Kusintha kwa Tubal ligation

Kusintha kwa Tubal ligation ndiko kuchitidwa opaleshoni kuti mayi amene wamangirizidwa machubu (tubal ligation) akhalenso ndi pakati. Machubu oyambilira amalumikizidwanso mu opareshoni yosinthayi. A tubal ligation sangasinthe nthawi zonse ngati pali kachubu kakang'ono katsalira kapena ngati kakuwonongeka.

Opaleshoni ya Tubal ligation yosinthika yachitika kuti alole mayi yemwe wamangirizidwa machubu ake kuti akhale ndi pakati. Komabe, opaleshoniyi samachitikanso. Izi ndichifukwa choti kuchuluka kwa kupambana mu vitro feteleza (IVF) kwakwera. Amayi omwe amafuna kutenga pakati atakhala ndi tubal ligation, amalangizidwa kuti ayese IVF m'malo mochotsa opaleshoni.

Mapulani a inshuwaransi nthawi zambiri salipira opaleshoni imeneyi.

Zowopsa za ochititsa dzanzi ndi opaleshoni ndi izi:

• Kutuluka magazi kapena matenda
• Kuwonongeka kwa ziwalo zina (matumbo kapena kwamikodzo) kungafune kuchitidwa opaleshoni yambiri kuti ikonzedwe
• Thupi lawo siligwirizana ndi mankhwala
• Mavuto apuma kapena chibayo
• Mavuto amtima

Zowopsa zosintha ma tubal ligation ndi:

• Ngakhale opareshoni ikalumikizanso machubu, mayiyo sangatenge mimba.
• A 2% mpaka 7% mwayi wokhala ndi pakati (ectopic).
• Kuvulaza ziwalo kapena matupi apafupi kuchokera ku zida zopangira opaleshoni.

Nthawi zonse uzani wothandizira zaumoyo wanu mankhwala omwe mumamwa, 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.
• Funsani omwe akukupatsirani mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• Ngati mumasuta, yesetsani kusiya. Funsani wothandizira kuti asiye thandizo.

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 mutenge ndi madzi pang'ono.
• Omwe akukuthandizani azikuuzani nthawi yofika kuchipatala kapena kuchipatala.

Muyenera kuti mupite kwanu tsiku lomwelo momwe mwatsata. Amayi ena angafunike kugona mchipatala usiku wonse. Muyenera kukwera kwanu.

Zitha kutenga sabata kapena kupitilira apo kuchira. Mudzakhala achisoni ndi kumva kuwawa. Omwe amakupatsirani mankhwala amakupatsirani mankhwala azowawa kapena angakuuzeni mankhwala omwe mungamwe.

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 kusamba patadutsa maola 48 mutachita izi. Pat the incision youma ndi thaulo. MUSAMAPEMBEDZA kapena kudula kwa sabata limodzi. Zolumikizazo zidzasungunuka pakapita nthawi.

Wopezayo adzakuwuzani nthawi yayitali bwanji kuti musapewe kukweza zolemetsa komanso kugonana mukatha opaleshoni. Bwererani kuzinthu zachilendo pang'onopang'ono mukamakhala bwino. Onani dokotalayo sabata imodzi atachitidwa opaleshoni kuti atsimikizire kuti machiritso akuyenda bwino.

Amayi ambiri alibe mavuto ndi opaleshoni yomwe.

Amayi kuyambira 30% mpaka 50% mpaka 70% mpaka 80% azimayi amatha kutenga pakati. Kaya mayi atenga mimba pambuyo pa opaleshoniyi zimadalira:

• Msinkhu wake
• Pamaso pa chilonda minofu mu mafupa a chiuno
• Njira yomwe imagwiritsidwa ntchito popanga tubal ligation idachitika
• Kutalika kwa chubu chachikale chomwe chimayanjananso
• Luso la dotolo

Mimba zambiri pambuyo pa njirayi zimachitika pakadutsa zaka 1 mpaka 2.

Tubal kukonzanso anastomosis opaleshoni; Tuboplasty

Deffieux X, Morin Surroca M, Faivre E, Masamba F, Fernandez H, Gervaise A. Tubal anastomosis pambuyo poyambitsa tubal: kubwereza. Chipilala cha Arch Gynecol. 2011; 283 (5): 1149-1158. (Adasankhidwa) PMID: 21331539 www.ncbi.nlm.nih.gov/pubmed/21331539. (Adasankhidwa)

Karayalcin R, Ozcan S, Tokmak A, Gürlek B, Yenicesu O, Timur H. Zotsatira za mimba za laparoscopic tubal reanastomosis: zotsatira zobwerera m'mbuyo kuchokera kuchipatala chimodzi. J Int Med Res. 2017; 45 (3): 1245-1252. www.ncbi.nlm.nih.gov/pubmed/28534697.

Monteith CW, Berger GS, Zerden ML. Mimba kupambana pambuyo pakusintha kwa njira yolera yotseketsa. Gynecol Woletsa. 2014; 124 (6): 1183-1189. PMID: 25415170 www.ncbi.nlm.nih.gov/pubmed/25415170.