I-hysteroscopy - isifundo segciwane lesandulela ngculaza ngokusebenzisa idivayisi ekhethekile - i-hysteroscope. Udokotela ngokusebenzisa ubulili angena emgodini we-uterine i-gysteroscope, ubukhulu obungafinyelela ku-10 mm. Ku-fibre optics, isithombe sidluliselwa kwikhamera yevidiyo futhi siboniswe kumqapha, izikhathi eziphindwe izikhathi ezingu-20.
Inqubo yokuxilonga, i-anesthesia ayenziwanga, ngezingenelelo esibelethweni ngaphansi kokulawulwa kwedivayisi esebenzisa i-anesthesia yendawo, engajwayelekile.
I-hysteroscopy isetshenziselwa nje ukuhlolisisa i-uterine cavity. Udokotela unethuba:
- gcina isimo se-mucosa ye-uterine;
- ukwenza i-biopsy ye-endometrium (uma kukhona ukusola oncopccess);
- susa i-polyps ye-endometri;
- ama-node amancane angama-submucosal fibromatous;
- lapho ukukhipha isisu okungaphelele - susa izinsalela zamagobolondo.
Yebo, kanti nokukhipha isisu kungasenziwa ngosizo lwe-hysteroscopy, njengoba kungenakho ukuhlukunyezwa okujulile kwesibeletho ngesikhathi sokubona okubukwayo, iqanda lomntwana wesisu lisuswe ngokuphelele, okusho ukuthi ingozi yezinkinga emva kokukhipha isisu iyancishiswa kakhulu.
Izinkinga ngemuva kwe-hysteroscopy kwesibeletho
I-Hysteroscopy yinkqubo engenza ngezinye izikhathi izinkinga ezinkulu:
- Ukuguqulwa kwodonga lwesibeletho kuyinkinga engavamile kakhulu kodwa eyinkimbinkimbi, okungenzeka ngokuhlukumeza okwedlulele kwenqubo. Kungenzeka futhi uma kukhona izinqubo esibelethweni ezingatholakali ngaphambi kokungenelela noma njengenkinga yokungenelela kokuhlinzwa ngaphansi kokulawulwa kwe-hysteroscopy. Izimpawu ze-perforation - ubuhlungu obunzima phakathi nenqubo, kuhambisane nobuhlungu obunzima, ukuphelelwa amandla, ukwehlisa ukucindezelwa kwegazi, ubuthakathaka obukhulu. Imiphumela ye-perforation ngemuva kwe-hysteroscopy ingathà sina (ngokwesibonelo, ukuphuma kwegazi emgodini wesisu), kanye nokuvimbela kwabo, ukungenelela okuhlinzekwa ngesibeletho ngemuva kokuba inqubo idingekile.
- Ukuphuma kwamagciwane kungenye yezinkinga ezivame kakhulu, kuvela ngenxa yokususwa kwe-polyp, noma uma kwenziwa i-hysteroscopy ukususa i-node fibromatous, ngokuphula inqubo yezinqubo. Izimpawu zokuphuma kwamanzi zihamba ngokuphuma emkhathini izinsuku ezingaphezu kwezingu-2 (ukubonakala okuncane kuyobanjwa futhi kuvamile emva kwenqubo). Ngokuthuthukiswa kwegazi ukubeka izidakamizwa zokuvimba igazi, ukunciphisa izidakamizwa zesibindi, futhi uma kunesidingo - ukungenelela esibelethweni.
- I-Endometritis - ukuvuvukala kwebhande elimangcwaba lendawo yokubeletha. Kuyinkimbinkimbi ehamba phambili eqhutshwa ngenxa yokuqhuma ngesikhathi sokusebenza kwamagciwane ezincane ze-pathogenic emgodini we-uterine. Izimpawu zokuvuvukala akuthuthuki ngokushesha, kodwa ezinsukwini ezimbalwa ngemva kokungenelela: ukushisa komzimba kuphakama, ubuhlungu bokuhlukahluka buvela emathunjini aphansi, owesifazane unegazi elihlanzekile noma eliphuma ngaphandle kwesisu. Ukwelashwa kwalolu daba kubandakanya i-atibiotikoterapii enkulu kanye nokwelashwa kwe-detoxification ngaphansi kokuqondiswa udokotela.
Ukuvimbela izinkinga emva kwe-hysteroscopy
Ukuze unciphise izinkinga ngemuva kokungenelela, i-hysteroscopy ayenzwanga lapho kunezifo ezifana nezinqubo zokuvuvukala amagciwane ezitho zangasese (vaginitis, cervicitis, endometritis).
Ukuze uvimbele ukucindezeleka kwebhaktheriya, i-smear yesisu kufanele ihlolwe ngaphambi kwenqubo, futhi izifo ze-venereal zifakiwe.
Awukwazi ukwenza inqubo yokwelapha okukhulu kwe-uterine, ikakhulukazi i-etiology engaqondakali, yomdlavuza womlomo wesibeletho , ngoba lokhu kungabangela imiphumela emibi: ngemuva kwe-hysteroscopy, ukuphuma kwegazi kungakhula kakhulu. I-hysteroscopy iyaphikisana uma kungenzeka ukukhulelwa okufunayo, njengoba kungabangela ukukhulelwa kwesisu.