Mob Lub Hlwb

Hysteroscopy yog txheej txheem los saib ntawm sab hauv ntawm lub tsev menyuam (tsev menyuam). Koj tus kws kho mob tuaj yeem saib xyuas:

• Qhib mus rau lub tsev menyuam (ncauj tsev menyuam)
• Sab hauv lub tsev menyuam
• Kev qhib ntawm txoj hlab qe menyuam

Cov txheej txheem no feem ntau yog siv los kuaj teeb meem los ntshav hauv cov poj niam, tshem tawm cov polyps lossis fibroids, lossis ua cov txheej txheem kom tsis muaj menyuam. Nws tuaj yeem ua nyob hauv tsev kho mob, chaw pw sab nrauv, lossis chaw kuaj mob.

Hysteroscopy tau txais nws lub npe los ntawm yuag, lub teeb ua hluav taws xob siv los saib lub plab, hu ua hysteroscope. Cov cuab yeej no xa cov duab ntawm sab hauv ntawm lub tsev menyuam mus rau saib tsom iav.

Ua ntej cov txheej txheem, koj yuav muab tshuaj kom pab koj so thiab thaiv qhov mob. Qee zaum, muab tshuaj kom pab koj tsaug zog. Thaum lub sij hawm tus txheej txheem:

• Tus kws khomob tso rau hauv qhov chaw mos thiab lub ncauj tsev menyuam, mus rau hauv lub tsev menyuam.
• Nkev lossis kua roj tau muab tso rau hauv lub tsev menyuam kom nws nthuav. Qhov no pab rau tus kws kho mob pom thaj chaw zoo dua.
• Cov duab ntawm lub tsev menyuam tuaj yeem pom ntawm lub ntsej muag duab.

Cov cuab yeej me me tuaj yeem tso rau hauv qhov ntsuas kom tshem tawm cov kev loj hlob tsis meej (fibroids lossis polyps) lossis cov ntaub so ntswg rau kev kuaj mob.

• Qee cov kev kho mob, xws li ablation, kuj tuaj yeem ua tiav los ntawm cov uas. Ablation siv cua sov, txias, hluav taws xob, lossis xov tooj cua xov tooj cua los rhuav tshem cov roj hauv plab.

Hysteroscopy tuaj yeem siv sijhawm ntev li 15 feeb txog rau ntau dua 1 teev, nyob ntawm seb ua dab tsi.

Tus txheej txheem no yuav ua tau rau:

• Kho lub sijhawm hnyav lossis kho lub sijhawm
• Thaiv cov hlab qe menyuam kom tsis txhob xeeb tub
• Txheeb xyuas qhov txawv txav ntawm lub tsev menyuam
• Kev kuaj mob tawm sab hauv ntawm lub tsev menyuam
• Nrhiav thiab tshem tawm qhov kev loj hlob txawv txav xws li polyps lossis fibroids
• Pom qhov ua rau rov ua mis ntxiv lossis tshem cov ntaub so ntswg tom qab poob cev xeeb tub
• Tshem tawm cov khoom nruab nrog cev (IUD)
• Tshem tawm cov caws pliav ntawm niam plab
• Nqa ib daim ntaub so ntswg (kuaj me me) los ntawm ncauj tsev menyuam lossis lub tsev menyuam

Cov txheej txheem no tseem tseem muaj lwm qhov kev siv tsis tau teev rau ntawm no.

Kev phom sij ntawm hysteroscopy yuav suav nrog:

• Qhov (perforation) hauv phab ntsa ntawm lub tsev menyuam
• Kev kis mob ntawm lub tsev menyuam
  
• Scarring ntawm ob sab phlu ntawm lub tsev menyuam
• Kev puas tsuaj rau lub ncauj tsev menyuam
• Yuav tsum muaj kev phais kom kho qhov puas tsuaj
• Kev nqus kua dej tsis zoo nyob rau hauv cov txheej txheem ua rau cov dej qab ntsev tsawg
• Kev los ntshav hnyav
• Puas tsuaj mus plob tsis so tswj

Kev phom sij ntawm kev phais mob plab me me yuav muaj:

• Puas tsuaj rau cov kabmob lossis cov nqaij
• Cov ntshav txhaws, uas tuaj yeem mus rau hauv lub ntsws thiab tuag taus (muaj tsawg)

Kev phom sij ntawm cov tshuaj loog muaj xws li:

• Xeev siab thiab ntuav
• Kiv taub hau
• Mob taub hau
• Cov teeb meem ua pa
• Lub ntsws muaj kab mob

Kev phom sij ntawm kev phais muaj xws li:

• Kab mob
• Ntshav

Qhov kev ntsuam xyuas me me feem ntau muaj nyob hauv 1 txog 2 lis piam.

Koj tus kws khomob yuav sau ntawv tshuaj los qhib koj lub ncauj tsev menyuam. Qhov no ua rau nws yooj yim los ntxig rau ntawm qhov. Koj yuav tsum tau noj cov tshuaj no li 8 rau 12 teev ua ntej koj txoj kev kuaj mob.

Ua ntej kev phais mob, qhia rau koj tus kws khomob:

• Hais txog txhua yam tshuaj koj noj. Qhov no suav nrog cov vitamins, tshuaj ntsuab, thiab tshuaj ntxiv.
• Yog tias koj muaj ntshav qab zib, mob plawv, mob raum, lossis lwm yam mob.
• Yog tias koj lossis cev xeeb tub.
• Yog koj haus luam yeeb, sim nres. Nug koj tus kws khomob kom pab. Haus luam yeeb tuaj yeem ua rau lub qhov txhab zoo.

Hauv 2 lub lis piam ua ntej koj cov txheej txheem:

• Koj yuav tau tsum tsum tsis haus tshuaj uas ua rau koj cov ntshav txhaws nyuaj. Cov no suav nrog cov tshuaj aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), clopidogrel (Plavix), thiab warfarin (Coumadin). Koj tus kws khomob yuav qhia koj txog yam koj yuav tsum lossis tsis tsimnyog ua.
• Nug koj tus kws kho mob seb koj yuav siv tau cov tshuaj hnub twg ntawm koj txoj kev.
• Qhia koj tus kws kho mob yog tias koj muaj mob khaub thuas, mob khaub thuas, kub cev, mob tawm pob, los yog lwm yam mob.
• Luag yuav qhia rau koj paub thaum mus txog hauv tsev kho mob. Nug yog koj xav tau npaj ib tus neeg xa koj mus tsev.

Hnub ntawm txheej txheem:

• Lawv yuav hais kom koj tsis txhob haus dej haus lossis noj dab tsi li 6 txog 12 teev ua ntej koj txoj kev.
• Noj ib qho tshuaj twg uas tau pom zoo nrog me ntsis pas dej.

Koj yuav mus tsev tau tib hnub ntawd. Tsis tshua muaj, tej zaum koj yuav xav tau pw ib hmos. Koj yuav muaj:

• Ib hnub zoo li thaum coj khaub ncaws thiab mob ntshav tawm ntawm lub paum rau li 1 mus rau 2 hnub. Nug yog tias koj tuaj yeem noj cov tshuaj yuav tom khw rau qhov mob plab ib ce.
• Qhov dej ntws tawm mus txog ntau lub lis piam.

Koj tuaj yeem rov mus ua haujlwm li qub txhua hnub nyob rau hauv 1 txog 2 hnub. TSIS TXHOB sib deev txog thaum koj tus kws kho mob hais tias TSIS TAU.

Koj tus kws khomob yuav qhia rau koj txog qhov tshwm sim ntawm koj cov txheej txheem.

Kev phais mob hysteroscopic; Kev Siv Tshuaj hysteroscopy; Uterine endoscopy; Uteroscopy; Vaginal los ntshav - hysteroscopy; Txoj hlab ntaws hauv plab - hysteroscopy; Cov nplaum - hysteroscopy; Cov mob muaj hnub yug - hysteroscopy

Carlson SM, Goldberg J, Lentz GM. Endoscopy: hysteroscopy thiab laparoscopy: taw qhia, contraindications, thiab muaj teeb meem. Hauv: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Saib Hluag Tshaj Lij HlawvCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 10.

Howitt BE, Quick CM, Nucci MR, Crum CP. Adenocarcinoma, carcinosarcoma, thiab lwm cov qog epithelial ntawm endometrium. Hauv: Crum CP, Nucci MR, Howitt BE, Granter SR, li al. eds. Kev kuaj mob Gynecologic thiab Obstetric PathologyCov. 3lawm ed. Philadelphia, PA: Elsevier; 2018: chap 19.