Chii chinonzi Asherman Syndrome?

Zvemukati

• Zviratidzo
• Asherman syndrome inokanganisa sei kubereka?
• Zvinokonzera
• Kuongorora
• Kurapa
• Kudzivirira
• Outlook

Chii chinonzi Asherman syndrome?

Asherman chirwere hachiwanzo, chinowanikwa mamiriro echibereko. Mumadzimai ane chirwere ichi, zvinyama zvitsvuku kana kunamatira zvinoumba muchibereko nekuda kweimwe nzira yekushungurudzika.

Muzviitiko zvakakomba, ese ekumberi uye kumashure madziro echibereko anogona kusangana pamwechete. Muzviitiko zvine runyararo, kunamatira kunogona kuoneka munzvimbo diki dzechibereko. Iko kunamatira kunogona kuve kwakakora kana kuonda, uye kunogona kunge kuri nzvimbo shoma kana kubatanidzwa pamwechete.

Zviratidzo

Ruzhinji rwevakadzi vane Asherman syndrome vane mashoma kana asina nguva. Vamwe vakadzi vane marwadzo panguva iyo nguva yavo inofanirwa kunge yakakodzera, asi vasina kubuda ropa. Izvi zvinogona kuratidza kuti uri kuenda kumwedzi, asi kuti ropa harigone kubuda muchibereko nekuti kubuda kwacho kwakavharwa nemavanga.

Kana nguva yako iri shoma, isina kujairika, kana isipo, zvinogona kunge zvichikonzerwa neimwe mamiriro, akadai se:

• nhumbu
• kunetseka
• kamwe kamwe uremu
• kufutisa
• pamusoro pekudzidzira
• kunwa piritsi rekudzivirira pamuviri
• kuenda kumwedzi
• polycystic ovary syndrome (PCOS)

Ona chiremba wako kana nguva dzako dzamira kana kuti dzichiwanzoitika. Vanogona kushandisa bvunzo dzekuziva kuti chii chikonzero uye kutanga kurapwa.

Asherman syndrome inokanganisa sei kubereka?

Vamwe vakadzi vane Asherman syndrome havakwanise kubata pamuviri kana kuve nekudzoka kwepashure. It ndizvo zvinokwanisika kuve nepamuviri kana iwe uine Asherman syndrome, asi kunamatira muchibereko kunogona kuisa njodzi kumwana ari kukura. Mikana yako yekuparara uye kubereka mwana zvakare ichave yakakwira kupfuura yevakadzi vasina mamiriro aya.

Asherman syndrome inowedzerawo njodzi yako panguva yekuzvitakura kwe:

• placenta previa
• placenta increta
• kubuda ropa zvakanyanya

Vanachiremba vako vachada kuongorora kubata kwako padyo kana uine Asherman syndrome.

Zvinokwanisika kurapa Asherman syndrome nekuvhiyiwa. Uku kuvhiya kunowanzo wedzera mikana yako yekubata uye kuve nepamuviri wakabudirira. Vanachiremba vanokurudzira kumirira gore rakazara mushure mekuvhiyiwa usati watanga kuyedza kubata pamuviri.

Zvinokonzera

Sekureva kweInternational Asherman's Association, zvikamu makumi mapfumbamwe kubva muzana zvezviitiko zveAsherman syndrome zvinoitika zvichiteedzerana nzira yekuwedzera uye yekurapa (D neC). A D uye C zvinowanzoitwa zvichitevera kusakwana kwepamuviri, kuchengetedza placenta mushure mekusununguka, kana sekusarudza kubvisa nhumbu.

Kana D na C zvichiitwa pakati pemasvondo maviri kusvika mana zvichitevera kuendeswa kwepacenta yakachengetedzwa, ipapo pane mukana we25 muzana wekukudziridza Asherman syndrome. Ngozi yekuvandudza mamiriro aya inowedzera maitiro eD neC nemukadzi.

Dzimwe nguva kunamatira kunogona kuitika semhedzisiro yekuvhiyiwa kwepamuviri, senge chikamu cheKesariya kana kubviswa kwefibroids kana polyps.

Kuongorora

Kana chiremba wako achifungidzira Asherman syndrome, ivo vanowanzo tanga vatora masampula eropa kutonga mamwe mamiriro angave ari kukonzera zviratidzo zvako. Ivo vanogona zvakare kushandisa iyo ultrasound kutarisa pakukora kweiyo uterine lining uye iyo follicles.

Hysteroscopy ndiyo ingangodaro nzira yakanakisa yekushandisa mukuongorora kweAsherman syndrome. Munguva iyi maitiro, chiremba wako anowedzera chibereko chako uye wozoisa hysteroscope. Hysteroscope yakafanana neteresikopu diki. Chiremba wako anogona kushandisa iyo hysteroscope kuti atarise mukati mechibereko chako uye uone kana paine chisara chiripo.

Chiremba wako anogona zvakare kukurudzira hysterosalpingogram (HSG). HSG inogona kushandiswa kubatsira chiremba wako kuti aone mamiriro echibereko chako uye mapopopu machubhu. Munguva iyi maitiro, dhayi yakakosha inoiswa mukati mechibereko kuitira kuti zvive nyore kune chiremba kuti aone matambudziko nedumbu rehunza, kana kukura kana kuvharika kumatopu, pane X-ray.

Taura nachiremba wako nezve kuyedzwa mamiriro aya kana:

• iwe wakambove nekuvhiya kwechibereko chechibereko uye nguva dzako dzave dzisina kujairika kana kumira
• urikusangana nekudzokazve kwekusabatika
• uri kunetseka kubata pamuviri

Kurapa

Asherman syndrome inogona kurapwa uchishandisa nzira yekuvhiya inonzi operative hysteroscopy. Zvishandiso zvidiki zvekuvhiya zvakasungirirwa kumagumo eiyo hysteroscope uye zvinoshandiswa kubvisa kunamatira. Maitiro acho anowanzoitwa pasi peanesthetic.

Mushure mekuita, iwe unozopihwa maantibiotic ekudzivirira hutachiona uye mahwendefa eestrogen ekuvandudza kunaka kwechibereko chechibereko.

Hysteroscopy inodzokororwa inozoitwa pane inotevera zuva kuti uone kuti kuvhiya kwabudirira uye chibereko chako hachina kusungirirwa.

Izvo zvinokwanisika kuti kunamatira kudzokororazve kutevera kurapwa, saka vanachiremba vanokurudzira kumirira gore vasati vaedza kubata pamuviri kuti vaone kuti izvi hazvina kuitika.

Unogona kusada kurapwa kana usiri kuronga kubata pamuviri uye mamiriro acho asiri kukukonzera kurwadziwa.

Kudzivirira

Nzira yakanakisa yekudzivirira Asherman syndrome ndeyekudzivirira maitiro eD uye C. Muzviitiko zvakawanda, zvinokwanisika kusarudza kubuda kwekurapa zvichitevera kusarasika kana kukwana kupererwa nemimba, yakachengetwa placenta, kana mushure mekuzvarwa kweropa.

Kana D naC zvichidikanwa, chiremba anovhiya anogona kushandisa ultrasound kuvatungamira uye kudzikisa njodzi yekukuvara muchibereko.

Outlook

Asherman syndrome inogona kuita kuti zviome uye dzimwe nguva zvisingakwanise kuti iwe uve nepamuviri. Inogona zvakare kuwedzera njodzi yako kumatambudziko akakomba panguva yekuzvitakura. Mamiriro acho anowanzo kudzivirira uye kurapa.

Kana iwe uine Asherman syndrome uye yako kubereka isingakwanise kudzoreredzwa, funga kusvika kune rimwe boka rekutsigira, senge National Fertility Support Center. Kune sarudzo dzevakadzi vanoda vana asi vasingakwanise kubata pamuviri. Idzi sarudzo dzinosanganisira kuberekera uye kutora mwana.