媽媽育兒網(wǎng)
當(dāng)前位置: 主頁 > 懷孕 > 注意 >

女性身體有炎癥，輸卵管可能會阻塞

出處：網(wǎng)絡(luò)收集 日期：2024-08-27 19:15:49 編輯：秩名

“你的右側(cè)輸卵管近端有堵塞情況，但值得慶幸的是，另一端暫時看起來是暢通的，而且右側(cè)只是近端堵塞，我?guī)湍慵s一個輸卵管介入復(fù)通術(shù)吧，咱們先看看術(shù)后的恢復(fù)。”我很遺憾地告訴面前這位已經(jīng)備孕3年之久的女性。 
 
“您的意思是，我不排卵嗎？”患者小心翼翼地問。
 
“哦，不，這是兩個概念。輸卵管堵塞與排卵并沒有直接的聯(lián)系，因為卵子是從卵巢里排出來的，與輸卵管沒有聯(lián)系，女性是否能夠排卵只與卵巢功能是否正常有關(guān)。但是當(dāng)輸卵管堵塞后，對受精卵進(jìn)入子宮會有妨礙作用，甚至是導(dǎo)致受精卵無法進(jìn)入子宮，這就導(dǎo)致了女性不孕不育。”
 
“那我左側(cè)不是通的嗎？為什么一直沒有懷上？” 
 
“女性有兩條輸卵管，一般來說卵巢是輪流排卵的。只要另外一條通暢，就有排卵受孕的概率，但卵泡的發(fā)育程度，輸卵管的暢通都是是否能懷孕的關(guān)鍵，當(dāng)一側(cè)輸卵管不通時，也就意味著很大程度上降低了受孕的概率。”
 
“那您能否幫我做下卵泡發(fā)育的檢測，我用左側(cè)卵巢排出的卵子懷孕不可以嗎？”
 
“原理上是可行的，但這樣做會增加宮外孕的概率，會有很大危險。在出現(xiàn)單側(cè)輸卵管不通的情況時，我們一般建議進(jìn)行及時的診斷和治療，不然另一側(cè)出現(xiàn)問題的話事情就比較棘手了。”
 
宮外孕的案例在臨床上也非常多見，曾經(jīng)有位患者，4年內(nèi)連續(xù)兩次宮外孕，而輸卵管上的傷痕使得她若想要再次懷孕變得異常困難，最后她只能選擇做了試管嬰兒。
 
事實上，輸卵管阻塞是導(dǎo)致女性不孕的重要原因之一，占不孕患者的1／3，近年來有逐漸上升的趨勢，是不孕癥的治療難題。輸卵管堵塞主要由于炎癥經(jīng)子宮內(nèi)膜向上蔓延，首先引起輸卵管黏膜炎性改變，輸卵管上皮發(fā)生退行性或成片脫落，導(dǎo)致輸卵管黏膜粘連，繼而輸卵管管腔或傘部閉鎖。
 
當(dāng)炎癥波及卵巢，對卵巢功能造成損害時會出現(xiàn)月經(jīng)過頻、月經(jīng)量過多等月經(jīng)不調(diào)現(xiàn)象；有時因盆腔充血有導(dǎo)致淤血性痛經(jīng)，越臨近經(jīng)期越重，直到月經(jīng)來潮。除此之外，有些患者還有白帶增多，性交疼痛，胃腸道障礙，乏力，勞動受影響或不耐久勞、精神神經(jīng)癥狀及精神抑郁等癥狀。但也有很多患者，尤其是單側(cè)輸卵管堵塞的患者，往往自身并未有特別明顯的感覺，直至發(fā)生不孕或懷孕困難時，才發(fā)現(xiàn)輸卵管已經(jīng)出了問題。
 
一般來講，可引起輸卵管堵塞的成因有：陰道炎、宮頸炎、子宮內(nèi)膜炎、卵巢疾病、闌尾炎、結(jié)核病的病原菌上行感染；人工流產(chǎn)、上避孕環(huán)、取避孕環(huán)等宮腔操作并發(fā)輸卵管炎癥引起堵塞；月經(jīng)期間行房事、不潔性交、長期陰道出血等人為和疾病因素造成的輸卵管堵塞；腹腔手術(shù)、反復(fù)通液也會波及輸卵管導(dǎo)致炎癥擴(kuò)散，造成輸卵管堵塞；流產(chǎn)后休息太少，飲咖啡過多，久坐等不良生活習(xí)慣也會引起輸卵管堵塞。
 
在輸卵管阻塞患者中，尤以單側(cè)輸卵管阻塞最為常見，然而，往往是單側(cè)的阻塞，經(jīng)常因為患者本人的忽視，使得演變?yōu)殡p側(cè)阻塞，甚至發(fā)生宮外孕危及女性的生理及心靈健康。
 
國內(nèi)外的研究表明，至少80%的患者可通過非外科手段達(dá)到近端輸卵管再通。輸卵管再通術(shù)在介入治療領(lǐng)域開展有10多年的歷史，在輸卵管阻塞不孕癥的診斷和治療方面，以其效果顯著、并發(fā)癥少而被臨床醫(yī)生采用，被患者接受。選擇性輸卵管造影和輸卵管再通術(shù)已經(jīng)成為治療輸卵管阻塞性不孕癥的主要方法之一。
 

輸卵管不通的原因很多，而根據(jù)輸卵管堵塞程度，可有三種情況。

 
輸卵管通而不暢：其引起的原因是管內(nèi)碎屑、脫落細(xì)胞或血塊阻塞；或輸卵管過于纖細(xì)彎曲；或輸卵管與盆壁、鄰近器官粘連，牽拉了輸卵管的活動。這些情況可以通過使用腹腔鏡進(jìn)行疏通，對于管外粘連也能通過腹腔鏡予以剪斷分解。經(jīng)治療，大部分患者可以懷孕。
 
輸卵管閉塞不通：其損壞程度較輕，但大部分輸卵管是正常的。這種情況，可通過宮腹聯(lián)合手術(shù)進(jìn)行輸卵管疏通或24小時置管。如有輸卵管積水，可在其上面開個口，放掉液體翻轉(zhuǎn)縫合防止再次粘連。一般來講，手術(shù)效果較好，成功率可達(dá)90%以上。
 
輸卵管完全不通且病損嚴(yán)重：這種情況多為病程過長延誤治療或輸卵管結(jié)核感染所致，因輸卵管形成疤痕、攣縮、僵硬，功能發(fā)生不可逆性改變，即使疏通成功，也很難自然受孕。一般需要術(shù)后進(jìn)行試管嬰兒助孕。
 
治療輸卵管阻塞性不孕，需根據(jù)具體情況，綜合對癥治療。因為輸卵管的生理功能，即卵子的運輸、精子的運輸和激活等必須靠輸卵管黏膜纖毛活動以及輸卵管蠕動和節(jié)律性收縮。進(jìn)入陰道的精子經(jīng)過“重重關(guān)卡”才能受孕。治療輸卵管不通的方法很多，如輸卵管通水、通氣，宮腔內(nèi)注射藥物，內(nèi)服藥物，針灸以及外治法。對于粘連嚴(yán)重者，必須做輸卵管粘連松解術(shù)、輸卵管吻合術(shù)、輸卵管造口術(shù)等。
 
但是也不能一味用通水方法治療，多次通水可造成輸卵管積水更加嚴(yán)重，子宮肥大，輸卵管形成水囊，使輸卵管功能紊亂，不孕癥更加復(fù)雜化。還有，因為做輸卵管通水患者痛苦大，對疼痛敏感的患者極易造成假性不通。所以患者一定要到有條件的正規(guī)醫(yī)院治療，方能取得更好的療效。

    相關(guān)閱讀

    孕期食譜推薦

    • 雄起 孕前提高精子質(zhì)量吃啥呦

    • 葉酸買越貴越好嗎？交了智商稅后……

    • 懷孕期間能喝奶茶嗎 懷孕喝奶茶的危害

    • 孕婦食用酸菜魚的優(yōu)勢 孕婦食用酸菜魚注意事項

    熱點推薦

      懷孕期間視頻講座

      編輯推薦

      圖文推薦
      • 女性產(chǎn)后應(yīng)注意哪些事項？

      • 懷孕期間除了補(bǔ)充“葉酸”外，這四種“營養(yǎng)”也很重要！看看你們都知道嗎？

      • 懷孕期間，孕媽媽避免做這三件事，也許“黃疸”悄悄“遠(yuǎn)離”寶寶！

      • 懷孕期間多吃這些水果，寶寶出生后不易得黃疸！孕媽媽不要錯過！

      熱點關(guān)注

      Weibo Article 1 Weibo Article 2 Weibo Article 3 Weibo Article 4 Weibo Article 5 Weibo Article 6 Weibo Article 7 Weibo Article 8 Weibo Article 9 Weibo Article 10 Weibo Article 11 Weibo Article 12 Weibo Article 13 Weibo Article 14 Weibo Article 15 Weibo Article 16 Weibo Article 17 Weibo Article 18 Weibo Article 19 Weibo Article 20 Weibo Article 21 Weibo Article 22 Weibo Article 23 Weibo Article 24 Weibo Article 25 Weibo Article 26 Weibo Article 27 Weibo Article 28 Weibo Article 29 Weibo Article 30 Weibo Article 31 Weibo Article 32 Weibo Article 33 Weibo Article 34 Weibo Article 35 Weibo Article 36 Weibo Article 37 Weibo Article 38 Weibo Article 39 Weibo Article 40 Weibo Article 41 Weibo Article 42 Weibo Article 43 Weibo Article 44 Weibo Article 45 Weibo Article 46 Weibo Article 47 Weibo Article 48 Weibo Article 49 Weibo Article 50 Weibo Article 51 Weibo Article 52 Weibo Article 53 Weibo Article 54 Weibo Article 55 Weibo Article 56 Weibo Article 57 Weibo Article 58 Weibo Article 59 Weibo Article 60 Weibo Article 61 Weibo Article 62 Weibo Article 63 Weibo Article 64 Weibo Article 65 Weibo Article 66 Weibo Article 67 Weibo Article 68 Weibo Article 69 Weibo Article 70 Weibo Article 71 Weibo Article 72 Weibo Article 73 Weibo Article 74 Weibo Article 75 Weibo Article 76 Weibo Article 77 Weibo Article 78 Weibo Article 79 Weibo Article 80 Weibo Article 81 Weibo Article 82 Weibo Article 83 Weibo Article 84 Weibo Article 85 Weibo Article 86 Weibo Article 87 Weibo Article 88 Weibo Article 89 Weibo Article 90 Weibo Article 91 Weibo Article 92 Weibo Article 93 Weibo Article 94 Weibo Article 95 Weibo Article 96 Weibo Article 97 Weibo Article 98 Weibo Article 99 Weibo Article 100 Weibo Article 101 Weibo Article 102 Weibo Article 103 Weibo Article 104 Weibo Article 105 Weibo Article 106 Weibo Article 107 Weibo Article 108 Weibo Article 109 Weibo Article 110 Weibo Article 111 Weibo Article 112 Weibo Article 113 Weibo Article 114 Weibo Article 115 Weibo Article 116 Weibo Article 117 Weibo Article 118 Weibo Article 119 Weibo Article 120 Weibo Article 121 Weibo Article 122 Weibo Article 123 Weibo Article 124 Weibo Article 125 Weibo Article 126 Weibo Article 127 Weibo Article 128 Weibo Article 129 Weibo Article 130 Weibo Article 131 Weibo Article 132 Weibo Article 133 Weibo Article 134 Weibo Article 135 Weibo Article 136 Weibo Article 137 Weibo Article 138 Weibo Article 139 Weibo Article 140 Weibo Article 141 Weibo Article 142 Weibo Article 143 Weibo Article 144 Weibo Article 145 Weibo Article 146 Weibo Article 147 Weibo Article 148 Weibo Article 149 Weibo Article 150 Weibo Article 151 Weibo Article 152 Weibo Article 153 Weibo Article 154 Weibo Article 155 Weibo Article 156 Weibo Article 157 Weibo Article 158 Weibo Article 159 Weibo Article 160 Weibo Article 161 Weibo Article 162 Weibo Article 163 Weibo Article 164 Weibo Article 165 Weibo Article 166 Weibo Article 167 Weibo Article 168 Weibo Article 169 Weibo Article 170 Weibo Article 171 Weibo Article 172 Weibo Article 173 Weibo Article 174 Weibo Article 175 Weibo Article 176 Weibo Article 177 Weibo Article 178 Weibo Article 179 Weibo Article 180 Weibo Article 181 Weibo Article 182 Weibo Article 183 Weibo Article 184 Weibo Article 185 Weibo Article 186 Weibo Article 187 Weibo Article 188 Weibo Article 189 Weibo Article 190 Weibo Article 191 Weibo Article 192 Weibo Article 193 Weibo Article 194 Weibo Article 195 Weibo Article 196 Weibo Article 197 Weibo Article 198 Weibo Article 199 Weibo Article 200 Weibo Article 201 Weibo Article 202 Weibo Article 203 Weibo Article 204 Weibo Article 205 Weibo Article 206 Weibo Article 207 Weibo Article 208 Weibo Article 209 Weibo Article 210 Weibo Article 211 Weibo Article 212 Weibo Article 213 Weibo Article 214 Weibo Article 215 Weibo Article 216 Weibo Article 217 Weibo Article 218 Weibo Article 219 Weibo Article 220 Weibo Article 221 Weibo Article 222 Weibo Article 223 Weibo Article 224 Weibo Article 225 Weibo Article 226 Weibo Article 227 Weibo Article 228 Weibo Article 229 Weibo Article 230 Weibo Article 231 Weibo Article 232 Weibo Article 233 Weibo Article 234 Weibo Article 235 Weibo Article 236 Weibo Article 237 Weibo Article 238 Weibo Article 239 Weibo Article 240 Weibo Article 241 Weibo Article 242 Weibo Article 243 Weibo Article 244 Weibo Article 245 Weibo Article 246 Weibo Article 247 Weibo Article 248 Weibo Article 249 Weibo Article 250 Weibo Article 251 Weibo Article 252 Weibo Article 253 Weibo Article 254 Weibo Article 255 Weibo Article 256 Weibo Article 257 Weibo Article 258 Weibo Article 259 Weibo Article 260 Weibo Article 261 Weibo Article 262 Weibo Article 263 Weibo Article 264 Weibo Article 265 Weibo Article 266 Weibo Article 267 Weibo Article 268 Weibo Article 269 Weibo Article 270 Weibo Article 271 Weibo Article 272 Weibo Article 273 Weibo Article 274 Weibo Article 275 Weibo Article 276 Weibo Article 277 Weibo Article 278 Weibo Article 279 Weibo Article 280 Weibo Article 281 Weibo Article 282 Weibo Article 283 Weibo Article 284 Weibo Article 285 Weibo Article 286 Weibo Article 287 Weibo Article 288 Weibo Article 289 Weibo Article 290 Weibo Article 291 Weibo Article 292 Weibo Article 293 Weibo Article 294 Weibo Article 295 Weibo Article 296 Weibo Article 297 Weibo Article 298 Weibo Article 299 Weibo Article 300 Weibo Article 301 Weibo Article 302 Weibo Article 303 Weibo Article 304 Weibo Article 305 Weibo Article 306 Weibo Article 307 Weibo Article 308 Weibo Article 309 Weibo Article 310 Weibo Article 311 Weibo Article 312 Weibo Article 313 Weibo Article 314 Weibo Article 315 Weibo Article 316 Weibo Article 317 Weibo Article 318 Weibo Article 319 Weibo Article 320 Weibo Article 321 Weibo Article 322 Weibo Article 323 Weibo Article 324 Weibo Article 325 Weibo Article 326 Weibo Article 327 Weibo Article 328 Weibo Article 329 Weibo Article 330 Weibo Article 331 Weibo Article 332 Weibo Article 333 Weibo Article 334 Weibo Article 335 Weibo Article 336 Weibo Article 337 Weibo Article 338 Weibo Article 339 Weibo Article 340 Weibo Article 341 Weibo Article 342 Weibo Article 343 Weibo Article 344 Weibo Article 345 Weibo Article 346 Weibo Article 347 Weibo Article 348 Weibo Article 349 Weibo Article 350 Weibo Article 351 Weibo Article 352 Weibo Article 353 Weibo Article 354 Weibo Article 355 Weibo Article 356 Weibo Article 357 Weibo Article 358 Weibo Article 359 Weibo Article 360 Weibo Article 361 Weibo Article 362 Weibo Article 363 Weibo Article 364 Weibo Article 365 Weibo Article 366 Weibo Article 367 Weibo Article 368 Weibo Article 369 Weibo Article 370 Weibo Article 371 Weibo Article 372 Weibo Article 373 Weibo Article 374 Weibo Article 375 Weibo Article 376 Weibo Article 377 Weibo Article 378 Weibo Article 379 Weibo Article 380 Weibo Article 381 Weibo Article 382 Weibo Article 383 Weibo Article 384 Weibo Article 385 Weibo Article 386 Weibo Article 387 Weibo Article 388 Weibo Article 389 Weibo Article 390 Weibo Article 391 Weibo Article 392 Weibo Article 393 Weibo Article 394 Weibo Article 395 Weibo Article 396 Weibo Article 397 Weibo Article 398 Weibo Article 399 Weibo Article 400 Weibo Article 401 Weibo Article 402 Weibo Article 403 Weibo Article 404 Weibo Article 405 Weibo Article 406 Weibo Article 407 Weibo Article 408 Weibo Article 409 Weibo Article 410 Weibo Article 411 Weibo Article 412 Weibo Article 413 Weibo Article 414 Weibo Article 415 Weibo Article 416 Weibo Article 417 Weibo Article 418 Weibo Article 419 Weibo Article 420 Weibo Article 421 Weibo Article 422 Weibo Article 423 Weibo Article 424 Weibo Article 425 Weibo Article 426 Weibo Article 427 Weibo Article 428 Weibo Article 429 Weibo Article 430 Weibo Article 431 Weibo Article 432 Weibo Article 433 Weibo Article 434 Weibo Article 435 Weibo Article 436 Weibo Article 437 Weibo Article 438 Weibo Article 439 Weibo Article 440 Weibo Article 441 Weibo Article 442 Weibo Article 443 Weibo Article 444 Weibo Article 445 Weibo Article 446 Weibo Article 447 Weibo Article 448 Weibo Article 449 Weibo Article 450 Weibo Article 451 Weibo Article 452 Weibo Article 453 Weibo Article 454 Weibo Article 455 Weibo Article 456 Weibo Article 457 Weibo Article 458 Weibo Article 459 Weibo Article 460 Weibo Article 461 Weibo Article 462 Weibo Article 463 Weibo Article 464 Weibo Article 465 Weibo Article 466 Weibo Article 467 Weibo Article 468 Weibo Article 469 Weibo Article 470 Weibo Article 471 Weibo Article 472 Weibo Article 473 Weibo Article 474 Weibo Article 475 Weibo Article 476 Weibo Article 477 Weibo Article 478 Weibo Article 479 Weibo Article 480 Weibo Article 481 Weibo Article 482 Weibo Article 483 Weibo Article 484 Weibo Article 485 Weibo Article 486 Weibo Article 487 Weibo Article 488 Weibo Article 489 Weibo Article 490 Weibo Article 491 Weibo Article 492 Weibo Article 493 Weibo Article 494 Weibo Article 495 Weibo Article 496 Weibo Article 497 Weibo Article 498 Weibo Article 499 Weibo Article 500 Weibo Article 501 Weibo Article 502 Weibo Article 503 Weibo Article 504 Weibo Article 505 Weibo Article 506 Weibo Article 507 Weibo Article 508 Weibo Article 509 Weibo Article 510 Weibo Article 511 Weibo Article 512 Weibo Article 513 Weibo Article 514 Weibo Article 515 Weibo Article 516 Weibo Article 517 Weibo Article 518 Weibo Article 519 Weibo Article 520 Weibo Article 521 Weibo Article 522 Weibo Article 523 Weibo Article 524 Weibo Article 525 Weibo Article 526 Weibo Article 527 Weibo Article 528 Weibo Article 529 Weibo Article 530 Weibo Article 531 Weibo Article 532 Weibo Article 533 Weibo Article 534 Weibo Article 535 Weibo Article 536 Weibo Article 537 Weibo Article 538 Weibo Article 539 Weibo Article 540 Weibo Article 541 Weibo Article 542 Weibo Article 543 Weibo Article 544 Weibo Article 545 Weibo Article 546 Weibo Article 547 Weibo Article 548 Weibo Article 549 Weibo Article 550 Weibo Article 551 Weibo Article 552 Weibo Article 553 Weibo Article 554 Weibo Article 555 Weibo Article 556 Weibo Article 557 Weibo Article 558 Weibo Article 559 Weibo Article 560 Weibo Article 561 Weibo Article 562 Weibo Article 563 Weibo Article 564 Weibo Article 565 Weibo Article 566 Weibo Article 567 Weibo Article 568 Weibo Article 569 Weibo Article 570 Weibo Article 571 Weibo Article 572 Weibo Article 573 Weibo Article 574 Weibo Article 575 Weibo Article 576 Weibo Article 577 Weibo Article 578 Weibo Article 579 Weibo Article 580 Weibo Article 581 Weibo Article 582 Weibo Article 583 Weibo Article 584 Weibo Article 585 Weibo Article 586 Weibo Article 587 Weibo Article 588 Weibo Article 589 Weibo Article 590 Weibo Article 591 Weibo Article 592 Weibo Article 593 Weibo Article 594 Weibo Article 595 Weibo Article 596 Weibo Article 597 Weibo Article 598 Weibo Article 599 Weibo Article 600 Weibo Article 601 Weibo Article 602 Weibo Article 603 Weibo Article 604 Weibo Article 605 Weibo Article 606 Weibo Article 607 Weibo Article 608 Weibo Article 609 Weibo Article 610 Weibo Article 611 Weibo Article 612 Weibo Article 613 Weibo Article 614 Weibo Article 615 Weibo Article 616 Weibo Article 617 Weibo Article 618 Weibo Article 619 Weibo Article 620 Weibo Article 621 Weibo Article 622 Weibo Article 623 Weibo Article 624 Weibo Article 625 Weibo Article 626 Weibo Article 627 Weibo Article 628 Weibo Article 629 Weibo Article 630 Weibo Article 631 Weibo Article 632 Weibo Article 633 Weibo Article 634 Weibo Article 635 Weibo Article 636 Weibo Article 637 Weibo Article 638 Weibo Article 639 Weibo Article 640 Weibo Article 641 Weibo Article 642 Weibo Article 643 Weibo Article 644 Weibo Article 645 Weibo Article 646 Weibo Article 647 Weibo Article 648 Weibo Article 649 Weibo Article 650 Weibo Article 651 Weibo Article 652 Weibo Article 653 Weibo Article 654 Weibo Article 655 Weibo Article 656 Weibo Article 657 Weibo Article 658 Weibo Article 659 Weibo Article 660 Weibo Article 661 Weibo Article 662 Weibo Article 663 Weibo Article 664 Weibo Article 665 Weibo Article 666 Weibo Article 667 Weibo Article 668 Weibo Article 669 Weibo Article 670 Weibo Article 671 Weibo Article 672 Weibo Article 673 Weibo Article 674 Weibo Article 675 Weibo Article 676 Weibo Article 677 Weibo Article 678 Weibo Article 679 Weibo Article 680 Weibo Article 681 Weibo Article 682 Weibo Article 683 Weibo Article 684 Weibo Article 685 Weibo Article 686 Weibo Article 687 Weibo Article 688 Weibo Article 689 Weibo Article 690 Weibo Article 691 Weibo Article 692 Weibo Article 693 Weibo Article 694 Weibo Article 695 Weibo Article 696 Weibo Article 697 Weibo Article 698 Weibo Article 699 Weibo Article 700 Weibo Article 701 Weibo Article 702 Weibo Article 703 Weibo Article 704 Weibo Article 705 Weibo Article 706 Weibo Article 707 Weibo Article 708 Weibo Article 709 Weibo Article 710 Weibo Article 711 Weibo Article 712 Weibo Article 713 Weibo Article 714 Weibo Article 715 Weibo Article 716 Weibo Article 717 Weibo Article 718 Weibo Article 719 Weibo Article 720 Weibo Article 721 Weibo Article 722 Weibo Article 723 Weibo Article 724 Weibo Article 725 Weibo Article 726