Hysteroscopy: xyuas, los, indications

Niaj hnub no, ntau thiab ntau ntau nyob rau hauv Gynecology hysteroscopy yog ua, tiag tiag cov poj niam hais txog tej uas feem ntau zoo. Nws yog tsim nyog ntawm diagnostic manipulation nkag mus rau hauv phais.

Thaum lub sij hawm hysteroscopy ntsuam xyuas hauv lub uterine kab noj hniav. Raws li ib tug tshwm sim ntawm txoj kev ua no nram qab no nws pathology yuav kuaj:

• adenomyosis (endometriosis) ;
• synechia (leeg);
• hyperplasia thiab endometrial polyps;
• uterine fibroids.

Indications rau hysteroscopy yog xav tias muaj ntawm cov kab mob, ua kom nchuav menyuam, ntxiv lawm tshob, heev heev hai IVF npaj siab. Txawm tias lub lag luam yog suav tias yog yuav ib tug yooj yooj yim thiab tsis tau tus neeg mob yuav tsum tau kuaj ua ntej nws.

Daim ntawv teev cov tsim nyog kev tshawb fawb ua ntej hysteroscopy:

• ya mus;
• gynecological ultrasonography;
• swabs rau cytology thiab muaj;
• kho mob sib tham;
• ECG;
• ntsiab txhais ntawm Rhesus ntshav pab pawg neeg thiab;
• soj ntsuam kuaj rau syphilis, kab mob HIV thiab kab mob siab;
• coagulation (ntshav kuaj);
• biochemistry;
• soj ntsuam kev ntsuam xyuas ntawm cov zis thiab ntshav.

Nqa tawm no manipulation yog tsis yooj yim sua nyob rau hauv cov nram no mob:

• cev xeeb tub;
• profuse los ntshav ntawm lub tsev menyuam (cov tsuas yog - yuav tsum tau mus nrhiav tau nws qhov chaw);
• o nyob rau hauv lub qhov chaw mos huam;
• ntau hom kab mob (influenza, mob ntsws).

Hysteroscopy, lub txim ntawm kev uas tsuas yog nyob rau hauv 1% ntawm cov neeg, yog cov feem ntau nyiam thiab muaj kev nyab xeeb gynecological phais. Muaj ntau cov poj niam yog heev ntshai ntawm nws thiab txhawj yog hais tias lawv raug. Thiab ces lawv hais tias ntshai tsam kiag li tsis muaj dab tsi.

Nws yog ua nyob rau hauv tso dej tshuaj loog. Tus neeg mob kiag li ncaim ntawm nws tom qab ob teev thiab yuav tau mus tsev. Muaj mob mus so yog muab rau ob hnub.

Tom qab manipulation rau ib tug ob peb hnub muaj chua thiab mus spotting. Nws yuav kav mus txog 10 hnub. Yog hais tias muaj yog mob heev, kub, ntev li los ntshav yuav tsum tau nrog ib tug kws kho mob.

Diagnostic hysteroscopy yuav tsum tau tsis pub nrog txiv neej pw rau ib tug ob peb hnub tom qab, raws li yog hais tias muaj kev phais tiv thaiv, lub sij hawm no yog hais rau peb lub lis piam. Nyob rau hauv tas li ntawd, thaum lub sij hawm lub sij hawm no nws yog tsim nyog los tshem tawm lub cev tom thiab tshav kub kev kho mob.

Hysteroscopy, xyuas txog qhov tsuas zoo uas kav txog ib nrab ib teev. Tus neeg mob ntog pw tsaug zog thiab tsim thaum nyob rau hauv lub khiav hauj lwm chav tsev. Ces lawv coj nws nyob rau hauv ib tug gurney nyob rau hauv ib chav tsev nyob qhov twg nws yog nyob ob peb teev.

Tam sim ntawd tom qab qhov kev, lub los ntshav yuav ua tau muaj zog heev, yog li ntawd koj yuav tsum ua ntej uas txuas mus rau lub panty loj ncoo. Nrog nws peb yuav tsum siv sij hawm ib tug tsho khuam da dej, khau khiab, tsho, ntaub pua chaw pw, ntaub. Nco ntsoov coj ib yam dab tsi los haus thiab noj mov.

Nws yog tsim nyog los kawm txog cov kev ntsuam xyuas. Muaj ntau lub tsev kho mob ua lawv nyob rau tib hnub ua ntej qhov phais, uas yog heev yooj yim.

Teeb meem muaj tsawg tsawg, tiam sis tseem tshwm sim. Thaum lub sij hawm manipulation tus kws kho mob yuav traumatize lub tsev me nyuam los yog kheesxaws ncauj tsev menyuam, tej zaum tshwm sim tshwm sim los ntawm tshuaj loog, kab mob, mob ntshav.

Hysteroscopy, xyuas ntawm uas nyob rau hauv cov neeg mob no zoo heev, ib qho zoo heev lwm txoj rau tej yam yooj yim curettage. Lub fact tias cov tom kawg yog ua tau ua blindly, yog li ntawd ntau dua qhov muaj tseeb ntawm zoo txim thiab tsawg efficiency.

Niaj hnub no, nrog kev pab los ntawm hysteroscopy yog ua thiab phais rho menyuam. Tsis tas li ntawd, nws siv pab mus nrhiav rau qhov chaw ntawm lub zog uterine los ntshav uas yuav cawm tau ib tug poj niam lub cev.

Yog li, hysteroscopy, xyuas uas yog cov zoo, yog hnub no ib tug heev nrov gynecological cov txheej txheem. Cov neeg mob muaj zoo nkauj npaum li cas, yog tias koj ua nws tus thawj lub sij hawm. Txawm li cas los, tom qab hysteroscopy daim ntawv uas lawv tej kev ntshai twb unfounded. Txoj kev tshawb no yog tsis mob, tuav, thiab muaj yuav luag tsis muaj cov nyhuv.