NHỮNG ĐIỀU CẦN LƯU Ý KHI CHỤP HSG

DANH MỤC CHIA SẼ
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  Sau khi chủ động để có thai tự nhiên một năm mà chưa có thai, một cặp vợ chồng sẽ đến khoa hiếm muộn để khảo sát tìm ra nguyên nhân gây ra vô sinh. Trong đó, tổn thương ống dẫn trứng là một nguyên nhân thường gặp gây vô sinh chiếm tỉ lệ 25% đến 35%.

HSG LÀ GÌ?

  - HSG là tên viết tắt của từ hysterosalphingogram còn gọi là chụp cản quang tử cung vòi trứng

  - Là phương pháp sử dụng tia-X để kiểm tra ống dẫn trứng có thông suốt hay bị tắc nghẽn và xem được hình dạng buồng tử cung có bình thường hay không, bằng cách bơm thuốc cản quang có iod vào buồng tử cung.

Mục đích chụp tử cung – vòi trứng:

  - Là phương pháp tốt nhất để khảo sát và đánh giá vòi trứng.

  - Khảo sát bất thường cấu trúc hay hình dạng tử cung: tử cung đôi, 2 sừng…, chấn thương, u xơ tử cung hoặc có vòng hoặc dị vật trong tử cung. Những vấn đề này thường dẫn tới những chu kỳ kinh nguyệt đau đớn, khó chịu hoặc sẩy thai lặp đi lặp lại.

  - Chụp tử cung – vòi trứng còn để đánh giá xem liệu phẫu thuật hỗ trợ điều trị thắt ống dẫn trứng có thành công hay không.

khoacdhh_tavoitrung

Cần chuẩn bị gì trước chụp tử cung vòi trứng?

  - Chụp tử cung – vòi trứng được thực hiện 2-5 ngày sau khi sạch kinh và kiêng giao hợp trước đó 3 ngày để chắc chắn rằng người bệnh hiện đang không mang thai, để tránh tia X quang ảnh hưởng tới thai sớm. Nếu bạn đang mang thai hoặc có thể có thai cũng cần thông báo cho bác sĩ biết .

  - Tại thời điểm chụp HSG bạn không mắc bệnh viêm vùng chậu hay bệnh lây truyền qua đường tình dục (như lậu hoặc chlamydia).

  - Bạn không bị dị ứng với thuốc cản quang có chứa iod được sử dụng trong chụp tử cung vòi trứng hoặc bất kỳ chất nào khác có iod hay dị ứng với thuốc hoặc đã từng bị sốc phản vệ (phản ứng dị ứng nghiêm trọng) trước một chất nào đó như nọc ong đốt hoặc do ăn hải sản hay không.

  - Không có tiền sử có mắc bệnh hen suyễn.

  - Người bệnh có vấn đề về đông máu hoặc đang dùng các thuốc làm loãng máu như aspirin hoặc warfarin thì không nên chụp tử cung vòi trứng vì kết quả có thể sẽ không chính xác hoàn toàn.

  - Nếu bạn có tiền sử bệnh thận hoặc bệnh tiểu đường, đặc biệt là những trường hợp dùng metformin đề hỗ trợ điều trị bệnh tiểu đường thì khi chụp tử cung – vòi trứng sẽ bị ảnh hưởng bởi thuốc cản quang được sử dụng trong khi chụp. Với những trường hợp này, người bệnh có thể cần phải xét nghiệm máu (creatine, xét nghiệm nồng độ nitrogen trong máu) trước khi chụp tử cung vòi trứng để xem thận có đang hoạt động tốt hay không trước khi tiến hành chụp tử cung vòi trứng.

  - Những trường hợp bị rong kinh thì có thể chụp trễ hơn.

Cách tiến hành chụp tử cung – vòi trứng diễn ra như sau:

  Trước khi bệnh nhân chụp tử cung – vòi trứng cần thăm khám âm đạo để loại trừ viêm nhiễm đường sinh dục.

  Khi chụp tử cung – vòi trứng thì bệnh nhân sẽ chụp phim ở tư thế nằm sản khoa. Bác sĩ phụ khoa hay bác sĩ X-quang sẽ đặt một dụng cụ (mỏ vịt) vào trong âm đạo, lau sạch cổ tử cung và đặt một ống thông (catheter) vào lỗ cổ tử cung.

BS bơm thuốc cản quang (có Iode) vào buồng tử cung một ít và chúng sẽ đi vào hai ống dẫn trứng, vào ổ bụng nếu ống dẫn trứng thông suốt. Những bất thường trong lòng tử cung cũng có thể phát hiện nhờ phim X-quang.

  Sau khi chụp tử cung – vòi trứng nếu thấy có hình ảnh đọng thuốc cản quang trong ổ bụng, thì kết luận 2 vòi trứng thông tốt và kết quả được trả lời là Cotle(+) 2 bên.

  Sau khi chụp phim xong bệnh nhân có thể sinh hoạt bình thường nhưng nên sử dụng bao cao su để tránh thai trong vài lần giao hợp kế tiếp.

KHOA CĐHA BỆNH VIỆN SẢN NHI AN GIANG HÂN HẠNH ĐƯỢC ĐÓN TIẾP QUÍ BỆNH NHÂN!

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