Hysteroscopy. Yuav ua li cas yog nws?

Tshaj yav dhau los xyoo caum gynecologists nyob rau hauv European lub teb chaws yog yuav luag tag nres siv xws manipulation li scraping lub uterine kab noj hniav nyob rau hauv thiaj li yuav tau cov ntaub ntawv uas (mucosal scrapings) rau histologic xeem los yog tshem ib qho txawv txav tsim nyob rau hauv lub ncauj tsev menyuam los yog tsev me nyuam channel. Nyob rau hauv qhov chaw ntawm lub ntxhib thiab heev puas manipulation tuaj ib tug tshiab txoj kev - hysteroscopy. Yuav ua li cas yog nws?

Nws yog tsawg kawg tus thiab ntau maj mam txoj kev endoscopic hom kev kawm. Soj ntsuam ntawm lub uterine kab noj hniav phab ntsa yog nqa tawm siv lub hysteroscope - nyias kho qhov muag ntsuas tswvcuab los ntawm lub ncauj tsev menyuam kwj dej mus rau hauv lub uterine kab noj hniav ncaj qha. Qhov no txoj kev ua kom tus neeg txawj nyob rau hauv lub sij hawm los laij rau tus channel lub xeev ntawm cov uterine kab noj hniav thiab cov yeeb nkab cov ces kaum. Qhov no txoj kev yuav ua rau nws tau mus nqa tawm ib tug tag nrho cov mob, thiab yog hais tias tsim nyog - phais adhesions, endometrial polyps, fibroids thiab lwm yam endometrial pathologies tsis muaj kev raug mob thiab txiav.

Endoscopic mob yog nqa tawm rau lub nrhiav kom tau thiab kev tshawb nrhiav txog pathological dab nyob rau hauv lub tsev me nyuam. Nyob rau hauv cov ntaub ntawv no, hysteroscopy no lub xub ntiag ntawm adhesions, septa, myomas, polyps nyob rau hauv lub tsev me nyuam. Indications rau nws nqa tawm yog xav tias endometriosis, submucous myoma ntawm los yog ntshav synechiae (adhesions) uterine perforation phab ntsa thaum lub sij hawm dilatation thiab curettage los yog rho menyuam, endometrial los yog lub tsev me nyuam, endometrial pathology. Mob tseem yog tsim nyog, yog hais tias ib tug kws kho mob yog xav tias ntau yam malformations ntawm lub tsev me nyuam, nws txawv txav kev loj hlob, ntxiv lawm tshob.

Ib tug tswj txoj kev tshawb no ntawm lub xeev ntawm cov tsev menyuam yog feem ntau tus kws kho tom qab kev phais nyob rau lub tsev me nyuam, nyob rau hauv kom nchuav menyuam, tom qab lawm kev kho mob. Yog li, diagnostic hysteroscopy pab nrhiav qhov ua rau ntawm ntxiv lawm tshob, coj khaub mob, nchuav menyuam, dysfunctional uterine los ntshav.

Ces cov nqe lus nug tshwm sim: kho hysteroscopy - yog dab tsi? Qhov no manipulation, uas yog ua rau kev kho thiab kev kho mob ntawm lub pathological kev txawv txav kuaj. Indications thereto yog intrauterine septum, synechiae, submucosal fibroids, polyps, endometrial hyperplasia thiab lwm yam tej yam kev mob. Phais pab yog ua los ntawm cov hysteroscope, uas tso cai rau yuav ua kom paub qhov tsim nyog cov cuab yeej uas ntau yam kev kho mob manipulations. Endoscopic hom kev kawm cia tsis tsuas mus rau tshem tawm cov saum toj no-hais cov kab mob, tab sis kuj yuav tshem tawm fibroids ntshav ablation thiab endometrial resection. Cov txheej txheem no hu ua hysteroresectoscopy feem ntau cov tib hysteroscopy. Yuav ua li cas yog no thiab yog muaj ib qhov txawv? Hysteroresectoscopy - qhov no yog tsis yog tus paub thiab operative kev kho mob ntawm uterine kab mob. Qhov no yog ib qho ntawm feem niaj hnub thiab advanced txoj kev kho mob los ntawm kev phais, sparing lwm txoj rau tsoos qhib phais.

Paub txoj kev kho mob: Kua thiab roj hysteroscopy. Yuav ua li cas yog nws? Rau tag nrho cov kev soj ntsuam ntawm uterine kab noj hniav nws nthuav. Yuav kom ib tug diagnostic txoj kev tshawb no siv ib tug roj hysteroscopy. Nyob rau hauv lub qhaj ntawv los ntshav tsev menyuam txhab siv cov pa roj carbon dioxide. Rau nqa tawm phais tiv thaiv ntau nyiam kua hysteroscopy, uas yog siv los ntawm kev siv ntawm tsawg-molecular thiab high-molecular kua. Nws muab tseeb visibility thiab tso cai rau koj mus saib xyuas cov lag luam.

Diagnostic hysteroscopy thiab phais kho mob yuav nqa tawm nyob rau hauv qhov kev txiav txim ntawm ib tug kws kho mob nyob rau tib lub sij hawm los yog txawv cov txheej txheem. Feem ntau thaum lub sij hawm manipulation yog endometrial me.

Yog hais tias ib tug poj niam yog raug tsa los hysteroscopy, tus nqi ntawm txoj kev, nws yuav nrhiav tau nws tus kheej nyob rau hauv lub tsev kho mob. Feem ntau, qhov kev pab no yog them rau kev kho mob tsev muaj xws li cov kev sib tham ntawm tus kws kho mob thiab cov anesthesiologist, preoperative kev ntsuam xyuas, ECG, tshuaj loog.

Nws yog ib qho tseem ceeb kom paub hais tias hysteroscopy muaj contraindications. Cov muaj xws li cov tshiab khiv kis qhov chaw mos o dab, ncauj tsev menyuam stenosis, mob uterine los ntshav ntau kis tus kab mob, tshwj xeeb tshaj yog nyob rau hauv mob, mob ntaub ntawv ntawm cov kab mob ntawm cov hlab plawv system, ob lub raum thiab lub siab.