Laparoscopy yekuvhiya Infertility Kuongorora nekurapa

Chikonzero nei Zvakaitwa, Chii Chinoitika, uye Chinotarisirwa Kudzoka Nguva

Laparoscopy inogona kushandiswa kuongororwa kushaya infertility kana kubata chirwere chekubereka. Laparoscopy inzira inoshandiswa iyo inosanganisira kugadzira imwe, mbiri, kana katatu kudukusa zvishoma mumudumbu, kuburikidza naicho chiremba anoisa laparoscope uye zvigadzirwa zvokuvhiya zvakananga. A laparoscope inopfa, fiber-optic tube, yakagadzirwa nechiedza uye kamera.

Laparoscopy inobvumira chiremba wako kuti aone nhengo dzomuviri uye dzimwe nguva achigadzirisa, asingatori kuwedzera kukuru kunogona kuda nguva refu yekudzidzira uye kugara kwechipatara.

Zvichida kana kuti kwete kuongororwa laparoscopy inofanira kuitwa kuvakadzi vane infertility inokakavara. Kana mukadzi ari kurwadziwa kwepelvic , saka kubvumirana ndeyekuti kuvhiyiwa kunogona kukurudzirwa.

Zvisinei, mumamiriro ezvinhu asina kufanirwa kusununguka, kana mamiriro ezvinhu apo kurwadziwa kwepachivirikidzi hakusi chinhu, kana zvikomborero zvekuvhiyiwa zvinopfuura zvakakonzerwa nenyaya yekukakavadzana.

Apo Laparoscopy Inokurudzirwa?

Chiremba wako angaratidza kuti chirwere ichi chinoshandiswa kuti chibatsire kutsvaga chikonzero chekushaya vana. Kazhinji, inoitwa chete mushure mokunge kuedzwa kwekushaya vana kuve kwakapedzwa, kana kana zviratidzo zvinoshandiswa kuongorora.

Laparoscopy haifaniri kuitwa nguva dzose, zvakadaro.

Zvimwe zvikonzero zvinogona kuitwa nachiremba anogona kukurudzira kuongorora saroscopy inosanganisira:

• Iwe unorwadziwa munguva yepabonde
• Iwe une nzara yakawanda yokuenda kumwedzi kana kurwadziwa kwepamuviri pane dzimwe nguva mukufamba kwako
• Mutevedzeri kusvika pakupedzisira endometriosis inofungidzirwa
• Chirwere chinoputira chirwere kana zvipembenene zvakasimba zvepelvic zvinokonzerwa

• Chiremba wako anokanganisa ectopic pregnancy (iyo inogona kutyisidzira upenyu kana yakasara isingateereri)

Kazhinji (asi kwete nguva dzose), kana chirwere chekuongorora chinonzi laparoscopy chinowana matambudziko, chiremba wekubereka achagadzirisa, kubvisa, kana kuti dzimwe nguva anobata nyaya yacho pakarepo.

Kuvhiyiwa kwepadoscopic kunogona kushandiswa kuporesa zvimwe zvikonzero zvekusabereka kwevakadzi.

Chiremba wako anogona kukurudzira chirwere kana

• Hydrosalpinx inopomerwa. Uyu ndiwo rudzi rwuri rwakavharirwa fallopian tube . Kubvisa bhidhiyo inogadziriswa kunogona kuvandudza IVF kubudirira kwehuwandu .
• Dhipometrial deposits inofungidzirwa yekuderedza kubereka kwako. Izvi zvinongopesana, nevamwe vanachiremba vanoti kusunungura kunongobvumirwa chete kana uri kurwadziwa, uye vamwe vanoti izvi zvinogona kuvandudza kubata pamuviri wehutano uye zvakakosha kuita kunyange kana kurwadziwa kwepelvic kwete dambudziko.
• Kuvhiya kunogona kukwanisa kuvhara kana kugadzirisa tambo. Kubudirira kwehutano kunowanzosiyana zvikuru kana zvasvika pakuchengeta tubal. Kana IVF ichizodiwa kunyange mushure mekuvhiyiwa, zvino kuenda kune zvakananga kune IVF ndicho chakanaka. Kana mukadzi wacho achiri muduku uye zvimwe zvinhu zvose zvinobereka zvinotaridzika zvakanaka, kugadzirwa kwekupora kungakosha kuedza kutanga.
• Bhisikidzi yevarivha inoshushwa yekukonzera marwadzo kana kudzivirira mafuro. Dzimwe nguva, mvura yakasvibiswa ne cyst ine seni inotungamirirwa ne ultrasound iri nani. Kubviswa kwejasi guru rekuvhara mazamu rinogona kupedza mazamu ako ovarian . Chiremba wako anofanira kukurukura izvi newe.
• A fibroid inokonzera marwadzo , kukanganisa uterine cavity, kana kudzivirira ma fallopian tubes.
• Iwe une PCOS uye chiremba wako anokurudzira ovarian drilling. Kuberekwa kweparoscopic ovarian kunosanganisira kugadzira mapepa matatu kusvika kune masere mukati mavhavha. Madzimai neCPOS avo vasina kutengesa zvinodhaka , izvi zvinogona kuita kuti vashandise ivo pachavo. Zvisinei, njodzi dzinogona kunge dzisingagoni kudarika zvikomborero, uye kushandiswa kwayo kunopesana.

Nei Zvichikosha?

Zvimwe zvinokonzera kuberekwa zvinongowanikwa chete kuburikidza ne laparoscopy. (Endometriosis, semuenzaniso.) Laparoscopy inobvumira chiremba wako kuti arege kungoona zviri mukati mamuviri wako asiwo kukura kwechisimba kana kuti ma cysts.

Uyewo, kurapwa kweparoscopic kunogona kubata zvimwe zvinokonzera kusununguka, zvichikupa mukana wakanaka pakuzvitora zvisizvo kana nemishonga inobereka .

Zvisinei, chikonzero chinonyanya kukosha chokuongororwa kweparoscopy ndeyekuti uri kutambura kurwadziwa kwepelvic.

Laparoscopy inogona kushandiswa kubvisa zvisikwa zvitsvuku, a fibroid, kana kuti endometrial deposits inokonzera kurwadziwa.

• Ndinoziva Sei Kana Zvitsva Zvangu Zvisingabviri?
• Kuenda Kumwedzi Kunogona Kuita Kuti Zvive Zvakaoma Kuwana Mucheche Here?

Zvakaitwa Sei?

Laparoscopy inoitwa muchipatara pasi peanesthesia yakawanda. Kunyange zvazvo dzimwe nguva zvichibvira kuitisa chirwere chekuongorora sarfoscopy muhofisi yekliniki yekubereka, izvi hazvibvumirwi. Muhofisi iripo, kana chimwe chinhu chikawanikwa panguva yekugadzirisa, iwe uchada kuve nenzira iyo zvakare muchipatara panzvimbo yekugadzirisa.

Chiremba wako achakupa mirayiridzo yekuti ungagadzirira sei kuvhiyiwa kare. Iwe unogona kunge uchiudzwa kuti urege kudya kana kunwa kwemaawa masere kana kupfuura usati wapora chirongwa chako, uye iwe unogona kurayirirwa kutora mishonga inorwisa mabhakitiriya.

Paunosvika kuchipatara, uchawana IV, kuburikidza nekushandisa mvura uye mishonga kukubatsira kuti uzorore ichaendeswa. Anesthesiologist ichaisa masikisi pamusoro pechiso chenyu, uye mushure mokufema mweya unotapira kwemaminitsi mashomanana, iwe ucharara.

Kana imwe nguva anesthesia yasvika, chiremba achaita zviduku zvakapoteredza bhatani rako. Nokudarika iyi, nete inoshandiswa kuzadza dumbu rako ne carbon dioxide gas. Izvi zvinopa mukana wechiremba wako kuti aone nhengo uye otamisa zvigadzirwa zvokuvhiya.

Kana imwe nguva dumbu rako rakazara negesi, chiremba wacho achazoisa laparoscope kuburikidza nemucheka kutarisa-svetuka nhengo dzako dzemuviri. Chiremba anovhiya anogonawo kugadzira mishonga yekuongororwa.

Dzimwe nguva zvikamu zviviri kana zvitatu zvakatorwa zviduku zvakagadzirwa kuitira kuti zvimwe zvigadzirwa zvitsvuku zveshandisirwe zvinogona kushandiswa kugadzirisa kana kutamisa nhengo dzakapoteredza kuti dzive nemaonero akanaka.

Chiremba anovhiya acharatidza kuongorora nhengo dzepachiviri uye nhengo dzomukati dzakapoteredza. Iye achatarisa kuvapo kwe-cysts, fibroids, ruvara rwemavara kana kuomerera, uye kukura kwemakemikari. Iye achatarisawo maitiro, ruvara, uye hukuru hwemitezo ekubereka.

Dhayi inogona kuiswa mumuromo wechibereko, saka chiremba anokwanisa kuongorora kana fallopian tubes yakazaruka.

Kunyange kana pasina zviratidzo zve endometriosis kana zvimwe zvinetso zvinowanikwa, chiremba wacho anogona kubvisa sampu yeiviri kuti iongorwe. Dzimwe nguva, endometriosis ine unyoro zvikuru ine microscopic uye haigone kuonekwa neziso rakashama nekamera laparoscopic.

Kana ectopic pamuviri inenge yafungidzirwa, chiremba wechiremba anoongorora maitiro ekutakura pamuviri.

Ichanzwa Sei?

Panguva yekuvhiyiwa kweparoscopic, iwe uchava pasi pemigumisiro ye general anesthesia, saka haufaniri kunzwa urombo, kana kurangarira nzira.

Paunomuka, unogona kuva nehuro. Izvi zvinokonzerwa nehuputi yakaiswa pasi pako huro kuti ikubatsire kufema panguva yekuvhiyiwa. (Iyo tube inobviswa usati wasimuka-up).

Zvinowanzoitika kune nzvimbo yakakomberedza kutsemuka kuti uchinetseke, uye mimba yako inogona kunzwa yakanakira, kunyanya kana chiremba wako achibvisa tsvina yakawanda. Iwe unganzwa uchinzwa kubviswa kubva ku carbon carbon dioxide, uye unogona kunzwa kurwadziwa kwakakomba mufudzi rako. Izvi zvinofanira kupera mumazuva mashomanana.

Kunyangwe iwe zvichida uende kumba pazuva rimwechete sekuvhiyiwa kwako, unofanira kuronga kuitora nyore nyore kwemazuva maviri kana maviri. Iwe unogona kutora vhiki kana maviri kuti uwane kana magadziriro akawanda akaitwa. Iva nechokwadi chekutaura nachiremba wako pane zvaunotarisira.

Chiremba wako anogonawo kupa mishonga inorwadza uye antibiotics.

Iwe unofanirwa kuonana nechiremba wako kana pakarepo kana ...

• Iwe unotambura zvakanyanya kana kuwedzera kukurwa kwepamu
• Iwe unova nefivha ye 101 kana yakakwirira
• Kune pus yaizinganisa kana kuwedzerwa kubuda pamusana pekudzivirira nzvimbo

Ngozi

Sezvakaita chero nzira ipi zvayo yekuvhiya, laparoscopy inouya nematambudziko.

Maererano neAmerican Society of Reproductive Medicine, mumwechete kana vakadzi vaviri kubva kune makumi maviri vanogona kuva nechinetso, kazhinji kechidiki.

Zvimwe zvinetso zvakajairika zvinosanganisira:

• chirwere chepachiva mushure mekuvhiyiwa
• kushungurudzwa kweganda kunharaunda dzekudzivirira

Zvimwe zvisingawanzozivikanwi, asi zvinogona kuitika, njodzi dzinosanganisira:

• kuumbwa kwekubatanidza
• hematomas yechipfuva rusvingo
• utachiona

Zvinetso zvakakomba hazvishamisi, asi zvinosanganisira:

• kukanganisa kune nhengo kana mitsipa yeropa inowanikwa mudumbu (inowedzera kuvhiyiwa inogona kudiwa kugadzirisa chero kupi kwekukuvadza kunokonzerwa.)
• allergic reaction
• nerve kukanganisa
• kuchengetedza urinary
• ropa clots
• mamwe maitiro anesthesia zvinetso
• rufu (munharaunda 3 muga imwe neimwe 100 000)

Kana Mitsara Yakaipa

Zvichienderana nezvakakanganisika, chiremba anovhiya anogona kubata chirwere ichi panguva yekuvhiyiwa imwecheteyo. Kukanganiswa, endometrial kukura, cysts, uye fibroids zvinogona kubviswa pane dzimwe nguva.

Kana zvipembenene zvinenge zvadzivirirwa, zvinogona kuvhurwa, kana zvichibvira. Kana ectopic pregnancy inowanikwa, chiremba anovhiya achabvisa kuberekwa kusina kukwana uye kugadzirisa chero upi hwemhuka. Angave achida kubvisa zvose fallopian tube.

Mushure mekuvhiyiwa, chiremba wenyu achajekesa zvaunogona kuita pakubata pamuviri. Kana uine fibroids yakabviswa kana fallopian tube yakagadziriswa, unogona kukwanisa kutora pamuviri pasina rubatsiro.

Uyezve, munyaya ye endometriosis kana PID, kubviswa kwemavara ane ruvara kunogona kuita kuti zvive nyore kukwata musingaitizve kurapwa.

Kana mushure mekunge mwedzi mishomanana mushure mekuvhiyiwa iwe usati wava nepamuviri iwe pachako, chiremba wako anogona kukurudzira kubereka mishonga .

_Sources

_{Endometriosis uye Infertility: Kuvhiya Kungabatsira Here? Patient Fact Sheet. American Society of Reproductive Medicine.}

> Kuohung, Wendy. Hornstein, Mark D. "Kuongororwa Kwechikadzi Infertility. "UpToDate.com.

_{Laparoscopy uye Hysteroscopy: Mutungamiri wevarwere. American Society of Reproductive Medicine.}

> Tulandi, Togas. "Kuvhiya Kuberekwa Kwechikadzi Isina Kuita. "