Isiqulatho
I-Hysteroscopy yinkqubo ye-gynecological kancinane evumela oogqirha ukuba babone ngaphakathi kwesibeleko besebenzisa isixhobo esikhethekileyo esibizwa ngokuba yi-hysteroscope. Isetyenziselwa ukuxilongwa kunye ne-hysteroscopy yokuhlinzwa ukunyanga iimeko ze-intrauterine ezifana nokopha okungaqhelekanga, i-fibroids, i-adhesions, kunye ne-polyps, ngaphandle kokutshintshwa kwesisu kunye nokuchacha ngokukhawuleza.
I-Hysteroscopy luvavanyo lwe-endoscopic ye-uterine cavity eyenziwa ngokufaka i-hysteroscope kumlomo wesibeleko. Ivumela ukubonwa ngokuthe ngqo kwe-endometrium ukuchonga kwaye, xa kuyimfuneko, ukunyanga okungaqhelekanga kwe-intrauterine enokuthi ingabonakali ngokupheleleyo nge-ultrasound okanye i-MRI.
I-Diagnostic hysteroscopy: Uvavanyo olubonakalayo lokuphanda ukopha okungaqhelekanga kwesibeleko, ukungazali, okanye isifo esikrokrelekayo.
I-hysteroscopy yokuhlinzwa (i-hysteroscopy yokusebenza): Ukubonwa kunye nonyango usebenzisa izixhobo ezincinci zokususa iipolyps, ii-fibroids, okanye i-adhesions, okanye ukulungisa i-septum yesibeleko.
Ngenxa yokuba indlela idlulisa isibeleko, i-hysteroscopy inqanda ukucwiliswa kwesisu, inciphisa ixesha lokubuyisela, kwaye inokugcina amandla okuzala xa kuthelekiswa neenkqubo ezivulekileyo.
I-hysteroscope sisixhobo esincinci, esifana ne-tube esinekhamera ye-optical okanye yedijithali kunye nomthombo wokukhanya ohambisa imifanekiso kwi-monitor kwi-real-time guide.
Ilensi yokubona okanye ikhamera yedijithali yokujonga ngokuthe ngqo
Umthombo wokukhanya ophakamileyo wokukhanyisa
Iitshaneli zokusebenza zezixhobo (izikere, iigraspers, ii-morcellators)
Inkqubo ye-Distension usebenzisa i-CO₂ okanye i-saline ukwandisa i-uterine cavity
Ii-hysteroscopes eziqinileyo: Ukucinga ngenkcazo ephezulu; ngokuqhelekileyo isetyenziselwa ukuhlinzwa / utyando hysteroscopy.
Ii-hysteroscopes eziguquguqukayo: Intuthuzelo enkulu; ngokuqhelekileyo kwi-hysteroscopy yokuxilongwa.
I-Mini-hysteroscopes: Imida encinci yobubanzi obufanelekileyo kwiinkqubo ezise-ofisini kunye ne-anesthesia encinci.
Ukuphuma kwegazi okungaqhelekanga (AUB): Ukuvavanywa kokuphuma kwegazi okunzima okanye okungaqhelekanga; ukufumanisa iipolyps, fibroids, okanye hyperplasia.
Uvavanyo lwe-infertility: Ukuchongwa kweepolyps, ukunamathela, okanye i-septa enokuthintela ukukhawulwa.
Ukulahleka kokukhulelwa okuphindaphindiweyo: Ukufunyanwa kokuzalwa okungaqhelekanga okanye amanxeba.
I-uterine fibroids kunye ne-endometrial polyps: Ukucwangcisa i-hysteroscopy polypectomy okanye i-myomectomy.
I-intrauterine adhesions (i-Asherman's syndrome): i-Hysteroscopic adhesiolysis yokubuyisela umgodi.
Ukukhutshwa komzimba wangaphandle: Ukubuyiselwa okukhokelwayo kwee-IUDs ezigciniweyo okanye ezinye izinto ze-intrauterine.
Ulandelelwano luhluke kancinane kwi-diagnostic ngokuchasene namatyala okusebenza, kodwa amanyathelo angundoqo ahambelana nokugcina ukhuseleko kunye nokuchaneka.
Imbali kunye noviwo: iphethini yokuya esikhathini, utyando lwangaphambili, izinto ezinobungozi
Ukucinga: i-ultrasound okanye i-MRI xa ibonisiwe
Imvume enolwazi kunye neengxoxo ngezinye iindlela
I-Diagnostic hysteroscopy: ihlala isekwe kwiofisi ene-anesthesia encinci okanye ingabikho
I-hysteroscopy yokusebenza: indawo, ingingqi, okanye i-anesthesia jikelele ngokuxhomekeke kubunzima
Ukulungiswa komlomo wesibeleko okanye ukunyuswa njengoko kufuneka
Ukuqaliswa kwe-CO₂ okanye i-saline ukukhupha i-uterine cavity
Ukufakwa ngononophelo kwe-hysteroscope ngomlomo wesibeleko
Ukuboniswa okucwangcisiweyo kwe-endometrial cavity kwimonitha
Ukunyangwa kwe-pathology echongiweyo kusetyenziswa izixhobo ezigqithiswe kwi-scope
Xa i-hysteroscopy idityaniswa ne-Dilation and Curettage (D&C), ibizwa ngokuba yi-hysteroscopy D&C. Umlomo wesibeleko uhlanjululwe kwaye izicubu ze-endometrial zisuswe phantsi kombono othe ngqo, ophucula ukuchaneka xa kuthelekiswa nonyango oluyimfama.
Ukuba i-polyps ye-endometrial isusiwe ngexesha leseshoni enye, inkqubo ibizwa ngokuba yi-hysteroscopy D&C polypectomy. Le ndlela yenza ukuba kuthathwe isampuli ekujoliswe kuyo kunye nonyango kutyelelo olunye.
I-Hysteroscopy ayilona qhinga elinye kodwa liqonga elenza iinkqubo ezininzi ekujoliswe kuzo. Kuxhomekeka kwimeko yomguli, oogqirha banokukhetha kuluhlu olubanzi lwezonyango zehysteroscopic. Ezona zixhaphakileyo ziquka:
Le nkqubo idibanisa ukubonwa kwe-hysteroscopic kunye nokuhlanjululwa kunye nokunyanga. Ihlala isenziwa kubasetyhini abafumana ukopha okungaqhelekanga kwesibeleko okanye xa isampulu yethishu iyimfuneko ukuze kuthintelwe ububi. Isikhokelo esibonelelwa yi-hysteroscope senza le ndlela ikhuseleke kwaye ichaneke ngakumbi kunonyango lwendabuko oluyimfama.
Iipolyps ze-Endometrial zi-benign overgrowths ye-uterine lining enokubangela ukopha okukhulu okanye ukungazali. I-polypectomy ye-hysteroscopic ibandakanya ukujonga ngokuthe ngqo i-polyp kwaye uyisuse usebenzisa isikere sotyando, i-electrosurgical loops, okanye i-tissue morcellators. Ngenxa yokuba inkqubo incinci, izigulane ezininzi zibuyela ngokukhawuleza kwaye zifumana ukuphucuka kwangoko kwiimpawu.
Kwezinye iimeko, zombini isampula yezicubu kunye nokususwa kwe-polyp kwenziwa kunye. Le ndlela edibeneyo iqinisekisa ukuvavanywa okubanzi kwe-uterine cavity ngelixa uphatha i-pathology ephantsi.
I-Submucosal fibroids kukukhula okungekho mhlaza okungena kumgodi wesibeleko. I-hysteroscopic myomectomy ivumela ukususwa kwazo ngaphandle kokwenziwa kwesisu. Ii-resectoscopes ezikhethekileyo okanye ii-morcellators zisetyenziselwa ukucheba okanye ukusika izicubu ze-fibroid, ukugcina isibeleko kunye nokugcina amandla okuzala.
I-uterine septum yi-anomaly yokuzalwa apho udonga lwe-fibrous luhlula i-uterine cavity, ngokuqhelekileyo ludibaniswa nokungabikho komntwana kunye nokuphuma kwesisu okuphindaphindiweyo. I-Hysteroscopic septum resection ibandakanya ukusika i-septum phantsi kokubonwa ngokuthe ngqo, ukubuyisela ubume obuqhelekileyo bomgodi kunye nokuphucula iziphumo zokukhulelwa.
I-intrauterine adhesions, eyaziwa ngokuba yi-Asherman's syndrome, inokwakheka emva kosulelo okanye utyando lwesibeleko. I-Hysteroscopic adhesiolysis isebenzisa isikere esihle okanye izixhobo ezisekelwe kumandla ukwahlula ngononophelo izicubu ezibomvu, ukubuyisela i-uterine cavity kunye nokuphucula ukuhamba kokuya esikhathini kunye nokuzala.
Kubafazi abopha kakhulu xa besiya exesheni abanganqweneliyo ukuzala kwixesha elizayo, i-hysteroscopic endometrial ablation iyonakalisa okanye isusa intambo yesibeleko. Zininzi iindlela ezikhoyo, kubandakanywa amandla e-thermal, i-radiofrequency, kunye ne-resection.
Ngokungafaniyo notyando oluvulekileyo, i-hysteroscopy inqanda ukukhutshwa kwesisu. I-hysteroscope idlula ngokwemvelo kumlomo wesibeleko, ukunciphisa ukuxhatshazwa kunye nesidingo sokubuyisela ngokubanzi.
Uninzi lwezigulana eziphantsi koxilongo lwe-hysteroscopy zingabuyela kwimisebenzi eqhelekileyo kwiiyure nje. Nokuba i-hysteroscopy yokusebenza ifuna kuphela ixesha elifutshane lokuchacha xa kuthelekiswa noqhaqho lwesintu.
Ngenxa yokuba isibeleko sifikeleleka ngaphandle kokusikeka okukhulu, kukho ingozi encinci yosulelo, amanxeba, kunye neentlungu zasemva kotyando. Ukuhlala esibhedlele kudla ngokungeyomfuneko, nto leyo ehlisa imingcipheko kunye neendleko.
Enye yezona zinto ziluncedo kwi-hysteroscopy yotyando kukukwazi ukulungisa iingxaki ze-intrauterine ngelixa ugcina okanye uphucula amandla okuzala. Kubasetyhini abafuna ukukhulelwa, le yeyona nto ibalulekileyo xa kuthelekiswa noqhaqho oluhlaselayo.
Iinkqubo ezingaboniyo ezifana nonyango lwesintu zihlala ziphosa amanxeba asekuhlaleni. IHysteroscopy ibonelela ngokubonwa kwexesha lokwenyani, iqinisekisa ukuba izinto ezingaqhelekanga ezinje ngepolyps, fibroids, kunye nokuncamatheliswa zichongiwe ngokuchanekileyo kwaye zinyangwe.
Ukusuka ekususeni i-polyp elula ukuya kwi-myomectomy eyinkimbinkimbi okanye i-septum resection, i-hysteroscopy inokulungiswa kwiimpawu ezininzi zeklinikhi. Oku kuguquguquka kwenza kube sesona sixhobo sibaluleke kakhulu kwi-gynecology practice.
Ukuchithwa ngengozi kwodonga lwesibeleko kunokwenzeka ngexesha lokufakwa okanye ukuguqulwa kotyando. Ngelixa uninzi lweemeko zisombulula ngaphandle kweziphumo ezinkulu, ukutyhoboza okuqatha kunokufuna ukulungiswa kotyando.
I-Endometritis okanye ukusuleleka kwe-pelvic ngamanye amaxesha kunokulandela i-hysteroscopy. I-antibiotics ye-prophylactic ayifuni ngokuqhelekileyo kodwa inokuqwalaselwa kwizigulane ezinomngcipheko ophezulu.
Ukopha kancinci kunye nokubonakala kuxhaphakile emva kwenkqubo. Ukopha kakhulu, nangona kunqabile, kunokwenzeka ukuba i-fibroids enkulu okanye izilonda ze-vascular zinyangwa.
Xa kusetyenziswa imidiya ye-liquid distension, kukho umngcipheko wokufunxa ulwelo egazini. Ukujongwa ngononophelo kwegalelo lolwelo kunye nemveliso kunciphisa ukubakho kweengxaki ezifana ne-hyponatremia.
Iicramps, ukopha kancinci, kunye nokungakhululeki kwesisu zizinto eziqhelekileyo kodwa ziziphumo ebezingalindelekanga zethutyana. Ezi zikholisa ukusombulula phakathi kweentsuku ezimbalwa.
Ngokulandela izikhokelo zokhuseleko lwamazwe ngamazwe, ukusebenzisa izixhobo zanamhlanje, kunye nokuqinisekisa uqeqesho olufanelekileyo, iingozi ze-hysteroscopy zingancitshiswa.
Iindleko ze-hysteroscopy zihluka ngommandla, uhlobo lwenkqubo, kunye nokumisela ukhathalelo. Kwizigulane kunye nabathengi bezibhedlele, amaxabiso athotyelwa ukuba inkonzo yi-hysteroscopy yokuxilonga okanye i-hysteroscopy yokuhlinzwa (umzekelo, i-hysteroscopy D&C okanye i-hysteroscopy polypectomy), kunye ne-anesthesia, iifizi zesibonelelo, kunye neemfuno zokubuyisela.
EUnited States: I-hysteroscopy yokuxilonga ngokuqhelekileyo isukela kwi-$1,000–3,000 yeedola; iinkqubo zotyando ezifana ne-hysteroscopy D&C okanye i-hysteroscopy polypectomy kaninzi isukela kwi-$3,000–5,000 yeedola.
EYurophu: Iinkqubo zikawonke-wonke zihlala zigubungela iinkqubo eziyimfuneko kwezonyango; imirhumo yabucala iqhele ukuwa malunga ne-800-€2,500.
I-Asia-Pacific: I-hysteroscopy yokuxilonga iqhele ukufumaneka malunga needola ezingama-500 ukuya kwi-1,500 yeedola ngokuxhomekeke kumgangatho wesixeko kunye neziko.
Imimandla ephuhlisayo: Ufikelelo lusenokuthintelwa; iinkqubo zokufikelela eluntwini kunye neekliniki ezihambayo ziyakwandisa ukufumaneka.
Xa yenzelwa ukopha okungaqhelekanga kwesibeleko (AUB), ukuvavanya ubudlolo, okanye ukurhaneleka kwe-intrauterine pathology, i-hysteroscopy isoloko ibonwa njengeyimfuneko ngokwezonyango kwaye inokugqunywa.
Iimpawu ezikhethiweyo okanye zokuthambisa zingabandakanya iindleko eziphezulu eziphuma epokothweni kwizigulana.
I-hysteroscopy esekelwe kwiofisi: Isebenzisa i-mini-hysteroscopes; ixabiso eliphantsi ngokwesiqhelo, imbuyekezo ekhawulezayo, kunye ne-anesthesia encinci okanye ingabikho kwiimeko zokuxilonga okanye umsebenzi omncinci wotyando.
I-hysteroscopy esekwe esibhedlele: Ikhethwa kwi-hysteroscopy yotyando entsonkothileyo (umzekelo, iifibroids ezinkulu, ukuncamatheliswa okubanzi) kufuna i-anesthesia jikelele, OKANYE ixesha, kunye nokujongwa kokuchacha.
Ukutshintsha iimeko ezifanelekileyo kwisigulana esilaliswayo ukuya kwiindawo ezise-ofisini kunciphisa iindleko zizonke zokhathalelo kwaye kwandisa umthamo wesigulane.
Utyalo-mali kwii-hysteroscopes eziphinda zisetyenziswe, ulawulo lolwelo, kunye nokucinga kunokunciphisa amazinga obunzima kunye nokwamkelwa kwakhona.
Iindleko zezixhobo: I-hysteroscopes esemgangathweni ophezulu, i-resectoscopes, kunye neenkqubo zokubonwayo zifuna inkunzi yokuqala; ezilahlwayo kunye nokugcinwa kongeza iindleko eziqhubekayo.
Uqeqesho: I-hysteroscopy ekhuselekileyo, esebenzayo yotyando ifuna izakhono ezikhethekileyo; Ufikelelo olunqongopheleyo loqeqesho kwiindawo ezinezibonelelo eziphantsi lunyanzelisa ukwamkelwa.
Iziseko zophuhliso: OKANYE ukufumaneka, inkxaso ye-anesthesia, kunye nokuthembeka kwekhonkco lokubonelela kuchaphazela umthamo wenkonzo.
Ukuqonda isigulane: Izigulane ezininzi aziqhelanga ukuba yintoni i-hysteroscopy okanye izibonelelo zayo; imfundo iphucula ukuthathwa.
UMntla Merika: Ukwamkelwa okuphezulu; i-hysteroscopy esekwe kwiofisi ngokubanzi kunye ne-imaging advanced.
IYurophu: Ukuhlanganiswa okubanzi kwiinkqubo zoluntu; ukuthathwa ngamandla kweofisi ye-hysteroscopy e-UK, eJamani, e-Itali, kunye nabanye.
IAsia-Pasifiki: Ukukhula okukhawulezayo okuqhutywa ngamaziko okuzala kunye nezibhedlele zabucala eTshayina, eIndiya, eMzantsi Korea, nakuMzantsi-mpuma Asia.
IAfrika kunye neLatin America: Ufikelelo olungalinganiyo; amalinge karhulumente kunye nentsebenziswano yeeNGO zandisa iinkonzo.
Iinguqulelo zakutsha nje zijolise ekwenzeni i-hysteroscopy yokuxilongwa kunye ne-hysteroscopy yotyando ikhuseleke, ikhawuleze, kwaye ikhululeke ngakumbi ngelixa uphucula ukubonwa kunye nokusebenza kakuhle.
I-Mini-hysteroscopes yenza i-hysteroscopy yokuxilonga kwaye ukhethe ukungenelela ngaphandle kwe-anesthesia jikelele, ukunciphisa iindleko kunye nexesha lokubuyisela.
I-HD kunye ne-digital hysteroscopes zibonelela ngemifanekiso ecocekileyo eyenza ukubonwa kunye nesikhokelo se-hysteroscopy polypectomy kunye ne-adhesiolysis.
Ukujongwa kokungena / ukuphuma ngokuzenzekelayo kuphucula ukhuseleko ngokunciphisa umngcipheko wokugqithiswa kwamanzi ngexesha lenkqubo ye-hysteroscopic.
Amaqonga avelayo anika ingqiqo ephuculweyo yokuqonda kunye nolawulo lwesixhobo sokutshatyalaliswa kwe-intrauterine eyinkimbinkimbi.
Uhlalutyo lomfanekiso oluncediswa yi-AI luphononongwa ukuxhasa ukuqondwa kwexesha lokwenyani le-polyps ye-endometrial, i-submucosal fibroids, kunye nokuncamathela.
Ukusebenza kunye nokukhuseleka kweenkqubo ze-hysteroscopic kuxhomekeke ekuthotyelweni ngokungqongqo kwizikhokelo zamazwe ngamazwe kunye neziqinisekiso zeengcali ezizenzayo.
Uqeqesho lobuNgcali
I-Hysteroscopy kufuneka iqhutywe ngabagqirha be-gynecologists abaye bafumana uqeqesho olusemthethweni kwiindlela ze-endoscopic. Imfundo eqhubekayo kunye nokulinganisa-based practice kunciphisa umngcipheko weengxaki kunye nokuphucula iziphumo.
IiProtokholi eziSekwe kubungqina
Imibutho efana ne-American College of Obstetricians and Gynecologists (ACOG) kunye ne-European Society for Gynecological Endoscopy (ESGE) ipapashe iingcebiso ezineenkcukacha zokuxilonga kunye ne-hysteroscopy yokusebenza. Ezi prothokholi zikhokela izigqibo ekukhethweni kwesigulane, ulawulo lolwelo, kunye nokhuseleko lotyando.
Ukuqinisekisa umgangatho
Izibhedlele ezinyanzelisa ukuvalwa okungqongqo, ukugcinwa kwezixhobo, kunye nemigangatho yokubeka iliso ifikelela kumanqanaba aphezulu okhuseleko. Iisistim zolawulo oluphezulu lwe-fluid kunye nengxelo esemgangathweni iphucula ukuhambelana kwenkqubo.
Ukhathalelo olujoliswe kwisigulane
Imvume enolwazi, unxibelelwano olucacileyo malunga nemingcipheko kunye nezinye iindlela, kunye nokucwangciswa konyango lomntu ngamnye komeleza ukuthembana phakathi kwezigulane kunye nababoneleli bezempilo.
Ngokulandela izikhokelo ezivunyiweyo kunye nokugcina imigangatho yobungcali, i-hysteroscopy iyaqhubeka kuthathwa njengomgangatho wegolide wokuxilonga kunye nokunyanga iimeko ze-intrauterine kwihlabathi liphela.
IHysteroscopy iye yaluguqula uqheliselo lobufazi ngokunika indlela esezantsi, echanekileyo yokuvavanya kunye nokunyanga iimeko ze-intrauterine. Ukusuka kwi-hysteroscopy yokuxilonga ukuya kwiinkqubo zotyando eziphambili ezifana ne-D&C, i-polypectomy, kunye ne-myomectomy, obu buchule buphucula iziphumo zesigulana ngelixa kunciphisa ixesha lokubuyisela kunye nokugcina ukuchuma.
Kwizibhedlele kunye neekliniki, utyalo-mali kwizixhobo ze-hysteroscopic kunye nokuqeqeshwa kwabasebenzi akukona nje imfuneko yeklinikhi kodwa kunye nesigqibo esicwangcisiweyo esonyusa ukhathalelo lwesigulane, ukwandisa izixhobo, kunye nokuqinisa idumela leziko. Kwizigulane, i-hysteroscopy inika isiqinisekiso-inika indlela ekhuselekileyo, echanekileyo, kunye nesimanje kwimpilo yesibeleko.
Njengoko itekhnoloji ihambela phambili nge-mini-hysteroscopes, imaging yedijithali, kunye noxilongo oluqhutywa yi-AI, i-hysteroscopy iya kuqhubeka nokuvela njengelitye lembombo kukhathalelo lwempilo yabasetyhini kwihlabathi liphela, ukuvala umsantsa phakathi kokuxilongwa ngokuchanekileyo kunye nonyango olusebenzayo.
I-Hysteroscopy isetyenziselwa ukuxilonga kunye nokunyanga iimeko ngaphakathi kwesibeleko, ezifana nokopha okungaqhelekanga, i-polyps yesibeleko, i-fibroids, i-adhesions, kunye ne-anomalies yokuzalwa. Kwakhona sisixhobo esibalulekileyo ekuvavanyeni ubudlolo kunye nokulawulwa kwelahleko yokukhulelwa okuphindaphindiweyo.
I-hysteroscopy yokuxilonga isetyenziselwa ukuhlola i-uterine cavity kwaye ibone izinto ezingaqhelekanga, ngelixa i-hysteroscopy yokuhlinzwa (i-hysteroscopy yokusebenza) ivumela ugqirha ukuba aphathe ezi zinto zingaqhelekanga, ezifana nokususa i-fibroids okanye ukwenza i-hysteroscopy polypectomy.
I-hysteroscope sisixhobo esincinci, esikhanyisiweyo se-endoscopic esifakwe kumlomo wesibeleko ukuya kwisibeleko. Inekhamera kunye nomthombo wokukhanya, okuvumela ukubonwa ngokuthe ngqo kwe-uterine cavity kunye nezixhobo ezikhokelayo zotyando xa kufuneka.
I-hysteroscopy D&C idibanisa i-hysteroscopic visualization kunye nokwandisa kunye nonyango. I-hysteroscope inceda ukukhokela ukukhutshwa kwezicubu ze-endometrial, okwenza inkqubo ichaneke kwaye ikhuseleke ngakumbi kunonyango olungaboniyo.
Uninzi lwabasetyhini lufumana ubunzima obuncinci kuphela ngexesha le-hysteroscopy yokuxilonga. Iinkqubo zokusebenza zinokufuna i-anesthesia yendawo, yengingqi, okanye i-anesthesia jikelele ukuqinisekisa intuthuzelo kunye nokhuseleko.
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