I-Tubectomy

I-Tubectomy

Inqubo ye-tubectomy, ebizwa nangokuthi i-tubal sterilization, iyindlela engapheli yokuvimbela inzalo kwabesifazane. Kuhilela ukuvala amashubhu e-fallopian ngokuhlinzwa ukuze iqanda elikhishwa yi-ovary lingakwazi ukufinyelela esibelethweni. Amashubhu angaba ngu-10 cm ubude axhunywe nhlangothi zombili zesibeletho. Njengengxenye yenqubo, amashubhu ayasikwa avuleke, aboshwe, noma anqunywe endaweni ethile. Kuyindlela engapheli yokulawula inzalo kanye nokuvala inzalo. Owesifazane ofisa ukugwema ukukhulelwa noma ukubeletha okulandelanayo kungenzeka aphishekele lokhu kwelashwa.

I-Tubectomy iyindlela enkulu yokuhlinzwa engenakuhlehliswa futhi engenazo izingozi. Izibhedlela ze-CARE zingesinye sezibhedlela ezethenjwa kakhulu zezifo zabesifazane ezihlinzeka ngezinqubo zokuhlinzwa ezithuthukisiwe ngaphansi kodokotela abanolwazi. Umnyango unabasebenzi ubusuku nemini ngodokotela abanolwazi lokubelethisa futhi ungahlinzeka ngosizo lokubelethisa oluncike kakhulu esimweni esiphuthumayo. 

Sinezigceme zokubeleka ezihlome ngezokuqapha ezinezingqapheli zangaphakathi, ukunakekelwa kwengane, kanye nezindawo zokusebenza kungakapheli imizuzu embalwa yokwenza isinqumo. Ngaphezu kodokotela bokubelethisa, leli thimba lisekelwa odokotela benhliziyo, odokotela begazi, odokotela bezingane ezisanda kuzalwa kanye nodokotela abanakekela abaguli kakhulu ngaphansi kophahla olulodwa.

Ngaphezu kodokotela abahlinzayo, sinama-colonoscopy alapha umdlavuza wezifo zabesifazane. Sinochwepheshe be-laparoscopy, kokubili kokuxilonga kanye nokusebenza, odokotela bezingane, odokotela bezingane ezisanda kuzalwa, odokotela abahlinza izingane ezisanda kuzalwa, kanye nezazi zofuzo abenza umsebenzi okhethekile emkhakheni wemithi yengane.

Izimpawu ze-Tubectomy

Inqubo ye-tubectomy ikhonjiswe kwabesifazane abangafuni ukukhulelwa esikhathini esizayo futhi bacele le ndlela yaphakade.

Izinto ezilandelayo kufanele zicatshangelwe ngowesifazane ocabangela ukuvala inzalo unomphela nge-tubectomy:

• Izizathu zokukhetha ukuvala inzalo unomphela.

• I-tubal ligation ingaba yindlela engcono kakhulu.

• Izingozi, izinkinga, kanye nemiphumela engemihle yenqubo.

• Ezinye izindlela zokuvimbela inzalo uma kunesidingo.

Technique

Isifo sofuba siwukuhlinzwa okukhulu lapho kuvulwa amashubhu e-fallopian futhi anqanyulwe noma aboshwe ukuze kuvinjwe ukudlula kweqanda esibelethweni.

Izinhlobo ze-Tubectomy

I-tubectomy yenziwa ngokuyinhloko kusetshenziswa amasu e-laparoscopic, njengoba inciphisa izibazi futhi ivumela isiguli ukuthi siye ekhaya ngalolo suku. Kunezindlela eziningana zokwenza i-tubectomy, kuhlanganise:

• I-Laparoscopy: Indlela engavamile esetshenziselwa ukuxilonga noma ukwelapha izimo endaweni ye-pelvic.
• I-Laparotomy: Lokhu kuhilela ukwenza i-tubectomy ngesikhathi se-C-section.
• I-Micro laparoscopy: Ifana ne-laparoscopy, kodwa isebenzisa amathuluzi amancane.
• I-Mini-laparotomy: Inguqulo encane ye-laparotomy esetshenziselwa ukuxhunywa kwe-tubal.
• I-Hysteroscopy: Indlela yesitho sangasese sowesifazane yokuhlonza noma yokwelapha izinkinga ngezitho ze-pelvic.

Ukuvala amashubhu e-fallopian, izindlela ezimbili zivame ukusetshenziswa:

• I-Electrocoagulation, esebenzisa amandla kagesi ukuvala ishubhu.
• Isiqeshana noma ibhande, elibekwe eduze kwamashubhu. Kwezinye izimo, idivayisi isetshenziselwa ukuhlukanisa amashubhu kuma-ovari kanye nesibeletho, kulandelwa ukukhishwa kweshubhu.

Ukunakekelwa Kwe-Post Operative

Ngemva kwe-tubectomy, iziguli ngokuvamile zikhishwa ngosuku olufanayo. Eminye imiphumela emibi evamile ihlanganisa:

• Isicanucanu nobuhlungu amahora angu-4-8 ngemva kokuhlinzwa
• Ukukhathala nokozela
• Amajaqamba esiswini kanye nokungakhululeki izinsuku ezimbalwa

Ukuhlolwa njalo nodokotela ohlinzayo kubalulekile ngesikhathi sokululama. Imihlahlandlela elandelayo yangemuva kokuhlinzwa ngokuvamile iyanconywa:

• Gwema imisebenzi ekhandlayo nokuzivocavoca isonto lonke
• Gwema ukuya ocansini okungenani isonto lonke
• Qhubeka uthatha izidambisi zinhlungu kuze kuphele ukungakhululeki kwe-sutures

Inqubo

Ukusikeka okuncane okuncane kwenziwa eduze kwenkinobho yesisu. Ngesikhathi senqubo, i-laparoscope ifakwa ngokunye kokusikeka. Kuthiphu ye-laparoscope, kunekhamera yokudlulisa isithombe edlulisela izithombe esikrinini, evumela ukubonakala kwezitho zangaphakathi kudokotela ohlinzayo. Njengoba udokotela ohlinzayo efaka amathuluzi akhethekile emisikeni emincane, uqondiswa izithombe futhi avale amashubhu ngokusika izingxenye zawo noma ngokuwavimba esebenzisa iziqeshana.

Izindlela zokwelapha ezihlukene:

• I-Bipolar coagulation: Amashubhu e-fallopian ashiswa kusetshenziswa amandla kagesi.

• I-Monopolar coagulation: Ugesi usetshenziswa ukuvala amashubhu. Umsinga okhipha imisebe owengeziwe usetshenziselwa ukuwalimaza ngokwengeziwe.

• Isiqeshana se-Tubal: Amashubhu e-fallopian avaleka unomphela ngokuwasika noma ngokuwabopha ndawonye.

• I-Tubal Ring: Ibhande le-silastic lisetshenziselwa ukubopha ithubhu.

• I-Fimbriectomy - I-ovary ixhunywe engxenyeni yeshubhu le-fallopian phakathi nale nqubo. Umphumela uba igebe epayipini, elikhinyabeza ikhono leshubhu lokwamukela amaqanda futhi liwadlulisele esibelethweni.

Lokubuyisela

Ngemva kwe-tubectomy, iziguli zingase zikhishwe ngosuku olufanayo. Njengomphumela wokuhlinzwa, umuntu angalindela:

• Ubuhlungu nokucanuzela kwenhliziyo phakathi namahora amane kuya kwayisishiyagalombili okuqala (imithi yobuhlungu yesikhashana ingase idingeke)

• Amajaqamba nobuhlungu besisu

• Ukukhathala

• isiyezi

Ngokuvamile, imithungo isuswa ngemva kwesonto noma izinsuku eziyishumi. Ngemva kokuhlinzwa, ukuqokwa kokulandelela nodokotela ohlinzayo kuyadingeka.

Okuqhamuka uma udla imishanguzo

Njenganoma yikuphi ukuhlinzwa, i-tubectomy ithwala izingozi ezithile kanye nezinkinga, kuhlanganise:

• Ukusabela Okuguquguqukayo: Abanye abantu bangase babe nokusabela komzimba ku-anesthesia noma eminye imithi esetshenziswa phakathi nenqubo.
• Ukopha: Kwezinye izimo, amathuluzi okuhlinza angabangela ukulimala, okuholela ekopheni ngokweqile.
• Ukutheleleka: Uma indawo yokusikwa inganakekelwa kahle, kunengozi yokutheleleka.
• I-Ectopic Pregnancy: Nakuba i-tubectomy iwuhlobo oluhlala njalo lokuvimbela inzalo, kusenengozi yokukhulelwa kwe-ectopic, lapho iqanda elivundisiwe lifaka khona ngaphandle kwesibeletho. Uma kuyekwa kungabonwa, lokhu kungaba yingozi empilweni.

UKUNAKEKELA okufanele kuthathwe ngemva kwe-Tubectomy

Ngemva kokuhlinzwa, kubalulekile ukuthi ulandele imiyalelo kadokotela ohlinzayo. Nawa amanye amathiphu okuzinakekela kahle:

• Isonto lonke, gwema ukuvivinya umzimba okujulile.

• Umsebenzi wakho ungaqaliswa kabusha ezinsukwini ezimbalwa.

• Ungayenzi ucansi isonto lonke ngemva kokukhipha isisu.

• Imithi yezinhlungu ingasiza. Kodwa-ke, uma ubuhlungu bukhulu, kufanele uthintane nodokotela.

• Uma uzwa ukopha ngenxa yokusikwa, umkhuhlane ophezulu, ukuquleka, njll., kufanele ubone udokotela ngokushesha.

Kungani kubaluleke kangaka ukuthatha lezi zinyathelo zokuphepha ngaphambi kokwenza Ukuhlinzwa Kwe-Tubectomy?

Izidoda ziphila esidodeni amahora angama-48 kuye kwangama-72. Izidoda zizoba ngaphakathi kwamashubhu e-Fallopian, angavundisa iqanda noma i-ova uma owesifazane eya ocansini cishe ezinsukwini ezimbili ngaphambili. Kungenzeka ukuthi ukhulelwe lesi sibeletho esivundisiwe ngisho nangemva kwe-tubectomy uma sifakwe ngaphakathi kwesibeletho.

Ngaphezu kokuba khona kwezidoda ezisebenzayo kumashubhu e-Fallopian, kunesinye isici okufanele sicatshangelwe. Nakuba i-tubectomy ingase ikhiphe izidoda kumashubhu e-Fallopian, isengakwazi ukuvundisa i-ovum evaleleke ngokusobala ekupheleni kwamashubhu. Kulokhu, iqanda elivundisiwe alikwazi ukudlulela esibelethweni, ngakho-ke, lizofaka i-Fallopian Tube encane okuholela ekukhulelweni kwe-ectopic. I-Ectopic pregnancy yisimo esiyingozi ngoba ingase iholele ekuqhumeni kweshubhu le-Fallopian, ukopha kakhulu, futhi ngezinye izikhathi ngisho nokufa uma kungabonwa ngesikhathi.