (ndi opaleshoni ).

Njira yofunika yomwe imatengera imatenga pafupifupi maminiti 10, imakhala ikuchitidwa ku ofesi ya dokotala, ndipo siimasowa nthawi zonse.

• Sungani Kudzera kwa Kubadwa
• Thandizeni! Kodi Ndondomeko Yofunika Kwambiri Kwa Ine?

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Kutaya kwa Cervix

Gawo loyamba pa ndondomeko ya Kufunika kwachilombo ndi kuchepetsa chiberekero. Dokotala wanu amagwiritsa ntchito anesthesia kuti asokoneze chiberekero. Madokotala ena angaperekenso mankhwala ena omwe angakuthandizeni kupumula ndi / kapena kuchepetsa ululu uliwonse. Pofuna kuyika zida zowonjezera, dokotala wanu ayenera kuchepetsa pang'onopang'ono (kapena kutsegula) chiberekero.

Kutsekemera kwa khungu kungathe kuchitika m'njira ziwiri:

1. Dokotala wanu angagwiritse ntchito speculum kuti igwiritse ntchito mimba. Ichi ndi chipangizo chofanana ndi chingwe chachitsulo cha bakha. Chidacho chimalowetsedwa mu chikazi, ndipo masamba ake opunduka amagawanika ndipo amatseguka. Dokotala wanu adzaika ndodo yofewa, yosasunthika yachitsulo mwakachetechete mumkati mwa chikazi ndikufika muzitseko kakang'ono ka chiberekero. Ndodo imasiyidwa pang'onopang'ono, imachotsedwa, ndipo imalowetsedwa ndi ndodo yaikulu. Njirayi imabwerezedwa mpaka kachilombo kamakhala kokwanira mokwanira kuti zitha kuikidwapo. Izi zimatenga pafupifupi maminiti 10, ndipo mukhoza kumverera kupweteka ndi kupweteka chifukwa cha kutambasula kwa mitsempha ya chiberekero kuti mugwirizane ndi ndodo iliyonse.

2. Njira ina yothetsera chiberekero ndi kugwiritsa ntchito osmotic dilator , chipangizo chomwe chimatenga chinyezi m'matumbo omwe ali pafupi ndi chiberekero ndikuyamba kuyenda pang'onopang'ono. Kukula kwa dilator kumatsegula pang'onopang'ono kachilomboka ndipo kawirikawiri kumayambitsa zovuta. Pali mitundu iŵiri yofala ya osmotic dilator:

• Laminaria ndi kachidutswa kakang'ono kamene kamapangidwa ndi mchere wouma womwe umalowetsedwa m'mimba ya chiberekero 8 mpaka 24 asanayambe ndondomeko ya tubal; Kawirikawiri imafuna kuti mayi abwere tsiku lomwe asanalowe kuti alowe. Ambiri amayamba kuchepetsa maola asanu ndi awiri oyambirira, ndipo nthawi zambiri amatha kupitirira maola 12 mpaka 24 atalowa.
• Dalapan (synthetic dilator) ndi siponji yowuma, yomwe imayikidwa mkati mwa chiberekero maola angapo chisanachitike njira yowunika. Chojambulira chopanga chimakhala chosavuta kuyika ndi kutsegula kachilombo ka HIV m'nthawi yochepa kusiyana ndi njira ya laminaria.

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Njira Yowunika

Pa njira yofunika , mumakhala ndi miyendo yotseguka komanso yosakanikirana, mofanana ndi momwe mungakhalire mukuyezetsa magazi. Dokotala wanu adzaika catheter ndi chida chochepa, chotengera ngati tizilombo toyambitsa matenda (vaginal hyperoscope) mu chikazi, kudzera m'chiberekero, mpaka mu chiberekero. Kamera pamapeto a chiwerengero imalola dokotala wanu kuti awone chiberekero. Chotsekera Chofunika chimachotsedwa kudzera mu kathete ndipo chimayikidwa pakatsegulira chubu. Kuyika kwachiwiri kumayikidwa mu njira ina yamagetsi njira yomweyo. Mwinamwake mukhoza kusamba-monga kudumpha panthawiyi ndi pambuyo pake. Izi zitatha, x-ray ingatengedwe kuti zitsimikizidwe kuti mapiritsi a coilisi alipo. Njira yonse imatenga pafupifupi 10-30 mphindi.

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Choyenera Kuyembekezera Patapita Njira Yowonjezera

Azimayi amatha kupita kunyumba mkati mwa mphindi 45 pambuyo pa ndondomekoyi, ndipo amayi ambiri ogwira ntchito amayambiranso kugwira ntchito mkati mwa maola 24 kapena osachepera. Ambiri mwa amayi adabwerera ku ntchito zachilendo masiku amodzi kapena awiri, koma amayi ambiri amanena kuti atha kuyambiranso ntchito zofanana tsiku lomwelo monga momwe amachitira.

Pambuyo pochita ndondomeko yofunika, amayi adanena kuti akukumana ndi:

• Kuchiza kwa magazi chifukwa cha chiberekero panthawiyi.
• Kumva kupweteka pang'ono ndi / kapena kupweteka kwa masiku angapo potsatira njirayi.
• Kusintha kwa nthawi kumapeto kwa msambo (wolemera kapena wotalika kuposa nthawi zonse, kutuluka magazi kapena kupenya pakati pa nthawi).
• Mavavu, m'mimba, ndi / kapena ululu wammbuyo.
• Dandaula za chisankho chawo.

Mukhoza kuyambiranso kugonana mukangomvera, ndipo sikumapweteka. Kwa amayi ambiri, izi zimatenga pafupifupi sabata imodzi chitatha opaleshoni. Ndikofunika kuti mugwiritse ntchito njira yowonetsera kubereka kwa miyezi itatu yoyambirira pambuyo pa kuikidwa kofunika. Zimatengera nthawi imeneyi kuti minofu ikhale yomanga kuzungulira zithupsa, motero imateteza miyendo yamtunduwu. Mpaka mutsimikiziridwa kuti mazenera atsekedwa, njira ina ya kulera iyenera kugwiritsidwa ntchito.

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Mayeso a Hysterosalpingogram (HSG)

Chitsanzo chotchedwa hysterosalpingogram (HSG) chikuchitidwa patatha miyezi itatu chitetezo chanu chotsimikiziridwa kuti chitsimikizireni ngati mazira a fallopian amaletsedwa. Mayesowa ayenera kukonzedwa mlungu umodzi mutatha nthawi yanu kuti mutsimikizire kuti simuli ndi pakati. Mwinanso mungafunike kulemba fomu yogwirizana.

HSG idzachitidwa mu dipatimenti ya radiology pogwiritsa ntchito tebulo yokhala ndi makina a x-ray. Khalani okonzeka kunama pa gome ndikuyika mapazi anu, monga momwe mumachitira panthawi ya kuyesa pamtima. Panthawiyi, utoto udzalowetsedwa mu chiberekero chanu ndi chiberekero kudzera mu catheter yochepa. Kenaka, x-ray imatengedwa kuti ikatuluke zithunzi za chiberekero ndi mazira. HSG idzawululira ngati mapiritsi a coilisi ali pamalo abwino ndikuwonetsetsa kuti ma tubes achotsedwa bwino. Ngati ali, simudzasowa kugwiritsa ntchito njira ina yoletsa kubereka. Apanso, kuvomereza koyenera kumayenera kugwiritsidwa ntchito mpaka mayeso a HSG atsimikiziranso kuti miyendo yonyansa imatsekedwa ndi minofu yambiri.

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Ubwino wa Hysteroscopic Tubal Ligation

Njira yowonjezereka yogwiritsa ntchito tubal implants imapindulitsa phindu poyerekeza ndi mwambo wamakono, opaleshoni wa tubal ligation .

Sizitetezeka zokha, palibe zipsera, ndipo amayi nthawi zambiri amalephera kuvulaza.

Amayi 99% omwe adalandira njira yowonjezeramo adawonetsa kuti chitonthozo chawo cha nthawi yayitali ndi chabwino kwambiri ndipo amayi 95% adanena kuti angayamikire njirayo kwa bwenzi lawo.

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Kuipa kwa Hysteroscopic Tubal Ligation

Imodzi mwa zovuta za njira ya Essal tubal ligation ndizofunikira kugwiritsa ntchito njira ina yowonetsera kubereka kwa miyezi itatu kufikira maonekedwe a minofu ndi kuimitsa mazira a falsipian.

Kuonjezerapo, njira yowonjezereka yopangidwira yosawitsitsa imakhala yosasinthika. Chifukwa chakuti ziphuphu zamagulu ndi zida zowonjezera zimakula palimodzi kuti zitheke kutsekedwa, tizilombo ting'onoting'ono timatha kuchotsedwa popanda kuwononga miyendo yambiri.

Kuyika mavitamini kungakhale kovuta kuika, kotero nthawi yachiwiri nthawi zina ndizofunika kuti zitseke zonse ziwiri. Phunziro lachipatala, pafupifupi amayi amodzi (1) mwa amayi asanu ndi awiri (7) aliwonse sangathe kukhala ndi ma implants omwe amaikidwa muzigawo ziwiri zoyambirira.

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Sungani Mavuto a Procedure

Malingana ndi lipoti la chitetezo cha 2014 FDA, ndondomeko ya Kuyesa siyimayambitsa zotsatira za nthawi yaitali. Mofanana ndi mtundu uliwonse wa tubal ligation, nthawi zonse nthawi zambiri ndizotheka kuti ectopic mimba ichitike.

Malinga ndi Planned Parenthood, maphunziro otsogolera omwe anachitidwa kwa amayi a zaka ziwiri mutatha njirayi,

• Kuikapo tizilombo ting'onoting'ono kameneka kungakhale kuthamangitsidwa kuchokera ku mazira oyenda.
• Zowonjezera zowonjezera zikhoza kukhala zitayikidwa patali, kapena osati patali ndithu, kulowa mu mazira othawa.
• Kuikapo tizilombo ting'onoting'onoting'ono kameneka kungakhale kuponyedwa kudzera mu chiberekero kapena khoma lamatope (perforation). Izi zikayenera kuchitika, opaleshoni ikhoza kuthandizidwa kuti athetse vutoli.
• Mapulaneti a coil akhoza kuonongeka pa njira zina zamankhwala, monga endometrial biopsy, dilation, ndi curettage (D & C), kapena njira zomwe zimafuna kugwiritsa ntchito maulendo a wailesi.

Zovuta zina zomwe zingakhoze kuchitika powonjezera ma implants ofunika ndi awa:

• Kupweteka pang'ono
• Nausea ndi / kapena kusanza
• Kutaya zotsatirazi
• Kutenga
• Mimba yosadziwika

Azimayi omwe amachita ndondomekoyi pa nthawi yachiwiri ya msambo (pambuyo pa ovulation) ali ndi chiopsezo chowonjezereka chokhala ndi pakati podziwa nthawi yomwe amatha. Ndikoyenera kuti ndondomekoyi ikhale yochitika pa theka loyamba la kusamba.

N'zotheka kuti mbali ina yowonjezerapo iwonongeke kapena kuti mayi azitha kumwa madzi ambiri, ngakhale mavutowa ndi osiyana kwambiri ndi ena omwe atchulidwa. Panalibe malipoti a chipinda chosweka chomwe chimapweteka kapena mavuto pofuna kuteteza mimba. Kuthira kwa madzi mopitirira muyeso kungapangitse kupuma pang'ono kapena kufunika kwa mankhwala kuchotsa madzi owonjezera. Izi ziyenera kuchitidwa mwamsanga kuti zisawononge mavuto aakulu, kuphatikizapo imfa.

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Yesetsani Kugwira Ntchito

Kafukufuku amasonyeza kuti njira yowonjezera yowonjezereka ndi yowonjezereka ndiyo njira yabwino kwambiri ya tubal ligation , ndipo ambiri madokotala tsopano amasintha njirayi.

Kafukufuku wasonyeza kuti amayi oposa 1.7 pa 1000 alionse amatha kutenga pakati patatha zaka zisanu (99,83%).

Ndiyeso yotsatira ya miyezi itatu Hysterosalpingogram (HSG) Test:

• Pafupifupi 1% ya amayi akhoza kukhala ndi imodzi mwa mapiritsi a coil omwe akusowa.
• 96 peresenti yamachubu yamasiye ya amayi idzakhala yotsekedwa bwino.

Pambuyo pa miyezi isanu ndi umodzi chitatha, amayi 100% ayenera kukhala ndi ma tubes atatsekedwa.

Zowonjezera Zowonjezera Kufunika:

Amayi makumi asanu ndi atatu mphambu asanu ndi limodzi pa zana aliwonse amatha kukhala ndi makompyuta omwe amaikidwa bwino mitsuko yonse iwiri pambuyo pa njira imodzi yofunika, komabe amayi khumi ndi awiri aliwonse sangathe kukhala ndi makalata awo atapangidwira bwinobwino pambuyo pa njira ziwiri. Pomalizira, amayi atatu mwa atatu aliwonse omwe ali ndi malo opindulitsa a kufunika kwazowonjezera sangathe kupitiriza kugwiritsa ntchito njirayi monga njira yawo yoberekera chifukwa cha zifukwa zina.

_Zolemba:

_{(1990). Mankhwala operekera kwachiberekero - Synthetic dilator opangidwa ndi polyacrylonitrile hydrogel, Dilapan. American Family Physician, 42 (3), 775-776.}

_{Sungani Website. (nd). Mafunso Odziwika.}

_{Knowles, J. (2005). Tubal Sterilization . Kukonzekera Parenthood.}