Laparoscopic ntawm zes qe menyuam cautery: nta ntawm lub txheej txheem, cov lus. Ntawm zes qe menyuam moxibustion mus tsim kho ovulation

Nyob rau hauv xyoo tsis ntev los, ntau cov poj niam uas ntsib ntxiv lawm tshob. Qhov no mob yog ua lub hauv paus ntawm kev tsis txaus siab (tsis muaj cev xeeb tub), uas yog tsau tsis pub dhau ib xyoo ntawm kev sib deev lub neej. Feem ntau nyob rau hauv xws li mob ua ntawm ovulation stimulation. Xyuas (uas xeeb nyob rau hauv no txoj kev, lawv hais tias) zoo. Tab sis tsis yog rau txhua leej txhua tus, qhov no txoj kev ua ib tug panacea. Ib txhia poj niam yuav tsum tau laparoscopic ntawm zes qe menyuam cautery. Ntawd ib yam ntawm txoj kev, koj yuav kawm tau los ntawm hnub no tus tsab xov xwm.

Laparoscopic phais

Tsawg kawg tus qauv ntawm cov kev pab - laparoscopy - siv rau ntau xyoo rau cov kev kho mob thiab kuaj mob ntawm ntau yam kab mob. Ua ntej lub advent ntawm no vib this cov kws kho mob laparotomy twb tau: ib tug layered seem peritoneum. Nrog rau txoj kev loj hlob ntawm cov tshuaj tau ua tau siv ib tug me ntsis puas thiab ua rau tsis zoo txim.

Laparoscopic phais tso cai rau ua pab nyob rau hauv tej khoom hauv nrog cev. Feem ntau cov feem ntau, qhov no txoj kev yog ua rau tus poj niam nruab nrog cev: lub zes qe menyuam, lub tsev me nyuam, txoj hlab qe menyuam. Nyob rau hauv cov ntaub ntawv no, peb xav nyob rau hauv lub manipulation nqa tawm nyob rau hauv zes qe menyuam. Muaj ob peb hom hais txoj kev:

• diagnostic (pab tau rau cov mob, yog tias tsim nyog, yuav tsiv mus nyob rau cov kev kho mob);
• decortication (tshem tawm ntawm qhov chaw tuab txheej ntawm lub cev);
• resection (excision ntawm ib feem ntawm ib tug hloov khoom nruab nrog);
• elektrotermokoagulyatsiya (manufactured so nyob rau hauv lub zes qe menyuam ntawm ib tug deb ntawm ib tug centimeter);
• elektrodrilling (cautery tam sim no neoplasms);
• cauterization ntawm lub zes qe menyuam (cov tua ntawm txiav nyob rau hauv qhov chaw nyob ntawm cov hlwv).

Txhua txoj kev xaiv nyob rau hauv raws li uas twb muaj lawm tsis txaus siab thiab cov tsos mob. Ua ntej no, ua tib zoo soj ntsuam tus neeg mob tus mob thiab tau npaj.

Cauterization ntawm lub zes qe menyuam: piav qhia ntawm lub hom

Qhov no yog tsis siv raws li feem ntau raws li ib co ntawm cov saum toj no. Thaum ib tug poj niam yog raug tsa los ntawm cauterization ntawm lub zes qe menyuam, nws muaj ib tug txiav txim zoo ntawm uncertainty thiab kev ntshai. Nyob rau hauv qhov tseeb, nyob rau hauv lub manipulation tsis muaj dab tsi txhawj txog. Nws ua heev dua lwm yam nyob rau hauv lub phab ntsa ntawm lub tsev kho mob. Nrog tus neeg mob tej cov neeg phais thiab anesthesiologists. Cauterization yuav laser tua nadsechek muab cyst qhov chaw. Nyob rau hauv cov ntaub ntawv no, tus kws kho mob yuav tsum tau kom paub tseeb tias tus txheem ntawm mature hauv paus nchuav tawm rau sab nraum. Los ntawm kawg ntawm tus manipulation ntawm tus poj niam lub zes qe menyuam yog significantly txo nyob rau hauv loj. Lub hom phiaj ntawm lub txheej txheem - mus tshem tawm ntau hlwv thiab "unload" lub zes qe menyuam kom pib lawv ua hauj lwm.

qhov yuav tsum tau rau manipulation

Laser cauterization ntawm lub zes qe menyuam (cautery) yog tsim nyog rau cov neeg mob nrog polycystic. Yuav ua li cas yog no pathology? Nws hu ua polycystic kab mob qhov twg lub hauv paus yog mature, tab sis tsis tawg. Nyob rau hauv xws tshwm sim, lub zes qe menyuam ntawm ib lub voj voog tsim tau ib cov tshiab vesicle - cyst. Raws li ib tug tshwm sim, dej nyab lub cev xws hlav thiab yuav tsis ua feem ntau. Yog vim li cas rau qhov teeb meem tej zaum yuav txawv yam.

1. Hormonal tsis ua hauj lwm. Thaum pw ua niam txiv qog tsis teb rau cov tshuaj hormones los yog lub faib nyob rau hauv tsis txaus ntau. Feem ntau nyob rau tib lub sij hawm peb yuav tau tham txog lutenizing lawm.
2. Dhau tuab plhaub ntawm lub zes qe menyuam. Cov tshuaj ntsiav tsis pub tus follicle tawg thiab tso ib lub qe.
3. Vegetative thiab mob kab mob, caj los yog ib yam dab tsi lwm tus

Tsa los ntawm cauterization ntawm zes qe menyuam rau cov poj niam uas kuaj paub tseeb hais tias tus mob. Tsis tas li ntawd txoj kev yog tsim nyog nyob rau hauv lub qhaj ntawv ntawm cov nyhuv ntawm cov tshuaj stimulation.

Contraindications rau lub minimally invasive kev kho mob

Tsis yog txhua txhua tus neeg sawv cev tsis muaj zog pem teb tau yooj yim yauv no manipulation. Muaj tej yam contraindications rau nws siv. Ntawm lawv yog cov tsis thiab txheeb ze. Nyob rau hauv thawj cov ntaub ntawv peb yuav sib tham txog ib irreversible mob nyob rau hauv uas laparoskopichekoe kev kho mob yog tsis tau nyob rau hauv txhua yam. Tus kwv tij contraindications muaj lub sij hawm yuav tsum tau raug mus rau ib tug kho lus.

Tsis txwv rau cov minimally invasive pab yog: sepsis, kab mob, ua pa system, peritonitis, coma, ileus. Tus kwv tij muaj xws li: lub hnub nyoog, keeb kwm ntawm kev phais, kev rog, cov ntshav mob, kis kab mob, malignant qog, lig los yog thaum ntxov cev xeeb tub.

Yuav ua li cas npaj?

Cauterization ntawm lub zes qe menyuam, lub txim uas yuav tsum tau nthuav tawm rau koj, nws yuav tsum tau ib co kev cob qhia. Ua ntej cov txheej txheem, tus poj niam yuav tsum tau xeem kom dhau cov kev xeem thiab nais maum yuav kuaj los ntawm ib co kws txawj. Cov kws kho mob txiav txim seb tus tau tus txheej txheem thiab muab nws lub tswv yim. Cov kws kho mob, uas yuav tau mus ntsib - ib tug neurologist, ib tug kws kho plawv, ib tug internist, ib tug gynecologist. Kev tshawb fawb yog muab raws li nram no:

• KLA, OAM, kev kuaj ntshav rau tus kab mob HIV, kab mob siab thiab syphilis;
• kev txiav txim ntawm cov ntshav hom thiab v tau;
• txoj kev tshawb no ntawm lub paum microflora;
• ntsiab txhais ntawm ib txwm ntshav;
• ECG thiab lub hauv siab X-ray.

Nyob rau lub tswv yim ntawm manipulation yuav tsum ua raws li ib tug khoom noj: tsis txhob noj roj-ua zaub mov, tshem tawm cov roj thiab dej caw. Noj hmo yuav tsum tau muaj tsis pub dhau 18 teev tsaus ntuj. Haus dej yuav ua tau mus txog rau 22 teev. Yog hais tias koj muaj teeb meem nrog lub regularity ntawm lub rooj zaum, nco ntsoov nqa cov tshuaj ntaus cev. Koj yuav tsum nchuav tag lub plob tsis so tswj ua ntej yuav mus pw thiab nyob rau hauv thaum sawv ntxov. Nyob rau hnub ntawm lub lag luam nws yog nruj me ntsis txwv tsis pub noj thiab haus dej haus. Yog hais tias koj tsis tau mus rau lub tso zis tso rau lawv tus kheej, siv ib tug enema.

Nta ntawm lub lag luam

Ua ntej koj yuav pib manipulating tus neeg mob muab sedatives thiab analgesics. Ncaj qha rau lub operating rooj muab cov anesthesiologist tshuaj loog. Thaum lub sij hawm laparoscopy, tus poj niam yog nyob rau hauv ib lub xeev ntawm pw tsaug zog. Thaum cov tshuaj rau noj cov nyhuv nyob rau hauv tej hlab cua txhob lub fairer poj niam txiv yog tso ib tug raj tshuab ua pa nrog kev pab los ntawm lub plab mog yog inflated nrog roj, nqa lub plab phab ntsa. Ntxiv mus, nyob rau hauv lub peritoneum yog tsim los ntawm 2 mus rau 4 incisions, los ntawm kev uas mus hauv lub koob yees duab muab cov duab ntawm qhov screen, manipulators, laser thiab lwm yam tsim nyog cov cuab yeej.

Siv ncais gonads (zes qe menyuam) yog tub nyob rau hauv ib tug tas txoj hauj lwm. Tom qab ntawd, lub laser teb nyob rau hauv lub notch ua hlwv. Ntshav poob thaum lub sij hawm kev phais yog tsawg heev, qhov uas yuav muaj teeb meem no kuj yog ze rau zero. Thaum uas tag nrho lub tswv yim npaj manipulations yuav nqa tawm, cov cuab yeej raug muab tshem tawm thiab lub keeb sutured.

rov qab lub sij hawm

Tsis pub dhau ob peb hnub tus neeg mob yuav tsum nyob twj ywm nyob rau hauv lub saib xyuas ntawm cov kws kho mob. Lub hli tom qab ntawm zes qe menyuam cautery tej zaum yuav pib thaum twg lub sij hawm, vim hais tias muaj cuam nyob rau hauv kev sib deev qog. Ib txhia neeg voj voog regularity tseem tsis tau tawg, los ntshav pib thaum lub sij hawm teem.

Sawv poj niam tom qab phais yog tau tso cai tsis pub dhau 4 h. Koj yuav tsum tsiv mus nyob ntau li ntau tau rau kom rov qab txheej txheem. On thib ob hnub tom qab cov kev pab no yog pub rau rov qab mus rau ib tug qub noj cov zaub mov, tab sis koj yuav tsum ua raws li cov kev ua hauj lwm ntawm cov hnyuv. Tshuaj kho mob yog cov tshuaj raws li xav tau.

Cov lus nug uas feem ntau tshwm sim nyob rau hauv cov poj niam

1. Muaj ntau cov neeg mob xav hais tias pom tau hais tias cauterization ntawm lub zes qe menyuam thawj hnub ntawm lub voj voog. Tsis, yog tias koj tsis tau ua kom tiav ib tug gynecological curettage.
2. Kuv puas yuav tau ua raws li kev sib deev tas tom qab ntawm txoj kev? Yog, nyob rau hauv ob lub lis piam koj yuav tsum tsis txhob los ntawm kev sib deev.
3. Yuav ua li cas muaj ntau yam tau cev xeeb tub tom qab ntawm zes qe menyuam cautery? Plan conception yuav ua tau 2-3 lub hlis, yog hais tias muaj yog tsis muaj lwm yam contraindications thiab qhov yuav tsum tau rau kev kho mob kev kho mob.
4. seb tus mob tshwm sim rau manipulation? Thaum lub sij hawm txoj kev, tus poj niam yog pw tsaug zog thiab tsis hnov dab tsi. Tom qab muab hlais tawm lawm, lub yuav ua rau muaj mob yog tsawg heev, vim lub me me puas qhov chaw ntawm lub peritoneum.
5. Yog vim li cas muaj yog tsis xis nyob rau hauv lub kaus siab thiab clavicle mob? Feem ntau, yuag cov poj niam raws li manifested paug ntawm cov roj txhaj mus rau hauv lub plab kab noj hniav. Tom qab ob peb hnub ntawm tsis xis nyob yuav dhau rau lawv tus kheej.

Lub txim ntawm cov txheej txheem: pros thiab cons

cautery txoj kev tau zoo dua lwm txoj kev kho mob. Zoo tswv yim yog stimulation ntawm ovulation. Leej twg xeeb nyob rau hauv no txoj kev, hais tias lawv muaj cia li ish nqa tshuaj. Tab sis tsis yog txhua tus neeg mob yog ib txoj kev los pab tiv nrog qhov teeb meem. Yog hais tias lub expansion ntawm hauv paus tsis tshwm sim, nws yog tsim nyog los ntxiv kev cuam tshuam.

Cautery - ib tug muaj kev ruaj ntseg thiab zoo txoj kev. Lub tej zaum muaj teeb meem yog tsawg heev. Adhesion txheej txheem yog tsis tsim, thiab muaj yog tsis muaj yuav tsum tau siv tshuaj tua kab mob. Cov rov qab lub sij hawm yog luv luv, nws ntws tau yooj yim thiab painlessly. Tsis kom hniav zoo nkauj flaws: nti thiab stitches. Tsis xws luag thiab tsis zoo ntawm cov kev ua no yog suab tsis muaj. Tsuas yog nyob rau hauv exceptional mob, muaj txim nyob rau hauv cov nqe lus ntawm kev raug mob rau ib sab hauv nruab nrog cev, los ntshav thiab lwm yam teeb meem.

Xyuas ntawm cov poj niam uas dhau los ntawm nws

Muaj ntau lub fairer poj niam txiv tham txog hais tias tom qab ntawm txoj kev, lawv muaj qhov ntev-awaited cev xeeb tub. Ib txhia tsis mloog tus kws kho mob pom zoo, yuav xeeb tub ib tug me nyuam nyob rau hauv ib lub hlis. Nyob rau hauv cov ntaub ntawv no, lub cev xeeb tub yog tsis muaj teeb meem thiab tsis zoo cov ntsiab lus.

Cov neeg mob qhia hais tias tom qab kev kho mob lawv zoo tu qab tso voj voog. Menses tom qab cautery ntawm zes qe menyuam nrhiav stability thiab regularity. Bleedings ua tsawg tshaj thiab tsis mob. Raws li ovulation tau los ua ib tug qhov thiab raws sij hawm. Gone yog tus mob nyob rau hauv lub plab mog, tshwm sim los ntawm ntau yam hlwv.

Yuav kom saib lub ntsab lug

Ntawm zes qe menyuam cauterization tsis xyaum tag nrho noj qab haus huv chaw. Feem ntau thaum lub sij hawm laparoscopy, tus kws phais ua ib qho kev incision nyob rau hauv lub zes qe menyuam, cuam tshuam tuab capsule, tab sis tsis muaj rau lub cyst. Xws li ib tug qauv ntawm cov kev kho mob ntawm polycystic zes qe menyuam syndrome yog tsis zoo li. Txawm li cas los, txoj kev kho yog heev nrov thiab muaj ib tug zoo tswv yim. Nrog koj tus kws kho mob thiab paub hais tias koj muaj tej yam teeb meem. Noj qab nyob zoo!