Hysterosalpingography: nā mea āpau e pono ai ʻoe e ʻike e pili ana i kēia hoʻokolohua

THEkahikinaokalani, kāhea pinepine ʻia hysterography, he hōʻike X-ray o nā ʻōpū fallopian ("salpingo"State e pili ana i nā paipu) a me ka ʻōpū (ka prefix"huʻihuʻi"E pili ana iā ia). ʻO ka Hysterosalpingography, a i ʻole ka hysterography, no laila he x-ray o nā paipu a me ka ʻōpū.

ʻO ka ʻoiaʻiʻo, hiki i kēia hoʻokolohua ke ʻike i ka ʻōpū a me nā ʻōpū fallopian i hoʻomaikaʻi ʻia i ka hoʻokomo ʻia ʻana o kahi huahana like ʻole ma o ka probe, ma ke ala ākea.

No ke aha a i ka manawa hea e loaʻa ai kahi hysterosalpingogram?

Hoʻomaʻamaʻa ʻia ka Hysterography i nā kāne kahi i ʻike ʻia ai ka infertility, a i ʻole ma ka liʻiliʻi loa i nā kāne e hoʻāʻo nei e hānau keiki no kekahi manawa.

He ʻāpana koʻikoʻi kēia hōʻike radiological o ka loiloi infertility o nā kāne, ma hope o nā hoʻokolohua maʻamau e like me ka lawe ʻana i ka mahana, spermogram, nā loiloi hormonal, a pēlā aku e hoʻopaʻa ʻia ʻaʻole paʻa nā ʻōpū fallopian, no ka mea, he mea ia e pale ai i ka fertilization, akā, ʻaʻole loaʻa i loko o ka ʻōpū kekahi mea e hiki ke keʻakeʻa a pale paha i ka hoʻokomo ʻia ʻana o ka hua manu.

E hoʻomaopopo he hiki nō naʻe ke nānā i ka patency o ka fallopian tubes pololei ma o a laparoscopy, a i ʻole laparoscopy, ʻokiʻoki "mini-invasive"Hoʻohana pinepine ʻia i nā hihia o ka endometriosis.

Ma ka ʻaoʻao ʻē aʻe, ʻaʻole pono ka hysterography i ka wā o ka hānau ʻana o ke kāne a pono ia i ka fertilization in vitro me Intracytoplasmic Sperm Injection (ICSI). No ka mea ma kēia ʻano hana, lawe ʻia kahi oocyte mai ka wahine mai ma ka puncture, a laila hoʻokomo hou ʻia ka embryo (i kūkulu ʻia i loko o ka hale hana) i loko o ka ʻōpū, kahi "bypasses" i nā paipu. A laila pili ʻole ko lākou kūlana.

ʻO nā paipu paʻa, endometriosis… He aha ka mea e hōʻike ʻia e ka hysterosalpingography?

ʻO ka mea maikaʻi loa, ʻaʻole hōʻike ka hysterography i nā mea ʻino, ʻaʻole i ka pae o ka ʻōpū, ʻaʻole i ka pae o nā paipu. He aha ka mea e hōʻoiaʻiʻo ai i nā kāne e pili ana i ko lākou kūlana o ka hāpai ʻana.

I nā hihia ʻē aʻe, hiki i ka hysterosalpingography ke ʻaewehewehe i ka hāʻule pinepine ʻana, ke kumu o ke koko o ka ʻōpū i wehewehe ʻole ʻia (metrorrhagia), a e hōʻike i kahi pōʻino o ka ʻōpū (bicornuate uterus no ka laʻana, a i ʻole septate), ke alo ofibroids a i ʻole polyps, a paʻa ʻana o hoʻokahi a i ʻole nā ​​mea ʻelua fallopian tubes. Hiki ke hāʻawi ʻia nā mea e hoʻoponopono ai i kēia mau pilikia i nā kāne e hoʻonui i ko lākou manawa o ka hāpai ʻana.

Ma mua a ma hope paha o ka ovulation: i ka lā hea o ka pōʻai e hana ai ʻoe i kēia hoʻāʻo tubal?

Pono e hana ʻia ka Hysterosalpingography, a i ʻole ka hysterography ma ka hapa mua o ka pōʻai menstrual, ma hope o ka hānau ʻana a ma mua o ka hānau ʻana. ʻO ka pahuhopu e hoʻopau i kēia loiloi i ka wā ʻoi aku ka lahilahi o ka ʻōpū o ka ʻōpū, a i ʻole endometrium.

I mea e pale aku ai i ka pilikia o ka ma'i ma'i, makemake paha ke kauka kauka e hō'oia i ka loa'a'ole o ka ma'i Chlamydia a me ke kūlana maika'i o ka pūpū o ka'ōpū, ma o ka smear. Hoʻopaʻa ʻia nā lāʻau antibiotic i kekahi manawa no ka pale ʻana i ka maʻi genital ma muli o ka hoʻokolohua. ʻAʻole ia ʻaʻole pono e hoʻokē ʻai e hana i ka hysterosalpingogram.

ʻO ka hāpai ʻana a i ʻole ka maʻi maʻi: i ka wā e hana ai ua contraindicated

Eia kekahi, no ka mea, ʻaʻole kūpono ka hysterography no ka hāpai ʻana, hiki ke kuhikuhi ʻia kahi ʻano o ka hormone beta-HCG e hōʻoia ai ʻaʻole hāpai ka mea maʻi.

E hoʻomaopopo hoʻi ʻo ka ʻaoʻao waena hoʻohana ʻia i loko iodine, no laila ʻo ka allergy i nā huahana iodine he contraindication i ka hysterosalpingography. Eia nō naʻe, hiki ke hana ʻia kēia hoʻokolohua radiological i nā wahine i ʻae ʻole i ka iodine ma muli o ka premedication.

Pehea e hana ʻia ai kahi hysterosalpingography?

Lawe ʻia ka hoʻokolokolo ma ke kūlana gynecological, ʻoi aku ka maikaʻi me ka ʻole o ka ʻōpū, ma lalo o kahi mīkini x-ray, e like me he lekiō kīʻaha. Hoʻokomo ke kauka i kahi speculum i loko o ka ʻōpū, a laila kahi noiʻi i loko o ka pūpū, kahi e hoʻokomo ʻia ai ka huahana contrast. Me ka liʻiliʻi, hoʻolaha ia i loko o ka lua uterine a i loko o nā paipu, e ʻae e nānā i ka holomua o ka wai i loko o nā kino. Hoʻonui ʻia kahi baluna liʻiliʻi i mea e pale ai i ka hāʻule ʻana o ka mea ʻokoʻa i loko o ka ʻōpū. Lawe ʻia kekahi mau X-ray i ka wā o ka hoʻokolokolo.

Manaʻo ʻia e ʻaʻahu i ka pale maʻemaʻe i ka lā ma hope o ka hoʻokolokolo ʻana, no ka mea hiki ke kahe ke koena o ka mea hoʻohālikelike. Inā loaʻa ke koko a i ʻole ka ʻeha i nā lā aʻe, pono e nīnau koke, no ka mea, he maʻi ia.

ʻO ka ʻeha nui ma hope o ka X-ray

ʻO ka hope, e hoʻomaopopo i ka maikaʻi ʻole o ka hysterosalpingography no ka mea hiki i kekahi manawa ke hōʻeha i ka ʻeha nui a i ʻole, ʻoi aku i ka wā o ka hoʻokomo ʻana o ka ʻimi noiʻi a i ʻole ke kahe ʻana o ka huahana.

Ke hilinaʻi nei kēia mau ʻeha, ma waena o nā mea ʻē aʻe, i ke ʻano o ka infertility i loaʻa i ka mea maʻi a me ka ʻike o ke kauka e hana ana i ka hoʻokolokolo.

Kumukūʻai a me ka uku hou ʻana: ehia ka nui o ke kumukūʻai o ka hysterosalpingogram?

ʻOi aku ke kumukūʻai o ka hoʻokolohua ma mua o hoʻokahi haneli euro akā ʻo ia uku ʻia e Social Security inā ua kāhea ʻoe i kahi kahu mālama i hoʻokaʻawale ʻia ma ka ʻāpana 1. Inā ʻaʻole kēia ka hihia, hiki ke noʻonoʻo ʻia nā uku keu i kekahi manawa e kāu hui ʻinikua like.