Chii Chinonzi Ultrasound? Sei uye Inoshandiswa Sei Mukurapwa Kwekushaya Chirwere?
Ultrasound scans ndiyo chikamu chinokosha chekudzivirira kusununguka uye kurapa kubereka . Kana uine mwana asati apfuura , unogona kunge uchiziva rudzi rwe ultrasound runenge ruchiitwa pakati pemakore ekupedzisira. Kunyange kana iwe usati wambova nemwana, ungave wakaona kuve nekudzivirira ultrasound kuongororwa pamafirimu kana terevhizheni. Kana, zvichida, shamwari kana nhengo yemumhuri vangave vakagovana mufananidzo we ultrasound wemwana wavo asati aberekwa newe.
Ultrasounds yakaitwa pakati pekupera kwekuita pamuviri kanowanzova mudumbu mazamu. Mune mamwe mazwi, transducer (chigadzirwa chinodhonza uye chinogamuchira mazaya ezwi kune ultrasound) chinotenderera kumativi ose mudumbu.
Nokuda kwekuedzwa nekurapa, huwandu hwesimbi huri kuitika transvaginally-kureva kuburikidza nemudzimai-neine slender specialized wand.
Izvo zvinokonzera hazviremi, kunyange zvingave zvisinganyaradzi.
Munguva yekuedzwa kwekushaya vana, ultrasound scans inogona kupa ruzivo pamusoro pemashizha, mazamu endometrial , uye chibereko. Izvo zvinonzi ultrasound zvinogona kushandiswa kuongororwa mazai ovarian , uterine maumbirwo mune zvakadzama, uye kana fallopian tubes yakazaruka kana yakavharwa.
Munguva yekurapa kubereka, ultrasound inoshandiswa kutarisa hutano hwehutano mumapapiro omukati uye kubwinya kwekugadzirisa kwepometrial. Ultrasound inoshandiswawo panguva yeVIV yeii yekudzoka kweii, kutungamira nheyo kuburikidza nemadzimai edzimai kumapapiro.
Vamwe vanachiremba vanoshandisa ultrasound panguva yokutora kuberekwa.
Kana iwe ukava nepamuviri , mwana wako wokupedzisira wekubereka vana angangodaro akagadzira mashoma mashoma asati aita kuti iwe udzokere kune yako nguva dzose OB / GYN.
Infertility Ultrasound Scan Basics
Ultrasound scans inoshanda kuburikidza uchishandisa mafunguro epamusoro mazwi mafungiro ekugadzira mufananidzo weurimukati mako.
Iwe haungakwanisi kunzwa mafungu emhepo.
A transducer iyi inoshandiswa panguva ye ultrasound kuti ibve uye inogamuchira iyi yakakurumbira mazwi mafungu. Munguva yekuedzwa kwekuberekwa uye kurapwa, nyanzvi inogona kushandisa marudzi maviri akasiyana-siyana emashandisirwo emutambo: imwe inoshandiswa pamimba yechimumachiedza uye yechipiri inoshandiswa pakuchinja.
Munguva yepamuviri ultrasound, gel rinowirwa pamusoro pemimba yako. Zvadaro, iyo transducer inotamiswa zvishoma pamusoro pemimba. Iyo gel inoita kuti zvive nyore kuti transducer idimbuke pamusoro peganda rako.
Munguva ye transvaginal ultrasound, transducer yakaumbwa seine slender, yakareba wand. Kondomu inowanikwa pamusoro pemakumbo uye gel rinopisa rinonyatsokandwa pamusoro pemakondomu.
Iyo nyanzvi ichakubatsira iwe kushandiswa kwet transducer wand, kuitira kuti iwe ugone kuisa transducer zvishoma mukati memukadzi wako kusvika paunenge uchienda zvakanaka. Iwe uchazobvisa chibatiso kumunhu anoongorora, uyo achaitisa kuongorora.
Mafungu emhepo anobudiswa ne transducer. Vanodzokorora (kana kudzorera shure) pavanorova nhengo dzenyu dzomukati. Iko inonzi ultrasound machine inotsanangura zviratidzo izvi uye inoita kuti ive mufananidzo we digital.
Pamberi pamuviri mazamu, chiremba wako achakumbira iwe kunwa makapu emvura akawanda mumaawa asati usati waongorora, asi kukumbira kuti urege kuzvidzora iwe kana uchinzwa kudiwa kwekuzora.
(Zvichida unonzwa uchida kuenda!)
Chirwere chakazara chinokonzera matumbu ako kubva munzira, naizvozvo nhengo dzako dzekubereka dziri nyore kuona. Kana kamuviri kamuviri kacho kakapera, iwe uchakwanisa kushandisa imba yekugezera.
Zvisinei, kuti uone zvakakosha pakuedzwa kwekuberekwa nekurapa, transvaginal ultrasound inopa kunyange zviri nani mifananidzo.
Iyo transvaginal transducer tip inowanikwa pasi pacho pasi pemukati , iyo iri pedo nhengo dzako dzinobereka.
Kunze kwemuviri uye chechivharo chechirwere chinonzi ultrasound, pane zvimwe zvakasarudzwa zve ultrasound zvinogona kuitwa nachiremba wako.
- Antral follicle count ultrasound : izvi zvinoitwa nemutambo unowanzoshandiswa wetrans ultrasound, asi unoda kudzidziswa kwakakwana kune technician kuti apedze zvakarurama.
Antral follicle count ultrasounds inogona kubatsira kukura mazamu ako ovari uye pamwe zvichibatsira kubata polycystic ovarian syndrome (PCOS) . Iwe unogona kana unogona kunge usingave ne an antral follicle count kuongorora sechikamu chekubatsira kwako kubereka kubereka.
Izvi zvingave zvakare zvakarongedzwa zvakasiyana kana panguva imwechete sejenesi ye ultrasound scan.
- 3D ultrasound : Mifananidzo yakawanda ye ultrasound iviri-inotenderera. Kufambira mberi kwekombiyuta ikozvino kunogonawo kubudisa zvifananidzo zvitatu.
Izvi zvinobvumira kuonekwa zviri nani kune hutachiona husina kunaka uye matambudziko ematope asina kuonekwa pane imwe 2D ultrasound scan. - Sonohysterogram : A sonohysterogram inonyanya kujekesa ultrasound inosanganisira kutumira chirongwa che saline muchiberekero kuburikidza nekatheta. Iro solution ye saline inozadza chibereko chako, zvichiita kuti zvive nyore kuona muchimiro chimiro uye chero zvingave zvakanamatira mukati.
A sonohysterogram inogona kuitwa panguva yebasa rekubereka, asi rinowanzoshandiswa pane mamwe maitiro. - Hysterosalpingo-kusiyana sonography (HyCoSy): Izvi zvakafanana ne sonohysterography kunze kweropa kana sarine solution yakasanganiswa nemhepo inoputika inoshandiswa kuziva kana mawere ane tambo akazaruka kana akavharwa.
Zvinowanzozivikanwa kuti vanachiremba vaongorore kana hutoripian tubes yakazaruka neHSG, iyo inonzi X-ray yakajeka .
Zvakanakira kuva neHyCoSy pamusoro peHSG ndizvo izvozvo- iyo HyCoSy inogona kukonzera kusuruvara kudarika HSG
- HyCoSy haifaniri kutengesa mazai kana iodine
- HyCoSy inogona kuitika panguva imwechete sejeri re ultrasound test (izvo zvinoreva kusarudzwa kushoma)
Kuedza Kunobereka: Zvakaitwa Nechiremba Wako Kuongorora Ne Ultrasound
Hezvino izvo chiremba wako wekubereka ari kuongorora nehutachiona ultrasound scan.
Chisarudzo chepamusoro uye kuvapo kwenhengo dzinobereka : Izvo zvose zvinofanira kuvapo ikozvino? Izvo zvose zviri munzvimbo yakarurama here?
Zvinoratidzika somubvunzo unokosha, asi vamwe vakadzi vanoberekwa vasina mazai kana chibereko chavo.
Mavha mavari : Indaneti inonzi ultrasound inotarisa maovari. Achacherechedza hukuru hwavo uye chimiro.
Anotarisawo uchapupu hwezvinhu zvose zvekare uye zvisingaiti zvechirusi pane mavha mavari. Mishonga yakawanda yakareba yakaita separesi yemutsipa inogona kuratidza polycystic ovarian syndrome. Kuvapo kwegendometrioma cyst yakakura kunogona kuratidzira endometriosis .
Muzviitiko zvisingawanzoitiki, mashoma asiri cyst inogona kuwanika pane mazai.
Antral follicle count : Izvi zvinogona kuva chikamu chekushaya vana ultrasound scan kana kunogona kurongwa zvakasiyana. Antral follicles ndeyemhando chaiyo ye follicle inowanikwa mumavhizha. Icho chikamu cheupenyu hweii / oocyte .
A low low antral follicle count inogona kuratidza mafungiro asina kunaka emahara. Nzira yakasiyana-siyana yakasiyana-siyana yeverral follicle count ingaratidza PCOS.
Icho chibereko : I-ultrasound tech ichacherechedza uterine ukuru, chimiro, uye nzvimbo.
Kana iyo ultrasound iri 3D, zvinogonawo kuitika kuti zvionekwe zvimwe hutachiona husina kunaka, sezvinonzi bicornuate kana septate uterus .
Iyo nyanzvi ichaongororawo chero zviratidzo zvehutachi uterine, zvakadai se fibroids , polyps, kana adenomyosis.
Izvi hazvigoni kuonekwa nguva dzose neine ultrasound yenguva dzose. Kupfuurira mberi kuongorora kunogona kudiwa sonohysterogram kana kuti inonzi hysteroscopy.
Endometrium thickness : Chidimbu chechibereko, endometrium, thickens uye chinoshanduka apo nguva yako yekuenda kumwedzi inofambira mberi.
Iyo nyanzvi ichatarisa zviratidzo zvine utano hwokuti endometrium iri pachigadziko inofanira kuva, zvichibva pazuva rekuongorora kwako.
Iyo ultrasound tech ichayerawo kuwanda kwe endometrium. Inofanira kuva yakaonda pamberi peivulation uye yakasviba mushure mekuvhuvhuta.
Zvichida fallopian tube matambudziko : A basic ultrasound haikwanise kutora hutano hwehutano hwehutano. Zvisinei, tambo inogona kuonekwa neine 2D ultrasound inogara ichinge ichibhururuka kana ichizadzwa nemvura, iyo inogona kuitika ne hydrosalpinx .
Chinhu chikuru chinonzi ultrasound hachigoni kuziva kana fallopian tubes yakajeka uye yakazaruka. Kuti uongorore kana mabhii akazaruka kana akavharwa, chiremba wako angangodaro akaronga HSG.
Zvisinei, neyeiyo ultrasound inonyanya kuzivikanwa se hysterosalpingo-kusiyana sonography (HyCoSy), chiremba wako anogona kuona kana mabhesi akavharwa kana kwete.
Uchapupu hunokwanisika hwekubatana : Nokunyatsomanikidzira nhengo dzinobereka pamwe nemutengesi we transvaginal, nyanzvi inogona kuona kana nhengo dzichifamba dzakasununguka uye sezvazvinofanirwa, kana dzichiita sokuti dzinamatirana.
The tech ingashandisawo iyo ultrasound wand kuti iite zvinyoronyoro pamapapiro omukati, kuti uone kuti inofamba sei mumhepo. Mazai evanhu anoita seanoomerera kune dzimwe nguva dzimwe nguva anodana "kutsvoda maovha."
Kubvuma kunogona kudzivirira nhengo dzekubereka dzisingabatsiri kufamba. Kubvuma kunogona kugadzirwa kubva kune utachiona hwepecvic anobva pakutanga kana kubva kune endometriosis.
Ropa rinoyerera kune nhengo dzinobereka : kana chiremba wako achishandisa ruvara rweDoppler, nyanzvi inokwanisa kuongorora kubuda kweropa kwakapoteredza cyst kana kuwanda. Izvi zvinogona kubatsira kusiyanisa pakati pekrisiti ine utano, cystometrial cyst (endometrioma), kana chirwere chemaovari.
Chii Chisingakwanisi Kuongorora Kuongorora?
Ultrasound haigone kuongorora kana kutonga kunze kweiyo inotevera
Dzakatorwa fallopian tubes : Kunze kwe hysterosalpingo-kusiyana sonography (HyCoSy), chiziviso chinonzi ultrasound hachikwanisi kuongorora fallopian tubes.
Endometriosis : Kuvhiya kweparoscopic chete kunogona kufungidzira endometriosis.
Kunyange zvazvo zvichibvira pane imwe nguva kuona zviratidzo zvekupedzisira endometriosis pane ultrasound, mashoma uye maduku akaoma zvakanyanya haasi kuonekwa.
Zvimwe uterine kusakanganisika : a general ultrasound haabviri kubata kana kuongorora humwe hutachiona husina kunaka.
Inonzi sonohysterogram inogona kudiwa, kana kuti yakawanda yakawanda inopisa, kuongorora zvizere chibereko.
Ultrasound Scans Panguva Yokurapa Utano: Chii uye Nei?
Ultrasound scans chikamu chinokosha chekucherechedza kurapa kurapwa.
Ultrasound haisi kushandiswa kuongorora Clomid miitiro kana uri kuona nguva dzose OB / GYN, asi inogona kushandiswa kana uchienda kuchipatara chekubereka .
Ultrasound inowanzoshandiswa kuongorora gonadotropin maitiro uye nguva dzose inoshandiswa munguva yeVIV .
Hezvino izvo zvaunotarisira.
Baseline ultrasound scan : Chiremba wako angangokuudza kuti udane office yavo pazuva rokutanga rekuenda kwako, mwedzi wekurongwa kwako kwekurapa. Vachada kuronga basa reropa uye an ultrasound mukati memazuva mashomanana anotevera.
Izvi zvinozivikanwa sechinhu chako chepakutanga ultrasound. Chinangwa ndechekutarisa kuti hapana mavara ezvisikwa asina kuvakirwa pamazhizha asati atanga mishonga yekubereka.
Dzimwe nguva, yakasindimara corpus luteum cysts inonamatira mushure mekunge nguva yako inotanga. Izvi hazvisi ngozi uye zvinowanzoenda pasina kupindira. Zvisinei, kurapa kunogona kunonoka panguva ino. Kuita zvinodhaka zvinogona kukanganisa krisst.
(Izvi zvinotanga kuitika zvekare zvinenge zvichiitika paunenge uchienda kumwedzi.Zvino izvi zvingava chiitiko chisingafadzi, hachisi chinhu chokunyara pamusoro pekuti iwe hausi mukadzi wokutanga kuva panguva yake panguva yekuongorora kwe ultrasound. kunetsa mudzidzisi we ultrasound zvachose.)
Nyorera kukura : Iyi ndiyo nhamba imwe yekucherechedza panguva yekurapa kwekubereka. Izvi zvose zvinoshandiswa kubva kune ultrasound scans, uye, zvichienderana nekurapa kwako, unogona kunge uri kuchipatara mazuva ese ari maviri nokuda kweimwe yezviwero izvi.
Chiremba kana tech ultrasound ichave ichitsvaga kuona kuti vangani follicles vari kukura uye kuti vanokurumidza kukura sei. Mishonga yako yekubereka inogona kugadziriswa kana pasi, zvichienderana nehutauri hukura.
Kamwe iyo follicles inosvika kuhukuru hwakasiyana, "chinotyisa" chako (injection ye hCG) kana kuti kutora mazai kuchagadzirirwa.
Zvinokwanisika zvakare kuti mashoma kana akawanda akawanda follicles anogona kukura.
Kana uri kuendesa kurapwa kweVIV, uye mashomanana kune hapana follicles ari kuonekwa, kutenderera kwako kunogona kubviswa.
Kana iwe uine IUI kana gonadotropin mishonga, uye akawanda follicles ari kuwedzera, kutenderera kwako kunogona kubviswa kuti usapinda mukana wokuva nepamusoro-kutengesa mimba yakawanda .
Endometrial thickness : The ultrasound tech inogonawo kuenzanisa kupera kwako kwemendometri. Kubva pane ruzivo urwu, chiremba wako angashandura mishonga yako yekuberekwa.
Ultrasound-inotungamirirwa maitiro : Hausi chikamu chekuongorora, ultrasound inogona kushandiswa panguva yekurapa pachayo.
Munguva yekudzoka kweii, pakushongedzwa kweVIV, seni inotungamirirwa nesirasi inoshandiswa kutora mazai kubva mumavhizha. Vamwe vanachiremba vanoshandisa ultrasound panguva yekutora mwana.
Ultrasound Scan In Early Pregnancy
Kana iwe ukava nepamuviri panguva yekurapa kwekubereka, haugoni kutumirwa pakarepo kubva kuO / GYN yako nguva dzose. Chiremba wako wekubereka achatanga kuda kuva nechokwadi chokuti pamuviri uri kufambira mberi sezvaunotarisirwa, kunyanya mumavhiki ekutanga.
Yokutanga ultrasound ingangove yakarongedzwa mukati mevhiki matanhatu. Aya mavhiki maviri apfuura nguva yako inotarisirwa kana kuti pamuviri kuedzwa zuva. Iyo nyanzvi ichave ichitsvaga gestational sac. Hazvigoneki kuti kushaya mwoyo kuchaonekwa panguva ino, saka usatsamwa kana iwe usingaoni imwe.
Chiremba wako acharamba achitarisa kuti aone kana uri kutakura zvakawanda. Panguva ino, haisi nguva dzose kugona kuona kana iwe uri kutakura zvinopfuura imwe.
Kana imwe nguva gestational bag yave ichitaridzirwa, kutora pamuviri kunofungidzirwa kuva kliniki pamuviri . (Kubata pamuviri wemakemikari ndiko kushanda kweropa kunotora hutachiona hwekuzvitakura , asi hapasi zvimwe zviratidzo zvinoonekwa zvinoita pamuviri.)
Vhiki shomanana gare gare, iwe unogona kunge une imwe ultrasound. Izvi zvichava kutarisa pfupa re fetal uye netariro yekushaya mwoyo. Vachaedzazve kuongorora kana uri kutakura singleton, mapatya, kana zvimwe.
Kana imwe nguva kubatwa kwemoyo kuchionekwa, iwe uchatumirwa kuO / GYN yako nguva dzose yekuchengetera pamuviri. Kunyangwe mushure mekushaya vana, huwandu hweHIV / GYN hahuwanzodiwa mukuzvitakura kwakanaka .
> Sources:
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> Groszmann YS1, Benacerraf BR2. "Kuzadzikisa kuongororwa kwemaatomy and morphology yemurwere asingakwanisi kushanya kamwe chete; mazuva ano kusununguka kwepelvic ultrasound kuongororwa. " Fertil Steril . 2016 Jun; 105 (6): 1381-93. doi: 10.1016 / j.fertnstert.2016.03.026. Epub 2016 Apr 4.
> Hrehorcak M1, Nargund G1. "'Rimwe-Stop' kuongorora kubereka kushandisa shanduro yepamusoro ye ultrasound. " Maonero Anoona Vis Obgyn . 2011; 3 (1): 8-12.