Izindlela zemvelo zokukhulelwa ngemuva kwe-tubal ligation
Izindlela zemvelo zokubuyisela emuva i-tubal ligation. I- amashubhu we-fallopian yimibhobho yemisipha exhuma amaqanda kanye nesibeletho noma isibeletho futhi kwesinye isikhathi futhi lapho inkinga ukuthi abesifazane abaningi banjalo engakwazi ukukhulelwa .
Yize kubonakala kumangalisa, futhi uma singenayo i- inkinga yangempela yomzimba ukuthi kuvimbela thina kusuka ukukhulelwa , njengokungazali kweqanda, amashubhu avimbekile angaholela ekutheni singayifezi inhloso yethu yokukhulelwa, ngakho-ke kufanele sinakekele ukudla nemikhuba yethu ukugwema lokhu.
Sichaza ngezansi ukuthi uwavula kanjani amashubhu e-fallopian ngokwemvelo.
IZIKHUBA ZAMAFALLOPIAN EZIKHANYIWE
Amashubhu we-fallopian yiwo kubalulekile ku uhlelo lokuzala lwabesifazane ngoba badlala indima ebaluleke kakhulu ku- ukudluliswa kwama-ovules avuthiwe kusuka esibelethweni kuya esibelethweni . La ma-tubes atholakala ezinhlangothini zombili zesibeletho, ngakho-ke ukuvinjelwa kwawo kuholela ezinkingeni eziningi zabesifazane ezihlobene nempilo yokuzala.
Enye yezinkinga ezinkulu ukuthi ukuvinjelwa kungadala ukungabi nenzalo kwaziwa nangokuthi i-tubular infertility factor. Ukuvinjelwa kungakwazi zenzeka kwesinye noma zombili amashubhu we-fallopian , kanti futhi nokwelashwa kuncike kakhulu kulokhu, ngakho-ke ngaphandle kokuthi kubalulekile njalo ukuxhumana nodokotela, singasebenzisa amakhambi emvelo azosivumela ukuthi siwavule.
Kwesinye isikhathi ukuvinjelwa kwamashubhu we-fallopian kwenzeka ngenxa yesifo sokuvuvukala okhalo, noma kubangelwe nangaphambilini ukukhulelwa kwe-ectopic lokho kuyimbangela yesibazi se-tubular; Izinqubo ze-tubal ligation, i-endometriosis, ukutheleleka kwesibeletho, i-peritonitis kanye nokuhlinzwa okubandakanya ithubhu le-fallopian noma izitho zohlelo lokuzala lwabesifazane kungaba ezinye izimbangela.
Ezinye izikhathi zihlobene neqiniso le- ukuhola impilo yokuhlala phansi kuhlangene nokungadli kahle futhi imikhuba elimazayo efana nokubhema noma ukuphuza ngokweqile.
Izindlela zemvelo zokukhulelwa amashubhu aboshiwe
Ngale ndlela, singakhomba amakhambi athile emvelo, kusuka ezimpandeni noma ezitshalweni ezizosisiza ukuvula amashubhu we-fallopian, yize ngiphinda ukuthi kuhlale kudingekile ukuxhumana nodokotela wethu wezifo zabesifazane.
Lawa ngamakhambi emvelo ukuvula amashubhu ethu e-fallopian:
- Impande ye-Peony : Kusivumela ukuthi silinganise ama-hormone abesifazane futhi sinciphise ukuvuvukala nobuhlungu obungadala ukuvinjelwa okulingene kwamashubhu e-fallopian.
- Impande yejinja : Singathatha ujinja infusions ukuvulela amashubhu we-fallopian.
- I-Dong Quai Umsuka : Ikhuthaza ukugqugquzela ukusakazwa kohlelo lokuzala, ngakho-ke kuzosiza ukwelapha amashubhu we-fallopian aminyene.
- u-Castor oil : Singafaka uwoyela we-castor esiswini esingezansi noma sisebenzise namaphakethe kawoyela nezikhafu, ezitholakala kalula ku-inthanethi nasezitolo zokudla zezempilo. Kufanele siyisebenzise nsuku zonke inyanga
- Izikhukhula zamalahle. Ukusetshenziswa kwamalahle acushiwe asetshenziswe ngenhla kwesisu sakho esingezansi, ngqo ngenhla kwesibeletho sakho namashubhu e-fallopian, kusiza ekwelapheni izifo futhi kunciphise ukuvuvukala nokuvinjelwa. Kufanele wenze lokhu:
- Ubeka amathawula wephepha etafuleni.
- Ubeka inhlanganisela yekhabhoni eyenziwe yasebenza futhi nefilakisi kumathawula bese umboza ngamathawula amaningi ephepha.
- Ubeka le nkukhu endaweni ethintekile bese uyimboza ngesimbozo sepulasitiki. Sebenzisa la maphedi ubusuku bonke ukuthola imiphumela emihle.
Ngokuhambisana namakhambi emvelo ashiwo, singangeza ezinye izincomo ezinjenge ukuyeka ukubhema, ukuphuza, ukudla ukudla okunamahomoni kakhulu, njengezinkukhu, noma ukubhucunga umzimba endaweni.
Amashubhu we-fallopian avinjiwe: abangela ukwelashwa kwezimpawu
Amashubhu we-fallopian avinjiwe: Amashubhu we-fallopian enziwe ngamashubhu amabili amancane, elilodwa ohlangothini ngalunye lwesibeletho. Lokhu kunesibopho sokuqondisa iqanda elikhulile kusuka esibelethweni liye esibelethweni.
Owesifazane uneshubhu elivimbekile, lapho kuvela ukuvinjelwa kwelinye lala mashubhu, kuvimbela ukuthi iqanda lingahambeli esibelethweni.
Lesi sifo saziwa nangokuthi i-ovarian infertility factor futhi singenzeka koyedwa noma kuwo womabili amashubhu wesibeletho kube yimbangela ebhekene ne-40% yokungabi nenzalo kwabesifazane.
Ukuzala kwenzeka kanjani ngamashubhu evimbile?
Inyanga ngayinye, lapho kuvela amaqanda, elinye lamaqanda likhipha iqanda.
Ngemuva kwalokho, iqanda liqala uhambo lwalo ngokusebenzisa amashubhu we-fallopian aye esibelethweni.
Lapho kwenzeka ucansi, isidoda siqala ukubhukuda ngesibeletho siye emgodini wesibeletho kanye namashubhu.
Umanyolo uvame ukwenzeka ngenkathi i-ovule ihamba ngeshubhu le-fallopian.
Uma eyodwa noma womabili amashubhu ovimbelo evimbekile, iqanda ngeke likwazi ukufinyelela esibelethweni, futhi isidoda ngeke sifinyelele eqandeni elivimbela ukukhulelwa nokukhulelwa.
Kwezinye izimo. Kungenzeka ukuthi ukuvinjelwa kungabi ngokuphelele, kepha ukuthi ithubhu livinjwe kancane, okwandisa ubungozi bokukhulelwa kwe-ectopic.
Ziyini izimpawu zamashubhu avimbekile?
Ngokungafani nokugcotshwa, lapho imijikelezo yokuya esikhathini engajwayelekile kuyizinkomba zenkinga ethile yokuzala, ukuvalwa kwamashubhu e-fallopian kuyaqabukela kubangele izimpawu ezithile.
Kodwa-ke, esimweni se-ukuvinjelwa okubangelwa yi-hydrosalpinx, lokhu kungadala ubuhlungu besisu obuphansi kanye nokukhishwa okungavamile kwesitho sangasese sowesifazane, kepha hhayi bonke abesifazane abazoba nalezi zimpawu.
I-Hydrosalpinx yenzeka lapho eyodwa noma womabili amashubhu e-fallopian enwebeka (anda ngobubanzi) bese egcwalisa uketshezi oluvimbela ukukhulelwa nokukhulelwa.
Kunezinye izimpawu ezingakhombisa ukuvimba kumashubhu we-fallopian kepha hhayi ukuthi kunjalo.
Isibonelo, ezinye izimpawu zingaba yizimpawu zei-endometriosisnoma isifo sokuvuvukala okhalo.
Ezinye izimpawu, njengokuya esikhathini okubuhlungu nokuya ocansini okubuhlungu, akusho ukuthi ukhomba ekuvalekeni kwamashubhu e-fallopian.
Yini ebangela ukuvalwa kwamashubhu e-fallopian?
Isizathu esivame kakhulu samashubhu we-fallopian avinjiwe yisifo sokuvuvukala okhalo (PID).
I-PID ingumphumela wesifo esithathelwana ngocansi (STD), kepha hhayi konke ukutheleleka kwe-pelvic okuhlobene nama-STD.
Kodwa-ke, yize isifo sokuvuvukala kwezitho zangasese singasekho, umlando we-PID, noma ukuvuvukala kwe-pelvic, kwandisa ubungozi bokuvaleka kumashubhu we-fallopian.
Ezinye izimbangela ezingaba khona zamashubhu we-fallopian avinjiwe zifaka:
- Phathwa noma ube nomlando wesifo esidluliselwa ngocansi, ikakhulukazi i-chlamydia noma i-gonorrhea.
- Umlando wokutheleleka kwesibeletho okubangelwa ukuphuma kwesisu noma ukukhulelwa kwesisu
- Isithasiselo Rupture Umlando
- Umlando wokuhlinzwa kwesisu
- Ukukhulelwa kwe-Anterior Ectopic
- Umlando ofaka ukusebenza kwangaphambilini kumashubhu we-fallopian
- I-Endometriosis
Ukuxilonga
Amashubhu we-fallopian avinjelwe ngokuvamile atholakala yi-x-ray ekhethekile ebizwa nge-hysterosalpingography noma i-HSG.
Kulesi sivivinyo, udayi ujojowe ngesibeletho usebenzisa ishubhu elihlukile. Uma umbala ususabalale, udokotela uyaqhubeka nokuthatha ama-x-ray wendawo ye-pelvic.
Uma konke kunengqondo, udayi uzodlula esibelethweni kanye namashubhu we-fallopian ukuze anwebe ngokulandelayo emgodini we-pelvic, ngaphandle nangaphandle kwama-ovari.
Uma udayi ungadluli kushubhu elilodwa noma womabili, ungahle ube nokuvinjelwa.
Kubalulekile ukwazi ukuthi u-15% wabesifazane unezinto ezingamanga, lapho udayi ungafinyeleli ngaphesheya kwesibeletho neshubhu le-fallopian.
Uma lokhu kwenzeka, ibhlokhi libonakala lilungile lapho kuhlangana khona isibeletho nesibeletho.
Uma lokhu kwenzeka, udokotela angaphinda ukuhlolwa kanye, noma acele olunye uhlobo lokuhlolwa kokuxilonga ukuze aqinisekise.
Ezinye izivivinyo zokuxilonga udokotela angazi-oda zifaka phakathi i-ultrasound, ukuhlinzekwa kwe-laparoscopic, noma i-hysteroscopy (badlulisa ikhamera ezacile ngomlomo wesibeletho ukubona isibeletho).
Udokotela naye anga-odaukuhlolwa kwegaziukuhlola ubukhona be-chlamydia antibodies (okungabandakanya ukutheleleka kwangaphambilini noma kwamanje).
Imithi engaba khona yokuvinjelwa kwethambo le-fallopian
Ngabe ungakhulelwa amashubhu we-fallopian avinjiwe?
Uma uneshubhu elilodwa kuphela elivinjiwe kanti elinye livulekile futhi linempilo, kungenzeka ukuthi ukhulelwe ngaphandle kosizo oluningi.
Kulokhu, udokotela wakho angahle anikeze imishanguzo yokuzala ukuze kwandiswe amathuba okuvuthwa ohlangothini lweshubhu elinempilo.
Noma kunjalo, lokhu akuyona inketho lapho womabili amashubhu evinjiwe.
Ukuhlinzwa nge-Laparoscopic ukwelapha amashubhu we-fallopian avinjiwe
Kwezinye izimo, ukuhlinzekwa nge-laparoscopic kungavula amashubhu avinjiwe futhi kuqede izicubu ezibomvu ezidala inkinga.
Ngeshwa, leyo mithi ayisebenzi ngaso sonke isikhathi.
Amathuba okuphumelela kulokhu kwelashwa azoncika eminyakeni yakho (okuncane, okungcono), ubunzima, indawo, kanye nembangela yokuvinjelwa.
Uma ukunamathela okumbalwa kuphela kwenzeka phakathi kwamashubhu e-fallopian nama-ovari, ungaba nethuba elihle lokukhulelwa ngemuva kokuhlinzwa.
Endabeni yokuba neshubhu eyodwa evinjiwe nenye enempilo, amathuba okukhulelwa ngemuva kokuhlinzwa angama-20 kuye kuma-40%.
Ezimweni zokunamathela okuningi kanye nezibazi phakathi kwamashubhu we-fallopian nama-ovari noma, uma kutholakala ukuthi une-hydrosalpinx, ukuhlinzwa kungenzeka kungabi yindlela engcono kakhulu kuwe.
IVF
Kulezi zimo, ukwelashwa kwe-IVF kungaba yindlela engcono.
Kubalulekile ukuthi wazi ukuthi ingozi yokukhulelwa kwe-ectopic ingakhuphuka ngemuva kokuhlinzwa ukwelapha amashubhu we-fallopian avinjiwe.
Kulokhu, uma ukhulelwa, udokotela kufanele aqaphe eduze futhi atholakale ukuze akusize unqume ukuthi yini ekufanele kakhulu.
Izinkomba:
- Reid K. (2015). Umuthi wamakhambi waseShayina wokuzala kwabesifazane: Ukuhlaziywa kwemeta okubuyekeziwe. INGABE:
10.1016 / j.ctim.2014.12.004 - USotrel G. (2009). Ngabe kufanelekile ukulungiswa kokuhlinzwa kwamashubhu we-fallopian?
ncbi.nlm.nih.gov/pmc/articles/PMC2760895/
10.1080 / 13691058.2016.1237674 - Uvithamini C. (2018).
ods.od.nih.gov/factsheets/VitaminC-HealthProfessional/ - U-Wang S, et al. (2014). Izici zebhayoloji ze-6-gingerol: Isibuyekezo esifushane.
ncbi.nlm.nih.gov/pubmed/25230520 - I-LA ehlakaniphile, et al. (2012) Ozoba cohort cwaningo lomsebenzi womzimba nesikhathi sokukhulelwa. INGABE:
10.1016 / j.fertnstert.2012.02.025
Okuqukethwe
- Izindlela zemvelo zokukhulelwa ngemuva kwe-tubal ligation
- IZIKHUBA ZAMAFALLOPIAN EZIKHANYIWE
- Izindlela zemvelo zokukhulelwa amashubhu aboshiwe
- Amashubhu we-fallopian avinjiwe: abangela ukwelashwa kwezimpawu
- Ukuzala kwenzeka kanjani ngamashubhu evimbile?
- Ziyini izimpawu zamashubhu avimbekile?
- Yini ebangela ukuvalwa kwamashubhu e-fallopian?
- Ukuxilonga
- Imithi engaba khona yokuvinjelwa kwethambo le-fallopian
- Ngabe ungakhulelwa amashubhu we-fallopian avinjiwe?
- Ukuhlinzwa nge-Laparoscopic ukwelapha amashubhu we-fallopian avinjiwe
- IVF
- Ungazihlanza Kanjani Izindlebe Ekhaya Ngokwemvelo?
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