I-Asherman syndrome

I-Asherman syndrome ukwakheka kwezicubu ezibomvu emgodini wesibeletho. Inkinga ivame ukukhula ngemuva kokuhlinzwa kwesibeletho.

I-Asherman syndrome yisimo esingajwayelekile. Ezimweni eziningi, kwenzeka kwabesifazane abake baba nezinqubo eziningana zokunwebeka nezokwelapha (i-D & C).

Ukutheleleka okunzima kwe-pelvic okungahlobene nokuhlinzwa nakho kungaholela ku-Asherman syndrome.

Ukunamathela emgodini wesibeletho nakho kungakheka ngemuva kokutheleleka ngesifo sofuba noma i-schistosomiasis. Lezi zifo azivamile e-United States. Izinkinga zesibeletho ezihlobene nalezi zifo azivamile kakhulu.

Ukunamathela kungadala:

• I-Amenorrhea (ukuntuleka kwezikhathi zokuya esikhathini)
• Izisu eziphindaphindwayo
• Ukungabi nenzalo

Noma kunjalo, izimpawu ezinjalo zingahlobana nezimo eziningana. Banamathuba amaningi okukhombisa i-Asherman syndrome uma kwenzeka ngokungazelelwe ngemuva kwe-D & C noma okunye ukuhlinzwa kwesibeletho.

Ukuhlolwa kwe-pelvic akudaluli izinkinga ezimweni eziningi.

Ukuhlolwa kungafaka:

• I-Hysterosalpingography
• I-Hysterosonogram
• Ukuhlolwa kwe-Transvaginal ultrasound
• Ukuhlolwa kwegazi ukuthola isifo sofuba noma i-schistosomiasis

Ukwelashwa kubandakanya ukuhlinzwa ukusika nokususa ukunamathela noma izicubu ezibomvu. Lokhu kungenziwa kaningi nge-hysteroscopy. Lokhu kusebenzisa izinsimbi ezincane nekhamera efakwe esibelethweni ngomlomo wesibeletho.

Ngemuva kokukhishwa kwezicubu ezibomvu, umgodi wesibeletho kufanele ugcinwe uvulekile ngenkathi uphulukisa ukuvimbela ukunamathela ekubuyeni. Umhlinzeki wakho wokunakekelwa kwezempilo angafaka ibhaluni elincane ngaphakathi kwesibeletho izinsuku ezimbalwa. Ungadinga futhi ukuthatha i-estrogen ngenkathi ulwelwesi lwesibeletho luphola.

Ungadinga ukuthatha ama-antibiotic uma kukhona ukutheleleka.

Ukucindezeleka kokugula kungasizwa ngokujoyina iqembu lokusekelwa. Kumaqembu anjalo, amalungu abelana ngokuhlangenwe nakho okuvamile nezinkinga.

I-Asherman syndrome ingalapheka ngokuhlinzwa. Kwesinye isikhathi kuzodingeka inqubo engaphezu kweyodwa.

Abesifazane abangazali ngenxa ye-Asherman syndrome bangakwazi ukuba nengane ngemuva kokwelashwa. Ukukhulelwa okuphumelelayo kuncike ebucayi be-Asherman syndrome nobunzima bokwelashwa. Ezinye izinto ezithinta ukuzala nokukhulelwa nazo zingabandakanyeka.

Izinkinga zokuhlinzwa kwe-hysteroscopic azivamile. Uma zenzeka, zingabandakanya ukuphuma kwegazi, ukubola kwesibeletho, kanye nokutheleleka kwe-pelvic.

Kwezinye izimo, ukwelashwa kwe-Asherman syndrome ngeke kulaphe ukungabi nenzalo.

Shayela umhlinzeki wakho uma:

• Isikhathi sakho sokuya esikhathini asibuyi ngemuva kokuhlinzwa kwabesifazane noma kokuhlinzwa.
• Awukwazi ukukhulelwa ngemuva kwezinyanga eziyisithupha kuya kwezingu-12 zokuzama (Bheka uchwepheshe wokuhlolwa kokuzala).

Izimo eziningi ze-Asherman syndrome azikwazi ukubikezelwa noma ukuvinjelwa.

Isizalo synechiae; Ukunamathela kwe-Intrauterine; Ukungazali - u-Asherman

• Isibeletho
• I-anatomy yesizalo ejwayelekile (isigaba esisikiwe)

UBrown D, uLevine D. Isibeletho. Ku: Rumack CM, Levine D, eds. Ukuxilongwa kwe-Ultrasound. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2018: isahluko 15.

I-Dolan MS, i-Hill C, i-Valea FA. Izilonda ze-Benign gynecologic: isisu, isitho sangasese sowesifazane, umlomo wesibeletho, isibeletho, i-oviduct, i-ovary, i-ultrasound imaging yezakhiwo ze-pelvic. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 18.

UKeyhan S, uMuasher L, uMuasher SJ. Ukukhipha isisu okuzenzakalelayo nokulahleka kokukhulelwa okuvela njalo: i-etiology, ukuxilongwa, ukwelashwa. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 16.

UWilliam Z, uScott JR. Ukulahleka kokukhulelwa okuphindaphindiwe. Ku: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, abahleli. ICreasy neResnik's Maternal-Fetal Medicine: Izimiso kanye Nokuzijwayeza. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 44.