Kev txiav txim siab patency ntawm cov hlab ntsha fallopian yog ib txoj hauv kev tseem ceeb tshaj plaws los txheeb xyuas qhov ua rau poj niam muaj menyuam. Kev txheeb xyuas qhia tau tias nyob rau hauv 35% ntawm cov neeg mob tsis muaj peev xwm xeeb tub yog vim qhov ua rau tubal. Lub xub ntiag ntawm adhesions, fusions los yog lwm yam anomalies tiv thaiv lub fertilization ntawm lub qe los ntawm cov phev, ntxiv kev vam meej ntawm lub zygote mus rau hauv lub uterine kab noj hniav. Txhawm rau txheeb xyuas cov kab mob pathology, cov tshuaj niaj hnub muaj ntau yam kev kuaj mob. Ib qho ntawm cov no yog hydrotubation ntawm cov hlab ntsha fallopian.
daim ntawv pov thawj kho mob
Nyob rau hauv hydrotubation, nws yog ib txwm ua kom nkag siab txog cov txheej txheem kho mob thiab kuaj mob, qhov tseem ceeb ntawm qhov uas yog kev taw qhia cov kua dej tshwj xeeb rau hauv cov oviducts. Ua tsaug rau cov txheej txheem minimally invasive, nws muaj peev xwm txiav txim siab qib ntawm patency ntawm cov hlab ntsha fallopian, thiab, yog tias tsim nyog, tshem tawm cov kab mob uas twb muaj lawm hauv txoj kev maj mam.
Cov lus qhia rau cov tshuaj
Cov hlab ntsha fallopian ua lub luag haujlwm tseem ceeb hauv kev xeeb menyuam. Ib lub qe loj txav raws lawv ntawm zes qe menyuam mus rau lub tsev menyuam, txiv neej gametes txav mus tom ntej. Qhov no yog qhov uas cov txheej txheem pibfertilization. Yog tias qhov patency ntawm oviducts cuam tshuam, tus poj niam muaj teeb meem xeeb tub. Hauv qhov tshwj xeeb, lawv ua rau muaj menyuam tsis taus.
Fallopian tube blockage tuaj yeem tshwm sim rau ntau yam laj thawj. Txawm li cas los xij, feem ntau yog keeb kwm ntawm kev kis kab mob ntawm lub plab hauv plab, nquag rho menyuam, cuam tshuam hormonal.
Cov lus qhia rau tubal hydrotubation yog cov teeb meem kev noj qab haus huv hauv qab no:
- Ib nrab lossis ua tiav fusion ntawm cov kab noj hniav.
- Adhesion txheej txheem hauv appendages.
- Kev ntsuam xyuas ntawm tubal patency tom qab unilateral tubectomy.
- Lub sijhawm soj ntsuam ntawm oviduct tom qab phais.
Yog tias cov hlab ntsha ntawm cov hlab ntsha tau nqaim, hydrotubation puas pab tau? Cov lus teb yuav yog qhov zoo. Cov txheej txheem no muaj txiaj ntsig zoo, suav nrog hauv cov kab mob no.
Dab tsi yog contraindications?
Zoo li lwm yam kev kho mob, hydrotubation muaj qee qhov contraindications. Cov txheej txheem tsis pom zoo hauv cov xwm txheej hauv qab no:
- cov txheej txheem inflammatory hauv plab hnyuv;
- autoimmune pathologies;
- kab mob oncological;
- vaginal los ntshav;
- kab mob ntawm lub plawv.
Npaj theem
Kev cuam tshuam ntawm cov hlab ntsha fallopian tsis suav nrog qeb ntawm cov kab mob xwm txheej ceev. Yog li ntawd, ua ntej hydrotubation ntawm cov hlab ntsha fallopian, tus neeg mobua tib zoo npaj. Cov txheej txheem raug pom zoo kom ua txij hnub 7 mus rau 24 hnub ntawm kev coj khaub ncaws.
Ib ob peb hnub ua ntej hnub uas muaj kev cuam tshuam, tus poj niam yuav tsum tau kuaj ntshav thiab zis, kuaj gynecological smear. Yog tias tom kawg pom tias muaj kev ua txhaum ntawm microflora, kev kho mob tau sau tseg. Tsuas yog tom qab nws ua tiav tuaj yeem nqa hydrotubation. Cov txheej txheem tseem yuav raug tsis lees paub yog tias kev kuaj zis thiab ntshav qhia tias muaj cov txheej txheem inflammatory hauv lub cev.
Tam sim ntawd ua ntej pib txoj kev tshawb fawb, tus neeg mob yuav tsum ua kom tag nrho cov hnyuv thiab zais zis. Gynecologist yuav tsum qhia txog lwm yam kev txwv ntawm kev sab laj.
Progress
Hydrotubation ntawm cov hlab ntsha fallopian tsis tas yuav mus pw hauv tsev kho mob. Txhua qhov kev tswj hwm tau ua tiav hauv tsev kho mob.
Ua ntej, tus kws kho mob kho lub genitalia sab nraud ntawm tus poj niam uas muaj iodine lossis lwm yam tshuaj tua kab mob. Tom qab ntawd, los ntawm qhov chaw mos, nws txhaj tshuaj tshwj xeeb los ntawm lub koob txhaj tshuaj uas txuas nrog lub manometer. Qhov kawg tso cai rau koj los saib xyuas lub siab. Nws qhov kev ua tau zoo yuav tsum tsis pub tshaj 200 mm Hg. st.
Txhawm rau txheeb xyuas qhov patency ntawm cov hlab ntsha hauv plab, cov tshuaj ntsev yog txhaj. Hauv cov xwm txheej hnyav tshwj xeeb, tus neeg sawv cev sib txawv tau ntxiv. Lub patency ntawm cov kav dej tso cai rau koj los ntsuas qhov ntsuas qhov siab. Thaum tsis muaj kev cuam tshuam hauv txoj kev ntawm cov kua, lub siab ua ntej txo qis me ntsis, thiab tom qab ntawd tseem nyob rau tib theem. Nrog kev thaiv, qhov ntsuas no maj mam nce. Tsis tas li ntawd, tom qab tag nrho cov manipulations, saline yuav ntws tawm.
Kua muagnyob rau hauv lub plab mog, dissolves ntawm nws tus kheej. Tsis tas yuav tsum tau ua ntxiv los ntawm tus kws kho mob. Tom qab cov txheej txheem kuaj mob, tus neeg mob tau pom qee lub sijhawm ntxiv, tom qab ntawd lawv raug tso cai mus tsev.
Tubal obstruction tuaj yeem yog ib feem. Hauv qhov no, cov kua nkag mus rau hauv qhov chaw mos tom qab ob peb feeb lossis teev. Yog tias xav tias muaj cov txheej txheem pathological, tus kws kho mob ceeb toom tus poj niam ua ntej txog kev tawm mus. Tus neeg mob yuav tsum ceeb toom rau tus kws kho mob yog tias muaj xwm txheej tshwm sim.
kho mob hydrotubation
Cov txheej txheem no kuj tau ua rau kev kho mob. Lub sijhawm zoo yog lub sijhawm intermenstrual. Feem ntau nws yuav siv li ntawm 5-6 manipulations ntau lub voj voog.
Tus txheej txheem ntawm hydrotubation ntawm cov hlab ntsha fallopian yog xyaum zoo ib yam li thaum cov txheej txheem raug sau tseg rau kev kuaj mob. Txawm li cas los xij, cov tshuaj hauv qab no yog siv los hloov cov saline:
- tshuaj tua kab mob ("Penicillin", "Streptomycin");
- corticosteroids txhawm rau tshem tawm qhov mob ("Hydrocortisone", "Prednisolone");
- Lidase yog siv los ua kom yaj cov txheej txheem nplaum;
- proteolytic enzymes nrog cov nyhuv antimicrobial ("Trypsin").
Cov txheej txheem feem ntau yog muab tshuaj ua ke nrog electrophoresis thiab gynecological massage. Nyob rau tib lub sijhawm ntawm kev kho mob, nws yog ib qho tseem ceeb uas yuav tsum tsis suav nrog kev sib deev lossis siv cov tshuaj tiv thaiv kab mob.
Raws li kev tshuaj xyuas, hydrotubation ntawm cov hlab ntsha fallopian,nqa tawm rau cov hom phiaj kho mob, muab cov txiaj ntsig zoo tsuas yog nyob rau hauv cov xwm txheej ntawm kev kho mob tsis nres rau peb lub voj voog lossis ntau dua. Txawm li cas los xij, lawv tus lej yuav txawv nyob ntawm lub xeev kev noj qab haus huv ntawm tus neeg mob, muaj cov kab mob sib xyaw ua ke, lub cev teb rau kev kho mob.
Muaj Teeb Meem
Kwv yees li 5% ntawm cov neeg mob tau nrog cov teeb meem hydrotubation ntawm cov hlab ntsha fallopian. Qhov tshwm sim ntawm qhov tsis zoo yog qhia hauv kev ua txhaum cai hauv qab no:
- kub nce;
- oviduct spasms nrog rau mob mob;
- tawg ntawm txoj hlab ntshav vim yog qhov kev qhia ntawm cov kua dej ntau;
- ua xua rau cov tshuaj siv;
- exacerbation ntawm inflammatory txheej txheem nyob rau hauv lub plab mog.
Qhov teeb meem feem ntau yog mob. Nws tuaj yeem nrog pallor ntawm daim tawv nqaij, ua pa tsis ua haujlwm thiab txo qis hauv plawv dhia.
Kev cev xeeb tub tom qab txheej txheem
Tom qab kev kho mob, cev xeeb tub tuaj yeem tshwm sim hauv thawj lub voj voog. Txawm li cas los xij, feem ntau, nws xaus rau hauv kev nchuav menyuam thaum ntxov lossis hloov mus ua ectopic. Yog li, cov kws kho mob pom zoo kom siv cov tshuaj tiv thaiv kab mob rau 2-3 lub voj voog. Tsuas yog tom qab qhov kawg ntawm lub sij hawm kho kom rov zoo tuaj yeem npaj tau. Kwv yees li ib feem peb ntawm cov poj niam tau txais txiaj ntsig zoo.
Tom qab hydrotubation, cov neeg mob feem ntau muaj kev coj khaub ncaws ib txwm, rov zoolibido thiab poj niam lub voj voog. Yog tias kev sim xeeb tub ua tsis tiav, cov kws kho mob pom zoo IVF. Cov txheej txheem cuam tshuam nrog fertilization ntawm qe sab nraum lub cev nrog ntxiv implantation ntawm embryo rau hauv lub tsev menyuam.
Qhov zoo ntawm cov txheej txheem
Hydrotubation ntawm cov hlab ntsha fallopian yog cov txheej txheem zoo uas koj tuaj yeem txiav txim siab qhov ua rau muaj kev cuam tshuam. Nws muaj qee qhov zoo thaum piv nrog lwm cov kev kuaj mob.
Ib qhov zoo tshaj yog kev ruaj ntseg. Cov txheej txheem tsis koom nrog kev siv hluav taws xob ionizing, yog li nws tsis ua mob rau tus poj niam lub cev. Yog tias tsim nyog, nws tuaj yeem rov ua dua ob peb zaug uake.
Lwm qhov zoo dua yog qhov tsis xav tau mus pw hauv tsev kho mob. Tom qab manipulations, ib tug poj niam tuaj yeem rov qab mus rau nws txoj kev lag luam nyob rau tib hnub. Txoj kev tshawb no tau ua tiav sai, thiab cov txiaj ntsig tau paub tam sim ntawd. Tubal hydrotubation yog ib qho pheej yig thiab cov txheej txheem. Niaj hnub no, yuav luag txhua lub chaw kho mob muaj cov cuab yeej los nqa tawm.
Cais, nws yuav tsum tau hais txog qhov raug siab thiab cov ntsiab lus ntawm cov txheej txheem kuaj mob no. Nyob rau hauv tus txheej txheem version, ib qho kev ntsuam xyuas ob-dimensional yog ua, uas tsis tso cai rau ib tug tag nrho saib ntawm lub fallopian raj. Nws khoov hauv peb lub dav hlau. Txoj kev daws teeb meem no yog 3D thiab 4D ultrasound, uas tuaj yeem siv los tsim cov duab peb sab.
Cov ntaub ntawv kho mob qhia tias hydrotubation tso cai rau koj kom tau txais txiaj ntsig hauv 91% ntawm cov neeg mobzoo li laparoscopy. Yog vim li cas rau qhov tsis sib xws nyob rau hauv qhov tseeb tias ultrasound yog ib txoj kev tshawb fawb ntawm tus neeg teb xov tooj. Ntawm no, ntau nyob ntawm qhov tsim nyog ntawm tus kws tshaj lij ua cov txheej txheem thiab nws qhov kev paub dhau los. Tsis tas li ntawd, extraneous yam tseem cuam tshuam qhov zoo ntawm kev kuaj ultrasound. Peb tab tom tham txog cov pa roj hauv cov hnyuv, qib siab ntawm kev rog, thiab lwm yam.
