Tubal ligation

Tubal ligation ndi opaleshoni yotseka machubu a amayi. (Nthawi zina amatchedwa "kumanga machubu.") Machubu ya mazira imalumikiza thumba losunga mazira ndi chiberekero. Mayi amene wachita opaleshoniyi sangathenso kutenga pakati. Izi zikutanthauza kuti iye ndi "wosabala."

Tubal ligation amachitikira kuchipatala kapena kuchipatala cha odwala.

• Mutha kulandira anesthesia wamba. Mudzakhala mukugona ndipo simungamve ululu.
• Kapena, mudzakhala ogalamuka ndikupatseni mankhwala opha msana. Muthanso kulandira mankhwala kuti agonetse.

Njirayi imatenga pafupifupi mphindi 30.

• Dokotala wanu adzapanga 1 kapena 2 kudula kocheperako m'mimba mwanu. Nthawi zambiri, amakhala mozungulira batani lamimba. Gasi atha kupopa m'mimba mwanu kuti mukulitse. Izi zimathandiza dotolo wanu kuwona chiberekero chanu ndi machubu oyambira.
• Chubu chopapatiza chokhala ndi kamera yaying'ono kumapeto (laparoscope) imalowetsedwa m'mimba mwanu. Zida zotsekera machubu anu zidzaikidwa kudzera pa laparoscope kapena kudzera pagawo locheperako.
• Machubu amatha kuwotcha otsekedwa (cauterized), kulumikizidwa ndi kachingwe kakang'ono kapena mphete (band), kapena kuchotsedwa kwathunthu opaleshoni.

Tubal ligation amathanso kuchitidwa mukangokhala ndi mwana kudzera pakadule kakang'ono mumchombo. Zitha kuchitidwanso pa gawo la C.

Tubal ligation itha kulimbikitsidwa kwa azimayi achikulire omwe ali otsimikiza kuti safuna kutenga mimba mtsogolo. Ubwino wa njirayi umaphatikizapo njira yotsimikizika yodzitetezera ku mimba komanso kuchepa kwa khansa ya m'mimba.

Amayi omwe ali ndi zaka za m'ma 40 kapena omwe ali ndi mbiri ya khansa ya m'mimba angafune kuchotsa chubu lonse kuti achepetse chiopsezo chawo chotsatira khansa yamchiberekero.

Komabe, azimayi ena omwe amasankha tubal ligation amamva chisoni ndi chisankhochi pambuyo pake. Mkazi wamng'onoyo, amadzanong'oneza bondo kuti wamangirizidwa machubu ake akamakula.

Tubal ligation amadziwika kuti ndi njira yolerera yokhazikika. Sichikulimbikitsidwa ngati njira yayifupi kapena yomwe ingasinthidwe. Komabe, opaleshoni yayikulu nthawi zina imatha kubwezeretsanso mwayi wokhala ndi mwana. Izi zimatchedwa kusintha. Oposa theka la azimayi omwe abwezeretsanso ma tubal ligation amatha kutenga pakati. Njira ina yothetsera ma tubal ndikusintha IVF (in vitro feteleza).

Zowopsa za tubal ligation ndi izi:

• Kutseka kosakwanira kwa machubu, zomwe zingapangitse kuti mimba ikhale yotheka. Pafupifupi azimayi amodzi (1) mwa amayi 200 omwe adakhalapo ndi ma tubal ligation amatenga pakati pambuyo pake.
• Kuwonjezeka kwa chiopsezo cha mimba ya e-ectopic ngati mimba imachitika pambuyo pa tubal ligation.
• Kuvulaza ziwalo kapena matupi apafupi kuchokera ku zida zopangira opaleshoni.

Nthawi zonse uzani wothandizira zaumoyo wanu:

• Ngati muli ndi pakati kapena mutha kukhala ndi pakati
• Ndi mankhwala ati omwe mukumwa, ngakhale mankhwala, zitsamba, kapena zowonjezera zomwe mudagula popanda mankhwala

M'masiku asanachitike opaleshoni yanu:

• Mutha kupemphedwa kusiya kumwa aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), ndi mankhwala ena aliwonse omwe amalepheretsa magazi anu kuphimba.
• Ngati mumasuta, yesetsani kusiya. Funsani omwe akukuthandizani kuti akuthandizeni kusiya.

Patsiku la opareshoni yanu:

• Nthawi zambiri mudzafunsidwa kuti musamwe kapena kudya kalikonse pakati pausiku usiku musanachite opareshoni, kapena maola 8 isanakwane nthawi yochitidwa opaleshoni yanu.
• Tengani mankhwala omwe wothandizirayo adakuwuzani kuti mumwe pang'ono pokha madzi.
• Omwe akukuthandizani azikuuzani nthawi yofika kuchipatala kapena kuchipatala.

Muyenera kuti mupite kwanu tsiku lomwelo momwe mwatsata. Muyenera kukwera kwanu ndipo mufunika kukhala ndi wina usiku woyamba ngati muli ndi anesthesia.

Mudzakhala achisoni ndi kumva kuwawa.Omwe amakupatsirani mankhwala amakupatsirani mankhwala azowawa kapena angakuuzeni mankhwala omwe mungamwe.

Pambuyo pa laparoscopy, amayi ambiri amakhala ndi ululu wamapewa masiku angapo. Izi zimachitika chifukwa cha mpweya womwe umagwiritsidwa ntchito pamimba kuthandiza dokotalayo kuti aziwona bwino panthawiyi. Mutha kutsitsimutsa mpweyawo mwa kugona pansi.

Mutha kubwereranso kuzinthu zabwinobwino masiku ochepa, koma muyenera kupewa kukweza katundu kwa milungu itatu.

Ngati muli ndi njira yotsekemera yamachubu ya hysteroscopic, muyenera kupitiliza kugwiritsa ntchito njira yolerera mpaka mutayesedwa wotchedwa hysterosalpingogram patatha miyezi itatu ndondomekoyi ikuwonetsetsa kuti machubu atsekedwa.

Amayi ambiri sakhala ndi mavuto. Tubal ligation ndi njira yothandiza yolerera. Ngati njirayi yachitika ndi laparoscopy kapena mukabereka mwana, SIMUFUNIKIRA kuyesedwa kwina kuti muwonetsetse kuti simungatenge mimba.

Nthawi yanu iyenera kubwerera munjira yanthawi zonse. Ngati mudagwiritsa ntchito njira yoletsa mahomoni kapena Mirena IUD m'mbuyomu, ndiye kuti nthawi yanu ibwerera kuzikhalidwe zanu mukasiya kugwiritsa ntchito njirazi.

Amayi omwe ali ndi tubal ligation ali ndi chiopsezo chochepa chokhala ndi khansa yamchiberekero.

Opaleshoni yolera yotseketsa - wamkazi; Yolera yotseketsa Tubal; Kulumikiza chubu; Kumanga machubu; Njira yotsekera ma tubster ya Hysteroscopic; Kulera - tubal ligation; Kulera - tubal ligation

• Tubal ligation - kutulutsa

• Tubal ligation
• Tubal ligation - Mndandanda

Isley MM. Chisamaliro cha postpartum ndi kulingalira kwanthawi yayitali. Mu: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics a Gabbe: Mimba Yachibadwa ndi Mavuto. 8th ed. Philadelphia, PA: Elsevier; 2021: chaputala 24.

Rivlin K, Westhoff C. Kulera. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 13.