Yintoni i-hysteroscopy kwi-gynecology?

I-Hysteroscopy yindlela yokuxilonga, apho uhlolisisa umlomo wesibeleko, iindonga zesisu kunye nomlomo wamathambo. I-hysteroscopy yonyango, ngexesha lokususwa kwe-hyperplastic layer of endometrium, i-node ye-myomatous node okanye i-polyp ebizwa ngokuthi yi-hymnosystem (hysteroscopy).

Ngamanye amaxesha i-laparoscopy (ukuhlolwa kovavanyo lokungaxilongo kwesiguli esiswini) kunye ne-hysteroscopy yenziwa ngokufanayo. Kule nqaku siza kuqwalasela oko kwaye i-hysteroscopy yomlomo wesibeleko, isisu kunye neendonga zayo zenziwa, kwaye sinokuqwalasela izibonakaliso kunye nokuchasene nalo.

I-hysteroscopy yenziwe njani?

Inkqubo ye-hysteroscopy yenziwa kwiziko ezizodwa zempilo emva kokulungiswa okhethekileyo. Ukwenza oku, kufuneka udlulise iimvavanyo: uvavanyo lwegazi jikelele, i-smear yomlomo wesibeleko, igazi ukusuka kwisisu ukuya kwi-HIV kunye ne-hepatitis B kunye neC. Kweendlela ezongezelelweyo zophando, i-x-ray yesifuba, i-ECG, i-ultrasound yeenxalenye ze-pelvic ene-vaginal sensor.

Izigulane ezininzi zibuzwa malunga ne-hysteroscopy, ngaba kubuhlungu? Inqubo yenziwa phantsi kweemeko ze-aneshesia jikelele. Isigulane sisisihlalo somzimba, emva kokuba isigulane singena kwi-anesthesia, umgulane wezilwanyana uqhuba ukwandiswa komlomo wesibeleko kunye nokungeniswa kwisibeleko sesisu esisisiseko esikhethekileyo - i-hysteroscope. Ukuze kubonakale bhetele kwi-hysteroscope, isisombululo se-saline (i-NaCl 0.9% okanye isisombululo se-glucose 5%) sinikezelwa. Siyabulela kwisisombululo esinikwe ngaphantsi kwengcinezelo, isigxina se-uterine sisanda, esilungisa ukuxilongwa.

Iimpawu ze-Hysteroscopy

Inkqubo yokuhlolwa kwe-endoscopic yesigxina se-uterine (hysteroscopy) eyenziwa kubini abasetyhini abaselula kunye neminyaka ekhulileyo. Kukho nawuphi na, inqubo ingenziwa kuphela ngugqirha onamava. Indlela yohlobo lwe-hysteroscopy inenani elikhulu leenkcukacha. Ezi ziquka:

• ukukrokra kwe- endometrial hyperplasia , i-myoma i-uterine, i-endometriosis yomzimba wesisu;
• ukuphuma kwintsholongwane kubasetyhini bangaphambili kunye nabama-postmenopausal;
• izimo ezingasebenzi kwiimeko zesisu;
• Ukungafumaneki kwixesha elide kwimbali - kwiimeko ezinjalo, i-hysteroscopy yenziwa nge-catheterization yamathambo e-fallopian, eyenza i-agent ehlukile. Inkqubo eyenziwa phantsi kolawulo lwe-ultrasound, ngokuchasene kufuneka kungene kwisisu esiswini.

Ukuchasana kwi-hysteroscopy

Nangona ukhuseleko oluhambelana nalo lungiso, lunezinombolo ezingqinelanayo. Ziquka:

• naziphi na izifo ezithintekayo emzimbeni;
• ukukhulelwa okufunayo;
• Izifo ezinokuvuthayo zamalungu e-pelvic kwisigaba sokungcima;
• umphumo ombi we-smear kwi-cervix.

I-Hysteroscopy okanye i-laparoscopy-engcono?

Akunakwenzeka ukuthetha ukuba bhetele kuneendlela zenye, kuba ngamnye kubo unobungqina bakhe, kwaye ngokuqhelekileyo bahlanganiswe ngokugqibeleleyo. Ngoko, nge-hysteroscopy, uviwo kunye nonyango lweengxaki ze-intrauterine zenziwa, kwaye i- laparoscopy ivumela ukuhlolisisa nokuphatha i-uterus, izigubhu kunye nezixhobo ezivela kwisisu esiswini. Zomibini ezi nkqubo zonyango kunye nokunyanga zisetyenziswa ngokuchanekileyo ekuchongeni nasekunyangeni kokungabikho komntwana.

Ngaloo ndlela, iindlela ezinjalo zokugcina i-hysteroscopy kunye ne-laparoscopy ziyimpumelelo ngokwenene yamachiza anamhlanje, asetyenziswa ngempumelelo kwi-diagnostic kunye nokunyangwa kwezifo zesistim sokuzala. Zombini iimbambano zenziwa phantsi kwe-anesthesia jikelele, kwaye ngoko ke ayibuhlungu.