Kwenzeka ntoni ngexesha le-HSG, zeziphi iziphumo zithetha, kunye nendlela yokuhlangabezana nayo
Abafazi abaninzi bayazibuza ukuba uvavanyo lwe-hysterosalpingogram (HSG) luya kubangela intlungu. I-HSG yinto ekhethekileyo ye-x-ray esetyenziselwa ukuhlola ukuzala komfazi . Inkqubo yokugula, uvavanyo aluthathi ngaphezu kwesigama seyure. Iquka ukubeka i-iodine-based based on the cervix kunye nokuthatha ii-ray-ray. Ezi x-rays zinceda ukuhlaziya umlo wesisu kwaye ingaba iibhubhu ze-fallopian zivaliwe .
Ukuba unenkathazo yokukhulelwa, i-HSG yenye yeemvavanyo zokuqala zokuzala ezingahle zenziwe. Ukuba unamatholeji amabini okanye ngaphezulu, i-HSG ikhuthazwa kwakhona.
Ngoko, kuya kubangela ubuhlungu? Impendulo enyanisekileyo kodwa ephikisayo yinto exhomekeke kuyo. Abanye besetyhini baxela ukunyanzelisa ngokunyanisekileyo. Abanye abavakalelwa nantoni na. Iingxelo ezimbalwa kakhulu ezinzima. Abaninzi bathi emva koko ukuyika kwabo intlungu kwakubi nakakhulu kunakuphi na ukungathandeki.
Ukulungiselela
I-HSG kufuneka yenziwe emva kwexesha lakho kodwa ngaphambi kokuvuthwa . Oku kukunciphisa umngcipheko wokuba uvavanyo xa ukhulelwe. Iklinikhi yakho yokuzala okanye ugqirha uyakukuxelela xa ubiza umnxeba uvavanyo. Ngokuqhelekileyo, kuya kuba semini phakathi kwelanga leshumi kunye ne-12 kwimizuzu yakho yokuhamba.
I-HSG yenziwa ngelixa uvukile kwaye ayibandakanyi i-anesthesia jikelele. Awudingi ukukhawuleza imini okanye ubusuku ngaphambili.
Ngomhla wovavanyo, ugqirha wakho unokuthabatha ukuthatha i-painkiller njenge-ibuprofen ngeyure ngaphambi kokuba i-HSG yakho ihlelwe.
Oku kunokukunceda ngokungahambi kakuhle kovavanyo. Kananjalo, oogqirha abathile banikeze i-antibiotics ukunciphisa umngcipheko wokusuleleka.
Oko Kuvezwayo
Ulala phantsi kwitheyibhile, ngokuqhelekileyo ngeentambo. Ukuba abanakho ukuqhuma, unokufuna ukulala etafileni, ukuguqa ngamadolo, kunye neenyawo zakho (uhlobo) kwisitrato, kwaye ubambe imilenze yakho ngaphandle.
Ugqirha uya kwenza uvavanyo olukhawulezayo lweplavic. Uchwepheshe, umongikazi, okanye ugqirha uya kufaka i-speculum kwisini sakho. Esi sisisitye esisinyithi esifanayo esisetyenziswe ngexesha lokuhlolwa kwentsapho yakho yonyaka.
Ukuba ufumana intlungu ngexesha lokutyelela kwakho ngonyaka, oku kungakubuhlungu kuwe. (Abasetyhini abaneengxaki zesondo nabo banokuva ubunzima ngexesha lovavanyo lwamazinyo.)
Umshini we-x-ray uya kuncipha phezu kwesisu sakho. Oku kunokuba nzima, ngakumbi nge-speculum kunye namadolo akho. Emva koko, baya kufaka i-swab ukuze bahlambulule umlomo wesibeleko. Oku kukunciphisa umngcipheko wokusuleleka. Ukuba umlomo wesibeleko unomdla wokuthintela, le nto inokuba yinto encinci, kodwa abaninzi abafazi abanakubuhlungu kwile nto.
Emva koko, baya kufaka i-catheter yeplastiki ebizwa ngokuba yi-cannula kwivula yomlomo wesibeleko. Oku kunomdla onjengeep smear kwaye mhlawumbi ungonwabi. Okanye, ungeva nantoni na.
Ekugqibeleni, idayi ejoliswe kwi-iodine iya kujozwa ngekathetha. Xa idayi ijojowe, unokuvakalelwa ukufudumala. Le dayi iya kudlula kwisibeleko sakho, ngokusebenzisa iibhulo zomzimba (ukuba zivulekile), kwaye uphuma kwi-pelvic cavity. Ukuba iibhubhu zakho zivaliwe, unokuba neentlungu. Tshela ugqirha wakho ngokukhawuleza ukuba wenza.
Emva kokufaka idayi, ugqirha wakho uya kuthatha i-x-ray. Ngomfanekiso ngamnye we-x-ray uya kucelwa ukuba ubambe umoya wakho umzuzwana okanye ezimbini. Unokucelwa ukuba utshintshe isikhundla sakho. Umzekelo, unokucela ukuba ulale ngasecaleni lakho. Unokuziva ungonwabi nge-speculum ngaphakathi kunye ne-x-ray phezu kwakho. Ugqirha wakho uyaziqonda. Cela uncedo xa ufuna.
Xa ugqirha sele enqume ukuba imifanekiso iyanelisayo, umatshini we-x uza kuphakanyiswa kwaye i-speculum isuswe. Ukhululekile ukuya ekhaya!
Emva kovavanyo
Unokufumana ama-cramps kunye ne-spotting elula. Ukunciphisa amanxephezelo angaphezulu kwe-counter must help with cramps.
Uyakwazi ukuphinda uqhube umsebenzi oqhelekileyo emva kokuvavanya.
Abanye oogqirha banokukuxelela ukuba ubale ukulala ngesibini emva kweemvavanyo.
Nangona iincampu ezinomdla ziqhelekile, ukuba ukungahambi kwakho kubonakala kukunyuka emva kokuvavanya okanye uhlakulela umkhuhlane, qhagamshelana nogqirha wakho. Kukho umngcipheko ongaqhelekanga wokusuleleka emva kweHSG. Ukwenyuka kweentlungu kunokubangela ukusuleleka kokutshiza.
Oko Ukwenza Ukuba Unesihlungu
Kwinkoliso yabasetyhini, idayi ihamba ngokugqithiseleyo idlula kwisibeleko, ngokusebenzisa iibhobho zokulwa , kunye nokuphuma kwisisu esiswini. Nangona kunjalo, ukuba iibhola zakho zivaliwe, idata ingabangela uxinzelelo. Yiyo ke inokukhokelela ekungabonakaliyo okanye kwintlungu.
Ngexesha lovavanyo, ukuba uziva uhlungu, xela ugqirha wakho ngokukhawuleza. Musa nje ukugcoba uze uyithwale, okanye ucinge ukuba kuqhelekile. Bangakwazi ukususa ngokukhawuleza i-catheter, eya kukhulula uxinzelelo kwaye kufuneka iphephe intlungu.
Iindaba ezilungileyo kukuba ukuba uziva uziva buhlungu, akufanele uhlale ngaphezu kweminithi.
Ukunciphisa ubuhlungu beHSG
Uninzi ogqirha batusa ukuba bathathe ibuprofen iyure ngaphambi kweHSG. Oku kunokunciphisa ukunyanzeliswa komoya ngexesha lovavanyo. Ukuxhalabisa kunye nokwesaba malunga novavanyo kunokunyusa ukujonga kwakho intlungu.
Uvavanyo lungaba lukhuni, kunye nalo mshini omkhulu we-x-ray uhamba phezu kwakho xa ulala emhlane wakho, imilenze yodwa, kunye ne-speculum ngaphakathi. Umongikazi okanye ugqirha unokucela ukuba uqhubekele kwicala lakho nge x-ray okanye ezimbini, kwaye kufuneka wenze njalo nge-speculum ephakathi kwemilenze yakho.
Ingozi
I-HSG yinkqubo ekhuselekileyo ngokubanzi. Sekunjalo, kukho iingozi ezinobungozi.
Usulelo luya kwenzeka ngaphandle kwepesenti enye yamatyala. Oku kuqhelekileyo ukuba sele ususulelekile okanye usengozini yokugula kwesifo seplavic (PID) . Ukuba ufumana umkhuhlane okanye ukwanda kwentlungu emva kokuvavanya, biza ugqirha wakho.
Omnye umngcipheko utyhafile ngexesha okanye emva kokuvavanya. Ukuba uziva udizzy emva kokuvavanya, xela ugqirha wakho. Kungaba ngcono kuwe ukuba uhlale ulala uze uziva ungaphantsi kwe-woozy.
Ingozi engabonakaliyo kodwa inokuba yingozi kakhulu yi-iodine allergies. Ukuba unobungozi kwi-iodine okanye i-shellfish, xelela ugqirha wakho phambi kovavanyo. Ukuba unokwenza okanye ukuvuvukala emva kovavanyo, xela ugqirha wakho.
Ngaba i-Radiation Safe?
Ngokuqhelekileyo, xa unesi-x-ray, into yokuqala uchwepheshe oyenzayo uphawula indawo yakho ye-pelvic. Ngexesha le-HSG, i-x-ray ijoliswe ngqo kwi-pelvis.
Qinisekisa ukuba i-HSG ibandakanya inani eliphantsi kakhulu leemitha. I-HSG imisebe ayitholakalanga ukuba ibangele nayiphi na imiphumo engafunekiyo, nokuba ngaba ukhulelwa emva koko loo mjikelezo.
Nangona kunjalo, i-HSG akufanele yenziwe ngexesha lokukhulelwa. Ukuba ucinga ukuba unokukhulelwa, xelela ugqirha wakho phambi kokuvavanya.
Zithini Iingxelo?
I-HSG inceda ugqirha ukujonga izinto ezimbini ezibalulekileyo:
- Ingaba okanye ingekho iibhulo ze-fallopian zivaliwe okanye zivuliwe. Ukuba ama-tublopian tubes avaliwe, umfazi akayi kukwazi ukukhulelwa, kuba iqanda alikwazi ukudibana nesidoda. Unokufunda ngokubanzi malunga nokuxilongwa, izizathu, kunye nonyango kwii- tublopian tubes ezivaliweyo apha .
- Ingaba ingaqhelekanga okanye ingafani nesimo sesisu. Kwimizuzu engama-10 ukuya kwe-15 yabasetyhini abanokulahlekelwa ngokukhulelwa ngokuphindaphindiweyo, i-uterus egqityiweyo. Ezinye izifo ezingaqhelekanga zingaphathwa unyango. Unokufunda ngokubanzi malunga nokuqhagamshelana phakathi kohlobo lwe-uterine kunye nokuphuphuma kwesisu apha .
Ukuba i-x-ray ibonisa uhlobo oluqhelekileyo lwe-uterine, kwaye idayi ejoyiweyo igxotha ngokukhululekile ukusuka kwimida ye-tube fallopian, ke iziphumo zovavanyo zijongwa njengesiqhelo. Oku akunjalo, oko kuthetha ukuba ukuzala kwakho kuqhelekile. Kuthetha nje nokuba nayiphi na into ephosakeleyo ayibonakali kwi-HSG.
Izizathu ezisekelwe kwiHormonal-infertility ziza kubonwa kwi-HSG. Akunjalo yonke ingxaki yokuzala inzala ingabonwa ngeHSG. Olunye uphando oluthile lufumene isiganeko se-35 seempembelelo ezingamanga kunye ne-HSG. Ngamanye amagama, i-HSG ibonise uhlobo oluqhelekileyo lwe-uterine, kodwa i-hysteroscopy ibonisa ukungalingani. (I-Hysteroscopy ibandakanya ukubeka ikhamera encinci, njengekhamera-yecala kumlomo wesibeleko ukujonga ngaphakathi ngaphakathi kwesibeleko.)
Kwakhona, i- endometriosis ayikwazi ukufumana i-HSG. I- laparoscopy yokuhlola iyakwazi ukulawula okanye ukuxilonga i-endometriosis.
Iziphumo ezingavumelekanga
Ukuba idayi ibonisa i-uterus engavumelekanga, okanye ukuba idayi ingahambi ngokukhululeka ukusuka kumathambo, kukho ingxaki.
Kubalulekile ukwazi ukuba i-15 ekhulwini yabasetyhini "banokuthi bangamanga." Yilapho idayi ingadluli umbele kunye nezibhabhu. Ukukhutshwa kubonakala kulungile apho i-tube fallopian kunye ne-uterus idibana khona. Ukuba oko kwenzeka, ugqirha unokuphinda aphinde uvavanyo ngenye ixesha okanye ulandele uvavanyo oluthile ukuqinisekisa.
I-HSG ingabonisa ukuba iibhulo zivaliwe, kodwa ayikwazi ukuchaza isizathu. Ugqirha wakho unokuyalela ukuba aqhubeke nokuvavanywa, kuquka ne- laparoscopy yokuhlola okanye i-hysteroscopy. Ezi nkqubo zinokukunceda ukuphanda umcimbi kwaye mhlawumbi ukulungisa ingxaki.
Igama elivela kwi-Verywell
Kukulungele ukuvakalelwa phambi nangethuba lokuhlolwa kwe-HSG. Ubunzulu, ukuphefumula okukhululekile ngenkqubo kunokunceda. Kananjalo ungesabi ukuxelela umongikazi okanye ugqirha ukuba unomdla. Umongikazi unokuze anikezele isandla sakho. Yamkela inkxaso yabo, enokukunceda ukuba uzive ungcono.
Ngokubanzi, le nkqubo ikhawuleza, kwaye enye ingenabuhlungu ngokupheleleyo. Ukuba uya kuziva intlungu, kwiimeko ezininzi zihlala zifutshane kwaye zikhanya. Mxelele ugqirha ukuba ngaba kunjalo, kwaye baya kuthatha amanyathelo okukhawuleza ekunciphiseni uxinzelelo kunye nentlungu ngokukhawuleza. Ngaphambi kokuhlolwa kwakho, kwakhona ubuze ukuba ugqirha wakho uncoma ukuba athathe i-painkiller.
> Umthombo:
> I-Hysterosalpingogram (HSG): Iphepha leNgcaciso loMonde. Umbutho waseMelika weMithi yokuzala.
> Wang CW, Lee CL, Lai YM, Tsai CC, Chang MY, Soong YK. "Ukuthelekiswa kwe-hysterosalpingography kunye ne-hysteroscopy kwi-femintility infertility." Umbhalo we-American Association of Gynecologic Laparoscopists . 1996 Aug; 3 (4): 581.