Hysteroscopy - preparation, carrying out, can be accelerated. Step and recommendation before training before hysteroscopy.

Hysteroscopy of the uterus - there is a need for manipulation, as it is necessary to carry out any problems for conception and hormonal background With the help of diagnostics and detection of uterine disease.

The introduction of a probe into the empty space of the uterus with a small chamber and svitlodiodami (hysteroscope) is called "hysteroscopy". This is the procedure for vicarious treatment both for diagnostics and for surgical purposes. Vykonuyuchi diagnostics hysteroscopy, lykar vivchak stan slizovoi, schob put an accurate diagnosis. With surgical hysteroscopy, polypy and insight are seen.

Shown and counter-indications for the procedure

Patients should be sent for hysteroscopy according to the following indications:

Є suspicion of pathological growth of mucus (endometriosis).

You can let go of my miomi.

At the empty uterus there is a canopy in the presence of a surplus of the fetal shell.

є ruin menstrual cycle(Win irregular abo menstruation back to back).

Є Submit the evil process.

Trap vaginal bleeding.

The patient is awed, bezpliddyam, because she repeats wikids.

Є anomalies of the uterus.

At preparation before the EKZ procedure.

If hysteroscopy is contraindicated?

The procedure is not vikonuyut in such cases:

Stenosis of the cervix.

Viability.

Інфекції.

Filling.

Stronger uterine bleeding.

See hysteroscopy of the uterus

- Diagnostic hysteroscopy (also called "office") It doesn’t take a lot of time and it’s outpatient. It’s a triviality to get ready to become no more than 25 quills, so that the patient is not sent to the hospital. Video recording is made for an hour. The price is necessary in order for the procedure to be changed more quickly. In case of official hysteroscopy of manipulation, one can go without anesthesia; The integrity of the tissue of the uterus during such diagnostics will not break down.

- With surgical hysteroscopy, Yaka є internal operative operation, the integrity of the fabric will not deteriorate. For the її vikonannya it is necessary to have sufficient expansion of the emptying of the uterus, so that you can respectfully pick up the picture. On the basis of the method, which is used for stretching, surgical hysteroscopy is divided into two types: birth and gas. And in the absence of an hour, the procedure is seen as planned, extractive, string, preoperative, pislyaoperative, intraoperative hysteroscopy. Surgical hysteroscopy is good for non-trivial anesthesia.

Defeat hysteroscopy of the uterus

Diagnostic and surgical hysteroscopy of the year is healthy in most of the gynecological findings. Also, the procedures for the hysteroscope can be carried out in clinical diagnostic centers, you can simply find out the information in the Internet.

In addition, as soon as the procedure is vibrated, it is necessary to check the cycle between 7 and 10 days. On the right, in the very same period in the matrix, there is a friendly mind for the assessment of the endometrium.

Preparation before hysteroscopy

In order to use hysteroscopy, it is not necessary to take into account all the rules of preparation. Three days before the designated day of the procedure, it is necessary to fix all the article contacts. Also, during the whole period it is not possible to store vaginal sprays and hygienic tampons. For seven days before hysteroscopy, you cannot go to the hot tub, sauna or take a hot bath. welcome medications guilty buti uzgodzheniy s lykar. Independently, it is not possible to recognize these drugs in any way. It is also necessary to go through all laboratory dosage, Yakі is shown in such vypadі.

Necessary analysis and condition before hysteroscopy

Before the procedure, recognize the following:

• Analysis of blood (outside).

• Analysis of the section (zagalny).

• smear for bacterioscopy.

• shelter for VIL and Wasserman's reaction.

In addition, the ultrasound treatment of the pelvic organs, EKG, fluorography, should be sent to the therapist for an examination.

The results of all these dyslіdzhenі necessary fachіvtsy in order that it is possible to correctly draw up drugs for anesthesia and rіdin for the evaluation of manіpulation, as well as, in order to be envisaged with the tactics of the operative maintenance of the patient. The blame was completed two days before the due date of the hysteroscopy. Also, before the procedure, it is necessary to correct the shape of the health of the doctor-therapist.

One time before the procedure is carried out, the woman is guilty of the speed of her life. A year before hysteroscopy, patients can carry out premedication ( zaspokilivi zasobi). It is also necessary to change arterial viseі temperature. In the first place, cleaning is necessary, and before the session of the patient, it is necessary to carry out the communication sechovy mikhur... Moreover, on the day of the session, it is not possible to drink and drink (because of the obov'yazkova umova before the anesthesia is inhibited).

go procedure

It is important to note that the surgical management has been given to be displayed without any changes. Instruments are carefully introduced into the uterus through the pіkhva. Before starting the procedure before the procedure, it is necessary to sprinkle the area of ​​the article organs with alcohol, as well as the inner surface of the stegon. Writing from vikorstannya vaginalnyh mirrors to expose the shyka and can be applied to it alcohol. Use a special probe to measure the empty load and proceed to the supply of the Geger dilators. It is necessary that the cervical canal be opened up and that the uterus starts to bleed more often.

The introduction of a hysteroscope is passed through the cervical canal. Attachment of information with illumination dzherel, camera and feed system. The image, like being seen on the monitor, is bagatorazovy. Tse polegshuє vikonannya surgical operations(Vidalennya polіpіv, viscrіbannya and deyakі іnshi come in). If the procedure is completed, the hysteroscope is taken from the uterus, and the hysteroscope is closed by itself.
V period of operation sickness of the hospital. The triviality of moving to a stationary varies from two years to three days. All lay in order for a folding Bula procedure. In the period of renewal of patients, we recommend a sparing mode for the reduction of the type of contact and the type of intensive physical options... Menstruation is coming in the norm of infusion without covering. At the time of the operation and until the end of the onset of menstruation, take a bath. As long as 3-5 dB of operation, there is little vision of blood, turbulence is not varied, it is generally normal.

You can accelerate the use of hysteroscopy

The traces of the process of tying with individual features to the organism of ailments. Ale the stink of a girl who is more than 5 dB. In the first days of the operation, the patient may suffer from flatulence. Wien of accusations to penetrated gas, which is injected into internal organizations... Spastic manifestations, similar to pain during menstruation, and vision of a blood vessel are also indicated. As soon as there is an abortion, then on the first day there will be a big vision. And then for 3-5 dibs the vision will be sacrificial or zhovtuvaty. Iaksho visions of polyp endometriosis or fibromatous higher education institutions, bloody vision є, ale їkh nebagato. Riasna is bleeding to talk about those who have been quickened. They are allowed to undergo a repeated surgical procedure, to prescribe medications that will speed up the uterus and provide shelter.

There are drops, if during hysteroscopy there is a vision of blood and pus, the temperature rises. Tse talk about those schochasya igniting process, which is necessary and secretly lіkuvati.

Seeing pain that is more painful for hysteroscopy

The renewal period for hysteroscopic operations will not borrow more than 10 dB. At the end of the hour, the children skarzhi on niyuchi-pull pain. inappropriate views localized in the area across and across the curve, as well as in the lower abdomen. For the intensity of the stench, make you feel good or weak. If it is too strong, there will be necessary preparations for the purchase. Name for the whole family to recognize non-steroidal anti-fumes (ibuprofen, diclofenac, ketanov, etc.). Even if the pain doesn’t go away for 10 days, є before you start the ignition process.

Hysteroscopic picture in case of endometrial diseases

Hysteroscopy in hyperplasia endometrial

Endoscopic procedures and histological preliminaries are diagnosed, but hyperplasia is characteristic of premenopausal and reproductive patients. More than 30% of them have less hyperplasia with adenomyosis. Hyperplasia of endometrium can be manifested by metrorages and menorahs. Catching of menstruation in ailments occurs with the same frequency as the most part of bleeding. In case of half-time variants of hyperplasia, severe bleeding occurs, as it does not often become the cause of undercutting.
The hysteroscopic picture varies in fallowness due to the nature of the pathology and the stage of expansion. The same picture lies in the fact that it is bleeding and it’s trivial.

With acute hyperplasia without bleeding, such a picture is observed. The sweat is full of endometriosis with folds, which may grow up. Vidtinok - blido-horny. Good, clean, bezlich duct (the stench might look like a clear-cut dots).
In patients with a polypoid shape, in the empty uterus, it is more likely that the uterus has a bladder growth in the uterus. Bulbs appear on the surface. There is also a great number of endometrial synechiae. Endometries on the surface of nerves. On new є bristles, pits, polypodobny grooves.

With atypical hyperplasia and focal adenomatosis, the characteristic endoscopic criteria are seen. Hysteroscopic dosage give a picture, I will add to the zalizisto-cystic hyperplasia. In patients with important forms of atypical hyperplasia, they are more likely to suffer from blood-thinning or blood growth, which may be more likely to occur. Viglyadayut stink zzvychay stringy - zhovto-sіrі with nalot white. An accurate diagnosis can be made only on the basis of a histological analysis.

Hysteroscopy with endometrial hyperplasia (photo)

Hysteroscopy with polyps

The pathology is widened further. On her, 53% of all illnesses of endometrium in postmenopausal women fall. In a large number of patients with such a diagnosis in the anamnesis, there is a viscous blotch, as a result of which fragments of atrophic endometrial and polypy emerged. It’s worth talking about those procedures that went away without the help of hysteroscopy, didn’t bring about a complete visualization of polyps, but hormone therapy was effective.

Children with polyps are not often susceptible to seeing with blood. But I will increase the asymptomatic development of ailments, if the polyp does not show itself to myself and only appears when the ultrasound scan is sent. More than a third of the patients, who may have a polyp in the cervical canal, appear and a polyp endometrium in the empty uterus. In women who are in postmenopause, it is often diagnosed in the cervical canal of polyp, which occurs from the fundus of the uterus. The operation with hysteroscopic control is indicated for the reason in the development of polyp diseases.

Histologically, polypy endometrial can be adenomatous, fibrous, fibrous-fibrous, cystic-fibrous.

Hysteroscopic picture with fibrous polyps such. Blidi lonely illumination, which can be round or oval in shape and appear in small sizes (no more than 0.5x1.5 cm). The structure of the їх to reach is sharp, the stench is low, the surface is smooth, the vascularization is poorly rotated.

Zalous-cystic polyp to reach great in proportion to fibrous ones. The stench can reach the size of 5x6 cm. Alle, the children of the children will see a few such polyp. Behind the shape of the stench rіznomomanіtnі. Buvayut cone-like, species of polyp. It is also possible to create the wrong form (with the links). The surface of the cich is mostly smooth and smooth. Alle in some sense, a simple structure, reminiscent of the glimpse of the old and the subtle stinks, is meant. Such polypies are decimated types: light-cheeks, light-erysipelas, erysipelas-siry. Yogo top can be the mother of crimson or crimson-bluish color. A capillary baby appears from above.
The adenomatous polipy behind the sizes is small - not more than 0.5x1.5 cm. The stench looks more dark, siri, there is a cry.

Zalous-cystic polyp of the uterus (photo)

In modern terminology є the understanding of "polyposis endometriya". To the whole understanding, there are many polyphysics and polypoid hyperplasia. Hysteroscopy with cych pathologies gives a picture. An accurate diagnosis can be established only after the results of histology.

Hysteroscopy for endometrial cancer

Win over to diagnose women who may have abnormal visions (with pus, blood, watery) are overused in postmenopausal women. In some situations, hysteroscopy reveals cancer in 100% cases. Papillomatous growth is indicated, as there may be a number of changes and develop in its own form. On them are the presence of areas of necrosis, є hemorrhage. As soon as the speed of delivery changes, the fabric will immediately start to fall apart. Vona started to cry, to bleed, to see the result.

With the help of a hysteroscope, it is possible not only to detect pathology, but to determine the biopsy, to specify the extent of the cancer, and to determine the localization. In a number of vypadkiv navit vyaviti vyaviti germination in myometri. At the time of the wrinkle of the grain (tobto є crater), the razvlecheniye of the yarn fabrics, the fibers of the rosette in the sides are seen. Such pathological changes are caused by a special caregiver. Hysteroscopy needs to be done carefully, so as not to allow perforation of the thin tissue of the uterus.

Hysteroscopy for endometrial cancer (photo)

The forecast of an illness and a political tactic is based on the presentation of the following criteria:
the occurrence in the pathological changes in the mucous cervical canal and the stromal storage, the occurrence of myometry, the magnitude of the new solution, its localization, the parameters of the uterus. The evil process is far away and the chubby is widened, I see it is not enough sense. You just need to take a student in order to carry out a histological examination.

Hysteroscopy with uterine myomas

At a large number of submucosal vapors, they are alone, but many submucosal miomas are developing more and more. The most frequent pathology is diagnosed in women who are in the reproductive period or in premenopause. for early vik(Up to 18 years) and for postmenopausal women who become ill - fertility. Vyavlyayutsya myomi with bleeding. The stench is intense, suffers pain and causes anemia.

Hysteroscopy with uterine myomas (photo)

Submucous myoma - serious pathology Yaka can be brought to some kind of quick fixes, including mimic abortions and beddings before the term.

For additional hysteroscopy, it is easy to navigate through small submucosal knowledge. For detection of a defect, it is necessary to complete metrography or ultrasonic coverage. A hysteroscopy is used to clarify the nature of the defect. The contours of my house make you read, for the shape of the stench is spherical, the consistency is spherical to (well, it’s important, you need to touch it to see the tip). The view is near whitish, on their surface there is blood (dots or large), you can see a grid of widened vessels, which are covered with a thinned endometrium ball. If there is a change in the speed of feeding into the uterus of a child, the form and size are approved to be so. Tsim miomi are seen from polіpіv.

Interstitial-pidlizovі mіomi hіsteroskіchnogo viznachayutsya yak vibuhne. The steps are tied to the peculiarities of the growth of the university and its size. Above the surface of such an illumination endometrium is thinned, blidiy vidtinok... The contours of such universities make you read.

Pidslizovy vuzli are easy to reach. If it’s a great university, then in diagnostics there may be a lot of mercy (like in times of great polyp). The attachment is taken into the space between the sanctuary and the wall of the uterus, and the empty through the slit-like process.

Having found a university education institution, the car is guilty of the assessment of its size, the width of the display, and the value of the localization. It is necessary to respectfully look at the views from both sides and from the ratio of the values ​​of the slip and intramural warehouse. It is also very important for the correct choice of the way of visual illumination. Also, these indicators will help to take decisions about the preoperative hormonal training.

Cyst in the empty uterus (photo)

Hysteroscopy with adenomyosis

Such pathology is diagnosed as adenomyosis. In some vipadkah є chimala k_lk_st grave results... For the broadening of the middle of gynecological ailments, adenomyosis is located at the 3rd stage (during miomi and ignition processes). Symptoms are found in the localization and the stage of discomfort. Most often children skip on menstruation great views... As soon as there is a small cervical form of ailment, then there are few contact bleeding during the period of menstruation.

To find out adenomyosis behind the aid of a hysteroscope, good information is required. In a number of cases, an accurate diagnosis of hysteroscopy bags cannot be made. Todi mean metrography and ultrasound in dynamics. We shorten the diagnostic method to find the moment to use MRI. It’s not often enough to blow in a little, there are some variations of this procedure to reach the temple.

The hysteroscopic picture can be quite interesting. All to lie in the form of a turn and a form of pathology. Nibilsh in the distance an hour for diagnostics - the 5th or 6th day of the cycle. per zovnishnim viglyadom pathology є black or black-red eyes, which can be very thin or point-shaped. You can see shelter from the house. Not vyklyuchenі zmenіy stіnki uterus - ridges, vibuhali vuzli.

Hysteroscopy with adenomyosis (photo)

Hysteroscopy with internal synechia (adhesions)

The normi endometries have three balls: basal, middle and functional. Before the hour of the month, two left-overs go out to trade.

On the current day, if the theory appears, synechia (adhesion) appears, but it is itself: traumatic, neurovisceral, infectious. A major factor is the mechanical operation of the basal ball in the early phase as a result of abortion or in the period of sleep. Infection in some cases is not a secondary factor. The first month of abortion is abortion - samiy unfavorable period... Itself in tsei hour can become trauma of the mucous membrane. Immovable synechia appears to move with vaginosity, but has died. In such patients, the stench is more frequent, less frequent abortions. It will explain the activation of fibroblasts (in the case of the placenta tissue has become overloaded) and the establishment of collagen before the regeneration of the endometrium. In some cases of synechia, there is an operation on the matrix (conization, diagnostics of visualization, metroplasty, myomectomy). Likewise, synechiae can become an inherited endometritis (especially tuberculous), with amenorrhea being diagnosed. Another factor that causes synechia to appear is the IUD.

Hysteroscopy with internal synechia (photo)

The main method for diagnostics of the pathology is hysteroscopy. Such a picture is promoted: unjustifiable bilyasti heavy, which are developed according to the greatness and proficiency. The stench is found between the uterus stinks, and often changes through emptying. In some cases, it will be necessary to check the obliteration. Settling synechia і in the cervical canal, through the most powerful growth. Nizhni synechia may look at the light-horny strands (make a paputin), the judge may look at one another. Shilny synechia may be in the middle of the street, located on the street (or if the star is in the center).

The appearance of transverse multiple synechiae to the partial growth of the empty uterus. At the same time, there is a lot of empty (boggling) of a sizeable size. Vipadki, if they wander through the arms of the uterine tubes.

Hysteroscopy with a septum in the emptying of the uterus

The uterus, yak vidomo, pretends to be from the Mullerian duct. One empty piece will form until about 19 or 20 minutes of vaginosity. For any negative factors, the middle septum can be reduced in general, until the formation of an anomaly of the uterus. Such people often come to grips with abnormalities of the sevure tract. The frequency of partitions is from 2 to 3% of all females. The problem is often led to the point of being innocent, so it can be done without any problems.

When diagnosing the most informative MRI. Alle the part of the zanadto-visok methodology, it will get stagnant.

Schob clean out the picture pathological changes, Perform hysteroscopy in conjunction with laparoscopy. Before an hour of hysteroscopy, it is necessary to estimate the size of the partition and its length.

The septa are not right and wrong (i.e., reach the cervical canal). If the hysteroscope is located on the edge of the internal opening, two openings are visible in the cervical canal. The stench is dark, it’s good to eat. As the partition is very large, there can be problems with diagnostics (the partition can be important to see from the uterus). For patients with a separate partition, the hysteroscope can be consumed at once in one empty space, which is carried out to the pardon in the diagnosis. It is impossible to forget about the orintir - the uterine tubes. Only one arm is clearly visible, it is necessary to detect anomalies in the development of the uterus.

Hysteroscopy with a septum in the emptying of the uterus (photo)

In the development of vad development, urologic diagnostics is shown, and pathological findings are often supervised by vads of the organs of the reproductive system.

Hysteroscopy in case of external symptoms in the empty uterus

With the presence of IUD, hysteroscopy should be performed in the following ways: not far from being seen by other methods, surplus of a contraceptive in the mother, perforation of the uterus is possible. Once the contraceptive has been used in the mother, it can be in myometrium. Yogo being aware of such problems becomes a problem. For the help of hysteroscopy, the localization of the contraceptive should be determined and seen in a targeted manner.

With a trivial interruption of the IUD in the matrix of the first part, the synechia and the valve endometrium are pricked up. When I do not see any fragments of the IUD in the mother, the diagnostics will be diagnosed before the hour of the early phase of proliferation, respectfully vyvchayuchi uterus. In case of perforation of the uterus, laparoscopy is required.

Ligature in the empty uterus for caesarean rostin (photo)

Patients with endometritis and pyometra, who had undergone conservative myomectomy, or caesar rostin, may have lavsanov or ligaturia. In such cases, there is a tendency towards vision of pus, as it does not pass through the use of antibiotics. Can be second without planning. Hysteroscopy gives a picture of the hysteroscopy of the mucous uterus in the lower third along the anterior point (which was carried out by caesar). Women who have undergone a conservative myoectomy have a bilea of ​​ligatures, which have gone partly into the empty uterus.

Fragments of the placenta, or the surplus of the fruit egg, represent a formless tissue. Ї vidtinok of crimson or whitish-zhovtuvaty, prevent bloodshed in the growth of a small size, grow out of it, ring at the bottom of the uterus. In such droplets in the empty uterus, mucus and blood are often found, as it is easy to move around. Accurately having localized the tissue, it is possible to accurately visualize it without the need for additional endometrics.

Chronic endometritis є characteristic signs... For the diagnosis, it is necessary to carry out diagnostics in the early phase of proliferation (1st day). On the surface of the wall, hyperemia is susceptible, she is easily injured, the one who has a dota of wicked bleeding. The weakness of the glasses is important. In the people of nabryakloi hypertrophied mucous, there are blue-zhovty or biluvati islands.

Hysteroscopy in chronic endometritis (photo)

Macrogisteroscopy of vyavlya bilyasti ducts of zaloz on aphids (the so-called "moon field").

Slid memory, but one hysteroscopy for the diagnosis of chronic endometritis is insufficient. It is necessary to carry out a histological examination.

Matkova vagіtnіst in early terms with hysteroscopy

Such a hysteroscopic picture is made possible. Sokovita rozheva slizova, on one dilyantsi you can see more of a cup of tea. Before the hour of the change in the uterus, the number of chorionic villi is indicated. The report is allowed to poult the fruits of the shells from the deadly worm.
Ale with uterine vaginoscopy, hysteroscopy, naturally, do not vikonuyut. Information about the hysteroscopic signs of Bula otriman when differential diagnostics with post-office vagina. In case of uterine vaginosis, hysteroscopy is indicated through a high degree of imperfection.

Now, at the present moment, hysteroscopy is an even more informative and safe method of treatment for internal pathologies and endometrial diseases. There is a possibility of finding the exact localization of changes, steps of their extension and to indicate an adequate solution. For some people, the diagnostic procedure is translated into a surgical procedure, so that polypies, third-party objects, etc. are seen.

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 way, 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: carried out only a look at the uterine empty space, 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 station) with sterile gas.

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

One of the main directions in modern medicine is a great number of given in the diagnostic method, which is victorious. If you are sick, you will not be injured. Vibrating ways, as do not require rough penetration in the middle of the body. In the field of gynecology, hysteroscopy. Specialist will be aware of the situation, that is, on any day the cycle will be afraid of hysteroscopy.

Understanding the method

Hysteroscopy is a method of tightening the uterus behind an additional optical device. Yogo stasis, diagnostics and recovery of the patient. The breeders of you see the development of education, aliens. Organizational fabrics during the procedure are minimized. Otzhe, tse minimally invasive way.

For whom to use hysteroscopy:

1. control of the operation or the use of hormones;
2. pathology in the uterus;
3. bezpliddya;
4. the appearance of bleeding from the climax;
5. wikidnі;
6. the appearance of a side object;
7. ruin in the month;
8. accelerated production of canopies;
9. vishkrіbannya.

Prototype indications:

• vagіtnіst;
• period of the month;
• filthy blood loss;
• the appearance of bleeding;
• fired in statuary organs;
• malignant fluff of the cervix.

In the general order, go brothers to respect the proof, as in the case of a vagitnoy woman of Denmark, the way of life until Wikidnya.

Preparatory stage

Naturally, it’s skinny, you’re going to get into trouble, but there’s no help.

What analysis is required before hysteroscopy? So, as the method is mainly used for anesthesia, it is necessary to provide anesthesia before doing it.

Analyzes before hysteroscopy:

1. shelter, schob z'yasuvati Rh factor і group;
2. zagalny analysis of slaughter and blood;
3. throat throat;
4. biohimia;
5. coaguloharmma;
6. smear;
7. shelter for HIV infection and hepatitis;

In addition, the patient undergoes cardiogram, fluorography, ultrasound, colposcopy. The therapist is paired with a gynecologist, who can undergo the procedure. If the patient is ill, the patient can be referred for a consultation to a neuropathologist or cardiologist.

How to cheat klizmu before hysteroscopy? Ochisna klіzma zdіysnyuєtsya every time before showing. On the current day of klizma, do not go to the list of obligatory hygienic procedures before the operation.

What can you do before hysteroscopy? Twelve years before the procedure was carried out, the woman did not live and didn’t. It is necessary for non-trivial anesthesia.

It is necessary for hysteroscopy:

• create all the necessary analyzes;
• undergo additional procedures;
• cleanse the sečovy mіkhur.

Do you need to read before hysteroscopy? For doing it innocently of the state contacts, hairs on the lips and the pubis are guilty of being shortly cut and shaved.

There was a necessary transition of preparation, the procedure was successful, and there was no inappropriate acceleration. By definition minus hysteroscopy. Vona can be surrounded by diyu, vikorystovuyutsya in the lykuvanni ailment of the uterus. If there is a presence of sickness of some of these children 's organs, then the procedure is not possible here.

process of carrying out

Naturally, a lot of ailments trick, how to be afraid of hysteroscopy of the uterus? Manipulation to be a doctor, who is specially navchavsya. He is a work assistant, anesthesiologist and nurse. The call should be carried out in the operating room. Obov'yazkovym stage vvazhaya zebolyuvannya.

What kind of anesthesia to use during hysteroscopy? Anesthesia should be administered internally, or for other purposes. If there is evidence of a contraindication, it is not effective to administer a painful sensation.

Schob look around the buv more beautifully, expand the organ. Vikoristovuєtsya gas abo singing rіdky rozchin. If it is evident in the mother's blood, the procedure is not carried out, so there will be a lot of scandals around. The triviality of the procedure is to become 20 quilins. Specialist looks at the organ, sees pathology, healthy biopsy. The whole picture can be seen on the monitor.

Cheat hysteroscopy of the uterus on the 5th - 7th day of the cycle.

At the end of the period endometries get thin, no bleeding. There are situations, if the procedure is carried out on the 13-14th day of the cycle, then the doctor will take care of the patient. Ale is more beautiful to rob the operation in the period from 5 to 10 days of the menstrual cycle.

The main contraindications are є day of the month. If the results have shown that pathologies and swelling in the body organs progress, then hysteroscopy is performed from the RFE. Tse viskoblyuvannya. Here you can run the cycle.

If you use hysteroscopy for ultrasound scanning? Tse virіshu likar. The first introduction to the license is carried out in two months, and the first ultrasound scan is carried out in three months.

Operation before the ECO procedure

If a woman prepares for a piece of delay, then hysteroscopy should be carried out to improve the results. An advanced method in this vypadku єshvidke lіkuvannya, as it is possible not to rob the dark operations.

Chi varto robiti hysteroscopy? Find ambiguous thoughts due to the procedure carried out before the EKO. If you want to go through the diagnostics, then it’s not easy to summarize, it’s more beautiful to do it. Skin woman in her own way to results. The managers of the procedures are learned, the tactics are correct. The patient will be singed, but for EKO everything will be maximally broken. EKO was not allowed to hold the meal. All to deposit in all of the results.

How often can you use hysteroscopy? The procedure is recognized only as fahivets, everything is stored up. The name is carried out 1 time, repeated surgery is not required.

Do you want to use hysteroscopy without a booster? Basically, the procedure is kosteless. At the budgetary clientele, it is possible to grow up to the end of the day without koshtovno, ale only half. Mami, hto robbing the procedure, recommend paid clientele.

In such a rank, hysteroscopy is carried out for the identification and determination of the reasons for the disease. If the patients are supplied with power, the method is carried out until the month of birth, then the doctors will be unambiguous. For operation, it is recommended to immediately write menstruation, and for histology, more quickly, with another phase of the cycle.

vm_st

Hysteroscopy - visual inspection of the uterus for additional special optical attachment. The method of vyklyucha development of the cranial wall and organs, so how the introduction of the hysteroscope is introduced through the canal of the woman's uterus.

This is a minimally invasive and universal adjunct to vicoristy for diagnostics, as well as for medical purposes. Yogo can be stored in extraordinary vipads and in a planned manner. The main views of the hysteroscopy are easy to understand, for whom the stench is needed and how to pass.

see hysteroscopy

There are three main types of procedures for using a hysteroscope:

• diagnostics doslіdzhennya - looking at the empty uterus, її shyki and pіkhvi behind the aid of a hysteroscope;
• control - oglyad pislya prompt engagement abo canopy;
• surgical treatment- a vivid new affair, a clotting of a mucous ball, an abortion and a cleaning of the vagina, which died anyway.

Hysteroscopy allows you to carry out diagnostics and treatment in one procedure.

Diagnostic tests for hysteroscopy

For diagnostics, hysteroscopy should be carried out in outpatient minds for medical anesthesia, or without it. Before the procedure, it is necessary to settle down at the outside of the ignition processes in the area of ​​the holding.

Before an hour of hysteroscopy, the woman roztashovuyutsya on a gynecological crucible in a fixed position. Lykar covered with a special antiseptic solution the area near the organs of the uterus, the throat of the uterus, and the injection of anesthetic drugs into the area of ​​the cervix of the uterus. If muscle anesthesia is ready, the hysteroscope should be inserted through the shyke's canal and into the empty space of the uterus. Through a thin tube behind the help of the syringe, the organ is poured with carbon dioxide or sterile physiological breakdown. Such a manipulation allows the regulation of the uterus and correct the picture in the case of the situation. Look around the organ of writing, zapovnenya rіdinoyu or gas zdіysnyuєtsya behind the year's arrow.

The whole loan procedure is no more than thirty quills. I will write down the license beforehand on a disk for the purpose of keeping an eye out for snakes.

Hysteroscopy should be performed on the 7-10th day of the cycle(In the phase of proliferation). At the end of the hour, the endometries only start to grow, so it’s not a mistake to start a new establishment.

When you look at the reproductive organs in the middle, you can see the following symptoms, such as:

• myoma,
• kista,
• polyp,
• adenomyosis,
• endometriosis,
• reveal the appearance of spikes,
• new cancer cancers,
• the manifestation of anomalies in the development of the body.

In the course diagnostic hysteroscopy, for the demonstration, you can, you can take the material to the biopsy. It’s a painful procedure, but it takes just a few seconds.

Yak is carried out by surgical hysteroscopy

Surgical operation with the help of a hysteroscope during training. You need to submit:

• zagalny, clinical analysis of blood;
• zagalny analysis of the slaughter;
• smears from pіkhvi to the mill of microflora and sickness, which are transmitted by the state path;
• shelter for VIL, hepatitis B, syphilis;
• pass an electrocardiogram;
• create fluorography.

Such retal preparation prior to surgical hysteroscopy is required, since it is necessary to reduce the risk of treatment due to anesthesia and ignition processes.

Likuvalnuyu hysteroscopy, by means of such a visual polyp, myomy, uterine bones to be carried out under the general anesthesia. The operation is recognized on the first days of the end of menstrual bleeding (7-10 days). You must not take 12 years before the procedure and do not drink.

In the operation, the patient is roztashovuyutsya on an extraordinary gynecological crucible. The anesthesiologist will inject the drug internally, wiklikaє medication sleep. The surgeon-gynecologist should clean the inner surface of the stegon, statuic organs, and the uterus with an antiseptic. Then the step of expanding the canal of the cervix of the uterus is carried out. Insert the tube of the hysteroscope into the uterus, then through it, inject gas or physiological breakdown for expanding the walls to the organ. Pislya, through the tube to introduce a new instrument, which is necessary for the visualization.

The whole loan procedure is about thirty minutes in the middle. The patient should come to you in the ward. You may have a weakness, a bele in the meat, or a jam - a vestige of anesthesia, as you go through the same until evening. For a few days, there will be a small amount of blood, there may be mild ailments in the abdomen.

Most often during the operation of the patient's hysteroscopy, the patient should look like a doctor with a glimpse of it.

How to undergo surgery for endometriosis for additional hysteroscopy

Endometriosis is one of the most widespread ailments of the female reproductive system, which is the enemy of women of any kind. Tse zhvoryuvannya duzhe often pass without symptoms. The main problem of the field is that the internal (uterine) endometriosis is vicious without any conditions.

Chance to treat endometriosis- the lock of a successful conception and easy vaginosti.

Diagnostics and treatment of endometriosis of the uterus behind additional hysteroscopy is the most successful, minimally invasive and quick way of resolving the problem. Before the hour of the surgery, under the control of the video camera, to carry out the cleaning of the pathological mucus ball of the uterus. During the operation of several months, it will be necessary to renew a healthy endometrium.

How to control hysteroscopy of the uterus with visible prototypal spiral

Those who are internal spirits grow, melodiously, not a secret for anyone. It is not for nothing that virobniks and politicians strongly recommend wearing no more than five rockies. More recently, with the unhappiness of seeing the helix behind the nozzles, it was practically impossible to carry out the operation from the empty uterus. Ale now, the hysteroscopy workers, you can not only poke as much detail as possible on those that have grown in some places, but you can see them under the control of the video camera as accurately and quickly as possible.

The operation from the view of the internal medical spiral takes place in the minds of the stationary. The woman is put into a medication sleep for the help of internal anesthesia or mask ingestion. For the expansion of the cervical canal, the introduction of a hysteroscope and the emptying of the empty gas, a retinal examination and assessment of the organ is carried out. For diagnostics of surgery, to introduce tools for visual contraceptive through a thin tube and viroblyaє need a number of growths and seams in the empty uterus and in the society.

Hysteroscopy performed before EKO

Extracorporeal late tendencies become more and more popular, as more and more health problems do not allow couples to successfully conceive a child. Conducting the ECO in the form of a special promotion and respect from the side of the patients and likars. I mean a great number of analyzes, as for a successful pregnancy, it is necessary to change in the general health of a woman. One of the main signals on the whole road will be hysteroscopy of the uterus.

The pre-treatment is held in a special polyclinic. Before її signs, the lykar was guilty of overturning at the outside of the ignition processes in the area of ​​the small pelvis. In the ultrasound gynecological crucible, doctor viroblya should use a sprinkle of the zone and genital antiseptic, then carry out a spike of injections into the cervix of the uterus for zenoluvannya. The gynecologist will look after the hysteroscope for the hysteroscope, the cervix and the empty uterus. More beautifully, just an hour of diagnostics in front of the EKO vikoristovuvsya nasty (office) hysteroscope. Such an attachment allows you to carry out the advancement as safely as possible and not during the period of renewal before the "nursery" of the embryo.

Hysteroscopy can be done differently. Medicine is developing, and there are new aparati, new, all more sparing and informative methods of diagnostics and treatment of uterine disease. Already this year's hysteroscopy allows quick and painless treatment and treatment without pain women get sick... And if earlier it was found a disease and it was designated as a disease, it was more and more easy to go through a disease and a new period.

In the diagnosis of gynecological illnesses, the initial role is played by the instrumental methods of treatment. On the current day, the hysteroscopy of the emptying of the uterus has become a common practice. It gave me the chance to take a thorough look at the traditional approach to the therapy of large ailments, tied to the reproductive organs. To the women of the nobility about those who also hysteroscopy of the uterus, as it is done, they often get stuck in gynecology, to be afraid of anesthesia, etc.

the essence of the method

What about hysteroscopy of the uterus? Іnіnіmalnіy sіnіmalnіy surgical entitlements It allows the diagnosis and operative manipulation of the empty uterus to be called hysteroscopy. Functional possibilities of the method to achieve a wide range: from the detection and the reduction of uterine pathology to the biopsy of the tissue and the vision aliens and new products. Get involved with one of the most informative dosages for an unprecedented assessment of the emptying of the uterus, endometry and myometry, which, if required, can also be used in a love situation.

Although the hysteroscopy of the uterus, he knows that the procedure itself is very tolerable and not particularly painful.

showing

Without the need for endoscopic pre-examination, the diagnosis is not performed, the diagnostic method is not so simple as for the visitor and does not require special training of the patient. As shown for hysteroscopy:

• Loss of menstrual function (zokrema, menorrhagia). In approximately 20% of cases with uterine bleeding, hysteroscopy of additional diagnostics is supplemented, which is based on the recommendations on the basis of previous methods. Still often the reason for the bright blood is the sight of the empty uterus, polypy, myoma, fragments of the chorion, internal septum and inn.
• Postmenopausal bleeding. Slid means, as well as absolute indications for hysteroscopy.
• Contact bleeding. Winning without the middle of the picture physical injection(For example, when you are busy with sex, douching, pondering, etc.). get in I will familiarize myself with polypiv endometriya.
• When pathological echo signals are detected, before the hour of the transvaginal echography, which, in its own right, will help to diagnose the diagnostics of gynecological illnesses.
• Primed before the appearance of pathology endotomy. Even less invasive methods do not give the possibility of residual diagnosis, to go into hysteroscopy. Some clinical situations can be found in uterine myomas, adenomyosis, hyperplastic processes in endometrial and inn.
• Folding vaginosti. As a rule, the need for hysteroscopy to appear when fragments of the chorion are detected, or the fetus for an abortion, parts of the placenta, ignition processes in the endometrium for vaginosti.
• It is hard to deny intrauterine contraceptive use. Even though all of them tried to see the internal contraceptive in an extreme way, they did not succeed, so the knights went to the endoscopic path.
• Control of the efficiency of treatment of endometriosis and uterine myomy. Dynamical caution is necessary regardless of the type of therapy (hormonal or surgical).

Ideal method for whisking

I will show you the classy dosage, the cleaning of the empty uterus is one of the most popular gynecological procedures. Why should I recommend to carry out visualization under the control of hysteroscopic examination:

• Allow a detailed assessment of the status of the emptying of the uterus, cob portions of the uterine tubes, detection of pathological new conditions (myoma, polyp, mucus mucosa, parts of the chorion, etc.), as well as the appearance of anomalies.
• Due to the statistical data, with the classic viscous only 40% of patients go to see the endometries.
• Before an hour of hysteroscopy, it will be possible to clarify the indication before carrying out a radical surgical treatment.
• Ensure control of the effectiveness of the treatment of hyperplasia endometrial.

If hysteroscopy is shown, then on any day the cycle will be afraid - the gynecologist will supervise you.

Prototype

The main indications before hysteroscopy are used for any kind of internal surgery. What situations are there to see if they’re thinking about the endoscopic method of follow-up:

• Ignition processes in the body organs, which have a gostriy or a pidgostrian character.
• Be-yaka gostra ailment infection(GDVI, pneumonia, cystitis, etc.).
• Serious problems with legends and hearts. Dichal and / or heart-vascular deficiency at the stage of decompensation.
• Shock, coma, cachexia.
• Important damage to robotics and stoves (state standard or chronic shortage).
• Destruction of the throat of blood.
• The purity of the vaginal volume is at 3-4 steps.

Varto respect that the endometrium has been fired up, as a winemaker for the operation of cesar rostin, do not use contraindications for the purpose of endoscopic dosage of the emptying of the uterus. Besides, gnarly or gnarly-bloody visions in the pre- and postmenstrual period are not attributed to proof, some may be provoked by endometrial polyps.

patient preparation

In order to identify the development of the old inheritance during hysteroscopy, it is necessary to check the preparation of the patient before the endoscopic procedure. It’s guilty that it’s carried out and what to store:

• Psychological training.
• Clinical, laboratory and instrumental dosage.
• Medication preparation.
• Sanitary-hygienic come in.

After completing the complex training, more patients successfully complete the operating period.

psychological mood

More important is the psychological preparation of women before the endoscopic procedure. With the consultation of the patient, the doctor will receive all the necessary information about the vicoristany method of advancement. In the course of the conversation, the woman is aware of those, how the hysteroscopy of the uterus is carried out, with the help of which it is possible to expedite and so on. D. with other methods.

basic dosligennya

As a matter of fact, because of the practice, before hysteroscopy, the patient is guilty of going through a number of clinical and laboratory tests. instrumental methods rounding, middle:

• Analyzes of blood (clinical, biochemical, group status, Rh factor, indicators of hypoglottism, etc.).
• Preceding vision from pikhvi, cervix and sesovipusal canal.
• Electrocardiography.
• Gynecological survey of pikhvi.
• Transvaginal ultrasound scan.

medication preparation

The key moment in the drug preparation of the field is in the prophylactic treatment of infectious and ignition illnesses. Do not carry out a test for hysteroscopy of children antibacterial drugs(Ampiox, Cephalosporin i in.). Although it would be obvious that preventive antibiotic therapy would not be relevant for patients who may high rhiziki development infectious diseases for endoscopic manipulation. Yaki tse factori riziku:

• Chronic infectious pathology.
• Diabetes mellitus.
• Zayva vag.
• Problems s the circulatory system(Anemia, ailments and ailments).
• chronic ailments sectional system, Scho have a fiery character.

If it is more beautiful to rob hysteroscopy - virish lykar, vrahoyuchi transmission of gynecological diagnosis.

Sanitary-hygienic come in

Do not forget about antiseptic processing of pichvi for the additional help of special drugs. For cich purposes, I recommend a day before the scheduled endoscopic endoscopic emptying of the uterus. vaginal candles from antiprotozoan, anti-fungal or combinovan dyu. Most often, such drugs are recognized:

• Metronidazole.
• Clotrimazole.
• Polygynax.
• Vagisept.
• Gіnalgin.
• Terzhinan.

For sprinkling pіkhvi pіdіyde antiseptic rozchin Oktenіsept. Also, the drug should be taken away from the drug before the endoscopic procedure. Octenisept is practically not wiklic side reactions, At the vidminu of bagatokh are the first antiseptics. It is not possible to immediately vikoristovuvati with іnshim drugs for muscular and zovnishny zasosuvannya, for revenge iodine.

anesthesia

Before using anesthesia to test the hysteroscopy of the uterus? It is possible to work with muscle anesthesia, or regional anesthesia. As long as it is planned to standardly diagnose the dosage, then in most cases it is necessary to manage the microanesthesia. For a zealous preparation, prick the area of ​​the cervix of the uterus. As a rule, freeze Lidokain.

In case of lykuvalnoy hysteroscopy, vikoristovuyut anesthesia. In such vipadkah special drugs should be injected internally (for example, Propofol). In the quality of alternatives zagalny anesthesia may be a regional treatment if the anesthetic is injected into the spinal canal. It is still due to the introduction of antibiotic drugs in the development of spinal and epidural anesthesia.

The triviality of hysteroscopy can vary from 10-15 minutes to a year. Diagnostic procedure is not delayed for more than 30 minutes. However, it should be lykuvalnoy metoyu, Can be trivati ​​up to 40-60 hilin.

Tilki lykar, vrahoyuchi the patient's camp and meta endoscopic dosage, possibly, such anesthesia during hysteroscopy of the uterus will be the most preschool.

Methodology

On what day to cycle hysteroscopy? In the main endoscopic endoscopy of the uterus, go to the 6-9 day cycle. I can't get the reason wives without, Assign to the middle of another phase (20-23 days). If you are susceptible to endometriosis, the procedure can be performed on any day of the menstrual cycle. In case of internal adhesions, it is more beautiful to go through the flattening before the month.

How to tame the hysteroscopy of the uterus? Obroblyayut zvnіshnі statues organi, pіkhvі and uterine neck antiseptic rozchin. Vykonuyut uterine probe and expand the cervical canal for the introduction of the endoscope. Connect the equipment and insert the hysteroscope. Diagnostic dosage includes looking at the emptying of the uterus, on the cob, in the uterine tubes, and in the canal. If necessary, take a tissue biopsy.

An emergency hysteroscopy can be performed every hour of the month.

accelerating

As soon as everything is good and correct, then the endoscopic time to pass without serious acceleration. However, do not expect the procedure to end successfully. You may not want any inheritance of hysteroscopy of the empty uterus:

• Traumatic ear.
• Bleeding.
• Infectious and igniting illnesses.

mid traumatic ear most often perforation of the uterus is observed. Provokuvati її їі іnіknennya can be mechanically powered by a probe, gynecological distributors, a curette, an endoscope, etc. Takozh, for example, electric laser not visible mіomi abo hanging of the internal partitions, zdatne provokuvati similar to the kind of acceleration. If you come in, you need to live in order to reduce the risk of the development of perforation:

• Before the endoscopic procedure, the visonati is manually cleared, as to allow the appearance of the position and the size of the uterus.
• The introduction of the probe and the expansion of the cervical canal followed by robustness in the edge of the day, not reporting to them.
• The introduction of a hysteroscope is not carried out onoslip. Likar is guilty of bachiti, as the endoscopic apparatus enters the empty uterus.
• In addition to the electric laser, it is not necessary to carry out the operation strictly according to the instructions for operation.

Bleeding every hour of hysteroscopy is importantly tied to the history of the great Sudan endometries. Accuracy and accuracy of the procedure for additional assistance to unify the acceleration. The protector is guilty of being ready for non-standard situations and mothers are all necessary for a quick bleeding.

The frequency of infections in infectious-ignition acceleration does not exceed 1%. However, I am not safe to develop sepsis and bacterial shock. Bagato clinics have shown a high efficiency of prophylactic antibacterial therapy for the prevention of important infectious inheritances associated with endoscopic conditions.

For the diagnosis of hysteroscopy, the patient is guilty of being overwhelmed for a visual stretch of 1-2 years. In the case of a long period of time, women often suffer from low intensity to pull pain in the lower abdomen. For pain relief, you can use pain-sensitive drugs (analgin, Baralgin and other).