Zokuhlola umsele wesibeleko: inkcazo, iimpawu kunye neziphumo

Atresia (imperforate) emisele wesibeleko kunokukhokelela ekuphazamiseni ngokupheleleyo okanye ngokuyinxenye, nto leyo iba sisithintelo uphume menses. Ngamanye amaxesha atresia lokudlula wesibeleko kwaye atresia le uteri corpus. Xa imvelaphi ukuvala yayo sicatshulwa wesibeleko inokuba iziphene okanye lufundiwe. cautery abangaphumelelanga kunye curettage kunokubangela exineneyo yaye lomsele imperforate wesibeleko. Ukuze ukubuyisela okwetyeli yayo patency ukuba imisebenzi leyo kuthiwa elitsolo ekujongeni umsele wesibeleko.

izizathu imperforate

Neemeko eziphembelela okuvela atresia:

• iinkqubo yokukrala emjelweni wesibeleko.
• Loloyiko okubangelwa iinkqubo zophendlo lwezifo.
• Childhood Izifo ezosulelayo (uqilikwane, ukubola komqala).
• Ngokungakhathali wachitha sisusa.
• Izitshanguba kunye neoplasms yingozi, endometritis, endocervite.
• Ezenzeke ngexesha lokubeleka okanye isisu esibuhlungu.
• Betshisa channel isifo okubangelwa imichiza.
• channel electrocoagulation.
• atresia yobudala okuzenzekelayo.

Emva emseleni bougienage wesibeleko uqhele abuyisele yonke imisebenzi.

Ubume wesibeleko

Icandelo encinane phakathi emjelweni wesibeleko kunye isibeleko, malunga 1 cm, ngokuba sezwe. Apha, kwindawo kwisiqwenga somhlaba, ibekwe os lwangaphakathi. Front Lower wesizalo kwisisu kwaye enze ebizwa ngokuba yi-kwisiqwenga somhlaba ceke ephantsi, nto leyo kudlala indima ebalulekileyo ngexesha ekhulelwe naxa ezala.

Inxalenye esezantsi wesibeleko esehlela yelungu lobufazi, kwaye ngaphezulu liphuma ngaphezu kwayo. Xa amantombazana nulliparous, njengoko umthetho, ukuba sele imilo etsobhileyo. Emva kokuzalwa wesibeleko kuba ngokuya kuthatha uhlobo itankana, ijelo kwakhona ngokumila zezindlu. ishedi lwangaphandle ebizwa lokuvula wesibeleko, Sibonile ekuhloleni lobufazi. Xa izigulane nulliparous os yangaphandle kuthatha uhlobo slits, isizathu soku - aphuke intamo ngethuba lokubeleka. Xa abafazi nulliparous uphalaze ingongoma.

Zokuhlola umsele wesibeleko isetyenziswa kakhulu rhoqo. Malunga indlela zichaza ngokweenkcukacha ngezantsi.

ekuxilongweni

Kuba ukuhlolwa lweHo- zesibeleko ilawulwe, umzekelo, neliso elitsolo ekujongeni lweHo- zesibeleko, oko curettage, ulawulo amayeza, iziselo ngenxa endoscopy lokubhaqa lweHo- zesibeleko, imisebenzi eyahlukeneyo - zonke ezi zazo zenziwa kunye nokwandiswa lomsele wesibeleko. Kwenziwa ngaphandle alungiselelwe, ubuchule kunye nobuchule, loo ukuxhaphaza kungakhokelela ekubeni kwijelo uxakaxa owenzakeleyo kwaye, ngenxa yoko, ukuba ijelo valiweyo kunye imperforate.

Njengoko sele kukhankanyiwe ngentla, omnye isizathu atresia sicatshulwa wesibeleko ukuze ukudumba umjelo - endocervicitis. Esi sifo kakhulu ezibangelwa cocci yayintsholongwane eyosulela, intonga, maxa wambi iintsholongwane. Hayi Akuvamile endocervicitis kudityaniswe nezinye izifo ukudumba (umz, colpitis, oophoritis, endometritis).

Ukususela izigulane izikhalazo kwi ukubhobhoza muco-ubovu, kungekhona zikhatshwa ziintlungu. Xa kujongwa Ukudumba wayo kunye anozizi le isifo kunye secretion lweenkcukacha. Ikhosi isifo okwathatha kunokukhokelela kwinkqubo ukunwenwa phezu kodonga dystrophy ngayo le ndlala. Kule meko eboniswa bougienage lomsele wesibeleko.

Endocervicitis unesifo ngokusekelwe kuxilonga, smears evela kwilungu lobufazi kwaye umsele wesibeleko. Kwisigaba nokoyika unyango emiselweyo ntsholongwane kunye neenkqubo zasekuhlaleni. iintlobo ezingapheliyo onyango kufuna injecting amachiza antibacterial entanyeni, impilo yomzimba, zendawo protargola solution yonkcenkceshelo, processing wesibeleko umxube vesi yesilivere.

artreziya primary

Uxilongo atresia ephambili kwenzeka ebudeni ngenyanga yokuqala. igazi sexesheni, bengafumani exit ngaphandle, oko oluhlala kwi isibeleko, eziphuphumayo kuyo, bazolulela. Ngaloo impilo jikelele ubunzima kakhulu. Ukuba ukuhambisa igazi, zikufuphi nemiboko kungaqala ubovu ukudumba kwimibhobho.

Ukuba awufuni ukubamba zokuhlola umsele wesibeleko ngeli xesha, kungaba nemiphumela emibi.

artreziya secondary

ayikwazi aboniswe atresia Secondary ixesha elide. Uxilongo yenziwe xa isigulane iqala ukuba avavanyelwe ukungachumi. Ngenye ityhubhu igazi kudala isithintelo, iyenza nzima ukuba ukubetha iqanda isibeleko.

Cacisa lokufunyaniswa atresia ivumela ultrasound uphenyo, MRI, gistrosalpingoskopiya kunye ureteroscopy.

Licuthe emjelweni wesibeleko - stenosis - yinto imiqobo enzima kwii-amadlozi isibeleko, zikhokelela ukungachumi. Kwaye ngenxa nezithintelo imibhobho iqanda awukwazi ukungena lweHo- zesibeleko, nayo leyo eyenza kube nzima ukuba isichumiso. Ishenxisa stenosis ezisebenza ngokulungisa ebizwa ngokuba 'zokuhlola lomsele wesibeleko. " Enye imbangela atresia ezi neoplasms. Ithumba ebulalayo kakhulu ezaziwayo-kakuhle - adenocarcinoma. Iimpawu zesi sifo: ukwehla kobunzima, igazi ngenxa amabala elide, iintlungu esiswini.

yamathumba ebubonisayo nachaphazela atresia ukwenzeka: fibroids, fibroma, polyp, cysts, fibroids, zesibeleko leiomyoma, kunye endometriosis. Iimpawu zezi zifo kakhulu ezimbini; kuba yintlungu esexesheni kunye neentlobano zesini, amabala, olwaphula defecation kunye ukuchama.
Ukuzimisela senziwa yamathumba ebubonisayo histologically kokuphalwa isiqulatho channel. Examination kunye nonyango kwenzeka phantsi kolawulo olubonakalayo.

Xa abasebenzi, xa kokuphalwa diagnostic, isisu kwakunye nezinye iinkqubo zonyango kunye nzala ezingalunganga Inokwenzeka ukwenzakala wesibeleko, ndibe kunokukhokelela atresia.

Ukulungiselela utyando

Ngaba ukusombulula iinkqubo ngezifo usebenzisa bougienage wesibeleko okanye laser recanalization.

operation Bougienage lwenziwa phantsi zomzimba jikelele, ukuze sibe nokumiliselwa ufuna izifundo zilandelayo:

• epheleleyo wegazi;
• Uhlalutyo usulelo;
• igazi ngegcushuwa kunye HIV;
• Colposcopy;
• awakwazi sohlobo B no C;
• coagulation;
• kwasala kwinxenye yelungu lobufazi kunye lomsele wesibeleko;
• ECG;
• esifubeni X-reyi;
• CC bacteriological kwaye kwinxenye yelungu lobufazi;
• eziphilayo igazi;
• ultrasound;
• iingcebiso specialist.

Kodwa kwezinye iimeko kusenokubakho izinto zokuhlola lomsele wesibeleko ngaphandle zomzimba. Kule kamva.

Njengoko umsebenzi?

Bougienage kutyando isigulana amkelwe esibhedlele. Le nkqubo ithatha malunga nama-30 mi kwaye lwenziwa phantsi zomzimba okanye ngokubanzi. Xa ukuvalwa ngokupheleleyo yokusebenza lweqela lwenziwa phantsi zomzimba jikelele, kunye exineneyo kancinane zomzimba ngokwaneleyo yasekuhlaleni. Le isigulane ibekwe kwi emasimini yamanina isitulo lwentsebenziswano, umsantsa ngesondo, aphathwe nge magciwane, ngoko spray lidocaine. Alawulwa ngurhulumente iintlungu aze aqalise ukwandisa ngokwayo inkqubo yolawulo yokuqala kunye esatsiba bougienage kwaza, ngokulandelelana ukwanda sangqa nemilomo (medium, ebanzi). Ukwanda sicatshulwa ngcembe ekhuthaza ndiconga unyango.

Emva zomzimba jikelele isigulane iyakhutshwa ngosuku olulandelayo, kwaye emva kokuba basekuhlaleni - ngoko nangoko. Ngoko ke, ekukhethwa bougienage emisele wesibeleko ngaphandle zomzimba. Ukuphonononga lubonisa ukuba sesichengeni unyango ngaphandle-nomonde - iintsuku 7-10. Ekula ukukhawulezisa epithelialization kwenkcazo ikhandlela anti-ukudumba inxeba-bephilisa de luyaphilisa ngokupheleleyo lomsele wesibeleko. Kwimeko kokuwela atresia umzila yejelo alloplastic ngumntu.

Amanyathelo othintelo kunye imperforate ukuvala ndima

1. Unyango kweenkqubo oyingozi futhi ezingapheliyo yokukrala wesibeleko kunye umsele wesibeleko.
2. Ukuqhuba Iimviwo umbala ukuba ukubhaqwa kunye nonyango lwezifo izifo nangezilonda.
3. curettage abanolwazi nabakulungeleyo ubambe, izisu ukuze uphephe iingozi. nokubeleka ngocoselelo ukuvulwa chu wesibeleko.
4. izingxoxo achazayo ukwenzela ukuthintela ukusetyenziswa kwamalweyile ngendlela douches izisombululo ndlongondlongo, nto leyo le njongo ayenzelwanga, kunye zokucwangcisa imichiza.

Kuba zamabanga uthintelo imperforate ubuntwana kufuneka agcine indlela yokuphila esempilweni, umthambo, ukuthintela ukosuleleka zizifo ezosulelayo kunokwenzeka. Ngexa lokukhulelwa, zama ukuba zaziswe izinto eteratogenic achaphazela umntwana ongekazalwa.

Zokuhlola umsele wesibeleko: ixabiso

Iindleko ixhomekeke esibhedlele kunye mmandla. ixabiso Ubuncinane - 600 engange, ubuninzi - 2000 engange.

Zokuhlola umsele wesibeleko: ncomo

Le ndlela dilatation wesibeleko isetyenziswa ixesha elide. Ingxelo ikakhulu positive. Abasetyhini kulula ukuthwala, leyo ndawo inika iingxaki. Ingakumbi xa isithintelo ayikho kakhulu lwaziwayo Ukubulawa yasekuhlaleni.