Hysterosalpingography

ʻO ka Hysterosalpingography kahi x-ray kūikawā e hoʻohana ana i ka kala e nānā ai i ka ʻōpū (uterus) a me nā paipu fallopian.

Hana ʻia kēia hōʻike ma kahi keʻena radiology. E moe ʻoe ma ka papa ma lalo o kahi mīkini x-ray. E hoʻokau ʻoe i kou mau wāwae i ka stimrups, e like me kāu hana i ka wā o ka hōʻike pelvic. Hoʻokomo ʻia kahi mea hana i speculate i loko o ka lua.

Ma hope o ka hoʻomaʻemaʻe ʻana o ka cervix, hoʻonoho ka mea mālama ola i kahi paipu lahilahi (catheter) ma o ka cervix. ʻO ke kala, i kapa ʻia he ʻokoʻa, e kahe ana ma o kēia paipu, e hoʻopiha ana i ka ʻōpū a me nā paipu fallopian. Lawe ʻia nā kukuna X. Māmā ka kala i kēia mau wahi i ka ʻike ma nā kukuna x.

Hāʻawi paha kāu mea hāʻawi iā ʻoe i nā lāʻau ʻawaʻawa e lawe ma mua a ma hope o ka hoʻāʻo. Kōkua kēia i ka pale ʻana i nā maʻi. Hāʻawi ʻia ʻoe i nā lāʻau e lawe i ka lā o ke kaʻina hana e kōkua ai iā ʻoe e hoʻomaha.

ʻO ka manawa kūpono loa no kēia hoʻāʻo aia i ka hapa mua o ka pōʻai menstrual. Ke hana nei ia i kēia manawa hiki i ka mea lawelawe olakino ke ʻike maopopo i nā lua uterine a me nā paipu. Hoʻoemi ia i ka makaʻu no ka maʻi, a hōʻoia ʻaʻole i hāpai ʻoe.

E haʻi i kāu mea hāʻawi inā loaʻa iā ʻoe i kahi hopena maʻi e hoʻohālikelike i ka kala ma mua.

Hiki iā ʻoe ke ʻai a inu maʻamau ma mua o ka hoʻāʻo.

Hiki paha iā ʻoe ke hōʻoluʻolu ke hoʻokomo ʻia ka speculum i loko o ka lua. Ua like kēia me ka hōʻike pelvic me kahi hōʻike Pap.

Loaʻa nā cramp i kekahi mau wahine i ka wā a ma hope paha o ka hoʻāʻo, e like me kēlā mau mea i loaʻa iā ʻoe i kāu wā.

Loaʻa paha iā ʻoe ka ʻeha inā kulu ka welu mai nā paipu, a i ʻole ke ālai ʻia nā paipu.

Hana ʻia kēia ho'āʻo e nānā i nā palaka i kāu mau paipu fallopian a i ʻole nā ​​pilikia ʻē aʻe i loko o ka ʻōpū a me nā paipu. Hana pinepine ʻia ma ke ʻano he māhele o ka hoʻokolohua infertility. Hana ʻia paha ia ma hope o kou hoʻopaʻa ʻana i kāu mau paipu e hōʻoia i ka paʻa loa o nā paipu ma hope o kāu loaʻa ʻana i kahi hana hysteroscopic tubal occlusi e pale ai i ka hāpai keiki

ʻO kahi hopena maʻamau ke ʻano maʻamau nā mea āpau. ʻAʻohe kīnā.

Kaha: hiki ke loli iki i nā pae waiwai maʻamau ma waena o nā hale hana ʻokoʻa. E kamaʻilio me kāu kauka e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.

Nā hopena kūpono ʻole ma muli o:

• Nā maʻi ulu o nā ʻōpū a i ʻole nā ​​paipu fallopian
• ʻO nāʻiʻo scar (adhesions) i loko o ka kōpū a i ʻole nā ​​paipu
• ʻO ka pale ʻana o nā paipu fallopian
• Ke kū ʻana o nā kino haole
• Nā tumors a i ʻole nā ​​polyps i ka kōpū

Pākuʻi ʻia paha nā pilikia:

• ʻO ka hopena āpau i ka ʻokoʻa
• Endometrial maʻiʻaʻai (endometritis)
• Fallopian Tube maʻiʻaʻai (salpingitis)
• Perforation of (ke kuʻi ʻana i kahi puka ma o) ka kōpū

ʻAʻole pono e hoʻokō ʻia kēia hōʻike inā loaʻa ʻoe i ka maʻi pelvic inflammatory (PID) a i ʻole ke kahe ʻana o ke kahe o ke kahe.

Ma hope o ka hoʻāʻo, e haʻi koke aku i kāu mea hāʻawi inā loaʻa iā ʻoe kahi hōʻailona a hōʻailona paha o ka maʻi. Hoʻopili kēia i ka hoʻokuʻu pilau-ʻala, ʻeha, a kuni paha. Pono paha ʻoe e lawe i nā lāʻau ʻalopika inā kū kēia.

HSG; Uterosalpingography; Hysterogram; Uterotubography; Infertility - hysterosalpingography; Nā paipu fallopian i kāpae ʻia - hysterosalpingography

• Uterus

Broekmans FJ, Fauser BCJM. Hoʻokomo wahine: ka loiloi a me ka hoʻokele. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 132.

Lobo RA. Infertility: etiology, diagnostic loiloi, hoʻokele, wānana. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 42.