Inkqubo, Ubunzima, Ubungozi, kunye noNzala
I-sonohysterogram yinto ekhethekileyo ye-ultrasound ehlola ngaphakathi kwesibeleko sakho. Unokuvavanywa lo vavanyo ngexesha lokuvavanya ukuzala , nje ngaphambi kwe-IVF , okanye xa unempawu zokungabikho kwezibeleko ezinokwenzeka .
I-Sonohysterography ingathunyelwa kwakhona njenge-hysterosonography, i-saline ifake i-sonography (SIS), i-sonography engapheliyo kunye nokunyuka kwe-fluid, kunye ne-SHG ( sono-hystero-gram ).
Uvavanyo olufanayo kunye neengqalelo ezikhethekileyo kwiibhulo zokuguquka zingabhekiselwa ekubeni yi-sonosalpingography.
Yintoni iNonohysterogram?
Ngexesha le-sonohysterography, ityhubhu encinci (i-catheter) ifakwa ngaphakathi kwesivulo somlomo wesibeleko . Isisombululo se-saline (isisombululo samanzi esityuli esicinciweyo) senziwa ngokukhawuleza ngefuthe elincinci. Isisombululo se-saline sichitha ngokukhawuleza isibeletho, ukuze iindonga ze-uterine zihambelane.
Cinga ngesibindi sakho njengebholuni echaseneyo. Ukuba ubungenisa inani elincinci lamanzi okanye umoya, iindonga zebhaluni ziya kuhamba. Le yintoni isisombululo sesirine ngexesha le-sonohysterography.
Njengoko isisombululo se-saline sisetyenziselwa kwisigxina se-uterine, i-wand yangaphandle ye-ultrasound wand isetyenziselwa ukuvavanya uhlobo lwe-uterine kunye neendonga, kwaye mhlawumbi kunye nezigubhu ze-fallopian.
Ukuba awunayo i-ultrasound yangaphakathi, kodwa i-wand ende, ehamba phambili eyaziwa njenge-transducer isetyenziswe.
Umtsalane ufakwa kwisiswini sakho ngegosa. (Ukuthuthuzela kwakho, abanye ochwepheshe baya kukunika i-wand wandule ngaphakathi ngaphakathi kwakho. Emva koko, bathabatha umgca ukubuyela kuwe ukuvavanya.)
Umtshintshi okhuphayo uveza amaza aphilileyo avuthayo kwiishubhu zomzimba wakho. Amaza omsindo ahlawulayo abuyele, kwaye i-transducer irekhoda oku.
I-Ultrasound ayibuhlungu ngokupheleleyo.
Kwiskrini se-ultrasound, ugqirha okanye uchwepheshe wakho unokubona ukubonakaliswa okubonakalayo (okudalwe ngamaza omsindo) ezitho zenu zozala.
I-ultrasound ye-Transvaginal ingenziwa ngaphandle kwesisombululo se-saline. Nangona kunjalo, kunzima ukufumanisa ezinye izifo ezingaqhelekanga kunye nesimo sobunzima besisu kunye nesakhiwo ngaphandle kwesisombululo se-saline. Xa isisombululo se-saline sishukumisa iindonga ze-uterine kude, esinye isingxaki se-uterine kulula ukubona.
Izizathu Zogqirha Wakho Inokuthi I-Order i-SHG
Izizathu zokumisa i-sonohysterogram ziquka:
- ukungabikho
- ukulahleka kokukhulelwa okuphindaphindiweyo (ezimbini okanye ngaphezulu kweematriki ezilandelelanayo)
- Ukuphuma kwelanga ngokungavamile (ixesha elinzima kakhulu okanye eliqhelekileyo ukukhanya)
- umjikelezo ophakathi
- iziqhekeza ezingavamile
- ukuphuma kwamadoda
- ubuhlungu beplavic okanye uxinzelelo
- phambi kwonyango lwe-IVF (ukuqinisekisa ukuba akukho iingxaki ze-uterine ezingaphazamisa ukufakelwa kwembungu)
I-sonohysterogram ikhangele kwaye iyakwazi ukubona:
- uhlobo lwesifo somzimba kunye nesisu esingenasifo sokubeleka (njenge-septter, i-uterine septum, apho i-tissue ihlula i-uterus)
- ii-polyps (ukungaqhelekanga komhlaza) kwi-uterine bining
- i-fibroids (ngokukodwa ukuba iyakhupha kwi-uterine cavity)
- ukuxhamla kwezilwanyana (izicubu ezinobumba)
- Ukukhula okungaqhelekanga kwimizimba yamathambo (leyo inokuthi okanye ingabi nomhlaza)
- Ubungakanani obubanzi okanye ubuncwane bodonga lwe-uterine kunye ne- endometrium
U-Sonohysterography Ufezeke njani Olunye Uvavanyo Lwezityalo Zobuncwane?
I-Sonohysterography yenye yeemvavanyo ezimbalwa ezingasetyenziswa ukuhlola izibonda ze-fallopian, i-uterine cavity, kunye ne-endometrium.
Ezinye iimvavanyo ziquka:
- I-HSG (ekhethekileyo i-X-ray)
- i-hysteroscopy (equka ukubeka ikhamera enomzimba omncinci ngomlomo wesibeleko ukujonga ngeso lwangaphakathi kwisisu)
- i-ultrasound yangaphakathi (i-ultrasound ngaphandle kwesisombululo se-saline)
- i-laparoscopy (leyo yinkqubo yokugonywa inomdla, efunekayo ekupheleni kwe-endometriosis )
Usenokuzibuza ukuba kutheni kukho iimvavanyo ezininzi ezahlukeneyo ukuvavanya into efanayo. Impendulo kukuba uvavanyo ngalunye luba neenzuzo kunye nokuphazamiseka. Ngokuxhomekeke kwimbangela yengxaki yakho yokuzala, uvavanyo olulodwa lungcono ekufumaneni ingxaki kunomnye. Kwezinye iimeko, kufana ne-hysteroscopy okanye i-laparoscopy, uvavanyo luya kusetyenziselwa unyango.
Sonohysterography, HSG, kunye ne-Mock Transfer Transfer
Abanye oogqirha bakhetha i-sonohysterography phezu kwe-HSG. I-HSG idinga ukusebenzisa i-X-ray. Ngelixa amazinga omlilo aphantsi kakhulu, i-sonohysterography igwema ukutyhila izitho zakho zokuzala kunoma yimuphi umbane.
Abanye oogqirha banokuyalela i-sonohysterography ngexesha elifanayo njenge-HSG. Uphando lufumene ukuba ukudibanisa iimvavanyo kungcono kukubona ezinye iingxaki zobuncwane bokuzala.
Inzuzo yokuba ne- HSG kunye ne-sonohysterogram ngexesha elifanayo i-catheter kufuneka ifakwe kuphela kanye. (Zombini iimvavanyo zibandakanya ukuqhuma umthamo nge-catheter ebeka kwi-cervix.) Oku kunokuthetha ukungaxakeki kunye nokuxhalabisa kwakho.
Njengamaxesha onke, kufuneka uxoxe nodokotela wakho ingozi kunye neenzuzo ezinokubakho naluphi na uvavanyo lwezityalo okanye unyango.
Ukuba uya kuba ne-IVF unyango, ugqirha wakho unokumisela i-sonohysterography kunye nexesha elifanayo njengento yokudityaniswa kwemibungu (MET / SHG).
Ngaba i-Sonohysterogram iyakwenza kakubi?
Le yenkxalabo yenkalo kunye nombuzo kubafazi abaninzi, kwaye kuyaqondakala ngokunjalo. I-sonohysterogram akufanele ibuhlungu.
Ngelixa ungase ufumane ubunzima (uhlobo olufanayo onokulufumana ngexesha le-pap smear), kwaye uncinci kakhulu xa uzisa isisombululo se-saline, abaninzi bangabika ntlungu. Nangona kunjalo, intlungu iyahluka kumfazi ukuya kumfazi.
Izinto ezinokuchaphazela ukuba ngaba uvavanyo aluvumi kakhulu kuwe lubandakanya:
- Ukuxhalabisa (Xa unamaxesha amaninzi, unako ukuva ukhululekile.) Khumbula ukuphefumula!)
- ubugcisa begqirha
- ukuba kukho iingcambu okanye iingxaki ze-uterine (Ukuba umbane awukwazi ukukhupha kwii-tublopian tubes njengoko kufanelekile, oku kuya kuba buhlungu)
- ubunzima bokubeka i-catheter (ukuba umlomo wesibeleko unqabile okanye ubele lwakho lukhishwe ngokungaqhelekanga)
- ukuba unamava ngexesha leemviwo zentsholongwane (ukuba i-pap smear inzima kakhulu kuwe, oku kunokuba nzima nakhona)
Ukuba ukhathazekile ngentlungu, xela ugqirha phambi kovavanyo.
Kuyinto engokwemvelo ukukhangela i-Intanethi kwezinye iindawo zamabhinqa. Gcina ingqondweni xa ufunda iifom zenzalo apho abafazi abanamabali abuhlungu abakhulu bangaphinda baxoxe ngamava abo kunabo babengenabuhlungu okanye bangaphumeleli. Kwakhona, ngamanye amaxesha, abafazi kulezi ziqonga badibanisa iimvavanyo ezahlukeneyo.
Ukuba ulwa neentlungu ngexesha lokwabelana ngesondo , intlungu ngexesha lokuhlolwa kwentsholongwane yakho yonyaka, okanye u-vaginismus, xela ugqirha wakho malunga nokufumana okungaphezulu nje kokuncediswa kweentlungu zovavanyo.
Ugqirha wakho unokukwazi ukumisela into efana neValium, enokukunceda ukuphucula nokunciphisa intlungu. Uninzi lwabasetyhini aluyi kufuna le ntlungu yoxolo.
Abasetyhini abaninzi bachaza ukuba i-sonohysterography iyona vavanyo olubuhlungu kakhulu lolo hlobo. Abanye abesetyhini babika bengayiva nantoni ngaphandle kokubekwa kwe-speculum!
Indlela Yokulungiselela Uvavanyo
Njengamaxesha onke, xela ugqirha malunga noko kufuneka uyenze phambi kovavanyo.
Olu vavanyo lufanele lwenziwe emva kokuba ixesha lakho liphelile kodwa ngaphambi kokuba uchithe . Oku kukuphepheka ngengozi ukwenza uvavanyo ekukhulelweni kokuqala.
Unokufuna ukudibanisa iofisi yakho ugqirha xa ixesha lakho liqala, ngoko banokuyilungisa ngokufanelekileyo i-sonohysterogram.
Ukuba awufumani amaxesha akho, ugqirha wakho unokumisela iPravera okanye elinye iyeza lokuzisa esikhathini.
Unokucelwa ukuba uthathe ama-antibiotik prophylactically. Oku kunokwenzeka ukuba unomngcipheko ophezulu wokusuleleka. Oogqirha abaninzi bancomela ukuthatha uxolo lwe-pain-counter malunga nemizuzu engama-30 phambi kovavanyo oluhleliweyo.
Ngokuqhelekileyo, i-400 mg ye-ibuprofen iphakanyisiwe. Ukuba awukwazi ukuthatha ibuprofen, xela ugqirha wakho malunga nokukhetha kwakho.
Yintoni enokuyilindela ngexesha leNkqubo ye-Sonohysterogram
Okokuqala, uya kucelwa ukuba usebenzise indlu yokugcina, ukuba awukwenzi oko kunjalo. Ngokungafani nezinye iindidi ze-ultrasounds, kufuneka ube ne-vestile engenalutho kulolu vavanyo.
Kwigumbi lokuhlola, uya kususa iingubo zakho ezinqeni. Unokuba unikwe isambatho okanye ishidi ukubeka phezu kwemilenze yakho. Uya kulala emva kwakho kwitafile yokuhlola. Ukuba kukho izibilini, uya kufaka iinyawo zakho kuzo kwaye udibanise phambili kumgca wetafile. Ukuba akukho ziphokozo, uya kucelwa ukuba uguqe imilenze yakho emadolweni, ubeke iinyawo zakho etafileni, ngohlobo lwesigxina somlenze. (Musa ukukhathazeka, umongikazi okanye ochwepheshe uya kukunceda.)
Kunokwenzeka ukuba (kodwa kungekho rhoqo), ugqirha okanye ugqirha uya kwenza i-ultrasound rhoqo.
Umgcini we-ultrasound wangaphakathi (okanye i-transducer) uya kuba nekhondom ebekwe phezu kwayo kunye nezinye igrisi. Baya kufaka ngobumnene i-wand vaginally okanye bakunike i-wand kwaye bacele ukuba uyifake ngokubanzi ukuya kwangoko.
Emva kokuba unike i-transducer kwi-technician, baya kuhambisa umjikelo ukuze bafumane imifanekiso ye-ultrasound. Oku akunakukhathazeka kodwa akufanele kube nzima. Emva koko, i-transducer isusiwe.
Emva koko, ugqirha uya kuthatha i-speculum (ngokuqhelekileyo isicatshulwa okanye iplastiki esetyenziswayo ngexesha lovavanyo lwama-gynecological) kwaye uyifake kwisini sakho. Ugqirha wakho uya kusebenzisa i-swab yekotoni ukuze ahlaziye indawo yentsholongwane. Oku kunokuvakalelwa kakhulu kufana ne-pap smear.
Emva koko, ugqirha uya kuthatha ityhubhu yeplastiki enobumba (i-catheter) kwaye uyibeke kwindawo yakho yomlomo. Unokuba ne-cramping encinci okanye ungeva nhlobo. Ngoku, ugqirha wakho uza kufaka ibhaluni elincinane ngasemva kwecatheter kwaye uzalise ngomoya okanye ngamanzi. Le ibhaluni ibambe i-catheter endaweni.
Ugqirha wakho uya kususa i-speculum. Uya kuthi ke anike umgcini we-ultrasound wangaphakathi kwi-vagin yakho okanye uyifake.
Nangona i-wand yangaphambili ye-ultrasound wand isendaweni, ugqirha wakho uyakondla isisombululo se-saline kwi-catheter. Isisombululo se-saline siza kungena kwisibeletho sakho kunye nezigulane zakho. Unokuziva utyumle okanye ungayiva nantoni na.
Imifanekiso ye-ultrasound ithathwa njengokuba umkhuhlane ugeleza kwisibilini se-uterine kunye namathambo e-fallopian.
Ugqirha wakho angaphinda afune ukuthatha imifanekiso yezandla zesisu. Kule meko, i-gel iya kusetyenziswa esiswini sakho kunye ne-transducer enesimo eyahlukeneyo iya kutshintshwa kwi-gel. Ugqirha wakho angacinezela phantsi ngcinezelo oluncinane phezu kwesisu sakho.
Ukuba unayo i-sonosalpingography (ehlolisisa iibhulo ezikhohlakeleyo), inani elincinci lomoya lingaqaliswa ngekathetha. Oku kukudala amabhola angabonwa kumatshini we-ultrasound.
(Uchwepheshe uyaba nethemba lokubona ama-bubbles ahamba phakathi kwee-tublopian tubes.)
Emva kokuba ugqirha wakho ufumene yonke imifanekiso abayidingayo, i-wand iya kususwa, i-catheter kunye nebhaluni isuswe, kwaye uyenziwe. Xa uhleli okanye u eme, lindele ukuziva ufumane ukuvuza kwamanzi.
Ukususela ekuqaleni ukuya ekupheleni, uvavanyo alufanele kuthathe ngaphezu kwemizuzu engama-15.
Iingozi zeNonohysterogram
I-Sonohysterography ngumvavanyo okhuselekileyo wokuzala. Kukho umngcipheko ophantsi kakhulu wokusuleleka. Ayingabonakaliyo, ivela ngaphantsi kweepesenti ezili-1 zexesha.
Uvavanyo alufanele lwenziwa xa ukhulelwe. Ukuba ucinga ukuba unakho, xelela ugqirha wakho. Kwakungafanele kwenziwe kwakhona ukuba unentsholongwane ye-pelvic okanye isondo.
Indleko ye Sonohysterogram
I-sonohysterogram ixabisa phakathi kwe-$ 500 ne-700. Ukuba uvavanyo luhlanganiswe nezinye iinkqubo, iindleko ziya kuba ngaphezulu. I-inshorensi yakho inakho okanye ayiyi kuluvavanya uvavanyo. Kuncike ngokukodwa malunga nokuba kutheni uvavanyo luyenziwa.
Ngokomzekelo, ukuba kungenxa yokuphuma kwexesha elingavamile, i-inshurensi yakho iyakwazi ukuyigubungela. Ukuba kwenziwe kwilungiselelo lwonyango lwe-IVF, lungafunyanwa.
Qiniseka ukuthetha nomcebisi wezemali kwiklinikhi yakho yokuzala kunye nomniki-nshurensi wakho phambi kovavanyo.
Indlela oyiva ngayo emva kweNkqubo
Ukucinga ukuba unalo sonohysterogram kwaye akukho nanye inqubo, kufuneka ukwazi ukubuyela emva komsebenzi emva kovavanyo. Ukuba unokuhlolwa ekuseni, ungaqalisa kwakhona imisebenzi yakho yemihla ngemihla ngaloo mva.
Unokuba nobunzima obunzima kakhulu ngosuku lokuvavanya. Naluphi na unyango oluthathayo oluthatha ixesha eliqhelekileyo lokunyuka kwexesha kufuneka luthinte uxolo lwakho.
Unokufumanisa ukuba uphumelele isisombululo saline kwisifundo kwiiyure ezingama-24 ukuya kuma-48 ezizayo. Unako ukufumana ukukhanya okulula. Qinisekisa ukuba uzisa imithwalo yexesha lokuhamba. Ungasebenzisi iitamponi okanye nantoni na oyifaka ngaphakathi kwezilwanyana zakho. Oku kukuphepha ukunyusa umngcipheko wokusuleleka.
Ukuba unayo i-sonohysterogram edibaniswe nezinye iinkqubo, ukubuyiswa kwakho kuya kuhluka kancinci. Thetha ugqirha wakho malunga noko ungalindela
Emva kovavanyo
Awufanele ulalane ngesondo ezimbini kwiintsuku ezintathu emva kwenkqubo. Oku kukuphepha ukhuseleko.
Kwakhona, qhagamshelana nodokotela wakho xa ufumana:
- umkhuhlane
- ukwanda kwamanzi (ngaphezu kokubonakala nje kokukhanya)
- ukuchoboza okanye intlungu eqhubekayo ngosuku lokuqala
- intlungu ephawulezayo ngosuku lovavanyo
- nantoni na evelelwa yinkxalabo kuwe
Zithini Iingxelo kunye Nokuba Yintoni Enokwenzeka Okulandelayo
Ugqirha okanye ochwephesha owenza i-sonohysterogram okanye unokukwazi ukuxelela iziphumo. Ufanele ucwangcise ukulandelelana nodokotela wakho kungekudala emva kokuvavanywa.
Ukuba uvavanyo luqhelekile, ugqirha wakho unoku:
- umyalelo wovavanyo olongezelelweyo
- ziza necebo lokunyanga, usebenzise ulwazi olufunyenwe kuhlolo lwakho lokuvuna
- vumela umjikelezo wakho we-IVF umjikelo (ukuba bekuyinxalenye yokulungiselela i-IVF)
Ukuba i-sonohysterogram ifumanisa ukungaqhelekanga, isinyathelo esilandelayo sincike kwinto efunyenwe ngugqirha kunye nenjongo yakho ekuhlolweni.
Ukuba i-polyps okanye i-fibroids ifunyenwe, ugqirha wakho uya kuxoxa nawe ngenzuzo kunye neengxaki zokubakhupha. (Akunakudingi ukuba asuswe.) Iipolyps zisuswe nge-hysteroscopy. Oku kwenziwa phantsi kwe-anesthesia jikelele.
Iifroid ezincinane zingasuswa kunye ne-hysteroscopy yokunyanga. Nangona kunjalo, ezinkulu zifuna i-laparoscopy (inkqubo yokugula) okanye i-myomectomy yesisu (ukuhlinzwa okufuna ukuhlala ubusuku okanye ezimbini esibhedlele.)
I-septter ye-uterine inokuthi ifunyanwe ne-sonohysterography. I-septum ye-uterine yilapho izicubu ezingafaneleki ukuba zihluke i-uterus phakathi. Oku kwahlukana kunokuba kuyingxenye okanye kuhamba yonke indlela ukuya emlonyeni wesibeleko. Ingabangela ukungabikho komntwana kunye nokulahlekelwa ngokuphindaphindiweyo kokukhulelwa. Le ngxaki engabonakaliyo yokuzala (uzalwa nayo), kodwa inokulungiswa ngokuhlinzwa, ngokuqhelekileyo i-hysteroscopy yokugada.
Emva kokunyangwa unyango, unokukwazi ukukhulelwa ngokwakho okanye usenokufuna unyango lwezonyango . Oku kuyinto ofuna ukuxoxa ngayo nodokotela wakho.
Imithombo
I-Berridge DL, i-Winter TC. I-Saline Infusion Sonohysterography: I-Technique, Iinkcazo, kunye nokuTyekisa Iziphumo. J Ultrasound Med . 2004; 23: 97-112.
ULindheim SR1, u-Sprague C, i-Winter TC 3. I-Hysterosalpingography kunye ne-Sonohysterography: Izifundo kwi-Technique. AJR Am J Roentgenol . 2006; 186 (1): 24-9.
I-saline infusion sonohysterogram (SHG). Ishiti yeenyani. Umbutho waseMelika weMithi yokuzala. ReproductiveFacts.org.
Sonohysterography. FAQ. I-American College of Obstetricians kunye neGynecologists.