Kubaluleke kakhulu ukuthi wonke owesifazane abe nethuba lokukhulelwa. Kodwa, ngeshwa, kunezizathu eziningi ezingasusa owesifazane waleli thuba. Ukuxhaswa kwezigubhu ze-fallopian kungenye yezimbangela eziyinhloko zokungabikho. Ngaphezu kwalokho, ngaphezu kokungakhulelwa, zisanda ukwandisa amathuba okukhulelwa kwe-ectopic. Njalo owesifazane wesine ongakwazi ukukhulelwa unesithiyo emathangeni amathanga. Kulezi zimbiza, iqanda liyathunyelwa ukuhlangabezana nesidoda, nokuba khona kokunamathela endleleni, kuvimbela ukunyakaza kwayo, ngakho-ke kuba nzima kakhulu ukukhulelwa.
Ngokuvamile, ukutholakala kokunamathela emathangeni we-fallopian akuhlobene nanoma yimaphi izimpawu. Ezimweni eziningi, ukugula okunjalo kuyaziwa kuphela ngemva kwemizamo ephindaphindiwe, engenamsebenzi yokukhulelwa. Kumele futhi uqaphele ukuthi akukho ushintsho emjikelezweni wokuya esikhathini. Ngakho-ke, isibonakaliso esiyinhloko sama-spik ku-tubespian tubes yi-infertility. Njengoba usuvele uthola leyo nkinga, kungcono ukubhekana nodokotela ngesikhathi esisodwa, okuyiyona ndlela ecacile yokuchaza isizathu sokuqapha.
Kunezindlela ezihlukahlukene zokunquma izinga lokuvimbela isisu. Nazi ezinye zazo:
- Ukuvuthwa kwamatayipi okulala. Le ndlela isekelwe ekuhambeni kwemimoya ngokusebenzisa ama-tubes fallopian.
- I-Salpingography iyindlela yokutadisha amashubhu okulala, esekelwe ucwaningo lwe-X-ray.
- I-laparoscopy yokunamathela kwamatayipi angama-fallopian angasetshenziswa, kokubili njengokuxilongwa futhi njengokwelashwa. Le nqubo yenziwa ngaphansi kwe-anesthesia jikelele. Ukuze kuhlolwe isisu, ama-ovari nama-tubespian tubes, i-laparoscope ifakwa ngokusebenzisa inkaba noma umgodi emgodini wesisu. Isixazululo esiyingqayizivele esinemibala sijova ngomsele womlomo wesibeletho. Ukuqina kwesisombululo emgodini wesisu kuzobonisa amandla okufaka ama-tubespian tubes.
Izimbangela ezikhona ezifaka isandla ekwakhekeni kokunamathela emipayipi:
- ukungenelela kokuhlinzwa (ukususwa kwe-uterine fibroids, isithasiselo, ama-cysts ovarian);
- zidluliselwe izifo zenyama (chlamydia, gonorrhea);
- ukukhipha isisu okuhlehlisiwe;
- inkambo enkulu yokukhulelwa;
- indlela engafanele yokuphila;
- ukusetshenziswa kwezibeletho zokubeletha ngaphakathi kwe-intrauterine;
- izifo ezifana ne-adnexitis, endometriosis ne-salpingitis.
Ukwelashwa kwama-clasts ama-tublopian tubes
Ukwelashwa kokugaya ama-tubespian tubes kuhlanganisa konke okuyinkimbinkimbi yezindlela zokwelapha nezindlela zokwelapha: ukuhlunga ngokwegazi, physiotherapy, fermentotherapy kanye nokwelapha udaka. Ukwelashwa okunzima kukuvumela ukuba ufeze umphumela omuhle kakhulu. Ukwelashwa kwamadolo nokusikwa kwama-gynecological kunciphisa isakhiwo sokunamathela futhi kunomthelela ekuthuthukiseni ukunikezwa kwegazi kwamatayipi angama-fallopian.
Uma izindlela ezichaziwe ngenhla zokwelashwa aziphumeleli, zithathe ukukhishwa ngokomzimba kokunamathela emathinini amathanga. Ngaphambilini
Ezimweni zokuvimbela okuphelele ama-tubes fallopian, ukungenelela okuhlinzayo kungase kungasebenzi, ngoba i-epithelium eciliated ngeke ibuyiselwe futhi amathuba okukhulelwa azohlala encane kakhulu. Ezimweni ezinjalo, odokotela batusa ukusebenzisa inqubo yokufaka umanyolo we-in vitro (ubuchwepheshe bokuzala ngokusekelwe kweqanda ngenhloso yokuqothula okwenziwa ngokulandelako).