Ib qho ntawm cov xwm txheej tsim nyog rau kev xeeb tub yog qhov qub patency ntawm cov hlab ntsha fallopian (lossis fallopian) hauv cov poj niam. Tom qab tag nrho, nws yog los ntawm cov channel uas cov qe fertilized nkag mus rau hauv lub tsev menyuam. Yog hais tias lub patency yog impaired, ces tus poj niam yog kuaj pom muaj infertility. Nyob rau hauv cov ntaub ntawv ntawm ib feem ntawm kev cuam tshuam, ib qho kev hem thawj rau lub neej yuav tshwm sim - ectopic cev xeeb tub. Txhawm rau tiv thaiv tus poj niam los ntawm cov teeb meem zoo li no thiab ntsuas nws txoj hauv kev xeeb tub, tus kws kho mob tau sau ib qho ultrasound ntawm patency ntawm cov hlab ntsha fallopian.
Survey summary
Txhawm rau ntsuas qhov patency ntawm cov hlab ntsha hauv lub cev, tus neeg mob raug xa mus rau ultrasound ntawm patency ntawm cov hlab ntsha fallopian, lossis, hauv cov lus ntawm kws kho mob, hysterosalpingoscopy (HSG). Qhov no yog ib qho kev tshawb nrhiav tshwj xeeb, uas, nrog kev pab los ntawm kev txhaj tshuaj sib txawv,tso cai rau koj los tshawb txog cov poj niam qhov chaw mos.
Hmoov tsis zoo, cov pa ultrasound tsis tuaj yeem muab cov ntaub ntawv hais txog tubal patency. Tias yog vim li cas cov kws kho mob siv cov txheej txheem tshwj xeeb uas kuaj pom cov kab mob tsis zoo.
Ultrasound (HSG) ntawm cov hlab ntsha tuaj yeem ua tau ob txoj hauv kev:
- transvaginally (insertion into the vagina);
- thaum siv sab nraum zoov sensor.
txoj kev xeem no muaj kev nyab xeeb thiab ua tau zoo heev.
Indications rau kev tshawb fawb
Txhua yam cim ceeb toom, qhov mob tsis txaus ntseeg hauv plab plab, qhov tsos ntawm kev sib txawv ntawm lub voj voog yog qhov laj thawj loj uas yuav tsum mus ntsib kws kho mob gynecologist rau kev sab laj. Yog tias tsim nyog, tus kws kho mob yuav sau ntawv rau tus poj niam ua ultrasound ntawm cov hlab ntsha hauv plab rau patency. Txawm li cas los xij, tus kws kho mob hais txog qhov kev xa mus tom qab kuaj gynecological.
Ultrasound (HSG) ntawm cov hlab ntsha fallopian raug pom zoo rau cov poj niam uas muaj cov kab mob hauv qab no:
- cuam tshuam kev coj khaub ncaws (tsis xwm yeem lossis tsis muaj sijhawm);
- kev muaj menyuam;
- kev sib deev dhau los;
- mob tsis xis nyob hauv plab plab;
- mob khaub thuas appendages.
Nyob rau hauv cov xwm txheej zoo li no, kev kuaj mob yuav raug sau tseg tom qab kev kho mob. Qhov no tso cai rau koj los txiav txim siab qhov ua tau zoo ntawm kev kho mob thiab tshuaj xyuas tus poj niam tus mob. Ultrasound ntawm lub patency ntawm cov hlab ntsha fallopian tuaj yeem ua tau ntau zaus. Tom qab tag nrho, xws li kev kawm tsis mob thiab tsis ua mob rau tus poj niamnoj qab haus huv.
Hnub Kawg
Txhawm rau kom tau txais daim duab kho mob zoo tshaj plaws, koj yuav tsum xaiv hnub kom raug. Qhov no tseem ceeb heev thaum ua ultrasound. Gynecology (uas hnub suav hais tias yog qhov tsim nyog tshaj plaws, peb yuav piav qhia hauv qab no) yog ib ceg tshwj xeeb ntawm cov tshuaj uas yuav tsum muaj lub luag haujlwm ntawm tus kws kho mob, vim tias kev noj qab haus huv tsis yog rau tus poj niam xwb, tab sis kuj yog nws cov xeeb ntxwv yav tom ntej nyob ntawm nws qhov kev ua.
Cov kws kho mob pom zoo ua txoj kev tshawb fawb los ntawm cov ntsiab lus hauv qab no:
- Lub sijhawm txij hnub 6 ntawm lub voj voog mus rau 21st.
- Qee gynecologists qhia kom ua ultrasound ua ntej ovulation, txij hnub tim 7 mus rau 12th ntawm lub voj voog.
Vim li cas cov ntsiab lus no suav tias yog qhov zoo tshaj plaws? Cov kws kho mob hais tias thaum lub sij hawm no lub ncauj tsev menyuam tau nthuav dav tshaj plaws. Lub endometrium tom qab kev coj khaub ncaws yog yam ntxwv los ntawm qhov tsawg kawg nkaus thickness. Cov yam ntxwv no tso cai rau koj ua qhov kev kawm kom raug raws li qhov ua tau.
Npaj rau kev kawm
Ultrasound ntawm cov hlab ntsha fallopian rau patency yog lub caij nyoog zoo los kuaj pom cov kab mob nyob rau theem pib, pib kho kom tsim nyog raws sijhawm thiab tshem tawm tag nrho cov kab mob.
Txawm li cas los xij, txhawm rau txhawm rau kuaj tus poj niam tus mob kom raug, nws tsis yog tsuas yog xaiv lub sijhawm tsim nyog rau tus txheej txheem. Nws yog ib qho tseem ceeb sib npaug los npaj kom raug rau txoj kev kawm. Tus kws kho mob gynecologist yuav qhia meej txog txhua qhov kev ntsuas tsim nyog.
Lub sijhawm ntsuas ua ntej feem ntau suav nrog:Txheej xwm:
- Hla ib smear ntawm microflora ntawm qhov chaw mos. Qhov kev tshuaj ntsuam no siv tau rau 21-45 hnub. Nco ntsoov xyuas nrog koj tus kws kho mob txog hnub tas sij hawm ntawm smear.
- Kev kuaj ntshav rau cov ntsuas hauv qab no: F-50 (rau HIV), RW (rau syphilis), kab mob siab B, C. Cov txiaj ntsig ntawm cov kev tshawb fawb no suav tias siv tau rau 6 lub hlis.
- Ua raws li kev noj zaub mov tshwj xeeb 3 hnub ua ntej kev xeem. Thaum lub sij hawm qhov kev tshwm sim, nws yog ib qhov tsim nyog los tshem tawm cov muaj gases nyob rau hauv cov hnyuv. Yog li ntawd, nws yog ib qho tseem ceeb kom ua raws li kev noj haus rau 3 hnub txhawm rau txo qis fermentation hauv plab hnyuv. Muab cov hmoov nplej, qab zib, qaub mis nyuj. Tsis txhob noj zaub, txiv hmab txiv ntoo, dej haus carbonated, legumes.
- Ua kom koj qhov chaw mos huv si. Ib lub lim tiam ua ntej ultrasound, nws raug nquahu kom tsis txhob siv tshuaj tua kab mob, tshuaj suppositories, ntsiav tshuaj. Tsis txhob douching.
- Noj tshuaj antispasmodic. 20 feeb ua ntej pib txheej txheem, tus neeg mob yuav raug qhia kom siv tshuaj antispasmodic (Spazmalgon, No-Shpa). Xws li cov tshuaj yuav muab kev so ntawm cov nqaij ntshiv thiab tiv thaiv reflex contractions ntawm lub tsev menyuam. Qee zaum cov tshuaj no tau txhaj rau hauv tus poj niam ua ntej tus txheej txheem.
Surveying
Cov txheej txheem muaj ob peb kauj ruam:
- Kev kuaj mob ntawm cov hlab ntsha hauv plab pib nrog kev soj ntsuam ua ntej ultrasound ntawm lub xeev ntawm cov plab hnyuv siab raum. Txoj kev tshawb no yog ua los txhawm rau tshem tawm tus poj niam cev xeeb tub thiab muaj qhov mob.
- Tus neeg mob zaum xis nyob hauv lub rooj zaum gynecological. Siv tau pov tseglub catheter yog ntxig intravaginally rau hauv lub ncauj tsev menyuam. Los ntawm nws, tus neeg sawv cev sib txawv nkag mus rau hauv lub cev kab noj hniav, preheated rau qhov kub siab (37 degrees). Cov tshuaj ua rau lub tsev menyuam thiab taug kev mus rau cov hlab ntsha fallopian. Qhov nruab nrab qhov sib piv yog ces tsiv mus rau hauv lub plab kab noj hniav.
- Nws yog nyob rau theem thib peb uas qhov kev tshuaj ntsuam rau patency ntawm cov kav dej pib. Cov kua dej dawb hauv cheeb tsam hauv lub pelvis qhia tau hais tias txaus siab rau patency. Qhov phem tshaj yog tias cov tshuaj tsis nkag mus rau hauv peritoneum. Cov kua dej uas tsis tau tso cov kev txwv ntawm cov kav dej kom meej meej qhia txog kev cuam tshuam ntawm cov channel. Txoj kev tshawb no tseem tso cai rau koj los txiav txim siab tus nqi ua ntej ntawm tus neeg sawv cev sib txawv los ntawm cov ducts.
Ultrasound nrog kev siv tus neeg sawv cev sib txawv ua rau nws tuaj yeem ntsuas qhov mob ntawm lub tsev menyuam thiab nws cov qauv:
- qhov zoo li thiab contour ntawm lub cev;
- muaj polyps thiab myoma formations;
- nyem thiab tuab ntawm endometrium;
- txhim kho lub cev thiab pathology hauv nws cov qauv.
Kev kawm ncua sij hawm nruab nrab 25-30 feeb.
Survey results
Thaum tus txheej txheem, ib lub sensor tshwj xeeb sau cov kua dej hauv peritoneum. Tus kws kho mob pib kuaj nrog lub tsev menyuam. Tom qab ntawd txiav txim siab qhov xwm txheej ntawm cov hlab ntsha fallopian. Tom qab ntawd, yog tias tsim nyog, ua kom tiav qhov kev ntsuam xyuas nrog kev kawm ntawm zes qe menyuam.
Ultrasound ntawm patency ntawm cov hlab ntsha fallopian qhia:
- congenital anomalies;
- fibroids, polyps, endometriosis, fibromas;
- cov txheej txheem nplaum (tib lub sijhawm nws qhia meej meejlocalization ntawm pathology);
- pipe contours;
- qhov chaw ntawm cov kwj dej uterine.
Contraindications rau kev sim
Ultrasound rau lub patency ntawm cov hlab ntsha fallopian yog ib txoj kev yooj yim heev. Nws tsis hais txog kev cuam tshuam kev cuam tshuam thiab tsis xav tau kev npaj nyuaj rau kev siv. Tab sis txawm tias qhov kev ntsuam xyuas yooj yim no muaj ntau yam contraindications.
Ultrasound txwv nruj:
- rau uterine los ntshav;
- kab mob gynecological tshwm sim hauv daim ntawv mob hnyav lossis mob ntev;
- kev ua txhaum ntawm microflora ntawm qhov chaw mos;
- kab mob pelvic inflammatory;
- xeeb tub;
- qog nqaij hlav (benign, malignant) localized hauv lub plab;
- kab mob pathologies thaum lub sijhawm exacerbation.
Tubal patency test: kev tshawb fawb nqi
Qhov kev xeem no raug nqi pes tsawg tus poj niam? Tau kawg, nyob ntawm qhov chaw kho mob xaiv, tus nqi ntawm ultrasound rau lub patency ntawm cov hlab ntsha fallopian kuj yuav txawv. Tus nqi nruab nrab ntawm cov txheej txheem yog 5395 rubles.
Kev Tshawb Fawb Cov txiaj ntsig
HSG muaj ntau qhov zoo dua lwm txoj kev kuaj mob rau cov hlab ntsha hauv plab patency.
Cov txiaj ntsig tseem ceeb ntawm ultrasound yog:
- Cov txheej txheem tsis tas yuav mus pw hauv tsev kho mob.
- Cov kua tshuaj txhaj cais cov chaw sib txuas, ntxuav tawm cov khoom siv.
- Nyob rau hauv txoj kev tshawb no, muaj ntau yam pathologies ntawm lub tsev menyuam raug kuaj raws txoj kev.
- Txiv qe.
- Tus neeg mob tsis tas yuav tshuaj loog.
- Kev kawm tau ua tiav sai sai, thiab cov txiaj ntsig tau pom tam sim.
- Tsis xav tau kev tso pa tawm.
Pom cov tsos mob ceeb toom thawj zaug, tsis txhob tso tseg mus ntsib kws kho mob gynecologist. Nco ntsoov nrhiav kev pab los ntawm cov kws tshaj lij tshwj xeeb uas, yog tias tsim nyog, yuav pom zoo rau koj kom ua tau zoo thiab nyab xeeb ultrasound.
