Y Hysteroscopy ntawm lub tsev menyuam yog ib txoj hauv kev uas tso cai rau koj los tshuaj xyuas thiab, yog tias tsim nyog, kho qhov uterine kab noj hniav. Nws yog ua los ntawm kev siv lub cuab yeej ultra-rhiab heev - hysteroscope. Thawj qhov haujlwm no tau ua nyob rau xyoo 1869. Nws tau ua nrog lub cuab yeej uas, raws li nws cov ntaub ntawv sab nraud, zoo li lub cystoscope. Txij li thaum cov kev taw qhia ntawm fiber ntau optics rau hauv cov tshuaj, muaj peev xwm ntawm kev tshuaj xyuas lub tsev menyuam tau nthuav dav heev. Tam sim no, hysteroscopy ntawm lub tsev menyuam tau muab faib ua kev kho mob thiab kuaj mob.
Indications rau diagnostic hysteroscopy:
- YYog tias koj xav tias mob qog noj ntshav, endometriosis, fibroids, endometrial pathology, fusion hauv tsev menyuam.
- Kev ntxuav cov phab ntsa ntawm lub tsev menyuam tom qab kuaj mob lossis rho menyuam tawm.
- Uterine anomaly.
- Koob ntshav thaum cev xeeb tub.
- kev coj khaub ncaws tsis zoo.
- Kev tsis muaj menyuam.
- Tom qab kev kho mob nrog tshuaj hormone-based.
Tsis tas li, hysteroscopy ntawm lub tsev menyuam yog siv los saib xyuas qhov xwm txheej ntawm lub cev tom qab ib qhokev ua haujlwm thiab hauv kev tsis muaj peev xwm ntawm tus poj niam yug menyuam.
Cov lus qhia rau kev kho mob hysteroscopy
- Thaum kuaj pom cov kab mob uterine fibroids submucosal.
- Yog tias muaj kab mob hauv plab lossis synechia (fusion).
- Polyp lossis endometrial hyperplasia.
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Thaum tshem tawm cov tshuaj tiv thaiv kab mob hauv plab.
Hysteroscopy ntawm lub tsev menyuam: kev npaj
Hysteroscopy yog qhov me me, tab sis tseem muaj kev cuam tshuam kev phais. Yog li ntawd, nws yuav tsum tau npaj tshwj xeeb, uas yuav tsum muaj xws li kev xa ntshav, zis thiab qhov chaw mos smear kuaj. Nws tseem yuav tsum tau ua ib qho electrocardiogram thiab lub hauv siab x-ray. Rau cov poj niam laus, tshwj xeeb tshaj yog cov uas rog dhau, nws raug nquahu kom kuaj ntshav qabzib.
Txhua txoj kev tshawb fawb tuaj yeem ua tiav ua ntej tus neeg mob nkag mus hauv tsev kho mob, thiab thaum nyob hauv. Yog hais tias hysteroscopy ntawm lub tsev menyuam tau ua tiav raws li kev npaj, tom qab ua haujlwm, ua kom huv si ua tiav.
Lub sijhawm zoo tshaj plaws los tshuaj xyuas lub tsev menyuam yog hnub tim 5 txog rau hnub 7 ntawm kev coj khaub ncaws. Nws yog lub sijhawm no uas endometrium tseem tsis muaj zog thiab los ntshav me ntsis. Thaum muaj xwm txheej ceev, xws li los ntshav hnyav, lub sijhawm ua haujlwm tsis muaj teeb meem.
Yuav ua li cas hysteroscopy ntawm lub tsev menyuam ua tiav
YHysteroscopy ntawm lub tsev menyuam yog ua raws li txoj hlab ntshavtshuaj loog, nyob rau hauv uas lub ncauj tsev menyuam yog anesthetized qhib nws. Tom qab ntawd cov kua qabzib tsis muaj menyuam tau muab tso rau hauv cov kab noj hniav, tom qab ntawd cov hysteroscope tau muab tso rau hauv qhov chaw mos thiab nce mus txog ntawm lub ncauj tsev menyuam. Ntawm qhov kawg ntawm lub cuab yeej muaj lub teeb thiab lub koob yees duab, nrog kev pab los ntawm gynecologist pom txhua yam hauv tsev menyuam ntawm qhov screen. Yog tias tsim nyog, tus kws kho mob tau qhia, uas, nrog kev pab ntawm tam sim no, tshem tawm qhov pom ntawm tus kab mob.
After surgery
Tom qab hysteroscopy, ib tug poj niam yuav hnov qhov mob spasmodic (zoo ib yam li mob khaub thuas) thiab tsis xis nyob, uas feem ntau ploj tom qab 10 teev. Yog tias cov kev xav no tsis dhau tom qab lub sijhawm teev tseg, tus kws kho mob gynecologist tau sau ntawv kho mob tom qab hysteroscopy hauv daim ntawv ntawm cov tshuaj tua kab mob. Txhawm rau tiv thaiv cov txheej txheem inflammatory, raws li kev txiav txim siab ntawm tus kws kho mob tuaj koom, tau muab tshuaj tua kab mob txhua lub lim tiam.