I-Hysterosalpingography

IHysterosalpingography iyi-x-ray ekhethekile esebenzisa udayi ukubheka isibeletho (isibeletho) namashubhu we-fallopian.

Lokhu kuhlolwa kwenziwa emnyangweni we-radiology. Uzolala etafuleni ngaphansi komshini we-x-ray. Uzobeka izinyawo zakho kuma-stirrup, njengoba wenza ngesikhathi sokuhlolwa kwe-pelvic. Ithuluzi elibizwa ngokuthi i-speculum lifakwa esithweni sangasese.

Ngemuva kokuhlanzwa komlomo wesibeletho, umhlinzeki wezokunakekelwa kwezempilo ubeka ithubhu elincane (ipayipi) ngomlomo wesibeletho. Idayi, ebizwa ngokuqhathanisa, igeleza ngale tube, igcwalisa amashubhu esibelethweni kanye nawulayini. Ama-X-ray ayathathwa. Idayi yenza lezi zindawo zibonakale kalula kuma-x-ray.

Umhlinzeki wakho angakunikeza ama-antibiotics ukuthi awathathe ngaphambi nangemva kokuhlolwa. Lokhu kusiza ukuvikela izifo. Unganikezwa nemithi yokuthatha usuku lwenqubo ukukusiza uphumule.

Isikhathi esihle salolu vivinyo sisesigabeni sokuqala somjikelezo wokuya esikhathini. Ukwenza ngalesi sikhathi kwenza umhlinzeki wezokunakekelwa kwempilo abone umgodi wesibeletho namashubhu ngokucacile. Kuphinde kwehlise nengozi yokutheleleka, futhi kuqinisekise ukuthi awukhulelwe.

Tshela umhlinzeki wakho uma ngabe uphendulile okweqile ukuze uqhathanise udayi ngaphambili.

Ungadla uphuze ngokujwayelekile ngaphambi kokuhlolwa.

Ungaba nokungaphatheki kahle lapho i-speculum ifakwa esithweni sangasese. Lokhu kufana nokuhlolwa kwe-pelvic ne-Pap test.

Abanye besifazane banamajaqamba ngesikhathi sokuhlolwa noma ngemuva kokuhlolwa, njengalezo ongazithola ngesikhathi sakho.

Ungaba nobuhlungu obuthile uma udayi uvuza ngaphandle kwamashubhu, noma uma amashubhu evinjiwe.

Lokhu kuhlolwa kwenzelwa ukubheka ukuvinjelwa kwamashubhu akho noma ezinye izinkinga esibelethweni nasesimeleni. Kuvame ukwenziwa njengengxenye yokuhlolwa kokuzala. Kungenziwa futhi ngemuva kokuthi amashubhu akho eboshelwe ukuqinisekisa ukuthi amashubhu avinjwe ngokuphelele ngemuva kokuthi ube nenqubo ye-hysteroscopic tubal occlusion yokuvikela ukukhulelwa.

Umphumela ojwayelekile usho ukuthi konke kubukeka njengokujwayelekile. Azikho izinkinga.

Qaphela: Amabanga wamanani ajwayelekile angahluka kancane kumalabhorethri ahlukile. Khuluma nodokotela wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Imiphumela engajwayelekile ingabangelwa:

• Ukuphazamiseka kokuthuthuka kwezakhiwo zesibeletho noma amashubhu e-fallopian
• Izicubu ezibucayi (ukunamathela) esibelethweni noma kumashubhu
• Ukuvalwa kwamashubhu we-fallopian
• Ubukhona bezindikimba zangaphandle
• Izimila noma ama-polyps esibelethweni

Izingozi zingafaka:

• Ukusabela okweqile kokungafani
• Ukutheleleka kwe-Endometrial (endometritis)
• Ukutheleleka kwe-fallopian tube (salpingitis)
• Ukugcotshwa (kokubhoboza imbobo) esibelethweni

Lokhu kuhlolwa akufanele kwenziwe uma unesifo sokuvuvukala okhalo (PID) noma unegazi elichazayo elivela esithweni sangasese.

Ngemuva kokuhlolwa, tshela umhlinzeki wakho ngokushesha uma unezimpawu noma izimpawu zokutheleleka. Lokhu kufaka phakathi ukukhishwa kwesitho sangasese okunuka kabi, ubuhlungu, noma imfiva. Ungadinga ukuthatha ama-antibiotics uma lokhu kwenzeka.

HSG; I-Uterosalpingography; I-Hysterogram; I-Uterotubography; Ukungabi nenzalo - i-hysterosalpingography; Amashubhu we-fallopian avinjiwe - i-hysterosalpingography

• Isibeletho

IBroekmans FJ, iFauser BCJM. Ukungabi nenzalo kwabesifazane: ukuhlolwa nokuphathwa. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, abahleli. I-Endocrinology: Eyabantu Abadala Neyengane. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 132.

Lobo RA. Ukungabi nenzalo: i-etiology, ukuhlolwa kokuxilongwa, ukuphathwa, ukubikezelwa. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 42.