Ukwakhiwa kwamatayipi angama-fallopian kungabangela ukungabi nabantwana. Isizathu sokuphulwa okunjalo kungaba ukuvuvukala kwezitho zomzimba, kokubili okunzima futhi okungapheliyo, izinhlobo ezihlukahlukene ze-endometriosis yesisu, imisebenzi, kokubili ezithombeni zomzimba kanye nasezigumbini zesisu esiswini.
Izindlela zokuhlola ukuvinjelwa kwama-tubes fallopian
I-Echogasterosalpingoscopy
Phakathi nale nqubo, u-20-40 ml wezinyosi oyinyumba. Ingabe ujojelwe emgodini wesibindi. isisombululo (isixazululo esingu-5% se-glucose, kodwa i-polyglucin engcono). Isigaba sesisombululo esethuliwe ngokusebenzisa amashubhu we-fallopian sibhekwa ngendlela yokuskena kwe-ultrasonic. Ukuskena kwenzeka endaweni yemvelo. Isixazululo esiyinyumba esithela emgodini we-uterine, ngokwezinga layo "lokubonakala" lihlukaniswa kakhulu phakathi kwezicubu ezizungezile, okuvumela ukusebenzisa i-ultrasound ukuqhathanisa ubukhulu besisombululo kanye nokuqukethwe kwesibindi (isisu sigcwele ngesikhathi sokuhlolwa):
- Uma ukutholakala kwamatayipi omzimba ohlangothini lwama-fallopian kungamaceleni amabili, isixazululo sizobe sitholakala ngakwesobunxele nangakwesokudla kwesigaba somkhakha wesiguli, emva kwalokho sizohlangana emgodini we-utero-rectal ibe yinye.
- Uma ukuvinjelwa kugcinwa ezingxenyeni ze-ampullary ze-tublopian tubes, isisombululo esiyinyumba sitholakala emathinini amathanga afana nesimo se-retort-like cavity formations.
- Uma ngemuva kokusungulwa kwesisombululo ama-tubes falsipian ayabonakali, kodwa isikhumba se-uterine senyukile ngenxa yesisombululo esilayiwe, ngakho-ke kungashiwo ngokushiywa kwezingxenye zangaphakathi zamatayipi angama-fallopian.
- Uma ama-tubes okhohlisayo abhekwa ngamamitha amabili (angasaphinde), lokhu kubonisa ukukhishwa kwesigaba se-isthm of the tubespies tubes.
- Uma isixazululo singabonakali emgodini we-utero-rectal, lokhu kubonisa ukuthi kukhona ukutholakala kwamatayipi okuhlukumezeka endaweni yangakini.
I-Hysterosalpingography (GHA)
Le ndlela yokuxilongwa ivame ukuqhutshwa ngosuku lwesihlanu kuya kwesishiyagalolunye umjikelezo wokuya esikhathini (i-GHA yenziwa uma umjikelezo ungamashumi amabili nesishiyagalombili). Uma owesifazane onezinhlelo zokubeletha ukukhulelwa, akunakwenzeka ukuba akhiphe ukukhulelwa esiqeshini sesibili somjikelezo, njengasekuqaleni komjikelezo, futhi ukwenza inqubo kungabangela ukwephulwa kwenqubo yemvelo. Uma owesifazane evinjelwe ukukhulelwa, i-GHA ingenziwa kunoma yiluphi usuku lomjikelezo, ngaphandle kwezinsuku zokuya esikhathini. Ngaphambi kokuba owesifazane aye ku-GHA, udlulisa ukuhlolwa kwe-syphilis, i-HIV, i-hepatitis C no-B. Futhi, owesifazane uthatha isisindo semifino ukuze aqinisekise ukuthi i-microflora ye-vaginal ivamile.
Inqubo yenziwa ngesikhathi sokugula, ngokuvamile ngaphandle kokusebenzisa imithi yobuhlungu. I-contrast substance ishicilelwe emgodini wesibeletho futhi uma konke kujwayelekile, umgogodla wesibindi, kanye nezibhubhu ze-uterine, ziyogcwaliswa ngalesi sici futhi zizogeleza eziphethweni ezingaphephile ezingapheli. I-X-ray ithathwa ngalesi sikhathi, ukuze nje ubone umgudu wezibhubhu kanye nesisu. Le nqubo isebenzisa izinto ezihluke phakathi kwamanzi-okuyi-inthanethi, i-triombrast.
I-Hysterosalpingogram yokuhlehlisa
- Uma kuphela kubonakala ubumbano lwe-uterine, singakwazi ukukhuluma ngokuvinjelwa kwezindawo eziphakathi kwamatayipi wezintambo.
- Uma izibhubhu nezibeletho zibhekwa, okuqala ngamamentimitha amabili (angekho ngaphezulu), khona-ke singakwazi ukukhuluma ngesithiyo sezingxenye zesigcawu zamatayipi angama-fallopian.
- Uma ama-tubes of fallopian ebonakalayo yonke indawo - ukungaphumeleli kwezigaba ze-ampullar zamathebhu we-fallopian. Ngaphezu kwalokho, amashubhu angabonakali angakhululwa ngokungalingani. Uma kukhona ukuvinjelwa kwezizinda ze-isthmic, interstitial noma ampullar emgodini wesisu, asikho isixazululo sokuphambene.
I-laparoscopy ene-chromohydrobubation
Uma wenza i-laparoscopy, ukuthambekela kwama-tubespian tubes kuhlolwe. Ngalesi sizathu, isisombululo (i-methylene isisulu sekhambi) sitholwa emgodleni ngomlomo wesibeletho. Ukuhamba kwe-liquid ngokusebenzisa amashubhu we-fallopian kulawulwa ikhamera (iphinde iphengulwe) kumodi yanamuhla. Inani lokuxilonga ekuhloleni ubuciko noma ukuvinjelwa kwamatayipi okuguquka yi-laparoscopy ngokuvamile i-100%. I-laparoscopy izobona izinga lomonakalo futhi iqede imbangela yalesi simo.