Wena nomlingani wakho ningase niphuphe ngokuqala umndeni. Kodwa-ke, ngezinye izikhathi naphezu kwemizamo yenu emihle kakhulu, ukufeza lelo phupho kuthatha isikhathi eside kunalokho obekulindelwe. Kujwayelekile ngokuphelele ukuzizwa ucindezelekile lapho ubhekene nale nselele. Ungase ungazi, kodwa imbangela ingaba yinkinga encane emzimbeni wakho. Namuhla, eNirogi Lanka, sifuna ukukhuluma ngesimo abaningi abangakaze bezwe ngaso, kodwa esingathinta kakhulu ukuzala kowesifazane: i-Hydrosalpinx.
Iyini i-Hydrosalpinx? Ake siyichaze!
Kalula nje, i-Hydrosalpinx yenzeka lapho elinye noma womabili amapayipi akho e-fallopian evalekile futhi egcwele uketshezi. Ukuze sikuqonde kangcono lokhu, ake sibheke ukuthi ayini amapayipi e-fallopian nokuthi kungani ebaluleke kangaka.
Cabanga ngesibeletho sakho njengekhaya elithokomele lapho ingane yakho izokhula khona. Kuzo zombili izinhlangothi zaleli khaya kukhona ama-ovari akho. Njalo ngenyanga, ngemva komjikelezo wakho wokuya esikhathini , ama-ovari akho akhipha iqanda. Amapayipi e-fallopian asebenza njengezindlela ezincane ezithwala la maqanda esuka kuma-ovari akho aye esibelethweni.
Ipayipi le-fallopian elinempilo lifana nendlela ecacile, engavimbelwe. Lena yindlela iqanda lakho elihamba ngayo. Uma isidoda somlingani wakho sihlangana neqanda kule ndlela, kubizwa ngokuthi ukukhulelwa . Uma selivundisiwe, i -embryo ihamba ngaleyo payipi le-fallopian ibuyele esibelethweni, lapho ingena khona odongeni lwesibeletho ukuze ikhule ibe yingane encane , noma ingane yakho.
Uyabona ukuthi kungani amapayipi e-fallopian ebaluleke kangaka? Endabeni ye-Hydrosalpinx, uketshezi lugcwalisa ipayipi futhi luvale indlela yokudlula. Lokhu kuholela ezinkingeni ezimbili eziyinhloko:
- Isidoda asikwazi ukufinyelela eqandeni.
- Ngisho noma kwenzeka ukukhulelwa, umbungu ungase ungabi nandlela ecacile yokufinyelela esibelethweni.
Sivame kangakanani lesi simo?
Ezimweni zokungazali , imibhangqwana engu-20% kuya ku-30% ibhekene nezinselele ezihlobene nokungazali kwe-tubal factor. Phakathi kwalezi zimo, u-10% kuya ku-20% kungenzeka ukuthi ubangelwa yi-Hydrosalpinx. Nakuba kungesona isimo esixoxwa kabanzi, kuyisici esibalulekile kwabesifazane abaningi abanenkinga yokukhulelwa.
I-Hydrosalpinx ingithinta kanjani? Ingabe iyisithiyo sokukhulelwa?
Yebo, i-Hydrosalpinx engelashwanga ingenza kube nzima ukukhulelwa. Ingandisa futhi ingozi yokuphuphuma kwesisu kanye nezinkinga zokukhulelwa. Ngaphandle kobunzima bokukhulelwa ngocansi lwemvelo, i-Hydrosalpinx inezinye izingozi:
- Ingozi eyengeziwe yokukhulelwa kwe-Ectopic : Ngezinye izikhathi, ngenxa yokuvaleka kwepayipi le-fallopian, umbungu awukwazi ukufinyelela esibelethweni bese ufakwa ngaphakathi kwepayipi ngokwalo. Lokhu kubizwa ngokuthi ukukhulelwa kwe-ectopic ( ukukhulelwa kwe-tubal). Lokhu kukhulelwa akukwazi ukuqhubeka kuze kube yisikhathi sokukhulelwa futhi kusongela impilo uma kungelashwa ngokushesha. Lesi yisimo sezokwelapha esiphuthumayo. Sicela ufune usizo emnyangweni wezimo eziphuthumayo oseduze nawe noma esibhedlela ngokushesha uma uzwa ubuhlungu obukhulu besisu.
- Amazinga empumelelo ancishisiwe e-In Vitro Fertilization ( IVF ): I-IVF ihilela ukubuyisa amaqanda akho bese uwafaka elabhorethri ngesidoda , bese udlulisela umbungu ophumayo esibelethweni sakho. Kule nqubo, amashubhu e-fallopian ayavinjelwa. Kodwa-ke, ucwaningo lubonisa ukuthi uketshezi olusepayipini elivinjiwe lungageleza lubuyele esibelethweni, ludale indawo enonya kumbungu futhi lunciphise amathuba okufakelwa ngempumelelo.
Ngakho-ke, ukwelapha i-Hydrosalpinx, noma ngabe ucabanga nge-IVF, kuthuthukisa kakhulu amathuba akho okukhulelwa okunempilo.
Ziyini izimpawu ze-Hydrosalpinx?
Ngokuvamile, i-Hydrosalpinx ayibonisi nhlobo izimpawu . Abesifazane abaningi bakuthola lokhu kuphela lapho bevakashela udokotela ukuze bafune usizo lokungabi nabantwana. Ungase ungazi nhlobo ukuthi amapayipi akho e-fallopian avaliwe.
Kodwa-ke, uma kuvela izimpawu, zingase zihlanganise:
- Ubuhlungu be-pelvic: Lokhu kungase kuzwakale kubi kakhulu ngesikhathi noma ngemva kokuya esikhathini.
- Ukuphuma koketshezi olungavamile esithweni sangasese sowesifazane: Ungase uqaphele ushintsho kumbala noma ukufana koketshezi olujwayelekile.
Kungani lokhu kwenzeka? Yini ebangela i-Hydrosalpinx?
Imbangela eyinhloko ye-Hydrosalpinx ukutheleleka okungenakwelashwa . Amagciwane ayingozi angalimaza amashubhu akho e-fallopian, abangele ukuthi avuvuke futhi avuvuke. Lokhu kuvuvukala kuvame ukwenzeka ekugcineni kweshubhu eduze kwe-ovary, eyaziwa ngokuthi i- fimbriae . Ama-Fimbriae ayizimbobo ezifana neminwe ezithatha iqanda elikhishwe esibelethweni bese ziliqondisa liye eshubhu.
Uma ukutheleleka sekwelapheka, ama-fimbriae angase anamathele ndawonye, avale imbobo yepayipi. Ngenxa yalokho, uketshezi luyaqoqana ngaphakathi, okubangela ukuba ipayipi livuvuke. Lena yi-Hydrosalpinx.
Ezinye izimbangela ezingaba khona ze-Hydrosalpinx zifaka:
- Izifo ezithathelwana ngocansi ezingalashwanga ( ama-STI ) , njenge- Chlamydia ne -Gonorrhea .
- Isifo Sokuvuvukala Kwezitho Zangasese (PID) , esivame ukubangelwa yizifo ezithathelwana ngocansi ezingelashwanga.
- Izicubu zezibazi ezakheka ngemva kokuhlinzwa kwe-pelvic, ikakhulukazi ukuhlinzwa okubandakanya amapayipi e-fallopian.
- Ukwakheka kwezicubu ngenxa ye -Endometriosis .
- Izinhlobo ezithile zama- Tumors .
Ngingazi kanjani ukuthi amapayipi ami e-fallopian avaliwe? Yiziphi izivivinyo ezenziwayo?
Ukuze anqume ukuthi uvalekile yini emapayipini akho e-fallopian, udokotela wakho angase ancome ukuhlolwa okuningana kokuxilonga:
- I-Ultrasound Scan: Ngokuvamile, amashubhu e-fallopian aphilile awabonakali ku-ultrasound. Kodwa-ke, uma evalekile futhi egcwele uketshezi, angase abonakale emakhulu kunokujwayelekile, ngezinye izikhathi abe nesimo esifana nesoseji. Udokotela wakho angase acele ukuhlolwa okwengeziwe ukuqinisekisa ukuthi lokhu kubonakala kubangelwa yi-hydrosalpinx.
- I-Hysterosalpingogram (HSG): I-HSG inqubo ekhethekile ye-X-ray esebenzisa idayi yokuhlukanisa ukuhlola ukuvaleka kwamapayipi akho e-fallopian. Lesi yisilingo esivame kakhulu esisetshenziswa ukuxilonga i-hydrosalpinx. Udokotela wakho uzofaka idayi ngokucophelela esibelethweni sakho futhi abheke ukunyakaza kwayo nge-X-ray. Uma idayi ichitheka isuka emapayipini iye emgodini wakho we-pelvic, kusho ukuthi amapayipi avulekile. Uma idayi ima, iqinisekisa ukuvaleka.
- I-Laparoscopy : Lokhu ukuhlinzwa okungenasidingo kakhulu okwenziwa ngokusika okuncane, okuvumela udokotela wakho ukuthi abone ngqo umgodi wesisu sakho. Kufakwa ikhamera encane (i-laparoscope) ukuze kuhlolwe amashubhu e-fallopian eduze. Ngezinye izikhathi, kufakwa i-catheter ngesibeletho ukuze kupompelwe udayi esibelethweni kanye namashubhu ukuze kuhlolwe ukuvaleka. I-Laparoscopy isetshenziswa futhi ukuqinisekisa okutholakele ku-HSG.
Yiziphi izindlela zokwelapha i-Hydrosalpinx?
Ukwelapha i-hydrosalpinx kungathuthukisa kakhulu amathuba akho okukhulelwa. Indlela ethile yokwelashwa incike ezintweni eziningana, okuhlanganisa nobunzima bokuvinjelwa kanye nobudala bakho.
Uma unesifo esithathelwanayo, udokotela wakho uzokunikeza ama-antibiotic ukuze asisuse. Izinketho zokuhlinzwa zifaka:
- Ukususwa kwe-salping:Le nqubo ihilela ukususwa kwepayipi elilodwa noma womabili e-fallopian (i-bilateral salpingectomy). Uma ipayipi lonakele kakhulu futhi lingasalungiseki, kuvame ukunconywa ukususwa. Lokhu kuvame kakhulu ngaphambi kwe-IVF ukuvimbela uketshezi olunobuthi oluvela epayipini elivinjiwe ukuthi lungangeni esibelethweni, okungaba nomthelela omubi ekufakweni kwesibeletho.
- I-Salpingostomy (noma i-neosalpingostomy): Lokhu kuhlinzwa kuhlose ukulungisa ipayipi elivalekile. Ngokuvamile kwenziwa nge-laparoscopically, udokotela wenza imbobo encane epayipini le-fallopian ukuze akhiphe uketshezi futhi asuse izingxenye ezonakele ukuze avule kabusha indlela. Kodwa-ke, le nqubo iya ngokuya incipha ngoba i-IVF ivame ukuletha amazinga aphezulu empumelelo. Sicela uqaphele ukuthi ngemva kwe-salpingostomy, kunengozi enkulu yokukhulelwa kwe-ectopic kanye nezinye izinkinga zokukhulelwa.
Abantu abaningi abazama ukukhulelwa bakhetha ukwelashwa nge-hydrosalpinx bese beqhubeka ngqo ne-IVF ukuze bagweme ngokuphelele amapayipi alimele. Udokotela wakho uzokuqondisa ngesinyathelo esingcono kakhulu sesimo sakho.
Ingabe zikhona izindlela zokwelapha zemvelo ze-Hydrosalpinx?
Ngamafuphi, azikho izindlela zokwelapha zemvelo zokwelapha i-hydrosalpinx. Uma umonakalo kumapayipi akho uncane, udokotela wakho angase akwazi ukuwalungisa nge-salpingostomy. Kodwa-ke, ezimweni ze-hydrosalpinx enzima, ukususwa ngokuhlinzwa kwepayipi elilodwa noma womabili ngokuvamile kuyindlela yokwelapha edingekayo.
Ngingayinciphisa kanjani ingozi yokuthola i-Hydrosalpinx?
Indlela ephumelela kakhulu yokuvimbela i-hydrosalpinx ukunciphisa ingozi yokuthola izifo ezithathelwana ngocansi (ama-STI) . Ukwenza ucansi oluphephile kunciphisa kakhulu amathuba okutheleleka okungalimaza izitho zakho zokuzala. Uma usola ukutheleleka, ukufuna usizo lwezokwelapha ngokushesha kubalulekile ukuvimbela umonakalo wesikhathi eside.
Kwenzekani uma ingelashwa?
I-hydrosalpinx engalashwanga inganciphisa ukuzala kwakho futhi yandise ingozi yezinkinga ezifana nokuphuphuma kwesisu noma ukukhulelwa okungaphandle kwesibeletho. Ukufuna ukwelashwa kochwepheshe kungandisa kakhulu amathuba akho okukhulelwa okunempilo.
Ingabe lesi yisimo esisongela ukuphila?
I-hydrosalpinx ngokwayo ayisongeli impilo. Kodwa-ke, iyandisa ingozi yokukhulelwa kwe-ectopic. Ngenxa yokuthi ukukhulelwa kwe-ectopic kuyisimo esiphuthumayo sezokwelapha, uma uzwa ubuhlungu obungazelelwe, funa ukunakekelwa emnyangweni wezimo eziphuthumayo oseduze ngokushesha.
Yimiphi imibuzo okufanele ngiyibuze udokotela wami?
Kujwayelekile ngokuphelele ukuzizwa ukhungathekile ngemva kokuxilongwa. Nansi eminye imibuzo ongase ufune ukuyibuza udokotela wakho:
- Ingabe nginesifo esisebenzayo se-pelvic?
- I-hydrosalpinx yami inzima kangakanani?
- Ingabe kuthinta ipayipi elilodwa noma kokubili?
- Lesi simo sithinta kanjani ukuzala kwami?
- Yiziphi izinzuzo nezingozi zokuzama ukulungisa amapayipi ami?
- Yiziphi izinzuzo kanye nokungalungi kokususa amapayipi ami?
- Kufanele ngilinde isikhathi esingakanani ngemva kokwelashwa ngaphambi kokuba ngizame ukukhulelwa?
- Ingabe uncoma i-IVF ngecala lami elithile?
Umyalezo wokugcina ovela eNirogi Lanka
Ukuxilongwa ukuthi une-hydrosalpinx ngenkathi uzama ukukhulelwa kungaba nzima ngokomzwelo. Sicela wazi ukuthi imizwa yakho inengqondo, kodwa ungalilahli ithemba .
Okubaluleke kakhulu ukuthi kukhona ukwelashwa okuphumelelayo. Abesifazane abaningi abaye bathola ukwelashwa baye baba nokukhulelwa okunempilo nokujabulisayo.
Xoxa nodokotela wakho ngokukhululekile mayelana nokuthi lesi simo sithinta kanjani uhambo lwakho lokuzala nokuthi yiziphi izinyathelo ezilandelayo ezinhle kakhulu kuwe. Ngesiqondiso esifanele sezokwelapha kanye nohlelo lokwelashwa olufanele, uthatha izinyathelo ezingcono kakhulu zokufinyelela iphupho lakho lokuba ngumzali!
