On ụbọchị nke okirikiri, na-eme akpanwa hysteroscopy?

Ka ụbọchị, hysteroscopy bụ otu n'ime ihe ndị kasị mkpa ebe na-achọpụta ọrịa ule ọrịa ụmụ nwanyị. Nke a endoscopic usoro aghọwo amanyere bụ iwu na gynecological ngalaba. Ọtụtụ ndị na-eche, sị: ihe ụbọchị nke okirikiri ka hysteroscopy?

Hysteroscopy - a visual nnyocha nke eriri akpa nwa oghere pụrụ iche ngwa anya usoro. Mgbe achọpụta ọrịa hysteroscopy omume nnyocha nke eriri akpa nwa oghere. Mgbe dị obere ịwa ahụ arụmọrụ mebiri nke endometrium. Maka nlekota ma ọ bụ ịwa ahụ ọgwụgwọ bụ a mgbanwe akara hysteroscopy. Ntoputa nke ọhụrụ ngwaọrụ maka hysteroscopy na-enye ohere ị na-elele bụghị naanị akpanwa, ma na-amata ihe bụ ọnọdụ ndị mmamiri epithelium, cervical kanaal, cervix na ndị ọzọ. Mikrogisteroskopy na-amụba x 150 x60 na-ekwe ka na-amụ na Ọdịdị nke mkpụrụ ndụ na ha nuclei na cytoplasm.

On ụbọchị nke okirikiri bụ mma ime hysteroscopy, ọ ga-kọwara n'okpuru ebe a.

Olee otú m?

Kasị mara ngwa anya usoro Hamou m na Hamou II. 4 mbụ rụrụ dịkwuo x1, x20, x60 na x 150, nke abụọ x20 (maka panoramic hysteroscopy) na x80 (maka mikrogisteroskopii na ịwa ahụ adọ microtools 1-3 mm).

N'ihi mikrogisteroskopii iji aka ebe nke ngwụsị nke ọmụmụ unit.

Mgbe kọntaktị hysteroscopy na n'anya ala dara endometrial 6-8 mm n'obosara, ya mere, a zuru ezu karị, na foto nke hysteroscope ugboro ugboro bufee n'ime eriri akpa nwa oghere.

Ọbụna ihe doro anya, na-egbuke egbuke picture pụrụ inweta na a na-agbanwe fibrogisteroskop, na di ntakiri mmebi nke eriri akpa nwa mgbidi.

Ọzọ ọhụrụ - Ịwa hysteroresectoscopy, ihe elu igwe ike Hopkins'a, ọ na-enye ohere maka electrosurgical usoro na eriri akpa nwa oghere.

Gịnị bụ ọrụ hysteroscopy? On ụbọchị ime loop? On a - on.

Office hysteroscopy bụ bụghị ọsọ ke Russia. Ke ofụri ofụri ya a rụrụ na mba ọzọ clinics. Nke a ule nke akpanwa eji a mkpa tube-hysteroscope. Rụrụ na-enweghị pụrụ iche ná Nkụnwụ na dọkịta. Ọ na-achọ cervical dilatation.

Dị iche iche si na-emebu na-adịghị na-agụnye ọgwụ na ahụ ike na usoro.

Hysteroscopy ekewa, dabere na nketa oge tupu ịkpa ma ọ bụ post-ịkpa, mberede ma ọ bụ zubere. Mgbe ụfọdụ, ihe dị irè a na usoro na-achọkwa na laparoscopy.

Mgbe na-arụ ọrụ na telivishọn usoro ka mma iji a oyi ìhè isi. Ugbu nkịtị Xenon oriọna nke 150 na 300 watts.

E ₂ bụ CO oriri gisteroinsuflyatorami. Insufflating gas na-enye ohere ka dose na ịchịkwa nrụgide na gas eruba ọnụego.

The mmeghe nke mmiri mmiri media site ikuku mgbapụta. Ịgbazi ndepụta mmiri mmiri na-eme na-akpaghị aka, ọ pụrụ ịbụ discontinuous na-aga n'ihu.

Endoscopic ụlọ na-onwem na oge a TV usoro na-egbo chọrọ nke endoscopic n'ịwa ahụ.

Fechaa na obere-sized igwefoto Site n'ibu image na ileba anya na-enye gị ohere Archive pụta hysteroscopic ọmụmụ na mgbe e mesịrị jiri ya pụta. Eji maka ngosipụta na ọzụzụ.

Na biakwa obibia nke telivishọn ọrụ hysteroscopy dọkịta ruru a ọhụrụ larịị, a onye ọkachamara n'ọrịa ụmụ nwanyị wepụrụ si Genital nchawa nwaanyị ahụ, anya nje na-belata ọtụtụ ugboro, nke mmemmem mmejuputa intrauterine mkpachapụ. On ụbọchị nke okirikiri menstruatsionnogo eme hysteroscopy, ọ dị mkpa nke ukwuu.

Ọtụtụ mgbe, ndị ojiji nke a laser n'oge intrauterine arụmọrụ. Na nke a laser ngwa anya emep uta eri na-ẹkenam n'ime uji eze site na-arụ ọrụ ọwa na kọntaktị na Nkerisị n'elu rụrụ wepụrụ partitions mbibi nke ndị na endometrium.

Iji mepụta hysteroscopy dọkịta gbatịa akpanwa, nke na-enye ohere mma-enyocha ya mgbidi. Tensile ike ga-eji a gas ma ọ bụ mmiri mmiri. Carbon dioxide, ala molekụla ibu na elu molekụla gburugburu ebe obibi (saline, mannitol, akpali mmasị mmiri), nke na-mgbe niile na-eji maka ndinyanade mbịne eriri akpa nwa oghere. Ọtụtụ ihe, na gburugburu ebe obibi na-enye a ezi visual nnyocha na-ezu dịkwuo intrauterine nsogbu na akpanwa bụghị ya kpatara omume nke ọrịa na-efe usoro. Ya mere, ọ dị mkpa, na ihe ụbọchị nke okirikiri ime hysteroscopy.

Zuru oke na-egosi maka hysteroscopy

Site zuru gụnyere polyps nke endometrium, infertility, enyo enyo endometrial cancer na cervix, vesico-eriri akpa nwa fistula na-enyo enyo na ọ na residues anụ ahụ ọkpụkpụ nke nwa ebu n'afọ, ọnụnọ nke a mba ọzọ ahụ, perforation nke akpanwa mgbidi ahụ, ndị menstrual okirikiri, esịtidem endometriosis, clarifying ebe ogwu endometrial, eriri akpa nwa fibroids, clarifying ọdịdị nke eriri akpa nwa ntụpọ, enyo enyo intrauterine adhesions, kọntaktị agba ọbara, endometrial hyperplasia, Metro-na menorrhagia.

Site na nke a na-egosi na-adabere, ka akpanwa hysteroscopy ụbọchị nke okirikiri.

ikwu egosi

• Post-ịkpa ọnọdụ.
• Mgbe hydatidiform ahumachi.
• Na ime ọpụpụ.
• Mgbe hormone ọgwụgwọ ịchịkwa.

contraindications

Hysteroscopy na-contraindicated na ọrịa na nnukwu na subacute mbufụt nke Genital akụkụ, na-arọ eriri akpa nwa agba ọbara, ụmụ nwaanyị dị ime, ndị inyom na cervical stenosis, cervical cancer.

On ụbọchị nke okirikiri ka hysteroscopy maka ọrịa dị iche iche?

Dabere na-egosi họrọ na oge nke na-amụ ihe. Ọ bụrụ na a nwaanyị na-enyo enyo adenomyosis ma ọ bụ submucousmyoma, nnyocha a na-mụụrụ na nke isii na itoolu ụbọchị nke ịhụ nsọ okirikiri. Iji chọpụta arụmọrụ nke endometrium, dị ka hyperplasia ma ọ bụ infertility, hysteroscopy rụrụ n'oge abụọ frasi nke okirikiri.

Usoro ọmụmụ

5% ngwọta nke ayodiin mmanya ma ọ bụ "Yodonatom" emeso thighs n'ime na elu kenwe. na cervix n'anwụ na mmanya na-emeso-eji mmamiri enyo. Nọrọ n'ihu egbugbere ọnụ nke cervix, akpanwa na probed usọrọ ogologo ya tinyere nyocha. Successively expanders Geger cervical kanaal hụkwuo si uji eze iji hụ na free eruba nke ọmụmụ nke akpanwa. Otito ọbara mwepụ enweta mgbe nile washes. Hysteroscope enyekwara na a Mmiri tụkwasị usoro na ìhè isi, wee site na cervical kanaal ya na ẹkenam n'ime eriri akpa nwa oghere. Iji malite, ọ rụrụ a n'ozuzu nnyocha, anya na-adọta na udi ma na size nke akpanwa, endometrium (vaskụla ụkpụrụ, agba?, Ọkpụrụkpụ, ịkpakọba), enyemaka nke mgbidi ya, na ọnọdụ na nnweta nke ọnu nke fallopian akpa. UBI akpanwa, cervix, isthmic kewapụta na akụkụ ha na-eleta na-akwalite n'ihu hysteroscope. Idegharị a rụrụ na a malite direction.

Women echekarị ihe ụbọchị nke ịhụ nsọ okirikiri ime hysteroscopy. Banyere ya - n'okpuru.

Na ịgbasa cervical kanaal mgbe fibrogisteroskopii adịghị mkpa, ebe ọ bụ na workpiece fibrogisteroskopa achọpụta ọrịa dayameta nke 3.6 millimeter. Akpụ akpụ na-arụ ọrụ nke eriri akpa nwa oghere ngwa na-rụrụ site na adiana nke distal hysteroscope.

na arụmọrụ

Ịwa ahụ arụmọrụ ke eriri akpa nwa oghere bụ desirably rụrụ ke akpa frasi nke okirikiri mgbe endometrium bụ mkpa ezu, ọ agaghị egbochi nnyocha.

Operations dị n'oge hysteroscopy:

• hysteroscopic endometrial ablation;
• polypectomy;
• cryosurgery;
• hysteroscopic nwoke ịga ụlọ ọgwụ;
• myomectomy;
• Eriri akpa nwa septum resection;
• mwepụ nke mba ozu na IUD;
• intrauterine adhesions dissection;
• wepụ remnants nke ọkpụkpụ rifọrọ;
• catheter tube.

Ọrịa ndị na-wara-achọpụta ọrịa hysteroscopy anaghị achọ pụrụ iche na-elekọta. Uterotoniki na ahụ mgbu na-ahọpụta nnọọ obere. Na ikpe nke na-achọta a ndidi n'ihe ize ndụ nke omume nke septic nsogbu họpụtara ọgwụ nje. On ụbọchị nke okirikiri, i nwere ike ime a hysteroscopy, anyị na-akọwa mgbe e mesịrị na isiokwu.

Aro mgbe ịwa ahụ hysteroscopy

Ọgwụ nje ọgwụ prophylactically ndinọ mgbe ịwa ahụ hysteroscopy ( "Gentamycin" intramuscularly 80 mg ugboro abụọ n'ụbọchị). Ọgwụ nje ọgwụ jikọtara na metronidazole formulations ( "Trichopolum" 1 tab. 3 ugboro n'ụbọchị).

N'ụbọchị mbụ mgbe hysteroscopy hụrụ si Genital tract spotting dịrị gaba n'ime ebe na-kwụsị. Iji mee ngwangwa eriri akpa nwa contractions ihe "Oxytocin" 1 ml / m ugboro abụọ kwa ụbọchị, na hemostatic "Vikasol" ma ọ bụ "Dicynonum" nke Isiokwu 1. 3 ugboro n'ụbọchị.

N'ihi na ihe mgbu enyemaka mgbe ịwa ahụ họpụtara ndị na-abụghị narcotic analgesics, "Analgin", "Baralgin", "maksigan".

The uru nke hysteroscopy

1. Na usoro a, ndị nnyocha na-ekwe ka ọdịdị nke endometrial daa ọrịa.

2. Nke a bụ naanị usoro eme nnyocha nke cervix, akpanwa na isthmic ngalaba.

3. Dochie laparotomy ohere hysteroscopic eriri akpa nwa.

4. Enye gị ka anya nyochaa na-aga n'ihu arụmọrụ.

5. Nke a bụ a dị mfe, ala-mmetụta na ukwuu ọmụma usoro.

6. Easy na-ebu ọrịa.

7. anọ na ụlọ ọgwụ na-ebelata.

On ụbọchị nke okirikiri ka hysteroscopy zubere?

Ọ na-adabere ihe ị na-eme atụmatụ hysteroscopy. Ọ bụrụ na zubere, ihe niile ga-adabere na n'ahụ ndị e ji mara ndị inyom. Ọtụtụ mgbe ihe ọmụma bụ follicular adọ nke ịhụ nsọ okirikiri mgbe endometrium na-amalite nnọọ iji naghachi n'aka jụrụ. Ọ bụ mkpa na oge a, ya mere, uji eze nke akpanwa bụ mfe anya. Ya mere hysteroscopy emekarị mụụrụ na 7-9 ụbọchị site ná mmalite nke oge ịhụ nsọ nwaanyị.

On ụbọchị nke okirikiri ime hysteroscopy mberede?

Emergency version of hysteroscopy dịghị mkpa ụbọchị okirikiri. Ma kwa ọnwa, ihe ọmụma bara uru na-ukwu belata, n'ihi ya, ọ dị mma na-ezere si ọmụmụ mgbe oge a.