Ndiyakwazi ukukhulelwa kwiphubhu enye? Impendulo ye-gynecologist

Umfazi ngamnye uvakalelwa kukuba unomnqweno ongenakunqwenelekayo wokuba ngumama, ukunyamezela isifuba sakhe esingenakukhuseleka, ukujonga emehlweni akhe. Kodwa, ngelishwa, ukuze ube nomntwana, akukho nto inomnqweno owaneleyo. Ufuna impilo enempilo. Ngamanye amaxesha amabhinqa kufuneka asuse iipayipi. Kwenzeka ntoni ngoko? Ngaba ndiyakhulelwa kwiphubhu enye kwaye ngaphandle kwayo?

Isakhiwo senkqubo yokuzala isetyhini

Okokuqala, umntu kufuneka aqonde ukuba kutheni ibhubhu yomama ifunekayo ukuphendula umbuzo onomdla. Ngoko ke, inkqubo yokuzala inzala ibandakanya ubulili, isisu, ama-tublopian tubes kunye nama-ovari. Iibhubhu ze-Fallopian ezine-ovari zenza iifowendages zesisu. Esi sithuba sivame ukukhuselwa yiplagi encinci, ekhusela i-spermatozoa ukungena kuyo. Le khomba iyancitshiswa ngexesha lokunyuka kwesisu kunye nokuya esikhathini. Kule mihla, isidoda sinako ukungena kwi-vagina ukuya kwisigxina se-uterine. Iqanda liqala uhambo lwayo kwi-ovary kwaye lihamba kunye ne-tube fallopian ukuya kwisibeletho, apho idibana ne-spermatozoon. Okokuthi, ityhubhu ye-fallopi yindawo kuphela apho i-ovum kunye nesidoda idibana khona.

Ngoko, ukuba ibhinqa lisuswe enye ityhubhu, ndiyakhulelwa? Ngokuqinisekileyo, ewe! Kodwa amathuba ancitshiswa ngama-50%, kuba umjikelezo owodwa ovary ukhupha iqanda elivuthiweyo. Ngoko, kungekho inyanga nganye i-ovum iza kubelwa ngokuchanekileyo kwi-ovary, ene-tube fallopian.

Umfazi angayilahla nini ityhupipian tube?

Iibhubhu ze-Fallopian zisuswe xa ubomi bomgulane buyosongela. Oku kwenzeka kwiimeko ezininzi:

1. Ukukhulelwa kwe-Ectopic. Isidoda sithatha i-ovule kwi-tube fallopian. Yaye ukusuka apho, sele isele ifakelwe, ihamba kwisibeleko. Kodwa kwenzeka ukuba ezinye izizathu azivumeli ukuba zizalise uhambo lwazo. Ngenxa yoko, imbungu iqala ukuphuhliswa kwayo kwiphubhu. Njengoko ikhula, izicubu ziya kwandula kwaye zidilize, ezibangela ubuhlungu obukhulu kunye nokuphuma kwegazi.
2. Iinkqubo ezivuthayo kwiimfucu zamabhobho zingakhokelela ekudityanweni okupheleleyo okanye okukhethiweyo.
3. Adnexit. Izifo, ezihamba kunye nokuvuvukala kwezilwanyana ze- uterine. Ngokuqhelekileyo kubangelwa ibhaktheriya ye-pyogenic. Ukuba isigulo siyashukunyiswa, ukungabikho kwengqondo kunokukhula okanye kukhulu kakhulu ngexesha lokukhulelwa.
4. Ukuzaliswa kweemibhobho kunye nombane.
5. Iibhubhu ze-Fallopian zitshintshe kwisakhiwo.

Ngaba ndifanele ndizisuse?

Ukuxhalaba malunga nokuba kunokwenzeka yini ukuba ukhulelwe enye ityhubhu ye-fallopian iphakamisa ukungathandabuzeki. Ngaba kufanelekile ukuya kwinqanaba elinjalo? Kodwa qiniseka ukuba ugqirha akayi kulubalela ngaphandle kwesizathu esihle.

Ukususwa kwebhubhu kuyenzeka xa kukho ingozi ebomini isigulane, njengokomzekelo, ngokukhulelwa kwe-ectopic ngaphezu kweeveki ezine. Kwimeko yokuvuvukala okukhulu, ityhubhu eyonakalisiweyo iya kuphazamisana nokuthwala kwe-fetus, kuba i-microbes iya kuhlala ingena kwisibeletho.

Kunzima kangakanani ukuqhutyelwa komsebenzi?

Emva kokuba kuqeshwe utyando, ugqirha uya kuyiphendula loo mbuzo ukuba ingaba yini na ukuba ukhulelwe ngothutho lomama osekude, kwaye uya kukuxelela ukuba kunzima kangakanani lo msebenzi. Ngeli xesha, i-laparoscopy isetyenziselwa ukwenza. Okokuthi, isigulane asiyi kuyenza i-incision enkulu, kodwa imingxuma emibini kuphela. Le ndlela yinkxalabo encinci. Ukulungiswa kwezigulane kuthatha malunga neveki enye.

Ukukhutshwa kombhobho

Ngokuqhelekileyo ukuphazamiseka kwamathambo e-fallopian kuvela , ukuba loo ntokazi ibhekene nokuvuvukala kwezihlomelo. Ngenxa yoko, i-spike yenziwe - isayithi ehlanganiswe nezicubu ezincinci. Ukuba kukho ezininzi ezinjalo, i-lumen ye-tube ye-uterine iya kuvalwa okanye iindonga ziya kubamba kunye.

Ngenxa yoko, iqanda livaliwe kwaye alikwazi ukutyalwa. Ngaba ndiyakhulelwa kwiphubhu enye engapheliyo? Ewe, ukuba ii-ovari zine pathologies kwaye kukho ityhubhu yesibini.

Izizathu eziqhelekileyo zezifo:

- Izifo ezithathelwana ngesondo;

Ukupheliswa komsebenzi wokukhulelwa;

- imisebenzi kwizitho zeplavic;

Ukukhulelwa kwe-Ectopic.

Yintoni endiyenzayo ukuba ndisombulule ingxaki?

Indlela yokujongana nokukhazamiseka kwamathambo?

Okokuqala, unokushiya njengoko kunjalo. Ukuvunywa akuyikusongela ubomi bomfazi. Uninzi ngokuqhelekileyo, akayizi malunga nokuxilongwa kwakhe, ukuba akukho ziingxaki zokukhulelwa.

Okwesibini, unako ukususa ipayipi elingapheliyo. Ngokuqhelekileyo, oku kuyenziwa kuphela kwimeko yezobugwenxa ezinobunzima kulo.

Okwesithathu, umbhobho ongenakugqithwa unokuthi "udonswe". Ukwenza oku, sebenzisa iprojekthi ekhethekileyo, okuyi-robot yeDa Vinci. Ngoncedo lwakhe, ugqirha unqanda iipikiti kwaye unqanda ingxaki.

Ubunokwenzeka bokukhulelwa kunye netyhubhu enye

Ngaba ndiyakhulelwa enye ityhubhu efanelekileyo okanye ihambe xa ikhutshwe? Kule meko, le ntokazi inokhetho oluninzi-ukuchithwa kwezinto ezikhoyo okanye ukulungiswa kwendawo yengxaki.

Ngaba ndiyakhulelwa enye ityhubhu ukuba yonke imisebenzi ilungile? Kule meko, isiganeko esilindelwe ixesha elide siza kuza, kufuneka nje ulinde.

Indlela yokukhulelwa umntwana ekungabikho kwiphubhu enye ye-fallopian

Ubukho bezo zonke izitho zokuzala zibonisa ezinye iingxaki zokukhulelwa. Ngoko ke, ugqirha kuqala kokunye kufuneka ahlole ukugcinwa komsebenzi wokuzala. Kule nto ufuna:

- ukuqinisekiswa ngobungqina be-ovulation;

- qaphela ingozi;

- ukuphelisa izinto ezisongelayo;

- ukuqhuba unyango.

Emva kokuba le nkqubo icaca ukuba kunokwenzeka yini ukuba ukhulelwe ityhubhu enye ye-fallopian kwimeko ethile.

Ukuhlola ukunyuka

Inyanga nganye kwelinye lamaqanda avelisa iqanda, elikhishwa kwi-tube fallopian. Kukho utyalwa ngedoda kwaye kufike umhla wesihlanu wokuphuhliswa kombungu. Emva koko, i-embryo ishiya i-uterine cavity kwaye iqhotyoshelwe kumgca wayo we-mucous. Ukuba umjikelo wesibini wesifazane uphukile, mhlawumbi, iqanda alikwazi ukuvuthwa.

Okokuqala, kubalulekile ukulinganisa ubushushu bomzimba obusisiseko. Iphakama xa i-ovulating kwi-0.11 degrees Celsius. Ukongeza kule ndlela, sebenzisa iimvavanyo ze-ovulation.

Ingozi ekhoyo

Ndiyakwazi ukukhulelwa kwiphubhu enye? Kuphela phambi kobuhle bempilo kamama ozayo. Ukuba ityhubhu isuswe kunye ne-ovary enye, umthwalo uphindwe kabini. Ngenxa yalokhu, umjikelo uyaba yinto engavumelekanga, kwaye umsebenzi wokuzala uyancitshiswa.

Kule mvelaphi, umngcipheko wokuba nomntwana onokungaqhelekanga kwe-chromosomal ukwandiswa. Oku kubangelwa kakhulu yi-Down syndrome. Umngcipheko wesibini ngowokukhulelwa kwe-ectopic. Ngoko ke, i-ultrasound imiselwe kumanyathelo okuqala.

Ubungozi obunokwenzeka bokukhulelwa

Akukho mingcipheko ethile emva kokususwa. Kuphela ukuba kukho ukukhutshwa okanye iingxaki kwi-ovary yesibili, ke amathuba okuba nombono ozimeleyo ancitshiswa. Ngokusebenza ngokuqhelekileyo kwee-appendages ezisele, umntu akufanele acele nokuba ngaba unokukhulelwa emva kokususa ityhubhu.

Unyango lokucwangciswa komzimba

Emva koviwo kunye nokuqinisekisa ukuba akukho nengozi yokukhulelwa, isi sibini sinikezelwa ngonyaka ukuzama ukukhulelwa umntwana. Ukuba oku kungenzeki, baqala unyango. Khuthaza i-ovulation, khangela isilwanyana somlingane kunye nokunye okunjalo.

Kananjalo ungasebenzisa i-IVF. Inkqubo yenziwa nakwabasetyhini abane-ovary. Kule meko, sondela ekuvuseleleni ukwanda kwe-ovulation.

Iyintoni ingozi yokungabikho kwamathambo amabini?

Ngamanye amaxesha abafazi kufuneka bavume ukutshatyalaliswa kwezibini zombini. Ngaphambi kokuba uqalise ukusebenza, eso sigulane sinokuba nokudakumba, ingakumbi ukuba akanalo abantwana. Nangona loo ntokazi, ukuba ubukho bentsapho abukho kubaluleke kakhulu, kuya kuba buhlungu gqitha.

Kodwa ngaba ufanelekile ukusaba? Ngaba ndiyakhulelwa ngaphandle kwemibhobho? Musa ukuzibandakanya ngamathemba angenanto: ukucinga okuzimeleyo akunakwenzeka ngokungabikho kwabo okanye ukuphazamiseka. Kodwa ithuba lokuba ngumama lihleli. Ukwenza oku, jonga kwiindlela zanamhlanje.

Indlela yokuqhuba i-IVF

I-IVF yinkqubo yokuchithwa kwempahla, apho iqanda lomfazi kunye nesidoda somntu kuthathwa. Umanyolo wenziwa ngugqirha, kwaye emva koko umbhobho obangelwayo ufakwe kwisisu somama ozayo. I-ECO yithuba lokuba ngabazali kwizibini ezithandwayo ngenxa yeso sizathu, ngenxa yokuba abaninzi banokuzibuza "Ndingakwazi ukukhulelwa kwiphubhu enye?".

Ukulungelelaniswa kwendlela yokufakelwa kwezinto ezenziwayo kuthatha ixesha elide kwaye libeka uxanduva olukhulu kubazali bexesha elizayo. Okokuqala, umfazi kufuneka anakekele impilo yakhe.

Kunconywa ukuba ususe ubunzima obuninzi, ukunyanga usulelo, ukuba kukho. Kwaye akukho nto ebaluleke kakhulu ukuzilungelelanisa kwisiphumo esihle. Ukukhathazeka, iimvakalelo - konke oku kuchaphazela kakubi imeko epheleleyo yowesifazane kwaye ingaba ngumqobo kumbungu. Ukuze uzive kakuhle, oogqirha bakucebisa ukuba uhambe kakhulu, ubukele iifilimu ezintle kunye noxolo.

Xa iimvavanyo zibonisa ukulungeleka komzimba, ugqirha ubeka amalungiselelo e-hormonal okukhuthaza ukukhuthazwa kokuqhathaniswa kweqanda. Kubaluleke kakhulu ukulandela iziphakamiso zengcali, ngenxa yentlangano yakho iya kuxhomekeka kakhulu kwisiphumo.

Isinyathelo esilandelayo kukususwa kwamaqanda. Eli bhinqa lingena kwi-anesthesia ixesha elifutshane. Emva kwenkqubo, i-embrologist iqalisa ngokukhawuleza ukusebenza, kwaye emva kweveki kamva imibusi ifakwe kwisibeleko. Emva koko, kuhleli ukulinda, baya kuqheleka. Uvuyo luphela kwiiveki ezi-3. Ngeli xesha kunconywa kungekuphela nje ukuvuya kunye nokuphupha malunga nekamva elihle, kodwa nokudibanisa nokungaphumeleli, ukwenzela ukuba akusiyo inzima, kwaye izandla zakho aziwa. Kuphawulwe ukuba kwiimeko ezininzi, iinzame zokuqala azipheli ngesiphumo esihle.

Akunakwenzeka ukuba uhlambele ulindele umntwana

Sekucacile kakade ukuba kunokwenzeka yini ukuba ukhulelwe ngothubhe enye okanye ekhohlo. Kodwa umntu angamkela njani ukuba ukukhulelwa akukwenzeka ngokukhawuleza, kwaye ungalindelanga ukulibaziseka komjikelezo ngamnye? Abafundi kulo mbandela, abafazi bacebisa ukuba bakhululwe imeko, kwaye ke yonke into iya kwenzeka. Zivume nje ngokwaloo nto, funda ukuqwalasela ukuziphatha kwakho njengesiqhelo kweli nqanaba ebomini bakho, kwaye ungaba neentloni ngxaki yakho. Ungalibali ukuphinda uzenze kwakhona ukuba yonke into iya kuvela. Amachiza athatha amanqanaba amakhulu kwaye anika abafazi amathuba amaninzi okuba ngumama.