Wonke umuntu uyazi ukuthi yimiphi imiphumela engabangela ukuphefumula okungalungile kwama-tubes falsipian: lokhu ukukhulelwa kwe-tubal, ngisho nokungazalwa. Ngakho-ke, akungabazeki ngesidingo sokuxilongwa ngesikhathi esifanele. Kodwa ukuthi ungabheka kanjani ubujamo bama-tubes falsipian, abazi konke.
Masihlale sibheka salpingography (kungukuthi futhi i- hysterosalpingography ), njengoba phakathi kwezinyathelo zokuhlola ubuciko bezintambo zesiguquko kuyindlela eyinhloko. Le ndlela ivumela ukuhlolisisa isibalo esikhulu sezifo: isifo sofuba samatayipi angama-fallopian, ukunciphisa amashubhu ngenxa yokunamathela noma inqubo yokuvuvukala engapheli, izimpungushe kanye nezimo eziphuthumayo. Ngokungafani ne-laparoscopy yama-tubes falsipian, le ndlela ayidabukisayo futhi ayabizi kakhulu.
Ukulungiselela ukuhlolwa kwama-tublopian tubes for patency
Njenganoma yikuphi ukungenelela kokuxilonga, kudingekile ukuqeqeshwa okukhethekile ukutadisha ubuciko bama-tubespial tubes:
- Uma uhlela inqubo, kubalulekile ukuthatha ukuhlolwa kwegazi, ukuhlolwa komchamo, i-swab yokukhishwa kwamasipha, ukuhlolwa kwegazi kwe-syphilis, i-hepatitis, i-AIDS. Futhi konke ngoba ukuphikisana okuqondile ukuhlola ama-tublopian tubes for patency yizinqubo ezithathelwanayo nezokuvuvukala, ezingabonakala ngalezi zindlela ezilula.
- Kusukela esikhathini sokugcina esikhathini ngaphambi kokufundwa okuhlongozwayo, ubulili abuvunyelwe.
- Ukutadisha izinguquko ze-pathological ku-tubespian tubes, le ndlela yenziwa kahle emva kokuqala kwe-ovulation.
- Ngosuku lwenqubo ukususa izinwele ezingathandeki ezingxenyeni zangaphandle zangaphandle.
- Ngaphambi kwenqubo, isisu kufanele sikhululwe futhi, uma bekungekho isitokisi, yenza i-enema yokuhlanza. Leli phuzu elibaluleke kakhulu, ngoba isisu esikhulu nesibindi singaphazamisa ukubonakala kwezingxenye ezisemqoka zesitho zangasese zangaphakathi bese kuhlanekezela isithombe ezithombeni, okuthola ukuthi kunzima ukuxilongwa.
Inqubo iphephile kakhulu. Mhlawumbe, kubonakala kuwe ukuthi ukutholakala kwe-X-ray kuzothinta impilo yakho. Kodwa omunye akufanele akhathazeke, umthamo wokugcoba i-irradiation awubalulekile futhi ngeke ulethe umonakalo omkhulu.
Izigaba zocwaningo
Ake sibheke ngokuningiliziwe, njengoba ubuciko bama-tubespian tubes kunqunywe indlela yokwabiwa kwe-salpingography. Ngakho-ke, inqubo iqala ngokuhlolwa okujwayelekile kwegazi usebenzisa izibuko. Kuyaphawuleka ukuthi ukuhlolwa kwenziwa esikhwameni esikhethekile se-X-ray. Bese ufeza okulandelayo:
- ithiphu le-rabber lifakwe emgodini womlomo wesibeletho, lapho i-tube encane (canula) izodlula khona;
- susa izibuko ezivela emaseni bese uqondisa imisebe ye-X-ray izixhobo endaweni yesifunda;
- Okokuqala, inani elincane lokuphambene nendawo lijojowe futhi isithombe sokuqala sithathwa lapho kukhonjiswa khona isikhala semvelo;
- Ngaphezu kwalokho, esinye isisindo sokuhlukanisa sengeziwe, okuqhubekayo sigcwalisa umgodla wesibindi futhi sisakaze emathinini, okukhombisa ukuthi ukukhishwa kwamatayipi e-uterine kubonakala ngokucacile (umehluko usakazwa yiqembu elincane noma alidluli phambili);
- uma kunesidingo, engeza umehluko omkhulu.
Ngesikhathi esifanayo, kutholakala izithombe lapho umuntu ekwazi ukubona ngokucacile ukuthi umehluko usakazeka kanjani esibelethweni, amashubhu we-uterine futhi ushiya isisu somzimba. Ngaphansi kancani, esikhundleni sokuphambene, umoya uqaliswa, esikhathini esizayo okuyisisekelo sendlela akufani. Lesi yisisombululo esihle kulabo abanokuziphendulela komzimba kumenzeli wokuphambene.
I-Hydro sonography ekutholeni ukuthambekela kwamatayipi we-fallopian
Okubaluleke kakhulu ngokulandela indlela yokuxilongwa, indlela yokwazi ukuthi i-patency ye-tublopian tubes, i-ultrasound noma i-hydro sonography. Inzuzo enganakuphikwa ukuphepha okuphelele nokungabi khona kwezingqinamba. Ngaphezu kwalokho, esikhundleni se-medium medium, isisombululo esivamile saline sisetshenziswa, okwenza inqubo i-hypoallergenic.
Ukwelashwa kokuvuselelwa
Inqubo yokubuyisela ubuciko be-tublopian tubes ingenziwa ngezindlela ezilandelayo:
- Ukuvuselelwa kwamapayipi ngaphansi kokulawulwa komshini we-X;
- ukubuyiswa kwe-lumencopic lumen;
- I-Fertiloscopy - okuyinhloko yendlela efana ne-laparoscopy, kuphela amathuluzi adingekayo afakwa ngokusebenzisa i-fornix yangasese engezansi;
- ukusetshenzwa kwe-hydroturbation ngaphambilini kwakusetshenzisiwe, kodwa kungekudala kwashiywa ngenxa yobuhlungu bayo kanye nokutholakala kwezindlela ezamukelekayo ezengeziwe.
Ngeshwa, umphumela wezinqubo zokubuyisela ekuvimbelweni kwezigubhu ezikhohlisayo kuphila isikhathi esifushane, futhi akukho isiqinisekiso sokuthola ukwelashwa okuphelele.