Apo mukadzi paanopedza uye asingatongogoni kusarudza kusava nevana vakawanda, imwe nzira yekusashushikana pamusoro pekuti kunogona kutora mimba ndeyekutenderera kweiyo fallopian tubes. Sezvo nzira iyi iri, chaizvoizvo, kubereka kwevakadzi, nokuda kwekuita nenzira yakadaro, chete chido chemukadzi kuti aise kwaari hazvina kukwana, zvinokosha kuti asangana nemitemo inotevera:
- aiva nemakore matatu kana vana;
- aiva nevana vaviri uye akanga akwegura kupfuura makore makumi matatu;
- akanga akwegura kupfuura makore makumi mana;
- yakanga ine zvinetso zveutano izvo zvinopesana nekuita pamuviri nekubereka: kushushikana uye kusagadzikana kwepachiviriro, kuporesa, kutya uye maitiro ekudzivirira, zvirwere zveropa, zvirwere zvinouraya, nezvimwewo.
Ligation of fallopian tubes: migumisiro
Nheyo dzenzira iyi yekudzivirira pamuviri ndeyekusika kwechikonzero chekuvhiringidzika kwemawere, kuburikidza, kuvhara kana kuvamanikidza nerubatsiro rwezvidimbu zvakasarudzwa, semugumisiro wekuti musangano weii nehutau uye huwandu hunotevera hunenge husingagoneki. Mazai evanhu havasi kuratidzirwa kune chero chinhu chipi zvacho, izvo chaizvoizvo, mukadzi anogara ari mukadzi muzviratidzo zvose: anoramba achienda kumwedzi, mahomoni evakadzi uye mazai ari kukurudzirwa, zvekuita zvepabonde hazviperi chero kupi zvako, chete kukwanisa kubereka mwana kurasikirwa. Zvinofanirwa kuyeukwa kuti nzira iyi yekudzivirira kubata pamuviri isingabvumiri, uye kana kuburikidza nenguva iyo mukadzi anoda kuwana mufaro wehuamaizve, ipapo achazoshandisa nzira dzeVF nokuda kweizvi. Muzvikamu zvisingawanzoitiki, mushure mekupfekedza, kuzvigadzirisa kwehutachiona hwekudzivirira uye kubata kunogona kuitika, asi mikana yemugumisiro wakadaro haigoneki. Nokudaro, pakusarudza nzira yakadaro yekudzivirirwa, mukadzi anofanira kuziviswa nezvekusagadzikana kwe tubal ligation, kuvapo kwekusateerera kwakashata uye matambudziko mushure mekuvhiyiwa, uye kukwanisa kweimwe nzira dzekubata pamuviri. Paunenge uchiita chisarudzo chokupedzisira, zvakakosha kufunga nezvekugadzikana kwewanano uye utano hwevana, nokuti kazhinji mukadzi anofunga nezvekudzivirira mutsva mushure mokupinda muchato chitsva kana kurasikirwa nemwana.
Iyo tubal ligation yakaitwa sei?
Pamberi pekushanda kwe tubal ligation, mukadzi wacho anofanira kuisa chibvumirano chake uye aongororwa kuchipatara.
Pane nzira dzakawanda dzekuita chirwere chekurapa tubal ligation:
- Mimba - laparotomy kana mini-laparotomy. Izvo zvinotarirwa zvinowanikwa mudumbu rezasi, kushanda iri pasi peanesthesia, uye kugara muchipatara chiremba kunotora mazuva manomwe.
- Vaginal - colpotomy. Izvo zvinoshandiswa zvinobudiswa mumudzimai, kusasiya mishonga yemazuva ano, asi njodzi yehutachiona yakanyanya kuwedzerwa. Mushure mokushanda kwemazuva 30-45, zvakakosha kurega kuita zvepabonde.
- Endoscopy ye peritoneum ndiyo nzira inoshandiswa zvikuru. Basa racho riri pasi peaneshesia rose, uye zvose zvinoshandiswa zvinowanikwa kuburikidza nehuwandu hutsananguro rwehuwandu hwehuwandu. Kusungirirwa kwepombi kunogadzirwa kuburikidza nekushongedza kubva kusimbi kana
plastiki, uye lumen iri mumatope yakavharwa, cauterizing it ne electrocoagulation. - Endoscopy yemubereki ndeye nzira itsva yekutenderera kweiyo fallopian tubes. Nekupindira uku, kupera kwemvura kunoitika nokuvhara mazamu e fallopian tubes uchishandisa micheti yeplastiki.
Kungofanana nekupindira kupi nekupihwa kwekuvhiya, kukanganisa kwehutoripian tubes kunogona kutungamirira kumatambudziko uye kumira kwemashure: kutarisa kunokonzerwa neanesthesia, kubuda ropa, kuvhara ropa, kupererwa nekuputika, ectopic pamuviri kana kusina kukwanisa kubviswa.