vizualizare trompe-metode existente
Raspunsuri - Pagina 2
vrmoana spune:
Buna Iepurica! Eu am facut HSG in luna februarie si doctorul mi-a spus ca trompele sunt slab permeabile si cam subtiri. Adoua luna, in martie, am facut si 2 perfuzii (instialtii) dupa care diagnosticul a fost permeabilitate 1, situatie favorabila bla, bla, bla.
Inaite de perfuzii imi spusese si mie de laparo, dar apoi a zis ca nu mai e nevoie.
oana
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Adrriana spune:
Vrmoana,cum sunt instilatiile?
Monica9 spune:
Iepurila, mersi pt raspuns. La mine a spus medicul ca probabil sunt infundate dar nu a zis ca sigur asa este. Mi-a spus ca poate ar fi bine sa fac si un HSG dar ginecologul cand am mers la el cu rezultatul mi-a spus ca nu are rost sa fac HSG si sa fac laparo, asta si pt ca am si un chist pe un ovar si cu ocazia asta mi-ar scoate si ar putea verifica si trompele. Asa ca mai sper, pana dupa operatie.
Mersi,
Monica
vrmoana spune:
Adriana instilatiile nu dor absolut deloc.Se fac dupa HSG sau chiar si dupa laparoscopie, pentru permeabilizarea trompelor.
oana
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maria08 spune:
Vrmoana: instilatiile pot fi ffffff dureroase....depinde de organism si de problemele pe care le ai....Si eu am facut HSG si mi-a spus dr. ca trompele sunt permeabile dar par cam subtiri si am facut si 2 instilatii dupa.......
mai era putin si lesinam de durere!!!! Nu mai fac asa ceva!!!!
vrmoana spune:
Maria cred ca ai dreptate. Eu una n-am simtit nimic. Dar cum ai spus. Depinde de organism si alte probleme. Pe mine la HSG m-a durut rau de tot.
oana
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andriushca spune:
uite ce am gasit legat de boli ce cauzeaza probleme tubare si metode de investigatie a trompelor:
"How do tubal diseases cause infertility ?
Tubal disease
Tubal abnormalities account for between 25% and 50% of female infertility .Tubal damage usually occurs through pelvic infection , and this is called pelvic inflammatory disease ( PID). Often, we cannot find out the cause for the inflammation. However, some of the causes of pelvic infection that can be pinpointed are :
• Sexually transmitted diseases (e.g. Gonorrhea, Chlamydia)
• Infection after childbirth, miscarriage, termination of pregnancy ( MTP) or IUD (intrauterine device) insertion
• Post-operative pelvic infection (e.g. perforated appendix, ovarian cysts)
• Severe endometriosis
• Tuberculosis
Besides causing blocked tubes, any pelvic inflammatory disease can also produce bands of scar tissue called adhesions, which can alter the functioning of the fallopian tubes. PID can be a silent disease, and most women with tubal damage because of PID are completely unaware that they have this disease.
Pelvic tuberculosis is a fairly common cause of tubal damage in India. The tuberculosis bacteria reach the tubes from the lungs through the bloodstream and can cause irreparable tubal damage.
How is tubal disease diagnosed ?
Making a Diagnosis of Tubal disease
A number of tests are available to judge whether or not the tubes are open.
The simplest and oldest test for tubal patency is the RT or Rubin's test named after its inventor. In this test, gas is passed under pressure into the tubes through the cervix and uterus - either with a special machine (Rubin's apparatus) or with an ordinary syringe. The doctor then listens with a stethoscope placed on the abdomen to determine if he can hear the sound of gas passing through the fallopian tube. Even though this test is now obsolete, because it is so unreliable, a number of doctors still do it.
Blood tests for chlamydial antibodies: Since an infection with chlamydia is the commonest reason for tubal disease in the West, some doctors test the blood for antibodies against chlamydia . Women who have antibodies against chlamydia have been exposed to this infection in the past, and are considered to be at higher risk for tubal damage.
Hysterosalpingogram (Uterotubogram) or HSG is a specialized X-ray of the uterus and tubes. An HSG is done after the menstrual flow has just stopped - usually on Day 6 or 7 of the period, at which time the lining of the uterus is thin. It is done in an X-ray Clinic. The patient is advised to take an antibiotic and a pain-killer before the procedure by many doctors. After being positioned on the X-ray table, the doctor places a special instrument into the cervix, called a cervical cannula, which is made of metal. Many doctors now prefer to use a balloon catheter , as this makes the procedure less painful. A radio-opaque dye (a liquid which is opaque to X-rays) is then injected into the uterine cavity. This is done slowly under pressure, and pictures are taken - preferably under an image intensifier. The passage of the dye into the uterine cavity and then into the tubes and from there into the abdomen can be seen; and X-ray pictures taken. These provide a permanent record.
At least 3 films need to be taken to provide a reliable record - including an early film for the uterine cavity; and a delayed film to make sure the spill in the abdomen is free.
A normal HSG defines the inside of the reproductive tract. This appears as a triangle (usually white on a black background) which represents the uterine cavity; and from here the dye enters the tubes which appear as two long thin lines, one on either side of the cavity. When the dye spills into the abdomen from a patent ( open) tube, this appears as a smudge in the X-rays.
What are the recent innovations for tubal factor diagnosis and treatment ?
Recent innovations in this field include:
Fluoroscopic guided procedures: Using an image intensifier, and techniques borrowed from coronary angioplasty, the radiologists can now insert special catheters under fluoroscopic guidance into each of the tubes. This is called selective salpingography; and allows much better visualization of each tube. It also allows the radiologist to treat cornual blocks which are due to mucus plugs by tubal cannulation.
Sonosalpingography: Under ultrasound guidance, with Doppler facilities if available, the gynecologist can inject fluid into the tubes through the cervix and see the flow of the fluid into the tubes and abdomen on the ultrasound screen. This is a simple bedside test which a gynecologist can do to judge if the tubes are normal - and can be reassuring if positive.
Tuboscopy: At the time of laparoscopy, the doctor can insert a fine telescope into the fallopian tube through its fimbrial end, to inspect the inner lining of the tube, to judge whether or not it is healthy.
Falloposcopy is a recent advance, pioneered by Dr Kerin of USA. In this method, a very fine flexible fiberoptic tube is guided through the cervix and uterus into each fallopian tube, thus allowing the doctor to actually visualize the inner lining of the entire length of the fallopian tube - something which was never possible so far. This can provide useful information about the extent of tubal damage, and the possibility for successful repair."
andreea
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