Yakabviswa Fallopian Tube uye Zvaakaita pahutano
A hydrosalpinx rudzi rwakarongeka rwehutoripian tube blockage . Mhando dzekutakura dzinowedzera kubva muchibereko , imwe kurudyi uye imwe kuruboshwe. Kana zvikavharwa kana kutapukirwa, kusununguka kunogona kuitika .
Zvidzidzo zvakawana kuti hydrosalpinx blockages iripo mu10 kusvika ku30 muzana yehutachiwana husina matambudziko. Dzidza nezvechiitiko ichi kusanganisira kuongororwa, kurapwa, uye kana iwe unogona kutora kana iwe une hydrosalpinx.
Zvinokonzera
A hydrosalpinx ndiyo iyo yakavharwa fallopian tube inozadza mvura. Kana zvose zviri mutsara zvakakanganiswa, izvi zvinonzi hydrosalpinges. Iyo tube inowanzoonekwa ichikanganiswa, iyo inoreva kuti inoputika nemvura.
Kazhinji kazhinji, hydrosalpinx inokonzerwa nehutachiona hunogara kwenguva refu ye fallopian tubes. Iyi utachiona inogona kuitika nekuda kwezvirwere zvepabonde , kuputika appendix, kana chimwe chikonzero chinokonzera utachiona chinokanganisa nzira yekubereka kana nhengo dziri pedyo.
Hydrosalpinx inogonawo kukonzerwa kana kusungirira (mavara matema) kana kuti magumondira (kubva endometriosis ) kunotsamwisa hutatu hutachipi.
Link to Infertility
Iko kusvibiswa kwe hydrosalpinx kunowanzo pamucheto wakareba we fallopian tube, pedo nemashizha, asi zvinogona kuvharwa kuti zvivepo kumativi ose maviri.
Mune hutano hwakanaka hunobereka, hutoripian tube inoshandisa nzira mbiri yei yakagadzirwa kuti isvike mubereki. Pashure peii rinosunungurwa kubva kumapuropa, zviratidzo zvemunwe-zvakafanana kubva kune fallopian tube inotora yai mukati.
Kufunga kuti zvepabonde zvaitika pedyo nehuputi, egg inosangana nehumukati mukati me tube. Kuzadza kweii kuchaitika mukati me tube-uye kwete mukati mechiberekero, iyo inowanzosaziva. Ivha inoberekwa, kana mucheche, inogadzirisa nzira iyo pasi pasi, mukati mechibereko, uye ichizviisa iwe pachayo mudanda re uterine .
Kana nzira iyi yakavharwa, sezvakangoita ne hydrosalpinx, kusabereka kungaguma.
Kazhinji, mapiritsi akafanana neminwe anonzi fimbriae anowedzera kubva kumagumo eT fallopian tube pedyo neovary. Vanobatsira kutora muzai rakakonzerwa kubva munharaunda kusvika mu fallopian tube. Ne hydrosalpinx, fimbriae inowanzokuvara uye yakanamatirana pamwechete.
Zvichienderana nechinokonzerwa ne hydrosalpinx, kuwedzera kwekunamatira kwakapoteredza fallopian tube uye ovary inogona kuitika. Izvi zvinogonawo kupindira nekuvhura uye kubereka.
Kuberekwa Mikana Neye Hydrosalpinx Blocked Tube
Kunyora kutaura, zvinokwanisika kubata nemukati mumwe chete wakazaruka, sezvinogona kuitika kana iwe une hydrosalpinx tube uye imwe yacho ine utano. Zvisinei, nzvimbo yakakomberedzwa yechibereko inogona kuchinjwa ne hydrosalpinx uye izvi zvinoderedza kutora mimba.
Iyo kusuruvara uye / kana kubata zvakasanganiswa ne hydrosalpinx zvinoita sokuderedza kuvepo kwekubata kunoitika kuburikidza nehutano tube. Zvinogonawo kuti mvura inogadziriswa mukati mehutachiona yakakanganiswa inogona kuvhara mukati mechibereko, zvichikonzera kuberekwa kwemukomana.
Kana varwere vachienda kuchirwere cheVIV , pasina kuvhara chirwere chetachiona chetachiona, pamuviri uye kurarama mazera ekuberekwa zvakanyanya kuderera kupfuura zvingafungidzirwa.
Ichi ndicho chikonzero nyanzvi dzakawanda dzekubereka dzinokurudzira kubviswa kwe hydrosalpinx vasati vatanga kurapa kweVF. Imwe nzira ndeyekuvhara kwepamuviri yehutachiona yakakanganiswa pamucheto weUterine, saka hazvikwanisi kuchinja hutachiona hwehutachiona.
Kuziva
Kudzivirirwa tubes kunowanzoongororwa panguva yekubereka kubereka. An HSG -rudzi rukuru rwe x-ray-rinogona kuratidza tubal blockages.
Kuti uone kana kuvharwa i hydrosalpinx, mwanakomanaohysterosalpingography inogona kudiwa. Iyi nzira inosanganisira kudarika saline mvura uye isina kuchena mukati memucheto uye muchibereko. Zvadaro transvaginal ultrasound inoshandiswa kufungidzira nhengo dzinobereka.
Ultrasound inogonawo kushandiswa kuongororesa hydrosalpinx, asi haisi nguva dzose kugona kufungidzira chigodhi chakazara nemvura ino nenzira iyi. Chimwe chidzidzo chakawana kuti 34 muzana chete ye hydrosalpinx yaionekwa ne ultrasound.
Laparoscopy inogona kushandiswa kufungidzira hydrosalpinx. Kuongorora chirwere chinonzi laparoscopy chinogonawo kuziva kana zvimwe zvikonzero, zvakadai se endometriosis, zviri kukonzera zvinetso zvekubereka.
Zviratidzo
Ne hydrosalpinx, kusununguka kunowanzova yekutanga uye chiratidzo chete icho chimwe chinhu chakaipa. Vakadzi vakawanda havana zviratidzo uye vanoongororwa chete mushure mekuedza kwavo kubudirira kubereka vana.
Zvisinei, vamwe vakadzi vachaona kurwadziwa kwepachivi . Kazhinji, pangave nekumwe kusununguka kwechikadzi.
Zvinogonawo kuva nezviratidzo zvechikonzero che hydrosalpinx. Somuenzaniso, chirwere chinoputika (PID) chinokonzera ngozi ye hydrosalpinx.
Kurapa
Kuvhiya ndiyo inowanzoshandiswa kurapwa kwe hydrosalpinx, ine chirwere chinonzi IVF mushure mekubatsira pakuberekwa. Kazhinji kacho kazhinji, chigamba chinenge chisina kubviswa zvachose. Zvichienderana nemidzeri ye hydrosalpinx, kuvhiyiwa kunogonawo kusanganisira kubviswa kwezvimwe zvibatanidza, zvisikwa zvinoputika, kana kukura kwepumetrial.
Kana PID inotarisira hydrosalpinx, unogonawo kugamuchira mishonga inorwisa maitiro ekurapa zvirwere .
Kubudirira kweVIV kunowedzera pasi apo hydrosalpinx iripo. Nokuda kwechikonzero ichi, inowanzorongwa kurapwa ndeyekuti iyo inobatwa nehuputi inobviswa yakabviswa kutanga. Zvadaro, chirwere cheVIV chinotanga.
Sclerotherapy inogona kuva imwe nzira yokubviswa kwe fallopian tube. Mune nzira iyi, mvura yakasvibiswa kubva pahutachiona yakagadzirirwa. Zvadaro, mumiriri wepleta anoiswa mujeri kuitira kudzivirira tubhu kubva pakuzadza nemvura. Izvo zvose zvinoitwa kuburikidza nemudzimai we-vaginal ultrasound-inotungamirirwa nenyuchi uye inowanikwa isina kuvhiringidza kupfuura chirwere cheparapore. Zvisinei, kutsvakurudza pamusoro penzira iyi kunoshaikwa. Hazvizivikanwi kuti zvinokonzerwa nehutano ndezvipi uye kana zviri nani chaizvo kupfuura kubviswa kwe tube.
Kugadziriswa kugadziriswa kweivha rakapfigwa fallopian tube-uko kuvhara kunosvinudzwa asi bhuti yakasara yakasimba-inogona kuitwa kune mamwe marudzi e fallopian tube blockages. Kune vakadzi vanoenda nenzira iyi, kuberekwa kwechisikigo mushure mokugadziriswa kunowanzova chinangwa. Nhamo, izvi hazvibvumirwi ne hydrosalpinx. Kuvhiringidzika uye kuzvimba zvinowanzodzoka. Kugadziriswa kwe hydrosalpinx kuteverwa nekuedza kwekuberekwa kwepanyama hakukurudzirwi.
Sources:
Kubata Mushure meT Tubal Surgery: Chokwadi Chidimbu. American Association of Reproductive Medicine.
Hydrosalpinx: Fact Sheet. American Association of Reproductive Medicine.
> Kasius JC, Broekmans FJ. "Migumisiro yekuberekwa kweIntervention Ultrasound Sclerotherapy Ne 98% Ethanol pamusoro pevakadzi ne Hydrosalpinx." Am J Obstet Gynecol. 2015; Jan; 212 (1): 118. doi: 10.1016 / j.ajog.2014.09.018. Epub 2014 Sep 20.
> Na ED1, Cha DH, Cho JH, Kim MK. "Kufananidza kweVIV-ET Mitsva muvarwere Ne Hydrosalpinx Yakaparidzwa Neye Sclerotherapy kana Laparoscopic Salpingectomy." Clin Clinic Reprod Med. 2012 Dec; 39 (4): 182-6. doi: 10.5653 / cerm.2012.39.4.182. Epub 2012 Dec 31.