Endometrial curettage

Lero, mmodzi mwa zofala yaing'ono ntchito matenda ndi kuchipala ndi endometrium. phukusi angathe kuchitidwa kaya zolinga achire kapena matenda.

Chifukwa cha ntchito iyi ndi pochotsa mucosa ya m'chiberekero, koma osati onse, koma wosanjikiza zinchito. Kuchira pambuyo curettage wa endometrium ndi chifukwa mphukira wosanjikiza ake yotsala pambuyo curettage.

Kuyambira pachiyambi cha mkombero amasintha endometrium ndi thickens pokonzekera zotheka implantation wa mwana wosabadwayo ndi. Ngati mimba zimachokeradi, ndiye anakana ndipo pali kusamba. Mu mkombero lotsatira onse kachiwiri. Kwenikweni kuchipala ndi endometrium ofanana kusamba, koma anachita instrumentally. Kawirikawiri anakonza mwai yesani kucheza kutatsala masiku ochepa magazi. Ngati iwo ali kuchita pachiyambi kapena pakati pa mozungulira bwalolo, kungakhale yaitali zoonera. Pa kusamba kwa opaleshoni izo ndi n'zosatheka, popeza kuchipala analandira nthawi imeneyi adzakhala uninformative chifukwa kusintha necrotic mu ottorgsheysya mucous.

Yambani ntchito ngati ngalande khomo lachiberekero kuti mbewuzo wosanjikiza. Mabukuwa analandira pambuyo curettage ndi endometrium anatumiza kwa phunziro histological payokha. The chifukwa cha phunziroli ndi okonzeka mu masabata awiri. Iwo ayenera kutenga kutali ndi kusonyeza gynecologist nawo.

Masiku ano, ambiri a endometrial curettage anachita pansi pa ulamuliro wa hysteroscopy. Popanda mpheto ya imagwiridwa pafupifupi wakhungu. Pogwiritsa ntchito chimodzimodzi hysteroscopic dokotala yoyamba ikufotokoza chiberekero, ndiye amathera kuchipala, ndipo pambuyo pake m'manja mwa ntchito yake kachiwiri. Kugwiritsa ntchito zipangizo zamakono kuti asapatsidwe kuvulala ndi mavuto odwala.

Kuchipala ikuchitika ndi zolinga za:

• kupeza mfundo histology;

• kuchotsa tizilombo ting'onoting'ono kapena synechiae.

Pamaso mpheto m'pofunika kupereka maphunziro zotsatirazi:

• ambiri mkodzo ndi magazi;
• ECG;
• ndikuphunzitsidwa upo;
• swabs kwa cytology ndi zomera;
• magazi zimapangidwira;
• coagulation;
• anawuluka;
• kudziwa RH Chinthu ndi gulu magazi;
• kupeza mlingo wa shuga;
• kuchita ultrasound;
• anayesedwa kwa chiwindi, chindoko ndi HIV.

Lero, zipatala zambiri anthu mpaka opaleshoni imagwiridwa pansi mtsempha ochititsa dzanzi wabwino. Koma zotsatira n'kosathandiza.

Wodwala mosavuta tulo ndi n'kudzuka mwachindunji mu chipinda cha opareshoni. Ndiponso, natengedwa pa gurney mu chipinda iye akhoza kupita ku tulo. Patatha ola limodzi, iye analola kuti ayambe kumwa ndi kukhala. Awiri, zikhoza kale kudzuka ndi kudya, koma pambuyo atatu akupita kunyumba.

Zikudalira ziyeneretso za anesthetist lapansi. Komabe, pambuyo palibe mankhwala ochititsa dzanzi nseru, mutu, munthu pafupifupi malingaliro. Zomverera monga ngati munthu adzuka pambuyo tulo, iye akhoza kukhala chinachake sindikukumbukira.

Kuchipala - opareshoni ndi wosavuta, pamafunika mphindi 20. Komabe, pambuyo ngakhale kuti ena mavuto:

• perforation la chiberekero;
• kutukusira kwa chiberekero;
• hemometra (kuphipha wa khosi ndi kudzikundikira magazi mu chiberekero);
• kwambiri kuchipala.

Koma iwo ali osowa. Monga kukonzekereratu, adokotala ndi mankhwala kutupa, ayenera njira ya mankhwala. Mwachibadwa, pambuyo phukusi la maola angapo akhoza magazi, choncho m'pofunika kubweretsa gasket. Kwa pafupi sabata akhoza zoonera.

Choncho, kuchipala kwa endometrium - ndi imodzi mwa ambiri maopaleshoni matenda ndi omasuka, makamaka ngati kumaphatikizapo gynecologist oyenerera komanso wopereka mankhwala opha ululu. Kuchepetsa chiopsezo cha matenda oyamba ndi kuvulala ntchito hysteroscopy.