I-Hysteroscopy iyindlela yokuxilonga, lapho uhlola umlomo wesibeletho, izindonga zesisu kanye nomlomo wamathebhu we-fallopian. I-hysteroscopy yokwelashwa, lapho ukukhishwa kwengqimba engokwemvelo ye-endometrium, i-node encane ye-mymatous noma i-polyp ibizwa nge-hysterosectoscopy (i-hysteroscopy esebenzayo).
Ngezinye izikhathi i-laparoscopy (ukuhlola okungahlolisisi okuxilongwa kwesiguli esiswini) kanye ne-hysteroscopy yenziwa ngesikhathi esisodwa. Kulesi sihloko sizocubungula ukuthi i-cervix, isibeletho kanye nezindonga zayo zenziwa kanjani, nokuthi sibheke kanjani izinkomba nokuphikisana nayo.
I-hysteroscopy yenziwe kanjani?
Inqubo ye-hysteroscopy yenziwa ezikhungweni zezokwelapha ezikhethekile ngemuva kokulungiswa okukhethekile okwelashwa. Ukuze wenze lokhu, udinga ukudlulisa izivivinyo: ukuhlolwa kwegazi jikelele, isifo somlomo wesibeletho, igazi elivela emthanjeni kuya ku-HIV kanye ne-hepatitis B no-C. Kwezinye izindlela zokwenza ucwaningo, i-x-ray yesifuba, i-ECG, i-ultrasound yezingxenye zomzimba ezinesitho sangasese.
Iziguli eziningi zibuzwa mayelana ne-hysteroscopy, ingabe kubuhlungu? Inqubo yenziwa ngaphansi kwezimo ze-anesthesia jikelele. Isiguli sisesihlalo somzimba, ngemuva kokuba isiguli singenwa i-anesthesia, umjozi wezifo zengqondo ukwenza ukwandiswa komlomo wesibeletho kanye nokwethulwa emgodini wesibeletho sedivaysi ekhethekile - i-hysteroscope. Ukuze kubonakale kangcono uhlaka lwe-uterine ngokusebenzisa i-hysteroscope, isisombululo saline (NaCl 0.9% noma isisombululo se-glucose 5%) sinikezwa. Ngenxa yesisombululo esinikezwe ngaphansi kwengcindezi, i-uterine cavity yanda, eyenza ukuxilongwa kutholakale.
Ama-hysteroscopy - izinkomba
Inqubo yokuhlola okungapheliyo ye-uterine cavity (hysteroscopy) yenziwa kokubili kwabesifazane abasha nangesikhathi esivuthiwe. Kunoma yikuphi, inqubo ingenziwa kuphela udokotela onolwazi. Indlela ye-hysteroscopy inenqwaba yezinkomba. Lokhu kufaka:
- ukusola nge- hyperplasia ye- endometrial , i-myoma e-uterine enomzimba, i-endometriosis yomzimba wesisu;
- ukuphuma kwegazi emantombazaneni angaphambi kokuqala kanye no-postmenopausal;
- ukuhlukunyezwa kwesakhiwo sesisu;
- ukungazelelwe isikhathi eside emlandweni - ezimweni ezinjalo, i-hysteroscopy yenziwa nge-catheterization yamatayipi we-fallopian, efaka i-agent ehlukile. Inqubo yenziwa ngaphansi kokuqondiswa kwe-ultrasound, ngokuphambene okumele kufakwe emgodini wesisu.
Ukuqhathaniswa kwe-hysteroscopy
Naphezu kokuphepha okuhlobene nalokhu kukhishwa, kusenokuningi kokuphikisana. Zihlanganisa:
- noma yiziphi izifo ezithathelwanayo emzimbeni;
- ukukhulelwa okufisa ukukhulelwa;
- izifo ezivuthayo ezithombeni zomzimba ezisesigabeni sokuqeda amandla;
- umphumela omubi we-smear kusuka embelethweni wesibeletho.
I-hysteroscopy noma i-laparoscopy - engcono?
Akunakwenzeka ukusho ukuthi kungcono kunezindlela zomunye, ngoba ngamunye wabo unokufakaza kwakhe, futhi ngokuvamile uhlangene ngokuphelele.
Ngakho-ke, izindlela ezinjalo zokugcina njenge-hysteroscopy ne-laparoscopy ziyimpumelelo yangempela yemithi yesimanje, esetshenziswa ngokuphumelelayo ekuxilongweni nasekuphatheni izifo zesimiso sokuzala owesifazane. Zombili izinyathelo zenziwa ngaphansi kwe-anesthesia jikelele, ngakho-ke ayibuhlungu.