Kodi Asherman Syndrome Ndi Chiyani?

Zamkati

• Zizindikiro
• Kodi matenda a Asherman amakhudza bwanji chonde?
• Zoyambitsa
• Matendawa
• Chithandizo
• Kupewa
• Chiwonetsero

Kodi Asherman syndrome ndi chiyani?

Matenda a Asherman ndi chiberekero chosowa, chomwe chimapezeka. Kwa amayi omwe ali ndi vutoli, zilonda zofiira kapena zomata zimapanga chiberekero chifukwa cha zovuta zina.

Zikakhala zovuta kwambiri, makoma onse akutsogolo ndi kumbuyo kwa chiberekero amatha kulumikizana. Nthawi zovuta, zomata zimatha kupezeka m'malo ang'onoang'ono a chiberekero. Zomatira zimatha kukhala zokutira kapena zowonda, ndipo zimatha kupezeka pang'ono kapena kuphatikizidwa.

Zizindikiro

Amayi ambiri omwe ali ndi matenda a Asherman amakhala ndi nthawi zochepa kapena zosakhalitsa. Amayi ena amamva kuwawa panthawi yomwe amayenera kusamba, koma alibe magazi. Izi zitha kuwonetsa kuti mukusamba, koma kuti magazi sangathe kutuluka m'chiberekero chifukwa chotulukiracho chimatsekedwa ndi minofu yofiira.

Ngati nthawi yanu ndi yochepa, yosawerengeka, kapena kulibe, zikhoza kukhala chifukwa cha vuto lina, monga:

• mimba
• nkhawa
• kuwonda mwadzidzidzi
• kunenepa kwambiri
• kuchita masewera olimbitsa thupi
• kumwa mapiritsi olera
• kusamba
• matenda a polycystic ovary (PCOS)

Onaninso dokotala wanu ngati nthawi yanu imasiya kapena simuchuluka. Atha kugwiritsa ntchito mayeso azowunikira kuti adziwe chomwe chikuyambitsa ndikuyamba chithandizo.

Kodi matenda a Asherman amakhudza bwanji chonde?

Amayi ena omwe ali ndi matenda a Asherman amalephera kutenga pakati kapena kukhala ndi padera pobwereza. Icho ndi n`zotheka kutenga pakati ngati muli Asherman syndrome, koma zomatira mu chiberekero akhoza kukhala chiopsezo kwa mwana wosabadwayo. Mwayi wanu wopita padera komanso kubereka mwana udzakhalanso wapamwamba kuposa azimayi opanda vutoli.

Matenda a Asherman amachulukitsanso chiopsezo chanu mukakhala ndi pakati:

• malo oyamba
• placenta increta
• kutaya magazi kwambiri

Madokotala anu adzafuna kuyang'anitsitsa mimba yanu ngati muli ndi matenda a Asherman.

Ndizotheka kuchiza matenda a Asherman ndi opaleshoni. Kuchita opaleshoniyi kumawonjezera mwayi wanu wokhala ndi pakati komanso kukhala ndi pakati. Madokotala amalimbikitsa kudikirira chaka chathunthu mutachitidwa opaleshoni musanayambe kuyesa kutenga pakati.

Zoyambitsa

Malingana ndi International Asherman’s Association, pafupifupi 90 peresenti ya matenda onse a Asherman amapezeka potsatira njira yochepetsera ndi kuchiritsa (D ndi C). A D ndi C nthawi zambiri amachitidwa potsatira kuperewera padera, kusungidwa kwa placenta atabereka, kapena ngati kuchotsa mimba.

Ngati D ndi C zikuchitika pakati pa masabata awiri kapena anayi kutsatira kubereka kwa placenta yosungidwa, ndiye kuti pali mwayi wa 25 peresenti wokhala ndi matenda a Asherman. Kuopsa kokhala ndi vutoli kumawonjezera njira zochulukirapo za D ndi C zomwe mayi amakhala nazo.

Nthawi zina kumangiriza kumatha kuchitika chifukwa cha maopaleshoni ena amchiuno, monga gawo la kaisara kapena kuchotsa ma fibroids kapena polyps.

Matendawa

Ngati dokotala akukayikira matenda a Asherman, nthawi zambiri amayamba kutenga magazi kuti athetse zina zomwe zingayambitse matenda anu. Angagwiritsenso ntchito ultrasound kuti ayang'ane makulidwe a chiberekero cha chiberekero ndi ma follicles.

Hysteroscopy ndiye njira yabwino kwambiri yogwiritsira ntchito matenda a Asherman. Pochita izi, dokotala wanu amachepetsa chiberekero chanu kenako ndikuyika hysteroscope. Hysteroscope ili ngati telescope yaying'ono. Dokotala wanu amatha kugwiritsa ntchito hysteroscope kuti ayang'ane m'mimba mwanu kuti awone ngati pali vuto lililonse.

Dokotala wanu amathanso kulangiza hysterosalpingogram (HSG). HSG itha kugwiritsidwa ntchito kuthandiza dokotala kuti awone momwe chiberekero chanu chilili komanso machubu. Munthawi imeneyi, utoto wapadera umalowetsedwa m'chiberekero kuti zikhale zosavuta kuti adotolo azindikire zovuta ndi chiberekero cha chiberekero, kapena zophuka kapena zotchinga pamachubu, pa X-ray.

Lankhulani ndi dokotala wanu za kuyesedwa ngati ali:

• mwachitidwapo opaleshoni yapachiberekero m'mbuyomu ndipo kusamba kwanu kumakhala kosafanana kapena kuyimitsidwa
• mukukumana ndi zolakwika zapadera zobwerezabwereza
• mukukumana ndi zovuta pakubereka

Chithandizo

Matenda a Asherman amatha kuchiritsidwa pogwiritsa ntchito njira yochitira opaleshoni yotchedwa hysteroscopy yothandizira. Zipangizo zing'onozing'ono zopangira ma waya zimalumikizidwa kumapeto kwa hysteroscope ndipo zimagwiritsidwa ntchito pochotsa zomata. Njirayi imachitika nthawi zonse pansi pa mankhwala oletsa ululu.

Pambuyo pa njirayi, mudzapatsidwa maantibayotiki kuti muteteze matenda ndi mapiritsi a estrogen kuti mukhale bwino pamizere ya chiberekero.

Hysteroscopy yobwereza idzachitika tsiku lina kuti muwone ngati opaleshoniyi idachita bwino ndipo chiberekero chanu sichimata.

N'zotheka kuti zomatira zibwererenso pambuyo pa chithandizo, kotero madokotala amalimbikitsa kuyembekezera chaka chimodzi asanayese kutenga pakati kuti atsimikizire kuti izi sizinachitike.

Simungafunike chithandizo ngati simukukonzekera kutenga pakati ndipo vutoli silikukuvutitsani.

Kupewa

Njira yabwino yopewera matenda a Asherman ndikupewa njira za D ndi C. Nthaŵi zambiri, ziyenera kukhala zotheka kusankha kuchotsedwa pamankhwala pambuyo poti mimba yasowa kapena yosakwanira, kuphulika kwa placenta, kapena kutaya magazi pambuyo pobadwa.

Ngati D ndi C zikufunika, dokotalayo atha kugwiritsa ntchito ultrasound kuti iwatsogolere ndikuchepetsa chiopsezo chowonongeka pachiberekero.

Chiwonetsero

Matenda a Asherman atha kukupangitsani kukhala kovuta komanso nthawi zina kuti musakhale ndi pakati. Ikhozanso kuwonjezera chiopsezo chanu chazovuta zazikulu panthawi yapakati. Matendawa nthawi zambiri amatha kupewedwa komanso kuchiritsidwa.

Ngati muli ndi matenda a Asherman ndipo chonde chanu sichingabwezeretsedwe, lingalirani kufikira gulu lothandizira, monga National Fertility Support Center. Pali zosankha kwa amayi omwe akufuna ana koma osakhoza kutenga pakati. Zosankhazi zikuphatikiza kuberekera ana ndi kulera ana.