Ikhutshwe i-Fallopian Tube kunye nefuthe ekukhuleni
I-hydrosalpinx luhlobo oluthile lwe- blupial tube block . Iibhulo zomzimba zonyuka ukusuka kwisibeleko , enye ngakwesokudla enye enye ngakwesobunxele. Ukuba zivaliwe okanye zikhulelwe, ukungakwazi ukuzala kungabangela .
Uphando lufumene ukuba i-hydrosalpinx blockages ikhona kwi-10 ukuya ku-30 ekhulwini yamatyala angenasifo. Funda malunga nale meko kuquka ukuxilongwa, unyango, nokuba unokukhulelwa ukuba unayo i-hydrosalpinx.
Izizathu
I-hydrosalpinx xa i-blupipian tube evinjiweyo igcwele umbane. Ukuba ezo zibini zichaphazelekayo, oku kubizwa ngokuba yi-hydrosalpinges. Ityhubhu ibonakala ibonakalisiwe, oko kuthetha ukuba ivuvukile.
Ngokuqhelekileyo, i-hydrosalpinx ibangelwa usuleleko lwexesha elide lwee-tublopian tubes. Olu sulelo luya kwenzeka ngenxa yesifo esithathelwana ngesondo , isilathisi esiqhekekileyo, okanye nayiphi na enye imbangela yesifo esithintela inkqubo yokuzala okanye izitho eziseduze.
I-Hydrosalpinx nayo ibangelwa ukuba i- adhesions (i-tissue) okanye i-endometrial deposits (ukusuka ekupheleni kwe- endometriosis ) iyakuchukumisa izigulane ezingabonakaliyo.
Isiqhagamshelo kwiNgeniso
Ukukhutshwa kwe-hydrosalpinx ngokuqhelekileyo kusekude kwiphubhu ye-fallopian, kufuphi ne-ovaries, kodwa kunokwenzeka ukuba ukukhutshwa kubakho kuzo zombini iziphelo.
Kwinkqubo yokuzala enempilo, ityhubhu ye-fallopian isebenza njengendlela yomkhumbi ogqityiweyo ukufikelela kwisibeleko. Emva kokuba iqanda likhutshwe kwi-ovary, izilinganiso ezinjengamunwe ezisuka kwi-tube fallopian zidweba iqanda.
Ukucinga ukuba isondo sele senzeka kufuphi ne-ovulation, iqanda liza kudibana nesidoda ngaphakathi kwiphubhu. Ukufakelwa kweqanda kuya kubakho ngaphakathi kwiphubhu-kwaye kungekhona ngaphakathi kwesibeletho, okuyiyo into engeyiyo yokuqonda. Iqanda elichumayo, okanye imbungu, liza kuhamba phantsi kwiphubhu, kwisibilini, kwaye zizenzele ngokwalo udonga lwe-uterine .
Ukuba le ndlela ivinjiwe, njengokuba i-hydrosalpinx, ukungabikho kwengqondo kungabangela.
Ngokuqhelekileyo, izilinganiso ezinjengomunwe ezibizwa ngokuba yi- fimbriae zikhula ukusuka ekupheleni kwiphubhu ye-fallopian kufuphi ne-ovary. Bancedisa ukudweba kwiqanda eligqityiwe kwi-ovary ukuya kwibhulophu ye-fallopian. Nge-hydrosalpinx, i-fimbriae idla ngokukhawuleza kwaye ibanjwe kunye.
Ngokuxhomekeka kwisisombululo se-hydrosalpinx, ukuxhaswa okungeziwe kwi-tube fallopian kunye ne-ovary kuya kwenzeka. Oku kunokuphazamisa ukuvuthwa kunye nokuzala.
Ukukhulelwa Kwamaxesha Ngomnye We-Hydrosalpinx I-Tube eViweyo
Ukuthetha ngokusemthethweni, kunokwenzeka ukuba ukhulelwe kunye nethubhu elilodwa elivulekileyo, njengoko kunjalo nokuba unayo ithubhu enye ye-hydrosalpinx kwaye enye inempilo. Nangona kunjalo, iimeko ezintle zesisu zingathinteka nge-hydrosalpinx kwaye oku kunciphisa ukukhula kwezifo.
Ukucaphukisa kunye / okanye ukunamathela okuhambisana ne-hydrosalpinx kubonakala kunciphisa amathuba okukhulelwa okuvela kwi-tube enempilo. Kwakhona kunokwenzeka ukuba i-buildup yamanzi ngaphakathi kwiphubhu echaphazelekayo ingangena kwi-uterus, echaphazela ukufakelwa kwesibindi.
Xa izigulane zihamba ngokuthe ngqo kwi-IVF unyango , ngaphandle kokukhwabanisa ukukhupha ityhubhu ye-fallopian ekhulelwe, ukukhulelwa nokuhlala kwamazinga okuzalwa kuncinci kunokuba kulindeleke.
Yingakho iingcali ezininzi zokuzala ziphakamisa ukukhishwa kwe-hydrosalpinx ngaphambi kokuqala unyango lwe-IVF. Enye inketho yokhuseleko lokukhutshwa kwebhubhu echaphazelekayo ekupheleni kwesibindi, ngoko ke akunakwenzeka ukuba kuthintele imeko yendalo.
Ukuxilongwa
Iibhubhu ezivaliweyo zivame ukuxilongwa ngexesha lokukhulelwa. Uhlobo lwe-HSG- uhlobo olukhethekileyo lwe-x-ray-luyakubonisa ukukhutshwa kwe-tubal blockages.
Ukuchonga ukuba ukukhutshwa yi-hydrosalpinx, i- sonohysterosalpingography ingadingeka . Le nkqubo ibandakanya ukudlulisa umoya we-saline kunye nomzimba oyinyumba kumlomo wesibeleko kunye nasesibelethweni. Emva koko i-ultrasound engapheliyo isetyenziselwa ukujonga ngesoloko izitho zokuzala.
I-Ultrasound ingasetyenziselwa ukuxilonga i-hydrosalpinx, kodwa akunakwenzeka njalo ukuba ukhangele i-tube full-filled fluid. Olunye uphando lubone ukuba kuphela iipesenti ezingama-34 ze-hydrosalpinx zazibonakala nge-ultrasound.
I-laparoscopy ingasetyenziselwa ukuxilonga i-hydrosalpinx. I-laparoscopy yokuchonga iyakwazi kwakhona ukuba izinto ezongezelelweyo, ezifana ne-endometriosis, zibangela iingxaki zokuzala.
Iimpawu
Nge-hydrosalpinx, ukungabi nantlupheko kubonakala kukuqala kunye nempawu kuphela into ephosakeleyo. Uninzi lwabasetyhini abanalo naziphi iimpawu kwaye ziyafunyanwa kuphela emva kokuba bezama ukungaphumeleli ukuba nabantwana.
Nangona kunjalo, abanye abafazi baya kuba nobuhlungu beentlungu . Ngokuqhelekileyo, kunokubakho ukuthuthwa kwamanzi okungavamile.
Bangaba nazo iimpawu zengcinezelo ye-hydrosalpinx. Ngokomzekelo, isifo sovuba se-pelvic (PID) sinomngcipheko we-hydrosalpinx.
Unyango
Ugqirha yonyango oluqhelekileyo lwe-hydrosalpinx, ne- IVF unyango emva kokunceda ekukhulelwe. Ngokuqhelekileyo, ityhupipian tube isuswe ngokupheleleyo. Ngokuxhomekeke kwingcambu ye-hydrosalpinx, ukuhlinzwa kungabandakanya ukukhishwa kwamanye amanyathelo, izicubu ezinqabileyo, okanye ukukhula kwe-endometri.
Ukuba i-PID ijongene ne-hydrosalpinx, unokufumana i- antibiotics ukunyanga izifo .
Iimpumelelo ze-IVF ziphantsi xa i-hydrosalpinx ikhona. Ngenxa yesi sizathu, unyango olucetyiswayo rhoqo kukuba i-tube echaphazelekayo isuswe kuqala. Emva koko, unyango lwe-IVF luqalisiwe .
I-Sclerotherapy inokuba yindlela yokususwa kwebhubhu ye-fallopian. Kule nkqubo, i-liquid is aspirated from tube affected. Emva koko, i-agent agent ene-sclerosing ijojowe ukukhusela ityhubhu ukuhlaziya ngokucoca. Oku kwenziwa konke ngeenaliti ekhokelwa yi-vaginal-ultrasound kwaye ayinayo into engaphantsi kokuhlinzwa okwenziwe nge-laparoscopic. Nangona kunjalo, uphando ngale ndlela lusekho. Akucaci ukuba yintoni enye ingozi kwaye ingaba ingcono ngakumbi kunokususwa kwebhubhu.
Ukulungiswa kokuvuthwa kwe-tube evaliweyo e-fallopian tube-apho kuvaliwe ukuvalwa kodwa ibhubhe ishiywe-ingenziwa ngezinye iintlobo ze-block blocks. Kuyabasetyhini abahamba kule ndlela, ukukhulelwa kwemvelo emva kokuba ukulungiswa kudla ngokuba yinjongo. Ngelishwa, oku akukhuthazwa nge-hydrosalpinx. Ukuvalwa nokuvuvukala kuvame ukubuyela. Ukulungiswa kwe-hydrosalpinx elandelwa ngumzamo wokuveliswa kwemvelo ayikhuthazwa.
Imithombo:
Ukuqonda Emva kokuphelelwa kweT Tubal: Iphepha leNkcazo. Umbutho waseMelika weMithi yokuzala.
I-Hydrosalpinx: I-Fact Sheet. Umbutho waseMelika weMithi yokuzala.
> Kasius JC, Broekmans FJ. Iziphumo zokukhulelwa kwe-Ultrasound Sclerotherapy ne-98% ye-Ethanol kwi-Women nge Hydrosalpinx. IJ Obstet Gynecol. 2015 Jan; 212 (1): 118. i-doi: 10.1016 / j.ajog.2014.09.018. Epub 2014 Septemba 20.
> Na ED1, Cha DH, Cho JH, Kim MK. "Ukuthelekiswa kweziphumo ze-IVF-ET kwizigulane kunye ne-Hydrosalpinx ezithatyathwa ngaphambili kunye ne-Sclerotherapy okanye i-Lappingosomy yaseLaparoscopic." I-Clinic Exppro Med. 2012 Dec; 39 (4): 182-6. i-doi: 10.5653 / cerm.2012.39.4.182. I-Epub 2012 Dec 31.