An katange Tsarin Fallopian Tube da Impact on Fertilization
Hanyoyin hydrosalpinx wani nau'i ne na nau'i na tsalle-tsalle na fallopian . Ƙananan kumfa suna daga cikin mahaifa , ɗaya a dama kuma daya a hagu. Idan sun kasance an katange ko kamuwa da su, rashin rashin haihuwa zai iya haifar .
Nazarin sun gano cewa adadin hydrosalpinx sun kasance a cikin kashi 10 zuwa 30 na adadin rashin haihuwa. Koyi game da wannan yanayin ciki har da ganewar asali, jiyya, da kuma ko za ka yi ciki idan kana da wata sanarwa.
Dalilin
Hanyoyin hydrosalpinx shine lokacin da jaridar fallopian da aka katange ta cika da ruwa. Idan an yi amfani da su biyu, ana kiran wannan hydrosalpinges. Kullin yakan bayyana distended, wanda ke nufin yana kumbura da ruwa.
Mafi yawancin lokuta, hydrosalpinx yana haifarwa ta hanyar kamuwa da ƙananan tubes. Wannan kamuwa da cuta zai iya faruwa ne saboda cutar da aka zubar da jima'i , ruptured appendix, ko kuma wani dalili na kamuwa da cuta wanda ya shafi tsarin haihuwa ko gabobin da ke kusa.
Har ila yau za'a iya haifar da hydrosalpinx idan adhesions (tsohuwar nama) ko adana bayanan endometrial (daga endometriosis ) yana fusatar da tubes na fallopian.
Hanya zuwa rashin amfani
Tsarin hawan gwanin hydrosalpinx shi ne yawanci a kan karshen ƙarshen tube, kusa da ovaries, amma yana yiwuwa yiwuwar rikici ya kasance a duka iyakar.
A cikin tsarin haifa mai kyau, jaririn fallopian ya zama hanya biyu don yadun dabbar da za a samo cikin mahaifa. Bayan an fitar da ƙwai daga ƙwayar, zane-zane mai yatsa daga tarin fallopian ya zana kwai a.
Da alama cewa jima'i ya faru a kusa da kwayar halitta, kwai zai hadu da maniyyi a cikin bututu. Amfani da kwai zai faru a cikin bututu-kuma ba cikin cikin mahaifa ba, wanda shine kuskuren yaudara. Yayi hadu da kwai, ko amfrayo, zai sanya hanyar zuwa cikin bututu, cikin cikin mahaifa, kuma ya sanya kansa cikin bangon uterine .
Idan an katange wannan hanya, kamar yadda yake tare da hydrosalpinx, rashin haihuwa ya iya haifar da shi.
Kullum al'amuran yatsa da ake kira fimbriae suna shimfiɗa daga ƙarshen ƙananan falfin a kusa da ovary. Suna taimakawa wajen jawo kwai kwai daga ovary zuwa cikin bututun fallopian. Tare da hydrosalpinx, yawancin launi sukan lalace kuma an makale tare.
Dangane da dalilin hanyar hydrosalpinx, ƙarin adhesions a kusa da tube na fallopian da ovary na iya faruwa. Wannan kuma zai iya tsoma baki tare da jima'i da haihuwa.
Tashin ciki tare da Daya Hydrosalpinx Kulle Tube
Da'awar magana, yana yiwuwa a yi ciki tare da kawai buɗaɗɗen bututu, kamar yadda za'a iya zama idan idan kana da tube daya mai sanyaya kuma ɗayan lafiya ne. Duk da haka, yanayin da ya dace na mahaifa zai iya shafar shi tare da sanyaya kuma wannan yana rage yawan ciki.
Rashin fuska da / ko adhesions da ke hade da hydrosalpinx yana neman su rage yiwuwar zanewa ta hanyar motar lafiya. Haka kuma mawuyacin ginin ruwa a cikin ƙwaƙwalwar da aka shafi zai iya shiga cikin mahaifa, yana tasiri da aiwatar da embryo.
Lokacin da marasa lafiya ke tafiya zuwa IVF , ba tare da cire ƙwayar ƙwayar cutar ba, ciki har da haihuwa da haihuwa ba su da yawa .
Wannan shine dalilin da yasa likitoci masu yawa na haihuwa suka bada shawara akan cirewar hydrosalpinx kafin farawa IVF. Wani zabin shine haɗuwa ta wucin gadi na tube a kan iyakar uterine, saboda haka yana da ƙasa da rashin rinjaye a cikin yanayi na igiyar ciki.
Sanin asali
Ana shawo kan shamban da aka kulle a yayin aikin haihuwa. HSG - irin nau'ikan x-ray na musamman - na iya nuna tubar blockages.
Don ƙayyade idan haɓakawa haɗari ne, za a iya buƙatar sonohysterosalpingography . Wannan hanya ta shafi yin amfani da ruwa saline da iska marar lafiya ta wurin cervix kuma cikin cikin mahaifa. Sa'an nan kuma ana amfani da duban dan tayi na waje don duba rayayyun gabobin.
Duban dan tayi za a iya amfani dashi don gano asalin hydrosalpinx, amma ba zai yiwu ba don ganin hoton da aka cika da ruwa a wannan hanya. Ɗaya daga cikin binciken ya gano cewa kawai kashi 34 cikin dari na hydrosalpinx an gani ne ta hanyar duban dan tayi.
Ana iya amfani da laparoscopy don tantance hydrosalpinx. Laparoscopy na bincike zai iya ƙayyade idan wasu abubuwa, kamar endometriosis, suna haifar da matsalolin haihuwa.
Cutar cututtuka
Tare da hydrosalpinx, rashin haihuwa ne sau da yawa farkon kuma kawai alama cewa wani abu ba daidai ba ne. Yawancin mata ba su da wata alamar bayyanar cututtuka kuma an gano su ne kawai bayan sunyi kokarin samun yara.
Duk da haka, wasu mata zasu fuskanci ciwo na pelvic . Ba zato ba tsammani, akwai yiwuwar fitarwa mai ban mamaki.
Suna iya samun alamun bayyanar cututtuka na tushen hydrosalpinx. Alal misali, cututtukan cututtuka na inflammatory (PID) wani abu mai hadarin gaske ne ga hydrosalpinx.
Jiyya
Tiyata shi ne mafi yawan magani ga hydrosalpinx, tare da gyaran IVF bayan taimakawa wajen tsarawa. Mafi sau da yawa, an cire motar fallopian gaba daya. Dangane da tushen tushen hydrosalpinx, tiyata na iya ƙila ya kawar da wasu ƙarancin jiki, ƙwayar jiki, ko tsire-tsire masu girma.
Idan PID yana da alhakin hydrosalpinx, zaka iya samun maganin rigakafi don magance cututtuka .
Gwaran nasara na IVF suna da ƙananan lokacin da hydrosalpinx ya kasance. Saboda wannan dalili, maganin da ake ba da shawarar akai-akai shi ne a sami ƙwaƙwalwar ƙwayar cuta wadda aka cire ta farko. Sa'an nan, an fara farautar IVF .
Sclerotherapy na iya zama madadin kawar da ƙananan ƙwayar fallopian. A cikin wannan hanya, ana buƙatar ruwa daga tube. Sa'an nan kuma, an yi amfani da magungunan sclerosing don hana yatsun daga cikawa da ruwa. Ana yin haka ne ta hanyar allurar da ke cikin duban dan tayi mai ma'ana kuma ya fi muni fiye da laparoscopic tiyata. Duk da haka, bincike a kan wannan hanya ba shi da. Babu tabbacin abin da duk hadarin zai yiwu kuma yana da kyau fiye da kawar da bututu.
M gyaran gyare-gyare na kwalliyar falsafa wanda aka katange-inda aka bude ginin amma bututu ya bar-ya yiwu a yi don wasu nau'i-nau'i na kwalliyar fallopian. Ga matan da suka tafi wannan hanya, hankalin halitta bayan gyare-gyare yawanci makasudin. Abin baƙin ciki, wannan ba'a ba da shawarar da hydrosalpinx ba. Tsarin da kumburi sau da yawa ya dawo. Gyaran aikin hydrosalpinx da aka biyo bayan ƙaddamar da ƙaddamarwar halitta ba'a bada shawara.
Sources:
Sanin Bayan Tashin Tubal: Fact Sheet. Ƙungiyar {asar Amirka ta Harkokin Harkokin Ciniki.
Hydrosalpinx: Fact Sheet. Ƙungiyar {asar Amirka ta Harkokin Harkokin Ciniki.
> Kasius JC, FW. "Harkokin ciki na ciki ciki na maganin magungunan dan tayi Sclerotherapy Tare da 98% Ethanol a kan Mata da Hydrosalpinx." Am J Obstet Gynecol. Janairu 212 (1): 118. Doi: 10.1016 / j.ajog.2014.09.018. Afrilu 2014 Satumba 20.
> Na ED1, Cha DH, Cho JH, Kim MK. "Ganin kwatancen IVF-ET a cikin marasa lafiya tare da Hydrosalpinx tare da ƙwayar cutar ko kuma Laparoscopic Salpingectomy." Clin Exp Yi Magana Med. 2012 Dec, 39 (4): 182-6. Doi: 10.5653 / cerm.2012.39.4.182. Afub 2012 Dec 31.