Nzira, Njodzi, Njodzi, uye Kubereka
A sonohysterogram inokosha yemhando ye ultrasound iyo inoongorora mukati memukuchi yako. Iwe unogona kunge uine chiyero ichi chakaitwa panguva yekuedzwa kwekuberekwa , nguva isati yasvika IVF , kana kana iwe une zviratidzo zvekugona kwehutachiona husina kunaka .
Sonohysterography inogonawo kutumidzwa se hysterosonography, saline inosanganisira sonography (SIS), transvaginal sonography ine mutsetse wakasiyana-siyana wokuwedzera , uye kushandiswa SHG ( sono-hystero-gram ).
Ichi chiyero chimwechete nekunyatsotarisa kune mawere ane simba anogona kutumidzwa se sonosalpingography.
Chii Chinonzi Sonohysterogram?
Munguva ye sonohysterography, tubhu rakanyanyisa kwazvo (catheter) rinowanikwa mukati mekuvhura komubereki . Sarine solution (iyo yakagadzirwa sterilized salt water solution) inowedzerwa zvishoma nezvishoma kuburikidza nehutapu tube. Iro solution ye saline inotarisa chibereko, kuitira kuti uterine masvingo aende zvishoma kubva kune mumwe.
Funga nezvechibereko chako sebhokisi rakasvibiswa. Kana iwe ungataurira huwandu hwemvura kana mhepo, masvingo ebhokisi aizotama kubva kune mumwe. Izvi ndizvo zvinogadziriswa nesarine panguva ye sonohysterography.
Sezvo chirongwa che saline chiri kuiswa mukati mumiririro yeuterine, wandinenge inonzi ultrasound wand inoshandiswa kuongorora uterine chimiro uye masvingo, uye pamwe uyewo fallopian tubes.
Kana iwe usina kumbove ne-ultrasound transvaginal zvakadaro, iyo yakareba, yakareba yakazivikanwa se transducer inoshandiswa.
Wenderedzwa inowanikwa mumudzimai wako nemudzidzisi. (Nokuda kwekunyaradza kwako, vamwe vashandi vachakupa mutsara kuti uise mukati mako pachako, zvino, vanotora kubata kubva kwauri kuti uedzwe.)
Mushanduri wandinobudisa mafungu anonzwika anowedzera kubva mumuviri wako. Mafungu anotinhira anononoka kumashure anonyorera, uye transducer inonyora izvi zvinyorwa.
Ultrasound haina kurwadza zvachose.
Pachiyero che ultrasound, chiremba wako kana nyanzvi anogona kuona mufananidzo unoratidzwa (wakagadzirwa nemafungu emhepo) yezvikamu zvako zvekubereka.
Transvaginal ultrasound inogona kuitwa pasina saline solution. Zvisinei, zvakaoma kuona hutachiona husina kunaka uye uterine chimiro chechokwadi uye chimiro pasina sarine solution. Apo chirongwa che saline chinoita kuti uterine masvingo aende kure kubva kune mumwe nemumwe, zvinetso zveuterine zviri nyore kuona.
Zvikonzero Zvako Chiremba Anokwanisa Kuronga SHG
Zvikonzero zvekuraira mwanakomanaohysterogram zvinosanganisira:
- kusabereka
- kugara uchirasikirwa pamuviri (zviviri kana kupfuura zvinokanganisa mumutsara)
- kusaenda kumwedzi kwemazuva mashoma (kurema kwakanyanya kana kusinganzwisisi nguva nguva)
- mid-cycle kutarisa
- kusina kumwedzi kwemazuva
- post-menopausal kubuda ropa
- kurwadziwa kwepisvo kana kupikisa
- pamberi peVIV treatment (kuratidza kuti hakuna hutachiwana hwehutachiona hunogona kupindira nekembryo)
A sonohysterogram anotarisa uye anogona kuona:
- uterine chimiro uye congenital uterine kusagadzikana (kufanana newe uterine septum, iyo iyo iyo miviri inoparadzanisa uterus)
- mapepa (kwete-kenza kukura) pachivako cheu uterine
- fibroids (zvikurukuru kana iri kufuratira mukati mehutachi uterine)
- uterine adhesions (scar tissue)
- kusagadzikana kwekupedzisira kwemakemikisi ekukura (iyo inogona kana kuti isingave ine kenza)
- Ihwo huwandu hwakawanda kana hutete hwehutanda hwusine uye endometrium
Sonohysterography Inofanirwa Sei Neimwe Mimwe Uterine Yokubereka Nayo?
Sonohysterography imwe yezvidzidzo zvishomanana zvinogona kushandiswa kuongororodza mawere, uterine cavity, uye endometrium.
Mimwe miedzo inosanganisira:
- HSG (iyo inonzi X-ray yakajeka)
- hysteroscopy (iyo inosanganisira kuisa kamera yakaonda-mutsvuku mumuromo wechibereko kuti uonekwe mukati memukuchi)
- transvaginal ultrasound (ultrasound pasina saline solution)
- laparoscopy (iyo inobata chirwere chisingaiti, inoda kuti endometriosis inorwara )
Iwe unogona kunge uchishamisika kuti nei pane mimwe miedzo yakasiyana-siyana kuongorora chinhu chimwe chete. Mhinduro ndeyokuti muedzo wega wega unobatsira uye hukuvadza. Zvichienderana nechinokonzera matambudziko ako ekubereka, rimwe dambudziko rinogona kunge riri nani pakuona nyaya kupfuura imwe. Mune zvimwe zviitiko, kufanana ne hysteroscopy kana laparoscopy, muedzo unogona kushandiswawo pakushandisa kurapwa.
Sonohysterography, HSG, uye Mock Embryo Kudhinda
Vamwe vanachiremba vanosarudza sonohysterography pamusoro peHSG. HSG inoda kushandiswa kwe-X-ray. Kunyange zvazvo mazhenjeti emhepo ari akaderera zvikuru, sonohysterography inorega kuisa pachena nhengo dzako dzekuberekera kune chero marwadzo.
Vamwe vanachiremba vanogona kuraira mwanaohysterography panguva imwechete seHSG. Kutsvakurudza kwakawana kuti kusanganiswa kweongororo kunogona kunge kuri nani pakucherechedza zvimwe zvinetso zvekuberekwa kweutterine.
Kubatsira kwekuva neHSG ne sonohysterogram panguva imwe chete iyo catheter inofanira kuiswa kamwe chete. (Miviri miviri inosanganisira kupinza mvura mukati memakateti anowanikwa mumuviri wechibereko.) Izvi zvinogona kureva kusuruvara nekuzvidya mwoyo kwako.
Sezvaunogara uchiita, unofanirwa kukurukura nachiremba wako njodzi uye zvingave zvikomborero zvekuedza chero kupi zvako kana kurapwa.
Kana iwe uchida kurapwa naVIV, chiremba wako anogona kuronga sonohysterography uye panguva imwechete sechinhu chinonyadzisa chekudzoka kwembryo (MET / SHG).
Ko Sonohysterogram Inokuvadza Here?
Ichi ndicho chiitiko chinotinetsa uye mubvunzo kune vakadzi vakawanda, uye zvinonzwisisika saizvozvo. A sonohysterogram haafaniri kukuvadza.
Paunenge uchinzwa kusagadzikana (mutauro iwoyo iwe unogona kuva nawo panguva yep pap smear), uye zvishoma zvishoma kupwanya pavanotanga sarine solution, vazhinji vanorondedzera pasina kurwadziwa zvachose. Zvisinei, marwadzo anosiyana kubva kumukadzi kusvika kumukadzi.
Zvinhu zvinogona kuchinja kana kuedzwa kwacho kusinganzwisisiki kwauri kunosanganisira:
- Kuzvidya mwoyo (Kana iwe uchiwedzera, iwe unogona kunge uchinetseka.) Yeuka kufema!)
- chirongwa chechiremba
- kana pane zviputi kana uterine zvinetso (Kana mvura isingagoni kubuda kubva kune fallopian tubes sezvinofanira, izvi zvinogona kurwadza)
- kunetseka kuisa catheter (kana chivharox chako chiri chiduku kana chibereko chako chisingawanzogadziriswa)
- kana uchinzwa marwadzo panguva yekuongorora kwemazuva ose (kana pap smear yakaoma kwazvo kwauri, izvi zvingave zvakaomawo)
Kana iwe uine hanya nezvekutambudzika, taura nachiremba wako usati waedzwa.
Zvakasikwa kutsvaga Internet kune zvimwe zviitiko zvevakadzi. Ramba uchifunga mupfungwa dzako paunenge uchiverenga zvikwata zvekubereka izvo vakadzi vane nyaya dzinorwadza dzinowedzera kutaura nezvezviitiko zvavo pane avo vasina marwadzo kana kushungurudzika. Uyewo, pane dzimwe nguva, vakadzi vari mumisasa iyi vanovhiringidza miedzo yakasiyana.
Kana iwe uchinetseka nemarwadzo munguva yepabonde , kurwadziwa mukati megore rekuongorora chechikadzi, kana kuti vaginismus, taura nachiremba wako pamusoro pekuwana zvinopfuura kungopfuura-----kunorwa kurwadziwa kwekunzwa kwekuongorora.
Chiremba wako anogona kukwanisa kupa chimwe chinhu chakafanana neValium, chinogona kukubatsira kuti udzike uye udzikise kurwadziwa. Vakadzi vakawanda havadi kuve nekurwadziwa kwakanyanya.
Vakadzi vazhinji vanorondedzera kuti sonohysterography ndiyo inoshungurudza kuedza kubereka kweiyo. Vamwe vakadzi vanorondedzera vasinganzwi chinhu kunze kwekuiswa kwe speculum!
Nzira Yokugadzirira Sei Muedzo?
Sezvo nguva dzose, taura nachiremba wako pamusoro pezvaunofanira kuita musati waedzwa.
Uyu muedzo unofanirwa kuitwa mushure mokunge nguva yako yapera asi usati wasveta . Izvi ndezvekudzivisa kushaya njodzi kuedza mukudzivirira pamuviri.
Iwe unogona kutora hofisi yechiremba apo nguva yako inotanga, saka vanogona kuronga sonohysterogram zvakakodzera.
Kana iwe usingakwanisi kuwana nguva yako, chiremba wako anogona kupa Provera kana imwe mishonga inounza pakuenda kumwedzi.
Iwe unogona kubvunzwa kutora antibiotics prophylactically. Izvi zvinowanzoitika kana iwe uri pangozi yakawanda yekutapukirwa. Vanachiremba vazhinji vanokurudzira kutora marwadzo anopfuura-the-counter anenge maminitsi makumi matatu pamberi pekuedzwa kwakarongwa.
Kazhinji, 400 mg ye ibuprofen inoratidzwa. Kana iwe usingagoni kutora ibuprofen, taura nachiremba wako pamusoro pezvaunogona kuita.
Zvaungatarisira Panguva yeConohysterogram Procedure
Kutanga, iwe uchakumbirwa kushandisa imba yekugara, kana iwe usina kuita zvakadaro. Kusiyana nedzimwe mhando dzezvesa, iwe unofanirwa kuva nechidzitiro chisina chinhu nekuda kwemuedzo.
Muimba yekuongorora, iwe uchabvisa zvipfeko zvako kubva muchiuno pasi. Iwe unogona kupiwa hanzu kana pepa kuti uise pamakumbo ako. Iwe uchavata pamusana wako patafura yekuongorora. Kana pane mhirizhonga, iwe uchaisa tsoka dzako mukati mazvo uye unofamba mberi kusvika kumucheto wetafura. Kana pasina mhirizhonga, iwe uchakumbirwa kukotamisa makumbo pamabvi, uchiisa tsoka dzako patafura, mune rumwe rudzi rwegorosi gumbo. (Usanetseka, mukoti kana nyanzvi achakubatsira.)
Zvingangodaro (asi kwete nguva dzose), chiremba kana chiremba achaita nguva dzose transvaginal ultrasound.
Iyo transvaginal ultrasound wand (kana mutengesi) ichave nekondomu yakaiswa pamusoro payo uye mamwe magetsi. Vanogona kuisa zvinyoro zvinyorwa zvese kana kukupa iwe wandakakukumbira uye kukukumbira kuti uise iyo yose sezvaunenge uchienda.
Mushure mekunge iwe ugoendesa transducer kune technician, ivo vanozofambisa vanotenderera kuti vawane mifananidzo ye ultrasound. Izvi zvisinganzwisisiki asi hazvifaniri kunge zvichitambudza. Mushure meizvi, transducer inobviswa.
Zvadaro, chiremba achatora speculum (kazhinji simbi kana purasitiki iyo inoshandiswa munguva yekuongorora gynecological) uye inoiisa mumudzimai wako. Chiremba wako achashandisa swab cotton kuti aise mishonga yechipical area. Izvi zvinogona kunzwa zvakanyanya sep pap smear.
Zvadaro, chiremba wako achatora ip-thin plastiki tube (catheter) oiisa muchivako chako chemuviri. Unogona kunge uine zvishoma zvishoma kana iwe unganzwa zvachose. Iye zvino, chiremba wako achaisa bhoti duku duku pedyo necatheter uye uizadze nemhepo kana mvura. Iyi ibhota inobata catheter panzvimbo.
Chiremba wako achabvisa speculum. Mukadzi wacho angabva aisa shanduko ye-transvaginal ultrasound kwauri kuti uise mumudzimai wako kana kuisa iyo pachayo.
Kunyange zvazvo transvaginal ultrasound wand iripo, chiremba wako achadyisa saline solution kuburikidza ne catheter. Iro solution ye saline ichapinda mumuviri wako uye kuburikidza ne fallopian tubes. Iwe unganzwa uchinetseka kana kusanzwa chero zvachose.
Mifananidzo yaSysound inotorwa semvura inoyerera ichienda mukati mehutachi uterine uye fallopian tubes.
Chiremba wako angadawo kutora dzimwe mifananidzo-inenge yemazamu ultrasound. Muchiitiko ichi, gel rinoshandiswa pamimba yako uye transducer yakasiyana yakagadzirwa ichaendeswa pamusoro pejeri. Chiremba wako anogona kukurira pasi nekudzvinyirira kuderera pamusoro pamuviri wako.
Kana iwe uine sonosalpingography (iyo inotarisa fallopian tubes), iyo shoma shoma yemhepo inogona kuiswa kuburikidza ne catheter. Izvi ndezvokuumba mabhuruu anokwanisa kuonekwa pamushonga we ultrasound.
(Muongorori anotarisira kuona mabhudzi achifamba nepakati pemabhupipian tubes.)
Mushure mekunge chiremba wako awana mifananidzo yose yavanoda, iyo yakasununguka ichabviswa, catheter uye ibhoti zvabviswa, uye wapedza. Apo iwe ugere kana kumira, tarisira kunzwa mamwe emvura yakasvibirira.
Kubvira pakutanga kusvika pakupedzisira, muedzo haufaniri kutora maminitsi gumi nemashanu.
Ngozi dzeSonohysterogram
Sonohysterography is test test fertility test. Kune ngozi yakawanda kwazvo yehutachiona. Hazviwanzoiti, zvichiitika zvishoma pane 1 muzana yenguva.
Muedzo wacho haufaniri kuitwa kana uri nepamuviri. Kana iwe uchifunga iwe ungave uri, udza chiremba wako. Izvo hazvifanirwo kuitwa kana iwe uine chibembe chakashata kana chikadzi.
Sonohysterogram Cost
A sonohysterogram inowanzobhadhara pakati pe $ 500 ne $ 700. Kana chiyero ichibatanidzwa nedzimwe nzira, mari ichave yakawanda. Inishuwarenzi yako inogona kana kuti inogona kuvhara muedzo. Icho chikamu chinoenderana nei chiitiko ichi chiri kuitwa.
Semuenzaniso, kana zviri zvemazuva mashoma ekubuda ropa, inshuwarisi yako inogona kuifukidza. Kana ikaitwa mukugadzirira kurapa kweVIV, haigone kuvharwa.
Iva nechokwadi chekutaura nemudzidzisi wezvemari pane kliniki yako yekuberekera uye yako inshuwarisi muperemu musati waedzwa.
Maitiro Aunonzwa Nekutevera Nzira
Kufunga kuti iwe chete wakanga uine sonohysterogram uye hapana imwe nzira, iwe unofanirwa kudzokera shure kunoshanda mushure mekuedzwa. Kana iwe wakanga uine kuongorora mangwanani, iwe unogona kutangazve mabasa ako ezuva nezuva masikati.
Iwe unogona kunzwa uine unyoro hwakanyanya kupera zuva rekuedzwa. Chero chero mishonga inorwadza yaunotora kuti ugare mumwedzi yakagadzikana inofanira kuregeredza kunetseka kwako.
Iwe unogona kuzviwana uchibvarura sarine remhinduro kubva pakuongororwa kwemaawa 24 kusvika 48 anotevera. Iwe unogonawo kuva nechiedza chekuona. Iva nechokwadi chokuti unounza mamwe mapepa emwedzi kuti upinde. Usashandisa matamponi kana chero chinhu chipi zvacho chaunoisa mukati memudzimai wako. Izvi ndeyekudzivisa kuwedzera mukana wehutachiona.
Kana iwe uine sonohysterogram pamwe chete nedzimwe nzira, hupenyu hwako hunogona kunge hwakasiyana. Taura nechiremba wako pamusoro pezvaunotarisira.I
Mushure mokuedzwa
Iwe haufaniri kuita zvepabonde kwemazuva maviri kana matatu achitevera nzira. Izvi ndeyekudzivirira zvirwere.
Uyewo, taura nachiremba wako kana iwe unowona:
- fever
- kuwedzera kubuda ropa (kupfuura kungoerekana kuisa chiedza)
- kuponda kana kurwadziwa kunoramba kuchipfuura zuva rokutanga
- kamwe-kamwe kurwadziwa kwakanyanya zuva rekuedzwa
- chero chinhu chinoshungurudza kwauri
Zvinoguma Zvave Zvichitaura uye Chii Chinogona Kuitika Chiitiko
Chiremba kana nyanzvi anoita sonohysterogram angave kana asingagoni kukuudza mhinduro. Iwe unofanirwa kuronga kuitevera nechiremba wako nguva pfupi mushure mokunge uongororwa.
Kana kuedzwa kwaiva kwakakodzera, chiremba wako anogona:
- kuronga kuwedzera kuongororwa
- anouya neurongwa hwekurapa, nekushandisa ruzivo rwakawanikwa kubva pakuongorora kwako kwose kwekubereka
- bvumidzai kuuya kwako IVF (dai iyi yaiva chikamu chekugadzirira IVF)
Kana mwanakomanaohysterogram akawana kusakosha, danho rinotevera rinotsigira pane izvo chiremba akawana uye chinangwa chako pakuedza.
Kana mapepa kana fibroids zvawanikwa, chiremba wako achakurukura newe maitiro uye zvinetso zvekubvisa. (Angangodaro haafaniri kubviswa.) Mapepa anokwanisa kubviswa kuburikidza nekuvhiya hutachiona. Izvi zvinowanikwa pasi peanesthesia.
Zvidhinha zviduku zvinogona kubviswa pamwe nekuvhiyiwa hysteroscopy zvakare. Zvisinei, zvikuru zvinogona kudiwa laparoscopy (kunze kwekuita chirongwa) kana kunyange pamimba myomectomy (kuvhiyiwa kunoda kugara kweusiku kana maviri muchipatara.)
Uterine septum inogona kuongororwa ine sonohysterography. Uterine septum ndiyo apo mhuka dzisingafaniri kuvapo dzinoparadzanisa chibereko kubva pasi. Uku kupatsanurwa kungave kwakasarura kana kunogona kuenderera mberi kusvika kumubereki. Inogona kukonzera kusununguka nekudzokorora kurasikirwa nepamuviri. Iyi inetso isingawaniki yepenital (iwe unoberekwa nayo), asi inogona kugadziriswa nekuvhiyiwa, kazhinji kacho chirwere chinoputika.
Mushure mekurapwa, iwe unogona kutora pamuviri iwe pachako kana iwe uchiri kungoda kurapa . Ichi ndicho chinhu chaunofanira kutaurirana nachiremba wako.
Sources
Berridge DL, Winter TC. Saline Infusion Sonohysterography: Tsika, Zviratidzo, uye Kufungidzira Zviwanikwa. J Ultrasound Med . 2004; 23: 97-112.
Lindheim SR1, Kushamwaridzana C, Winter TC 3rd. Hysterosalpingography uye Sonohysterography: Zvidzidzo muTsika. AJR Am J Roentgenol . 2006; 186 (1): 24-9.
Saline infusion sonohysterogram (SHG). Chokwadi Sheet. American Society for Reproductive Medicine. ReproductiveFacts.org.
Sonohysterography. FAQ. IAmerican College yezvipfeko uye Gynecologists.