How kurapa hydrosalpinx pamusoro fallopian sepombi? Zvairatidza kuti Step

Mumwe nemigumisiro yakaipisisa zvinoshandiswa kuzvimba chirwere of fallopian sepombi - hydrosalpinx. Maererano nenhamba, zvinonzi chirwere muna 30% yevakadzi vane pamuviri zera. Zvokurwara kunodzivisa yakabudirira yokubereka mwana. Zvisinei, kana zvakakwana kurapwa pamuviri zvinogoneka. Mazuva ano nyaya tichataura kuda kuziva kuti chirwere nenzira yakakodzera nenzira, chero nzira kurapwa hwemazuva mushonga zvinowanika.

Marongerwo uye kushanda fallopian sepombi

Kuti tinzwisise mashandiro ari chirwere chacho zvichiita zvinokonzera, zvinokosha yakawanda yokunyatsoongorora anatomi. Uterine kana fallopian chubhu - iri aiwanzopiwa wokushanda pamwe lumens muviri maviri. Its kureba 10-12 cm. Imwe kuguma chubhu chinotanga kupinda dumbu, uye vamwe miromo pamwe fibers uye riri pedyo ovary. Achibatsirwa makomba idzi abdominal mhango anokurukura pamwe sikarudzi.

Masvingo ari fallopian chubhu anoumbwa matatu akaturikidzana: wokunze, womukati uye tsandanyama. Wokutanga anomiririrwa peritoneum uye unodzivirira basa. Muscular rukoko chinowedzera contractile kufamba rinotungamirirwa kurutivi uterine mhango. Inside fallopian chubhu ciliary epithelium lining. Its basa chikuru - basa undulations uhwo zai anopinda dumbu takasununguka. Pakati chinobatanidza epithelial glandular masero ciliated vari akaronga. Ivo basa pagadzirwe chinokosha chakavanzika. Izvi zvinhu inotsigira chinhanho kubva dzisingaoneki, zai uye embryo tanga vayo kukura.

Chii hydrosalpinx pamusoro fallopian sepombi?

Izvi chirwere gynecological kuti pakupedzisira inotungamirira Kuvhiringidza pamusoro Fallopian sepombi. It kunoratidzwa zvishoma nezvishoma kuunganidza transudate ari lumen iri gwara. Somugumisiro nenyere iri mudzoke kunyika maumbirwo, iyo fananei homwe. Panguva kutanga kwekupwanyiwa kukura pathological muitiro anenge asingadi unooneka. Kazhinji maperembudzi akanzi kana mukadzi anotendeukira gayinakorojisiti ari kutsvaka zvinokonzera kushaya mbereko.

Doctors ndeizvi siyana hydrosalpinx:

• zviboshwe;
• mativi;
• mativi.

Mumwe ane mativi chimiro chirwere inozivikanwa nechitarisiko kuzvimba chete chete nenyere. Muchiitiko chino, mukadzi anogona pamuviri pachavo, asi mukana wokuti vabudirire pamuviri vagovane. Kana bilateral hydrosalpinx chakavhara vose sepombi. Pamuviri yakadaro chirwere hazvibviri, kana kwete kukurumidza kwachiremba. Zvadaro, unogona kutanga kushaya mbereko wakakwana umo mukana anozvipira kutakura uye kubereka mwana ane utano ndiyo razero.

Yoga zvakafanira kuti funga chirwere zvokurwara. Inokudziridza zvishoma nezvishoma uye asingauyi vanoratidza abnormalities. Mukadzi anonzwa zvakanaka. Hydrosalpinx Tubhari padzakacherechedza netsaona, kana kuonekwa panguva gayinakorojisiti. Naizvozvo, zvakakosha kuti nguva nenguva chaidzo chokudzivirira kuongororwa nachiremba kuti.

zvigadziriswe zvirwere kukura

Kutyora fallopian sepombi rinotanga pakanyorwa kuzvimba, akadai salpingitis kana salpingo. It kunoitika zvemamiriro kuwedzera connective zvinyama, vakaumba adhesions vakawanda uye scarring. Kuzvimba zvishoma nezvishoma kunosvika kune akaturikidzana ose fallopian sepombi.

Villi kufa ciliated epithelium uye tsandanyama rukoko anorega shoma kwazvo. The lumen of chubhu ichikura adhesions, bopoto permeability kwayo. Muna mhango kuumbwa anotanga kuvaka chakavanzika. Zvinonzi zvinoberekwa mumasero epithelium semhinduro kuzvimba zviripo. Nokudaro chirwere hwapedyo naTubhari - hydrosalpinx.

The zvikonzero

The panowanikwa chirwere anokonzerwa kuvhara pakati chikamu fallopian sepombi. Kazhinji dambudziko rakadaro ndiko muviri apindura kuti munharaunda kushoma. Infectious yomuchipatara pinda zvose uplink uye downlink nzira. Muchiitiko chokutanga chokuita dzokubereka nadzo nhengo (cervix, dumbu, nyinyo). Kana okutambirwa zvinotapuriranwa nevasori, pamwe neropa nokuyerera kubva okuwedzera, itsvo kana dundira wechipiri. Dzimwe nguva kuzvimba iri aseptic hunhu kana pashure pokumuka siyana gynecological zvirwere.

Vanachiremba ndeizvi zvikonzero gidrosalpinksa naTubhari;

• kakawanda pamuviri, kuitisa chirwere curettage of dumbu;
• kushandisa imwe intrauterine mudziyo;
• hypothermia (zvaanopa simba pathogenic kasvisto pamusoro kwakaderera kutapata);
• kakawanda kuchinja pabonde;
• kuzvimba kukanganisa mudunhu zvinoshandiswa uye ovaries (oophoritis, adnexitis);
• pabonde infantilism ;
• adenomyosis;
• endometritis;
• kusangana nekutsi kwemukadzi bakitiriya overgrowth.

Yaitsigira divi muitiro (hydrosalpinx akasiya fallopian chubhu kana chete kurudyi) rinowanzoberekera nokuda anatomical abnormalities kana yakafanira piosalpinks. Panyaya iyi, iyo pus wefodya chose, hapana chete serous secretion. Reversible pathological muitiro chokuita zvose fallopian sepombi, yakaumbwa pamusoro mamiriro echirwere kuzvimba kukonzerwa siyana zvinokonzera zvirwere.

zvekuchipatara mufananidzo

Ko hydrosalpinx ari fallopian sepombi ndivo zviratidzo? Panguva kutanga kwekupwanyiwa kusimudzira maitiro zviratidzo chirwere zvisipo, sezvo anogumbura pezvakaitwa regai kuratidza basa. Rinozivisa, sezvatakagamuchira akati, netsaona, panguva vakaongorora panguva gayinakorojisiti.

Sezvo kuchiita chirwere pane pakutsanangura kunotoda mufananidzo. Inosimudzira secretion kuti madzihwa mumasero epithelium kunotungamirira achidira pombi, saka kuti kuwedzera kukura. Nokuda kwaizvozvi, mukadzi rinowanikwa kunzwa Kutambudzika rezasi mudumbu. Kana zvokurwara kunoratidzwa maviri-nzira hunhu, chiratidzo ichi hworatidza pachayo kumativi ose. Nguva nenguva zvinoita tembiricha kuwedzera kuti subfebrile zviratidzo. Mune zvimwe zviitiko, vakadzi vanotambura nokukurumidza kuunganidza secretions kubva nyinyo.

Apo chirwere "fallopian chubhu" hydrosalpinx kunokanganisa okubereka kugona ane muviri. Kana pakakoromorwa dzakavharika chose, zai haagoni kuwana mukati, saka muchangosangana hakuitiki. kukanganisa uku kunonzi Tubhari kushaya mbereko. Kana pakakoromoka haasi chose makavhara, mipendero mucosal vari ndokudzora, uye tsandanyama tishu atrophy. Somugumisiro ndachinja mukadzi anowedzera mukana ectopic pamuviri.

Kusingafadzi kuomesa gidrosalpinksa vaiona pakakoromoka fallopian chubhu. Nokuti ichi kunoratidzwa ne kwaita kurwadziwa zvikuru rezasi abdominal nzvimbo, uye tachycardia, BP. Skin zvishoma nezvishoma anopera, wake chiito zvakajeka distinguishable vesicles ziya. Kana mukawana Zviratidzo izvi unofanira pakarepo kudana chikwata utano nenyanzvi.

Hydrosalpinx uye pamuviri

Vakadzi hydrosalpinx yekuronga pamuviri, laparoscopy inokurudzirwa. nzira iyi kunoita kuti adzorere patency pamusoro nyere, asi kazhinji kuvhiringidzwa dzavo rechisikirwo. Uyezve, rinooneka kuderedza receptors kuti mikuru hormone - estradiol uye progesterone. Zvinhu izvi zvinogona kutungamirira ectopic pamuviri.

Kana pathological muitiro kunosvika chete chete mutopota, pamuviri zvinokwanisika. Zvisinei, kuvapo anokonzera kuzvimba ari chiuno ndiyo anokanganisa kukura mudumbu. The womukati Urume zvinosanganisira lymphocytes nezvimwe chepfu nevamiririri. Naizvozvo pamuviri haina varumbidzwa pasina kuvhiya kurapwa. Nokubviswa fallopian sepombi kana hydrosalpinx hazvideredzi chido chokurara nevakadzi, asingadi kukanganisa kwaro hormone yakabudirira kana wako kumwedzi. Apo vaviri-nzira chimiro chirwere pamuviri sezvingatarisirwa hazviiti. Panyaya iyi, mukadzi IVF nzira inokurudzirwa.

Resection of fallopian chubhu pamberi ezvokunambira kunze kwomuviri waamai muchangosangana kunosanganisira zvakawedzera mukana wokuti vabudirire pamuviri munenge 30%. The kushurudzira zviri nani kana kodzero vaite kuvhiyiwa kubvisa, pane kuedza kudzorera patency pamusoro oviducts kushandisa dzakasiyana-siyana zvaungasarudza kuti laparoscopy.

Kare, zvave kuti kubviswa fallopian sepombi rinobatanidza kutyora ropa rive uye huta mitemo yacho ovaries. The ongororo haana kusimbisa mashoko aya. Kubviswa njodzi nenyere pamberi IVF asina sei mamiriro ari ovaries, pavakapiwa dzishande muitiro muchangosangana unodiwa.

nzira nechirwere

Kana uchifungidzira munhu hydrosalpinx pamusoro fallopian sepombi zvakafanira kunoona chiremba. Chirwere chirwere kunotanga pakuongorora murwere. Kana achiita bimanual palpation detectable zvokurwara muchimiro elongated zvakasimba inotungamirwa pamwe chete chete kana kumativi ose panguva imwe chete. Marwadzo kusagadzikana ingamuka nzira iyi. Ndatamira paku nzira nechirwere. Pakati pavo, zvikuru mashoko vanoonekwa ne maitiro anotevera:

1. Transvaginal Ultrasound. Kunoitawo kuti chaunoti hydrosalpinx, vakapisa nzvimbo, chimiro uye anofungidzirwa kukura.
2. Hysterosalpingography. Zvinobatsira kuongorora patency ari fallopian sepombi. Panguva chirwere Kusiyana mumiririri iri jekiseni pasi kumanikidzwa kupinda uterine mhango. Pashure paizvozvo, dungwerungwe radiographic mifananidzo umo dzomunyika pabonde nhengo vanoonekwa zvakanaka.

In okurapa, pane zviitiko apo, pashure Ongororo kwakadaro vakadzi vane pamuviri pachavo. Ukuwo, izvozvo kunowedzera mukana wokuti exacerbation echirwere kuzvimba.

A nzira zvikuru yakavimbika nechirwere anonzi laparoscopy gidrosalpinksa fallopian sepombi. Kushandiswa nzira iyi inobvumira kuti iongorore avo ezvinhu uye tora zviri kuona kutapuriranwa mumiririri wayo aikanganiswa nemishonga. Dzimwe nguva vanachiremba angarega laparoscopy nokuda kwayo invasiveness. kupindira kwakadaro kunogona kuwedzera kukura adhesions.

Pahwaro chiremba vakagamuchira kuongorora zvabuda zvinopupurira kana anoramba rokutanga zvokuongorora anopa kurapwa audzwa. Zvipatara panguva zvokurwara ichi zvingava kuchinja kana kushanda. Funga nomumwe embodiments zvizere.

kuchinja mabatiro

Zvipatara vanofanira kutanga panongovira chiremba akasimbisa chirwere "hydrosalpinx pamusoro fallopian sepombi." Kurapa pasina Kuvhiya pachii vakadzi havadi kuva nepamuviri, kana dzisina kwokuomerwa ari pathological muitiro. Kuti tikurire kuzvimba taurira inorwisa mabhakitiriya. Duration yokurapa uye chipimo chemushonga kurapwa pakutsvaga chiremba. Panyaya iyi, nyanzvi anofanira kufunga nehanya kuti utachiona kuti zvinodhaka anoshandiswa uye yezvakaita causative pomutumwa.

Kuchinja mabatiro zvinosanganisira zviyero nokuda kweiyi kutapata. Nokuti chinangwa ichi, varwere dzakabatwa immunomodulating zvinodhaka ( "Taktivin", "Timalin", "Imudon") uye vhitamini zvivako. Zvinowanzoshandiswa physiotherapy. Havaiti zvachose kurapa chirwere, asi ane zvainoita muviri kunobatsira. Pakati pavo vane:

• UHF;
• UFO;
• magnitorez;
• electrophoresis;
• endovaginal vibratory masaja.

Kana vanachiremba chirwere raparurwa hydrosalpinx pamusoro fallopian sepombi, mishonga zvinogoneka chete pachishandiswa kuvhiya kupindira.

kushanda kurapa

Kuvhiya inokurudzirwa vakadzi vose vane hope kuedza pamusoro basa mai. Uyezve, pasina kuvhiyiwa kuita panyaya nokukurumidza mberi adhesions, uyewo yakaoma weboka chirwere.

How kurapa hydrosalpinx pamusoro fallopian sepombi? Nhasi, sezvo nzira dzinokosha kushanda laparoscopy rinoshandiswa kubvisa zvirwere. Ndiwo inonyatsobudirira uye panguva imwe chete nzira kurapwa munyoro. Kune akasiyana wandei nzira iyi. A Kunyanya pachake chiremba anosarudza kurapa murwere wacho utano, asi fallopian sepombi.

1. Tubektomiya. Panguva mashandiro ichi, chiremba anoita resection mumwe kana vaviri sepombi. Nokuti anobvunzwa panyaya apo hapana vamwe marapirwo chirwere.
2. Salpingoneostomiya. The nzira chinoreva buri itsva paumbwe fallopian chubhu.
3. Fimbriolizis. Kuvhiya evanhu zvainanga kusunungurwa anopinza kubva nenyere kuguma kadhi adhesions, mvura mvura kubviswa.
4. Salpingoovariolizis. Munguva nzira, chiremba unocheka kuburikidza yakatesvera panyanga dzacho dziri lumen iri kumicheto.

Kana pamuviri zvinogoneka pashure laparoscopy fallopian sepombi? Hydrosalpinx - iyi inokosha zvikuru zvokurwara, nguva refu iro zvechokwadi kunokanganisa utano nevakadzi. Kunobudirira oparesheni haina kodzero zvakasimba yokubereka mwana. Kana chiremba akakwanisa kuramba nenyere nokudzosa patency yavo, oviduct hakusi woshanda zvizere. Cilia ciliated epithelium ingatadza motility uye tsandanyama rukoko kazhinji haizorambi kubata. Somugumisiro, izvozvo chacho chakaipa peristalsis. Saka vakadzi pashure pokuvhiyiwa vari pangozi ectopic pamuviri. Saka varwere rakarumbidzwa aberekeswe IVF.

matanho

Gidrosalpinksa fallopian sepombi, mishonga iyo inorondedzerwa chete kumusoro, ndiye ane chirwere chakakomba. Zvisinei, chiitiko chacho zvinogona kudziviswa, kana uchichenjera zvinotevera:

1. Inoda nguva kubata gynecological zvirwere. Kana uine marwadzo, atypical secretions kana zvimwe zvisingafadzi Zviratidzo hwobva kutaura chiremba-gayinakorojisiti.
2. Zvakakosha kuchengeta zvinhu mitemo utsanana. Shower, vanachiremba vari zano kaviri kutora zuva. Panguva yekutevera kunofanira kuchinja utsanana kakawanda.
3. Zviri nani kusiya unzenza uye nguva dzose shandisa chipingamupinyi pamuviri.
4. Zvakakosha kuramba mararamiro utano, kubvisa miitiro yose yakaipa.

Hydrosalpinx of fallopian sepombi, kana akasiya untreated, anogona kukonzera zvakakomba matambudziko. Izvi zvinosanganisira kwete chete kushaya mbereko. Kunyange kana kubudirira pamuviri mwana anogona nokupfupfudzika kana vaingoerekana pamuviri.