A kan abin da ranar da sake zagayowar, yin zauna cikin mahaifa hysteroscopy?

Don kwanan wata, hysteroscopy ne daya daga cikin mafi muhimmanci wurare a cikin bincike gwaje-gwaje gynecology. Wannan endoscopic Hanyar ya zama m a cikin gynecological sassan. Mutane da yawa mamaki: abin da ranar da sake zagayowar kada hysteroscopy?

Hysteroscopy - a gani dubawa na igiyar ciki rami na musamman Tantancewar tsarin. Lokacin da bincike hysteroscopy hali dubawa na igiyar ciki rami. Lokacin da akwai kananan m ayyukan a take hakkin da endometrium. Domin monitoring ko m magani ne ra'ayin mazan jiya iko hysteroscopy. Ana zargin sabon na'urorin ga hysteroscopy damar duba ba kawai ya zauna cikin mahaifa, amma kuma domin tantance yanayin farji epithelium, mahaifa canal, cervix da sauransu. Mikrogisteroskopy tare da kara x 150 x60 da kuma ba da damar yi nazarin tsarin da Kwayoyin da su nuclei da cytoplasm.

A kan abin da ranar da sake zagayowar ne mafi alhẽri a yi hysteroscopy, shi za a bayyana a kasa.

Ta yaya zan?

Mafi sani Tantancewar tsarin Hamou na da Hamou II. 4 farko ya yi aikin kara x1, x20, x60 da x 150, na biyu x20 (ga panoramic hysteroscopy) da kuma x80 (ga mikrogisteroskopii kuma m shisshigi microtools 1-3 mm).

Domin mikrogisteroskopii isa ya taba yankin na distal karshen binciken naúrar.

Lokacin da lamba hysteroscopy a gaban ƙasar da dama endometrial 6-8 mm a diamita, don haka a mafi cikakken hoto na hysteroscope akai-akai canjawa wuri a cikin igiyar ciki rami.

Ko mafi bayyana, haske hoto za a iya samu a wani m fibrogisteroskop, tare da kadan lalacewar da igiyar ciki bango.

Wani sabon abu - Aiki hysteroresectoscopy, wani ci-gaba inji wuya Hopkins'a, shi damar for electrosurgical hanyoyin a cikin igiyar ciki rami.

Mene ne ofishin hysteroscopy? A kan abin da rana yi madauki? A wannan - a.

Ofishin hysteroscopy ne ba kowa a Rasha. A general shi ne da za'ayi a waje kananan dakunan shan magani. Wannan jarrabawa na cikin mahaifa ta amfani da wani bakin ciki tube-hysteroscope. Za'ayi ba tare da musamman maganin sa barci a cikin ofis likita. Yana bukatar mahaifa dilatation.

Daban-daban daga cikin saba cewa ba ya unsa likita hanyoyin.

Hysteroscopy da aka raba, dangane da gudanar lokaci a cikin pre-tiyata ko post-tiyata, gaggawa ko shirya. Wani lokaci mafi tasiri wannan hanya ne a hade tare da laparoscopy.

Lokacin aiki tare da talabijin tsarin shi ne fin so in yi amfani da sanyi haske Madogararsa. A halin yanzu na kowa Xenon fitilar na 150 zuwa 300 watts.

E ₂ ne CO feed gisteroinsuflyatorami. Insufflating gas damar zuwa kashi da kuma sarrafa matsa lamba da kuma iskar gas ya kwarara kudi.

Gabatarwa na ruwa kafofin watsa labarai ta hanyar iska farashinsa. Daidaitawa da abinci ruwa faru ta atomatik, yana iya zama discontinuous da kuma ci gaba da.

Endoscopic dakuna suna sanye take da zamani TV tsarin cewa gamsar da bukatun na endoscopic tiyata.

Hur da kuma kananan-sized kyamara watsa hoton a kan duba da cewa ba ka damar Amsoshi da sakamakon hysteroscopic nazarin da daga baya kwatanta da sakamakon. Amfani ga zanga-zanga da kuma horo.

Da zuwan talabijin aikin hysteroscopy likita ya kai wani sabon mataki, wani mutum likitan mata cire daga al'aura kãtse da mace, ido iri ne rage by sau da yawa, wanda facilitates da aiwatar da intrauterine magudi. A kan abin da ranar da sake zagayowar menstruatsionnogo yi hysteroscopy, shi ne na bayar da muhimmanci.

Sau da yawa, da yin amfani da Laser a lokacin intrauterine ayyukan. A wannan Laser Tantancewar zaruruwa suna gabatar a cikin kogo, ta hanyar wani aiki da tashar a lamba tare da dissecting surface kwashe cire partitions halakar da endometrium.

Domin gudanar da hysteroscopy likitoci budewa da mahaifa, wanda damar mafi bincika ta bango. Tensile za a iya amfani da wani gas ko ruwa. Carbon dioxide, high kwayoyin nauyi da kuma low kwayoyin nauyi matsakaici (Saline, mannitol, bakararre ruwa) da ake ci gaba da amfani da distention. Mafi muhimmanci, da yanayi na samar da mai kyau gani dubawa ne ya isa ya kara da intrauterine matsa lamba da kuma ya zauna cikin mahaifa ya ba sa abin da ya faru na wani dauke da kwayar cutar tsari. Saboda haka yana da muhimmanci, a kan abin da ranar da sake zagayowar yi hysteroscopy.

Cikakkar alamomi ga hysteroscopy

By cikakkar hada da polyps na endometrium, rashin haihuwa, da ake zargi da endometrial ciwon daji da kuma cervix, vesico-igiyar ciki fitsari da kuma ake zargin shi a sharan nama kashi da tayin, gaban kasashen waje jiki, perforation na mahaifa bango, da hailar sake zagayowar, ciki endometriosis, bayyanãwa wuraren da maganin hana haifuwa endometrial, igiyar ciki fibroids, bayyanãwa da yanayin igiyar ciki lahani, da ake zargi da intrauterine adhesions, lamba na jini, endometrial hyperplasia, Metro-da menorrhagia.

Daga wannan shaida dogara, sa mahaifa hysteroscopy a kan abin da ranar da sake zagayowar.

zumunta alamomi

• Post-gudanar da yanayi.
• Bayan hydatidiform mole.
• A ashara.
• Bayan hormone magani don sarrafa.

contraindications

Hysteroscopy ne contraindicated a marasa lafiya tare da m da subacute kumburi da al'aura gabobin, da nauyi igiyar ciki na jini, mata masu ciki, mata da mahaifa stenosis, cutar sankarar mahaifa.

A kan abin da ranar da sake zagayowar kada hysteroscopy ga cututtuka daban-daban?

Dangane da nuni zaba da kuma lokacin da binciken. Idan mace ana zargin adenomyosis ko submucousmyoma, bincike da ake gudanar a ranar shida-rana ta tara ga hailar sake zagayowar. Domin sanin da ayyuka na endometrium, kamar hyperplasia ko rashin haihuwa, hysteroscopy yi a lokacin da biyu lokaci na zagayowar.

m nazari

5% bayani na aidin barasa ko "Yodonatom" bi da cinyoyinsa ciki da kuma m al'aurar. da cervix ne fallasa da barasa da aka bi ta amfani da bakin farji madubai. Relegates gaban lebe na cervix, mahaifa da kuma yi yãwo a tsakãnin tasbĩhi ta tsawon tare da bincike. Jẽre Expanders Geger mahaifa canal widen daga rami don tabbatar da free kwarara ruwa daga mahaifa. Rapid jini kau cimma m wanke. Hysteroscope shiga tare da wani bakararre ruwa wadata tsarin da haske Madogararsa, sa'an nan ta cikin mahaifa canal shi ne ya gabatar a cikin igiyar ciki rami. Don fara, shi ne da za'ayi a general bayyani, da hankali ne kõma zuwa ga siffar da kuma size na mahaifa, da endometrium (jijiyoyin bugun gini juna, canza launi, da kauri, nadawa), da taimako na ganuwar, da yanayin da kasancewa daga cikin bãkunansu na fallopian shambura. Filin mahaifa, cervix, isthmic rabu da sidewalls ziyartar inganta kara hysteroscope. A bita ne da za'ayi a kewaye iri na agogo shugabanci.

Mata sau da yawa mamaki da abin rana na hailar sake zagayowar yi hysteroscopy. Game da shi - a kasa.

A fadada mahaifa canal lokacin fibrogisteroskopii ba dole, tun da workpiece fibrogisteroskopa bincike diamita 3.6 millimeter. Motsi da aiki ɓangare na igiyar ciki rami inji ne da za'ayi ta juyawa daga distal hysteroscope.

a kan yadda ake gudanar da

M ayyukan a cikin igiyar ciki kogo aka desirably da za'ayi a cikin rukunin farko na sake zagayowar lokacin da endometrium ne na bakin ciki isa, shi ba zai hana dubawa.

Ayyuka samuwa a lokacin hysteroscopy:

• hysteroscopic endometrial ablation.
• polypectomy.
• cryosurgery.
• hysteroscopic sterilization.
• myomectomy.
• Igiyar ciki septum resection.
• kau na waje jikinsu da kuma IUD.
• intrauterine adhesions dissection.
• cire saurã daga kashi, niƙaƙƙun gaɓãɓuwa.
• catheter tube.

Marasa lafiya da suke yi mashi bincike hysteroscopy ba ya bukatar musamman dubawa. Uterotoniki da maganin ciwo suna nada musamman rare. A cikin hali na gano wani haƙuri a hadarin da ya faru na kwamin na tara rikitarwa nada maganin rigakafi. A kan abin da ranar da sake zagayowar, za ka iya yin wani hysteroscopy, mun bayyana daga baya a cikin labarin.

Yabo bayan m hysteroscopy

Kwayoyin far prophylactically gudanar bayan m hysteroscopy ( "Gentamycin" intramuscularly zuwa 80 MG sau biyu a rana). Kwayoyin far a hade tare da metronidazole formulations ( "Trichopolum" 1 tab. 3 sau a rana).

A rana ta farko bayan hysteroscopy lura daga al'aura fili spotting nan a kore ka. Don hanzarta igiyar ciki contractions designate "Oxytocin" 1 ml / m kullum sau biyu, kuma hemostatic "Vikasol" ko "Dicynonum" na Table 1. 3 sau a rana.

Domin zafi taimako bayan tiyata nada wadanda ba narcotic analgesics, "Analgin", "Baralgin", "maksigan".

A abũbuwan amfãni daga hysteroscopy

1. A cikin wannan hanya, da jarrabawa ya zama mai yiwuwa kafa yanayin endometrial Pathology.

2. Wannan shi ne kawai hanyar kunna jarrabawa na cervix, mahaifa da isthmic sashen.

3. Sauya laparotomy samun hysteroscopic igiyar ciki.

4. Bayar aiki gudanar gani kula.

5. Wannan shi ne mai sauki, low-tasiri da kuma sosai m hanya.

6. Easy don gudanar da marasa lafiya.

7. zama a asibiti an rage.

A kan abin da ranar da sake zagayowar kada hysteroscopy shirya?

Yana dogara a kan abin da ka shirya hysteroscopy. Idan shirya, duk abin da za su dogara a kan physiological halaye na mata. Mafi sau da yawa fiye da m ne follicular lokaci na hailar sake zagayowar lokacin da endometrium ne kawai farko warke daga kin amincewa. Shi ne na bakin ciki a wannan lokaci, don haka rami na zauna cikin mahaifa ne sauƙin gani. Saboda haka hysteroscopy yawanci gudanar a ranar 7-9 rana daga farkon haila.

A kan abin da ranar da sake zagayowar yi hysteroscopy gaggawa?

Gaggawa version of hysteroscopy ba kome rana sake zagayowar. Amma da wata-wata m darajar da aka da yawa rage, don haka shi ne mafi alhẽri ga dena daga binciken a wannan lokaci.