I-Tubal ligation iyindlela yokuvimbela inzalo kwabesifazane. Kuhilela ukuvala amashubhu e-fallopian ukuvimbela ukuvundiswa. Kuyindlela ethathwa njengengenakuhlehliswa. Ihlanganisani le ndlela futhi isebenza kanjani?

I-Tubal ligation iyindlela yokuvala inzalo kwabesifazane ngezinjongo zokuvimbela inzalo. Lesi yisenzo sokuhlinzwa esenziwa esibhedlela. Umehluko omkhulu phakathi kwale ndlela yokuvimbela inzalo kwabesifazane kanye nezinye izindlela ezikhona, ukuthi i-tubal ligation ihlala unomphela. Kubhekwa njengokungenakuhlehliswa, ngakho-ke kusho isifiso sokungabi nabantwana noma ukungabe usaba nabo. Kunezindlela ezintathu zokuvala inzalo okubangela ukuvinjelwa kweshubhu kwabesifazane:

• i-ligation;
• i-electrocoagulation;
• ukufakwa izindandatho noma iziqeshana.

Umgomo wendlela yokuvimbela inzalo ukuvimbela i-ovulation, ukuvundiswa phakathi kweqanda nesidoda noma ngisho nokufakelwa. Kulokhu, umqondo uwukubopha, okungukuthi ukuvala, amashubhu e-fallopian. Ngakho, iqanda alikwazi ukwehlela esibelethweni ngemva kokuphuma esibelethweni ngesikhathi ovulation. Ukuhlangana nesidoda ngeke kwenzeke futhi ukuvundiswa kuyagwenywa. Nakuba i-tubal ligation iyindlela yokulawula inzalo futhi isiza ukuvimbela ukukhulelwa, ayivikeli ezifweni ezithathelwana ngocansi. Ngakho-ke kuyadingeka ukusebenzisa ikhondomu ngaphezu kwalokho uma kunesidingo.

I-Tubal ligation ivunyelwe ngokomthetho kubantu abadala. Nokho, udokotela ngamunye ukhululekile ukwenqaba ukwenza lokhu kungenelela. Kulokhu, kudingeka ukuthi alimemezele ngesikhathi sokubonisana kokuqala futhi adlulisele isiguli kuzakwethu ongakwazi ukuhlinza. Kubalulekile ukukhumbula ukuthi, ngokomthetho, ubudala, inombolo yezingane kanye nesimo somshado akuvimbeli ukuthi kungenzeka ukwenza i-tubal ligation.

Inhloso yendlela yokuvimbela inzalo ukuvimbela ukukhulelwa okungenzeka. Kunenqwaba yezindlela ezihlehliswayo zokuvimbela ukuvundiswa:

• iphilisi ;
• IUD
• ikhondomu;
• gxilisa;
• i-diaphragm;
• njll

Nokho, kwezinye izimo njengokungafisi ingane noma inombolo efiselekayo yezingane ezuziwe, i-tubal ligation ingakhethwa. Impela, indlela eqondile yokuvimbela inzalo ikuvumela ukuthi uzwe ubulili bakho ngaphandle kokukhathazeka ngohlelo lwakho lokuvimbela inzalo. Lokhu kusiza futhi ukugwema iziphazamiso (ukukhohlwa iphilisi, ukuphula ikhondomu, njll.) noma izinkinga ezingaba khona ezihlobene nezinye izindlela zokuvimbela inzalo.

Ukungenelela kanye nezinqubo kuchazwa ngumthetho. Izinyathelo zimi kanje:

• Ukubonisana kokuqala. Isiguli kanye nodokotela bazoxoxa ngenqubo kanye nezizathu zesicelo. Isiguli kufanele “sikhululeke, sigqugquzeleke futhi sibe ngamabomu”. Kulokhu, udokotela uyadingeka ukuthi amnike ulwazi oluthile kwezinye izindlela ezikhona zokuvimbela inzalo, ku-tubal ligation (indlela inqubo eyenziwa ngayo, yiziphi izingozi nemiphumela, njll) kanye nefayela lezokwelapha. ulwazi olubhaliwe ngezinyathelo ezilandelayo okufanele zithathwe. Uma ethanda, isiguli singambandakanya umlingani waso kulolu hlelo lokuthatha izinqumo, kodwa kucatshangelwa imvume yakhe kuphela. Kungenzeka futhi ukusetha ukwesekwa okuvela kuchwepheshe wezengqondo kanye nodokotela wengqondo ukuze basekele ukuthathwa kwezinqumo;
• Isikhathi sokucabanga. Umthetho uhlinzekela isikhathi esiyizinyanga ezi-4 sokuzindla phakathi kwesicelo nokungenelela kokuhlinzwa. Umkhawulo wesikhathi ungaqalwa kuphela ngemuva kokubonisana kokuqala nodokotela ovuma ukwenza inqubo;
• Ukubonisana kwesibili. Lokhu kubonisana kwesibili kwenzeka ngemva kwezinyanga ezi-4 zokuzindla. Isiguli kufanele siqinisekise ngokubhala isifiso saso sokuqhubeka nokuhlinzwa;
• Ukungenelela. Njengoba i-tubal ligation iyinqubo yokuhlinzwa, kufanele yenziwe udokotela esibhedlela noma emtholampilo. Ngaphansi kwe-anesthesia ejwayelekile, inqubo ingenziwa nge-laparoscopy (ngokusikwa okuncane esiswini), ngesitho sangasese sowesifazane, noma phakathi nokuhlinzwa ngesinye isizathu. Ukulaliswa esibhedlela yizinsuku ezi-1 kuye kwezingu-3.

Kuyindlela ephumelela kakhulu yokuvimbela inzalo, ngokulandelana kwama-99%. Uma ufuna ingane, kungenzeka ukuthi uzame umsebenzi wokubuyisela, kodwa kuwumsebenzi onzima kakhulu, umphumela wawo ongaqinisekile kakhulu. I-Tubal ligation kufanele ithathwe njengendlela yokuvala inzalo engenakuhlehliswa, ukuze wenze isinqumo esinolwazi.

I-Tubal ligation ayithinti umjikelezo wokuya esikhathini oqhubeka nokuqhubeka ngendlela evamile. Ngakho-ke ayinayo imiphumela ekulinganisweni kwe-hormonal noma i-libido.

Imiphumela evame kakhulu nemnene ngemva kokuhlinzwa ubuhlungu besisu. Izinkinga zangemva kokuhlinzwa azivamile futhi azimbi kakhulu.

Ezimweni ezingavamile kakhulu, ukuvala inzalo kungahluleka futhi kubangele ukukhulelwa. Njengoba amashubhu alimala, ukukhulelwa kungaba ectopic. Uma kwenzeka isikhathi sekwephuzile, kubalulekile ukubonisana nodokotela. Izimpawu ezilandelayo kufanele zibangele ukubonisana okuphuthumayo:

• ubuhlungu besisu bokuqina okuhlukahlukene, ukuqala ngokuzumayo, ngokuvamile ku-lateralized;
• ukopha kwesitho sangasese sowesifazane, ikakhulukazi uma isikhathi sokugcina sibambezelekile noma kungenzeki;
• ukukhathala, isiyezi.