Ukuxhaswa yizinhlangano ezingavamile ezingxenyeni ezibomvu ezihlanganisa izitho noma izingxenye zezitho ezingavunyelwe ukuhlanganiswa ndawonye. Kungabangelwa ukutheleleka, ezinye izifo, noma ukuhlinzwa kwangaphambilini.
Ukubambisana kungabangela ukungabi namuntu nge-...
- Ukuvimbela iqanda nesidoda kusuka emhlanganweni
- Ukungena nge-ovulation
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Ukuxhaswa kungenye yezizathu zokuvimbela amashubhu we-fallopian .
I-Endometriosis nesifo sokuvuvukala esiswini (PID) singabangela ukunamathela okuphazamisa ikhono lakho lokukhulelwa.
I-Asherman's syndrome, noma i-uterine synechiae, yilapho ifomu lokunamathela ngaphakathi kwesibeletho. Kungabangela ukungasebenzi noma ukukhulelwa kwesisu okuphindaphindiwe.
Ukuxhaswa kungabangela ubuhlungu, kufaka phakathi izigumbane ezibuhlungu noma esikhathini esibuhlungu ngesikhathi socansi. Ukuxhaswa kungabangela ukuphuma kwegazi okungavamile, ukuhamba esikhathini esibucayi kakhulu, noma ukuntula okuphelele kokuphuma esikhathini.
Kodwa-ke, kungenzeka futhi ukuthi awunayo izimpawu ezibonakalayo.
Izimbangela
Ukuvumelana kungenzeka uma inqubo yomzimba yokuphulukisa yemvelo ihamba kancane kancane.
Ngokujwayelekile, izibilini zesisu, isisu esiswini nesisu namashubhu amathanga alula. Lokhu kwenza izitho zihambele kalula.
Kodwa-ke, uma kukhona ukulimala - kungakhathaliseki ukuthi ukutheleleka, ukuhlinzekwa kwangaphambilini, noma idiphozi ye-endometrili - ubuso bungaba "okunamathelayo." Lokhu kungenza izimboni zihlangane ndawonye.
Izicubu ze-scar zingase zakha futhi zibambe izitho ngendlela engavamile. Izicubu ze-Scar zingase zenze okunamathiselwe okufana newebhu phakathi kwezitho.
Lezi zinhlanganisela zingaba zikhulu futhi ziqinile. Izitho zakho zingase zithandane ngokungahambisani. Lokhu kungabangela ubuhlungu, ikakhulukazi ngesikhathi socansi noma ngesikhathi sokuya esikhathini.
Endabeni ye-Asherman's syndrome, ukunamathela kwenzeka ngaphakathi kwesibeletho.
Ukunamathela kungase kube okumbalwa, noma, ezimweni ezimbi, kungabangela izindonga ze-uterine ukuba zinamathele ndawonye cishe ngokuphelele.
Ukunamathela kwe-intrauterine kuvimbela i-endometrium enempilo engakhiwa. Lokhu kungavimbela ukufakelwa okunempilo kombungu.
Noma, uma ukufakelwa kwe-embryo kwenzeka, ingozi yokukhulelwa kwesisu ingase ibe ngaphezulu.
Endabeni yezifo ezivuthayo zesikhumba , noma ezinye izifo ezithathelwanayo zokuzala, ama-tubes falsipian angashiswa. Izindawo ezivuthayo zingaba nezicubu ezincane noma ukunamathela ngaphakathi kwamatayipi.
Lezi zinhlanganisela zivimbela iqanda nesidoda ukuba zingabi ndawonye.
Ukunciphisa okubangelwa i- endometriosis kuvame ukuvela emgodini we-pelvic. Kungaba khona eduze kwamatayipi noma ama-ovari. Ukunamathela kwe-Endometrial kungaphazamisa ukuvuthwa.
Ngezinye izikhathi, ukunamathela kwe-endometrium kuvimbela ithubhu eliyikholo ekuhambeni ngokwemvelo.
I-ovary ayinamathanga ngqo kuma-tubes falsipian. Ngesikhathi sokuvuthwa, uma iqanda likhishwa e-ovary, kufanele lithole indlela yalo emgodini we-fallopian.
Uma ukunamathela kuphazamisa ama-tublopian tubes ukunyakaza kwemvelo, iqanda lingase lingenzi emgodini wezintambo.
Lokhu kunciphisa ukuzala.
Ukuxilongwa
Kunezindlela ezintathu eziyinhloko zokubambelela kokuxilongwa:
- I-HSG (hysterosalpingogram)
- I-Hysteroscopy
- I-Laparoscopy
I-HSG iyinhlobo ekhethekile ye-x-ray engasetshenziselwa ukuthola umqondo wesimo sohlobo lwe-uterine nokuthi ngabe ama-tubes falsipian acacile. Izigubhu ezivinjiwe ezingasetshenziswa zingatholakala nge-HSG.
Nge-hysteroscopy, ithubhu elincane elincane elibizwa ngokuthi i-hysteroscope lifakwe esibelethweni nge-cervix. Lokhu kwenza udokotela ukuthi abone ngaphakathi kwendawo yokubeletha kanye nokuvuleka kwama-tubespian tubes.
I-hysteroscope ingasetshenziselwa ukuxilonga izinkinga ngesiguli se-uterine, kuhlanganise no-Asherman's Syndrome.
Inqubo efanayo ingahle isetshenziselwe ukususa nokuphulukisa ukubambelela kwe-intrauterine.
I-laparoscopy yinkqubo lapho kutholakala ukuqubuka okuncane esiswini. Khona-ke, ithubhu encane, elikhanyayo enedivayisi yekhamera efakwe, kanye nezinsimbi.
Ukuhlinzwa kwe-laparoscopic yindlela kuphela yokuthola i-endometriosis.
Ungathola imiphumela evamile ku-HSG ne-hysteroscopy, kodwa usenokuphela kwe-endometriosis enzima.
Amaphesenti angaba ngu-50% weziguli ezingajwayelekile ezingatholakali angatholakala ukuthi unama-adhesion noma ama-endometriosis ngemva kwe-laparoscopy. Ngezinye izikhathi, ukungazalwa kahle "okungaqondakali" kuwukuphela kokunamathela kwepilvic okungatholakali noma i-endo.
Ukuhlinzwa okufanayo okusetshenziselwa ukuxilongwa kwe-endometriosis noma ukunamathela kwe-pelvic kungasetshenziselwa ukwelapha nokususa ukunamathela. Ngaleyo ndlela, akudingeki ukuba udlule ngokuhlinzwa kabili.
Khuluma nodokotela wakho ngaphambi kokuba wenze inqubo.
Ukwelapha Ukuzala
Uma ukunamathela kungaphakathi kwamatayipi okulala, ukulungiswa kokuhlinzwa kungenzeka. Kodwa-ke, ukwelashwa kwe-IVF kungaphumelela futhi kuphumelele.
Uma i-Asherman's syndrome iyimbangela yokungasebenzi, ukunamathela kungase kususwe ngesikhathi se-hysteroscopy yokusebenza. Ungakwazi ukukhulelwa ngokwemvelo emva kwalokho, noma ungadinga ukwelashwa kokuzala ukwengeza ekuhlinzekeni.
Endabeni yokunamathela kwe-pelvic noma i-endometriosis, ukususwa kokunamathela kunganciphisa ubuhlungu futhi kungathuthukisa izinkinga zokuphumelela kokukhulelwa. Kodwa-ke, ngokuya ngesimo, ungase udingeke ukwelashwa kwe-IVF noma ukwelashwa ngemuva kokuhlinzwa.
Khuluma njalo nodokotela wakho mayelana nazo zonke izinketho zakho. Buza ukuthi yini engalindela ngemuva kokuhlinzwa.
Imithombo:
Ukuxhaswa: Yiziphi futhi zingabanjelwa kanjani? UmNyango we-American for Medicine Reproductive.
Iyini i-Hysteroscopy? Ukwelashwa & Izinqubo. Umtholampilo waseCleveland.
Tsui KH1, Lin LT2, Cheng JT3, Teng SW4, Wang PH5. "Ukwelashwa Okuphelele Kwabesifazane Abangenasifo Esinezifo Ezibucayi Asherman Syndrome. "I-Taiwan J Obstet Gynecol. 2014 Sep; 53 (3): 372-5. i-doi: 10.1016 / j.tjog.2014.04.022.