Wena nomyeni wakho ningase niphuphe ngokuba nomntwana. Kodwa, ngezinye izikhathi, kungakhathaliseki ukuthi nizama kangakanani, kuthatha isikhathi ukufeza lelo phupho. Kuvamile ukuzizwa nidabukile ngezikhathi ezinjalo. Ungase ungazi, kodwa isizathu salokhu kungaba yinkinga encane emzimbeni wakho. Namuhla, sizokhuluma ngesimo abantu abaningi abangakaze bezwe ngaso, kodwa esingathinta ukuzala kwabesifazane: i-Hydrosalpinx.
Kuyini i-hydrosalpinx? Masiyiqonde kalula!
Kalula nje, i-hydrosalpinx yisimo lapho uketshezi luqongelela khona kwelinye noma womabili
amapayipi akho e-fallopian , luwavimbe. Kulungile, manje ake sibone ukuthi la mapayipi e-fallopian ayini nokuthi abaluleke kangakanani. Cabanga ukuthi
isibeletho sakho sifana nendlu encane lapho umntwana ekhula khona. Eceleni kwale ndlu, ohlangothini ngalunye, kukhona
ama-ovari amabili. La ma-ovari akhipha iqanda njalo ngenyanga ngesikhathi
sokuya esikhathini kwakho. Ngakho-ke, amapayipi amabili amancane athwala iqanda esuka kula ma-ovari aye esibelethweni abizwa ngokuthi amapayipi e-fallopian. Ipayipi le-fallopian elinempilo lifana nomgwaqo ohlanziwe kahle futhi ohlanziwe. Iqanda lihamba ngale ndlela. Uma isidoda somyeni wakho sihlangana neqanda ngale ndlela, yilokho esikubiza ngokuthi
ukukhulelwa . Khona-ke leli qanda elivundisiwe, okungukuthi,
umbungu , libuyela emuva ngaleli payipi le-fallopian liye esibelethweni, lizifake odongeni lwesibeletho futhi likhule libe
yingane , okungukuthi, umntwana. Manje usuyaqonda ukubaluleka kwamapayipi e-fallopian? Ngakho-ke, endabeni ye-hydrosalpinx, leli payipi ligcwala uketshezi bese livaleka. Kwenzekani-ke?
- Isidoda asikwazi ukufinyelela eqandeni.
- Mhlawumbe noma ngabe ukukhulelwa kwenzeka, umbungu ngeke ube nendlela yokufinyelela esibelethweni.
Sivame kangakanani lesi simo?
Ukungazali kwe-Tubal factor kubanga u-20% kuya ku-30% wamacala
okungazali . Kulawa, u-10% kuya ku-20% une-hydrosalpinx. Lesi yisimo esingavamile, kodwa singathinta abanye abantu.
I-hydrosalpinx ithinta kanjani umzimba wami? Ingabe ivimbela ukukhulelwa?
Yebo, i-hydrosalpinx engalashwanga ingenza kube nzima ngawe ukukhulelwa. Ingandisa futhi ingozi yakho yokuphuphuma kwesisu kanye nezinkinga zokukhulelwa. Ngaphezu kokwenza kube nzima ukukhulelwa ngocansi oluvamile, i-hydrosalpinx ingabangela nezinye izinkinga:
- Ingozi eyengeziwe yokukhulelwa kwe -ectopic : Ngezinye izikhathi, ukuvaleka kwepayipi le-fallopian kungavimbela umbungu ukuthi ungatshali esibelethweni.Uma ingasuki, ingangena ngaphakathi kwepayipi. Lokhu kubizwa ngokuthi ukukhulelwa kwe-ectopic, noma ukukhulelwa kwe-tubal. Ukukhulelwa okunjalo akuphumelelanga, futhi uma kungelashwa ngokushesha, kungaba yingozi empilweni kamama. Lesi yisimo esiyingozi kakhulu.
- Amathuba okukhulelwa ancishisiwe nge-In Vitro Fertilization ( IVF ): I-IVF inqubo lapho amaqanda akho ethathwa khona, avundiswa ngaphandle komzimba wakho, elabhorethri, ngesidoda somlingani wakho noma somnikeli, bese umbungu ophumayo ubuyiselwa esibelethweni sakho. Lokhu akudingi amashubhu e-fallopian . Kodwa-ke, noma ngabe i-IVF yenziwa kumuntu one-hydrosalpinx, izinkinga zingavela ngemva kokuba umbungu ufakwe esibelethweni. Ucwaningo luye lwabonisa ukuthi uketshezi oluku-hydrosalpinx lungavuza lubuyele esibelethweni, ludale indawo engathandeki kumbungu osakhula.
Ngakho-ke, ukwelapha i-hydrosalpinx kwandisa amathuba okukhulelwa okunempilo, noma ngabe ucabanga nge-IVF.
Ziyini izimpawu ze-hydrosalpinx?
Esikhathini esiningi, i-hydrosalpinx
ayibangeli zimpawu . Ngezinye izikhathi itholakala uma unenkinga yokukhulelwa futhi udokotela wakho ezama ukuthola ukuthi kungani. Lokhu kusho ukuthi ungase ungazi nokuthi amapayipi akho e-fallopian avaliwe. Kodwa-ke, ngezinye izikhathi izimpawu zingavela. Uma lokhu kwenzeka, ungase uqaphele izinto ezinjengalezi:
- Ubuhlungu be-pelvic: Lobuhlungu bungakhula, ikakhulukazi ngesikhathi noma ngemva kokuya esikhathini.
- Ukuphuma koketshezi olungavamile esithweni sangasese sowesifazane: Ungase uthole ukuphuma koketshezi okuhlukile kombala nokujiyile kunokuvamile.
Kungani lokhu kwenzeka? Yiziphi izimbangela ze-hydrosalpinx?
Imbangela eyinhloko ye-hydrosalpinx ukutheleleka okungalashwanga . Amagciwane amabi angalimaza amapayipi akho e-fallopian, okubangela ukuba avuvuke futhi avuvuke. Lokhu kuvuvukala kuvame ukwenzeka ekugcineni kwepayipi le-fallopian eliseduze ne-ovary, elibizwa ngokuthi
i-fimbriae . Ama-Fimbriae ayizakhiwo ezincane ezifana neminwe ezisiza ukubamba iqanda elikhishwa esibelethweni bese liliqondisa liye epayipini le-fallopian. Ngakho-ke, lapho la ma-fimbriae ephola ngenxa yokutheleleka, ngezinye izikhathi ayanamathelana, avimbe ukuvuleka kwepayipi le-fallopian. Bese uketshezi luqoqana ngaphakathi kwepayipi, okubangela ukuba ipayipi livuvuke. Yilokho i-hydrosalpinx eyikho. Ezinye izimbangela ezingaba khona ze-hydrosalpinx zifaka:
- Ngaphambilini ayelashwangaIzifo ezithathelwana ngocansi ( ama-STI ), isibonelo i-Chlamydia kanye ne-Gonorrhea .
- Isifo Sokuvuvukala Kwezitho Zangasese (PID) Lokhu kuvame ukubangelwa yizifo ezithathelwana ngocansi ezingalashwanga.
- Izicubu zezibazi ezakheka ngemva kokuhlinzwa kwesisu, ikakhulukazi ukuhlinzwa kumapayipi e-fallopian.
- I-Endometriosis yisimo esibangelwa ukugcwala kwezicubu.
- Ezinye izinhlobo zamathumba .
Wazi kanjani ukuthi amapayipi akho e-fallopian avaliwe? Yiziphi izivivinyo ezenziwayo?
Odokotela bazokwenza izivivinyo eziningana ukuze babone ukuthi amapayipi akho e-fallopian avaliwe yini:
- Ukuskena nge-Ultrasound: Amashubhu e-fallopian awavamile ukubonakala ku-ultrasound scan. Kodwa-ke, uma egcwele uketshezi futhi evuvukele, angase abonakale emakhulu kunokujwayelekile. Ngezinye izikhathi angase abukeke njengesoseji. Udokotela wakho angase akucele ukuhlolwa okwengeziwe ukuze anqume ukuthi i-hydrosalpinx iyimbangela yalolu shintsho.
- Ukuhlolwa kwe-Hysterosalpingogram (HSG): I-HSG ukuhlolwa kwedayi okukhethekile okwenziwa nge-X-ray. Kubheka ukuvaleka kwamapayipi e-fallopian. Lokhu kuhlolwa kuvame ukusetshenziselwa ukuxilonga i-hydrosalpinx. Udokotela ufaka idayi esibelethweni sakho bese esebenzisa i-X-ray ukuze abuke ukuthi idayi ihamba kanjani. Uma idayi ivuza emapayipini, okungukuthi, ingene emgodini we-pelvic, amapayipi avulekile. Uma idayi ima, amapayipi ayavalwa.
- I-Laparoscopy : I-Laparoscopy inqubo ehilela ukwenza imicu emincane esiswini sakho. Lokhu kuvumela udokotela wakho ukuthi abheke ngaphakathi esiswini sakho. Kwenziwa imicu emincane esiswini sakho bese kufakwa ikhamera (i-laparoscope) ukuze kubhekwe amashubhu akho e-fallopian. Ngezinye izikhathi, kufakwa i-catheter ngesitho sakho sangasese sowesifazane iye esibelethweni sakho bese kufakwa idayi esibelethweni sakho nasemashubhu e-fallopian ukuze kuhlolwe ukuvaleka. I-Laparoscopy isetshenziselwa futhi ukuqinisekisa imiphumela yokuhlolwa kwe-HSG.
Yiziphi izindlela zokwelapha i-hydrosalpinx?
Ukwelashwa kwe-hydrosalpinx kungathuthukisa amathuba akho okukhulelwa. Ukwelashwa okutholayo kuzoncika ezicini ezifana nobunzima bokuvinjelwa kanye nobudala bakho. Uma unegciwane elisebenzayo, udokotela wakho uzokunikeza
ama-antibiotic ukuze aliphathe. Kukhona futhi ukwelashwa kokuhlinzwa:
- Ukususwa kwe-salping:Lokhu kuhilela ukususa ipayipi elilodwa noma womabili ama-fallopian (i-bilateral salpingectomy). Lokhu kwenziwa uma ipayipi lonakele kakhulu futhi lingenakulungiseka. Lokhu kuhlinzwa kwenziwa, ikakhulukazi ngaphambi kwe-IVF, ukuze kuvinjwe uketshezi olubi ukuthi lungangeni esibelethweni.
- I-Salpingostomy (noma i-neosalpingostomy): Lokhu kwenziwa ukulungisa ukuvaleka kwamapayipi akho e-fallopian. I-salpingostomy ivame ukwenziwa nge-laparoscopically. Udokotela wenza i-incision encane epayipini le-fallopian bese ekhipha uketshezi. Izingxenye ezonakele zepayipi zingasuswa futhi iziphetho ezivinjiwe zingavulwa kabusha. Kodwa-ke, lokhu kuhlinzwa akusathandwa njengoba kwakunjalo ngaphambili, njengoba i-IVF iboniswe ukuthi iphumelela kakhulu kune-salpingostomy eminyakeni yamuva. Ingandisa ingozi yokuphuphuma kwesisu kanye nezinkinga zokukhulelwa ngemva kwalokhu kuhlinzwa. I-IVF iphumelela kakhulu kune-salpingostomy.
Abantu abaningi abazama ukukhulelwa baye bathola ukwelashwa nge-hydrosalpinx bese besebenzisa i-IVF, edlula ngokuphelele amashubhu esibeletho. Udokotela wakho uzokweluleka ngenketho engcono kakhulu yesimo sakho.
Ingabe zikhona izindlela zokwelapha i-hydrosalpinx ngokwemvelo?
Eqinisweni,
azikho izindlela zokwelapha zemvelo ze-hydrosalpinx. Uma umonakalo kumapayipi akho uncane, udokotela wakho angase akwazi ukuwalungisa nge-salpingostomy. Kodwa-ke, ezimweni ze-hydrosalpinx enzima, kungadingeka ukuthi ususwe ipayipi elilodwa noma womabili.
Ungayinciphisa kanjani ingozi ye-hydrosalpinx?
Indlela engcono kakhulu yokuvimbela i-hydrosalpinx
ukunciphisa ingozi yakho yezifo ezithathelwana ngocansi (ama-STI) . Ukuzijwayeza ucansi oluphephile kungasiza ekunciphiseni ingozi yakho yokuthola izifo ezingalimaza izitho zakho zokuzala. Kubalulekile futhi ukubona udokotela ngokushesha uma uthola ukutheleleka.
Kwenzekani uma ingelashwa?
I-hydrosalpinx engelashwanga inganciphisa ikhono lakho lokukhulelwa. Ingandisa nengozi yakho yezinkinga ezifana nokuphuphuma kwesisu kanye nokukhulelwa okungaphandle kwesibeletho.
Ukuthola ukwelashwa kungandisa kakhulu amathuba akho okukhulelwa okunempilo. Ingabe lokhu kusongela impilo?
I-Hydrosalpinx ngokwayo ayisongeli impilo. Kodwa-ke, yandisa ingozi yokukhulelwa kwe-ectopic. Uma ukukhulelwa kwe-ectopic kungelashwa ngokushesha, kungaba yingozi empilweni.
Yimiphi imibuzo okufanele ngiyibuze udokotela?
Uma uthola ukuthi une-hydrosalpinx, kuvamile ukuba nemibuzo eminingi. Buza udokotela wakho ngezinto ezifana nalezi:
- Ingabe nginesifo esisebenzayo se-pelvic manje?
- I-hydrosalpinx yami inzima kangakanani?
- Ingabe nginayo i-hydrosalpinx epayipini elilodwa noma kokubili?
- Lesi simo sithinta kanjani ikhono lami lokukhulelwa?
- Yiziphi izinzuzo nezingozi zokulungiswa kwamapayipi ami e-fallopian?
- Yiziphi izinzuzo nezingozi zokususwa kwamapayipi ami esibelethweni?
- Kufanele uzame ukukhulelwa isikhathi esingakanani ngemva kokwelashwa kwe-hydrosalpinx?
- Ingabe uyayincoma indlela yokwelapha nge-IVF?
Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)
Ukuthola ukuthi une-hydrosalpinx kungaba yinto edumazayo kakhulu futhi edabukisayo kumuntu ozama ukuba nomntwana. Lokho kujwayelekile kakhulu. Kodwa
ungapheli amandla .
Into ebalulekile ukuthi kukhona ukwelashwa kwalesi simo. Abesifazane abaningi abathole ukwelashwa babelethe izingane ezinempilo.
Khuluma nodokotela wakho ngokuthi i-hydrosalpinx ithinta kanjani izinhlelo zakho zokukhulelwa. Udokotela wakho ungumuntu ongcono kakhulu ukuchaza ukuthi ithinta kanjani ukuzala kwakho nokuthi yiziphi izinyathelo ezingcono kakhulu okufanele uzithathe.
Ngeseluleko sezokwelapha esifanele kanye nokwelashwa, nawe ungenza iphupho lakho lifezeke!
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