Vasectomy - kuyini, izinkinga, contraindications

I-Vasectomy iyindlela ephephile futhi ethandwa kakhulu eyaziwa ngokuthi ukuvimbela inzalo kwabesilisa. Isebenza kakhulu, kodwa kukhona impikiswano ezungezile. E-United States, i-vasectomy ibhekwa njengenye yezindlela ezivame kakhulu zokuvimbela ukukhulelwa okungafunwa, okwenza cishe amaphesenti angu-20 azo zonke izinhlobo zokuvimbela inzalo ezisetshenziswayo. Inani layo liphezulu, kodwa lihambisana nokusebenza kahle.

1. Izici Ze-Vasectomy

I-vasectomy ukusika nokuxhunywa kwe-vas deferens, okuyiwona obhekele ukuthutha isidoda sisuka emasendeni siyise emasendeni. ukuqhanyelwa. Abakwazi ukudlula umzimba, kodwa indoda ihlala isebenza ngokugcwele ngokocansi. Angakwazi ukuqhanyelwa kanye nocansi olugcwele nge-ejaculation. Umehluko wukuthi azikho i-spermatozoa esidodeni, ngakho-ke izingozi khulelwa cishe iqanda.

Lena inqubo ephephe ngokuphelele futhi ehlasela kancane, futhi isemthethweni ngokuphelele. Kukholakala ukuthi lokhu kuyindlela yokuvimbela inzalo yamadoda yesimanje, engaba enye yezidakamizwa ze-hormonal ezisetshenziswa abesifazane. Ngokungafani nokuvimbela inzalo kwama-hormone, akuhlotshaniswa neziningi okuqhamuka uma udla imishanguzo izinkinga zezempilo abesifazane okufanele babhekane nazo.

Ukusebenza kwe-vasectomy njengendlela yokuvimbela inzalo kufinyelela ku-99%, ngakho le ndlela yokuvimbela inzalo iya ngokuya ithandwa emhlabeni wonke, kuhlanganise nasePoland. I-Pearl Index ye-vasectomy ingu-0.2%. Inqubo yenziwa ngodokotela abaqeqeshiwe, ikakhulukazi ama-urologist, gynecologists kanye nodokotela abahlinzayo.

I-Vasectomy kwabesifazane e-Poland ayikalawulwa umthetho.

2. Iyini inqubo ye-vasectomy?

I-Vasectomy yenziwa ngaphakathi i-anesthesia yendawo - ngenxa yalokhu, isiguli asizwa ubuhlungu, kodwa ukungakhululeki okuncane kuphela. Udokotela ube esesika umkhumbi cishe ngo-3 cm ngemuva kwe-epididymis. Isinyathelo esilandelayo ukuwavala nge-electrocoagulation bese ubeka isiphetho ngasinye ezingxenyeni eziphambene. isikhwehlela.

Yonke inqubo ithatha imizuzu engama-30 kuye kwengama-60.

Amadoda kufanele akhumbule okudingekayo phakathi nesonto lokuqala ngemva kokuhlinzwa yeka impilo yocansi. Ngemva kwalesi sikhathi, ungakwazi ukubuyela ocansini okuvamile, kodwa ekuqaleni kufanele usebenzise izindlela zakudala zokuvimbela inzalo.

Kungathatha kufikela ku-20 ejaculate ukususa isidoda esidodeni, ngakho-ke esinye isikhathi kufanele sisetshenziswe ngalesi sikhathi. izindlela zokuvimbela inzalo. Khona-ke udinga ukuhlola isidoda ukuze ubone ukuthi ungakwazi yini ukuya ocansini olungavikelekile.

Kuyafaneleka futhi ukukhumbula ukuthi i-vasectomy ayivikeli ngokumelene nayo izifo ezithathelwana ngocansifuthi ivimbela kuphela ukukhulelwa okungafunwa.

3. Izinkomba zokusetshenziswa

Azikho izinkomba eziningi zezokwelapha ze-vasectomy. kuyinqubo eholela ku ubunyumbangakho-ke, ikhethwa amadoda angafuni nhlobo ukuba nabantwana noma abe neziningi njengoba ayehlale efuna.

Enye inkomba yenqubo impilo engeyinhle yomlingani. Uma ukukhulelwa okusha kungase kusongela ukuphila kwakhe, odokotela batusa i-vasectomy. Okufanayo kusebenza engcupheni yokuba nengane ukukhubazeka kofuzo (okokuqala noma okulandelayo).

4. Ibiza malini inqubo futhi ingenziwa kuphi?

EPoland, inqubo ye-vasectomy ayibuyiselwa neze Isikhwama Sezempilo Sikazwelonke, ngakho uma indoda inquma ukuba ne-vascular ligation, kufanele icabangele izindleko. Izindleko zenqubo zilinganiselwa. PLN 2000 kanye nesamba semali Asikho isidingo sokuphinda noma ukuvuselela i-vasectomy ngezikhathi ezithile. Amanye amagatsha anikeza ithuba lokukhokha kancane kancane.

Njengamanje, i-vasectomy iyatholakala cishe kuyo yonke imitholampilo ezimele.

5. Izinkinga ezingenzeka ngemva kokuhlinzwa

Inqubo ye-vascular ligation ibhekwa njengephephile, kodwa, njenganoma iyiphi inqubo yezokwelapha, ihlotshaniswa nezinkinga ezithile.

Ngokushesha ngemva kwenqubo, amanye amadoda angase abe nokuvuvukala, ububomvu, nobuhlungu ku-scrotum. Lokhu ukusabela kwemvelo komzimba lapho uhlinzwa. Izifo zingadanjiswa ngosizo lomphakathi amaphilisi ezinhlungu nama-compresses abandayo.

I-hematoma kanye nemihuzuko kungase kwakheke endaweni ehlinzekiwe, kodwa lezi zimpawu ngokuvamile ziyanyamalala ngemva kwezinsuku ezimbalwa. Ungase futhi ubone igazi esidodeni ngemva kwenqubo.

Kufanele futhi kukhunjulwe ukuthi kwezinye izimo inqubo inomphumela ku-psyche. Amanye amadoda angase ahlupheke ukuzenyezaokuwumphumela wokungazali. Ngenxa yalesi sizathu, kubaluleke kakhulu ukuthi isinqumo sibe nolwazi, ngokuzithandela ngokuphelele futhi sivumelane nomlingani.

5.1. ukuvuvukala

Inkinga evame kakhulu ngemuva kwe-vasectomy ukuvuvukala. Ukutheleleka kubonakaliswa ububomvu, ukuphumula, isimo se-subfebrile kanye nokuvela ukukhishwa kwe-purulent. Uma uhlangabezana nalezi zimpawu, bona udokotela wakho. Ngokuvamile, ukusetshenziswa kokwelashwa ngama-antibiotic kuyaphumelela, futhi ukuvuvukala kuyadamba ngemva kwezinsuku ezimbalwa.

Kulinganiselwa ukuthi u-0,5% wabesilisa uba ne-epididymitis ngemva kokuhlinzwa. Izimpawu ezivamile zihlanganisa ukwanda nobuhlungu ku-epididymis. Ezimweni ezinjalo, kuyadingeka futhi ukusebenzisa izidakamizwa ezilwa nokuvuvukala. ama-antibiotics.

Enye inkinga engenzeka izinhlamvu zembewu, okungukuthi, ukuqina okwakhiwa ekugcineni kwe-vas deferens eboshiwe. Ziyezwakala uma zithintwa. Kwenzeka cishe engxenyeni yeziguli. I-Granulomas ivame ukuhambisana nobuhlungu obuncane, kodwa ayidingi ukwelashwa okukhethekile.

5.2. I-Pain syndrome

Enye yezinkinga ezivame kakhulu ubuhlungu, obungaqhubeka kuze kube amasonto ambalwa ngemva kokuhlinzwa kwe-vasectomy. Izifo zithinta i-scrotum namasende, futhi ubuhlungu bubonwa iziguli njengobufiphele futhi buhlala isikhathi eside.

Ubuhlungu bungakhula ngokuhamba kwesikhathi. ucansi, ukuqhanyelwa nangesikhathi ezemidlalo. Kwezinye izimo, izimpawu zingase zibe isikhathi eside futhi ukwelashwa okukhethekile kuyadingeka. Ngezinye izikhathi i-vasectomy yesibili noma i-revasectomy iyadingeka.

5.3. Vasectomy kanye nomdlavuza

Amadoda amaningi acabangela i-vascular ligation akhathazekile ngengozi eyengeziwe yokuba nomdlavuza we-prostate. Nokho, ucwaningo lwakamuva alusekeli ukuxhumana phakathi kwe-vasectomy kanye nengozi enkulu yokuba nomdlavuza. Idatha yangaphambili ephakamisa isixhumanisi ingase ichema ngenxa yokuthi amadoda ane-vasectomy maningi amathuba okuba avakashele odokotela bawo futhi aqaphe impilo yawo.

Ngakho-ke, kulaba bantu kungenzeka ukuthola noma yikuphi okungenzeka ngaphambili izinguquko ze-neoplastic - iningi labesilisa lisanqena ukuvakashela amahhovisi liyohlolwa ukuze livikeleke, yingakho ngokuvamile lingazi ngezifo zalo.

5.4. Uyobona nini udokotela?

Kuyafaneleka ukubonisana nodokotela uma kwenzeka ngemva kwenqubo. imfiva ngaphezu kwama-degrees angu-38 kanye nokubandayo okuhambisanayo. Izinkinga ngemva kwenqubo zingase futhi zihlanganisa ukuvuvukala kwe-scrotum nobunzima bokuchama (ubuhlungu, ukuvutha, ukuchama njalo, nokucindezela kwesinye).

Ukopha endaweni yokwelapha okunzima ukukumisa nakho kufanele kube ukukhathazeka.

6. Uyilungiselela kanjani inqubo ye-vasectomy?

Ngaphambi kokwenza i-vasectomy, kufanelekile ukuhlola ezinye izivivinyo ezidingekayo. Okokuqala, kuyadingeka ukwenza i-HBS morphology ephelele ne-antigen. Bonisa imiphumela kudokotela ozokwenza inqubo. Kufanele futhi batshelwe nganoma yiziphi izifo nemithi abayithathayo, kanjalo umthwalo wofuzo.

Ngaphambi kwenqubo, ungathathi amaphilisi ezinhlungu kanye nezidakamizwa ezilwa nokuvuvukala ezifana ne-ibuprofen, ketoprofen, i-aspirin noma i-naproxen. Zivinjelwe futhi ama-anticoagulants. Akudingekile ukuba ube esiswini esingenalutho ngaphambi kwenqubo.

Ngokushesha ngaphambi kwenqubo, kufanele futhi uphuce izitho zakho zangasese. Lokhu kuzokwenza lula kakhulu umsebenzi kadokotela.

Ngemuva kwenqubo, kungakuhle ukuthi ungahlanganyeli emsebenzini onzima izinsuku ezingama-5-7. Uma indoda inomsebenzi wokuhlala nsuku zonke, ingabuyela kuwo ngokuphepha ngakusasa ngemva kwenqubo. Kodwa-ke, uma kuwumsebenzi womzimba, kufanelekile ukulinda izinsuku ezimbalwa ukuze ugweme izinkinga ezinkulu.

Inqubo ayihlaseli futhi ithathwa njengephephile, nokho, zonke izinyathelo zokuphepha kufanele zibhekwe.

7. Contraindications inqubo

Nakuba lena kuyinqubo yokuzithandela futhi isetshenziselwa ngokuyinhloko ukulahlekelwa inzalo, akuwona wonke umuntu ongenza i-vasectomy. Izinsizwa ezingenaso isiqiniseko sokuthi ziyafuna yini ukuba nezingane eminyakeni eyi-10 kufanele zicabangisise ngokuthola le nqubo.

I-Vasectomy nayo ingathinta ingqondo yabesilisa futhi ibe nomthelela ekukhuleni izifo ze-psychoneurotic. Ukwelashwa kunqatshelwe amadoda anokuzethemba okuphansi futhi angazethembi ngokuphelele ebudodeni bawo. I-ligation ye-vas deferens ingabhebhethekisa inkinga, njengoba indoda ingase ibe nomuzwa wokuthi "iwusizo".

Isinqumo sokwenza i-vasectomy asinakwenziwa ngaphansi kokuphoqwa. Kufanele kube yisinqumo sendoda, hhayi ingcindezi evela kumlingani wayo, umndeni noma odokotela. Kufanele futhi ukhulume nabantu obathandayo ngaphambi kokwenza isinqumo sakho sokugcina.

Kubaluleke kakhulu ukuthi ungayifaki izimo ezibucayi (ngokwesibonelo, ngemva kokulahlekelwa umsebenzi, lapho kubonakala ngathi ngeke sikwazi ukondla ingane).

Ngokuqondene nezici zezokwelapha, azikho ukuphikisana okucacile kwenqubo.

8. I-Vasectomy nokukhulelwa

Lapho uqhubeka nenqubo, kufanelekile ukwazi ukuthi kwezinye izimo kukhona ukuvuselelwa kwe-vas deferens, okungukuthi, ukubuyiselwa okuzenzakalelayo kwe-vas deferens. Ngenxa yalokho, indoda iphinde ibe nenzalo futhi kufanele isebenzise ezinye izindlela zokuvimbela inzalo. Inkinga enjalo ingase yenzeke ngonyaka noma ngaphezulu ngemva kokuhlinzwa.

I-vasectomy ingase ihlehliswe. Nokho, kunzima kakhulu futhi kubuhlungu kakhulu. Khona-ke indoda ngokuvamile iphinda ithole u-90% wokuzala kwayo, kodwa ukuvundiswa akwenzeki ngaso sonke isikhathi ngaphambi nangemva kwalokho.

Ngakho-ke, uma indoda ingaqiniseki ukuthi ifuna ukuba nezingane eminyakeni embalwa ngemva kwenqubo, kunconywa ukuyisebenzisa ibhange lesidoda. Lokhu kuzovumela ukuvundiswa ukuthi kwenziwe elabhorethri futhi owesilisa ngeke kudingeke ukuthi ahlinzwe i-revasectomy.

9 I-Libido Vasectomy

Inqubo ye-vasectomy ayithinti umsebenzi wocansi noma amazinga e-libido hormone. Ngokushesha ngemva kwenqubo, isifiso sokuya ocansini singase sibe sincane ngenxa yezimpawu nezinkinga, kodwa ngemva kwenqubo isikhathi sokululama, indoda ingaba sesimweni esifanayo nangaphambi kwenqubo. I-Sex drive ayishintshi, kanjalo nokubukeka noma iphunga lesidoda sakho.

10. Izingxabano ezihlobene nenqubo

Nakuba inqubo ye-vasectomy iya idume kakhulu ezweni lethu, isadala impikiswano enkulu. Ikakhulukazi banenkolo. Abantu abaningi abakholelwa ekubuyiseleni emuva kokwelashwa noma ukusetshenziswa kwamabhange esidoda.

Ngakho, i-vasectomy emazweni amaningi ibhekwa njengesono futhi iwuphawu lokuwohloka kokuziphatha.

11. Izindaba Zomthetho Ezihlobene Ne-Vasectomy

Njengamanje, ayikho imithetho eqinile elawula ukwenziwa kwe-vasectomy. Ngalesi sizathu, awukho umkhawulo weminyaka engaphansi noma ephezulu. Bobabili abesilisa abaneminyaka engu-18 nabesilisa abaneminyaka ephakathi bangakwazi ukuya kule nqubo.

Umkhawulo weminyaka usethwe ngawodwana ezweni ngalinye.

Udokotela unelungelo lokwenqaba inqubo ngesizathu izimiso zezokwelapha kudinga ukuthi acabangele izici eziningi. Bangase bathole ukuthi isiguli asilwazi uhlobo lwenqubo noma ukuthi isinqumo sokwenza i-vasectomy siye saphuthuma kakhulu.

Nokho, uchwepheshe akakwazi ukwenqaba isiguli i-vasectomy ngenxa yokuthambekela kwaso kwezocansi. Lokhu akuyona indaba yezomthetho.

Ungalindi ukubona udokotela. Thatha ithuba lokubonisana nochwepheshe abavela kulo lonke elasePoland namuhla kwa-abcZdrowie Thola udokotela.