Inqubo, Ubuhlungu, Izingozi, Nokuzala
I-sonohysterogram iyinhlobo ekhethekile ye-ultrasound ehlola ngaphakathi kwesibeletho sakho. Ungaba nalokhu kuhlolwa okwenziwe ngesikhathi sokuhlolwa kokuzala , ngaphambi nje kwe- IVF , noma uma unezimpawu zokungavamile kohlobo lwe-uterine .
I-Sonohysterography ingabuye ibhekiswe ngokuthi i-hysterosonography, i-saline igxilise i-sonography (SIS), i-sonography ye-transvaginal nge-augmentation ye-augmentation ye-fluid, nesifinyezo SHG ( sono-hystero-gram ).
Lokhu kuhlolwa okufanayo nokucabangela okukhethekile ama-tubospian tubes kungabizwa ngokuthi i-sonosalpingography.
Kuyini i-Sonohysterogram?
Phakathi ne-sonohysterography, ithubhu elincane kakhulu (i-catheter) lifakwe ngaphakathi kokuvulwa komlomo wesibeletho . Isisombululo saline (isisombululo samanzi usawoti) esenziwa kancane kancane nge-tube encane. Isixazululo se-saline sisusa kahle isibeletho, ukuze izindonga ze-uterine zihambe kancane kancane komunye nomunye.
Cabanga ngesibindi sakho njenge-balloon ene-deflated. Uma ubungenise amanzi amancane noma umoya, izindonga zebholuni zizohamba. Yilokho isisombululo saline esenza ngesikhathi sonohysterography.
Njengoba isisombululo saline sisungulwa emgodini we-uterine, i-wand yangaphandle ye-ultrasound iyasetshenziselwa ukuhlola isimo se-uterine kanye nezindonga, futhi mhlawumbe futhi nezibhubhu ze-fallopian.
Uma ungenayo i-ultrasound yangaphambilini, nokho, i-wand eyinde, elula kakhulu eyaziwa ngokuthi i-transducer isetshenziswa.
I-wand isingenwa ngesiswini sakho nguchwepheshe. (Ukuze uthole induduzo, abanye ochwepheshe bazokunika i-wand ukuba ibeke ngaphakathi kwakho. Khona-ke, bayithatha isibambo kusuka kuwe ukuze uvivinye.)
I-wand translator iveza amagagasi aphikisayo avumbela izicubu zomzimba wakho. Amagagasi aphikisayo abuyele emuva, futhi i-transducer irekhoda lezi zici.
I-Ultrasound ayibuhlungu ngokuphelele.
Esikrinini se-ultrasound, udokotela wakho noma ochwepheshe angabona ukuboniswa okubukwayo (okudalwe ngamagagasi omsindo) ezithombeni zakho zokuzala.
I-ultrasound eguquguqukayo ingenziwa ngaphandle kwesisombululo saline. Kodwa-ke, kunzima ukubona ezinye izinto ezingajwayelekile ze-uterine kanye nesimo sangempela sohlobo lwe-uterine nesakhiwo ngaphandle kwesisombululo saline. Lapho isisombululo saline sidlulisa izindonga ze-uterine ngaphandle komunye nomunye, izinkinga ze-uterine zilula ukubona.
Izizathu Udokotela Wakho Ungenza I-SHG Yenze I-oda
Izizathu zokuhleleka kwe-sonohysterogram zihlanganisa:
- ukungabikho
- ukulahlekelwa kokukhulelwa okuvamile (ukuhlukunyezwa kwamabili noma ngaphezulu kulandelana)
- ukuphuma ngokweqile kokuya esikhathini (izikhathi ezinzima kakhulu noma ezingavamile)
- umjikelezo phakathi nendawo
- izivunguvungu ezingavamile
- ukuphuma kwe-menopausal
- ubuhlungu besisu noma ingcindezi
- ngaphambi kokwelashwa kwe-IVF (ukuqinisekisa ukuthi ayikho izinkinga ze-uterine ezingahle ziphazamise ukufakelwa kwe-embryo)
I-sonohysterogram ibuka futhi ingathola:
- umumo wesisu nomzimba ongavamile wokubeletha (njenge-septum ye-uterine, okuyilapho izicubu zihlukanisa isisu)
- ama-polyps (ukukhula okungenayo umdlavuza) emgqeni we-uterine
- i-fibroids (ikakhulu uma iqhubekela emgodini we-uterine)
- ukunamathela kwesibindi (izicubu ezibomvu)
- ukukhula okungavamile kokucuba kwezicubu (okungenzeka noma okungenayo umdlavuza)
- Ubukhulu obuningi noma ubukhulu bodonga lwe-uterine ne- endometrium
I-Sonohysterography Yifaneleka Kanjani Nezinye Izivivinywa Zokuzala Zomzimba?
I-Sonohysterography ingenye yezivivinyo ezimbalwa ezingasetshenziselwa ukuhlola amashubhu we-fallopian, i-uterine cavity, ne-endometrium.
Ezinye izivivinyo zihlanganisa:
- HSG (okuyinto i-X-ray ekhethekile)
- i-hysteroscopy (okubandakanya ukubeka ikhamera enomzimba omncane emgodini wesibeletho ukuze ubone ngeso lengaphakathi ngaphakathi kwesibeletho)
- ultrasound transvaginal (ultrasound ngaphandle kwesisombululo saline)
- i-laparoscopy (okuyinto inqubo yokuhlinzeka engavamile, edingekayo ekupheleni kwesifo se-endometriosis )
Ungase uzibuze ukuthi kungani kunezivivinyo eziningi kakhulu ukuhlola into efanayo. Impendulo yukuthi ukuhlolwa ngalunye kunamathuba nezinzuzo zayo. Kuncike ekubambeni kwezinkinga zakho zokuzala, ukuhlolwa okulodwa kungaba ngcono ekutholeni inkinga kunomunye. Kwezinye izimo, njenge-hysteroscopy noma i-laparoscopy, ukuhlolwa kungasetshenziselwa ukwelashwa okuhlinzekwayo.
I-Sonohysterography, i-HSG, ne-Mock Embryo Transfer
Abanye odokotela bakhetha i-sonohysterography phezu kwe-HSG. I-HSG idinga ukusebenzisa i-X-ray. Nakuba ama-radiation amazinga aphansi kakhulu, i-sonohysterography igwema ukuveza izitho zakho zokuzala kunoma yimiphi imisebe.
Abanye odokotela bangalayela i-sonohysterography ngesikhathi esifanayo njenge-HSG. Ucwaningo luye lwabona ukuthi ukuhlanganiswa kwezivivinyo kungase kube ngcono ekutholeni izinkinga ezithile zozalo lokuzala.
Inzuzo yokuba ne- HSG ne-sonohysterogram ngesikhathi esifanayo i-catheter idinga ukufakwa kanye kuphela. (Bobabili ukuhlola kuhilela ukuxosha amanzi ngamakhemikhali afakwa emlonyeni wesibeletho.) Lokhu kungase kusho ukungazizwa kahle nokukhathazeka kwakho.
Njengalokhu njalo, kufanele uxoxe nodokotela wakho izingozi nezinzuzo ezingahle zithole noma yikuphi ukuhlolwa kokuzala noma ukwelashwa.
Uma uzothola ukwelashwa kwe-IVF, udokotela wakho angase ahlele i-sonohysterography ngesikhathi esifanayo njengendlela yokudlulisa embryo (MET / SHG).
Ingabe Uzozisola Nge-Sonohysterogram?
Lokhu kuyinkinga eyodwa kanye nombuzo wabesifazane abaningi, futhi kuyaqondakala kanjalo. I-sonohysterogram akufanele ibuhlungu.
Ngenkathi ungase uzwe ukungathandeki (uhlobo olufanayo ongase ube nalo phakathi ne-pap smear), futhi kancane kancane uma uqalisa isisombululo saline, abaningi bayabika ubuhlungu nhlobo. Kodwa-ke, ubuhlungu buhluka kusukela kwabesifazane kuya kwabesifazane.
Izinto ezingathinta ukuthi ngabe ukuhlolwa akukhathazeki kakhulu kuwe kufaka:
- ukukhathazeka (Uma uhamba isikhathi eside, cishe uzozizwa ungakhululekile. Khumbula ukuphefumula!)
- inqubo kadokotela
- uma kunezinkinga ze- blockages noma ze-uterine (Uma umkhuhlane ungakwazi ukukhipha emagqumeni ashubile njengoba kufanele, lokhu kungaba buhlungu)
- ubunzima obubeka le catheter (uma umlomo wakho wesibeletho unciphisa noma isisu sakho singathinti ngokungavamile)
- uma uzwa ubuhlungu ngesikhathi kuhlolwa okujwayelekile komzimba (uma i-pap smear inzima kakhulu kuwe, lokhu kungase kube nzima)
Uma ukhathazekile ngobuhlungu, khuluma nodokotela wakho ngaphambi kokuhlolwa.
Kuyinto engokwemvelo ukucinga i-intanethi kokunye okuhlangenwe nakho kwabesifazane. Khumbula lapho ufunda imibhobho yokuzala ukuthi abesifazane abanezindaba ezibuhlungu bangase bakhulume ngokuhlangenwe nakho kwabo kunabo abangenabuhlungu noma abahlukumezekile. Kanti futhi ngezinye izikhathi abesifazane kulezi zinkundla badidanisa ukuhlolwa okuhlukile.
Uma ubhekene nobunzima phakathi nobulili , ubuhlungu phakathi nokuhlolwa kwesifo somzimba wakho ngonyaka, noma ube ne-vaginismus, khuluma nodokotela wakho mayelana nokuthola okungaphezulu nje kokusizwa kobuhlungu obuningi kakhulu bokuhlolwa.
Udokotela wakho angakwazi ukunikeza into efana neValium, engakusiza ukuba uphumule futhi unciphise ubuhlungu. Iningi labesifazane ngeke lidinga ukuphumula okungaphezulu kwalokho.
Abesifazane abaningi babika ukuthi i-sonohysterography iyilingo olunzima kakhulu lokuzala lolo hlobo. Abanye besifazane babika ukuthi abazwa lutho ngaphandle kokubekwa kwe-speculum!
Indlela Yokulungiselela Ukuhlolwa
Njengoba njalo, khuluma nodokotela wakho ngalokho okufanele ukwenze ngaphambi kokuhlolwa.
Lokhu kuhlolwa kufanele kwenziwe ngemuva kwesikhathi sakho siphelile kodwa ngaphambi kokuthi uvote . Lokhu ukugwema ukwenza ngeso lengqondo ukuhlolwa ngesikhathi sokukhulelwa kokuqala.
Kungase kudingeke uthintane nehhovisi likadokotela wakho uma isikhathi sakho siqala, ngakho-ke bangahlela kahle i-sonohysterogram.
Uma ungatholi isikhathi sakho, udokotela wakho angase anikeze iPravera noma enye imithi ezoletha esikhathini.
Ungacelwa ukuba uthathe ama-antibiotics ngokucophelela. Lokhu kungenzeka uma usengozini enkulu yokutheleleka. Odokotela abaningi batusa ukuphumula ukuphumula okungaphezulu kwe-counter ngemizuzu engama-30 ngaphambi kokuhlolwa okuhleliwe.
Ngokujwayelekile, i-iguprofen engu-400 mg iphakanyisiwe. Uma ungeke uthathe ibuprofen, khuluma nodokotela wakho mayelana nezinketho zakho.
Yini Ongayilindela Ngenkathi Inqubo Ye-Sonohysterogram
Okokuqala, uzocelwa ukuba usebenzise indlu yokudlela, uma ungakenzi okwamanje. Ngokungafani nezinye izinhlobo ze-ultrasound, kufanele ube nesirayi esingenalutho kulolu vivinyo.
Esigumbini sokuhlola, uzosusa izingubo zakho kusuka okhalweni phansi. Unganikwa ingubo noma ishidi ukuze ubeke imilenze yakho ngaphezulu. Uzolala emhlane wakho etafuleni lokuhlola. Uma kukhona ukuqhuma, uzobeka izinyawo zakho kuzo bese uqhubekela phambili ekugcineni kwetafula. Uma kungekho ukuqhuma, uzocelwa ukuba ugobe imilenze yakho emadolweni, ubeke izinyawo zakho etafuleni, uhlobo lwesimo somlenze. (Ungakhathazeki, umhlengikazi noma uchwepheshe uzokusiza.)
Cishe (kodwa hhayi njalo), ochwepheshe noma udokotela uzokwenza i-ultrasound evamile ye-transvaginal.
I-wand encane ye-ultrasound (noma i-transducer) izoba nekhondomu ebekwe phezu kwayo kanye nokunye okugcoba. Bayawufaka ngobumnene i-wand vaginally noma banikeze umjikelezo bese becela ukuthi uyifake njalo kuze kufike lapho.
Ngemuva kokuthi unike i-transducer emuva kochwepheshe, bayodlulisela umjikelezo ukuze bathole izithombe ze-ultrasound. Lokhu akumnandi kodwa akufanele neze kube buhlungu. Emva kwalokhu, i-transducer isusiwe.
Okulandelayo, udokotela uzothatha i-speculum (ngokuvamile isensimbi noma i-plastic device esetshenziselwa ukuhlolwa kwegazi) bese uyibeka emkhathini wakho. Udokotela wakho uzosebenzisa i-swab yekotini yokukhipha imishanguzo endaweni yangasese. Lokhu kungase kuzwe okunjenge-pap smear.
Okulandelayo, udokotela wakho uzothatha i-plastic-thin thin tube (i-catheter) bese uyibeka ekuvuleni komlomo wakho. Ungase ube ne-cramping encane noma ungase uzwe lutho. Manje, udokotela wakho uzobeka ibhaluni encane eduze kwe-catheter bese uyigcwalisa ngomoya noma amanzi. Leli ibhaluni liphethe umcengezi endaweni.
Udokotela wakho uzosusa i-speculum. Khona-ke uzobe esekela i-wand encane ye-ultrasound kuwe ukuze uyibeke emzimbeni wakho noma uyifake yona.
Ngenkathi i-wand encane ye-ultrasound isendaweni, udokotela wakho uzokondla isisombululo saline nge-catheter. Isixazululo sosawoti singena esibelethweni sakho nangesibhubhu sakho samathambo. Ungase uzwe uziqede noma ungazizwa nhlobo.
Izithombe ze-Ultrasound zithathwa njengoba uketshezi olugeleza ngaphakathi kwesikhumba se-uterine nama-tubespian tubes.
Udokotela wakho angase futhi afune ukuthatha izithombe ze-trans-abdominal ultrasound. Kulesi simo, i-gel izosetshenziselwa isisu sakho futhi i-transducer efana neyodwa izothunyelwa phezu kwejel. Udokotela wakho angacindezela phansi ngokucindezela kancane phezu kwesisu sakho.
Uma une-sonosalpingography (ehlola amashubhu we-fallopian), inani elincane kakhulu lomoya lingase liqaliswe nge-catheter. Lokhu ukwenza ama-bubbles angabonwa kumshini we-ultrasound.
(Ochwepheshe uyazethemba ukubona ama-bubbles ahamba phakathi kwezibhubhu ezimbi.)
Ngemuva kokuthi udokotela wakho athole zonke izithombe abazidingayo, i-wand izosuswa, i-catheter ne-balloon isusiwe, futhi usuqedile. Uma uhlala noma uvuka, lindela ukuzwa ukuphuma kwamanzi okukhipha.
Kusukela ekuqaleni kuze kube sekupheleni, ukuhlolwa akufanele kuthathe imizuzu engu-15.
Izingozi ze-Sonohysterogram
I-Sonohysterography iyilingo lokuvivinya okuphephile. Kukhona ingozi ephansi kakhulu yokutheleleka. Kuyinto engavamile, okwenzeka ngaphansi kwamaphesenti angu-1 esikhathi.
Ukuhlolwa akufanele kwenziwe uma ukhulelwe. Uma ucabanga ukuthi ungase ube, tshela udokotela wakho. Akufanele futhi kwenziwe uma unesifo sofuba esiswini noma se-vaginal.
Izindleko ze-Sonohysterogram
I-sonohysterogram ngokuvamile ibiza phakathi kuka- $ 500 no-$ 700. Uma ukuhlolwa kuhlanganiswe nezinye izinqubo, izindleko zizoba ngaphezulu. Umshuwalense wakho ungakwazi noma ungawuvali ukuhlolwa. Kuncike ekutheni kungani ukuhlolwa kwenziwa.
Isibonelo, uma kungokwemvelo okungavamile kokuphuma esikhathini, umshuwalense wakho kungenzeka ukuthi uyimboze. Uma kwenziwa ekulungiseleleni ukwelashwa kwe-IVF, angeke ihlanganiswe.
Qiniseka ukuthi ukhuluma nomeluleki wezezimali emtholampilo wakho wokuzala kanye nomhlinzeki wakho womshuwalense ngaphambi kokuhlolwa.
Indlela Ozozizwa Ngayo Ngemva Kwenqubo
Njengoba ucabanga ukuthi unomntwana kuphela futhi awukho enye inqubo, kufanele ukwazi ukubuyela emuva emsebenzini emva kokuhlolwa. Uma ube nokuhlolwa ekuseni, ungaqhubeka nemisebenzi yakho evamile yansuku zonke ngale ntambama.
Ungase uzwe ngokunciphisa kakhulu usuku lokuhlolwa. Kungakhathaliseki ukuthi imishanguzo yesikhumba oyithathayo imithwalo yezinsikhathi ezivamile kufanele ikhulise ukungahambi kahle kwakho.
Ungase utholakale ugoqa isisombululo saline kusukela ekuhlolweni emahoreni angu-24 kuya kwangu-48 alandelayo. Ungase futhi ube nokubonakala okulula. Qinisekisa ukuthi uletha amaphakheji okuya esikhathini ukuze uthole ukuvuza. Ungasebenzisi amathoni noma noma yikuphi okufaka ngaphakathi kwegciwane lakho. Lokhu kuwukugwema ukwandisa ingozi yokutheleleka.
Uma ube ne-sonohysterogram ehlangene nezinye izinqubo, ukutakula kwakho kungenzeka kube okuhlukile. Khuluma nodokotela wakho mayelana nokuthi ungalindela.I
Ngemuva kokuhlolwa
Akufanele ulale ucansi kwezinsuku ezimbili kuya kwezintathu kulandela inqubo. Lokhu ukugwema ukutheleleka.
Futhi, xhumana nodokotela wakho uma uhlangabezana nalokhu:
- umkhuhlane
- ukuphuma kwegazi (okungaphezu nje kokubonakala kokukhanya)
- ukuchoboza noma ubuhlungu obuqhubekayo ngosuku lokuqala
- ubuhlungu obunzima ngokungazelelwe ngosuku lokuhlolwa
- konke okukukhathazayo kuwe
Okushiwo yiMiphumela futhi Okuzokwenzeka Kamuva
Udokotela noma ochwepheshe owenza i-sonohysterogram kungenzeka noma angakwazi ukukutshela imiphumela. Kufanele uhlele ukulandelwa nodokotela wakho ngokushesha ngemva kokuhlolwa.
Uma ukuhlolwa kwakujwayelekile, udokotela wakho angase:
- oda ukuhlolwa okwengeziwe
- beza uhlelo lokunakekelwa kokuzala, usebenzisa ulwazi olutholakala ekuhloleni kwakho konke ukuzala
- vumela umjikelezo wakho we-IVF ozayo (uma lokhu kwakuyingxenye yokulungiselela i-IVF)
Uma i-sonohysterogram ithola ukungalingani, isinyathelo esilandelayo sincike ekutheni udokotela awutholile yini kanye nomgomo wakho ekuhlolweni.
Uma kutholakala ama-polyps noma ama-fibroid, udokotela wakho uzoxoxa nawe ngenzuzo nenkinga yokubasusa. (Kungase kungadingeki zisuswe.) I-Polyps ingasuswa nge-hysteroscopy yokuhlinzeka. Lokhu kwenziwa ngaphansi kwe-anesthesia jikelele.
Ama-fibroids amancane angasuswa kanye ne-hysteroscopy yokuhlinzwa. Noma kunjalo, amakhulu amakhulu angadinga i-laparoscopy (inqubo yokugula) noma ngisho ne-myomectomy yesisu (ukuhlinzwa okudinga ukuhlala ubusuku noma ababili esibhedlela.)
I-septum ye-uterine ingatholakala ukuthi ine-sonohysterography. I-septum ye-uterine yilapho izicubu ezingekho khona zihlukanisa isibeletho phansi. Lokhu kuhlukana kungase kube yingxenye noma kungase kuhambe kuze kube semlonyeni wesibeletho. Kungabangela ukungabi nabantwana nokulahlekelwa okuphindaphindiwe kokukhulelwa. Lokhu kuyinkinga engavamile yokuzala (uzalwa nayo), kodwa ingalungiswa ngokuhlinzwa, ngokuvamile i-hysteroscopy yokuhlinzeka.
Ngemuva kokwelapha ukwelashwa, ungakwazi ukukhulelwa ngokwakho noma ungase udinge ukwelashwa kokuzala . Lokhu kuyinto okufanele uxoxe nodokotela wakho.
Imithombo
I-Berridge DL, i-Winter TC. I-Saline Infusion Sonohysterography: I-Technique, Izinkomba, Nokufanekisa Ukuthola. J Ultrasound Med . 2004; 23: 97-112.
Lindheim SR1, Sprague C, Winter TC 3rd. I-Hysterosalpingography ne-Sonohysterography: Izifundo Ezenzweni. I-AJR Am J Roentgenol . 2006; 186 (1): 24-9.
I-saline ukumnika indodanaohysterogram (SHG). I-Fact Sheets. UmNyango we-American for Medicine Reproductive. UkukhiqizaFacts.org.
Sonohysterography. FAQ. I-American College of Obstetricians kanye namaGynecologists.