Thaum twg kuv tuaj yeem npaj cev xeeb tub tom qab hysteroscopy?

2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:25

Hysteroscopy yog ib txoj kev kuaj mob nrov thiab kho tau siv rau ntau yam pathologies ntawm uterine kab noj hniav. Cov txheej txheem no tau ua thawj zaug hauv xyoo 1869. Tom qab 100 xyoo, hysteroscopy tau dhau los ua muaj rau ntau tus poj niam, tam sim no nws muaj peev xwm ua tau hauv yuav luag txhua lub tsev kho mob antenatal lossis hauv chaw ua haujlwm gynecological.

txheej txheem piav qhia: lub ntsiab nta

Txhua tus poj niam uas yuav mus rau gynecological manipulation, tshwj xeeb tshaj yog tias nws cuam tshuam nrog kev siv cov twj paj nruag, yog ib txwm txhawj xeeb txog ntau cov lus nug: nws puas yuav mob, muaj teeb meem dab tsi, cov txheej txheem yuav cuam tshuam li cas? Kev yug me nyuam ua haujlwm, thiab puas muaj peev xwm xeeb tub tom qab hysteroscopy? Yuav kom tau txais cov lus teb rau lawv, nws yog ib qho tsim nyog yuav tsum nkag siab meej tias qhov kev kho mob no tau ua li cas. Hysteroscopy yog nqa tawm tom qab kev ntsuam xyuas tag, uas yog ua los ntawm ib tug gynecologist siv ib tug tshwj xeeb hysteroscope apparatus. Thaum tus txheej txheem, tus kws kho mob pom cov kab noj hniav nrog lub koob yees duab,uas nyob rau ntawm lub cuab yeej. Cov duab tau nthuav tawm hauv daim ntawv loj ntawm lub vijtsam, uas tso cai rau tus kws tshaj lij pom tias muaj cov txheej txheem pathological thiab ntsuas qhov hnyav, thiab feem ntau txiav txim siab tshem tawm cov kab mob.

Vim li cas qhov txheej txheem no tsim nyog?

Hysteroscopy ua rau nws muaj peev xwm los tshuaj xyuas lub tsev menyuam kab noj hniav nrog qhov muaj peev xwm ua tau ntxiv cov kev tsim nyog ntau yam hauv tus neeg mob:

• Kev tshem tawm ntawm myoma node.
• Kev tswj xyuas cov seem ntawm lub zes qe menyuam tom qab kev xeeb tub.
• Kev tshem tawm ntawm endometrial polyps los ntawm kev kuaj mob curettage.
• Kev rho menyuam tawm.
• Targeted endometrial biopsy.

Kev qhia rau kev coj ua

Hysteroscopy tuaj yeem ua tau ob qho tib si ntawm kev npaj thiab xwm txheej ceev. Kev npaj kho mob tau ua tiav nyob rau hauv cov xwm txheej zoo li no:

• muaj polyps hauv lub tsev menyuam;
• Yendometrial hyperplasia;
• mob ntawm zes qe menyuam-mob khaub thuas;
• adenomyosis thiab submucosal fibroids;
• ntau yam tsis txaus ntseeg hauv kev loj hlob ntawm lub tsev menyuam;
• kab mob qog noj ntshav endometrial;
• tshem tawm cov ingrown lossis cov seem ntawm IUD;
• failed IVF;
• kev muaj menyuam;
• tsis muaj peev xwm xeeb tub.

ntsuas kub ceev:

• qhia los ntshav hnyav;
• qee hom polyps (xws li placental);
• nascent myoma;
• endometritis,muaj keeb kwm tom qab yug me nyuam;
• xav tias kev sib cais tom qab phais tas.

Hysteroscopy Benefits

Txoj kev kuaj no yog ib qho kev nyab xeeb tshaj plaws. Raws li kev txheeb xyuas, cev xeeb tub tom qab hysteroscopy tsis yog ua tau xwb. Qee zaum, qhov muaj feem yuav xeeb tub tau nce. Tus kws kho mob muaj lub sijhawm los saib xyuas qhov mob ntawm cov mucous daim nyias nyias, ntxiv rau, uas yog ib qho tseem ceeb, coj mus rau biopsy los ntawm qhov chaw tsis zoo rau kev kawm ntxiv ntawm cov kab mob pathological. Yog tias tsim nyog, ua kom tiav scraping ntawm tag nrho cov endometrium, thiab qhov tseem ceeb tshaj plaws, txoj kev no yuav txo qis qhov yuav tshwm sim ntawm qhov seem thiab qhov chaw uas tsis yog khawb. Lwm qhov txiaj ntsig tseem ceeb tshaj plaws yog tias lub sijhawm hysteroscopy tuaj yeem kuaj pom kev loj hlob ntawm cov qog nqaij hlav hauv lub tsev menyuam. Thaum tus neeg mob paub txog qhov no sai thiab nrog tus kws kho mob tham, nws yuav muaj feem ntau rau qhov tshwm sim ntawm tus kab mob.

Hysteroscopy thaum phais rho menyuam

Txoj kev rho menyuam no yuav raug nqi ntau dua li kev rho menyuam li niaj zaus. Hmoov tsis zoo, ntau tus poj niam raug yuam kom ua cov txheej txheem no tsis yog ntawm lawv tus kheej lub siab nyiam. Cov xwm txheej txawv: tsis muaj cev xeeb tub, cev xeeb tub malformations, tsis ua tiav IVF. Yog li ntawd, ntau tus xav txog qhov muaj peev xwm xeeb tub tom qab hysteroscopy ntawm lub tsev menyuam. Thiab ntawm no qhov no muaj peev xwm nce ntau zaus, vim hais tias, thawj zaug, muaj kev tswj kom meej, uas yog ib qho kev lees paub ntawm kev ruaj ntseg; Qhov thib ob, tsis muaj kev puas tsuajtob txheej ntawm endometrium; Thib peb, thaum khawb lub qe fetal, muaj kev xyaum tsis muaj feem ntawm nws qhov seem, txij li cov txheej txheem yuav siv qhov chaw nyob rau hauv tag nrho cov pom kev tswj.

Uterine fibroids kho

Kev siv hysteroscopy thaum tshem tawm uterine fibroids yog ua tau yog tias, raws li ultrasound, nws yog me me thiab cov myoma nodes nyob rau hauv submucosal txheej ntawm lub tsev menyuam. Lub xub ntiag ntawm myomatous node nyob rau hauv cov poj niam hluas feem ntau yog ua rau infertility los yog spontaneous rho menyuam. Yav dhau los, kev ua haujlwm ntawm hom no tsuas yog ua los ntawm lub plab kab noj hniav. Qhov kom zoo dua ntawm txoj kev no tsis yog tsuas yog qhov tsis muaj qhov incisions nyob rau hauv lub plab kab noj hniav, tab sis kuj yog lub preservation ntawm lub tsev menyuam nws tus kheej, uas yog ib qho tseem ceeb thaum npaj cev xeeb tub tom qab hysteroscopy. Kev kuaj xyuas zoo li no yuav qhia rau tus kws kho mob pom ib daim duab tiav ntawm tus neeg mob kev noj qab haus huv thiab pab sau ntawv kho kom txaus.

Muaj feem yuav xeeb tub tom qab hysteroscopy

Tsis muaj kws kho mob tuaj yeem muab cov lus teb meej. Kev xeeb tub tom qab hysteroscopy tuaj yeem ua tau tiag tiag, txhua yam nyob ntawm cov teeb meem tshwj xeeb ntawm tus neeg mob. Nrog kev pab los ntawm cov txheej txheem no, cov kab mob ntawm cov hlab ntsha hauv plab tau txiav txim siab zoo, thiab yog tias pom muaj polyps lossis adhesions hauv lawv, ces lawv tshem tawm feem ntau pab cov poj niam xeeb tub. Thaum tus kab mob endometrial polyp raug tshem tawm thaum lub sijhawm txheej txheem, cev xeeb tub tom qab hysteroscopy tuaj yeem npaj tsis pub dhau 3-6 lub hlis, thaum lub sijhawm tus neeg mob feem ntau.pom zoo kom siv cov tshuaj tiv thaiv qhov ncauj. Polyps yog kev loj hlob ntawm lub tsev menyuam. Lawv qhov tsos yog feem ntau txuam nrog hormonal ntshawv siab nyob rau hauv lub cev. Ib tug poj niam uas muaj polyp nyob rau hauv lub uterine kab noj hniav feem ntau tsis tuaj yeem xeeb tub vim tias polyps ua rau lub cev tib yam li cov kauv. Cov txheeb cais ntawm tus kab mob no zoo heev: 90% ntawm cov poj niam tswj xeeb tub tom qab hysteroscopy nrog tshem tawm cov polyps thiab ntxiv kev kho hormonal.

Nws yuav tsum tau nco ntsoov tias lub cev ntawm txhua tus neeg yog tus kheej, tab sis nws tuaj yeem hais tau tseeb tias yog tias polyp tau raug tshem tawm, cev xeeb tub tom qab hysteroscopy muaj feem ntau. Hauv kev kho mob ntxiv lawm tshob, txoj kev kho mob tam sim no tau siv ntau zuj zus. Raws li kev kuaj mob ntawm tus neeg mob (tsis ua haujlwm ntawm zes qe menyuam, muaj endometriosis, thiab ntau ntxiv), tus kws kho mob ua cov kev ntsuam xyuas dav dav thiab sim tshem tawm cov kab mob. Yog hais tias cev xeeb tub tsis tshwm sim tom qab hysteroscopy, ces IVF raug pom zoo rau tus poj niam.

Thaum twg kuv tuaj yeem npaj yuav xeeb tub

Ib qho ntawm cov lus nug tseem ceeb rau cov poj niam uas xav kom muaj menyuam: thaum twg los npaj cev xeeb tub tom qab hysteroscopy? Tsis muaj kws kho mob tuaj yeem muab cov lus teb meej vim tias txhua yam yog tus kheej heev. Tom qab kev kho mob, tus neeg mob yuav tsum tau saib xyuas los ntawm kws kho mob thiab ua raws li tag nrho nws cov kev teem caij. Raws li cov lus pom zoo ntawm cov kws tshaj lij, cev xeeb tub hauv thawj 6 lub hlis tom qab tus txheej txheem yog qhov tsis xav tau. Muaj cov xwm txheej uas tom qab hysteroscopy, cev xeeb tub tau tshwm sim nyob rau hauv lub voj voog thib ob tom qab kuaj. Tab sis tseem, qhov no yog ib qho kev pheej hmoo, xws li kev kho mob cuam tshuam feem ntau suav nrog kev kho mob tom ntej hauv daim ntawv ntawm kev noj tshuaj tua kab mob lossis tshuaj hormonal, uas yuav cuam tshuam rau tus poj niam hauv txoj haujlwm.

Hysteroscopy yog sim ua rau hnub 6-9 ntawm kev coj khaub ncaws, thiab tom qab nws, tus neeg mob yuav tsum tau so kev sib deev rau 3 lub lis piam. Yog tias tus neeg mob hnov zoo thiab nws tsis tau qhia txog kev ua txhaum cai, tom qab ntawd hauv ib hlis nws tuaj yeem npaj cev xeeb tub tom qab endometrial hysteroscopy, tab sis nws yog qhov zoo dua los tos ntev dua. Qee zaum, lub sijhawm ntawm kev npaj kev xeeb tub yuav cuam tshuam los ntawm hom kev kho mob thiab nws lub sijhawm, uas yuav raug txiav txim siab los ntawm qhov xwm txheej ntawm pathology tau txheeb xyuas thaum kuaj.

Nws yog ib qho tseem ceeb rau tus poj niam kom nkag siab tias lub sij hawm ntawm kev npaj tswv yim thiab nws txoj kev siv yog ob yam sib txawv. Txhua yam nyob ntawm tsis yog ntawm hysteroscopy, tab sis ntawm kev noj qab haus huv gynecological tam sim no. Ntau tus khub niam txiv muaj peev xwm xeeb tub tom qab 6 lub hlis. Rau qee tus, nws tsuas yog tshwm sim tom qab ob peb xyoos. Peb tuaj yeem txiav txim siab tias hysteroscopy tsis cuam tshuam rau poj niam txoj kev ua me nyuam, thiab qee zaum nws tuaj yeem muab tshuaj kho mob ntxiv.

Contraindications rau txheej txheem

Ua ntej ua hysteroscopy, tus kws kho mob tsim nyog ib txwm tshuaj xyuas tus neeg mob, txheeb xyuas qhov muaj lossis tsis muaj contraindications rau qhov kev kho mob no. Contraindications muaj xws li kab mob thiab kis kab mob (ARVI, tonsillitis,mob khaub thuas), mob inflammatory thiab kis kab mob nyob rau hauv lub plab mog, kab mob plawv, uterine cancer, cev xeeb tub, uterine stenosis, uterine tawm ntau dhau, muaj cov qog loj. Nyob rau hauv cov xwm txheej zoo li no, tus kws kho mob gynecologist tau sau cov kev kho mob uas tsim nyog, uas yog tsom rau txo qis tag nrho cov kev tsis zoo ntawm cov txheej txheem hysteroscopy.

Tus neeg mob txoj kev noj qab haus huv tom qab hysteroscopy

Cov tsos mob ntawm cov ntshav los ntawm qhov chaw mos tam sim ntawd tom qab kev kho mob ntawm hom no yog tus qauv. Qhov no feem ntau kav 7 hnub, tab sis rau qee qhov nws tuaj yeem siv li 3 lub lis piam. Yog tias, tom qab 3 lub lis piam, ib tus neeg muaj mob hnyav lossis los ntshav tsis ploj mus, ces koj yuav tsum mus ntsib kws kho mob tam sim ntawd. Hysteroscopy feem ntau ua rau hnub 6-9 ntawm tus poj niam lub voj voog, uas yog, ua ntej ovulation. Nrog rau kev pom zoo, yuav tsum tsis txhob ncua sijhawm ntawm kev coj khaub ncaws, txawm hais tias nws yuav txav me ntsis, uas yuav tsis cuam tshuam rau lub voj voog tag nrho. Feem ntau, tom qab cov txheej txheem zoo li no, tus poj niam siv sijhawm ob peb teev hauv tsev kho mob, thiab sai li sai tau nws zoo dua, nws tuaj yeem mus tsev. Tom ntej no, gynecologist yuav pom zoo kom tus neeg mob ua ultrasound tom qab 1 lub hlis, tom qab 3 thiab 6 lub hlis.