Kuyini i-Asherman Syndrome?

-Delile

• Izimpawu
• I-Asherman syndrome ikuthinta kanjani ukuzala?
• Izimbangela
• Ukuxilongwa
• Ukwelashwa
• Ukuvimbela
• Umbono

Yini i-Asherman syndrome?

I-Asherman syndrome yisimo esingajwayelekile, esitholwe esibelethweni. Kwabesifazane abanalesi simo, izicubu ezibomvu noma ukunamathela kufakwa esibelethweni ngenxa yohlobo oluthile lokuhlukumezeka.

Ezimweni ezinzima, zonke izindonga zangaphambili nangemuva zesibeletho zingahlangana ndawonye. Ezimweni ezinzima, ukunamathela kungavela ezindaweni ezincane zesibeletho. Ukunamathela kungaba kukhulu noma kube mncane, futhi kungahle kubekwe ngokugqamile noma kuhlanganiswe ndawonye.

Izimpawu

Iningi labesifazane abane-Asherman syndrome banezikhathi ezimbalwa noma abanazo nhlobo. Abanye besifazane banezinhlungu ngaleso sikhathi lapho kufanele ukuthi isikhathi sabo sifike, kepha abanalo ukopha. Lokhu kungakhombisa ukuthi usesikhathini, kepha igazi alikwazi ukuphuma esibelethweni ngoba ukuphuma kuvinjelwe izicubu ezibomvu.

Uma izikhathi zakho zincane, zingajwayelekile, noma zingekho, kungahle kube ngenxa yesinye isimo, njenge:

• ukukhulelwa
• ukucindezeleka
• ukuncipha okungazelelwe kwesisindo
• ukukhuluphala ngokweqile
• ukuzivocavoca ngokweqile
• ukuthatha iphilisi lokuvikela ukukhulelwa
• ukunqamuka kokuya esikhathini
• i-polycystic ovary syndrome (i-PCOS)

Bona udokotela wakho uma izikhathi zakho ziyeka noma ziba njalo kakhulu. Bangasebenzisa izivivinyo zokuxilonga ukuthola imbangela bese beqala ukwelashwa.

I-Asherman syndrome ikuthinta kanjani ukuzala?

Abanye besifazane abane-Asherman syndrome abakwazi ukukhulelwa noma babe nezisu eziphindaphindayo. It kuyinto kungenzeka ukhulelwe uma une-Asherman syndrome, kepha ukunamathela esibelethweni kungaba yingozi enganeni ekhulayo. Amathuba akho okukhulelwa kwesisu nokuzala ingane ishonile nawo azophakama kunabesifazane abangenalesi simo.

I-Asherman syndrome futhi yandisa ubungozi bakho ngesikhathi sokukhulelwa kwe:

• i-placenta previa
• i-placenta increta
• ukopha ngokweqile

Odokotela bakho bazofuna ukuqapha ukukhulelwa kwakho eduze uma une-Asherman syndrome.

Kungenzeka ukwelapha i-Asherman syndrome ngokuhlinzwa. Lokhu kuhlinzwa kuvame ukwandisa amathuba akho okukhulelwa nokukhulelwa ngempumelelo. Odokotela batusa ukulinda unyaka ogcwele ngemuva kokuhlinzwa ngaphambi kokuba uqale ukuzama ukukhulelwa.

Izimbangela

Ngokwe-International Asherman’s Association, cishe amaphesenti angama-90 azo zonke izimo ze-Asherman syndrome zenzeka ngokulandela inqubo yokuhlanza nokwelapha (D no-C). U-D no-C ngokuvamile kwenziwa ngemuva kokukhulelwa kwesisu okungaphelele, i-placenta egcinwe ngemuva kokubeletha, noma njengesisu sokukhetha.

Uma i-D no-C yenziwa phakathi kwamasonto amabili kuya kwamane kulandela ukulethwa kweplacenta eligciniwe, khona-ke kunethuba elingamaphesenti angama-25 lokuthuthukisa i-Asherman syndrome. Ubungozi bokuba nalesi simo kwandisa izinqubo ezengeziwe ze-D no-C owesifazane anazo.

Kwesinye isikhathi ukunamathela kungenzeka njengomphumela wokunye ukuhlinzwa kwe-pelvic, okufana nesigaba sokuhlinzwa noma ukususwa kwe-fibroids noma ama-polyps.

Ukuxilongwa

Uma udokotela wakho esola i-Asherman syndrome, ngokuvamile bazoqala bathathe amasampuli egazi ukukhipha ezinye izimo ezingadala izimpawu zakho. Bangasebenzisa futhi i-ultrasound ukubheka ukushuba kolwelwesi lwesibeletho nama-follicles.

I-Hysteroscopy kungenzeka ukuthi iyindlela engcono kakhulu ongayisebenzisa ekuhloleni i-Asherman syndrome. Phakathi nale nqubo, udokotela wakho uzokhulisa umlomo wakho wesibeletho bese efaka i-hysteroscope. I-hysteroscope ifana nesibonakude esincane. Udokotela wakho angasebenzisa i-hysteroscope ukubheka ngaphakathi kwesibeletho sakho futhi abone ukuthi kukhona yini ukusikeka okukhona.

Udokotela wakho futhi angancoma i-hysterosalpingogram (HSG). I-HSG ingasetshenziselwa ukusiza udokotela wakho ukuthi abone isimo sesibeletho sakho namashubhu e-fallopian. Phakathi nale nqubo, kufakwa udayi okhethekile esibelethweni ukuze kube lula kudokotela ukukhomba izinkinga ngomgudu wesibeletho, noma ukukhula noma ukuvinjelwa kwamashubhu e-fallopian, kwi-X-ray.

Khuluma nodokotela wakho ngokuhlolelwa lesi simo uma:

• uke wahlinzwa ngaphambilini kwesibeletho futhi izikhathi zakho ziye zaba ngokungajwayelekile noma ziyekwe
• uhlangabezana nezisu eziphindaphindekayo
• unenkinga yokukhulelwa

Ukwelashwa

I-Asherman syndrome ingelashwa kusetshenziswa inqubo yokuhlinza ebizwa nge-operative hysteroscopy. Izinsimbi ezincane zokuhlinza zinamathiselwe ekugcineni kwe-hysteroscope futhi zisetshenziselwa ukususa ukunamathela. Inqubo ihlale yenziwa ngaphansi kokubulala izinzwa okuvamile.

Ngemuva kwenqubo, uzonikezwa ama-antibiotic ukuvimbela ukutheleleka namaphilisi e-estrogen ukuthuthukisa ikhwalithi yolwelwesi lwesibeletho.

I-hysteroscopy ephindaphindwayo izobe isenziwa kamuva ukuze kuhlolwe ukuthi ukuhlinzekwa kuphumelele nokuthi isibeletho sakho asinamathele.

Kungenzeka ukuthi ukubambelela kwenzeke kabusha kulandela ukwelashwa, ngakho-ke odokotela bancoma ukulinda unyaka ngaphambi kokuzama ukukhulelwa ukuqinisekisa ukuthi lokhu akukwenzeki.

Ungahle ungadingi ukwelashwa uma ungahleleli ngokukhulelwa futhi isimo asikubangeli ubuhlungu.

Ukuvimbela

Indlela engcono yokuvimbela i-Asherman syndrome ukugwema inqubo ye-D no-C. Ezimweni eziningi, kufanele kube khona ukukhetha ukukhishwa kwezokwelapha kulandela ukuphuphunyelwa yisisu okulahlekile noma okungaphelele, i-placenta egcinwe, noma ukuphuma kwegazi ngemuva kokuzalwa.

Uma kudingeka u-D no-C, udokotela ohlinzayo angasebenzisa i-ultrasound ukuze ibaqondise futhi inciphise ubungozi bokulimala kwesibeletho.

Umbono

I-Asherman syndrome ingenza kube nzima futhi kwesinye isikhathi kungenzeki ukuthi ukhulelwe. Kungabuye kwandise ingozi yakho yezinkinga ezinkulu ngesikhathi sokukhulelwa. Isimo ngokuvamile siyavikeleka futhi siyelapheka.

Uma une-Asherman syndrome futhi ukuzala kwakho kungakwazi ukubuyiselwa, cabanga ukufinyelela eqenjini elixhasayo, njengeNational Fertility Support Center. Kukhona izinketho zabesifazane abafuna izingane kepha abakwazi ukukhulelwa. Lezi zinketho zifaka phakathi ukuzala nokutholwa.