Hysteroscopy. Gịnị ka ọ bụ?

N'ime afọ iri gara aga gynecologists na mba Europe na-fọrọ nke nta kpamkpam kwụsịrị iji ndị dị otú ahụ aghụghọ dị ka ịkpụcha na eriri akpa nwa oghere iji nweta ihe onwunwe (mucosal scrapings) maka histologic ule ma ọ bụ wepụ ihe ndiiche guzobere na cervix ma ọ bụ akpanwa ọwa. Na ebe nke siri ike ma nnọọ traumatic mkpachapụ bịara a ụzọ ọhụrụ - hysteroscopy. Gịnị ka ọ bụ?

Ọ bụ minimally invasive na ndị ọzọ nwayọọ usoro endoscopic usoro. Nnyocha nke eriri akpa nwa oghere mgbidi a rụrụ iji hysteroscope - mkpa ngwa anya ngwá ẹkenam site cervical kanaal n'ime eriri akpa nwa oghere ozugbo. Nke a na usoro na-enyere onye nkà na ozugbo ka atụmatụ ọwa ala nke eriri akpa nwa oghere na anwụrụ angles. Nke a na usoro na-eme ka o kwe omume na-ebu a full nchoputa, na ọ bụrụ na ọ dị mkpa - ịwa adhesions, endometrial polyps, fibroids na ndị ọzọ na endometrial pathologies enweghị ihe ọ bụla unan na he.

Endoscopic nchoputa a rụrụ maka nchọpụta na nchoputa nke enweghị nchịkwa Filiks ke akpanwa. Na nke a, hysteroscopy achọpụta na ọnụnọ nke adhesions, septa, myomas, polyps na akpanwa. Egosi na ya na-arụ na-enyo enyo endometriosis, submucous myoma ọnụ ma ọ bụ ọnụ synechiae (adhesions) eriri akpa nwa perforation mgbidi n'oge dilatation na curettage ma ọ bụ na-ete ime, endometrial ma ọ bụ cervical, endometrial daa ọrịa. Diagnosis dịkwa mkpa ma ọ bụrụ na a na dọkịta na-enyo enyo na dị iche iche malformations nke akpanwa, ya ndiiche mmepe, infertility.

A akara ọmụmụ nke ala nke akpanwa na-kenyere mgbe ọ bụla ịwa ahụ na akpanwa, na ime ọpụpụ, mgbe hormone ọgwụgwọ. N'ihi ya, na-achọpụta ọrịa hysteroscopy enyere chọta kpatara infertility, ịhụ nsọ ọrịa, ime ọpụpụ, dysfunctional eriri akpa nwa ọbara ọgbụgba.

Mgbe ahụ, ajụjụ na-ebilite: ọgwụgwọ hysteroscopy - ihe ọ bụ? Nke a aghụghọ, nke a rụrụ maka mgbazi na ọgwụgwọ nke enweghị nchịkwa abnormalities achọpụtara. Egosi thereto bụ intrauterine septum, synechiae, submucosal fibroids, polyps, endometrial hyperplasia na ndị ọzọ na ọnọdụ. Ịwa ahụ aka na-mụụrụ site hysteroscope, nke na-enye ohere ka ewebata mkpa ngwaọrụ nke dị iche iche na ọgwụ na manipulations. Endoscopic usoro ekwe bụghị naanị iwepụ n'elu-e kwuru ọrịa, ma na-ewepụ fibroids ọnụ ablation na endometrial resection. Ndị a na usoro na-mara dị ka hysteroresectoscopy n'ozuzu otu hysteroscopy. Gịnị bụ nke a na enwere a dị iche? Hysteroresectoscopy - nke a abụghị nchoputa na ịkpa ọgwụgwọ nke eriri akpa nwa ọrịa. Nke a bụ otu n'ime ndị kasị oge a na elu ụzọ nke ọgwụgwọ site usiakidem, ìgwè ewu na ọzọ ka omenala emeghe ịwa.

Mara ụzọ nke ọgwụgwọ: Liquid na gas hysteroscopy. Gịnị ka ọ bụ? N'ihi na zuru nnyocha nke eriri akpa nwa oghere ya mụbaa. Kụziere a na-achọpụta ọrịa ọmụmụ eji a gas hysteroscopy. Na-anọghị nke ọbara ọgbụgba akpanwa gbasaa site na iji carbon dioxide. N'ihi na-arụ ịwa ahụ adọ ọzọ họọrọ mmiri mmiri hysteroscopy, nke na-emejuputa atumatu site n'iji nke ala-molekụla na elu-molekụla mmiri. Ọ na-enye doro anya ọhụhụ na-enye ohere ka i nyochaa ọrụ.

Diagnostic hysteroscopy na ịwa ahụ ọgwụgwọ nwere ike rụrụ n'okpuru mkpebi nke a dọkịta n'otu oge ma ọ bụ dị iche iche na usoro. Mgbe, n'oge aghụghọ bụ endometrial biopsy.

Ọ bụrụ na a nwaanyị na-họpụtara hysteroscopy, na-eri nke usoro, ọ nwere ike ịhụ onwe ke ọgwụ. Nọmalị, ọrụ a na-akwụ ụgwọ ọgwụ oru na-agụnye oge nke dọkịta na nkụnwụ, preoperative ule, ECG, ná Nkụnwụ.

Ọ dị mkpa ịmara na hysteroscopy nwere contraindications. Ndị a gụnyere ndị ọhụrụ bufee Genital mbufụt Filiks, cervical stenosis, oké eriri akpa nwa na-agba ọbara nkịtị na-efe efe ọrịa, karịsịa na nnukwu, oké iche nke ọrịa nke obi usoro, akụrụ na imeju na.