Kwenzekani ngesikhathi se-HSG, ukuthi imiphi imiphumela kusho, nendlela yokubhekana nayo
Abesifazane abaningi bayazibuza ukuthi ukuhlolwa kwe-hysterosalpingogram (HSG) kuzobangela ubuhlungu. I-HSG iyinhlobo ekhethekile ye-x-ray esetshenziselwa ukuhlola ukuzala kwesifazane . Inqubo yokwelapha, ukuvivinywa kuthatha isikhathi esingaphezu kwesigamu sehora. Kuhilela ukubeka i-iodine-based based on the cervix bese uthatha ama-x-ray. Lezi zingu-ray zisiza ukuhlola ukuma kwesibeletho nokuthi ngabe amashubhu we- fallopian avinjelwe .
Uma unenkinga yokukhulelwa, i-HSG ingenye yokuhlolwa kokuqala kokuzala okungahle kulandelwe. Uma ngabe unezinsizakalo ezimbili noma ngaphezulu, i-HSG iphinde ikhuthazwe.
Ngakho-ke, kuzolimaza? Impendulo eqinisile kepha eyanciphayo kuncike. Abanye besifazane babika ukuchoboza okuncane kuya kokulinganisela. Abanye abazizwa lutho ngalutho. Imibiko embalwa kakhulu ehlukumeza kakhulu. Abaningi bathi emva kwalokho ukuthi ukwesaba kwabo ubuhlungu bekubi nakakhulu kunanoma yikuphi ukungathandeki abazizwayo.
Ukulungiselela
I-HSG kufanele yenziwe ngemuva kwesikhathi sakho kodwa ngaphambi kokuvuthwa . Lokhu ukunciphisa ingozi yokuba nokuhlolwa uma ukhulelwe. Umtholampilo wakho wokuzala noma udokotela uzokutshela ukuthi uzobiza nini ukuhlela ukuhlolwa. Ngokuvamile, kuyoba phakathi kwesikhashana ngosuku lweshumi nangu-12 kokuhamba kwakho kokuya esikhathini.
I-HSG yenziwa ngenkathi uphapheme futhi ingabandakanyi i-anesthesia ejwayelekile. Ngeke udinga ukuzila ukudla ngosuku noma ebusuku.
Ngosuku lokuhlolwa, udokotela wakho angase atsize ukuthatha i-painkiller njenge-ibuprofen ngehora ngaphambi kokuthi i-HSG yakho ihlelwe.
Lokhu kungasiza ngokungahambi kahle kokuhlolwa. Futhi, abanye odokotela banikeza imithi elwa namagciwane ukuze kuncishiswe ingozi yokutheleleka.
Lokho Okukuzwayo
Uzolala phansi etafuleni, ngokuvamile nge-stirrups. Uma bengenayo i-stirrups, kungase kudingeke ukuba ulale etafuleni, uguqe ngamadolo akho, ngezinyawo zakho (uhlobo) flat phezu kwetafula, futhi ubambe imilenze yakho.
Udokotela uzokwenza ukuhlolwa okusheshayo kwe-pelvic. Uchwepheshe, umhlengikazi, noma udokotela uzofaka i-speculum ngaphakathi kwesiswini sakho. Lena yilezi zensimbi zensimbi ezisetshenziselwa ukuhlolwa kwakho kwonyaka wesifazane.
Uma uzwa ubuhlungu ngesikhathi uvakashelwa wonyaka, lokhu kungase kube buhlungu kuwe. (Abesifazane abahlukunyezwa ngokobulili nabo bangabhekana nobuhlungu ngesikhathi sokuhlolwa kwezigciwane.)
Umshini we-x-ray uzokwehliswa phezu kwesisu sakho. Lokhu kungaba okungahambi kahle, ikakhulukazi nge-speculum namadolo akho phezulu. Ngokulandelayo, bazofaka i-swab ukuze bahlanze umlomo wesibeletho. Lokhu ukunciphisa ingozi yokutheleleka. Uma umlomo wakho wesibeletho uzwela ukuthintana, lokhu kungase kube mnandi, kodwa abesifazane abaningi abazwa ubuhlungu kulokhu.
Ngokulandelayo, bazofaka isikhala sepulasitiki esibizwa ngokuthi i-cannula ekuvuleni komlomo wesibeletho. Lokhu uzizwa unomusa ofana ne-pap smear futhi ungase ungakhathazeki kancane. Noma, ungase ungacabangi lutho.
Okokugcina, idayi e-iodine-based izofakwa nge-catheter. Uma idayi ijojowe, ungase uzizwe unesimo sokufudumala. Ledayi izodlula ngaphakathi kwesibeletho sakho, ngokusebenzisa ama-tubes falsipian (uma evuliwe), bese uphuma emgodini wezintambo. Uma amashubhu akho evinjiwe, ungase uzwe ubuhlungu. Tshela udokotela wakho ngokushesha uma wenza.
Ngemuva kokufaka idayi, udokotela wakho uzothatha ama-x-ray. Ngesithombe ngasinye se-x-ray uzocelwa ukuba ubambe umoya wakho okwesikhashana noma ezimbili. Ungacelwa ukuthi ushintshe isikhundla sakho. Isibonelo, angase akucele ukuthi uqambe amanga eceleni kwakho. Ungase uzizwe ungakhululekile nge-speculum ngaphakathi futhi i-x ray phezu kwakho. Udokotela wakho uyaziqonda. Cela usizo uma udinga.
Uma udokotela esequme ukuthi lezi zithombe ziyanelisa, umshini we-x-ray uzophakanyiswa futhi i-speculum isuswe. Ukhululekile ukuya ekhaya!
Ngemuva kokuhlolwa
Ungase ubone ama-cramps amancane nokukhanya okukhanyayo. Ukunciphisa ubuhlungu obukhulu kunoma iyiphi indawo kufanele kusize nge-cramps.
Uzokwazi ukuqhuba umsebenzi ojwayelekile ngemuva kokuhlolwa.
Abanye odokotela bangakutshela ukuthi ugweme ukulala ngokocansi izinsuku ezimbalwa emva kokuhlolwa.
Ngenkathi ama-cramps amancane ejwayelekile, uma ukukhathazeka kwakho kubonakala sengathi kuyanda ngemva kokuhlolwa noma uthuthukisa umkhuhlane, xhumana nodokotela wakho. Kunengozi engavamile yokutheleleka kulandela i-HSG. Ukwanda kabuhlungu kungase kubhekane nokutheleleka kokuphuza.
Okufanele Ukwenze Uma Unesihlungu
Kulaba besifazane abaningi, idayi lidlulela ngesibindi ngesibindi, ngokusebenzisa ama-tubes okhohlakeleyo , nangaphandle kwesikhumba esiswini. Nokho, uma amashubhu akho evinjiwe, idayi ingabangela ukucindezeleka. Yilokho okungaholela ekuhluphekeni noma ngisho nobuhlungu obukhulu.
Ngesikhathi sokuhlolwa, uma uzizwa ubuhlungu, utshele udokotela wakho ngokushesha. Ungagcini nje futhi ubeke, noma uthathe njengokujwayelekile. Bangakwazi ukususa ngokushesha i-catheter, eyokukhulula ingcindezi futhi kufanele iqede ubuhlungu bakho.
Izindaba ezinhle ukuthi uma uzizwa ubuhlungu obukhulu, akufanele kuhlale isikhathi esingaphezu komzuzu.
Ukunciphisa ubuhlungu be-HSG
Odokotela abaningi batusa ukuthatha ibuprofen ihora ngaphambi kweHSG. Lokhu kunganciphisa ukunciphisa kahle ngesikhathi sokuhlolwa. Ukukhathazeka nokwesaba mayelana nokuhlolwa kungandisa umbono wakho wobuhlungu.
Isivivinyo singaba nesibindi sezinzwa, nalokhu mshini omkhulu we-x-ray uhamba phezu kwakho ngenkathi ulele emhlane wakho, imilenze yodwa, ne-speculum ngaphakathi. Umhlengikazi noma udokotela angakucela ukuba uqhubekele eceleni kwakho nge-x-ray noma amabili, futhi kufanele ukwenze nge-speculum ephakathi kwemilenze yakho.
Izingozi ezingenzeka
I-HSG yinkambiso ejwayelekile ephephile. Noma kunjalo, kunezingozi ezingase zibe khona.
Ukwelashwa kungase kwenzeke ngaphansi kwephesenti elilodwa lamacala. Lokhu kuvame kakhulu uma usuvele unesifo noma usengozini ye- inflammatory disease (PID) . Uma uzwa umkhuhlane noma ubuhlungu obandayo ngemva kokuhlolwa, shayela udokotela wakho.
Enye ingozi iphelelwa isikhathi noma ngemva kokuhlolwa. Uma uzizwa uhlaziye ngemva kokuhlolwa, tshela udokotela wakho. Kungcono ukuthi uhlale ulale phansi uze uzizwe ungaphansi kwe-woozy.
Ingozi engavamile kodwa engase ibe yingozi kakhulu i-iodine allergies. Uma ugulisa iodine noma i-shellfish, tshela udokotela wakho ngaphambi kokuhlolwa. Uma unesisindo noma ukuvuvukala ngemva kokuhlolwa, tshela udokotela wakho.
Ingabe i-Radiation Safe?
Ngokuvamile, uma une-x ray, into yokuqala ochwepheshe oyenzayo ihlanganisa indawo yakho ye-pelvic. Ngesikhathi se-HSG, i-x-ray ihloswe ngqo esikhwameni.
Qinisekisa ukuthi i-HSG ihilela inani eliphansi kakhulu lemisebe. I-radiation ye-HSG ayitholakalanga ukuthi ibangele noma yimiphi imiphumela engadingeki, noma ngabe uyakhulelwa kamuva lowo mjikelezo.
Kodwa-ke, i-HSG akufanele yenziwe ngesikhathi sokukhulelwa. Uma ucabanga ukuthi ungakhulelwa, tshela udokotela wakho ngaphambi kokuhlolwa.
Zithini Umphumela?
I-HSG iyasiza udokotela ukuhlola izici ezimbili ezibalulekile:
- Kungakhathaliseki ukuthi ama-tublopian tubes avinjelwe noma avuliwe noma cha. Uma ama-tubes fallopian avinjelwe, owesifazane ngeke akwazi ukukhulelwa, ngoba iqanda alikwazi ukuhlangabezana nesidoda. Ungafunda kabanzi mayelana nokuxilongwa, izimbangela, kanye nokwelashwa kwezingcingo ezivinjiwe lapha .
- Kungakhathaliseki ukuthi isimo sesisu sijwayelekile noma cha. Emaphesenti angu-10 kuya kwengu-15 abesifazane abalahlekelwa ukukhulelwa okuphindaphindiwe, isibeletho esingajwayelekile ngendlela engavamile. Ezinye izifo ezingavamile zingelashwa ngokuhlinzwa. Ungafunda kabanzi mayelana nokuxhuma phakathi kwe- uterine shape kanye nokukhulelwa kwesisu lapha .
Uma i-x-ray ibonisa isimo somzimba esijwayelekile, futhi idayi ejojelwe ichitheka ngokukhululeka kusukela emaphethelweni we-tube fallopian, khona-ke imiphumela yokuhlolwa ithathwa njengokujwayelekile. Lokhu akusho, kodwa kusho ukuthi ukuzala kwakho kuvamile. Kusho ukuthi noma yini okungenzeka ingahambi kahle ayibonakali ku-HSG.
Izimbangela ze-hormonal-based for infertility ngeke zibonwe kwi-HSG. Akuwona wonke izinkinga ezenzelwe ukwenziwa komzimba ongabonwa nge-HSG. Esinye isifundo esincane sathola isigameko sama-35 samaphesenti amanga nge-HSG. Ngamanye amazwi, i-HSG ibonise isimo esijwayelekile sombeletho, kodwa i-hysteroscopy ibonise ukungavamile. (I-Hysteroscopy ihilela ukubeka ikhamera encane, njenge-telescope ngaphakathi kwesibeletho ukuze ubuke ngaphakathi kwesibeletho.)
Futhi, i- endometriosis ayikwazi ukutholakala ne-HSG. I- laparoscopy yokuhlola kuphela ikwazi ukulawula noma ukuhlola i-endometriosis.
Imiphumela engavamile
Uma idayisi ibonisa isibeletho esingavamile, noma uma idayi ingaphumeleli ngokukhululekile emathinini we-fallopian, kungase kube nenkinga.
Kubalulekile ukwazi ukuthi amaphesenti angu-15 abesifazane "anamaqiniso amanga." Yilapho idayi ingadluli kwesibeletho futhi ingene emathinini. Ukuvinjelwa kubonakala sengathi kulungile lapho ithebhu ye-fallopian nesisu sezihlangana khona. Uma lokhu kwenzeka, udokotela angaphinda abuyele ukuhlolwa ngesinye isikhathi noma ahlele ukuhlolwa okuhlukile ukuqinisekisa.
I-HSG ingabonisa ukuthi amashubhu avinjelwe, kodwa ayikwazi ukuchaza ukuthi kungani. Udokotela wakho angalawula ukuhlolwa okuqhubekayo, kufaka phakathi i- laparoscopy yokuhlola noma i-hysteroscopy. Lezi zinqubo zingasiza ukuphenya ngalolu daba futhi kungenzeka ukulungisa inkinga.
Izwi elivela ku-Verywell
Kuhle ukuzwa ukhathazekile ngaphambi nangesikhathi sokuhlolwa kwe-HSG. Ukuphefumula okujulile, okukhululekile ngenqubo kungasiza. Futhi ungesabi ukutshela umhlengikazi noma udokotela ukuthi ukhathazekile. Umhlengikazi angase anikeze ngisho nokubamba isandla sakho. Yamukela ukwesekwa kwabo, okungakusiza ukuthi uzizwe ungcono.
Ngokuvamile, inqubo iyashesha, kanti kwabanye akubuhlungu ngokuphelele. Uma uzokuzwa ubuhlungu, ezimweni eziningi kuphila okwesikhashana nokukhanya. Memezela udokotela wakho uma kungenjalo, futhi bazothatha izinyathelo ezisheshayo zokuqeda ukucindezeleka nobuhlungu ngokushesha. Ngaphambi kokuhlolwa kwakho, buza nokuthi udokotela wakho uncoma ukuthatha i-painkiller.
> Umthombo:
> I-Hysterosalpingogram (HSG): Iphepha Lokugcina Lokubekezela. UmNyango we-American for Medicine Reproductive.
> Wang CW, Lee CL, Lai YM, Tsai CC, Chang MY, Soong YK. "Ukuqhathaniswa kwe-hysterosalpingography ne-hysteroscopy ekungeneni kwesifazane." I-Journal of the American Association of Gynecologic Laparoscopists . 1996 Aug; 3 (4): 581.