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Инструмент вводится через влагалище и шейку матки, изображение передаётся на экран в режиме реального времени [2](https://www.MedCentrServis.ru/blog/vse-o-gisteroskopii-matki/)[3](https://www.euroonco.ru/glossary-a-z/gisteroskopiya). \n\nГистероскопия совмещает две функции: диагностическую (осмотр, биопсия эндометрия) и лечебную (удаление полипов, рассечение внутриматочных синехий, устранение миомы, удаление инородных тел) [5](https://vmclinic.ru/blog/gisteroskopiya-matki-diagnostika/).\n\n\n\n## Виды\nНекоторые виды гистероскопии: \n* **Диагностическая** — для оценки состояния эндометрия, цервикального канала и полости матки [2](https://www.MedCentrServis.ru/blog/vse-o-gisteroskopii-matki/). Позволяет выявить полипы, миомы, синехии и другие аномалии [2](https://www.MedCentrServis.ru/blog/vse-o-gisteroskopii-matki/). \n* **Хирургическая (оперативная)** — используется для лечебных манипуляций — удаления новообразований, устранения спаек, абляции эндометрия и других вмешательств в полость матки [2](https://www.MedCentrServis.ru/blog/vse-o-gisteroskopii-matki/). \n* **Контрольная** — проводится после завершённого лечения (гормонального или хирургического), чтобы оценить его эффективность и динамику состояния матки [2](https://www.MedCentrServis.ru/blog/vse-o-gisteroskopii-matki/). \n* **Лечебно-диагностическая** — сочетает первичный визуальный осмотр с немедленным проведением лечебных вмешательств при необходимости [2](https://www.MedCentrServis.ru/blog/vse-o-gisteroskopii-matki/).\n\n## Показания\nГистероскопию назначают при различных нарушениях, требующих точной визуализации и, при необходимости, немедленного лечения патологий полости матки [2](https://www.MedCentrServis.ru/blog/vse-o-gisteroskopii-matki/). Например: \n* нарушения менструального цикла [2](https://www.MedCentrServis.ru/blog/vse-o-gisteroskopii-matki/); \n* межменструальные и постменопаузальные кровотечения [2](https://www.MedCentrServis.ru/blog/vse-o-gisteroskopii-matki/); \n* подозрение на гиперплазию эндометрия, полипы, миомы, эндометриоз и злокачественные процессы [2](https://www.MedCentrServis.ru/blog/vse-o-gisteroskopii-matki/); \n* бесплодие и привычное невынашивание беременности [2](https://www.MedCentrServis.ru/blog/vse-o-gisteroskopii-matki/); \n* подготовка к ЭКО (оценка состояния слизистой и устьев маточных труб) [2](https://www.MedCentrServis.ru/blog/vse-o-gisteroskopii-matki/).\n\n## Противопоказания\nСреди противопоказаний к гистероскопии различают абсолютные и относительные [2](https://www.MedCentrServis.ru/blog/vse-o-gisteroskopii-matki/). **Абсолютные**: текущая беременность, острые воспалительные заболевания органов малого таза, злокачественные опухоли шейки матки на поздних стадиях, а также тяжёлые декомпенсированные соматические заболевания [2](https://www.MedCentrServis.ru/blog/vse-o-gisteroskopii-matki/). **Относительные**: активное маточное кровотечение, выраженный стеноз шейки матки и обострение хронических патологий [2](https://www.MedCentrServis.ru/blog/vse-o-gisteroskopii-matki/). Врач принимает решение о возможности проведения индивидуально, с учётом всех факторов [2](https://www.MedCentrServis.ru/blog/vse-o-gisteroskopii-matki/).\n\n## Восстановление\nПосле гистероскопии могут быть временные симптомы, которые считаются нормальными: лёгкие тянущие боли внизу живота, незначительные кровянистые выделения [14](https://www.kabinetginecologa.ru/reabilitacziya-posle-gisteroskopii-chto-vazhno-znat-paczientke/). **Некоторые рекомендации для восстановления**: \n* **Физическая активность** — избегать физических нагрузок и подъёма тяжестей в течение 5–7 дней, возвращаться к обычному ритму жизни постепенно [14](https://www.kabinetginecologa.ru/reabilitacziya-posle-gisteroskopii-chto-vazhno-znat-paczientke/). \n* **Половые контакты** — воздержаться от интимной близости на 7–10 дней или до полного прекращения выделений [14](https://www.kabinetginecologa.ru/reabilitacziya-posle-gisteroskopii-chto-vazhno-znat-paczientke/). \n* **Гигиена** — использовать только прокладки, а не тампоны, избегать спринцеваний и применения вагинальных средств без рекомендации врача [14](https://www.kabinetginecologa.ru/reabilitacziya-posle-gisteroskopii-chto-vazhno-znat-paczientke/). \n* **Медикаменты** — принимать назначенные врачом препараты, такие как антибиотики или спазмолитики, если это необходимо [14](https://www.kabinetginecologa.ru/reabilitacziya-posle-gisteroskopii-chto-vazhno-znat-paczientke/).","linksData":[{"sourceId":1,"url":"https://polyclin.ru/articles/gisteroskopiya/","shownUrl":"https://polyclin.ru/articles/gisteroskopiya/","title":"Гистероскопия: причины, симптомы, лечение","shortUrl":"polyclin.ru","isTranslated":false,"description":"","greenUrl":"polyclin.ru"},{"sourceId":2,"url":"https://www.MedCentrServis.ru/blog/vse-o-gisteroskopii-matki/","shownUrl":"https://www.MedCentrServis.ru/blog/vse-o-gisteroskopii-matki/","title":"Гистероскопия матки в гинекологии - 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