Ingabe nawe unezinkinga zokuzala? Ake sifunde konke mayelana nokuhlolwa kwe-HSG (Hysterosalpingogram)?

Ukukhulelwa okubambezelekile kuyinkinga abantu abaningi ababhekene nayo kulezi zinsuku. Ngakho-ke, cishe uyazi ukuthi kufanele kwenziwe izivivinyo ezahlukahlukene ukuze kutholakale izizathu zalokhu. Ngezikhathi ezinjalo, ikakhulukazi emapayipini akho e-fallopian (okungukuthi amapayipi athwala amaqanda esuka emaqanda aya esibelethweni), lokhu kuhlolwa okubalulekile kubizwa ngokuthi i-hysterosalpingogram, okwenziwa ukuze kubonakale ukuthi kukhona yini ukuvinjelwa noma ukuthi kukhona yini ushintsho esimweni sesibeletho. Siphinde sikubize ngokuthi i -HSG ngamafuphi. Empeleni lokhu kuhlolwa okusebenzisa ubuchwepheshe be-X-ray futhi kufakwa uketshezi olukhethekile. Ngakho-ke, namuhla sizokhuluma ngalokhu kuhlolwa kwe-HSG ngendlela ongayiqonda kahle.

Lolu vivinyo lwe-HSG lwenziwa nini?

Nokho, kukhona isikhathi esingcono kakhulu sokwenza lokhu kuhlolwa kwe-HSG. Udokotela wakho uzokuhlelela amasonto amabili okuqala omjikelezo wakho wokuya esikhathini wanyanga zonke . Lokho kusho ukuthi kwenziwa ngemva kokuphela kwesikhathi sakho sokuya esikhathini kodwa ngaphambi kokuvuthwa. Lesi sikhathi esithile sikhethwe ngezizathu ezimbili:

1. Ungaqiniseka ukuthi awukhulelwe uma ubhala isivivinyo.

2. Njengoba ukuya esikhathini kungenzeki ngesikhathi sokuhlolwa, ngeke kuphazamise ukuhlolwa.

Kunini lapho kufanele kwenziwe khona ukuhlolwa kwe-HSG?

Leli futhi liphuzu elibaluleke kakhulu. Akuwona wonke umuntu ongaba nalolu vivinyo lwe-HSG. Ikakhulukazi kulezi zimo, i-HSG ayenziwa:

• Uma ukhulelwe: Lokhu kuhlolwa akwenziwa nhlobo ngesikhathi sokukhulelwa.
• Uma unesifo se-pelvic: Uma unesivivinyo ngenkathi unesifo esinjalo, singasakazeka kakhulu. Ngakho-ke, uma unesifo esinjalo, lesi sivivinyo siyahlehliswa kuze kube yilapho sesiphelile.

Kungani sidinga ukuhlolwa kwe-HSG?

Udokotela uvame ukuncoma ukuhlolwa kwe-HSG uma esola ukuthi ungaba nezinkinga zokukhulelwa. Inhloso eyinhloko yalokhu ukuthola ukuthi amashubhu akho e-fallopian avulekile noma avalekile.

Cabanga ngakho, ukuze ukukhulelwa okunempilo kwenzeke, isidoda kufanele sihambe ngepayipi le-fallopian bese sihlangana neqanda. Ngemuva kwalokho, iqanda elivundisiwe (umbungu) kufanele libuyele emuva ngepayipi le-fallopian bese lifakwa esibelethweni. Ngakho-ke, uma la mapayipi e-fallopian evalekile, akukho nokukodwa kwalokhu okuzokwenzeka kahle. Amapayipi e-fallopian avinjiwe ayimbangela enkulu yokungazali.

Udokotela angathola nombono wezinye izinto eziningana kusukela ekuhlolweni kwe-HSG:

Hlola ukuthi ukuhlinzwa kwe-tubal ligation kuphumelele yini

Abanye besifazane bahlinzwa okubizwa ngokuthi `(Tubal ligation)` ukuze bayeke ukuzala abantwana. Okusho ukuthi, amapayipi e-fallopian aboshwe. Ngakho-ke lolu vivinyo lwe-HSG lusetshenziselwa nokubona ukuthi ukuhlinzwa kuphumelele yini nokuthi amapayipi avalwe ngokuphelele. Futhi, lapho abanye abantu befuna ukuba nomntwana futhi, la mapayipi aboshwe ayaxhunyaniswa kabusha (`(Tubal reversal)`). I-HSG iyasiza futhi ukubona ukuthi iphumelele yini.

Thola izinkinga zesibeletho bese uhlela ukuhlolwa okwengeziwe

Ukuhlolwa kwe-HSG kungasiza futhi ekunqumeni ukuthi kukhona yini ukukhubazeka ngesimo sesibeletho noma ukuthi kukhona yini amaqhubu noma ukukhula esibelethweni, njenge-fibroids. Uma kunjalo, kungasiza udokotela ukuthi ahlele ukuthi yiziphi izivivinyo okufanele azenze ngokulandelayo. Isibonelo, ukuhlolwa okubizwa ngokuthi i-sonohysterography kungacacisa ngokwengeziwe imiphumela ye-HSG. Noma, ukuhlolwa okubizwa ngokuthi i-hysteroscopy kungasetshenziswa ukwelapha izimo ezithile ngaphakathi kwesibeletho.

Kodwa okwamanje, ukuhlolwa kwe-HSG kusetshenziselwa kakhulu ukuhlola ukuthi amashubhu e-fallopian avulekile noma cha, ngoba kunezinye izivivinyo ezilula futhi ezinikeza ulwazi oluphelele ngesibeletho.

Ubani owenza ukuhlolwa kwe-HSG?

Lokhu kuhlolwa kuvame ukwenziwa yi-gynecologist yakho, i-radiologist, noma i-reproductive endocrinologist. Ngemva kokuhlolwa, i-radiologist izobuyekeza izithombe zakho ze-X-ray, idale umbiko, bese iwuthumela kudokotela wakho.

Kusebenza kanjani ngempela lokhu kuhlolwa?

Kalula nje, ukuhlolwa kwe-HSG kuhilela ukufaka uketshezi olukhethekile (olubizwa nangokuthi idayi) emgodini wakho wesibeletho nasemapayipini e-fallopian. Lo dayi uvumela ukuma kwesibeletho sakho namapayipi e-fallopian ukuthi kubonakale ngokucacile esithombeni se-X-ray.

• Uma i-X-ray ikhombisa ukuthi idayi igeleza ngamapayipi e-fallopian, kusho ukuthi amapayipi akho avulekile.
• Uma udayi uhlangana nesithiyo ndawana thize futhi ungakwazi ukugeleza, kusho ukuthi amapayipi akho e-fallopian avalekile.

Uyaqonda? Kulula kakhulu.

Yini okudingeka uyazi ngaphambi kokuhlolwa kwe-HSG?

Ukuze anqume ukuthi ungumuntu ofanele yini ukuhlolwa kwe-HSG, udokotela wakho uzoxoxa ngomlando wakho wezokwelapha ophelele. Uma uqapha amazinga akho e-Luteinizing Hormone (LH), udokotela wakho angase abukeze leyo miphumela yokuhlolwa ukuqinisekisa ukuthi awukhulelwe. Bazohlola futhi ukuthi awunayo yini i-allergy kunoma yimuphi udayi osetshenziswa ku-HSG.

Udokotela uzophinde akuchazele ukuthi zikhona yini izingozi ezihilelekile kulokhu kuhlolwa. Kodwa-ke, izingozi ze-HSG ziphansi kakhulu, ngakho-ke akukho okufanele ukhathazeke ngakho.

Ungalungiselela kanjani ukuhlolwa kwe-HSG?

Kufanele ulandele imiyalelo kadokotela wakho ngqo. Lokhu kuvame ukufaka okulandelayo:

• Imithi yobuhlungu: Ungase ucelwe ukuthi uthathe umuthi wokunciphisa izinhlungu (uhlobo ongaluthenga ekhemisi) cishe ihora ngaphambi kokuhlolwa. Lokhu kungasiza ekunciphiseni noma yikuphi ukungakhululeki ngesikhathi sokuhlolwa.
• Imithi yokuvimbela ukutheleleka: Ngezinye izikhathi, unganikezwa ama-antibiotic ngaphambi kokuhlolwa ukuze unciphise ingozi yokutheleleka.
• Umuntu okufanele ahambe naye ekhaya:Ngemva kokuhlolwa kwe-HSG, ungase ukuthole kunzima ukushayela, njengoba ungase uzwe ubuhlungu noma izinhlungu. Ngakho-ke, kungcono ukuletha umuntu ozokushayela ekhaya. Uma ungakhululekile ngalokhu, ungazishayela wena, kodwa kungcono ukuba nomuntu ohamba nawe, akunjalo?

Kwenzekani ngesikhathi sokuhlolwa kwe-HSG?

Lolu vivinyo luthatha imizuzu engaphansi kwemihlanu , futhi ungaya ekhaya ngalolo suku.

Ngesikhathi sokuhlolwa, umshini we-X-ray uthatha izithombe njengoba udokotela efaka idayi esibelethweni sakho nasemapayipini e-fallopian.

Ukulungiselela ukubhoboza idayisi:

1. Uzolaliswa etafuleni, njengokungathi uhlolwa isinqe, amadolo akho agobile nemilenze yakho ihlukene. Umshini othatha izithombe ze-X-ray (obizwa ngokuthi "umshini we-fluoroscopy") ungaphezu kwetafula.

2. Udokotela ufaka idivayisi ebizwa ngokuthi "i-speculum" esithweni sakho sangasese sowesifazane bese eyivula kancane. Lokhu kuvumela umlomo wesibeletho ukuthi ubonakale kahle.

3. Okulandelayo, umlomo wesibeletho uyahlanzwa bese kudluliswa ithubhu elincane (i-catheter) ngesibeletho liye esibelethweni. Leli thubhu lingaba ithubhu elincane lepulasitiki (i-cannula). Noma, kungaba ithubhu elincane lepulasitiki elinebhaluni elincane esicongweni. Leli bhaluni liyafutha uma lifakwa, ukuze ithubhu lingahambi lapho kufakwa udayi.

Ukufaka idayisi:

1. Udokotela ube esekhipha i-speculum bese ekutshela ukuthi ugcine imilenze yakho ivulekile etafuleni.

2. Manje udokotela uzofaka kancane kancane idayi esibelethweni sakho. Ngesikhathi esifanayo, uchwepheshe we-radiology uzovula "umshini we-fluoroscopy" endaweni yakho yesinqe. Ungase uzizwe ukhungathekile esiswini sakho ngalesi sikhathi.

3. Uma amapayipi akho e-fallopian evalekile, ingcindezi evela kudayi ingase iwanwebe kancane, okungenza ubuhlungu bube bukhulu kakhulu.

4. Udokotela angase futhi akuguqulele ezimweni ezahlukene ukuze abone ukuthi idayi ihamba kanjani emapayipini e-fallopian.

5. Uma amapayipi akho e-fallopian evulekile, idayi izobonakala sengathi iphuma emapayipini bese isakazekela emathunjini (le dayi bese imuncwa umzimba futhi ngeke ibangele umonakalo). Uma amapayipi evalekile, idayi ngeke iphume.

Ngemva kokuthatha izithombe ze-X-ray ezanele, udokotela uzosusa i-cannula, noma ipayipi elinebhaluni, emzimbeni wakho. Lokhu kwenziwa ngaphandle kokufaka kabusha i-speculum.

Ingabe ukuhlolwa kwe-HSG kubuhlungu?

Kuvamile ukuzwa ubuhlungu noma ukungakhululeki ngesikhathi sokuhlolwa kwe-HSG. Lokhu kungazwakala ngesikhathi sokuhlolwa nangemva kokuhlolwa. Uzozwa umuzwa wokuqaqamba esiswini sakho njengoba udokotela efaka udayi esibelethweni sakho. Uma amapayipi akho evalekile, lokhu kuqaqamba kungaba nzima kakhulu.

Lokhu kuba ndikindiki kungahlala noma kuphi kusukela emizuzwini emihlanu kuya emahoreni ambalwa ngemva kokuhlolwa. Kungaba mnene kuya kokulinganisela. Njengoba kushiwo ngaphambili, ukuthatha umuthi ongewona owe-steroidal wokulwa nokuvuvukala (NSAID) kungasiza ekunciphiseni lobu buhlungu.

Yini ongayilindela ngemva kokuhlolwa?

Ngemva kokuhlolwa, kuzodingeka usebenzise iphedi ukuze umunce udayi owengeziwe ophuma esithweni sakho sangasese sowesifazane. Lokhu kuphuma kwegazi kuvame ukunamathela futhi kungase kube namaconsi amancane egazi. Ngaphezu kwalokho, ungase ube nemiphumela emibi efana nalokhu:

• Ubuhlungu besisu (ama-Cramps)
• Isiyezi
• Isisu esibuhlungu noma isicanucanu
• Ukopha okuncane kwesitho sangasese sowesifazane usuku olulodwa noma ezimbili

Kuye ngokuthi uzizwa kahle kangakanani, ungaqhubeka nemisebenzi yakho yansuku zonke ngemva kokuhlolwa kwe-HSG.

Ziyini izingozi zalolu vivinyo?

Nakuba imisebe isetshenziswa ukuthatha izithombe ze-X-ray ngesikhathi se-HSG, inani lemisebe liphansi kakhulu . Ngakho-ke, i-HSG ayibhekwa njengokuhlolwa okuyingozi. Kodwa-ke, kunezinkinga ezithile ezingavamile kakhulu ezingase zenzeke:

• Ukutheleleka
• Ukulimala esibelethweni sakho
• Ukusabela kokungezwani komzimba nesisombululo sedayi

Khumbula ukuthi lezi yizenzakalo ezingavamile kakhulu .

Zithini imiphumela? Zisitshelani?

Udokotela wakho uzokutshela ngemiphumela yokuhlolwa futhi akunikeze iseluleko ngalokho okufanele ukwenze ngokulandelayo.

Uma ukuhlolwa kwe-HSG kukhombisa ukuthi kukhona ukuvaleka kwamapayipi e-fallopian, udokotela angase aphakamise ezinye izivivinyo/izinqubo, njenge-laparoscopy, ukuze kuphenywe kabanzi futhi kwelashwe inkinga. Noma, bangase bakuthumelele ekwelashweni kokuzala okungadingi ukuthi amapayipi e-fallopian avuleke, njengokukhulelwa kwe-in vitro (IVF).

Yiziphi izikhathi ezikhethekile lapho kufanele ubonane nodokotela?

Ngemva kokuhlolwa, uma ubona noma yiziphi zalezi zimpawu, kungaba uphawu lokutheleleka. Uma kunjalo, kufanele ubonane nodokotela wakho ngokushesha:

• Imfiva
• Ukugodola
• Ukuquleka
• Ukuhlanza
• Ukopha okukhulu kwesitho sangasese sowesifazane
• Uketshezi oluphuma esithweni sangasese sowesifazane olunuka kabi
• Ukuqaqamba okukhulu noma ubuhlungu esiswini sakho

Ingabe kufanelekile ukunakekela lezi zinto?

Ingabe amathuba okukhulelwa ayanda ngemva kokuhlolwa kwe-HSG?

Ngezinye izikhathi kukhulunywa ngento ebizwa ngokuthi "ukuhlanzwa kwe-tubal." Lena inqubo yokufaka idayi esibelethweni nasemapayipini e-fallopian, efana ne-HSG, kodwa ngaphandle kokuthatha i-X-ray. Ezinye izifundo zikhombisile ukuthi ukufaka idayi ngale ndlela (ikakhulukazi phakathi nezinyanga ezintathu kuya kweziyisithupha zokuqala ngemva kokufakwa kwedayi) kungandisa amathuba okukhulelwa. Ezinye izifundo zikhombisile nokuthi lo mphumela uba mkhulu uma idayi iqukethe "i-oil-soluble contrast medium".

Kodwa-ke, ikhwalithi yalezi zifundo iyahlukahluka, ngakho-ke kudingeka ucwaningo olwengeziwe ngaphambi kokuba i-HSG ibhekwe njengokwelashwa kokuzala, ngaphezu kokuba ithuluzi lokuxilonga.

Ingabe i-HSG ingahlola amashubhu avaliwe?

Uma kufakwa isixazululo sedayi, kunethuba lokuthi noma yikuphi ukuvinjelwa okuncane kuzosuswa, okwandisa amathuba akho okukhulelwa. Kodwa kusadingeka ucwaningo olwengeziwe ukuze kuqinisekiswe lokhu ngokuqinisekile. Ngakho-ke kunzima ukuba nethemba kakhulu.

Yimiphi imiphumela emibi yokuhlolwa kwe-HSG? (Isikhumbuzo)

Umphumela ovame kakhulu wokuhlolwa kwe-HSG ukuba buhlungu . Udokotela wakho angase akuncome ukuthi uphuze amaphilisi obuhlungu izinsuku ezimbalwa ngemva kokuhlolwa. Ungase futhi uqaphele uketshezi olunamathelayo lwesitho sangasese sowesifazane njengoba idayi iphuma emzimbeni wakho. Kodwa-ke, lezi zimpawu zizophela ngemva kwezinsuku ezimbalwa.

Kulungile yini ukukhulelwa ngokushesha ngemva kokuhlolwa kwe-HSG?

Ngokuvamile, kulungile ukuzama ukukhulelwa ezinsukwini ezimbalwa ngemva kokuhlolwa kwe-HSG. Kodwa-ke, kungcono ukukhuluma nodokotela wakho ngalokhu bese umcela ukuthi aqinisekise.

Umyalezo Wokugcina Wokuya Nasekhaya

Kulungile, ngakho-ke ukuhlolwa kwe-HSG kuwukuhlolwa okubalulekile okukusiza ukuthi uthole ukuthi kukhona yini ukukhubazeka esibelethweni sakho noma emapayipini e-fallopian okukuvimbela ukuthi ukhulelwe. Khumbula, amapayipi e-fallopian avinjiwe ayimbangela enkulu yokungazali. Ngakho-ke, imiphumela yalokhu kuhlolwa kwe-HSG izosiza udokotela wakho ukuthi asondele ekutholeni ukuthi kungani unenkinga yokukhulelwa.

Ungesabi. Uma unemibuzo noma ukukhathazeka ngalolu vivinyo, xoxa ngakho ngokukhululekile nodokotela wakho. Ngaleyo ndlela, uzozizwa ukhululekile kakhulu ukwenza le nqubo.

Sicela uxoxe ngemiphumela yokuhlolwa kwakho nodokotela wakho bese wenza isinqumo mayelana nokuthi yini okufanele uyenze ngokulandelayo. Sikufisela konke okuhle!

I - Hysterosalpingogram, i-HSG, ukungabi nabantwana, ukuvaleka kwamapayipi e-fallopian, isibeletho, impilo yabesifazane, ukuhlolwa kwe-X-ray