Endometrial curettage

Niaj hnub no, ib qho ntawm feem ntau muaj nyob rau me me gynecological hauj lwm yog scraping lub endometrium. Qhov no pab yuav tsum tau tog twg los rau kho los yog diagnostic hom phiaj.

Raws li ib tug tshwm sim ntawm lub lag luam no yog raug tshem tawm mucosa ntawm lub tsev me nyuam, tab sis tsis yog txhua txhua, tiam sis tsuas yog tej txheej. Rov qab tom qab curettage ntawm lub endometrium yog vim nws sprout txheej uas tseem tom qab curettage.

From thaum pib ntawm lub voj voog hloov endometrium thiab thickens nyob rau hauv kev npaj rau tau implantation ntawm lub embryo. Yog hais tias koj cev xeeb tub tsis tshwm sim, ces nws yog tsis lees txais thiab muaj poj niam. Nyob rau hauv lub tom ntej no voj voog thoob plaws dua. Ua tau scraping lub endometrium zoo xws li cov poj niam, tab sis ua instrumentally. Feem ntau npaj manipulations sim siv ib ob peb hnub ua ntej los ntshav. Yog hais tias lawv yog cov yuav ua tau thaum pib los yog nruab nrab ntawm ib lub voj voog, nws tej zaum yuav ntev spotting. Thaum lub sij hawm ua poj niam kom muaj kev phais nws tseem yog tsis yooj yim sua, txij li thaum Scraping tau txais thaum lub sij hawm lub sij hawm no yuav tsum uninformative vim necrotic hloov nyob rau hauv txheej ottorgsheysya.

Pib lub lag luam raws li lub tsev me nyuam kwj dej rau sprout txheej. Cov khoom tau tom qab curettage thiab endometrium xa mus rau histological txoj kev tshawb no nyias. Cov tshwm sim ntawm txoj kev tshawb no yog npaj txhij nyob rau hauv ob lub lis piam. Nws yuav tsum tau noj tam sim ntawd thiab qhia cov mus kawm gynecologist.

Niaj hnub no, ntau thiab ntau ntawm endometrial curettage ua nyob rau hauv cov kev tswj ntawm hysteroscopy. Yog tsis muaj nws, cov manipulation yog ua zoo dig muag. Los ntawm kev siv tib lub hysteroscopic tus kws kho mob thawj tshuaj xyuas qhov lub tsev me nyuam, ces siv scraping, thiab tom qab nws nyob rau hauv kev tswj ntawm nws ua hauj lwm dua. Cov kev siv uas niaj hnub khoom los txo qhov yuav ua rau kev raug mob thiab lwm yam mob rau cov neeg mob.

Scraping nqa tawm nrog lub hom phiaj ntawm:

• kom tau cov ntaub ntawv uas rau histology;

• tshem tawm polyps los yog synechiae.

Ua ntej manipulation yog tsim nyog kom dhau lub nram qab no kev tshawb fawb:

• general zis thiab ntshav;
• ECG;
• kws kho mob sib tham;
• swabs rau cytology thiab muaj;
• ntshav Science News for KIDS;
• coagulation;
• ya mus;
• txiav txim v tau thiab cov ntshav pab pawg neeg;
• paub qhov theem ntawm qab zib;
• ua ib tug ultrasound;
• kuaj rau tus kab mob siab, syphilis thiab HIV.

Niaj hnub no, muaj ntau yam rau pej xeem cov tsev kho mob txawm lub lag luam yog ua nyob rau hauv tso dej tshuaj loog zoo. Tab sis cov tshwm sim yog nqi nws.

Tus neeg mob yooj yim ntog pw tsaug zog thiab tsim thaum ncaj qha nyob rau hauv lub khiav hauj lwm chav tsev. Ntxiv mus, nws thauj mus ib gurney nyob rau hauv ib chav tsev nyob qhov twg nws yuav rov qab mus pw. Ib teev tom qab, nws yog tau tso cai rau pib haus thiab zaum. Ob, nws muaj peev xwm twb tau sawv thiab noj mov, tab sis tom qab peb mus tsev.

Ntau nyob ntawm kev tsim nyog ntawm cov anesthetist. Txawm li cas los, tom qab no muaj yog tsis muaj tshuaj loog xeev siab, mob taub hau, ib tug neeg yog yuav luag siab. Ncus xws li yog ib tug neeg sawv tom qab ib tug sib sib zog nqus pw tsaug zog, nws yuav muaj ib yam dab tsi rau tsis nco qab.

Scraping - lub lag luam yog yooj yim heev, nws yuav siv sij hawm 20 feeb. Txawm li cas los, tom qab nws kuj tseem yuav ib co teeb meem:

• perforation ntawm lub tsev menyuam;
• o ntawm lub tsev menyuam;
• hemometra (spasm ntawm lub caj dab thiab tsub zuj zuj ntawm cov ntshav nyob rau hauv lub tsev me nyuam);
• ntev li scraping.

Tab sis lawv tsis tshua muaj. Raws li ib tug yuam, tus kws kho mob yuav muab tshuaj rau mob, feem ntau yuav kawg ntawm tshuaj tua kab mob. Feem ntau, tom qab cov kev pab ntawm ob peb teev yuav tsum los ntshav, ces nws yog tsim nyog los coj lub gasket. Rau hais txog ib lub lim tiam tej zaum yuav spotting.

Yog li, lub scraping ntawm lub endometrium - yog ib qho ntawm feem ntau gynecological tej kev phais thiab xis nyob, tshwj xeeb tshaj yog yog hais tias nws yuav ib tug tsim nyog gynecologist thiab ib tug anesthetist. Txo txoj kev pheej hmoo ntawm cov teeb meem thiab kev raug mob yuav siv hysteroscopy.