Investigation methods on obstetrics and gynecology. Ziyasheva G. I

Investigation methods on obstetrics and gynecology.

Ziyasheva G. I.

Investigation methods on obstetrics and gynecology consists:

Special (main): Questioning, the general checkup and collection anamnesis.

Checkup medicine to be taken externally sexual organ.

Checkup on mirror. Bimanual vaginal study. Multifunction recto-vaginal-abdominal study.

Additional:

Bacterioscope - smear on degree of the purity, dab on hormonal saturation, oncocytology.

Tests of the functional diagnostics – “pupil of an eye” and “fern” symptoms, measurement absal temperature, radioimmunal method of the determination hormone in shelters.

Flexing of uterus cavities - for determination of the position of the uterus, directions and lengths of uterus cavities, presence submucose nodes, polyp and determinations to anomalies of the development.

Bacteriological study - sowing on secondary flora of any pathological material from sexual organ (the vaginal separation, menstrual blood, material from uterus cavity, the contents to punctures of the back code, operating material i.e. liquid, pus, bit fabric).

Biopsy endometrial (diagnostic curettage) - by vacuum-aspiration of abrasion. Received material send on gistologic study.

Puncture to abdominal cavity through back code vagina. Posterior colpotomy

Other methods:

USI - echography organ of the small pelvis. Colposcope - visual study by special optical device

(with colposcop), giving increase in 6-28-40 once. Gisteroscope - visual checkup internal uterus wall by

means of optical device (with Gisteroscop). Laparoscope - checkup organ to abdominal cavity and

small pelvis by optical instrument (the laparoscop), which is entered in abdominal cavity in condition operating.

Overview X-ray picture to abdominal cavity and small pelvis. Gisterosalipingografy - an X-ray contrast study of the uterus

and uterine pipes (salpinx). R-ray skull and Turkish turned gray - for diagnostics of

pathology of the brain and offshoot pituitary gland. Computer tomography. Limfography, fistulography. Palpacion of mammary glands and mammagraphy.

Investigation methods on gynecology

General checkup General anamnesis Gynecology anamnesis Obstetric anamnesis Complaints Study medicine to be taken externally and internal

sexual organs Vaginal study

Additional methods

Bacterioscope (cytology of smear)

а) Defending of clean degree of vagina

б) Smear for gonorrhea, trichomoniosis

в) oncocytology

г) colpocytology

Tests of functional diagnostics

a) Measurement of basal temperature

b) Study of cervical slime

-“pupil of an eye”

- pull cervical slime

- “fern” symptom

Zonded of uterus cavity

Indication: flexing produce for determination of the position and

directions to cavities of the uterus, engths and conditions of the relief wall.

Contraindication: sharp and preacute inflammatory processes sexual

organ, suspicion on uterine or extrauterine pregnancy.

Biopsy -

taking part of fabrics from erosion of cervix, from tumor, fabrics of the remote polyp, fabrics of the canker vagina or medicine to be taken externally organ with following gistologic study

Puncture of abdomen cavity through posterior phoenix

Indications:

a) suspicion on presence of the free liquid in cavities of the small pelvis;

b) suspicion on ectopic pregnancy under ill-defined expressed clinical picture;

c) suspicion on presence of the cancer of the gonad with ascits;

d) for the reason determinations of the place of the cut under colpotomy;

e) in events of the difficult differential diagnostics of the liquid formation in small pelvis.

Colpotomy

Indication: evacuation fester from abscess

or liquids from retrouterine (Duglasov) space

Other methods:

USI (the ultrasonic study organ small pelvis) - method of the diagnostics of the three-dementional formation in small pelvis, is produced by special device with sensor.

Colposcope —

checkup vaginal part of cervix, butting area laminated flat and cylindrical epithelium to surfaces of endocervix,

vagina and medicine to be taken externally sexual organ by optical instrument (colposcope) when increase in 4-30 once

Histeroscope —

the method of the visual checkup to internal surface of uterus by means of optical device (histeroscope).

Laparoscope —

the endoscope study to abdominal cavity at abdominal access through punctures of the small diameter in diagnostic purpose.

Overview X-ray picture of abdomen and small pelvis -

it is produced before gisterosalpingography or as separate method of the diagnostics for determination of the contrasting pathological formation in small pelvis or in abdominal cavity (intrauterin spiral, calcinats, dermoid cysts).

Histerosalpingography —

this is a contrasting study to cavities of the womb and uterine pipes with use only water рентгено-contrasting solution

Other X-ray investigations:

Computer tomography of small pelvis

Limphography Fistulography

Inspection and palpation of mammary glands

Inspection palpation Cytological study

Mammography— X-ray of mammary glands without contrast things.

Determination blood type Determination rh-factor express by method Undertaking the test on compatibility on rh-

factor