Panthawi ya vasectomy , amalingaliro awiri amapangidwa mu khungulo kuti amuthandize dokotalayo kuti afikire m " modzi mwazirombo zomwe zimatulutsa umuna mu umuna. Panthawi yopanda scalpel vasectomy ( yomwe imatchedwanso kuti vasectomy ), palibe zomwe zimachitika. M'malo mwake, dokotalayu amagwiritsa ntchito hemostat (kutsekemera kofiira ndi nsonga yakuthwa) kuti adziwe khungu la sac.
Kenaka, khungu limafalikira pokhapokha mpaka onse awiri asanamveke. Chifukwa chakuti malo otsekemera ndi ochepa kwambiri ndipo amangokhala khungu, sagwiritsidwa ntchito ndipo nthawi yamachiritso imakhala yofulumira. Poyerekeza ndi chikhalidwe cha vasectomy, njira yopanda khungu ndi njira yochepa komanso yofulumira (nthawi yonse kuphatikizapo prep ndi aneshesia ndi pafupi maminiti 15 mpaka 20).
Maganizo ambiri m'magulu a zachipatala ndi akuti pangakhale phokoso lalikulu kuti musapangitse zitsulo zamtundu wa scalpel mmalo mwazodziwika. Pali njira zabwino zogwiritsira ntchito njirayi yomwe imathandizira kuti njira yosokonekera iyenera kutayidwa. Cholinga cha njira yochepa yosawonongeka, yopanda chikhomo ikhoza kuyesa amuna ambiri. Izi zimathandiza amuna kukhala ndi mwayi waukulu pa udindo wawo woyembekezera kulera . Popeza mbiri ya kulera imakhudza kwambiri amayi (chifukwa ndi thanzi lawo lomwe limakhudzidwa mwachindunji ndi mimba ndi kubereka), kupereka amuna omwe ali ndi njira yabwino yochezera njira yowalera imapanga zosankha zawo zochepa pazomwe mungasankhe.
Pamene aperekedwa ndi "zoopsa" zomwe zingatheke kukhala ndi vasectomy popanda scalpel, abambo amatha kubwezeretsedwanso muzochita zokhudzana ndi kulera kwa mabanja awo komanso maubwenzi awo ndipo angasankhe kulandira chithandizo cha kulera.
Ndondomeko
Cholinga pa se-scalpel vasectomy (kapena keyhole vasectomy) ndi chimodzimodzi ndi vasectomy wamba - kutseketsa m'mimba ya vas deferens, kotero kuti umuna sutha kukhala gawo la nyemba.
Izi zimachitika mwa kudula chidutswa chochepa cha vas deferens, kuchichotsa, ndiyeno kugwedeza (kugumula), kudula kapena kuyambitsa (kutentha) otsalirawo atha. Panthawi yopanda scalpel vasectomy, mitsuko iliyonse (imodzi pamodzi) imachotsedwa pamalo amodzi, ndipo nthawi zina zimachotsedwa. Ochita opaleshoni ena angatenge gawo lowonjezera la kufotokozera kwapadera komwe kumaphatikizapo kutchera minofu yolumikizana pa mapeto a prostate opanda ufulu (mapeto pafupi ndi urethra). Izi zimapangitsa chida chosiyana pakati pa mapeto a vasal. Kafukufuku wina akusonyeza kuti njira ina yowonjezera kuchepa kwa ndalama , koma umboni uli wosakwanira pa nthawi ino. Ndiye, mapeto onse a vasolo amaloledwa kubwerera mmbuyo mu khungwe.
Pa nthawi ya vasectomy, amuna akhoza kupatsidwa chisankho chokhala ndi "njira yotseguka". Izi zikutanthauza kuti mapeto a prostatic okha ndi omangiridwa kapena okhudzidwa. Mapeto a testicular (pafupi kwambiri ndi testis) atseguka. Chifukwa chokhazikitsa mapetowa ndi kulola kuti umuna uthake. Palibe zotupa za scalpel zomwe zimaperekanso mwayi wotsegulira. Kafukufuku wina wasonyeza kuti kulola kuphulika kumeneku kumathandiza kuchepa kapena kumanga umuna chifukwa umuna umatha kulowa mkati ndi kulowa m'tchire.
Izi, zowonjezera, zingayambitse kupanikizika kochepa - chifukwa chomwe chingayambitse ululu wa post-vasectomy. Njira yotseguka yasonyezedwanso kuti kuchepa kwa chiwerengero cha ma complication komanso zochepa zochepa za epididymitis (pamene epididymis chubu kumbuyo kwa nyamayi yomwe imasungidwa ndi kunyamula umuna imatha).
Kafukufuku amasonyeza kuti amuna omwe sankakhala ndi scalpel vasectomy adakhutira kwambiri pazochitika zawo zogonana komanso amatha kubwereranso kugonana, zizindikiro zokhudzana ndi maganizo, zomwe zimatchulidwa posachedwa, kupwetekedwa kochepa, komanso nthawi yofulumira.
Izi zimapereka chithandizo chochuluka kuti lingaliro lakuti palibe-scalpel vasectomy ndi njira yosavuta ya vasectomy. Njira yowonongekayi imapereka njira yowongoka ya vasectomy popereka mowonjezereka.
Phindu
- Amuna angakhale okonzeka kufunafuna njirayi chifukwa zimveka zomveka
- Zochepa zosautsa
- Zochitika zogonana zingayambirenso mwamsanga mukangomasuka
- Palibe nsonga kapena scarring
- 40-50% mwamsanga kuchira ndi ululu pang'ono
- Sichitsitsa kugonana
- Pang'ono ndi mwayi wokhala ndi mavuto a magazi
- Nthawi yayitali, yozindikira njira yowalera
- Imakhala yogwira mtima kwambiri
- Kuopsa kwa chiopsezo (chifukwa cha chilonda chaching'ono, palibe incision yaitali)
Kuipa
- Anaganiziranso ntchito yopanga opaleshoni (koma yachitidwa panthawi yopuma)
- Zimapangitsa kuti aziphunzitsanso komanso kuchita zambiri asanayambe kuchita opaleshoniyi
- Chifukwa umuna umatha kukhalabe pamtundu wambiri, njirayi imafuna kuti amuna azigwiritsa ntchito njira yobweretsera njira yoyamba kubereka kwa 15 mpaka 20 ejaculations (kapena pafupi masabata 12) mutatha njirayi
- Sipereka chitetezo ku matenda opatsirana pogonana kapena HIV
- Muyenera kuyendetsa ulendo wina wa dokotala kuti muonetsetse kuti palibenso umuna womwe ulipo mu umuna wanu
- Pakalipano, tubal ligation ndi yotchuka kwambiri yosankha . Padziko lonse, madokotala ambiri amafunika kuphunzitsidwa njira yosavuta ya vasectomy, kuwapereka kwa odwala awo ndi kuonjezera chidziwitso cha abambo pa njira iyi yopanda mpweya. Pa chifukwa ichi, zingakhale zovuta kupeza dokotala wa opaleshoni.
Zochitika Zowopsa
Kawirikawiri, palibe scalpel vasectomy yomwe ilibe zotsatirapo zazikulu ndipo imangowonjezera mwayi wochepa kwambiri wa matenda ndi ululu pang'ono. Mwinamwake mungakumane ndi anesthesia wamba. Amuna ena amawauza mwachidule chikondi chachidule komanso kuvulaza pang'ono pokhapokha atatha. Pali mwayi wawung'ono wa kukula kwa umuna wa granuloma - mbola yovuta, yomwe nthawi zina imakhala yowawa chifukwa cha umuna umatuluka kuchokera kumalo osatsegula. Msuzi si owopsa, kawirikawiri ndi chizindikiro ndipo nthawi zonse umathetsedwa ndi thupi nthawi. Komanso, zingakhale zotetezera ku testis ndi epididymis. Granuloma imakhala ndi njira zambiri zomwe zimatha kutulutsa umuna kutali ndi epididymis ndikuziteteza kuti zisawonongeke kuchokera kwa umuna.
Ndalama
Kawirikawiri, matendawa amatengedwa ngati opanga opaleshoni yotsika mtengo . Mutha kuimbidwa mlandu chifukwa choyamba kuwonetserako komanso ulendo wanu wotsatira kuti mbuzi yanu iwonedwe. Koma, pambuyo pa mtengo wapamwamba, palibe ndalama zowonjezereka kusunga njira iyi ya kulera. Njirayi ikukhudzidwa ndi mapulani ambiri a inshuwalansi. Popanda inshuwalansi, malingana ndi malo omwe mumakhala nawo komanso malo omwe mumasankha kugwiritsa ntchito, si-scalpel vasectomy imakhala yokwera pakati pa $ 500 mpaka $ 1,000 (malo ena amatha kugulira ulendo wanu wonse mumtengo umodzi pamene ena angapereke ndalama kwa aliyense payekha).
Mphamvu
Palibe-scalpel vasectomy imakhala yothandiza kwambiri - 99.85% mpaka 99.9%, koma izi zimachokera kwa munthu wogwiritsira ntchito kubwezeretsa mpaka atakonzedwa ndi dokotala kuti palibe umuna womwe umatsalira mu umuna wake. Choncho, izi zikutanthauza kuti amayi osachepera 1 pa 100 omwe abwenzi awo alibe vasectomy alibe mimba chaka chilichonse.
Mwachidziwitso, palibe-scalpel vasectomy sikutsimikiziridwa ndi 100 kuti ndi yothandiza. Ngakhale pamene ndondomekoyi ikuchitidwa mwangwiro, kuthekera kwa kubwezeretsa kumatha kuchitika. Apa ndi pamene umuna umatha kupeza njira yawo kudutsa malekezero oletsedwa a vas deferens. Zowoneka kuti izi zikuchitika ndizosawerengeka (zosachepera 0,2% za nthawi). Kubwezeretsa kawirikawiri kumachitika m'miyezi yoyamba yokha miyezi iwiri kapena itatu pambuyo pa sepalpel vasectomy (chivindikiro 1/500), koma ikhoza kuchitika patatha zaka zambiri (ngakhale kuti sizinali zachilendo, zomwe zimachitika 1 / 4,500). Ichi ndi chifukwa chake zimakhala zovuta kwambiri kuti mumvetsetse masabata anu masabata asanu ndi limodzi ndi limodzi (6-12) pambuyo pa vasectomy kuti mukhale otsimikiza kuti palibe umuna ulipo.
Mfundo Yomaliza Yopanda Scalpel Vasectomy
Njirayi ikulingalira kuti ikhale yosatha . Ngakhale kuti njira zowonongeka za vasectomy zilipo, zimakhala zovuta, zodula, ndipo zimakhala ndi zotsatira zosiyana. Muyenera kusankha kokha kufunafuna vasectomy opanda-scalpel ngati muli otsimikiza kuti simukufunanso kukhala ndi ana. Musalowe muganiza kuganiza, kumbuyo kwa malingaliro anu, kuti mutha kusintha nthawi zonse ngati zochitika zanu kapena maganizo anu asintha. Ndondomekoyi imapangidwa kwa amuna omwe amakhulupirira kwambiri kuti izi ndi zomwe akufuna monga njira yawo yobereka ... kwa moyo wawo wonse.
- Owerenga Agawana: Nchiyani Chokuletsani Inu Kuchokera Vasectomy?
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EngenderHealth. (2003). " Palibe-scalpel vasectomy: Chitsanzo chosonyeza madokotala opaleshoni " (3rd ed.). Yowonongeka Graphic Systems, Inc: NewYork. Inapezeka pa 9/9/11.
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Kuan-Chou Chen, Chiung-Chi Peng, Hsiu-Mei Hsieh, Han-Sun Chiang. "Kusintha kokha ayi-scalpel vasectomy (vasectomy) - Kuwerengera mofanana ndi scalpel vasectomy." Kulera kwa 2005; 71 (2): 153-156. Idapezeka kudzera mwachinsinsi pa 9/9/11.
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