Ukuvuvukala kule amashubhu fallopian: izimbangela kanye nokwelashwa

Ukuvuvukala kule amashubhu fallopian - iyisifo ezivamile imvelo izifo zabesifazane. Abesifazane abaningi nale nkinga ayikwazi esizicabangelayo ingane. Ngokwezibalo, u-20% wobulili fair ungathathi ngamawala ukuze lesi sifo futhi musa ukufuna usizo lwezokwelapha, okuyinto kubandakanya ukuthuthukiswa a yezinkinga sasivumela sina. Kungani ukuvuvukala kule amashubhu fallopian ukugxambukela ngeminyaka abaye bakhulelwa? Yini izimpawu ukuthi lokhu kuhambisana nokubuka inqubo sokugembula? Izimpendulo zale eziningi eminye imibuzo ingatholakala yayisazi lesi sihloko.

Uhlolojikelele

Ukuvuvukala (ngenye bebizwa ukuvuvukala) - a neoplasm, okuyinto zitholakala lwamafinyila kwezitho okhalo. Basuke izimpawu ikhono lazo ukubophela ndawonye uvalwe odongeni amashubhu fallopian. Lokhu kuphumela occlusion, okuyinto kuqinisekiswa ultrasound, futhi kungakho nenzalo. Ngaphezu kwalokho, ukuba khona izimila kule amashubhu fallopian kwandisa ingozi okuthiwa ukhulela ethunjini.

Kuyathakazelisa ukuthi ngisho spikes ezincane kungaba isithiyo sína emkhondweni isidoda neqanda. Uma ekubumbaneni namanje kwenziwe, neoplasms ekhona zikwenza ukuqhubeka ukunyakaza iqanda eselivundisiwe esibelethweni uqobo, ngoba lokhu lapho kuqala ukukhula. Ngenxa yalokho, i-zygote nezwi ophoqelelwe ukuthuthukisa e tube fallopian. Ngezinye wokuhlola elilandelayo, le nqubo ingabonwa ultrasound futhi uphethwe liyokhala njengoba ukukhula komntwana ethunjini. Yingakho kubaluleke kangaka kusaqalwa ukuhlonza khona isifo.

Ziyini izimbangela eziyinhloko zalokhu yentuthuko isifo

Isizathu esikhulu ukuvuvukala kule amashubhu fallopian - kuyinto ukuvuvukala, okuyinto umphumela we ukulethwa nzima, izisu eziningi, curettage nokusetshenziswa zokuxilonga yokuvimbela inzalo intrauterine.

On ukuthuthukiswa kwalesi sifo kunomthelela izifo esifazane uhlelo zokuzala, kuhlanganise nohlobo Venereal. Ngokuvamile, indima ezithwala izifo isinyathelo-chlamydia kanye ne mycoplasma ureoplazma. Kwaphela isikhathi eside lesi sifo kungase Ungaphazamisi owesifazane, isb akukho izimpawu zokwelashwa zangaphandle manifest. Nokho, ngemva kwemizamo akuphumelelanga eziningi okukhulelwa intokazi ingane namanje yanquma ukucela usizo lukadokotela. Kuyinto luhlolo zokuxilonga kuyacaca ukuthi ukuvuvukala kule amashubhu fallopian - izimbangela ukungazali, kuba umphumela ezingamahlalakhona ukuvuvukala e ezihlobene. Yingakho kubaluleke kangaka ukuvakashela njalo udokotela wezifo zabesifazane.

Endometriosis - lesi ngesinye futhi isizathu esenza lesi sifo. Kulesi sifo endometrium ikhula esifundeni uncharacteristic, okuyinto kuphakamisa ukubukeka egoba ku amashubhu, ukufuduka yabo.

Ngaphezu kwalokho, imisebenzi ku Izitho zokuzala zabesifazane ngokuvamile imbangela yalesi sifo.

Yiziphi izimpawu zokwelapha ahambisana ukuvuvukala kule amashubhu fallopian?

Izimpawu ekhombisa khona kwale lwesifo esibi, kungenzeka zingaveli isikhathi eside. Ngokuvamile, owesifazane ifunda ngaye ngesikhathi luhlolo ukuze kutholakale imbangela ukungabi nenzalo. Ngokuvamile, izimpawu zokwelapha kuxhomeke nesigaba lesi sifo. Njengomthetho, owesifazane ukhathazekile ngalezi zimpawu:

• Ngendlela okukhulu isicanucanu nokuhlanza, ongaphakeme-ebangeni imfiva, palpitations inhliziyo.
• ifomu Kweseva gqwa livezwa ubuhlungu nokuphazamiseka emathunjini.
• Ifomu ezingamahlalakhona libhekene ubuhlungu kanye ukuqunjelwa ngezikhathi ezithile.

Ngezinye izikhathi iziguli uqaphele nomjikelezo wokuya esikhathini, ukuchama kaningi, ikhanda, ikhanda njalo, ukungakhululeki emhlane ephansi nesisu.

nesigaba lesi sifo

Ngokusho kwemithombo yezokwelapha, inani lwabelwe izigaba ezintathu zesifo:

1. Neoplasms zitholakala ngqo kwi ezindongeni amashubhu fallopian. Le ndawo ezisele phakathi kwazo yanele ukuba iqanda avundiswa oye wakwazi ukungena esibelethweni. Kulesi sigaba, ukuphathwa akudingi ukuhlinzwa.
2. Esikhathini yesibili isinyathelo commissure phakathi ephansi tube ehunyushelwe kanye esibelethweni. Lolu hlobo ilungiselelo akuvumeli Iqanda ukuhambisa ngokukhululekile. Kulokhu, ukuphathwa ngempumelelo kuphela izenzo laparoscopy.
3. isigaba Okwesithathu - tube Fallopian ivaliwe ngokuphelele neoplasms, lapho ke wenza kulinganiselwe kushintshile. Kulokhu, ngaphandle kosizo ukuhlinzwa ngokuvamile akwanele.

Ukukhulelwa ukuvuvukala kule amashubhu fallopian

Izimbangela yale nqubo sifo kanye nezimpawu ezihambisana ngokuvamile musa ngihluphe abanye abantu. Abesifazane abaningi abaqapheli ingozi yalesi sifo. Bayaqonda ukungathi sína yayo kuphela uma ngokwemvelo ayikwazi esizicabangelayo ingane.

Uma umonakalo amashubhu fallopian ezincane, ukukhulelwa emva kokwelashwa nge ukuhlinzwa kwenzeka e-50% amacala.

Lapho engelapheki umonakalo uma kukhona Ukunqotshwa kwe-lwamafinyila ulwelwesi amashubhu, cilia ukunyamalala nokubukeka nezicubu isibanda, ematfuba is cishe zero ngokuzimela esizicabangelayo. Ukuba khona ukuvuvukala ebalulekile kanye kakhulu siba sibi isimo.

Yiqiniso, kuphela kokubonisana udokotela wezifo zabesifazane anganikeza impendulo ecacile, owesifazane angathola abakhulelwe ku yabo noma cha. Asikho isidingo yithemba maduzane, ngoba imithi yesimanje akemi namanje. Abesifazane abaningi baye bakwazi zama indima unina, ngisho ne ukuxilongwa ezifana ukuvuvukala kule amashubhu fallopian. Photo emakhosazaneni ujabule kukufakazela ngokucacile lokhu esitatimendeni.

Ukuvuvukala kanye IVF

Ngisho ngemva kokubuyiselwa egcwele patency we fallopian amashubhu odokotela akuyona njalo kungenzeka ukuba kulesetayelekile ukusebenza epithelium ciliated. Endabeni okuphelele ukuvimbela Iziguli eziningi musa ngisho zama surgically ususe wonke ukuvuvukala ekhona. Into wukuthi ematfuba ngeminyaka abaye bakhulelwa ngokwemvelo kulesi simo azinakwa. Ngakolunye uhlangothi, kwandisa amathuba okungenwa okuthiwa ukhulela ethunjini. Esimweni esinjalo, abesifazane belulekwa IVF.

Uma isiguli sekutholakele ukuthi sine- ukuvuvukala e ngezinga lokuqala noma lesibili, nezinye izifo esikuvimbela ukuba akhulelwe is ayitholiwe, ungazama ngokwemvelo esizicabangelayo ingane. Kule ndaba, ukubaluleka okukhulu kuyinto engu yowesifazane, njengoba inqolobane wesibeletho kanye nekhwalithi oocytes nge sibe sibi kuphela njalo ngonyaka. Kwenzeka futhi ukuthi ngemva kokuzalwa kwengane yabo yokuqala ngokusebenzisa IVF kungenzeka ukuba ngokuzimela okukhulelwa wesibili ngisho lwesithathu. Lokhu kungenxa yokuthi phakathi sokukhulelwa kwesibeletho uqobo kakhulu kwandisa ngobukhulu, okuyinto enomthelela i division esizimele ukuvuvukala.

Ngemva kweminyaka engu-35 no-ukungazali eside ngenxa ukuvuvukala endaweni yokuqala kutuswa makudle kwaba IVF.

ukuhlola

Namuhla, imithi has zonke izakhiwo ezidingekayo ukuze ekuhlonzweni kwezifo ezifana ukuvuvukala kule amashubhu fallopian. Ultrasound futhi evamile ukuhlolwa kwezitho zangasese ayikuvumeli 100% amathuba ukuthola le nkinga. Into wukuthi ukuvuvukala ngenxa isakhiwo yayo ekhethekile uhlala engabonakali ultrasound. Okwamanje, kunezinhlobo ezintathu zama-sivivinyo seluhlololucwaningo:

• Hysterosalpingography. Le nqubo kusho ngesingeniso phakathi komgodi lesizalo nge uketshezi oluthile Ngokuphambene ejenti. Khona-ke ngo-X-ray Uhlaziya isimo kwezitho inquma degree of ukushaya imfuyo ngqo ngaphakathi komgodi peritoneal. Uma uketshezi likhona, kungaba bazitshela ukuthi akukho ukuvimbela amapayipi. Ukutadisha okunjalo Kunconywa ngokushesha emva ukumisa nge-ovulation, ukuvimbela ukuchayeka, mhlawumbe sokukhulelwa.
• Ehogisterosalpingoskopiya. Kulokhu, lo ezivamile is busuka ingaphakathi lesizalo nge nosawoti, okwathi ngemva kwalokho udokotela uqhuba ultrasound.
• Laparoscopy. Inqubo wenziwa ngaphansi izinzwa jikelele. On udokotela ohlinzayo besisu kwenza sebeziqhumbuza ezincane ezintathu lapho sethula amathuluzi adingekayo ukuze zokukhwabanisa. Omunye wabo laparoscope - ngamapayipi ngekhamera ku ukuphela. Image naye ukusakaza kuyi-computer, okuvumela ukuba uhlaziye ngokunembile isimo izitho zangaphakathi. Ngezinye izikhathi ngokushesha babelwe ukusebenza ku excision ka ukuvuvukala ekhona.

udokotela kuphela angakunika umuthi yokwelapha ezifanele emva ephelele kokuhlaziywa zokuxilonga.

imithi

Ingabe ikhona ukuvuvukala ikhambi ku amashubhu fallopian? Izimbangela le nqubo sokugembula kule nenhlonipho kubaluleke. Uma okuvela ukuvuvukala kwandulelwe ukugunyazwa okwenziwe ukutheleleka urogenital, ikakhulukazi yokwelapha kumele iqondiswe isuswe. Ngenxa yalezi zinjongo liyakushunyayelwa esiqokiwe izidakamizwa eqeda ukuvuvukala nemithi elwa namagciwane.

Uma imbangela isifo i-endometriosis nesineke Kunconywa izidakamizwa hormone nezidakamizwa eqeda ukuvuvukala. Muva nje, ukusebenza kahle eliphezulu fermentoterapiya isikhathi kuyahluka. Kulokhu, ukuphathwa isicelo ejenti fibrinolytic, okuyinto ukuncibilikisa fibrin, kanjalo Ukuqedwa usayizi ukuvuvukala encane.

kokungenela op

Uma yokwelapha izidakamizwa alubuqedi ngokugcwele ukuvuvukala kule amashubhu fallopian, ukwelashwa kushintshwe. Ngokuvamile, udokotela Uyonquma ezivimbayo futhi zilekelele masinya kuhlinzwa, kodwa kunalokho ku laparoscopy.

Ukusebenza wenziwa ngaphansi izinzwa jikelele. On ebusweni elingaphandle esiswini kuyinto sebeziqhumbuza ezimbalwa ezincane, lapho kamuva bazothola ngqo laparoscope nezinye izinsimbi izinqubo zokuhlinza. Ekupheleni kwe-laparoscope kuyinto ikhamera encane kabani isithombe uwela kuyi-computer. Ngakho udokotela ungakwazi ukuhlola isimo kwezitho zangaphakathi yowesifazane. Khona-ke, lo msebenzi wenziwa ngqo uqobo, okungukuthi, udokotela kususa yonke ukuvuvukala kule amashubhu fallopian.

Izibuyekezo lokhu inqubo kuphela omuhle. Laparoscopy ikuvumela ukususa konke imfundo, ngesikhathi esifanayo ukunciphisa amathuba abo kabusha ukuvela. Phakathi ukuhlinzwa, ukulahlekelwa igazi ingozi nanoma yiziphi izinkinga zimbalwa futhi ziyantula. Ngemva kwamahora ambalwa nje ngemva kowesifazane angaya izinqubo ekhaya.

Kunezindlela eziningana ongakhetha kuzona ukuze bathole ukwelashwa kuhlinzwa ka ukuvuvukala. It gidrotrubatsiya futhi pertrubatsiya. Kulezi izinqubo amashubhu fallopian kuthiwa siyakazwe isixazululo oyinyumba noma emoyeni kushaywa. Namuhla, ezifana ukwelashwa cishe akazange asebenzise ngenxa kwavela yezinkinga ngokwanele sina.

ukwelashwa bokuphila

Ungakwazi yini enye indlela yokuziphilisa ukwelapha ukuvuvukala kule amashubhu fallopian? indlela bokuphila yokwelashwa esanda lavuselelwa engakaze ibonwe. Asho ngumuntu?

Nature lesizalo ukuvuvukala kangangokuthi kungathambisa futhi elula. Lezi zici lula kakhulu inqubo ukususwa kuhlinzwa ka ukuvuvukala. Ukuze uthuthukise kwegazi igazi kwezitho kwezitho zangasese ngemuva ultrasound onguchwepheshe angakwazi ukuncoma ukwelashwa bokuphila (massage okhalo, izinqubo ngodaka ikhambi, nokunye. D.).

yezinkinga kungenzeka

I ukunganakwa lesi sifo kanye nokuntuleka ukwelashwa esifike ngesikhathi kungaholela yezinkinga kuyindaba eqakathekileko. Lezi zihlanganisa lokhu okulandelayo:

• ukungazali Tubo-peritoneal.
• ukhulela ethunjini.
• Okungalapheki ubuhlungu okhalo.

Ngaphezu kwalokho, ukhulela ethunjini ngokuvamile akuhileli ukopha okukhulu ezingaba avuse ukufa.

izinyathelo

Okokuqala, ngaphandle kokukhetha, zonke abesifazane belulekwa ukuba ayevame ukuvakashela udokotela wezifo zabesifazane. Lo chwepheshe kungacacisa kusaqalwa khona isifo futhi ukwelashwa okufanele.

Uma owesifazane enezinwele lokuzikhethela phakathi kwesigaba cesarean nokubeletha zemvelo, okuthandayo kufanele inikwe version yokugcina.

Noma yimuphi ukuhlinzwa izifo zabesifazane, kubandakanya isisu, akufanele kwenziwe khona ukuvuvukala emzimbeni. Ngaphambi kokungenela yalolu hlobo, abanye abesifazane ngisho nokwelapha wendawo prophylactic.

Indlela encomekayo inzalo - ikhondomu. Akazange 100 kuphela cishe Ukuvikelwa% ekukhulelweni bengafuni, kodwa futhi ukuze uvimbele izifo eziningi ezidluliselwa ngobulili ngqo ngokuhlangana ngokocansi. Popular Namuhla IUDs kwezinye izimo, kungase kumkhathaze ukuvuvukala kule amashubhu fallopian.

Izimbangela lesi sifo ngokuvamile kakhulu kufihlwe izisu okuphindaphindiwe curettage zokuxilonga. Ngokuba nokuvimbela sokukhulelwa endabeni le encomekayo eziphuthumayo zokuvimbela inzalo.

isiphetho

Kulesi sihloko, satshelwa ukuthi kukhona ukuvuvukala kule amashubhu fallopian, izimbangela zezinkumbulo lesi sifo futhi ukwelashwa zamanje. Akufanele dengwane sifo ukuhlehlisa Ukuvakashela udokotela wezifo zabesifazane, ngoba imiphumela yalesi sifo ngokuvamile engelapheki. Hlala uphilile!