Infertility: tubal abnormalities

Fallopian hlab nyob rau hauv ib lub iav magnifying

Cov hlab ntsha puas lossis thaiv tuaj yeem ua rau muaj menyuam. Cov kev txawv txav no nquag thiab sawv cev rau 50% ntawm cov lus qhia rau hauv vitro fertilization. 

Fertilization: Lub luag haujlwm tseem ceeb ntawm cov hlab ntsha hauv plab

Kev ceeb toom me me: cov hlab ntsha muaj lub luag haujlwm tseem ceeb hauv fertilization. Thaum tso tawm los ntawm zes qe menyuam (thaum lub sij hawm ntawm ovulation), lub qe yuav zes nyob rau hauv lub pinna ntawm lub raj. Nws koom nrog cov phev. Yog tias ib qho ntawm lawv ua tiav hauv kev nkag mus rau nws, ces muaj fertilization. Tab sis rau qhov no mechanism ua hauj lwm, yuav tsum muaj tsawg kawg yog ib qho "ua haujlwm" zes qe menyuam thiab proboscis. Thaum ob lub hauv nruab nrog cev no raug thaiv, kev yug me nyuam - thiab yog li ntawd cev xeeb tub - yog tsis yooj yim sua.Kuj, yog hais tias ib tug ntawm cov hlab tsis tag tag, muaj kev pheej hmoo ntawm ectopic cev xeeb tub vim hais tias lub qe tej zaum yuav muaj teeb meem tsiv los ntawm lub raj mus rau lub uterine kab noj hniav. .

Tubal abnormalities: ua rau muaj kev cuam tshuam ntawm cov hlab ntsha fallopian

Cov raj muaj qee zaum cuam tshuam los ntawm adhesion phenomena uas tiv thaiv txoj kev ntawm lub qe, phev thiab embryo. Cov kev txawv txav no, uas tuaj yeem ua rau muaj menyuam tsis taus, tuaj yeem muaj peb lub hauv paus:

  • Kis tau

    Peb mam li tham txog salpingitis los yog o ntawm cov hlab ntsha. Nws feem ntau txuas nrog kev sib deev kis kab mob, tshwj xeeb yog kis los ntawm microbe chlamydia. Cov kab mob no tuaj yeem ua rau muaj kev tsim cov ntaub so ntswg nyob ib ncig ntawm cov hlab ntsha uas tom qab ntawd mechanically cuam tshuam txoj kev ywj pheej ntawm kev nkag mus ntawm zes qe menyuam thiab lub raj, los yog muaj kev cuam tshuam ntawm lub raj ntawm theem ntawm nws qhov kawg. Kev tshem tawm cov uterine curettage tsis raug (tom qab nchuav menyuam) lossis kev tso IUD tsis raug tuaj yeem ua rau muaj kab mob.

  •  Tom qab kev tos

    Hauv qhov no, nws yog teeb meem tubal vim muaj teeb meem tom qab kev ua haujlwm. Ntau qhov kev cuam tshuam, txawm li cas los xij, tsis tseem ceeb, tuaj yeem ua rau cov hlab ntsha puas : appendectomy, gynecological phais ntawm zes qe menyuam lossis kev ua haujlwm ntawm lub tsev menyuam fibroid.

  •  endometriosis

    Cov kab mob gynecological nquag no, uas tshwm sim nws tus kheej los ntawm qhov muaj cov khoom me me ntawm endometrium (cov khoom ntawm lub tsev menyuam hauv ob sab phlu) ntawm cov hlab ntsha thiab hauv zes qe menyuam, lossis txawm nyob rau lwm yam kabmob, tuaj yeem ua rau cov hlab ntsha tsis zoo, lossis txawm thaiv. lawv.

Yuav ua li cas koj thiaj paub yog tias cov raj raug thaiv?

Nyob rau hauv ib qho kev ntsuam xyuas infertility, peb xyuas qhov mob ntawm cov hlab ntsha. Thaum cov kev ntsuam xyuas tau ua tiav (kub nkhaus, ntsuas hormonal, Hünher test), tus kws kho mob yuav sau ntawv hysterosalpingography ou hysteroscopy. Qhov kev ntsuam xyuas no, paub tias mob, ua rau nws tuaj yeem kuaj xyuas qhov patency ntawm cov hlab ntsha.

  • Hysterosalpingography: Yuav ua li cas mus?

Tus kws kho mob gynecologist qhia ib lub me me cannula rau hauv lub ncauj tsev menyuam los ntawm qhov uas nws txhaj cov kua opaque rau X-rays. Tsib lossis rau dluab raug coj mus rau qhov pom ntawm lub tsev menyuam kab noj hniav, cov hlab ntsha thiab cov khoom siv los ntawm lawv.

Yog tias, tom qab hysterosalpingography, muaj kev tsis ntseeg txog qhov mob ntawm cov hlab ntsha lossis yog tias cov kws kho mob xav tias koj muaj endometriosis, lawv yuav qhia tau tias koj muaj mob laparoscopy. Qhov kev kuaj no yuav tsum tau siv tshuaj loog. Tus kws phais ua ib qho me me ntawm lub plab thiab ntxig rau lub laparoscope. Qhov no "tube", nruab nrog lub tshuab kho qhov muag, tso caintsuam xyuas tubal patency, tab sis kuj los xyuas qhov mob ntawm zes qe menyuam thiab uterus. Thaum lub sijhawm ua haujlwm no, tus kws phais yuav sim ua tshem tawm cov hlab

Sau ntawv cia Ncua