Hysteroscopy chiberekero - ndichiyani? chiberekero Hysteroscopy: mitundu, zizindikiro, mtengo wa ndondomeko

Panopa, pali ndithu mitundu ingapo ya matenda a matenda akazi, imene, pamodzi ndi ultrasound ndi kulingalira (maginito kumveka ndi kompyuta) ndi gawo la chiberekero hysteroscopy. Kodi mtundu wa ndondomeko? Kodi zikuonetsa kwa makhalidwe ake uko, ndi momwe ndindalama? Izi ndi zimene kuyesera kuti ndikuuzeni inu m'nkhani ino.

ndi hysteroscopy Kodi

Ku mawu achigiriki amene anawamasulira kuti 'kufufuza chiberekero. " Ndipotu, hysteroscopy ndi kufufuza matenda ndi ntchito chipangizo wapadera, wotchedwa hysteroscope. Iwo amalola kuti zowoneka kufufuza mkati akalowa la chiberekero popanda punctures ndi mabala. Komanso njira imeneyi zimathandiza kuti kuthetsa yaing'ono formations pathological mu M'mimbamo thupi, chiberekero kapena khomo pachibelekeropo.

Ziyenera kukhala malo kuti chiberekero hysteroscopy si kuchipala ndi ndondomeko yomweyo, ngakhale kuti nthawi zambiri pamodzi. Chachikulu kusiyana kwa njira ya mankhwala ndi maphunziro matenda ena ndi kuti wosanjikiza zaminyewa la chiberekero pa mpheto pafupifupi si kuonongeka. Komanso, US, zina salola kuti bwino kukhazikitsa ena mokoma zikuchitika mu kumaliseche wamkazi pathological njira. Wokwanira kuti aganizirenso chabe khumi zapitazo kuti kuonera mkati mwa wosanjikiza zaminyewa la chiberekero kunali kofunika kupanga ang'ambe thupilo lalikulu pamimba ndi mkazi mwachindunji pa limba. Patapita nthawi, anayamba kutulutsa Kupenda ntchito laparoscope. Koma mu ndondomeko iyi ankalakwitsa zina ndi zina ngati anayendera wa uterine M'mimbamo kunali kofunika kupanga puncture mu khoma lake. mwai onsewa chingachititse mapangidwe adhesions kapena chifukwa osabereka. Hysteroscope amalola kuchita popanda mabala aliyense ndi punctures anali khoma m'mimba ndi chiberekero. Amaona mwayi, chifukwa kuphwanya aliyense wa umphumphu wa khungu ndi minofu ya poyera kuti mabakiteriya ndi tizilombo tina chipata.

Choncho, tadziwa chiberekero hysteroscopy. Ndi chiyani icho mu mawu a akatswiri zaumoyo ndi odwala? Werengani za izo.

Mitundu chiberekero hysteroscopy

Pakali pano, mitundu iwiri ya hysteroscopy amadziŵika mu malo a zachipatala matenda ndi achire (hysteroresectoscopy). Hysteroscopy chiberekero ofuna kudziwa (kutsimikizira kapena kutsutsa) matenda kale ndi matenda. Chachikulu kusiyana pakati pa mtundu wa ndondomeko ndi kuti wodwalayo siligwira ntchito kwa mitundu yosiyanasiyana ya mankhwala ochititsa dzanzi. chakuti matenda hysteroscopy chiberekero ngakhale omangika pa mkazi, koma pa nthawi yomweyo amachita ngati gwero la ululu.

Achire hysteroscopy chiberekero (kuchotsedwa kwa polyp ndi, fibroids, adhesions ndi zina zotero) ikuchitika nkhani ya chiwerengero chachikulu cha Mwina kukhalapo mu pathologies wodwala zofuna alowererepo pa opaleshoni. mtundu uwu wochita imagwiridwa pogonekedwa ndi mankhwala ambiri ndipo amafuna nawo gulu la akatswiri: .. The dzanzi, dokotala Izo ndizo zofunika kufanana hysteroresectoscopy ndi opaleshoni asang'ambe kudziwika monga laparoscopy.

Malinga mtundu wa ndondomeko ndi ndalama zimasiyanasiyana. Hysteroscopy chiberekero, yomwe ikuchitika zolinga matenda penapake mtengo kuposa hysteroresectoscopy.

Zikuonetsa kuti njira yodziwira

Hysteroscopy chiberekero pofuna kutsimikizira kapena kutsutsa kale matenda ikuchitika milandu zotsatirazi:

• amaganiziridwa endometriosis ndi fibroid uterine (submucosal);
• amaganiziridwa zatsalira zilipo lumen nembanemba yoopsa;
• kuzindikira zofooka zosiyana anatomical la chiberekero, zokhudzana ndi ngalande khomo lachiberekero;
• kukhazikitsa zimayambitsa kumatchula magazi intermenstrual, olemera ndi yaitali kusamba;
• ndi padera mobwerezabwereza (mwachizolowezi) ndi osabereka;
• kukhazikitsa mphamvu ya yaitali mankhwala m'thupi.

Ngakhale mkulu zambiri zili chiberekero hysteroscopy nthawi zambiri zotchulidwa okha ngati atapezeka ndi maganizo, ndiponso zipangizo zopezera njira za kayendetsedwe zina matenda sanali zithandiza kumveketsa chithunzi cha matenda.

Zikuonetsa kuti achire hysteroscopy

Taganizirani zizindikiro zazikulu kwa ndondomeko, lotchedwa achire hysteroscopy chiberekero. ziri izo, ife anayang'ana pa pamwamba, kotero kuti amvetsetse chimene chili umboni kuchita chiyani, sizidzakhala zovuta. Choncho, nthawi zina, mkazi anatumiza kwa hysteroresectoscopy?

• Pamene alipo chiberekero tizilombo ting'onoting'ono endometrial.
• Pamene wosanjikiza endometrial thickening (hyperplasia).
• Pamaso pa fibroids uterine pansi endometrium lapansi.
• Ndi nthawi akutulukira kuchokera mu thupi la magazi lolemera.
• Pamaso pa kakasi ndi adhesions intrauterine limba makoma.
• Kuchotsa M'mimbamo la chiberekero kulera zosiyanasiyanazi mtundu IUD.

uterine hysteroscopy (polyp kuchotsa, osiyana matenda curettage, ndi zambiri) ikuchitika okha ngati palibe contraindications kwambiri. Lokhudza iwo, adzakudziwitsani pa.

contraindications

Popeza matenda kapena mankhwala ndondomeko ntchito hysteroscope chikukhudza asang'ambe opaleshoni, pali zinthu zingapo kuti salola inu kugwiritsa ntchito njira imeneyi. contraindications kwambiri kukhazikitsa matenda hysteroscopy ndi:

1. njira yotupa mu ziwalo urogenital, kuphatikizapo urethritis, vulvovaginitis, cystitis, ndi zambiri.
2. matenda opatsirana mu gawo pachimake.
3. Normal mimba.
4. Kugwiritsa magazi kuchokera chiberekero nthawi ya ndondomeko.
5. Khomo lachiberekero stenosis.
6. The khansa ya khomo pachibelekeropo (gawo lotsiriza).
7. Aakulu somatic chikhalidwe pambuyo akuvutika ndi vuto la mtima.
8. digiri aakulu kulephera aimpso kapena mtima (osayang'ana siteji ya matenda).
9. Matenda oyamba ndi magazi matenda.

Nthawi zina, ndondomeko ntchito hysteroscope mkazi zokwanira kuchipatala ku matenda chachikulu. Komabe, nthawi zina izi sikokwanira, kotero akatswiri kusankha njira ina matenda kapena opaleshoni chinagwira ntchito njira zamakono osiyana.

Kukonzekera chiberekero hysteroscopy

Kuti njira yodziwira kapena yochizira matenda ntchito hysteroscope anadutsa ndi zotsatira kochepa zoipa, m'pofunika kukonzekera bwino. Chinthu choyamba chimene inu muyenera kuti wodwala aliyense - kukaonana ndi adokotala anu, amene ndidzamtuma kwa kumupima, ndilo yobereka nkhani. Monga ulamuliro, kafukufuku chofunika mndandanda zikuphatikizapo:

• wamba magazi ndi mkodzo mayesero;
• smears matenda pa zomera ndi chinzonono;
• amuzolengedwa kusanthula magazi ndi mkodzo;
• electrocardiogram;
• magazi ndi RH gulu;
• Pap chopaka ku khomo pachibelekeropo;
• Ultrasound zithunzi za ziwalo m'chiuno;
• Pomaliza, madokotala;
• fluorography.

Mayeso yonse ndipo kafukufuku zina zofunika masiku 10-14 isanafike tsiku ndikupeleka. Koma ngati ku chiphaso cha zotsatira anatenga nthawi zambiri, iwo ayenera retake.

M'pofunikanso kukumbukira akazi amene chiberekero hysteroscopy, kuti Pakufunika kwa iwo mtima winawake. Pajatu aliyense wodwala alekerere kusapeza pa chamankhwala. Zimenezi zikugwira makamaka amene akuuzidwa kuti matenda hysteroscopy amene sakuligwiritsira ntchito mankhwala ochititsa dzanzi ambiri.

tsiku lina pamaso pa ndondomeko, akazi akulangizidwa kuchepetsa zakudya ndi zakumwa zina. Gawo lotsiriza la madzi amaloledwa kumwa osachepera maola khumi patsogolo ntchito. Pa mphindi 50-60 otsiriza isanafike ndondomeko hysteroscopy uterine ikuchitika otchedwa premedication, akamanena za chomwe kumayambiriro sedation mtima. Ngati muli ndi hysteroresectoscopy, mkazi ayenera kukhazikitsa catheter kudzera limene lidzakhala wapadera mankhwala ochititsa mankhwala. Okwana yokonza chiberekero hysteroscopy amatenga Pasanathe mphindi makumi atatu. Panthawi imeneyi, mkazi Anayezanso magazi ndi kutentha thupi.

Kodi zinthu angathe kuchitidwa hysteroscopy

Choncho, tiyeni tisunthire kwa waukulu. Kodi uterine hysteroscopy? Mwakucimbidza ayenera kuti njirayi zikhoza kuchitika pa outpatient kapena inpatient kolowera. Mbali yoyamba alowererepo pa ikuchitika mu ofesi ya gynecologist ndi sikutanthauza oyamba ochititsa dzanzi. Nthawi zina, adokotala akhoza kuchita ntchito matenda imodzi, monga hysteroscopy ndi curettage la chiberekero. Tikumbukenso yomweyo kuti katswiri sadzatha kuchita osiyana matenda kutenga minofu (kuchipala) la chiberekero, pakalibe mankhwala, monga njirayi ndi zopweteka kwambiri ndipo osati mkazi aliyense adzatha wolimba. The ntchito outpatient watsala liwiro kukhazikitsa, komanso mtengo wotsika. uterine hysteroscopy mu nkhani iyi ikuchitika monga ndondomeko matenda.

Hysteroresectoscopy angathe kuchitidwa kokha m'chipatala. Pankhaniyi, wodwalayo ali m'chipatala kwa masiku awiri. Izi zikachitika, dokotala silingakhoze kokha kuchita kuyendera pa chiberekero ndi chiberekero, komanso kutenga yoganizira wotsatira wa particles mucosa wa chitoliro limba, komanso kupanga otschip minofu khomo pachibelekeropo. Hysteroscopy mu nkhani iyi ndi okwera mtengo kusiyana imachitika pa outpatient maziko. Ndi zothandiza kuti chiopsezo cha matenda oyamba pa n'kupuma kuchititsa ndondomeko yafupika kwambiri. Komanso, mtundu uwu wa opaleshoni chimachitika kwa mkazi ndi sabweretsa chisoni kwambiri.

Kodi ndondomeko

Tiyeni tisunthire kwa mfundo zikuluzikulu: matenda hysteroscopy. Kamodzi mtima aikidwa pa tebulo bwinobwino ndi dokotala mothandizidwa ndi zipangizo wapadera amatsegula khomo pachibelekeropo ndi amalowa M'mimbamo madzimadzi ake. mpheto Zimenezi zimathandiza thupi M'mimbamo wotsegukira kwa izo zochita zina matenda. Choncho kodi hysteroscopy chiberekero popanda mankhwala oletsa ululu pamalopo, mkazi angaone kusapeza kwambiri kapena ngakhale kupweteka.

Nditadziŵana mu dokotala uterine M'mimbamo hysteroscope akuyamba stepwise yoyendera thupi la ngalande khomo lachiberekero ndi pakamwa machubu mazira. Atakhutira ndi luso pakalibe tizilombo ting'onoting'ono, fibroids ndi zotupa zina, curette mpanda umabala pang'ono minofu maphunziro zina. The imeneyi zing'onozing'ono nthawi, imene zingatenge hysteroscopy khomo lachiberekero - za 5-10 Mphindi. Pang'ono motalikira anafufuza thupi M'mimbamo - Mphindi 15-20.

Zikatero, ngati mkazi anatumizidwa ku chipatala kuchotsa tizilombo ting'onoting'ono mu chiberekero, hysteroscopy imagwiridwa pogonekedwa ndi mankhwala ambiri. Pambuyo kuyambirira yoyendera thupi kudzera hysteroscope ndi m'malo mwa hysteroresectoscopy ake. Kugwiritsa ntchito chipangizo zambiri chipangizo gynecologist amachotsa kuchokera uterine M'mimbamo polypous mapangidwe, myomas, endometrium kutayidwa pansi kudzalekanitsa zinaphatikizidwa chiberekero (synechia). Komanso, hysteroresectoscopy anagwira zimakhala kukolola kufufuza histological. ndi wautali bwanji machiritso a chiberekero hysteroscopy? Ntchito ya mtundu kawirikawiri zatenga zosaposa mphindi 30. Wodwala safuna kumva ululu ndondomeko ndi moyo kale mu chipinda kuchira.

Omwe angagwe pambuyo ndondomeko

Choncho, ntchito latha. Kodi mkazi angamve bwanji pambuyo? Hysteroscopy chiberekero, ngakhale ikuchitika pogonekedwa ndi mankhwala ambiri, zingachititse kusapeza kwambiri, amene afotokozedwa mu maonekedwe a kukoka ululu pamimba. Izi ndi zotsatira za kuswa kukhulupirika kwa mucosa ndi ena anatambasula pa khoma chiberekero ndi ngalande khomo lachiberekero. Patangotha masiku ochepa, mkazi akhoza kutenga ululu relievers (antispasmodic).

Pafupifupi odwala onse pambuyo mtundu wa alowererepo ndi inati magazi pang'ono kuchokera ku nyini. Ngati ife kuganizira kuti kumayambiriro zida ndi zipangizo, gwero la magazi zimaonekeratu mu uterine patsekeke. Probes, kamera ndi LED mababu kuwala, ngakhale kukula kwake yaing'ono, kuvulaza ndi epithelium. Komanso, m'pofunika kuganizira mfundo yakuti nthawi zambiri hysteroscopy kumaphatikizapo kuswa kukhulupirika kwa mucosa kuti cholinga cha zitsanzo zosankhidwazi minofu kufufuza histological. Mphamvu ya ululu ndi kuchuluka kwa kumaliseche sikudalira mmene chiberekero hysteroscopy. Choyamba chimakhudza ziwalo boma akazi pa nthawi ya opaleshoni, makhalidwe ake payekha (magazi clotting, ululu pakhomo , ndi zina zotero. D.).

Mafomu prophylactic, dokotala anu angakupatseni moyo mankhwala mkazi. Izi zimathandiza kuti asapanikize anthu ndi kutupa mu ziwalo m'chiuno. Komanso, pali a malangizo ukhondo. Choyamba, si analimbikitsa kukaona saunas ndi malo osambira. Kachiwiri, kusamba m'pofunika m'malo kusamba, ndi syringing bwino kupereka mwezi. Pa kusamba mkazi akulimbikitsidwa kugwiritsa ntchito ziyangoyango monga tampons kwakenso kukhale chifukwa cha matenda. Isanafike kuyamba kusamba monga kulera zosiyanasiyanazi ayenera ntchito otchedwa chotchinga njira, mwachitsanzo kondomu.

Popeza hysteroscopy anafotokoza kuti alowererepo pa opaleshoni, pali zizindikiro zina zimene zingasonyeze mavuto anayamba. Akapezeka mkazi ayenera yomweyo dokotala amene anachita ndondomeko. makhalidwe amenewa ndi monga:

• kwambiri ndiponso yaitali ululu m'dera m'chiuno, amene sangathe kuchotsa sanali mankhwala ululu relievers;
• wochuluka ukazi zoonera kapena opanda mafinya;
• malungo kuchokera zizindikiro subfebrile kuti yovuta.

Ngakhale zoopsa zazing'ono pa ndondomeko monga chiberekero hysteroscopy, zosokonezeka angayambe. Ndicho chifukwa chake mkazi mankhwala kapena Kupenda njira imeneyi ayenera kukhala mosamala kwambiri kuyan'ana mkhalidwe wawo.

Zovuta za hysteroscopy

Anthu amene akuvutika ndi aziloŵerera, monga chiberekero hysteroscopy, zotsatira (akatswiri maganizo ndi odwala akutitsimikizira izi) akhoza kukhala kaya zabwino kapena zoipa. Kwambiri kawirikawiri olembedwa Vuto monga perforation uterine kapena perforation mwa iye. Chifukwa cha kuwonongeka izi zikhoza kukhala osasamala katswiri mankhwala unit. Komabe, ambiri kusiyana ndi chifukwa chakuti ngalande khomo lachiberekero zambiri pang'ono kwambiri, kuchibweretsa icho analowa zipangizo ndi kuthamanga pa khoma thupi.

Taganizirani zimene hysteroscopy uterine zotsatira angachotsedwe. Reviews zikusonyeza kuti nthawi zambiri akufotokozera mu akazi endometritis. chodabwitsa Ichi ndi chifukwa zobisika kutupa chiberekero, imene opaleshoni zinachitikadi. Kupewa vuto izi, zokwanira pochitika tinafotokoza mwatsatanetsatane patsogolo ndondomeko. Komanso, n'kofunika kudziwitsa dokotala wanu za njira zonse yotupa mu ziwalo urogenital kuti zinachitika kwa miyezi 6 isanafike chithandizo kuchipatala. Dysmenorrhea angathe kuthetsedwa mwa mankhwala yaitali ndi mankhwala.

A kafukufuku mwatsatanetsatane ndi kuthandiza kupewa mavuto monga hemometra, ndicho chimene chiri kudzikundikira magazi mu chiberekero chifukwa kuphwanya ndondomeko coagulation. A chizindikiro cha vuto ili ndi ululu pamimba m'munsi. Pamene hematometra analimbikitsa kuchita kukonzanso kukonza chiberekero kuti kuchotsa izo kwa magazi kuundana.

N'kukhala hysteroscopy kobvuta kuchipala owonjezera pamene histology mphukira kuonongeka wosanjikiza pa zitsanzo zosankhidwazi za minofu. kudwala ichi, mwatsoka, si ankachitira.

Ngakhale akatswiri mchitidwe zosokonezeka pambuyo hysteroscopy, kulankhula za njirayi monga chotengera ngozi zilibe tanthauzo. Choyamba, tiyenera kukumbukira kuti ikuchitika kuthetsa pathologies aakulu, amene mwa iwo okha ungathe kusokoneza moyo wa mkazi.

Kodi zimenezo chiberekero hysteroscopy

Mtengo wa njira yodziwira kapena yochizira matenda ndi ntchito hysteroscope ndi mosiyanasiyana malingana ndi malo kuchipatala ndi zimene kudzatenga mwai. Hysteroscopy chiberekero, mtengo ndi pang'ono m'munsi hysteroresectoscopy ankaona angakwanitse kwambiri. mtengo wake ndi za 14-18 zikwi rubles. Dongosolo la udzakwaniritsidwa okwera mtengo kusiyana ndi kofunika, mwachitsanzo, kuchotsedwa kwa chiberekero polyp (hysteroscopy). Mtengo wa ndondomeko akuyamba ku 22 zikwi rubles. Izi ndalama zigwirizana makamaka zimene mankhwala ntchito pa opaleshoni. Komanso mu mtengo wa ndondomeko zikuphatikizapo malipiro a ntchito nthawi ya madokotala ndiponso anthu ena ogwira ntchito m'chipatala okhudzidwa mu khalidwe la hysteroscopy. Yofunika kwambiri mitengo ya mtundu wa zaumoyo ndi ankaimba ndi zikhalidwe za ntchito. mtengo wotsika Timaona otchedwa njira ofesi hysteroscopic kuyambira awo kukhazikitsa sikutanthauza chipinda mwapadera.

Khalani wathanzi!