Asherman chirwere

Asherman syndrome ndiko kuumbwa kwechena nyama muhunza uterine. Dambudziko rinowanzoitika mushure mekuvhiyiwa kwechibereko.

Asherman syndrome chinhu chisingawanzoitika. Muzviitiko zvakawanda, zvinoitika mumadzimai akave nematanho ekuwedzera uye ekurapa (D&C) maitiro.

Chirwere chakakomba chepelvic chisina hukama nekuvhiya chinogona zvakare kutungamira kuAsherman syndrome.

Adhesions mu uterine mhango inogona zvakare kugadzira mushure mehutachiona netibhii kana schistosomiasis. Izvi hutachiona hazviwanzo muUnited States. Matambudziko eUterine ane hukama nehutachiona aya akatonyanya kuwanda.

Iko kunamatira kunogona kukonzera:

• Amenorrhea (kushaya kwekuenda kumwedzi)
• Kudzokororwa kwepamuviri
• Kushaya mbereko

Zvisinei, zviratidzo zvakadaro zvinogona kuenderana nemamiriro akati wandei. Ivo vanowanzo kuratidza Asherman syndrome kana zvikaitika kamwe kamwe mushure meD & C kana kumwe kuvhiyiwa kwechibereko.

Kuongorora kwepamuviri hakuratidze matambudziko muzviitiko zvakawanda.

Miedzo inogona kusanganisira:

• Hysterosalpingography
• Hysterosonogram
• Transvaginal ultrasound kuongorora
• Kuongororwa kweropa kuti uone TB kana schistosomiasis

Kurapa kunosanganisira kuvhiyiwa kucheka uye kubvisa kunamatira kana zvinyama zvinyoro. Izvi zvinogona kazhinji kuitwa ne hysteroscopy. Izvi zvinoshandisa zviridzwa zvidiki uye kamera inoiswa muchibereko kuburikidza nemuromo wechibereko.

Mushure mekubviswa kweturu turu, uterine mhango inofanirwa kuchengetwa yakavhurika apo ichipora kudzivirira kunamatira kudzoka. Mutapi wako wezvehutano anogona kuisa chibharumu chidiki mukati mechibereko kwemazuva mazhinji. Iwe unogona zvakare kuda kutora estrogen nepo uterine lining ichipora.

Ungangoda kutora mishonga inorwisa mabhakitiriya kana paine hutachiona.

Kushungurudzika kwekurwara kunogona kazhinji kubatsirwa nekujoinha boka rekutsigira. Mumapoka akadaro, nhengo dzinogovana zvinoitika pamwe nezvinetso.

Asherman syndrome inogona kurapwa nekuvhiya. Dzimwe nguva nzira dzinopfuura imwechete dzinenge dzichidikanwa.

Vakadzi vasina mbereko nekuda kweAsherman syndrome vanogona kuve nemwana mushure mekurapwa. Kubudirira kubata pamuviri kunoenderana nekuoma kweAsherman syndrome uye kuoma kwekurapa. Zvimwe zvinhu zvinokanganisa kubereka uye nhumbu inogonawo kuverengerwa.

Matambudziko ekuvhiyiwa kwehysteroscopic haana kujairika. Kana zvikaitika, zvinogona kusanganisira kubuda ropa, kupera kwechibereko, uye hutachiona hwepelvic.

Mune zvimwe zviitiko, kurapwa kweAsherman syndrome hakuzorape kushaya mbereko.

Fonera mupiki wako kana:

• Nguva yako yekuenda kumwedzi haidzoke mushure mekuvhiyiwa kwevakadzi kana kuvhiya.
• Iwe haugone kubata pamuviri mushure memwedzi mitanhatu kusvika gumi nemiviri yekuyedza (Ona nyanzvi yekuongorora kushaya mbereko).

Kazhinji zviitiko zveAsherman syndrome hazvigone kufanotaurwa kana kudzivirirwa.

Uterine synechiae; Intrauterine adhesions; Kusabereka - Asherman

• Uterus
• Yakajairwa uterine anatomy (cheka chikamu)

Brown D, Levine D. Chibereko. Mu: Rumack CM, Levine D, eds. Kuongorora Ultrasound. 5 ed. Philadelphia, PA: Elsevier; 2018: chits. 15.

Dolan MS, Chikomo C, Valea FA. Zviratidzo zveBenign gynecologic: vulva, vagina, chibereko chechibereko, chibereko, oviduct, ovary, imaging ye ultrasound yezvivakwa zvepelvic. Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chits. 18.

Keyhan S, Muasher L, Muasher SJ. Kubvisa kwepamuviri uye kurasikirwa nekuzvitakura kwepamuviri: etiology, kuongororwa, kurapwa. Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chits.

Williams Z, Scott JR. Kudzokorora kubata pamuviri. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Sirivha RM, eds. Creasy uye Resnik's Maternal-Fetal Mushonga: Misimboti uye Dzidzira. 8th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 44.