Ni iki cyitwa gusubiza inyuma vasectomy? Intego, Uburyo & Ibivamo

Gusubiza inyuma vasectomy ni uburyo bwo kubaga bwo gusubiza mu buryo bwiza imiyoboro ya vas deferens yaciwe mugihe cya vasectomy. Iyi operasiyo igamije kugarura ubushobozi bwawe bwo kubyara abana mu buryo busanzwe binyuze mu koroshya intanga kugenda ziva mu gitsina cyawe zikajya guhura n'amasohoro.

Bitekereze nk'uko usubiza inyuma vasectomy yambere. Mugihe cy'uburyo, umuganga abaga asubiza mu buryo bwitondewe imiyoboro mito akoresheje uburyo bwo kubaga bwa microsurgery. Nubwo bigoye kurusha vasectomy yambere, abagabo benshi batsinda neza kongera ubuzima bwabo bwo kubyara binyuze muri ubu buryo.

Ni iki cyitwa gusubiza inyuma vasectomy?

Gusubiza inyuma vasectomy ni uburyo bwa microsurgical busubiza mu buryo bwiza vas deferens, imiyoboro itwara intanga ziva mu gitsina cyawe. Igihe wari ufite vasectomy yawe yambere, iyi miyoboro yaraciwe cyangwa irahagarikwa kugirango wirinde intanga kugera ku masohoro yawe.

Mugihe cyo gusubiza inyuma, umuganga wawe akoresha uburyo bwihariye bwo gusubiza mu buryo bwitondewe iyi miyoboro. Intego ni ugukora inzira isobanutse kugirango intanga zigende. Ubu buryo busaba ubuhanga bwo kubaga neza kuko vas deferens nto cyane, hafi y'ubugari bw'umugozi.

Operasiyo mubisanzwe ifata amasaha 2-4 kandi ikorwa munsi ya anesthesia rusange. Abagabo benshi barashobora gutaha umunsi umwe, nubwo uzakenera umuntu wo kukujyana mu rugo no gufasha mumirimo ya buri munsi muminsi mike ya mbere.

Kuki gusubiza inyuma vasectomy bikorwa?

Abagabo bahitamo gusubiza inyuma vasectomy cyane cyane iyo bashaka kongera kubyara abana. Ibihe by'ubuzima bikunze guhinduka nyuma ya vasectomy yambere, biganisha kuri iyi myanzuro.

Impamvu zisanzwe zirimo kongera gushaka, gutakaza umwana, cyangwa guhindura umutima wawe wo kugira abana benshi. Abashakanye bamwe bakunda igitekerezo cyo gutwita mu buryo busanzwe kuruta izindi nzira zifashisha imikorere y'ubuzima.

Hano hari impamvu nyamukuru abagabo bazirikana ubu buryo:

• Gushaka umubano mushya cyangwa kongera gushaka
• Kwifuzwa kw'abana bongereweho n'uwo mwashakanye ubu
• Kubura umwana
• Umutungo wateye imbere watuma haboneka abana benshi
• Gukunda kubyara mu buryo busanzwe kurusha gukoresha uburyo bwo gukura intanga ngabo

Abagabo bamwe kandi bahitamo gusubizwa inyuma kugira ngo bakemure uburibwe buhoraho butajya bubaho nyuma yo gukorerwa vasectomy, nubwo ibi bidakunze kubaho.

Ni iki gikorerwa mu gusubiza inyuma vasectomy?

Uburyo bwo gusubiza inyuma vasectomy bukubiyemo kongera guhuza imitsi ya vas deferens hakoreshejwe uburyo bwo kubaga bwa mikorosikopi. Umuganga ubaga azakora ibishashi bito mu gice cy'imyanya y'ubugabo kugira ngo agere ku miyoboro yari yaraciwe.

Mbere na mbere, umuganga ubaga asuzuma imipaka ya vas deferens akareba niba hari intanga ngabo. Niba intanga ngabo zibonetse mu mazi ava mu ruhande rw'igitsina, hakorwa uburyo bwo guhuza imitsi yitwa vasovasostomy. Niba nta ntanga ngabo zibonetse, hakenerwa uburyo bugoye bwo kubaga bwa vasoepididymostomy.

Ibi nibyo bibaho mu gihe cyo kubaga:

1. Hatangwa imiti yo gutuma umuntu atagira ubwoba
2. Hakorwa ibishashi bito mu gice cy'imyanya y'ubugabo
3. Umuganga ubaga ashaka aho imipaka ya vas deferens yaciwe iherereye
4. Amazi arasuzumwa kugira ngo harebwe niba harimo intanga ngabo
5. Imitsi irahuzwa hakoreshejwe imitsi mito cyane
6. Ibishashi birafungwa hakoreshejwe imitsi ishonga

Ubu buryo bwose bukamara amasaha 2-4. Umuganga ubaga akoresha mikorosikopi yo kubagisha kugira ngo yemeze ko imitsi yoroheje ihuzwa neza.

Ni gute witegura gusubizwa inyuma vasectomy yawe?

Kwitegura gusubizwa inyuma vasectomy bikubiyemo intambwe nyinshi kugira ngo habeho umusaruro mwiza. Umuganga ubaga azatanga amabwiriza yihariye ashingiye ku miterere yawe bwite.

Uzaba ukeneye kureka gufata imiti imwe n'imwe ishobora kongera ibyago byo kuva amaraso, nka aspirine cyangwa imiti igabanya amaraso. Muganga wawe azakubwira neza imiti ugomba kwirinda n'igihe ugomba kuyireka.

Aha hari intambwe z'ingenzi zo kwitegura:

• Reka kunywa itabi byibuze ibyumweru bibiri mbere yo kubagwa
• Irinde aspirine n'imiti irwanya kubyimbirwa mu cyumweru kimwe
• Tegura uburyo bwo gutwara umuntu ataha nyuma yo kubagwa
• Gura imyenda y'imbere ishyigikira cyangwa igitambaro gishyigikira imboro
• Shyira ahantu hose ibikoresho byo gukonjesha kugira ngo bikoreshwe nyuma yo kubagwa
• Tegura gahunda yawe mu byumweru 1-2 byo gukora ibikorwa bike

Ku munsi wo kubagwa, uzakenera kwiyiriza ubusa amasaha 8-12 mbere yo gukora icyo gikorwa. Wambare imyenda yoroshye, yagutse yoroshye kwambara nyuma yo kubagwa.

Ni gute usoma ibisubizo byawe byo gusubiza inyuma vasectomy?

Intsinzi nyuma yo gusubiza inyuma vasectomy ipimirwa mu buryo bubiri: kugaruka kwa sperme mu masohoro yawe no kugera ku gutwita. Muganga wawe azakurikiza ibisubizo byombi binyuze mu nama zo gukurikirana.

Sperme isanzwe igaruka mu masohoro yawe mu mezi 3-6 nyuma yo kubagwa. Muganga wawe azagenzura isesengura ryawe ry'amasohoro buri gihe kugirango yemeze ko sperme ihari kandi ibarwe. Ariko, urugero rwo gutwita rushingiye ku bintu bitandukanye birenze gusa kugaruka kwa sperme.

Urugero rw'intsinzi rutandukanye hashingiwe ku bintu bitandukanye:

• Igihe cyatanzwe kuva vasectomy y'umwimerere (byiza niba munsi yimyaka 10)
• Ubwoko bwa gahunda yo gusubiza inyuma bikenewe
• Imyaka yawe n'ubuzima bwawe muri rusange
• Imyaka y'umufatanyabikorwa wawe n'uburumbuke bwe
• Kugaragara kw'imiryango irwanya sperme

Muri rusange, sperme igaruka mu masohoro mu bagabo bagera kuri 85-90%, mugihe urugero rwo gutwita ruri hagati ya 30-70% bitewe n'ibi bintu. Umuganga wawe ushinzwe kubaga ashobora kuguha ibyiringiro byihariye bishingiye ku miterere yawe.

Ni gute wakongera intsinzi yawe yo gusubiza inyuma vasectomy?

Mugihe udashobora kugenzura ibintu byose bigira uruhare mu gutsinda gusubiza inyuma, urashobora gufata ingamba zo kunoza amahirwe yawe. Gukurikiza amabwiriza yawe yo kubaga nyuma yo kubagwa ni ikintu cyingenzi ushobora gukora.

Kugumana ubuzima bwiza muri rusange bishyigikira gukira no kubyara. Ibi birimo kurya neza, gukomeza gukora imyitozo ngororamubiri umaze kwemezwa na muganga wawe, no kwirinda imigenzo ishobora kwangiza ubuziranenge bwa sperme.

Ubu ni uburyo bwo gufasha koroherwa no kugera ku ntsinzi:

• Kurikiza amabwiriza yose yo kwitabwaho nyuma yo kubagwa
• Witabe gahunda zose zo gukurikiranwa
• Gufata indyo nziza yuzuye intungamubiri zifasha umubiri
• Gukora imyitozo buri gihe umaze kwemezwa na muganga wawe
• Kwimuka itabi no kunywa inzoga nyinshi
• Kugabanya umunaniro ukoresheje uburyo bwo kuruhuka
• Gufata imiti y'imitsi cyangwa ibiyongera ku mirire byasabwe

Wibuke ko gutwita bishobora gutwara igihe kabone n'iyo intanga zagaruka. Abashakanye benshi bakeneye amezi 6-12 cyangwa arenga kugira ngo batwite, ibyo ni ibisanzwe.

Ni ibihe byago byo kugira ibibazo byo gusubiza inyuma vasectomy?

Kimwe n'ubundi bubare bwose, gusubiza inyuma vasectomy bifite ibyago bimwe, nubwo ibibazo bikomeye bidasanzwe. Kumva ibyo byago bifasha gufata icyemezo gifitiye akamaro ku bijyanye n'iyo gahunda.

Ibibazo byinshi ni bito kandi by'igihe gito. Umuganga ubaga azaganira nawe ku byago byawe bwite bishingiye ku mateka yawe y'ubuzima no ku bintu byihariye bya vasectomy yawe y'umwimerere.

Ibyago bisanzwe birimo:

• Kubagwa cyangwa gukomereka mu gice cy'imyanya myibarukiro
• Igihe kirekire kuva vasectomy ya mbere (imyaka irenga 15)
• Kunywa itabi cyangwa kutagira urugendo rwiza rw'amaraso
• Indwara ya diyabete cyangwa izindi ndwara zidakira
• Udukoko twabayeho mu gice cy'imyanya myibarukiro
• Uruhu rwakomeretse ruturutse kuri vasectomy ya mbere

Imyaka ntigira uruhare runini mu kongera ibyago byo kubagwa, ariko imyaka y'uwo mwashakanye igira uruhare ku kigereranyo cyo gutwita. Kuganira kuri ibyo bintu na muganga wawe bifasha gushyiraho ibyiringiro bifatika.

Ese ni byiza gusubiza inyuma vasectomy cyangwa gukuramo intanga?

Gusubiza inyuma vasectomy no gukuramo intanga hamwe na in vitro fertilization (IVF) byombi bishobora kugufasha gutwita. Guhitamo neza biterwa n'uko ubuzima bwawe buteye n'ibyo ukunda.

Kugarura vasectomy bituma kubyara karemano no kubyara inshuro nyinshi uko igihe kigenda.

Gukurura intanga hamwe na IVF mubisanzwe bisaba uburyo kuri buri gerageza ryo kubyara ariko birashobora kuba byihuse kugirango ubyare ubwa mbere.

Tekereza kugarura vasectomy niba:

• Ushaka amahirwe yo kubyara inshuro nyinshi
• Uwo mwashakanye afite munsi yimyaka 37
• Ukunda kubyara karemano
• Uwo mwashakanye afite ubushobozi busanzwe bwo kubyara
• Igiciro ni ikintu cyingenzi mugihe kirekire

Gukurura intanga hamwe na IVF birashobora kuba byiza niba uwo mwashakanye afite ibibazo byo kubyara, afite hejuru yimyaka 40, cyangwa niba ukeneye kugenzura imiterere y'intanga. Umuganga w'inzobere mu kubyara ashobora kugufasha gupima izi nzira.

Ni izihe ngaruka zishobora guterwa no kugarura vasectomy?

Ingaruka ziterwa no kugarura vasectomy muri rusange ni gake kandi mubisanzwe ni nto. Abagabo benshi bahura gusa n'ububabare bw'igihe gito no kubyimba bikemuka muminsi mike.

Ingaruka zihuse zirimo kuva amaraso, kwandura, cyangwa ibisubizo bya anesthesia. Ibi bibaho munsi ya 5% y'imanza kandi mubisanzwe birashoboka kubicunga neza hamwe n'ubuvuzi bukwiye.

Ingaruka zishobora kuba zirimo:

• Kuva amaraso cyangwa gukora hematoma
• Kwandura ahantu habagiriwe
• Urubabare rwa kronike (gake cyane)
• Gukora granuloma y'intanga
• Kunanirwa kwongera guhuza neza
• Guteza imbere imibiri irwanya intanga

Ingaruka zirambye ntizisanzwe.

Ibintu byinshi bibaho nyuma yo kubagwa ni ibisanzwe mu gukira, ariko ibimenyetso bimwe byo kwitondera ntibigomba kwirengagizwa. Muganga wawe uzaguha amabwiriza arambuye yo kumenya igihe ugomba guhamagara.

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

• Urubabare rwinshi rutagabanywa n'imiti yandikiwe
• Ukuva amaraso menshi cyangwa ibibumbe by'amaraso
• Urubore rurenze 101°F (38.3°C)
• Umutuku wiyongera cyangwa ubushyuhe ahantu hakorewe ibikomere
• Ibishyimbo cyangwa amazi adasanzwe ava mu bikomere
• Ukubyimba gukabije kudakira

Muri rusange, uzabona muganga wawe mu byumweru 1-2 nyuma yo kubagwa, hanyuma wongere umubone nyuma y'amezi 3-6 kugira ngo akore isesengura ry'intanga. Gukurikiranira hafi bifasha kugaragaza gukira neza no gukurikirana iterambere ryawe.

Ibibazo bikunze kubazwa ku bijyanye no gusubiza inyuma vasectomy

Q.1 Ese gusubiza inyuma vasectomy birishyurwa n'ubwishingizi?

Inyungu nyinshi z'ubwishingizi ntizishyura gusubiza inyuma vasectomy kuko bifatwa nk'igikorwa gishobora guhitwamo. Ariko, politiki zo gutanga ubwishingizi zirashobora gutandukana, bityo birakwiye kuvugana n'ikigo cy'ubwishingizi.

Inyungu zimwe na zimwe zishobora kwishyura igikorwa niba ari ngombwa mu rwego rw'ubuvuzi, nk'ubufasha bwo kugabanya urubabare rurambye. Ibitaro byinshi bikora ibikorwa byo kubaga bitanga gahunda zo kwishyura cyangwa uburyo bwo kubona inguzanyo kugira ngo bifashe mu gucunga ikiguzi, akenshi kiri hagati ya $5,000 na $15,000.

Q.2 Ese gusubiza inyuma vasectomy bigira ingaruka ku rwego rw'imisemburo?

Oya, gusubiza inyuma vasectomy ntibigira ingaruka ku rwego rw'imisemburo yawe. Imisemburo yawe ikomeza gukora testosterone uko bisanzwe mbere na nyuma y'igikorwa.

Kubaga gusa ni uguhuza imiyoboro itwara intanga, atari imitsi itwara imisemburo. Imikorere yawe mu bijyanye n'imibonano mpuzabitsina, urwego rw'imbaraga, n'ibindi bintu bifitanye isano n'imisemburo biraguma uko byari bimeze.

Q.3 Bifata igihe kingana iki kugira ngo umuntu akire nyuma yo gusubiza inyuma vasectomy?

Abagabo benshi basubira mu kazi ko mu biro nyuma y'iminsi mike kandi bongera gukora ibikorwa bisanzwe mu byumweru 1-2. Ariko, uzakenera kwirinda kuzamura ibintu biremereye no gukora imirimo ikomeye mu byumweru 3-4.

Ibikorwa by'imibonano mpuzabitsina mubisanzwe bishobora gusubukurwa nyuma y'ibyumweru 2-3, mugihe umuganga wabagushije abikwemereye. Gukira neza byuzura bifata ibyumweru 6-8, nubwo ushobora kumva umeze neza mbere y'igihe.

Q.4 Ese gukura vasectomy bishobora gukorwa inshuro zirenze imwe?

Yego, gukura vasectomy birashoboka gusubirwamo niba igerageza rya mbere ritagenze neza, nubwo urwego rw'ubushobozi rusanzwe ruri hasi mugihe cyo gusubiramo. Icyemezo gishingiye kumpamvu yabiteye gukora isuzuma rya mbere ritagenze neza n'uburyo vas deferens nziza isigaye.

Umuhanga wawe azasuzuma ibintu nk'imikorere y'inyama zifite ibibazo n'imimerere y'inzira yawe yo kubyara mbere yo kugusaba gusubiramo kwa kabiri. Uburyo bindi nko gukuramo intanga ngabo birashobora gukora neza mubibazo bimwe.

Q.5 Ni iki kigereranyo cyo gukora vasectomy?

Urwego rw'ubushobozi bwo gukura vasectomy rusanzwe rushishikariza, hamwe n'intanga ngabo zisubira muri sperme muri 85-90% by'abagabo. Urwego rwo gutwita rutandukanye cyane, kuva kuri 30-70% bitewe n'ibintu byinshi.

Ibintu by'ingenzi bigira uruhare mugushobora gukora harimo igihe kuva vasectomy yawe yambere, ubwoko bwo gukura bukenewe, n'imyaka y'umufatanyabikorwa wawe n'imimerere y'uburumbuke. Gusubiramo byakozwe mumyaka 10 kuva vasectomy yambere bigira urwego rwo gukora rwo hejuru.