Tubal ligation ndi njira yolerera ya amayi. Kumaphatikizapo kutseka machubu kuti asabereke. Ndi njira yomwe imatengedwa kuti ndi yosasinthika. Kodi njira imeneyi ndi yotani ndipo imagwira ntchito bwanji?

Tubal ligation ndi njira yoletsa kubereka kwa amayi pofuna kulera. Awa ndi opaleshoni yomwe imachitika m'chipatala. Kusiyana kwakukulu pakati pa njira yolerera ya amayi ndi njira zina zomwe zilipo kale, ndikuti tubal ligation ndi yokhazikika. Zikaonedwa ngati zosasinthika, zimatanthauza chikhumbo chofuna kusakhalanso ndi ana. Pali njira zitatu zotsekera zomwe zimayambitsa kutsekeka kwa tubal mwa amayi:

• mgwirizano;
• electrocoagulation;
• kukhazikitsa mphete kapena tatifupi.

Cholinga cha njira yolerera ndikuletsa kutulutsa dzira, umuna pakati pa dzira ndi umuna kapenanso kuyika. Pankhaniyi, lingaliro ndi ligate, ndiko kuti kutseka, machubu a fallopian. Choncho, dzira silingathe kutsika mu chiberekero pambuyo potuluka mu ovary panthawi ya ovulation. Kukumana ndi umuna sikungachitike ndipo umuna umapewedwa. Ngakhale kuti tubal ligation ndi njira yolerera komanso imathandiza kupewa mimba, sikuti imateteza matenda opatsirana pogonana. Choncho ndikofunikira kugwiritsa ntchito kondomu kuwonjezera ngati kuli kofunikira.

Tubal ligation imaloledwa ndi lamulo mwa akuluakulu. Komabe, dokotala aliyense ali ndi ufulu wokana kuchita izi. Pachifukwa ichi, akuyenera kulengeza panthawi yoyamba yokambirana ndikutumiza wodwalayo kwa mnzake yemwe angathe kuchita opaleshoniyo. Ndikofunika kukumbukira kuti, malinga ndi lamulo, zaka, chiwerengero cha ana ndi chikhalidwe cha m'banja sizikutanthauza kuti angathe kupanga tubal ligation.

Cholinga cha njira yolerera ndikuletsa kutenga pakati. Pali njira zingapo zosinthira zopewera umuna:

• piritsi;
• IUD
• kondomu;
• implant;
• diaphragm;
• etc.

Komabe, nthawi zina monga kusakhumbira mwana kapena kuchuluka kwa ana omwe akwaniritsidwa, tubal ligation ingakonde. Zowonadi, njira yotsimikizirika yakulera imakulolani kuti mukhale ndi kugonana kwanu popanda kudandaula za kulera kwanu. Izi zimathandizanso kupewa zovuta (kuyiwala mapiritsi, kuswa kondomu, ndi zina zotero) kapena mavuto omwe angakhalepo okhudzana ndi njira zina za kulera.

Kulowererapo ndi ndondomeko zimafotokozedwa ndi lamulo. Njira zake ndi izi:

• Kukambirana koyamba. Wodwalayo ndi dokotala adzakambirana za ndondomekoyi ndi zifukwa za pempholi. Wodwalayo ayenera kukhala "waulere, wolimbikitsidwa komanso wadala". Pachifukwa ichi, dokotala amayenera kumupatsa chidziwitso chokhudza njira zina zolerera zomwe zilipo kale, pa tubal ligation (momwe ndondomekoyi ikuchitikira, zoopsa ndi zotsatira zake, ndi zina zotero) komanso fayilo yachipatala. zolembedwa pamasitepe otsatirawa. Ngati afuna, wodwalayo atha kuphatikizira mnzake popanga zisankhozi, koma chilolezo chake chokha chimaganiziridwa. N'zothekanso kukhazikitsa chithandizo kuchokera kwa katswiri wa zamaganizo ndi katswiri wa zamaganizo kuti athandizire kupanga zisankho;
• Nthawi yosinkhasinkha. Lamuloli limapereka nthawi ya miyezi ya 4 kuti aganizire pakati pa pempho ndi kuchitidwa opaleshoni. Malire a nthawi angayambe pokhapokha atakambirana koyamba ndi dokotala akuvomereza kuti achite njirayi;
• Kukambirana kwachiwiri. Kukambirana kwachiwiriku kumachitika pakatha miyezi inayi yolingalira. Wodwalayo ayenera kutsimikizira mwa kulemba kuti akufuna kupitiriza opaleshoni;
• Kulowererapo. Popeza tubal ligation ndi njira yopangira opaleshoni, iyenera kuchitidwa ndi dokotala kuchipatala kapena kuchipatala. Pansi pa anesthesia wamba, njirayi imatha kuchitidwa ndi laparoscopy (kudzera m'mimba yaying'ono), kumaliseche, kapena panthawi ya opaleshoni pazifukwa zina. Chipatala ndi masiku 1 mpaka 3.

Ndi njira yabwino kwambiri yolerera, mu dongosolo la 99%. Ngati mukufuna mwana, n'zotheka kuyesa ntchito yobwezeretsa, koma ndi ntchito yolemetsa kwambiri, yomwe zotsatira zake zimakhala zosatsimikizika kwambiri. Tubal ligation iyenera kuonedwa ngati njira yosasinthika yoletsa kubereka, kuti mupange chisankho mwanzeru.

Tubal ligation sichikhudza msambo womwe umapitilirabe bwino. Choncho alibe zotsatira pa hormonal balance kapena libido.

Zotsatira zofala komanso zofatsa pambuyo pa opaleshoni ndi ululu wa m'mimba. Zovuta za postoperative ndizosowa komanso sizowopsa kwambiri.

Nthawi zambiri, kutseketsa kumatha kulephera ndipo kumabweretsa mimba. Pamene machubu amawonongeka, mimba imatha kukhala ectopic. Pakachitika nthawi mochedwa, ndikofunika kuonana ndi dokotala. Zizindikiro zotsatirazi ziyenera kuyambitsa kukaonana mwadzidzidzi:

• kupweteka m'mimba mosiyanasiyana mwamphamvu, kuyambika kwadzidzidzi, nthawi zambiri kumangotsatira;
• kutuluka magazi m'maliseche, makamaka ngati nthawi yomaliza yachedwa kapena ngati sichinachitike;
• kutopa, chizungulire.