The oviduct is connecting the womb and the ovary separately, it can catch from the ovary arranges to abdominal cavity’s mature egg, provides channel which the sperm and the egg meets, simultaneously the fertilized egg splits best place, once completes 6~8 cell’s fissions, the oviduct will have the rhythm creeping motion, will deliver the womb bed growth the fertilized egg, will therefore be called the oviduct “bridge of the life” not to be excessive. If the oviduct has blocking, above function will come under the influence to cause sterile. Statistics indicated that in causes the female sterility in the cause of disease, oviduct blocking holds above 1/3, then which causes oviduct blocking the reason to have?
Most common reason right and wrong specificity inflammation, also infected the ordinary germ, relates with not regular perhaps the frequent miscarriage is very big, its typical symptom has the hypogastralgia, the leucorrhea to be many, some will also appear has a fever. But what are quite many are the concealment infection, the patient usually cannot feel the obvious symptom, when after marriage sterile diagnoses, only then discovers oviduct blocking. Also one kind is the nature spread disease causes, because outside marries the sex act, multi-sexual partner increase, from this causes oviduct blocking presents the rise situation, many are because gonorrhea, the non-gonococcus genital tract infection treatment is not thorough, the inflammation encroaches upon the oviduct. This kind of oviduct blocks many creates the oviduct close ovary one side block system, cannot collect the egg. Also some kind relatively rare, what but is neglected easily is the oviduct tuberculosis. This kind of patient’s symptom is not obvious, had had pulmonary tuberculosis, but many have cured, is frequently when makes the peritoneoscope perhaps the surgery discovered that originally is the tuberculosis unseemly behavior, its harm is quite fierce, usually the entire strip oviduct has filled the bean slag specimen material, if makes the iodine oil radiography to be possible to see the oviduct assumes “the string of beads type” the change.
Oviduct blocking often very quiet injures the human, then whether early discovery oviduct blocking clues or traces?
The oviduct blocks many are because the genital tract inflammation spreads gradually the result, in many situations presents one symptom with the actual condition inconsistent phenomenon, sometimes the genital tract inflammation’s symptom completely did not have, but possibly already encroached to the oviduct, in addition oviduct located at body cavity, feminine self-early time discovery indeed some difficulties. However, has some trails to be possible to seek: If the female usually under abdomen frequently one’s secret worries, the monthly period intensifies, should bring to the attention, prompt inspection.
The oviduct passes the fluid treatment, the popular name watering, was still treats oviduct blocking the important method, but some person’s treatment result is not actually ideal, why is this?
The reason is various, this and operator’s technology, the oviduct blocking order of severity, patient’s coordination has the relations. After oviduct opening, was not is well with everything, should coordinate to take presses the ovulation medicine, grasped the ovulation the opportunity, was only then advantageous in is pregnant. If after the watering, presses treatments and so on ovulation, still when could not become pregnant, possibly has three kind of situations; first, oviduct blocking is indeed quite serious, the non-watering can solve, for instance the iodine oil radiography discovered that an oviduct close womb end (in medicine is called mesenchymal) to stop up or the oviduct water completely, such situation let water through the major function, should change to other methods as soon as possible; Second, possibly has the immunity sterile and so on aspect factors; Third, the groom’s family factor causes sterile. Reminds specially in here, sterile manifests directly, although in the bride’s side, but cannot neglect groom’s family’s factor, although sometimes the feminine oviduct has blocking, but is not possibly the sterile primary cause, but is the groom’s family seminal fluid has the question.
Because some females thought that the watering is not too comfortable, in the short time wants to give up, transferring seeks help from the pharmacological treatment, then the pharmacological treatment has the big effect?
When the two-sided oviduct blocks, the medicine therapeutic action is limited, although the inflammation causes the oviduct blocking reason, but creates the sterile immediate cause is bureaucratic way of talking mechanicalness adhesion blocking, the inflammation many have not been this time obvious, even if the oral administration antibiotic can sterilize, but very difficult to remove the adhesion. Some people through took medicine really have been pregnant, possibly belonged to some kind of coincidence, because oviduct’s compensation was very strong, some feminine oviduct not completely blocking; Some are one side blocking, another one side is complete; Also has a person, because the extra-uterine pregnancy has excised one side oviduct, so long as one side is complete, this cannot become the sterile primary cause. In addition, these females have not been pregnant also possibly exist have not been paid attention by doctor or discovery other reasons, for instance the ovulation a little barrier, through takes some to press the ovulation medicine to be possible to be pregnant. If after the inspection indeed is mainly sterile which creates by oviduct blocking, easy to delay the condition purely depending on the medicine, may consider that accepts the oviduct to pass the fluid technique first (popular name watering) to treat. The watering uses the liquid includes some medicines to be possible to play the anti-SARS role, what is more essential, the watering may cause the adhesion through the machinery expansion function the adhesion oviduct to separate, this is the pure oral administration medicine cannot achieve.
The oviduct involvement treatment and peritoneoscope the two have what difference?
After watering treatment defeat, means that the patient condition is quite complex, this time may seek help from the following method: The peritoneoscope, the involvement treatment and holds the abdomen surgery. How to choose specifically, must look that oviduct blocking the situation decides. When oviduct mesenchymal blocking, suits the involvement treatment. The involvement treatment’s full title is X under oviduct intubation passes the fluid technique, is under the radioactive rays guidance, leads the silk the belt the drive pipe insertion oviduct, pours into the contrast medium first, then pours into the treatment medicine. Generally, is good regarding the blocking scope quite narrow situation effect, if the blocking scope is quite big, the effect is not good. If is oviduct umbrella end blocking, or periphery the adhesion, chooses the peritoneoscope to be quite good, doctor may cut open under peritoneoscope looking straight ahead the adhesion. In addition, the peritoneoscope has the very accurate diagnosis function, sometimes will discover the oviduct blocking by no means sterile principal factor in the inspection process, but in addition will have the reason, like endometriosis sickness. On clinical, but also has run into such patient, at first inspects discovery oviduct blocking, but when makes the peritoneoscope discovered that the bottom of the affair is outside the ovary wraps a membrane, causes the egg to be unable to discharge, with the peritoneoscope this membrane peeling, the patient is pregnant successfully soon. Regarding passes through the involvement or the peritoneoscope treats the loser to be possible to use judgment to choose the operative treatment, repairs the oviduct, the restoration oviduct umbrella end directly under the microscope, but effectiveness is only about 30%, the patient undertakes the risk enlarged relatively.
The oviduct blocking treatment price ratio is thorny, the cycle is also long, speaking of these patients, what situation do they give up in treating suitably, transfer seek help from the test-tube baby?
After 3 months to a half year regular watering, the involvement, the peritoneoscope treatment defeat perhaps after the radiography discovered that the two-sided oviduct’s function damages seriously, should choose the test-tube baby as soon as possible. Also discovered on clinical, some oviduct water patient, not only oviduct umbrella end block system, moreover oviduct’s down, the cilium function already lost, the oviduct lost ascended the egg, to ship the egg the function, even if the lumen has passed also uselessly, was inferior that drew support from the test-tube baby earlier.
Regardless of being the general watering, involves, the peritoneoscope treatment, belongs has creates the surgery, which hidden dangers do they have?
If complies with the strict disinfection procedure, generally will not have the hidden danger. If cannot achieve the aseptic technique the request, easy to have the problem, the vagina, the cervix of the uterus bacterium leads easily the palace cavity and the abdominal cavity. If some patients have the vaginitis, the cervicitis, the womb intimitis, is also not suitable makes the watering treatment, although the watering treatment’s solution includes certain antibiotic, also easy to cause the inflammation proliferation, the aggravation condition, should after the inflammation cure considered again.
Some material said that regarding the congenital oviduct flaw, the oviduct excision perhaps the serious blocking female, may the man-made oviduct, really be this?
Has heard such formulation, but has not seen the success until now the report. Even if the man-made oviduct has succeeded, but also needs to perform the oviduct transplant technique, has certain risk. If to give birth, as if does not have this necessity, definitely may serve the purpose through the test-tube baby.
Because oviduct blocking causes sterile, recent years presented the trend of escalation, how the female should protect the oviduct?
Must first complete the contraception, avoids the induced abortion as far as possible. Many oviduct blocking are because not the regular stream of people creates, even if the regular stream of people are not suitable does frequently, otherwise similarly will increase the infection the opportunity. Next, attention sex life health. The feminine induced abortion latter month or the puerperal period planted agent forbids the sex life; The husband and wife want to remain pure and incorruptible, prevent the spread disease. Third, after the female has the pelvic inflammatory disease or the miscarriage infects, the treatment must be thorough, do not think that the symptom has not been gets sick, should after symptom vanishing takes two week-long antibiotic to be only then good again.
