Ndiani akagadzwa remuromo cône biopsy? Sei Kuvhiya rinoitwa?

Ndechipi remuromo cône biopsy, sei nokushanda - zvikuru kukamura uchishandisa nyaya nhasi. Izvi kuvhiya zvainanga abvise cône serin'i masumbu masero mutated. Zvadaro chitsetsu kunosvika kure histology nokuda Detective kenza kana kunze.

Ndiani akagadzwa remuromo cône biopsy? Sei Kuvhiya rinoitwa?

Procedure zita rinobva pashoko "cône" uye anoratidza tapered akatema yoga chimedu tishu. Izvi muchinjikwa-sectional chimiro ndiyo lightweight Kuvhiya mhando, kukurukura muviri mamiriro, placement midziyo ropa. Uyezve, pamusoro pemvura cervix hadzina kuumbwa scarring uye wakarebesa.

remuromo conization basa apo Detective mukadzi epithelial dysplasia, kukurwa kwevhu, polyps, endometriosis uye miamatoznyh nodes, cysts, mavanga guru (zvinokonzerwa genera), ectropion kana eversion mucosal kutanga kwekupwanyiwa kenza.

Asati zvitinakire murwere rinopfuura kwazvo kuongororwa uye kuziva miedzo anodiwa dambudziko anogumbura pezvakaitwa ari sikarudzi. Kuti aite izvi, chiremba prescribes miedzo:

• zvakafanana ropa uye weti miedzo;
• ropa kemesitiri;
• assays kuvapo nehepatitis B uye C, HIV, uye njovhera (PB);
• zodzera kuziva mutated masero uye microflora;
• ari kuonekwa nezvirwere yomuchipatara (PCR Diagnostics);
• kolkoskopiyu (womukati nhengo kuongorora kubudikidza kolkoskopa).

A mwedzi pamberi kuvhiya murwere inokurudzirwa kuti haabatanidzi hwepedyo uye utsanana.

Kana gadzai nzira yakadaro, vakadzi vakawanda vane mubvunzo wokutanga: chii cône ichi remuromo biopsy? Sei Kuvhiya rinoitwa? Anesthetized kana kwete?

Chaizvoizvo, kwakadaro nzira rinoitwa kushandisa yokutindivadza womunharaunda, yemanyorero lidocaine uye epinephrine dambudziko wevasungwa 1%. Kana murwere sema omunharaunda dzokutindivadza, rinoshandiswa pfupi intravenous yokutindivadza. Naizvozvo, kuvhiyiwa semunhu nyarara. Nguva yakanakisisa yokuti kuvhiyiwa anoonekwa kuva vhiki yokutanga pashure pakupera varikutsika, sezvo anenge hakubvisi pamuviri, uye ari chaizvo kwenguva refu kuti sungisa ronda pashure pakuvhiya.

conization chidobi:

1. Nhanganyaya munzvimbo nyinyo girazi rakagadzirwa epurasitiki.
2. Mabatirwo remuromo ayodhini mhinduro, zvichiratidza muganhu kwakakanganisa munyama.
3. Excision of lesion.
4. Dzichibvisa vendu chinyorwa uye kumwe kutsvakurudza.
5. Cauterization kuti ropa nzvimbo.

Kazhinji, kumonyanisa kunoitika kwemaminitsi 15.

Contraindications kuti conization

conization haina kuitwa kana pane kuzvimba ari sikarudzi. Muzviitiko zvakadaro, kuvhiyiwa ari kune rimwe danho kwapera kubvisa anogumbura zvirwere.

The nzira zvisingaiti, kana oncology cervix yakawanikwa ongororo yakaitwa rechitatu kana kuti rechina Danho. Muchiitiko chino, pane mukana kupararira masero kenza iri pedyo nhengo. Kunogona kuva kurasikirwa nyinyo, dundira, mugaranhoko. Chikonzero munhu kukura kwakadaro kunogona kuva mhosho uchishandisa chiremba, uye nemaitiro insidiousness ose bundu pacharo, iro zvinowanzoita midzi mumativi ose muviri.

Pamusoro kuonekwa kuti bundu yakadaro kunobvisa yose nenyere.

vapore

Uyewo, mibvunzo yakawanda inomuka pamusoro kurapa pashure conization. Sei ronda?

Full kupora anotora inoverengeka. Mushure kurapwa vakadzi kuziva brownish reropa secretion kubva dzokubereka turakiti rine kunhuhwirira. Inogona kuripo kwemwedzi. Mukuwedzera, marwadzo angava nehanya kupfeka achirwadza, kudhonza kana cramping zvakasikwa. Regai kutya kana wokutanga nguva pachazovakwa kupfuura zhinji pamberi clots - ndiwo chaiwo.

Kubvisa kusagadzikana pashure nzira inokurudzirwa:

• kugamuchira antiinflammatory uye marwadzo vamiririri;
• pakuzvinyima kurara kusvikira pasina sukrovichnyh secretions (2-3 masvondo);
• kubvisa kusangana nekutsi kwemukadzi Kuisa tampons, makenduru, mafuta okuzora, douches kuitisa;
• painobva kutora nemvura, pool uye sauna;
• kushomeka chiitwa;
• hazvingatongoitiki akakwidziridzwa tembiricha (mahombekombe, solariums, pedyo uye yamavira).

Mavhiki maviri pashure conization fanira rokuongorora kuongorora apore, uyewo kuona uye kudzivisa pezvingazoitika.

Mushure mitatu kana mina wakaitwa kolkoskopiya uye cytological ongororo sikarudzi. Panguva iyi kuporesa muitiro kuti kupedzwa.

Possible mibairo kuchinja

Current zvomusejari nzira conization kuderedza kukura yematambudziko. Zvisinei, haagoni zvachose warambidzwa:

1. Of ropa.
2. Kupinda chirwere.
3. Stenosis pakati ari remuromo Canal (aienda).
4. Kutyora obturator remuromo nemano kuti zvingaita kuti nokupfupfudzika.
5. Change zvivako zviri mucous secretions kubva remuromo mugero.
6. chokubereka kuderera.

The panowanikwa scarring pashure kuvhiyiwa kuri kushoma, nokuti haashandisi electrocautery unyanzvi.

Nzira nzira

Modern okurapa kunosanganisira uterine conization munzira dzakawanda:

1. Laser. Chitsvene dzinodhura asiwo Wekumusoro yepamusorosoro.
2. Radiowave. Nzira vanosanganisira achifumura Munzvimbo iyi pamwe Magetsi.
3. Loop. Nzira ine usingashandi mukana yematambudziko uye anonzwisisa mutengo.
4. Banga. Nhasi hariwanikwi, nekuti ine mukuru ndingangokuvara migumisiro yakaipa.

Nhasi, inonyatsobudirira ndiyo Laser cône biopsy, izvo vaiona mudukusa zvinorwadza. Zvisinei, kuti cône biopsy uchishandisa loop nzira ndicho, nokuti zvakakwana rinobatanidza mukana wekuti mutengo chete high quality, sezvinoratidzwa nemashoko ari nyanzvi.

Laser nzira conization

Nzira iyi ndiyo inonyanya dzinodhura, uye naizvozvo, mibvunzo inomuka: Chii Laser remuromo cône biopsy? Sei nokushanda uye chii ayo zvakanakira?

The nzira rinoitwa pasi pfupi mukuru yokutindivadza vachishandisa karbondioksidnogo Laser iyo simulates munhu scalpel nzira. Asati atanga kuvhiyiwa, chiremba rinofumura cervix uye kurongedza mashoko vulva pamwe akambozvishandisa kuuraya utachiona mhinduro. Under chichiitwa pamusoro Laser danda riri shaped lesion sechinhu cône pamwe chinyorwa diki akatapwa uye utano zvinyama (1-2 mm). Panguva imwe chete pane cauterization ronda kumicheto.

Zvakanakira nzira:

• rutapudzo kushoma kurwadziwa panguva uye avhiyiwa;
• kudzivirira postoperative kuzvimba;
• rutapudzo kuti ropa panguva kupodzwa nguva;
• Laser zvinoparadza tupukanana tusingaoneki, saka kuderedza ngozi kusvibiswa ari kushanda dzesango;
• zvinyama scarring pashure risingamboshandisi muitiro.

Laser mashandiro unoshanda, ropa uye aseptically, uye zvinogona kuitwa muna mira uye outpatient marongero.

Radiowave nzira conization

Izvi nzira malotravmatichen uye zvinowanzoshandiswa kuvhiya tsika. remuromo cône biopsy redhiyo mafungu sei? Kana coagulated sectional unopinza unocheka panobviswa panowanikwa ropa. Nzira kunoratidzwa yakakwirira zvakarurama kubvisa dysplastic nharaunda. Uye kurerutsa zvinokonzerwa vanogona kuwedzera mikana yakanaka mugumisiro tevera pamuviri.

Method LEEP

Kupindura kuti nyaya, kuti chinhu loop remuromo conization, sei kuchinja ichi, zvinogona kucherechedzwa kuti tapered mugove dysplastic nyama nokubviswa, nokuzvisarudzira kuti electrode zvishwe munharaunda iyi. Zvadaro, mukuru loop runotungamirirwa yakakwirira kakawanda rakatumbuka kuitika, uye anogadzirwa chingagumbusa excision.

Nemicheka nzira iyi kukuvaradzwa chete zvishoma, uye rokuchinjwa nguva anobuda zvakanaka. Kurwadziwa chirwere simba uye ane pfupi refu. Ropa sanyanya kunoitika.

Banga conization nzira

Zvinofungidzirwa kuti nzira iyi ndiyo zvinorwadza uye dzinogona kuva nemigumisiro yakaipa. Nhasi, saka, yakadai kuvhiyiwa rinoitwa kashoma. Kana hurukuro imwe nzira akadai banga conization, sezvo kuita avhiyiwa kubudikidza scalpel, kunzwisisa kwaizova okushamisira.

The nzira rinoitwa kushandisa zvavo kana remunharaunda yokutindivadza pakatanga mishonga hemostatic, vanachiremba dzimwe nguva vasunge chiduku tsinga.

Zvadaro dzakaparadzaniswa scalpel hosha nyama muchimiro cone. Pashure excision pakati micheto ari chekawo coagulated kushandisa idenderedzwa electrode kumisa kubuda kweropa. Kuti izvi zvidaro, uyewo chinogona kushandiswa donje swabs uye hemostatic mafuta.

Zvinoita kuti pamuviri pashure nzira

Kuti tinzwisise chii remuromo cône biopsy, sei nzira nokushandiswa nzira yakasiyana, isu funga mubvunzo kuchengetedza wembereko. Nyanzvi dzinoti kushandisa nzira itsva nzira kushanda yorega kutapudza mikana kubata pamuviri mumwe mukadzi uye kuita mwana. Zvisinei, pakati nzira uye pamuviri inofanira penguva gore mumwechete. Kana kuronga pamuviri pashure conization mukadzi anofanira:

1. Ndiongororwe imwe gayinakorojisiti, oncologist uye endocrinologist.
2. Zvino zodzera nokuda tsitolokicheskogo kutsvakurudza uye kuongorora kuvapo mahormone muropa.
3. Ita kolkoskopiyu remuromo Ultrasound uye nhengo dzokubereka nadzo.

Rakavakwa kuti dysplasia, conization vakaporeswa nokuda rokutanga uye rechipiri nzendo, kushanda haakonzeri matambudziko panguva yepamuviri. The rwechitatu norwechina nzendo zvokurwara akabatana nevamwe ezvinhu, kuwedzera ngozi yokubva pamuviri yakakura.

Kusununguka pashure nzira

Maererano mubvunzo uyu unokosha ndewokuti: sei nokuberekwa pashure conization? Mhedzisiro kuchinja zvinogona kuderedza muviri anogona kutambanudza, zvichiita kuti zviome pachena, uye kakawanda pamuviri iri wakagumiswa akaronga caesarean chikamu.

Asi sezvo basa unogona kuva yepanyama, kana vachiona obstetrician vachaona contraindications. Mugore rokutanga gore pashure pokuberekwa zvinokosha kupfuura kuongorora kuburikidza gayinakorojisiti pamwe penguva 3 months, kuti mangwanani vasabatwa rutsva Kugadzirwa chirwere, ngozi izvo kunowedzera pashure pamuviri.

About chii anotyisidzira remuromo cône biopsy, sei nokushanda riri yakavhenganiswa chaizvo wongororo. Zvose zvinoenderana pachikuva panguva iyo makawanikwa chirwere, kubva chirwere uye kubva muitiro nzira. Panguva Chaiyo zano chiremba kunobatsira zvinoratidza zviratidzo zvirwere kwokutanga matanho, izvo zvaizoita kunotoreva kubviswa ane uwandu maduku zvinyama kuti mhanyisa apore uye zvinowedzera mikana yakanaka mugumisiro nepamuviri uye pakusununguka.