Zojambulajambula
Hysteroscopy ndi njira yowonera mkati mwa chiberekero (chiberekero). Wothandizira zaumoyo wanu akhoza kuyang'ana pa:
- Kutsegulira m'mimba (khomo pachibelekeropo)
- Mkati mwa chiberekero
- Kutseguka kwamachubu ofiira
Njirayi imagwiritsidwa ntchito nthawi zambiri pozindikira mavuto am'magazi mwa azimayi, kuchotsa ma polyps kapena fibroids, kapena njira yolera yotseketsa. Zitha kuchitidwa mchipatala, malo opangira odwala, kapena kuofesi ya omwe amapereka.
Hysteroscopy amatchedwa ndi chida chochepa, chowala chomwe chimagwiritsidwa ntchito poyang'ana m'mimba, chotchedwa hysteroscope. Chida ichi chimatumiza zithunzi zamkati mwa chiberekero poyang'anira makanema.
Njira isanachitike, mudzapatsidwa mankhwala okuthandizani kupumula ndikuletsa kupweteka. Nthawi zina, mankhwala amaperekedwa kuti akuthandizeni kugona. Pa ndondomekoyi:
- Woperekayo amaika malowo kudzera mu nyini ndi khomo lachiberekero, m'mimba.
- Gasi kapena madzimadzi amatha kuyikidwa m'mimba kotero imakula. Izi zimathandiza wothandizira kuti awone bwino malowo.
- Zithunzi za chiberekero zimawoneka pazenera.
Zipangizo zing'onozing'ono zitha kuyikidwapo kuti zitheke kukula kosazolowereka (ma fibroids kapena ma polyps) kapena minofu yoyeserera.
- Mankhwala ena, monga kuchotsa, atha kuchitidwanso mopyola muyeso. Ablation amagwiritsa ntchito kutentha, kuzizira, magetsi, kapena ma wailesi kuwononga zingwe za chiberekero.
Hysteroscopy imatha kuyambira mphindi 15 mpaka kupitilira ola limodzi, kutengera zomwe zachitika.
Izi zitha kuchitika ku:
- Gwiritsani ntchito nthawi zolemetsa kapena zosasintha
- Letsani ma fallopian machubu kupewa mimba
- Dziwani kapangidwe kachilendo ka chiberekero
- Dziwani zakukula kwa chiberekero
- Pezani ndikuchotsa zophuka zosazolowereka monga ma polyps kapena fibroids
- Pezani chomwe chimayambitsa kusokonekera mobwerezabwereza kapena chotsani minofu mukataya mimba
- Chotsani chipangizo cha intrauterine (IUD)
- Chotsani minofu yofiira m'mimba
- Tengani nyemba kuchokera ku khomo pachibelekeropo kapena m'mimba
Njirayi itha kukhalanso ndi ntchito zina zomwe sizinalembedwe apa.
Zowopsa za hysteroscopy zitha kuphatikiza:
- Dzenje (pobowola) pakhoma lachiberekero
- Matenda a chiberekero
- Kupunduka kwa mzere wamimba
- Kuwonongeka kwa khomo pachibelekeropo
- Kufunika kwa opaleshoni kukonza zowonongeka
- Kutsekemera kwamadzimadzi kosazolowereka panthawi yomwe kumayambitsa kutsika kwa sodium
- Kutaya magazi kwambiri
- Kuwonongeka kwa matumbo
Zowopsa za opaleshoni iliyonse yam'mimba zimaphatikizapo:
- Kuwonongeka kwa ziwalo kapena ziwalo zapafupi
- Magazi am'magazi, omwe amatha kupita kumapapu ndikukhala owopsa (osowa)
Zowopsa za anesthesia ndi izi:
- Nseru ndi kusanza
- Chizungulire
- Mutu
- Mavuto opumira
- Matenda a m'mapapo
Zowopsa za opaleshoni iliyonse ndi monga:
- Matenda
- Magazi
Zotsatira za biopsy nthawi zambiri zimapezeka mkati mwa milungu iwiri kapena iwiri.
Wothandizira anu akhoza kukupatsani mankhwala kuti atsegule khomo lanu loberekera. Izi zimapangitsa kukhala kosavuta kuyika kukula. Muyenera kumwa mankhwalawa pafupifupi maola 8 mpaka 12 musanachitike.
Musanachite opaleshoni iliyonse, uzani omwe akukuthandizani:
- Za mankhwala onse omwe mumamwa. Izi zimaphatikizapo mavitamini, zitsamba, ndi zowonjezera.
- Ngati muli ndi matenda ashuga, matenda amtima, impso, kapena mavuto ena azaumoyo.
- Ngati muli ndi pakati kapena mutha kukhala ndi pakati.
- Ngati mumasuta, yesetsani kusiya. Funsani omwe akukuthandizani kuti akuthandizeni. Kusuta kumatha kuchepetsa chilonda.
Pakadutsa milungu iwiri musanachite izi:
- Mungafunike kusiya kumwa mankhwala omwe amalepheretsa magazi anu kuphimba. Izi ndi monga aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), clopidogrel (Plavix), ndi warfarin (Coumadin). Wopereka wanu adzakuuzani zomwe muyenera kapena simuyenera kutenga.
- Funsani omwe akukuthandizani kuti ndi mankhwala ati omwe mungamwe patsiku lanu.
- Uzani wothandizira wanu ngati muli ndi chimfine, chimfine, malungo, kuphulika kwa herpes, kapena matenda ena.
- Mudzauzidwa nthawi yobwera kuchipatala. Funsani ngati mukufuna kukonza kuti wina adzakutengereni kunyumba.
Patsiku la njirayi:
- Mutha kupemphedwa kuti musamwe kapena kudya chilichonse maola 6 kapena 12 musanachite.
- Imwani mankhwala aliwonse ovomerezeka ndikumwa pang'ono madzi.
Mutha kupita kwanu tsiku lomwelo. Nthawi zambiri, mungafunike kugona usiku. Mutha kukhala ndi:
- Zokhumudwitsa zofananira kusamba ndi kutuluka magazi kumaliseche kwa masiku 1 kapena 2. Funsani ngati mungamwe mankhwala owawa owerengera chifukwa cha cramping.
- Kutuluka kwamadzi kwa milungu ingapo.
Mutha kubwerera kuzinthu zatsiku ndi tsiku mkati mwa masiku awiri kapena awiri. MUSAGONSE mpaka wothandizira wanu atanena kuti zili bwino.
Wopereka wanu angakuuzeni zotsatira zamachitidwe anu.
Opaleshoni ya Hysteroscopic; Opaleshoni hysteroscopy; Chiberekero endoscopy; Uteroscopy; Ukazi magazi - hysteroscopy; Uterine magazi - hysteroscopy; Adhesions - hysteroscopy; Zofooka zobadwa - hysteroscopy
Carlson SM, Goldberg J, Lentz GM. Endoscopy: hysteroscopy ndi laparoscopy: zisonyezo, zotsutsana, ndi zovuta. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 10.
Howitt BE, Quick CM, Nucci MR, Crum CP. Adenocarcinoma, carcinosarcoma, ndi zotupa zina zaminyewa za endometrium. Mu: Crum CP, Nucci MR, Howitt BE, Granter SR, ndi ena. okonza. Kuzindikira Gynecologic ndi Obstetric Pathology. Wachitatu ed. Philadelphia, PA: Elsevier; 2018: mutu 19.