WFD, kana yakasiyana-siyana yekurapa chirwere, mune gynecology inoshandiswa kuongororwa zvirwere, uye inogona kushandiswa sechirongwa chekurapa. Iko kushandiswa kunofungidzirwa seimwe yenzira dzinowanzoshandiswa uye dzinowanzoshandiswa mukugadzikana kwezvirwere.
WFD - zviratidzo zvekushandiswa
Kuongororwa kweWFD kunoita kuti zvibone kujekesa mamiriro ehurumende mucosa muzvinyaradzo uye zvakaipa. Sekunyengedzwa kwechiremba, WFD inoitwa pasi pemamiriro ezvinhu anotevera:
- kurega kubuda ropa;
- ne endometrial hyperplasia ;
- nokuda kwekubviswa kwe fibroids uye polyps, kukura muhutachi uterine;
- nekamuviri kamuvhiringidzika, kana pane kusafungirwa kwekusabviswa kusina kukwana kwe fetal egg.
Munguva yekushanda kweWFD, maitiro emagetsi anobva abviswa muuterine cavity uye munharaunda yemudumbu.
Scraping technique
Tichaparadzanisa zvakadzama, sezvinoita MFD yemuviri wechibereko uye chibereko chemuviri. Iko kushandiswa kunoitwa pasi pemajoini anesthesia. Kuongorora RVD inokurudzirwa kuti iiteke mazuva mashomanana kusati kwatanga kusenda. Pamberi pekuchera kunofanira kuongororwa. Iko kuongororwa kunodiwa pakuita WFD kwakanyorwa pasi apa:
- kuongorora ropa;
- coagulogram;
- kuongororwa kwehepatitis B uye C, utachiona hweHIV, chirwere;
- smear kubva kumudzimai kuitira kuvapo kwekuvhiringidza;
- ECG;
- Ultrasound yenhengo dzomukati.
Mushure memubvunzurudzo uye pakusabvumirana kwekupikisa kunoenda kumutsara mukuru:
- Chokutanga, CDW yemugodhi wemudumbu inoshandiswa, mashoko akaunganidzwa anounganirwa kuti awedzere kuongororwa.
- Uterine cavity inotungidzirwa uye iyo dilators inotanga zvishoma nezvishoma.
- Mumuviri weutter a curette inowanikwa uye kupararira kwemukasi membrane kunoitwa.
- Zvinhu zvose zvakagamuchirwa (zvakasiyana nechiberekero uye muromo wechiberekero) zvinotumirwa kuongorori rekuongorora maviri. Histology paRVD ndiyo nzvimbo inokosha yekudzidza. Sezvo inoratidzira zvose zvinoratidzira zvirwere zvinowanzoitika mucosa kure.
Kuti zvive nyore, WFD chibereko chinosanganiswa ne hysteroscopy kana ultrasound. WFD ne hysteroscopy inobvumira izvi kugadzirisa
Postoperative period
Iko kushandiswa hakusi kwakachengeteka, saka hapana humwe hutano hwakananga munguva yekushanda. Sekuguma kweWFD, kubuda ropa kunononoka kunogona kuchengetwa nguva inenge yevhiki.
Kurapa mushure meRDP ndiko kutora mishonga inorwisa mabhakitiriya kuitira kuti kudzivirira kukura kwezvinetso zvinotapukira uye zvinopisa. Kuchengeta migumisiro yekurapa mumazuva mashomanana (kazhinji vhiki imwe gare), yechipiri ultrasound inorayirwa.