Ni iki cyitwa Vasectomy? Impamvu, Uburyo & Ibivamo

Vasectomy ni uburyo bwo kubaga buto butanga uburyo bwo kuboneza urubyaro burundu ku bagabo. Muri ubu bwoko bwo kubaga butakorwa mu bitaro, imiyoboro ya vas deferens (imiyoboro itwara intanga ngabo ziva mu gice cy'ibihaha) iracibwa cyangwa igafatwa kugira ngo itabuza intanga ngabo kuvanga n'amasohoro igihe umuntu asohoye.

Ubu buryo bufatwa nk'uburyo bumwe rukumbi bwo kuboneza urubyaro bufite ubushobozi bwo hejuru, bufite urugero rwo gutsinda ruri hejuru ya 99%. Nubwo yagenewe kuba ihoraho, ni ngombwa gusobanukirwa ko gukuraho vasectomy bishoboka ariko bigoye kandi ntibiba byose bigenda neza.

Vasectomy ni iki?

Vasectomy ni uburyo bwo guca intege abagabo butuma intanga ngabo zitagera mu masohoro asohoka igihe umuntu asohoye. Tekereza nk'uko warema inzitizi mu nzira intanga ngabo zisanzwe zinyuramo.

Ubu buryo bukubiyemo gukora ibice bito cyangwa gutobora mu gice cy'ibihaha kugira ngo bigere kuri vas deferens. Iyi ni imiyoboro itwara intanga ngabo ziva mu gice cy'ibihaha kugira ngo zivangwe n'andi mazi agize amasohoro. Muganga wawe azahita aca, akureho igice gito, cyangwa afate iyi miyoboro.

Nyuma ya vasectomy, igice cy'ibihaha cyawe kizakomeza gukora intanga ngabo, ariko zizafatwa n'umubiri wawe aho gusohoka. Uzasohora amasohoro, ariko ntizizaba zirimo intanga ngabo zishobora gutera inda.

Kuki vasectomy ikorwa?

Abagabo bahitamo vasectomy igihe bazi neza ko batifuza abana cyangwa abandi bana mu gihe kizaza. Akenshi bihitwamo n'abagabo bifuza kwitangira kuboneza urubyaro mu mubano wabo cyangwa igihe uburyo bwo kuboneza urubyaro bw'abagore butari bukwiye.

Ubu buryo bushobora kuba bukwiye kuri wowe niba uri mu mubano ushamye aho abafatanyabikorwa bombi bemeranya ko umuryango wawe warangiye. Abagabo bamwe kandi bahitamo vasectomy kubera impamvu z'ubuvuzi, nk'igihe gutwita byateza ibibazo by'ubuzima kuwo mwashakanye.

Birakwiye kwibuka ko vasectomy ifatwa nk'uburyo bwo kuboneza urubyaro burundu. Nubwo hari uburyo bwo kuyisubiramo, biragoye cyane, bihenze, kandi ntibishingiye ku kongera ubushobozi bwo kubyara. Iyo niyo mpamvu abaganga bashimangira gufata iki cyemezo witonze kandi ukagifata nk'ikitazavaho.

Ni iki gikorerwa vasectomy?

Uburyo bwa vasectomy busanzwe bukorwa mu biro bya muganga wawe cyangwa ahantu hakorerwa imirimo yo kubaga abantu batari abarwayi. Uburyo bwose hamwe busanzwe bufata iminota nka 30 kandi bukorwa hakoreshejwe imiti y'agace, bityo uzaba uri maso ariko ntuzumva ububabare.

Muganga wawe azakoresha uburyo bumwe muri bubiri bwo kugera kuri vas deferens:

1. Uburyo busanzwe: Uduce duto dukorwa muri scrotum kugira ngo tugere kuri vas deferens
2. Uburyo butagira icyuma: Ibikoresho byihariye bikora utwobo duto aho gukora ibice, bikunda gutera amaraso make no gukomeretsa

Iyo muganga wawe abonye vas deferens, bazaca buri tuyobe bakureho agace gato. Imipaka irashobora gufungwa hakoreshejwe ubushyuhe (cauterization), igafungwa hamwe n'ibikoresho byo kubaga, cyangwa igafungwa hamwe n'uburyo bwihariye butera uruhu ruzana ibibara. Abaganga bamwe kandi bashyiraho inzitizi nto hagati y'imipaka yacitse kugira ngo birinde ko yongera guhura.

Nyuma yo gukora uwo murimo, uzahabwa ibikoresho bito byo gupfuka cyangwa imirongo yo kubaga kugira ngo upfuke ahantu hakorewe. Uburyo bwose hamwe bugamije kuba bworoshye uko bishoboka kose mugihe cyo kumenya neza imikorere y'uburyo.

Ni gute witegura vasectomy yawe?

Kwitegura vasectomy yawe bikubiyemo intambwe zombi z'umubiri n'izikorwa kugira ngo zemeze umusaruro mwiza ushoboka. Muganga wawe azatanga amabwiriza yihariye, ariko aha hari imyiteguro isanzwe ushobora kwitega.

Mu minsi yo gutegura uburyo, uzakenera gutegura umuntu wo kukujyana mu rugo nyuma. Nubwo uzaba uri maso, urashobora kumva umeze neza ufite ubufasha mu masaha make ya mbere.

Ibi nibyo ushobora gukora kugirango witegure:

• Koga neza kandi usukure ahantu h'ibitsina mu gitondo mbere yo gukorerwa icyo gikorwa
• Wambare imyenda y'imbere yoroshye kandi ifashe neza cyangwa uzane jockstrap nyuma yo kubagwa
• Irinde gufata aspirine cyangwa imiti ituma amaraso atinda gupfuka mu cyumweru mbere yo kubagwa (keretse muganga wawe abigushishikarije)
• Teganya gufata iminsi mike yo kuruhuka ku kazi, cyane cyane niba akazi kawe karimo gukora imirimo ivunanye cyangwa imyitozo ngororamubiri
• Gura imiti igabanya ububabare itagomba kwandikwa na muganga nka ibuprofen cyangwa acetaminophen

Muganga wawe ashobora kandi kugusaba gukata cyangwa kumena umusatsi uri hafi y'igitsina cyawe, nubwo ibi rimwe na rimwe bikorwa ku ivuriro. Ntuzahangayike ku bijyanye no kurya mbere y'igikorwa kuko uzahabwa imiti y'agace.

Ni gute usoma ibisubizo bya vasectomy yawe?

Bitandukanye n'ibizamini by'amaraso cyangwa ibizamini by'amashusho, ibisubizo bya vasectomy bipimwa no kutaboneka kwa sperme mu masohoro yawe. Ibi byemezwa binyuze mu bizamini bya semen analysis bikorwa nyuma y'ibyumweru byinshi nyuma yo gukorerwa icyo gikorwa.

Muganga wawe azagusaba gutanga icyitegererezo cy'amasohoro nyuma y'ibyumweru 8-12 nyuma ya vasectomy yawe. Laboratoire izasuzuma ibi byitegererezo ikoresheje microscope kugirango igenzure sperme. Vasectomy yatsinze bisobanura ko nta sperme iboneka mu cyitegererezo cy'amasohoro yawe.

Rimwe na rimwe, ushobora gukenera ibizamini byinshi kugirango wemeze ibisubizo. Dore icyo ibintu bitandukanye bishobora gusobanura:

• Nta sperme yagaragaye: Vasectomy yawe yatsinze kandi urashobora kuyishingikiraho mu kuboneza urubyaro
• Sperme nkeya cyane zihari: Ushobora gukenera ikindi kizamini mu byumweru bike, kuko sperme zimwe ziracyava mu mubiri wawe
• Umubare usanzwe wa sperme: Ibi ni gake ariko bishobora kugaragaza ko vas deferens yongeye guhura, bigasaba kuvurwa

Kugeza igihe uzabona icyemezo cy'uko amasohoro yawe adafite sperme, uzakenera gukomeza gukoresha uburyo bwo kuboneza urubyaro. Iki gihe cyo gutegereza ni ngombwa kuko sperme ishobora kubaho mu mubiri wawe mu byumweru byinshi nyuma y'igikorwa.

Ni gute wakwitwara nyuma yo kubagwa vasectomy?

Gukira nyuma ya vasectomy mubisanzwe biroroshye, ariko gukurikiza amabwiriza ya muganga wawe neza bizagufasha kugira imikurire myiza n'ibisubizo byiza. Abagabo benshi bashobora gusubira mu kazi ko ku meza nyuma y'iminsi mike kandi bagasubira mu bikorwa bisanzwe mu gihe cy'icyumweru.

Mu masaha 48-72 ya mbere nyuma yo kubagwa, kuruhuka ni inshuti yawe nziza. Shyira ibikoresho bikonjesha ahantu hababaye iminota 15-20 inshuro nyinshi ku munsi kugirango ugabanye kubyimba no kutamererwa neza. Koresha amazi meza ahantu habagiwe kandi wumuke, kandi wirinde kwiyuhagira mu bwogero, koga, cyangwa mu bwogero bushyushye kugeza muganga wawe abikwemereye.

Uku niko wakora kugirango ushyigikire imikurire yawe:

• Kora imyenda yo munsi ishyigikiye cyangwa jockstrap mu cyumweru cya mbere
• Fata imiti igabanya ububabare nkuko byategetswe na muganga wawe
• Irinda kuzamura ibintu biremereye (birenze ibiro 10) byibuze icyumweru
• Tegereza byibuze icyumweru mbere yo gukora imyitozo cyangwa gukora ibikorwa bikomeye
• Koresha amazi meza ahantu hakomeretse kandi urebe ibimenyetso byo kwandura

Urubavu rwinshi rurakira mu minsi mike, nubwo abagabo bamwe bahura no kubabara gake cyangwa kumva ububabare mu byumweru bike. Ibi ni ibisanzwe kandi mubisanzwe biragenda neza buhoro buhoro. Wibuke, nturahinduka udatanga imbuto ako kanya nyuma yo kubagwa, rero komeza gukoresha uburyo bwo kuboneza urubyaro kugeza igihe ibizamini byawe byo gukurikirana byemeje intsinzi.

Ni iki gisubizo cyiza kuri vasectomy?

Igisubizo cyiza kuri vasectomy ni igikorwa cyatsinze gifite ingorane nkeya kandi gifite ubushobozi bwuzuye bwo gukumira inda. Hejuru ya 99% ya vasectomy ziratsinda, bigatuma iba imwe mu buryo bwo kuboneza urubyaro bwizewe cyane buriho.

Igisubizo cyiza gisobanura ko ntazabura intanga ngabo mu byerekanwa byawe bya maraso mu gihe cyo gukurikirana, kutamererwa neza gake mugihe cyo gukira, kandi nta ngorane zirambye. Abagabo benshi basanga imikorere yabo y'imibonano mpuzabitsina, urwego rw'imisemburo, n'ubuzima muri rusange biguma bitahindutse rwose nyuma yo kubagwa.

Ibisubizo byiza mubisanzwe bibaho iyo abagabo:

• Bafite icyizere cyuzuye ku cyemezo bafashe mbere y'igikorwa
• Bakurikiza amabwiriza yose mbere na nyuma y'ububabare neza
• Buzuza isesengura ry'amasohoro yo gukurikirana nk'uko byateganyijwe
• Bakoresha uburyo bwo kuboneza urubyaro butandukanye kugeza igihe ubuzima butazongera kubaho bwemejwe
• Bagumana ibyiringiro bifatika ku bijyanye n'igikorwa n'imikorere

Amasaha yo kunyurwa igihe kirekire ni menshi cyane, abagabo benshi bavuga ko nta kwicuza bafite ku cyemezo bafashe. Igikorwa ntigihindura imikorere y'imisemburo, imikorere y'imibonano mpuzabitsina, cyangwa umubare w'amasohoro mu buryo ubwo aribwo bwose bugaragara.

Ni ibihe bintu byongera ibyago byo kugira ibibazo bya vasectomy?

Mugihe vasectomy muri rusange ifite umutekano mwinshi, ibintu bimwe na bimwe bishobora kongera gato ibyago byawe byo kugira ibibazo. Kumva ibyo bintu byongera ibyago birashobora gufasha wowe n'umuganga wawe gufata icyemezo cyiza no gufata ingamba zikwiye.

Ibibazo byinshi ni bito kandi by'igihe gito, ariko kumenya ibyago bishobora gutuma umenya igihe wahamagara umuganga wawe. Igipimo cy'ibibazo muri rusange ni gito, akenshi ni munsi ya 1% kubibazo bikomeye.

Ibintu bishobora kongera ibyago byawe birimo:

• Kubagwa cyangwa gukomereka mbere ku gice cy'igitsina cyateje inkovu
• Uburwayi bwo gupfuka amaraso cyangwa gufata imiti igabanya amaraso
• Diabetes cyangwa izindi ndwara zigira ingaruka ku gukira
• Umunyonga, ushobora gutinda gukira no kongera ibyago byo kwandura
• Varicoceles nini (imitsi yagutse mu gice cy'igitsina)

Umuganga wawe azasuzuma amateka yawe y'ubuvuzi akugenzure mbere y'igikorwa kugirango amenye ibintu byose bishobora kongera ibyago. Mu bihe byinshi, ibyo bintu ntibikumira kugira vasectomy ariko bishobora gusaba ingamba zidasanzwe cyangwa uburyo buhindutse.

Ni byiza gukora vasectomy cyangwa izindi nzira zo kuboneza urubyaro?

Niba vasectomy ari nziza kurusha izindi nzira zo kuboneza urubyaro biterwa n'uko ubuzima bwawe bwite bumeze, uko umubano wawe uhagaze, n'imigambi yawe y'ahazaza mu muryango. Vasectomy irusha izindi nzira gukora neza mu bice bimwe na bimwe, mu gihe izindi nzira zishobora kuba zikwiriye mu bindi bihe.

Vasectomy ni nziza cyane niba wizeye neza ko udashaka abana cyangwa abandi bana kuko ihoraho, ikora neza cyane, kandi ntisaba kwitabwaho buri gihe. Bitandukanye n'izindi nzira, nta murimo wa buri munsi, nta ngaruka ziterwa n'imisemburo, kandi nta ngaruka bigira ku gikorwa cyo guteranira mu buriri iyo umaze gukira.

Ariko, izindi nzira zishobora kuba nziza niba:

• Ushobora kuzashaka abana mu gihe kizaza
• Uri mu mubano mushya cyangwa uko umubano wawe uhagaze ushobora guhinduka
• Uwo mwashakanye akunda kugenzura uburyo bwo kuboneza urubyaro
• Ushaka uburyo bworoshye bwo guhindura
• Utishimiye ibikorwa byo kubaga

Mu rwego rw'ikiguzi, vasectomy akenshi iba ihendutse kurusha izindi nzira uko igihe kigenda gihita, kuko nta bisabwa buri gihe nyuma y'igikorwa cyo kubaga. Ikintu cy'ingenzi ni ukwizera rwose icyemezo cyawe, kuko ibikorwa byo gusubiza inyuma birushya kandi bihenze.

Ni izihe ngaruka zishobora guterwa na vasectomy?

Nubwo vasectomy ifatwa nk'igikorwa cyiza cyane, kimwe n'ibindi bikorwa byo kubaga, gishobora kugira ingaruka. Ingaruka nyinshi ni nto kandi zikira zonyine cyangwa zifashijwe n'imiti yoroheje, ariko ni ngombwa kumenya icyo ugomba kwitaho.

Ingaruka zihutirwa zishobora kubaho mu minsi mike nyuma y'igikorwa akenshi zijyana n'ahantu habagiwe n'inzira yo gukira. Ibi bikunze gucungwa neza bitewe n'ubuvuzi bukwiye n'ubuvuzi bw'abaganga iyo bibaye ngombwa.

Ingaruka zisanzwe zigihe gito zirimo:

• Gusohoka amaraso cyangwa hematoma (amaraso yegerana munsi y'uruhu)
• Udukoko ahantu habagiwe
• Urubavu rukabije cyangwa kubyimba
• Sperm granulomas (udusimba duto duterwa no kuva kw'intanga)
• Guhindura ibara ry'uruhu ry'agateganyo

Ibyago byo mu gihe kirekire ni bike ariko bishobora kurimo kubabara ku buryo buhoraho, bikaba byibonekeza ku bagabo batarenze 1%. Abagabo bamwe bashobora guhura n'indwara y'ububabare nyuma yo gukorerwa vasectomy, ikubiyemo kubabara cyangwa kutumva neza mu ntanga cyangwa mu gice cy'igitsina.

Mu buryo buke cyane, imitsi itwara intanga ishobora kongera guhura mu buryo busanzwe, bita recanalization, bishobora gusubiza ubushobozi bwo kubyara mu buryo butunguranye. Ibi nibyo bituma gupima intanga nyuma y'igihe ari ngombwa cyane kugirango bemeze ko iyi nzira yagenze neza.

Ni ryari nkwiriye kubona umuganga nyuma yo gukorerwa vasectomy?

Ugomba kuvugana n'umuganga wawe niba uhuye n'ibimenyetso bidasanzwe mugihe urimo gukira cyangwa niba ufite impungenge zerekeye uko ukira. Nubwo gukira kenshi bigenda neza, kumenya igihe cyo gushaka ubufasha bw'ubuvuzi birinda ibibazo bito kuba ibibazo bikomeye.

Hamagara umuganga wawe ako kanya niba ubonye ibimenyetso byo kwandura cyangwa ibibazo bikomeye. Ibi bimenyetso bisaba isuzuma ryihuse ry'ubuvuzi kugirango hatangwe ubuvuzi bukwiye kandi birinde ibibazo.

Vugana n'umuganga wawe ako kanya niba uhuye n'ibi bikurikira:

• Urubore rurenze 101°F (38.3°C)
• Urubabare rukabije rutagabanuka n'imiti
• Gusohoka kw'amaraso cyane cyangwa amaraso yuzura mu mpapuro zifashishwa
• Ibimenyetso byo kwandura nk'ukwiyongera kw'umutuku, gushyuha, cyangwa amashyira
• Utubumbe tunini, tw'ibumba mu ntanga
• Ukubyimba gukabije kurushaho kuba bibi aho kuba byiza

Ugomba kandi guteganya gahunda yo gusuzumwa buri gihe nkuko byategetswe n'umuganga wawe. Ibi bikunze kurimo ibizamini byo gusesengura intanga kugirango bemeze ko iyi nzira yagenze neza kandi bemeze ko ushobora kwishingikiriza kuri vasectomy mu buryo bwizewe bwo kuboneza urubyaro.

Ntugatinye guhamagara niba ufite ibibazo cyangwa impungenge mugihe urimo gukira. Itsinda ryawe ry'ubuzima rirahari kugirango rigushyigikire muri uru rugendo kandi rishaka kumenya ko ugira umusaruro mwiza ushoboka.

Ibikunze kubazwa kuri vasectomy

Q1: Ese vasectomy ni nziza kuboneza urubyaro burundu?

Yego, vasectomy ifatwa nk'imwe mu buryo bwiza bwo kuboneza urubyaro burambye. Ifite urugero rwo gutsinda ruri hejuru ya 99%, irusha imbaraga uburyo bwo kuboneza urubyaro ku bagore kandi ntisaba gukomeza kuyitaho nk'ubundi buryo bwo kuboneza urubyaro.

Ubu buryo bugamije kuba burambye, bityo bukaba bwiza ku bagabo bafite icyizere cy'uko batifuza abana cyangwa abandi bana mu gihe kizaza. Bitandukanye n'uburyo bw'agateganyo, nta kaga ko kwibeshya cyangwa kwibagirwa gukoresha uburyo bwo kwirinda iyo ubu buryo bwemejwe ko bwatsinze.

Q2: Ese vasectomy itera impinduka za hormone?

Oya, vasectomy ntiter impinduka za hormone. Ubu buryo bugira ingaruka gusa ku miyoboro ya vas deferens, ari yo miyoboro itwara intanga. Ibice byawe by'imitsi bikomeza gukora testosterone bisanzwe, bityo urugero rwa hormone yawe, imikorere y'imibonano mpuzabitsina, n'ubuzima bwawe muri rusange biguma uko byari bisanzwe.

Uzakomeza gukora amasohoro, ariko ntazaba akubiyemo intanga. Umubare w'amasohoro agabanuka gake kuko intanga zigize igice gito cy'amasohoro. Abagabo benshi ntibabona itandukaniro mu mikorere yabo y'imibonano mpuzabitsina.

Q3: Ese vasectomy irahindurwa?

Yego, guhindura vasectomy birashoboka binyuze mu buryo bugoye bwa microsurgical bwitwa vasovasostomy cyangwa vasoepididymostomy. Ariko, guhindura ntigushimangira ubushobozi bwo kubyara, kandi urugero rwo gutsinda rutandukana bitewe n'ibintu nk'igihe cyashize ubu buryo bwa mbere bukoreshejwe n'uburyo bwa gikururwa bukoreshwa.

Kubaga kugira ngo bihindurwe birahenze kandi bigoye kurusha vasectomy ya mbere, bikunze gusaba amasaha 2-4 munsi ya anesthesia rusange. Urugero rwo gutsinda kw'intanga zisubira mu masohoro ruri hagati ya 70-95%, ariko urugero rwo gutwita muri rusange ruri hasi, hafi ya 30-70%.

Q4: Bifata igihe kingana iki kugira ngo ube utagishoboye kubyara nyuma ya vasectomy?

Ntiwihutirwa kuba utagishoboye kubyara nyuma ya vasectomy. Bisaba ibyumweru 8-12 kugira ngo intanga zose zisigaye zive mu mubiri wawe. Muri iki gihe, ugomba gukomeza gukoresha uburyo bwo kuboneza urubyaro butandukanye kugira ngo wirinde gutwita.

Muganga wawe azapima icyitegererezo cyawe cy'intanga ngabo kugira ngo yemeze ko nta ntanga ngabo ufite mbere yo kuguha icyemezo cy'uko wemerewe. Abagabo bamwe bashobora gukenera ibizamini byinshi cyangwa bikabatwara igihe kirekire kugira ngo bagere ku kutabyara, bityo kwihangana no gukomeza gukoresha uburyo bwo kuboneza urubyaro ni ngombwa kugeza ubwo uhabwa icyemezo.

Q5: Ni igihe kingana iki cyo koroherwa nyuma yo gukorerwa vasectomy?

Abagabo benshi bashobora gusubira mu kazi ko mu biro nyuma y'iminsi 2-3 kandi bagasubira mu bikorwa bisanzwe mu gihe cy'icyumweru. Ariko, ugomba kwirinda gukora imirimo ivunanye, imyitozo ikomeye, cyangwa ibikorwa bishobora gushyira umubiri mu gihirahiro byibuze icyumweru.

Gukira neza mubisanzwe bifata ibyumweru 2-3, nubwo abagabo bamwe bashobora kumva batameze neza cyangwa bakagira ubworoherane mu gihe cy'ibyumweru byinshi. Gukurikiza amabwiriza ya muganga wawe nyuma yo kubagwa neza bizafasha kugira ngo ukire vuba kandi neza.