Hysteroscopy permits viyaviti. Hysteroscopy procedure in gynecological practice.

Hysteroscopy of the uterus - how and where is it going to be carried out? How many things are there for you? Be amazed at the experience and the quickening of the hysteroscopy of the uterus in addition to the information and preparation before the final call.

What about hysteroscopy?

When diagnosing, the doctor will look around the stan- dard of the mucous, in the meantime, and the diagnosis will be carried out. By the method of surgical management є the formation of polyp (growths) or other pathological new solutions.

Indicated for diagnostics with a hysteroscope є:

• suspicion for endometriosis (growth of mucus);
• pripuschennya about the appearance of miomi (pukhlini);
• wait for the evil affirmation;
• the fragments of the shell of the fetus have become empty in the empty space (when the canopy);
• irregularity or overwhelming generosity of menstruation;
• vaginal bleeding posture term;
• non-recurring wikidny for no reason.

Qia manipulation is also designated for the detection of pathologies of the uterus and uterine appendages.

Yak performed procedure

Diagnostics behind the help of a hysteroscope

After the introduction of the attachment, the gynecologist started a step-by-step look at all the uterus. The image through the camera is brought to the monitor in the big viglyad, which allows the doctor to create a virtual display about the patient's body. In some cases, in the process of diagnostics, tissue collection is carried out for laboratory analysis. Triva session is not more than 20 hvili. I will look at those who can be carried out without anesthesia, the woman may feel discomfort or insignificant pain.

surgical procedure

The first step is to look at the organ with a hysteroscope. Then the doctor can carry out visualization of pathological new conditions. In some cases, the attachment can be replaced by a more foldable design tool (hysteroresectoscopy). The session held in a large amount of loans is not more than a half year. At the same time, the woman does not see pain, or lack of hands through the postal anesthesia.

Yak pidgotvatisya before hysteroscopy of the uterus

Necessary analyzes before hysteroscopy of the uterus:

• home biohim_ya on the roof and I cut;
• pіkhvi smear;
• analyzes for gonorrhea;
• cytology of the uterine neck;
• Ultrasound examination of organs tied with gynecology;
• electrocardiogram;
• fluorography.

Conduct all analyzes two days before the assigned date. In addition, for hysteroscopy of the emptying of the uterus, a doctor's office is required.

In order to get to the session of the patient, it is necessary to change the obsyag of the life of the patient. A year before the maintenance of the life, premedication may have been carried out, if overloaded drugs... One hour, the temperature and the grip change.

Females who want to try to manipulate the hysteroscopy of the uterus and how they can be inherited, are encouraged to morally educate themselves. The procedure, especially the one carried out without anesthesia, is tied to discomfort. Overburdened in stress, the patient can not relax, but negatively appear on the results of diagnostics.

For moral preparation, a video is also available, in which it is described in detail how hysteroscopy is carried out during the start.

Prototype indications and traces of hysteroscopy of the uterus

Statements of infection and uterine bleeding can also be reported until a counter-indication. If the procedure is not recognized in case of heart failure, abnormally, in case of deterioration of the larynx of blood, or in case of an important history of infarction (history of ailments). Cancer established in the last stage on the shytsi organ can be a transition for the whole process of manipulation. Do not send for hysteroscopy if the patient is evidently developing vaginosity.

Tastes of hysteroscopy є:

• Blood vision.

  Vaginal bleeding during manipulation with a hysteroscope is normal, so as the roof of injured blood vessels. For a diagnostic procedure, the stench is insignificant and not more than two days. It was successfully carried out in a surgical manner, shelter can be seen up to 5 days, in some cases it can be seen.

  In cases of bleeding, if the bleeding lasts more than five days, it is necessary to turn up to the lykar. Also, behold the fakhivtsya slid, as you see it from pikhvi may be sharp unacceptable smell, Revenge the houses with pus, or they are made into black color. Symptoms can speak of an ignition process, and the appearance of an hour-long liquor involvement can lead to serious delays.

• More for hysteroscopy.

  It can be trivial up to ten days. The stench can be seen in the lower part of the abdomen, sometimes it can be seen in the cross-crooked air. intensity most of the views- from the weak to the last. In vipadkas, if the pain is severely swung or if the given term is wrong, it is necessary to consult a doctor.

• Inferior weakness.

  The unsatisfactory zagalny camp is explained by the discomfort (emotional and physical), which the patient underwent an hour of the procedure. Likewise, the weakness can be given by an overdose of anesthesia. For hysteroscopy, it’s a lot of women to skimp for weakness in the languages ​​and the headquarters of the countries. Before any other symptoms, a fever, chills, head bill, It is necessary to turn up to the lykar.

  hysteroscopy є effective method diagnostics or lykuvannya, which is successfully victorious in the current gynecology. To deny the result and prevention of acceleration, patients need to follow all the recommendations of the doctor both before and after it is carried out.

Read also.

Hysteroscopy is one of the basic diagnostic and clinical procedures in gynecology, which has been repaired since the 80s. XX century. There are great opportunities for carrying out diagnostics (I will not provide a quick look at the canal of the cervix of the uterus, uterine emptying) and lyuvial (yes a short result, no more extensively expanded curettage, curettage - scrubbing) curettage procedures. Ale for її effective conduct it is necessary to carry out a basic training.

How to conduct hysteroscopy

A hysteroscope is a special tool for equipping with a fiber-optic light guide with cutting lenses with a diameter of 2-8 mm. It can be hard or dull, it can be stored with an internal and external tube with channels for hard operating tools, special knives, pliers for taking extractive tissue - biopsies, bipolar ones. The new generation of hysteroscopes has an oval shape to the profile, so as to prevent minimal trauma to the tissue of the cervix.

How many procedures? tse:

• taking biopsies of the internal mucous membrane (endometrium) to the organ;
• enlargement of the convulsive canal of the shyka;
• razsіchennya vnutіshnomatkovo ї partitions in case of lіkuvannі bezplіddya;
• seeing little polіpіv;
• resection (virizannya) of small myomas;
• control of damages in the matrix during the operating period;
• strumming small blood-bearing vessels;
• distribution of spikes;
• diagnostics of the causes of damage menstrual cycle, Blood visions on the stage of postmenopause, bezpliddya, non-vinosuvannya;
• podose for myoma, endometrial cancer, the presence of surplus of fruit eggs in the mother, anomalies and development, a puncture of the wall of the body;
• assessment of the effectiveness of hormonal therapy.

The head of the hysteroscopy is the procedure for the visualization and for the general control of the doctor for the view of a given, for example, curettage, if the procedure is carried out at the same time. The remainder of the procedure is to increase the speed of such an expedited procedure, as without planning. For some people, only DRT (additional reproductive technologies) can help. At the starting stage, for additional hormones, provoke the formation of eggs more strongly and then use the parkan for stopping in the laboratory. ? They use the technology of operative laparoscopy, they use special endoscopic instruments without any problems.

To carry out surgical manipulations during hysteroscopy, the empty organ should be filled with a gas (Janet's syringe, behind an additional set of rosters at a height, supplemented with a humic pear). But it’s just that the attachment doesn’t give the ability to regulate the grip in the matrix and it can help to speed up the process. That is more beautiful to vibrate fakhіvtsya, which є the ability to vicoristvuvuy hysteropump or automated hysteroscopic system. Establishing the optimal grip of life in the empty body will ensure good visibility before the hour of operation.

Video

Uwaga! Information on the site is presented by fakhivtsy, but it can not be of a knowledgeable character and cannot be a vicoristan for an independent lіkuvannya. Obov'yazkovo consult a doctor!

Hysteroscopy of the uterus is called a look around procedure її internal surface for the addition of a fiber-optic attachment, the image from a car sposter on the monitor. Oskilki enter the uterus empty of abductions by the shy uterus, whose canal is normal, hysteroscopy is involved in an invasive procedure and anesthesia. See a few types of hysteroscopic coverage. It is essential to take a decision that is necessary in a specific type, if the manipulation is carried out on an outpatient basis, in order to be aware of a hospitalization. The procedure for its own contraindication and particularity of the conduct; Visiting the song for singing training.

see manipulation

Regularly as a result of the visit, hysteroscopy can be used:

1. diagnostics: only a look at the uterine empty space is carried out, without damaging the integrity of the tissue; to be tested with a muscle anesthesia device with a hysterofibroscope;
2. surgical: for an hour I will look around є the possibility of seeing small internal images (with special thin pincers), if you want to correct them on the histological basis. Get in the minds of a hospital doctor for internal anesthesia for an additional hysteroresectoscope apparatus;
3. control. It can be used for diagnostics of hysteroscopy, and it can be checked again - for assessing the results of treatment, diagnostics of recurrences of certain illnesses (for example, polyp).

All three types of procedures are used for expanding the emptying of the uterus (in the norm, it is not in the dispensed mill) with sterile gas.

Outside the view can be called the last innovation - microsteroscopy.

In the modern gynecological practice, there are many methods for the treatment of women with the help of diagnostics of quiet children. One of the most effective is the hysteroscopy of the uterus, if the patient has a special medical attachment - a hysteroscope. The staff of your lіkar can beat the empty uterus in the middle and provide an accurate diagnosis. Let’s take care of the hysteroscopy of the uterus.

What about hysteroscopy of the uterus and what type of hysteroscopy?

The current hysteroscopy is diagnostic and diagnostic. Prescribers vvazhayut, with the help of instrumental improvement, the method is more informative and effective for the treatment of any pathologies of the uterus. Inspection of the uterine empty space behind the aid of a hysteroscope will not only allow the problem to be identified, but the growth in the uterine gaps is surgical, which is necessary.

diagnostic hysteroscopy

Diagnostic or office hysteroscopy is carried out on an outpatient basis for diagnosis or confirmation of diagnosis. The loan procedure is from 5 to 25 hvili, and for carrying out the patient it is not necessary to go to the doctor's office. As a rule, the whole procedure is recorded on a video, so that you can re-look the material again. When diagnosing with a hysteroscope, the integrity of the tissues of the empty uterus does not break. An official diagnostic procedure is carried out without a history of anesthesia, and only for people suffering from sickness.

hirurgic

Surgical hysteroscopy - intrauterine device promptly involved If the integrity of the fabric is broken. Mind її vikonannya є stretching the emptying of the uterus with the help of the stem of the opportunity to look round the wall. The surgical hysteroscopy of the uterus lasts for gas and liquid, in the presence of the method of emptying emptying. And the difference in the hour when the transfer procedure was sent to the script, intraoperative, preoperative, string, extra, plan. The operation is carried out for short hours gallant anesthesia.

Shown before the visit of the hysteroscope

Hysteroscopy of the uterine emptying is carried out in the offensive conditions:

1. As a woman, she can’t find the reason for it.
2. With anomalies of the uterus.
3. For the control of canopy and fruit egg surplus.
4. With an adolescent endometriosis.
5. When women have impaired menstrual cycle.
6. At the age of at the university miomi.
7. With pathology endometrial.
8. For cancer.
9. Before EKO.
10. For making the uterine tubes leaky.
11. With bleeding during menopause.
12. For vivid internal contraceptives.

However, there are a few indications for this procedure:

• Infectious diseases;
• vagіtnіst;
• stenosis of the cervix;
• ignition processes;
• uterine bleeding.

Preparation before the operation and the necessary analysis

First of all, the operation is performed, the doctor will direct the patient to the condition of the patient, how to prepare for the hysteroscopy of the uterus. Also, before the procedure, you need to create the following analyzes:

• Wasserman reaction;
• back-to-back analyzes slash / blood;
• bacterioscopic visualization of vaginal images;
• further information on VIL-infection.

Obsthezhennya includes ultrasound of the small pelvis, fluorography, EKG, backward examination of the therapist. Analyzes before hysteroscopy of the uterus and the results and the situation of the doctor's requirements for organizing the tactics of choosing the line for manipulation, a drug for anesthesia and conducting the period of renewal of the operation. Before one procedure, the patient is guilty of cleaning cleanliness, but before the operation, she is guilty of urinating. Likewise, on a whole day of life, you cannot have anything to drink and eat, but a generalized drainage for all anesthetic drugs.

De і yak performed hysteroscopy of the uterus

An important feature of the given manipulation is those who do not have a problem with economic growth - the introduction of tools to work through the help of a child. Before the cob of the operation, the name of the organisms, the inner surface of the stegon, are poured with an alcoholic rosary. Then, behind the help of vaginal mirrors, the shyka is naked, covered with alcohol. When a probe is introduced, which will see if the uterus is empty, and then Geger expands, as the opening of the cervical canal begins to open up, if the uterus is bleeding more.

Through the cervical canal, a hysteroscope is introduced, connected with a light dash, a video camera, a system of supplying a line. Bagatorazovye uterus on the monitor gives you the opportunity to carry out promptly without prejudice, which includes a check-up, a visualization of the necessary procedures. When the operation is over, the hysteroscope is empty, and the close of the cervix is ​​seen spontaneously. More details about the operation to marvel at the video:

Hysteroscopy update

period of operation the allowance for the knowledge of the patient in the minds of the stationary from two years before the days, in the fallowness due to the folding of the operational involvement. pislya postponed operations zhіntsі recommended sparing regime, vignatas physical options... Take a bath, so long as you do not end your menstrual bleeding, you can do it without covering it up. After 3-5 days of hysteroscopy of the uterus, the patient may have a slight blood loss.

Folding and inheritance of operations

The traces of hysteroscopy will more often lie in the physiological features of the patient's body, but rather accelerated, as a rule, do not last more than 5 days. At the time of the period, flatulence in shlunkovo-intestinal tract, Yakiy viklikanny to drink gas, internal organizations And yet I see a blood sugar in couples with spasms, so I can make menstrual pains.

blood vision

for carrying out diagnostic hysteroscopy seeing from the uterus is insignificant. If a medical abortion is carried out, then it will be promoted in the first day of the vision, it will be smeared, and in the beginning of 3-5 days - it will be too sacrificial. The visualization of fibromatous universities or the field of endometrial hemorrhage is also insignificant, as it is not very slow, in the case of uterine bleeding we can be clear.

In a wide variety of cases, it is necessary to re-surgical treatment, blood-sparing drugs, or to speed up the uterus. As the hysteroscopy of the uterus in the patient is susceptible to bloody and bloody vision, which is superfluous to changes in temperature, it means that the woman has a history of flushing.

pull pain

Reabilitation of hysteroscopy of the uterus is difficult in a patient for a maximum of 10 days, with a stretch of which she seems to be painful in nature. The stench is localized in the transverse-crooked area or the lower part of the abdomen, it is of the same or weak intensity. If it is more difficult to get a lot of turbulence during the operative operation, then it is a sign of taking drugs from a group of non-steroidal gostry bil... If the ailment in the lower abdomen does not pass for 10 days, then it will be necessary to turn up to a lykar - the ignition process has developed.

Prototype shown before the operation

Hysteroscopic dosage of uterine emptying is used as the most secure operation in microsurgery, and she has a number of indications. In the first place, I will appreciate the freedom and technology of carrying out surgical operations. Bad luck can be the reason for the failure of serious aggravations. For example, the appearance in the mother of a patient of crayfish chin є contraindicated against hysteroscopic illnesses, and there may be only some naughty women.

The vaginism develops, it may not allow any kind of engagement, even the hysteroscope is inserted into the empty uterus and the fetus can be stimulated or the fetus can be interrupted. Patients with infectious diseases are admitted to the factors of risk. fired up, I dvchata, I do not want to spend money, because they did not reach the next day (15-16 years).

Skіlki approximately kostu hysteroscopy of the uterus

The price for carrying out hysteroscopy of the uterine emptying is based on the level of the foldability of the procedure, the qualifications of the doctor, the quality of the vicarious possession. For example, diagnostics in an average statistical medicine can cost 4-6 thousand rubles, but it’s not possible to get enough money quickly (if you see a polyp or sprinkle the empty uterus). The hysteroscopy in the minds of the stationary may be dear, albeit a plus: the patient is going to be known as a visitor.

The stagnation of endoscopic possession, as well as of the same methods in various areas of practical medicine, including hysteroscopy in gynecology, has significantly increased the number of diagnostics and the effectiveness of illusion. Hysteroscopy is a minimally invasive method of visual inspection of the empty uterus and the internal surface behind an additional optical system - a hysteroscope.

Sho also hysteroscope and yak vin pratsyu

A short information on how to add intelligence to the essence and power gained as a result of the victorious method. The hysteroscope is a small rectangular body with two taps, with single hoses for supplying a line or gas in a grip, and a connection. The middle class give the power of the virginity of the womb: polish the eye, adjust the power of manipulation for the removal of the emptying of the uterus, remove the mucus and blood clots.

The body is fitted with an open tube (empty tube), which accommodates an internal tube with an eyepiece, illumination and telescopic systems that allow you to view the empty uterus “with an eye”. In some models, there is a channel for the introduction of tools (knives, hard and nimble biopsies and punchy tweezers, electrodes, laser light guide), which are intended for small maneuvers.

Falsely from vikoristovuvanih optical systems, you can also see a panoramic view (without improvement) or a panoramic view from the increase in 20 times. For the additional help of the first license, you can also find out more about the inner stance of the uterus and the significance of the bottle, so you can get more detailed advice for additional information. Use the tubes with the optical system to increase 60 and 150 times (micro-steroscopy), so that you can make changes in the buds of mucous membranes and cells, clarify the steps of development and the nature of pathological, conduction of children differential diagnostics klitin, podosrilh on a crayfish regenerated.

See hysteroscopes and іх storage

Behind the functional level, there are two main types of hysteroscopes, which are used for diagnostics, as well as for surgical operations small obsyagu - elastic, or nasty (hysterofibroscope) and hard. The hysterofibroscope is more handy in good maneuvering, a little more expensive and more expensive.

Naybilsh is often attached to a rigid tube in diagnostics. For technical characteristics, telescopes with a diameter of 4 mm can be used and cut around 30 0 and 0 0, 12 0 and 70 0. 1 і 2 mm.

A special group of hysteroscopes is stored by Hysteroresectoscopes with G-mounted and cultivated unipolar electrodes, go to the electric generator. Hysteroresectoscopy with a diameter of 7 mm surgical engagement It does not require significant enlargement of the cervical canal (cervical canal). Hysteroresectoscopy with a diameter of 9 mm is used for the visualization of submucous myomas, many great polyps, for significant areas of internal endometrial spaces, for coarse (adhesions), for catheterization of the uterine tubes.

For the purpose of carrying out internal computer manipulations and reporting documents, a large number of models of hysteroscopes are provided with a video camera.

In connection with the obvious number of patients with no patients, hysteroscopy before EKO is of great importance for the biopsy of the mucous membrane. ECO (extracorporeal delay) is the introduction into the empty space of the uterus in front of the delayed ovum. For zabezpechennya efektivnosti її vprovadzhennya in endometrіy i prikrіplennya to stіnki uterus neobhіdno viklyuchiti abo usunuti nayavnі for tsogo pereshkodi in viglyadі polіpіv, endometrіozu, adhesions, vnutrіshnomatkovoї partition lіgatur scho zalishilisya pіslya cesarean roztinu i viyshli uterine porozhninu, ignition protsesіv endometrіya i pipe submucous universities, etc.

In such a rank, in the form of deposits, hysteroscopy is cleverly subsumed into:

• diagnostics;
• hirurgic;
• control, carried out to reconcile the results of the test;
• as one of the elements of the training program to the EKZ.

Yak carried out by hysteroscopy

The procedure is carried out on a gynecological crucible in a standard position. When the anesthesiologist provides the system for the drip introduction of the necessary solutions and preparations for the introduction of the patient into anesthesia, the gynecologist has treated the patient with a disinfecting rose. Then the viral step of the expansion of the cervical canal after the addition of the introduction in a new metal expansion of a different diameter. This stage is the most painful and can lead to unpleasant reflex reactions to the body. The procedure is carried out with general anesthesia.

type of anesthesia

Before using anesthesia to slow down the hysteroscopy, lie down only as directed by the anesthesiologist. Inject a lot of chinniks on the chain:

• Before the appointment of a gynecologist;
• zagalny camp of the patient;
• the presence of a new fellow sickness;
• the ability to develop allergic and anaphylactic reactions to narcotic and other drugs;
• cleaning up the hysteroscopy and anesthesia, including bleeding, electrolytic problems and breaking the balance of life in the body, in connection with the trivial problems of the emptying of the uterus with roses.

Most often hysteroscopy is carried out under external internal anesthesia with an individual selection of narcotic and analgesic drugs, and if there is evidence of a contraindication until new - before masochial anesthesia. Ale in some cases, with the potential for severe narcosis, associated with the procedure either by anesthesia, or by the hypothesis of trivial gynecological maneuvers, it is not possible to take anesthesia for anesthesia prophylaxis. Regardless of the type of anesthesia or anesthesia, there is a continuous monitoring of behavior, heart activity and bloodshed for the additional help of special monitors.

Aftermath of the Manipulation

When the filler is disinfected with a disinfectant, the hysteroscope must be injected into the widening area of ​​the uterus with a gas, looking at the size, shape and shape of the mother, the mill of the area at the entrance (tube). At the same time, respect for the relief, color and thickness of the mucous membrane of the uterus (endometrium), the appearance of the term of the menstrual-ovarian cycle, for the appearance of any pathological changes and appraisal.

In case of extraneous spirits (surpluses of a fruit egg, ingrown fragments of the internal spiral), a stench is seen with an additional jam introduced through the channel of the hysteroscope. The area "grown-up" on the atypical degeneration of dilyanoks is given a special biopsy of biopsy with forceps for a later histological pre-development.

In the end of the procedure, the gynecologist urge to carry out a "cleaning" of the emptying of the uterus, for which the anesthesiologist should administer the patient for anesthesia and sposter for her during 2 years of complications.

If it is more beautiful to rob hysteroscopy and deyaki and inheritance

The term of the diagnostic procedure is to be found. For women of reproductive health, the most optimal period is the period from the first to nine days of menstruation. For an hour, if the mucous membrane is most thin, then in the meaning of the world I will look around and diagnose. In postmenopausal women, before the hour of menopause, as well as in the presence of extraordinary symptoms, hysteroscopy can be performed at any hour when there is excessive bleeding.

Yakshko planuєte vіtnіst

With a planned visit, the day of hysteroscopy will be the first day of the last menstruation. To this, the vagina of hysteroscopy can occur already in the offensive during the procedure of the month, especially if it was just for diagnostic purposes, or supervised to suspect insignificant pathological changes. However, they were carried out serious manipulation, more beautifully utrimatisya in the form of vaginosti by stretching out.

About scho to svidchit temperature adjusted for manipulation?

When the temperature is adjusted for hysteroscopy on the 3rd - 4th day, and once and for the next day, when it is measured in 0.2% of all samples, it may be indicative of chronic ignition process... The most frequent wine is a vine with a sharpened saktosalpinx - chronic heat in the uterine tubes, which supervises the accumulation of rare serous vmestu in them.

The temperature can also increase and during hysteroscopic visualization of multiple polyps or submucous myomatous node, as well as viscous uterus. The result is the formulation of natural aseptic firing. Distant surplus of a fruit egg, which has been lost due to self-induced abortion, side room In the viglyad there has grown an internal spiral, or fragments, for a trivial hour to be in the empty uterus can also be the reason for an increase in temperature during the last hour of hysteroscopy.

Vidіlennya - if you can beat the trivia?

If the procedure is carried out normally, bloody smears and because of the mucous vision lasting 2-3 days are normal, as the procedure was diagnosed or supervascularized to the visible polyp and to find a submucous node.

Bleeding lasting 4-6 days, sometimes with menstrual, maybe in the same way, as if diagnostics were carried out at once. Greater trivial and normal bleeding, as well as mucous-glandular vision during hysteroscopy, especially when the temperature changes, є I am familiar with the slowdown. In cich vipadkah, it is necessary to be careful not to feed the animal.

Preparation before hysteroscopy

The basic plan for the preparation of the patient, directly from the type of hysteroscopy, including:

1. Exceptional gynecological examination, including vaginal biological examination.
2. Conducting instrumental and laboratory dosages.
3. Consultation of a therapist.
4. Inspection by an anesthesiologist and additional consultations of other patients (at the examination of an anesthesiologist) to clarify the manifestation of a patient's illness and character.
5. Without pre-preparation of the patient before the procedure.

Instrumental doslіgennya:

1. Electrocardiography.
2. Fluorography of the breast cancer.
3. Colposcopy.

Requirements for analysis before hysteroscopy of the onset:

1. Headline clinical analyzes of blood and blood.
2. Analyzes for RW, VIL, for the presence of antigens for hepatitis "B", antigens for hepatitis "C".
3. Biochemical blood analysis for glucose, bilirubin, pecin transaminases.
4. Thrombocyte change in blood, prothrombin hour and hour of blood larynx.
5. A smear from the canal of the cervix for cytology.
6. A smear from a p_khvi to determine the degree of purity and the nature of microfloria.

Hysteroscopy is adjusted to the operation and training of the patient's self. At the same time, it is recommended to precomplete one procedure in order to accept only easily digestible products, which are not wick gas... At the evening, you can take in a little, but it is possible and it is necessary to take a birth in the world of wine, to consume in niy - drink only weakly brewed tea and still water. At the end of the day, spend a cleanup class. Vrantsi on the day of the procedure: it is not possible to accept the cleanliness, whether it is a ridin, it is not necessary to burn, it is necessary to re-carry out a clean-up treatment.

Taking into account all the rules of preparation signifies a change in the risk of diagnosis and acceleration of the hours of hysteroscopy and anesthesia, as well as in the post-anesthetic period.