Ivinjiwe I-Tube Ye-Fallopian kanye Nethonya Lokulimala
I-hydrosalpinx uhlobo oluthile lwe- fallopian tube blocking . Ama- tubes fallopian aphuma esibelethweni , omunye ngakwesokudla omunye ngakwesobunxele. Uma zivinjelwe noma zinegciwane, ukungabi nabantwana kungaholela .
Izifundo zithole ukuthi i-hydrosalpinx blockages ikhona ngamaphesenti angu-10 kuya kwangu-30 amacala okubhebhetheka kwe-tubal. Funda mayelana nalesi simo kufaka phakathi ukuxilongwa, ukwelashwa, nokuthi ngabe ungakhulelwa uma une-hydrosalpinx.
Izimbangela
I-hydrosalpinx yilapho igayipi elivinjiwe le-fallopian ligcwele uketshezi. Uma zombili izilimo eziyizigaxa zithinteka, lokhu kubizwa ngokuthi i-hydrosalpinges. I-tube ngokuvamile ibonakala ihlukaniswa, okusho ukuthi iyathukuthela nge-fluid.
Ngokuvamile, i-hydrosalpinx ibangelwa ukutheleleka kwesikhathi eside kwamatayipi angama-fallopian. Lokhu kutholakala kungenzeka ngenxa yesifo esithathelwana ngocansi , isithasiselo esiqhekekile, noma esinye isizathu esibangela ukutheleleka okuthinta uhlelo lokuzala noma izitho eziseduze.
I-Hydrosalpinx nayo ingabangelwa uma ukunamathela (izicubu ezibomvu) noma i-endometrial deposits (kusuka ku- endometriosis ) kuthukuthelisa amashubhu we-fallopian.
Xhumanisa ku-Infertility
Ukuvinjelwa kwe-hydrosalpinx kuvame ekugcineni komgwaqo we-fallopian, eduze kwama-ovari, kodwa kungenzeka ukuthi ukuvinjelwa kube khona kuzo zombili iziphetho.
Esikhathini sesimiso sokuzala okunempilo, i-tube fallopian isebenza njengendlela yombili yeqanda elivotshwe ukuze lifinyelele esibelethweni. Ngemuva kokuthi iqanda likhishwe e-ovary, izilinganiso ezinjengamunwe ezivela emgqonyeni we-fallopian zidweba iqanda.
Ukucabangela ukuthi ucansi selusondele eduze ne-ovulation, iqanda lizohlangana nensimu ngaphakathi kwe-tube. Ukufakelwa kweqanda kuzokwenzeka ngaphakathi kwebhubhisi-hhayi ngaphakathi kwesibeletho, okuyizinto eziyiphutha ezivamile. Iqanda elivundisiwe, noma umbungu, lizokwehlisa ibhuloho, lingene esibelethweni, futhi lizenzele ngaphakathi odongeni lwe-uterine .
Uma le ndlela ivinjiwe, njengoba iqukethe i-hydrosalpinx, ukungakwazi ukuzala kungabangela.
Ngokuvamile, izilinganiso ezinjengezinhlamvu ezibizwa ngokuthi i- fimbriae zikhula kusukela ekupheleni kwebhubhisi le-fallopian eliseduze ne-ovary. Basiza ukudweba ngeqanda elivotshwe kusuka e-ovary liye emgodini we-fallopian. Nge-hydrosalpinx, i-fimbriae ivame ukulimala futhi ibanjwe ndawonye.
Kuye ngenxa yalokho okubangelwa i-hydrosalpinx, ukunamathela okungaphezulu kwe-tublopian tube kanye ne-ovary kungenzeka. Lokhu kungaphazamisa nokuvuthwa nokuzala.
Ukukhulelwa Kwamathuba Ngomunye I-Hydrosalpinx Tube Evinjiwe
Uma ukhuluma ngokusemthethweni, kungenzeka ukukhulelwa nge-tube eyodwa nje evulekile, njengoba kungase kube njalo uma une-tube eyodwa ye-hydrosalpinx kanti enye inempilo. Nokho, isimo esibucayi sesibeletho singathinteka nge-hydrosalpinx futhi lokhu kunciphisa izinga lokukhulelwa.
Ukucasula kanye / noma ukunamathela okuhambisana ne-hydrosalpinx kubonakala kunciphisa amathuba okukhulelwa avela nge-tube enempilo. Kungenzeka futhi ukuthi ukwakhiwa kwe-fluid ngaphakathi kwe-tube ethintekile kungangena embelethweni, kuphazamise ukufakelwa kombungu.
Lapho iziguli zihamba ngokuqondile emitholampilo ye-IVF , ngaphandle kokuhlinzekwa ngokukhipha igciwane lesandulela ngculazi, ukukhulelwa nokuphila kwamazinga okuzalwa kuncane kakhulu kunalindeleke.
Yingakho ochwepheshe abaningi bokuzala bephakamisa ukukhishwa kwe-hydrosalpinx ngaphambi kokuqala ukwelashwa kwe-IVF. Enye indlela yokuvimbela ukufakelwa kwebhulethi ethintekile ekupheleni kwesibeletho, ngakho-ke cishe ngeke kuthinte isimo semvelo.
Ukuxilongwa
Izilimo eziyizigaxa ezivinjiwe zivame ukutholakala ngesikhathi sokukhulelwa. I-HSG -uhlobo oluthile lwe-x-ray-lingabonisa ukubhuka kwe-tubal.
Ukuze unqume ukuthi ukuvinjelwa kuyi-hydrosalpinx, i- sonohysterosalpingography ingadingeka. Le nqubo ihilela ukudlulisa umoya omanzi futhi oyinyumba ngaphakathi kwesibeletho nasesibelethweni. Khona-ke ultrasound transvaginal isetshenziselwa ukubona ngeso lengqondo izitho zokuzala.
I-Ultrasound ingasetshenziselwa ukuxilonga i-hydrosalpinx, kodwa akunakwenzeka ngaso sonke isikhathi ukubona ngeso lengqondo ithubhu egcwaliswe ngamanzi ngale ndlela. Ucwaningo olulodwa lwathola ukuthi amaphesenti angu-34 kuphela e-hydrosalpinx ayebonakala nge-ultrasound.
I-laparoscopy ingasetshenziselwa ukuxilonga i-hydrosalpinx. I-laparoscopy yokuxilonga inganquma nokuthi izici ezengeziwe, njenge-endometriosis, zidala izinkinga zokuzala.
Izimpawu
Nge-hydrosalpinx, ukungabi nabantwana ngokuvamile kuwukuqala nokuphela kwesimpawu ukuthi kukhona okungalungile. Abaningi besifazane abanayo izimpawu futhi batholakala kuphela uma bezama ukungaphumeleli babe nezingane.
Kodwa-ke, abanye besifazane bazozwa ubuhlungu be-pelvic . Ngokuvamile, kungenzeka kube nokuthuthwa kwesisu okungavamile.
Bangase babe nezibonakaliso zezimbangela ze-hydrosalpinx. Isibonelo, isifo sokuvuvukala kwe-pelvic (PID) yisici esibungozi se-hydrosalpinx.
Ukwelapha
Ukwelashwa yindlela yokwelashwa evamile kakhulu ye-hydrosalpinx, ne- IVF yokwelapha emva kokusiza ekukhulelwe. Ngokuvamile, i-tube fallopian isuswe ngokuphelele. Ngokuya ngesisusa se-hydrosalpinx, ukuhlinzwa kungase kuhilele nokususwa kwamanye ama-adhesion, izicubu ezibomvu, noma ukukhula kwe-endometrium.
Uma i-PID inesibopho se-hydrosalpinx, ungase futhi uthole ama-antibiotic ukuphatha izifo ezithathelwanayo .
Izinga lokuphumelela kwe-IVF liphansi uma i-hydrosalpinx ikhona. Ngenxa yalesi sizathu, ukwelashwa okunconywa kaningi ukuthi i-tube ethintekile ihlinzekwe ngokuhlinzwa kuqala. Khona-ke, ukwelashwa kwe-IVF kuqala.
I-sclerotherapy ingase ibe enye indlela yokususwa kwe-tube fallopian. Kule nqubo, i-liquid is aspirated kusuka tube ethintekile. Khona-ke, i-agent ye-sclerosing ijojowe ukuvimbela ithubhu ukuthi ingagcwaliseki nge-fluid. Konke lokhu kwenziwa ngenaliti eqondiswa yi-vaginal ultrasound futhi ingenangqondo encane kunokuhlinzwa okwe-laparoscopic. Noma kunjalo, ucwaningo ngalendlela lukuntuleka. Akucaci ukuthi yiziphi zonke izingozi ezingenzeka futhi nokuthi zingcono yini kunokususwa kwe-tube.
Ukulungiswa kokuhlinzwa kwe-tube evimbekile ye-fallopian-lapho kuvuleka ukuvimba kodwa ithini lishiywe-lungenziwa kwezinye izinhlobo ze-tube blockages. Kulaba besifazane abahamba ngale ndlela, ukukhulelwa kwemvelo emva kokulungiswa ngokuvamile kuyinhloso. Ngeshwa, lokhu akunconywa nge-hydrosalpinx. Ukuvimbela nokuvuvukala kuvame ukubuya. Ukulungiswa kwe-hydrosalpinx okulandelwa umzamo wokukhulelwa kwemvelo akukhuthazwa.
Imithombo:
Ukucabanga Ngemva Kokuhlinzwa Kwamathambo: I-Fact Sheets. I-American Association of Medicine Yokuzala.
I-Hydrosalpinx: I-Fact Sheets. I-American Association of Medicine Yokuzala.
> Kasius JC, Broekmans FJ. "Imiphumela Yokukhulelwa Kwe-Interventional Ultrasound Sclerotherapy Ngama-98% e-Ethanol kwabesifazane abane-Hydrosalpinx." Am J Obstet Gynecol. 2015 Jan; 212 (1): 118. doi: 10.1016 / j.ajog.2014.09.018. Epub 2014 Sep 20.
> Na ED1, Cha DH, Cho JH, Kim MK. "Ukuqhathaniswa kwemiphumela ye-IVF-ET ezigulini ezine-Hydrosalpinx ezanduleleke nge-Sclerotherapy noma i-Salpingectomy ye-Laparoscopic." 2012 Dec; 39 (4): 182-6. doi: 10.5653 / umhlaka.2012.39.4.182. I-Epub 2012 Dec 31.