Nyob rau hauv tsab xov xwm, peb yuav xav txog dab tsi x-ray yog rau patency ntawm cov hlab ntsha fallopian.
Metrosalpingography (MSG) lossis hysterosalpingography (HSG) yog ib qho kev kuaj mob uas siv rau hauv kev kho mob los ntsuas lub cev lub cev ntawm cov hlab ntsha hauv cov poj niam, tshwj xeeb, lawv cov patency. Nyob rau hauv cov xwm txheej niaj hnub no, X-rays yog ua los ntawm kev siv cov tshuaj sib txawv, uas tso cai rau koj kom tau txais qhov tseeb dua ntawm qhov ua tau ntawm kev txhim kho ntawm obturation, muaj cov txheej txheem nplaum.
Kev qhia rau kev coj ua
Qhov kev kuaj mob tseem ceeb, raws li kev xoo hluav taws xob siv los kuaj xyuas qhov patency ntawm cov hlab ntsha fallopian, yog tus poj niam cov teeb meem hauv kev xeeb menyuam.
Raws li WHO cov qauv niaj hnub no, nws tau txiav txim siab tias yuav xav taukev xeeb tub thiab hais txog qhov kev kuaj mob no tsuas yog tom qab ib xyoos ntawm kev sim cev tsis tau tiav, thiab tsuas yog nyob rau hauv qhov xwm txheej tias tus poj niam yog txiv neej thiab muaj kev sib deev tsis tu ncua thiab tsis txhob siv tshuaj tiv thaiv.
Cov kws kho mob tau kawm ntau tus poj niam uas muaj kev tsis txaus siab ntawm kev xeeb tub. Nyob rau hauv cov chav kawm ntawm cov kev tshawb fawb no, nws tau pom tias qhov tseem ceeb ntawm txoj kev loj hlob ntawm infertility niaj hnub no yog ntau yam pathologies ntawm cov hlab ntsha fallopian. Nyob rau tib lub sijhawm, kev xav tsis tshwm sim vim muaj cov kab mob pathological nyob rau hauv cov hlab ntsha uas tshwm sim tom qab tus neeg mob raug kev txom nyem los ntawm qee yam kab mob ntawm lub cev xeeb tub.
Ntxhais
Cov teeb meem ntawm cov txheej txheem inflammatory yog adhesions ntawm phab ntsa ntawm cov hlab ntsha fallopian. Lawv muaj peev xwm provoke ib nrab patency los yog lawv tag nrho obturation. Nrog rau qhov teeb meem no, tus txiv neej kab mob ntawm lub qe mus rau lub qe rau fertilization tsis ncav cuag nws, txawm li cas los xij, yog tias qhov fusion tshwm sim, tom qab ntawd nrog ib nrab obturation, lub qe fertilized tsis nkag mus rau hauv uterine kab noj hniav thiab tus poj niam tau kuaj pom tias muaj ectopic cev xeeb tub..
Vim qhov tseeb tias peritubal adhesions muaj ntau heev, gynecologists pom zoo kom hysterosalpingography los xyuas cov hlab ntsha fallopian rau patency los ntawm X-ray. Qhov no yog ib qho ntawm cov txheej txheem tseem ceeb tshaj plaws hauv kev ua raws li kev kuaj mob ntawm kev xeeb tub. Cov txiaj ntsig ntawm txoj kev tshawb no ntawm cov hlab ntsha fallopian tso cai rau koj los txiav txim siab sai sai ntawm qhov ua rau muaj menyuam tsis taus thiab pib kho cov txheej txheem pathological no.
Lwm yam qhia
Ntxiv rau qhov teeb meem nrog kev xeeb tub, muaj lwm yam kev qhia, suav nrog uas nws yuav raug pom zoo los kuaj xyuas tus poj niam hauv qhov chaw mos ntawm qhov chaw mos uas siv kev kuaj X-ray. Lawv yog:
- kev sib txawv hauv kev txhim kho cov kabmob ntawm cov poj niam cev xeeb tub;
- tuberculous lesions ntawm qhov chaw mos;
- ua ntej hauv vitro fertilization;
- lus qhia tus neeg mob tab tom tsim endometriosis;
- xav tias muaj cov neoplasms ntawm zes qe menyuam lossis hauv tsev menyuam;
- rau lub hom phiaj ntawm kev kuaj mob ncauj tsev menyuam tsis txaus;
- txhawm rau ntsuas kev kho tubal patency yav dhau los.
X-ray rau patency ntawm cov hlab ntsha fallopian tso cai rau koj kom tau txais cov duab qhia ntawm cov hlab ntsha thiab lub tsev menyuam nws tus kheej, raws li qhov koj tuaj yeem ua qhov kev kuaj mob kom raug, thiab, yog tias tsim nyog, sau cov kev kho mob. rau tus poj niam kom tshem tau tus kab mob uas twb muaj lawm.
Txoj cai rau kev npaj X-ray
Tsis yog txhua tus neeg mob paub yuav ua li cas x-ray ua rau lub patency ntawm cov hlab ntsha fallopian thiab yuav ua li cas npaj kom zoo. Yog tias tus poj niam tsis muaj contraindications rau kev kuaj X-ray, tus kws kho mob tshwj xeeb muab qee cov lus pom zoo txog kev npaj, uas yuav ua kom ntseeg tau tias cov duab raug tshaj plaws tau txais thiab cov txheej txheem kuaj tau yooj yim xa mus.
Cov lus pom zoo los ntawm gynecologists thaum npaj rau x-ray ntawm cov hlab ntsha fallopian:
- Ob peb hnub ua ntej qhov kev tshwm simhysterosalpingography, kev sib deev yog txwv tsis pub, thiab ib hlis ua ntej cov txheej txheem kuaj mob, yuav tsum tau siv tshuaj tiv thaiv kom tsis txhob muaj menyuam.
- Qhia kom tsis txhob siv cov tshuaj hauv daim ntawv suppositories 7 hnub ua ntej x-ray, thiab tsis kho qhov chaw mos nrog lwm cov tshuaj.
- Hnub ua ntej hysterosalpingography, nws tsis pom zoo kom noj cov zaub mov uas ua rau muaj kev loj hlob ntawm flatulence hauv cov hnyuv - zaub qhwv, khoom qab zib, pastries tshiab, legumes.
- Tam sim ua ntej hysterosalpingography, cov khoom noj txom ncauj tau tso cai. Nws tseem tsim nyog kom zais zais zis.
Lab tests
Ntxiv rau cov lus pom zoo saum toj no, tus kws kho mob gynecologist muab tus neeg mob xa mus rau qee qhov kev sim kuaj. Ib tug poj niam yuav tsum tau mus dhau lawv nyob rau hauv tus txheej txheem ntawm kev npaj rau hysterosalpingography. Cov kev tshawb fawb no, raws li txoj cai, yog kev kuaj ntshav dav dav thiab biochemical kuaj ntshav, kuaj zis dav dav, thiab kev tshawb fawb txog qhov muaj STDs. Tsis tas li ntawd, ib qho kev kawm yuav tsum tau kawm rau cov neeg mob ua ntej x-ray ntawm cov hlab ntsha fallopian yog kev tshuaj xyuas rau kab mob siab B thiab C.
Txoj cai rau cov txheej txheem kuaj mob
X-ray ntawm txoj hlab ntshav ua li cas?
Kev Tshawb Fawb tuaj yeem muab faib ua ob theem. Nyob rau hauv thawj theem, tus neeg mob yog txhaj rau hauv cov ntshav nrog ib tug tshwj xeeb radiopaque tshuaj, ua tsaug rau covyeeb nkab permeability. Nyob rau theem tom ntej, kev kuaj mob ncaj qha ntawm cov kab mob hauv lub cev xeeb tub yog ua tiav.
kev kuaj X-ray ib txwm pib nrog kws kho mob kev sab laj - kev tshuaj xyuas tau ua tiav ib txwm, tsis tas siv cov txheej txheem tshwj xeeb. Tom qab ntawd, tus kws kho mob gynecologist ntxig ib lub me me cannula rau hauv lub tsev me nyuam kwj dej ntawm lub tsev me nyuam thiab txhaj cov tshuaj sib txawv hauv qab lub siab. Nws yog tsim los kom ncua sij hawm X-rays thiab nrog nws cov kev pab nws ua tau kom pom cov ntsiab lus ntawm cov kua dej uas tau ntim cov kab noj hniav ntawm cov kab noj hniav.
Thaum X-ray TV hysterosalpingography siv cov kua dej uas muaj iodine hu ua "Verografin", Urografin, "Ultravist". Cov tshuaj no muaj kev nyab xeeb kiag li thiab tsis muaj kev cuam tshuam rau poj niam txoj kev noj qab haus huv.
Tom qab qee lub sijhawm, tus kws kho mob gynecologist yuav thaij duab thiab tshem cov cannula. Cov tshuaj radiopaque ces nkag mus rau hauv lub dav dav, tom qab ntawd nws raug tso tawm los ntawm cov kab mob excretory yam tsis muaj teeb meem.
Kuv puas xav tau kev kho mob?
Thaum X-rays ntawm lub tsev menyuam thiab cov hlab ntsha fallopian, feem ntau tsis tas yuav tshuaj loog. Kev xav thaum lub sijhawm kuaj mob no tsis zoo siab heev, txawm li cas los xij, lawv ua siab ntev thiab zoo li kev kuaj mob gynecological. Yog tias tsim nyog, tus poj niam tuaj yeem thov tshuaj loog hauv zos yog tias nws hnov mob hnyav thaum lub cannula tau muab tso rau hauv lub ncauj tsev menyuam. Qhov no tuaj yeem tshwm sim, piv txwv li, hauv cov txheej txheem mob inflammatory hauv lub cev xeeb tub lossis lwm yam kab mob poj niam. Tom qab x-ray, qhov tsis xis nyob sai sai ploj mus. Muaj tsawg zaus, tej zaum yuav muaj mob hauv plab hauv plab.
Yuav ua li cas x-ray ntawm cov hlab ntsha hauv plab ua tiav, nws yog ib qho tseem ceeb kom paub ua ntej.
Muaj Teeb Meem
Hysterosalpingography feem ntau dhau los yam tsis muaj teeb meem, tab sis qee zaum cov neeg mob ntsib qhov tsis zoo ntawm cov txheej txheem no. Feem ntau, tom qab qhov kev kuaj mob ntawm lub cev xeeb tub, exacerbations ntawm cov kab mob pathologies ntev. X-ray provokes lub activation ntawm lub zog ntawm lub zos tiv thaiv kab mob, thiab cov kab mob uas twb muaj lawm nyob rau hauv cov kab mob uas twb muaj lawm pib mus ua mob hnyav dua ua ntej X-ray.
Yog tias ua ntej kuaj pom tus poj niam raug mob los ntawm cov kab mob inflammatory, ces qhov mob yuav nce, qhov tso tawm yuav nce, qee zaum muaj qhov kub thiab txias. Tag nrho cov tsos mob no yog cov yam ntxwv ntawm kev hloov pauv ntawm cov kab mob pathological mus rau theem mob hnyav.
Zoo yuav kis tau
Lwm qhov tsis zoo ntawm cov txheej txheem kuaj mob no yog qhov yuav kis tau ntawm lub tsev menyuam. Txawm li cas los xij, qhov no yog qhov tsawg kawg nkaus, txij li cov kws kho mob gynecologist feem ntau ua raws li tag nrho cov cai rau kev kuaj X-ray thiab kho cov cuab yeej thiab txhais tes nrog tshuaj tua kab mob. Txawm li cas los xij, qhov muaj feem pheej hmoo ntawm qhov tshwm sim tom qab hysterosalpingography ib txwm nyob.
Yog tus neeg mob tsis tau npaj kom zoo rau kev kuaj cov hlab ntsha ntawm lub plab los ntawm X-ray, cesCov kev mob tshwm sim feem ntau yog:
- mob rwj hauv plab;
- zoo li xeev siab;
- txhim kho los ntshav lossis pom ntawm qhov chaw mos.
Tus kws kho mob gynecologist yuav tsum ceeb toom rau tus neeg mob txog qhov muaj feem cuam tshuam thiab muaj teeb meem tom qab x-ray, yog li yog tias koj hnov mob, nws raug nquahu kom hu rau lub tsev kho mob.
Yog tias muaj teeb meem tom qab hysterosalpingography nyob deb ntawm lub sijhawm, cov poj niam hnov qhov tsis zoo ntawm kev kuaj X-ray, raws li txoj cai, tam sim ntawd, ncaj qha rau hauv tus txheej txheem ntawm kev kuaj mob no. Ntawm cov teeb meem, cov xwm txheej hauv qab no tuaj yeem tsim:
- perforation (rupture) ntawm lub raj los yog lub cev ntawm lub tsev menyuam nrog lub siab tsis txaus ntseeg ntawm X-ray sib piv lossis thaum lub sij hawm tag nrho cov cuab yeej siv;
- ua rau cov kab mob lymphatic lossis cov hlab ntsha nrog tus neeg sawv cev sib txawv, uas ua rau ua rau muaj mob thrombosis;
- txhim kho kev ua xua rau tus neeg sawv cev sib txawv cuam tshuam nrog lub cev tiv thaiv iodine, uas tau pom muaj tsawg heev.
Contraindications rau kev sim
Lub ntsiab contraindications rau hysterosalpingography yog:
- muaj cov txheej txheem inflammatory hauv lub cev;
- xeeb tub;
- tsis ntev los no inflammatory pathology ntawm cov hlab ntsha fallopian lossis uterus ntawm ib qho mob hnyav;
- ua xua rauiodinated contrast tus neeg sawv cev;
- tsis txaus siab ntawm kev kuaj sim, uas pom qhov sib txawv ntawm cov qauv ntawm cov kab mob ntawm qhov chaw mos microflora.
Yog tias pom cov contraindications saum toj no, qhov kev kuaj mob no yuav tsum raug ncua. Thaum cov txheej txheem pathological raug tshem tawm, hysterosalpingography (HSG) raug tso cai.
Qhov twg yuav x-ray ntawm cov hlab ntsha? Kuv yuav mus qhov twg?
Yuav ua li cas?
Hysterosalpingography hnub no yog ib txoj hauv kev zoo tshaj plaws rau kev kuaj xyuas cov hlab ntsha ntawm cov hlab ntsha, tso cai rau koj pom cov kab mob ntawm cov menyuam yaus hauv daim ntawv endometriosis thiab adhesions uas tiv thaiv kev xeeb tub.
Koj tuaj yeem nqa x-ray ntawm cov hlab ntsha hauv cov hlab ntsha hauv ntau lub tsev kho mob ntawm hom kev kuaj mob, pej xeem lossis ntiag tug. Yuav kom tau txais kev kuaj mob zoo, tus poj niam yuav tsum xub tuaj ntsib kws kho mob gynecologist uas yuav muab nws xa mus.
Kev tshuaj xyuas ntawm X-ray ntawm cov hlab ntsha fallopian rau patency
Ntawm cov vev xaib thiab cov rooj sib tham hauv Is Taws Nem muaj ntau qhov kev tshuaj xyuas ntawm cov poj niam uas tau ua tiav cov txheej txheem hysterosalpingography. Lawv nco ntsoov tias txoj kev no feem ntau txaus los kuaj xyuas thiab sau ntawv kho ntxiv rau kev xeeb tub. Cov neeg mob nyob rau hauv kev tshuaj xyuas ntawm x-ray ntawm cov hlab ntsha fallopian rau patency qhia tias thaum lub sij hawm txoj kev tshawb no, tsis kaj siabqhov tshwm sim yog qhov tsawg kawg nkaus. Ib qho tshwm sim ntau zaus yog mob me ntsis hauv lub plab me me, vim muaj kev cuam tshuam.
Peb tau saib seb txoj kev ua x-ray tubal ua li cas.
