Okuqukethwe
Amashubhu e-fallopian ngaphansi kwengilazi ekhulisayo
Amashubhu alimele noma avimbekile angabangela ukungazali. Lezi zinto ezingavamile zivamile futhi zimelela u-50% wezinkomba zokuvundiswa kwe-in vitro.
Ukuvundisa: indima ebalulekile yamashubhu e-fallopian
Isikhumbuzo esincane: amashubhu anendima ebalulekile ekuvundiseni. Uma ikhishwe yi-ovary (ngesikhathi sokuvuthwa), iqanda lizohlala ku-pinna ye-tube. Ihlanganiswe nesidoda. Uma omunye wabo ephumelela ukungena kuwo, khona-ke kukhona ukuvundiswa. Kodwa ukuze lo mshini usebenze, kufanele kube okungenani i-ovary eyodwa "esebenzayo" kanye ne-proboscis. Uma lezi zitho ezimbili zivinjelwe, ukuvundiswa kwemvelo - ngakho-ke ukukhulelwa - akunakwenzeka.Futhi, uma elinye lamashubhu lingavinjelwanga ngokuphelele, kunengozi yokukhulelwa kwe-ectopic ngoba iqanda lingase libe nobunzima bokuhamba ukusuka ku-tube ukuya emgodini wesibeletho. .
Ukungajwayelekile kwe-Tubal: izimbangela zokuvinjwa kwamashubhu e-fallopian
Amashubhu kwesinye isikhathi aphazanyiswa izenzakalo zokunamathela ezivimbela ukudlula kweqanda, isidoda kanye nombungu. Lokhu okungavamile, okungabangela ukungazali, kungaba nemvelaphi emithathu:
- Kuyathathelana
Bese sikhuluma i-salpingitis noma ukuvuvukala kwamashubhu. Kuvame ukuxhunyaniswa nezifo ezithathelwana ngocansi, ikakhulukazi ezidluliselwa yi-microbe i-chlamydia. Lokhu kutheleleka kungabangela noma ukwakhiwa kwezicubu ezizungeze amashubhu okuthi bese kuthi ngomshini kuvimbe inkululeko yokudlula phakathi kwe-ovary neshubhu, noma ukuvinjwa kweshubhu ezingeni lokuphela kwalo. Ukukhishwa kwe-uterine curettage (okulandela ukuphuphunyelwa kwesisu) noma ukufaka i-IUD engafanele nakho kungabangela izifo.
- Ngemuva kokuhlinzwa
Kulokhu, izinkinga ze-tubal ngenxa yezinkinga zangemva kokuhlinzwa. Ukungenelela okuningi, nokho kuncane, kungalimaza amashubhu : i-appendectomy, ukuhlinzwa kwabesifazane kuma-ovari noma ukuhlinzwa kwe-uterine fibroid.
- i-endometriosis
Lesi sifo esivamile se-gynecological, esizibonakalisa ngokuba khona kwezingcezu ezincane ze-endometrium (izingcezu zolwelwesi lwesibeletho) kumashubhu nama-ovari, noma nakwezinye izitho zomzimba, zingalimaza ikhwalithi yamashubhu, noma ngisho zivimbele. bona.
Wazi kanjani ukuthi amashubhu avaliwe?
Kunoma yikuphi ukuhlolwa kokungazali, sibheka isimo samashubhu. Uma ukuhlolwa okuyisisekelo sekwenziwe (ijika lokushisa, izilinganiso zamahomoni, ukuhlolwa kukaHünher), udokotela uzonikeza amadlinga ou i-hysteroscopy. Lokhu kuhlolwa, okwaziwa ukuthi kubuhlungu, kwenza kube nokwenzeka ukuhlola i-patency yamashubhu.
- I-Hysterosalpingography: kwenzeka kanjani?
Udokotela wezifo zabesifazane wethula i-cannula encane emlonyeni wesibeletho lapho ejova khona uketshezi olukhanyayo kuma-X ray. Izithombe ezinhlanu noma eziyisithupha zithathwa ukuze kubonakale ngeso lengqondo imbobo yesibeletho, amashubhu kanye nokudlula komkhiqizo ngawo.
Uma, ngemuva kwe-hysterosalpingography, kunokungabaza ngesimo samashubhu noma uma odokotela besola ukuthi une-endometriosis, bangase basikisele ukuthi une-endometriosis i-laparoscopy. Lokhu kuhlolwa kudinga i-anesthesia jikelele. Udokotela ohlinzayo wenza imbobo encane enkabeni bese efaka i-laparoscope. Le "tube", ifakwe uhlelo lwe-optical, ivumelahlola i-tubal patency, kodwa futhi ukuhlola isimo sama-ovari nesibeletho. Phakathi nalokhu kusebenza, udokotela ohlinzayo angase azame vula amashubhu.