http___www.kinderwunschklinik.at_hr_lijecenje_dijagnosticke_mogucnosti_ispitivanje_jajovoda__1.xml
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HSG and HYCOSY for the examination of the fallopian tubes If damages or any changes to the fallopian tubes are suspected, imaging examination procedures can also be applied. Imaging procedures used may be the hysterosalpingogram (HSG), an x-ray imaging of the fallopian tubes using x-ray contract agents; and the Hysterosalpingo-contrast-sonography (usually shortened to HyCoSy), an ultrasound examination of the fallopian tubes in which a contract agent is injected into the fallopian tubes to access their patency (is routinely carried out at the KinderWunschKlinik Wels and Vienna). HSG: What is visible on the x-rays is how the cavity of the uterus and the fallopian tubes fill with contrast agent. In this way any changes in the uterus cavity (myomes, scaring, polyps, etc.) or at the end of the fallopian tubes can be identified. The image also shows the patency of the fallopian tubes (whether they are clear or blocked). However, the examination does not provide information on the functioning and motility of the fallopian tubes. A short anaesthetic is normally required for this examination. HYCOSY: Here an ultrasound and a contrast liquid are used to examine the patency of the fallopian tubes. For the examination, the doctor inserts a thin catheter into the opening of the cervix, through which the contrast agent is applied. In the ultrasound, the doctor is able to see if and how the contrast agent flows through the fallopian tubes. The examination can be carried out as an outpatient procedure and does not require any anaesthetic. However, some women experience pain similar to period pains. This examination is applied often, as it does not entail radiation exposure or anaesthetic. Allergic reactions to the contrast agent or an infection of the womb (metritis) as a result of the procedure are very rare.
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HSG i HYCOSY za ispitivanje jajovoda Ukoliko postoji sumnja u oštećenja ili promjene na jajovodima, mogu se primijeniti i postupci ispitivanja koji daju slike Postupci koji daju slike su histerosalpingografija (HSG), rendgenski prikaz jajovoda pomoću rendgenskog kontrastnog sredstva, a HYCOSY (kontrastna sonografija) je ispitivanje jajovoda ultrazvukom, kod kojeg se prohodnost čini prepoznatljivom ubrizgavanjem kontrastnog sredstva u jajovode (rutinski se sprovodi na klinikama KinderWunschKliniken u HSG: na rendgenskoj slici je vidljivo kako se šupljina maternice i jajovodi pune kontrastnim sredstvom. Na taj način mogu se ustanoviti promjene u maternici (miomi, stvaranje ožiljaka, polipi itd.) ili na kraju jajovoda. Slika također pokazuje jesu li jajovodi prohodni ili zadebljani. Ovo ispitivanje ne može ipak dati informaciju o funkcionalnosti i pokretljivosti jajovoda. Za ovo ispitivanje najčešće je neophodna kratka narkoza. HYCOSY: ovdje se pomoću ultrazvuka i kontrastne tekućine ispituje jesu li jajovodi prohodni. Za ispitivanje liječnica ili liječnik uvode kroz vaginu jedan tanki kateter u maternicu i kroz njega teče kontrastno sredstvo. Na slici ultrazvuka može se prepoznati teče li i kako kontrastno sredstvo teče kroz jajovode. Ispitivanje se može uraditi ambulantno i bez narkoze. Mogu se, međutim, javiti bolovi slični onima za vrijeme menstruacije. Ovo ispitivanje se često primjenjuje, pošto se može provesti bez opterećivanje zračenjem i bez narkoze. Veoma su rijetke alergijske reakcije na kontrastno sredstvo ili zapaljenje maternice uslijed zahvata.