Ngumhla wuni umjikelezo owenza i-hysteroscopy yesibeleko?

Okwangoku, i-hysteroscopy inomnye wezona ndawo zibaluleke kakhulu kwizifundo zokuxilonga zentsholongwane. Le ndlela endoscopic yaba yinyanzeliso kumasebe angamazinyo. Abantu abaninzi banomdla kulo mbuzo: ngaluphi usuku lomjikelezo owenziwe nge-hysteroscopy?

I-Hysteroscopy ihlolwe ngokubonakalayo kwisigxina se-uterine yinkqubo ekhethekileyo ye-optical. Ngoxilongo lwe-hysteroscopy, isigxina se-uterine sihlolwe. Xa utyando, imisebenzi encinci inokwenzeka nge-endometrial disorder. Ukulawula unyango ogqityiweyo okanye okhuselekileyo, ulawulo lwe-hysteroscopy luboniswe. Ukubonakala kwezixhobo ezintsha ze-hysteroscopy kusivumela ukuba sihlolisise i-uterine kuphela, kodwa kwakhona ukuvavanya imeko ye-epithelium yesisu, isondo lomlomo wesibeleko, umlomo wesibeleko, njl njl. Ii-Microhysteroscopes ezinyuka kwi-x60 kunye ne-x150 zisinika ithuba lokufunda isakhiwo seeseli, i-nuclei kunye ne-cytoplasm.

Ngosuku luni lomjikelezo lungcono ukwenza i-hysteroscopy, kuya kuchazwa ngezantsi.

Kwenziwa njani?

Iinkqubo eziyaziwayo kakhulu yiHamou I noHamou II. Iyokuqala isebenza ngobukhulu be-4 x1, x20, x60 kunye ne-x150, yesibini x20 (i-panoramic hysteroscopy) kunye ne-x80 (i-microhysteroscopy kunye nokungenelela kokuphaphaza nge-1-3 mm microtool).

Ukuze i-microhysteroscopy, inelungelo lokuthintela ukuphela kwendawo yesalathisi kwisixhobo esingaphantsi kwesifundo.

Ngokudibanisa i-hysteroscopy, indawo ye-endometrial enobubanzi obuyi-6-8 mm iwela kummandla wombono, ngoko ke, ukuze ufumane umfanekiso opheleleyo, i-hysteroscope iqhutshelwa ngokuphindaphindiweyo kwisigxina se-uterine.

Umfanekiso ocacileyo, ocacileyo ufumaneka usebenzisa i-fibrogysteroscope eguquguqukayo, kunye nomonakalo kwiindonga zesisu esincinci.

Olunye uhlobo oluthile luhlobo lwe-hysteroresectoscope, luyizixhobo eziphambili zeHopkins, ezivumela ukuba kwenziwe iinkqubo ze-electrosurgical kwi-uterine cavity.

Yintoni i-office hysteroscopy? Ngumhla wemijikelezo yintoni? Ngale nto - phambili.

I-Office hysteroscopy eRashiya ayiqhelekanga. Ininzi iyenziwa kwiiklinikhi zangaphandle. Olu vavanyo lwentsholongwane usebenzisa i-tube thin-hysteroscope. Iqhutyelwa ngaphandle kwe-aneshesia ekhethekileyo kwiofisi yegqirha. Kudinga ukongezwa komsele womlomo wesibeleko.

Ihluke kwinto eqhelekileyo ekubeni ayibandakanyi ukunyangwa kwezilwanyana.

I-Hysteroscopy ihlulwe, kuxhomekeke ngexesha lokuziphatha, kwi-preoperative okanye emva kokusebenza ngokukhawuleza, okanye ukucwangciswa. Ngamanye amaxesha ukuphumelela okukhulu le nkqubo idibene neparoscopy.

Xa usebenza kunye neenkqubo zikamabonwakude, kulungele ukusebenzisa imithombo yokukhanya ebandayo. Okwangoku, izibane ze-xenon ezivela kwi-150 ukuya kwi-300 W ziqhelekile.

Ukunikezelwa kwekhompyutha nge-CO ₂ kwenziwa ngu-hysterosusufulyatorami. Ukungaphumeleli kwegesi kukuvumela ukuba usebenzise umthamo kunye nokulawula uxinzelelo kunye nokukhawuleza kokunikezelwa kwegesi.

Ukuqaliswa kweendaba eziphathekayo kuqhutyelwa ngokusebenzisa iipompo zomoya. Ukuhlengahlengiswa kokubonelelwa kobutywala kubonakala kwimodi yokuzenzekelayo, kunokuthi kube phakathi kunye nokuqhubekayo.

Amagumbi e-Endoscopy anesilungiselelo seenkqubo zikamabonwakude zanamhlanje ezihlangabezana neemfuno zokuhlinzwa kwangaphambili.

Ikhamera elula kunye nekhampani idlulisela umfanekiso kumboniso, okuvumela ukuba ugcine iingxelo zeemviwo ze-hysteroscopic, uze uthelekise iziphumo. Sebenzisa ukubonisa nokuqeqeshwa kweengcali.

Ngokufika kwe-TV hysteroscopy, umsebenzi wegqirha ufikelele kwinqanaba elitsha, ubuso be-gynecologist isuswe kwisigqeba sesini somfazi, umthwalo kwamehlo uncitshiswe kaninzi, owenza ukuphunyezwa kokuphathwa kwe-intra-uterine. Ngaloo suku umjikelezo wesini owenza i-hysteroscopy, ibaluleke kakhulu.

Ngokuqhelekileyo ukusebenzisa i-laser ngexesha lokusebenza kwe-intrauterine. Kule meko, i-laser fibers ifakwe kwisigxina ngokusebenzisa ishaneli yokusebenza, ngokuqhagamshelana nomhlaba odibeneyo, izahlulo zisuswa kwaye i-endometrium iyatshatyalaliswa.

Ngokwe-hysteroscopy, oogqirha bayolula i-uterine cavity, okukuvumela ukuba uhlalutye ngakumbi iindonga zayo. Xa ulula, i-gas okanye i-liquids ingasetyenziswa. I-carbon dioxide, i-molecular molecular and molecular media (i-saline, i-manitol, yamanzi angenayo), ehlala isetyenziselwa ukunweba i-uterine cavity. Okona kubaluleke kakhulu, ukusingqongileyo kubonelela ngokufanelekileyo ukuhlola, ukunyanzeliswa kwe-intrauterine eyaneleyo yokwandisa isisu kwaye ayibangeli inkqubo yokusuleleka. Ngoko ke kubalulekile, ngaluphi usuku lomjikelezo owenza i-hysteroscopy.

Izibonakaliso ezingapheliyo ze-hysteroscopy

Eyona nto ibandakanya: iimbumba ze-endometrium, ukungabikho komntwana, ukusola kwe-endometrial kunye nomhlaza womlomo wesibeleko, i-fistula ye-vesicoureteral kunye nokusola, i-remains of bones tissue, ubukho bamalungu angaphandle, ukugqithiswa kweendonga zesisu, umjikelezo wexesha lokuphumula, u-endometriosis wangaphakathi, ukucaciswa Iindawo apho ukukhulelwa kwe-intrauterine kutholakala khona, i-fibroids ye-uterine, ukucaciswa kophuhliso lwe-uterine malformation, ukukrokra kwi-synechia, ukuxhatshazwa kwegazi, i-endometrial hyperplasia, i-metro- kunye ne-menorrhagia.

Ukususela kwezi zibonakaliso, kuxhomekeke ngokuthe ngqo kwiyiphi imjikelezo yosuku lwe-hysteroscopy ye-uterus eyenziwe.

Ukufunda okuhlobene

• Isimo sokusebenza.
• Emva kokuba umbhobho uqhube.
• Xa kuvela isisu.
• Emva kokunyanga kwama-hormone ngenjongo yokulawula.

Ukungqinelana

I-Hysteroscopy iyaphikiswa kwizigulane ezinokugqithisa ngokugqithisileyo kunye nokuzibandezela kwegazi, kunye negazi elininzi elininzi, abafazi abakhulelweyo, abafazi abane-stenosis yomhlaza wesibeleko, umhlaza wesibeleko.

Ngumhla wemijikelezo eyenza i-hysteroscopy yezifo ezahlukahlukeneyo?

Ngokuxhomekeke kwiimpawu, ixesha lokufunda likhethiwe. Ukuba ibhinqa likhankanywa nge-adenomyosis okanye i-myoma engummangaliso, isifundo senziwa ngosuku lwesithandathu lesithoba kwisigidi sokuya esikhathini. Ukumisela ukusebenza kwe-endometrium, umzekelo, nge-hyperplasia okanye ukungabikho komntwana, i-hysteroscopy yenziwa kwisigaba sesibini somjikelezo.

Uphuhliso lophando

Isisombululo se-iodine esingu-5%, utywala okanye i-"iodonate" ukuphatha amathanga angaphakathi kunye nezitho zangaphakathi zamalungu angaphandle. Umlomo wesibeleko uvezwe ngezibuko zangasese kunye nokuphathwa ngotywala. Nciphise umlomo womlomo womlomo wesibeleko, uphonononge umthamo we-uterine uze ubhale ubude bawo kwiprobe. I-geiger yokwandisa i-Geiger yokwandisa umnqweno wesibeleko ukuqinisekisa ukuphuma kwe-free from the uterine cavity. Ukususwa ngokukhawuleza kwegazi kufezekiswa ngokuhlambuluka rhoqo. I-hysteroscope ixhunyelelwe kwinkqubo yokuhambisa i-stérile fluid kunye nomthombo wokukhanya, kwaye emva koko umsele wentsholongwane ufakwe kwisigxina se-uterine. Okokuqala, uhlolo-jikelele luya kunikwa, ingqwalasela ifakwe kwisimo kunye nobungakanani bentambo ye-uterine, isimo se-endometrium (umzekelo we-vascular, umbala, ubukhulu, ukunyathela), ukukhutshwa kweendonga zayo, imeko kunye nokufikeleleka kwezibilini ze-uterine. Ummandla we-uterine fundus, umbhobho wesibeleko, umnyango wesistim kunye neendonga zecala ziyahlolwa, ukuqhubela phambili i-hysteroscope. Uhlolo lwenziwa ngokusesikweni.

Abafazi bahlala benomdla kwiyiphi imini yomjikelezo wokuya esikhathini abawenza ngayo i-hysteroscopy. Malunga nale - ngezantsi.

Ukwandiswa komngcingo wesibeleko akudingekile kwi-fibrogysteroscopy, kuba inxalenye esebenzayo ye-fibrogysteroscope inokulinganisa ububanzi be-3.6 millimeters. Ukuhambela kwinqanaba le-uterine yendawo esebenzayo yezixhobo ziqhutywa ngokujikeleza i-distal i-hysteroscope.

Malunga nokuthengiswa

Imisebenzi yokupanda kwinqanaba le-uterine iyinqweneleka ukuba iqhutywe kwisigaba sokuqala somjikelezo, xa kunqunyulwa okwaneleyo kwe-endometrium, engayi kuthintela uviwo.

Imisebenzi iyatholakala kwi-hysteroscopy:

• Ukupheliswa kwe-endometrium hysteroscopic;
• Polypectomy;
• Cryosurgery;
• Ukutyalwa kweentlobo ze-ststeroscopic;
• Myomectomy;
• Intrauterine septum resection;
• Ukususwa kwamagumbi angaphandle kunye ne-IUD;
• I-synechiasis dissection;
• Ukususwa kweemali zethambo;
• Ukuhlamba i-catheterization.

Izigulane ezifumana ukuxilonga i-hysteroscopy azidingeki ukuba zibonwe ngokukhethekileyo. I-uterotonics kunye ne-painkillers ayifumanekanga. Kwimeko yokufumana isigulane esichengeni ukufumana ingxaki ye-purulent-septic, i-antibiotics imiselwe. Ngumhla wemijikelezo enokwenzeka ukuba wenze i-hysteroscopy, siza kuhlalutya ekupheleni kwinqaku.

Iingcebiso emva kokunyangwa kwama-hysteroscopy

Ulwaphulo lwe-antibiotic ngenjongo yokukhusela lunqunywe emva kokuba u-hysteroscopy wokugada ("Gentamicin" i-intramuscularly 80 mg kabini ngosuku). Ulwaphulo lwe-antibiotics ludibaniswe kunye nokulungiselelwa kwe-metronidazole ("Trichopolum" i-tablet 1 izikhathi ezintathu ngosuku).

Ngomhla wokuqala emva kwe-hysteroscopy, ukukhulelwa kwamanzi kuphawulwa ukusuka kwindlela yokuzala, ngokuzayo bayayeka. Ukukhawulezisa iziphambano ze-uterine, khetha "i-Oxytocin" 1 ml i-IM kabini ngosuku kunye ne-hemostatic "Vikasol" okanye "iDicinon" ngokwetafile e-1. Amaxesha amathathu ngosuku.

I-analgesia emva kokuhlinzwa, engekho-narcotic analgesics imiselwe: i-Analgin, iBalgin, i-Maxigan.

Inzuzo ye-hysteroscopy

1. Ngale ndlela yoviwo, kuya kuba nako ukuseka uhlobo lwe-patracytic infrastructure.

2. Le ndlela yodwa eyenza ikwazi ukuhlolisisa umgudu wesibeleko somlomo wesibeleko, umgca we-uterine kunye ne-isthmic yesebe.

3. Ubeka indawo yokufikelela kwi-laparotomic kwisibeleko nge-hysteroscopic.

4. Ikuvumela ukuba ukhangelelwe ukujonga imisebenzi eqhubekayo.

5. Le ndlela yindlela elula, ephazamisayo kunye neyobuchule.

6. Ukunyamezela ngokugqithiseleyo izigulane.

7. Hlala esibhedlele kuncitshiswe.

Ngumhla weliphi umjikelezo ohleliweyo?

Kuya kuxhomekeka kukuphi uhlobo lwe-hysteroscopy olucwangcisiweyo. Ukuba kucetywayo, ngoko yonke into iya kuxhomekeka kwiimpawu zobomi zabasetyhini. Ngokuqhelekileyo, isigaba esilandelayo somjikelezo wokuya esikhathini siyafundisa, xa i-endometrium iqalile ukufumana kwakhona emva kokulahlwa. Inqabile kweli xesha, ngoko umgcini we-uterine ubonakala ngokucacileyo. Ngoko i-hysteroscopy idla ngokuqhutywa rhoqo ngomhla we-7 ukuya kwe-9 ukusuka ekuqaleni kwexesha.

Ngowuphi umhla womjikelo kufuneka ndiyenze ngokukhawuleza nge-hysteroscopy?

Nge-hysteroscopy engxamisekileyo, usuku lomjikelezo alunanto. Kodwa ngomxholo wokufundisa wenyanga uyanciphisa kakhulu, ngoko kungcono ukuyeka uphando ngeli xesha.