Yintoni i-Asherman Syndrome?

Umxholo

• Iimpawu
• I-Asherman syndrome iyichaphazela njani inzala?
• Oonobangela
• Uxilongo
• Unyango
• Uthintelo
• Imbonakalo

Yintoni i-Asherman syndrome?

I-Asherman syndrome yinto enqabileyo, efunyenwe kwisibeleko. Kwabasetyhini abakule meko, inyama ebomvu okanye ukubambelela kwisibeleko ngenxa yendlela ethile yomothuko.

Kwiimeko ezinzima, lonke udonga olungaphambili nolungasemva lwesibeleko lunokudibana kunye. Kwiimeko ezinzima, ukubambelela kunokuvela kwiindawo ezincinci zesibeleko. Ukuncamatheliswa kunokuba butyebile okanye kubhityile, kwaye kunokubekwa kancinci okanye kudityaniswe kunye.

Iimpawu

Uninzi lwabasetyhini abane-Asherman syndrome banamaxesha ambalwa okanye abanawo kwaphela. Abanye abantu basetyhini baneentlungu ngexesha apho kufanele ukuba ixesha labo lifanelekile, kodwa abanalo ukopha. Oku kungabonisa ukuba usexesheni, kodwa igazi alikwazi ukushiya isibeleko kuba ukuphuma kuthintelwe ziithambo ezibomvu.

Ukuba ixesha lakho linqabile, lingaqhelekanga, okanye alikho, kusenokubangelwa yenye imeko, enje:

• ukukhulelwa
• uxinzelelo
• ukunciphisa umzimba ngesiquphe
• ukutyeba kakhulu
• ukwenza umthambo ngaphezulu
• ukuthatha ipilisi yokuthintela ukukhulelwa
• ukuyeka ukuya exesheni
• I-polycystic ovary syndrome (i-PCOS)

Yiya kugqirha wakho ukuba amaxesha akho ayayeka okanye abe maninzi kakhulu. Banokusebenzisa iimvavanyo zokuchonga unobangela kwaye baqale unyango.

I-Asherman syndrome iyichaphazela njani inzala?

Abanye abantu basetyhini abane-Asherman syndrome abakwazi ukukhulelwa okanye baphulukane nezisu. It ngu kunokwenzeka ukuba ukhulelwe ukuba une-Asherman syndrome, kodwa ukubambelela kwisibeleko kungabeka umngcipheko kwimveku ekhulayo. Amathuba akho okuphuma kwesisu kunye nokuzala umntwana oswelekileyo aya kuba phezulu kunabasetyhini abangenale meko.

I-Asherman syndrome ikwandisa umngcipheko ngexesha lokukhulelwa:

• I-placenta previa
• I-placenta increta
• ukopha kakhulu

Oogqirha bakho baya kufuna ukubeka esweni ukukhulelwa kwakho ngokukhawuleza ukuba unayo i-Asherman syndrome.

Kuyenzeka ukuba unyange i-Asherman syndrome ngotyando. Olu tyando luhlala lonyusa amathuba akho okukhulelwa kunye nokukhulelwa ngempumelelo. Oogqirha bancomela ukuba ulinde unyaka opheleleyo emva kotyando ngaphambi kokuba uqale ukukhulelwa.

Oonobangela

Ngokwe-International Asherman's Association, malunga neepesenti ezingama-90 zazo zonke izigulo zesifo sika-Asherman zenzeka ngokulandela inkqubo yokuthambisa neyokunyanga (D no-C). I-D kunye no-C ngokubanzi kwenziwa emva kokuphuphuma kwesisu okungagqitywanga, kugcinwa i-placenta emva kokubeleka, okanye njengokukhupha isisu.

Ukuba u-D no-C benziwa phakathi kweeveki ezi-2 ukuya kwezi-4 kulandela ukuhanjiswa kweplacenta egciniweyo, ke kukho amathuba angama-25 epesenti yokuphuhlisa i-Asherman syndrome. Umngcipheko wokukhula kwale meko unyusa ngakumbi iinkqubo ze-D kunye no-C umntu wasetyhini anazo.

Ngamanye amaxesha ukunamathela kunokwenzeka njengesiphumo solunye utyando lwe-pelvic, njengecandelo le-caesarean okanye ukususwa kwe-fibroids okanye iipolyps.

Uxilongo

Ukuba ugqirha wakho ukrokrela i-Asherman syndrome, baya kuqala kuqala bathathe iisampulu zegazi ukulawula ezinye iimeko ezinokubangela iimpawu zakho. Banokusebenzisa i-ultrasound ukujonga ubungqingqwa bethumbu lesibeleko kunye neefollic.

I-Hysteroscopy yeyona ndlela ifanelekileyo yokusebenzisa isifo se-Asherman syndrome. Ngethuba lale nkqubo, ugqirha wakho uya kuwukhulisa umlomo wakho wesibeleko kwaye emva koko ufake i-hysteroscope. I-hysteroscope ifana neteleskopu encinci. Ugqirha wakho unokusebenzisa i-hysteroscope ukujonga ngaphakathi kwesibeleko sakho kwaye ubone ukuba ngaba kukho nantoni na ekhoyo.

Ugqirha wakho usenokucebisa nge-hysterosalpingogram (HSG). I-HSG ingasetyenziselwa ukunceda ugqirha wakho ukuba abone imeko yesibeleko sakho kunye neetyhubhu ze-fallopian. Ngexesha lale nkqubo, idayi ekhethekileyo itofelwa esibelekweni ukwenza ukuba kube lula kugqirha ukubona iingxaki kwisibeleko, okanye ukukhula okanye ukuvaleka kwimibhobho yesibeleko, kwiX-reyi.

Thetha nogqirha wakho malunga nokuvavanywa kwale meko ukuba:

• ukhe wenza utyando lwesibeleko lwangaphambili kwaye amaxesha akho aye engaqhelekanga okanye ayekile
• ufumana amava okuphuma ngaphandle kwesisu
• unengxaki yokumitha

Unyango

I-Asherman syndrome inokunyangwa kusetyenziswa inkqubo yotyando ebizwa ngokuba yi-hysteroscopy esebenzayo. Izixhobo ezincinci zotyando ziqhotyoshelwe esiphelweni se-hysteroscope kwaye zisetyenziselwa ukususa ukubambelela. Inkqubo ihlala isenziwa phantsi kwe-anesthetic ngokubanzi.

Emva kwenkqubo, uya kunikwa i-antibiotics ukukhusela ukusuleleka kunye neepilisi ze-estrogen ukuphucula umgangatho wesigxina se-uterine.

I-hysteroscopy ephindaphindayo iya kuthi emva koko yenziwe ngolunye usuku ukukhangela ukuba utyando lube yimpumelelo kwaye isibeleko sakho asikhululekanga.

Kuyenzeka ukuba ukubambelela kuphindwe kulandele unyango, ke oogqirha bancomela ukulinda unyaka ngaphambi kokuzama ukukhulelwa ukuqinisekisa ukuba oku akwenzekanga.

Awunakudinga unyango ukuba awucwangcisi ukukhulelwa kwaye imeko ayikubangeli zintlungu.

Uthintelo

Eyona ndlela yokuthintela i-Asherman syndrome kukuphepha inkqubo ye-D no-C. Kwiimeko ezininzi, kufanelekile ukuba ukhethe ukuphuma ngobugqirha kulandela ukuphuphuma kwesisu okulahlekileyo okanye okungaphelelanga, i-placenta egciniweyo, okanye ukopha emva kokubeleka.

Ukuba kufuneka u-D no-C, ugqirha osebenzisa ugqirha unokusebenzisa i-ultrasound ukubakhokela kunye nokunciphisa umngcipheko wokonakaliswa kwesibeleko.

Imbonakalo

I-Asherman syndrome inokwenza kube nzima kwaye ngamanye amaxesha kungenzeki ukuba ukhulelwe. Inokwandisa umngcipheko weengxaki ezinzulu ngexesha lokukhulelwa. Le meko ihlala ithintelwa kwaye iyanyangeka.

Ukuba une-Asherman syndrome kwaye ukuchuma kwakho akunakubuyiselwa, cinga ngokufikelela kwiqela lenkxaso, njengeZiko leNkxaso yokuChuma kweSizwe. Kukho iinketho zabasetyhini abafuna abantwana kodwa abakwazi ukukhawula. Olu khetho lubandakanya ukumitha kunye nokufumana umntwana ongamzalanga abe ngowakho.