I-Hysterosalpingography: konke odinga ukukwazi mayelana nalokhu kuhlolwa

THEamadlinga, uvame ukubizwa i-hysterography, ukuhlolwa kwe-X-ray kwamashubhu e-fallopian (“salphingo"Isimo esihlobene namashubhu) kanye nesibeletho (isiqalo"uhlanya"Kubhekiselwa kuyo). I-hysterosalpingography, noma i-hysterography, ngakho-ke i-x-ray yamashubhu nesibeletho.

Ngokuqondile, lokhu kuhlola kwenza kube nokwenzeka ukubona ngeso lengqondo isibeletho kanye namashubhu e-fallopian ngenxa yokujova umkhiqizo wokugqama nge-probe, ngomzila wesitho sangasese sowesifazane.

Kungani futhi nini kufanele ube ne-hysterosalpingogram?

I-Hysterography isetshenziswa ngendlela ehlelekile kubabhangqwana lapho kutholwe khona ukuzala, noma okungenani kumbhangqwana osenesikhathi eside uzama ukuba nomntwana.

Lokhu kuhlolwa kwe-radiological kuyingxenye ebalulekile yokuhlolwa kokungazali kombhangqwana, ngemva kokuhlolwa okuvamile okufana nokuthatha izinga lokushisa, i-spermogram, ukuhlolwa kwamahomoni, njll. Ihlose qiniseka ukuthi amashubhu e-fallopian awavalekile, ngoba lokhu kungavimbela ukuvundiswa, kodwa futhi ukuthi isibeletho asiqukethe lutho olungavimbela noma luvimbele ukufakwa kweqanda elivundisiwe.

Qaphela ukuthi kodwa kungenzeka ukuqaphela i-patency ye-fallopian tubes ngqo nge-a i-laparoscopy, noma i-laparoscopy, ukuhlinzwa "i-mini-invasive"Imvamisa kwenziwa ezimeni ze-endometriosis.

Ngakolunye uhlangothi, i-hysterography ayilusizo uma ukuzala kungokwemvelaphi yowesilisa futhi kudinga ukuvundiswa kwe-in vitro nge-Intracytoplasmic Sperm Injection (ICSI). Ngoba kule nqubo, i-oocyte ithathwa kowesifazane ngokubhobozwa, khona-ke umbungu (owenziwe elabhorethri) ubuyiselwa esibelethweni, "odlula" amashubhu. Isimo sabo bese singenamsebenzi.

Amashubhu avinjiwe, i-endometriosis… Yini engavezwa i-hysterosalpingography?

Esimweni esihle kakhulu, i-hysterography ayivezi noma yikuphi ukungavamile, noma ezingeni lesibeletho, noma ezingeni lamashubhu. Yini eqinisekisa abashadikazi ngamathuba abo okukhulelwa.

Kwezinye izimo, i-hysterosalpingography ingavumelachaza ukuphuphunyelwa yizisu okuphindaphindiwe, imvelaphi yokopha okungachazwanga kwesibeletho (metrorrhagia), nokugqamisa a ukukhubazeka kwesibeletho (i-bicornuate uterus isibonelo, noma i-septate), ukuba khona kweama-fibroids noma ama-polyps, noma ukuvaleka kweshubhu elilodwa noma womabili. Khona-ke izixazululo zokunqoba lobu bunzima zinganikezwa abashadikazi ukuze kwandiswe amathuba abo okukhulelwa.

Ngaphambi noma ngemva kwe-ovulation: ngaluphi usuku lomjikelezo okufanele wenze lokhu kuhlolwa kwe-tubal?

I-hysterosalpingography, noma i-hysterography, kufanele yenziwe engxenyeni yokuqala ye- umjikelezo wokuya esikhathini, ngemva kokuya esikhathini nangaphambi kokuphuma kwamaqanda. Umgomo uwukuqedela lesi sibuyekezo lapho ulwelwesi lwesibeletho, noma i-endometrium, luncane kakhulu.

Ukuze ugweme noma iyiphi inkinga ethathelwanayo, udokotela ochazayo angase afune ukuqinisekisa ukungabikho kokutheleleka kwe-Chlamydia nesimo esihle somlomo wesibeletho, nge-smear. Ama-antibiotics ngezinye izikhathi anqunyelwe ukuvimbela ukugwema noma yikuphi ukutheleleka kwezitho zangasese ngenxa yokuhlolwa. Akuyona asikho isidingo sokuzila ukudla ukwenza i-hysterosalpingogram.

Ukukhulelwa noma ukungezwani komzimba: ukuthi ukwenza nini kuvinjiwe

Futhi, njengoba i-hysterography ingafaneleki nhlobo ukukhulelwa, umthamo we-hormone i-beta-HCG ungase unqunywe ukuze kuqinisekiswe ukuthi isiguli asikhulelwe.

Qaphela futhi ukuthi i- i-contrast medium esetshenziswayo iqukethe iodineNgakho-ke ukungezwani nemikhiqizo ye-iodine kuwukuphikisana ne-hysterosalpingography. Kodwa-ke, lokhu kuhlolwa kwe-radiological kusengenziwa kwabesifazane abangabekezeleli i-iodine ngenxa yokwelashwa kwangaphambili.

I-hysterosalpingography yenziwa kanjani?

Ukuhlolwa kwenzeka endaweni ye-gynecological, okungcono isinye singenalutho, ngaphansi komshini we-x-ray, njengalokhu umsakazo wesitsha. Udokotela wethula i-speculum esithweni sangasese sowesifazane, bese kuba i-probe emlonyeni wesibeletho, lapho umkhiqizo ohlukile ujovwa ngawo. Kancane kancane, isakazeka emgodini wesibeletho kanye namashubhu, ivumela ukubona ngeso lengqondo ukuqhubeka koketshezi ezithweni. Ibhaluni elincane liphefumulelwe ukuze kuvinjwe indlela ehlukile ukuthi ingaphindeli esithweni sangasese sowesifazane. Ama-X-ray amaningana athathwa ngesikhathi sokuhlolwa.

Kunconywa ukugqoka isivikelo esihlanzekile phakathi nosuku olulandela ukuhlolwa, njengoba izinsalela ze-agent ehlukile zingavuza. Uma kwenzeka ukulahlekelwa igazi noma ubuhlungu phakathi nezinsuku ezilandelayo, kunconywa ukubonisana ngokushesha, ngoba kungase kube ukutheleleka.

Ubuhlungu obungaba khona ngemva kwe-X-ray

Okokugcina, qaphela ukuthi i-hysterosalpingography inegama elibi ngoba ngezinye izikhathi kungabangela ubuhlungu obukhulu kakhulu noma obuncane kakhulu, ikakhulukazi ngesikhathi sokwethulwa kwe-probe noma lapho umkhiqizo uchitheka.

Lezi zinhlungu zincike, phakathi kokunye, ohlotsheni lokungazali isiguli kanye nolwazi lukadokotela lapho ehlola.

Intengo nembuyiselo: ibiza malini i-hysterosalpingogram?

Ukuhlolwa kubiza ngokwesilinganiso ngaphezu kwekhulu euro kodwa ibuyiselwe yi-Social Security uma ubize umnakekeli ofakwe esigabeni 1. Uma kungenjalo, izimali ezingaphezulu ngezinye izikhathi zingabhekwa yinkampani yakho yomshwalense ohlangene.

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