Ukwakhiwa kwamatayipi okuhlukumeza kuyinkinga lapho imibhangqwana eminingi eyazi kakhulu ukuthi ihluleka ukukhulelwa ingane. Sekuyisikhathi eside owesifazane engasoze asho ukuthi unesibindi samathambo, ngoba akanalo izimpawu, futhi ufunda ngalokhu kutholakala kuphela uma kukhona imiphumela - ukungabi namuntu noma ukukhulelwa kwe-ectopic. Owesifazane kufanele akhumbule ukuthi ukunganakekelwa kwempilo yakhe, izifo ezingalashwa, ukusebenza kanye nokucindezeleka kungabangela ukuvinjelwa kwamatayipi omzimba, ngakho-ke kubaluleke kakhulu ukuvakashela igciwane lesifo somzimba njalo.
Kuze kube yamuva, ukuxilongwa "kokuvinjelwa kwezigubhu ze-fallopian" kwakungowesifazane owayefisa ukukhulelwa ngesigwebo, njengoba kubonakala emathangeni amathandabuko ukuthi inqubo yokuhlanganiswa kwesidoda neqanda iyenzeka, kanti kanye nabo iqanda elikhulelwe liya esibelethweni. Ngenhlanhla, isayensi ayimi, kanti nanamuhla ku-arsenal yezokwelapha amasu amasha avele, futhi ngisho nangokuthola ukuxilongwa okunjalo kunika owesifazane ithuba lokukhulelwa ngokuphepha, ubhere futhi abelethe ingane.
Izimbangela zokuvinjelwa kwezigubhu ze-fallopian
Kuye ngezizathu ezibangela, ungahlukanisa izinhlobo ezimbili zokuvimbela:
- Ukuvinjelwa kwe-Organic . Kubangelwa ukutholakala kwezithiyo ezihlukahlukene endleleni ye-ovule - ukunamathela kwezicubu ezixhumeneyo ngendlela yamafilimu atholakala kulo lonke i-tube futhi evala isibani sayo. Kukhona ama-spikes ngemuva kwezinqubo zokuvuvukala ezithathelwanayo kuma-ovari nama-tubes, imisebenzi ehanjisiwe nokukhipha isisu.
- Ukuvimbela ukusebenza . Kulesi simo, akukho ukuphulwa kwesakhiwo samatayipi, kodwa imisebenzi yabo iphulwa ngenxa yokuhluleka kwe-hormonal noma ukucindezeleka okukhulu. Ngaphansi kwethonya lalezi zici ezinamahlombe, inani elingekho ngokwanele likhishwa ku-tube, kanti i-cilia ehlanganisa isikhumba somswakama we-tubes ilahlekelwa ukuhamba kwayo, futhi ngenxa yalokho, i-egg cell ayikwazi ukuhamba.
Ukwakhiwa kwamatayipi angama-fallopian kungagcwaliseka (i-pipe ayinakwenzeka kuwo wonke amasayithi) noma ingxenye (noma yikuphi ingxenye yethubhu engapheli).
Ukuqaphela ukuvinjelwa kwezigubhu ze-fallopian
Njengoba lesi sifo asinayo izimpawu zangaphandle, ayikho enye indlela yokunquma ukuvimbela ama-tubes falsipian, ngaphandle kokuqhuba ukuhlolwa okuphelele komzimba wesidokotela oqeqeshiwe.
Ukuze uhlole amashubhu we-fallopian for patency, kubalulekile ukuqhuba uchungechunge lwezivivinyo nokuhlaziya:
- Anamnesis. Udokotela uzodinga ulwazi mayelana nokutholakala kwezifo ezingelapheki kulo wesifazane - i-genitourinary nezinye izinhlelo zomzimba (i-tonsillitis, appendicitis, colitis, pyelonephritis), izici zenkambo ye-postpartum ne-postoperative, imvamisa yokusebenza ngokocansi.
- Ukuhlolwa kwephulwa ohlelweni lwe-endocrine, ukutholakala kwezifo ezithathelwanayo nokuvuvukala. Lokhu kufaka hlangana ukuhlunga nokuhlwanyela emlonyeni we-cervix, i-blood test ye-hormone. Uma kwenzeka ukuthola ukuvuvukala noma ukungajwayelekile kwe-hormonal
ukwelashwa okufanelekile kunqunywe. - Ukuxilongwa kwe-ultrasound kanye ne-fluoroscopy yezingxenye zomzimba. Uma kunesidingo, kungenzeka ukuthi wenze i-laparoscopy ne-endoscopy.
Uma, ngenxa yocwaningo, kucace ukuthi ukuvinjelwa kwamatayipi kungokwemvelo, ngakho-ke ukuhlinzwa ngeke kudingeke ukuba kususwe. Ukwelashwa kwalolu hlobo lwesithiyo kubandakanya ukuphathwa kwengqondo, ukuphathwa kwezidakamizwa nokuqeda ukuphumula, ukukhulula izidakamizwa nokuqeda ukungalingani kwe-hormonal, izidakamizwa, kanye nezindlela zokwelapha ze-physiotherapy.