Kuvhiya Kujairika Kwekuwana 'Matatya Ako Akabatanidzwa'
Iko-mini-laparotomy (inozivikanwawo sejasi-duku) ndeimwe yenzira zvitatu dzinowanzojairika dze tubal ligation . Izvi zvinosarudzwa zvinoshandiswa pakuvhara kubata pamuviri zvinowanzotaurwa se "kuva nemabhati ako akasungirirwa." Iyo imwe nzira inosanganisira laparotomy uye laparoscopy .
Iko-mini-yepambi ndiyo imwe nzira isingasviki yekuparara. Inosanganisira kuvhara zvishoma uye inoitwa panguva kana kuti pashure pokunge aberekwa.
A laparotomy, zvakasiyana, inoitwa panguva ipi neipi uye inoda kuvharwa kukuru nokuti tambopian tubes haisi nyore kusvika.
Nzira yechitatu, laparoscopy, inyanzvi yekuvhiya inoshandiswa iyo fiber-optic device inowanikwa kuburikidza nedumbu remuviri kuburikidza nekodzero yekudzivirira. Icho chinhu chinowanzoitika chisingaoneki chinogona kuwanzoitwa pamusana pekupedzisira.
Kuenzanisa Mini-Laparotomy uye Laparoscopy
Iko kadhi kaduku inowanzozivikanwa kuti yakachengeteka uye inobudirira mukudzivirira kutora pamuviri munguva yemberi nokudzivisa mazai emukadzi kuti asvike kumatope ake mairi apo mbeu inogadzirwa.
Iyo inobatsira zvakati wandei pamusoro pe laparoscopy mukuti inoda midziyo shoma shoma, unyanzvi hushoma hwekuita, uye inogona kuitwa muchipatara kana pakarepo mushure mekusununguka kana usati wasunungurwa. Kazhinji kazhinji, inoitwa mukati maawa 48 ekuberekwa.
Matambudziko kubva pamakumbo mashoma ari akareba kupfuura aya epaparoscopy, asi, mumatambudziko acho maviri, haawanzoitiki. Kana zvikaitika, zvinowanzobatanidzwa nekamuviri pachako panzvimbo pekuita.
Iyo Mini-Laparotomy Inoitwa Sei
Vanachiremba vakawanda vanosarudza kuita tubal ligation nguva pfupi mushure mekuberekwa.
Ichi ndechokuti iwe watova muchipatara, uye mudumbu rako rakasununguka. Mukuwedzera, pamuviri unokonzera kumusoro kwechibereko chako pedyo nebhokisi rekumimba uko kusanganisa kwaizoitwa. Izvi zvinobvumira kupinda nyore nyore kune fallopian tubes.
Nokuda kwemin-laparotomy, iwe uchapiwa huwandu kana hutunhu anesthesia (kazhinji inowanzoitwa epidural). Kuvhiyiwa kwaizozoitwa mumatanho anotevera:
- Chiremba anovhiya anoita chidiki chiduku asi chinoratidzika zviri pasi pemubilicus.
- Izvo zvinyorwa zvekutora zvichange zvichisimudzwa uye zvabuda kunze kwekuiswa.
- Iyo michina ichabva yadzoserwa zvakare uye nzvimbo yacho yakavharwa nemakumbo.
Vazhinji vakadzi vanorarama mumazuva mashomanana kana kupfuura kana kuvharwa kwakakura. Zvinetso hazvishamisi asi zvinogona kusanganisira utachiona (zvose zviri mukati uye panzvimbo yekudzivirira) nekuparadzaniswa kwezvakabatanidzwa.
Dambudziko rekuzvitakura Kutevera Mini-Laparotomy
Mikana yekuve nepamuviri mushure mekutakura kwechirwere ndeye 1.2 / 1 000 mukutanga kusvika kumakore maviri uye 7.5 / 1 000 pamakore manomwe kusvika kune gumi nemaviri, naizvozvo inofanirwa nzira inobatsira zvikuru yekudzivirira kuberekwa. Kunyange zvazvo maitiro acho ari pasi, mukadzi anogona kuva nepamuviri mushure mekuita-mini-laparotomy kana zvinotevera zvichiitika:
- Kuvhiyiwa kunokundikana kupfiga nzira iri mune imwe kana mbiri dze fallopian tubes.
- Mhando dzemawere dzinokura zvakare pamwe zvakare.
- Recanalization inowanikwa, zvichiita mukuumbwa kwemavara matsva anobvumira yai neuviri kusangana.
- Mukadzi uyu akanga atova nepamuviri apo chirwere ichi chakaitwa.
Kuva nepamuviri mushure mekuita kwema-laparotomy kunowedzera ngozi ye ectopic pamuviri, chirwere umo fetus inowedzera kunze kwechibereko (inowanzoonekwa mu fallopian tube).
Ectopic pamuviri chirwere chakakomba chekurapa uye, kana chikasatorwa, chinogona kutungamirira pakuputsika kwetaupipian tube, kubuda mukati, kutyisa, uye kunyange kufa. Zviratidzo zvinosanganisira kugadzika kwekuenda kumwedzi, kubuda ropa, kubvisa mvere, kurwadziwa kwepamuviri, uye kurwadziwa kwepamuviri kana kurwadziwa kwepamuviri.
Chirwere chekuita ectopic pamuviri chinonzi sechirwere chekukurumidzira chinoda kudiwa nokukurumidza.
> Sources:
> Daniels, K .; Daugherty, J .; Jones, J .; uye Mosher, W. "Kushandiswa Kwemazuva Ano Kwekudzivirira uye Kusiyana Nezvimwe Zvakasarudzwa Pakati Pevakadzi Vakwegura 15-44: United States, 2011-2013." National Health Statistics Reports. 2014;
> Moss C, Isley MM. "Kusvibiswa: Kuongorora uye Kuvandudzwa." Obstetrics uye Gynecology Makliniki eNorth America . 2015; 42 (4): 713-24. doi: 10.1016 / j.ogc.2015.07.003.
> Patil E, Jensen JT. Kuvandudzwa kwePermanent Contraception Options yevakadzi. Ikozvino maonero muOststric and Gynecology. 201527 (6): 465-470; doi: 10.1097 / GCO.0000000000000213