Kuyini i-hysterosalpingography (i-GAS) noma i-X-ray yezibeletho zesisu nesigqila, abesifazane kuphela abazi ngaphezu konyaka abakwazi ukukhulelwa ingane. Ukuguqulwa kwezigubhu ze-uterine emfanekisweni we-GHA kungashintshwa ngenxa yezizathu eziningana, futhi akuzona zonke izinhlobo zemvelo:
- ukunciphisa ama-anatomical we-tube uterine;
- i-spasm reflex ye-tube ekuphenduleni ingress ye-X-ray umahluko phakathi kwayo;
- Inqubo yokwelapha ngenxa yokutheleleka ngokocansi kanye nokusebenza okulandela.
Le nqubo inenani eliphakeme lokuxilonga futhi yenza kube lula ukucacisa ukuvinjelwa kwamatayipi angama-fallopian . Sizozama ukukhuluma ngokulungiselela ama-tuberpiy GHA fallopian, njengoba kwenziwa kanye nemiphumela engenzeka.
Ukulungiselela nokuhlaziywa ngaphambi kwe-GHA yama-tubespial tubes
I-hysterosalpingography yamatayipi we-fallopian, njenganoma yikuphi ukuphathwa okujulile kokuxilonga, kudinga ukulungiswa okukhethekile. Udokotela wesifazane onjalo uyoqoka izifundo ezijwayelekile zokwelashwa ngegazi kanye nomchamo, ukuhlolwa kwegazi kwe-biochemistry. Ukuxilongwa kwe-PCR yezifo zobulili kuyimfuneko ye-GHA kanye nezikhumba ze-uterine. Ngesikhathi sesethulo, udokotela kufanele abuze ukuthi ngabe isiguli sinokuphikisa okwenziwe okwenziwe okwenzekayo ekuphenduleni ukwethulwa kokuphambene. Udokotela ubophezelekile ukuba axwayise lona wesifazane ukuthi kufanele ayeke ukuya ocansini izinsuku ezimbili ngaphambi kwenqubo. Ngesonto elilodwa ngaphambi kwe-hysterosalpingography, i-douching akufanele yenziwe futhi ama-tampons kufanele asetshenziswe. Uma isiguli esinjalo sisebenzisa ama-suppository nama-tablet, kufanelekile ukuxoxa nodokotela ukuthi ungawasebenzisa ngaphambi kwenqubo futhi uma kungenjalo, kungakanani ukukhansela.
Inqubo yokuhlola ubuciko bama-tubes falsipian ngosizo lwe-GHA
Inqubo ye-GHA yenziwa emavikini amabili okuqala ngemva kokuphela kokuya esikhathini. Ezingxenyeni eziningi zezokwelapha ngaphambi kokuba i-hysterosalpingography kuphela i-spasmolytics isetshenziswe, futhi isiguli siyazi. Emitholampilo yasemanje eqhubekayo, i-anesthesia ejwayelekile isetshenziselwa ukuhlukumeza lokhu kuxhaphazwa, njengoba abesifazane abaningi be-GHA wesibeletho namagciwane we-fallopian abagula ngale nqubo yokuxilonga.
Phakathi nenqubo ye-hysterosalping, ngemva kokuhlolwa ngezibuko, udokotela ungena emgodini wesibeletho i-plastic catheter encane ekhonza njengomqhubi we-radiopaque ngaphakathi kwendawo yomzimba. Ngemuva kokugcwalisa lesi sibeletho ngokuphambene, iqala ukugeleza emathinini omzimba, futhi i-catheter isusiwe. Ngalesi sikhathi, izithombe eziningana ze-X-ray zenziwa ngokulandelana ngezikhathi ezithile. I-hysterosalpingographic (GHA) i-snapshot ikhombisa ukuthi izibeletho zesisu nesigqila zigcwele kangakanani umahluko. I-X-ray i-fluid ye-fluid kancane kancane ingena egazini futhi ixakwe emzimbeni nge-urine.
Ukuchazwa kwemiphumela nemiphumela ye-GHA fallopian tubes
Ngaphandle kokunamathela emathangeni e-fallopian ngesikhathi se-hysterosalpingography, i-polyps, i-fibroids enamandla, ukunamathela kanye ne-synechia emgodini we-uterine kungatholakala, kanye nokubambelela kwangaphandle okungahle kuphazamise ukuhamba kwe-tube fallopian.
Enye ingcindezi engenzeka phakathi kwe-GHA yesibindi nesibhubhu esingaba khona kungase ibe nesimangaliso sokuphendula okwenziwa yi-agent ehlukile,
Ukuqhathaniswa kwe-hysterosalpingography kuqinisekisiwe ukukhulelwa kanye nokungezwani komzimba ku-agent ehlukile.
Ngakho-ke, ngemva kokuhlolisisa izici zokuxhaphazwa kwe-diagnostic - hysterosalpingography, kufanele kushiwo ukuthi lokhu kukhishwa kufanele kubekwe kuphela ngumama wezifo ezincane owaziwayo uma kungekho ukuphikisana. Kubaluleke kakhulu ukulungisa kahle owesifazane, okuzogwema izinkinga.