Indlela yokuphatha hydrosalpinx le tubes? Ubungqina obubonakalayo buxela ukuba Inyathelo

Enye imiphumela emibi ezihlobene ukudumba sisifo kwimibhobho Imibhobho - hydrosalpinx. Ngokutsho manani, oko banesifo ngo-30% abasetyhini yobudala okuzala. Pathology kuthintela nempumelelo ekhulelwe umntwana. Noko ke, ukuba ukukhulelwa ngokwaneleyo unyango kunokwenzeka. Kwinqaku lwanamhlanje siza kuthetha ukuba baqaphele sifo njani ngendlela ngexesha, naziphi na iindlela zonyango-NMMU yesilungu.

Ubume kunye nomsebenzi kwimibhobho Imibhobho

Ukuze siqonde indlela sifo noonobangela zayo kunokwenzeka, kuyimfuneko ukuba sijonge nokwakheka. Wesizalo okanye Imibhobho ityhubhu - it nesithandwa kunye lumens zomzimba ezimbini. Ubude bayo 10-12 cm. Enye ekupheleni ityhubhu ivula kungena wesibeleko, kunye nezinye iziphelo kunye kwimicu kwaye likufutshane isizalo. Ngoncedo le mingxuma kwisisu enxibelelana zangasese.

Iindonga ityhubhu Imibhobho akhiwa ngeengcamba ezintathu: engaphandle, ngaphakathi kwezihlunu. Eyokuqala bubonakaliswe peritoneum kunye zikhusela. maleko dystrophy igalelo iintshukumo contractile ijoliswe kwabo lweHo- zesibeleko. Ngaphakathi Imibhobho tube ciliary epithelium yethemba. Owona msebenzi wayo - owayeze undulations ngayo iqanda engena isibeleko ngokukhululekileyo. Phakathi izinto iiseli ciliated epithelial glandular zicwangciswe. Abanoxanduva imveliso imfihlelo okhethekileyo. Le izinto ixhasa ukusebenza isidoda, iqanda umbungu nisaqala yophuhliso lwayo.

Yintoni hydrosalpinx le tubes?

Esi sifo yamanina ekugqibeleni kukhokelela uphazamiseko lwe tubes. Lubonakala yi olwenzeka kancane transudate kwi mithambo umjelo. Ngenxa yoko umbhobho iguqulelwa ukuyilwa, esifana unengxowa. Ngelo lokuqala lophuhliso yenkqubo zophendlo lwezifo phantse akuthethi ukuzibonakalisa. Ngokwesiqhelo esi sifo unesifo xa umfazi iguqukela ugqirha ekufuneni ezibangela ukungachumi.

Oogqirha zezona ntlobo zilandelayo hydrosalpinx:

• angamanxele;
• bahlangene;
• macala.

ifomu-Enye emalungana sifo luphawulwa imbonakalo ukudumba kuphela umbhobho omnye. Kulo mzekelo, umntu obhinqileyo unakho ukufumana abakhulelweyo ngokwabo, kodwa amathuba ukukhulelwa ngempumelelo sehle. Xa hydrosalpinx mazwe evalekileyo zombini kwimibhobho. Fumana ekhulelwe unesifo onjalo akunakwenzeka, ukuba akunjalo ngokukhawuleza kufuna unyango. Emva koko, kunokuba ibe ubudlolo epheleleyo apho amathuba self-ndithwale uzale umntwana onempilo ngu zero.

Ngokwahlukeneyo kuyimfuneko ukuqwalasela ngezifo ezigulo ezondeleyo. Uqala ngokucothayo kwaye alubonisi nantoni na engaqhelekanga. Ibhinqa kumnandi. Hydrosalpinx noTubhali ukubonakala ngempazamo, xa ingabonwa ugqirha. Ngoko ke, kubalulekile ukuba bangenele iimviwo othintelo athile ngaloo ngugqirha.

iindlela zophuhliso izifo

Waphula umthetho tubes iqala kwi imvelaphi ukudumba, ezifana salpingitis okanye salpingo. Oku kwenzeka ukukhula okungaqhelekanga kwithishyu nokuqina, kwasekwa azikhuli ezininzi nezibhaxu. ngcembe ukudumba inabela zonke iimaleko kwimibhobho Imibhobho.

Villi kufa epithelium ciliated kunye izihlunu layer oyekayo kwanciphisa ngokupheleleyo. Le mithambo ye ityhubhu ikhule azikhuli, ukuphazamisa permeability yayo. Em- kwakhiwa uqalisa ukwakha le mfihlakalo. Le eveliswa ngamadlala epithelium njengempendulo ukudumba ziyafumaneka. Ngaloo sifo sibangelwa uThubhali - hydrosalpinx.

Izizathu

Livela kwesi sifo ebangelwe ukuvalwa inxalenye phakathi tubes. Ngokuqhelekileyo ngxaki na impendulo umzimba ukuba inkqubo arhabaxa yasekuhlaleni. arhente ezisulelayo yalawo zombini uplink kunye indlela downlink. Kwimeko yokuqala zibandakanya amalungu uhlelo zokuzala (wesizalo, wesibeleko, lobufazi). Kwimeko yesibini zokufumana izifo, kunye ukuhamba kwegazi evela isihlomelo, izintso okanye isinye. Ngamanye amaxesha ukudumba ubuntu aseptic xa landulelwa uphuhliso zizifo ezahlukahlukeneyo izifo.

Amagqirha ezi zizathu zilandelayo gidrosalpinksa noMesheki:

• izisu rhoqo, aqhube curettage lokubhaqa isibeleko;
• ukusetyenziswa isixhobo intrauterine;
• emzimbeni (isebenze flora ebangela isifo phezu buthathaka okukwazi);
• utshintsho rhoqo nabo ngesondo;
• ukudumba echaphazela kummandla ezihlobene kunye amaqanda (oophoritis, adnexitis);
• infantilism ngokwesondo ;
• adenomyosis;
• endometritis;
• kusisi amagciwane imithana.

inkqubo unilateral (hydrosalpinx ngasekhohlo ityhubhu Imibhobho okanye nje ekunene) kaninzi kwenzeka ngenxa ukungaqheleki yokwakheka okanye piosalpinks ngenxa. Kulo mzekelo, ubovu ako ngokupheleleyo, kukho kuphela secretion serous. inkqubo yezifo umva equka tubes, kwakheka kwi imvelaphi ukudumba okubangelwa arhente ezahlukeneyo esosulelayo.

picture clinical

Yintoni hydrosalpinx na tubes iimpawu zayo? Ngelo lokuqala lophuhliso kwemiqondiso uphawu sifo zilahlekile, ekubeni iinkqubo ukudumba musa ukubonisa umsebenzi. Lityhila, njengoko natshoyo,-ndenzile, ngethuba lokuhlolwa kwesinxibo kwi ugqirha.

Njengoko ukuqhubela phambili kwesifo kukho umfanekiso clinical eyongezelelweyo. secretion Ukwanda yencindi amadlala epithelium kukhokelela imibhobho agcwalisa, ukuze kwandiswe ubukhulu. Ngenxa yoko, umfazi ubonakala imvakalelo ubunzima osesiswini. Ukuba ngezifo luphawulwa uphawu endlela-mbini, le uphawu kubonakala macala omabini. Ngamaxesha athile ukunyuka lobushushu kunokwenzeka ukuba subfebrile indicators. Kwezinye iimeko, abafazi ubunzima evela zemali olukhawulezisiweyo netuwa evela kwilungu lobufazi.

Xa uxilongo "tube Imibhobho" hydrosalpinx kuchaphazela amandla okuzala ye ephilayo. Xa izikhewu zivalwa ngokupheleleyo, iqanda asaba nakukufumana ngaphakathi, ngoko kwezichumiso lungenzeki. Le ukuhlukunyezwa kuthiwa ubudlolo noTubhali. Ukuba umsantsa ayenziwanga avale ngokupheleleyo, nezibaya mucosal ukuba enziwe mpuluswa, kunye izihlunu zomzimba yome. Ngenxa yezi utshintsho umfazi kwandisa umngcipheko pregnancy.

ingxaki ezingemnandi gidrosalpinksa ingqalelo umsantsa tube Imibhobho. Ngokuba lo sifo luphawulwa ukuvela intlungu obukhulu kwindawo esiswini ongezantsi, kunye tachycardia, lisibekele uxinzelelo lwegazi. ngcembe isikhumba luqhubeka, isenzo sakhe ngokucacileyo vesicles distinguishable ilima. Ukuba ngaba wehlelwa zezi mpawu kufuneka ngoko nangoko abize igqiza leengcali zempilo.

Hydrosalpinx nokukhulelwa

Abasetyhini ne ukukhulelwa ucwangciso hydrosalpinx, laparoscopy kuyacetyiswa. Le nkqubo ikuvumela ukuba ukubuyisela patency lemibhobho, kodwa idla yaphazamiseka umsebenzi wabo zendalo. Ngaphezu koko, kakhulu ukunciphisa inani receptors ze hormone ezinkulu - estradiol kunye yiprogesterone. Ezi zinto kungakhokelela pregnancy.

Ukuba inkqubo zophendlo lwezifo akunika kuphela kumbhobho mnye, ukukhulelwa kunokwenzeka. Nangona kunjalo, ubukho umthombo ukudumba kwi isinqe kuphazamisa imveku. Le fluid yangaphakathi eziquka lymphocyte kunye nezinye izinto eziyityhefu. Ngoko ukukhulelwa alucetyiswa ngaphandle unyango ngotyando. Ukususwa kwimibhobho Imibhobho xa hydrosalpinx akusenzi inkanuko yesini ngabafazi, aluchaphazeli imvelaphi yayo kwamadlala okanye ngomjikelo yakho sexesheni. Xa ifomu ndlela-ezimbini ukukhulelwa sifo ngokwendalo engenakwenzeka. Kulo mzekelo, i-IVF inkqubo mfazi kuyacetyiswa.

Resection tube Imibhobho phambi vitro kuquka ukwanda nokwenzeka kwesisu ngempumelelo nge-30%. Uqikelelo kakuhle kakhulu ukuba ilungelo lokuba enze utyando ukususa, kunokuba uzama ukubuyisela patency le oviducts usebenzisa ezahlukeneyo onokukhetha kuzo laparoscopy.

Ngaphambili, kuye kwacetyiswa ukuba ukususwa kwimibhobho Imibhobho iquka kukwaphula igazi kunye ummiselo ukoyika zamaqanda. Izifundo akazange ukuqinisekisa olu lwazi. Ukususwa umbhobho achaphazelekayo phambi kokuba IVF alunasiphumo kwi imeko zamaqanda, abasabela ngayo izinga izichumiso inkqubo inkanuko.

iindlela isifo

Ukuba urhanela hydrosalpinx le tubes kuyimfuneko ukuba adibane ugqirha. Lokufunyaniswa kwesifo iqala noviwo lomguli. Xa usenza Ngokucofa bimanual ngezifo ubonwe ngohlobo wesiseko evuthelweyo ngokuqinileyo omnye kuphela okanye macala omabini ngexesha elinye. Iintlungu kuyaphela ezinokuvela kule nkqubo. Emva kokuba sifudukele iindlela negalelo of kokuxilongwa. Phakathi kwabo, ezifundisayo kakhulu luphawulwa nkqubo ilandelayo:

1. ultrasound Transvaginal. It ikuvumela ukuba ukuchaza hydrosalpinx, wabeka indawo, imilo kunye nobukhulu luqikelelo.
2. Hysterosalpingography. Kuyanceda ukuhlola patency le tubes. Ngexesha arhente umahluko diagnostic into ungabutofela phantsi koxinzelelo kuloo ndawo ibinomthwebeba zesibeleko. Emva koko, uthotho imifanekiso radiographic apho esini yangaphakathi zibonwa kakuhle.

Xa yezonyango, kukho iimeko apho, emva kokuba uphando abafazi abakhulelweyo ngokwabo. Kwelinye icala, oko konyusa amathuba exacerbation na ukudumba ezigulo ezondeleyo.

A yindlela ethembekileyo ngakumbi uphethwe ingqalelo gidrosalpinksa laparoscopy tubes. Ukusetyenziswa kwale ndlela ivumela ukuhlola imeko yabo uthabathe imixholo ukufumanisa arhente ezosulelayo kunye novakalelo yayo antibiotics. Ngamanye amaxesha oogqirha ayeke laparoscopy ngenxa invasiveness yayo. ungenelelo elolu hlobo ukuphucula uphuhliso azikhuli.

Ngokwesiseko ugqirha zafumana iziphumo zophando kuqinisekisa okanye okhanyelayo uxilongo lokuqala unika iingcebiso unyango. Therapy kule ngezifo inokuba amasiko okanye ukusebenza. Cinga ngalinye embodiments zolwimi ngokunzulu.

unyango elondoloza

Therapy kufuneka ziqale ngokukhawuleza ugqirha yaqinisekisa uxilongo "hydrosalpinx le tubes." Unyango ngaphandle utyando ekucetyiswa ukuba abafazi abafuni ukuba ukhulelwe, okanye sandla sincinane lenkqubo yezifo. Ukuphelisa ukudumba antibiotics kwenkcazo. Ubude unyango kunye umthamo namayeza emiselwe ngugqirha. Kulo mzekelo, ingcali wothabatha ingqalelo uvakalelo iintsholongwane ukuba amachiza asetyenziswa kunye nohlobo arhente causative.

unyango Conservative kubandakanya amanyathelo ukukhuthazwa sifo. Ukulungiselela le njongo, izigulane elawulwa immunomodulating amachiza ( "Taktivin", "Timalin", "Imudon") kunye nezakhiwo vitamin. Ngokubanzi ukuyifundisa. Bona azisinyangi ngokupheleleyo esi sifo, kodwa zibe nefuthe kuyingenelo emzimbeni. Phakathi kwazo kukho ezi:

• UHF;
• UFO;
• magnitorez;
• electrophoresis;
• massage endovaginal vibratory.

Ukuba oogqirha une hydrosalpinx sungula le tubes, unyango kunokwenzeka kuphela ngokusebenzisa yokungenelela yotyando.

therapy operative

Surgery kuyanconywa kuba bonke abantu ababhinqileyo abaye iphupha ukuzama indima kamama. Ukongeza, kungekho msebenzi ukwenza kwimeko ngokukhawuleza wenkqubela azikhuli, kwakunye ikhondo elinzima esi sifo.

Indlela yokuphatha hydrosalpinx le tubes? Namhlanje, njengendlela esisiseko laparoscopy lwentsebenziswano isetyenziswa ukuphelisa izifo. Esi ngempumelelo kakhulu kwaye ngaxeshanye indlela gentle zonyango. Kukho iintlobo ezininzi kule nkqubo. A ngobuwena ethile igqirha ukhetha unyango kunye nempilo yesigulane, le tubes.

1. Tubektomiya. Ngexesha lo msebenzi, ugqirha wenza resection kweetyhubhu omnye okanye zombini. Kuba kubhaliwe ajongelwa kwimeko apho kungekho ezinye iindlela zonyango esi sifo.
2. Salpingoneostomiya. Inkqubo ithetha umngxuma entsha ekubunjweni ithumbu Imibhobho.
3. Fimbriolizis. izakhi Surgical ezijoliswe ukukhululwa iintshengece ukusuka kumbhobho ekupheleni azikhuli card, ukususwa fluid.
4. Salpingoovariolizis. Ngexesha inkqubo, ugqirha inqumla zakhe zokutyhomfa kwi mithambo tube.

Nokuba ukukhulelwa kunokwenzeka emva kokuba tubes laparoscopy? Hydrosalpinx - le ngezifo enkulu kakhulu, ixesha elide nto leyo ngokuqinisekileyo kuchaphazela impilo yabafazi. ukusebenza ngempumelelo ayiqinisekiswanga ngokukhawuleza ekhulelwe umntwana. Ukuba ugqirha ndikwazile ukugcina umbhobho nokubuyisela patency yabo, lo oviduct alukasebenzi ngokupheleleyo. Isiliya epithelium ciliated eziphelelwa motility kunye maleko dystrophy kudla liyayeka ukuncipha. Ngenxa yoko, oko kuphazamisa peristalsis yesiqhelo. Ngoko ke abafazi emva kotyando basemngciphekweni pregnancy. Ngenxa yoko izigulane ekucetyiswa ekukhulelweni yi IVF.

amanyathelo othintelo

Gidrosalpinksa tubes, unyango ichazwa nje ngentla, sisifo esibi. Nangona kunjalo, ukwenzeka kwayo zinokuthintelwa, ukuba uyigcine le migaqo ilandelayo:

1. Kuyafuneka ixesha ukunyanga izigulo yamanina. Ukuba unayo iintlungu, netuwa Nedlac okanye ezinye iimpawu angazithandiyo kufuneka ngoko nangoko uqhagamshelane nogqirha-ugqirha.
2. Kubalulekile ukuba uyigcine imithetho esisiseko kococeko lomntu buqu. Ishawa, oogqirha bacetyiswa ukuba athathe kabini ngemini. Esexesheni kufuneka ibe ukutshintsha indlela ukucoca rhoqo.
3. Kubhetele ukuba bashiye ukulalana kwaye basoloko besebenzisa yokucwangcisa umqobo.
4. Kuyimfuneko ukugcina yokuphila esempilweni, ukuze kupheliswe zonke imikhwa emibi.

Hydrosalpinx of the tubes, ukuba ekhohlo lunganyangwa, kunokubangela iingxaki ezinzulu. Ezi ziquka nenzalo kuphela. Kwanaxa ngempumelelo ukuzala usana kungenzeka ukuba isisu kwesisu okanye ezizenzekelayo.