Hysteroscopy imapereka njira yoti dokotala wanu ayang'ane mkati mwa chiberekero chanu. Mankhwala otchedwa hysteroscope ndi ofufuza, ofanana ndi telescope omwe amalowetsedwa m'chiberekero kudzera mukazi ndi chiberekero. Chida ichi nthawi zambiri chimathandiza dokotala kupeza kapena kuthana ndi vuto la uterine . Opaleshoni ndi opaleshoni yaying'ono yomwe imachitidwa mu ofesi ya udokotala kapena kuchipatala.
Ikhoza kuchitidwa ndi anesthesia, kumadera, kapena okalamba ambiri - nthawizina palibe anesthesia yofunikira. Pali njira zambiri zomwe amai ambiri amachita.
Kodi Hysteroscopy Imagwiritsidwa Ntchito Piti?
Hysteroscopy ikhoza kukhala matenda kapena opaleshoni.
Kugwiritsira ntchito mankhwala osokoneza bongo kumagwiritsidwa ntchito kuti azindikire zolakwika za uterine, ndipo zingagwiritsidwe ntchito kutsimikizira zotsatira za mayesero ena monga hysterosalpingography (HSG). Zida zina kapena njira zina, monga kuchepetsa ndi kuperekera (D & C) ndi laparoscopy, nthawi zina amagwiritsidwa ntchito mogwirizana ndi mankhwalawa. Kuzindikira matenda osakanizidwa angagwiritsidwe ntchito kuti azindikire zikhalidwe zina monga magazi osachiritsika, kutaya thupi, kuperewera, kubwezeretsa, kutsekemera, kutsekemera, kapenanso kupeza malo osokoneza intrauterine (IUDs).
Mankhwalawa angagwiritsidwe ntchito, mmalo mwa opaleshoni ya m'mimba yotseguka, kuti onse azindikire ndi kuthana ndi zinthu zina monga uterine adhesions, septums, kapena fibroids zomwe nthawi zambiri zimachotsedwa kudzera mu hysteroscope.
Nthawi zina amagwiritsidwa ntchito pogwiritsa ntchito zipangizo zina monga resectoscope kuti athetse matenda enaake; Komabe, pambuyo pa njirayi, yotchedwa endometrial ablation , amayi sangathe kukhala ndi ana kotero kuti sizingatheke kwa amayi omwe akufuna kukhala ndi mimba ya mtsogolo. Kupuma kwa m'mimba ndi njira yomwe imawononga chiberekero cha chiberekero.
The resectoscope ndi chida chonga telescope chomwe chimagwiritsidwa ntchito ndi waya, pulogalamu ya rollerball, kapena chiboliboli pamapeto pake. Magetsi pamapeto a nsonga amagwiritsidwa ntchito kuwononga chiberekero cha uterine. Njirayi imakhala ikuchitika panthawi yopuma.
Kodi Muyenera Kuchita Liti?
Nthaŵi yabwino yopanga hysteroscopy ndilo sabata yoyamba kapena pambuyo pake . Pa nthawi imeneyi dokotala wanu amatha kuyang'ana mkati mwa chiberekero.
Kodi Ndingakonzekere Bwanji?
Ngati muli ndi anesthesia wambiri m'chipatala, mudzauzidwa kuti musadye kapena kumwa kanthu kwa nthawi inayake (kawirikawiri pakati pausiku usiku) musanachitike. Mayesero a kalasi kaŵirikaŵiri amatha kulangizidwa komanso amayi omwe ali ndi matenda osokoneza bongo kuchipatala. Mudzafunsidwa kuti mutaya chikhodzodzo chanu ndipo m'mimba mwanu mudzayeretsedwe ndi mankhwala osokoneza bongo. Nthaŵi zina mankhwala oti akuthandizeni kumasuka amalamulidwa. Pambuyo pake, mudzakonzeka kukhala ndi anesthesia:
- Anesthesia wamba : Mudzapatsidwa jekeseni wa kupweteka kwa chiberekero kuzungulira chiberekero kuti muthetse, ndi mtundu uwu wa anesthesia mumakhalabe maso ndipo mukumva kuti mukupunthwa.
- Aesthesia kumadera : Mankhwala amayiramo, kupyolera mu singano kapena chubu kumbuyo kwanu, zomwe zimateteza mitsempha yomwe imalandira mphamvu kuchokera kumtunda. Inu muli maso ndi mtundu uwu wamaganizo koma simukumva bwino. Mankhwala otchedwa anesthesia amtunduwu amatchedwanso spinal kapena epidural.
- Anesthesia: Simudzakhala ndi chidziwitso pa nthawi imene mukudwala anesthesia. Chigoba pamilomo ndi mphuno zimakupatsani mpweya wosakaniza. Mukakhala pansi pa anesthesia, chubu ikhoza kuikidwa pansi pamtima kuti ikuthandizeni kupuma.
Dokotala wanu amadziwa mtundu wina wa anesthesia yabwino kwa inu kuchokera pa chifukwa chomwe mumagwiritsira ntchito mankhwala osokoneza bongo. Kumbukirani kufunsa mafunso ngati pali chilichonse chokhudza ndondomeko yanu kapena anesthesia.
Kodi N'chiyani Chimachitika Panthawiyi?
- Kutsegula kwa chiberekero chanu kungafunikire kusungunuka kapena kupangidwa kwakukulu ndi zida zapadera.
- Nthendayi imayikidwa kudzera mumaliseche ndi chiberekero, komanso mu chiberekero chanu.
- Kenaka, madzi kapena mpweya amamasulidwa kudzera mu hysteroscope kuti akule chiberekero chanu kuti dokotala wanu akhale ndi maonekedwe abwino mkati.
- Chitsime chowala chomwe chimapangidwa kudzera mu hysteroscope chimalola dokotala wanu kuti awone mkati mwa chiberekero ndi kutsegulidwa kwa mazira oyenda mu chiberekero cha uterine.
- Ngati opaleshoni imafunika, zipangizo zing'onozing'ono zimayikidwa kudzera mu hysteroscope.
Nthawi zina laparoscope imagwiritsidwa ntchito nthawi yomweyo kuti muwone kunja kwa chiberekero. Izi zikachitika, mpweya wotchedwa carbon dioxide kapena nitrous oxide umaloledwa kutuluka m'mimba. Gasi imatulutsa mimba kuti dokotala akhoze kuona ziwalo mosavuta. Mafuta ambiri amachotsedwa pamapeto pake. Ndondomeko ya laparoscopic idzachitidwa kuchipatala.
Kodi Ndidzatha Liti Kuti Ndipite Kunyumba?
Odwala omwe amalandira mankhwala am'deralo amatha kupita kunyumba mwamsanga. Anthu omwe ali ndi chigawo cha anesthesia kapena chigawo chachikulu amafuna nthawi yowonongeka asanatulutsidwe, koma amatha kupita kunyumba tsiku lomwelo.
Kodi Ndingatani Kuti Ndizivutika?
Odwala ena amamva kupweteka kwambili kutsatila laparoscopy kapena pamene gasi imagwiritsidwa ntchito kupititsa chiberekero. Kamodzi kokha kamodzi kake kabweya kamene kamangokhalira kupweteka kamene kamayenera kupumula mwamsanga. Mwinamwake mungadwale kapena mukudwala, kapena mutha kukhala ndi magazi ochepa m'magazi ndikuphwanya kwa masiku 1-2 mutatha.
Lembani Dotolo wanu ngati mukukhazikitsa izi mwa zotsatirazi:
- Fever
- Ululu waukulu wamimba
- Kuthamanga magazi mwamphamvu kapena kutaya magazi
Kodi Safestercopy Ndi yotetezeka?
Mankhwala osokoneza bongo ndi njira yabwino. Mavuto omwe angakhoze kuchitika amapezeka osachepera 1%, koma ndi awa:
- Kuvulala kwa chiberekero kapena chiberekero
- Kutenga
- Kutuluka magazi kwambiri
- Zotsatira zochokera kwa anesthesia
Ngakhale kuti nthawi zambiri anesthesia amagwiritsidwa ntchito, nthawi zambiri sikofunika. Hysteroscopy amalola dokotala wanu kuti awone mkati mwa chiberekero chanu ndi zithandizo kuti mudziwe bwino matenda ena. Nthawi ndi nthawi yowonetsera nthawi yayitali.
> Chitsime:
> Hysteroscopy.ACOG Maphunziro Pamphlet AP084.http: //www.acog.org/publications/patient_education/bp084.cfm. Inapezeka pa 08/24/09.