Matenda a Asherman

Asherman syndrome ndikapangidwe kathupi kakang'ono m'mimba mwa chiberekero. Vutoli nthawi zambiri limayamba pambuyo poti opaleshoni ya uterine.

Matenda a Asherman ndi osowa. Nthawi zambiri, zimachitika mwa azimayi omwe adachitapo njira zingapo zochepetsera ndi zochizira (D&C).

Matenda owopsa a m'chiuno osagwirizana ndi opaleshoni amathanso kubweretsa matenda a Asherman.

Zomatira mu chiberekero zimatha kupangika mutatha kutenga kachilombo ka TB kapena schistosomiasis. Matendawa ndi osowa ku United States. Zovuta za chiberekero zokhudzana ndi matendawa ndizocheperako.

Zomatira zimatha kuyambitsa:

• Amenorrhea (kusowa kwa msambo)
• Kupita padera mobwerezabwereza
• Kusabereka

Komabe, zizindikilozi zitha kukhala zokhudzana ndi zochitika zingapo. Atha kuwonetsa matenda a Asherman ngati angachitike mwadzidzidzi D & C kapena opaleshoni ina ya uterine.

Kuyezetsa m'chiuno sikuwulula zovuta nthawi zambiri.

Mayeso atha kuphatikiza:

• Zowonjezera
• Hysterosonogram
• Kufufuza kwa Transvaginal ultrasound
• Kuyesedwa kwa magazi kuti azindikire chifuwa chachikulu kapena schistosomiasis

Chithandizo chimaphatikizapo opaleshoni kudula ndi kuchotsa zomata kapena minofu yofiira. Izi nthawi zambiri zimachitika ndi hysteroscopy. Izi zimagwiritsa ntchito zida zing'onozing'ono komanso kamera yoyikidwa muchiberekero kudzera pachibelekeropo.

Chotupa chikachotsedwa, chiberekero chimayenera kukhala chotseguka pomwe chimachiritsa kuti zomata zisabwerere. Wothandizira zaumoyo wanu amatha kuyika chibaluni chaching'ono mkati mwa chiberekero kwa masiku angapo. Mwinanso mungafunike kumwa estrogen pamene chiberekero cha chiberekero chikuchira.

Mungafunike kumwa maantibayotiki ngati pali matenda.

Kupsinjika kwa matenda kumathandizidwa nthawi zambiri kulowa nawo gulu lothandizira. M'magulu otere, mamembala amagawana zokumana nazo zomwe zimawachitikira komanso mavuto.

Matenda a Asherman amatha kuchiritsidwa ndi opaleshoni. Nthawi zina pamafunika njira zingapo.

Amayi omwe ali osabereka chifukwa cha matenda a Asherman amatha kukhala ndi mwana atalandira chithandizo. Kukhala ndi pakati bwino kumatengera kuopsa kwa matenda a Asherman komanso kuvuta kwa chithandizo chamankhwala. Zinthu zina zomwe zimakhudza kubereka komanso kutenga pakati zitha kuphatikizidwanso.

Zovuta za opaleshoni ya hysteroscopic sizachilendo. Zikachitika, zimatha kuphatikizira magazi, chiberekero, ndi matenda am'mimba.

Nthawi zina, chithandizo cha matenda a Asherman sichimachiza kusabereka.

Itanani omwe akukuthandizani ngati:

• Kusamba kwanu sikubwerera pambuyo pa opaleshoni ya amayi kapena yobereka.
• Simungathe kutenga pakati pakatha miyezi 6 kapena 12 mukuyesa (Onani katswiri kuti awonetse kusabereka).

Matenda ambiri a Asherman syndrome sangathe kunenedweratu kapena kupewa.

Chiberekero synechiae; Zomatira za m'mimba; Kusabereka - Asherman

• Chiberekero
• Thupi labwinobwino la chiberekero (gawo lodulidwa)

Brown D, Levine D. Chiberekero. Mu: Rumack CM, Levine D, eds. Kuzindikira Ultrasound. 5th ed. Philadelphia, PA: Elsevier; 2018: mutu 15.

Dolan MS, Hill C, Valea FA. Zotupa za Benign gynecologic: maliseche, nyini, khomo pachibelekeropo, chiberekero, oviduct, ovary, imaging ya ultrasound yamapangidwe amchiuno. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 18.

Keyhan S, Muasher L, Muasher SJ. Kutaya mimba kwadzidzidzi ndi kutaya mimba mobwerezabwereza: etiology, matenda, chithandizo. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 16.

Williams Z, Scott JR. Kutaya mimba mobwerezabwereza. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, olemba. Creasy ndi Resnik's Maternal-Fetal Medicine: Mfundo ndi Kuchita. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 44.