Hysteroscopy - kuphunzira za chiberekero cha uterine pogwiritsa ntchito zipangizo zapadera - hysteroscope. Dokotala kupyolera mu umaliseche umalowetsamo kachilomboka, komwe makulidwe ake amakhala 10 mm. Pa fiber optics, chithunzicho chimatumizidwa ku kanema yamakanema ndikuwonetsedwa pazeng'onong'ono, kawiri kawiri.
Mu njira yothandizira, anesthesia sichitachitidwa, ndi zowonjezera pa chiberekero polamulidwa ndi chipangizocho pogwiritsira ntchito chipatala, kawirikawiri - anesthesia.
Hysteroscopy imagwiritsidwanso ntchito poyesa uterine cavity. Dokotala ali ndi mwayi:
- onetsetsani mkhalidwe wa mutersa wa uterine;
- Kupanga chidziwitso cha endometrium (ngati pali kukayikira pa kusagwirizana);
- chotsani mapuloteni a endometrial;
- osakwatirana amodzi;
- pamene kuchotsa mimba kusakwanira - chotsani zotsalira za zipolopolozo.
Inde, komanso kuchotsa mimba kungathandizidwe mothandizidwa ndi matenda osakanikirana, popeza palibe chiwindi chakuya cha chiberekero pakuwona maso, dzira la fetus lichotsedweratu, kutanthauza kuti chiopsezo cha zovuta pambuyo pochotsa mimba chichepetsedwa kwambiri.
Zovuta pambuyo pa hysteroscopy ya chiberekero
Hysteroscopy ndi njira yomwe nthawi zina ingapangitse mavuto aakulu:
- Kuwonongeka kwa khoma la chiberekero ndizovuta koma zovuta kwambiri, zomwe zingatheke ndi kuphwanya kwakukulu kwa ndondomekoyi. Zithakanso ngati pali chiberekero chomwe sichipezeka musanalowerere kapena ngati chithandizo cha kuchitidwa opaleshoni pogwiritsa ntchito mankhwala osokoneza bongo. Zizindikiro za kupweteka kwa thupi - kupweteka koopsa panthawiyi, kupwetekedwa mtima, kutaya mtima, kuchepetsa kuthamanga kwa magazi, kufooka kwakukulu. Zotsatira za kupweteka kwa mankhwalawa zimakhala zovuta (mwachitsanzo, kutaya mwazi m'mimba mwa mimba), komanso pofuna kupewa, kupaleshoni kwa chiberekero pakapita nthawi.
- Kuchetsa m'mimba ndi chimodzi mwa zovuta kwambiri, zimayamba chifukwa cha kuchotsa mapuloteni, kapena ngati mankhwalawa amachotsedwa pofuna kuchotsa nthenda ya fibromatous, motsutsana ndi njira. Zizindikiro za kutaya mwazi zimapangitsa kuti magazi achoke kumaliseche kwa masiku opitirira 2 (kuchepa kwaching'ono kudzawoneka ndi koyenera pambuyo pa ndondomeko). Ndi chitukuko cha kukhetsa magazi kuika mankhwala oletsa magazi, kuchepetsa chiberekero cha mankhwala, ndipo ngati kuli kotheka - kuthandizira pa chiberekero.
- Endometritis - kutupa kwa mucous nembanemba ya chiberekero cha uterine. Ndi matenda opatsirana omwe amayamba chifukwa cha kutuluka kwa tizilombo toyambitsa matenda m'thupi. Zizindikiro za kutupa sizikuchitika mwamsanga, koma masiku angapo mutatha kulowapo: kutentha kwa thupi kumatuluka, ululu wosiyana kwambiri umawoneka m'mimba pamunsi, mkaziyo ali ndi purulent magazi kapena purulent discharge kuchokera mukazi. Chithandizo cha vutoli chimakhala ndi masiti atiotiotikoterapii komanso mankhwala othandiza kuti mankhwala a detoxification athe kuyang'aniridwa ndi dokotala.
Kupewa zovuta pambuyo podzitetezera
Pochepetsa kuchepetsa vutoli, kutsekemera sikuchitika pamaso pa matenda monga mabakiteriya otupa ziwalo za m'mimba (vaginitis, cervicitis, endometritis).
Pofuna kupewa tizilombo toyambitsa matenda, tizilombo toyambitsa matenda tizilombo toyambitsa matenda tiyenera kuyang'anitsitsa musanayambe kukonza, ndipo matendawa amachotsedwa.
Simungathe kuchita njira yowononga magazi ochuluka, makamaka za matenda a khansa ya chiberekero , chifukwa izi zingayambitse zotsatirazi: mutatha magazi, kutuluka magazi kungakule kwambiri. Mankhwala osokoneza bongo amatsutsana mofanana ngati angakhale ndi mimba yokhayokha, chifukwa ikhoza kuyambitsa kuperewera kwa amayi.