Uma owesifazane ekugcineni ekhetha futhi engapheli ukuthi angabi nezingane eziningi, enye indlela yokungakhathazeki ngokuthi kungenzeka ukukhulelwa kuyisigqoko sezintambo zokulala. Njengoba le ndlela iwukuthi, inzalo yesifazane, ngokwenza inqubo enjalo, isifiso sowesifazane kuphela sokufaka isicelo kuye asikwanele, kuyadingeka ukuthi ihlangabezane nalezi zindlela ezilandelayo:
- babe nezingane ezintathu noma ngaphezulu;
- wayenabantwana ababili futhi wayesekhulile kuneminyaka engama-35;
- wayeneminyaka engaphezu kwengu-40;
- babe nezinkinga zempilo eziphikisanayo nokukhulelwa nokubeletha: ukukhathazeka nokukhubazeka kwezinhlelo zokujikeleza, ukuphefumula, ukwesaba kanye nezokubeletha, izifo zegazi, izicubu ezimbi, njll.
Ama-tuberpioan tubes: imiphumela
Isisekelo salendlela yokuvimbela ukuvimbela ukuvimbela ukuvimbela ukuvimbela ukuvimbela ukuvimbela ukuvimbela ukuvimbela ukuvimbela izidakamizwa, ukugqoka noma ukubopha ngosizo lweziqeshana ezikhethekile, ngenxa yalokho umhlangano weqanda nesidoda kanye nokukhulelwa okulandelayo kungenakwenzeka. Ama-ovari akwazi ukuvezwa kunoma imuphi umthelela, okungukuthi, owesifazane uhlala engowesifazane kuzo zonke izibonakaliso: usaqhubeka nokuya esikhathini, amahomoni abesifazane namaqanda akhiwa, ukushayela ucansi akupheli noma kuphi, kuphela ikhono lokukhulelwa kwengane lilahlekile. Kumele kukhunjulwe ukuthi le ndlela yokuvimbela ukukhulelwa ingenakuphikiswa, futhi uma ngokuhamba kwesikhathi owesifazane efuna ukuthola injabulo yobazali futhi, kuzomele asebenzise izindlela ze-IVF ngalokhu. Ezimweni ezingavamile kakhulu, emva kokugqoka, ukuzilungisa ngokwakho kwe-tubal permeability nokukhulelwa kungenzeka, kepha kungenzeka ukuthi umphumela onjalo awunaki. Ngakho-ke, uma ukhetha indlela enjalo yokuvikelwa, owesifazane kufanele aziswe ngokungahambi kahle kwe-tubal ligation, ukutholakala kwesenzo esibi kanye nezinkinga ngemuva kokuhlinzwa, kanye nokunye kwezinye izindlela zokuvimbela ukukhulelwa. Uma wenza isinqumo sokugcina, kubalulekile ukucabangela ukuzinza komshado kanye nempilo yabantwana, ngoba kaningi owesifazane ucabanga ngokukhulelwa okusha ngemuva kokungena emshadweni omusha noma ukulahlekelwa ingane.
I-ligation ligation yenziwe kanjani?
Ngaphambi kokusebenza kwe-tubal ligation, lo wesifazane kuyodingeka asayine imvume yakhe futhi ahlole ukuhlolwa kwezokwelapha ngaphambi kokusebenza.
Kunezindlela eziningana zokwenza ukuhlinzwa kwe-tubal ligation:
- Isisu - i-laparotomy noma i-mini-laparotomy. Lokhu kuhlotshaniswa kwenziwa esiswini esingaphansi, ukuhlinzwa kungaphansi kwe-anesthesia jikelele, futhi ukuhlala esibhedlela sezokwelapha kubamba okungenani izinsuku ezingu-7.
- I-vaginal - colpotomy. Lokhu kuhloswe kukhiqizwa ngaphakathi kwesiswini, kungashiyi amacembe emva kokusebenza, kodwa ingozi yokutheleleka ikhula kakhulu. Ngemuva kokusebenza kwezinsuku ezingu-30-45, kubalulekile ukugwema umsebenzi wezocansi.
- I-endoscopy ye-peritoneum yindlela esetshenziselwa kakhulu. Ukusebenza kungaphansi kwe-anesthesia ejwayelekile, futhi yonke into eyenziwa yenziwa ngemibono encane ekwenzeni inkaba. Ukuhlanganiswa kwamapayipi kwenziwa ngezindlela zokugqoka ezivela ensimbi noma
ipulasitiki, kanye nokukhanya kwe-lumen emathinini kuvaliwe, ukuyibeka nge-electrocoagulation. - I-endoscopy yesibeletho yindlela entsha kakhulu yokugxilwa kwamatayipi omzimba. Ngalokhu kungenelela, inzalo iyabonakala ngokuvala ama-tubypian tubes usebenzisa ama-microtips kusuka epulasitiki.
Njenganoma yikuphi ukungenelela okuhlinzayo, ukuxilongwa kwamatayipi angama-falsipian kungabangela izinkinga kanye nokuphendula komzimba: ukusabela okwenziwe okweqile ku-anesthesia, ukuphuma kwegazi, ukutheleleka kwegazi, ukwehluleka ukuphefumula, ukukhulelwa kwe-ectopic noma ukuvinjelwa kwe-tube ephelele.