Kev tswj cov hlab ntsha tuaj yeem ua rau mob ntxiv lawm. Qhov ua rau ntawm qhov kev ua txhaum yuav ua rau mob plab pelvic, ob leeg mob thiab ntev, ntau hom ntawm qhov chaw hauv lub plawv endometriosis, haujlwm, ob leeg pelvic plab hnyuv siab raum thiab ntawm cov kabmob ntawm lub plab menyuam.
Cov kev ntsuam xyuas cov teeb meem ntawm cov hlab ntaws
Echogasterosalpingoscopy
Thaum lub sijhawm no, 20-40 ml ntawm lub cev tsis huv. tov (5% tov ntawm cov piam thaj, tiam sis zoo dua polyglucin). Zaj ntawm cov tswv yim los ntawm cov hlab ntaws yog soj ntsuam los ntawm txoj kev ultrasonic PP. Kev xaav yuav siv qhov chaw ntawm lub ntuj tso. Cov tshuaj kua txig ua rau cov kabmob khau uake, nyob rau hauv nws cov degree "transparency" yog qhov txawv ntawm cov ntaub so ntswg, uas yog siv ultrasound los sib piv ntawm qhov kev sib tov thiab cov ntsiab lus ntawm lub zais zis (lub zais zis thaum kuaj):
- Yog hais tias qhov chaw ntawm lub plab zom plab yog ob sab, qhov yuav daws tau nyob rau sab laug thiab txoj cai ntawm kabmob khau uterine, tom qab uas nws yuav ua rau cov kabmob plab menyuam yaus nkag mus rau hauv ib qho lej.
- Yog hais tias kev zom zaws yog pom hauv qhov chaw ntawm cov hlab ntaws, qhov tshuaj kua sterile yog nyob rau hauv cov hlab ntaws hauv lub plab hlaub nyob rau hauv daim ntawv ntawm cov kab noj hniav zoo li kab noj hniav.
- Yog hais tias tom qab qhia txog kev daws cov hlab ntaws hauv plab tsis pom, tab sis lub uterine kab noj muaj ntau dua vim cov tshuaj txhaj tshuaj, ces nws tuaj yeem hais tau txog lub sijhawm ntawm cov qhov khaus ntawm cov menyuam plab hlaub.
- Yog tias cov hlab ntaws raug xa mus rau ob xuaj moos (tsis pub ua ntau dua), qhov teeb meem no yog qhov nrov ntawm cov hlab ntaws ntawm cov hlab ntaws.
- Yog hais tias qhov tshuaj tsis pom nyob rau hauv kabmob utero-quav, ces qhov no qhia tau hais tias qhov muaj occlusion ntawm lub plab hlab ntaws ntawm qhov chaw hauv zos.
Hysterosalpingography (GHA)
Hom kev kuaj no feem ntau yog ua tiav ntawm qhov thib tsib mus rau hnub cuaj hlis ntawm lub cev ntas (GHA yog ua yog tias lub voj voog muaj hnub nyoog nees nkaum hnub). Yog hais tias ib tug poj niam uas muaj lub cev tsis tab seeb, ces nws tsis muaj peev xwm tshem tawm qhov kev xeeb tub hauv theem thib ob ntawm lub voj voog, xws li nyob nruab nrab ntawm lub voj voog, thiab ua tiav cov txheej txheem tuaj yeem ua rau muaj kev ua txhaum txoj kev taug. Yog tias ib tug poj niam tau tiv thaiv los ntawm cev tsis tab seeb, GHA tuaj yeem ua rau txhua hnub ntawm lub voj voog, tshwj tsis yog kev hnyav hnub nyoog. Ua ntej tus poj niam mus rau hauv GHA, nws kis tau cov kev kuaj mob rau kev mob ntsws, HIV, kab mob siab C thiab B. Tsis tas li ntawd, ib tug poj niam siv ib lub smear kom paub tseeb tias qhov chaw mos ntawm microflora yog qhov qub.
Cov txheej txheem ua tau rau ntawm ib qho chaw kho mob, feem ntau yog tsis siv cov tshuaj mob. Cov tshuaj muaj yees yog txhaj rau hauv lub ncauj tsev menyuam thiab yog txhua yam tsis zoo, lub uterine kab noj hniav, nrog rau cov leeg hauv plab, yuav tau ntim nrog rau cov tshuaj no thiab yuav khiav tawm ntawm lub cev tsis tuaj yeem xaus. Kev xoo hluav taws xob no tau siv nyob rau lub sij hawm no, tsuas yog koj thiaj pom cov kab noj ntawm lub plab hlaub thiab lub tsev menyuam. Cov txheej txheem siv cov dej-soluble qhov sib txawv ntawm cov khoom - verografine, triombrast.
Hysterosalpingogram seev suab
- Yog tias tsuas yog lub uterine kab noj hniav pom xwb, ces peb tuaj yeem tham txog qhov kev khaus ntawm cov qhov chaw hauv cov leeg ntawm cov leeg ntog.
- Yog tias lub uterine hlab thiab lub tsev menyuam tau saib, thawj cov npe rau ob ntiv taw (tsis pub ua ntau dua), ces peb tuaj yeem tham txog qhov kev cuam tshuam ntawm qhov chaw seem ntawm lub plab hlaub.
- Yog tias cov hlab ntaws yog pom thoob tag nrho - qhov ua tsis taus pa ntawm cov hlab ntaws ntawm cov hlab ntaws. Tsis tas li ntawd, lub plab hlaub ntog tau ua kom tsis ncaj tsis tau. Yog tias muaj ib qho kev sib cav ntawm cov kabmob, kabmob, lossis qhov chaw ntawm cov kabmob hauv plab, tsis muaj qhov sib txawv ntawm qhov sib txawv.
Laparoscopy nrog chromohydrobubation
Thaum nqa tus kab mob laparoscopy, qhov kev kuaj xyuas ntawm cov hlab ntaws raug kuaj. Rau lub hom phiaj no, ib cov kua (methylene xiav kua) yog nkag rau hauv kab noj hniav los ntawm lub ncauj tsev menyuam ntawm lub tsev menyuam. Lub tso cai ntawm cov kua los ntawm lub plab hlaub ntaws raug tswj los ntawm lub koob yees duab (nws tseem raug cuam tshuam) nyob rau tam sim no hnub hom. Tus nqi tshawb nrhiav kev ntsuam xyuas qhov tseeb los yog kev sib nkag ntawm cov hlab ntaws ntawm laparoscopy feem ntau yog 100%. Laparoscopy yuav pom txog kev puas tsuaj thiab tshem tawm qhov ua rau tus mob no.