Izibhedlela Ezingcono Kakhulu Zokuhlinzwa Kwe-Bilateral Tubal Ligation e-Hyderabad

Ukuhlinzwa Okuthuthukisiwe Kwe-Bilateral Tubal Ligation

I-Bilateral tubal ligation, ebizwa nangokuthi i-BTL, iyindlela ethembekile yokuvimbela ukukhulelwa, ngezinga lempumelelo lika-99%. Lokhu kuhlinzwa okubizwa ngokuthi "ukubopha amashubhu akho," kungenye yezinketho eziphezulu zokulawula ukuzalwa unomphela. Abesifazane abaningi emhlabeni wonke bathembele kukho ukuphatha ukuvimbela ukukhulelwa.

Lo mhlahlandlela uhlanganisa imininingwane ebalulekile iziguli okufanele ziyiqonde mayelana ne-bilateral tubal ligation. Kuhlanganisa ulwazi mayelana nenqubo yokuhlinzwa, inqubo yokululama, kanye nobuhle nobubi obuhilelekile.

Kungani Khetha Izibhedlela Zeqembu Le-CARE eHyderabad Ukuze Ube Nokuhlinzwa Kwe-Bilateral Tubal Ligation?

The amaqembu e-gynecology esibhedlela banolwazi olunzulu lokuvala inzalo kwabesifazane ngenkathi besebenza odokotela ababulala izinzwa kanye nabeluleki njengengxenye yethimba elikhulu elisebenzisanayo. Basebenzisa amathuluzi okuhlinza athuthukisiwe aklanyelwe ukwenza izinqubo ezihlaselayo ezifana ne-bilateral tubal ligation ngokunemba nemiphumela emihle.

Izibhedlela ze-CARE zigqama ngenxa yokugxila kwazo ezigulini ezibhekana nezidingo zomzimba nempilo engokomzwelo kuyo yonke inqubo yokuhlinzwa. Ukuzinikela kwabo ekunakekelweni okuseqophelweni eliphezulu nakho kuholele ezinzuzweni ezibalulekile okufanele ziphawulwe.

I-Bilateral Tubal Ligation Odokotela Abahlinzayo Abangcono Kakhulu eNdiya

Khetha indawo Hyderabad Visakhapatnam Bhubaneshwar Nagpur Raipur esilengayo I-Aurangabad Imitholampilo Nezikhungo Zezokwelapha

Khetha Isibhedlela CARE Hospitals, Banjara Hills, Hyderabad CARE Hospitals Outpatient Centre, Banjara Hills, Hyderabad CARE Hospitals, HITEC City, Hyderabad CARE Hospitals, Nampally, Hyderabad I-Gurunanak CARE Hospitals, Musheerabad, Hyderabad CARE Hospitals, Bhubaneswar I-Ganga CARE Hospital Limited, eNagpur I-Ramkrishna CARE Hospitals, eRaipur CARE Izibhedlela, Ramnagar, Visakhapatnam CARE Hospitals Outpatient Centre, HITEC City, Hyderabad CARE Hospitals, Malakpet, Hyderabad Izibhedlela ze-CARE CHL, e-Indore Izibhedlela Ezihlangene ze-CIIGMA (Iyunithi Yezibhedlela ze-CARE), Chh. Sambhajinagar CARE Izibhedlela, Health City, Arilova CARE Medical Center, Tolichowki, Hyderabad

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  UDkt. Abhinaya Alluri

  umxhumanisi

  I-Obstetrics & Gynecology

  Bhala iNqunto
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  UDkt. Aneel Kaur

  umxhumanisi

  Isikhungo Sowesifazane Nengane

  Bhala iNqunto
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  UDkt. Kranthi Shilpa

  Udokotela Wokubelethisa & Udokotela Wabesifazane, Udokotela Ohlinza Nge-Laparoscopic & Uchwepheshe Wokungazali

  I-Obstetrics & Gynecology

  Bhala iNqunto
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  UDkt. Krishna P Syam

  umxhumanisi

  Isikhungo Sowesifazane Nengane

  Bhala iNqunto
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  UDkt. Manjula Anagani

  U-Padma Shri Awardee, Umqondisi Womtholampilo, i-HOD - CARE Vatsalya, Isikhungo Sowesifazane Nengane, I-Robotic Gynecology

  I-Obstetrics & Gynecology

  Bhala iNqunto
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  UDkt.Muthineni Rajini

  Uchwepheshe Wokubelethisa kanye Nodokotela Wabesifazane, Udokotela Ohlinza I-Laparoscopic, kanye Nochwepheshe Wokungazali

  I-Obstetrics & Gynecology

  Bhala iNqunto
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  UDkt. Neha V Bhargava

  Umxhumanisi we-Gynecological Oncologist

  I-Obstetrics & Gynecology

  Bhala iNqunto
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  UDkt. Prabha Agrawal

  Sr. Umeluleki Wezokubelekisa noDokotela Wabesifazane, Udokotela Ohlinza Nge-Laparoscopic

  I-Obstetrics & Gynecology

  Bhala iNqunto
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  UDkt. Ruchi Srivastava

  umxhumanisi

  Isikhungo Sowesifazane Nengane

  Bhala iNqunto
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  UDkt. Swapna Mudragada

  umxhumanisi

  Isikhungo Sowesifazane Nengane

  Bhala iNqunto
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  UDkt. Shabnam Raza Akther

  umxhumanisi

  Bhala iNqunto
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  UDkt. Alka Bhargava

  umxhumanisi

  Bhala iNqunto
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  UDkt. Chetna Ramani

  umxhumanisi

  I-Obstetrics & Gynecology

  Bhala iNqunto
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  UDkt. Neena Agrawal

  Sr. Consultant neNhloko yoMnyango

  I-Gynecology & Obstetrics

  Bhala iNqunto
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  UDkt. Sushmita Mukherjee Mukhopadhyay

  umxhumanisi

  I-Gynecology & Obstetrics, i-IVF kanye, i-Laparoscopy

  Bhala iNqunto
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  UDkt. Aditi Laad

  umxhumanisi

  Umuthi Wengane

  Bhala iNqunto
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  UDkt Sonal Lathi

  Sr. Consultant (Udokotela Wezokubelekisa noDokotela Wabesifazane), Uchwepheshe Wokungazali kanye Nodokotela Ohlinza Nge-Laparoscopic

  I-Obstetrics & Gynecology

  Bhala iNqunto
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  UDkt. N Sarala Reddy

  umxhumanisi

  I-Obstetrics & Gynecology

  Bhala iNqunto
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  UDkt. Sushma J

  Sr. Consultant

  I-Obstetrics kanye ne-Gynecology

  Bhala iNqunto
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  UDkt. Maleeha Raoof

  Sr Uchwepheshe Wezokubelethisa kanye Nodokotela Wabesifazane

  I-Obstetrics ne-Gynecology

  Bhala iNqunto
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  UDkt. Sirisha Sunkavalli

  umxhumanisi

  I-Obstetrics kanye ne-Urogynecology

  Bhala iNqunto
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  UDkt. SV Lakshmi

  Sr. Consultant

  I-Gynecology

  Bhala iNqunto
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  UDkt. Arjumand Shafi

  Uchwepheshe Wokubelethisa kanye noDokotela Wezifo Zabesifazane

  I-Obstetrics & Gynecology

  Bhala iNqunto
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  UDkt. M Sirisha Reddy

  Umxhumanisi Wemithi Yengane

  I-Gynecology

  Bhala iNqunto
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  UDkt Amatunnafe Naseha

  Sr Uchwepheshe Wezokubelethisa kanye Nodokotela Wabesifazane

  I-Obstetrics & Gynecology

  Bhala iNqunto
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  UDkt Anjali Masand

  I-Consultant Gynecology and Obstetrics

  I-gynecology kanye ne-Obstetrics

  Bhala iNqunto
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  Dr. Prathusha Kolachana

  Umxhumanisi - I-gynecology and Obstetrics, Udokotela Ohlinzayo we-Laparoscopic

  I-gynecology kanye ne-Obstetrics

  Bhala iNqunto
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  UDkt. Alakta Das

  Sr. Consultant

  I-Obstetrics ne-Gynecology

  Bhala iNqunto

Intuthuko Ehamba phambili Yokuhlinza Esibhedlela I-CARE

Izibhedlela ze-CARE zibeka izindinganiso ezindleleni ezintsha zokuhlinza ukuze zenze i-bilateral tubal ligation ngokunikeza iziguli izinketho zobuchwepheshe besimanje. Ithimba labo elihlinzayo lisebenzisa izinhlelo ezisizwa yiRobot, ezithuthukisa ukunemba nokwandisa impumelelo yale misebenzi.

Isibhedlela sinikeza izici ezisezingeni eliphezulu njenge:

• Iyahlasela ukuhlinzeka nge-laparoscopic Izindlela
• Ukwenziwa inzalo usebenzisa i-hysteroscopy
• Amathuluzi wokuthwebula wekhwalithi ephezulu
• Amasistimu ane-bipolar coagulation
• Ukuhlinzwa okukodwa kwe-laparoscopic (SILS)
• I-Tubal ligation izixazululo ngemva kokubeletha

Ukusetshenziswa kwamarobhothi ekuhlinzeni kuye kwaveza imiphumela emihle kakhulu. Nakuba inqubo ingase ithathe isikhathi esiningi, izinzuzo zeziguli ziye zabonakala.

• Ukuncipha kwegazi
• Ubuhlungu obuphansi ngemva kokuhlinzwa
• Isikhathi esincishisiwe esisichitha esibhedlela
• Ikhono elithuthukisiwe lokubuka izakhiwo ezintekenteke

Imibandela Yokwenza Ukuhlinzwa Kwe-Bilateral Tubal Ligation

Odokotela kudingeka bahlole ubudala, isimo somshado, nempilo yengqondo ukuze bathole imiphumela engcono kakhulu.

• Ukufaneleka kuncike eminyakeni yobudala. Abesifazane kumele babe neminyaka ephakathi kuka-22-49 ukuze bafaneleke.
• Iziguli kumele zibe nempilo yengqondo ezinzile ukuze ziqonde ukuthi inqubo ayinakuhlehliswa.
• Isikhathi sokuhlinzwa siyahlukahluka ngenxa yezinto ezihlukene. Odokotela benza inzalo yesikhawu phakathi kwezinsuku eziyisikhombisa ngemva kwesikhathi esithile, phakathi nesigaba se-follicular. Uma kuwukuvala inzalo kwangemva kokubeletha, bakwenza noma nini kusukela emahoreni angama-24 kuya ezinsukwini eziyisikhombisa ngemva kokubeletha. Kungenziwa futhi eduze nokuhushula isisu ngokwezokwelapha noma ngemva kokuphuphuma kwesisu, kucatshangwa ukuthi iziguli ziyahlangabezana nezidingo zezokwelapha.

Izindlela ze-Bilateral Tubal Ligation

Izindlela zokuhlinza ezisetshenziselwa i-bilateral tubal ligation ziye zaba ngcono ngokuhamba kwesikhathi. Iziguli manje zinezinketho ezimbalwa ezisekelwe kulokho okufanelana nesimo sazo.

• I-Laparoscopic Tubal Ligation Procedure: I-Laparoscopic tubal ligation iyindlela ephezulu esetshenziselwa ukwenza inzalo yesikhawu. Odokotela basebenzisa indlela ehlaselayo ehilela ukwenza ukusikeka okuncane okubili - okukodwa eduze kwenkinobho yesisu futhi okunye ngenhla nje kwendawo ye-pubic.
• Indlela Yendabuko Ye-Laparotomy: Le ndlela isebenzisa ukusika okukhulu esiswini okungamasentimitha amabili kuya kwayisihlanu ubude. Nakuba ukululama kuthatha isikhathi esengeziwe, le ndlela yokusebenza isabalulekile ezimweni ezithile ngemva kokubeletha ngokuhlinzwa.
• I-Mini-laparotomy Tubal Ligation: Odokotela abahlinzayo ngokuvamile benza le ndlela phakathi nosuku ngemva kokubeletha kwesitho sangasese sowesifazane. Basebenzisa ukusika okuncane kunalokhu okusetshenziselwa i-laparotomy evamile. Ngokuvamile kwenzeka ngaphansi kwe-epidural anesthesia. Amashubhu e-fallopian afinyelelwa ngokusikwa okwenziwe eduze nendawo engezansi yenkinobho yesisu.

Odokotela basebenzisa izindlela ezahlukene ukuvimba amashubhu:

• I-Bipolar Coagulation: Ithumela amandla kagesi phakathi kwamaphoyinti amabili e-electrode ukuze ivale ingxenye yeshubhu engu-2-5 cm.
• Indlela ye-Pomeroy: Yakha iluphu eshubhuni ye-fallopian, iyibophe nge-sutures bese isika futhi ivale iziphetho isebenzisa ukushisa.
• Iziqeshana ze-Tubal: Beka iziqeshana ezihlala njalo ukuze uvimbele ukunyakaza kwamaqanda, okuvumela ithuba elihle lokuhlehla kamuva.
• I-Fimbriectomy: Isusa ingxenye eseduze ne-ovary, nakuba ukuyihlehlisa kuvame ukuphumelela kancane.

Ukulungiselela Ukuhlinzwa Kwangaphambi Kokuhlinzwa

Ukulungiselela kuhlanganisa:

• Iziguli kufanele ziyeke ukudla noma ukuphuza kusukela phakathi kwamabili ngaphambi kokuhlinzwa. 
• Odokotela bahlola imithi yabo yamanje, benze izinguquko noma bamise eminye uma kudingeka. 
• Ababhemayo kufanele bayeke isikhathi eside ngaphambi kokuhlinzwa.

Izinyathelo ku-Bilateral Tubal Ligation

Ukuhlinzwa ngokwako kuthatha cishe imizuzu engama-30. Okokuqala, ithimba lezokwelapha linikeza izinzwa ezivamile noma zomgogodla.

Phakathi nokuhlinzwa, izinyathelo zihlanganisa:

• Ukugcwalisa isisu nge-carbon dioxide gas
• Ukusebenzisa i-laparoscope ngekhamera ukuze ubone ngaphakathi
• Ukuthola amashubhu fallopian
• Ukuvala amashubhu ngokusika, ukubopha, ukubopha noma ukufaka intambo kagesi

Ukululama Ngemva Kokuhlinzwa

Ngemuva kwenqubo ye-ligation, iziguli ziphumula endaweni yokululama ngenkathi ziqashwe. Abantu abaningi baya ekhaya ngemva kwamahora ambalwa. Ukubuyisela kuhlanganisa izinyathelo ezimbalwa ezibalulekile:

• Ukuqala ukudla ukudla okuvamile
• Ukulawula ubuhlungu behlombe obusuka kugesi osele, obuhlala usuku olulodwa kuya kwezintathu
• Ukugcina izindawo zokusikeka zomile ezinsukwini ezimbalwa zokuqala
• Ukugwema izinto ezinzima cishe amasonto amathathu
• Ukulinda isikhathi esingangesonto ukuze uqalise kabusha izenzo zocansi

Izingozi Nezinkinga

Kunezingozi ezisheshayo ezihlobene nokuhlinzwa. Imiphumela emibi evamile ye-bilateral tubal ligation ihlanganisa okulandelayo:

• Ukulimaza izitho eziseduze njengamathumbu, esinyeni, noma imithambo yegazi emikhulu
• Ukopha ngenxa yokusikeka ngokuhlinzwa
• Ukuphola kabi kwezilonda
• Izimpendulo ezingezinhle ku i-anesthesia

Kubalulekile ukubheka izinkinga ngemuva kokuhlinzwa. Kufanele uxhumane nodokotela uma ubona:

• A imfiva ngaphezu kuka-100.4 ° F
• Ukuphuma kwesitho sangasese sowesifazane ngephunga elibi
• Ubuhlungu obukhulu endaweni ye-pelvic noma yesisu
• Igazi elicwilisa ngezingubo zokugqoka
• Ukuzizwa uphelelwa amandla noma unekhanda elilula
• Ukuvuvukala noma ububomvu endaweni yokuhlinzwa

Izinzuzo Zokuhlinza I-Bilateral Tubal Ligation

Ukuhlinzwa kunikeza kokubili isivikelo esisheshayo kanye nempilo yonke ekukhulelweni okungahlosiwe. Ngemva kokuba sekwenziwe, iziguli akusadingeki zicabange ngokuphuza amaphilisi okulawula inzalo nsuku zonke noma ukuhambisana nezinto zokuvimbela inzalo. Enye inzuzo eyinhloko indlela yayo engenawo ama-hormone. Ngokungafani nezinye izinketho eziningi ze-bilateral tubal ligation igcina amazinga akho e-hormone engashintshile. 

Imijikelezo yokuya esikhathini ihlala ingashintshi, futhi ayishintshi isikhathi menopause. Lokhu kwenza kube ukukhetha okuhle kubantu abakhetha ukulawulwa kokuzalwa ngaphandle kokuthembela kumahomoni.

Ucwaningo lubonisa ukuthi i-tubal ligation iphinde yehlisa amathuba omdlavuza wesibeletho. Inqubo inezinzuzo ezicacile uma kuziwa ekululameni nasekunakekeleni ngemva kokunakekelwa. Iziguli zibuyela ekhaya ngemva kwamahora ambalwa nje zivakashele esibhedlela.

Usizo Lomshwalense Wokuhlinzwa Kwe-Bilateral Tubal Ligation

Ukusekelwa ngokwezimali kokuhlinzwa kwe-bilateral tubal ligation kuncike kumhlinzeki womshwalense kanye nemigomo eqondile yenqubomgomo.

Ezibhedlela ze-CARE, ithimba likusiza:

• Thola ukugunyazwa kwangaphambili uma kunesidingo
• Gcina amarekhodi azo zonke izingxoxo nenkampani yakho yomshwalense

Umbono Wesibili Ngokuhlinzwa Kwe-Bilateral Tubal Ligation

Ukuthola umbono wesibili wokunquma mayelana ne-bilateral tubal ligation kusiza iziguli zenze izinqumo ezingcono ngale nketho yokulawula ukuzalwa unomphela. Ochwepheshe basezibhedlela ze-CARE baqondisa iziguli ekuhloleni okuphelele ukuze ziqonde zonke izinyathelo zenqubo ngaphambi kokuqhubekela phambili.

Odokotela babheka izici ezingase zibe nomthelela ekuhlinzeni. Lokhu kubandakanya izinto ezifana nokuhlinzwa kwesisu kwangaphambilini, izimo ezifana ne-endometriosis, ukukhuluphala ngokweqile noma ukuba nesifo sikashukela. Ukuhlola okuningiliziwe kusiza odokotela babone izingozi ezingaba khona futhi bakhethe indlela yokuhlinzwa ephephe kunazo zonke.

Isiphetho

I-Bilateral tubal ligation inikeza inketho ehlala njalo nethembekile yokuvimbela ukukhulelwa, kanye nezinzuzo zezempilo ezengeziwe. Izibhedlela ze-CARE zenza le nqubo zisebenzisa izikhungo zesimanje, amathimba okuhlinza abanamakhono kanye nobuchwepheshe bamuva bokuqinisekisa ukunakekelwa kwekhwalithi.

Inqubo inikeza izinga lokuphumelela elingu-99.5% futhi yehlisa ingozi yomdlavuza wesibeletho, okwenza kube inketho eqinile yokukhetha lapho ufuna ukulawula ukuzalwa unomphela.