Kuti mudziwe zomwe zingayambitse amayi kusabereka, kawirikawiri njira zoterezi zimatsimikiziridwa kuti zimakhala zovuta. Phunziroli likhoza kuchitika m'njira zingapo.
Hysterosalpingography kuti muwone momwe zimakhalira
Hysterosalpingography ndiyo njira yabwino yowunika ma tuber kuti muyambe. Mfundo ya njirayi ndi kuyesera X-ray ziwalo zomwe zimapanga kachibadwa ka chiberekero. Cholinga chake ndi kufufuza mazira othawa, kuti adziwe kukula ndi mawonekedwe a uterine. Ndi njira iyi yofufuzira, wapadera kwambiri X-ray mankhwala amayamba mu chiberekero cha uterine kudzera m'machubu. Popeza kuti maonekedwe a X-ray amaoneka bwino, mawonekedwe a uterine ndi ma tubes amadziwika mosavuta.
Njira iyi yoyesera kuti zizindikiro za mazira amatha kugwiritsidwa ntchito masiku angapo amwezi, podziwa dokotala. Ndondomekoyi imachitidwa m'mimba yopanda kanthu. Asanayambe, wodwala amapatsidwa enema yoyeretsa.
Zotsatira za ndondomeko yowonetsera momwe zimachitikira ziphuphu pa nthawi ya hysterosalpingography ndi izi. Mothandizidwa ndi kansalu kakang'ono komanso kotalika, chinthu chimayikidwa mwachindunji kupyolera mumachubu m'kati mwa chiberekero, chomwe chimangowoneka pansi pa zida za X-ray (kusiyana kwa X-ray). Amadzaza chiberekero chonse cha uterine, miyendo yamtunduwu ndi mapepala aang'ono. Njira yomwe madzi akuyenda amayang'aniridwa ndi dokotala akugwiritsa ntchito makina a ultrasound. Kenaka chithunzi chimatengedwa pogwiritsa ntchito makina a X-ray. Chinthu ichi m'chifanizo chiri chakuda. Njirayi ikuphatikizapo ululu wazing'ono, kusokonezeka kwa mkazi. Pambuyo pake kutha, pang'ono podkravlivanie.
Echogasterosalpingography
Njira yachiwiri yofufuzira za zizindikiro za chiberekero ndi echogisterosalpingography. Imeneyi ndiyo njira, yomwe zipangizo zamakono zimagwiritsiridwa ntchito. Zimagwiritsidwa ntchito pokhapokha pokhapokha patapita masiku oyambirira kumapeto kwa msambo. Zili motere. Mimba ya chiberekero ili ndi njira yothetsera, yomwe ili ndi mphamvu yopitirira 20ml. Komanso, zonse zimachitika chimodzimodzi monga momwe zilili ndi hysterosalpingography, ndizomwe zipangizo zamakono zimayendera. Posauka patency ya ma falsipian tubes kapena pamene mazira osagonjetsedwa sangatheke, chinthu chosiyanacho sichilowa m'mimba, koma chimakhala chimodzi mwazigawo ziwiri kapena ziwiri.
Kubwezeretsedwa kwa chizoloŵezi cha ma falsipian tubes
Mpaka lero, pali njira zinayi zazikulu, zomwe zimatithandiza kuti tibwezeretse chizoloŵezi cha mazira. Izi ndi izi:
- Fertiloscopy;
- laparoscopy;
- hydroturbation;
- kubwezeretsanso.
Osati kale kwambiri, njira yowonjezereka yothandizira kuwonongedwa kwa miyendo ya fallopi inali hydroturbation. Chofunika kwambiri chinali chakuti mkazi wa masiku 10 otsatizana adalowa njira yothetsera uterine. Mothandizidwa, mothandizidwa ndi kuponderezedwa, adabwezeretsa chizoloŵezi cha mazira a fallopian. Njira imeneyi kwa madokotala imatchedwa purge. Chifukwa cha kupweteka kwa njirayi, zipatala zambiri zinakana kuzigwiritsa ntchito.
Fertiloscopy ndi kufufuza za mazira ndi ziwalo za thupi zomwe zimatengedwa kupyolera m'mimba ya vagini. Mwachidule, ndi laparoscopy, yokha kuperekedwa kudzera mukazi.
Kuyanjananso kwa mazira amodzi ndi njira yowonjezeretsa kubwezeretsa chikhalidwe cha mazira. Amagwiritsidwa ntchito pochiza matendawa poyambira. Mothandizidwa ndi makina a X-ray, wochita maselo ochepa thupi amalowetsedwa mu chiberekero cha uterine chomwe chimakhala ndi kaloti kakang'ono kumapeto kwake kamodzi kokha. Dokotala atalowa m'kamwa mwa chubu, amayamba kukopa chitha. Kuwonjezeka kukula, kumabweretsa mfundo yakuti lumen ya chubu imakula. Wotsogolera akupita patsogolo pa chitoliro mpaka zowonongeka zomwe zikuchitika za chiberekero zimachotsedwa.