Hysteroresectoscopy - ndichiyani? A njira asang'ambe amachitira matenda matenda

M'zaka zaposachedwapa, kugonana fairer ochuluka anakumana ndi pathologies osiyana. Chifukwa cha ichi kungakhale zachiwerewere, kusowa yobereka pa msinkhu winawake, kuvutika m'thupi, moyo zilakolako zoipa, ndi zina zotero. Kuchiza matenda ambiri chifukwa cha ndondomeko opaleshoni. Kumene, mkazi aliyense ndi mantha kuti pa tebulo dotolo. Makamaka pankhani za tsogolo la ntchito yake ndi ubereki. M'nkhani ino tikukamba pa ndondomeko amatchedwa hysteroresectoscopy. Chimene icho chiri, adzakhululukidwa pansipa. Komanso ofunika ponena za zinthu ndi njira kukwaniritsa opareshoni zimenezi.

njira asang'ambe mankhwala matenda matenda

M'zaka zapitazi, kutchuka kwambiri analandira asang'ambe popanga munthu opaleshoni. Kwa iwo likukhudza hysteroresectoscopy. Opaleshoni kuchepetsa nthawi yolandira chithandizo ku chipatala ndipo adzachira mofulumira pambuyo odwala onse. Mu ntchito mankhwala asang'ambe ntchito zida zing'onozing'ono. Nthawi zambiri, dokotalayo amalowerera autonomously. Pankhaniyi, ulamuliro imagwiridwa mwa zida wapadera kuwala.

Asang'ambe njira olanda mankhwala si nthawi zonse ntchito. Zisanachitike, dokotala ayenera kufufuza bwino pa ngozi. Nthawi zina mpheto ngati n'zosatheka. Pankhaniyi, zambiri zotchulidwa laparotomy.

njira ubwino

Asang'ambe njira ya mankhwala amapewa mavuto ambiri. Choncho, opaleshoni m'mimba wodwalayo nthawizonse adhesions m'dera m'chiuno. Amayi ena kuona zizindikiro za matenda, pamene ena mosavuta kulekerera pamaso pa adhesions.

Pogwiritsa ntchito zida za njira kudzikonda zili kupewa kuvulala kwambiri. Akazi sipafinikanso nkhawa chimene thupi lawo adzatsala yonyansa ndi lalikulu zipsera. Njira imeneyi masamba chabe ndi inconspicuous zipsera.

Ubwino waukulu wa mankhwala asang'ambe amakhala zimene mkazi ayenera kukhala mu mpanda wa kuchipatala osachepera nthawi imaeneyi. Patapita njira wodwala akhoza kukhala ndi maola ochepa kuti apite kunyumba. Komabe, nthawi ya ndondomeko yokha achuluke pang'ono. Onse chifukwa chakuti dokotala alibe mwachindunji mwayi kwa malo mtima ndipo ntchito "mwachimbulimbuli".

Kuipa njira (mavuto kuthekera)

Asang'ambe zochizira matenda matenda ndi angapo a zovuta. Komabe, iwo si kanthu poyerekeza ndi ubwino anafotokoza. Ena mwa iwo:

• chiopsezo kuwononga ziwalo pafupi pamene kutumikiridwa zida ndi Optics;
• magazi, zimene zimachititsa kuti pakufunika laparotomy;
• luso kuchotsa kudwala si kwathunthu;
• kujowina matenda ndi zina zotero.

Kumbukirani kuti opaleshoni m'mimba angakhale ndi zotsatira zofanana. N'chifukwa chake posankha njira chithandizo ayenera kuganizira zonse kuopsa ndi ubwino.

Hysteroresectoscopy: ndichiyani?

mpheto Ichi ndi chimodzi mwa njira asang'ambe. Kaya akuthamanga makoma a kuchipatala. Komabe, nthawi zina, mkazi akhoza kupita kunyumba patangotha maola ochepa.

Nthawi zambiri m'pofunika kuyambirira thupi ochititsa dzanzi pa ndondomeko amatchedwa hysteroresectoscopy. Ndi chiyani icho? Mankhwala ochititsa dzanzi amatchedwa ntchito mankhwala ochititsa dzanzi. Zimakhala m'deralo, ambiri kapena epidural. Izi zidalira pa zovuta za kudwala, wodwalayo ndi zilakolako ndi mwayi zipatala.

Hysteroresectoscopy tsopano n'zotheka kuchiza matenda ambiri kuti zaka zingapo zapitazo amafuna kuchotsa lathunthu la kumaliseche kapena kung'ambika makoma ake. mpheto Izi ochuluka ntchito zipatala zamakono ndi akatswiri achinyamata. Mwina zaka zingapo chiberekero hysteroresectoscopy kukhala mmodzi wa mwai ambiri ndi zidzapambana kuyanjana kwa mfundo laparotomy ndi laparoscopy.

Zikuonetsa kwa mpheto

Choncho, kodi inu kukumana ndi maganizo hysteroresectoscopy (icho chiri). Tsopano m'pofunika kupeza amene amagwira ntchito mpheto amenewa. The zizindikiro zazikulu kwa alowererepo ndi limati zotsatirazi:

• maphatikizidwe makoma kumaliseche chifukwa cha nthenda ya kumtundu kapena matenda yotupa;
• mapangidwe adhesions mkati chiberekero zifukwa zosiyanasiyana;
• mankhwalawa myomas;
• zophuka pakhoma la chiberekero (papillomas, cysts, zotupa);
• Matenda a ngalande khomo lachiberekero, ndi zina zotero.

Pamaso mpheto kwa dokotala nthawi zonse amaweruza ngozi. Nthawi zina, ntchito ukadali kuperekedwa kwa laparoscopy kapena laparotomy.

Contraindications mpheto

Far si odwala onse angathe kuchitidwa hysteroresectoscopy chiberekero. The contraindications kwa opaleshoni zinthu izi zikuphatikiza:

• matenda opatsirana ziwalo m'chiuno, makamaka kumaliseche;
• magazi a etiology sakudziwika;
• ululu wamphamvu m'mimba kugwirizana ndi kudwala;
• ena matenda a mtima, chiwindi ndi impso;
• mimba;
• chimfine ndi zina zotero.

Onse contraindications pamwamba akhoza kugawidwa mu mtheradi ndi makonzedwe. Ena kutiletsa kugwiritsa ntchito njira imeneyi mankhwala. Ena kulola ntchito resectoscope pambuyo uphungu.

Kodi ndondomeko?

Pa mpheto ntchito zina zamakono njira anaziika kuti ntchito chipangizo. Kumayambiriro kwa ndondomeko mkazi jekeseni mankhwala ochititsa. Pambuyo kuti wodwalayo tulo (pansi ochititsa dzanzi general) kapena salinso kumva ululu (pa mankhwala oletsa ululu pamalopo kapena epidural). Kenako, dokotala atuluka kwa oyamba chida.

Choyamba kuwonjezera pa khomo lachiberekero ngalande ndi uterine khomo pachibelekeropo. M'mimbamo kumaliseche anayambitsa resectoscope. chipangizo Izi zida kamera wapadera kuti amasonyeza fano pa polojekiti lalikulu, ndi koyenera kuti ntchito zipangizo. dokotala akulamulira ndondomeko lonse, lomwe limapezeka mu kumaliseche m'kamwa.

Chikadzangotha chipangizo jekeseni akudyetsedwa pang'ono njira. madzimadzi Izi bwino aone ndi chimathandiza Tambasula pang'ono pa khoma uterine. Ndiyamika mankhwala idzachitike efficiently.

Kuchotsa tizilombo ting'onoting'ono mu chiberekero

Opaleshoni imeneyi imagwiridwa mu njira zotsatirazi. Pambuyo oyamba chipangizo detects nthenda dokotala maphunziro. Iwo anatumiza kwa zipangizo zonse ndi ntchito ayamba. Mothandizidwa ndi chipangizo owoneka ngati curette ndi, polyp ndi kudula pamodzi ndi mwendo wina. Pambuyo kwenikweni amapangidwa coagulation m'munsi. Nthawi zambiri ntchito laser cholinga kapena mankhwala osokoneza bongo.

Kuchotsa tizilombo ting'onoting'ono mu chiberekero amapezeka mofulumira ndi wopanda mavuto alionse. Zipatala zambiri kupereka palibe muyambirenso pa zolondola achire kukonzedwa pambuyo ndondomeko.

chithandizo fibroid

Hysteroresectoscopy fibroids kukhala mmodzi wa mankhwala yopulumutsa moyo kwa akazi amene akufuna kukhala ndi mwana. Ngati kale ntchito zochizira matenda laparotomy ndi laparoscopic njira, yomwe inkafuna kung'ambika kumaliseche khoma ndiye ndi chitukuko cha luso, zinthu zinasintha. mpheto Zimenezi zimathandiza kupewa mabala m'chiberekero yopita ku amamuyambitsa timabala. Ambiri mwa kugonana fairer pambuyo ndondomeko bwinobwino kulera ana ndi kubala anu.

Pa ndondomeko, kudula myoma mfundo ndi indentation pang'ono. Pambuyo pake, pamwamba kuonongeka kukonzedwa. Komanso pa ntchito dokotala amatha bwinobwino M'mimbamo otsalira a kumaliseche. Mwina anapeza tinatake tozungulira ang'ono omwe achotsedwa nthawi yomweyo. Izi amapewa kukonzanso ntchito.

Chithandizo cha pathologies uterine

Ngati thupi M'mimbamo ndi kugawa kapena adhesions kupangidwa, chipangizo detects ndi umabala kung'ambika. mpheto chotero ndi kuunikira thupi boma malinga ndi kusunga malangizo a kuvutika ena ngati pakufunika kutero.

Mpaka zaka zingapo zapitazo, kugawa si kuchotsedwa chiberekero. Akazi ndi maphunziro, adzabala mwana, ali pa chiopsezo. Tsopano chirichonse chasintha. Ndi chitukuko cha mankhwala kugonana fairer silingakhoze kokha kuthetsa matenda, komanso kuteteza zisadzachitikenso ake.

Nthawi postoperative

Monga opaleshoni ina, ndi hysteroresectoscopy kusankha. Komabe, iwo nthaŵi yaitali. Ngati, pambuyo laparotomy, chimene chimafuna kung'ambika kwa mpanda uterine, magazi apitirize kwa masabata awiri pambuyo kumasulidwa hysteroresectoscopy anati masiku angapo. Izi amapewa magazi chachikulu ndi matenda chilonda.

Pambuyo ndondomeko, mkazi amapita ku Nyumba pamene izo zifika ku moyo. Action lalifupi mankhwala, ndipo patapita maola angapo wodwala kupita kunyumba. Only zina (lalikulu kwambiri), kugonana fairer akadali mu chipatala kwa masiku angapo.

Pambuyo hysteroresectoscopy amafuna kuchitira. Malinga matenda, zikhoza kukhala antibacterial, antimicrobial, immunomodulatory, ndi mahomoni. Ngati wodwala akufuna pakati mwana, muyenera kudziwitsa dokotala. Pankhaniyi osankhidwa chithandizo lililonse limatisokoneza, zomwe si kukusalani kuthekera mimba.

Views odwala

ndemanga Hysteroresectoscopy ali abwino okha. Akazi kuti mpheto akhoza osati kuchotsa kudwala, koma kuwonjezera maphunziro. Zopereka zonse analandira pamene opaleshoni, wotumidwa histology lapansi. The diagnostics kuika matenda zolondola, kuwapangitsa chithandizo choyenera.

odwala komanso kuti ndi ndondomeko wokongola mtengo wotchedwa hysteroresectoscopy. Price mpheto ku chipatala wapadera akhoza zimasiyana rubles 10 okwana 50. M'zipatala anthu kwaulere mankhwala ikuchitika, koma pa nthawiyo osati zipatala zonse ndi zida zina zofunika ndi akatswiri woyenerera munda.

Mkota ndi mapeto a yaing'ono

Inu tsopano mukudziwa zomwe hysteroresectoscopy. Ngati mukufuna kubweretsa thanzi lanu kubwerera mwakale ndipo pewani kukhala yaitali m'chipatala, nthawi konzanso ndipo amamuyambitsa timabala m'mimba mpheto likuthandizani. Kambiranani ndi dokotala wanu ndipo funsani kulankhula zokhuza kuthekera akugwira makoma a kuchipatala chithandizo chanu. Kukhala wathanzi osati kudwala!