WFD, los yog ib qho kev txheeb cais qhov sib txawv, hauv kev siv poj niam los kuaj xyuas kab mob, thiab tseem tuaj yeem raug siv los ua kev kho mob. Qhov kev saib xyuas no yog suav hais tias yog ib qho ntawm ntau tshaj plaws thiab feem ntau siv kev pabcuam rau hauv gynecology.
WFD - qhov tshwm sim rau kev siv
Qhov kev kuaj xyuas ntawm WFD ua rau pom tseeb tias lub xeev ntawm cov qog nqaij hlav hauv kev ua haujlwm ntawm kev mob khees xaws thiab kev siab phem. Raws li kev kho mob, qhov WFD raug ua raws li cov hauv qab no:
- kom tsis txhob los ntshav;
- nrog endometrial hyperplasia ;
- rau qhov kev tshem tawm ntawm cov hlab pas thiab cov hnyuv quav, loj hlob nyob rau hauv lub uterine kab noj hniav;
- nrog rau kev sib cev xeeb tub, yog tias muaj ib qho kev tsis pom zoo ntawm kev tshem tawm ntawm lub plab me me.
Thaum lub sijhawm ua haujlwm ntawm WFD, cov kab mob pathological no tawm hauv cov kabmob uterine thiab nyob rau hauv tsev menyuam yaus.
Cov txheej txheem scraping
Peb yuav rhuav tshem ntau yam, xws li MFD ntawm qhov mucous membrane ntawm lub tsev menyuam thiab lub tsev menyuam yaus. Qhov kev tswj no tau ua hauv cov tshuaj loog. Diagnostic RVD raug pom zoo kom ua tiav ob peb hnub ua ntej qhov pib ntawm kev hnyav. Ua ntej scraping yuav tsum tau kuaj. Cov kev sojntsuam uas yuav tsum tau ua rau WFD muaj li hauv qab no:
- kuaj ntshav;
- coagulogram;
- kev soj ntsuam kuaj kab mob siab B thiab C, mob HIV, syphilis;
- ib qho smear los ntawm qhov chaw mos rau kev kuaj pom muaj kev mob nkeeg;
- ECG;
- Ultrasound ntawm pelvic plab hnyuv siab raum.
Tom qab qhov kev xeem thiab thaum tsis muaj kev tsis sib haum mus rau theem pib:
- Ua ntej, CDW ntawm lub tsev menyuam yaus hauv lub tsev menyuam tau ua tiav, cov khoom uas tau sau tau yog los mus tshawb xyuas ntxiv.
- Cov kabmob khau uterine yog lub sijhawm kuaj thiab cov kabmob nrawm yog pib nkag.
- Nyob rau hauv lub uterine kab noj hniav ib tug hlau curette yog ntxig thiab scraping ntawm mucous daim nyias nyias yog ua.
- Txhua tus tau txais cov ntaub ntawv (cais ntawm lub tsev menyuam thiab cov poj niam me nyuam roj ntsha) yog xa mus rau kev tshawb nrhiav cov ntaub so ntswg. Histology hauv RVD yog ib theem tseem ceeb ntawm kev tshawb fawb. Vim nws qhia tau hais tias tag nrho cov kev mob ntsws uas tshwm sim nyob rau hauv qhov deb mucosa.
Rau kev yooj yim dua, WFD uterus ua ke nrog cov zis los yog ultrasound. WFD nrog hysteroscopy pub rau kev ua haujlwm no
Rov qab ua haujlwm
Qhov kev ntxub ntxaug no kuj tsis muaj teeb meem, yog li tsis muaj ib qho kev kho mob tshwj xeeb hauv kev siv sij hawm tom qab. Raws li qhov tshwm sim ntawm WFD, muaj peev xwm soj ntsuam ncua ntev txog ib lub lim tiam.
Kev kho mob tom qab RDV yuav tsum noj tshuaj tua kab mob kom thiaj li tiv thaiv kom tsis txhob muaj kab mob thiab kev mob nyhav. Los soj ntsuam cov kev kho mob ntawm ob peb hnub (feem ntau yog ib lub lim tiam tom qab), ib qho ultrasound yuav tau sau ob.