{"id":1708,"date":"2023-02-16T19:57:26","date_gmt":"2023-02-16T17:57:26","guid":{"rendered":"https:\/\/ginekologijameglic.si\/usluge\/ambulantna-histeroskopija\/"},"modified":"2023-02-16T20:03:35","modified_gmt":"2023-02-16T18:03:35","slug":"ambulantna-histeroskopija","status":"publish","type":"page","link":"https:\/\/ginekologijameglic.si\/sr\/usluge\/ambulantna-histeroskopija\/","title":{"rendered":"Ambulantna histeroskopija"},"content":{"rendered":"\r\n<div id=\"underline-title-block_63ee154ac4f1d\" class=\"block-underline-title\">\r\n\r\n    <div class=\"container flex-row flex-row--align-h-center\">\r\n\r\n        <div class=\"flex-col-md-6\">\r\n                        <h2                class=\"underline-title block-title\">\r\n                Storitve            <\/h2>\r\n            <h3 class=\"underline-subtitle block-title\">\r\n                Ambulantna histeroskopija            <\/h3>\r\n        <\/div>\r\n\r\n    <\/div>\r\n\r\n<\/div>\r\n\n\n\r\n<div id=\"text-block-block_63eb90dd186aa\" class=\"block-text-block\">\r\n\r\n    <div class=\"flex-row flex-row--align-h-center\">\r\n\r\n        <div class=\"flex-col-md-6\">\r\n            <p>Histeroskopija je suvremeni endoskopski postupak koji omogu\u0107uje dijagnostiku i terapiju promjena u \u0161upljini maternice.<\/p>\n<p>Izvodimo naprednu ambulantnu histeroskopiju kod koje tankim opti\u010dkim instrumentom kroz rodnicu i cerviks ulazimo u \u0161upljinu maternice bez anestezije (ili samo uz lokalnu anesteziju). Otvaramo maternicu fiziolo\u0161kom otopinom i gledamo njenu unutra\u0161njost.<\/p>\n        <\/div>\r\n\r\n    <\/div>\r\n\r\n<\/div>\r\n\n\n\r\n<div id=\"custom-image-block-block_63eb90ae186a6\" class=\"block-custom-image-block\">\r\n    <div class=\"container flex-row flex-row--align-h-center\">\r\n        <div class=\"flex-col-md-6\">\r\n            <img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"300\" src=\"https:\/\/ginekologijameglic.si\/wp-content\/uploads\/2023\/02\/Histeroskopija11.jpg\" class=\"attachment-custom-image-block size-custom-image-block\" alt=\"\" srcset=\"https:\/\/ginekologijameglic.si\/wp-content\/uploads\/2023\/02\/Histeroskopija11.jpg 500w, https:\/\/ginekologijameglic.si\/wp-content\/uploads\/2023\/02\/Histeroskopija11-300x180.jpg 300w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/>        <\/div>\r\n    <\/div>\r\n<\/div>\n\n\r\n<div id=\"text-block-block_63ebe5b4bb3e2\" class=\"block-text-block\">\r\n\r\n    <div class=\"flex-row flex-row--align-h-center\">\r\n\r\n        <div class=\"flex-col-md-6\">\r\n            <p>Histeroskop<\/p>\n        <\/div>\r\n\r\n    <\/div>\r\n\r\n<\/div>\r\n\n\n\r\n<div id=\"text-block-block_63ee04452e329\" class=\"block-text-block\">\r\n\r\n    <div class=\"flex-row flex-row--align-h-center\">\r\n\r\n        <div class=\"flex-col-md-6\">\r\n            <p>U ve\u0107ini slu\u010dajeva na ambulantnu histeroskopiju se odlu\u010duje kada se ultrazvu\u010dnim pregledom utvrde promjene u \u0161upljini maternice.<\/p>\n<p>Oni mogu biti uro\u0111eni, kao \u0161to je <strong>pregrada (lat. septum)<\/strong> u maternici.<\/p>\n        <\/div>\r\n\r\n    <\/div>\r\n\r\n<\/div>\r\n\n\n\r\n<div id=\"custom-image-block-block_63eb90c9186a9\" class=\"block-custom-image-block\">\r\n    <div class=\"container flex-row flex-row--align-h-center\">\r\n        <div class=\"flex-col-md-6\">\r\n            <img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/ginekologijameglic.si\/wp-content\/uploads\/2023\/02\/Histeroskopija41.jpg\" class=\"attachment-custom-image-block size-custom-image-block\" alt=\"\" srcset=\"https:\/\/ginekologijameglic.si\/wp-content\/uploads\/2023\/02\/Histeroskopija41.jpg 500w, https:\/\/ginekologijameglic.si\/wp-content\/uploads\/2023\/02\/Histeroskopija41-300x300.jpg 300w, https:\/\/ginekologijameglic.si\/wp-content\/uploads\/2023\/02\/Histeroskopija41-150x150.jpg 150w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/>        <\/div>\r\n    <\/div>\r\n<\/div>\n\n\r\n<div id=\"text-block-block_63ee1adf8fa5e\" class=\"block-text-block\">\r\n\r\n    <div class=\"flex-row flex-row--align-h-center\">\r\n\r\n        <div class=\"flex-col-md-6\">\r\n            <p>Septum<\/p>\n        <\/div>\r\n\r\n    <\/div>\r\n\r\n<\/div>\r\n\n\n\r\n<div id=\"text-block-block_63ee048c2e32a\" class=\"block-text-block\">\r\n\r\n    <div class=\"flex-row flex-row--align-h-center\">\r\n\r\n        <div class=\"flex-col-md-6\">\r\n            <p>Uglavnom se radi o ste\u010denim promjenama, poput <strong>submukoznih mioma (lat. myoma submucosum)<\/strong>, polipa i zadebljane sluznice te <strong>ostataka trudno\u0107e (lat. residua)<\/strong> nakon poroda ili poba\u010daja. Sve te promjene mogu\u0107e je i kirur\u0161ki odstraniti histeroskopijom i poslati na patohistolo\u0161ku pretragu.<\/p>\n        <\/div>\r\n\r\n    <\/div>\r\n\r\n<\/div>\r\n\n\n\r\n<div id=\"custom-image-block-block_63eb90b6186a7\" class=\"block-custom-image-block\">\r\n    <div class=\"container flex-row flex-row--align-h-center\">\r\n        <div class=\"flex-col-md-6\">\r\n            <img loading=\"lazy\" decoding=\"async\" width=\"752\" height=\"730\" src=\"https:\/\/ginekologijameglic.si\/wp-content\/uploads\/2023\/02\/Histeroskopija2.png\" class=\"attachment-custom-image-block size-custom-image-block\" alt=\"\" srcset=\"https:\/\/ginekologijameglic.si\/wp-content\/uploads\/2023\/02\/Histeroskopija2.png 752w, https:\/\/ginekologijameglic.si\/wp-content\/uploads\/2023\/02\/Histeroskopija2-300x291.png 300w\" sizes=\"auto, (max-width: 752px) 100vw, 752px\" \/>        <\/div>\r\n    <\/div>\r\n<\/div>\n\n\r\n<div id=\"text-block-block_63ebe5d1bb3e3\" class=\"block-text-block\">\r\n\r\n    <div class=\"flex-row flex-row--align-h-center\">\r\n\r\n        <div class=\"flex-col-md-6\">\r\n            <p>Polip<\/p>\n        <\/div>\r\n\r\n    <\/div>\r\n\r\n<\/div>\r\n\n\n\r\n<div id=\"custom-image-block-block_63eb90bf186a8\" class=\"block-custom-image-block\">\r\n    <div class=\"container flex-row flex-row--align-h-center\">\r\n        <div class=\"flex-col-md-6\">\r\n            <img loading=\"lazy\" decoding=\"async\" width=\"662\" height=\"432\" src=\"https:\/\/ginekologijameglic.si\/wp-content\/uploads\/2023\/02\/Histeroskopija3.png\" class=\"attachment-custom-image-block size-custom-image-block\" alt=\"\" srcset=\"https:\/\/ginekologijameglic.si\/wp-content\/uploads\/2023\/02\/Histeroskopija3.png 662w, https:\/\/ginekologijameglic.si\/wp-content\/uploads\/2023\/02\/Histeroskopija3-300x196.png 300w\" sizes=\"auto, (max-width: 662px) 100vw, 662px\" \/>        <\/div>\r\n    <\/div>\r\n<\/div>\n\n\r\n<div id=\"text-block-block_63ebe5fcbb3e4\" class=\"block-text-block\">\r\n\r\n    <div class=\"flex-row flex-row--align-h-center\">\r\n\r\n        <div class=\"flex-col-md-6\">\r\n            <p>Miom<\/p>\n        <\/div>\r\n\r\n    <\/div>\r\n\r\n<\/div>\r\n\n\n\r\n<div id=\"text-block-block_63ee1cd68fa5f\" class=\"block-text-block\">\r\n\r\n    <div class=\"flex-row flex-row--align-h-center\">\r\n\r\n        <div class=\"flex-col-md-6\">\r\n            <p>Na ambulantnu histeroskopiju odlu\u010dujemo se i u slu\u010dajevima <strong>neobja\u0161njivog krvarenja<\/strong> (gdje ultrazvu\u010dnim pregledom nije utvr\u0111ena abnormalnost), kako u generativnom razdoblju tako iu postmenopauzi. U svim tim slu\u010dajevima uzima se i tkivo radi patohistolo\u0161ke pretrage.<\/p>\n<p>Tako\u0111er ambulantnom histeroskopijom uklanjamo zaostale <strong>materni\u010dne spirale<\/strong> ili njihove dijelove.<\/p>\n<p>Poseban dio ambulantne histeroskopije je <strong>cervikoskopija<\/strong>, kojom se zbog patolo\u0161kog PAP brisa pregledava cervikalni kanal i uzimaju uzorci za patohistolo\u0161ku pretragu. Ova pretraga se uglavnom koristi kada se tijekom <strong>kolposkopije<\/strong> grli\u0107a maternice ne na\u0111u promjene koje bi objasnile patolo\u0161ki PAP obrisak, posebice kada se \u017eljezdane stanice identificiraju kao patolo\u0161ke.<\/p>\n<p>Priprema pacijenta nije zahtjevna. Najprije je potreban ginekolo\u0161ki pregled i vaginalni ultrazvu\u010dni pregled. Tada se odre\u0111uje termin ambulantne histeroskopije, za bolesnice u generativnoj dobi odmah nakon menstruacije, kada sluznica maternice ne ometa zahvat, a za bolesnice u postmenopauzi bilo kada. Pacijentima se savjetuje da uzmu tabletu protiv bolova sat vremena prije zakazanog zahvata. Obi\u010dno su to nesteroidni antireumatici poput Nalgesina ili Ketonala, ali nikako ne smiju uzimati Aspirin.<\/p>\n<p>Dijagnosti\u010dka ambulantna histeroskopija traje od 5 do maksimalno 10 minuta, a operativna ambulantna histeroskopija maksimalno 20 minuta.<\/p>\n<p>Kod dijagnosti\u010dkih histeroskopija ostanak pacijentice ne\u0107e biti potreban, ali kod operativne histeroskopije bit \u0107e potreban dan-dva.<\/p>\n<p>Pacijentice trebaju do\u0107i u \u0161irokim hla\u010dama ili suknji jer \u0107e fiziolo\u0161ka otopina jo\u0161 neko vrijeme izlijevati iz maternice ili vagine pa \u0107e pacijentici trebati deblji ulo\u017eak.<\/p>\n<p>&nbsp;<\/p>\n        <\/div>\r\n\r\n    <\/div>\r\n\r\n<\/div>\r\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":1197,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1708","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/ginekologijameglic.si\/sr\/wp-json\/wp\/v2\/pages\/1708","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ginekologijameglic.si\/sr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ginekologijameglic.si\/sr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ginekologijameglic.si\/sr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ginekologijameglic.si\/sr\/wp-json\/wp\/v2\/comments?post=1708"}],"version-history":[{"count":6,"href":"https:\/\/ginekologijameglic.si\/sr\/wp-json\/wp\/v2\/pages\/1708\/revisions"}],"predecessor-version":[{"id":1715,"href":"https:\/\/ginekologijameglic.si\/sr\/wp-json\/wp\/v2\/pages\/1708\/revisions\/1715"}],"up":[{"embeddable":true,"href":"https:\/\/ginekologijameglic.si\/sr\/wp-json\/wp\/v2\/pages\/1197"}],"wp:attachment":[{"href":"https:\/\/ginekologijameglic.si\/sr\/wp-json\/wp\/v2\/media?parent=1708"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}