Histeroskopija u ginekologiji

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6 godina 10 meseci pre - 6 godina 7 meseci pre #12743 od Verka
Verka je napravio novu temu: Histeroskopija u ginekologiji
Histeroskopija je endoskopska metoda u ginekologiji pri kojoj se kroz kanal grlića materice u šupljinu tela materice uvodi histeroskop, instrument promera 5mm. Kroz jedan kanal ovog instrumenta uvodi se jako svetlo koje osvetljava matericu i na monitoru prikazuje sliku sluzokože kanala i tela materice. Kroz drugi kanal ubrizgava se tečnost, najčešće fiziološki rastvor ili 5% glukozu, koja širi, distendira zidove materice omogućavajući vizualizaciju njene sluzokože i eventualnih promena na njoj. Kroz treći kanal uvode se instrumenti kojima se rade određene intervencije u materici. S obzirom na to da se sve ovo radi kroz instrument promera 5mm, jasno je o kakvoj visokoj tehnologiji je reč.

Zbog ovake minijaturizacije opreme, kod većine žena ovakva intervencija se moze uraditi bez ikakve anestezije. Kako se na vrhu histeroskopa nalazi kamera, uvođenje instrumenta kao i sam rad vrši se pod kontrolom oka ginekologa, što ovu intervenciju čini mnogo sigurnijom u odnosu na klasične intervencije. Za razliku od klasičnih intervencija (eksplorativnih kiretaža, abrazija) koje se rade "naslepo" tj. instrument kojim se radi intervencija nije pod kontrolom oka, kod histeroskopije ginekolog ima mogućnost da promenu na sluzokoži kanala ili tela materice lokalizuje i nakon toga ukloni, što znatno unapređuje tačnost dijagnostike jer je samo rana dijagnostika pravovremena. Ovo je od posebnog značaja kada se zna da je većina oboljenja u materici fokalnog karaktera, odnosno nije jednako prisutna u svim delovima materične šupljine, tako da je od presudnog značaja za dijagnostiku nekog oboljenja mesto sa kojeg će ginekolog uzeti tkivo.

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