Ka letsatsi lefe ea potoloho, ba etsa le popelo hysteroscopy?

Ho fihlela joale, hysteroscopy ke e 'ngoe ea libaka tse bohlokoa ka ho fetisisa ea ho hlahloba lefu liteko mafu a basali. Mokhoa ona endoscopic fetohile e tlamang ka mafapha a sa gynecological. batho ba bangata ba ipotsa: letsatsi lefe ea potoloho le ha hysteroscopy?

Hysteroscopy - ka ditshwantsho tse tlhahlobo ya uterine cavity khethehileng oona tsamaisong Optical. Ha tekotshupo hysteroscopy boitšoaro tlhahlobo ea uterine cavity. Ha fumaneha nyane tshebetso ho buoa ka tlōla endometrium ena. Bakeng sa go baya leitlho kapa kalafo buoa ke mekhoa e tloaetsoeng taolo hysteroscopy. Ho hlaha ha a maqheka a macha bakeng sa hysteroscopy lumella ho sheba feela popelo, empa hape ho hlahloba boemo ba epithelium bosaling, kanale cervical, popelo le ba bang. Mikrogisteroskopy le eketseha-x 150 x60 le lumella ho ithuta sebōpeho sa lisele le nuclei bona le cytoplasm.

Ka letsatsi lefe ea potoloho e ke ke molemo ho etsa hysteroscopy, ho tla a hlalosa mona ka tlase.

Joang Ke?

Ho fetisisa tsejoa tsamaiso ea Optical Hamou ke le Hamou II. 4 somago pele eketsa x1, x20, x60 le x e 150, ho x20 bobeli (bakeng sa hysteroscopy hlaka) le x80 (bakeng sa mikrogisteroskopii le ho buoa tsereletsi microtools 1-3 limilimithara).

Bakeng sa mikrogisteroskopii ho lekaneng ho e finyella sebakeng ea bofelo distal ea unit trust ithuta.

Ha ho ikopanya hysteroscopy mahlong a naha oela endometrial 6-8 limilimithara le bophara ba, e le ka setšoantšo se feletseng haholoanyane ea hysteroscope le ho pheta-pheta ka isoa ka uterine cavity.

Esita le ho feta e hlakileng, e khanyang setshwantsho ka fumanoa ka fibrogisteroskop tenyetsehang, le tšenyo e fokolang haholo leboteng uterine.

E mong novelty - sebetsa hysteroresectoscopy, e tsoetseng pele mochini thata Hopkins'a, ho dumella mekgwa ya tshebetso electrosurgical ka uterine cavity.

ke eng ofisi hysteroscopy? Ka letsatsi lefe etsa sekgoqetsane? Ena - on.

Office hysteroscopy ke se tloaelehileng Russia. Ka kakaretso e etsoa litsing tsa kokelo tsoang linaheng tse ling. Sena se hlahloba popelo ho sebelisa tšesaane tube,-hysteroscope. Atlehe ntle thethebatso khethehileng ka ofising ea ngaka eo. Ho hloka dilatation cervical.

Fapaneng ho tloha e tloaelehileng hore ha e kenyelletsa mekgwa ya tshebetso ya kalafi.

Hysteroscopy e arotsoe, ho itšetlehile ka kosimbaki nako ea pele ho sebetsa kapa poso tshebedisano, tshohanyetso kapa rerile. Ka linako tse ling atlehang haholoanyane Tsamaiso ena e ho kopantswe le laparoscopy.

Ha ho sebetsa le litsamaiso a thelevishene e molemo ho feta ho sebelisa batang khanya mohloding. Hona joale ho tloaelehile hore batho Xenon lebone la Watts 150 ho ea ho 300.

E ₂ ke CO iphepe gisteroinsuflyatorami. Insufflating khase lumella ho lethal dose le ho laola khatello le khase sekhahla phallo.

Selelekela mecha ea phatlalatso ea mokelikeli ka lipompo moea. Ho lokisa ho fepa ka mokelikeli etsahala ka tsela e iketsang, ho ka ba discontinuous le e tsoelang pele.

likamore Endoscopic ba a hlomelloa le tsamaiso ea morao-rao TV hore khotsofatsa se hlokoang ke ho buuoa endoscopic.

Bobebe le tse nyenyane-boholo bo lekaneng khamera fetisetsa setšoantšo ka ho hlokomela hore lumella u ho Archive ya ka dipholo tsa lithuto tsa hysteroscopic 'me hamorao bapisa liphello. Sebediswa bakeng sa pontšo le koetliso.

Le qaleha thelevishene hysteroscopy tshebetso ngaka e ile ea fihla boemong ba e ncha, hore motho a gynecologist tlosoa genital le slit mosali eo, khatello leihlo e fokotsehile ka makhetlo a 'maloa, e leng se ntsetso-peleng ho kenngwa tshebetsong ha mellwane intrauterine. Ka letsatsi lefe tsa potoloho menstruatsionnogo etsa hysteroscopy, ho ke ke ea bohlokoa haholo.

Hangata e le tšebeliso ea tham mong bang laser nakong tshebetso intrauterine. Ka tham mong bang laser ena likhoele Optical di hlahiswa ka cavity ea ka e le kanaleng sebetsa ka kopana le dissecting holim etsoa tlositse, partitions timetso ea endometrium ena.

Ho phetha hysteroscopy lingaka otlolla ho popelo, e dumella molemo hlahloba leboteng hae. Tensile ka sebelisoa e le khase kapa mokelikeli. Carbon dioxide, e phahameng ea limolek'hule boima le tlaase limolek'hule boima mahareng (letsoai, mannitol, metsi nyopa) di a sa khaotse a etsa kōpo ea ho distention. botlhokwa go feta, tikoloho e fana ka e ntle ditshwantsho tse tlhahlobo e lekane ho eketsa khatello intrauterine le popelo ha e etsa hore ketsahalo ea mohato o le tšoaetsanoang. Ka lebaka leo, ho ke ea bohlokoa, ka letsatsi lefe ea potoloho e etsang hysteroscopy.

ho bonahala ka ho feletseng bakeng sa hysteroscopy

Ke ka ho feletseng e kenyeletsa polyps tsa endometrium e, ho kgaolela basadi thari, belaela endometrial kankere le popelo, vesico-uterine fistula le belaela e ka litlhaka kahare dinama tse nyenyane tse lesapo la lesea le, ho ba teng ha e le 'mele e' ngoe, perforation ea leboteng popelo, potoloho ea matsatsing, endometriosis hare, clarifying libaka tse moo dithibela endometrial, fibroids uterine, clarifying mofuta wa sekoli uterine, belaela intrauterine adhesions, tsoa mali ho ikopanya, endometrial hyperplasia, Metro-le menorrhagia.

From bopaki bona bo itšetlehile, etsa popelo hysteroscopy ka letsatsi lefe ea potoloho ena.

ho bonahala a lekanyelitsoeng

• Post tshebedisano maemo.
• Mora mole hydatidiform.
• Ka senyeheloa.
• Mora hormona kalafo ho laola.

Contraindications

Hysteroscopy e contraindicated ka bakuli ba a hlobaetsang le le subacute ruruha litho tsa genital, ka tsoa mali le boima uterine, basali ba baimana, basali ba nang le stenosis cervical, kankere cervical.

Ka letsatsi lefe ea potoloho le ha hysteroscopy bakeng sa mafu a sa tšoaneng?

Ho itšetlehile ka sesupo kgethile le nako ea thuto. Haeba mosali a belaela adenomyosis kapa submucousmyoma, phuputso e khannoa ka letsatsi la botšelela la-borobong ho ea matsatsing. Ho fumana hore na tshebetso ya endometrium, tse kang hyperplasia kapa ho kgaolela basadi thari, hysteroscopy phethile nakong ea mohato oa bobeli oa potoloho ena.

ho ithuta mokhoa

5% tharollo ea a iodine litareng e joala kapa "Yodonatom" tšoaroa lirope ka hare le tsa ka ntle feditsweng. popelo e pepesa le joala e tšoaroa sebelisa liipone bosaling. Relegates Molomo pel'a molomo oa pōpelo, popelo le probed keteka bolelele ba eona hammoho fatang ka. Latellana expanders Geger kanale cervical atolohe tloha cavity ho netefatsa bolokolohi mokelikeli oa popelo ea. Ka potlako mali tlosa fihlellwa hlatsoa kamehla. Hysteroscope oona o kopanela ka nyopa oona tsamaisong mokelikeli phepelo le mohloli khanya, 'me joale ka kanale cervical e e hlahiswa ka uterine cavity. Ho qala, ho e phethahatsa kakaretso kakaretso, tlhokomelo e huleloa ho sebopeho le boholo ba popelo, e leng endometrium (vascular dipaterone, colouring, botenya, phutha), oa liphallelo tsa marako a oona, boemo le ho fumaneha ha melomo ea methapo ea fallopian. TŠIMO popelo, popelo, isthmic ikhaohantseng le mabota a mahlakoreng a etetse kgothaletsa hysteroscope eketsehileng. hlaoloa e phethahatsoa ka manaka a watjhe tataiso.

Basali ba atisa ho ipotsa hore na letsatsi le ea matsatsing etsa hysteroscopy. Ka eona - tlase.

Ka ho atolosa kanale cervical ha fibrogisteroskopii ha ho hlokahala, ho tloha workpiece fibrogisteroskopa tekotshupo bophara ea 3,6 millimeter. Fallela karolong e ka sebetsa ea sethusathuto uterine cavity e etsoang ke ba chenchana tsa hysteroscope distal.

ka tshebetso

Ho buoa tshebetso ka uterine cavity e desirably etsoa karolong e qalang ea potoloho le ha endometrium e tšesaane ka ho lekaneng, o ke ke oa thibela tlhahlobo.

Tshebetso fumaneha nakong hysteroscopy:

• hysteroscopic endometrial ablation;
• polypectomy;
• cryosurgery;
• hysteroscopic sterilization;
• myomectomy;
• Uterine septum resection;
• tlosa 'mele tsoang linaheng tse ling le IUD;
• adhesions intrauterine dissection;
• ho tlosa mesaletsa ea likhechana lesapo;
• catheter tube,.

Bakuli ba ka buuoa ka makhetlo tekotshupo hysteroscopy ha a hloke tlhokomelo e khethehileng. Uterotoniki le dipilisi ba khethiloe ka seoelo haholo. Tabeng ea ho fumana le mamello kotsing ea ketsahalo e sa la mathata maswe e behiloeng lithibela-mafu. Ka letsatsi lefe ea potoloho, u ka etsa e hysteroscopy, re hlalosa hamorao ka sehlooho se reng.

Likhothaletso mora hysteroscopy buoa

phekolo lithibela-mafu prophylactically tsamaisoa ka mor'a hysteroscopy buoa ( "Gentamycin" intramuscularly ho 80 mg, ka makhetlo a mabeli ka letsatsi). Lithibela-mafu phekolo ho kopantswe le formulations metronidazole ( "Trichopolum" 1 tab ya. Makhetlo a 3 ka letsatsi).

Ka letsatsi la pele ka mor'a hysteroscopy hlokomela tswa genital pampitšana spotting o bitswang ba fediswa. Ho potlakisa pelehi uterine kgetha "Oxytocin" 1 di ml / limithara habeli letsatsi le letsatsi le hemostatic "Vikasol" kapa "Dicynonum" ea Table 1. makhetlo a 3 ka letsatsi.

Le hore nka imoloha bohloko ka mor'a ho buuoa ka khethoa analgesics bao e seng narcotic, "Analgin", "Baralgin", "maksigan".

Melemo ea hysteroscopy

1. Ka mokhoa ona, ho hlahloba e ba ho bonolo ho theha mofuta wa bolwetse endometrial.

2. Sena ke mokhoa feela nolofalletsa ho hlahloba le popelo, popelo le lefapha isthmic.

3. nka sebaka ho fihlella laparotomy ho uterine hysteroscopic.

4. lumella tshebetso khanna pono leihlo.

5. Sena ke e bonolo, le tlaase-tshusumetso le mokhoa haholo rutang.

6. Easy ho phetha bakuli.

7. lula sepetlele e fokotsehile.

Ka letsatsi lefe ea potoloho le ha hysteroscopy rerile?

Ho itšetlehile ka seo u rerang ho hysteroscopy. Ha rerile, tsohle e tla itšetleha ka litšobotsi fisioloji tsa basali. Hangata ka ho fetisisa ho feta boitsebiso bo rutang ke mohato follicular ho ea matsatsing ha endometrium e qalang ho hlaphoheloa ho tswa ho khesoa ka. O tšesaane ka nako ena, ka ho tšoanang cavity ea popelo ke habonolo bonahalang. Kahoo hysteroscopy hangata tshwarwa ka letsatsi 7-9 ho tloha qalong ea ho ilela khoeli.

Ka letsatsi lefe ea potoloho ea ho etsa hysteroscopy tshohanyetso?

Emergency phetolelo ea hysteroscopy ha ho tsotellehe letsatsi potoloho. Empa khoeli boleng rutang e haholo tsa fokotswa, kahoo ho molemo ho qoba ho ithuta le nakong ena.