Ese nawe ufite ibibazo byo kubyara? Reka twige byose ku isuzuma rya HSG (Hysterosalpingogram)?

Gutinda gusama ni ikibazo abantu benshi bahura nacyo muri iyi minsi. Rero, ushobora kuba uzi ko hagomba gukorwa ibizamini bitandukanye kugira ngo hamenyekane impamvu zabyo. Muri ibi bihe, cyane cyane mu miyoboro y'inda itwara amagi iva mu ntanga ngore ijya mu mura), iki kizamini cy'ingenzi cyitwa hysterosalpingogram, gikorwa kugira ngo harebwe niba hari ibiziba cyangwa niba hari impinduka mu miterere y'umura. Nanone tucyita HSG mu magambo ahinnye. Iki ni ikizamini gikoresha ikoranabuhanga rya X-ray kandi hagaterwa amazi yihariye. Rero, uyu munsi tuzavuga kuri iki kizamini cya HSG mu buryo ushobora gusobanukirwa neza.

Iki kizamini cya HSG gikorwa ryari?

Hari igihe cyiza cyo gukora iki kizamini cya HSG. Muganga wawe azagiteganya mu byumweru bibiri bya mbere by'ukwezi kwawe . Ibyo bivuze ko biba nyuma y'uko imihango yawe irangiye ariko mbere y'uko ovulation itangira. Iki gihe cyihariye cyatoranyijwe kubera impamvu ebyiri:

1. Ushobora kwemeza ko utari utwite igihe ugiye kwipimisha.

2. Kubera ko imihango itabaho mu gihe cyo gupimwa, ntabwo bizabangamira ikizamini.

Ni ryari ikizamini cya HSG kidakwiye gukorwa?

Iki nacyo ni ingenzi cyane. Si buri wese ushobora gukora iki kizamini cya HSG. Cyane cyane muri ibi bihe, HSG ntikorwa:

• Niba utwite: Iki kizamini ntikibazwa na gato mu gihe utwite.
• Niba ufite ubwandu bw'ikibuno: Iyo ukoze iki kizamini mugihe ufite ubwandu nk'ubwo, gishobora gukwirakwira kurushaho. Kubwibyo, niba ufite ubwo burwayi, iki kizamini gisubikwa kugeza igihe kizakira.

Kuki dukeneye ikizamini cya HSG?

Muganga akunze kukugira inama yo gupima HSG iyo akeka ko ushobora kuba ufite ibibazo byo gutwita. Intego nyamukuru y'ibi ni ukumenya niba imiyoboro yawe y'inda ifunguye cyangwa izibye.

Tekereza kuri ibi, kugira ngo inda igende neza, intanga ngore igomba kunyura mu muyoboro w'inda ikahura n'igi. Hanyuma, igi ry'intanga ngore (intanga ngore) rigomba kunyura mu muyoboro w'inda rigashyirwa mu mura. Rero, iyo imiyoboro y'inda izibye, nta na kimwe muri ibi kizaba gikwiye. Imiyoboro y'inda izibye ni yo mpamvu ikomeye ituma habaho ubugumba.

Muganga ashobora kandi kubona igitekerezo cy'ibindi bintu byinshi bivuye mu isuzuma rya HSG:

Reba niba kubagwa imiyoboro y'imiyoboro byagenze neza

Hari abagore babagwa byitwa `(Tubal ligation)` kugira ngo bahagarike kubyara. Ni ukuvuga ko imiyoboro y'inda ihambiriye. Bityo iki kizamini cya HSG gikoreshwa no kureba niba kubagwa byagenze neza kandi imiyoboro ifunze burundu. Nanone, iyo hari abantu bashaka kongera kubyara, iyi miyoboro ihambiriye irahuzwa (`(Tubal reversal)`). HSG ifasha kandi kureba niba byagenze neza.

Kumenya ibitagenda neza mu mura no gutegura ibindi bipimo

Ikizamini cya HSG gishobora kandi gufasha kumenya niba hari ibitagenda neza mu miterere y'umura cyangwa niba hari ibibyimba cyangwa ibyimbirwa mu mura, nka fibroids. Niba ari uko bimeze, bishobora gufasha muganga gutegura ibizamini byo gukora ubutaha. Urugero, ikizamini cyitwa sonohysterography gishobora gusobanura neza ibisubizo bya HSG. Cyangwa, ikizamini cyitwa hysteroscopy gishobora gukoreshwa mu kuvura indwara zimwe na zimwe ziri mu mura.

Ariko ubu, ikizamini cya HSG gikoreshwa cyane cyane mu kugenzura niba imiyoboro y'inda ifunguye cyangwa idafunguye, kuko ubu hari ibindi bizamini bitanga amakuru yoroshye kandi yuzuye ku bijyanye n'umura.

Ni nde ukora ikizamini cya HSG?

Iki kizamini gikunze gukorwa n'abaganga b'abagore, inzobere mu by'imiti ivura indwara z'imitsi, cyangwa inzobere mu by'imyororokere. Nyuma y'ikizamini, inzobere mu by'imiti ivura indwara z'imitsi irasuzuma amashusho yawe ya X-ray, ikore raporo, hanyuma ikoherereze muganga wawe.

Iki kizamini gikora gite neza neza?

Mu magambo make, ikizamini cya HSG gikubiyemo gutera umuti wihariye (witwa kandi irangi) mu mwobo wa nyababyeyi yawe no mu miyoboro y'inda. Iri bara rituma imiterere y'umura wawe n'imiyoboro y'inda igaragara neza ku ishusho ya X-ray.

• Iyo X-ray igaragaje ko irangi rinyura mu miyoboro y'inda, bivuze ko imiyoboro yawe ifunguye.
• Iyo irangi rihuye n'imbogamizi ahantu runaka kandi ridashobora gutemba, bivuze ko imiyoboro yawe y'inda ifunze.

Urabyumva? Biroroshye cyane.

Ni iki ukeneye kumenya mbere yo gupimwa HSG?

Kugira ngo amenye niba uri umukandida mwiza wo gupimwa HSG, muganga wawe azakubwira amateka yawe yose y’ubuzima. Niba urimo gukurikirana urugero rwa Luteinizing Hormone (LH), muganga wawe ashobora no gusuzuma ibyo bipimo kugira ngo arebe neza ko udatwite. Azasuzuma kandi niba ufite ubwivumbure ku irangi iryo ari ryo ryose ryakoreshejwe muri HSG.

Muganga azagusobanurira niba hari ingaruka zishobora guterwa n'iki kizamini. Ariko, ingaruka zo kuba waranduye HSG ni nke cyane, bityo nta kintu na kimwe ugomba guhangayikishwa na cyo.

Ni gute wakwitegura ikizamini cya HSG?

Ugomba gukurikiza amabwiriza ya muganga wawe neza. Ibi bikunze kuba birimo ibi bikurikira:

• Imiti y'ububabare: Ushobora gusabwa gufata umuti ugabanya ububabare (ubwoko ushobora kugura muri farumasi) isaha imwe mbere y'ikizamini. Ibi bishobora kugabanya ububabare ubwo aribwo bwose mu gihe cyo gupimwa.
• Imiti yo kwirinda kwandura: Hari igihe ushobora guhabwa imiti igabanya ubukana mbere yo gupimwa kugira ngo ugabanye ibyago byo kwandura.
• Umuntu wo kujyana mu rugo:Nyuma yo gupimwa HSG, ushobora gusanga bigoye gutwara imodoka, kuko ushobora kugira ububabare cyangwa kuribwa mu nda. Kubwibyo, ni byiza kuzana umuntu wo kugutwara mu rugo. Niba utabyishimiye, ushobora gutwara imodoka yawe, ariko ni byiza kugira umuntu uri kumwe nawe, sibyo?

Ni iki kibaho mu gihe cyo gupima HSG?

Iki kizamini kimara iminota itarenze itanu , kandi ushobora gutaha uwo munsi.

Mu gihe cyo gupima, imashini ya X-ray ifata amashusho mu gihe muganga ashyira irangi mu mura wawe no mu miyoboro y'inda.

Kwitegura gutobora umugozi:

1. Uzategekwa kuryama ku meza, nk'aho uri gupimwa ikibuno, amavi yawe apfukamye n'amaguru yawe atanye. Imashini ifata amashusho ya X-ray (yitwa "imashini ya fluoroscopy") iri hejuru y'ameza.

2. Hanyuma muganga ashyira igikoresho cyitwa "speculum" mu gitsina cyawe maze akakigura gato. Ibi bituma umura w'intanga ugaragara neza.

3. Hanyuma, umuyoboro w'inkondo y'umura urasukurwa hanyuma umuyoboro muto (catheter) unyuzwa mu muyoboro w'inkondo y'umura ukagera mu mura. Uyu muyoboro ushobora kuba umuyoboro muto wa pulasitiki (cannula). Cyangwa, ushobora kuba umuyoboro muto wa pulasitiki ufite agapira gato ku mutwe. Aka gapira karabyimba iyo kashyizwemo, ku buryo umuyoboro udahinduka iyo ushyizwemo irangi.

Gushyiramo ishashi:

1. Hanyuma muganga akuramo speculum akakubwira gukomeza kuraranura amaguru ku meza.

2. Ubu muganga azashyira irangi buhoro buhoro mu mura wawe. Muri icyo gihe, umuganga w’inzobere mu by’imiti azafungura ``imashini ya fluoroscopy``` ku gice cy’ikibuno cyawe. Ushobora kumva ufite ububabare mu nda muri iki gihe.

3. Iyo imiyoboro yawe y'inda ifunze, igitutu cy'irangi gishobora kuyirenza gato, bigatuma ububabare burushaho kwiyongera.

4. Muganga ashobora kandi kuguhindura ahantu hatandukanye kugira ngo arebe uko irangi rigenda ku miyoboro y'inda.

5. Iyo imiyoboro yawe y'inda ifunguye, irangi rizagaragara nk'iri kuva mu miyoboro rigakwirakwira mu mara (iri bara rihita ryinjira mu mubiri kandi nta ngaruka rizagira). Iyo imiyoboro ifunze, irangi ntirizasohoka.

Nyuma yo gufata amashusho ahagije ya X-ray, muganga azakuramo kanula, cyangwa umuyoboro uriho agapira, mu mubiri wawe. Ibi bikorwa adashyizemo speculum.

Ese ikizamini cya HSG kirababaza?

Ni ibisanzwe kumva ububabare cyangwa kutamererwa neza mu gihe cyo gupimwa kwa HSG. Ibi bishobora kugaragara mu gihe cyo gupimwa na nyuma yo kubikora. Uzumva ubabara mu nda yawe mu gihe muganga ashyira irangi mu mura wawe. Niba imiyoboro yawe yazibye, ubu bubabare bushobora kuba bukomeye cyane.

Uku kubura ibinure bishobora kumara iminota itanu kugeza ku masaha menshi nyuma yo gupimwa. Bishobora kuba byoroshye kugeza ku biri hagati. Nkuko byavuzwe mbere, gufata umuti ugabanya ububabare utari steroide (NSAID) bishobora gufasha kugabanya ubu bubabare.

Ni iki wakwitega nyuma y'ikizamini?

Nyuma yo gupimwa, uzakenera gukoresha agapapuro kugira ngo umenye irangi ryinshi riva mu gitsina cyawe. Iri sohoka rikunze kuba rifata kandi rishobora kuba ririmo udutonyanga duke tw'amaraso. Byongeye kandi, ushobora kugira ingaruka mbi nka:

• Kubabara mu gifu (Cramps)
• Kuzungera
• Kubabara mu gifu cyangwa isesemi
• Kuva amaraso make mu gitsina mu gihe cy'umunsi umwe cyangwa ibiri

Bitewe n'uko wumva umeze neza, ushobora gukomeza imirimo yawe ya buri munsi nyuma yo gupimwa HSG.

Ni izihe ngaruka mbi zishobora guterwa n'iki kizamini?

Nubwo imirasire ikoreshwa mu gufata amashusho ya X-ray mu gihe cyo gupima HSG, ingano y'imirasire ni nto cyane . Kubwibyo, HSG ntifatwa nk'ikizamini cy'akaga. Ariko, hari ingorane zimwe na zimwe zishobora kubaho:

• Kwandura
• Gukomereka ku mura wawe
• Uburyo bwo kugira ubwivumbure ku gikoresho cy'irangi

Wibuke ko ibi ari ibintu bidasanzwe cyane .

Ibisubizo ni ibihe? Bitubwira iki?

Muganga wawe azakubwira ibyavuye mu bipimo kandi akugire inama y'icyo wakora nyuma yaho.

Iyo ikizamini cya HSG kigaragaje ko hari ikibazo mu miyoboro y'inda, muganga ashobora kukugira inama yo gukoresha ubundi buryo bwo gusuzuma no kuvura ikibazo, nka laparoscopy, kugira ngo barusheho gusuzuma no kuvura ikibazo. Cyangwa, bashobora kukwohereza ku buryo bwo kuvura uburumbuke budasaba ko imiyoboro y'inda ifunguka, nko gushora urubyaro muri vitro (IVF).

Ni ibihe bihe byihariye ugomba kujya kwa muganga?

Nyuma yo gupimwa, niba ubonye kimwe muri ibi bimenyetso, bishobora kuba ikimenyetso cy'ubwandu. Niba ari uko bimeze, ugomba guhita ubonana na muganga wawe:

• Umuriro
• Ubukonje
• Kuzinduka
• Kuruka
• Kuva amaraso menshi mu gitsina
• Amavuta yo mu gitsina anuka nabi
• Kubabara cyane mu nda cyangwa kubabara mu nda

Ese birakwiye kwitabwaho?

Ese amahirwe yo gutwita ariyongera nyuma yo gupimwa HSG?

Hari igihe havugwa ikintu cyitwa "gusukura imiyoboro y'amaraso." Iyi ni inzira yo gutera irangi mu mura no mu miyoboro y'inda, nk'uko byakozwe na HSG, ariko hatabayeho gupimwa X-ray. Hari ubushakashatsi bwagaragaje ko gutera irangi muri ubu buryo (cyane cyane mu mezi atatu kugeza kuri atandatu ya mbere nyuma yo gushyirwamo irangi) bishobora kongera amahirwe yo gusama. Hari ubushakashatsi bwagaragaje kandi ko iyi ngaruka iba nini iyo irangi ririmo "uburyo bwo gutandukanya amavuta bushonga".

Ariko, ireme ry'ubu bushakashatsi riratandukanye, bityo hakenewe ubushakashatsi bwinshi mbere yuko HSG ifatwa nk'uburyo bwo kuvura uburumbuke, ndetse no kuba igikoresho cyo gusuzuma.

Ese HSG ishobora gupima imiyoboro yazibye?

Iyo ushyizemo irangi, hari amahirwe ko hari ibintu bito bifunganye bizakurwaho, bigatuma amahirwe yo gusama yongera. Ariko haracyakenewe ubushakashatsi bwinshi kugira ngo ibi bigaragare neza. Biragoye rero kugira icyizere gikabije.

Ingaruka mbi zo gupimwa kwa HSG ni izihe? (Icyibutswa)

Ingaruka zikunze kugaragara cyane zo gupimwa kwa HSG ni ukubabara mu nda . Muganga wawe ashobora kukugira inama yo gufata imiti igabanya ububabare mu minsi mike nyuma yo gupimwa. Ushobora kandi kubona amava yo mu gitsina afashe mu gihe irangi riva mu mubiri wawe. Ariko, ibi bimenyetso bizashira nyuma y'iminsi mike.

Ese nta kibazo gutwita nyuma gato yo gupimwa HSG?

Ubusanzwe, nta kibazo kugerageza gutwita nyuma y'iminsi mike nyuma yo gupimwa HSG. Ariko, ni byiza kuvugana na muganga wawe kuri ibi ukamusaba kwemeza.

Ubutumwa bwa nyuma bwo kujyana mu rugo

Yego, ikizamini cya HSG ni ikizamini cy'ingenzi kigufasha kumenya niba hari ibitagenda neza mu mura wawe cyangwa mu miyoboro y'inda ibuza gutwita. Wibuke ko imiyoboro y'inda ifunganye ari yo mpamvu ikomeye itera ubugumba. Rero, ibisubizo by'iki kizamini cya HSG bizafasha muganga wawe kugera ku ntambwe imwe yo kumenya impamvu ufite ikibazo cyo gutwita.

Witinya. Niba ufite ikibazo cyangwa impungenge kuri iki kizamini, ganira na muganga wawe mu buryo bweruye. Muri ubwo buryo, uzumva umerewe neza muri iki gikorwa.

Nyamuneka ganira ku bisubizo by'ibizamini byawe na muganga wawe hanyuma ufate umwanzuro ku cyo wakora nyuma yaho. Tukwifurije ibyiza byose!

Hysterosalpingogram , HSG, ubugumba, kuziba kw'imiyoboro y'inda, nyababyeyi, ubuzima bw'abagore, isuzuma rya X-ray