Munguva yevasectomy yepamusoro , mafungiro maviri anogadzirwa muzvinyorwa kuti abvumira chiremba wacho kuti asvike mumwe wemurume vas deferens (iyo miviri inotapira chirume mumumvuri). Munguva yevas-no-scalpel Vasectomy ( inonziwo kiyi-vasectomy ), hapana kujekeswa kunoitwa. Pane kudaro, chiremba anovhiya anoshandisa hemostat (mavharidzi anovhara neinopinza inopinza) kuputika kuburikidza neganda rezvitsvuku.
Zvadaro, ganda rinonyatsopararira kusvikira vaviri vari vas deferens vangaonekwa. Nemhaka yokuti nzvimbo yekutema yakanyanya kuduku uye inongova yega peganda, zvigaro hazvidi kudiwa uye kuporesa nguva inokurumidza. Sezvo zvichienzaniswa nevasetomy yemasikirwo, nzira isina-yekudzivirira ndeyekusava nechekuita uye inokurumidza nzira (nguva yose kusanganisira prep uye anesthesia inenge maminitsi 15 kusvika ku20).
Kunzwa kwese munharaunda yezvokurapa ndeyokuti pane inofanira kunge yakawanda yekusimbisa kuita zvisiri-scalpel vasectomies panzvimbo yezvakagadzirwa. Kune zvakanakira zvakajeka kune nzira iyi inotsigira kuti nzira isina kukodzera inofanira kuraswa. Icho chirevo chekusava nechokuita, chisina chekuita chekudzivirira chinogona kuedza kune vamwe varume. Izvi zvinobvumira varume mukana wekutora basa guru mukuita kwavo kwepabonde . Sezvo nhoroondo yekuronga mhuri yakanyanya kuisa pfungwa pamusoro pevakadzi (nokuti ndiyo utano hwavo hunobatanidzwa zvakananga nekuzvitakura nekuberekwa), kugovera varume vane chirongwa chinonakidza uye chakabudirira chekudzivirira kubata pamuviri kunowedzera kusarudzwa kwavo zvishoma kana zvasvika pakusarudzwa kwekuberekwa kwekuberekwa.
Kana ichitaura nechekuti "kutyisa" sarudzo yekukwanisa kuva nevasectomy pasina scalpel, varume vanogona kudzokerazve mune zvekuita zvekudzivirira kwemhuri dzavo uye hukama uye vangasarudza kutakura mutoro wekubata pamuviri.
Nzira
Chinangwa panguva ye-non-scalpel vasectomy (kana kuti keyhole vasectomy) yakafanana neyavasectomy inowanzogadzirwa-kudzika kuvhara mu vas deferens, kuitira kuti chirume chisachigone kuva chikamu chemukira.
Izvi zvinoitwa nekucheka chikamu chiduku chevas deferens, kuchibvisa, uye kugovera (kubvisa-off), kudonha kana kugadzirisa (kupisa) izvo zvinosara zvinoguma. Munguva yevas-scalpel vasectomy, rimwe nerimwe (rimwe panguva imwe) rinonyatsobudiswa kubva panzvimbo imwe chete yechando, uye ipapo kusvibiswa kunoitwa. Vamwe vanachiremba vanogona kutora danho rinowedzera rekubatanidza kwemafirimu iyo inosanganisira kugadzira mishonga inobatana pamusoro pechipfeve chepachena chepfudze ye vas (mugumo uri pedo newarethra). Izvi zvinoumba chigadziro chemuviri pakati pevasal kumagumo. Imwe tsvakurudzo inoratidza kuti iyi danho rinowedzera kuderedza kukundikana kwemari , asi uchapupu hahuna kufanira panguva ino. Zvadaro, rimwe nerimwe mugumo we vas rinobvumirwa kudzokera zvakare muchikamu.
Munguva yevasectomy yemasikirwo, varume vanogona kupiwa sarudzo yekuita "nzira yakasununguka" nzira. Izvi zvinoreva kuti purogiramu ye prostatic ndeye chete yakasungirwa kana kuti inogadziriswa. Kupera kwechipupuriro (pedyo ne testis) yasara yakazaruka. Chikonzero chekuchengetedza izvi mugumo wakazaruka ndechokubvumira mbeu yekucheka. Hapana chepalpel vasectomies inobvumirawo sarudzo iyi yakasununguka. Imwe tsvakurudzo yakaratidza kuti kubvumira kuparara uku kunodzivirira kuwedzera kana kuvaka-mbeu yehuta nokuti chirume chinogona kupinda mukati uye chinopindirwa nekoko.
Izvi, pamwe chete, zvinogona kutungamirira kumusana kudzvinyirira - chinokonzera kukonzera kurwadziwa kwepas-vasectomy. Nzira yakasununguka yakave yakaratidzwawo kuderedza kuwedzera kwematambudziko pamwe nematambudziko mashomanana epididymitis (apo epididymis tube iri kumashure kwetekete inosungirwa kuchengeta uye kutakura chirume inopera).
Kutsvakurudza kunoratidza kuti varume vakave vasina-scalpel vasectomy vakarondedzera kugutsikana kwehupenyu hwavo hwepabonde uye vachikwanisa kukurumidza kudzokera pabonde, maitiro akanaka anotevera postoperative mupfungwa, mazita anonzi postoperative kurwadziwa, mashomanana mushure mekugadzirisa matambudziko uye nguva dzinokurumidza kupora.
Izvi zvinokweretesa zvimwe zvakatsigira pfungwa yokuti hapana-scalpel vasectomy inzira inoshandiswa kuvasectomy. Iyi nzira inowanikwa isina kumira inopa kururamisa kwetsika yevasectomy apo ichipa zvakawanda zvakabatsirwa.
Kubatsirwa
- Varume vanogona kuva vakagadzirira kutsvaka nzira iyi nokuti inonzwika inonakidza
- Zvishoma zvisingasviki
- Kuita zvepabonde kunogona kutanga zvakare kana uchinzwa wakasununguka
- Hapana zvigaro kana kupora
- 40-50% nokukurumidza kupora nehurombo hushoma
- Hausi kuderedza zvepabonde motokari
- Pasina mukana wekutambudzika kwekubuda ropa
- Yenguva refu, yakangwarira kubata pamuviri
- Kunyatsobudirira
- Dambudziko rezasi rehutachiona (nekuda kwechironda chiduku, hapana nguva yakareba)
Kukanganisika
- Icho chichiri kufungidzirwa kuita chirongwa (asi chakaitwa pamusana pepfungwa)
- Zvinoda kudzidzisa-mazvikokota uye mijenya kuti zviitwe vasati vavhiya vawane ruzivo mune iyi nzira
- Nemhaka yokuti chirume chinogona kuve chiripo kunze kwechikonzero chekuzvidzivirira, izvi zvinoda kuti varume vashandise nzira yekudzokera shure yekudzivirira kuberekwa kwekutanga 15 kusvika 20 ejaculations (kana anenge masvondo gumi nemaviri) mushure mekuita
- Hazvipi kudzivirira kune zvirwere zvepabonde kana HIV
- Unofanira kuronga kushanya kunoitwa nechiremba kuti uoneke kuti hapachina humi huripo mumuna wako
- Parizvino, tubal ligation ndiyo inonyanya kufarirwa kusarudzwa . Munyika yose, vamwe vanachiremba vanofanira kuve vakadzidziswa mune nzira iri nyore yevasectomy, vaupe kuvarwere vavo uye kuwedzere kuwedzera kwevanhu kuziva izvi kwete chekudya chekudzivirira. Nokuda kwechikonzero ichi, zvingava zvakaoma kuwana chiremba anyanzvi.
Zvichida Zvimwe Maitiro
Kazhinji, vas-seal-scalpel vasectomy haina migumisiro mikuru uye inongobatanidzwa nekana duku kadiki yekutapukirwa uye kurwadziwa kwakanyanya. Iwe unogona kuonekwa nekuita kune anesthesia yemunharaunda. Vamwe varume vanoratidzira nguva shoma kwenguva refu uye zvishoma zvekupwanya mushure mekuita. Pane chinyanyo chiduku chekuwedzera mhombwe granuloma - yakaoma, dzimwe nguva inorwadza pea-sizezed bump nekuda kwemumvu inopera kubva kune vassetse vas deferens. Iyo bundu haisi nengozi, kazhinji isingaenzaniswi uye inogara ichigadziriswa nemuviri munguva. Uyezve, inogona kunge yakashanda chinhu chinochengetedza ku testis uye epididymis. Iyo granuloma yakazara mune epithelial-lined channels iyo inogona kuwedzera kuvhara mhodzi kubva kune epididymis uye kudzivirira kurwisana nekuwedzera kwemanzwiro ekudzivirira hura.
Zvinodhura
Kazhinji, vasectomies inonzi inodhura kushandiswa kwesarudzo . Iwe unogona kubhadharwa nekutarisana kwokutanga pamwe nekushanyirwa kwako kwekutevera kuitira kuti mbeu yako iongororwe. Asi, mushure mokunge izvi zviri mberi, zvinenge zvisiri kuendesa mari yekuchengetedza nzira iyi yekudzivirira. Iyi nzira yakafukidzwa nehuwandu hwehupfumi huripo huripo. Pasina inshuwarisi, zvichienderana nenzvimbo yako uye nzvimbo yaunosarudza kushandisa, hapana-scalpel vasectomy inowanzobhadhara pakati pe $ 500 kusvika ku $ 1 000 (zvimwe zvivako zvichaita kuti ushanyire mumutengo umwe chete apo vamwe vangatengesa mumwe nomumwe).
Kubudirira
Iko-scalpel vasectomy inoshanda zvikuru - 99.85% kusvika 99.9% inoshanda, asi izvi zvinobva kumunhu anoshandisa kudzora kuberekwa kusvikira asunungurwa nachiremba kuti hakuna hutumbi hwakasara mumhumbu wake. Saka, izvi zvinoreva kuti vakadzi vanopfuura 1 kubva pazana vese avo vane vavakidzani vasina vane-scalpel vasectomy vachazvitora gore negore.
Pamusoro pechinyorwa chinokosha, hapana-scalpel vasectomy haisi 100% yakavimbiswa kuti inoshanda. Kunyangwe kana nzira yacho ichiitwa zvakakwana, mukana wekugadzirisa zvakare unogona kuitika. Iyi ndiyo apo chirume chinogadzirisa kuwana nzira yavo mhiri kumagumo akavharwa e vas deferens. Izvo zvinogona kuitika izvi zvinowanzoshamisika (pasi pe2.22% yenguva). Recanalization inowanzoitika mumwedzi yekutanga kusvika ku3 mushure mokunge pasina-scalpel vasectomy (chiitiko 1/500), asi inogona kutoitika makore mushure mekuita (kunyange zvazvo isingawanzoitiki, ine chiitiko 1 / 4,500). Ichi ndicho chikonzero chinonyanya kukosha kuti iwe ugoita semuna wako kuongorora mavhiki matanhatu kusvika kumashure masere-vasectomy kuti uve nechokwadi chokuti hakuna mbeu inowanikwa.
Chiratidzo Chekupedzisira Pamusana Che-Scalpel Vasectomy
Iyi nzira inofanirwa kuva yekusingaperi . Kunyange zvazvo vasectomy reversal nzira dzinowanika, dzakanyatsogadzikana, dzinodhura, uye dzinoshandiswa zvakasiyana-siyana. Iwe unofanira kungosarudza kutsvaga kwete-scalpel vasectomy kana iwe uine chokwadi chokuti iwe hauchadi kuva nevana. Usapinda muchisarudzo chokufunga, kumashure kwepfungwa dzako, kuti iwe unogona kugara uchitsoropodza iyo kana mamiriro ako kana pfungwa dzichichinja. Iyi nzira inofanirwa kune avo varume vanonzwa 100% vachivimba kuti izvi ndizvo zvavanoda sekusarudza kwavo pamuviri ... kwehupenyu hwavo hwose.
- Vaverengi Vakagoverwa: Chii chinokudzivirirai kubva pakuwana Vasectomy?
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