Niaj hnub nimno gynecology muaj ntau txoj hauv kev tshawb fawb kom raug thiab nyab xeeb. Ib qho ntawm cov txheej txheem no yog transvaginal ultrasound. Rau nws qhov kev siv, ib qho transvaginal sensor yog siv, uas tau muab tso rau hauv qhov chaw mos. Ntau tus poj niam ntshai nws qhov loj me, thiab lawv ntshai tias cov ntaub so ntswg sab hauv yuav puas thaum kawm. Nws puas tuaj yeem tshwm sim? Qhov no sensor loj npaum li cas? Koj yuav kawm tau cov lus teb rau cov lus nug no thiab ntau lwm cov lus nug los ntawm tsab xov xwm hnub no.
yog dab tsi
Lub transvaginal sensor yog cov khoom siv microconvex, lub ntsiab feature ntawm uas yog lub xub ntiag ntawm lub microscopic scanning taub hau. Nws yog ib qho tsim nyog los saib xyuas lub xeev tam sim no ntawm tus poj niam, nrog rau kev loj hlob ntawm tus menyuam hauv plab thaum cev xeeb tub.
Lub transvaginal sensor, daim duab uas koj pom hauv kab lus, yog qhov tseem ceeb rauKev kuaj ultrasound ntawm lub plab hnyuv siab raum, nrog rau kev kuaj mob gynecological pathologies hauv cov neeg mob.
Tus sensor zoo li cas
Nov yog lub raj tshwj xeeb nrog lub koob yees duab kawg. Lub transvaginal sojntsuam tsuas yog 3 cm inch thiab 12 cm nyob rau hauv tag nrho ntev. Feem ntau muaj cov channel hauv cov cuab yeej zoo li no uas tuaj yeem muab cov koob tshuaj biopsy.
Vim qhov peculiarities ntawm tus qauv anatomical ntawm lub cev thiab qhov chaw tshwj xeeb ntawm lub tsev menyuam, lub sensor yog tsim los nrog oblique saib txheeb ze rau nws axis. Ua tsaug rau qhov no, ultrasound nrog kev sojntsuam transvaginal yog yooj yim dua.
Muaj ntau hom khoom siv. Qee lub tsev kho mob nyiam ib qho kev sib txuas ncaj nraim rau cov txheej txheem gynecological niaj hnub. Cov chaw saib xyuas kev noj qab haus huv yuav luag ib txwm siv lub tshuab hloov pauv nrog lub ntsej muag, ua tsaug rau qhov ua rau hauv vitro fertilization lossis biopsy tuaj yeem ua tau.
Lub bevelled transvaginal transducer yog qhov xis thiab ergonomic thaum kuaj hauv gynecologist lub rooj zaum.
Dab tsi yog qhov ntau zaus ntawm lub sensor
Qhov ntau zaus ntawm cov transducers siv rau transvaginal scanning yog 4-7 MHz feem ntau. Cov zaus ntau dua feem ntau tsis yog siv los tshuaj xyuas lub tsev menyuam.
Qhov tseeb yog qhov tob ntawm lub tsev menyuam tau yooj yim kuaj los ntawm gynecologist, yog li tsis tas yuav yuav cov sensors nrog ntau zaus.
Lub kaum sab xis scan ntawm cov sensors txawv ntawm 120 mus rau140 degrees. Lub kaum sab xis no txaus los kuaj xyuas lub tsev menyuam. Kuj tseem muaj cov sensors tshwj xeeb, ua tsaug uas lawv tau txais 4D duab thiab ib txhij tso cov duab ntawm lub vijtsam.
Cov cuab yeej no muaj peev xwm kawm txog cov qauv me me ntawm tus menyuam hauv plab, nws cov hlab plawv, vim tias cov kws kho mob tuaj yeem kuaj pom qhov txawv txav thaum ntxov.
Qhov zoo ntawm cov cuab yeej no
Vim kev kuaj ultrasound ntawm lub plab hnyuv siab raum, qhov kev kuaj mob tuaj yeem yooj yim heev. Vim li no, cov txheej txheem no tau dhau los ua kev lees paub hauv kev kho mob. Ntxiv mus, txoj kev no muaj kev nyab xeeb rau kev noj qab haus huv ntawm poj niam thiab menyuam yaus, yog li koj tuaj yeem ua ultrasound ntau zaus.
Kev tshawb fawb nrog lub transvaginal sensor muab lub sijhawm los tshawb xyuas qhov kev loj hlob ntawm ntau yam pathologies ntawm cov poj niam hauv nruab nrog cev nrog oncological lossis inflammatory etiology.
Yog tias Dopplerography tau siv ua ke nrog txoj kev kuaj no, nws muaj peev xwm txheeb xyuas qhov tshwm sim ntawm thrombosis hauv lub sijhawm, tshuaj xyuas cov ntshav ntws hauv lub plab pelvic thiab kuaj atherosclerosis.
Tsis tas li, kev kuaj mob ntawm lub plab zom mov ntawm lub plab hnyuv siab raum yog qhov muaj txiaj ntsig thiab paub ntau dua li kev kuaj pom los ntawm phab ntsa plab.
Transvaginal ultrasound thaum cev xeeb tub
Qee tus poj niam ntseeg tias kev kuaj kab mob transvaginal thaum cev xeeb tub tuaj yeem ua rau tus menyuam loj hlob. Qhov tseeb, txoj kev no yog kiag linyab xeeb.
Ntawm no yog ob peb nqe lus uas yuav pab tau koj ua siab tawv mus kuaj qhov no thaum nqa tus menyuam:
- Nyob rau theem pib, nrog kev pab ntawm ultrasound nrog lub transvaginal sensor, koj tuaj yeem paub txog qhov muaj ntau lub cev xeeb tub, vim tias lub cuab yeej yuav qhia cov embryos hauv tsev menyuam.
- Qhov no yog ib txoj hauv kev tseem ceeb uas pab txhawm rau kuaj ectopic cev xeeb tub hauv lub sijhawm, nrog rau qhov chaw ntawm atypical txuas ntawm lub qe fetal. Tsuas yog kev kuaj mob raws sij hawm xwb thiaj li yuav pab tshem tawm lub embryo sai sai yam tsis muaj kev raug mob ntawm cov ntaub so ntswg, uas yuav ua rau tus poj niam muaj menyuam nyob rau yav tom ntej.
- Kev sib txuas ntawm transvaginal ultrasound nrog Doppler sonography, nws tuaj yeem kuaj pom thawj cov kab mob ntawm tus menyuam hauv plab thiab lub paj hlwb rau kev kuaj mob ntxov ntawm cov kab mob caj ces thiab kev ua tsis zoo ntawm tus menyuam.
- Ua tsaug rau kev siv cov tshuaj ntsuam xyuas transvaginal ultrasound, koj tuaj yeem tau txais cov ntaub ntawv txhim khu kev qha ntau ntxiv txog qhov tuab thiab qhov mob ntawm endometrium, thiab pom qhov muaj feem yuav nchuav menyuam. Tag nrho cov no yuav tso cai rau koj los ntsuas raws sijhawm thiab txuag lub cev xeeb tub.
Ultrasound nrog kev sojntsuam transvaginal tsuas yog ua nyob rau lub peb hlis ntuj 1 ntawm cev xeeb tub. Lub sijhawm so, tus me nyuam hauv plab tsuas yog kuaj nrog tus qauv transabdominal sojntsuam.
Yuav ua li cas npaj rau txoj kev ultrasound no
Ua ntej koj tuaj rau hauv chav kuaj ultrasound, koj yuav tsum tau npaj ib daim pawj lossis phuam da dej uas muab tso rau ntawm lub rooj zaum. Hauv cov chaw kho mob them nyiaj, ib daim ntawv txaj pov tseg yog twb suav nrog tus nqiUltrasound.
Txhawm rau npaj rau ultrasound, nws yog qhov zoo tshaj plaws haus cov tshuaj uas txo cov pa roj (filtrum, smecta, activated charcoal lossis lwm yam) hnub ua ntej txheej txheem. Tsis tas li txwv koj cov khoom noj uas ua rau tsam plab.
Ib qho ntxiv: ua ntej ua qhov kev kuaj xyuas no, koj yuav tsum tso koj lub zais zis.
Qee tus neeg mob nug seb puas tuaj yeem sib deev ua ntej tus txheej txheem. Feem ntau, thaum noj smears los ntawm qhov chaw mos, nws raug txwv. Nrog transvaginal ultrasound, kev sib deev yuav tsis cuam tshuam rau qhov tshwm sim.
Yuav ua li cas lub plab ultrasound ua tiav nrog kev sojntsuam transvaginal
Lub sensor tso rau hauv tus poj niam qhov chaw mos. Ua ntej kev ntsuam xyuas, tus neeg mob tau nthuav tawm hauv qab lub duav thiab siv qhov chaw xis nyob ntawm lub rooj zaum. Rau kev tu cev, lub hnab looj yog muab tso rau ntawm lub sensor, uas yog ces lubricated nrog ib tug tshwj xeeb gel tsim rau ultrasound diagnostics.
Qhov loj ntawm kev sojntsuam transvaginal yog me me (kwv yees li 12 cm nyob ntawm tus qauv), yog li nws yooj yim rau ntxig thiab tus poj niam tsis muaj qhov tsis xis nyob. Yog tias lawv tshwm sim, koj yuav tsum qhia tus kws kho mob tam sim ntawd. Thaum xav tau kev kuaj ntshav, nws tau ua tiav thaum lub sijhawm kuaj nrog ib rab koob txuas mus rau qhov kawg ntawm lub transducer.
Thaum tus txheej txheem, tus kws kho mob yuav txav me ntsis lub sensor sab hauv qhov chaw mos, tab sis qhov no, raws li txoj cai, tsis cuam tshuam rau qhov kev xav. Cov poj niam feem ntau uas tau ua tiav cov txheej txheem nco ntsoov tias tsis muaj lub sijhawm tsis zoo.
sijhawm zoocov txheej txheem
Koj tus kws kho mob yuav teb cov lus nug no rau koj. Lub sijhawm ntawm qhov kev tshawb fawb yog nyob ntawm lub hom phiaj tshwj xeeb ntawm kev tshawb fawb. Peb yuav npog tsuas yog ob peb yam sib xws:
- Yog hais tias ib tug poj niam los ntshav rau hnub twg uas tsis yog hnub coj khaub ncaws, yuav tsum tau kuaj mob sai, vim qhov no tej zaum yuav yog ib qho cim ntawm pathologies yuav tsum tau kho sai.
- txhawm rau kuaj xyuas endometriosis, koj yuav tsum tuaj rau ultrasound hauv ib nrab ntawm lub voj voog.
- txhawm rau txiav txim siab ua rau muaj menyuam tsis taus lossis thaum lub sijhawm npaj rau xeeb tub, transvaginal ultrasound tau ua peb zaug hauv ib hlis: nyob rau hnub 8-9 ntawm lub voj voog, hnub tim 15-16 thiab tom qab hnub 22.
Cov txheej txheem xaiv tau ua tam sim tom qab tus neeg mob lub sijhawm xaus.
Kev txiav txim siab ultrasound
Ultrasound nthwv dej tuaj yeem kuaj pom cev xeeb tub thaum pib, uas yog qhov tseem ceeb rau cov neeg mob uas tos rau IVF.
Ib txwm ntsuas ntawm ultrasound ntawm lub cev xeeb tub yog raws li hauv qab no:
- Lub tsev menyuam, yog ib txwm, yuav ntev 71 hli thiab 62 hli dav, nrog txoj kab uas hla ntawm 40 hli. Hais txog qhov ntom ntom, cov ntaub so ntswg yuav tsum muaj qhov sib xws, qhov tuab ntawm txheej sab hauv ntawm cov mucosa yuav txawv ntawm ob peb millimeters mus rau ob peb centimeters.
- Lub ncauj tsev menyuam yuav tsum ntev li 4 centimeters thiab muaj cov qauv zoo sib xws. Ua ntej koj lub sijhawm pib, koj lub kwj dej ntawm ncauj tsev menyuam yuav muaj cov hnoos qeev (kua kua).
- Lub zes qe menyuam yuav tsum yog 30 hli ntev, 25 hli dav thiab 15 hli tuab. Nyob rau hauv kev ntsuam xyuas, bumpycontours. Cov ntaub so ntswg yuav ntom, homogeneous, fibrous cheeb tsam raug tso cai. Ib khub ntawm cov hauv paus hniav pom pom, uas ib tus yuav yog tus tseem ceeb.
- Yog tias txhua yam zoo li qub, cov hlab ntsha hauv lub cev yuav tsis pom ntawm ultrasound lossis lawv yuav tsis pom.
- Thaum tshuaj xyuas hnub 13-15 ntawm lub voj voog, tej zaum yuav muaj cov kua dej dawb, tab sis tsuas yog me me xwb. Qhov no yuav tsis raug suav hais tias yog pathological.
YContraindications
Transvaginal ultrasound raws li txoj kev kuaj mob tau xyaum tsis muaj contraindications. Tus kws kho mob yuav tsis kam ua cov txheej txheem rau cov neeg mob uas mob hnyav lossis xav tau kev phais sai.
txoj kev xeem no nyob qhov twg
Ultrasound siv lub transvaginal sojntsuam yog nqa tawm ob qho tib si hauv cov chaw kho mob pub dawb thiab chaw kho mob, nrog rau hauv cov chaw kho mob ntiag tug. Yog tias koj xav kom muaj cov txheej txheem no, koj yuav tsum tau xa mus los ntawm koj tus kws kho mob.
Zaj lus
Lub transvaginal sensor yog txoj kev qhia tshaj plaws rau kev kuaj mob ntawm lub plab hnyuv siab raum thiab kev loj hlob ntawm tus menyuam hauv plab thaum cev xeeb tub. Qhov tseem ceeb tshaj plaws yog tsis txhob sim txhais cov txiaj ntsig ntawm ultrasound ntawm koj tus kheej, vim lawv tuaj yeem sib txawv heev nyob ntawm tus kheej tus yam ntxwv ntawm tus poj niam lub cev thiab lub sijhawm ntawm tus txheej txheem.
Qee zaum, tus kws kho mob ntxiv cov txheej txheem ib txwm siv rau txoj kev kuaj mob transvaginal. Qhov no yog qhov tsim nyog txhawm rau txhawm rau ua tiav daim duab ntawm lub xeev ntawm cov poj niam cev xeeb tub.
