Tubo-peritoneal infertility

Female infertility, na-akpata, ọgwụgwọ, na nchoputa bụ nchegbu ọtụtụ puku gynecologists, bụ oké nsogbu ugbu a, nke ahụ bụ. Iji. Ọ bụghị nanị na-ebelata demographics, ma na-eduga ná iche echiche ike nsogbu ndị inyom, na-emetụta ha àgwà nke ndụ na ike dị ka a dum.

Amụghị nwa na nwunye na-na-amụba, ndị a na ọnụ ọgụgụ na-ama ruru 20% ná mba ụfọdụ, nke bụ a dị oké egwu mgbe, na Tubal infertility pertonealnoe bụ ihe karịrị 35% niile kọrọ ikpe. Na ọ bụghị ihe ijuanya t. Iji. The fallopian akpa na a nnọọ mwute nke omumu usoro na-ata ahụhụ si aza.

ihe

Infertility n'akparamagwa peritoneal adhesions ime ka pelvic uji eze, na anwụrụ - na ikpe nke na omume nke adhesions na fallopian akpa. The Nchikota abụọ ndị a na-ekwu, kwuru na dị ka tuboperitoneal infertility.

Nọmalị, ndị egg na-ịmụpụta na abdominal uji eze, na mgbe ahụ na-akpali ka akpanwa ruru ka Mbelata nke villi lining anwụrụ n'ime. Bugharịa onwe egg ike. Mebiri emebi villi ma ọ bụ adhesions gbochie nkwalite spam na egg na ifatilaiza.

Adhesions na pelvis amalite ruru mbufụt kpatara ọrịa, na-abami n'ime ahu n'oge mmekọahụ (chlamydia, gonorrhea na m. P.) Ma ọ bụ mgbe appendicitis. Tuboperitoneal infertility nwere ike ịbụ n'ihi ite ime ma ọ bụ emume abdominal ịwa ahụ na ovaries.

Ukwuu anya ugbu a na-akwụ iji na-amụ ihe nke herpes ọrịa dị ka a na-akpata na-eduga na infertility.

Nkà mmụta sayensị akwụkwọ, a maara na ihe karịrị 40% nke ndị inyom bụ ndị na-hụrụ na Tubal-peritoneal infertility, endometriosis, polycystic ovary ọrịa ma ọ bụ nwere a benign akpụ nke omumu usoro.

Ebibi dị ka gbagọrọ agbagọ ma ọ bụ ibelata nke akpa pụkwara igbochi afọ ime.

nchọpụta nsogbu

Nchoputa na ọgwụgwọ nke Tubal infertility-abụ ịkpachara anya na incremental.

N'ụzọ bụ isi mụụrụ ndị dị otú ahụ e mere na ụzọ ndị dị ka mmiri ọgwụ ahụ, immunologic, cytogenetic, analysis na ọrịa, ebute site ná mmekọahụ. All a na-iji na mkpochapu Tubal infertility.

Hysterosalpingography mgbe rụrụ na-amata na patency nke tubing. The usoro a dabeere X-ray nnyocha, nke akpanwa na-ndinọ a iche n'ụlọnga. Ke ndise i nwere ike ịhụ na ngwọta bụ na fallopian tube ga-esi, nke pụtara na ha anaghị passable. Otú ọ dị, ihe gbasara nke puru nke na-ekwesịghị ịdị na ya apụta mgbe a na-amụ bụ ihe 20%.

A yiri usoro a na-ewere Sonohysterosalpingoscopy rụrụ na-enyemaka nke ultrasound. Ọ na-atụle a nwayọọ n'ihi na enweghị nke inweta ihe X-ụzarị, ma ọ bụ obere pụrụ ịdabere na n'ihi na ala ike ikikere ultrasound.

A pụrụ ịdabere na usoro nke nchoputa nke infertility nwere ike na-ahuta ka laparoscopy n'oge nke abdominal uji eze na-visualized, ovaries, fallopian akpa na akpanwa. Nke a na usoro a na-ewere minioperatsiey mere rụrụ n'okpuru general ná Nkụnwụ. Ọzọkwa, ọ nwere ike na-ewere curative, t. K. Adhesions, achọpụtara n'oge nnyocha, na-ebipụ iji pụrụ iche akụrụngwa.

ọgwụgwọ

Tubo-peritoneal infertility na-emeso isi surgically. Taa, laparoscopy na-eji, n'oge nke na-eme ka a obere mbepụ nke abdominal mgbidi, ebe mbụ na-eji laparotomy (abdominal mbepụ), nke ya onwe ya bụ ihe na-akpata kpụworo adhesions.

Ọ bụrụ na ele mmadụ anya n'ihu occlusion nke ọkpọkọ na villous laparoscopy mma enye a mma n'ihi na 50-60% nke ikpe. Na elu mgbe, ọbụna ugboro ugboro a na ime anaghị weghachi patency.

Agba nke abụọ nke ọgwụgwọ nwere ike-atụle na-ejide antibacterial, immunocorrecting na infusion ọgwụ, na ngwa nke na-abụghị ọgwụ ọgwụgwọ (ọgwụgwọ anụ ahụ, plasmapheresis, ozone ọgwụ, herbal na nkà mmụta ọgwụ) iji gbochie guzobe ọhụrụ adhesions.

Mgbe akara e nyere hysterosalpingography iji gosi na fallopian akpa na-free.

Ọ bụrụ na ndị permeability na-adịghị weghachiri eweghachi ma ọ bụ afọ ime offline 1 afọ mgbe ịkpachara anya ọgwụgwọ kenyere na vitro Fertilization.