Indlela esiphatha ngayo hydrosalpinx kuzo ngemibhobho fallopian? Izinkomba esinyathelweni

Omunye imiphumela emibi izinto ezihlobene ukuvuvukala isifo kuzo ngemibhobho fallopian - hydrosalpinx. Ngokwezibalo, kube sitholakale 30% nabesifazane asebeneminyaka efanele yobudala zokuzala. Pathology kuvimbela elichumayo lokukhulelwa ingane. Nokho, uma ezanele ukwelashwa sokukhulelwa kungenzeka. Esihlokweni lanamuhla sizoxoxa mayelana nokuthi balubona kanjani lesi sifo ngendlela esifike ngesikhathi, noma iyiphi izindlela ekwelapheni yesimanje imithi izipesheli.

Ukwakheka nemisebenzi amashubhu fallopian

Ukuze siqonde indlela lesi sifo nezimbangela zayo kungenzeka, kubalulekile lokumba anatomy. Lesizalo noma fallopian tube - ke ibhangqwe lumens umzimba ezimbili. Ubude bayo 10-12 cm. Omunye ekupheleni tube kuvula esibelethweni, kanye nezinye emaphethelweni nge zemicu iseduze esibelethweni. Ngosizo lezi izimbobo ngaphakathi komgodi ongaphakathi kwamathumbu baxhumana umthondo.

Izindonga tube fallopian sakhiwa izingqimba ezintathu: elingaphandle, kwangaphakathi futhi imisipha. Eyokuqala emelelwa peritoneum futhi umsebenzi zokuzivikela. ungqimba kwemisipha kunomthelela ukunyakaza contractile iqondiswe ekufezeni ingaphakathi lesizalo. Ngaphakathi fallopian tube ciliary epithelium ulwelwesi. umsebenzi Its main - ikhomishana undulations lapho amaqanda avundiswa ingena kwesibeletho ngokukhululekile. Phakathi izakhi cells ciliated EPITHELIAL yezindlala ahlelwe. Ziyakwazi obangela ukukhiqizwa mfihlo ekhethekile. Le nto isekela ukusebenza kwesidoda, amaqanda futhi umbungu usaqala sokuthuthuka.

Kuyini hydrosalpinx kuzo ngemibhobho fallopian?

Lesi sifo izifo zabesifazane eyogcina isiholele ukuphazamiseka kuzo ngemibhobho Fallopian. It libhekene olwenzeka kancane kancane transudate e mafutha anciphisa isikhala esingaphakathi yesiteshi. Ngenxa yalokho ipayipi iguqulwe ibe ukwakheka, okuyinto ufana sikhwama. Ngesikhathi besanda kuqala ukuthuthukiswa kwenqubo sokugembula cishe akusho ukuzibonakalisa. Ngokuvamile lesi sifo sitholakale umuntu lapho owesifazane uphendukela wezifo zabesifazane e search for izimbangela ukungabi nenzalo.

Odokotela amafomu alandelayo ka hydrosalpinx:

• angamanxele;
• emaceleni;
• emaceleni.

ifomu eyodwa emaceleni lesi sifo libhekene ukubukeka ukuvuvukala kuphela eyodwa ipayipi. Kulokhu, owesifazane ungathola abakhulelwe bebodwa, kodwa amathuba owesifazane ebamba yimpumelelo aba nguhhafu. Lapho hydrosalpinx zamazwe amabili ivinjiwe kokubili amashubhu. Thola okhulelwe kokutshelwa ngokukhubazeka kwengane akunakwenzeka, uma kungekhona ngokushesha afune usizo lwezokwelapha. Ngemva kwalokho, kungaba akha ukungazali ephelele lapho ematfuba self-baphathe futhi ubelethe ingane enempilo zero.

Eceleni kubalulekile cabanga zokugula okungalapheki. Kutfutfukisa kancane futhi ayibonisi iyiphi kwezinso. Owesifazane kuyajabulisa. Hydrosalpinx esibeletho Kutholwe ngephutha, lapho yabukwa ngesikhathi udokotela wezifo zabesifazane. Ngakho-ke, kubalulekile ukuba ngezinye izikhathi ibhekane luhlolo ukuzivikela ukuthi udokotela.

izindlela zokuthuthukiswa isifo

Ukwephula amashubhu fallopian iqala isizinda sika-ukuvuvukala, ezifana salpingitis noma salpingo. Kwenzeka ukukhula okungavamile ezicutshini, kwakhiwa ukuvuvukala amaningi kanye nezibazi. Ukuvuvukala kancane kancane ufinyelela kuzo zonke zamatshe amashubhu fallopian.

Villi afe epithelium ciliated futhi imisipha ungqimba iyeke encishisiwe ngokugcwele. Mafutha anciphisa isikhala esingaphakathi tube sikhule ukuvuvukala, kokuphazamisa permeability yayo. Esikhathini ingaphakathi kwakhiwa iqala ukwakha imfihlo. It ikhiqizwa ekhiqizwa yindlala okuthiwa i epithelium ekuphenduleni ukuvuvukala ayatholakala. Ngakho isifo eba esibeletho - hydrosalpinx.

Izizathu eziyinhloko

Indawo okuvela kuyo amazwi Isifo esibangelwa kuvalwe ingxenye phakathi amashubhu fallopian. Ngokuvamile inkinga enjalo kuyinto ukusabela komzimba a ukuvuvukala wendawo. ejenti ezithathelwanayo ukungena kokubili uplink futhi indlela downlink. Esimweni sokuqala ezihilela zokuzala uhlelo izitho (wesibeletho, kwesibeletho, esithweni sangasese somuntu wesifazane). Esimeni sesibili kokuthola izinto ezithwala izifo, kuhlanganise ukugeleza igazi isithasiselo, izinso noma esinyeni. Ngezinye izikhathi ukuvuvukala sidalwe aseptic uma kwandulelwe ukugunyazwa okwenziwe ukuthuthukiswa kwezifo ezihlukahlukene izifo zabesifazane.

Odokotela kukhona yezizathu ezilandelayo gidrosalpinksa esibeletho:

• izisu njalo, ukuqhuba curettage zokuxilonga kwesibeletho;
• ukusetshenziswa kudivayisi intrauterine;
• hypothermia (Kuvuselela flora pathogenic ku buthakathaka amasosha omzimba);
• ushintsho njalo labantu ozibandakanya nabo kwezocansi;
• ukuvuvukala ezithinta esifundeni ezihlobene futhi ezikhiqiza amaqanda (oophoritis, adnexitis);
• infantilism ngokobulili ;
• adenomyosis;
• endometritis;
• isitho sangasese somuntu wesifazane amagciwane overgrowth.

inqubo sohlangothi olulodwa (hydrosalpinx kwesokunxele tube fallopian noma nje kwesokudla) ngokuvamile kwenzeka ngenxa kwezinso yokwakheka noma piosalpinks ngenxa. Kulokhu, ubomvu is egxile ngokuphelele, kukhona kuphela uketshezi serous. inqubo esethola sokugembula ehilela kokubili amashubhu fallopian, kwakheka kwi isizinda ukuvuvukala ezingamahlalakhona kubangelwa ejenti ezihlukahlukene ezithathelwanayo.

emitholampilo isithombe

Yini hydrosalpinx kuzo ngemibhobho fallopian izimpawu? Ngesikhathi besanda kuqala ukuthuthukiswa izimpawu nobuntu isifo angekho, kusukela izinqubo ukuvuvukala musa abonise umsebenzi. Lembula, njengoba sishilo, ngengozi, ngesikhathi kuhlolwa ngesikhathi udokotela wezifo zabesifazane.

Njengoba ukuqhubeka kwesifo kukhona enwetshiwe isithombe emtholampilo. uketshezi ekhulile yemiphumela isikhwehlela nezindlala epithelium kuholela amapayipi refilling, ukuze andise ngosayizi. Ngenxa yalokhu, lo wesifazane ubonakala umuzwa ukusinda esiswini ephansi. Uma zokugula libhekene ezimbili umlingisi, lokhu uphawu kuzibonakalisa nhlangothi zombili. Ngezikhathi kungenzeka lokushisa ukukhushulwa subfebrile izinkomba. Kwezinye izimo, abesifazane baphathwa zemali esasizosheshisa of uketshezi esithweni sangasese.

Lapho uphethwe "fallopian tube" hydrosalpinx kuthinta ikhono okuzala ka i umzimba. Lapho izikhala zivaliwe ngokuphelele, iqanda awukwazi ukuthola ngaphakathi, ngakho kokukhulelwa ingekho. Lokhu ukuhlukumeza libizwa ukungazali esibeletho. Uma igebe akuyona sivinjelwe ngokuphelele, emphethweni mucosal kuthiwa eshelelayo, futhi imisipha izicubu yoma. Ngenxa yalokho yalezi zinguquko kowesifazane kwandisa ingozi ukhulela ethunjini.

inkinga ezingemnandi gidrosalpinksa kubhekwe igebe tube fallopian. Ukuze lesi sifo libhekene ukuvela nobuhlungu obukhulu ephansi endaweni besisu, futhi tachycardia, ukwehlisa wegazi. Skin kancane kancane buphela, isenzo sakhe kusobala vesicles akachazeki ujuluke. Uma uhlangabezana lezi zimpawu kufanele ngokushesha ubize iqembu kwabasebenzi bezempilo abaqeqeshiwe.

Hydrosalpinx nokukhulelwa

Abesifazane kanye hydrosalpinx ukuhlela sokukhulelwa, laparoscopy Kunconywa. Le nqubo ikuvumela ukuba ubuyisele patency amapayipi, kodwa kwakuvame umsebenzi lazo elingokwemvelo. Ngaphezu kwalokho, ngokucijile ukunciphisa isibalo receptor-hormone ezinkulu - estradiol futhi progesterone. Lezi zici kungaholela ukhulela ethunjini.

Uma inqubo sokugembula udlulisela kuphela komunye ipayipi, umcabango kungenzeka. Nokho, ukuba khona umthombo ukuvuvukala e ukhalo kuyingozi umbungu okhulayo. Uketshezi yangaphakathi ehlanganisa lymphocyte namanye amanxusa anobuthi. Ngakho-ke sokukhulelwa is hhayi Kunconywa ngaphandle kokwelashwa kuhlinzwa. Ukususwa kuzo ngemibhobho fallopian lapho hydrosalpinx akusenzi isifiso ngokocansi abesifazane, akuthinti yayo hormone noma umjikelezo wakho esikhathini. Lapho ezimbili uhlobo ukukhulelwa nesifo ngokwemvelo engenakwenzeka. Kulokhu, lo wesifazane inqubo IVF Kunconywa.

Resection tube fallopian ngaphambi kokukhulelwa kwesibeletho libandakanya anda amathuba owesifazane ebamba yimpumelelo ngo-30%. Isibikezelo is kakhulu uma ilungelo afeze ukusebenza ukususa, kunokuzama ukubuyisela patency we oviducts usebenzisa ezihlukahlukene okukhethwa kukho laparoscopy.

Ngaphambili, kuye kwasikiselwa ukuthi ukususwa amashubhu fallopian kufaka kokunikezwa kwe-igazi eligciniwe nomthethonqubo sezinzwa ezikhiqiza amaqanda. Lezi zifundo akazange uqinisekise lolu lwazi. Ukususwa ipayipi abathintekayo ngaphambi IVF akunamthelela isimo ezikhiqiza amaqanda, ukusabela kwabo inqubo ukushukuma kokukhulelwa izinga.

izindlela ukuxilongwa

Uma usola i hydrosalpinx kuzo ngemibhobho fallopian kuyadingeka ukuze uxhumane udokotela wezifo zabesifazane. Ukuxilongwa sifo iqala ukuhlolwa nesineke. Uma wenza palpation bimanual zokugula selitholakala ngesimo side kumiswa waqiniswa eyodwa kuphela noma nhlangothi zombili kanyekanye. Ubuhlungu ukungakhululeki ezingase ziphakame le nqubo. Ngemva kokuthuthela e-izindlela wezinsimbi ukuxilongwa. Phakathi kwabo, lo ulwazi kakhulu zinezikhathi le nqubo elandelayo:

1. ultrasound Transvaginal. It ikuvumela ukuba ichaze hydrosalpinx, setha indawo, umumo kanye nosayizi eseduze.
2. Hysterosalpingography. Kuyasiza ukuhlola patency kuzo ngemibhobho fallopian. Phakathi zokuxilonga Ngokuphambene inxusa injected ngaphansi kwengcindezi phakathi komgodi lesizalo. Ngemva kwalokho, uchungechunge izithombe radiographic lapho yangaphakathi ocansini izitho abukwa kahle.

Zokwelapha, zikhona izimo lapho, ngemva inhlolovo ezifana abesifazane abakhulelwe bebodwa. Ngakolunye uhlangothi, kwandisa amathuba exacerbation ukuvuvukala ezingamahlalakhona.

Indlela eziqinile uphethwe kubhekwa gidrosalpinksa laparoscopy amashubhu fallopian. Isicelo sale ndlela ivumela ukuhlola isimo sabo futhi uthathe okuqukethwe ukucacisa ejenti ezithathelwanayo kanye nokuzwela yayo nemithi. Ngezinye izikhathi odokotela uyeke laparoscopy ngenxa invasiveness yayo. kokungenela ezinjalo zingase nekukhutsata kutfutfukiswa ukuvuvukala.

Ngesisekelo udokotela wathola inhlolovo Imiphumela kufakazela noma uyakuphika uphethwe kwangaphambilini inika izincomo ukwelashwa. Ukwelashwa ngalesi zokugula kungenzeka olandelanayo noma op. Cabanga ngamunye embodiments kabanzi.

ukwelashwa ngoludala

Ukwelashwa kufanele kuqale ngokushesha nje kwadokotela kwatholakala uphethwe "hydrosalpinx kuzo ngemibhobho fallopian." Ukwelashwa ngaphandle kokuhlinzwa Kunconywa abesifazane abangafuni ukukhulelwa, noma kobukhulu elincane of inqubo sokugembula. Ukuze ulwe ukuvuvukala antibiotic. Isikhathi yokwelapha kanye umthamo imithi enqunywe udokotela. Kulokhu, uchwepheshe kufanele acabangele ukuzwela kwamagciwane kuya izidakamizwa kanye ubunjalo ejenti causative.

ukuphathwa okulondoloza kuhlanganisa izinyathelo ukukhuthazwa amasosha omzimba. Ngenxa yale njongo, iziguli iqondiswa immunomodulating izidakamizwa ( "Taktivin", "Timalin", "Imudon") kanye vitamin izakhiwo. Kabanzi Physiotherapy. Abanaso ukwelapha ngokuphelele lesi sifo kodwa nomphumela ozuzisayo emzimbeni. Phakathi kwabo kukhona:

• UHF;
• Ufo;
• magnitorez;
• electrophoresis;
• endovaginal massage vibratory.

Uma odokotela kutholakala ukuthi uphethwe yini hydrosalpinx umkhankaso we amashubhu fallopian, ukuphathwa kungenzeka kuphela esebenzisa kokungenela kuhlinzwa.

ukwelashwa op

Ukuhlinzwa Kunconywa bonke abesifazane babe iphupho ukuzama ku indima kamama. Ngaphezu kwalokho, ngaphandle kokuhlinzwa Awukwazi ukwenza esimweni ngokushesha okuqhubekayo ukuvuvukala, kanye Yiqiniso kuyinkimbinkimbi lesi sifo.

Indlela esiphatha ngayo hydrosalpinx kuzo ngemibhobho fallopian? Namuhla, njengoba indlela eyisisekelo laparoscopy op isetshenziselwa ukuqeda isifo. Lona esebenza kahle kakhulu ngesikhathi esifanayo ngendlela emnene yokwelashwa. Kukhona izinhlobonhlobo eziningana nale nqubo. A samuntu ethile udokotela ukhetha yokwelapha nezempilo lesiguli, amashubhu fallopian.

1. Tubektomiya. Ngalesi kokuhlinzwa, udokotela wenza resection oyedwa wenu noma nobabili amashubhu. Ngoba kuboniswane esimweni lapho khona ezinye izinketho lokwelapha lesi sifo kukhona.
2. Salpingoneostomiya. Inqubo kusho umgodi entsha kwetinhlavu tube fallopian.
3. Fimbriolizis. zokukhwabanisa Steel okuhloswe ngaso ukukhululwa kwe Lint kusukela ipayipi ekupheleni ikhadi ukuvuvukala, ukususwa uketshezi.
4. Salpingoovariolizis. Ngesikhathi inqubo, udokotela unqamula spikes e mafutha anciphisa isikhala esingaphakathi tube.

Kungakhathaliseki sokukhulelwa kungenzeka emva laparoscopy fallopian amashubhu? Hydrosalpinx - lena zokugula sina, isikhathi eside okuyinto nakanjani kuthinta impilo abesifazane. ukusebenza esiphumelelako ayiqinisekile okusheshayo lokukhulelwa ingane. Uma udokotela wakwazi ukugcina ipayipi futhi ubuyisele patency yabo, oviduct akuyona seyisebenza ngokugcwele. Cilia epithelium ciliated ungalahlekelwa motility kanye ungqimba kwemisipha ngokuvamile eyeka ukwenza inkontileka. Ngenxa yalokho, it kuphazamise peristalsis evamile. Ngakho abesifazane emva kokuhlinzwa basengozini ukhulela ethunjini. Ngakho iziguli Kunconywa ukuvundiswa IVF.

izinyathelo

Gidrosalpinksa fallopian amashubhu, ukwelapha elichazwa ngenhla nje, isifo esiyingozi. Nokho, lapho ivela khona kungagwenywa, uma ukugcina iziqondiso ezilandelayo:

1. Idinga isikhathi ekwelapheni izifo gynecological. Uma une ubuhlungu, uketshezi atypical noma ezinye izimpawu ezingemnandi kufanele axhumane ngokushesha ne udokotela-wezifo zabesifazane.
2. Kubalulekile ukugcina imithetho eyisisekelo inhlanzeko yomuntu siqu. Shower, odokotela belulekwa ukuba uthathe okungenani kabili ngosuku. Esesikhathini kumele kube kanjani ukushintsha inhlanzeko njalo.
3. Kungcono ukulahla okuxekethile futhi njalo usebenzise umuthi isithiyo.
4. Kuyadingeka ukuba silondoloze enempilo, ukuze aqede zonke imikhuba emibi.

Hydrosalpinx kuzo ngemibhobho fallopian, uma iyekwa ingelashwa, kungabangela eziyingozi. Lezi zihlanganisa ukungabi nenzalo hhayi kuphela. Ngisho nalapho yimpumelelo ukuba akhulelwe ingane kungenzeka isisu kwesisu noma nokuguqulwa.