Permanent kulera (yolera yotseketsa)

Zamkati

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Kulera kwamuyaya ndi kwa iwo omwe akutsimikiza kuti sakufuna kukhala ndi mwana kapena ana ena. Ndichisankho chofala kwambiri kwa azimayi azaka 35 kapena kupitilira apo. Kutsekemera kwazimayi kumatseketsa machubu a mayi potseka, kumangirira kapena kudula kuti dzira lisapite kuchiberekero. Pali mitundu iwiri yoyambirira ya njira yolera yotseketsa akazi: njira yatsopano yopangira maopareshoni, yotchedwa Essure, ndi njira zamakhalidwe a tubal ligation, zomwe nthawi zambiri zimatchedwa "kumangiriza machubu anu."

• Zofunikira ndiyo njira yoyamba yopanda opaleshoni yolera yotseketsa akazi. Thubhu yocheperako imagwiritsidwa ntchito kulumikiza kachipangizo kakang'ono ngati kasupe kudzera mu nyini ndi chiberekero mumachubu iliyonse. Chipangizochi chimagwira ntchito popangitsa kuti zilonda zam'mimbazi zizizungulira mozungulira kolowera, kutseka timachubu tating'onoting'ono, tomwe timayimitsa dzira ndi umuna kuti zisalumikizane. Njirayi ingathe kuchitidwa mu ofesi ya dokotala ndi anesthesia yakomweko.
  Zitha kutenga pafupifupi miyezi itatu kuti minofu yolira ikule, chifukwa chake ndikofunikira kugwiritsa ntchito njira ina yolerera panthawiyi. Pambuyo pa miyezi itatu, mudzayenera kubwerera ku ofesi ya dokotala kukalandira x-ray yapadera kuti muwonetsetse kuti machubu anu atsekedwa kwathunthu. M'maphunziro azachipatala, azimayi ambiri sananene zowawa zilizonse, ndipo amatha kubwerera kumagwiridwe awo tsiku limodzi kapena awiri. Kufufuza kungachepetse chiopsezo cha mimba ya tubal (ectopic).

• Tubal ligation (kutsekereza kwa opaleshoni) kumatseka machubu powadula, kuwamanga, kapena kuwadinda. Izi zimalepheretsa mazirawo kupita kuchiberekero komwe angakakumane ndi umuna. Opaleshoniyo imatha kuchitika m'njira zingapo koma nthawi zambiri imachitidwa pansi pa anesthesia wamba m'chipatala. Kuchira kumatenga masiku anayi kapena asanu ndi limodzi. Zowopsa zimaphatikizira kupweteka, kutuluka magazi, matenda ndi zovuta zina pambuyo pake, komanso ectopic, kapena tubal, mimba.

Kulera kwa amuna kumatchedwa vasectomy. Njirayi imachitika kuofesi ya dokotala. Matendawa amakhala ndi dzanzi chifukwa cha mankhwala ochititsa dzanzi, motero adotolo amatha kupangika pang'ono kuti athe kulumikizana ndi ma vas deferens, timachubu tomwe umuna wake umadutsa kuchokera ku tchende kupita ku mbolo. Kenako adotolo amasindikiza, kumangirira kapena kudula ma deferens. Kutsatira vasectomy, bambo amapitilizabe kutulutsa umuna, koma madzimadziwo mulibe umuna. Umuna umakhala m'dongosolo pambuyo pochita opaleshoni kwa miyezi itatu, chifukwa chake panthawiyi, muyenera kugwiritsa ntchito njira yoletsa kubereka kuti muchepetse kutenga pakati. Kuyesa kosavuta kotchedwa kusanthula umuna kungachitike kuti muwone ngati umuna wonse wapita.

Kutupa kwakanthawi ndikumva kuwawa ndizotsatira zoyipa za opaleshoni. Njira yatsopano yochitira izi imatha kuchepetsa kutupa ndi kutuluka magazi.

Ubwino ndi zoopsa

Yolera yotseketsa ndi njira yothandiza kwambiri yolepheretsa kutenga mimba - imawonedwa kuti ndi yoposa 99%, kutanthauza kuti azimayi ochepera m'modzi mwa 100 azitenga pakati atakhala ndi njira yolera yotseketsa. Umboni wina ukusonyeza kuti azimayi omwe ali achichepere akadwala omwe ali ndi chiopsezo chotenga mimba. Opaleshoni yotseketsa akazi ndi yovuta kwambiri ndipo imakhala ndi chiopsezo chachikulu kuposa opaleshoni yotseketsa abambo, ndipo kuchira kumatenga nthawi yayitali. Kuthetsa kulera mwa amuna ndi akazi ndikovuta kwambiri, komabe, ndipo nthawi zambiri sikupambana. Gwero: National Women's Health Information Center (www.womenshealth.gov

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