Iyintoni i-hysterosalpingography (i-GAS) okanye i-X-ray yesibindi kunye namathambo, kodwa kuphela abafazi abanolwazi ngaphezu konyaka abakwazi ukukhulelwa umntwana. Ukuphelela kwamathambo e-uterine emfanekisweni we-GHA unokutshintshwa ngenxa yezizathu ezininzi, kwaye abahlali behlala besifo semvelo:
- ukucuthwa kwe-anatomical ye tube tube;
- i-reflex spasm ye-tube ekuphenduleni i-ingress ye-X-ray into ehlukile kuyo;
- Inkqubo yokwenza isicelo ngenxa yesifo soxhatshazwa ngokwesini kunye nokusebenza kwangemva komsebenzi.
Le nkqubo inexabiso eliphezulu lokuxilonga kwaye yenza ukuba kube lula ukuphazamiseka kwamathambo e-fallopian . Siza kuzama ukuthetha malunga nokulungiselela ii-GHA fallopian tubes, njengoko kwenziwa kunye nemiphumo enokwenzeka.
Ukulungiselela nokuhlalutya phambi kwe-GHA yee-tublopian tubes
I-Hysterosalpingography yamathambo e-fallopian, njengawo nawuphi na ukuphathwa kakubi kokuxilongwa, idinga ukulungiswa okukhethekileyo. Ogqirha onjalo ugqirha uya kuqesha izifundo eziqhelekileyo zegazi kunye nomchamo, ukuhlolwa kwegazi kwi-biochemistry. Ukuxilonga kwe-PCR yesifo sofuba kuyimfuneko kwi-GHA kunye nezibilini ze-uterine. Ngethuba le ntetho, ugqirha kufuneka acele ukuba isigulane sinokuziphendulela okwenzekayo ekuphenduleni ukusungulwa kohluke. Ugqirha unyanzelekile ukuba axelele loo mfazi ukuba akufanele ayeke ukulala ngesibini iintsuku ngaphambi kokuba inkqubo. Kwiveki enye ngaphambi kokuba i-hysterosalpingography, i-douching ayifanele yenziwe kwaye iifampu kufuneka zisetyenziswe. Ukuba isigulane esinjalo sisebenzisa ama-suppositories kunye namacwecwe e-vaginal, kuyafaneleka ukuxoxa nogqirha ukuba uyayifaka phambi kokuba inqubo kwaye ukuba kungenjalo, ingaba ungayicoca kangakanani.
Inkqubo yokuvavanya ubuchule bee-tublopian tubes ngoncedo lwe-GHA
Inkqubo ye-GHA yenziwa kwiiveki ezimbini zokuqala emva kokupheliswa kwesisu. Kwinkoliso yamanyango ngaphambi kokuba i-hysterosalpingography kuphela i-spasmolytics iqaliswe, kwaye isigulane siyayiqonda. Kwiiiklinikhi zanamhlanje eziphambili, i-anesthesia jikelele isetyenziselwa ukunyanzelisa le nto, njengokuba abaninzi abafazi be-GHA ye-uterus kunye neengcambu ze-fallopian zigula ngexesha le nkqubo yokuxilonga.
Ngethuba le-process hysterosalping, emva kokuvavanywa kwizibuko, ugqirha ungena emlonyeni wesibeletho esincinci seplastiki ekhonza njengomqhubi wezinto ezisetyenziswayo kwi-radiopaque. Emva kokuzalisa i-uterus ngokuhlukileyo, iqala ukugeleza kumatye agugu, kwaye i-catheter isuswa. Ngeli xesha, imifanekiso emide ye-X-ray ilandelwa ngokulandelana rhoqo. I-hysterosalpingographic (GHA) i-snapshot ibonisa ukuba ziphi izibilini zesisu kunye nobuxoki ezizaliswayo. Uhlobo lwe-X-ray uhlengahlengiso lungena kwigazi kwaye lukhutshwe emzimbeni ngomchamo.
Ukuchazwa kweziphumo kunye nemiphumo ye-GHA fallopian tubes
Ukongezelela kokubambelela kwiibhulo zomzimba ngexesha le-hysterosalpingography, ii-polyps, ii-fibroids ezincinci, ukuxhasana kunye ne-synechia kwisigxina se-uterine ziyakwazi ukufunyanwa, kunye nokuxhamla kwangaphandle okuphazamisa ukuhamba kwiphubhu ye-fallopian.
Enye inkxalabo enokwenzeka ngexesha le-GHA yesibindi sesisu kunye nesiguqu singabonakaliswa ngokusesikweni kwi-ejenti,
Ukuchasana kwi-hysterosalpingography kuqinisekisiwe ukukhulelwa kunye nokuxhatshazwa kwe-arhente eyahlukileyo.
Ngaloo ndlela, ukuba uhlolisise iimpawu zokuxhaphaza i-diagnostic - hysterosalpingography, kufuneka kuthathelwe ukuba le ndlela yokunyanzeliswa kufuneka imiselwe kuphela yi-gynecologist owaziwayo ngaphandle kokuchasene. Kubaluleke kakhulu ukulungiselela ngokufanelekileyo umfazi, oya kuphephelela iingxaki.