Me pēhea te ki te hamani hydrosalpinx o nga korere kākano? Tuhinga ki Hipanga

Ko tētahi o nga nunu'a mamafa o te mumura konga ko te mate o nga ngongo kākano - hydrosalpinx. E ai ki ngā tatauranga, kua pāngia te reira i roto i te 30% o te mau vahine o te tau uri. ārai whai māuiuitanga hapu te tamaiti. Heoi, he taea ki te hapūtanga maimoatanga tika. I roto i te tuhinga o tenei ra ka kōrero tatou e pā ana ki te pehea, ki te mohio ki te mate i roto i te wā, i tetahi tikanga o te maimoatanga o horo'a rongoā hou.

Hanganga me te mahi o nga korere kākano

Hei mahino te huarahi o te mate, me ona take taea, he mea e tika ana ki te ruku hōhonu ki te anatomy. Uterine kākano ranei ngongo - kua takirua reira ki lumens tinana e rua. Ko tōna roa ko te 10-12 cm. Oroko tetahi pito o te ngongo ki te kōpū, me te tahi atu pito ki muka, me te he tata ki te kura kākano. Ki te awhina o enei rua fetu'utaki te kōhao puku ki te kikokiko.

Ko te taiepa o te pūkano titoa o e toru paparanga: te waho, i roto, me te uaua. māngai te tuatahi e te peritoneum me te mahi tiaki. whai wāhi kahu uaua ki te nekehanga contractile whakahaua ki te kōhao uterine. Roto kākano ngongo ciliary epithelium ararewa. Ko tōna mahi matua - te kōmihana o undulations e ai te hua manu wairakau tomo te kōpū noa. I waenganui i nga āhuatanga o ciliated pūtau glandular epithelial e whakaritea. Ko ratou kawenga mo te hanga o te ngaro motuhake. E tautoko ana tēnei rauemi i te noho tuwhera tonu o te parāoa, hua me te kukune i roto i nga tīmatanga o tona whanaketanga.

He aha te hydrosalpinx o te korere kākano?

Tenei mate gynecological e pae hopea e arata'i ki te rangirua o nga korere kākano. Kei te āhuatanga i te reira e te haaputuputuraa āta o transudate i te lumen o te teihana. Ka rite ki te hua o te putorino e tahuri ki te hanganga, i rite te putea. I te wāhanga tuatahi o te whanaketanga o te tukanga pathological kore e faaite mai tata ano. Ko te tikanga pāngia te mate te ka tahuri te wahine ki te rata mātai i roto i te rapu mō take o pākoko.

Doctors Ko nga momo e whai ake nei o te hydrosalpinx:

• mahue-ringa;
• taha;
• taha.

puka-iu tetahi o te mate āhuatanga e te ahua o te mumura anake i runga i te kotahi putorino. I roto i tenei take, e taea te tiki i te wahine hapu i runga i to ratou ake, engari haurua te tūponotanga o te haputanga angitu. A, no te āraia hydrosalpinx më korere e rua. Haere hapu ki te tātaritanga taua e taea, ki te kore e rapu tere aro hauora. I muri, ka taea e te hanga i te reira i te pākoko oti i roto i nei te tūponotanga o te whaiaro-kawe, ka hoatu whanau ki te tamaiti hauora ko te kore.

Wehe he reira e tika ana ki te whakaaro i te māuiuitanga ma'i. whakawhanake te reira i āta me e kore e whakaatu i tetahi abnormalities. mana'o pai te wahine. kitea aitua Hydrosalpinx Tupara, ka tirohia i te rata mātai. Na reira, ko te mea nui ki te wā mamae whakamātautau ārai i taua tākuta.

tikanga o te whanaketanga mate

Tūkinotanga o nga korere kākano tīmata i te papamuri o mumura, pērā i salpingitis salpingo ranei. puta te reira i tupu rerekē o kiko tūhonohono, i hanga adhesions maha, me te scarring. Mumura āta toro ki ngā papa katoa o te korere kākano.

mate Villi epithelium ciliated me apa uaua mutu tino iti. Ko te lumen o te ngongo tupu adhesions, whakararuraru tona uruhanga. I roto i te kōhao i hanga tīmata ki te hanga ake te ngaro. Kei te whakaputaina te reira e repe epithelium i roto i te whakautu ki te mumura e wātea ana. Ko te kupu whakawhanake mate Tupara - hydrosalpinx.

Ko te take matua

Ko te takanga o te mate meinga e te katinga wahi waenganui o nga korere kākano. Ko te tikanga he raruraru taua he whakautu o te tinana ki te tukanga inflammatory rohe. āpiha hopuhopu tomo e rua te Uplink me te ara downlink. I roto i te take tuatahi whai wāhi nga okana pūnaha whakaputa uri (cervix, kōpū, tenetene). I roto i te take tuarua o te taenga o āpiha hopuhopu, me te rere toto i te tāpiritanga, tākihi tōngāmimi ranei. I te tahi taime mumura he āhua iroiti ka e mua te reira i te taha o te whanaketanga o ngā mate gynecological.

Physicians Ko gidrosalpinksa Tupara nga take e whai ake nei:

• mâtutuhia auau, te whakahaere tīwani tātaritanga o te kōpū;
• te whakamahi o te pūrere intrauterine;
• hauhauaitu (whakahohetia tipu pathogenic i runga i te vaivai o te wātea i te mate);
• huringa auau o hoa moepuku;
• mumura pa ana te rohe o nga a konga me nga ovaries (oophoritis, adnexitis);
• infantilism fakasekisualé ;
• adenomyosis;
• endometritis;
• tara huakita ururua hoki.

tukanga unilateral (hydrosalpinx mahue pūkano noa tika ranei) maha puta tika ki abnormalities kikokiko piosalpinks tika ranei. I roto i tenei take, kei te tino whenumi te pirau, i reira te mea anake he secretion serous. tukanga pathological Reversible e pā ana e rua korere kākano, i hanga i runga i te whakamārama o te mumura ma'i meinga e ngā āpiha hopuhopu.

pikitia haumanu

He aha e hydrosalpinx o nga korere kākano ko nga tohu? I te wāhanga tuatahi o te whanaketanga o te tohu āhuatanga o te mate e ngaro, mai kore tukanga inflammatory e whakaatu mahi. heheu te reira i, rite kua mea matou, i te tupono noa, i roto i te tirohanga i te rata mātai.

Ka rite ki te ahunga whakamua o te mate i reira ko te pikitia haumanu whānui. secretion nui ake o repe hūpē epithelium arata'i ki refilling putorino, kia kia hua ana o ratou i roto i te rahi. No te mea o tenei, puta te wahine he ongo o pouri i roto i te puku o raro. Ki te te āhuatanga te māuiuitanga e huru e rua-ara, faaite tenei tohu ano i runga i ngā taha e rua. Wā ki te hua pāmahana taea subfebrile tohu. I roto i ētahi wā, mamae wahine i te haaputuputuraa whakatere o secretions i te tenetene.

A, no te pānga o te tātaritanga "pūkano" hydrosalpinx te kaha whakaputa uri o te rauropi. A, no te e katia rawa nga wahi pakaru, e kore e taea te tiki i roto i te hua manu, na e kore e kikiritanga puta. huaina ana tēnei ofatiraa ko pākoko Tupara. Ki te kore te tino āraia te āputa, kua mānia puninga mucosal, me uaua kiko atrophy. Ka rite ki te hua o enei huringa i roto i te wahine whakanuia ana te mōrea o te hapū i te pūkano.

whakaaro pōauautanga kino gidrosalpinksa āputa pūkano. Hoki tenei mate āhuatanga e te putanga o te mamae nui i roto i te rohe puku o raro, me te tachycardia, e tukupu ana te pēhanga toto. Kiri āta ngohe, tona mahi, ko te mārama vesicles wehea werawera. Ki te wheako koe enei tohu e karanga tonu koe i te rōpū o ngaio hauora.

Hydrosalpinx me te hapū

Women ki whakamahere hydrosalpinx hapūtanga, tūtohutia laparoscopy te. Tenei tukanga taea ki a koe whakahokia patency o putorino, engari kei te maha i te reira ohorere ratou mahi tūturu. Ano, koi whakaiti te maha o receptors mō hormones nui - estradiol me te taiaki. Ka taea e ēnei āhuatanga arahi ki hapū i te pūkano.

Ki te toro te tukanga pathological ki tetahi putorino anake, he taea haputanga. Heoi, he tuukino ki te kukune whakawhanake te aroaro o te puna o te mumura i roto i te papatoiake. Ko te wai ā-arā, o lymphocytes me ētahi atu āpiha paitini. Na reira e kore te tūtohu hapūtanga kahore maimoatanga hāparapara. Tangohanga o te ngongo kākano ka kore e hydrosalpinx whakaiti hiahia fakasekisualé o wahine, e kore e pā tona papamuri hormonal koutou huringa paheketanga ranei. A, no te puka e rua-ara o te hapūtanga mate fakanatula taea. I roto i tenei take, tūtohutia te wahine IVF tukanga te.

Teie nui haere Resection o te pūkano i mua i kikiritanga vitro tūponotanga o haputanga angitu e pā ana ki te 30%. Kei te tino pai ake te matapae, ki te ki te matau kawe i te mahi ki te tango, kaua ki te tamata ki whakahokia patency o nga oviducts mā te whakamahi i te whānuitanga o ngā kōwhiringa mō te laparoscopy.

I mua, kua reira kua te whakaaro e te tango o nga korere kākano e faatupu te takahi o te supply toto me te ture manavasii o te ovaries. kihai i nga akoranga whakaū i tēnei mōhiohio. Tangohanga o te putorino pāngia i mua i IVF e kore pānga i runga i te āhua o te ovaries, ratou whakautu ki tukanga whakaongaonga auau kikiritanga.

tikanga o te tātaritanga

Ki te whakapae koe he tika he hydrosalpinx o nga korere kākano ki te kōrero i te rata mātai. Tātaritanga o te mate e haamata ki te whakamātautau o te manawanui. A, no te raveraa i palpation bimanual māuiuitanga detectable i roto i te puka o te hanganga raru, elongated ki tetahi anake ranei i runga i ngā taha e rua wā kotahi. kia ara ake mamae hūhi i roto i tenei tikanga. I muri neke ki tikanga mauhaa o te tātaritanga. I roto ia ratou, e te āhuatanga te kōrero tino i te ngā tukanga e whai ake nei:

1. ultrasound Transvaginal. āhei te reira ki a koutou te tautuhi hydrosalpinx, whakaturia te wāhi, te āhua me te rahi āwhiwhiwhi.
2. Hysterosalpingography. E tauturu te reira aromatawai te patency o nga korere kākano. I roto i te kaihoko rerekē tātaritanga patia te i raro i te pēhanga ki te kōhao uterine. I muri i taua, he raupapa o whakapakoko radiographic i roto i nei e pai tirohia nga whekau takoto ā-.

I roto i te mahi hauora, i reira he take i reira, i muri i taua rangahau wahine hapu i runga i to ratou ake. I te tahi atu te ringa, e faarahi te reira i te tūponotanga o te exacerbation o mumura ma'i.

whakaaro te tikanga atu pono o te tātaritanga te gidrosalpinksa laparoscopy korere kākano. Taupānga o tenei tikanga e āhei ki te aromatawai i to ratou huru, me te tango i te tirotiro ki te whakatau i te kaihoko hopuhopu me tona tūtohutanga ki paturopi. I te tahi taime te whakamanawanui tākuta i laparoscopy no o tona invasiveness. kia whakarei taua wawaotanga te whanaketanga o adhesions.

I runga i te pūtake o te tākuta riro te ne fakapapau◊i hua rangahau whakakahore te tātaritanga tuatahi homai tūtohutanga maimoatanga ranei. Therapy i tenei māuiuitanga kia momo operative ranei. A feruri ia o nga taatou i roto i te taipitopito atu.

maimoatanga momo

kia timata therapy, no te te tākuta whakapumautia te tātaritanga "hydrosalpinx o nga korere kākano." Treatment kahore pokanga tūtohutia hoki wahine e kore e nei hiahia ana ki te riro hapu, o te pakeke iti o te tukanga pathological ranei. Ki te aro paturopi whakahau mumura. Roanga o te therapy me inenga o te rongoā whakaritea e te rata. I roto i tenei take, ka tango i te tohunga ki pūkete te tūtohutanga o tukumate ki te raau taero whakamahia me te āhua o te kaihoko fakatupu.

maimoatanga tūpato ngā mehua mo whakaongaonga o te mate. Hoki tenei whakaaro, tūroro whakahaere immunomodulating taero ( "Taktivin", "Timalin", "Imudon") me complexes huaora. whakamahia whānuitia i tua. e kore rawa e whakaora ratou te mate, engari i te pānga painga i runga i te tinana. I roto ia ratou he:

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

Ki te pāngia tākuta hydrosalpinx whakarewahia o nga korere kākano, he taea anake te maimoatanga i te tikanga o te wawaotanga hāparapara.

therapy operative

Kei te tūtohutia pokanga mō wahine katoa e whai i te moe ki te tamata i runga i te tūranga o te whaea. I tua atu, kahore he mahi e kore e taea te mahi i roto i te take o tere ahu whakamua adhesions, me te te akoranga uaua o te mate.

Me pēhea te ki te hamani hydrosalpinx o nga korere kākano? I teie mahana, rite te tikanga taketake o te laparoscopy operative whakamahia te ki te whakakore mate. Ko te whai hua tino me i te wa ara mahaki ano o te maimoatanga tenei. He maha ngā momo o tenei tukanga. He whakatinanatanga ngā o te rata kōwhiria e therapy ki te hauora o te manawanui, i nga korere kākano.

1. Tubektomiya. I roto i tenei mahi, mahi te tākuta he resection o tetahi ranei e rua korere. kua runanga hoki reira i roto i te take te wahi i reira he kahore kōwhiringa atu maimoatanga mō te mate.
2. Salpingoneostomiya. Ko te tukanga titau te poka hou i roto i te hanganga o te pūkano.
3. Fimbriolizis. whawhe hāparapara e hāngai ana tuku o kohatu i te adhesions kāri putorino mutunga, tango wai.
4. Salpingoovariolizis. I roto i te tukanga, tapahia te tākuta i roto i te titaha i te lumen o te ngongo.

Ahakoa he taea hapūtanga i muri i te ngongo kākano laparoscopy? Hydrosalpinx - Ko te māuiuitanga rawa nui, roa roanga e tino pā te hauora o te wahine tenei. e kore te mahi angitu whai nohopuku hapu te tamaiti. Ki te whakahaere i te tākuta ki te pupuri i te putorino, me te whakahokia ratou patency, e kore te mea tino whakahaere te pūkākano. Ngä makawe epithelium ciliated kia ngaro maha mutu motility me kahu uaua ki te kirimana. Ka rite ki te hua, poka reira ki te ioio noa. Na he wahine i muri i te pokanga i mōrearea o te hapū i te pūkano. Ko te kupu tūroro kikiritanga e IVF tūtohu.

āraihia

Gidrosalpinksa korere kākano, te maimoatanga o nei whakaahuatia te tika i runga, ko te mate nui. Heoi, e taea te ārai tona tupu, ki te puritia e koe i nga aratohu e whai ake nei:

1. Me te reira i te wā ki te hamani mau ma'i gynecological. Ki te whai koe i te mamae, kia whakapā tonu secretions mohiotia atu tohu kino ranei te tākuta-rata mātai.
2. He mea nui ki te mau ture tumu o te akuaku whaiaro. Ua, kei te tohutohu tākuta ki te tango i rua i te ra. I roto i paheketanga kia pehea ki te huri i akuaku pinepine.
3. He pai ki te whakarere kairautanga, me te tonu te whakamahi i te ārai hapū arai.
4. He mea tika ki te mau tonu i te āhua hauora, ki te whakakore peu kino katoa.

Hydrosalpinx o nga korere kākano, ki te mahue kore maimoatia, ka taea e meinga pōauautanga nui. Ko ētahi o ēnei pākoko kahore anake. Ahakoa ka angitu haputanga he pea ki te materoto materoto māhorahora ranei te tamaiti.