Txheem
Yuav ua li cas yog curettageYuav ua li cas yog curettage
Kev khawb ntawm mucous membrane ntawm uterus yog cais raws li ib qho kev lag luam kom tshem tawm cov mucous daim nyias nyias ntawm lub cev ntawm lub tsev menyuam thiab lub tsev menyuam nkauj kw. Kev khomob hauv kev kho mob yog siv ob qho tibsi rau kev tshuaj xyuas thiab kho cov hom phiaj. Piv txwv, nrog rau txoj hlab ntws los ntawm txoj hlab ntws, kab mob qhov ncauj thiab lub ncauj tsev me nyuam, thiab lwm yam zoo li. Cov ntawv khawb yog teev tom qab qhov kev txiav tawm ntawm kev xeeb tub hauv lub caij nyoog lig thiab nyob rau lub sijhawm tomqab yug menyuam tas, nrog rau kev ua tsis tiav. Thaum lub tsho me nyuam plab nyob rau hauv lub uterine kab noj hniav, uas yog qhov ua rau cov leeg los ntshav.
Raws li txoj kev kho mob, lub tsev menyuam yog ib qho nqaij ntawm cov leeg uas zoo li "pear" zoo lawm. Qhov nyob rau hauv lub tsev menyuam yog muaj kab noj hniav, uas los ntawm lub ncauj tsev menyuam ntawm lub tsev menyuam sib txuas nrog rau lwm qhov chaw. Lub uterine kab noj hniav yog them nrog endometrial mucosa. Thaum lub caij ua kev coj khaub ncaws, qhov kawg ntawm lub qhov quav tas. Yog tias tsis muaj cev xeeb tub, lub plhaub tsis kam los ntawm lub cev. Muaj mentsi. Tom qab kev qoj ib ce, qhov kawg ntawm lub qe rov qab pib dua.
Thaum lub sij hawm tus txheej txheem rau scraping mucous daim nyias nyias, tsuas yog endometrium mechanically tshem tawm. Qhov tseeb tsis yog tag nrho cov mucous raug tshem tawm, tab sis tsuas yog ib qho kev ua dej saum npoo. Tom qab curettage ntawm lub uterine membrane, qhov kev loj hlob endometrial layers nyob twj ywm, los ntawm uas ib tug tshiab mucous daim nyias nyias loj hlob.
Ua ntej thiab tom qab phais tas
Raws li txoj cai, kev lag luam yog ua tiav ua ntej kev hnyav, tsuas yog ob peb hnub ua ntej pib kev pib. Qhov no yog ua li ntawd kom txoj kev ntawm curettage ntawm uterine mucosa nyob rau hauv lub sij hawm coincides nrog lub sij hawm physiological ntawm rejection ntawm endometrium. Ntawm lub tswv yim ntawm kev phais, tus poj niam yog tus soj ntsuam los ntawm tus kws kho mob. Nyob rau hnub ntawm kev phais - kev ua haujlwm obstetrician-gynecologist. Kev ntsuam xyuas dav dav, kev kawm txog lub ncauj tsev menyuam thiab lub tsev menyuam nrog kev pab ntawm tsom iav thiab kev tshawb nrhiav kev qhia kom paub meej txog txoj haujlwm thiab lub cev ntawm lub tsev menyuam. Tshem tawm cov teeb meem thiab qhia cov kev tsis sib haum xeeb rau kev ntxhov siab.
Kev khiav hauj lwm no feem ntau ua rau cov tshuaj loog (tab sis qee zaus nyob rau hauv zos) hauv lub rooj zaum poj niam. Lub ncauj tsev menyuam qhov dejhaus loj dua los ntawm kev siv txoj hlua sib txuas ntawm cov kab sib txawv. Tag nrho cov kev ua haujlwm kav li ntawm 15 feeb. Tom qab tus mob ntawm tus neeg mob lub tsev menyuam, cov neeg mob siv sijhawm ntau lossis ob peb hnub hauv tsev khomob. Tsis pub dhau 1 lub hlis tom qab ua haujlwm, ib tug yuav tsum tawm tsam kev sib deev. Nws yog ib qho tsim nyog yuav tau soj ntsuam tus kws kho mob kom tsis txhob muaj teeb meem. Cov no suav nrog:
- perforation (ua txhaum ntawm lub meej mom ntawm phab ntsa) ntawm uterus, raug tus kab mob, kev loj hlob ntawm o;
- txoj kev loj hlob ntawm kev tshem tawm ntawm sab nraud, uas tuaj yeem ua rau muaj kev ua txhaum cai ntawm kev coj khaub ncaws thiab kev ua menyuam.
Tsis pub dhau 3-10 hnub tom qab ua haujlwm, qee zaum muaj cov pob khaus tshwm. Yuav tsum tau ceev faj yog tias qhov paug nres tam sim ntawd thiab ib txhij muaj ib qho mob hauv plab. Muaj kev ntshai tias lub ncauj tsev menyuam nqus pa thiab mob hematoma (ntshav pob txhaws hauv cov kabmob uterine). Nws yog ib qho tsim nyog rau ib zaug tuaj rau tus kws kho mob thiab kom dhau los yog noj rau hauv Teb Chaws Asmeskas. Txhawm rau tiv thaiv kom tsis txhob muaj kev hematomas, raws li ua ntej tom qab thawj hnub, koj tuaj yeem noj qe tsis-shpa 2-3 zaug ib hnub (1 lub plab). Tsis tas li ntawd, tom qab lub sijhawm ua haujlwm, cov tshuaj tiv thaiv kab mob me me yog cov tshuaj tiv thaiv - kom tiv thaiv kev mob thiab lwm yam teeb meem.
Diagnostics
Diagnostic curettage ntawm uterine mucosa nrog tom qab kev soj ntsuam ntawm cov khoom yog nqa tawm nrog suspicion ntawm dysplasia thiab poj niam caws mob, tuberculosis. Tus qub scraping ntawm lub uterine membrane yog ua rau kev kuaj mob nyob rau hauv cov ntaub ntawv uas ultrasound cov ntaub ntawv tsis pub ib qho kev kuaj mob tseeb:
- Nrog rau uterine ntshav, tshwm sim tsis muaj cov cim xeeb ntawm cev xeeb tub, ntxiv lawm tshob thiab hauv qee qhov xwm txheej.
- Yog hais tias ib tug poj niam muaj qhov ntev thiab plab hnyuv mentsis nrog tso tawm cov ntshav txhaws.
- Yog tias muaj cov ntshav tawm hauv cov ntshav.
- Thaum tus poj niam tsis tau xeeb tub ntev heev.
- Nrog rau lwm, ntau cov kab mob tsawg.
- Kho kom tsis tu ncua yog ua thaum kuaj pom cov kab mob qog.
Tus kws kho mob yuav pom cov kev hloov hauv cov hnoos qeev rau ntawm ultrasound, tab sis nws tsis muaj peev xwm kom kuaj tau ultrasound rau txhua tus neeg mob. Tej zaum, ultrasound yuav tsum tau ua ob peb zaug ua ntej thiab tom qab kev qoj ib ce. Qhov no yog qhov yuav tsum tau txiav txim siab seb puas muaj cov kab mob pathological. Yog hais tias tus tsim nyob rau tom qab kev qog - qhia txog curettage ntawm uterine mucosa.
Tsis tas li ntawd, yog muab cov ntawv pov tseg kom tshem tawm cov seem ntawm lub qis tom qab yug menyuam, me nyuam, tsis tuaj yeem zam.
Contraindications
Scraping ntawm uterine mucosa yog contraindicated thaum:
- mob kis kab mob, mob ntxiv ntawm cov kab mob mus ntev ntawm cov kab mob sab hauv;
- mob thiab mob subacute inflammatory diseases ntawm cov qoob loo;
- suspicion ntawm perforation (cuam tshuam ntawm lub meej mom ntawm phab ntsa) ntawm lub tsev menyuam.
Hauv cov xwm txheej kub (piv txwv, nrog ntshav los ntawm kev hnyuv laus tom qab), yuav tsis muaj qhov contraindications.
Scraping mucous membrane ntawm uterus muaj peev xwm tshawb xyuas ib tug xov tooj ntawm cov kab mob loj heev, cuam tshuam pliaj cev xeeb tub. Txawm li cas los xij, qhov no yog qhov haujlwm tsis muaj teeb meem nrog rau cov teeb meem.