Lub tsev me nyuam Cryodestruction - zoo, tsis mob thiab kev nyab xeeb txoj kev rau cov poj niam txoj kev noj qab haus huv!

Ib tug ntawm cov feem ntau niaj hnub thiab advanced txoj kev kho mob ntawm cov kab mob ntawm lub ncauj tsev menyuam yog suav tias yog cryosurgery. Qhov no lub sij hawm yuav cia txhais li "rhuav tus mob khaub thuas." Yog li ntawd, peb yuav txhais tau: ncauj tsev menyuam cryosurgery - niaj hnub txoj kev ntawm lub zos cawv rau lub ncauj tsev menyuam ua kua nitrogen thaum uas tsis muaj kub (-90 - -150 degrees) nrog lub hom phiaj ntawm kev kho mob, cov ntaub so ntswg yuav tsum tau muab tshem tawm yog muab los ntawm txoj kev soj ntsuam xyuas cov (cua txias).

Lub tsev me nyuam Cryodestruction - lub feem ntau sparing phais ntawm lub sij hawm no. Heev heev zoo ntawm cryosurgical txoj kev los xyuas kom meej lub thoob plaws siv ntawm nws nyob rau hauv cov kev kho mob ntawm pathological dab thiab lub tsev me nyuam tus kab mob.

Cov kev pab cuam cryodestruction:

1. tsis mob nyhuv on lub ncauj tsev menyuam, yuav tsum tsis muaj ntxiv loog vim hais tias cov cua txias ua rau ceev ceev kev cuam tshuam ntawm qhov rhiab heev ntawm cov hlab txoj, txoj kev kom cov analgesic nyhuv.

2. Tus txheej txheem bloodless vim hais tias thaum kriovozdejstvie tshwm sim vasospasm, thrombosis ntawm lub microvasculature. Li ntawd, cov cheeb tsam ntawm necrosis nyob rau hauv tus txheej txheem thiab tom qab nws lub qhov.

3. Cryosurgery tsis hloov thiab tsis txo cov elasticity ntawm lub ncauj tsev menyuam, yog li lub ncauj tsev menyuam qhib thaum lub sij hawm tom ntej yog tau me nyuam tshwm sim feem ntau, uas tso cai rau kev siv ntawm no txoj kev nyob rau hauv nulliparous cov poj niam.

4. Tseem ntawm ib tug ntshiab tej yam nyob rau hauv lub pathology chaw muab tshaj tsawg heev kev puas tsuaj rau lwm tus cov ntaub so ntswg.

5. ncauj tsev menyuam Cryosurgery tsis tawm nti.

6. Tus txheeb ze simplicity ntawm cov txheej txheem.

7. Tiv Thaiv ntawm metastasis ntawm neoplasms thiab tom qab ntawm txoj kev.

8. painlessly thiab yooj yim zam lub txim rau.

9. Muab ruaj khov nyhuv thiab ua kom tiav rov qab los ntawm cov ntaub.

10. Yog tsis muaj rov.

11. Yuav tsis muaj rau suturing los yog kev phais complex kho mob.

12. Los ntawm lub sij hawm ntawm txoj kev sai yog lengthy.

13. Kuv tsis xav tau ib tug ntev preoperative npaj.

14. tsawg heev kev poob plig cov txheej txheem.

15. Rejection ntawm hlav yuav siv sij hawm qhov chaw ib txhij nrog cov kev hloov ntawm lub hearth noj nqaij.

16. Tsis tshua muaj pheej hmoo ntawm kev teeb meem.

17. Revitalization ntawm lub ntuj mechanisms ntawm lub cev ntawm qhov chaw ntawm raug.

Los ntawm tus kwv tij tsis muaj cov txheej txheem muaj xws li:

1. Lub duration ntawm lub zoo cheeb tsam raug (los ntawm 10 mus rau 21 hnub).

2. Tsis yeej ib txwm yog tsim nyog nyob rau ntawm lub lub sij hawm ntawm kev xaiv ib txoj kev ntawm kev kho mob (hlav loj heev, tsis yooj yim).

lub lag luam

Yuav kom pom tau cov lesion ib thaj tsam ntawm lub ncauj tsev menyuam kho nrog p-rum Lugol tus glycerol. Cov txheej membrane yuav tsum noo. Ces sov krionakonechnik nias tiv thaiv tus nto ntawm lub caj dab thiaj li hais tias cov lesion yog kiag li them. Yog hais tias lub lesion yuav ua rau qhov taub cheeb tsam, txoj kev pheej hmoo ntawm tsis ua hauj lwm ntawm lub lag luam, thiab yog hais tias nws ua ntau tshaj li 3 mus rau 5 hli, thaum lub yeej yuav tsis raug tshem tawm. Tom qab hais tias, lub refrigerant Circuit Court yog tshuab txais, thiab tom qab ib tug ob peb lub vib nas this, lub ntsis yog twb primerznet rau lub caj dab. Nyob rau hauv rooj plaub no tus tib lub sij hawm yuav tsum tau tsis muaj tsawg tshaj li 3 feeb (3 mus rau 5 feeb). Qhov kawg ntawm cryotherapy ntsis thaws, thiab nws zoo tu qab tso. Cuam sai defrosting zaum yuav tshwm sim ntawm irrigation p isotonic sodium tshuaj dawb-teeb.

theem cryodestruction

1. Thawj tshwm sim cov ntaub so ntswg khov siv kua nitrogen. Npuag yuav txias, ntom, dawb, loog; nws tau tej zaum kuj yuav nrog nws cov lus los ntawm ib tug kev xav ntawm me ntsis tingling los yog burning, me mob.

2. Tsis pub dhau 1-3 teev - collateral edema thiab hyperemia.

3. Tsis pub dhau 6 - 24 teev - epidermialnyh tshwm sim ntawm bubbles (nrog ib tug hemorrhagic los yog serous txheem).

4. Sau kom tiav necrosis rejection tshwm sim nyob rau 2-6 lub lis piam, tawm hauv ib tug NW nyuam qhuav hnov cov nqaij ntawd. Yog li muaj yog tseem epithelization hearth thiab lwm cov ntaub so ntswg.

5. Los ntawm 3 mus rau 6 lub hlis, muaj ib tug kho tshiab ntawm tag nrho cov lug thiab cov ntsiab ntawm cov dermis, ua kom tiav lwm cov chaw, uas sib raug rau ib tug ib txwm, noj qab nyob zoo daim tawv nqaij.

Indications cryodestruction nyob rau hauv Gynecology:

1. lub tsev me nyuam yaig ;

2. cyst ncauj tsev menyuam ;

3. epithelium ectopia;

4. mob cervicitis;

5. leukoplakia;

6. dysplasia (qib 1-2);

7. paum condyloma, perineum, mos;

8. ectropion;

9. papilloma chaw mos los los yog chaw mos;

10. antiretsidivnoe complex kev kho mob ntawm polyps nyob rau hauv lub tsev me nyuam kwj dej (tom qab phais tshem tawm ntawm ib tug polyp);

11. kraurosis thiab mos leukoplakia;

Contraindications mus rau lub txheej txheem:

1. mob los yog subacute inflammatory kab mob ntawm lub qhov chaw mos hauv nruab nrog cev;

2. inflammatory kab mob ntawm lub qhov chaw mos los yog kheesxaws ncauj tsev menyuam, paum muaj kev coj dawb huv qib 3-4;

3. mob kas cees;

4. dhau cuab caws pliav tsev menyuam deformation;

5. endometriosis, fibroids, yuav tsum phais kho mob;

6. dysplasia qib 3 los yog xav tias nws mob cancer;

7. zes qe menyuam qog;

8. Somatic kab mob decompensation theem;

9. mob kis tus kab mob.

Ua ntej ntawm txoj kev tuaj sab laj ib tug gynecologist nyob rau cov nqe lus nug ntawm tau ntawm no kev txoj kev kho mob. Thaum lub sij hawm sib tham nqa tawm: sau los ntawm tus neeg mob tsis txaus siab thiab kev kho mob yav dhau los, kev soj ntsuam ntawm lub genitals nyob rau hauv daim iav, ces - ib tug laj kab rau tus muaj ntawm lub paum paug, smears PCR rau lub xub ntiag ntawm kab mob, ncauj tsev menyuam smear nrog Pap (kuaj yog tias hais) thiab colposcopy.

Raws li cov kev tshawb fawb tau teem caij rau mob thiab txiav txim seb tus pom txoj kev ntawm kev kho mob. Lub tsev me nyuam Cryodestruction feem ntau yog nqa tawm los ntawm 7 mus rau 10 hnub voj voog.

Lub tsev me nyuam Cryodestruction: xyuas

Feem ntau cov neeg teb zoo mus rau cov qauv no, txij li thaum nws muaj ib tug yawm tus naj npawb ntawm zoo (raws li hais saum toj no), tshwj xeeb tshaj yog txhawb cov neeg mob tsis mob, bloodless kev kho mob, tau muab yug, tsis muaj scars thiab high efficiency. Tab sis tseem muaj tsis zoo nqe lus. Qhov no feem ntau yog tshwm sim vim hais tias ntawm cov neeg pluag preoperative xeem los yog tsis xws luag thaum lub sij hawm kev lag luam (qhov no qhia tau hais tias koj yuav tsum tau ua cryo tsuas txhim khu kev qha cov chaw kho mob).

Raws li peb tau kawm nyob rau hauv lub tsev me nyuam pathologies zoo thiab ruaj ntseg txoj kev uas yuav kho ib tug poj niam caws cryosurgery. Qhov yuav tshwm ntawm tsis kho thiab tsis saib tsis xyuas cov kab mob yuav tsum tau dire thiab txawm ua rau mob cancer. Yog li ntawd kho lub tsev me nyuam tus kab mob yuav tsum thiab noj qab nyob zoo!