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Цель исследования — выявить патологические изменения эпителия, в том числе предраковые состояния и ранние формы рака [3](https://medeste.ru/articles/zachem-nuzhna-kolposkopiya/). \n\n**Особенности**: \n- Процедура неинвазивна (в половые органы вводится только гинекологическое зеркало) [5](https://www.MedCentrServis.ru/blog/vse-o-kolposkopii-sheyki-matki/). \n- Не требует анестезии [5](https://www.MedCentrServis.ru/blog/vse-o-kolposkopii-sheyki-matki/). \n- Если в ходе обследования врач заметил подозрительные участки, может сразу провести прицельную биопсию (взятие небольшого фрагмента подозрительных тканей) [5](https://www.MedCentrServis.ru/blog/vse-o-kolposkopii-sheyki-matki/).\n\n\n\n## Показания\nКольпоскопию назначает гинеколог при выявлении определённых показаний [9](https://health.mail.ru/article/3933507-kolposkopiya-shejki-matki/). Некоторые из них: \n* аномальные результаты цитологического исследования (ПАП-тест) [7](https://l-med52.ru/about/poleznaya-informatsiya/kolposkopiya-chto-eto-takoe-v-ginekologii/); \n* подозрение на дисплазию шейки матки (изменения в клетках, которые могут привести к раку) [7](https://l-med52.ru/about/poleznaya-informatsiya/kolposkopiya-chto-eto-takoe-v-ginekologii/); \n* наличие воспалений или инфекций на стенках шейки матки (например, при хроническом цервиците) [7](https://l-med52.ru/about/poleznaya-informatsiya/kolposkopiya-chto-eto-takoe-v-ginekologii/); \n* кровянистые выделения из влагалища, особенно после полового акта или в межменструальный период [7](https://l-med52.ru/about/poleznaya-informatsiya/kolposkopiya-chto-eto-takoe-v-ginekologii/); \n* оценка состояния шейки матки после лечения (например, после конизации или остановки кровотечений) [7](https://l-med52.ru/about/poleznaya-informatsiya/kolposkopiya-chto-eto-takoe-v-ginekologii/).\n\n## Методика проведения\nПроцедура включает несколько этапов [9](https://health.mail.ru/article/3933507-kolposkopiya-shejki-matki/): \n1. **Расположение пациентки в гинекологическом кресле** [9](https://health.mail.ru/article/3933507-kolposkopiya-shejki-matki/). Специалист вводит гинекологическое зеркало для открытия доступа к шейке матки [9](https://health.mail.ru/article/3933507-kolposkopiya-shejki-matki/). \n2. **Первичное обследование** — шейка матки осматривается с использованием кольпоскопа, врач оценивает её оттенок, структуру и любые отклонения от нормы [9](https://health.mail.ru/article/3933507-kolposkopiya-shejki-matki/). \n3. **Использование уксусной кислоты** — на шейку матки наносится раствор 3–5% уксусной кислоты, что позволяет обнаружить атипичные сосуды, чьи стенки не реагируют на препарат, в отличие от нормальных [9](https://health.mail.ru/article/3933507-kolposkopiya-shejki-matki/). \n4. **Проба Шиллера** — шейка матки обрабатывается раствором Люголя: здоровые клетки, содержащие гликоген, окрашиваются в тёмно-коричневый оттенок, а аномальные участки остаются светлыми [9](https://health.mail.ru/article/3933507-kolposkopiya-shejki-matki/). \n5. **Биопсия шейки матки и кюретаж цервикального канала (при необходимости)** — при наличии подозрительных зон врач может осуществить забор небольшого участка ткани (биопсию) для гистологического исследования [9](https://health.mail.ru/article/3933507-kolposkopiya-shejki-matki/).\n\n## Подготовка\n**Оптимальное время для проведения** — между 5-м и 12-м днём менструального цикла, когда менструальное кровотечение уже закончилось и нет обильных выделений [11](https://www.enel-clinic.ru/articles/1456-kolposkopiia-sheiki-matki-podgotovka-k-protcedure). В этот период слизистая оболочка шейки матки находится в оптимальном состоянии для визуализации [11](https://www.enel-clinic.ru/articles/1456-kolposkopiia-sheiki-matki-podgotovka-k-protcedure). \n\n**За несколько дней до процедуры** рекомендуется воздержаться от интимной жизни, применения тампонов, спринцеваний и вагинальных свечей или кремов, если они не были назначены врачом [11](https://www.enel-clinic.ru/articles/1456-kolposkopiia-sheiki-matki-podgotovka-k-protcedure).\n\n## Интерпретация результатов\n**Результаты кольпоскопии оформляют в виде протокола** [12](https://www.labstori.ru/book/kolposkopiya/). Могут быть выявлены: \n* **Нормальные результаты** — шейка матки выглядит здоровой, ткани розовые и гладкие, без признаков атипичных клеток или воспалений [12](https://www.labstori.ru/book/kolposkopiya/). \n* **Аномальные результаты** — могут проявляться в виде белых пятен после нанесения уксусной кислоты, неокрашенных участков после применения раствора Люголя или других визуальных признаков патологий [12](https://www.labstori.ru/book/kolposkopiya/). Такие результаты могут указывать на дисплазию, воспаление или наличие предраковых изменений [12](https://www.labstori.ru/book/kolposkopiya/). \n\n**Важно**: диагноз не устанавливается исключительно по результатам кольпоскопии — необходимо оценивать состояние здоровья женщины, в том числе по результатам цитологического исследования мазков с шейки матки и гистологического анализа биопсийного материала [2](https://www.labquest.ru/articles/obsledovanie-kolposkopiya-chto-eto-takoe/).","linksData":[{"sourceId":1,"url":"https://DocDoc.ru/articles/kolposkopia/kak-delayut-kolposkopiyu","shownUrl":"https://DocDoc.ru/articles/kolposkopia/kak-delayut-kolposkopiyu","title":"Как делают кольпоскопию?","shortUrl":"DocDoc.ru","isTranslated":false,"description":"","greenUrl":"DocDoc.ru"},{"sourceId":2,"url":"https://www.labquest.ru/articles/obsledovanie-kolposkopiya-chto-eto-takoe/","shownUrl":"https://www.labquest.ru/articles/obsledovanie-kolposkopiya-chto-eto-takoe/","title":"Кольпоскопия: что это за анализ и когда назначается?","shortUrl":"labquest.ru","isTranslated":false,"description":"","greenUrl":"labquest.ru"},{"sourceId":3,"url":"https://medeste.ru/articles/zachem-nuzhna-kolposkopiya/","shownUrl":"https://medeste.ru/articles/zachem-nuzhna-kolposkopiya/","title":"Кольпоскопия шейки матки: как делают, подготовка и показания","shortUrl":"medeste.ru","isTranslated":false,"description":"","greenUrl":"medeste.ru"},{"sourceId":4,"url":"https://ru.wikipedia.org/wiki/%D0%9A%D0%BE%D0%BB%D1%8C%D0%BF%D0%BE%D1%81%D0%BA%D0%BE%D0%BF%D0%B8%D1%8F","shownUrl":"https://ru.wikipedia.org/wiki/%D0%9A%D0%BE%D0%BB%D1%8C%D0%BF%D0%BE%D1%81%D0%BA%D0%BE%D0%BF%D0%B8%D1%8F","title":"Кольпоскопия — Википедия","shortUrl":"ru.wikipedia.org","isTranslated":false,"description":"","greenUrl":"ru.wikipedia.org"},{"sourceId":5,"url":"https://www.MedCentrServis.ru/blog/vse-o-kolposkopii-sheyki-matki/","shownUrl":"https://www.MedCentrServis.ru/blog/vse-o-kolposkopii-sheyki-matki/","title":"Рассказали абсолютно все о кольпоскопии шейки матки в нашей статье","shortUrl":"MedCentrServis.ru","isTranslated":false,"description":"","greenUrl":"MedCentrServis.ru"},{"sourceId":6,"url":"https://mc21.ru/articles/kolposkopiya-sheyki-matki/","shownUrl":"https://mc21.ru/articles/kolposkopiya-sheyki-matki/","title":"Кольпоскопия шейки матки: подробное описание метода обследования и его нюансов","shortUrl":"mc21.ru","isTranslated":false,"description":"","greenUrl":"mc21.ru"},{"sourceId":7,"url":"https://l-med52.ru/about/poleznaya-informatsiya/kolposkopiya-chto-eto-takoe-v-ginekologii/","shownUrl":"https://l-med52.ru/about/poleznaya-informatsiya/kolposkopiya-chto-eto-takoe-v-ginekologii/","title":"Кольпоскопия шейки матки: как подготовиться к процедуре, расширенная диагностика, расшифровка результатов","shortUrl":"l-med52.ru","isTranslated":false,"description":"","greenUrl":"l-med52.ru"},{"sourceId":8,"url":"https://www.k31.ru/service/ginekologiya/kolposkopiya.html","shownUrl":"https://www.k31.ru/service/ginekologiya/kolposkopiya.html","title":"Кольпоскопия в Москве - 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