Zomwe Amayi Onse Amayenera Kudziwa Zokhudza Kutseka Kwa Amayi

Zamkati

• Kodi yolera yotseketsa akazi ndi chiyani?
• Kodi pali kusiyana kotani pakati pa kutsekeka kwa opaleshoni ndi kosagwira ntchito?
• Kodi yolera yotseketsa akazi imagwira ntchito bwanji?
• Kodi njira yolera yazimayi imagwiridwa bwanji?
• Tubal ligation
• Njira yolera yotseketsa (Opanda)
• Kuchira kuchokera ku yolera yotseketsa akazi
• Kodi kulera kwachikazi kumathandiza bwanji?
• Ubwino wake wakulera kwazimayi ndi uti?
• Zoyipa ziti za kulera kwazimayi ndi ziti?
• Zoyipa ziti za kulera kwazimayi ndi ziti?
• Yolera yotseketsa yachikazi vs. vasectomies
• Chiwonetsero

Kodi yolera yotseketsa akazi ndi chiyani?

Yolera yotseketsa ndi njira yokhazikika yopewa kutenga mimba. Zimagwira ntchito poletsa ma tubes. Amayi akasankha kusakhala ndi ana, njira yolera yotseketsa ikhoza kukhala njira yabwino. Ndi njira yovuta kwambiri komanso yotsika mtengo kuposa yolera yamwamuna (vasectomy). Malinga ndi kafukufuku wochokera ku, pafupifupi 27% ya azimayi aku America azaka zoberekera amagwiritsa ntchito njira yolera ngati njira yolerera. Izi ndizofanana ndi amayi 10.2 miliyoni. Kafukufukuyu adapezanso kuti azimayi akuda amatha kugwiritsa ntchito njira yolera yotseketsa akazi (37%) kuposa azungu (24%) ndi azimayi aku Spain omwe amabadwira ku Spain (27%). Njira yolera yotseketsa akazi imafala kwambiri m'maiko akutukuka. Amayi azaka 40-44 ali othekera kwambiri kuposa mibadwo ina yonse kugwiritsa ntchito njira yolera yazimayi, posankha ngati njira yawo yoyamba yolerera. Pali mitundu iwiri ikuluikulu yolera yotseketsa: opaleshoni ndi yopanda chithandizo.

Kodi pali kusiyana kotani pakati pa kutsekeka kwa opaleshoni ndi kosagwira ntchito?

Njira yochitira opareshoni ndi tubal ligation, momwe machubu a fallopian amadulidwa kapena kusindikizidwa. Nthawi zina amatchedwa kuti kumangiriza machubu anu. Njirayi imagwiritsidwa ntchito pogwiritsa ntchito opaleshoni yocheperako yotchedwa laparoscopy. Zitha kuchitidwanso mukangobereka kumene kumaliseche kapena kubereka (zomwe zimatchedwa C-gawo). Njira zosagwiritsira ntchito opaleshoni zimagwiritsa ntchito zida zomwe zimayikidwa m'machubu kuti zizisindikiza. Zipangizazi zimalowetsedwa kudzera mu nyini ndi chiberekero, ndipo kuyikidwaku sikutanthauza kudula.

Kodi yolera yotseketsa akazi imagwira ntchito bwanji?

Kutsekemera kumatseka kapena kusindikiza ma tubes. Izi zimalepheretsa dzira kuti lifike m'chiberekero komanso kuti umuna usafikire dzira. Popanda umuna wa dzira, mimba siyingachitike. Tubal ligation imagwira ntchito nthawi yomweyo. Kutsekemera kwa opaleshoni kungatenge miyezi itatu kuti ikhale yothandiza ngati minofu yofiira. Zotsatira zamayendedwe onsewa ndizokhazikika komanso zimakhala ndi chiopsezo chochepa cholephera.

Kodi njira yolera yazimayi imagwiridwa bwanji?

Dokotala ayenera kuchita njira yolera yotseketsa. Kutengera ndi njirayi, itha kuchitidwa muofesi ya dokotala kapena kuchipatala.

Tubal ligation

Kuti mukhale ndi tubal ligation, mufunika opaleshoni. Dokotala wanu amalowetsa m'mimba mwanu ndi mpweya ndikupanga kamphindi kakang'ono kofikira ziwalo zanu zoberekera ndi laparoscope. Kenako amasindikiza machubu anu. Dokotala atha kuchita izi:

• kudula ndikupinda machubu
• kuchotsa magawo a machubu
• kutsekereza machubu ndi magulu kapena tatifupi

Njira zina zotsekemera zimafunikira chida chimodzi chokha komanso chekeni, pomwe zina zimafunikira ziwiri. Kambiranani njirayi ndi dokotala pasadakhale.

Njira yolera yotseketsa (Opanda)

Pakadali pano, chida chimodzi chakhala chikugwiritsidwa ntchito poletsa kutseketsa amayi. Anagulitsidwa pansi pa dzina la Essure, ndipo njira yomwe amagwiritsidwira ntchito amatchedwa fallopian tube occlusion. Amakhala ndi tinthu ting'onoting'ono tating'ono tazitsulo. Imodzi imayikidwa mu chubu chilichonse kudzera mu nyini ndi khomo lachiberekero. Pamapeto pake, zilonda zofiira zimazungulira koyilo ndikuletsa timachubu tating'onoting'ono. Essure yakumbukiridwa ku United States, kuyambira pa Disembala 31, 2018. Mu Epulo 2018, US Food and Drug Administration (FDA) idaletsa kugwiritsa ntchito malo ochepa azachipatala. Odwala anali atanena zowawa, magazi, komanso zosavomerezeka. Komanso, pakhala nthawi zina zomwe zimayambira kuboola chiberekero kapena kuchoka pamalo. Azimayi opitilira 16,000 aku US aku America akumanga mlandu wa Bayer pa Essure. A adavomereza kuti pakhala mavuto akulu okhudzana ndi njira zakulera ndipo walamula zochenjeza ndi maphunziro owonjezera zachitetezo.

Kuchira kuchokera ku yolera yotseketsa akazi

Pambuyo pochita izi, mumayang'aniridwa mphindi 15 zilizonse kwa ola limodzi kuti muwonetsetse kuti mukuchira komanso kuti palibe zovuta. Anthu ambiri amasulidwa tsiku lomwelo, nthawi zambiri mkati mwa maola awiri. Kuchira nthawi zambiri kumatenga masiku awiri kapena asanu. Dokotala wanu angakufunseni kuti mubwererenso kudzakakonzekerani sabata imodzi mutatha kuchita izi.

Kodi kulera kwachikazi kumathandiza bwanji?

Njira yolera yotseketsa akazi imakhala yothandiza kwambiri popewa kutenga mimba. Malinga ndi Society of Obstetricians and Gynecologists of Canada, pafupifupi amayi 2 mpaka 10 mwa amayi 1,000 amatha kutenga pakati pambuyo pa tubal ligation. Kafukufuku wofalitsidwa mu nyuzipepala ya Contraception adapeza kuti amayi 24-30 mwa amayi 1,000 adatenga pakati pambuyo pa tubal ligation.

Ubwino wake wakulera kwazimayi ndi uti?

Kutseketsa kwachikazi ndi njira yabwino kwa amayi omwe akufuna kulera koyenera komanso kosatha. Ndizotetezeka pafupifupi pafupifupi azimayi onse ndipo ali ndi cholephera chotsika kwambiri. Njira yolera yotseketsa imagwira ntchito popanda kutsogolera ku zovuta zina monga njira zina, monga mapiritsi oletsa kubereka, kulowetsa, kapena chida cha intrauterine (IUD). Mwachitsanzo, njirayi siyimakhudza mahomoni anu, msambo, kapena chilakolako chogonana. Umboni wina umanenanso kuti yolera yotseketsa ingachepetse pang'ono chiopsezo cha khansa yamchiberekero.

Zoyipa ziti za kulera kwazimayi ndi ziti?

Chifukwa ndichokhazikika, njira yolera yazimayi siyabwino kwa azimayi omwe angafune kutenga pakati mtsogolo. Mitundu ina yamachubu imatha kusinthidwa, koma kusintha nthawi zambiri sikugwira ntchito. Amayi sayenera kudalira kuthekera kosintha. Ndipo njira yolera yosavomerezeka sinasinthe. Ngati pali mwayi uliwonse wofuna mwana mtsogolo, yolera yotseketsa mwina siyabwino kwa inu. Lankhulani ndi dokotala wanu za njira zina. IUD ikhoza kukhala chisankho chabwino. Itha kusiyidwa m'malo mpaka zaka 10, ndikuchotsa IUD kumabwezeretsanso chonde. Mosiyana ndi njira zina zakulera, kulera kwachikazi sikuthandiza amayi omwe akufuna kapena amafunikira kuthana ndi mavuto azisamba. Kutsekemera kwazimayi sikuteteza kumatenda opatsirana pogonana (STIs) mwina. Pakhoza kukhala zifukwa zina zomwe amayi ena amayenera kukumbukira akamalingalira za kulera kwazimayi. Mwachitsanzo, azimayi omwe ali pachiwopsezo chachikulu chotsatira zoyipa za anesthesia sangathe kuchitidwa opaleshoni. Kwa amayi omwe akufuna kuti asamaberekedwe popanda chithandizo chamankhwala, pali zoletsa zina. Pakadali pano, njira yolera yopanda chithandizo si njira kwa iwo omwe:

• khalani ndi chubu chimodzi chokha
• anali ndi machubu amodzi kapena onse awiri olakwika omwe adatsekedwa kapena kutsekedwa
• ndiwosiyana ndi utoto wosiyanasiyana womwe umagwiritsidwa ntchito pa X-ray

Zoyipa ziti za kulera kwazimayi ndi ziti?

Pali zoopsa zina pazochitika zilizonse zamankhwala. Kutenga magazi ndikutuluka magazi ndizovuta zina zomwe zimachitika chifukwa cha tubal ligation. Lankhulani ndi dokotala wanu za zoopsa musanachitike. Nthawi zambiri, machubu amatha kuchira mokha atabereka. Malinga ndi Planned Parenthood, pali mwayi kuti mimba iliyonse yomwe ichitike pano idzakhala ectopic. Ectopic pregnancy imachitika mwana akamalowetsa mu chubu m'malo mwa chiberekero. Ndi vuto lalikulu lachipatala. Ngati simugwidwa munthawi yake, zitha kupha moyo. Pogwiritsa ntchito njira yolera yotseketsa, zoopsa zapezeka kuti ndizovuta kwambiri kotero kuti Essure idachotsedwa pamsika kumapeto kwa 2018.

Yolera yotseketsa yachikazi vs. vasectomies

Vasectomies ndi njira zokhazikika zolerera kwa amuna. Amagwira ntchito yomanga, kudula, kudula, kapena kusindikiza ma vas deferens kuti ateteze umuna. Njirayi itha kapena singafune zazing'onoting'ono komanso zowawa m'deralo. Vasectomy nthawi zambiri imatenga pakati pa miyezi iwiri kapena inayi kuti igwire bwino ntchito ikatha. Pakatha chaka chimodzi, imakhala yogwira ntchito pang'ono kuposa yolera yazimayi. Monga njira yolera yotsekemera, vasectomy sateteza ku matenda opatsirana pogonana. Amuna ndi akazi omwe amasankha vasectomy atha kuchita izi:

• nthawi zambiri zimakhala zotsika mtengo
• imaonedwa ngati yotetezeka ndipo, nthawi zina, njira zochepa zowononga
• sikubweretsa chiopsezo chotenga ectopic pregnancy

Kumbali inayi, maanja omwe amasankha njira yolera yazimayi amatha kutero chifukwa tubal ligation imagwira ntchito nthawi yomweyo, pomwe ma vasectomies atha kutenga miyezi ingapo kuti akhale othandiza.

Chiwonetsero

Pangani msonkhano ndi dokotala wanu kuti mukambirane za njira yolera yazimayi ndi kudziwa ngati ndiyo njira yolerera yabwino kwambiri kwa inu. Ngati mungasankhe njira yolera yopanda opaleshoni, muyenera kugwiritsa ntchito njira ina yolerera kwa miyezi itatu mutatha. Mudzakhalabe ndi nthawi yanu, ndipo simudzakhala ndi dontho la libido. Palibe zosintha pamoyo zofunika pakulera kwazimayi. Ndikofunika kukumbukira kuti ngakhale njira yolera yotseketsa imalepheretsa kutenga pakati, siyiteteza ku matenda opatsirana pogonana. Ngati mukufuna chitetezo cha matenda opatsirana pogonana, gwiritsani ntchito makondomu.