Tubal ligation (yomwe imatchulidwa kuti "kukhala ndi matope anu omangirizidwa") ndi opaleshoni yomwe imatsegula mazira a mkazi wonyenga. Mazira amatha kuthandiza kunyamula dzira lomasulidwa kuchokera m'mimba mwa mazira mpaka pachiberekero, ndipo nthawi zambiri malo omwe dzira limamera ndi umuna. Kamodzi akadzatsekedwa kapena "womangirizidwa," umuna sungathe kufika pa dzira, kotero kuti mimba sungakhoze kuchitika.
Tubal ligation angathenso kutchulidwanso monga:
- Kujambula ma tubes
- Tizilombo toyambitsa matenda
- Kubereketsa kwazimayi
- Kukhala ndi matayala anu atamangidwa
- Kuchitidwa opaleshoni (chachikazi)
- Tube ikugwirizanitsa
- Kusabereka kosatha
Pali njira zingapo zothandizira opaleshoni ya tubal .
Mbira ya Tubal ndi Kugonana Kwamuyaya
Njira ya tubal ligation imapangitsa mkazi kukhala wosabereka (sangathe kutenga mimba). Njirayi kawirikawiri imalimbikitsidwa kwa amayi achikulire omwe ali otsimikiza kuti safuna kutenga mimba m'tsogolo.
Tubal ligation imaonedwa kuti ndi njira yosatha kubereka . Zimakhala zotchuka chifukwa amayi amazindikira kuti njira iyi ingapereke chitetezo chokwanira kwambiri cha mimba kwa zaka zonse za kubereka . Ambiri amakopeka ndi zomwe zimakhala bwino komanso kuti sizimayambitsa zotsatira zokhudzana ndi njira zothandizira ana .
Tubal Ligation Reversal
Mayi ayenera kulingalira mosamala ngati kapena tubal ligation ndi njira yabwino kwa iye.
Azimayi ena omwe amasankha kuchita zimenezi amatha kudandaula ndi zomwe adasankha.
Mzimayi akhoza kumva chisoni kuti matope ake amangiriridwa ngati atachita kale:
- Pamene ali wamng'ono
- Ngati ali ndi ana ochepa kapena opanda
- Ngati anasankha njirayi chifukwa mnzakeyo amamufuna
- Ngati anaganiza pa tubal ligation chifukwa amakhulupirira kuti idzathetsa mavuto a ndalama ndi / kapena kuti njirayi idzakonza mavuto a ubale
A tubal ligation sayenera kuganiziridwa ngati kanthawi. Nthawi zina kusintha kwa tubal kungathe kuchitika ngati mkazi atasankha kuti akufuna kutenga pakati. Komabe, kusintha kwa tubal ndi njira yayikulu yopaleshoni yomwe siimabweretsa mimba nthawi zonse. Azimayi oposa 50% mpaka 80% omwe ali ndi matupi awo amatha kukhala ndi pakati.
Njira ya Tubal Ligation
A tubal ligation amapezeka kuchipatala kapena kuchipatala chapachipatala. Mtundu wa anesthesia wogwiritsidwa ntchito umadalira njira ya opaleshoni yosankhidwa. Tubal ligation ingakhoze kuchitidwa ndi mwina conscious sedation (mawonekedwe a anesthesia kumene mkaziyo akugalamuka, koma momasuka ndi kugona) kapena deep sedation (mkazi wagona). Anesthesia ikhoza kukhala yamba, dera (thupi liri lopanda kanthu kuchokera pamtambo pansi), kapena lachiwiri (lomwe limakhudza thupi lonse).
Potsatira ndondomekoyi, miyendo ya falsi imatsekedwa. Zina zingafunike kupanga zochepa zing'onozing'ono zopangidwa m'mimba. Mu njirayi, zidazo zimadulidwa, kudulidwa ndi / kapena kusungidwa (kusindikizidwa). Njira ina, yomwe imadziwikanso kuti Essure sizimafuna kutsekedwa ndipo imagwiritsidwa ntchito kuti ikhale yotsekemera.
Ndi njira iti ya Tubal Ligation yomwe mungagwiritse ntchito
Udindo wa thanzi la mkazi ukhoza kutanthawuza kuti ndi njira yanji ya tubal yomwe ikuyenerera.
Pali zifukwa ziwiri pamene kusankha njira yabwino kwambiri ndikuphatikizapo kulemera kwa thupi kwa amayi komanso ngati wapita opaleshoni yapitayi.
Pafupifupi theka la zonsezi zimagwiritsidwa ntchito pokhapokha pakapita kubadwa kwa amayi pogwiritsa ntchito chidutswa chaching'ono pafupi ndi batani, panthawi yopuma, kapena kuchotsa mimba. Chigamulo chokhala ndi tubal ligation chomwe chachitidwa panthawi ino chiyenera kupangidwa patsogolo ndi dokotala wanu. Chofunika, njira yopangidwira , sizingatheke mpaka pakatha masabata asanu ndi limodzi mkazi atabadwa, atapatuka padera, kapena atachotsa mimba .
Ngozi za Tubal Ligation
Kawirikawiri, pali mitundu itatu ya zoopsa zomwe zimayambitsidwa ndi tubal ligation.
- Zowopsa chifukwa cha ndondomeko yeniyeni: Izi zimaphatikizapo kutsekedwa kosatha kwa ma tubes, zomwe zingachititse mkazi kutenga mimba m'tsogolomu (izi zimakhudza akazi pafupifupi 1 mwa 200), kuvulazidwa ndi ziwalo kapena zigawo zoyandikana zomwe zimayambitsidwa ndi zipangizo zochizira, ndi Kuwonjezeka kwowonjezereka kwa ectopic mimba ngati mimba ikupezeka pambuyo pa tubal ligation.
- Mavuto owopsa chifukwa chogwiritsa ntchito anesthesia : Izi zingaphatikizepo momwe amachitira mankhwala ndi kupuma.
- Zoopsa za opaleshoni, mwazinthu : Izi zimaphatikizapo matenda ndi magazi.
Zimene muyenera kuyembekezera Pambuyo pa njira ya Tubal Ligation
Azimayi ambiri amatha kubwerera kuntchito masiku angapo atakhala ndi tubal ligation. Mankhwala opweteka angathandize kuthetsa vuto lililonse. Ndikoyenera kuti amayi azipewa masewera olimbitsa thupi kwa masiku angapo. Kawirikawiri, amayi ambiri amamverera kukonzekera kugonana kachiwiri mkati mwa sabata.
Ambiri mwa amayi amapezanso njirayi popanda mavuto. Mosiyana ndi kuperekera kwa abambo ( vasectomy ), palibe mayeso omwe amayenera kuti awonetsetse kuti alibe mphamvu.
A tubal ligation siimachepetsa chisangalalo cha kugonana komanso samakhudza chikhalidwe chake. Popeza palibe zikopa kapena ziwalo zomwe zimachotsedwa kapena kusintha ndipo mahomoni onse adakali opangidwa, tubal ligation sayenera kusintha chiwerewere kapena kusokoneza kugwira ntchito kwa ziwalo zogonana za amayi.
Ndalama za Tubal Ligation
Ndalama ya nthawi imodzi ya tubal ligation, poyerekeza ndi njira zina zothandizira , zingakupulumutseni mazana madola pakapita nthawi.
Mtengo wokhala ndi tubal ligation ukhoza kukhala pakati pa $ 1,000 mpaka $ 3,000. Mayi ayenera kufufuza chithandizo cha inshuwalansi monga momwe chithandizo cha kubereka chimaonekera. Inshuwalansi ya zachipatala ndi zapadera zokhudzana ndi thanzi zingawononge mtengo wa tubal ligation.
Kodi Tubal Ligation N'chiyani?
Tubal ligation ndi yoposa 99% yogwira chaka choyamba. Izi zikutanthauza kuti mwa amayi 100 aliwonse amene amachita izi, osachepera 1 adzakhala ndi pakati pa chaka choyamba cha ntchito.
Amayi amodzi (1) mwa amayi khumi (100) aliwonse adzatenga mimba chaka chilichonse chotsatira pambuyo pa chaka choyamba (pamene ndondomeko idatha). Izi zikuchitika chifukwa chazing'ono zochepa kuti ziphuphu zazing'onong'ono zingagwirizanenso ndizokha.
Mwa amayi 1,000 aliwonse amene adagwira tubal ligation, pafupifupi 18.5 adzakhala ndi pakati mkati mwa zaka 10. Ziŵerengero zimenezi zinatsirizidwa ndi Kukambitsirana kwa Ogwirizanitsa ku United States ya Kutsekemera mwachidziwitso cha Crest kuphunzira. Komabe, malingana ndi njira yogwiritsiridwa ntchito komanso zaka za mkaziyo atachita kale, mlingo umenewu ukhoza kukhala wapamwamba kapena wotsika.
Ngati mimba ikuchitika pambuyo pa tubal ligation, pali mwayi wa 33% wokhala ndi ectopic pregnancy. Komabe, mlingo wonse wa mimba ndi wochepa kwambiri, kuti mwayi wamayi wokhala ndi pakati pa ectopic mimba ndi wotsikirapo kuposa momwe angaperekere kuti alibe tubal ligation yoyamba.
Chitetezo cha STD?
A tubal ligation sichiteteza ku matenda opatsirana pogonana .
Chitsime:
Peterson, HB, Xia, Z., Hughes, JM, Wilcox, LS, Tylor, LR, & Trussell, J. (1996). Kuopsa kwa mimba pambuyo pa kutsekemera kwa tubal: Zomwe zachokera ku US Wothandizira Wokambirana Zosawotcha. Journal Journal of Obstetrics and Gynecology, 174, pp. 1161-1170. Idapezeka kudzera kulembetsa kwapakati.