Pazuva ripi kutenderera, zvichiita dumbu hysteroscopy?

To musi, hysteroscopy ndeimwe yenzvimbo inokosha mune chirwere miedzo Gynecology. Nzira iyi endoscopic wava mutemo unoti mune gynecological mumadhipatimendi. Vanhu vazhinji vanoshamisika: zuva ripi kutenderera yei hysteroscopy?

Hysteroscopy - munhu kutarisana vaongo- pamusoro uterine mhango inokosha Manyiminya hurongwa. Apo chirwere hysteroscopy mufambiro rokuongorora yacho uterine mhango. Kana iripo duku zvomusejari mabasa kutyora endometrium. Nokuti kuongorora kana kuvhiya kurapwa kumwe kuzvidzora hysteroscopy. The chidzoke itsva mano kuti hysteroscopy ambotirega kuona kwete chete dumbu, asiwo kuongorora mamiriro ezvinhu kusangana nekutsi kwemukadzi epithelium, muromo wechibereko canal, cervix nevamwe. Mikrogisteroskopy muwanze X 150 x60 uye kubvumira kudzidza maumbirwo masero vavo nuclei uye cytoplasm.

Pazuva ripi kutenderera zviri nani kuita hysteroscopy, zvichava kunzi pazasi.

Sei I?

Most kuzivikanwa Manyiminya gadziriro Hamou I uye Hamou II. 4 Anoita kutanga kuwedzera x1, x20, x60 uye X 150, pasi x20 wechipiri (nokuti Panoramic hysteroscopy) uye x80 (nokuti mikrogisteroskopii uye zvomusejari kupindira microtools 1-3 mm).

Kuti mikrogisteroskopii zvakakwana kuti kubata munzvimbo distal kuguma kudzidza chimwe.

Kana kuonana hysteroscopy pamberi nyika inowira endometrial 6-8 mm mu dhayamita, saka mufananidzo zvizere pamusoro hysteroscope kakawanda zvaitambidzwa kupinda uterine mhango.

Kunyange zvakawanda zvakajeka, inopenya mufananidzo unogona kuwanika anonzwisisa fibrogisteroskop, shoma kuvadza uterine rusvingo.

Chimwe utsva - Mudzimu hysteroresectoscopy, imwe yepamusoro muchina zvakaoma Hopkins'a zvinoita kuti electrosurgical nzira iri uterine mhango.

Chii muhofisi hysteroscopy? On zuva ipi loop? On ichi - on.

Office hysteroscopy iri usati chakasviba muRussia. Vakawanda voitakura kunze kune dzimwe nzvimbo yekuongororwa. Kuongorora uku dumbu uchishandisa nhete chubhu-hysteroscope. Kunze pasina chinokosha yokutindivadza muhofisi yachiremba. Zvinoda remuromo dilatation.

Yakasiyana zvatinosiita kuti hakudi kurapwa.

Hysteroscopy inokamukana, zvichienderana kunhaka nguva pre-kushanda kana post-kushanda, nechimbichimbi kana akaronga. Dzimwe nguva zvikuru nzira iri pamwe laparoscopy.

Kana tichishanda pamwe terevhizheni hurongwa riri nani pane kushandisa inotonhora chiedza kunobva. Pari zvakajairika Xenon mwenje 150 kusvika 300 watts or.

E ₂ riri CO chikafu gisteroinsuflyatorami. Insufflating gasi kunoita kuti dose uye kudzora kufurirwa uye gasi chokubuda unodiwa.

Nhanganyaya emura nhau achishandisa mhepo pombi. Nokugadzirisa chikafu mvura chinoitika rwoga, zvingava discontinuous uye chinopfuurira.

Endoscopic makamuri ayo vakapakata ano TV hurongwa kuti kugutsa zvinodiwa endoscopic kuvhiyiwa.

Lightweight uye duku kadikidiki kamera transmits mufananidzo pamusoro tarisisa unokubvumira Archive migumisiro hysteroscopic zvidzidzo uye gare gare enzanisa zvabuda. Kushandiswa kuratidzira uye kurovedza.

With veMubatanidzwa paterevhizheni basa hysteroscopy chiremba kwasvika kuvandudza, munhu gayinakorojisiti kubviswa dzokubereka kucheka mukadzi, ziso kugozha ipfupi ne kakawanda, izvo hwezvekukurukurirana ari Implementation pamusoro intrauterine evanhu. Pazuva ripi kutenderera menstruatsionnogo kuita hysteroscopy, izvozvo zvinokosha zvikuru.

Kazhinji kushandisa Laser panguva intrauterine kushandiswa. In Laser ichi Manyiminya fibers nezvevanakomana kupinda mhango kuburikidza kushanda mugero neVadzidzi nokupatsanura pamusoro vakatakura avabvisa partitions kuparadzwa endometrium.

Kuti aite hysteroscopy vanachiremba ruoko muchibereko chemusikana, izvo zvinoita ongorora nani rusvingo wake. Tensile anogona kushandiswa gasi kana mvura. Carbon dioxide, yakakwirira samolecular uremu uye pasi samolecular uremu svikiro (sesaline, mannitol, chena mvura) vari kuramba kureva distention. Chikurukuru, zvakatipoteredza inopa zvakanaka kuona vaongo- iri zvakakwana kuwedzera intrauterine kumanikidzwa uye dumbu harina akakonzera panowanikwa ane chirwere chichingoitwa. Naizvozvo zvakakosha, pazuva ripi kutenderera kuita hysteroscopy.

Mhedziso zvairatidza kuti hysteroscopy

By Mhedziso dzinosanganisira polyps ari endometrium, kushaya mbereko, vakafungira endometrial kenza uye cervix, vesico-uterine fistula uye vanofungidzirwa nenguva residues rinenge pfupa azvarwa, kuvapo muviri wokumwe, perforation pamusoro dumbu rusvingo, kuenda kumwedzi, womukati endometriosis, kugadzirisa nzvimbo pamuviri endometrial, uterine fibroids, kugadzirisa hunhu uterine rakaremara, vakafungira intrauterine adhesions, kuonana ropa, endometrial hyperplasia isiri yekenza, metro-uye menorrhagia.

Kubva ichi uchapupu kunobva, kuti dumbu hysteroscopy chii muzuva kutenderera.

hama zvairatidza

• Post-kushanda ezvinhu.
• Pashure hydatidiform nhuta.
• In nokupfupfudzika.
• Pashure kemikari kurapwa kudzora.

Contraindications

Hysteroscopy ari contraindicated mu varwere chakasimba uye subacute kuzvimba sikarudzi, pamwe rinorema uterine ropa, vakadzi vane pamuviri, vakadzi vane remuromo stenosis, gomarara.

Pazuva ripi kutenderera sei hysteroscopy zvirwere zvakasiyana-siyana?

Zvichienderana chiratidzo kusarudzwa uye nguva yokudzidza. Kana mukadzi ari vanofungidzirwa adenomyosis kana submucousmyoma, kutsvakurudza chichiitirwa pamusoro rechitanhatu namapfumbamwe zuva kumwedzi. Kuziva functionality ari endometrium, akadai hyperplasia isiri yekenza kana kushaya mbereko, hysteroscopy anoitwa panguva danho rechipiri ichitanga.

chidobi kudzidza

5% mhinduro kubva ayodhini doro kana "Yodonatom" kubatwa dzakatendereka dzomukati dzokunze sikarudzi. kuti cervix iri pachena uye doro ikarapwa kushandisa kusangana nekutsi kwemukadzi magirazi. Anoderedza pamberi muromo waJehovha cervix, dumbu uye probed vanopemberera kureba kwayo achitevedza vachiongorora. Successively expanders Geger remuromo Canal wedzerai kubva mhango kuitira ushande mvura yacho dumbu. Rapid kubviswa ropa kubudirira kugara crow. Hysteroscope anobatana ane chena mura romugove maitiro uye chiedza bhuku, uye ipapo kuburikidza remuromo Canal nayo hunosumwa kupinda uterine mhango. Chokutanga, voitakura kunze Kazhinji muchidimbu, kufunga wavhomorwa kuti chimiro uye kukura dumbu, iyo endometrium (vascular muenzaniso, coloring, ukobvu, Kumbofungatira), zvakazorodza masvingo aro, mamiriro ezvinhu uye Kuwanikwa miromo fallopian sepombi. MUNDA dumbu, cervix, isthmic kumwedzi uye marata omumativi kushanyira kusimudzira mamwe hysteroscope. The dzokororo rinoitwa ari Kutenderera negwara.

Kazhinji vakadzi shamisika zuva ripi kumwedzi kuita hysteroscopy. Nezvazvo - pazasi.

In wokukudza remuromo Canal kana fibrogisteroskopii haana zvakakodzera, sezvo workpiece fibrogisteroskopa chirwere dhayamita kuti 3.6 millimeter. Kutamira kune vanoshanda chikamu uterine mhango midziyo iri kuitwa vachishandisa kutenderera distal hysteroscope.

pamusoro akavhiyiwa

Nzira akavhiyiwa ari uterine mhango iri desirably kuitwa wokutanga chokutambudzika kutenderera kana endometrium chitete zvakakwana, hazvizovi kutadzisa kuongorora.

Operations iripo panguva hysteroscopy:

• hysteroscopic endometrial ablation;
• polypectomy;
• cryosurgery;
• hysteroscopic mbereko;
• myomectomy;
• Uterine septum resection;
• Kubviswa miviri vatorwa uye loop;
• intrauterine adhesions kwetsinga;
• achibvisa vakasara pfupa zvimedu;
• anobudisa mushonga zvishoma nezvishoma chubhu.

Varwere ndavhiyiwa chirwere hysteroscopy hakurevi chaiyo achitarisirwa. Uterotoniki uye inonyaradza marwadzo omusoro vanogadzwa apo neapo. Kana yokuwana murwere pangozi panowanikwa septic yematambudziko yakatarwa inorwisa mabhakitiriya. Pazuva ripi kutenderera, unogona kuita hysteroscopy, isu kutsanangura gare gare munyaya.

Zvinotarisirwa pashure kuvhiya hysteroscopy

Inorwisa mabhakitiriya kurapa prophylactically raitongwa pashure kuvhiya hysteroscopy ( "Gentamycin" intramuscularly 80 MG kaviri pazuva). Inorwisa mabhakitiriya kurapa pamwe metronidazole Formulations ( "Trichopolum" 1 Tab. 3 kanomwe pazuva).

Pazuva rokutanga pashure hysteroscopy aona kubva dzokubereka turakiti kusvibisa hereinafter vari wakagumiswa. To mhanyisa uterine sunga kunan'anura "Oxytocin" 1 Rine mamiririta / m kaviri zuva uye hemostatic "Vikasol" kana "Dicynonum" kuti Table 1. 3 kanomwe pazuva.

Nokuti kurwadziwa pashure pokuvhiyiwa vakagadzwa dzisiri marwadzo analgesics, "Analgin", "Baralgin", "maksigan".

Zvakanakira hysteroscopy

1. nzira iyi, kuongorora rinova zvinobvira kumisa hunhu endometrial zvokurwara.

2. Ndicho chete nzira kugonesa kuzviongorora cervix, dumbu uye isthmic dhipatimendi.

3. Tsiva laparotomy kuwana hysteroscopic uterine.

4. Inokutendera mashandiro inoitwa nemaziso kuongororwa.

5. Iri nyore, kucheka uye zvikuru anodzidzisa nzira.

6. Easy kutakura varwere.

7. kugara muchipatara ipfupi.

Pazuva ripi kutenderera sei hysteroscopy akaronga?

Zvinoenderana nokuti aunoda hysteroscopy. Kana aronga, zvose zvichava kuvimba vasiri maitiro nevakadzi. Kakawanda zvavataura ndiyo follicular chokutambudzika kumwedzi kana endometrium iri kutotanga kupora kubva kurambwa. Iye dzakaonda iyi, saka mhango pakati dumbu iri nyore kuoneka. Saka hysteroscopy Kazhinji kuitwa musi 7-9 zuva kubva pakutanga kumwedzi.

Pazuva ripi kutenderera kuita hysteroscopy zvaipa?

Emergency shanduro hysteroscopy hazvina basa zuva yatinofema. Asi pamwedzi anodzidzisa ukoshi iri dzinokwanisa ipfupi, saka zviri nani kuti varege pakudzidza panguva iyi.