Iwe nemurume wako mungave muchirota kuva nemwana. Asi, dzimwe nguva, zvisinei nekuti munoedza sei, zvinotora nguva kuti chiroto ichocho chizadzike. Zvakajairika kunzwa kusuruvara panguva dzakadaro. Ungasazviziva, asi chikonzero cheizvi chingave dambudziko diki riri mumuviri wako. Nhasi, tichataura nezvechirwere icho vanhu vazhinji vasati vanzwa nezvacho, asi chinogona kukanganisa kubereka kwevakadzi: Hydrosalpinx.
Chii chinonzi hydrosalpinx? Ngatinzwisise zviri nyore!
Zvichitaurwa zviri nyore, hydrosalpinx chirwere apo mvura inoungana mune imwe kana ese ari maviri
emachubhu ako efallopian , ichiavhara. Zvakanaka, ngationei kuti aya machubhu efallopian ndeapi uye kukosha kwawo ndekwei. Fungidzira kuti
chibereko chako chakaita seimba diki inokura mwana. Pedyo neimba iyi, kune
machubhu maviri. Aya machubhu anoburitsa zai mwedzi wega wega panguva
yekuenda kumwedzi . Saka, machubhu maviri matete anotakura zai kubva kumachubhu aya kuenda kuchibereko anonzi machubhu efallopian. Chubhu yefallopian ine hutano yakaita semugwagwa wakatsvairwa zvakanaka uye wakachena. Zai rinofamba munzira iyi. Kana mbeu yemurume wako ikasangana nezai munzira iyi, ndizvo zvatinodaidza kuti
fertilization . Zvadaro zai iri rakaberekeswa, kureva
embryo , rinodzokera nechubhu iyi kuenda kuchibereko, rinozviisa mumadziro echibereko uye rinokura semwana ari mudumbu, kureva
mwana . Iye zvino wava kunzwisisa kukosha kwemachubhu efallopian here? Saka, panyaya yehydrosalpinx, chubhu iyi inozadzwa nemvura uye inovharika. Chii chinoitika ipapo?
- Mbeu haigone kusvika muzai.
- Pamwe kunyangwe kana kusangana kwemwana kukaitika, mwana ari mudumbu haazokwanisi kusvika muchibereko.
Dambudziko iri rakajairika zvakadii?
Kusabereka kwevana nekuda kwehutachiona hweTubal factor kunokonzera 20% kusvika 30% yenyaya
dzekushaya mbereko . Panyaya idzi, 10% kusvika 20% vane hydrosalpinx. Ichi chirwere chisingawanzoitiki, asi chinogona kukanganisa vamwe vanhu.
Hydrosalpinx inokanganisa sei muviri wangu? Inodzivirira pamuviri here?
Ehe, hydrosalpinx isina kurapwa inogona kukuomera kubata pamuviri. Inogonawo kuwedzera njodzi yekubuda pamuviri uye matambudziko epamuviri. Pamusoro pekukuomera kubata pamuviri kuburikidza nekuita zvepabonde, hydrosalpinx inogonawo kukonzera mamwe matambudziko:
- Kuwanda kwenjodzi yekubata pamuviri muchibereko : Dzimwe nguva, kuvharika kwechubhu yefallopian kunogona kudzivirira mwana kuti asabereke muchibereko.Kana ikasapera, inogona kuvharirwa mukati mechubhu. Izvi zvinonzi ectopic pregnancy, kana kuti tubal pregnancy . Mimba dzakadaro hadzibudirire, uye kana dzikasarapwa nekukurumidza, dzinogona kuisa hupenyu hwaamai panjodzi. Ichi chirwere chine njodzi zvikuru.
- Mikana yekubata pamuviri neIn Vitro Fertilization ( IVF ) yakaderera: IVF inzira iyo mazai ako anotorwa, obatanidzwa kunze kwemuviri wako, murabhoritari, nembeu yemudiwa wako kana yemupi, uye embryo inobuda inodzoserwa muchibereko chako. Izvi hazvidi machubhu efallopian . Zvisinei, kunyangwe kana IVF ikaitwa pamunhu ane hydrosalpinx, matambudziko anogona kumuka mushure mekunge embryo yaiswa muchibereko. Tsvagiridzo yakaratidza kuti mvura iri muhydrosalpinx inogona kudonhedza mvura muchibereko, zvichiita kuti embryo ikure zvakanaka.
Saka, kurapa hydrosalpinx kunowedzera mikana yekuva nepamuviri une hutano, kunyangwe uri kufunga nezve IVF.
Ndezvipi zviratidzo zve hydrosalpinx?
Kazhinji, hydrosalpinx
haikonzeri zviratidzo . Dzimwe nguva inowanikwa kana uchinetseka kubata pamuviri uye chiremba wako ari kuedza kuona kuti sei. Izvi zvinoreva kuti ungasatomboziva kuti machubhu ako efallopian akavharwa. Zvisinei, dzimwe nguva zviratidzo zvinogona kuitika. Kana izvi zvikaitika, unogona kuona zvinhu zvakaita se:
- Kurwadziwa kwechiuno: Kurwadziwa uku kunogona kuwedzera, kunyanya panguva yekuenda kumwedzi kana mushure mekuenda kumwedzi.
- Kubuda kwetsvina kusina kujairika: Unogona kubuda tsvina ine ruvara rwakasiyana uye gobvu kupfuura zvawagara uchiita.
Sei izvi zvichiitika? Ndezvipi zvinokonzera hydrosalpinx?
Chikonzero chikuru che hydrosalpinx chirwere chisingarapwe . Mabhakitiriya akaipa anogona kukuvadza machubhu ako e fallopian, zvichiita kuti azvimbe uye azvimbe. Kuzvimba uku kunowanzoitika pamucheto wechubhu ye fallopian iri pedyo ne ovary, inonzi
fimbriae . Fimbriae zvimiro zvidiki zvakaita seminwe zvinobatsira kubata zai rinobuda muchubhu ye fallopian uye kuritungamira kupinda muchubhu ye fallopian. Saka, kana fimbriae idzi dzichipora nekuda kwehutachiona, dzimwe nguva dzinonamatirana, dzichivhara kuvhurika kwechubhu ye fallopian. Zvadaro mvura inoungana mukati mechubhu, zvichiita kuti chubhu izvimbe. Ndizvo zvinoreva hydrosalpinx. Zvimwe zvinokonzera hydrosalpinx zvinosanganisira:
- Yakanga isati yamborapwaZvirwere zvinotapuriranwa pabonde ( STIs ), semuenzaniso Chlamydia neGonorrhea .
- Chirwere chePelvic Inflammatory Disease (PID) Izvi zvinowanzokonzerwawo nezvirwere zvepabonde zvisina kurapwa.
- Mavanga anobuda mushure mekuvhiyiwa kwedumbu, kunyanya kuvhiyiwa kwemachubhu efallopian.
- Endometriosis chirwere chinokonzerwa nekuunganidzwa kwematishu.
- Mamwe marudzi emabundu .
Unoziva sei kana machubhu ako efallopian akavharwa? Ndedzipi bvunzo dzinoitwa?
Vanachiremba vachaita bvunzo dzinoverengeka kuti vaone kana machubhu ako efallopian akavharwa:
- Ultrasound scan: Machubhu efallopian haawanzoonekwa paultrasound scan. Zvisinei, kana azere nemvura uye akazvimba, anogona kutaridzika akakura kupfuura zvakajairika. Dzimwe nguva anogona kutoita semasoseji. Chiremba wako anogona kuraira kuongororwa kwakawanda kuti aone kana hydrosalpinx iriyo chikonzero chekuchinja uku.
- Kuongororwa kweHysterosalpingogram (HSG): HSG ibvunzo yedhayi chaiyo inoitiswa neX-ray. Inotsvaga kana paine mavharidziro mumachubhu efallopian. Kuongororwa uku kunowanzo shandiswa kuongorora hydrosalpinx. Chiremba anoisa dhayi muchibereko chako uye anoshandisa X-ray kuona dhayi richifamba. Kana dhayi rikabuda mumachubhu, kureva kuti, muhudyu, machubhu anovhurika. Kana dhayi rikamira, machubhu anovharika.
- Laparoscopy : Laparoscopy inzira inosanganisira kucheka zvidimbu zvidiki mudumbu. Izvi zvinoita kuti chiremba wako akwanise kutarisa mukati medumbu rako. Kucheka zvidimbu zvidiki mudumbu rako uye kamera (laparoscope) inoiswa kuti ione machubhu ako efallopian. Dzimwe nguva, catheter inoiswa nepanhengo yako yemukadzi mumuromo wechibereko chako uye dhayi inopinzwa muchibereko chako nemachubhu efallopian kuti ione kana paine kuvharika. Laparoscopy inoshandiswawo kusimbisa mhedzisiro yebvunzo yeHSG.
Ndeipi mishonga yekurapa hydrosalpinx?
Kurapwa kwehydrosalpinx kunogona kuwedzera mikana yako yekubata pamuviri. Kurapwa kwaunowana kunoenderana nezvinhu zvakaita sekuoma kwekuvhara kwechirwere uye zera rako. Kana uine hutachiona hunoshanda, chiremba wako achakupa
mishonga inorwisa mabhakitiriya kuti irapwe. Kunewo mishonga yekuvhiya:
- Kuvhiyiwa kweSalping:Izvi zvinosanganisira kubvisa imwe kana ese ari maviri machubhu efallopian (bilateral salpingectomy). Izvi zvinoitwa kana chubhu yacho yakakuvara zvakanyanya uye isingagone kugadziriswa. Kuvhiyiwa uku kunoitwa, kunyanya IVF isati yaitwa, kudzivirira mvura yakaipa kuti isayerere muchibereko.
- Salpingostomy (kana neosalpingostomy): Izvi zvinoitirwa kugadzirisa kuvharika kwemachubhu ako efallopian. Salpingostomy inowanzoitwa ne laparoscopically. Chiremba anoita kucheka kudiki muchubhu yefallopian uye anoburitsa mvura iri mumvura. Zvikamu zvechubhu zvakakuvara zvinogona kubviswa uye mativi akavharika anogona kuvhurwazve. Zvisinei, kuvhiyiwa uku hakusi kufarirwa sezvakwaimboita, sezvo IVF yakaratidzwa kuti inobudirira kupfuura salpingostomy mumakore achangopfuura. Inogona kuwedzera njodzi yekubvisa pamuviri uye matambudziko epamuviri mushure mekuvhiyiwa uku. IVF inobudirira kupfuura salpingostomy.
Vanhu vazhinji vari kuedza kubata pamuviri vanorapwa nehydrosalpinx vozoshandisa IVF, iyo inodzivisa machubhu ekutapira zvachose. Chiremba wako achakupa mazano ekusarudza nzira yakanakira mamiriro ako ezvinhu.
Pane nzira dzekurapa hydrosalpinx nenzira yechisikigo here?
Kutaura chokwadi,
hapana mishonga yechisikigo ye hydrosalpinx. Kana kukuvara kuri kudiki pamachubhu ako, chiremba wako anogona kukwanisa kuagadzirisa ne salpingostomy. Zvisinei, kana paine hydrosalpinx yakanyanya, ungangoda kubviswa chubhu imwe kana ese ari maviri e fallopian.
Ungaderedza sei njodzi ye hydrosalpinx?
Nzira yakanakisisa yekudzivirira hydrosalpinx ndeyekuderedza
njodzi yezvirwere zvepabonde (STIs) . Kuita bonde rakachengeteka kunogona kubatsira kuderedza njodzi yekuwana hutachiona hunogona kukuvadza nhengo dzako dzekubereka. Zvakakoshawo kuona chiremba nekukasika kana ukawana hutachiona.
Chii chinoitika kana chikasarapwa?
Kusarapwa kwehydrosalpinx kunogona kuderedza kugona kwako kubata pamuviri. Kunogonawo kuwedzera njodzi yako yematambudziko akadai sekubuda kwepamuviri uye pamuviri usina kuvharwa.
Kurapwa kunogona kuwedzera mikana yako yekuva nepamuviri pakanaka. Izvi zvinotyisidzira hupenyu here?
Hydrosalpinx pachayo haina njodzi kuhupenyu. Zvisinei, inowedzera njodzi yekubata pamuviri mudumbu. Kana pamuviri mudumbu mudumbu usingarapwe nekukasika, unogona kuisa upenyu panjodzi.
Mibvunzo ipi yandinofanira kubvunza chiremba?
Kana ukaona kuti une hydrosalpinx, zvakajairika kuva nemibvunzo yakawanda. Bvunza chiremba wako nezvezvinhu zvakaita se:
- Ndine chirwere chemudumbu here?
- Hydrosalpinx yangu yakanyanya sei?
- Ndine hydrosalpinx muchubhu imwe chete here kana kuti zvese zviri zviviri?
- Dambudziko iri rinokanganisa sei kugona kwangu kubata pamuviri?
- Ndezvipi zvakanakira nezvakaipa zvekugadzirisa machubhu angu efallopian?
- Ndezvipi zvakanakira nezvakaipa zvekubviswa kwemachubhu angu efallopian?
- Unofanira kuedza kubata pamuviri kwenguva yakareba sei mushure mekurapwa kwehydrosalpinx?
- Munokurudzira kurapwa kweIVF here?
Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)
Kuziva kuti une hydrosalpinx kunogona kuodza mwoyo zvikuru uye kusuwisa kune mumwe munhu ari kuedza kuva nemwana. Izvozvo zvakajairika. Asi
usaora mwoyo .
Chinhu chakakosha ndechekuti pave nekurapwa kwechirwere ichi. Vakadzi vazhinji vakamborapwa vakabereka vana vane hutano hwakanaka.
Taura nachiremba wako nezvekuti hydrosalpinx inokanganisa sei zvirongwa zvako zvepamuviri. Chiremba wako ndiye munhu akakodzera kutsanangura kuti inokanganisa sei kubereka kwako uye matanho akanakisa ekutora.
Nemazano akakodzera ekurapa uye kurapwa, iwewo unogona kuita kuti chiroto chako chizadzike!
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