Syndrome Asherman akuti: zimayambitsa, zizindikiro, zimene, matenda ndi mankhwala

Chosoŵa m'banja - ndi limodzi mwa mavuto zofunika kwambiri chikhalidwe. Asayansi atsimikizira udindo womwewo wa aliyense wa makolo angathe atalephera kuthetsa nkhani imeneyi. Komabe, kubereka ana ndi yobereka ndi ofalitsidwa ndi mayi. Kugwira ntchito izi zitha okhwima thupi wamkazi. Mu zaka zingapo zapitazi taona kukula kwa matenda ubereki ziwalo kuti imfayo ndi osabereka. Mu dziko lathu ali ndi udindo waukulu ku endometritis aakulu. Mmodzi wa mawonetseredwe ake ndi matenda Asherman a. Kaya mimba n'zotheka matenda?

kudwala Kufotokozera

Pansi syndrome Asherman amanena kuti chikhalidwe pathological imene chiberekero anapanga adhesions. Amatsogolera tsankho kapena wathunthu imperforate M'mimbamo ake. Matendawa nalo dzina lake ndi dzina la Joseph Asherman gynecologist. syndrome woyamba kufotokoza mwatsatanetsatane mu 1894 Genrih Fritch. Mu mabuku a zamankhwala pali maudindo ambiri a matenda: adhesions intrauterine, zoopsa manja ndi sclerosis wa endometrium lapansi.

syndrome Asherman a amawapeza mu akazi kaya akhale a msinkhu ndi chuma chawo. adhesions Intrauterine kuimira connective splice, pakati limene solder thupi khoma ndi chifukwa mapindikidwe awo. Chifukwa cha ndondomeko pathological akufotokozera zosiyanasiyana matenda chopatsa kusamba kukanika. Zizindikiro zazikulu za matendawa ali anafotokoza mu mawonekedwe a mimba padera ndi osabereka.

Kuti ziwerengero pa kufalitsa matendawa? Pambuyo curettage mu akazi nulliparous kusamala angathe kukhala syndrome ndi 25%. Pamene anthu omwe sanali yotheka mimba Mwina mapangidwe adhesions ndipo ukuwonjezeka 30% ya milandu. Ndale padera pafupifupi likuoneka thanzi la mkazi. Pankhaniyi, ngozi ya matenda sadzachitanso oposa 7%.

The zifukwa

Chiberekero ndi dzenje akulu limba. Kunja aphimbidwa ndi peritoneum lapansi. mkati wodzaza ndi endometrium, chomwe zigawo ziwiri - ndi woyambira ndi zinchito. Malinga ndi gawo la kuzungulira kusamba ndi mchikakamizo cha kugonana mahomoni ndi endometrium amaloŵamo kusintha ozungulira. Pafupi nthawi ya ovulation, pamene mpata pathupi mwana Wam'mwambamwamba, ndi endometrium thickens. Maselo endometrial ndi kupanga yogwira zinthu biologically yogwira. Pambuyo umuna, dzira Lifikira chiberekero, kumene implantation. Lumikizanani nembanemba yoopsa ndi endometrium wathanzi - ndi chikhalidwe chachikulu lingaliro bwino. Ngati umuna sichinachitikepo, wosanjikiza zinchito ndi zofunkha, umboni ndi mwezi. Ndi chiyambi cha lililonse mkombero, ndi endometrium limakula kachiwiri.

Adhesions - izo outgrowths kapena adhesions a wosanjikiza mkati mwa chiberekero kuti akuphwanya Maphunziro Akakhalidwe Kazolengedwa wa Kakhungu mucous. syndrome Asherman bwino chifukwa kuwonongeka kapena choipa kwa wosanjikiza woyambira wa endometrium pa njira matenda. Iyi ndi kuchipala pambuyo mimba, gawo cesarean, kapena ntchito ina iliyonse. chifukwa chinanso cha matenda - endometritis. Adhesions anapanga pa maziko a foci zambiri kutupa mu Kakhungu mucous la chiberekero.

The matenda chithunzi cha matendawa

Zizindikiro za matendawa amayambika ndi ndondomeko zomatira ndi zotsatira zake pa kagwiridwe ka ntchito ka ziwalo zoberekera. Pakati pawo pali zambiri ndi:

• matenda kusamba (lolemera / Taphunzira olekanitsa, ululu mphamvu);
• padera ;
• kuchepetsa chiwerengero ndi nthawi ya menses;
• sekondale osabereka;
• kudzikundikira secretions magazi mu uterine patsekeke.

Kodi aliyense ali ndi zizindikiro za matenda Asherman chiyani? Disease kawirikawiri zimathera endometriosis osiyanasiyana mwamphamvu. kudwala The amakhala ndi kukula ectopic a wosanjikiza zinchito za endometrium singathe la chiberekero. Izi osakaniza kungasokoneze maganizo ndi chiyembekezo chithandizo.

madigiri atatu a kusalekerera

Popeza kuwonongeka kwa wosanjikiza woyambira wa endometrium ndi madokotala amati gulu kutsatira syndrome Asherman akuti:

• wofatsa (adhesions zatenga zosaposa 25% buku la chiberekero, mosavuta anawonongedwa ndi kuwononga makina);
• pafupifupi digiri (msoko welded mwamphamvu ndi mucous ya m'chiberekero);
• digiri aakulu (adhesions zigwirizana ambiri a sclerosed connective minofu kutchinga m'kamwa mwa chiberekero ndi machubu thupi pansi).

Panthawi yake mtima wa mlingo wa ndondomeko pathological mwamsanga kuchiritsa matenda Asherman a.

Mimba zotheka?

Reviews madokotala akusonyeza kuti Mwina wa pathupi mwana ndi matenda zimadalira chifukwa ndi gawo. Pamene syndrome Asherman ali kwambiri anakhudzidwa dongosolo ubereki. Makoma a ndodo chiberekero, wosweka mtanda mipope. Chifukwa, Ndisanaumbidwe sangathe sangafe. Komanso, endometrium wotaya mphamvu yake kuwathandiza mu zizindikiro esitirojeni. Pang'onong'ono osabereka sekondale, ndi izo, ndi amenorrhea. Adhesions m'dera khomo lachiberekero imfayo kuchulukana ndi kuchedwa kwa menses. Violation mkombero zambiri limasonyeza matenda aakulu. Mimba ndi chilengedwe zili zovomerezeka, ngati si yake kudzachiritsidwa matenda Asherman a.

ngati lidzawagwiritsenso n'kotheka? Reviews madokotala kutsimikizira kuti umuna m'galasi lipindulitsa pamene matenda ndi pa siteji oyambirira chitukuko. chiwerengero cha adhesions sangathe upambana 25% buku la chiberekero, iwo ayenera isanafalikire mu malo zochepa M'mimbamo lapansi.

Ndi kosatheka kupereka yankho limodzi mafunso agonjera chifukwa onsewa ndi osiyana. Malinga ndi kuopsa kwa ndondomeko pathological, pali mitundu ingapo ya mimba. Ena akazi onyamula zomwe zimayambitsa mavuto, pamene ena limodzi ndi mavuto ambiri. A njira lachitatu - mowiriza mimba padera, sekondale osabereka. Ndicho chifukwa chake mkazi aliyense ayenera kusamalira thanzi lawo, kukumana tizipima zodziwitsa pa gynecologist ndi, panthawi yake mankhwala matenda onse.

Kupenda Medical

njira malangizo udzakhalire chiberekero ntchito matenda a. Ndithu Adokotala wodwalayo obstetric mbiri (chiwerengero cha mimba mimba, padera ndi zina zotero.). Ultrasound Tikadzifufuza ankaona kuti kwambiri angakwanitse ndipo nthawi yomweyo asang'ambe njira ya matenda a ziwalo m'chiuno. syndrome Asherman angathe zikutsimikiziridwa ndi ultrasound, komatu kuti tilandire zotsatira zolondola, muyenera kubwereza ndondomeko kangapo pa kuzungulira.

Muyeso wa golide kwa kudziwika adhesions ankaona hysteroscopy. Chotero kafukufuku chiberekero zimaphatikizapo kugwiritsa ntchito chipangizo wapadera. Iwo kutumikiridwa kudzera m'njira khomo lachiberekero, kotero kuti mmene thupi akhoza imawunikidwa mu pompopompo pa kompyuta. Hysteroscopy kudziwa kuopsa kwa pathological ndondomeko, kukula ndi kutanthauzira za adhesions. odwala zotsatira wathunthu Kupenda ayenera pamodzi ndi mbiri obstetric ndi Dziwani pa chithandizo. njira amenewa amalola kulosera zabwino mphamvu mankhwala.

zochiritsira

Matendawa ndi wofatsa chowongolera kusalekerera amalabadira chithandizo. MwaukadauloZida mitundu ya matenda ndi mimba ali osayenerana. Zikatero wawombolera surrogacy. Pamene spikes ndi ili gawo malire a chiberekero, amathandiza lidzawagwiritsenso. Komabe, mu nkhani iyi kuyesa udindo wa mayi simungathe onse akazi ndi matenda a "syndrome Asherman Mulungu."

Chithandizo kumafuna kuchotsa adhesions pa njira hysteroscopy. Opaleshoni amafuna palibe mankhwala ochititsa dzanzi ambiri, palibe mavuto. Mwaukadaulo, izi ndi ndondomeko m'malo zovuta. Kuchotsa adhesions imachitika yaying'ono-lumo chifukwa cha Mwina mkulu wa kukonzanso choipa. Mu postoperative nthawi zotchulidwa mankhwala kupewa mavuto opatsirana. mankhwala chofunika yothandiza ndi timadzi. Ntchito estrogens ndi progestins wasonyeza kuti nonse muzikonda endometrial.

kaonedwe

Wofatsa matenda ndondomeko ndi mimba yake wa chithandizocho zimawonedwa mu 93% odwala, ndi avareji -% 78 okha. mankhwalawa a akazi ndi matenda patsogolo limachititsa pakati mwanayo 57% ya milandu. Komabe, mimba bwino ndi matenda Asherman a sizitanthauza kubadwa kwa mwana popanda pathologies. Age odwala nazonso n'komwe mu Mapa lapansi. Mwachitsanzo, 66% odwala zaka wocheperapo 35 anapezeka ndi matenda a aakulu wakhoza kuchilandira. Pa kugonana chilungamo zaka zoposa 35, chithunzi ichi sadzachitanso kuposa 24%.

zodzitetezera

Kodi n'zotheka kuteteza matenda Asherman chiyani? Curettage kapena zingalowe kukhumba - njira ziwiri katswiri amachita pafupifupi mwakhungu, chodalira yekha mmene iwo. Minofu ya endometrium pa mimba zofewa, mosavuta anavulala. Chifukwa cha zimenezi, aliyense kapena yochizira matenda kuchipala nthawi zonse limodzi ndi kuvulala wosanjikiza woyambira.

Njira ina njira izi ndi pa mimba mimba zachipatala. Amatanthauza kuti oxytocic mwa kugwiritsa ntchito mankhwala osokoneza bongo. Komabe, mphamvu ya njira iyi 80 okha%. 10% milandu pambuyo mimba zachipatala anati matenda a zimagwira ntchito zosiyanasiyana zimene amafuna kuchipala. Motero, kupewa matenda Asherman akhoza, ngati mankhwala kusankha mimba zachipatala. Komano, njirayi sayankha 100% chitsimikizo cha zotsatira zabwino.