Inu ndi mwamuna wanu mungakhale mukulota zokhala ndi mwana. Koma, nthawi zina, ngakhale mutayesetsa bwanji, zimatenga nthawi kuti malotowo akwaniritsidwe. Ndizachibadwa kumva chisoni nthawi ngati zimenezi. Mwina simukudziwa, koma chifukwa chake chingakhale vuto laling'ono m'thupi lanu. Lero, tikambirana za vuto lomwe anthu ambiri sanamvepo, koma lingakhudze kubereka kwa akazi: Hydrosalpinx.
Kodi hydrosalpinx ndi chiyani? Tiyeni timvetse mosavuta!
Mwachidule, hydrosalpinx ndi vuto lomwe madzi amasonkhana mu imodzi kapena zonse ziwiri za
machubu anu a fallopian , kuwatsekereza. Chabwino, tsopano tiyeni tiwone kufunika kwa machubu awa a fallopian ndi kufunika kwawo. Tangoganizani kuti
chiberekero chanu chili ngati nyumba yaying'ono komwe mwana amakulira. Pafupi ndi nyumba iyi, mbali zonse ziwiri, pali
mazira awiri. Mazira awa amatulutsa dzira mwezi uliwonse panthawi ya
msambo wanu. Chifukwa chake, machubu awiri opyapyala omwe amanyamula dzira kuchokera ku mazira awa kupita ku chiberekero amatchedwa machubu a fallopian. Chubu chathanzi cha fallopian chili ngati msewu wokonzedwa bwino komanso woyeretsedwa. Dzira limayenda mumsewu uwu. Ngati umuna wa mwamuna wanu ukumana ndi dzira mumsewu uwu, ndicho chomwe timatcha
feteleza . Kenako dzira lokhala ndi umuna, ndiko kuti,
mwana wosabadwayo , limabwerera mumsewu uwu kupita ku chiberekero, limakhazikika mu khoma la chiberekero ndikukula ngati
mwana wosabadwayo , ndiko kuti, khanda. Tsopano kodi mukumvetsa kufunika kwa machubu a fallopian? Chifukwa chake, pankhani ya hydrosalpinx, chubu ichi chimadzaza ndi madzi ndipo chimatsekeka. Ndiye chimachitika ndi chiyani?
- Umuna sungathe kufika pa dzira.
- Mwina ngakhale mimba italowa, mwana wosabadwayo sadzakhala ndi njira yofikira ku chiberekero.
Kodi vutoli ndi lofala bwanji?
Kusabereka chifukwa cha matenda a Tubal factor kumabweretsa 20% mpaka 30% ya milandu
ya kusabereka . Mwa izi, 10% mpaka 20% ali ndi hydrosalpinx. Vutoli silidziwika kawirikawiri, koma lingakhudze anthu ena.
Kodi hydrosalpinx imakhudza bwanji thupi langa? Kodi imaletsa kutenga mimba?
Inde, hydrosalpinx yosachiritsidwa ingapangitse kuti zikhale zovuta kuti mukhale ndi pakati. Ikhozanso kuwonjezera chiopsezo chanu chotaya mimba komanso mavuto a mimba. Kuwonjezera pa kupangitsa kuti zikhale zovuta kutenga mimba kudzera mu kugonana kwachibadwa, hydrosalpinx ingayambitsenso mavuto ena:
- Kuwonjezeka kwa chiopsezo cha mimba yotuluka m'mimba : Nthawi zina, kutsekeka kwa chubu cha fallopian kumatha kuletsa mwana wosabadwayo kuti asamere m'chiberekero.Ngati sichichoka, chikhoza kukhazikika mu chubu. Izi zimatchedwa mimba yotuluka m'mimba, kapena mimba yotuluka m'mimba. Mimba yotereyi siyenda bwino, ndipo ngati sichithandizidwe mwachangu, ikhoza kukhala pachiwopsezo kwa mayi. Ili ndi vuto loopsa kwambiri.
- Kuchepetsa mwayi wokhala ndi pakati ndi In Vitro Fertilization ( IVF ): IVF ndi njira yomwe mazira anu amatengedwa, kulowetsedwa kunja kwa thupi lanu, mu labotale, ndi umuna wa mnzanu kapena wopereka, ndipo mwana wosabadwayo amabwezeretsedwanso m'chiberekero chanu. Izi sizimafuna machubu a fallopian . Komabe, ngakhale IVF itachitidwa pa munthu amene ali ndi hydrosalpinx, mavuto angabuke mwana wosabadwayo atayikidwa m'chiberekero. Kafukufuku wasonyeza kuti madzi omwe ali mu hydrosalpinx amatha kubwerera m'chiberekero, zomwe zimapangitsa kuti mwana wosabadwayo asakhale bwino.
Chifukwa chake, kuchiza hydrosalpinx kumawonjezera mwayi wokhala ndi pakati wathanzi, ngakhale mutaganizira za IVF.
Kodi zizindikiro za hydrosalpinx ndi ziti?
Nthawi zambiri, hydrosalpinx
siimayambitsa zizindikiro zilizonse . Nthawi zina imapezeka mukakumana ndi vuto lotenga pakati ndipo dokotala wanu akuyesera kupeza chifukwa chake. Izi zikutanthauza kuti simungadziwe ngakhale kuti machubu anu a fallopian atsekedwa. Komabe, nthawi zina zizindikiro zimatha kuchitika. Ngati izi zitachitika, mungazindikire zinthu monga:
- Kupweteka m'chiuno: Kupweteka kumeneku kungachuluke, makamaka panthawi ya msambo kapena pambuyo pake.
- Kutuluka kwa magazi m'mimba mwanu molakwika: Mutha kutuluka magazi m'mimba mwanu mosiyanasiyana komanso mokulirapo kuposa masiku onse.
Nchifukwa chiyani izi zimachitika? Kodi zimayambitsa hydrosalpinx ndi chiyani?
Chifukwa chachikulu cha hydrosalpinx ndi matenda osachiritsidwa . Mabakiteriya oipa amatha kuwononga machubu anu a fallopian, zomwe zimapangitsa kuti atupane ndikutupa. Kutupa kumeneku nthawi zambiri kumachitika kumapeto kwa chubu cha fallopian chomwe chili pafupi ndi ovary, chotchedwa
fimbriae . Fimbriae ndi tinthu tating'onoting'ono tofanana ndi zala zomwe zimathandiza kugwira dzira lomwe limatulutsidwa kuchokera ku ovary ndikulitsogolera ku chubu cha fallopian. Chifukwa chake, ma fimbriae awa akachira chifukwa cha matenda, nthawi zina amamatirana, kutseka kutsegula kwa chubu cha fallopian. Kenako madzi amasonkhana mkati mwa chubu, zomwe zimapangitsa kuti chubucho chitupane. Ndicho chimene hydrosalpinx ili. Zina zomwe zingayambitse hydrosalpinx ndi izi:
- Sindinalandire chithandizo chomwe chidaperekedwa kaleMatenda opatsirana pogonana ( STIs ), mwachitsanzo Chlamydia ndi Gonorrhea .
- Matenda Otupa a Pelvic (PID) Izi nthawi zambiri zimachitika chifukwa cha matenda opatsirana pogonana omwe sanachiritsidwe.
- Zilonda zomwe zimapangika pambuyo pa opaleshoni ya m'mimba, makamaka opaleshoni ya machubu a fallopian.
- Endometriosis ndi vuto lomwe limayamba chifukwa cha kusungunuka kwa minofu.
- Mitundu ina ya zotupa .
Kodi mumadziwa bwanji ngati machubu anu a fallopian atsekeka? Ndi mayeso ati omwe amachitidwa?
Madokotala adzachita mayeso angapo kuti aone ngati machubu anu a fallopian atsekedwa:
- Kujambula kwa Ultrasound: Machubu a fallopian nthawi zambiri samawoneka pa ultrasound scan. Komabe, ngati ali odzaza ndi madzi ndi kutupa, amatha kuwoneka akuluakulu kuposa masiku onse. Nthawi zina amatha kuwoneka ngati soseji. Dokotala wanu angakupatseni mayeso ena kuti adziwe ngati hydrosalpinx ndiye chifukwa cha kusinthaku.
- Kuyesa kwa Hysterosalpingogram (HSG): HSG ndi mayeso apadera opaka utoto omwe amachitidwa ndi X-ray. Amafufuza ngati pali zotsekeka m'machubu a fallopian. Kuyesa kumeneku nthawi zambiri kumagwiritsidwa ntchito pozindikira hydrosalpinx. Dokotala amaika utoto m'chiberekero chanu ndikugwiritsa ntchito X-ray kuti awone ngati utotowo ukusuntha. Ngati utotowo ukutuluka m'machubu, ndiko kuti, kulowa m'chiuno, machubuwo amakhala otseguka. Ngati utotowo wasiya, machubuwo amatsekedwa.
- Laparoscopy : Laparoscopy ndi njira yomwe imaphatikizapo kudula ming'alu yaying'ono m'mimba mwanu. Izi zimathandiza dokotala wanu kuyang'ana mkati mwa mimba mwanu. Kuduladula ming'alu yaying'ono kumapangidwa m'mimba mwanu ndipo kamera (laparoscope) imayikidwa kuti ione machubu anu a fallopian. Nthawi zina, catheter imayikidwa kudzera mu nyini mwanu kupita ku chiberekero chanu ndipo utoto umalowetsedwa mu chiberekero chanu ndi machubu a fallopian kuti muwone ngati pali kutsekeka. Laparoscopy imagwiritsidwanso ntchito kutsimikizira zotsatira za mayeso a HSG.
Kodi mankhwala a hydrosalpinx ndi ati?
Chithandizo cha hydrosalpinx chingakuthandizeni kukhala ndi pakati. Chithandizo chomwe mungalandire chidzadalira zinthu monga kuopsa kwa kutsekeka kwa chiberekero ndi zaka zanu. Ngati muli ndi matenda opatsirana, dokotala wanu adzakupatsani
mankhwala opha tizilombo toyambitsa matenda. Palinso mankhwala ochitidwa opaleshoni:
- Kuchotsa salpingectomy:Izi zimaphatikizapo kuchotsa payipi imodzi kapena zonse ziwiri za fallopian (bilateral salpingectomy). Izi zimachitika ngati payipiyo yawonongeka kwambiri ndipo singakonzedwe. Opaleshoniyi imachitika, makamaka IVF isanachitike, kuti madzi oipa asalowe m'chiberekero.
- Salpingostomy (kapena neosalpingostomy): Izi zimachitika kuti akonze kutsekeka kwa machubu anu a fallopian. Salpingostomy nthawi zambiri imachitidwa ndi laparoscopically. Dokotala amapanga kudula pang'ono mu chubu cha fallopian ndikutulutsa madzi. Zigawo zowonongeka za chubu zimatha kuchotsedwa ndipo malekezero otsekeka amatha kutsegulidwanso. Komabe, opaleshoni iyi si yotchuka monga kale, chifukwa IVF yawonetsedwa kuti ndi yopambana kuposa salpingostomy m'zaka zaposachedwa. Ikhoza kuwonjezera chiopsezo cha kutaya mimba ndi mavuto a mimba pambuyo pa opaleshoniyi. IVF ndi yopambana kuposa salpingostomy.
Anthu ambiri omwe akufuna kutenga pakati amalandira chithandizo cha hydrosalpinx kenako amatsatira njira ya IVF, yomwe imadutsa machubu a fallopian. Dokotala wanu adzakupatsani malangizo a momwe mungasankhire njira yabwino kwambiri pa vuto lanu.
Kodi pali njira zochiritsira hydrosalpinx mwachilengedwe?
Kunena zoona,
palibe mankhwala achilengedwe a hydrosalpinx. Ngati kuwonongeka kwa machubu anu kuli kochepa, dokotala wanu atha kuwakonza ndi salpingostomy. Komabe, ngati hydrosalpinx yakula kwambiri, mungafunike kuchotsa chubu chimodzi kapena zonse ziwiri za fallopian.
Kodi mungachepetse bwanji chiopsezo cha hydrosalpinx?
Njira yabwino yopewera hydrosalpinx
ndikuchepetsa chiopsezo chanu cha matenda opatsirana pogonana (STIs) . Kuchita zogonana zodzitetezera kungathandize kuchepetsa chiopsezo chanu chotenga matenda omwe angawononge ziwalo zanu zoberekera. Ndikofunikanso kuonana ndi dokotala nthawi yomweyo ngati mutayamba matenda.
Kodi chimachitika ndi chiyani ngati sichikuchiritsidwa?
Kupanda kulandira chithandizo cha hydrosalpinx kungathandize kuchepetsa mwayi wanu wopeza mimba. Kungawonjezerenso chiopsezo chanu cha mavuto monga kupititsa padera ndi mimba yotuluka m'mimba.
Kulandira chithandizo kungakuthandizeni kwambiri kukhala ndi mimba yabwino. Kodi izi zikuwopseza moyo?
Hydrosalpinx yokha siiopseza moyo. Komabe, imawonjezera chiopsezo cha mimba yotuluka m'mimba. Ngati mimba yotuluka m'mimba sichithandizidwe mwachangu, ikhoza kukhala pachiwopsezo cha moyo.
Ndi mafunso ati omwe ndiyenera kufunsa dokotala?
Mukapeza kuti muli ndi hydrosalpinx, ndi zachilendo kukhala ndi mafunso ambiri. Funsani dokotala wanu za zinthu monga:
- Kodi ndili ndi matenda a m'chiuno omwe akuchitika tsopano?
- Kodi hydrosalpinx yanga ndi yoopsa bwanji?
- Kodi ndili ndi hydrosalpinx mu chubu chimodzi kapena zonse ziwiri?
- Kodi vutoli limakhudza bwanji kuthekera kwanga kutenga mimba?
- Kodi ubwino ndi kuipa kokonza machubu anga a fallopian ndi kotani?
- Kodi ubwino ndi kuipa kochotsa machubu anga a fallopian ndi kotani?
- Kodi muyenera kuyesa kutenga mimba nthawi yayitali bwanji mutalandira chithandizo cha hydrosalpinx?
- Kodi mumalimbikitsa chithandizo cha IVF?
Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)
Kudziwa kuti muli ndi hydrosalpinx kungakhale kokhumudwitsa kwambiri komanso komvetsa chisoni kwa munthu amene akuyesera kukhala ndi mwana. Zimenezo n’zachibadwa. Koma
musataye mtima .
Chofunika ndichakuti pakhale chithandizo cha vutoli. Azimayi ambiri omwe alandira chithandizo abereka ana athanzi.
Lankhulani ndi dokotala wanu za momwe hydrosalpinx imakhudzira mapulani anu oyembekezera. Dokotala wanu ndiye munthu wabwino kwambiri woti akufotokozereni momwe imakhudzira kubereka kwanu komanso njira zabwino zoti muchite.
Ndi upangiri woyenera wachipatala komanso chithandizo, inunso mutha kukwaniritsa maloto anu!
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