Kutapira mumadzimai kunowanzobatanidza mawere (anotakura ovary kubva muchirwere kusvika muchibereko), uye mumarume - vas deferens (kutakura chirume kubva mumatete kusvika kune urethra). Kunyange zvazvo majekiseni ezvirwere achienderera mberi kubudiswa mumuviri, kubudiswa mumamiriro ezvinhu akadaro hakugoneki. Nzira yekurapa kushandiswa kwemukadzi ndeye nyaya yenyaya yedu.
Kubudirira
Kuberekwa kwemurume inzira yakatendeseka yekudzivirira kubata pamuviri nekukundikana kwechikamu che1 kero ye2000. Kusarudzwa kwemadzimai hakusi kushanda nehutano hwekuita pamuviri mushure mekuvhiyiwa, zvose varume nevadzimai zvinokwanisika kudzorera kukwanisa kubata nekubatanidzwa kwezvipfeko zvezvivakwa zvakasungwa. Chikadzi chekuita sterilization inoshandiswa nyore, inosanganisira kudzivirira lumen ye fallopian tubes mune imwe yenzira dzinotevera:
• kuiswa kwezvikamu zvekuvhiya;
• kusungirirwa kwemafuro;
• kubvisa chiduku chiduku chepombi;
• cauterization (cauterization).
Kune nzira mbiri dzakajairika dzekuvhara ropa kwevakadzi. Mhando dzose dzekuvhiya dzinoitwa pasi peanesthesia.
• Laparoscopic stterilization
Iyi nzira inonyanya kushungurudza yakawanda kwazvo. Basa racho rinoshandiswa kuburikidza nemapctures maviri emadziro emimba - muvheji uye pamusoro pekukura kwevheji yepicic. Iyo laparoscope inopindirwa mukati mechidziro chemuviri, uye lumen ye fallopian tubes yakavharwa neimwe yenzira. Mushure memaawa 6-8 mukadzi anogona kudzokera kumusha.
• Mini-laparotomy
Kuvhiya uku kunogona kushanda mazuva mazhinji ekurapwa. Kutemerwa kunowanikwa kuburikidza nekudhonza kwechidiki mudumbu rezasi pamuganhu wekubudisa bvudzi kukura. Iyi nzira yakakodzera kuvakadzi mushure mekuvhiyiwa pazviviri zvemuviri uye zvakanyanya.
Mushure mokuvhiyiwa
Mukadzi anofanira kudzivirirwa kubva pakuberekwa asati avhiyiwa uye nguva yekutanga shure kwayo. Zvakanakira kubhabhatidza zvinosanganisira:
• kuguma kwechigarire;
• kusava nesimba kune zvepabonde;
• kukurumidza kuitika kwechiitiko;
■ hapana ngozi kune utano.
Kukanganisa:
• kudiwa kwekupindira kwekuvhiya pasi peanesthesia;
• kubuda ropa zvishoma, kurwadziwa uye kusagadzikana mushure mekuvhiyiwa;
• njodzi yakawedzerwa ye ectopic pregnancy mukana wekukundikana kwebasa;
• dzimwe nguva - kwenguva refu kumirira kupindira pachedu.
Vasectomy inosanganisira kupindirana kana kupfeka kwevas deferens, iyo inotakura chirume kubva mumatsetse muchirwere. Ikoko kupindira kuduku kunowanikwa pasi peanesthesia yemunharaunda. Pamusoro peganda rekoko, kusungirirwa kuduku kunoshandiswa kuburikidza nei vas deferens. Iko kusanganisa kwakanyanya kuduku zvokuti hazvibviri kutoda kugadzirisa. Izvo vas deferens dissect, kana kuti chikamu chiduku cheumwe neumwe wavo chakabviswa. Iyo nzira inotora maminitsi 10-15 chete.
Mushure mokuvhiyiwa
Murume anogona kutanga kurara pabonde mushure mekuvhiyiwa. Kuti udzivise edema uye kubuda ropa, usapinda simba rakawandisa uye ufukidze kutsigira zviriputi. Izvo zvakanga zvisingatauri hupi hune simba hwekushanda pahupenyu hwepedyo hwomunhu. Sezvo spermatozoa inoumba chikamu chiduku chemvura inonzi seminal fluid, kuchinja muhuwandu hwe ejaculate hazvionekwi zvakare. Kubatsira:
• kubudirira kwakakwana;
• kusununguka kwekushandiswa;
• kuguma kwechigarire;
• kusava nesimba kune zvepabonde;
• Hapana ngozi kune utano. Kukanganisa:
• kukosha kwekupindira kwepabonde;
• edema shoma uye inokonzera kuora ropa;
• Muzviitiko zvisingashamisi - kukurira kukuru uye kubuda ropa;
• kuumbwa kwegranuloma - tsvina shoma shoma muchero;
• Kushayikwa kwezvinoitika.
Postoperative control
Mwedzi mishomanana inofanirwa kupfuura vasati vasati vese spermatozoa inopera kubva kumunda. Nokuda kwekutora mushure memasvondo masere mushure mekushanda, tora miviri miviri yehuta nemusiyano wevhiki 2-4. Mune zvimwe zviitiko, kuparara kwepermatozoa kunotora nguva yakareba. Kusvikira panguva iyoyo, dzimwe nzira dzekubata pamuviri dzinofanira kushandiswa. Sezvo kuberekwa kwemazino kunofungidzirwa kuti inzira isingakanganwiki yekudzivirira pamuviri, yakakodzera chete kune vakaroorana vanoziva kuti havadi kuva nevana vakawanda. Iyo nzira haina kukurudzirwa mumamiriro ezvinhu anotevera:
• kana vaviri vacho vasina chokwadi mubato ravo;
• zvirwere zvepfungwa;
• kushushikana mupfungwa, kukakavara muukama;
• nechirwere chinokonzera chirwere cheurogenital, chinoita kuti zvive zvakaoma kupedza kupindira.
Kubvunzurudza
Paunenge uchitsvaga kubhadharira, vakaroorana vanofanira kuwana ruzivo rwakakwana pamusoro pemhando yemutambo. Kunyange zvazvo mutemo usingatsvaki kuiswa kwechikumbiro chevadzidzi vose, vamwe vanachiremba vanomira pane izvi. Chero ani zvake ari pasi pekuita mararamiro, zvinoreva zviratidzo zvakare anobvuma kushanda. Kunyange zvazvo kupera simba kunofungidzirwa kuti inzira isingagadziriswi, ichiri kukwanisika kudzorera kubereka (kukwanisa kubata). Kubudirira kwekushanda kunoenderana nemamiriro ezvinhu chaiwo uye nguva yekare kubva panguva yekudzvara. Vatsvakurudzi vakawanda vari kuedza kuwana nzira yekudzoka inoshandiswa pakudzivirira patency ye fallopian tubes. Kunyanya, silicone plugs uye zvitsva zvitsva zvakasikwa, asi nzira inogona kuvimbiswa inogona kuve yakagadziriswa isati yakwidziridzwa.