Probing lub ncauj tsev menyuam kwj dej: qhov kev piav qhia, yam ntxwv thiab zoo

Atresia (imperforate) lub tsev me nyuam kwj dej tej zaum yuav ua rau nws ua kom tiav los yog ib nrab dab tsi thaiv, uas yuav ib qho chaw khuam rau qhov tawm ntawm menses. Tej zaum atresia ntawm lub ncauj tsev menyuam zaj thiab yog atresia ntawm lub corpus uteri. Nyob rau hauv nws cov keeb kwm narrowing ntawm ncauj tsev menyuam zaj tej zaum yuav congenital los yog kis tau. Hai cautery thiab curettage yuav ua narrowing thiab txawm imperforate lub tsev me nyuam kwj dej. Yuav kom restore nws patency resort rau kev ua hauj lwm uas yog hu ua probing lub tsev me nyuam kwj dej.

Yog vim li cas imperforate

Yam influencing qhov tshwm sim ntawm atresia:

• Inflammatory kev ntawm lub ncauj tsev menyuam kwj dej.
• Cirrhosis tshwm sim los ntawm pathological dab.
• Childhood kis kab mob (mumps, diphtheria).
• Ua lwj ua liam siv scraping.
• Txhab nrog phem neoplasms, endometritis, endocervite.
• Tsim tawm thaum lub sij hawm yog tau me nyuam los yog rho menyuam raug mob.
• Burns channel mucosa tshwm sim los ntawm cov tshuaj.
• channel electrocoagulation.
• Txawj muaj hnub nyoog atresia.

Tom qab bougienage lub tsev me nyuam kwj dej feem ntau restores tag nrho cov kev khiav dej num.

Tus qauv ntawm lub ncauj tsev menyuam

Ib tug me me seem ntawm lub ncauj tsev menyuam kwj dej thiab lub tsev me nyuam, uas hais txog 1 cm, hu ua lub Isthmus. Ntawm no, nyob rau hauv lub Isthmus cheeb tsam, nyob sab hauv os. Pem hauv ntej Lower uterine kab noj hniav thiab tsim ib tug thiaj li hu ua Isthmus qis ya, uas plays ib qho tseem ceeb luag hauj lwm thaum lub sij hawm cev xeeb tub thiab yug menyuam.

Lub sab ib feem ntawm lub ncauj tsev menyuam descends hauv qhov chaw mos, thiab rau sab saum toj ntawm lub nce saum toj no nws. Nyob rau hauv nulliparous ntxhais, raws li ib tug txoj cai, nws muaj ib tug conical zoo. Tom qab yug tus me nyuam lub ncauj tsev menyuam yuav nce yuav siv sij hawm rau hauv daim ntawv ntawm ib tug kheej kheej, lub channel kuj muaj ib tug cylindrical zoo. Sab nraud tso hu ua lub tsev me nyuam qhib, pom nyob rau hauv lub paum xeem. Nyob rau hauv nulliparous cov neeg mob sab nraud os yuav siv sij hawm rau hauv daim ntawv ntawm slits, yog vim li cas rau qhov no - lov caj dab thaum lub sij hawm yug me nyuam. Nyob rau hauv nulliparous cov poj niam los taw tes.

Probing lub ncauj tsev menyuam kwj dej yog siv ntau heev. Hais txog txoj kev piav qhia txog nyob rau hauv ntau yam hauv qab no.

diagnostics

Rau kev soj ntsuam ntawm lub uterine kab noj hniav yuav tsum tau manipulated, piv txwv li, probing lub uterine kab noj hniav, nws curettage, koom haum saib xyuas ntawm cov tshuaj, haus dej kom ntau rau diagnostic endoscopy ntawm lub uterine kab noj hniav, ntau yam hauj lwm - tag nrho cov manipulations no yog ua los nrog cov expansion ntawm lub ncauj tsev menyuam kwj dej. Ua tsis muaj kev npaj, professionalism thiab tsis txawj txaus, xws manipulation kuj yuav ua rau raug mob qog ua kua channel thiab, raws li ib tug tsim nyog tau, mus rau lub narrowing channel thiab imperforate.

Raws li twb hais saum toj no, ib tug yog vim li cas rau lub ncauj tsev menyuam atresia zaj tej zaum yuav o ntawm lub channel - endocervicitis. Tus kab mob no yog feem ntau tshwm sim los ntawm pathogenic cocci, pas nrig, tej zaum cov kab mob. Tsis ncaw endocervicitis ua ke nrog rau lwm cov inflammatory kab mob (e.g., colpitis, oophoritis, endometritis).

Los ntawm cov neeg mob uas tsis txaus siab rau muco-purulent paug, yog tsis nrog mob. Thaum saib hnov o thiab liab ntawm lub mucosa thiab profuse secretion. Protracted tus kab mob thaum kawg kuj yuav ua rau kis tau txheej txheem rau cov npag phab ntsa ntawm lub caj pas. Nyob rau hauv cov ntaub ntawv no nws yog pom tias bougienage lub tsev me nyuam kwj dej.

Endocervicitis thiaj paub hais tias raws li kev soj ntsuam kev xeem, smears los ntawm qhov chaw mos thiab lub ncauj tsev menyuam kwj dej. Nyob rau hauv lub mob theem ntawm kev kho mob tshuaj tshuaj tua kab mob thiab lub zos cov txheej txheem. mob ntaub ntawv ntawm kev kho mob yuav tsum tau txhaj antibacterial tshuaj nyob rau hauv lub caj dab, lub cev txoj kev kho, lub zos dej tshuaj protargola, ua lub tsev me nyuam zaj nyiaj tshuaj.

thawj artreziya

Diagnosing thawj atresia tshwm sim thaum lub sij hawm rau thawj lub hli. Coj khaub ntshav, tsis nrhiav ib tug tawm sab nraud, nws accumulates nyob rau hauv lub tsev me nyuam, xos nws thiab ncab. Yog li tag nrho noj qab haus huv suffers considerably. Yog hais tias koj yog faib cov ntshav los ntawm cov kav dej yuav pib purulent o ntawm lub plab roj hmab.

Yog hais tias koj tsis tuav ib tug probing lub ncauj tsev menyuam kwj dej ntawm lub sij hawm no, lub txim uas yuav tsum tau dire.

theem nrab artreziya

Secondary atresia ntev lub sij hawm tsis tau qhia. Ib tug mob no yog ua los thaum tus neeg mob pib yuav tsum tau mus soj ntsuam rau ntxiv lawm tshob. Ib zaug nyob rau cov ntshav raj ua ib qho kev rhuav txhua, ua rau nws tsis yooj yim sua mus ntaus lub qe nyob rau hauv lub tsev me nyuam.

Qhia ntxiv qhov mob ntawm atresia tso cai ultrasound sojntsuam, MRI, gistrosalpingoskopiya thiab ureteroscopy.

Lub narrowing ntawm lub ncauj tsev menyuam kwj dej - stenosis - yog ib tug loj lub chaw khuam siab rau cov allergic ntawm cov phev mus rau hauv lub tsev me nyuam, ua rau ntxiv lawm tshob. Thiab vim hais tias ntawm lub rhuav txhua ntawm cov kav dej qe yuav tsis tau mus rau hauv lub uterine kab noj hniav, uas kuj yuav ua rau nws tsis yooj yim sua rau fertilization. Eliminates lub stenosis siv manipulation hu ua "probing lub ncauj tsev menyuam kwj dej." Lwm ua ntawm atresia yog neoplasms. Qhov tseem zoo-paub kab mob qog hlav - adenocarcinoma. Cov tsos mob ntawm tus kab mob: qhov hnyav tsis tau, anemia raws li ib tug tshwm sim ntawm heev spotting, mob nyob rau hauv lub plab mog.

Benign qog uas muaj feem xyuam rau cov tshwm sim atresia: fibroids, fibroma, polyps, hlwv, fibroids, uterine leiomyoma, thiab endometriosis. Cov tsos mob ntawm cov kab mob no kuj muaj ntau haiv neeg: nws yog mob thaum lub sij hawm ua poj niam thiab kev sib deev com, spotting, ua txhaum ntawm defecation thiab tso zis.
Kev Txiav Txim no yog ua benign qog histologically channel ntsiab lus scraping. Kev soj ntsuam thiab kev kho mob tshwm sim nyob rau hauv nrig txog kev pom kev tswj.

Thaum lub sij hawm ua hauj lwm rau, nyob rau hauv diagnostic scraping, rho menyuam thiab lwm yam kev kho mob cov txheej txheem raws li tau zoo raws li yog tsis muaj tseeb pov zaum yuav tshwm sim lub tsev me nyuam raug mob, kuj yuav ua tau kom atresia.

Kev npaj rau kev phais

Yuav daws qhov pathology cov txheej txheem siv lub tsev me nyuam bougienage los yog laser recanalization.

Bougienage lag luam yog ua nyob rau hauv kev tshuaj loog, rau nws siv yuav tsum tau li nram qab no kev tshawb fawb:

• tiav cov ntshav count;
• Analysis rau tus kab mob;
• ntshav rau syphilis thiab HIV;
• colposcopy;
• antigens ntawm tus kab mob siab B thiab C;
• coagulation;
• kua ntswg ntawm qhov chaw mos thiab lub ncauj tsev menyuam kwj dej;
• ECG;
• hauv siab X-ray;
• bacteriological CC thiab ntawm qhov chaw mos;
• ntshav biochemistry;
• ultrasound;
• tus kws pab tswv yim.

Tab sis nyob rau hauv tej rooj plaub muaj tej zaum yuav probing lub ncauj tsev menyuam kwj dej tsis tshuaj loog. Nyob rau qhov no tom qab.

Raws li lub lag luam nyaij?

Bougienage phais tus neeg mob yog mus tsev kho mob. Tus txheej txheem ntev li 30 mi thiab yog ua nyob rau hauv lub zos los sis ua kom tsaug zog. Thaum tag nrho cov kaw ntawm lub channel lag luam yog ua nyob rau hauv kev tshuaj loog, nrog ib tug me ntsis narrowing txaus zos tshuaj loog. Tus neeg mob nyob rau ntawm ib lub rooj zaum gynecological operative teb, pw ua niam txiv sib, kho nrog ib tug antiseptic, ces tsuag lidocaine. Muab analgesic thiab pib nthuav nws tus kheej kev tswj hwm txoj kev nrog lub narrowest nozzle bougienage, successively ua lub lub cheeb ntawm nozzles (nruab nrab, sab). Lub gradual expansion zaj txhawb sparing kev kho mob.

Tom qab ua kom tsaug zog rau tus neeg mob yog tawm hnub tom ntej, thiab tom qab lub zos - sai li sai tau. Yog li ntawd, dua li bougienage lub tsev me nyuam kwj dej tsis tshuaj loog. Xyuas hais tias raug tus kab mob rau tawm-tus neeg mob kev kho mob - 7-10 hnub. Topically leeb epithelialization muab anti-inflammatory thiab mob-kho tswm ciab kom txog rau thaum nws tiav zoo ntawm ncauj tsev menyuam kwj dej. Nyob rau hauv cov ntaub ntawv ntawm relapse atresia implantation ntawm cov khoom cua alloplastic channel.

Ntsuas rau kev tiv thaiv thiab imperforate narrowing zaj

1. Kev kho mob ntawm mob thiab ntev inflammatory kev ntawm lub tsev me nyuam thiab lub tsev me nyuam kwj dej.
2. Ua prophylactic xeem cov kev xeem thaum ntxov thiab txoj kev kho ntawm gynecological kab mob thiab qog.
3. Peev xwm thiab tsim nyog tuav curettage, abortions nyob rau hauv kev txiav txim kom tsis txhob muaj kev raug mob. Ceev faj Obstetrics nrog lub tsheb txhob sibtsoo qhib ntawm lub ncauj tsev menyuam.
4. Explanatory sib tham nyob rau hauv thiaj li yuav tsis txhob muaj cov uncontrolled siv douches txhoj puab heev kev daws teeb meem, uas rau lub hom phiaj no yog tsis yog, thiab tshuaj contraceptives.

Rau thawj kev tiv thaiv ntawm thaum yau imperforate yuav tsum muaj ib tug noj qab nyob zoo txoj kev ua neej, ib ce muaj zog, kom tsis txhob tau kab mob sib kis ntawm kis kab mob. Thaum lub sij hawm uas cev xeeb tub, tsis txhob yuav tsum tau raug mus teratogenic yam rau cov me nyuam hauv plab.

Probing lub ncauj tsev menyuam kwj dej: tus nqi

Tus nqi yog nyob rau hauv lub tsev kho mob thiab nyob rau hauv lub cheeb tsam. Yam tsawg kawg nkaus tus nqi - 600 rubles, nyiaj pab ntau tshaj - 2000 rubles.

Probing lub ncauj tsev menyuam kwj dej: xyuas

Cov txheej txheem no lub tsev me nyuam dilatation yog siv rau ib tug ntev lub sij hawm. Tswv yim yog feem ntau zoo. Cov poj niam nws yog ib qho yooj yim mus nqa, nws tsis tshua muaj muab teeb meem. Tshwj xeeb tshaj yog yog hais tias tus txwv tsis dhau cov lus hais thiab lub zos tshuaj loog.