Ni iki cyitwa Tubal Ligation? Impamvu, Uburyo & Ibivamo

Tubal ligation ni uburyo bwo kubaga buhoraho bugamije gukumira inda burundu mu kuziba cyangwa guca imiyoboro y'intanga. Akenshi bita "guhuza imiyoboro yawe," iyi operasiyo ikorerwa abarwayi batagomba kurara mu bitaro, ihagarika intanga kugenda ziva mu nsoro zerekeza mu mura wawe, bigatuma inda itabaho. Ifatwa nk'imwe mu buryo bwiza bwo kuboneza urubyaro burundu, bukoreshwa na miliyoni z'abagore ku isi hose bafite icyizere cy'uko batifuza kuzongera gutwita.

Ni iki tubal ligation aricyo?

Tubal ligation ni uburyo bwo kubaga buto butuma habaho inzitizi ihoraho mu miyoboro yawe y'intanga. Umuganga ubaga azaca, azinga, cyangwa aziba iyi miyoboro isanzwe yohereza intanga ziva mu nsoro zerekeza mu mura wawe buri kwezi. Hatabayeho iyi nzira, intanga ngabo ntizishobora kugera ku ntanga ngore, kandi inda ntishobora kubaho mu buryo busanzwe.

Ubu buryo rimwe na rimwe bwitwa ubugumba ku bagore, nubwo abagore benshi bakunda ijambo "tubal ligation" kuko ari ryo ryizewe mu by'ubuvuzi. Insoro zawe zikomeza gukora neza nyuma yo kubagwa, bityo urugero rw'imisemburo yawe rugakomeza kuba rumwe. Uzakomeza kugira imihango isanzwe, kandi umubiri wawe uzakomeza uruziga rwawo rusanzwe rwa buri kwezi.

Iyi operasiyo ifatwa nk'uburyo bwo kuboneza urubyaro burundu, nubwo hari uburyo bwo kuyisubiramo. Ariko, kuyisubiramo biragoye cyane kandi ntibitanga icyizere cy'uko uzongera gutwita. Icyo nicyo gituma abaganga basaba gutekereza neza kuri iki cyemezo no kuganira cyane n'umuganga wawe.

Kuki tubal ligation ikorwa?

Abagore bahitamo tubal ligation iyo bafite icyizere cy'uko batifuza gutwita mu gihe kizaza. Iki cyemezo akenshi kiza nyuma yo kurangiza umubare w'abana bifuzaga cyangwa kumenya ko gutwita byashyira ubuzima bwabo mu kaga gakomeye. Abagore bamwe kandi bahitamo ubu buryo kugira ngo birinde kwanduza abana indwara ziterwa n'imiryango.

Muganga wawe ashobora kugusaba kwishyira mu buryo bwo kubaga impinduka z'imikorere y'imitsi yo mu nda niba ufite indwara zishobora gutuma gutwita bigira akaga. Izi zishobora kuba zirimo indwara zikomeye z'umutima, kanseri zimwe na zimwe, cyangwa izindi ngorane z'ubuzima aho gutwita byashobora gushyira ubuzima bwawe mu kaga. Muri ibi bihe, gukoresha uburyo bwo kubaga burundu bitanga umutuzo kandi bikagukuraho gukenera gukomeza gukoresha uburyo bwo kuboneza urubyaro.

Abagore benshi kandi bahitamo ubu buryo kubera impamvu zabo bwite nyuma yo kubitekerezaho neza. Ushobora kumva ufite icyizere ko utagishaka abana, cyangwa ushobora kuba utarigeze ushaka gutwita. Abagore bamwe bakunda uburyo bwo kuboneza urubyaro burundu kurusha uburyo bwo kuboneza urubyaro bw'igihe kirekire cyangwa ubundi buryo bwo kuboneza urubyaro.

Ni iki uburyo bwo kubaga impinduka z'imikorere y'imitsi yo mu nda?

Guhagarika imitsi yo mu nda bikorwa nk'uburyo bwo kuvura abarwayi bakoresha uburyo butuma umubiri utangiza ibikomere. Akenshi, umuganga ubaga azakoresha laparoscopy, bikubiyemo gukora ibikomere bito mu nda yawe no gukoresha kamera nto kugirango ayobore kubaga. Ubu buryo butuma gukira byihuse kandi bikagabanya ibikomere ugereranije no kubaga gakondo.

Mugihe cyo kubaga, uzahabwa anesthesia rusange kugirango uryame rwose kandi wumve umeze neza. Umuganga ubaga azakora ibikomere bito bibiri, akenshi hafi y'urutirigongo rwawe n'umurongo w'imisatsi yo mu gice cy'ibanga. Hanyuma bazashyiraho laparoscope (urushinge ruto, rucanwa urumuri rufite kamera) kugirango babone neza imitsi yawe yo mu nda kuri moniteri.

Umuganga ubaga azakoresha uburyo bumwe muri butandukanye kugirango ahagarike imitsi yawe burundu. Ibi nibyo bishobora kuba mugihe cyo kubaga:

• Gukata no gufunga imitsi ukoresheje umuriro w'amashanyarazi (electrocautery)
• Gushyira clips cyangwa impeta zizenguruka imitsi kugirango ziyihagarike
• Gukuraho ibice by'imitsi rwose
• Gufunga imitsi ukoresheje imizunguruko idasanzwe cyangwa plugs

Ubusanzwe iki gikorwa cyose gifata iminota 30 kugeza kuri 60. Abagore benshi bataha uwo munsi nyuma y'amasaha make yo koroherwa. Uzaba ukeneye umuntu uzakujyana mu rugo kuko imiti yo gutera urugimbu ishobora gutuma urara amasaha menshi.

Ni gute witegura kubaga imiyoboro y'intanga?

Kwitegura kubaga imiyoboro y'intanga bikubiyemo kwitegura mu mubiri no mu mutwe. Muganga wawe azategura inama mu byumweru byinshi mbere yo kubagwa kugira ngo baganire ku gikorwa, basubize ibibazo byawe, kandi bamenye neza ko ufata icyemezo ufite amakuru ahagije. Iki gihe cyo gutegereza ni ingenzi kuko icyemezo kiba kirambye, kandi ushaka kumenya neza rwose.

Umuvuzi wawe azasuzuma amateka yawe y'ubuvuzi kandi ashobora gutuma ukorerwa ibizamini by'amaraso cyangwa ibindi byegeranyo. Bazashaka kumenya neza ko utwite kandi ko ufite ubuzima bwiza buhagije bwo kubagwa. Niba ufata imiti iyo ari yo yose, muganga wawe azakumenyesha iyo ugomba gukomeza no guhagarika mbere y'igikorwa.

Uku niko ushobora kwitegura umunsi wo kubagwa:

• Hagarika kurya no kunywa nyuma ya saa sita z'ijoro mbere yo kubagwa
• Tegura umuntu uzakujyana mu rugo kandi akagumana nawe amasaha 24
• Jyana imyenda yoroshye, yagutse ku gihe cyo guhura na muganga
• Kura imitako yose, amavuta yo kwisiga, n'amavuta yo ku nzara
• Fata imiti iyo ari yo yose yategetswe na muganga wawe

Ni ngombwa kandi gutegura urugo rwawe kugira ngo ukire. Shyiraho ibiryo byoroshye, ugire ibikoresho byo gukonjesha biteguye kubera kutumva neza, kandi utegure ubufasha bwo kuzamura ibintu biremereye cyangwa ibikorwa bikomeye mu minsi mike ya mbere. Abagore benshi bumva biteguye gusubira mu bikorwa bisanzwe mu cyumweru.

Ni gute usoma ibisubizo byawe byo kubaga imiyoboro y'intanga?

Bitandukanye n'ibizamini byinshi by'ubuvuzi, kubohoza imiyoboro ntibitanga "ibisubizo" bisanzwe ukeneye gusobanura. Ahubwo, umuganga wawe azemeza ko icyo gikorwa cyarangiye neza ako kanya nyuma yo kubagwa. Bazakumenyesha uburyo bwakoreshejwe niba ibintu byose byagenze nk'uko byari byateganyijwe.

Umuvuzi wawe azateganya gahunda yo gusubira kwa muganga mu byumweru bike kugira ngo arebe aho bakugiriye ibikomere kandi yemeze ko urimo gukira neza. Muri uru ruzinduko, bazemeza ko icyo gikorwa cyagenze neza kandi bakemure ibibazo cyangwa impungenge ushobora kugira ku bijyanye no gukira.

“Igisubizo” nyakuri cyo kubohoza imiyoboro ni ukugira uruhare mu gukumira inda. Iki gikorwa gifite imbaraga zirenga 99%, bivuze ko abagore batarenze 1 kuri 100 bazatwita nyuma yo guhambirwa imiyoboro. Ibi bituma iba imwe mu buryo bwizewe bwo kuboneza urubyaro buriho.

Uzamenya ko icyo gikorwa gikora gusa utatwite. Ariko, ni ngombwa kwibuka ko kubohoza imiyoboro ntibirengera indwara zandurira mu mibonano mpuzabitsina, bityo ushobora gukenera uburyo bwo kwirinda nka kondomu niba kwirinda indwara zandurira mu mibonano mpuzabitsina ari ikibazo.

Ni gute kubohoza imiyoboro bigira akamaro?

Kubohoza imiyoboro bifite akamaro gakomeye, hamwe n'umusaruro ungana na 99%. Ibi bivuze ko mu bagore 1,000 bakoze iki gikorwa, batarenze 5 bazatwita mu mwaka wa mbere. Imbaraga ziguma hejuru uko igihe kigenda, bituma iba imwe mu buryo bwizewe bwo kuboneza urubyaro buriho.

Amahirwe make yo gutwita nyuma yo kubohoza imiyoboro ashobora kubaho kubera impamvu nyinshi. Rimwe na rimwe imiyoboro irashobora kongera gukura hamwe mu buryo busanzwe, inzira yitwa recanalization. Mu bihe bidasanzwe, kubagwa ntigushobora guhagarika imiyoboro burundu, cyangwa igi rishobora kubona inzira yindi yo guhuza.

Niba inda ibayeho nyuma yo guhagarika imyanya y'imyororokere, hariho ibyago byinshi byo kuba yaba ari ectopic (ibera hanze y'igitsina cy'umugore). Ibi nibyo bituma ari ngombwa guhamagara muganga wawe ako kanya niba ubonye ibimenyetso by'inda nyuma y'iyi nzira. Inda za Ectopic zirashobora kuba zikomeye kandi zigasaba ubufasha bwihuse bw'abaganga.

Uburyo bwo guhagarika imyanya y'imyororokere bushobora gutandukana gato bitewe n'uburyo bwo kubaga bwakoreshejwe n'imyaka yawe igihe cyo kubagwa. Abagore bakora iyi nzira bakiri bato bafite ibyago byinshi byo gutwita mu buzima bwabo bwose, nubwo ibyago bikiri bike muri rusange.

Ni ibihe bintu byongera ibyago byo kugira ibibazo byatewe no guhagarika imyanya y'imyororokere?

Nubwo guhagarika imyanya y'imyororokere muri rusange bifite umutekano, ibintu bimwe na bimwe bishobora kongera ibyago byo kugira ibibazo. Kumva ibi bintu byongera ibyago bifasha wowe n'umuganga wawe gufata icyemezo cyiza kuri iyi miterere yawe. Abagore benshi ntibagira ibibazo bikomeye, ariko kumenya ibyago bishoboka ni ngombwa kugira ngo ufashe icyemezo gishingiye ku makuru.

Ubuzima bwawe muri rusange bugira uruhare runini mu byago byo kubagwa. Abagore bafite indwara zimwe na zimwe bashobora guhura n'ibyago byinshi igihe cyangwa nyuma y'iyi nzira. Aha hari ibintu bishobora kongera ibyago byawe:

• Umubyibuho ukabije, ushobora gutuma kubagwa bigorana kandi bigatinda gukira
• Indwara z'umutima cyangwa ibibazo byo guhumeka bigira ingaruka ku kwihanganira anesthesia
• Uburwayi bwa diyabete, bushobora gutinda gukira kw'ibikomere no kongera ibyago byo kwandura
• Kubagwa mu nda kwabayeho mbere byateje imitsi y'ibikomere
• Umunyonga, ugabanya urujya n'uruza rw'umwuka wa oxygen kandi ugatinda gukira
• Indwara zo gupfuka amaraso zigira ingaruka ku gukira nyuma yo kubagwa

Muganga wawe azasuzuma neza ibi bintu igihe cyo kugisha inama. Niba ufite ibintu byongera ibyago, bashobora kugusaba kwitonda cyangwa uburyo bundi bwo kugabanya ibibazo bishoboka. Mu bihe bimwe na bimwe, bashobora gutanga igitekerezo cyo gutegereza kugeza igihe ibintu bimwe na bimwe bigenzurwa neza.

Ni izihe ngorane zishobora kuvuka nyuma yo kwifunga imiyoboro y'intanga?

Kimwe n'andi mabaga yose, kwifunga imiyoboro y'intanga bifite ibyago, nubwo ingorane zikomeye zitaba kenshi. Abagore benshi bakira neza bagira ibibazo bito gusa, bagasubira mu bikorwa bisanzwe mu cyumweru. Kumva ingorane zishobora kuvuka bifasha kumenya igihe cyo kwegera muganga no kumva ufite icyizere ku cyemezo cyawe.

Ingorane zisanzwe cyane ni nto kandi ntizihamye. Ushobora kugira ububabare ahantu hakorewe umubaga, kubyimba biturutse ku gazi cyakoreshejwe mu gihe cy'umubaga, cyangwa umunaniro biturutse ku miti yo gutera urugimbu. Ibi bimenyetso bikunda gukira mu minsi mike cyangwa icyumweru hamwe n'ikiruhuko gikwiye n'ubwitange.

Dore ingorane zishobora kuvuka ugomba kumenya, uhereye ku zisanzwe cyane:

• Udukoko ahantu hakorewe umubaga, bigatuma habaho umutuku, ubushyuhe, cyangwa amasohoka adasanzwe
• Kuva amaraso mu gihe cyangwa nyuma y'umubaga, nubwo kuva amaraso menshi bitaba kenshi
• Gusubiranamo n'imiti yo gutera urugimbu, bishobora kurimo isesemi cyangwa ibimenyetso by'uburwayi bwo kwivumbura
• Kwangiza ibice by'umubiri byegeranye nka matumbo cyangwa uruhago mu gihe cy'umubaga
• Indwara ya post-tubal ligation, irimo impinduka mu mikorere y'imihango
• Gusama hanze y'inda niba hari ukuntu bidakora neza

Ingorane zikomeye ni gake cyane, zibaho ku gipimo kiri munsi ya 1% by'ibikorwa. Itsinda ry'abaganga bakora umubaga ryatojwe guhangana n'ingorane zishobora kuvuka, kandi ibibazo byinshi bishobora gukemurwa vuba hamwe n'imiti ikwiye. Gukurikiza amabwiriza yawe nyuma yo kubagwa neza bifasha kugabanya ibi byago.

Ni ryari nkwiriye kubona muganga nyuma yo kwifunga imiyoboro y'intanga?

Muganga wawe azategura gahunda yo gusuzuma mu cyumweru 1-2 nyuma y'igikorwa cyawe kugirango arebe uko ukira. Ariko, ugomba guhamagara umuganga wawe ako kanya niba ubonye ibimenyetso bibangamiye mbere y'iyi gahunda yateganyijwe. Ibibazo byinshi byo gukira ni bito, ariko kwitaho vuba ibimenyetso byo kwihanangiriza bituma habaho umusaruro mwiza.

Ibimenyetso bimwe na bimwe bisaba ubufasha bwihuse bw'abaganga kuko bishobora kwerekana ibibazo bikomeye. Ntukazuyaze guhamagara muganga wawe niba ufite impungenge ku kintu icyo aricyo cyose cyo gukira kwawe. Buri gihe ni byiza kuvugana n'umuganga wawe kuruta gutegereza no guhangayika.

Hamagara muganga wawe ako kanya niba ubonye kimwe muri ibi bimenyetso:

• Urubavu rukabije rurushaho cyangwa ntiruvurwe n'imiti ivura ububabare
• Ibimenyetso byo kwandura nka umuriro uri hejuru ya 101°F, guhinda umushyitsi, cyangwa ibimenyetso bisa n'ibya grip
• Gusohoka amaraso menshi cyangwa ibindi bintu binyura mu gipapuro mu isaha
• Umutuku, kubyimba, cyangwa uruhu ruri ahantu hakorewe icyo gikorwa
• Urugimbu n'umuriro bituma utabasha kugumana amazi
• Kugorwa no guhumeka cyangwa kubabara mu gituza
• Ibimenyetso byo gutwita nk'imihango idaza cyangwa kurwara mu gitondo

Abagore benshi bumva bameze neza nyuma y'icyumweru kimwe cyo kubagwa, bityo ibimenyetso bikomeza cyangwa bikarushaho nyuma y'iki gihe bisaba ubufasha bw'abaganga. Itsinda ryawe ry'ubuzima rishaka kureba ko gukira kwawe kugenda neza kandi buri gihe rihari kugira ngo rikore ku mpungenge zawe.

Ibikunze kubazwa ku bijyanye no guhagarika imikorere y'intanga

Q.1 Ese guhagarika imikorere y'intanga birashobora guhindurwa?

Guhindura guhagarika imikorere y'intanga birashoboka ariko biragoye cyane kurusha uburyo bwa mbere. Kubagwa bikubiyemo kongera guhuza ibice byafunzwe cyangwa byaciwe by'imiyoboro yawe y'intanga, ariko gutsinda ntigushoboka. N'iyo kubagwa byatsinda, urugero rwo gutwita rutandukanye kuva kuri 30-80% bitewe n'ibintu nk'imyaka yawe, uburyo bwa mbere bwakoreshejwe, n'uburyo imiyoboro isigaye.

Uburyo bwo guhindura burusha ubukana guhagarika imikorere y'intanga ya mbere, akenshi bisaba igihe kirekire cyo gukira kandi bikagira ibyago byinshi. Gahunda nyinshi z'ubwishingizi ntizishyura kubagwa kugira ngo bihindurwe kuko bifatwa nk'ibishoboka. Icyo nicyo gituma abaganga bashimangira akamaro ko kwemeza neza icyemezo cyawe mbere yo guhagarika imikorere y'intanga.

Q.2 Ese guhagarika imikorere y'intanga bigira ingaruka ku rwego rw'imisemburo?

Gufunga imiyoboro ntibigira ingaruka ku misemburo yawe kuko intanga ngore zawe zigikora neza nyuma yo kubagwa. Kubagwa gusa guhagarika inzira iri hagati y'intanga ngore zawe n'inkondo y'umura, ntabwo bigira ingaruka ku mikorere y'imisemburo ubwayo. Urwego rwa estrogen na progesterone ruraguma uko ruri, kandi uzakomeza kugira imihango isanzwe.

Abagore bamwe bavuga ko imihango yabo ihinduka nyuma yo gufunga imiyoboro, ariko ibi bikunze kuba impanuka aho kuba byaratewe n'ubuganga ubwabwo. Izi mpinduka zishobora guterwa no guhagarika uburyo bwo kuboneza urubyaro bukoresha imisemburo, gusaza bisanzwe, cyangwa izindi mpamvu. Niba ubonye impinduka zigaragara mu gihe cyawe cy'imihango, ganira na muganga wawe kugira ngo akureho izindi mpamvu.

Q.3 Nshobora gutwita nyuma yo gufunga imiyoboro?

Gutwita nyuma yo gufunga imiyoboro ni gake cyane ariko ntibishoboka. Ubu buryo bufite ubushobozi burenze 99%, bivuze ko abagore batarenze 1 kuri 100 bazatwita nyuma yo gufunga imiyoboro yabo. Iyo gutwita bibayeho, akenshi biba mu mwaka wa mbere nyuma yo kubagwa kandi bifite ibyago byinshi byo kuba ectopic.

Niba ubonye ibimenyetso byo gutwita nyuma yo gufunga imiyoboro, vugana na muganga wawe ako kanya. Gutwita ectopic bishobora guteza akaga kandi bisaba ubuvuzi bwihuse. Nubwo amahirwe ari make cyane, ni ngombwa kumenya ibi bishoboka kandi ugashaka ubuvuzi niba ufite impungenge.

Q.4 Gufunga imiyoboro bizagira ingaruka ku buzima bwanjye bw'imibonano mpuzabitsina?

Gufunga imiyoboro mubisanzwe ntibigira ingaruka mbi ku buzima bwawe bw'imibonano mpuzabitsina kandi bishobora no kubuteza imbere ku bagore benshi. Hatariho impungenge zo gutwita bitateganyijwe, abashakanye benshi basanga bashobora kuruhuka no kwishimira imibanire yabo neza. Ubu buryo ntibuhindura imiterere yawe mu buryo bwagira ingaruka ku kumva cyangwa imikorere y'imibonano mpuzabitsina.

Abagore bamwe bavuga ko bishimira imibonano mpuzabitsina nyuma yo kwishyira mu ngoboka kuko batagomba kwitaho uburyo bwo kuboneza urubyaro bushobora kubuza umwanya wo gukora imibonano. Ariko, wibuke ko kwishyira mu ngoboka ntibikingira indwara zandurira mu mibonano mpuzabitsina, bityo ushobora gukenera uburyo bwo kwirinda niba kwirinda izo ndwara ari ikibazo.

Q.5 Umubiri ukira gute nyuma yo kwishyira mu ngoboka?

Abagore benshi bakira nyuma y'ibyumweru 1-2 nyuma yo kwishyira mu ngoboka, benshi bakagaruka mu bikorwa bisanzwe nyuma y'iminsi mike. Mu masaha 24-48 ya mbere niho usanga hariho kutumva neza cyane, ibyo bikaba byashobora gucungwa n'imiti yo kurwanya ububabare itagurishwa ku gasoko no kuruhuka. Ushobora kumva unaniwe kubera imiti yo gutera urugimbu mu masaha ya mbere cyangwa iminsi ibiri.

Ubusanzwe ushobora gusubira ku kazi mu minsi 2-3 niba ufite akazi ko mu biro, nubwo ugomba kwirinda gukora imirimo ivunanye cyangwa imyitozo ikomeye mu gihe cy'icyumweru. Muganga wawe azatanga amabwiriza asobanutse ashingiye ku buryo ukira n'ubwoko bw'akazi ukora. Abagore benshi bumva basubiye mu buzima busanzwe mu byumweru bibiri nyuma y'ubwo buryo.