Kuyini Ukuhlinzwa Ukuvula I-Vasectomy? Inhloso, Inqubo & Imiphumela

Ukuvula i-vasectomy kuyinqubo yokuhlinzwa ehlanganisa kabusha amashubhu e-vas deferens ayegundwe ngesikhathi se-vasectomy. Lokhu kuhlinzwa kuhlose ukubuyisela ikhono lakho lokuthola izingane ngokwemvelo ngokuvumela isidoda ukuthi sihambe sisuka emathunjini akho siye kuhlanganiswe nesidoda futhi.

Kucabange njengokungenza i-vasectomy yokuqala ingasebenzi. Ngesikhathi senqubo, udokotela ohlinzayo uhlanganisa kabusha ngokuqapha amashubhu amancane esebenzisa izindlela ze-microsurgery. Ngenkathi kuyinkimbinkimbi kune-vasectomy yokuqala, amadoda amaningi aphumelela ekubuyiseleni inzalo yawo ngale nqubo.

Kuyini ukuvula i-vasectomy?

Ukuvula i-vasectomy kuyinqubo ye-microsurgical ehlanganisa kabusha i-vas deferens, amashubhu athwala isidoda emathunjini akho. Ngesikhathi wenza i-vasectomy yakho yokuqala, la mashubhu agundwa noma avalwa ukuvimbela isidoda ukuthi singafinyeleli esidodeni sakho.

Ngesikhathi sokuvula, udokotela wakho ohlinzayo usebenzisa izindlela ezikhethekile ukuze ahlanganise kabusha la mashubhu ngokucophelela. Umgomo uwukudala indlela ecacile yokuthi isidoda sihambe futhi. Le nqubo idinga amakhono okuhlinza anembile ngoba i-vas deferens incane kakhulu, cishe ububanzi bentambo.

Ukuhlinzwa kuvame ukuthatha amahora angu-2-4 futhi kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Amadoda amaningi angabuyela ekhaya ngosuku olufanayo, nakuba uzodinga umuntu ozokuqhuba ekhaya futhi akusize ngemisebenzi yansuku zonke ezinsukwini ezimbalwa zokuqala.

Kungani kwenziwa ukuvula i-vasectomy?

Amadoda akhetha ukuvula i-vasectomy ikakhulukazi uma efuna ukuthola izingane futhi. Izimo zempilo zivame ukushintsha ngemva kwe-vasectomy yokuqala, okuholela kulesi sinqumo.

Izizathu ezivame kakhulu zihlanganisa ukuphinde ushade, ukulahlekelwa yingane, noma ukumane ushintshe umqondo wakho mayelana nokuba nezingane ezengeziwe. Abanye abashadikazi bakhetha umqondo wokukhulelwa ngokwemvelo kuneminye imikhuba yokuzala esizwayo.

Nazi izizathu eziyinhloko amadoda acabanga ngale nqubo:

• Ubuhlobo obusha noma ukuphinde ushade
• Isifiso sokuba nezingane ezengeziwe nomlingani wamanje
• Ukulahlekelwa yingane
• Ukwanda kwesimo sezimali okuvumela izingane ezengeziwe
• Ukukhetha ukukhulelwa kwemvelo ngaphezu kwezinqubo zokuthola isidoda

Amanye amadoda nawo akhetha ukuhlehla ukuze abhekane nobuhlungu obungapheli obungavamile ukwenzeka ngemva kokuhlinzwa kwe-vasectomy, nakuba lokhu kungavamile.

Yini inqubo yokuhlehla kwe-vasectomy?

Inqubo yokuhlehla kwe-vasectomy ihlanganisa ukuxhuma kabusha i-vas deferens ngemicro-surgery. Udokotela ohlinzayo uzokwenza ukusikeka okuncane esikhwameni sakho ukuze afinyelele emashubhu asikwe ngaphambilini.

Okokuqala, udokotela ohlinzayo uhlola iziphetho ze-vas deferens futhi uhlole ukuba khona kwesidoda. Uma isidoda sitholakala emanzini avela ohlangothini lwesende, ukuxhumeka okuqondile okubizwa nge-vasovasostomy kwenziwa. Uma kungekho isidoda esikhona, inqubo eyinkimbinkimbi ebizwa nge-vasoepididymostomy ingase idingeke.

Nakhu okwenzekayo ngesikhathi sokuhlinzwa:

1. I-anesthesia ejwayelekile iyasetshenziswa
2. Kwenziwa ukusikeka okuncane esikhwameni
3. Udokotela ohlinzayo uthola iziphetho ezisikiwe ze-vas deferens
4. Uketshezi luyahlolwa ukuthola ukuba khona kwesidoda
5. Amashubhu axhunywa kabusha kusetshenziswa ama-sutures amancane
6. Ukusikeka kuvalwa ngemithungo encibilikayo

Yonke inqubo ngokuvamile ithatha amahora angu-2-4. Udokotela wakho ohlinzayo usebenzisa i-microscope esebenzayo ukuze aqinisekise ukuxhumeka kabusha okunembile kwalezi zakhiwo ezibucayi.

Ungalungiselela kanjani ukuhlehla kwakho kwe-vasectomy?

Ukulungiselela ukuhlehla kwe-vasectomy kuhilela izinyathelo eziningana ukuze kuqinisekiswe umphumela ongcono kakhulu. Udokotela wakho ohlinzayo uzohlinzeka ngemiyalelo ethile esekelwe esimweni sakho.

Uzodinga ukuyeka ukuthatha imithi ethile engandisa ingozi yokopha, njenge-aspirin noma ama-blood thinners. Udokotela wakho uzokutshela ngqo ukuthi yimiphi imithi okufanele uyigweme nokuthi kufanele uyeke nini ukuyithatha.

Nawa amanyathelo alungiselelayo abalulekile:

• Yeka ukubhema okungenani amasonto amabili ngaphambi kokuhlinzwa
• Gwema i-aspirin nemithi elwa nokuvuvukala isonto elilodwa
• Lungiselela ukuthuthwa ekhaya ngemva kokuhlinzwa
• Thenga okokusekela okungaphansi noma ukusekela kwe-scrotal
• Gcina ama-ice pack ukuze anakekelwe ngemva kokuhlinzwa
• Hlela ishejuli yakho amasonto angu-1-2 yomsebenzi olinganiselwe

Ngosuku lokuhlinzwa, uzodinga ukuzila ukudla amahora angu-8-12 ngaphambi kwenqubo. Gqoka izingubo ezikhululekile, ezikhululekile okulula ukuzigqoka ngemva kokuhlinzwa.

Ungazifunda kanjani imiphumela yakho yokuhlehla kwe-vasectomy?

Impumelelo ngemva kokuhlehla kwe-vasectomy ilinganiswa ngezindlela ezimbili: ukubuyela kwesidoda esidodeni sakho kanye nokufeza ukukhulelwa. Udokotela wakho uzoqapha zombili lezi ziphumela ngokuqokwa okulandelayo.

Isidoda ngokuvamile sibuyela esidodeni sakho phakathi nezinyanga ezi-3-6 ngemva kokuhlinzwa. Udokotela wakho uzohlola ukuhlaziywa kwesidoda sakho ngezikhathi ezithile ukuze aqinisekise ukuba khona kwesidoda nokubala. Kodwa-ke, amazinga okukhulelwa ancike ezintweni ezihlukahlukene ezingaphezu nje kokubuyela kwesidoda.

Amanani empumelelo ayahlukahluka ngokuya ngezici eziningana:

• Isikhathi kusukela ku-vasectomy yasekuqaleni (kungcono uma kungaphansi kweminyaka eyi-10)
• Uhlobo lwenqubo yokuhlehla edingekayo
• Ubudala bakho nempilo yonke
• Ubudala bomlingani wakho nokuzala
• Ukuba khona kwama-anti-sperm antibodies

Sekukonke, isidoda sibuyela esidodeni cishe kuma-85-90% amadoda, kuyilapho amazinga okukhulelwa esukela kuma-30-70% ngokuya ngalezi zici. Udokotela ohlinzayo angakunikeza okulindelekile okuqondile ngokuya ngesimo sakho.

Ungayithuthukisa kanjani impumelelo yakho yokuhlehla kwe-vasectomy?

Ngenkathi ungeke ukwazi ukulawula zonke izici ezithinta impumelelo yokuhlehla, ungenza izinyathelo zokuthuthukisa amathuba akho. Ukulandela imiyalelo kadokotela wakho ohlinzayo ngemva kokuhlinzwa ngokucophelela yinto ebaluleke kakhulu ongayenza.

Ukugcina impilo enhle ngokujwayelekile kusekela ukuphulukiswa nokuzala. Lokhu kuhlanganisa ukudla kahle, ukuhlala usebenza uma usuvunyelwe udokotela wakho, nokugwema imikhuba engalimaza ikhwalithi yesidoda.

Nansi imikhuba yokusekela ukululama kwakho nempumelelo:

• Landela yonke imiyalelo yokunakekelwa ngemuva kokuhlinzwa
• Hambela zonke izikhathi zokulandela
• Gcina ukudla okunempilo okucebile kuma-antioxidants
• Zivocavo njalo uma uvunyelwe ngudokotela wakho
• Gwema ukubhema notshwala obuningi
• Lawula ukucindezeleka ngezindlela zokuphumula
• Thatha amavithamini noma izithasiselo ezinconyiwe

Khumbula ukuthi ukukhulelwa kungathatha isikhathi ngisho nangemva kokuthi isidoda sibuya. Imibhangqwana eminingi idinga izinyanga eziyi-6-12 noma ngaphezulu ukuze ithole ukukhulelwa, okujwayelekile.

Ziyini izici eziyingozi zezinkinga zokuhlehla kwe-vasectomy?

Njenganoma yikuphi ukuhlinzwa, ukuhlehla kwe-vasectomy kuthwala ezinye izingozi, nakuba izinkinga ezinzima zingavamile. Ukuqonda lezi zingozi kukusiza ukuthi wenze isinqumo esinolwazi mayelana nenqubo.

Izinkinga eziningi zincane futhi zesikhashana. Udokotela ohlinzayo uzoxoxa ngezici zakho eziyingozi ngokuya ngomlando wakho wezempilo kanye nemininingwane ye-vasectomy yakho yasekuqaleni.

Izici eziyingozi ezivamile zihlanganisa:

• Ukuhlinzwa kwangaphambilini kwe-scrotal noma ukulimala
• Isikhathi eside kusukela ku-vasectomy yasekuqaleni (ngaphezu kweminyaka eyi-15)
• Ukubhema noma ukujikeleza okungalungile
• Isifo sikashukela noma ezinye izimo ezingapheli
• Izifo zangaphambilini endaweni yamalunga obulili
• Izicubu ezinamanxeba ezivela ku-vasectomy yasekuqaleni

Ubudala abukwandisi kakhulu izingozi zokuhlinzwa, kodwa iminyaka yomlingani wakho ithinta amazinga empumelelo yokukhulelwa. Ukuxoxa ngalezi zici nodokotela ohlinzayo kusiza ukusetha okulindelekile okungokoqobo.

Ingabe kungcono ukuba nokuhlehla kwe-vasectomy noma ukutholwa kwesidoda?

Kokubili ukuhlehla kwe-vasectomy nokutholwa kwesidoda ngokufakelwa ngaphandle komzimba (IVF) kungakusiza ukuthi uthole ukukhulelwa. Ukukhetha okungcono kuncike esimweni sakho esithile nezintandokazi.

Ukuvuselelwa kwe-vasectomy kuvumela ukukhulelwa kwemvelo kanye nokukhulelwa okuningi ngokuhamba kwesikhathi. Ukutholwa kwe-sperm nge-IVF ngokuvamile kudinga inqubo yokuzama ukukhulelwa ngakunye kodwa kungashesha ekutholeni ukukhulelwa kokuqala.

Cabangela ukuvuselelwa kwe-vasectomy uma:

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• Ufuna ithuba lokukhulelwa okuningi
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• Umlingani wakho uneminyaka engaphansi kwengama-37
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• Ukhetha ukukhulelwa kwemvelo
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• Umlingani wakho unenzalo ejwayelekile
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• Izindleko ziyinto enkulu okufanele icatshangelwe esikhathini eside
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Ukutholwa kwe-sperm nge-IVF kungase kube ngcono uma umlingani wakho enezinkinga zenzalo, eneminyaka engaphezu kwengama-40, noma uma udinga ukuhlolwa kwezakhi zofuzo zama-embryos. Uchwepheshe wakho wokuzala angakusiza ukuthi ulinganise lezi zinketho.

Ziyini izinkinga ezingase zibe khona zokuvuselelwa kwe-vasectomy?

Izinkinga ezivela ekuvuselelweni kwe-vasectomy ngokuvamile azivamile futhi zivame ukuba zincane. Amadoda amaningi athola kuphela ukungakhululeki kwesikhashana nokuvuvukala okuxazululwa emasontweni ambalwa.

Izinkinga eziphuthumayo zingabandakanya ukopha, ukutheleleka, noma ukusabela emuthini wokubulala izinzwa. Lokhu kwenzeka ezingeni elingaphansi kwama-5% wamacala futhi ngokuvamile kulawuleka ngokunakekelwa okufanele kwezokwelapha.

Izinkinga ezingaba khona zihlanganisa:

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• Ukuphuma kwegazi noma ukwakheka kwe-hematoma
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• Ukutheleleka endaweni yokuhlinzwa
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• Ubuhlungu obungapheli (bungavamile kakhulu)
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• Ukwakheka kwe-sperm granuloma
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• Ukwehluleka kokuxhumeka kabusha ukuphola kahle
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• Ukwakheka kwama-anti-sperm antibodies
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Izinkinga zesikhathi eside azivamile.

Izinkathazo eziningi ngemva kokuhlinzwa ziyingxenye ejwayelekile yokuphola, kodwa ezinye izimpawu zokuxwayisa akufanele zishaywe indiva. Udokotela wakho ohlinzayo uzonikeza imiyalelo ethile mayelana nokuthi kufanele ushayele nini.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nalokhu:

• Ubuhlungu obukhulu obungalawulwa ngemithi enqunyiwe
• Ukuphuma kwegazi eliningi noma amahlule egazi
• Umkhuhlane ongaphezu kuka-101°F (38.3°C)
• Ububomvu obandayo noma ukufudumala ezindaweni zokuhlinzwa
• Ukuphuma kwenhlama noma ukukhipha okungajwayelekile ezindaweni zokuhlinzwa
• Ukuvuvukala okukhulu okungathuthuki

Ukuze uthole ukulandelela okuvamile, ngokuvamile uzobona udokotela wakho ohlinzayo phakathi kwamasonto angu-1-2 ngemva kokuhlinzwa, bese futhi emva kwezinyanga ezingu-3-6 ukuze uthole ukuhlaziywa kwesidoda. Ukuqapha njalo kusiza ukuqinisekisa ukuphola okufanele nokulandelela intuthuko yakho.

Imibuzo evame ukubuzwa mayelana nokuhlehla kwe-vasectomy

Q.1 Ingabe ukuhlehla kwe-vasectomy kukhokhelwa ngumshuwalense?

Izinhlelo eziningi zomshuwalense azikukhokheli ukuhlehla kwe-vasectomy ngoba kuthathwa njengenqubo yokuzikhethela. Kodwa-ke, izinqubomgomo zokukhokhela ziyahlukahluka, ngakho-ke kufanelekile ukuhlola nenkampani yakho yomshuwalense.

Ezinye izinhlelo zingase zikhokhele inqubo uma kudingeka ngokwezokwelapha, njengokukhulula ubuhlungu obungapheli. Izikhungo eziningi zokuhlinzwa zinikeza izinhlelo zokukhokha noma izinketho zokuxhasa ngemali ukusiza ukuphatha izindleko, ezivame ukusuka ku-$5,000 kuya ku-$15,000.

Q.2 Ingabe ukuhlehla kwe-vasectomy kuthinta amazinga e-hormone?

Cha, ukuhlehla kwe-vasectomy akuthinti amazinga akho e-hormone. Amasende akho aqhubeka ekhiqiza i-testosterone ngokujwayelekile ngaphambi nangemva kwenqubo.

Ukuhlinzwa kuphela okuxhuma kabusha amashubhu athwala isidoda, hhayi imithambo yegazi ethwala ama-hormone. Umsebenzi wakho wezocansi, amazinga amandla, nezinye izici ezihlobene ne-hormone zihlala zingashintshiwe.

Q.3 Kuthatha isikhathi esingakanani ukuphola ekuhlehlisweni kwe-vasectomy?

Amadoda amaningi abuyela emsebenzini wedesk ngaphakathi kwezinsuku ezimbalwa futhi aqale imisebenzi ejwayelekile phakathi kwamasonto angu-1-2. Kodwa-ke, uzodinga ukugwema ukuphakamisa izinto ezisindayo nomsebenzi onzima cishe amasonto angu-3-4.

Ukuzihlanganisa ngokocansi kuvame ukuqala emva kwamasonto angu-2-3, uma udokotela ohlinzayo ekukhulula. Ukuphola okuphelele kuthatha amasonto angu-6-8, nakuba ungase uzizwe ujwayelekile ngokushesha.

Q.4 Ingabe ukuhlinzwa kokubuyisela i-vasectomy kungenziwa ngaphezu kwesisodwa?

Yebo, ukuhlinzwa kokubuyisela i-vasectomy kungenziwa futhi uma umzamo wokuqala wehluleka, nakuba amazinga empumelelo ngokuvamile ephansi ngezindlela eziphindwayo. Isinqumo sincike ekutheni kungani ukuhlinzwa kokuqala kungasebenzanga nokuthi mangaki ama-vas deferens anempilo asele.

Udokotela wakho ohlinzayo uzohlola izinto ezifana nokwakheka kwezicubu ezinamanxeba kanye nesimo somzila wakho wokuzala ngaphambi kokuncoma ukuhlinzwa kwesibili. Ezinye izinketho ezinjengokutholwa kwesidoda zingase zibe wusizo kakhulu kwezinye izimo.

Q.5 Liyini izinga lempumelelo lokuhlinzwa kokubuyisela i-vasectomy?

Amazinga empumelelo okuhlinzwa kokubuyisela i-vasectomy ngokuvamile ayakhuthaza, ngesidoda esibuyela esidodeni kuma-85-90% amadoda. Amazinga okukhulelwa ahlukahluka kakhulu, asukela kuma-30-70% kuye ngezinto eziningi.

Izinto ezibaluleke kakhulu ezithinta impumelelo zihlanganisa isikhathi kusukela ku-vasectomy yakho yasekuqaleni, uhlobo lokuhlinzwa okudingekayo, kanye nobudala bomlingani wakho nesimo sokuzala. Ukuhlinzwa okwenziwa kungakapheli iminyaka eyi-10 ye-vasectomy yasekuqaleni kuvame ukuba namazinga empumelelo aphezulu.