Hysteroscopy dumbu - chii? dumbu Hysteroscopy: mifananidzo, zviratidzo, mari nzira

Pari zvino pane yakati mhando mashoma nechirwere zvirwere hwevakadzi, ramakagadzwa, pamwe Ultrasound uye kuri (rinobva resonance uye kombiyuta) ari chikamu dumbu hysteroscopy. Imhandoi nzira? Ndezvipi zviratidzo kuti mufambiro wayo imomo, uye zvakawanda sei kunzanga? Izvi ndizvo zvatinofanira kuedza kukuudzai munyaya ino.

Chii chinonzi hysteroscopy

Kubva shoko rechiGiriki rakashandurwa kuti "kuongorora dumbu." Kutaura zvazviri, hysteroscopy chinhu gynecological kuongororwa nokushandiswa rinokosha mudziyo, inonzi hysteroscope. Kunoitawo kuti kuongorora nemaziso mukati lining pamusoro dumbu pasina punctures uye maronda. Uyezve, nzira iyi zvinoita kubvisa duku pathological idzodzo pamuviri mhango, fallopian sepombi kana cervix.

Zvinofanira kuita kuchengetedza kuti muchibereko chemusikana hysteroscopy havasi tichibvisa uye muitiro wakafanana, kunyange vanowanzoororwa aibatanidza. The musiyano chikuru nzira iyi yokurapa uye chirwere zvidzidzo kubva vamwe ndechokuti epithelial rukoko kuti dumbu panguva bata rakapotsa asina kukuvadzwa. Uyewo, US, mune zvimwe zviitiko haabvumiri kuti zvakajeka kumisa zvimwe nuances kuitika sikarudzi hadzi pathological kwendangariro. Zvakakwana kuyeuka kuti chete gumi apfuura nokuda kuona mukati menyika epithelial rukoko pamusoro dumbu zvaaifanira kuita guru incision mudumbu uye mukadzi zvakananga pamusoro nhengo. Kwapera nguva, vakatanga kubereka kuongorora uchishandisa laparoscope. Asi izvi aiva zvaunokanganisa, sezvo ari rokuongorora pamusoro uterine mhango zvaaifanira kuita ponji ari rusvingo wake. manipulations zvose izvi zvinogona kukonzera paumbwe adhesions kana chikonzero kushaya mbereko. Hysteroscope anobvumira kuita pasina maronda uye punctures pachidziro abdominal uye dumbu. It anonzi mukana, nokuti chipi kutyora kuvimbika ganda uye tsandanyama iri pachena kuti utachiona uye utachiona suwo.

Saka, tinoziva chii dumbu hysteroscopy. Ko panyaya dzoutano nyanzvi uye varwere? Verenga nezvazvo pamusoro.

Types dumbu hysteroscopy

To musi, marudzi maviri hysteroscopy Munokudzwa mune zvokurapa ezvinhu: chirwere uye dzokurapwa (hysteroresectoscopy). Hysteroscopy dumbu inoitwa kuona (kusimbisa kana kusaratidza) yapfuura chirwere chinonzi chirwere. Musiyano mukuru pakati ichi mhando nzira iri kuti murwere hairevi rakasiyana-siyana yokutindivadza. Chokwadi chokuti chirwere hysteroscopy dumbu kunyange zvakanaka panguva mukadzi, asi panguva imwe chete anoita seinokonzera kurwadziwa.

Kuchirapa hysteroscopy dumbu (kubviswa ane polyp, fibroids, adhesions zvichingodaro) rinoitwa kune hombe inorwara mukana chokuvapo murwere pathologies rinoda kuvhiya kupindira. Izvi rworudzi nzira rinoitwa pasi vakawanda yokutindivadza uye kunoda kuti kutora chikamu kwe chikwata vanachiremba: .. The anesthesiologist, chiremba etc. Kuti nderei Kufanana hysteroresectoscopy pamwe zvishoma invasive Kuvhiya inozivikanwa laparoscopy.

Zvichienderana mhando nzira uye mutengo zvinosiyana. Hysteroscopy dumbu, iro rinoitwa kuti chirwere zvinangwa, zvimwe isingadhuri pane hysteroresectoscopy.

Zvairatidza kuti chirwere zvesangano

Hysteroscopy dumbu kuti asimbise kana agodzivisa kwokutanga nechirwere rinoitwa zvinotevera nyaya:

• vanofungidzirwa endometriosis uye uterine fibroid (submucosal);
• vanofungidzirwa iripo lumen residues fetus membranes;
• kuziva akasiyana anatomical zvikanganiso muchibereko chemusikana, zvinoshandiswa uye remuromo Canal;
• kuti asimbise zvinokonzera nekorasi intermenstrual ropa, rinorema uye mazhinji kumwedzi;
• zvichimurova kupfupfudzika (dzose) uye kushaya mbereko;
• kuti asimbise kubudirira kwenguva refu hormone kurapwa.

Pasinei mukuru mashoko zviri dumbu hysteroscopy chinowanzoonekwa ushandiswe chete panyaya kana nechirwere iri dzichipesana, uye zvinhu vakawana mukufamba vamwe chirwere nzira, haana kubatsira kujekesa mufananidzo chirwere.

Zvairatidza kuti kuchirapa hysteroscopy

Funga huru anoratidza kuti nzira, rinozivikanwa kuchirapa hysteroscopy dumbu. Chii, isu akatarira kumusoro, saka kunzwisisa chii uchapupu pariri, hakuzovi kwakaoma. Saka, mune zvimwe zviitiko, mukadzi akatumira hysteroresectoscopy?

• Kana varipo vari dumbu pamusoro endometrial polyps.
• Kana paiva endometrial thickening (hyperplasia isiri yekenza).
• In pamberi uterine fibroids, pasi endometrium.
• Pamwechete nokusingaperi zvichiitika pamuviri rinorema kubuda ropa.
• In pamberi baffles uye intrauterine adhesions nhego masvingo.
• Kubvisa mhango pakati dumbu pamuviri loop mhando.

uterine hysteroscopy (polyp nokubviswa, wakaparadzaniswa chirwere curettage, uye zvakawanda) rinoitwa chete kana pasina zvakakomba contraindications. Izvi zvinoshandawo kwavari, vachakuudza mberi.

Contraindications

Sezvo chirwere kana kurapwa nzira uchishandisa hysteroscope chokuita zvishoma invasive kuvhiyiwa, pane zvinhu zvinoverengeka kuti hatibvumiri kuti kushandisa nzira iyi. contraindications Serious kuti Implementation kuti chirwere hysteroscopy vari:

1. Anogumbura pezvakaitwa ari urogenital zvomukati, kusanganisira urethritis, vulvovaginitis, cystitis, uye zvakawanda.
2. Zvirwere zviri rikwanise danho.
3. Normal pamuviri.
4. Kunwisa ropa kubva muchibereko chemusikana panguva nzira.
5. Remuromo stenosis.
6. The nekenza cervix (rokupedzisira Danho).
7. Zvakakomba somatic ezvinhu pashure kutambura nechirwere chomwoyo.
8. Zvakakomba mwero renal kana mwoyo nokukundikana (pasinei padariro chirwere).
9. Zvirwere zvinokonzerwa ropa nyonganyonga.

Mune zvimwe zviitiko, muitiro uchishandisa mukadzi hysteroscope zvakakwana kutsvaka kurapwa kubva pane chirwere. Zvisinei, dzimwe nguva izvi hazvina kukwana, saka nyanzvi sarudza chimwe nzira nechirwere kana Kuvhiya kwakaita kushandisa michina yakasiyana.

Kugadzirira dumbu hysteroscopy

Kuti mumwe muitiro chirwere kana kuti yokurapwa uchishandisa hysteroscope vakapfuura shoma Migumisiro, zvakakodzera zvakanaka kugadzirira. Chinhu chokutanga chaunofanira kuita chero murwere - kushanyira chiremba wako kuti ndiani achatuma kuti kuongororwa, unova chokuendesa Analyses. Kazhinji, runodiwa pakutsvakurudza mazita zvinosanganisira:

• zvakafanana ropa uye weti miedzo;
• Gynecological smears pamusoro nemiti uye mwandabvu;
• nemakemikari Kuongororwa ropa uye weti;
• unonzi, electrocardiograph;
• ropa uye kusapindirana kweropa boka;
• Pap zodzera kubva cervix;
• Ultrassom mifananidzo pelvic zvomukati;
• Pakupedzisira, chiremba;
• fluorography.

Pfuurai zvose miedzo uye vafambe zvokuwedzera kunodiwa kwemazuva 10-14 asati waichengetwa kutengeserana. Kana, zvisinei, kubva kutambira zvabuda vakatora nguva yakawanda, vanofanira dzokorora.

Zvinokosha kuyeuka vakadzi ndiani dumbu hysteroscopy, kuti zvichaita muvatarire mumwe mafungiro. Pashure pezvose, kwete murwere ose achida kushivirira kusagadzikana panguva kurapwa. Izvi zvinoshandawo kunyanya kune vaya vari kuendeswa chirwere hysteroscopy umo haushandi talk yokutindivadza.

Rimwe zuva asati nzira, vakadzi zano kushomeka yaunodya kuti zvinwiwa. The wokupedzisira mugove mvura anobvumirwa kunwa kushoma maawa gumi pamberi oparesheni. Mumakore okupedzisira maminitsi 50-60 asati hysteroscopy uterine nzira rinoitwa anonzi premedication, musimboti randinogara munhanganyaya murwere nyaradzo. Kana kuti hysteroresectoscopy, mukadzi anofanira kuisa anobudisa mushonga zvishoma nezvishoma kuburikidza iyo achaitwa rinokosha rufimbi zvinodhaka. In yose, gadziriro dumbu hysteroscopy anotora maminitsi asingasviki matatu. Panguva ino, mukadzi ari Akayerawo BP uye muviri tembiricha.

Under chii zvinhu zvinogona kuitwa hysteroscopy

Saka, ngationei kune huru. Sei uterine hysteroscopy? Pakarepo zvinofanira kutaura kuti nzira iyi chingaitwa nomunhu outpatient kana inpatient marongero. Muchiitiko chokutanga ari kupindira rinoitwa muhofisi ane gayinakorojisiti uye haatarisiri pakatanga yokutindivadza. Mune mamwe mamiriro ezvinhu, chiremba anogona kuita chirwere akavhiyiwa panguva dzakadai hysteroscopy uye curettage yacho dumbu. Zvinofanira kucherechedzwa pakarepo kuti nyanzvi havazokwanisi kuita yoga chirwere paakatora rinenge (tichibvisa) zviri dumbu pasina yokutindivadza, sezvo nzira iyi inorwadza zvikuru uye kwete mukadzi wose achakwanisa kuti zvirambe zviripo. Kunakisa outpatient kupindira ndiko kumhanya waro Implementation, uyewo mari yakaderera. uterine hysteroscopy muchiitiko ichi rinoitwa chete sezvo yokuongororwa muitiro.

Hysteroresectoscopy kunogona kuitwa chete muchipatara. Panyaya iyi, murwere muchipatara mazuva maviri. Mumamiriro ezvinhu akadaro, chiremba anogona kwete chete kuita rokuongorora pamusoro dumbu uye fallopian sepombi, asi utore unozotevera kuongorora zvacho mucosa ari nhengo mutopota, uyewo kuita otschip zvinyama ari cervix. Hysteroscopy hazvisi anodhura pane kuitwa pamusoro outpatient hwaro. Zvinokosha kufunga kuti njodzi yematambudziko munguva mira kuitisa muitiro ipfupi yekudyidzana. Uyezve, uku kwakadai Kuvhiya kunoitika mukadzi zirokwazvo nyarara.

Sei muitiro

Ngatitaurei anozodzidza pfungwa huru: chirwere hysteroscopy. Kana murwere anoiswa patafura kuongororwa, chiremba achibatsirwa dzinokosha zvishandiso rinovhura cervix uye unopinda ayo mhango Urume. bata Izvi zvinoita mhango muviri wakavhurika nokuti mberi chirwere zviito. Saka sei hysteroscopy dumbu pasina zvomunharaunda yokutindivadza, mukadzi vanganzwa chinokosha kusanzwa kana kunyange marwadzo.

Pashure pokukurukurirana kupinda uterine mhango hysteroscope chiremba kunotanga stepwise rokuongorora mutumbi remuromo Canal uye miromo fallopian sepombi. Kamwe akagutsa unyanzvi pasina polyps, fibroids nezvimwe namamota, izvozvo curette fenzi kunobereka shoma zvinyama mamwe zvidzidzo. Zviduku penguva nguva, izvo zvinogona kutora remuromo hysteroscopy - anenge 5-10 maminitsi. Zvishoma kwenguva amutsvaka muviri mhango - maminitsi 15-20.

Pakadaro, kana mukadzi wakatumwa kuchipatara kubvisa polyps ari dumbu, hysteroscopy rinoitwa pasi zvavo yokutindivadza. Pashure rokutanga rokuongorora muviri nomukombiyuta hysteroscope kuchatsiviwa kwayo hysteroresectoscopy. Tichishandisa izvi yakagozha mudziyo gayinakorojisiti anobvisa kubva uterine mhango polypous inotungamirwa, myomas, endometrium dzinongoda pasi uye anoparadzanisa fused dumbu (synechia). Uyezve, hysteroresectoscopy akatakura nyama kumorwa kuti histological kuzviongorora. Rinhiko ndiye nokuporesa dumbu hysteroscopy? Operations kwakadai kazhinji kugara hapana kupfuura maminitsi 30. Murwere haadi kunzwa marwadzo panguva nzira uye vapenyu kare muimba yavaipora.

Kuti zvingaitika pashure nzira

Saka, mudzimu ndiwo pamusoro. mukadzi Chii chinogona kunzwa pashure? Hysteroscopy dumbu, kunyange vatakurira kunze pasi vakawanda yokutindivadza, anogona kukonzera dzinokosha kusanzwa, iyo inotaurwa chitarisiko vanokakata marwadzo mudumbu. Ichi migumisiro kutyora kuvimbika mucosa uye vamwe kutambanuka pamusoro dumbu rusvingo uye remuromo mugero. Mumazuva, mukadzi anogona kutora marwadzo relievers (antispasmodic).

Inenge ose varwere pashure kwakadai kupindira zvinochengetwa zvishomanana ropa kubva nyinyo. Kana tinofunga kuti pakatanga zvokushandisa uye midziyo, panobva ropa anova pachena muna uterine mhango. Yatanga Kuongorora, kamera uye akatungamirira chiedza Mabumba, pasinei dzayo duku size, kukuvadza pasi epithelium. Uyezve, zvinokosha kufunga kuti kakawanda hysteroscopy kunosanganisira kutyora kuvimbika mucosa nechinangwa zvakabudiswa rinenge nokuda histological kuzviongorora. Kuwanda marwadzo uye uwandu pakuyerera hakunei sei zvikuru kuti dumbu hysteroscopy. Chekutanga zvinokanganisawo ehurumende nhengo vakadzi panguva pokuvhiyiwa, ayo munhu maitiro (pakugwamba ropa, marwadzo nezvikumbaridzo , uye zvichingodaro. D.).

In prophylactic mafomu, chiremba wako anogona mishonga mararamiro inorwisa mabhakitiriya mukadzi. Izvi zvinobatsira kuti kudzivisa chimiro kuzvimba ari pelvic zvomukati. Uyezve, pane vakawanda kurumbidza kuti utsanana. Chekutanga, hazvina yakarumbidza kushanyira saunas uye dzimba dzokugezera. Chechipiri, bhati zvakakodzera yokutsiva kugeza, uye syringing nani kwete kupa mwedzi. Panguva yekutevera mukadzi inokurudzirwa kushandisa Mapedhi sezvo tampons vanogonawo kuva chinokonzera chirwere. Asati kutanga kuenda kumwedzi sechinhu pamuviri rinofanira kushandiswa anonzi chinodzivirira nzira, kureva kondomu.

Sezvo hysteroscopy chokuita kuvhiya kupindira, pane zvimwe zviratidzo kuti zvingaratidza matambudziko akatanga. Paanenge mukadzi hwobva kubvunza chiremba vaichengeta muitiro. maitiro aya anosanganisira:

• zvikuru uye kwenguva refu kurwadziwa pelvic nzvimbo, iyo haakwanisi kubvisa non-mushonga marwadzo relievers;
• zhinji kusangana nekutsi kwemukadzi kusvibisa kana pasina pus;
• Fivha kubva subfebrile zviratidzi kuti kutsoropodza.

Pasinei kuduku kunotevera panguva nzira dzakadai dumbu hysteroscopy, matambudziko anogona kuitika. Ndokusaka mukadzi pashure kurapwa kana kuongororwa nenzira iyi inofanira kunge vanyatsohuongorora kuongorora avo ezvinhu.

Matambudziko hysteroscopy

Vaya yaitirwa Kupindira zvakadai, sezvo dumbu hysteroscopy, migumisiro (inofambiswa nyanzvi uye varwere kusimbisa ichi) anogona kunge akanaka kana kuti asina kunaka. Most kashoma yakanyorwa kuomesa akadai uterine perforation kana perforation kwake. Chinokonzera kukuvara ichi vanogona kuva hanya nyanzvi pakurapa chikwata. Zvisinei, vakawanda pakakoromoka imhaka yokuti remuromo Canal anowedzera chaizvo zvishoma, nokupinda akapinda zvokushandisa kwakawedzera kumanikidza pamusoro muviri pamadziro.

Chimbofunga izvo zvingakonzera kushungurudzika kwemigumisiro yechibereko. Ongororo dzinoratidza kuti kazhinji vakadzi vanokura endometritis. Ichi chiitiko chinowanzoitika nekuda kwechirwere chekuvhiringidza zvirongwa mukati mechiberekero icho chirwere chacho chakaitwa. Kuti udzivise zvinetso izvi, zvakakwana kuti uwane muongorori wakadzama musati waitwa. Mukuwedzera, zvakakosha kuzivisa chiremba pamusoro pezvinhu zvose zvekuvhiringidza mumitambo ye genito-urinary yakaitika mwedzi mitanhatu isati yasangana nekliniki. Bvisa endometritis nekurapa kwenguva refu nemishonga inorwisa mabhakitiriya.

Kuongororwa kwakajeka kunobatsira kudzivisa zvinetso zvakadai semhematometer, iyo inoshandiswa iyo kuunganidza ropa muuterine cavity nekuda kwekutyora kwekugadzirisa. Chiratidzo chekunyanya uku ndiko kurwadziwa kwakakomba mudumbu rezasi. Apo zvirwere zvinenge zvichionekwa, kudzokorora kushandiswa kwemukati wemuviri kunokurudzirwa kuitira kuti ubvise ropa rinobva mairi.

Pashoma kakawanda, hysteroscopy yakaoma nekunyanyisa zvakanyanya, apo iri mukati mezvipembenene zvinyorwa zvinokanganisa histological kukura. Zvinosuruvarisa, hutachiona hahupindi kuporesa.

Pasinei nematambudziko mukuita mushure mekunyengedzera, kutaura pamusoro pekuita izvi sekutakura dambudziko hakusi kwekunzwisisa. Chokutanga pane zvose, zvakakosha kuti tifunge kuti inoitwa kubvisa matambudziko makuru, ayo mavari anogona kutyisidzira hupenyu hwemukadzi.

Ingano yakawanda sei inonzi hysteroscopy yemukaka

Mari inoshandiswa pakuongororwa kana kurapa maitiro nekushandiswa kwe hysteroscope inopesana zvichienderana nenzvimbo yechipatara chezvokurapa uye pamusoro pokuti chii chichaitwa. Hysteroscopy yechipupuriro, iyo ine mutengo inenge yakadzika kupfuura hysteroresectoscopy, inoonekwa seinodhura. Kukosha kwayo kunenge 14-18 zviuru makumi ruble. Chirongwa chekukwirira kunodhura, semuenzaniso, kubviswa kwepuropiti yechibereko (hysteroscopy). Mutengo wemitambo iyi unotangira kubva ku 22 000 rubles. Zviyero zvakapiwa zvinoumbwa, kutanga kune zvose, kubva kumishonga inoshandiswa panguva yebasa rekupindira. Uyewo mari yekuita iyo inosanganisira kubhadhara nguva yekushanda yachiremba uye nevamwe vashandi vanobatana nevechirwere. Basa rinokosha mumitengo yemhando iyi yekurapa inotambidzwa nemamiriro ekushanda. Mari yakaderera inowanikwa mune izvo zvinonzi office hysteroscopic zvimiso, sezvo zvisingatsvaki hofisi yakagadzirirwa kuti iite.

Iva noutano!