So wo ne wo kunu anya akokoaa ho anidaso bere tiaa bi ni? Saa bere no, oduruyɛfo no bɛka akyerɛ wo sɛ yɛ nhwehwɛmu ahorow mfa nhwɛ sɛnea wotumi awo. Wɔn mu no, woate ‘HSG’ sɔhwɛ no ho asɛm? Ebia wobɛte ehu nka kakra bere a wote saa din yi. Nanso nokwarem no ɛyɛ sɔhwɛ a ɛho hia yiye, na ɛnyɛ den, na ɛnyɛ den sɛnea wususuw no. Momma yɛnka ne nyinaa ho asɛm pefee nnɛ.
Dɛn ne Hysterosalpingogram (HSG)?
Sɛ yɛbɛka no tiawa a, HSG yɛ X-ray sɔhwɛ titiriw bi. Ɛhwɛ wo awotwaa ne wo awotwaa mu ntini titiriw . Wɔ sɔhwɛ yi mu no, wɔde nsu titiriw bi a wɔfrɛ no dye gu w’awotwaa mu na wɔyɛ X-ray de hwɛ sɛnea ɛfa wo fallopian tubes mu.
Fa no sɛ yɛwɔ nsu ho nhyehyɛe bi wɔ yɛn fie. Ɛte sɛ nea yɛde dye bi retu mmirika afa mu ahwɛ sɛ ebia biribi asiw baabi anaa. Saa aduru yi ma awotwaa ne awotwaa mu ntini no da adi pefee wɔ X-ray so.
Dɛn nti na HSG sɔhwɛ yi ho hia saa?
Sɛ obenyinsɛn abofra a, ɛsɛ sɛ awotwaa no yɛ nea ɛte apɔw na ebue. Efisɛ, mmadwoa bi hyia nkesua na ɛma ɛwo wɔ saa awotwaa mu ntini yi mu. Afei, awotwaa a enyin no san fa saa afiri yi mu ba awotwaa no mu. Enti sɛ wɔsiw saa fallopian tubes yi a, eyi mu biara rensi. Ɛnnɛ, ade titiriw a ɛma wɔtwentwɛn mma awo, kyerɛ sɛ, awo a wontumi nwo, ne awotwaa mu ntini yi a asiw.
HSG sɔhwɛ no hwehwɛ eyi mu titiriw. Nea ɛka ho no, ebetumi ahwɛ sɛ nneɛma afoforo pii wɔ hɔ anaa.
- Wubetumi ahu yiye sɛ ebia fallopian tubes no abue anaasɛ asiw.
- Sɛ woadi kan ayɛ tubal ligation , abusua nhyehyɛe ho nhyehyɛe bi a, hwɛ sɛ edii nkonim anaa. Wubetumi nso ahwɛ sɛ ebia adeyɛ no dii yiye sɛ wɔdannan no (tubal reversal) a.
- Eyi nso betumi aboa wo ma woanya nneɛma te sɛ awotwaa no nsusuwii a ɛnteɛ, awotwaa mu akisikuru ( fibroids ), ne nea ɛkeka ho ho adwene Sɛ wuhu biribi a ɛte saa a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu foforo te sɛ sonohysterography anaa hysteroscopy .
Nneɛma a ɛsɛ sɛ wuhu ansa na woayɛ sɔhwɛ no
Ansa na oduruyɛfo no bɛyɛ nhwehwɛmu yi no, obetu wo fo wɔ nneɛma pii ho.
Bere bɛn na wɔbɛyɛ eyi?
Wɔtaa yɛ HSG nhwehwɛmu no bere a wo nna awie koraa nanso ansa na wɔayi ovulation. Ɛne sɛ, wɔ adapɛn abien a edi kan wɔ wo brayɛ mu. Wɔyɛ eyi de hwɛ hu sɛ wunnyinsɛn bere a wɔreyɛ nhwehwɛmu no.
Hena na ɛnsɛ sɛ ɔyɛ sɔhwɛ yi?
Sɛ wususuw sɛ woanyinsɛn anaasɛ wowɔ akyi berɛmo mu yare a , wɔnyɛ nhwehwɛmu yi .
Ɔkwan bɛn so na wobetumi asiesie wɔn ho ama sɔhwɛ no?
Di oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ. Mpɛn pii no, wubetumi aka nsɛm te sɛ eyi:
- Ebia wɔbɛka akyerɛ wo sɛ fa aduru a wɔde kum ɛyaw (e.g. paracetamol) bɛyɛ dɔnhwerew biako ansa na wɔayɛ nhwehwɛmu no.
- Ebia wɔbɛka akyerɛ wo sɛ fi ase nnuru a ekum ɔyare mmoawa no ntɛm na wɔasiw ɔyare mmoawa ano.
- Yɛ nhyehyɛe ma obi de wo kar bɛkɔ fie wɔ sɔhwɛ no akyi. Ebia w’ankasa wubetumi aka kar, nanso ɛtɔ mmere bi a ebetumi ayɛ den bere a wo yafunu yɛ wo yaw kakra, enti ɛyɛ nea asiane biara nni ho sɛ wo ne obi bɛkɔ.
Sɛnea wɔyɛ HSG sɔhwɛ - nsuro, sei na ɛba!
Sɔhwɛ no nyinaa gye nea ennu simma 5, enti ɛho nhia sɛ wohaw wo ho wɔ ho. Wubetumi akɔ fie da koro no ara.
1. Ahosiesie: Wɔbɛma woada mpa so, te sɛ nea wɔyɛ wɔ akyi berɛmo mu nhwehwɛmu. Wɔde X-ray afiri ( fluoroscopy machine ) bɛto wo yafunu so.
2. Speculum a wode bɛhyɛ mu: Oduruyɛfo no de afiri bi a wɔfrɛ no speculum bɛhyɛ wo vagina mu na wasiesie no sɛnea ɛbɛyɛ a awotwaa no bɛda adi.
3. Catheter a wɔde hyɛ mu: Sɛ wɔhohoro awotwaa no ho wie a, wɔde plastic tube (catheter) a ɛyɛ fɛ yiye na ɛyɛ tratraa fa awotwaa no mu na ɛkɔ awotwaa no mu. Ɛtɔ mmere bi a, saa afiri yi wɔ balloon ketewaa bi wɔ n’awiei. Sɛ wɔma mframa kakra kɔ mu a, afiri no tra baabi biako a ɛnhinhim.
4. Dye no a wode bɛhyɛ mu na woayɛ X-ray: Afei wɔayi speculum no na wɔaka akyerɛ wo sɛ trɛw wo nan mu. Afei oduruyɛfo no de ahwɛyiye de aduru no fa afiri no mu kɔ awotwaa no mu. Bere koro no ara mu no, wɔyɛ X-ray no.
Ebia wobɛte akisikuru bi nka wɔ saa bere yi mu, te sɛ wo brayɛ. Eyi yɛ ade a ɛfata. Sɛ wo fallopian tubes no asiw a, nhyɛso a efi aduru no mu no betumi ama ntini no atrɛw kakra, na ebetumi ama akisikuru no mu ayɛ den kakra.
5. Nhwehwɛmu: Oduruyɛfo no hwɛ sɛnea aduru no fa awotwaa ne awotwaa mu ntini mu wɔ X-ray monitor so. Sɛ nhama no abue a, wobehu sɛ aduru no resen afi nsukorabea no mu akɔ dwensɔtwaa no mu (adeyɛ no twetwe nipadua no a ɛrempira). Sɛ wɔsiw nsukorade no a, aduru no renkɔ akyiri.
6. Nea wɔde wie: Bere a oduruyɛfo no twa X-ray mfonini a ɛho hia awie no, oyi afiri no fi mu. Ɛno ne no.
Dɛn na ɛsɛ sɛ yɛhwɛ kwan wɔ sɔhwɛ no akyi?
Mpɛn pii no, nneɛma a edidi so yi betumi asi wɔ sɔhwɛ no akyi:
- Ebia aduru a wɔde yɛ ade a ɛboro so no bɛtwe afi ɔbea no awotwaa no mu, enti ɛho behia sɛ wode aduru a wɔde tew nneɛma ho di dwuma.
- Ebia wubenya yafunu mu akisikuru kakra nnɔnhwerew kakraa bi.
- Mogya a ɛtɔ kakra betumi atwam da koro anaa nnanu.
- Nnipa binom betumi anya adwenemhaw ne akisikuru.
Ɛnyɛ den sɛ wubetumi asan afi wo da biara da dwumadi ahorow ase.
Asiane ahorow ne bere a ɛsɛ sɛ wo ne oduruyɛfo kasa
HSG yɛ sɔhwɛ a asiane nnim koraa, nanso ɛntaa nsi koraa, nea edidi so yi betumi asi:
- Nsaneɛ
- Nneɛma nketenkete a ɛsɛe awotwaa no
- Allergic reaction a ɛwɔ aduru no ho
Sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara wɔ nhwehwɛmu no akyi a, ɛsɛ sɛ wo ne wo duruyɛfo kasa ntɛm ara a wontwentwɛn wo nan ase. Eyinom betumi ayɛ ɔyare mmoawa ho sɛnkyerɛnne.
| Kɔkɔbɔ afã | Nea ɛsɛ sɛ wohwɛ so yiye |
|---|---|
| Atiridii ne awɔw | Nipadua mu hyew a ɛkɔ soro anaasɛ wote nka sɛ wowɔ atiridiinini a wo ho popo. |
| Yafunu mu yaw a wontumi nnyina ano | Ɛnyɛ ɛyaw a ɛyɛ daa, ɛyaw a emu yɛ den ara kwa. |
| Mogya a ɛtɔ kɛse | Mogya a ɛtɔ a emu yɛ duru sen brayɛ. |
| Nsu a ɛba awotwaa mu a ɛyɛ huam | Nsu a ɛba a hua soronko bi wom. |
| Akisikuru anaa ɔfe | Totɔ piti anaasɛ ɔfe a ɛkɔ so. |
So hokwan a ɛwɔ hɔ sɛ obenyinsɛn no kɔ soro wɔ HSG akyi?
Nhwehwɛmu ahorow bi ada no adi sɛ sɛ wɔde aduru no hyɛ awotwaa mu wɔ saa kwan yi so (a wɔsan frɛ no tubal flushing ) a, ebetumi ama awo akɔ soro kakra wɔ mmea binom mu, titiriw wɔ asram 3-6 a edi hɔ no mu. Nanso, wonnya nkyerɛɛ sɛ eyi yɛ awo aduru. N’atirimpɔw titiriw ne sɛ wɔde hwehwɛ yare mu.
So HSG betumi ayi nneɛma a asiw wɔ awotwaa no mu no afi hɔ?
Eyi ne asɛmmisa a edi kan no wɔ abusuabɔ. Ɛtɔ mmere bi a, nhyɛso a ɛwɔ aduru no mu no betumi ayi nneɛma nketenkete a asiw anaasɛ nsu a ɛwɔ awotwaa no mu no afi hɔ. Nanso, entumi nyi nneɛma akɛse a esiw kwan no mfi hɔ.
HSG akyi bere tenten ahe na wubetumi abɔ mmɔden sɛ wobɛwo akokoaa bio?
Mpɛn pii no, asiane biara nni ho sɛ wobɛsan asɔ ahwɛ bio wɔ nna kakraa bi akyi, nanso eye sɛ wubedi kan ahwɛ wo duruyɛfo.
Wo duruyɛfo no begyina nea ebefi HSG sɔhwɛ no mu aba so asi nea ɔbɛyɛ akyi no ho gyinae. Ebia wɔbɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn, te sɛ laparoscopy , sɛ nhama no asiw a. Anaasɛ ebia wɔbɛkamfo ayaresa ahorow a enhia sɛ wɔde fallopian tubes te sɛ IVF (in vitro fertilization) akyerɛ .
Nkrasɛm a Wɔde Kɔ Fie
- HSG yɛ X-ray nhwehwɛmu a ahobammɔ wom a egye simma kakraa bi pɛ na wɔde ahwɛ sɛ ebia wo fallopian tubes no asiw anaa.
- Sɛ worekyɛ wɔ mma a wobɛwo mu a, eyi yɛ sɔhwɛ a ɛho hia yiye a wode behu nea ɛde ba.
- Ɛyɛ ade a ɛfata sɛ wobɛte yafunu mu yaw kakra bere a wɔreyɛ nhwehwɛmu no ne bere a wɔawie no. Nanso, sɛ wote ɛyaw a emu yɛ den anaa sɛnkyerɛnne ahorow te sɛ atiridiinini a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Nea ebefi sɔhwɛ yi mu aba no bɛboa oduruyɛfo no kɛse wɔ wo daakye ayaresa ho nhyehyɛe mu.
- Enti nsuro sɔhwɛ yi a ɛho nhia. Wo ne oduruyɛfo no nka nsɛmmisa anaa nsɛm biara a ɛhaw wo ho asɛm pefee.
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