So wo nso worehyia awo ho haw? Momma yensua biribiara fa HSG sɔhwɛ (Hysterosalpingogram) no ho?

Nyinsɛn a ɛkyɛ yɛ ɔhaw a nnipa pii hyia nnansa yi. Enti, ebia wunim sɛ ɛsɛ sɛ wɔyɛ sɔhwɛ ahorow na ama wɔahu nea enti a wɔyɛ eyi. Wɔ mmere a ɛte saa mu, titiriw wɔ wo fallopian tubes (i.e. ntini a ɛde nkesua fi awotwaa mu kɔ awotwaa mu) mu no, wɔfrɛ sɔhwɛ a ɛho hia yi hysterosalpingogram, a wɔyɛ de hwɛ sɛ ebia nneɛma bi asiw anaasɛ nsakrae bi aba awotwaa no nsusuwii mu anaa. Yɛsan frɛ eyi HSG tiawa. Eyi yɛ sɔhwɛ a wɔde X-ray mfiridwuma di dwuma ankasa na wɔde nsu titiriw bi gu mu. Enti, ɛnnɛ yɛbɛka HSG sɔhwɛ yi ho asɛm wɔ ɔkwan a wobɛtumi ate aseɛ yie so.

Bere bɛn na wɔyɛ HSG sɔhwɛ yi?

Wiɛ, bere a eye sen biara wɔ hɔ a wubetumi ayɛ HSG sɔhwɛ yi. Wo duruyɛfo bɛyɛ nhyehyɛe ama adapɛn abien a edi kan wɔ wo ɔsram biara brayɛ mu . Ɛno kyerɛ sɛ wɔyɛ no bere a wo nna no aba awiei nanso ansa na ovulation aba. Nneɛma abien nti na wɔpaw saa bere pɔtee yi:

1. Wubetumi anya awerɛhyem sɛ wunnyinsɛn bere a woreyɛ nhwehwɛmu no.

2. Esiane sɛ brayɛ mma bere a wɔreyɛ sɔhwɛ no nti, ɛrensiw sɔhwɛ no kwan.

Bere bɛn na ɛnsɛ sɛ wɔyɛ HSG sɔhwɛ ?

Eyi nso yɛ asɛm a ɛho hia paa. Ɛnyɛ obiara na obetumi ayɛ HSG sɔhwɛ yi. Titiriw wɔ nsɛm yi mu no, wɔnyɛ HSG no:

• Sɛ woanyinsɛn a: Wɔnnyɛ nhwehwɛmu yi koraa wɔ nyinsɛn mu.
• Sɛ wowɔ pelvic infection a: Sɛ woyɛ nhwehwɛmu yi bere a wowɔ infection a ɛte saa a, ebetumi atrɛw akɔ akyiri. Enti, sɛ wowɔ tebea a ɛte saa a, wɔtwe sɔhwɛ yi kɔ akyiri kosi sɛ ɛbɛtew.

Dɛn nti na yehia HSG sɔhwɛ?

Mpɛn pii no, oduruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ HSG nhwehwɛmu sɛ wosusuw sɛ ebia worehyia ɔhaw ahorow wɔ nyinsɛn mu a. Eyi atirimpɔw titiriw ne sɛ wubehu sɛ ebia wo fallopian tubes no abue anaasɛ asiw.

Susuw ho hwɛ, sɛ nyinsɛn a ahoɔden wom betumi aba a, ɛsɛ sɛ mmadwoa bi sian fallopian tube no mu na ɛne ɛmo hyia. Afei, ɛsɛ sɛ nkesua (nkwaboaa) a wɔahyɛ no ma no san kɔ fallopian tube no mu na ɛde hyɛ awotwaa no mu. Enti, sɛ wɔsiw saa fallopian tubes yi a, eyi mu biara rensi yiye. Fallopian tubes a asiw yɛ ade titiriw a ɛma obi ntumi nwo.

Oduruyɛfo no nso betumi anya nneɛma afoforo pii ho adwene afi HSG sɔhwɛ no mu:

Hwɛ sɛ oprehyɛn a wɔde kyekyere tubal ligation no dii nkonim anaa

Mmea binom yɛ oprehyɛn bi a wɔfrɛ no `(Tubal ligation)` de gyae mma. Ɛne sɛ, wɔakyekyere fallopian tubes no. Enti wɔde HSG sɔhwɛ yi nso di dwuma de hwɛ sɛ oprehyɛn no dii yiye na wɔato nsukorade no mu koraa anaa. Afei nso, sɛ nnipa binom pɛ sɛ wɔsan wo ba bio a, wɔsan de saa nsukorade a wɔakyekyere yi bata ho (`(Tubal reversal)`). HSG no nso boa ma wohu sɛ ɛyɛɛ yiye anaa.

Hu awotwaa mu nneɛma a ɛnteɛ na yɛ nhwehwɛmu foforo ho nhyehyɛe

HSG nhwehwɛmu no nso betumi aboa ma wɔahu sɛ ebia nneɛma bi a ɛnteɛ wɔ awotwaa no nsusuwii mu anaasɛ akisikuru anaa nyini bi wɔ awotwaa no mu te sɛ fibroids. Sɛ eyi te saa a, ebetumi aboa oduruyɛfo no ma wayɛ nhwehwɛmu a wɔbɛyɛ akyi. Sɛ nhwɛso no, sɔhwɛ bi a wɔfrɛ no sonohysterography betumi ama nea efi HSG no mu aba no mu ada hɔ kɛse. Anaasɛ, wobetumi de sɔhwɛ bi a wɔfrɛ no hysteroscopy adi dwuma de asa tebea horow bi a ɛwɔ awotwaa no mu.

Nanso mprempren, wɔde HSG sɔhwɛ no di dwuma titiriw de hwɛ sɛ ebia awotwaa no abue anaasɛ ɛnte saa, efisɛ nhwehwɛmu afoforo wɔ hɔ a ɛyɛ mmerɛw na ɛma awotwaa no ho nsɛm a edi mũ kɛse.

Hena na ɔyɛ HSG sɔhwɛ no?

Mpɛn pii no, wo mmea ho oduruyɛfo, radiologist, anaa awo mu ntini ho oduruyɛfo na ɔyɛ nhwehwɛmu yi. Sɛ wɔyɛ nhwehwɛmu no wie a, radiologist no bɛhwɛ wo X-ray mfonini ahorow no mu, ayɛ amanneɛbɔ, na ɔde akɔma wo duruyɛfo.

Ɔkwan bɛn so ankasa na sɔhwɛ yi yɛ adwuma?

Sɛ yɛbɛka no tiawa a, HSG nhwehwɛmu hwehwɛ sɛ wɔde nsu titiriw bi (a wɔsan frɛ no aduru) gu w’awotwaa mu ne wo awotwaa mu ntini mu. Saa aduru yi ma wotumi hu w’awotwaa ne wo awotwaa mu ntini no nsusuwii pefee wɔ X-ray mfonini so.

• Sɛ X-ray no kyerɛ sɛ aduru no resen fa fallopian tubes no mu a, ɛkyerɛ sɛ wo tubes no abue.
• Sɛ aduru no hyia akwanside bi wɔ baabi na entumi nsen a, ɛkyerɛ sɛ wo fallopian tubes no asiw.

So wote ase? Ɛyɛ mmerɛw yiye.

Dɛn na ɛsɛ sɛ wuhu ansa na woayɛ HSG sɔhwɛ no?

Sɛnea ɛbɛyɛ na woahu sɛ woyɛ obi a ɔfata sɛ wɔyɛ HSG nhwehwɛmu no, wo duruyɛfo no bɛka w’ayaresa ho abakɔsɛm nyinaa ho asɛm. Sɛ worehwɛ wo Luteinizing Hormone (LH) dodow so a, wo duruyɛfo nso betumi ahwɛ saa nhwehwɛmu no mu aba no mu ahwɛ ahu sɛ wunnyinsɛn. Wɔbɛhwɛ nso sɛ wo ho nyɛ wo den wɔ aduru a wɔde di dwuma wɔ HSG no mu biara ho anaa.

Oduruyɛfo no nso bɛkyerɛkyerɛ mu akyerɛ wo sɛ ebia asiane bi wɔ sɔhwɛ yi mu anaa. Nanso, asiane ahorow a ɛwɔ HSG mu no sua koraa, enti biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho wɔ ho.

Ɔkwan bɛn so na wosiesie wo ho ma HSG sɔhwɛ no?

Ɛsɛ sɛ wudi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ. Mpɛn pii no, nea edidi so yi ka eyi ho:

• Ɛyaw ano aduru: Ebia wɔbɛka akyerɛ wo sɛ fa aduru a ɛma ɛyaw ano brɛ ase (nea wubetumi atɔ wɔ nnurutɔnbea) bɛyɛ dɔnhwerew biako ansa na wɔayɛ nhwehwɛmu no. Eyi betumi aboa ma ɔhaw biara a ɛba bere a wɔreyɛ sɔhwɛ no so atew.
• Nnuru a wɔde siw ɔyare mmoawa ano: Ɛtɔ mmere bi a, wobetumi ama wo nnuru a ekum ɔyare mmoawa ansa na wɔayɛ nhwehwɛmu no na ama asiane a ɛwɔ hɔ sɛ wubenya ɔyare mmoawa no so atew.
• Obi a wode bɛkɔ fie:Sɛ wɔyɛ HSG sɔhwɛ no wie a, ebia ɛbɛyɛ den ama wo sɛ wobɛka kar, efisɛ ebia wobɛte ɛyaw anaa wo ho ayɛ wo yaw bi. Enti, ɛbɛyɛ papa sɛ wode obi bɛba a ɔde kar bɛfa wo akɔ fie. Sɛ eyi ho nyɛ wo dɛ a, w’ankasa wubetumi aka kar, nanso eye sɛ obi bɛka wo ho, ɛnte saa?

Dɛn na ɛba bere a wɔreyɛ HSG sɔhwɛ ?

Saa sɔhwɛ yi gye nea ennu simma anum , na wubetumi akɔ fie da koro no ara.

Bere a wɔreyɛ nhwehwɛmu no, X-ray afiri bi twa mfonini bere a oduruyɛfo no de aduru hyehyɛ w’awotwaa ne wo awotwaa mu ntini mu no.

Woresiesie wo ho sɛ wobɛbɔ die no mu:

1. Wɔbɛma woada pon so, te sɛ nea wɔreyɛ wo hwene mu nhwehwɛmu, a wo nkotodwe abɔ na wo nan atew. Afiri a ɛtwa X-ray mfonini ahorow (a wɔfrɛ no ``fluoroscopy afiri'') no wɔ pon no atifi.

2. Afei oduruyɛfo no de afiri bi a wɔfrɛ no ``speculum'' hyɛ wo awotwaa mu na ɔtrɛw mu kakra. Eyi ma wotumi hu awotwaa no yiye.

3. Afei, wɔhohoro awotwaa no ho na wɔde afiri ketewaa bi (catheter) fa awotwaa no mu kɔ awotwaa no mu. Ebia saa afiri yi yɛ plastic afiri a ɛyɛ tratraa (kanula). Anaasɛ, ebetumi ayɛ plastic afiri a ɛyɛ tratraa a balloon ketewaa bi wɔ ano. Saa balloon yi ma mframa bɔ bere a wɔde ahyɛ mu no, sɛnea ɛbɛyɛ a bere a wɔde aduru no ahyɛ mu no, afiri no renkyinkyin.

Die no a wɔde bɛhyɛ mu:

1. Afei oduruyɛfo no yi speculum no na ɔka kyerɛ wo sɛ ma wo nan ntrɛw wɔ pon no so.

2. Afei oduruyɛfo no de nkakrankakra bɛbɔ aduru no akɔ w’awotwaa mu. Bere koro no ara mu no, radiology technician no bɛdan ``fluoroscopy machine`` no wɔ wo pelvic area no so. Ebia wobɛte nka sɛ wo yafunu mu ayɛ wo yaw bi saa bere yi.

3. Sɛ wo fallopian tubes no asiw a, nhyɛso a efi aduru no mu no betumi atrɛw kakra, na ebetumi ama ɛyaw no mu ayɛ den kakra.

4. Oduruyɛfo no nso betumi adan wo akɔ mmeae ahorow ahwɛ sɛnea aduru no fa awotwaa no mu.

5. Sɛ wo fallopian tubes no abue a, ɛbɛyɛ te sɛ nea aduru no retu afi ntini no mu na atrɛw akɔ dwensɔtwaa no mu (afei saa aduru yi twetwe nipadua no na ɛrempira biara). Sɛ nsukorade no siw a, aduru no renpue.

Sɛ oduruyɛfo no twa X-ray mfonini a ɛdɔɔso wie a, obeyi kankyee anaa afiri a wɔde balloon no ayɛ no afi wo nipadua mu. Wɔyɛ eyi a wɔmfa speculum no nsan nhyɛ mu bio.

So HSG sɔhwɛ no yɛ yaw?

Ɛyɛ ade a ɛfata sɛ wobɛte ɛyaw anaa ahotɔ bi nka bere a woreyɛ HSG nhwehwɛmu no. Wobetumi ate eyi nka bere a wɔreyɛ sɔhwɛ no ne bere a wɔayɛ awie no. Wobɛte nka sɛ wo yafunu mu ayɛ wo yaw bere a oduruyɛfo no de aduru no hyɛ w’awotwaa mu no. Sɛ wo ntini ahorow no asiw a, ebia saa akisikuru yi mu bɛyɛ den kɛse.

Saa akisikuru yi betumi atra hɔ fi simma anum kosi nnɔnhwerew pii wɔ sɔhwɛ no akyi. Ebetumi ayɛ nea emu nyɛ den kosi nea ɛkɔ fam. Sɛnea yɛadi kan aka no, aduru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAID) a wɔnom no betumi aboa ma ɛyaw yi afi hɔ.

Dɛn na wubetumi ahwɛ kwan wɔ sɔhwɛ no akyi?

Sɛ woyɛ sɔhwɛ no wie a, ɛho behia sɛ wode pad di dwuma de twetwe aduru a ɛboro so a efi wo awotwaa mu ba no. Saa nsu a ɛtɔ yi taa yɛ nnam na ebia mogya nketenkete kakraa bi na ɛwɔ mu. Bio nso, ebia wubenya nneɛma bɔne te sɛ:

• Yafunu mu akisikuru (Cramps) .
• Adwene a ɛyɛ basaa
• Yafunu a ɛyɛ yaw anaasɛ akisikuru
• Mogya kakraa bi a ɛba ɔbea no awotwaa mu da koro anaa nnanu

Ɛgyina sɛnea wote nka yie so no, wobɛtumi asan ahyɛ wo da biara da dwumadiɛ ase wɔ HSG sɔhwɛ no akyi.

Asiane bɛn na ɛwɔ sɔhwɛ yi mu?

Ɛwom sɛ wɔde mframa a ano yɛ den di dwuma de twa X-ray mfonini bere a wɔreyɛ HSG de, nanso mframa dodow a ɛwɔ mu no sua koraa . Enti, wommu HSG sɛ sɔhwɛ a asiane wom. Nanso, nsɛnnennen bi wɔ hɔ a ɛntaa nsi koraa a ebetumi aba:

• Nsaneɛ
• Wo awotwaa mu opira
• Ade a ɛma obi ho yɛ no hyew wɔ aduru a wɔde yɛ aduru no ho

Kae sɛ eyinom yɛ nsɛm a ɛntaa nsi koraa .

Dɛn na efi mu ba? Dɛn na wɔka kyerɛ yɛn?

Wo duruyɛfo bɛka nhwehwɛmu no aba ho asɛm akyerɛ wo na watu wo fo wɔ nea ɛsɛ sɛ woyɛ akyi.

Sɛ HSG nhwehwɛmu no kyerɛ sɛ biribi asiw fallopian tubes no mu a, oduruyɛfo no betumi akyerɛ sɛ wɔnyɛ nhwehwɛmu/akwan foforo te sɛ laparoscopy, na wɔakɔ so ahwehwɛ ɔhaw no mu na wɔasa. Anaasɛ, ebia wɔde wo bɛkɔ ayaresa a wɔde ma awo a enhia sɛ wobue awotwaa no mu, te sɛ in vitro fertilization (IVF).

Mmere titiriw bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Wɔ nhwehwɛmu no akyi no, sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, ebetumi ayɛ ɔyare mmoawa ho sɛnkyerɛnne. Sɛ saa a, ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn ntɛm ara:

• Huraeɛ
• Awɔw a ɛyɛ nwini
• Nnipa a wɔtotɔ piti
• Ɔfe a wɔfe
• Mogya a ɛtɔ kɛse wɔ ɔbea no awotwaa mu
• Nsu a ɛba awotwaa mu a ɛyɛ huam
• Wo yafunu mu akisikuru anaa ɛyaw a emu yɛ den

So ɛfata sɛ wohwɛ eyinom so?

So hokwan a ɛwɔ hɔ sɛ obenyinsɛn no kɔ soro bere a wɔayɛ HSG nhwehwɛmu awie no?

Ɛtɔ da bi a wɔka biribi a wɔfrɛ no "tubal flushing" ho asɛm. Eyi ne ɔkwan a wɔfa so de aduru gu awotwaa ne awotwaa mu, te sɛ HSG, nanso wɔmfa X-ray. Nhwehwɛmu ahorow bi ada no adi sɛ sɛ wɔde aduru a wɔde yɛ ade gu nipadua no mu wɔ saa kwan yi so (titiriw wɔ asram abiɛsa kosi asia a edi kan bere a wɔde aduru no ahyɛ mu akyi) a, ebetumi ama hokwan a ɛwɔ hɔ sɛ obenyinsɛn no ayɛ kɛse. Nhwehwɛmu binom nso ada no adi sɛ saa nkɛntɛnso yi yɛ kɛse bere a ade a wɔde yɛ ade no kura ``nsuo a ɛtumi nwura mu a ɛne ne ho bɔ abira''.

Nanso, ɛsono sɛnea nhwehwɛmu ahorow yi te, enti ɛho hia sɛ wɔyɛ nhwehwɛmu pii ansa na wɔabu HSG sɛ ɛyɛ awo ho ayaresa, de ka adwinnade a wɔde hu yare ho.

So HSG betumi asɔ nsukorade a wɔasiw ano ahwɛ?

Sɛ wɔde aduru a wɔde yɛ aduru no hyɛ mu a, hokwan wɔ hɔ sɛ nneɛma nketenkete biara a asiw no befi hɔ, na ama hokwan a wowɔ sɛ wubenyinsɛn no ayɛ kɛse. Nanso nhwehwɛmu pii da so ara ho hia na ama eyi adi nokware. Enti ɛyɛ den sɛ wubenya anidaso dodo.

Dɛn ne HSG sɔhwɛ no mu nsunsuanso bɔne ? (Nkaebɔ bi) .

Nsunsuanso bɔne a ɛtaa ba wɔ HSG nhwehwɛmu mu ne akisikuru . Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ fa nnuru a wɔde kum ɛyaw nna kakraa bi wɔ nhwehwɛmu no akyi. Ebia wubehu nso sɛ nsu a ɛyɛ nnam wɔ wo awotwaa mu bere a aduru no fi wo nipadua mu no. Nanso, saa sɛnkyerɛnne ahorow yi befi hɔ wɔ nna kakraa bi akyi.

So ɛnyɛ hwee sɛ wubenyinsɛn bere a woayɛ HSG nhwehwɛmu akyi ntɛm ara?

Mpɛn pii no, ɛnyɛ hwee sɛ wobɛbɔ mmɔden sɛ wubenyinsɛn nna kakraa bi wɔ HSG nhwehwɛmu akyi. Nanso, ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa eyi ho na woaka akyerɛ wɔn sɛ onsi so dua.

Nkrasɛm a Etwa To a Wɔde Kɔ Fie

Okay, enti HSG sɔhwɛ no yɛ sɔhwɛ a ɛho hia a ɛboa wo ma wuhu sɛ ebia nneɛma bi a ɛnteɛ wɔ wo awotwaa anaa fallopian tubes mu a ɛresiw wo kwan sɛ wunnyinsɛn anaa. Kae sɛ awotwaa mu ntini a asiw no yɛ ade titiriw a ɛma obi ntumi nwo. Enti, nea ebefi HSG sɔhwɛ yi mu aba no bɛboa wo duruyɛfo ma wabɛn anammɔn biako sɛ obehu nea enti a worehyia ɔhaw wɔ nyinsɛn mu.

Nsuro. Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ sɔhwɛ yi ho a, wo ne wo duruyɛfo nsusuw ho pefee. Saa kwan no so no, wobɛte nka sɛ wo ho tɔ wo kɛse sɛ wobɛfa saa adeyɛ yi mu.

Yɛsrɛ sɛ wo ne wo duruyɛfo nsusuw wo nhwehwɛmu no mu aba ho na si nea wobɛyɛ akyi no ho gyinae. Yɛpɛ sɛ monya nkɔsoɔ nyinaa!

` Hysterosalpingogram, HSG, awo a wontumi nwo, fallopian tube a asiw, awotwaa, mmea akwahosan, X-ray nhwehwɛmu