Ingabe wena nomyeni wakho benilokhu ninethemba lokuthola umntwana isikhathi eside manje? Ngaleso sikhathi, udokotela uzonicela ukuthi nenze izivivinyo ezahlukene ukuze nihlole ukuzala kwenu. Phakathi kwazo, ingabe nike nakuzwa ngesivivinyo 'se-HSG'? Ungase uzizwe wesaba kancane uma uzwa leli gama. Kodwa empeleni isivivinyo esibaluleke kakhulu, hhayi esinzima, nesilula njengoba ucabanga. Ake sixoxe ngakho konke ngokucacile namuhla.
Iyini i-Hysterosalpingogram (HSG)?
Kalula nje, i-HSG ukuhlolwa kwe-X-ray okukhethekile. Kubheka kakhulu ingaphakathi lesibeletho sakho kanye nama-tubes esibeletho . Kulokhu kuhlolwa, kufakwa uketshezi olukhethekile, olubizwa ngokuthi idayi, esibelethweni sakho bese kuthathwa i-X-ray ukuze kubonwe ukuthi luhamba kanjani ema-tubes esibeletho sakho.
Ake sithi sinesistimu yokufaka amapayipi endlini yethu. Kufana nokuthi sifaka idayi kuyo ukuze sibone ukuthi kukhona yini ukuvaleka endaweni ethile. Le dayi yenza isibeletho kanye namapayipi e-fallopian kubonakale kahle kakhulu ku-X-ray.
Kungani lokhu kuhlolwa kwe-HSG kubaluleke kangaka?
Ukuze ukhulelwe umntwana, amapayipi e-fallopian kumele abe nempilo futhi avuleke. Ngoba, isidoda sihlangana neqanda bese silifaka umquba ngaphakathi kwaleli payipi le-fallopian. Bese kuthi umbungu okhula ubuyele esibelethweni ngaleli payipi. Ngakho-ke uma la mapayipi e-fallopian evalekile, akukho okunye kwalokhu okuzokwenzeka. Namuhla, isizathu esiyinhloko sokulibazisa ukuba nabantwana, okungukuthi, ukungazali, ukuvaleka kwala mapayipi e-fallopian.
Ukuhlolwa kwe-HSG kuhlola kakhulu lezi zinto. Ngaphezu kwalokho, kungahlola ezinye izinto eziningana.
- Ungazi kahle ukuthi amapayipi e-fallopian avulekile noma avalekile.
- Uma uke waba ne -tubal ligation ngaphambilini, uhlobo lwenqubo yokuhlela umndeni, hlola ukuze ubone ukuthi iphumelele yini. Ungahlola futhi ukuze ubone ukuthi inqubo iphumelele yini ukuthi iguqulwe (i-tubal reversal).
- Lokhu kungakusiza futhi ukuthola umbono wezinto ezifana nokukhubazeka kwesimo sesibeletho, izimila zesibeletho ( ama-fibroids ), njll. Uma ubona into efana naleyo, udokotela wakho angase akucele ukuthi uhlolwe okwengeziwe njenge -sonohysterography noma i-hysteroscopy .
Izinto okudingeka uzazi ngaphambi kokuhlolwa
Ngaphambi kokwenza lokhu kuhlolwa, udokotela uzokweluleka ngezinto eziningana.
Kuyokwenziwa nini lokhu?
Ukuhlolwa kwe-HSG kuvame ukwenziwa ngemva kokuba isikhathi sakho sesiphelile ngokuphelele kodwa ngaphambi kokukhishwa kwamaqanda. Okusho ukuthi, phakathi namasonto amabili okuqala omjikelezo wakho wokuya esikhathini. Lokhu kwenziwa ukuqinisekisa ukuthi awukhulelwe ngesikhathi sokuhlolwa.
Ubani okungafanele abhale lolu vivinyo?
Lokhu kuhlolwa akwenziwa uma usola ukuthi ukhulelwe noma uma unesifo se-pelvic .
Ungalungiselela kanjani ukuhlolwa?
Landela imiyalelo kadokotela ngqo. Ngokuvamile, ungasho izinto ezinjengalezi:
- Ungase ucelwe ukuthi uthathe umuthi wokuqeda izinhlungu (isib. i-paracetamol) cishe ihora ngaphambi kokuhlolwa.
- Ungase ucelwe ukuthi uqale ama-antibiotic kusenesikhathi ukuze uvimbele ukutheleleka.
- Hlela ukuthi othile akushayele imoto akuyise ekhaya ngemva kokuhlolwa. Ungase ukwazi ukuzishayela wena, kodwa ngezinye izikhathi kungaba nzima uma unesisu esincane, ngakho-ke kungcono kakhulu ukuhamba nomuntu.
Indlela yokwenza ukuhlolwa kwe-HSG - ungesabi, nansi indlela okwenzeka ngayo!
Isivivinyo sonke sithatha imizuzu engaphansi kwemi-5, ngakho-ke asikho isidingo sokukhathazeka ngakho. Ungaya ekhaya ngalolo suku.
1. Ukulungiselela: Uzolaliswa embhedeni, njengokuhlolwa kwe-pelvic. Umshini we-X-ray ( umshini we-fluoroscopy ) uzobekwa phezu kwesisu sakho.
2. Ukufaka i-speculum: Udokotela uzofaka idivayisi ebizwa ngokuthi i-speculum esithweni sakho sangasese sowesifazane bese eyibeka ngendlela yokuthi umlomo wesibeletho ubonakale.
3. Ukufakwa kwe-catheter: Ngemva kokuba umlomo wesibeletho usuhlanziwe, ipayipi elincane kakhulu lepulasitiki (i-catheter) lidlula emlonyeni wesibeletho liye esibelethweni. Ngezinye izikhathi leli payipi linebhaluni elincane ekugcineni. Uma livuvukele kancane ngaphakathi, ipayipi lihlala endaweni eyodwa ngaphandle kokunyakaza.
4. Ukufaka idayi nokuthathwa kwe-X-ray: Manje i-speculum iyasuswa bese ucelwa ukuthi usakaze imilenze yakho kabanzi. Udokotela ube esedlulisa idayi ngokucophelela ngepayipi iye esibelethweni. Ngesikhathi esifanayo, kuthathwa i-X-ray.
Ungase uzizwe ukhungathekile ngalesi sikhathi, okufana nokuya esikhathini kwakho. Lokhu kuvamile. Uma amapayipi akho e-fallopian evalekile, ingcindezi evela kudayi ingabangela ukuthi amapayipi anwebeke kancane, okungenza ukukhungatheka kube kukhulu kakhulu.
5. Ukuhlolwa: Udokotela ubuka idayi idlula esibelethweni nasemapayipini e-fallopian nge-X-ray monitor. Uma amapayipi evulekile, idayi izobonakala iphuma emapayipini iye emathunjini (idayi imuncwa ngumzimba ngaphandle kokulimala). Uma amapayipi evalekile, idayi ngeke iqhubeke.
6. Ukuqeda: Ngemva kokuthatha izithombe ze-X-ray ezidingekayo, udokotela ukhipha ipayipi. Yilokho kuphela.
Yini ongayilindela ngemva kokuhlolwa?
Izinto ezilandelayo zivame ukwenzeka ngemva kokuhlolwa:
- Idayi eyengeziwe ingase iphume esithweni sangasese sowesifazane, ngakho kuzodingeka usebenzise i-sanitary pad.
- Ungase ube nobuhlungu besisu obuncane amahora ambalwa.
- Amaconsi ambalwa egazi angadlula usuku olulodwa noma ezimbili.
- Abanye abantu bangase babe nesiyezi kanye nesicanucanu.
Ungaqhubeka kalula nemisebenzi yakho yansuku zonke.
Izingozi nokuthi kufanele ukhulume nini nodokotela
I-HSG iyisivivinyo esinobungozi obuphansi kakhulu, kodwa akuvamile kakhulu, okulandelayo kungenzeka:
- Ukutheleleka
- Umonakalo omncane esibelethweni
- Ukusabela kokungezwani komzimba nodayi
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuhlolwa, kufanele ukhulume nodokotela wakho ngokushesha ngaphandle kokungabaza. Lezi kungaba izimpawu zokutheleleka.
| Isici sesixwayiso | Okufanele ukunake |
|---|---|
| Umkhuhlane kanye nokubanda | Ukushisa komzimba okwenyuka noma uzizwe sengathi unomkhuhlane ohambisana nokuthuthumela. |
| Ubuhlungu besisu obungabekezeleleki | Okungaphezu nje kobuhlungu obuvamile, ubuhlungu obukhulu. |
| Ukopha okukhulu | Ukopha okunzima kakhulu kunokuya esikhathini. |
| Uketshezi oluphuma esithweni sangasese sowesifazane olunuka kabi | Ikhipha iphunga elingavamile. |
| Isicanucanu noma ukuhlanza | Ukuquleka noma ukuhlanza okuqhubekayo. |
Ingabe amathuba okukhulelwa ayanda ngemva kwe-HSG?
Ezinye izifundo zikhombisile ukuthi ukufaka udayi emapayipini e-fallopian ngale ndlela (ebizwa nangokuthi i-tubal flushing ) kungandisa kancane ukuzala kwabanye besifazane, ikakhulukazi ezinyangeni ezi-3-6 ezizayo. Kodwa-ke, lokhu akukafakazelwa njengokwelashwa kokuzala. Inhloso yayo eyinhloko iwukuxilonga.
Ingabe i-HSG ingasusa ukuvaleka kwamapayipi e-fallopian?
Lokhu kuhlobene nombuzo odlule. Ukucindezela kwedayi ngezinye izikhathi kungakhipha ukuvinjelwa okuncane kakhulu noma i-mucus kuma-tubes e-fallopian. Kodwa-ke, ayikwazi ukususa ukuvinjelwa okukhulu.
Ungazama isikhathi esingakanani ukuba nomntwana futhi ngemva kokuhlolwa kwe-HSG?
Ngokuvamile kuphephile ukuzama futhi ngemva kwezinsuku ezimbalwa, kodwa kungcono ukubuza udokotela wakho kuqala.
Ngokusekelwe emiphumeleni yokuhlolwa kwe-HSG, udokotela wakho uzonquma ukuthi yini okufanele ayenze ngokulandelayo. Bangase batuse ukuhlinzwa, njenge- laparoscopy , uma amapayipi evalekile. Noma bangase batuse ukwelashwa okungadingi amapayipi e-fallopian, njenge -IVF (in vitro fertilization) .
Umlayezo Wokuya Nawe Ekhaya
- I-HSG iyisivivinyo se-X-ray esiphephile esithatha imizuzu embalwa nje ukuhlola ukuthi amashubhu akho e-fallopian avaliwe yini.
- Uma ubambezeleka ekutholeni abantwana, lokhu kuyindlela ebaluleke kakhulu yokuthola imbangela.
- Kuvamile ukuzwa ubuhlungu besisu obuncane ngesikhathi sokuhlolwa nangemva kwalokho. Kodwa-ke, uma uzwa ubuhlungu obukhulu noma izimpawu ezifana nomkhuhlane, yazisa udokotela wakho ngokushesha.
- Imiphumela yalolu vivinyo izoba usizo olukhulu kudokotela ekuhleleni ukwelashwa kwakho kwesikhathi esizayo.
- Ngakho-ke ungesabi ngokungadingekile lolu vivinyo. Khuluma nodokotela ngokukhululekile nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
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