Hysterosalpingography: txhua yam koj yuav tsum paub txog qhov kev kuaj mob no

LUBhysterosalpingography, feem ntau hu ua hysterography, yog ib qho kev kuaj X-ray ntawm cov hlab ntsha fallopian ("salpingo"Lub xeev hais txog cov hlab ntsha) thiab uterus (lub prefix"huv si"Raws li nws). Hysterosalpingography, los yog hysterography, yog li ntawd x-ray ntawm cov hlab ntsha thiab lub tsev menyuam.

Concretely, qhov kev ntsuam xyuas no ua rau nws muaj peev xwm pom lub tsev menyuam nrog rau cov hlab ntsha hauv plab ua tsaug rau kev txhaj tshuaj ntawm cov khoom sib txawv ntawm qhov kev sojntsuam, los ntawm qhov chaw mos.

Vim li cas thiab thaum twg thiaj li muaj hysterosalpingogram?

Hysterography yog nyob rau hauv kev xyaum systematically muab rau ob peb nyob qhov twg infertility tau kuaj, los yog tsawg kawg rau ob peb tug uas tau sim kom muaj menyuam ib ntus.

Qhov kev ntsuam xyuas hluav taws xob no yog ib feem tseem ceeb ntawm kev ntsuas kev xeeb tub ntawm ob niam txiv, tom qab kev kuaj ib txwm muaj xws li ntsuas kub, spermogram, hormonal kev ntsuam xyuas, thiab lwm yam. Nws aims mus xyuas kom tseeb tias cov hlab ntsha hauv plab tsis raug thaiv, vim qhov no yuav tiv thaiv fertilization, tab sis kuj hais tias lub tsev menyuam tsis muaj ib yam dab tsi uas yuav cuam tshuam los yog tiv thaiv implantation ntawm fertilized qe.

Nco ntsoov tias txawm li cas los xij ua tau los soj ntsuam cov patency ntawm cov hlab ntsha fallopian ncaj qha ntawm a laparoscopy, los yog laparoscopy, phais "mini-invasive"Feem ntau tau ua nyob rau hauv cov ntaub ntawv ntawm endometriosis.

Ntawm qhov tod tes, hysterography tsis muaj txiaj ntsig thaum lub cev xeeb tub yog txiv neej keeb kwm thiab nws yuav tsum tau ua rau hauv vitro fertilization nrog Intracytoplasmic Sperm Injection (ICSI). Vim hais tias nyob rau hauv cov txheej txheem no, ib tug oocyte yog muab los ntawm tus poj niam los ntawm puncture, ces lub embryo (tsim nyob rau hauv lub laboratory) yog reimplanted nyob rau hauv lub tsev menyuam, uas "bypasses" hlab. Lawv qhov xwm txheej yog li ntawd tsis cuam tshuam.

Thaiv cov hlab ntsha, endometriosis… Yuav ua li cas yuav ib tug hysterosalpingography qhia?

Hauv qhov zoo tshaj plaws, hysterography tsis qhia qhov txawv txav, tsis yog nyob rau theem ntawm lub tsev menyuam, lossis nyob rau theem ntawm cov hlab ntsha. Dab tsi ua rau nkawm niam txiv paub txog lawv txoj kev xeeb tub.

Hauv lwm qhov xwm txheej, hysterosalpingography tuaj yeem tso caipiav qhia txog kev nchuav menyuam, lub hauv paus chiv keeb ntawm qhov tsis tau piav qhia los ntshav (metrorrhagia), thiab qhia txog a uterine malformation (piv txwv li bicornuate uterus, los yog septate), lub xub ntiag ntawmpolyps los yog fibroids, los yog blockage ntawm ib los yog ob qho tib si hlab ntsha. Cov kev daws teeb meem los daws cov teeb meem no tuaj yeem muab rau ob peb tus neeg kom lawv muaj feem xeeb tub.

Ua ntej lossis tom qab ovulation: hnub twg ntawm lub voj voog koj yuav tsum ua qhov kev sim tubal?

Hysterosalpingography, lossis hysterography, yuav tsum tau ua nyob rau hauv thawj feem ntawm lub lub cev ntas, tom qab coj khaub ncaws thiab ua ntej ovulation. Lub hom phiaj yog ua kom tiav qhov kev tshuaj xyuas no Thaum lub uterine hauv ob sab phlu, los yog endometrium, yog thinnest.

Txhawm rau kom tsis txhob muaj teeb meem sib kis, tus kws kho mob yuav xav kom tsis txhob muaj tus kab mob Chlamydia thiab qhov zoo ntawm lub tsev menyuam hauv tsev menyuam, ntawm smear. Cov tshuaj tua kab mob qee zaum raug muab rau kev tiv thaiv kom tsis txhob muaj kab mob ntawm qhov chaw mos vim kev kuaj mob. Nws tsis yog tsis tas yuav yoo mov ua ib qho hysterosalpingogram.

Cev xeeb tub los yog ua xua: thaum twg ua nws yog contraindicated

Tsis tas li ntawd, raws li hysterography tsis haum rau cev xeeb tub, ntau npaum li cas ntawm cov tshuaj hormone beta-HCG yuav raug sau tseg los xyuas kom meej tias tus neeg mob tsis xeeb tub.

Nco ntsoov tias cov sib piv nruab nrab siv muaj iodine tshuajYog li, kev ua xua rau cov khoom iodine yog ib qho contraindication rau hysterosalpingography. Txawm li cas los xij, qhov kev ntsuam xyuas hluav taws xob no tseem tuaj yeem ua rau cov poj niam uas intolerant rau iodine ua tsaug rau premedication.

Yuav ua li cas hysterosalpingography ua?

Qhov kev xeem yuav tshwm sim nyob rau hauv gynecological txoj hauj lwm, nyiam dua nrog lub zais zis khoob, hauv qab lub tshuab x-ray, xws li xov tooj cua bass. Tus kws kho mob qhia ib qho speculum rau hauv qhov chaw mos, tom qab ntawd ib qho kev sojntsuam rau hauv lub ncauj tsev menyuam, uas cov khoom sib txawv yog txhaj. Maj mam, nws kis mus rau hauv lub uterine kab noj hniav thiab mus rau hauv cov hlab ntsha, tso cai pom qhov kev loj hlob ntawm cov kua hauv lub cev. Lub zais pa me me yog inflated los tiv thaiv qhov sib piv nruab nrab ntawm kev poob rov qab rau hauv qhov chaw mos. Ob peb X-ray raug coj mus kuaj thaum kuaj.

Nws raug nquahu kom hnav kev tiv thaiv kev tu cev thaum nruab hnub tom qab kuaj xyuas, vim tias qhov seem ntawm tus neeg sawv cev sib txawv tuaj yeem tawm. Nyob rau hauv cov ntaub ntawv ntawm cov ntshav poob los yog mob nyob rau hauv cov hnub tom ntej, nws raug nquahu kom sab laj sai sai, vim hais tias nws yuav kis tau tus kab mob.

Tej zaum qhov mob tseem ceeb tom qab X-ray

Thaum kawg, nco ntsoov tias hysterosalpingography muaj lub koob npe tsis zoo vim qee zaum nws tuaj yeem ua rau mob ntau dua lossis tsawg dua, tshwj xeeb tshaj yog thaum qhia txog kev sojntsuam lossis thaum cov khoom nchuav.

Cov kev mob no nyob ntawm, ntawm lwm yam, ntawm hom kev xeeb tub uas tus neeg mob raug kev txom nyem thiab kev paub ntawm tus kws kho mob ua qhov kev ntsuam xyuas.

Nqe thiab nyiaj rov qab: tus nqi hysterosalpingogram npaum li cas?

Qhov kev xeem nqi ntawm qhov nruab nrab ntau tshaj li ib puas euros tab sis yog them rov qab los ntawm Social Security Yog tias koj tau hu rau tus neeg zov me nyuam uas tau muab faib rau hauv nqe lus 1. Yog tias qhov no tsis yog li ntawd, qee zaum cov nqi them ntau dhau tuaj yeem suav nrog los ntawm koj lub tuam txhab tuav pov hwm kev sib nrig sib.