Hysteroscopy chirwere chekufungidzira, panguva iyo unoongorora chivharox, masvingo emuviri uye muromo we fallopian tubes. Kurapa-kuongororwa kwehutachiona, panguva iyo kubviswa kwehutachiona hwehutachiona hwe endometrium, chinyorwa chinonzi mymatous node kana polyp inonzi hysterosectoscopy (operative hysteroscopy).
Dzimwe nguva laparoscopy (kuongororwa kusinganzwisisi kuongororwa kwemuviri mudumbu) uye hysteroscopy inoitwa pamwe chete. Muchikamu chino tichakurukura kuti sei uye sei mutsara wemukati, chiberekero nemadziro ayo anoitwa, uyewo tinofunga nezvezviratidzo uye zvinopesana nazvo.
Ko hysteroscopy yakaitwa sei?
Nzira yehusteroscopy inowanikwa mune mamwe masangano ekurapa mushure mekuda kwekugadzirira kwekugadzirira. Kuti uite izvi, unofanirwa kupfuura miedzo: kuongororwa ropa, chirwere cheservic smear, ropa kubva mumutsipa kusvika kuHIV uye hepatitis B neC. Zvimwe nzira dzekutsvakurudza, x-ray yebhokisi, ECG, inonzi ultrasound yezviputi zvepachiviri dzine vaginhi.
Varwere vazhinji vanobvunzwa nezvehutachiona, zvinorwadza here? Iyo nzira inoitwa pasi pemamiriro ezvinhu evanhu vakawanda anesthesia. Murwere ari muchigaro chechimiro, mushure mekunge murwere apinda muanesthesia, gynecologist inoita kuwedzera kwechirwere uye kuiswa mukati mechibereko chechigadzirwa chinokosha - hysteroscope. Kuti uone kuonekwa kwehutachi uterine kuburikidza ne hysteroscope, muviri we saline solution (NaCl 0.9% kana glucose solution 5%) inowanikwa. Vongai nemhinduro inopiwa pasi pekumanikidzwa, uterine cavity inowedzera, iyo inoita kuti kuongororwa.
Hysteroscopy - zviratidzo
Nzira yekugadziriswa kwekugadzirisa kweuterine cavity (hysteroscopy) inoitwa zvose muvakadzi vaduku uye munguva yakakura. Chero mamiriro ezvinhu, nzira yacho inogona kuitwa chete nechiremba ane ruzivo. Nzira ye hysteroscopy ine nhamba huru yezviratidzo. Izvi zvinosanganisira:
- kunyunyuta kwe endometrial hyperplasia , submucous uterine myoma, endometriosis yomuviri wechibereko;
- uterine kubuda ropa mumadzimai evanhu vasati vasvika uye vanopedenopa;
- anomalies muhutano hwechibereko;
- kwenguva refu kusagadzikana munhau - mumamiriro ezvinhu akadaro, hysteroscopy inoitwa ne catheterization ye fallopian tubes, iyo inotanga musiyano wezvakasiyana. Iyo nzira inoitwa pasi pekutarisa kwe-ultrasound, uye kusiyana kunofanira kupinda mukati mechidziro chemuviri.
Contraindications kune hysteroscopy
Pasinei nekuchengeteka kwakakwana kwekugadzirisa uku, kunoramba kuchiine zvinopesana. Dzinosanganisira:
- chero zvirwere zvinotapukira mumuviri;
- chido chinenge chichida kuberekwa;
- zvirwere zvinoputika zvezvikamu zvepachiviri mumusara wekuwedzera;
- smear yakaipa inoguma kubva mumuviri wemukati.
Hysteroscopy kana laparoscopy - zviri nani?
Hazvibviri kutaura kuti zviri nani pane nzira dzeimwe, nekuti mumwe nomumwe wavo ane uchapupu hwake pachavo, uye kazhinji ivo vakanyatsobatanidzwa.
Nokudaro, nzira dzakadaro dzisingagoneki sezvinonzi hysteroscopy uye laparoscopy inobudirira chaiyo yemishonga yemazuva ano, iyo inobudirira kushandiswa mukurapa uye kurapwa kwezvirwere zvekuberekwa kwevakadzi. Zvose zvinoshandiswa zvinowanikwa pasi peanesthesia, uye naizvozvo hazvina maturo.