Hysteroscopy kwesibeletho - kuyini? kwesibeletho Hysteroscopy: izinhlobo, izinkomba, izindleko inqubo

Okwamanje, baningana izinhlobo ezimbalwa izifo zabesifazane, phakathi lapho, kanye ultrasound kanye imaging (resonance kazibuthe nekhompyutha) is ingxenye hysteroscopy kwesibeletho. Hlobo luni inqubo? Yiziphi izinkomba ukuze iqhube lapho, futhi Kubiza malini? Yilokhu sizama ukukutshela kulesi sihloko.

Uyini hysteroscopy

Kusukela igama lesiGreki elihunyushwa ngokuthi "ukuba uhlole ezingadingekile esibelethweni." Eqinisweni, hysteroscopy kuyinto luhlolo izifo zabesifazane nokusetshenziswa insimbi okhethekileyo, obizwa ngokuthi i-hysteroscope. It ikuvumela ukuba zibukeke ukuhlola ulwelwesi ngaphakathi kwesibeletho ngaphandle punctures kanye nezimboni. Ngaphezu kwalokho, le ndlela kwenza kube nokwenzeka ukuba kuqedwe zokwakheka encane sokugembula kule ingaphakathi lomzimba, amashubhu fallopian noma wesibeletho.

Kufanele wenze ukubhuka ukuthi le hysteroscopy kwesibeletho kungukuthi nokususa futhi inqubo efanayo, nakuba ngokuvamile basuke kuhlanganiswe. Umehluko oyinhloko le ndlela yokwelapha futhi izifundo zokuxilonga kwabanye ukuthi ungqimba EPITHELIAL kwesibeletho ngesikhathi zokukhwabanisa cishe azilimele. Ngaphezu kwalokho, e-US, kwezinye izimo ayikuvumeli ukusungula ngokucacile ezinye umehluko wemisindo nemiqondo yamagama okwenzeka umthondo izinqubo zesifazane sokugembula. Engingakusho nje ukhumbule ukuthi nje eyishumi edlule ukuba ibukwe ingaphakathi ungqimba EPITHELIAL kwesibeletho kwakudingekile ukuba enze imbobo enkulu esiswini kanye nowesifazane ngqo sitho. Ngemva kwesikhathi esithile, waqala ukuveza luhlolo usebenzisa laparoscope. Kodwa kule nqubo ke benamaphutha njengathi ngoba ukuhlolwa ngalo ingaphakathi lesizalo kwakudingekile ukuba enze wokubhoboza e odongeni yakhe. Zonke lezi manipulations angabangela ukwakheka ukuvuvukala noma imbangela ukungabi nenzalo. Hysteroscope ivumela ukwenza ngaphandle ukusikeka kanye punctures kwaba odongeni besisu futhi kwesibeletho. Kuthathwa inzuzo, ngoba yikuphi ukwephula ubuqotho isikhumba futhi imisipha echayeke lamagciwane esangweni.

Ngakho, siyazi ukuthi nguye hysteroscopy kwesibeletho. Kuyini ngokuya ukunakekelwa kwezempilo ochwepheshe kanye neziguli? Funda mayelana kuwo.

Izinhlobo kwesibeletho hysteroscopy

Kuze kube manje, izinhlobo ezimbili hysteroscopy ababonakali ngezikhundla imvelo wezokwelapha: zokuxilonga nokwelapha (hysteroresectoscopy). Hysteroscopy kwesibeletho olwenziwa ukucacisa (ukuqinisekisa noma siphikise) uphethwe ngaphambili kuyinto zokuxilonga. Umehluko omkhulu phakathi lolu hlobo inqubo wukuthi isiguli asisebenzi izinhlobo ezahlukene izinzwa. Iqiniso ukuthi zokuxilonga hysteroscopy kwesibeletho Nokho ungakhululekile ngesikhathi owesifazane, kodwa ngesikhathi esifanayo uba umthombo sebuhlungwini obunzima.

Zokwelapha hysteroscopy kwesibeletho (ukususwa we polyp, fibroids, ukuvuvukala njalo njalo) Kwenziwa esimweni ingxenye enkulu ematfuba ukhona pathologies nesineke ezidinga kokungenela kuhlinzwa. Lolu hlobo lwe-inqubo wenziwa ngaphansi izinzwa jikelele futhi kudinga iqhaza ithimba ochwepheshe: .. Udokotela obulala izinzwa, udokotela ohlinzayo njll Yileyo eziyisisekelo ukufana hysteroresectoscopy nge ukuhlinzwa kancane koda eyaziwa ngokuthi laparoscopy.

Kuye uhlobo inqubo nezindleko kuyahlukahluka. Hysteroscopy kwesibeletho, okuyinto eyenziwa ngezinhloso zokuxilonga, kancane kancane kunezindleko hysteroresectoscopy.

Izinkomba ngoba izindlela zokuxilonga

Hysteroscopy kwesibeletho ukuze kuqinisekiswe noma zingamanga ngaphambili uphethwe Kwenziwa kulezi zimo ezilandelayo:

• endometriosis okusolakala kanye lesizalo fibroid (submucosal);
• okusolakala etholakalayo inesikhala izinsalela ulwelwesi fetus;
• ukuhlonza obungefani yokwakheka kwesibeletho, ezihlobene futhi umsele wesibeletho;
• ukusungula izimbangela okuvela ukopha intermenstrual, esikhathini esindayo futhi isikhathi eside;
• nge izisu okuphindaphindiwe (evamile) kanye nenzalo;
• ukusungula ukuphumelela ukwelashwa isikhathi eside kwama-hormone.

Naphezu kokuhlaselwa okukhulu okusezingeni eliphezulu okuqukethwe ilwazi we hysteroscopy kwesibeletho ibizwa evame ukunikezwa kuphela icala uma uphethwe impikiswano, futhi izinto etholwe ngokuhamba nezinye izindlela zokuxilonga, akazange zisiza ekukhanyiseni isithombe lesi sifo.

Izimpawu ze-hysteroscopy zokwelapha

Cabanga izinkomba esemqoka inqubo, eyaziwa ngokuthi zokwelapha hysteroscopy kwesibeletho. Kuyini, sabuka ngenhla, kangaka ukuqonda lokho kungubufakazi ke, ngeke kube nzima. Ngakho, kwezinye izimo, owesifazane ethunyelwe hysteroresectoscopy?

• Lapho ekhona kwesibeletho we polyp endometrial.
• Lapho ungqimba ukuqina endometrial (Hyperplasia).
• Ephambi kwezinduna lesizalo fibroids, ngaphansi endometrium.
• Nge wake eliphuma umzimba ebangela ukopha esindayo.
• Ephambi kwezinduna lumangaza futhi ukuvuvukala intrauterine isitho izindonga.
• Ukuze ususe kusukela ingaphakathi kwesibeletho umuthi IUD hlobo.

lesizalo hysteroscopy (polyp ukususwa, ehlukile curettage zokuxilonga, nokuningi) Kwenziwa kuphela uma kungekho contraindications sina. Osebenza nabo, uzokutshela ku.

Izimo

Njengoba kwelashwa inqubo esebenzisa hysteroscope iphathelene ukuhlinzwa kancane koda, kukhona ke ezicini eziningana ukuthi ungavumeli ukuba usebenzise le ndlela. Izimo Serious ukuqaliswa hysteroscopy zokuxilonga yilezi:

1. izinqubo okuvuthayo kwezitho urogenital, kuhlanganise urethritis, vulvovaginitis, cystitis, nokuningi.
2. Izifo ezithathelwanayo ngo esigabeni oyingozi.
3. sokukhulelwa Jwayelekile.
4. ukopha ngokweqile ezingadingekile esibelethweni ngesikhathi inqubo.
5. stenosis wesibeletho.
6. Umdlavuza wesibeletho (esigabeni yokugcina).
7. isimo esibi ukuphathwa kwabathintwayo ngemuva kokushaywa yisifo senhliziyo.
8. degree okunzima ukwehluleka kwezinso noma inhliziyo (kungakhathalekile ukuthi nesigaba lesi sifo).
9. Izifo ezibangwa ukuphazamiseka ukopha.

Kwezinye izimo, le nqubo besebenzisa owesifazane hysteroscope ngokwanele ukuba afune ukwelashwa ngenxa yalesi sifo ecashile. Nokho, ngezinye izikhathi lokhu kunganele, ngakho ochwepheshe ukhethe enye indlela ukuxilongwa noma ukuhlinzwa ezenziwe usebenzisa ubuchwepheshe ezahlukene.

Ukulungiselela hysteroscopy kwesibeletho

Ukuze inqubo yokuthola isifo noma yokwelapha usebenzisa hysteroscope ephumelele nge imiphumela sakugcina negative, kubalulekile ukulungiselela kahle. Into yokuqala ukuthi isidingo sokwenza olunye nesineke - yiya kudokotela wakho, ngubani oyoba ulithumele luhlolo, okuyinto ukulethwa cwaningo. Njengomthetho, edingekayo uhlu ucwaningo kuhlanganisa:

• ukuhlolwa evamile egazi noma omchamo;
• smear gynecological phezu flora isipatsholo;
• ukuhlaziywa kwamakhemikhali kwegazi kanye nomchamo;
• electrocardiogram;
• igazi RH iqembu;
• I-pap smear kusukela wesibeletho;
• Ultrasound izithombe kwezitho okhalo;
• Ekugcineni, udokotela;
• fluorography.

Dlula lonke uvivinyo zidlule ucwaningo olubanzi ludingeka izinsuku 10-14 ngaphambi kosuku lomsebenzi. Uma Nokho, kusukela kokuthola imiphumela wathatha isikhathi esengeziwe, badinga thatha futhi bamba futhi.

Kubalulekile nokukhumbula ababa nakho abesifazane abaya ngeke kwesibeletho hysteroscopy, ukuthi kuzodinga kuzo isimo sengqondo esithile. Kakade, ukungabondli zonke isiguli wayezimisele ukubekezelela ukungakhululeki phakathi nezinqubo zezokwelapha. Lokhu kusebenza ikakhulukazi kulabo lapho siqondiswa ukuba hysteroscopy zokuxilonga lapho asisebenzi ukubulawa kwezinzwa okuvamile.

Ngolunye usuku ngaphambi inqubo, abesifazane belulekwa ukuba kukhawulwe engayitholi eziwuketshezi. Le ngxenye yokugcina amanzi uvunyelwe ukuphuza lema-awa la nambili phambi ukusebenza. Phakathi nezinyanga zokugcina 50-60 imizuzu ngaphambi hysteroscopy inqubo lesizalo Kwenziwa okuthiwa premedication, ngokuyisisekelo esakhiwa esethulweni ukupholisa nesineke. Uma kufanele hysteroresectoscopy, owesifazane udinga ukufaka ipayipi okuyothi zizokwenziwa umuthi ekhethekile imithi ebulala izinzwa. Sekukonke, ukulungiswa hysteroscopy kwesibeletho kuthatha imizuzu engaphansi kwengu amathathu. Ngalesi sikhathi, lona wesifazane futhi kulinganiswa blood pressure kanye nezinga lokushisa komzimba.

Kungaphansi kwaziphi izimo kungaba kwenziwe hysteroscopy

Ngakho, ake uhambe uye main. Kangakanani lesizalo hysteroscopy? Ngokushesha kufanele bathi le nqubo kungenziwa i sinenkonzo yokunakekela iziguli emakhaya noma inpatient kulungiselelwa. Esimweni sokuqala ukungenela Kwenziwa ehhovisi udokotela wezifo zabesifazane kanye akudingi isingeniso ngokusungula indlela yokubulala izinzwa. Kwezinye izimo, udokotela angase ziyenza umsebenzi ngesikhathi zokuxilonga kanyekanye, ezifana hysteroscopy futhi curettage kwesibeletho. Kufanele kuqashelwe ngokushesha ukuthi uchwepheshe ngeke ukwazi ukuba afeze ahlukene zokuxilonga ethatha izicubu (nokususa) kwesibeletho ngokungabi bikho izinzwa, njengoba le nqubo kuba buhlungu kakhulu, hhayi njalo owesifazane bazokwazi usekelwe. Buhle sinenkonzo yokunakekela iziguli emakhaya uzongenela ijubane kusebenta kwaso, kanye nezindleko eziphansi. lesizalo hysteroscopy kulokhu Kwenziwa kuphela njengoba nenqubo ethile yokuthola isifo.

Hysteroresectoscopy engenziwa kuphela esibhedlela. Kulokhu, isiguli esibhedlela esikhathini esiyizinsuku ezimbili. Ezimweni ezinjalo, udokotela angeke nje enze ukuhlolwa oku kwesibeletho futhi fallopian amashubhu, kodwa futhi bazithatha ukuhlaziywa okwalandela izinhlayiya mucosa ipayipi isitho, kanye ukwenza otschip asesibelethweni wesibeletho. Hysteroscopy kulokhu kuyabiza ngaphezu olwenziwa esigulini esingalalisiwe esibhedlela. It kuyafaneleka ukucabangela ukuthi ingozi yezinkinga ngesikhathi umile oqhuba inqubo kuyehla kakhulu. Ngaphezu kwalokho, lolu hlobo lokuhlinzwa ithatha indawo yowesifazane ngokuphelele kobuhlungu.

Injani inqubo

Ake udlulela iphuzu eliyinhloko: hysteroscopy kwesifo. Uma isiguli ibekwe etafuleni, udokotela ngosizo amathuluzi akhethekile kuvula wesibeletho kanye engena ingaphakathi layo uketshezi. Lokhu zokukhwabanisa ivumela ingaphakathi umzimba ovulekile ngoba izenzo okwengeziwe zokuxilonga. Ngakho kanjani hysteroscopy kwesibeletho ngaphandle izinzwa wendawo, owesifazane angase abe nomuzwa ukungakhululeki abalulekile noma ubuhlungu.

Ngemva yethula udokotela lesizalo ingaphakathi hysteroscope iqala stepwise ukuhlolwa umzimba umsele wesibeletho imilomo amashubhu fallopian. Uma wanelisa onekhono ngokungabi bikho polyp, fibroids nezinye izimila, ke kocingo curette okuthela elincane izicubu izifundo ezengeziwe. Isikhawu ezincane kunazo zonke sikhathi, okungathatha hysteroscopy wesibeletho - imizuzu mayelana 5-10. Esidenyana wahlola umzimba ingaphakathi - imizuzu 15-20.

Kuleso simo, uma owesifazane wathunyelwa esibhedlela ukususa polyp esibelethweni, hysteroscopy wenziwa ngaphansi izinzwa jikelele. Ngemva kwangaphambilini ukuhlolwa umzimba nge hysteroscope esikhundleni hysteroresectoscopy yayo. Ukusebenzisa le divayisi wezifo zabesifazane ezingcono kususa kusuka ngaphakathi komgodi lesizalo kumiswa polypous, myomas, endometrium ngokufanele ngaphansi futhi ihlukanisa kwesibeletho tho (synechia). Ngaphezu kwalokho, hysteroresectoscopy eyenziwa kwezicubu kuvuna luhlolo histological. Yinde kangakanani leyo sokuphulukiswa hysteroscopy kwesibeletho? Operations yalolu hlobo ngokuvamile hlala akukho kuka imizuzu engu-30. Isiguli engazizwa ubuhlungu phakathi naleyo nqubo futhi ziyaphila kakade egumbini yokutakula.

Lokho kungenzeka emva inqubo

Ngakho, ukusebenza iphelile. Yini owesifazane azizwe ngemva? Hysteroscopy kwesibeletho, ngisho eyenziwa ngaphansi izinzwa jikelele, kungaba ibakhathaze abalulekile, okuyinto lubonakaliswa ukubukeka edonsa ubuhlungu esiswini. Lo is phetho yokwephula ubuqotho mucosa kanye ukuzelula odongeni kwesibeletho kanye umsele wesibeletho. Ngezinsuku ezimbalwa nje, owesifazane kungathatha ubuhlungu relievers (antispasmodic).

Cishe zonke iziguli emva lolu hlobo kokungenela kuyagcinwa ukopha okuncane esithweni sangasese. Uma sithatha ku-akhawunti ukuthi isingeniso amathuluzi kanye nemishini, umthombo ukopha kuyacaca ku ingaphakathi lesizalo. Okokuphenya, ikhamera bese LED ama-globe kagesi, naphezu lingakanani encane, ukulimaza le epithelium. Ngaphezu kwalokho, kubalulekile ukuba acabangele yokuthi ezikhathini eziningi hysteroscopy kuhilela nokwephula ubuqotho mucosa ngenjongo izibonelo zalokho izicubu luhlolo histological. Amandla ubuhlungu kanye nenani osenyameni akuxhomekile kangakanani hysteroscopy kwesibeletho. Okokuqala nje kuthinta zombuso e abesifazane ngesikhathi ukusebenza, izici zayo ngazinye (igazi ekunqandeni, ubuhlungu embundwini , nokunye. D.).

In izicelo prophylactic, udokotela wakho angase akunikeze inkambo kwamaphilisi wesifazane. Lokhu kusiza ukugwema ukubonakala ukuvuvukala kwezitho okhalo. Ngaphezu kwalokho, kukhona eziningi izincomo inhlanzeko yomuntu siqu. Okokuqala, it is hhayi Kunconywa ukuba uvakashele ama-sauna nokugeza. Okwesibili, kukhona ibhathi kuyadingeka ukuze esikhundleni eshaweni, futhi syringing kangcono futhi yangenza ukuba ngingalilahli ngenyanga. Esesikhathini owesifazane Kunconywa ukuba asebenzise izincwajana zokubhala noma njengoba tampons ungaba imbangela ukutheleleka. Ngaphambi ukuqala kokuya esikhathini njengoba umuthi kumele kusetshenziswe okuthiwa isithiyo indlela, okusho ikhondomu.

Njengoba hysteroscopy iphathelene kokungenela kuhlinzwa, zikhona ezinye zezimpawu ezikhombisa ukuthi kungase kubonise yezinkinga waqala. Lapho kwenzeka owesifazane kufanele ngokushesha kudokotela abenza inqubo. Lezi zimo zokuma zihlanganisa:

• ubuhlungu obukhulu isikhathi eside endaweni okhalo, okuyinto ayikwazi ukukhipha non-kadokotela ubuhlungu relievers;
• luningi zokubona lwesitho sangasese sowesifazane noma ngaphandle ubomvu;
• imfiva kusukela subfebrile izinkomba esibucayi.

Naphezu ukuhlukumezeka ezincane phakathi nenqubo ethile yokuthola ezifana hysteroscopy kwesibeletho, ukuxakeka singenzeka. Yingakho lo wesifazane emva kokwelashwa nobe luhlolo ngale ndlela kufanele kube ngokucophelela ukuqapha isimo sabo.

Izinkinga of hysteroscopy

Labo abaye bahlupheka i sokungenela, njengoba hysteroscopy kwesibeletho, nemiphumela (impendulo ochwepheshe kanye neziguli ukuqinisekisa lokhu) kungaba kuhle noma kube kubi. Iningi kuyaqabukela kulotshwe inkinga ezifana lesizalo perforation noma perforation kwalo. Imbangela yale umonakalo okungenzeka babe abanganaki ukwelashwa onguchwepheshe iyunithi. Nokho, iningi igebe kungenxa yokuthi umsele wesibeletho yandisa kancane kakhulu, eyilethe langena amathuluzi aye anda ingcindezi odongeni umzimba.

Cabanga ngalokho hysteroscopy lesizalo nemiphumela kungaholela. Izibuyekezo abonisa ukuthi ngokuvamile eba abesifazane endometritis. Lesi simo esiyingqayizivele sibangelwa kungenxa ukuvuvukala esicashile kwesibeletho, engibukhulumile ngaso ukusebenza kwenziwa. Ukuze ugweme lokhu inkinga, ngokwanele ukuphumelela ukucwaningwa okuningiliziwe ngaphambi inqubo. Ngaphezu kwalokho, kubalulekile yazisa udokotela ngazo zonke izinqubo ukuvuvukala kule izitho urogenital ezenzeke ezinyangeni ezingu 6 ngaphambi kokwelashwa emtholampilo. Dysmenorrhea luqedwe esebenzisa ukwelashwa eside ngemithi elwa namagciwane.

Inhlolo-vo enemininingwane nokusiza ligweme izinkinga ezingase zivele ezifana hemometra, ngokuyisisekelo okuyinto ekuqongeleleni igazi esibelethweni ngenxa yokwephulwa inqubo coagulation. A uphawu lokhu yinkinga lokhu nobuhlungu obukhulu esiswini ephansi. Lapho hematometra Kunconywa ukwenza kabusha wokuhlanza kwesibeletho ukuze uyisuse amahlule.

hysteroscopy lingandile kuyinkimbinkimbi nokususa ngokweqile lapho Histology ihlumela ezilimele ungqimba ngesikhathi zalokho izicubu. Lokhu zokugula, ngeshwa, asikwazi ngayo.

Naphezu ochwepheshe umkhuba yezinkinga ngemva hysteroscopy, ukukhuluma ngalokhu inqubo bayingozi yenethiwekhi ke akwenzi mqondo. Okokuqala, kufanele sikhumbule ukuthi kwenziwe ukuqeda pathologies sina, okuyinto ngokwayo ukusongela ekuphileni sowesifazane.

Ingakanani le hysteroscopy kwesibeletho

Lokho okwakudingeka ukuze kukhokhwe izinqubo zokuxilonga noma zokwelapha nge ukusetshenziswa hysteroscope iyahlukahluka kuye ngokuthi indawo esibhedlela futhi ngalokho kuzothatha manipulations. Hysteroscopy kwesibeletho, intengo hysteroresectoscopy kancane kubhekwa ethengekayo. Izindleko Its ruble ecishe ibe yizinkulungwane 14-18. I-oda ezidlula eqolo ngaphezu kwanoma ezidingekayo, isibonelo, ekususweni polyp kwesibeletho (hysteroscopy). Intengo ye-inqubo iqala kusukela ama-ruble ayizigidi 22. Lezi zimali ngokuyinhloko yini izidakamizwa ezisetshenziswa phakathi nokuhlinzwa. Futhi e izindleko inqubo kuhlanganisa nokukhokhwa isikhathi zokusebenza odokotela nezinye izisebenzi zezokwelapha ezihilelekile ekuziphatheni hysteroscopy. Indima ebalulekile nentengo lolu hlobo lokunakekelwa kwempilo eyadlalwa nemibandela ukusebenza. Izindleko ezingaphansana bubonakala okuthiwa izinqubo ehhovisi hysteroscopic kusukela ekusetshenzisweni kwazo akudingi ikamelo wahlomisa ngokukhethekile.

Hlala uphilile!