Isifo seAsherman

I-Asherman syndrome kukudumba kwethishu ebomvu kwisibeleko. Ingxaki ihlala ikhula emva kotyando lwesibeleko.

I-Asherman syndrome yimeko enqabileyo. Kwiimeko ezininzi, kwenzeka kubafazi abaye baneenkqubo ezininzi zokunyanzeliswa kunye neenkqubo zokunyanga (i-D & C).

Usulelo olunzima lwe-pelvic olungahambelani nokuhlinzwa lungakhokelela kwi-Asherman syndrome.

Ukubambelela kwisibeleko sesibeleko nako kunokwenza emva kosulelo ngesifo sephepha okanye isifo sesifo (schistosomiasis). Ezi zifo zinqabile eMelika. Iingxaki zesibeleko ezinxulumene nosulelo azifane zixhaphake.

Ukuncamathela kunokubangela:

• I-Amenorrhea (ukungabikho kwexesha lokuya esikhathini)
• Ukuphindaphindwa kwesisu
• Ukungachumi

Nangona kunjalo, ezo mpawu zinokunxulumana neemeko ezininzi. Banethuba lokubonisa isifo sika-Asherman ukuba kwenzeka ngesiquphe emva kwe-D & C okanye olunye utyando lwesibeleko.

Uvavanyo lwe-pelvic alubonakalisi iingxaki kwiimeko ezininzi.

Uvavanyo lunokubandakanya:

• IHysterosalpingography
• IHysterosonogram
• Uviwo lweTransvaginal ultrasound
• Uvavanyo lwegazi ukufumanisa isifo sephepha okanye i-schistosomiasis

Unyango lubandakanya utyando ukusika nokususa ukubambelela okanye izicwili ezibomvu. Oku kunokwenziwa rhoqo nge-hysteroscopy. Oku kusebenzisa izixhobo ezincinci kunye nekhamera efakwe kwisibeleko ngomlomo wesibeleko.

Emva kokuba kususwe izihlunu ezibomvu, indawo yesibeleko kufuneka igcinwe ivulekile ngelixa iphilisa ukuthintela ukubambelela ekubuyeni. Umboneleli wakho wezempilo unokubeka ibhaluni encinci ngaphakathi kwesibeleko iintsuku ezininzi. Kuya kufuneka ukuba uthathe i-estrogen ngelixa ulayini wesibeleko uphilisa.

Kuya kufuneka ukuba uthathe ii-antibiotics ukuba kukho usulelo.

Uxinzelelo lokugula lunokuncedwa ngokujoyina iqela lenkxaso. Kumaqela anjalo, amalungu abelana ngamava aqhelekileyo kunye neengxaki.

I-Asherman syndrome inokunyangeka ngokuhlinzwa. Ngamanye amaxesha kuya kufuneka iinkqubo ezingaphezulu kwenye.

Abasetyhini abangazaliyo ngenxa yesifo sika-Asherman banakho ukuba nosana emva konyango. Ukukhulelwa ngempumelelo kuxhomekeke kubukhali besifo se-Asherman kunye nobunzima bonyango. Ezinye izinto ezichaphazela ukuchuma kunye nokukhulelwa nazo zinokubandakanyeka.

Iingxaki zotyando lwe-hysteroscopic aziqhelekanga. Xa zisenzeka, zinokubandakanya ukopha, ukugqobhoza kwesibeleko, kunye nosulelo lwe-pelvic.

Ngamanye amaxesha, unyango lwe-Asherman syndrome alunakunyanga ukungachumi.

Fowunela umnikezeli wakho ukuba:

• Amaxesha akho okuya exesheni awabuyi emva kotyando lobunina okanye ekubelekiseni.
• Awunakho ukukhulelwa emva kweenyanga ezi-6 ukuya kwezi-12 zokuzama (Jonga ingcali kuvavanyo lokuzala).

Uninzi lwezifo ze-Asherman syndrome azinakuqikelelwa okanye zithintelwe.

Isibeleko synechiae; Ukubambelela kwisisu; Ukungachumi - uAsherman

• Isibeleko
• I-anatomy yesibeleko yesiqhelo (icandelo elisikiweyo)

UBrown D, uLevine D. Isibeleko. Ku: iRumack CM, uLeviine D, ii-eds. Uxilongo lwe-Ultrasound. Umhla we-5. IPhiladelphia, PA: Elsevier; I-2018: isahluko 15.

I-Dolan MS, iNduli C, iValea FA. Izilonda zeBenign gynecologic: ubufazi, ubufazi, umlomo wesibeleko, isibeleko, i-oviduct, i-ovary, imaging ye-ultrasound yezakhiwo ze-pelvic. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 18.

U-Keyhan S, u-Muasher L, u-Muasher SJ. Ukuqhomfa okuzenzekelayo kunye nelahleko yokukhulelwa ephindaphindayo: i-etiology, isifo, isifo. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 16.

UWilliam Z, uScott JR. Ukuphulukana nokukhulelwa rhoqo. Ku: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Isilivere RM, ii-eds. I-Creasy kunye neResnik's Maternal-Fetal Medicine: Imigaqo kunye nokuziqhelanisa. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 44.