Ngaba nawe unengxaki yokuzala? Masifunde yonke into malunga novavanyo lwe-HSG (Hysterosalpingogram)?

Ukulibaziseka kokukhulelwa yingxaki abantu abaninzi abajongene nayo kule mihla. Ngoko ke, mhlawumbi uyazi ukuba kufuneka kwenziwe iimvavanyo ezahlukeneyo ukuze kufunyanwe izizathu zoku. Ngamaxesha anjalo, ingakumbi kwimibhobho yakho ye-fallopian (oko kukuthi, imibhobho ethwala amaqanda esuka kuma-ovari ukuya kwisibeleko), olu vavanyo lubalulekileyo lubizwa ngokuba yi-hysterosalpingogram, eyenziwa ukujonga ukuba kukho naziphi na izithintelo okanye ukuba kukho naluphi na utshintsho kwimo yesibeleko. Sikwabiza oku ngokuba yi-HSG ngamafutshane. Olu luvavanyo olusebenzisa iteknoloji ye-X-ray kwaye kufakwa ulwelo olukhethekileyo. Ngoko ke, namhlanje siza kuthetha ngolu vavanyo lwe-HSG ngendlela onokuyiqonda kakuhle.

Luvavanyo lweHSG lwenziwa nini?

Kaloku, likho ixesha elifanelekileyo lokwenza olu vavanyo lwe-HSG. Ugqirha wakho uza kulucwangcisa kwiiveki ezimbini zokuqala zomjikelo wakho wenyanga wokuya exesheni . Oko kuthetha ukuba luza kwenziwa emva kokuba ixesha lakho liphelile kodwa ngaphambi kokuba i-ovulation iphume. Eli xesha likhethekileyo likhethwe ngezizathu ezibini:

1. Ungaqiniseka ukuba awukhulelwanga xa usenza uvavanyo.

2. Ekubeni ukuya exesheni kungenzeki ngexesha lovavanyo, akuyi kuphazamisana novavanyo.

Kunini apho kufuneka uvavanyo lwe-HSG lungenziwa khona?

Le yingongoma ebaluleke kakhulu. Asinguye wonke umntu onokuba nolu vavanyo lwe-HSG. Ingakumbi kwezi meko, i-HSG ayenziwa:

• Ukuba ukhulelwe: Olu vavanyo alwenziwa kwaphela ngexesha lokukhulelwa.
• Ukuba une-pelvic infection: Ukuba une-pelvic test ngelixa une-infection enjalo, ingasasazeka ngakumbi. Ke ngoko, ukuba une-infection enjalo, le test iyamiswa ide iphele.

Kutheni sifuna uvavanyo lwe-HSG?

Ugqirha udla ngokucebisa uvavanyo lwe-HSG ukuba ukrokrela ukuba unokuba neengxaki zokukhulelwa. Eyona njongo iphambili yoku kukufumanisa ukuba imibhobho yakho ye-fallopian ivulekile okanye ivaliwe.

Cinga ngale nto, ukuze ukhulelwe kakuhle, isidoda kufuneka sihambe siye kwi-fallopian tube size sidibane neqanda. Emva koko, iqanda elivundisiweyo (isibeleko) kufuneka libuyele kwi-fallopian tube lize lifakwe kwisibeleko. Ngoko ke, ukuba le mibhobho ye-fallopian ivaliwe, akukho nanye kwezi zinto eya kwenzeka ngokufanelekileyo. Imibhobho ye-fallopian evaliweyo yimbangela enkulu yokungazali.

Ugqirha unokufumana umbono wezinye izinto ezininzi kuvavanyo lwe-HSG:

Jonga ukuba utyando lwe-tubal ligation luphumelele na

Abanye abafazi benza utyando olubizwa ngokuba yi-`(Tubal ligation)` ukuze bayeke ukuzala. Oko kukuthi, iityhubhu ze-fallopian zibotshelelwe. Ngoko ke olu vavanyo lwe-HSG lukwasetyenziselwa ukubona ukuba utyando luphumelele na kwaye iityhubhu zivaliwe ngokupheleleyo. Kwakhona, xa abanye abantu befuna ukuba nomntwana kwakhona, ezi tyhubhu zibotshelelweyo ziyaxhunyelelwa kwakhona (`(Tubal reversal)`). I-HSG ikwanceda ukubona ukuba iphumelele na.

Chonga iingxaki zesibeleko kwaye ucwangcise uvavanyo olongezelelweyo

Uvavanyo lwe-HSG lunokunceda ekuqinisekiseni ukuba kukho naziphi na iingxaki kwimo yesibeleko okanye ukuba kukho naziphi na iziqwenga okanye ukukhula kwesibeleko, njenge-fibroids. Ukuba kunjalo, kunokunceda ugqirha ukuba acwangcise uvavanyo oluza kwenziwa ngokulandelayo. Umzekelo, uvavanyo olubizwa ngokuba yi-sonohysterography lunokucacisa ngakumbi iziphumo ze-HSG. Okanye, uvavanyo olubizwa ngokuba yi-hysteroscopy lunokusetyenziswa ukunyanga iimeko ezithile ngaphakathi kwesibeleko.

Kodwa okwangoku, uvavanyo lwe-HSG lusetyenziswa kakhulu ukujonga ukuba iityhubhu ze-fallopian zivulekile okanye azivuliwe, kuba ngoku kukho ezinye iimvavanyo ezibonelela ngolwazi olulula nolupheleleyo malunga nesibeleko.

Ngubani owenza uvavanyo lweHSG?

Olu vavanyo ludla ngokwenziwa yingcali yakho yezifo zabesifazane, ingcali ye-radiology, okanye ingcali ye-endocrinologist yokuzala. Emva kovavanyo, ingcali ye-radiology iya kuhlola imifanekiso yakho ye-X-ray, yenze ingxelo, ize iyithumele kugqirha wakho.

Lusebenza njani kanye kanye olu vavanyo?

Ngamafutshane, uvavanyo lwe-HSG lubandakanya ukufaka ulwelo olukhethekileyo (olubizwa ngokuba yidayi) kwi-uterine cavity yakho nakwi-fallopian tubes. Le dayi ivumela ukuba imo yesibeleko sakho kunye ne-fallopian tubes zibonakale ngokucacileyo kumfanekiso we-X-ray.

• Ukuba i-X-ray ibonisa ukuba idayi idlula kwimibhobho ye-fallopian, oko kuthetha ukuba imibhobho yakho ivulekile.
• Ukuba idayi idibana nomqobo ndaweni ithile kwaye ayikwazi ukuhamba, oko kuthetha ukuba imibhobho yakho ye-fallopian ivaliwe.

Uyaqonda? Kulula kakhulu.

Yintoni ekufuneka uyazi ngaphambi kovavanyo lwe-HSG?

Ukuze afumanise ukuba ungumntu ofanelekileyo na kuvavanyo lwe-HSG, ugqirha wakho uza kuxoxa ngembali yakho epheleleyo yezonyango. Ukuba ujonga amanqanaba akho e-Luteinizing Hormone (LH), ugqirha wakho angaphinda ahlole ezo ziphumo zovavanyo ukuqinisekisa ukuba awukhulelwanga. Baza kujonga nokuba awunayo na i-allergy kuyo nayiphi na idayi esetyenziswa kwi-HSG.

Ugqirha uza kukuchazela nokuba kukho naziphi na iingozi ezibandakanyekileyo kolu vavanyo. Nangona kunjalo, iingozi ze-HSG ziphantsi kakhulu, ngoko akukho nto inokubangela ixhala ngayo.

Ungayilungiselela njani uvavanyo lwe-HSG?

Ufanele ulandele imiyalelo kagqirha wakho ngokuchanekileyo. Oku kudla ngokuquka oku kulandelayo:

• Amayeza entlungu: Ungacelwa ukuba uthathe isithomalalisi sentlungu (uhlobo onokuluthenga kwikhemesti) malunga neyure ngaphambi kovavanyo. Oku kunokunceda ukunciphisa nakuphi na ukungonwabi ngexesha lovavanyo.
• Amayeza okuthintela usulelo: Ngamanye amaxesha, unokunikwa amayeza okubulala iintsholongwane ngaphambi kovavanyo ukunciphisa umngcipheko wosulelo.
• Umntu onokumthatha aye naye ekhaya:Emva kovavanyo lwe-HSG, ungakufumanisa kunzima ukuqhuba, kuba usenokuba neentlungu okanye ukuqaqamba kwemisipha. Ngoko ke, kungcono ukuzisa umntu oza kukuqhubela ekhaya. Ukuba awukhululekanga koku, ungaqhuba ngokwakho, kodwa kungcono ukuba nomntu ohamba nawe, akunjalo?

Kwenzeka ntoni ngexesha lovavanyo lwe-HSG?

Olu vavanyo luthatha ngaphantsi kwemizuzu emihlanu , kwaye ungagoduka ngaloo mini inye.

Ngexesha lovavanyo, umatshini we-X-ray uthatha imifanekiso njengoko ugqirha efaka idayi kwisibeleko sakho nakwiityhubhu ze-fallopian.

Ukulungiselela ukugqobhoza idayisi:

1. Uza kuphoswa etafileni, ngokungathi uvavanywa isinqe, amadolo akho agobile kwaye imilenze yakho iqhekekile. Umatshini othatha imifanekiso ye-X-reyi (ebizwa ngokuba yi-"fluoroscopy machine") ungaphezulu kwetafile.

2. Emva koko ugqirha ufaka isixhobo esibizwa ngokuba yi-"speculum" kwisini sakho aze asivule kancinci. Oku kuvumela ukuba umlomo wesibeleko ubonakale ngokucacileyo.

3. Okulandelayo, umlomo wesibeleko uyacocwa kwaye ityhubhu encinci (i-catheter) idluliselwa emlonyeni wesibeleko iye esibelekweni. Le tyhubhu isenokuba yityhubhu yeplastiki encinci (i-cannula). Okanye, isenokuba yityhubhu yeplastiki encinci enebhaluni encinci encamini. Le bhaluni iyavuthelana xa ifakwa, ukuze ityhubhu ingahambi xa kufakwa idayi.

Ukufaka idayisi:

1. Emva koko ugqirha ususa i-speculum aze akuxelele ukuba ugcine imilenze yakho isasazekile etafileni.

2. Ngoku ugqirha uza kupompa idayi kancinci esibelekweni sakho. Kwangaxeshanye, ingcali ye-radiology iza kuvula "umatshini we-fluoroscopy" kwindawo yakho ye-pelvic. Usenokuziva uxinezelekile esiswini sakho ngeli xesha.

3. Ukuba iityhubhu zakho ze-fallopian zivaliwe, uxinzelelo oluvela kwidayi lunokwandisa kancinci, nto leyo enokwenza intlungu ibe qatha ngakumbi.

4. Ugqirha angakujika kwiindawo ezahlukeneyo ukuze abone ukuba idayi ihamba njani kwimibhobho ye-fallopian.

5. Ukuba imibhobho yakho ye-fallopian ivulekile, idayi iya kubonakala ngathi iphuma kwimibhobho ize isasazeke iye emathunjini (le dayi iyafunxwa ngumzimba kwaye ayiyi kubangela monakalo). Ukuba imibhobho ivaliwe, idayi ayizukuphuma.

Emva kokuthatha imifanekiso eyaneleyo ye-X-reyi, ugqirha uza kuyisusa i-cannula, okanye ityhubhu enebhaluni, emzimbeni wakho. Oku kwenziwa ngaphandle kokufaka kwakhona i-speculum.

Ngaba uvavanyo lwe-HSG lubuhlungu?

Kuqhelekile ukuba uzive iintlungu okanye ukungakhululeki ngexesha lovavanyo lwe-HSG. Oku kunokuvakala ngexesha lovavanyo nasemva kokuba lugqityiwe. Uza kuziva uxinezelekile esiswini sakho njengoko ugqirha efaka idayi esibelekweni sakho. Ukuba iityhubhu zakho zivaliwe, olu xinezelelo lunokuba nzulu ngakumbi.

Oku kuba ndindisholo kunokuhlala naphi na ukusuka kwimizuzu emihlanu ukuya kwiiyure ezininzi emva kovavanyo. Kunokuba ncinci ukuya kuphakathi. Njengoko bekutshiwo ngaphambili, ukuthatha iyeza elichasene nokuvuvukala elingeyo-steroidal (NSAID) kunokunceda ekunciphiseni le ntlungu.

Yintoni onokuyilindela emva kovavanyo?

Emva kovavanyo, kuya kufuneka usebenzise iphedi ukuze ufunxe idayi eyongezelelweyo ephuma kwilungu lobufazi bakho. Olu phuma ludla ngokuba ncamathela kwaye lunokuba namathontsi amancinci egazi. Ukongeza, unokufumana iziphumo ebezingalindelekanga ezifana nezi:

• Ukuqaqamba kwesisu (iiCramps)
• Isiyezi
• Isisu esibuhlungu okanye isicaphucaphu
• Ukopha okuncinci kwilungu lobufazi kangangeentsuku ezimbini

Ngokuxhomekeke ekubeni uzive kakuhle kangakanani, ungaqhubeka nemisebenzi yakho yemihla ngemihla emva kovavanyo lwe-HSG.

Zithini iingozi zolu vavanyo?

Nangona imitha isetyenziswa ukuthatha imifanekiso ye-X-reyi ngexesha le-HSG, ubungakanani bemitha buphantsi kakhulu . Ke ngoko, i-HSG ayithathwa njengovavanyo olunobungozi. Nangona kunjalo, kukho iingxaki ezinqabileyo kakhulu ezinokwenzeka:

• Usulelo
• Ukwenzakala kwesibeleko sakho
• Impendulo yokunganyamezelani nesisombululo sedayi

Khumbula ukuba ezi ziziganeko ezingaqhelekanga kakhulu .

Zithini iziphumo? Zisixelela ntoni?

Ugqirha wakho uza kukuxelela ngeziphumo zovavanyo aze akucebise ngento omawuyenze ngokulandelayo.

Ukuba uvavanyo lwe-HSG lubonisa ukuba kukho ukuvaleka kwimibhobho ye-fallopian, ugqirha unokucebisa ezinye iimvavanyo/iinkqubo, ezifana ne-laparoscopy, ukuze kuphandwe ngakumbi kwaye kunyangwe ingxaki. Okanye, banokukuthumela kunyango lokuzala olungafuni ukuba imibhobho ye-fallopian ivuleke, njengokuchumisa nge-in vitro (IVF).

Zeziphi izihlandlo ezikhethekileyo ekufuneka uye kugqirha ngazo?

Emva kovavanyo, ukuba ubona naziphi na kwezi mpawu, oko kungaba luphawu losulelo. Ukuba kunjalo, kufuneka ubone ugqirha wakho ngoko nangoko:

• Ifiva
• Ukugodola
• Ukuquleka
• Ukuhlanza
• Ukopha kakhulu kwilungu lobufazi
• Ukuphuma kwamanzi kwilungu lobufazi okunuka kakubi
• Ukuqaqamba okukhulu okanye intlungu esiswini sakho

Ngaba kufanelekile ukunyamekela ezi zinto?

Ngaba amathuba okukhulelwa ayanda emva kovavanyo lwe-HSG?

Ngamanye amaxesha kukho intetho ngento ebizwa ngokuba yi-"tubal flushing." Le yinkqubo yokufaka idayi kwisibeleko nakwiityhubhu ze-fallopian, efana ne-HSG, kodwa ngaphandle kokuthatha i-X-ray. Ezinye izifundo zibonise ukuba ukufaka idayi ngale ndlela (ingakumbi kwiinyanga ezintathu ukuya kwezintandathu zokuqala emva kokufakwa kwedayi) kunokunyusa amathuba okukhulelwa. Ezinye izifundo zikwabonise ukuba le mpembelelo iba nkulu xa idayi ine-"oil-soluble contrast medium".

Nangona kunjalo, umgangatho wezi zifundo uyahluka, ngoko ke kufuneka uphando oluthe kratya ngaphambi kokuba i-HSG ithathwe njengonyango lokuchuma, ukongeza ekubeni sisixhobo sokuxilonga.

Ngaba i-HSG ingavavanya iityhubhu ezivaliweyo?

Xa kufakwa isicombululo sedayi, kukho ithuba lokuba naziphi na izithintelo ezincinci ziya kususwa, nto leyo eyandisa amathuba akho okukhulelwa. Kodwa kusafuneka uphando oluthe kratya ukuze kuqinisekiswe oku ngokuqinisekileyo. Ngoko ke kunzima ukuba nethemba kakhulu.

Zithini iziphumo ebezingalindelekanga zovavanyo lwe-HSG? (Isikhumbuzo)

Eyona miphumo ixhaphakileyo yovavanyo lwe-HSG kukuqaqamba kwemisipha . Ugqirha wakho unokucebisa ukuba uthathe amayeza okudambisa iintlungu iintsuku ezimbalwa emva kovavanyo. Ungabona nokukhupha okunamathelayo kwilungu lobufazi njengoko idayi iphuma emzimbeni wakho. Nangona kunjalo, ezi mpawu ziya kuphela emva kweentsuku ezimbalwa.

Ngaba kulungile ukukhulelwa emva nje kovavanyo lwe-HSG?

Ngokwesiqhelo, kulungile ukuzama ukukhulelwa emva kweentsuku ezimbalwa emva kovavanyo lwe-HSG. Nangona kunjalo, kungcono ukuthetha nogqirha wakho ngale nto uze umcele ukuba aqinisekise.

Umyalezo Wokugqibela Wokuya Ekhaya

Kulungile, ngoko ke uvavanyo lwe-HSG luvavanyo olubalulekileyo olukunceda ufumanise ukuba kukho naziphi na iingxaki kwisibeleko sakho okanye kwiityhubhu ze-fallopian ezikuthintela ukuba ukhulelwe. Khumbula, iityhubhu ze-fallopian ezivaliweyo zingunobangela omkhulu wokungabi nabantwana. Ngoko ke, iziphumo zolu vavanyo lwe-HSG ziya kunceda ugqirha wakho ukuba asondele ekufumaneni isizathu sokuba unengxaki yokukhulelwa.

Musa ukoyika. Ukuba unemibuzo okanye iinkxalabo malunga nolu vavanyo, thetha ngazo ngokukhululekileyo nogqirha wakho. Ngale ndlela, uya kuziva ukhululekile ngakumbi ukuqhubeka nale nkqubo.

Nceda uxoxe ngeziphumo zovavanyo lwakho nogqirha wakho uze wenze isigqibo malunga nento omawuyenze ngokulandelayo. Sikunqwenelela okuhle kodwa!

I- Hysterosalpingogram, i-HSG, ukungazali, ukuvaleka kwetyhubhu ye-fallopian, isibeleko, impilo yabasetyhini, uviwo lwe-X-ray