Spike mu fallopian tubes

Muhupo hwekunamatira mu fallopian tubes kuvhiringidzika kunoonekwa, izvo zvinowedzera dambudziko reEctopic pregnancy nekushaya vana. Maererano nehuwandu, kukanganisa uku kunowanikwa mu25% yevakadzi vasingakwanisi kuva nemwana. Chikonzero chekugadziriswa mumaduku maduku ekunamatira kunogona kuva zvirwere zvinoputira zvinowanzosangana nechepamusoro hwehutachiona, kunyanya izvo zvinotapurirwa zvepabonde - gonorrhea, hladimiosis. Kuvhiringidzika kunogona kukonzerwa nebasa rakaoma, kubvisa pamuviri, kushandiswa kwemishonga yekudzivirira pamuviri. Adnexitis, endometriosis (zvikurukuru nehupamhi hwekupararira), salpingitis inokonzera kuumbwa kwekunamatira mu fallopian tubes.

Basa rinoenderana nekubvisa uterine fibroids, appendix, ovarian cysts, endometrial polyps, ectopic pregnancy zvakare inotamba basa risina kunaka. Synechia (kubata) mukati me fallopian tube inogona kutora nzvimbo yakasiyana, saka kuvhiringidzika kwehutterine tube kunoperera kana kusarura. Kunyangwe nekuda kwekubata zvishoma, chirume hachikwanisi kusangana neii, kunyanya kana iwe uchifunga kuti izvi zvinogadziriswa mu lumen ye fallopian tube. Kunyangwe kana masero ehutano akabatana, kubata hakuzobvumiri mazai akakonzerwa kuti apinde mukati mumiriri. Muchiitiko ichi, mazai anogadzirwa achaenderera mberi kukura panzvimbo, iyo ichaita kuti tubal fomu ye ectopic pamuviri.

Dzimwe nguva mu fallopian tubes nzira yekubatanidza inopfuurira pasina zviratidzo. Nokudaro, kazhinji mukadzi asingatombofungi kuti hutachiona hwake hwakashungurudzwa mumuviri wake, kubva pakuenda kumwedzi kunopfuura pasina kuputsa, dambudziko rinoratidzwa chete pashure pekuedza kwakawanda kwekuita pamuviri (miedzo yose yakakundikana). Kuongororwa kwekubatira kunogona kuitwa nekubatsirwa kwe salpingography. Iyi nzira yekuongororwa ndeyokuti kupikisa kwakasiyana-siyana kunoshandiswa mu lumen ye fallopian tubes, mushure mokunge kuongorora X-ray kuchiitwa. Imwe nzira inofanirwa inotanga inotanga kuitika isati yasvika, nokuti irradiation yeii inobereka inogona kukuvadza.

Nharaunda ye fallopian tubes inotsanangurwa nemubatsiro we sonosalpingoscopy. Munguva iyi, sterile saline inorohwa mu lumen ye fallopian tubes, inoteverwa ne ultrasound kuongororwa kwe fallopian tubes.

Laparoscopy inoitwa kwete kwete chete kuporesa chirwere chacho, asiwo nechinangwa chokuongororwa. Muchidziro chemuviri kuburikidza nenhazha duku duku inogadzirwa, iyo iyo laparoscope inowanikwa, mushure mokunge chibereko, fallopian tubes, maevaries anoongororwa. Nzira yacho inowanikwa pasi peanesthesia yakawanda. Panguva imwecheteyo, mhinduro yakatsva inoshandiswa kuburikidza nemugero wemudzimai, shure kwaizvozvo inowanikwa sezvo inopinda mukati mechipfuva chemuviri. Kana pane dambudziko rekupindira, izvi zvinogona kuratidzira kudzivirira kwakakwana kana kudzivirira kusarura kwemafuro. Kana kumira kunowanikwa pane zvisikwa zvenhengo dzepachiviri, zvinodzingwa mukuparara kweparoscopic.

Spikes inogona kuporeswa chete nekushandisa kubviswa kwavo mumuviri. Pamberi pacho, kubviswa kwekunamatira kwakabatwa nekubatsirwa kweparparotomy (chirwere chechivhero). Nhasi nzira iyi haisati yashandiswa, asi nzira yakanyanyisa yekupedzisira inoshandiswa inoshandiswa, iyo inobatsira kudzivirira zvinetso zveperioperative, mapikisi ari mudiki mapepa haasi kunze.

Paunoshandisa laparoscopy, kurasikirwa kweropa kunogona kuderedzwa zvikuru. Uyezve, zvinokwanisika kupfupisa nguva yekudzoka mushure mekuvhiyiwa. Kubudirira kweiyo nzira kunobva pauwandu hwekuwana nzvimbo ye fusion. Semuenzaniso, kana kuvhiringidzika kweiyo fallopian tubes yakakwana, zvino iyo nzira haina kubudirira, nokuti haikwanisi kudzorera kushanda kwechidimbu epithelium, iyo inogadzirisa lumen ye tube, somugumisiro, kukwanisa kubata mwana kunoramba kwakakwana. Mumamiriro ezvinhu akafanana, mukadzi anorayirwa kushandura kuVIV (in vitro fertilization).