Hysteroscopy

Hysteroscopy inzira yekutarisa mukati medumbu (chibereko). Mutapi wako wezvehutano anogona kutarisa kune:

• Kuvhura muchibereko (cervix)
• Mukati medumbu
• Kuvhura kwe fallopian machubhu

Maitiro aya anowanzo shandiswa kuongorora matambudziko ekubuda ropa muvakadzi, kubvisa polyps kana fibroids, kana kuita nzira dzekuvharisa. Zvinogona kuitwa muchipatara, nzvimbo yekuvhiya kwekurapa, kana hofisi yemupi.

Hysteroscopy inowana zita rayo kubva kune yakatetepa, chishandiso chakavhenekerwa chinoshandiswa kutarisa chibereko, chinonzi hysteroscope. Ichi chishandiso chinotumira mifananidzo yemukati medumbu kune vhidhiyo yekutarisa.

Maitiro acho asati aitwa, iwe unozopihwa mushonga wekukubatsira kuzorora uye kuvhara marwadzo. Dzimwe nguva, mushonga unopihwa kuti ubatsire kurara. Munguva yekuita:

• Anopa anoisa chiyero kuburikidza nemukadzi uye chibereko, mudumbu.
• Gasi kana mvura inoiswa mudumbu saka inowedzera. Izvi zvinobatsira mupiki kuona nzvimbo iri nani.
• Mifananidzo yechibereko inogona kuonekwa pavhidhiyo skrini.

Maturusi madiki anogona kuiswa kuburikidza nehukuru kuti abvise zvisina kujairika kukura (fibroids kana polyps) kana tishu yekuongorora.

• Kumwe kurapwa, kwakadai sekubvisa, kunogona kuitwawo kuburikidza nehukuru. Ablation inoshandisa kupisa, kutonhora, magetsi, kana masaisai eredhiyo kuparadza marara echibereko.

Hysteroscopy inogona kutora kubva pamaminitsi gumi nemashanu kusvika paawa rimwe chete, zvichienderana nezvinoitwa.

Maitiro aya anogona kuitwa ku:

• Bata zvinorema kana zvisina kujairika nguva
• Bvisa iyo fallopian machubhu kudzivirira kubata nhumbu
• Ziva chimiro chisina kujairika chechibereko
• Tsvaga kuomarara kwemukati wechibereko
• Tsvaga uye bvisa zvisina kujairika kukura senge polyps kana fibroids
• Tsvaga chinokonzeresa kudzokororwa kwepamuviri kana kubvisa zvinyama mushure mekurasikirwa nepamuviri
• Bvisa chigadzirwa chemukati (IUD)
• Bvisa mavanga matsvuku kubva muchibereko
• Tora sampuro yetishu (biopsy) kubva pamuromo wechibereko kana mudumbu

Maitiro aya anogona zvakare kuve nezvimwe zvinoshandiswa zvisina kunyorwa pano.

Ngozi dzehysteroscopy dzinogona kusanganisira:

• Horo (perforation) mumadziro echibereko
• Kubatwa kwechibereko
  
• Kupenga kwemukati wechibereko
• Kukuvadza kumuromo wechibereko
• Kudiwa kwekuvhiyiwa kugadzirisa kukuvara
• Unusual fluid kunyura panguva yekuita kunotungamira kune yakaderera sodium mazinga
• Kubuda ropa kwakanyanya
• Kukuvadza kune ura

Ngozi dzekuvhiyiwa kwepachivande dzinogona kusanganisira:

• Kukuvadza kunhengo dziri pedyo kana zvinyama
• Ropa rakagwamba, iro raigona kuenda kumapapu uye rinouraya (zvisingawanzo)

Ngozi dzeanesthesia dzinosanganisira:

• Kusvotwa uye kurutsa
• Dzungu
• Kutemwa nemusoro
• Matambudziko ekufema
• Utachiona hwemapapu

Ngozi dzekuvhiyiwa kupi dzinosanganisira:

• Utachiona
• Kubuda ropa

Biopsy mhedzisiro inowanzo kuwanikwa mukati me1 kusvika 2 mavhiki.

Mupiki wako anogona kupa mishonga yekuvhura chibereko chako. Izvi zvinoita kuti zvive nyore kuisa chiyero. Iwe unofanirwa kutora mushonga uyu maawa masere kusvika gumi nemaviri usati waita maitiro ako.

Usati wavhiyiwa, udza mupi wako kuti:

• Nezve mishonga yese yaunotora. Izvi zvinosanganisira mavitamini, mahebhu, uye zvinowedzera.
• Kana iwe uine chirwere cheshuga, chirwere chemwoyo, hosha yeitsvo, kana mamwe matambudziko ehutano.
• Kana iwe uri kana uchigona kuve nepamuviri.
• Ukasvuta, edza kurega. Kumbira mupiki wako kuti akubatsire. Kusvuta kunogona kunonoka kupora kwemaronda.

Mumavhiki maviri maitiro ako asati aitwa:

• Iwe ungangoda kumira kutora zvinodhaka izvo zvinoita kuti zviomere iro ropa rako kugwamba. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), clopidogrel (Plavix), uye warfarin (Coumadin). Wako mupi achakutaurira zvaunofanira kana zvausingafanirwe kutora.
• Kumbira mupi wako kuti ndeapi mishonga yaunogona kutora pazuva remaitiro ako.
• Udza mupiki wako kana iwe uine dzihwa, dzihwa, fivha, herpes kuputika, kana chimwe chirwere.
• Unozoudzwa nguva yekuuya kuchipatara. Bvunza kana iwe uchida kuronga kuti mumwe munhu akutyaire kumba.

Pazuva remaitiro:

• Iwe unogona kukumbirwa kuti usanwa kana kudya chero chinhu maawa matanhatu kusvika gumi nemaviri usati waita maitiro ako.
• Tora chero mishonga inogamuchirwa nekapu kadiki yemvura.

Unogona kuenda kumba musi iwoyo. Kazhinji, ungangoda kurara husiku. Unogona kuva:

• Kuenda kumwedzi-senge chinyoro uye kupenya kwemadzimai kubuda ropa kwemazuva 1 kusvika maviri. Bvunza kana iwe uchikwanisa kutora pamusoro-the-pakaunda mushonga wekurwadziwa kwekumonyoroka.
• Kubuda kwemvura kwemavhiki anoverengeka.

Iwe unogona kudzokera kune zvakajairwa zvezuva nezuva zviitiko mukati me1 kusvika mazuva maviri. Usaite bonde kusvikira mupi wako ati zvakanaka.

Wako mupi achakutaurira mhedzisiro yemaitiro ako.

Kuvhiya kweHysteroscopic; Kushanda hysteroscopy; Chibereko endoscopy; Uteroscopy; Kusangana nekutsi kwemukadzi kubuda ropa - hysteroscopy; Uterine kubuda ropa - hysteroscopy; Adhesions - hysteroscopy; Kuremara kwekuzvarwa - hysteroscopy

Carlson SM, Goldberg J, Lentz GM. Endoscopy: hysteroscopy uye laparoscopy: zvinoratidza, zvinopesana, uye matambudziko. Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chits.

Howitt BE, Kurumidza CM, Nucci MR, Crum CP. Adenocarcinoma, carcinosarcoma, uye mamwe epithelial tumors eiyo endometrium. Mu: Crum CP, Nucci MR, Howitt BE, Granter SR, et al. eds. Kuongorora Gynecologic uye Obstetric Pathology. 3rd ed. Philadelphia, PA: Elsevier; 2018: chitsiko 19.