Iyini ukulungiselela i-hysteroscopy?

Njengamanje, inqwaba yezindlela ezintsha zokuxilongwa nokuphathwa kokwelashwa komzimba kungandisa kakhulu odokotela bezilwane ekulwa nezifo. Iziguli eziningi ziyazibuza lo mbuzo: "Hysteroscopy, yikuphi lokhu?", Ngemva kokubelwa le nqubo.

Le ndlela yokuhlola umkhuhlane we-uterine, eyenziwe uhlelo olukhethekile lwe-optical, naphezu kokuthi luvele kungakabonakali kakhulu, seluvele lusakazeke, futhi kwezinye izimo, isibonelo, ukungabi nabantwana, kukhuthazwa kakhulu.

Okuyinhloko ye-hysteroscopy yukuthi nge-canal yokuzalwa yemvelo (okungukuthi, ngokusebenzisa umsele womlomo wesibeletho) ithubhu encane (cishe ngo-5 mm ububanzi) isethulwa, okuthiwa i-hysteroscope. Leli thuluzi, elisekelwe ku -fiber optical, likuvumela ukuthi udlulisele isithombe esitholakale emgodini we-uterine kuze kube yilapho umhloli ebona isithombe sande izikhathi eziningi.

Kubaluleke kakhulu ukulungiswa okulungile kwe-hysteroscopy, okuzokwenza ukwazi ukudalula idatha enembile kakhulu. Njengoba enye yezingqinamba eziya enkambisweni yinoma iyiphi inqubo yokuvuvukala etholakalayo emgodini we-uterine, kubalulekile ukuqala ukudlulisa isisindo ukuze kukhishwe ukutholakala kwezinguquko ezingathandeki.

Ukulungiselela i-hysteroscopy ngemininingwane kufanele kuchazwe ngumchwepheshe ozoqhuba ukuhlolwa, ngoba izincomo ezithathwe ngabanye kuye ngokuthi izimo zenyama zingenzeka kanjani. Ezimweni eziningi, ukuhlolwa kwenziwa ngezinsuku ezingu-6-10 kusukela ekuqaleni komjikelezo, ngoba ngalesi sikhathi ukuthi umgogodla wesibindi usesimweni esifanele sokutadisha. Uma umlando wesiguli wokungabikho kokuzalwa kungemvelaphi engaziwa, inqubo idluliselwa phakathi kwesigaba sesibili (izinsuku ezingu-20-23). Nge-shrinkage ye-intrauterine, i-hysteroscopy inqunywe ngaphambi kokuya esikhathini, njengalesi sikhathi lapho ama-spikes ahlukaniswa kalula.

Ngokuvamile lolu cwaningo luyanconywa uma kukhona ukusola kwe- endometriosis yangaphakathi, ukutholakala kwezinto zangaphandle (isibonelo, ngokugqoka isikhathi eside kwedivaysi ye- intrauterine nokungakwazi ukukususa ngezinye izindlela), ukuhlanganiswa kwe-intrauterine eyenzeka ngemuva kokusebenza okunzima noma ezinye izinqubo zokuhlinzwa.

Ukulungiselela i-hysteroscopy kuhlinzeka ngokungahambisani, lapho lokhu kuhlolwa kungenzi khona. Lokhu ukukhulelwa, ukuvuvukala kwezidalwa zobulili, kukhishwa ukuphuma kwebele esibelethweni, izinqubo ezimbi. Yenza ucwaningo, ezimweni eziningi, ngaphansi kwe-anesthesia, ngakho ukulungiswa kwalo kufana nokuhlukumeza, ngemuva kwalokho ukukhishwa kwesibindi kuyenziwa.

Kwezinye izimo, i-hysteroscopy ingaba inqubo yokwelashwa. Ukwenza lokhu, ithuluzi linesiteshi esikhethekile samathuluzi (izikali, iziphuzo), okusiza ngazo ukususa ama-spikes emgodini we-uterine. Lokhu kuvame ukwenza esikhungweni sesibhedlela, emva kwalokho kunconywa ukuba uthathe ama-antibiotic ngezinsuku ezingu-3-5, futhi uvumele owesifazane ahambe ekhaya amahora ambalwa noma izinsuku ngemuva kokusebenza, kuye ngokuthi izinga lokungenelela kokuhlinzwa. Lapho ulungiselela i-hysteroscopy, isiguli sitshelwa ukuba singenalutho kahle ngamathumba.

Ngemuva kokucwaninga sekuphelile, ukwelashwa kwama-antibacterial, ukwelashwa kwama-hormone, kanye nemithi yokwelashwa evuselela umsebenzi we-ovarian imisiwe. Ukugunyazwa kwe-ultrasound ye-uterine cavity, ekhethwa inyanga eyodwa emva kwenqubo.

Ngaphambi kokuba i-hysteroscopy yenziwe, kunconywa ukuthi i-genital tract ihlanzekile (le nqubo kufanele yenziwe kusihlwa sangaphambilini futhi futhi ekuseni ekuseni ngaphambi kokuhlolwa), futhi isuse izinwele ezivela ngaphandle. Ukuhlaziya okudingekayo ekuqhubeni ukuhlolwa kuzoqokwa udokotela.