Explorari in Obstetrica Si Ginecologie Romana1

8/18/2019 Explorari in Obstetrica Si Ginecologie Romana1

1/56


2/56


3/56

VAGINUL


4/56

EXAMINAREA VAGINALA


5/56

EXAMINAREA VAGINULUI

Valve si Speculi


6/56

EXAMENUL SECRETIE

VAGINALE

determinarea pH

examenbacteriolo ic !ipara"itolo ic

examen#lcito$a inal


7/56

COLUL UTERIN


8/56


9/56

EXAMENUL MUCUSULUI

CERVICAL!ecretia alcalina a

landelor cer$icale

con!i!tenta !i $ol#m#l!ecretiei cer$icaledepinde de modi%carile%"iolo ice ale cicl#l#imen!tr#al

m#c#!#l cer$ical e!te oprotectie #tila impotri$aa!cen!i#nii bacteriilor !i

!permato"oi"ilor !pre #ter


10/56

TESTUL SIMS&HUHNER

te!t#l po!tcoital '(CT) e!te #nte!t de e$al#are a *ertilitatii

te!t#l e$al#ea"a

comportament#l!permato"oi"ilor in leracer$icala

in perioada perio$#latorie+ la ,&-. ore d#pa #n contact !ex#al+

!e aprecia"a mi!carie acti$e ale!permato"oi"ilor

#n te!t !lab indica a l#tinarea!permato"oi"ilor #rmare acon/ict#l#i im#nolo ie c# AC

anti!permatici


11/56

TESTUL 0A0ES&

(A(ANICOLAU

c#i !e adre!ea"a te!t#l1

proced#ra

*rec$enta examinarilor

re"#ltate

e!te #n te!t !creenin a$and ca !copdepi!tarea le"i#nilor premali ne !a# mali ne lani$el#l col#l#i #terin2 Modi%carile !emni%cati$e

nece!ita tratament pentr# a pre$eni aparitiacancer#l#i de col


12/56

IN3ECTIA CU H(V


13/56

IN3ECTIA CU H(V


14/56

TESTUL 0A0ES&

(A(ANICOLAUre"#ltatele !e raportea"a prin cla!i%carea 0et4e!da5modi%cari ale cel#lelor !c#amoa!e 'SIL)

modi%cari atipice de ca#"a nepreci"ata 'ASC&US)

le"i#ni intraepiteliale de rad !ca"#t 'LGSIL !a# LSIL)

cel#le !coamoa!e atipice & n# excl#de HSIL 'ASC&H)

le"i#ni intraepiteliale !coamoa!e de rad cre!c#t 'HGSIL &

HSIL)

carcinom al cel#lelor !coamoa!e

anomalii ale cel#lelor epiteli#l#i land#lar

atipii ne!peci%ce ale cel#lelor land#lare 'AGC !a# AGC&NOS)


15/56

COL(OSCO(IA

e!te o proced#rade dia no!ticmicro!copic 6in$i$o7 a te!#t#rilor

$#l$ei+ $a in#l#i !icol#l#i #terin


16/56

COL(OSCO(IA

!impla & examinaredirecta

exocer$ix & ro"

endocol & ro!#

acid acetic . 8 9: !i!ol#tie L# ol


17/56

COL(OSCO(IA

te!t#l La4m&Sc4iller

L# ol .:

normal & m#coa!aexocer$icala e!te#ni*orm br#na

anormal & "ona iodne ati$a


18/56

COL(OSCO(IA


19/56

COL(OSCO(;


20/56

COL(OSCO(;


21/56

0IO(SIA CERVICALA


22/56

0IO(SIA CERVICALA


23/56

CONI


24/56

CONI


25/56

UTERUL


26/56

0IO(SIA =E EN=OMETRU

a!pect#l endometr#l#i $aria"a*#nctie de *a"a *olic#lara !a#l#teala a cicl#l#i men!tr#al

in conditii patolo ice+endometr#l inre i!trea"adi$er!e a!pecte5

4iperpla"ia endometriala

!impla

4iperpla"ia land#loc4i!tica

4iperpla"ia adenomatoa!a

4iperpla"ie complexa c# atipii


27/56

0IO(SIA =E EN=OMETRU


28/56

HISTERO&SAL(INGO&GRA3IA

e!te o examinareradiolo ica ce*olo!e!te o !#b!tantade contra!t c# !cop#lde a e$identiaa!pect#l !ipermeabilitateatract#l#i enitalintern

ma!e t#morale

aderente


29/56

HISTERO&SAL(INGO&GRA3IA


30/56

VAGINO&SCO(;


31/56

HISTEROSCO(IA

dia no!tic#l !an erarilorendo#terine

!indrom#l A!4erman 'aderenteintra#terine)

polipi endometriali &(olipectomie

%broame !#bm#coa!e &miomectomie

mal*ormatii #terine+ !epte

&re"ectie


32/56

HISTEROSCO(IA


33/56

HISTEROSCO(IA


34/56

RE


35/56

HISTEROSCO(IA


36/56

RE


37/56

RE


38/56

LA(AROSCO(IA

te4nica c4ir#r icala cepermite dia no!tic#l !itratament#l a*ecti#nilor

inecolo ice c#6abdomen#l inc4i!7

rec#perare rapida+!pitali"are red#!a+co!t#ri mai mici


39/56


40/56

LA(AROSCO(IA


41/56

ANEXELE TROM(ELE SI OVARELE


42/56

TROM(ELE UTERINEa*ectarea t#bara cea mai *rec$enta apare in timp#l 0I('boala in/amatorie pel$ina)2 Acea!ta poate % ca#"atade5

bolile c# tran!mitere !ex#ala 'Gonorr4ea+ C4lam>dia)

in*ectii ce pot !a apara d#pa5 a$ort#l incomplet+endometrita po!tpart#m+ in!ertie !a# porta? de !terilet'=IU)

pel$iperitonite po!t&operatorii 'apendice+ pioo$ar+pi!alpinx etc)

endometrio"a !e$era

t#berc#lo"a


43/56

OVARELE

in$e!ti atii4ormonale

CT0 & c#rba termicaba"ala e!te ometoda ra%ca dein!criere a T0 c#!cop#l detectariio$#latiei !iaprecieriicapacitatii *ertile a

*emeii


44/56


45/56

ECOGRA3IA

eco .& = a!i!tatadoppler pentr#dia no!tic#l #n#i

polip


46/56

ECOGRA3IA

dia no!tic#lmal*ormatiilor#terine


47/56

SONOHISTEROGRA3IA


48/56

O0STETRICA


49/56

ECOGRA3IA

dia no!tic precoce de !arcina

aprecierea e$ol#tiei !arcinii

!tabilirea $ar!tei e!tationale

e$al#area cre!terii *etale intra#terinepermitand detectarea retard#l#i decre!tere

e$identierea de*ectelor de de"$oltare a

aparatelor !i !i!temelor *etale

!emne de apel eco ra%c in anomaliilecromo"omiale

dia no!tic#l !arcinii m#ltiple

dia no!tic#l mal*ormatiilor *etale


50/56

0IO(SIA =E VILO


51/56

AMNIOCENTE


52/56

AMNIOCENTE


53/56

AMNIOCENTEndrome 'Tri!om>.-)

Tri!omia -9

Tri!omia -

t#b#rari metabolicemo!tenite

Spina 0i%da

in Trime!tr#l II !i III de!arcina permitedetectarea5

In*ectiilor

incompatibilitatii de R4

aprecierea mat#rariip#lmonare

decompre!i#neapoli4idramnio!#l#i


54/56

AMNIOSCO(IA


55/56

3ETAL NON&STRESS TEST'NST)

NST e!te o metoda!impla+ non&in$a"i$a+ e*ect#atala !arcini pe!te .!aptamani de

e!tatie+ c# !cop#lde a aprecia !tareade bine a *at#l#i in#tero


56/56

3ETAL NON&STRESS TEST'NST)

Documents

Explorari in Obstetrica Si Ginecologie Romana1