Ko wai i whakaritea e unuhanga koeko te waha? Taukiri e, kua whakamana pokanga?

He aha te mea he unuhanga tihi waha, me pehea te mahi - rawa take wā o tenei ra. Tenei tukanga hāparapara hāngai ana te tango i te tautau tihi-āhua o ngā pūtau mutated. Na ka toro kongakonga histology mamao mō te kimi mate pukupuku okotahi ranei.

Ko wai i whakaritea e unuhanga koeko te waha? Taukiri e, kua whakamana pokanga?

mai te ingoa Hātepe i te kupu "tihi" me tohu te tapahia te topetope te wahi motuhake o te kiko. Tenei āhua ripeka-motu ko te ahua tino Kōmāmā o pokanga, whakaaro te hanganga tinana, whakanohonga o nga oko toto. I tua atu, i runga i te mata o te whare tangata e kore e hanga e scarring me te hira.

conization waha whakaritea ka kimi i te wahine dysplasia epithelial, horo, polyps, endometriosis me miamatoznyh kōpuku, cysts, pokapoka nui (pānga puninga), ectropion eversion mucosal wāhanga tuatahi o te mate pukupuku ranei.

I mua ki te whawhe o te manawanui haere hi'opo'a maitai me te rapunga o te maimoatanga tika o ngā tukanga inflammatory i roto i nga whekau taihemahema. Ki te mahi i tenei, whakatakoto te tākuta whakamātautau:

• toto me te mimi whakamātautau noa;
• matū toto;
• assays mo te aroaro o te kakā B me C, HIV, me paipai pākewakewa (PP);
• pani ki te tāutu i ngā pūtau mutated me microflora;
• te rapunga o āpiha hopuhopu (tātaritanga PCR);
• kolkoskopiyu (okana ā whakamātautau e kolkoskopa).

He marama i mua i te pokanga tūtohutia te manawanui e ki tutakina te fafale me akuaku whaiaro.

A, no te whakarite i te tukanga taua, he maha nga wahine i te pātai tuatahi: he aha te mea tenei unuhanga koeko te waha? Taukiri e, kua whakamana pokanga? Pohe to ranei e kore?

Mau, whakamana te hātepe taua kei te whakamahi i te rehunga rohe, te nuinga lidocaine me epinephrine otinga ki te kukū o te 1%. Ki te he pāwera ki anesthetics rohe te manawanui, kua whakamahia te reira i te rehunga rō-uaua poto. Na reira, runga rite ongonoa te mahi. whakaaro te wa pai mo te pokanga te ki hei te wiki tuatahi i muri i te otinga o te waipara, rite reira tata faaore te hapūtanga, ka ko te roa rawa te wa ki te whakakikī i te motu i muri i te pokanga.

conization technique:

1. Kupu Whakataki ki te whakaata tenetene hanga o kirihou.
2. Maimoatanga o te otinga iodine waha, e tohu ana i te rohe o te kopa pāngia.
3. Excision o te lesion.
4. Tango i te kongakonga tapahia me rangahau anō.
5. Cauterization o ngā pae toto.

Ko te tikanga, e whawhe wahi mo 15 meneti.

Contraindications ki conization

e kore te conization kawea i roto i te mea i reira he mumura i roto i te kikokiko. I roto i ngā take pēnei i, kua whakawhitia te mahi ki te atamira i muri ki te tango mate inflammatory.

E kore te mea taea te tukanga, ki te kitea te waha matepukupuku i roto i te rangahau i roto i te toru ranei te wha o nga atamira. I roto i tenei take, i reira he he mōrea o te horapa o ngā pūtau mate pukupuku i roto i whekau tata. Ko te hua i taea e te mate o te tara, tōngāmimi, tōu. Ko te take mo te whanaketanga taua e kore e taea e te tākuta hape whakahaere, me te huru me te insidiousness o te puku iho, e whangai ana ki te tango i pakiaka i roto i nga wahi katoa o te tinana.

Ki runga ki te rapunga o taua puku tango te okana katoa.

whakaauraki

Ano, whakatika maha pātai e pā ana ki te wāhanga whakanohonoho i muri i conization. Kia pehea te ko te patunga?

whakaora tonu e rave rahi marama. I muri i te maimoatanga te kimi i nga wahine secretion toto hāurakaho i te wahi taihemahema he he kakara. Ka taea e muri i te reira no te marama. I tua atu, kia kia āwangawanga e pā ana ki te mau ate, toia cramping i āhua ranei te mamae. Kaua e mataku ki te ka te aru te wā tuatahi i te atu copious te aroaro o clots - ko te täkupu.

Hei whakakore i hūhi i muri tūtohutia te tukanga e:

• te fariiraa i āpiha antiinflammatory me analgesic;
• nohopuku, i te takoto noa kahore secretions sukrovichnyh (2-3 wiki);
• whakakore i te kōkuhu tara o tampons, kānara, hinu, te whakahaere douches;
• te oreraa i tango i te pati, kaukau poka wai me te sauna;
• whakawhāiti i te mahi;
• e kore e ki pāmahana piki (one, solariums, e tata ana me oumu).

E rua wiki i muri i conization tirotiro whakahauanga ki te aroturuki i te tukanga whakaora, me te tāutu, me te ārai hopearaa taea.

I muri i toru ranei wha nga marama tū kolkoskopiya me kikokiko whakaū cytological. I tenei wāhi te tukanga whakaora ki kia oti.

nunu'a pea o te whawhe

Nāianei tikanga hāparapara conization whakaiti i te whanaketanga o pōauautanga. Heoi, ratou e taea e kore te tino kingi i roto i:

1. O te toto.
2. Kătahi o mate.
3. Stenosis o te awa waha (whāiti).
4. Tūkinotanga o te kaha waha obturator e taea arahi ki materoto.
5. Huri o ngā āhuatanga o secretions mucous i te awa waha.
6. heke hua.

He onge te takanga o te scarring i muri pokanga, no te mea e kore te reira e whakamahi electrocautery tikanga.

Methods o tukanga

mahi Modern hauora tā te conization uterine i roto i te maha o ngā huarahi:

1. Taiaho. Ko te reira i te utu tino engari ano te nuinga-tech tiketike.
2. Tana ngaru. Kei te tikanga o whaki te wāhi kua pā ki nāianei hiko.
3. Koromeke. Ko te tikanga kua he mōrea iti o pōauautanga me te utu whaitake.
4. Maripi. he onge teie mahana, no te mea e he tūponotanga nui o hopearaa ino.

I teie mahana, te whai hua tino he taiaho tihi unuhanga, whakaaro nei ko te pāmamae iti. Heoi, ko te tino noa te unuhanga koeko te whakamahi i te tikanga koropiko, no te mea te reira tino fakatahai te utu utu ki te kounga tiketike, rite kitea e kōrero i te tohunga.

Taiaho conization tikanga

Ko te utu tino tenei tikanga, a reira, e ara nga pātai: He aha te mea te taiaho unuhanga koeko te waha? Kia pehea te Ko te mahi me te aha ko ona painga?

whakamana ana te tikanga i raro i poto rehunga whānui mā te whakamahi i karbondioksidnogo taiaho e simulates te tikanga scalpel. I mua i te tīmata te mahi, he hora i te taote te waha, me te tukanga ki te teke ki rongoā rongoā horoi. I raro i te mahi tonu o te kurupae taiaho he lesion āhua rite te tihi, ki te kongakonga iti riro me kiko hauora (1-2 mm). Wä i reira he cauterization o te taha marutanga.

Painga o te tikanga:

• whakaiti ki te iti o te mamae i roto i, me te i muri i te mahi;
• ārai o te ngawhatanga postoperative;
• whakaiti o te toto i roto i te wā whakaora;
• taiaho te whakangaromia e microorganisms, Na te whakaiti i te mōrea o te contamination o te parae operative;
• kiko scarring i muri i te tukanga iti.

he whai hua, mea kohakore, me te aseptically mahi Taiaho, a kia kawea ai te reira i roto i roto i te pahoho me i roto i te tautuhinga tūroro.

conization tikanga tana ngaru

Kei te whānui i tēnei malotravmatichen tikanga me whakamahia i roto i te mahi hāparapara. Pehea he koeko waha ngaru unuhanga irirangi? A, no te whakakorea coagulated motu mata motu ko te takanga o te toto. huru no te tikanga e tika teitei tango rohe dysplastic. A ki whakaiti taea te pānga ake i te tūponotanga o te putanga pai o hapūtanga muri.

kete tikanga

Te aro ki te take, i te mea he conization waha koropiko, pehea te whawhe o tenei, kia tuhia ai kia ai te tango kikokiko wahi dysplastic te topetope, i te whakatakoto i te kawehiko koropiko i runga i tenei rohe. I muri iho, arahina te koropiko te auau nui tauutuutu nāianei, me te hua ai excision.

Papanga i roto i tenei tikanga paku anake pakaru, ka puta te pai te wā whakanohonoho. Ko te syndrome mamae he ngoikore, me te kua he roanga poto. whakauaua puta toto.

tikanga conization naihi

Kei te whakapono te reira e ko tenei tikanga te ngaukino tino a taea whai hopearaa ino. I teie mahana, na reira, kawea he mahi taua i roto i uaua. A, no te faaue i te tukanga pērā i te conization maripi, rite mahi te pokanga i te scalpel, ki matau e kia hira.

whakamana ana te tikanga kei te whakamahi i rehunga whānui rohe ranei ki te whakataki o ngā rongoā hemostatic, i ētahi wā here tākuta ake he uaua iti.

Muri wehea e scalpel kikokiko ora i roto i te puka o te koeko. I muri excision o nga taha o te tarai coagulated te whakamahi i kawehiko porohita ki te aukati i te toto. Ki tenei mutunga, ka taea te whakamahi hoki swabs miro, me te hemostatic hinu.

Te reira taea ki te tiki hapu i muri i te tukanga

Hei matau ki ta unuhanga koeko waha, me pehea te tukanga ki te whakamahi o ngā tikanga rerekē, whakaaro tatou te pātai o te tiaki hua. Tohunga mea e kore e te whakamahi o tikanga auaha o te mahi mau whakaiti tūponotanga o te wahine o te whiwhi hapu, me te hanga i te tamaiti. Heoi, i waenganui i te tukanga me te hapū kia he wā o te tau i te iti rawa te kotahi. A, no te whakamahere i te hapūtanga i muri i te wahine conization kia:

1. Te uiui e te rata mātai, matepukupuku rānei me te tafe'anga.
2. Hei haere pani mo tsitolokicheskogo rangahau me te tātari hoki i te aroaro o hormones i te toto.
3. Hanga kolkoskopiyu ultrasound waha me whekau whakaputa uri.

I whakapumautia te reira i taua dysplasia, conization whakaorangia e te wāhanga tuatahi me te tuarua, whakaritea kore e meinga pōauautanga i roto i te hapūtanga. Ko te toru, te wha wāhanga o te māuiuitanga i roto i ngā ki ētahi atu huru, ake i te mōrea o te materoto.

Whanau ana i muri i te tukanga

I roto i te hononga ki tenei uiraa faufaa ko: me pehea e whanautanga i muri conization? Ko te putanga o te whawhe e taea e ki te whakaiti kaha o te tinana ki te totoro, hanga uaua ki te whakaatu, me te pinepine poroa hapūtanga te wāhanga whakawhānau whakaritea.

Engari kia rite ki mahi e taea e tūturu, ki te mātakitaki i obstetrician ka kite contraindications. I roto i te tau tuatahi i muri i whanau he tika ki te tika whakamātautau e te rata mātai ki te wā o te 3 marama, ki te kitenga wawe o te whanaketanga hou o te mate, te mōrea o e faarahi i muri i te hapūtanga.

Mō te mea fakamanamanai tihi waha unuhanga, pehea te mahi, ko te arotake te tino whakauru. Te reira i katoa tei runga i te atamira i ai i kitea te mate, i te mate, me te i te tikanga tukanga. kōrero wā ki te tākuta āwhina whakakitea tohu o te mate i roto i nga wāhanga tuatahi, e titauhia tango o te nui iti o te kikokiko ki te whakatere ake i te tukanga whakaora, me te whakapiki ake i te tūponotanga o te putanga pai o te hapū me te whanau.