Hysteroscopy mahaifa - abin da yake da shi? mahaifa Hysteroscopy: iri, alamomi, da kudin da hanya

A halin yanzu, akwai quite 'yan iri ganewar asali na mata cututtuka, daga cikinsu, tare da duban dan tayi da kuma Dabarar (Magnetic rawa da kwamfuta) ne na zauna cikin mahaifa hysteroscopy. Abin da irin hanya? Mene ne alamomi na da hali akwai, da kuma yadda yawa ne kudin? Wannan shi ne abin da za mu yi kokarin gaya maka a cikin wannan labarin.

Mene ne wani hysteroscopy

Daga cikin kalmar Helenanci da aka fassara a matsayin ", don su bincika cikin mahaifa." A gaskiya ma, hysteroscopy ne gynecological jarrabawa tare da yin amfani da wani kayan aiki na musamman, da ake kira mai hysteroscope. Yana ba ka damar gani bincika cikin rufi daga cikin mahaifa ba tare da punctures da kuma cuts. Haka kuma, wannan dabara ya sa ya yiwu don kawar da kananan pathological tsarin a cikin jiki rami, fallopian shambura ko cervix.

Ya kamata a yi ajiyar cewa cikin mahaifa hysteroscopy ba scraping da wannan hanya, ko da yake sun sukan hade. Babban bambancin da wannan hanya na far da bincike da karatu daga wasu ne cewa epithelial Layer na zauna cikin mahaifa, a lokacin magudi kusan ba lalace. Bugu da kari, da Amurka, a wasu lokuta ba da damar zuwa a fili kafa wasu nuances faruwa a al'aurar mace pathological tafiyar matakai. Isar da shi a tuna cewa kawai da shekaru goma da suka wuce domin fitowa da ciki na epithelial Layer na zauna cikin mahaifa ya zama dole in yi manyan incision a ciki da mace kai tsaye a kan sashin jiki. Bayan wani lokaci, ya fara nuna jarrabawa ta amfani da wani laparoscope. Amma a cikin wannan tsari shi da flaws, kamar yadda na dubawa na igiyar ciki rami ya zama dole in yi huda a cikin ta bango. Duk wadannan jan iya haifar da samuwar adhesions ko dalili rasa haihuwa. Hysteroscope damar yi ba tare da wani cuts da punctures ya na ciki bango da mahaifa. An dauke da wani amfani, saboda wani take hakkin da mutunci da fata da kuma tsoka fallasa su kwayoyin da ƙwayoyin cuta ƙofar.

Saboda haka, za mu san abin da yake cikin mahaifa hysteroscopy. Mẽne ne cikin sharuddan kiwon lafiya kwararru da kuma marasa lafiya? Karanta game da shi a kan.

Nau'in mahaifa hysteroscopy

Don kwanan wata, iri biyu hysteroscopy suke da daraja a cikin likita yanayi: bincike da warkewa (hysteroresectoscopy). Hysteroscopy mahaifa gudanar domin sanin (tabbatar da ko ƙi yarda) a farkon ganewar asali ne bincike. Babban bambancin dake tsakanin irin wannan hanya ne cewa haƙuri ba su shafi daban-daban na maganin sa barci. Gaskiyar cewa bincike hysteroscopy mahaifa ko m a mace, amma a lokaci guda abubuwa a matsayin tushen ciwo mai tsanani.

Warkewa hysteroscopy mahaifa (kau na wani polyp, fibroids, adhesions da sauransu) ne da za'ayi a cikin hali na babban rabo daga cikin Yiwuwar zama a cikin haƙuri pathologies bukata m baki. Wannan irin hanya aka yi a karkashin janar maganin sa barci da kuma bukatar da sa hannu na wata tawagar kwararru: .. A anesthesiologist, likita da dai sauransu. Wannan shi ne ainihin kama hysteroresectoscopy da minimally cin zali tiyata da aka sani da laparoscopy.

Dangane da irin hanya da kuma kudin dabam. Hysteroscopy mahaifa, wanda aka za'ayi domin bincike dalilai, da ɗan mai rahusa fiye da hysteroresectoscopy.

Alamomi ga bincike hanyoyin

Hysteroscopy mahaifa domin tabbatar da ko shanyewa baya da ganewar asali ne da za'ayi a cikin wadannan lokuta:

• da ake zargi endometriosis da kuma igiyar ciki fibroid (submucosal).
• da ake zargin akwai lumen sharan fetal membranes.
• don gano daban-daban ilimin Halittar Jiki lahani na mahaifa, appendages da mahaifa canal.
• kafa da Sanadin maimaituwa intermenstrual na jini, nauyi da kuma tsawo haila;
• tare da maimaita rashin (saba) da kuma rasa haihuwa.
• kafa da tasiri na shafe tsawon hormonal magani.

Duk da babban bayanai abun ciki na zauna cikin mahaifa hysteroscopy shi ne sau da yawa wajabta kawai a yanayin saukan idan ganewar asali ne rigima, da kuma kayan samu a cikin shakka daga sauran bincike hanyoyin, ba su taimake su bayyana hoton da cutar.

Alamomi ga warkewa hysteroscopy

Ka yi la'akari da babban alamomi ga hanya, da aka sani da warkewa hysteroscopy mahaifa. Mene ne shi, za mu dubi sama, don haka gane abin da yake shaida ga shi, ba zai zama da wuya. Saboda haka, a wasu lokuta, a mace aika zuwa hysteroresectoscopy?

• Lokacin da ba a cikin mahaifa na endometrial polyps.
• Lokacin da Layer na endometrial thickening (hyperplasia).
• A gaban igiyar ciki fibroids, ƙoramu na endometrium.
• Tare da taba kunno kai daga jikin nauyi zub da jini.
• A gaban baffles da intrauterine adhesions Organ katangu.
• Don cire daga rami na mahaifa maganin hana haifuwa IUD irin.

igiyar ciki hysteroscopy (polyp kau, raba bincike curettage, kuma mafi) ne da za'ayi kawai idan akwai wani tsanani contraindications. Wannan ya shafi su, za su gaya on.

contraindications

Tun da cutar ko magani hanya ta amfani da wani hysteroscope da dangantaka da minimally cin zali tiyata, akwai da dama daga abubuwan da ba ka damar amfani da wannan hanya. Tsanani contraindications ga aiwatar da bincike hysteroscopy ne:

1. Kumburi tafiyar matakai a cikin urogenital gabobin, ciki har da urethritis, vulvovaginitis, cystitis, kuma mafi.
2. Cututtuka a cikin m mataki.
3. Al'ada ciki.
4. Wuce kima zub da jini daga mahaifa a lokacin hanya.
5. Mahaifa stenosis.
6. A ciwon daji na cervix (na karshe mataki).
7. Mai tsananin somatic yanayin bayan fama da ciwon zuciya.
8. M mataki na koda ko zuciya rashin cin nasara (ba tare da la'akari da matakin da cutar).
9. Cututtuka lalacewa ta hanyar wani jini cuta.

A wasu lokuta, da hanya ta yin amfani da wani hysteroscope mace isa ga neman magani daga tamkar cuta. Duk da haka, wani lokacin wannan bai isa ba, don haka masana zabi wani Hanyar lifiya ko tiyata yi amfani da daban-daban fasahar.

Shirya domin mahaifa hysteroscopy

Domin ga mai bincike, ko warkewa aiwatar amfani da wani hysteroscope shige da kadan korau effects, shi wajibi ne don shirya yadda ya kamata. Abu na farko da za ka bukatar ka yi wani haƙuri - ziyarci likita, wanda zai aika shi zuwa ga jarrabawa, wanda shi ne da isar da ƙididdiga. Matsayin mai mulkin, da ake bukata bincike jerin hada da:

• kowa jini da fitsari gwaje-gwaje;
• Gynecological smears a kan Flora kuma kabba da ciwon sanyi.
• biochemical bincike na jini da kuma fitsari.
• electrocardiogram.
• jini da kuma RH kungiyar.
• Pap shafa daga cervix.
• Duban images na pelvic gabobin.
• A karshe, cikin ilimin.
• fluorography.

Wuce duk gwaje-gwaje da kuma tafi, ta hanyar ƙarin bincike ake bukata domin 10-14 kwanaki kafin ranar da ma'amala. Idan, duk da haka, daga rasit na da sakamakon dauki karin lokaci, suna bukatar su sake kwato.

Yana da daraja tunawa da matan da suka zai mahaifa hysteroscopy, wannan zai bukaci daga gare su a wasu irin hali. Bayan duk, ba kowane haƙuri tana son jure rashin jin daɗi a lokacin likita hanyoyin. Wannan ya shafi musamman wa anda ke nufi ga bincike hysteroscopy a cikin abin da ba ya amfani da janar maganin sa barci.

Wata rana kafin hanya, mata rika iyakance ci daga ruwaye. A karshe rabo daga ruwa da aka yarda su sha wani m na goma sha biyu sa'o'i kafin aiki. A lokacin da na karshe 50-60 minti kafin hysteroscopy igiyar ciki hanya ne da za'ayi haka da ake kira premedication, jigon wadda ta ƙunshi a cikin gabatarwar haƙuri kwantad da hankali. Idan ka yi hysteroresectoscopy, da mace za ta bukatar ka shigar da wani catheter ta hanyar abin da za a yi na musamman m miyagun ƙwayoyi. A cikin duka, da shiri na da mahaifa hysteroscopy daukan kasa da minti talatin. A wannan lokaci, da mace ne kuma auna jini da kuma yanayin jiki.

A karkashin abin da yanayi za a iya za'ayi hysteroscopy

Saboda haka, bari mu matsa zuwa cikin babban. Ta yaya ne igiyar ciki hysteroscopy? Nan da nan ya ce: cewa wannan hanya za a iya yi a kan wani outpatient ko inpatient saitin. A cikin farko idan baki ne da za'ayi a cikin ofishin na wani likitan mata da kuma ba ya bukatar da gabatarwar maganin sa barci. A wasu yanayi, likita zai iya yi bincike yadda ake gudanar lokaci guda, kamar hysteroscopy da curettage na mahaifa. Ya kamata a lura nan da nan cewa gwani ba zai iya gudanar da wani bincike daban karɓarsu ga nama (scraping) na zauna cikin mahaifa, a babu maganin sa barci, kamar yadda wannan hanya ne mai raɗaɗi ne, kuma ba kowace mace za ta iya samun irin shi. A amfani da outpatient baki ne da gudun da aiwatar, kazalika da ƙananan kudin. igiyar ciki hysteroscopy a cikin wannan yanayin ne da za'ayi kawai a matsayin wani bincike hanya.

Hysteroresectoscopy za a iya yi kawai a wani asibiti. A wannan yanayin, da mãsu haƙuri aka kwantar na tsawon har zuwa kwana biyu. A irin wannan yanayi, da likita zai iya ba kawai cika dubawa a kan mahaifa da fallopian shambura, amma kuma dauki ga m bincike na barbashi mucosa daga cikin sashin jiki bututu, kazalika da yin otschip nama a cikin cervix. Hysteroscopy a cikin wannan yanayin ne mafi tsada fiye gudanar a ranar wani outpatient akai. Yana da daraja idan akai la'akari da cewa hadarin da rikitarwa a lokacin tsit gudanar da hanya an rage muhimmanci. Bugu da kari, irin wannan tiyata faruwa ga mace shi ne cikakken m.

Ta yaya ne hanya

Bari mu matsa zuwa cikin babban batu: bincike hysteroscopy. Da zarar da haƙuri da aka sanya a kan jarrabawa tebur, likita da taimako na musamman kayan aikin buɗewa da cervix da kuma shiga cikin ta rami m. Wannan magudi damar jiki rami bude domin shi kara bincike ayyuka. To, yãya yi hysteroscopy mahaifa ba tare da maganin sa barci, da wata mace na iya jin gagarumin rashin jin daɗi ko zafi.

Bayan gabatarwar a cikin igiyar ciki rami hysteroscope likita fara stepwise dubawa jiki na mahaifa canal da kuma bakin da fallopian shambura. Da zarar bayyana gwani a cikin rashi na polyps, fibroids da sauran ciwace-ciwacen daji, shi curette shinge samar da wani karamin adadin nama domin kara karatu. The karami tazara na lokaci, wanda zai iya daukar mahaifa hysteroscopy - game 5-10 minti. Dan kadan ya fi tsayi nazari jiki rami - 15-20 minti.

A wannan yanayin, idan matar da aka aika zuwa asibiti don cire polyps a cikin mahaifa, hysteroscopy aka yi a karkashin janar maganin sa barci. Bayan na farko dubawa jiki via da hysteroscope aka maye gurbinsu da ta hysteroresectoscopy. Amfani da wannan karin nagartaccen na'urar likitan mata ta kawar daga igiyar ciki rami polypous samuwar, myomas, endometrium zubar a karkashin da kuma raba Fused mahaifa (synechia). Bugu da kari, hysteroresectoscopy kwashe kyallen takarda girbe for histological jarrabawa. Har yaushe ne waraka daga cikin mahaifa hysteroscopy? Ayyuka na da irin wannan yawanci zauna ba fiye da minti 30. A haƙuri ba ya jin zafi a lokacin hanya da kuma zo rayuwa riga a dawo da dakin.

Wannan na iya faruwa bayan hanya

Saboda haka, aiki ne a kan. Abin da mace za ta ji bayan? Hysteroscopy mahaifa, ko da za'ayi a karkashin janar maganin sa barci, zai iya sa gagarumin rashin jin daɗi, wanda aka bayyana a cikin bayyanar ja zafi a ciki. Wannan shi ne sakamako da keta mutunci da mucosa da kuma wasu mikewa daga cikin mahaifa bango da mahaifa canal. A cikin kwanaki, wata mace na iya daukar zafi relievers (antispasmodic).

Kusan duk da marasa lafiya bayan irin wannan shiga tsakani ne kiyaye kadan zub da jini daga farjin. Idan muka yi la'akari da cewa gabatarwar kayan aikin da kayan aiki, Madogararsa na zub da jini ya bayyana a cikin igiyar ciki rami. Bincikar, kamara kuma LED haske kwararan fitila, duk da kananan size, cuta da epithelium. Bugu da kari, wajibi ne a yi la'akari da cewa a mafi yawan lokuta hysteroscopy ya shafi cin mutuncin mucosa ga manufar daukan samfur nama for histological jarrabawa. A tsanani na zafi da kuma adadin fitarwa ba ya dogara ne a kan yadda yawa cikin mahaifa hysteroscopy. Da farko shi rinjayar da jihar gabobin a mata a lokacin da aiki, ta mutum halaye (jini clotting, zafi bakin kofa , da sauransu. D.).

A prophylactic aikace-aikace, your likita iya rubũta a hanya na maganin rigakafi mace. Wannan taimaka wajen kauce wa bayyanar kumburi a pelvic gabobin. Bugu da kari, akwai wani yawan shawarwari ga sirri kiwon lafiya. Da fari dai, an ba da shawarar zuwa ziyarci saunas da baho. Abu na biyu, da wanka wajibi ne don maye gurbin mai shawa, da kuma ta syringing mafi alhẽri ba ba da wata daya. A lokacin haila wata mace bada shawarar yin amfani gammaye kamar yadda tampons iya zama dalilin kamuwa da cuta. Kafin farko na haila a matsayin maganin hana haifuwa ya kamata a yi amfani da abin da ake kira shãmaki hanya, watau da kwaroron roba.

Tun hysteroscopy da dangantaka da m baki, akwai alamun cewa zai iya nuna rikitarwa fara. Lokacin da suka faru da mace ya kamata nan da nan tuntubar likita wanda ya yi hanya. Wadannan halaye sun hada da:

• m da kuma shafe tsawon zafi a cikin pelvic yankin, wanda shi ne iya cire ba-sayen magani zafi relievers.
• m farji spotting tare da ko ba tare da ruɓaɓɓen jini.
• zazzabi daga subfebrile Manuniya ga m.

Duk da qananan rauni a lokacin da wani hanya kamar ya zauna cikin mahaifa hysteroscopy, rikitarwa iya faruwa. Wannan shi ne dalilin da ya sa mace bayan lura ko jarrabawa da wannan hanya dole ne sosai a hankali saka idanu hãlãyensu.

Matsalolin hysteroscopy

Wadanda suka sha wahala irin wannan baki, kamar yadda ya zauna cikin mahaifa hysteroscopy, sakamakon (feedback kwararru da kuma marasa lafiya, don tabbatar da wannan) na iya zama ko dai tabbatacce ko korau. Mafi wuya rubuta irin wannan wahala kamar yadda igiyar ciki perforation ko perforation na ta. A sabili da wannan lalacewar iya zama m gwani magani naúrar. Duk da haka, mafi yawan rata ne saboda gaskiyar cewa mahaifa canal yana faɗaɗa sosai dan kadan, kawo shi shiga kayan aikin yi ya karu da matsa lamba a jiki bango.

Yi la'akari da abin da zai iya haifar da hysteroscopy na sakamakon mahaifa. Rahotanni sun nuna cewa sau da yawa mata sukan haifar da cututtuka. Wannan sabon abu yana faruwa ne saboda irin yadda ake aiwatar da ƙwayoyin ƙwayar ƙwayoyin cuta a cikin mahaifa wanda aka yi aiki. Don kauce wa wannan wahalar, ya isa ya ɗauki cikakken jarrabawa kafin aikin. Bugu da ƙari, yana da muhimmanci a sanar da likita game da dukan matakan ƙwayar cuta a cikin kwayoyin halitta-urinary da ya faru 6 watanni kafin tuntuɓar asibitin. Cire endometritis ta hanyar farfadowa da maganin rigakafi.

Binciken cikakken zai taimaka wajen guje wa rikitarwa kamar mai hematometer, ainihin abin da yake tattare da jini a cikin kogin cikin mahaifa saboda wani take hakkin tsarin gudanarwa. Bayyana wannan wahala shine zafi mai tsanani a cikin ƙananan ciki. Lokacin da hematomas ya bayyana, tsaftacewa tsaftacewa na yadin hankalin yarinya an bada shawarar don cire yatsun jini daga gare ta.

Kadan sau da yawa, hysteroscopy yana da rikitarwa ta hanyar kariya daga kima, lokacin da lalacewa na tarihi ya lalacewa ga ci gaban bunkasa. Abin takaici, wannan farfadowa bai amsa maganin ba.

Duk da rikitarwa a aikace bayan hysteroscopy, magana game da wannan hanya a matsayin mai hatsari ba shi da hankali. Da farko, yana da daraja a la'akari da cewa ana aiwatar da shi don kawar da cututtuka masu tsanani, wanda a cikin kansu zai iya barazana ga rayuwar mace.

Nawa ne hysteroscopy na mahaifa

Kudin ƙwayoyin bincike ko hanyoyin warkewa tare da amfani da hysteroscope ya bambanta dangane da wurin da ma'aikatan kiwon lafiya suka yi daidai da yadda za'a yi aiki. Hysteroscopy na mahaifa, wanda farashinsa ya fi ƙasa fiye da hysteroresectoscopy, an dauke shi mafi araha. Darajarsa kusan kimanin dubu 14,000 ne. Umurnin girma yana da tsada, misali, kawar da polyp na mahaifa (hysteroscopy). Farashin wannan tsari ya fara daga ruba dubu 22. An kafa jimillar da aka bayar, da farko, daga wace irin maganin da ake amfani dasu a yayin da ake yin aiki. Har ila yau, farashin wannan hanya ya haɗa da biyan kuɗin lokacin aiki na likita da sauran ma'aikatan kiwon lafiya da suka shiga hysteroscopy. Wani muhimmiyar rawa a cikin farashin irin wannan aikin likita yana takaita ta yanayin aiki. Ana kiyasta ƙimar kuɗin a cikin ofishin da ake kira ofishin hysteroscopic, tun da ba su buƙatar ofishin na musamman don aiwatar da su.

Kasance lafiya!