txheem
- Dab tsi yog curettage?
- Thaum twg yuav tsum tau kho uterine curettage?
- Vim li cas thiaj ua uterine curettage?
- Txoj kev curettage ua haujlwm li cas? Leej twg ua nws?
- Cov kev ceev faj dab tsi tom qab kho hniav?
- Curettage: Dab tsi yog qhov txaus ntshai thiab teeb meem rau kev xeeb tub tshiab?
- Ntev npaum li cas kom tawm ua ntej cev xeeb tub tom qab kho?
Dab tsi yog curettage?
Hauv kev kho mob, curettage yog hais txog kev phais mob uas muaj kev tshem tawm (siv cov cuab yeej zoo ib yam li rab diav, feem ntau hu ua "curette") tag nrho lossis ib feem ntawm lub cev los ntawm cov kab noj hniav. Lo lus no feem ntau yog siv nrog rau lub tsev menyuam. Curettage yog tshem tawm cov ntaub so ntswg uas npog lub sab hauv ntawm lub tsev menyuam, los yog endometrium.
Thaum twg yuav tsum tau kho uterine curettage?
Curettage tuaj yeem ua tau rau kev kuaj mob, piv txwv li los ua ib qho endometrial biopsy, tab sis kuj, thiab tseem ceeb tshaj, rau kev kho mob lub hom phiaj, tshem tawm endometrial residues uas yuav tsis tau khiav tawm lawm. Qhov no yog qhov tshwj xeeb tshaj yog thaum lub cev xeeb tub los yog ntxias kom nchuav menyuam tsis tau tso cai rau kev tshem tawm tag nrho ntawm lub embryo (los yog tus menyuam hauv plab), kev khiav tawm ntawm cov placenta thiab endometrium. Tib yam nyob rau hauv cov ntsiab lus ntawm kev yeem txiav cev xeeb tub (kev rho menyuam) tshuaj los yog aspiration.
Los ntawm kev txuas ntxiv, lo lus curettage yog siv los hais txog cov txheej txheem suction, uas tsis tshua muaj kev cuam tshuam, tsis tshua mob thiab tsis tshua muaj kev pheej hmoo rau tus poj niam dua li "classic" curettage. Qee zaum peb txawm tham txog kev nqus dej.
Vim li cas thiaj ua uterine curettage?
Yog tias qhov kev tshem tawm yog tsim nyog los tshem tawm cov seem ntawm cov placenta lossis endometrium, nws yog vim tias cov ntaub so ntswg tuaj yeem ua rau muaj teeb meem, xws lilos ntshav, kis kab mob, lossis tsis muaj menyuam. Yog li ntawd nws yog qhov zoo dua los tshem tawm lawv kom zoo, tom qab tawm hauv lub sijhawm me ntsis rau kev tshem tawm ntuj, lossis nrog kev pab ntawm cov tshuaj. Qhov zoo tshaj plaws yog pom tseeb tias qhov kev tshem tawm yuav tshwm sim ntawm tus kheej thiab tsis muaj tshuaj, nyob rau lub sijhawm tsim nyog kom tsis txhob muaj kev pheej hmoo kis mob.
Txoj kev curettage ua haujlwm li cas? Leej twg ua nws?
Curettage ntawm lub tsev menyuam yog ua nyob rau hauv chav ua haujlwm, nyob rau hauv lub zos los yog general tshuaj loog. Nws yog ua los ntawm tus kws phais gynecological, uas qee zaum tuaj yeem tswj hwm cov khoom lag luam kom nthuav dav lub ncauj tsev menyuam ua ntej ua haujlwm txhawm rau txhawm rau nkag mus rau lub tsev menyuam kab noj hniav yooj yim dua. Luv luv, kev cuam tshuam yog nqa tawm feem ntau yog nyob rau ntawm tus neeg mob sab nraud, nrog kev tawm mus tib hnub. Analgesics feem ntau yog muab tshuaj los txo qhov mob uas yuav tshwm sim nyob rau hnub tom qab.
Cov kev ceev faj dab tsi tom qab kho hniav?
Thaum muaj kev nchuav menyuam lossis rho menyuam tawm, lub tsev menyuam tau qhib. Ib yam li nws tuaj yeem siv ob peb teev lossis hnub los qhib, lub ncauj tsev menyuam tuaj yeem siv sijhawm ntev los kaw. Thaum lub ncauj tsev menyuam qhib, lub tsev menyuam tuaj yeem raug cov kab mob, uas tuaj yeem ua rau muaj kab mob. Raws li tom qab cev xeeb tub, nws yog pom zoo kom tom qab ib tug curettage ntawmzam kev da dej, pas dej da dej, sauna, hammam, tampons, khob coj khaub ncaws thiab kev sib deev tsawg kawg ib ob peb hnub, kom txo tau qhov txaus ntshai.
Txwv tsis pub, yog mob hnyav, ua npaws lossis los ntshav hnyav ob peb hnub tom qab kev kho mob, nws yog qhov zoo dua los qhia rau koj tus kws kho mob gynecologist. Tom qab ntawd nws yuav ua lwm qhov kev kuaj xyuas seb puas muaj tag nrho cov seem seem ploj mus, kom paub tseeb tias tsis muaj cov tsos mob ntawm tus kab mob, thiab lwm yam.
Curettage: Dab tsi yog qhov txaus ntshai thiab teeb meem rau kev xeeb tub tshiab?
Curettage ua nrog "curette" yog ib qho kev tawm tsam uas, zoo li txhua txoj kev hauv tsev menyuam, tuaj yeem tsim cov adhesions hauv lub tsev menyuam. Nws ces tshwm sim, nyob rau hauv tsawg zaus, tias cov kev raug mob thiab adhesions ua rau nws nyuaj rau lub cev xeeb tub tshiab tshwm sim, los yog hais tias lawv cuam tshuam kev khiav tawm ntawm txoj cai. Peb hu Asherman's syndrome, los yog uterine synechia, uterine kab mob tshwm sim los ntawm qhov muaj adhesions nyob rau hauv lub tsev menyuam, thiab tej zaum yuav tshwm sim tom qab ua tsis zoo curettage. Kev kuaj mob ntawm synechia yuav tsum tau ua ua ntej:
- irregular voj voog,
- tsawg lub sijhawm hnyav (lossis txawm tias tsis muaj sijhawm),
- lub xub ntiag ntawm cyclic pelvic mob,
- ntxiv lawm tshob.
A hysteroscopy, uas yog hais txog kev kuaj mob endoscopic ntawm lub tsev menyuam kab noj hniav, tuaj yeem ua tiav los txiav txim siab lossis tsis pom muaj tom qab kev kho mob lossis tom qab aspiration adhesions, thiab xaiv cov kev kho mob raws li.
Nco ntsoov tias cov txheej txheem aspiration, uas tam sim no feem ntau nyiam rau kev phais, sawv cev tsawg dua.
Ntev npaum li cas kom tawm ua ntej cev xeeb tub tom qab kho?
Thaum peb tau ua pov thawj los ntawm ultrasound tias tsis muaj qhov seem ntawm lub tsev menyuam hauv ob sab phlu (los yog endometrium) los yog placenta tau dim curettage, thiab tias lub tsev menyuam kab noj hniav thiaj li noj qab nyob zoo, nyob rau hauv txoj kev xav tsis muaj dab tsi tawm tsam thaum pib ntawm cev xeeb tub tshiab. Yog tias ovulation tshwm sim hauv lub voj voog tom qab nchuav menyuam lossis rho menyuam, cev xeeb tub yuav tshwm sim zoo.
Kev kho mob, nws ntseeg hnub no, nrog qee qhov kev zam, tias muaj tsis muaj contraindications rau sim cev xeeb tub tom qab curettage, zoo li tom qab nchuav menyuam tsis muaj kev cuam tshuam.
Hauv kev xyaum, nws yog rau txhua tus poj niam thiab txhua tus niam txiv kom paub yog tias lawv xav tias npaj siab rov qab ua dua lub cev xeeb tub. Lub cev, los ntshav thiab lub sij hawm mob zoo li mob yuav tshwm sim nyob rau hauv cov hnub tom qab curettage. Thiab puas siab puas ntsws, tej zaum nws yuav yog ib qho tseem ceeb uas yuav tau siv sij hawm. Vim tias nchuav menyuam lossis rho menyuam tawm tuaj yeem raug kev txom nyem nyuaj. Thaum lub cev xeeb tub xav tau, muab cov lus ntawm qhov kev poob no, paub txog qhov muaj me me uas nws tuaj txog peb xav thiab hais goodbye ... Kev quaj ntsuag yog qhov tseem ceeb. Rau kev rho menyuam, kev puas siab puas ntsws kuj tseem ceeb. Kev rho menyuam lossis nchuav menyuam, txhua tus poj niam thiab txhua tus niam txiv tau ntsib qhov xwm txheej no ntawm lawv tus kheej. Qhov tseem ceeb yog nyob ib puag ncig koj tus kheej kom zoo, lees txais koj txoj kev tu siab, txhawm rau txhawm rau rov qab los ntawm lub hauv paus zoo, thiab tejzaum nws yuav xav txog kev xeeb tub tshiab nrog kev nyab xeeb ntau li ntau tau.
Kev kho mob, cev xeeb tub tom qab kev kho kom zoo tsis tuaj tsis muaj kev pheej hmoo ntau dua li kev xeeb tubCov. Tsis muaj tsis muaj kev pheej hmoo ntawm nchuav menyuam tom qab curettage. Ua kom zoo, curettage tsis ua kom tsis muaj menyuam lossis tsis muaj menyuam.