Gidrotubatsiya fallopian tubes - Causes, Symptoms and Treatment .MF .

August 12, 2017 17:52 | Gynecology

Gidrotubatsiya (Greek water hydōr + Latin tuba trumpet..) - The introduction of fluid through the uterus into the fallopian tubes to determine their permeability or therapeutic purposes.Previously gidrotubatsiyu widely used for the diagnosis and treatment of tubal infertility.In modern conditions gidrotubatsiyu exercise after plastic surgery on the fallopian tubes to dynamically monitor the cross-operated pipes and preventing inflammatory and adhesive processes, as well as after the removal of one of the fallopian tubes (salpingekislotomii) to clarify the remaining tube patency.Gidrotubatsii Application for the treatment of tubal infertility by many researchers disputed.For the diagnosis of tubal infertility using hromosalpingoskopiyu - examination of the fallopian tubes during a laparoscopy with simultaneous introduction to them through the cavity of the uterus dyes solutions (indigo carmine, methylene blue), which allows you to visually clarify patency and functional condition of the fallopian tubes,

identify peritubal spikes and other causes of infertility.

Terms of gidrotubatsii are I and II degree of vaginal purity, absence of pathogens in smears from the cervical canal and the urethra, the absence of pathological changes in the blood and urine.Gidrotubatsiya contraindicated in acute and subacute inflammatory processes in the genital organs, tumors of the uterus and its appendages, severe cardiovascular diseases, infectious diseases.

Gidrotubatsiyu performs a doctor in a hospital or in an outpatient setting.It is performed in the treatment room on the gynecological chair.To establish the Fallopian trubgidrotubatsiyu carried out in the period from 7-8 till the 24th day of the menstrual cycle.Peredgidrotubatsiey emptied bowels and bladder, vulva treated with a solution yodonata.The uterus is administered isotonic sodium chloride solution via syringe with intrauterine infusion device for sealing the cervical canal or special apparatus.At full tubal patency solution from the syringe at a pressure on the piston comes easily and does not flow after removal of the tip from the cervical canal.When obstruction of the fallopian tubes in the Isthmus of 2-3 ml of solution administered freely, then the liquid flow is stopped and at easing the pressure on the piston, it follows back.When obstruction of the fallopian tubes in vials of liquid introduction is accompanied by pain in the groin, reflux occurs after infusion of 4-5 ml of fluid;often tubal fluid flows from the vagina a few minutes or hours after administration - a phenomenon hydrops tubae.If the fallopian tubes are passable in part, a liquid flow is very slow.

The study with the help of special devices in the uterus pressure is recorded on a tape recorder.In the case of tubal patency total system pressure drop reaches 60 mm Hg.Art.(As a result of the passage of fluid from the fallopian tubes into the peritoneal cavity);with partial tubal patency pressure drop occurs at 100-120 mm Hg.v., when there is no complete occlusion pressure drop.When obstruction in the region of the Isthmus of pressure fluctuations in the system does not occur;obstructions in ampullar departments can rhythmic small pressure fluctuations due to the peristalsis of the fallopian tubes.In the case of stretching the fallopian tubes pressure slightly decreases, can appear pains in the lower abdomen.

to prevent inflammatory and adhesive processes intrafallopian administered antibiotics, glucocorticoids, proteolytic enzymes, etc .; lidazutheir pre-dissolved in 0.25% novocaine solution or isotonic sodium chloride solution (solutions, introduced into the uterus must be sterile).The procedure starts with 2-3 days after the end of menstruation and end up 2-3 days before the expected menstruation.