Yadda za mu bi hydrosalpinx na fallopian shambura? Alamomi zuwa Mataki

Daya daga cikin tsanani sakamakon da appendages kumburi ne wata cuta daga cikin fallopian shambura - hydrosalpinx. Bisa kididdigar da, shi ne kamu a 30% na mata na haihuwa shekaru. Pathology ya hana m conceiving yaro. Duk da haka, idan isasshen magani ciki mai yiwuwa ne. A yau za mu labarin magana game da yadda za a gane cutar a dace hanya, wani hanyoyin da magani na zamani magani tayi.

Tsari da kuma aiki da fallopian shambura

Don gane da inji na cuta, kuma ta yiwu haddasawa, shi wajibi ne don shiga cikin da tankwara. Igiyar ciki ko fallopian tube - shi ne guda biyu tare da biyu jiki lumens. Its tsawon shi ne 10-12 cm. Daya ƙarshen tube yana buɗewa a cikin mahaifa, da kuma sauran iyakokin da zaruruwa da yake kusa da kwai. Da taimakon wadannan ramuka kogon ciki na Magana da al'aurar.

A ganuwar da fallopian tube hada uku yadudduka: matsanancin, ciki da kuma tsoka. A farko da aka wakilta peritoneum da m aiki. Murdede Layer na taimaka wa contractile ƙungiyoyi directed zuwa cikin igiyar ciki rami. Tu fallopian tube ciliary epithelium rufi. Its main aiki - da hukumar undulations da wanda kwan da ya hadu shiga cikin mahaifa da yardar kaina. Tsakanin abubuwa na ciliated epithelial glandular Kwayoyin suna shirya. Su suke da alhakin samar da musamman m. Wannan abu na goyon bayan viability na maniyyi, kwai da kuma tayi a farkon matakai na ta ci gaba.

Mene ne hydrosalpinx na fallopian shambura?

Wannan gynecological cutar da cewa yana yiwuwa take kaiwa zuwa rushewa daga cikin Fallopian shambura. An halin da hankali jari na transudate a lumen na tashar. A sakamakon bututu yana tuba zuwa da samuwar, wanda yayi kama da 'yar jakar. A can farko na ci gaba da pathological aiwatar kusan ba ya bayyana kanta. Yawancin lokaci cutar da ake bincikar lafiya a lokacin da wata mace jũya zuwa ga likitan mata a cikin search for Sanadin rasa haihuwa.

Likitoci ne da wadannan siffofin hydrosalpinx:

• bangaren hagu.
• gefe.
• gefe.

Daya mai gefe nau'i na cutar halin bayyanar kumburi kawai a kan daya bututu. A wannan yanayin, a mace zai iya samun ciki a kan nasu, amma da alama na nasara ganewa halved. Lokacin da hadin hydrosalpinx katange duka biyu shambura. Samun ciki tare da irin wannan ganewar asali ne m, idan ba da sauri neman magani. Daga bisani, shi zai iya samar da cikakken rashin haihuwa, wanda ke da yiwuwar kai-kawo, kuma bã ta haihuwa, to da lafiya baby ne sifili.

Dabam shi wajibi ne a yi la'akari da kullum Pathology. Yana tasowa sannu a hankali, kuma ba ya nuna wani munanan. Mace ji mai kyau. Hydrosalpinx Tubal gano bazata, a lokacin da kyan gani, a likitan mata. Saboda haka, yana da muhimmanci a lokaci-lokaci sha m jarrabawa da cewa likita.

sunadaran da cuta ci gaba

Take hakkin da fallopian shambura fara a baya na kumburi, kamar salpingitis ko salpingo. Yana auku mahaukaci girma na connective nama, kafa mahara adhesions da scarring. Kumburi hankali kara zuwa duk yadudduka da fallopian shambura.

Villi mutu ciliated epithelium da tsoka Layer ceases cikakken rage. A lumen na tube girma adhesions, damun ta permeability. A cikin rami kafa fara gina up asĩri. An samar da gland epithelium a mayar da martani ga kumburi suna samuwa. Kamar wancan cutar tasowa Tubal - hydrosalpinx.

Babban dalilai

Abin da ya faru da cutar lalacewa ta hanyar ƙulli tsakiyar ɓangare na fallopian shambura. Yawancin irin wannan matsala ne jiki ta mayar da martani ga wani gida mai kumburi tsari. Kamuwa da jamiái shiga duka biyu da uplink da downlink hanya. A cikin farko idan ya unsa da haihuwa tsarin gabobin (cervix, mahaifa, farji). A karo na biyu idan na samu na dauke da kwayar cutar jamiái, tare da jini ya kwarara daga appendix, koda ko mafitsara. Wani lokaci kumburi ne aseptic yanayi idan aka riga da ci gaban da daban-daban gynecological cututtuka.

Physicians ne da wadannan dalilai gidrosalpinksa Tubal:

• m abortions, gudanar da bincike curettage na mahaifa;
• da yin amfani da wani intrauterine na'urar.
• hypothermia (activates pathogenic Flora a kan weakening na rigakafi).
• m canji na jima'i abokan;
• kumburi shafi yankin na appendages da kuma ovaries (oophoritis, adnexitis).
• jima'i infantilism .
• adenomyosis.
• endometritis.
• farji kwayoyin overgrowth.

Unilateral tsari (hydrosalpinx bar fallopian tube ko kawai dama) sau da yawa ya auku saboda ilimin Halittar Jiki munanan ko saboda piosalpinks. A wannan yanayin, da ruɓaɓɓen jini an tunawa, akwai kawai wani serous mugunya. Reversible pathological aiwatar shafe biyu fallopian shambura, kafa a kan bango na kullum kumburi lalacewa ta hanyar daban-daban dauke da kwayar cutar jamiái.

asibiti hoto

Menene hydrosalpinx na fallopian shambura ne bayyanar cututtuka? A can farko na ci gaba da halayyar ãyõyi da cutar suna ɓacewa, tun kumburi tafiyar matakai ba ya nuna aiki. Shi ya bayyana, kamar yadda muka ce, kwatsam, a lokacin da wani dubawa a likitan mata.

Kamar yadda da ci gaban da cutar akwai wani Extended asibiti hoto. Karuwan mugunya gamsai gland epithelium take kaiwa zuwa refilling bututu, sabõda haka suka ƙara a size. Saboda wannan, da mace bayyana a ji na, wani nauyi a cikin ƙananan ciki. Idan Pathology ne halin da biyu-hanyar hali, wannan alama bayyana kanta a garesu. Lokaci-lokaci zai yiwu zazzabi karuwa zuwa subfebrile Manuniya. A wasu lokuta, mata wahala daga wani kara jari na secretions daga cikin farji.

Lokacin da ganewar asali "fallopian tube" hydrosalpinx rinjayar da haihuwa ikon da kwayoyin. Lokacin da gibba suna gaba daya rufe, da kwai ba zai iya samun ciki, don haka hadi ba ya faruwa. Wannan take hakkin da ake kira Tubal rasa haihuwa. Idan da rata ba gaba daya katange, mucosal folds an smoothed, da tsoka nama atrophy. A sakamakon wadannan canje-canje a cikin mace na kara hadarin ectopic ciki.

M wahala gidrosalpinksa dauke rata fallopian tube. Domin wannan cuta ne halin da zargin ciwo mai tsanani a cikin ƙananan ciki yankin, da kuma tachycardia, ragewan jini. Skin hankali fades, ta yi shi ne a fili rarrabe vesicles gumi. Idan ka fuskanci wadannan cututtuka, ya kamata ka nan da nan kira wata tawagar kiwon lafiya kwararru.

Hydrosalpinx da ciki

Mata tare da hydrosalpinx shiryawa ciki, laparoscopy bada shawarar. Wannan hanya ba ka damar mayar patency bututu, amma shi ne sau da yawa gaji da damuwa da na halitta aiki. Bugu da ƙari, sharply rage yawan rabe ga manyan hormones - estradiol da progesterone. Wadannan dalilai za su iya kai wa ga ectopic ciki.

Idan pathological aiwatar kara kawai daya da sarewa, da ganewa mai yiwuwa ne. Duk da haka, da gaban da tushen kumburi a ƙashin ƙugu ne detrimental zuwa tasowa tayi. A ciki ruwa ya kunshi lymphocytes da sauran guba da jamiái. Saboda haka ciki ba da shawarar ba tare da m magani. Kau da fallopian shambura lokacin hydrosalpinx ba rage jima'i so na mata, ba ya shafar ta hormonal bango ko ka hailar sake zagayowar. Lokacin da biyu-hanyar nau'i na cutar ciki da sauƙi ba zai yiwu ba. A wannan yanayin, da mace IVF hanya bada shawarar.

Resection na fallopian tube kafin vitro hadi entails ya karu alama na nasara ganewa ta game da 30%. A hasashen da aka muhimmanci inganta idan da hakkin ya gudanar da wani aiki a cire, maimakon kokarin mayar patency na oviducts amfani da dama zaɓuɓɓuka saboda laparoscopy.

A baya can, an ba da shawara cewa da kau da fallopian shambura entails wani take hakkin jinin samar da juyayi tsari na ovaries. A nazarin bai tabbatar da wannan bayani. Kau da abin ya shafa bututu kafin IVF yana da wani sakamako a kan jihar na ovaries, su mayar da martani ga ruri aiwatar hadi kudi.

hanyoyin da ganewar asali

Idan ka zargin wani hydrosalpinx na fallopian shambura wajibi ne don tuntubar wani likitan mata. Ganewar asali da cutar ta fara da jarrabawa na haƙuri. Lokacin yin bimanual palpation detectable Pathology a cikin nau'i na elongated m samuwar tare da kawai daya ko a garesu lokaci guda. Pain rashin jin daɗi iya bayyana a cikin wannan hanya. Bayan ya koma instrumental hanyoyin da ganewar asali. Daga gare su, mafi m halin da wadannan hanyoyin:

1. Transvaginal duban dan tayi. Yana ba ka damar ayyana hydrosalpinx, saita wurin, da kuma siffar m size.
2. Hysterosalpingography. Ya taimaka tantance patency na fallopian shambura. A lokacin bincike bambanci wakili ne allura a karkashin matsin a cikin igiyar ciki rami. Bayan da cewa, jerin radiographic hotuna a wadda ta ciki jima'i gabobin suna kyan gani sosai.

A likita yi, akwai lokuta inda bayan irin binciken da mata masu juna biyu a kan nasu. A daya hannun, ta ƙãra da alama na exacerbation na kullum kumburi.

A mafi m Hanyar ganewar asali ne dauke laparoscopy gidrosalpinksa fallopian shambura. Aikace-aikace na wannan hanya damar tantance hãlãyensu kuma dauki abinda ke ciki domin sanin dauke da kwayar cutar wakili da kuma ta ji na ƙwarai to maganin rigakafi. Wani lokaci likitoci dena laparoscopy saboda ta invasiveness. Irin baki na iya bunkasa ci gaban adhesions.

Bisa ga likita samu cikin binciken sakamakon gaskatãwa kõ kuma ya ƙaryata na farko ganewar asali ba magani shawarwari. Far a wannan Pathology iya zama mazan jiya, ko kungiyar. La'akari da kowane daga cikin embodiments a more daki-daki.

ra'ayin mazan jiya magani

Far kamata a fara da zaran likita ya tabbatar da ganewar asali "hydrosalpinx na fallopian shambura." Jiyya ba tare da tiyata bada shawarar ga matan da suka ba su so su zama masu ciki ne, ko na karami tsanani daga cikin pathological tsari. Don magance kumburi rubũta maganin rigakafi. Duration na far da kuma sashi na magani ƙaddara da likita. A wannan yanayin, da gwani za la'akari da muhimmancin pathogens da kwayoyi amfani da yanayin da causative wakili.

Conservative magani hada da matakan for ruri na rigakafi. A saboda wannan dalili, marasa lafiya gudanar immunomodulating kwayoyi ( "Taktivin", "Timalin", "Imudon") da kuma bitamin gidaje. Yadu amfani physiotherapy. Ba su gaba daya warkar da cutar, amma da wani amfani tasiri a jiki. Daga cikin su akwai:

• UHF.
• UFO.
• magnitorez.
• electrophoresis.
• endovaginal vibratory tausa.

Idan likitoci suka kamu da kaddamar hydrosalpinx na fallopian shambura, da magani ne kawai zai yiwu ta hanyar m baki.

gudanar far

Surgery bada shawarar ga dukkan matan da suka yi da mafarkin gwada a kan rawar da mahaifiyarsa. Bugu da kari, ba tare da wani aiki ba zai iya yi a cikin hali na hanzari m adhesions, kazalika da rikitarwa hanya da cuta.

Yadda za mu bi hydrosalpinx na fallopian shambura? Yau, a matsayin muhimman hakkokin Hanyar gudanar laparoscopy ake amfani da su kawar da cutar. Wannan shi ne mafi inganci da kuma a lokaci guda m hanya da magani. Akwai da dama iri na wannan hanya. A musamman embodiment na likita ance far da haƙuri da kiwon lafiya, da fallopian shambura.

1. Tubektomiya. A lokacin wannan aiki, likita ya aikata wani resection na daya ko biyu shambura. Domin shi ne ya nemi shawara a cikin akwati inda babu sauran magani zabin da cutar.
2. Salpingoneostomiya. A hanya yakan haifar da wani sabon rami a cikin samuwar da fallopian tube.
3. Fimbriolizis. M magudi da nufin saki lint daga bututu karshen katin adhesions, m kau.
4. Salpingoovariolizis. A lokacin hanya, likita yanke ta cikin zanganniyarsa a lumen na tube.

Ko ciki ne yiwu bayan da laparoscopy fallopian shambura? Hydrosalpinx - wannan ne mai matukar tsanani Pathology, dogon duration wanda tabbatacce ya rinjayar da kiwon lafiya na mata. Nasara aiki ne ba tabbas zai azumi conceiving wani jariri. Idan likita gudanar ya ci gaba da bututu da kuma mayar da su patency, da oviduct ba cikakken aiki. Cilia ciliated epithelium iya rasa motility kuma murdede Layer sau da yawa daina mu'ãmalar. A sakamakon haka, shi tsarè al'ada hanginsu. Saboda haka mata bayan tiyata ne a hadarin ectopic ciki. Kamar wancan ne marasa lafiya shawarar hadi da IVF.

m matakan

Gidrosalpinksa fallopian shambura, da magani daga wanda aka bayyana kamar sama, shi ne mai tsanani cuta. Duk da haka, da ya faru za a iya hana, idan kun tsayar da wadannan jagororin:

1. Yana bukatar lokaci mu bi gynecological ailments. Idan kana da zafi, atypical secretions ko wasu m bayyanar cututtuka kamata nan da nan a tuntuɓi likita-likitan mata.
2. Yana da muhimmanci a kiyaye asali dokoki na sirri kiwon lafiya. Shower, likitoci rika yi sau biyu a rana. A lokacin haila ya zama yadda za a canza kiwon lafiya akai-akai.
3. Yana da kyau su bari promiscuity da kuma ko da yaushe yi amfani da maganin hana haifuwa wani shãmaki.
4. Wajibi ne a kula da lafiya salon, don kawar da duk miyagun halaye.

Hydrosalpinx na fallopian shambura, idan ya bar untreated, zai iya sa tsanani da rikitarwa. Wadannan sun hada da ba wai kawai rasa haihuwa. Ko a lokacin da nasara ganewa wani jariri ne wata ila don ashara ko maras wata-wata zubar da ciki.