Sei kupedzisira asingachakwanisi kuita vana? munhukadzi mbereko nzira. NaTubhari ligation: zvayakanakira nezvayakaipira

Zvikonzero kuti ikatunga mukadzi kurega mwana aberekwa, mumwe mujenya. Mumwe nomumwe ari naka hafu revanhu riri yavo. Hazvina zvakafanira kuti mhosva vakadzi ava. Pashure pezvose, hatizivi sei kugadzira mubvunzo mumwe mupfungwa dzake: sei kupedzisira asingachakwanisi kuita vana? Chokwadi, zvino mbuya-povitushke vakadzi ava handingaendi. Asi kana ivo vakasarudza kutora danho iri, zvino hapana ndisadaro.

Chii mbereko

Ichi pamuviri nzira iri sezvinotevera. First cheka, uye ipapo akasungwa kana kubviswa zvachose fallopian chubhu. Nokuda kwechikonzero ichi, zai havagoni kufamba kubva ovaries kusvika dumbu, ipapo haringapiwi nourume nokuda dzisingaoneki. Kana zvakanaka kuitwa oparesheni kunyatsoshanda kuti nzira iyi zana muzana. Asi, senguva dzose, pane kunze. Pane nhamba kubva zviuru vakadzi pamuviri matanhatu zvingaitika. Nei haasati azivikanwa nesayenzi.

Kuvhiya mbereko rinoitwa mune zvokurapa jeri. Muchipatara dzimwe nguva, asi chaizvo kashoma. Panguva chikumbiro vakadzi, kuvhiya kunogona kuitwa pasi omunzvimbo yokutindivadza, izvo inosimudzira kukurumidza resumption ose kwomuzvarirwo upenyu.

Mushure nzira, muviri hakuiti chero kuchinja. Critical mazuva kuitika sezvinoitwa pamberi oparesheni. Sexual chido anoramba kuzochinja.

mbereko Nzira

Kusvikira Mumakumi emakore apfuura, kuvhiyiwa akanga akatakurwa achiburitswa kunze chete kuburikidza abdominal incision. Parizvino, pane zvinotevera nzira mbereko pavakadzi:

• pombi Ligation. Inoitwa pasi mukuru kana omunharaunda yokutindivadza. Mudumbu pamusoro pubic bvudzi akaita chinhu incision anenge manomwe masendimita. Fragment yabviswa kubva oviduct. Kumigumo pombi yakaumbwa mushure akachekwa, sunga ndokuinama. Mukadzi ari muchipatara kwemazuva maviri, uye ipapo mumwe vaviri mavhiki achizorora kumba. Muchiitiko chino, nhumbu munogona vakadzi vaviri ine chiuru.
• Laparoscopy. Iye zvino, Nzira inonyanya mukadzi mbereko. Munguva nzira, rinokosha mudziyo - munhu laparoscope. Duku buri abdominal mhango, zviri kwakamboitwa mutsinga dzinofamba nemukaka, chiedza conductive. It wanamatira zano kuti afanane teresikopu.

Wakadzidza sei kuva asingabereki. Ikozvino ngatitaurei zvakati wandei pamusoro rokupedzisira navo.

laparoscopy

Kune mhando nhatu nzira iyi:

• Dzokubatanidza zvibereko. Aiwanzopiwa wokushanda tubular muviri kuumbwa kuva loop uye yakasimbiswa chaiwo shoma Clip kuti pashure imwe nguva kunyura. Mugumisiro wakadaro kuvhiyiwa - vakakundikana nyaya zvitatu muzana zviuru.
• Cauterization of oviduct. The ponji of abdominal mhango akaiswa chiduku vachipiwa tweezers. Parinopfuura Magetsi. Pashure nzira iyi, iyo nhumbu munogona vakadzi vatatu kubva chiuru.
• Pinched aiwanzopiwa wokushanda nhego. A chikamu chiduku mutopota iri clamped hoko. Zvakanakira nzira iyi inogona kunzi reversibility. On the oviduct iri mbiri vanga duku uye kupora nguva yava shoma. Kukundikana abate vakadzi matanhatu kubva chiuru.

Pane imwe nzira yokuti ave asingabereki. Harwunei chokuita laparoscopy, uye rinoshandiswa sezvo chokupedzisira - chibereko, wakakwana nokubviswa dumbu. Kare, ndezvenguva mbereko nzira, hazvina varumbidzwa pari kuti chinangwa ichi.

ligation of oviduct

nzira iyi rinoitwa pakarepo pashure wakurukura, kana paiva cesarean chikamu. Vakadzi akasunungukira dzinongoitika nzira, pane mazuva maviri kusarudza kuvhiyiwa kana kwete. Kana nguva yakarasika, zvichaita kumirira pane imwe mavhiki matanhatu. Ikozvino ngatitaurei pamusoro sei kuti mbereko kwevakadzi munzira iyi:

• The oparesheni rinoitwa pasi yomunharaunda kana mukuru yokutindivadza.
• Kushandisa inflated carbon dioxide inobvisa mukadzi dumbu.
• Itai duku incision zvishoma pazasi guvhu
• Vemabhuku laparoscope.
• Inoita mumwe incision pedyo pubic pfupa.
• Akaisa nokukiya mudziyo kuti pombi. Pane nzira dzakawanda nevamwe navo. Chiremba anocheka navo, uye ipapo stitches - ndiyo nzira yokutanga. Wechipiri - the oviduct inogona akasungirirwa chete inokosha kwakavharwa nenyama bhendi kana achishandisa simbi clip.
• abdominal cheka vari sutured.

The nzira kunogara kwemaminitsi makumi matatu maawa anenge masere murwere kunoita kubva yokutindivadza. A Mazuva mashoma kunzwa marwadzo. Kutamba mitambo uye pabonde chete pashure pavhiki.

"Nokuti," uye "pamusoro"

Ikozvino ngatitaurei pamusoro zvayakanakira nezvayakaipira yaTubhari ligation. Ngatitange pamwe zvinhu zvakanaka:

• Chitarisiko yematambudziko uye nemishonga kushoma.
• The nzira rinoitwa nyanzvi.
• Hazvingabviri pamuviri.
• Sexual chido uye kumwedzi haisi dzakachinjwa.
• General muviri ezvinhu anoramba muupenyu.
• Rinogona kushandiswa mushure cesarean chikamu.
• Short rokuti vapore, kwemazuva anoverengeka.

Negative pfungwa:

• Gumi muzana yevakadzi pashure Kuvhiya vanogona chirwere.
• Kana iwe kubvisa vakundikana nenyere zvingaitika ectopic pamuviri.
• Kurwadziwa pelvic munharaunda.
• Soreness mudumbu, dzungu, uye svoto.
• Hematoma inotungamirwa.
• Irreversibility. Kunyange kana pakanga kukuru chido kuti pamuviri, kushandura zvakaoma chii uchimuka.

Contraindications

Rokuzvipira kuvhiya mbereko vakadzi havangagoni kuitwa. Sezvinongoita mimwe muitiro, uye kana izvi ine contraindications ayo. Idzi dzinosanganisira:

• Age. Kusvikira makore makumi matatu oparesheni haina kuitwa. Nokufamba kwenguva, ungada asununguke.
• Stress. Kuita chinhu pamusoro nemanzwiro, pamusoro nguva kunogona kuzvidemba.
• The zvisizvo nezvemigumisiro. Vamwe akanaka hafu yevanhu vanodavira kuti zvinhu zvose zvinogona wakaiswa.
• Ukama. Vakadzi vane asiri chakakomba ukama panguva kuvhiyiwa uye mwana mumwechete.

Chero zvazvingava hazvibviri kuita nzira:

• Vakadzi vane pamuviri;
• vane zviratidzo chakasimba gynecological chirwere;
• zvirwere, pabonde;
• pamwe abdominal adhesions uye pelvic;
• vakadzi kufutisa uye chirwere cheshuga;
• vane chirwere mwoyo kana bapu chirwere;
• pamwe ropa zvinetso, uye achiine rukuvhute heniya.

chii chinotevera

Ikozvino ngatitaurei pamusoro sei kuti pave mbereko iri mukadzi. The oparesheni rinoitwa chete nokuzvidira chibvumirano.

Kana kutaura hormone background, hapana kutadza yaiitwa. The ovaries kuramba kushanda uye pave anodiwa mahormone. Zvepabonde uye vakadzi kunzwa kwomuzvarirwo.

Mukana zvepabonde pasina kutya kubata pamuviri kunoita kuti vakasunungurwa.

Heano mupfungwa Migumisiro kunogona kuva dambudziko. Kunyange zvazvo mumwe mukadzi chido zvakazadziswa, asi pfungwa yokuti iye ndiye asingakwanisi kubereka, haapi rugare wake rwepfungwa. Inside pane kunzwa vasingakoshi uye zvimwe voids.

Uyezve, zvinofungidzirwa kuti zviri mbereko zvingavhiringidza mugumo wayo. Muupenyu, chinhu chingaitika. Anogona kusangana mumwe munhu akafanana naye, asi kuti kubereka mwana wake muropa haangaodzwi zvinobvira.

Ndicho chikonzero, apo vabvuma pamusoro nzira nokuda Tubharikaini ligation, zvayakanakira nezvayakaipira zvinofanira zvinoguma. Uye vakasarudza kuzviita kana kwete.

mhedziso

Asati avhiyiwa, mukadzi refu uye zvakaoma kutaura. Nyanzvi kusarudza kubata vose "zvayakanakira" uye "nezvayakaipira". Kumubatsira kuita chisarudzo. Iye achava kutaura nevamwe kuti vazvidzivirire kubva pamuviri pasingadiwi. Uye chete pashure pacho kusimbisa ayo mvumo nokushanda achava kamwe zvakare, iye achakuudza sei kuva asingabereki. Details pamusoro mumwe nzira. Mukadzi kugadzirisa dambudziko iri kutaura zvokutamba. Nokuti zvinokanganisa upenyu aizomuroora. Kungava kuti nokuita danho iri, zvichava mhosva pachavo nokuda upenyu. Hapana anoziva chokwadi. Uye pamwe, mushure nzira, iye uchatanga yakajeka uye akapfuma upenyu. Iyo nzira kusarudza, zviri kwaari. Chinhu chikuru - regai ndakanganisa. Zvakakodzera kufunga nezvazvo chiuru nguva, saka imi handizvidyi moyo.