Isizathu esona siqhelekileyo sokusweleka kwabasetyhini kukukhutshwa kwamathambo. Ngomqobo, ukuhamba kwe-ovum ukusuka kwi-ovary ukuya kwisibeleko kunzima ngokusebenzisa izibhabhu ze-fallopian (uterine). Ngenxa yoko, ukuchumisa akunakwenzeka, kwaye ukuba kwenzeka, iqanda lingenakuncipha kwisibilini sesibindi, esele kwisigxina se-tube kwaye ekhokelela ekuphuhlisweni kokukhulelwa kwe-ectopic.
Diagnostics
Ukukhutshwa kombhobho kungenzeka ngenxa yezizathu ezininzi, kuquka:
- Izifo ezivuthayo ezithombeni ze-pelvic (adnexitis);
- Izifo ezithathelwana ngesondo;
- nemiphumo yokukhupha isisu;
- ukungenelelo kokungena kwii-pelvic (ukususwa kwe-fibroids, i-cysts, i-appendectomy nabanye).
Xa ezi ngxaki zivela, abafazi bahlala behamba kwiinkqubo zonyango kwaye bayalibala ngokugula, bengakwazi ukuba banokuzikhumbuza ngemiphumo, kuba ukuvinjelwa kwamathambo athile angabonakali kwaze kwaba yimibuzo yokukhulelwa. Ukuze kuqinisekiswe ukuba ngumqobo wokubangela ukungabikho kwengqondo, kuyimfuneko ukuba ufumane ukuxilongwa okufanelekileyo. Ukwabela iindlela ezilandelayo:
- I-Hysterosalpingography - umgangatho ochaseneyo ujojowe kwi-tube cavity ngomlomo wesibeleko kunye nesithombe se-X-ray sithathwa, esibonisa ukuba singene kwiibhubhu size sifinyelele ngasezantsi. Ezinye iingcali zikholelwa ukuba le ndlela yokufumanisa ukukhutshwa kwezigulane ze-fallopian yinto enonyango ngenxa yendlela yokuhlamba isisombululo esicatshiwe.
- I-Echogisterosalpingoscopy - i-saline yomzimba ifakwe kwi-uterine cavity kunye ne-ultrasound eyenziwa. Ukusebenza kweendlela kuncinci kunezo zangaphambili, nangona kunjalo, kukhuselekile kwimeko yokujonga ukukhanya kwemitha.
- Indlela ekhoyo yamanje yokufumanisa ukukhutshwa kwamathambo e-fallopian yi-laparoscopy. Oku kungenelelo lokusebenza kunye nokungeniswa kwisixhobo sevidiyo, esikuvumela ukuba ubone umfanekiso ngaphakathi.
Indlela yokuphelisa ukukhutshwa kwamatye?
Abasetyhini abajongene nalolu xilongo bahlale bexhalabisa ingxaki enye - nokuba ukuphazamiseka kwamathambo e-fallopian kuyaphathwa. Sekuninzi emashumi emashumi edlulileyo edlulileyo kwaba isigwebo, besongela ukungakwazi ukukhulelwa ngokupheleleyo, kodwa kwi-arsenal yezobugcisa zanamhlanje kukho iindlela, ukuvumela ukulungisa le ngxaki kunye nokubonisana nezibini ezithintekayo ukuvuyela ukukhulelwa.
Zonke iindlela zonyango zinokwahlukana kwiindawo ezimbini:
- unyango olulondolozayo (unyango, u-physiotherapy, unyango kunye nezindlela zabantu);
- ukungenelela kokusebenza.
Kwindlela yokwakhiwa kwamanyathelo, unyango olulondolozayo luba nefuthe kuphela xa unyango olukhuselweyo lwenziwa kwiinyanga ezi-6 zokuqala emva kokuvuvukala, kodwa ngoku kudla ngoku kuphelelwa lixesha, ngoko ke indlela eqhelekileyo iyasebenza.
Utyando lwe-tube block
Ukungenelela kokusebenza, kwakunye nokuxilongwa, kuqhutyelwa yindlela yokwenza i-laparoscopic, ngelixa i-adhesion
Umqobo weTubal - unyango kunye nezilwanyana zabantu
Indlela eqhelekileyo engeyona yendabuko yonyango yindlela yokusebenzisa i-boron uterus ekukhuselweni kwamathambo e-fallopian. Ininzi idla ngokusetyenziswa kotywala, ekwazi ukulungiswa ngolu hlobo lulandelayo: izipuni ezi-5 zesityalo esomileyo sityhala i-½ ilitha ye-vodka. Sifaka endaweni emnyama ngeentsuku ezi-15, ngokukrakra ngezikhathi ezithile. Thatha amaconsi amathathu ngosuku ngeyure ngaphambi kokutya kwama-40. Kwakhona isetyenziselwa unyango lwe-obstruction kunye ne-sabelnik eziqhelekileyo.
Enye indlela eqhelekileyo yonyango elongezelelweyo yi-hirudotherapy - unyango kunye neengcambu ze-tube block.