Tubo-peritoneal rasa haihuwa

Mace rashin haihuwa, yana sa, magani, da kuma ganewar asali ne damuwa dubban gynecologists, shi ne babban zamantakewa matsala yanzu, cewa shi ne. Don. Yana ba kawai rage YAWAN JAMA'A, amma kuma take kaiwa zuwa shafi tunanin mutum da kiwon lafiya da matsaloli a cikin mata, shafi su ingancin rayuwa da kuma kiwon lafiya a matsayin dukan.

Bai bar 'ya'ya ma'aurata suna kara, wadannan Figures sun riga ya kai 20% a wasu kasashe, wanda yake shi ne m batu, da Tubal rashin haihuwa pertonealnoe ne fiye da 35% na dukkan lokuta ya ruwaito. Kuma shi ne ba abin mamaki ba t. Don. A fallopian shambura ne mai matukar muhimmanci ɓangare na haihuwa tsarin da kuma sha daga kumburi tsari.

dalilai

Rashin haihuwa ta auku a cikin peritoneal adhesions haifar a cikin pelvic kogo, da kuma bututu - a yanayin saukan ya faru na adhesions a fallopian shambura. A hade da wadannan jihohin biyu, kira a matsayin tuboperitoneal rasa haihuwa.

Yadda aka saba, da kwai da aka hadu a kogon ciki, sa'an nan motsa zuwa ga mahaifa saboda rage daga cikin villi rufi bututu ciki. Matsar da kansa kwai iya ba. Lalace villi ko adhesions hana gabatarwa na maniyyi da kwai da kuma takin.

Adhesions a ƙashin ƙugu tasowa saboda kumburi lalacewa ta hanyar kamuwa da cuta, iya shiga cikin jiki a lokacin da ma'amala (chlamydia, kabba da ciwon sanyi da kuma m. P.) Ko lokacin da appendicitis. Tuboperitoneal rashin haihuwa iya zama saboda zubar da ciki ko da jurewa na ciki tiyata da kuma ovaries.

Da yawa da hankali ne a yanzu biya ga nazarin herpes kamuwa da cuta kamar yadda wani factor manyan zuwa rasa haihuwa.

Na kimiyya takardunku an san cewa fiye da 40% na matan da suka sami Tubal-peritoneal rasa haihuwa, endometriosis, polycystic kwai cuta ko da benign ƙari na haihuwa tsarin.

Mamaki kamar lanƙwasa, ko takaita na shambura kuma iya hana daukar ciki.

bincikowa da

Ganewar asali da kuma lura da Tubal rashin haihuwa yi da hankali da kuma kari.

Da farko gudanar da irin wannan binciken hanyoyin kamar yadda hormonal, immunologic, cytogenetic, bincike da kuma cuta, jima'i cututtuka. Duka wannan yana nufin kawar da Tubal rasa haihuwa.

Hysterosalpingography sa'an nan ya yi domin tantance patency na tubing. The hanyar dogara ne a kan X-ray jarrabawa, a cikin abin da mahaifa da aka gudanar a bambanci wakili. A hoto za ka ga cewa bayani ne a fallopian tube bai samu, wanda ke nufin su ne ba passable. Duk da haka, da yiwuwar wani ba daidai ba sakamakon lokacin da wannan binciken ne game da 20%.

A irin wannan hanya ne dauke Sonohysterosalpingoscopy da za'ayi tare da taimakon duban dan tayi. An dauke da wani m saboda da rashin daukan hotuna zuwa X-haskoki, amma shi ne kasa m saboda da low damar lasisi duban dan tayi.

A m Hanyar ganewar asali da rashin haihuwa za a iya daukarsa laparoscopy a lokacin da kogon ciki ne visualized, ovaries, fallopian shambura da kuma mahaifa. Wannan hanya an dauki minioperatsiey haka yi a karkashin janar maganin sa barci. Bugu da ƙari kuma, shi za a iya daukan curative, t. K. Adhesions, gano a lokacin dubawa, suna yanka ta amfani da musamman kayan aiki.

magani

Tubo-peritoneal rashin haihuwa da aka bi da farko surgically. Yau, laparoscopy da ake amfani, a lokacin abin da ya sa a kananan incision na ciki bango, alhãli kuwa a baya amfani laparotomy (ciki incision), wanda kanta ne cikin hanyar samuwar adhesions.

Idan m occlusion na bututu da kuma villous laparoscopy kyau yanayin bada sakamakon tabbatacce a 50-60% na lokuta. A ci-gaba lokuta, ko da maimaita wannan aiki ba sabunta patency.

A mataki na biyu na lura za a iya daukan rike da antibacterial, immunocorrecting da jiko far, da kuma aikace-aikace na ba-miyagun ƙwayoyi hanyoyin kwantar da hankali (jiki far, plasmapheresis, lemar sararin samaniya far, ganye magani) ga hana samuwar sabon adhesions.

Sa'an nan iko ne da aka ba hysterosalpingography tabbatar da cewa fallopian shambura ne free.

Idan permeability ba a mayar da ko ciki offline 1 shekara bayan hankali magani sanya a vitro hadi.