Diagnostic curettage of the uterus: the essence of the operation and indications for nqa tawm

Diagnostic curettage of the uterus: the essence of the operation and indications for nqa tawm
Diagnostic curettage of the uterus: the essence of the operation and indications for nqa tawm

Video: Diagnostic curettage of the uterus: the essence of the operation and indications for nqa tawm

Video: Diagnostic curettage of the uterus: the essence of the operation and indications for nqa tawm
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Kev kuaj mob ntawm lub tsev menyuam tseem hu ua curettage lossis gynecological tu. Qhov no yog cov txheej txheem uas tau ua nrog cov cuab yeej tshwj xeeb lossis siv lub tshuab nqus tsev tshem tawm cov txheej txheem sab saum toj ntawm endometrium, uas yog tom qab ntawd xa mus rau kev kuaj mob histological. Qee zaum kev kuaj mob curettage yog ua ke nrog hysteroscopy los tshuaj xyuas lub uterine kab noj hniav tom qab tus txheej txheem.

kuaj mob curettage
kuaj mob curettage

Npaj rau qhov kev tswj hwm no

Raws li txoj cai, kev kuaj mob tau ua tiav ob peb hnub ua ntej kev coj khaub ncaws, uas txo cov ntshav poob thiab pab txhawb kom rov zoo ntawm tsev menyuam. Nws raug suav hais tias yog txoj kev phais mob, yog li tus poj niam yuav tsum tau kuaj ntshav dav dav, kuaj ntshav coagulogram, kuaj qhov chaw mos thiab kuaj kom pom cov kab mob sib deev ua ntej tus txheej txheem.

Rau 14 hnub ua ntej txheej txheem, nws raug nquahu kom tsis txhob siv tshuaj. Yog hais tias ib tug poj niam muaj pathologies uas yuav tsum tau kev kho mob tas li, ces cov tshuaj yuav tsum tau pom zoo nrog tus kws kho mob.

3 hnub ua ntej kev tswj hwm koj xav tauzam kev sib deev thiab douching. Nws yog txwv tsis pub ntxuav nrog cov khoom siv tu cev, tsuas yog dej sov tuaj yeem siv rau lub sijhawm no. Tsis tas li ntawd, tsis txhob siv qhov chaw mos suppositories, ntsiav tshuaj lossis tshuaj tsuag. Tsis txhob noj 12 teev ua ntej kev khawb vim kev noj mov tuaj yeem cuam tshuam nrog kev siv tshuaj loog.

cais diagnostic curettage
cais diagnostic curettage

Kev kuaj mob ntawm lub tsev menyuam kab noj hniav: txheej txheem

Ua ntej ua haujlwm, lub zais zis thiab cov hnyuv tau nqus. Lub perineum, nrog rau cov genitalia sab nraud, raug kho nrog cawv thiab tshuaj iodine. Tib yam tshuaj tua kab mob ntawm qhov chaw mos mucosa thiab ncauj tsev menyuam thiab ua tshuaj loog. Rau kev nthuav dav ntawm lub ncauj tsev menyuam kwj dej kom yooj yim dua, cov tshuaj antispasmodics raug tswj hwm 30 feeb ua ntej ua haujlwm. Rau kev siv tshuaj loog, adrenaline nrog novocaine yog txhaj rau hauv lub ncauj tsev menyuam thiab lub ncauj tsev menyuam yog dilated nrog kev pab los ntawm Hegar dilators, pib los ntawm lub cheeb me tshaj ntawm qhov ntsuas no.

Kev kuaj mob curettage yog ua nrog curettes. Lawv kuj tuaj ntau qhov sib txawv. Scraping yog sau nyob rau hauv ib lub tais, tom qab uas nws yog ntxuav nrog dej los ntawm cov ntshav, tom qab uas nws yog txo mus rau hauv ib lub vial, ntim nrog ib tug tov ntawm formaldehyde los yog 96% cawv thiab xa mus rau lub laboratory.

diagnostic curettage ntawm uterine kab noj hniav
diagnostic curettage ntawm uterine kab noj hniav

Tshuaj rau kev kuaj mob curettage

Qhov kev tswj hwm no yog ua raws li cov hauv qab no:

• lub caij tsis xwm yeem thiab los ntshav ntawm lub sijhawm;

• mob heev lossis hnyav heev;

• pom tom qabmenopause;

• infertility;

• Suspicion of malignant qog in the uterus.

Cais cov curettage yog ua los ntawm currate curettage ntawm captetage canal thiab Uterine kab noj hniav los tshawb xyuas polyps, ncauj tsev menyuam kab nrib pleb, ncauj tsev menyuam, cov ncauj tsev menyuam kab ncauj lus, endometrisosis thiab adhesions. Nws kuj tseem ua tau rau uterine fibroids lossis endometrial hyperplasia.

Kev tu gynecological tsis ua rau kis kab mob, decompensated pathologies ntawm lub plawv, ob lub raum lossis siab, nrog rau cov kab mob ntawm qhov chaw mos.

Nws tsim nyog sau cia tias kev tshem tawm kuj tuaj yeem ua tau rau kev kho mob hauv kev xeeb tub, nchuav menyuam, cev xeeb tub ectopic.

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