Tubal ligation (iyo inowanzonzi "kuva nemabhati ako akasungirirwa") chirwere chinovhara mhando dzechikadzi dzakatakura. Icho chinonzi fallopian tubes chinobatsira kutakura mazai akabudiswa kubva mavha mavari kusvika pachibereko, uye kazhinji nzvimbo iyo mazai anogadzirwa nemurume. Kana kamwe mavhaputi akavharwa kana "akasungirirwa," chirume hachikwanisi kusvika kuneii, saka pamuviri haugone kuitika.
Tubal ligation inogonawo kutumidzwa se:
- Kubatanidza tubhu
- Tubal sterilization
- Mukadzi kusanganisa
- Kuva nemabhasi ako akasungirirwa
- Sterilization chirurgical (female)
- Tube tying
- Kusagadzikana kusingaperi
Pane zvakawanda zvingasarudzwa zvekuvhiya tubal ligation .
Tubal Ligation Isingaperi Kuberekwa Kudzora
A tubal ligation nzira inobatsira mukuita mukadzi asingagadziriswi zvachose (asingakwanisi kutora pamuviri). Iyi nzira inowanzokurudzirwa kuvarume vakuru vakwegura vanoziva kuti havadi kutora pamuviri mune ramangwana.
Tubal ligation inofungidzirwa kuti inogara isingaperi yekudzivirira kuberekwa . Iko kunowanzova sarudzo yakakurumbira nokuti vakadzi vanoziva kuti nzira iyi inogona kupa zvakakwana kubata pamuviri kuchengetedzwa kwemakore ose ekubereka kwavo. Vakawanda vanokohwawo kune zviri nyore uye chokwadi kuti hazviiti kuti zvive nemigumisiro inobatanidza nekanguva yekudzivirira kubata maitiro .
Tubal Ligation Reversal
Mukadzi anofanira kunyatsoongorora kana kana kwete tubal ligation ndiyo nzira yakanakisisa kwaari.
Vamwe vakadzi vanosarudza kuita izvi zvinoguma vachizvidemba chisarudzo chavo gare gare.
Mukadzi achave achida kuzvidemba kana mabhii ake akasungirirwa kana akaitwa nenzira iyi:
- Paanenge achiri muduku
- Kana ane vashoma kana vasina vana
- Kana akasarudza nzira iyi nokuti mudzimai wake aida kuti aite
- Kana akasarudza pane tubal ligation nokuti aifunga kuti yaizogadzirisa nyaya dzemari uye / kana kuti izvi zvingagadzirisa matambudziko ehukama
A tubal ligation haafaniri kuonekwa sechinguvana. Dzimwe nguva kugadziriswa kwetabha kunogona kuitika kana mukadzi akazofunga kuti anoda kuva nepamuviri. Kunyange zvakadaro, kuchinja kwehutari ndiyo nzira huru yekuvhiya iyo isingagumisi nguva dzose pamuviri. Vanenge 50% kusvika ku80% yevakadzi vane vane tubal reversed vanogona kuva nepamuviri.
The Tubal Ligation Procedure
A tubal ligation inoitika muchipatara kana kunze kwekliniki. Mhando yeanesthesia inoshandiswa inobva pane nzira yekuvhiya yakasarudzwa. Tubal ligation inogona kuitwa pamwe neve sedation sedation (chimiro cheanesthesia apo mukadzi wacho akamuka, asi akasununguka uye akachera) kana kuti deep sedation (mukadzi wacho akarara). Anesthesia inogona kuva yeruwa, yeruwa (mutumbi unopera kubva pamabheti pasi), kana huwandu (hunosanganisira muviri wose).
Munguva yekugadzirisa, mawere ane tambo akavharwa. Zvimwe zvinogona kudikanwa zvishomanana zviduku zvakagadzirwa mudumbu. Mune maitiro aya, mabhesi acho akatemwa, akachekwa uye / kana kuti inogadziriswa (yakavharwa chisimbiso). Imwe nzira, inozivikanwa seEssure haifaniri kutengesa uye inoshandiswa kuisa kukudzivirira kudzivirira kwemashubhu.
Iyo iyo Tubal Ligation Inzira Yokushandisa
Nzvimbo yehutano hwemukadzi inogona kureva kuti tubal ligation chisarudzo chii chakanakodzera.
Zvimwe zvinhu paunosarudza nzira yakachengeteka inosanganisira kuwedzera kwemuviri wevakadzi uye kuti kana kwete iye akambovhiyiwa.
Inopfuura hafu yezvose tubal mitsara inoitwa mushure mekuberekwa kwemukadzi kuburikidza nechingwa chiduku pedyo nebhokisi remimba, panguva yechikamu chekusiya, kana kubvisa pamuviri. Chisarudzo chekuva ne tubal ligation yakaitwa panguva ino inofanira kuitwa mberi nechiremba wako. Icho Chinyorwa, kwete-incision method , hachikwanisi kuitwa kusvikira kwemavhiki masere mushure mekunge mukadzi aberekwa, aine pamuviri, kana kubvisa pamuviri .
Ngozi dze Tubal Ligation
Kazhinji, pane zvitatu zvezviitiko zvinokonzerwa ne tubal ligation.
- Ngozi dzinokonzerwa nemitemo chaiyo: Izvi zvinogona kusanganisira kusagadzikana kusina kukwana kwematope, izvo zvingaita kuti mukadzi ave nepamuviri mune ramangwana (izvi zvinokanganisa vanenge 1 kubva pavakadzi makumi maviri), kukuvara kune nhengo dzenharaunda kana zvivako zvinokonzerwa nemichina yekuvhiya, uye kunyanya kuwedzerwa kwe ectopic pamuviri kana kuberekwa kuchiitika mushure mokunge tubal ligation.
- Njodzi dzinobva mukushandiswa kweanesthesia : Izvi zvinogona kusanganisira kuchinja kumishonga uye matambudziko ekufema.
- Ngozi dzekuvhiyiwa, kazhinji: Izvi zvinosanganisira utachiona uye kubuda ropa.
Zvaunotarisira Pashure peT Tubal Ligation Process
Vazhinji vakadzi vanogona kudzokera kubasa mukati memazuva mashomanana mushure mekunge vane tubal ligation. Mishonga inorwadza inogona kubatsira kubvisa kusagadzikana kupi zvako. Zvinokurudzirwa kuti vakadzi vadzivise kushanda kwakasimba kwemazuva mazhinji. Muzhinji, vazhinji vakadzi vanonzwa vakagadzirira kuita zvepabondezve mukati mevhiki.
Ruzhinji rwevakadzi rinodzokorora kubva pane izvi nenzira isina matambudziko. Kusiyana nehutachiona hwemurume ( vasectomy ), hapana kuongororwa kunofanirwa kutarisa kushaya simba.
A tubal ligation haina kuderedza kufadza kwevakadzi kuita zvepabonde uye haibatsiri mukadzi. Sezvo pasina zvipfeko kana nhengo dzomunhu zvabviswa kana kuchinjwa uye mahomoni ose achiripo achabudiswa, a tubal ligation haafaniri kushandura zvepabonde kana kupindira nekushanda kweshengo dzepabonde dzevakadzi.
Mariro yeT Tubal Ligation
Iko-iyo mari yekodhi ye tubal ligation, kana ichienzaniswa nedzimwe nzira dzekudzivirira , inogona kukuponesa mazana emadhora kwechinguva.
Mutengo wekuva ne tubal ligation unogona kuenzana pakati pe $ 1 000 kusvika ku $ 3,000. Mukadzi anofanira kutarisa nehutano hwehutano yehutano sezvo huwandu hwekudzivirira kuberekwa hunosiyana. Medicaid uye yehutano inshuwalhu yehutano inogona kuvhara mari ye tubal ligation.
Inobatsira Sei Tubal Ligation?
Tubal ligation inopfuura 99% inoshanda mugore rekutanga. Izvi zvinoreva kuti kunze kwevakadzi vese 100 vane nzira iyi yakaitwa, vasati vanopfuura 1 vachava nepamuviri mugore rekutanga rokushandiswa.
Kusvikira kune mumwe wevakadzi vatatu vachatora pamuviri mugore rimwe nerimwe rinotevera mushure megore rokutanga (apo nzira yacho yaitwa). Izvi zvinokonzerwa nekanguva kadiki yokuti fallopian tubes inogona kubvumirana zvakare pachavo.
Pakati pevakadzi vane chiuru chimwe vakawana tubal ligation, vanenge 18.5 vachava nepamuviri mukati memakore gumi. Iyi nhamba yakagadziriswa neUnited States Kuburitswa Kudzokorora kweSterilization mukuratidza kwavo Crest kudzidza. Zvisinei, zvichienderana nemutemo unoshandiswa uye nguva yemukadzi paanenge achiita, chirongwa ichi chinogona kunge chichikwirira kana chikadzika.
Kana bonde richiitika mushure mokunge tubal ligation, kune 33% mukana wekuva ectopic pregnancy. Kunyange zvakadaro, muwandu wehutachiwana hwakanyanya kuderera, kuti mukana wemukadzi wekuve ne ectopic pamuviri wakadzika zvikuru kupfuura zvaizopiwa iye haana kuwana tubal ligation yakaitwa pakutanga.
STD Kudzivirirwa?
A tubal ligation haibatsiri kurwisa zvirwere zvepabonde .
Kunobva:
Peterson, HB, Xia, Z., Hughes, JM, Wilcox, LS, Tylor, LR, & Trussell, J. (1996). Ngozi yekudzivirira mushure mehutachiona hwekuita sterilization: Tsvaga kubva kuUnited States Kudzokorora Kudzokorora. American Journal of Obstetrics uye Gynecology, 174, mapeji 1161-1170. Inowanikwa kuburikidza nekunyora kwepivate.