Xa umfazi ekugqibeleni aze anqume ukuba angabi nabantwana abaninzi, enye indlela yokungaxhalabisi malunga nokukhulelwa kwangoku kungumgca wee-tublopian tubes. Ekubeni le ndlela, eqinisweni, inzala yowesifazane, ngokwenza inkqubo enjalo, kuphela umnqweno wesifazane ukuba ayisebenzise kuye akwanele, kubalulekile ukuba udibana nale migaqo elandelayo:
- babenabantwana abathathu okanye ngaphezulu;
- wayenabantwana aba-2 kwaye wayeneminyaka engama-35 ubudala;
- wayeneminyaka engama-40 ubudala;
- babe neengxaki zempilo ezichasene nokukhulelwa kunye nokubeletha: izifo kunye nokungahambi kakuhle kwemimandla ejikelezayo, yokuphefumula, yeentlanzi kunye nezokuzalwa kwee-genitourinary, izifo zegazi, izifo ezihlambalayo, njl njl.
Ukuguqulwa kwamathambo e-fallopian: iziphumo
Isiseko sale ndlela yokukhulelwa komzimba yendalo yendalo yokukhutshwa kwezigubhu ze-fallopian, ngokubhinqa, ukugubungela okanye ukubetha ngoncedo lwezikhetho ezikhethekileyo, ngenxa yoko intlanganiso yeqanda kunye nesidoda kunye nokukhulelwa komzimba kungenakwenzeka. Ama-ovari akwazi ukubonakaliswa naziphi na iimpembelelo, okokuthi, inenekazi ibingumfazi kuyo yonke imbonakalo: uyaqhubeka nokuya esikhathini, ama-hormone amabhinqa kunye namaqanda aphuhliswa, i-sex drive ayishiyanga naphi na, kuphela ukukwazi ukukhulelwa umntwana. Kumele kukhunjulwe ukuba le ndlela yokukhulelwa komzimba ayinakuguquka, kwaye ukuba ngexesha elithile umfazi ufuna ukufumana uvuyo lokuba ngumama kwakhona, ngoko uya kusebenzisa iindlela ze-IVF kule nto. Kwiimeko ezinqabileyo kakhulu, emva kokugqoka, ukulungiswa komzimba we-tubal ukuphelelwa amandla nokukhulelwa kunokwenzeka, kodwa unokwenzeka ukuba umphumo onjalo awunanto. Ngoko ke, xa ukhetha indlela enjalo yokukhusela, umfazi kufuneka axelelwe ngokungenakwenzeka kwe-tubal ligation, ubukho beempembelelo ezimbi kunye neengxaki emva kokuhlinzwa, kunye nokunye kwezinye iindlela zokukhulelwa. Xa wenza isigqibo sokugqibela, kubalulekile ukuqwalasela ukuzinza komtshato kunye nempilo yabantwana, kuba ngokuqhelekileyo umfazi ucinga ngokukhulelwa okutsha emva kokungena kumtshato omtsha okanye ukulahlekelwa ngumntwana.
I-tubal ligation yenziwe njani?
Ngaphambi kokusebenza kwe-tubal ligation, lo mfazi uya kufuneka atyikitye imvume yakhe kwaye afune ukuhlolwa kwezokwelapha ngaphambi kokusebenza.
Kukho iindlela ezininzi zokwenza utyando lwe-tubal ligation:
- Ubomi - i-laparotomy okanye i-laparotomy. Izibhengezo zenziwa kwisisu esezantsi, umsebenzi uphantsi kwe-anesthesia jikelele, kwaye uhlala esibhedlele sezokwelapha uhlala ubuncinane iintsuku ezi-7.
- Vaginal - colpotomy. Izibhengezo ziveliswa kwisisini, zingashiyi izicathulo zengqesho, kodwa ingozi yokusuleleka isifo sanda kakhulu. Emva kokusebenza kweentsuku ezingama-30-45, kubalulekile ukuba uyeke kwimisebenzi yesondo.
- I-Endoscopy ye-peritoneum yindlela esetyenziswa ngayo kakhulu. Usebenziso luphantsi kwe-anesthesia jikelele, kwaye zonke iindlela eziqhutyelwayo ziqhutyelwa ngemibono emincinci kwinqanaba levelwano. Ukudibanisa iipayipi kwenziwa ngeendlela zokubamba izitenxo kwisitye okanye
iplastiki, kunye ne-lumen kwiibhubhu zivaliwe, i-cauterizing it by electrocoagulation. - I-Endoscopy yesibeleko yindlela entsha ye-ligation yama-tublopian tubes. Ngale ngenelelo, inzalo iyenzeka ngokuvala ii-orifices ze-tublopian tubes zisebenzisa i-microtips kwi-plastiki.
Njengawo naluphi na ukungenelela okutyathwayo, i-ligation ye-tublopian tubes ingakhokelela kwiinkathazo kunye nokuphendula kwangasese: ukuphendulwa komzimba kwi-anesthesia, ukuphuma kwegazi, ukusuleleka kwegazi, ukungaphumeleli kokuphefumula, ukukhulelwa kwe-ectopic okanye ukukhutshwa kwebhubhu engaphelelanga.