Njodzi inobatanidzwa neitiro inowanzovhiyiwa
Asherman's syndrome, inoratidzirwa nekuvhara muchibereko, ndiyo inowanzobatanidzwa neitiro inowanzovhiya inonzi inonzi dilation uye curettage (D & C) . D & C inogona kushandiswa kubvisa mishonga yakawanda yezvikonzero zvipi zvese, kusanganisira:
- Kugadzirisa kusaita muviri uterine
- Apo mishonga inowanikwa nenzira isingadikanwi sezvinogona kuitika kuvakadzi vane polycystic ovary syndrome (PCOS)
- Kubvisa mhuka dzisiri zvachose dzakadzingwa mushure mekusava nepamuviri kutadza, kusaputsika kwepamuviri, kana kuberekwa
Kutevera D & C, uterine mishonga dzimwe nguva inonamatira pamwe zvisina kufanana uye inogadzirirana. Fibrosis, the thickening and scarring of connective tissues, inosanganisirawo. Zvichienderana nehuwandu uye hutsinye hwekucheka, Asherman's syndrome inogona kukonzera kupererwa , kusabereka , kurwadziwa kunokonzerwa neropa rakabatwa, uye zvimwe zvinetso zvisingabatsiri.
Kunyange zvazvo D & C iri chikonzero chikuru cheAsherman's syndrome, mamwe mamiriro ezvinhu anogona kukonzera kupera kweuterine, kusanganisira miviri yeplavic uye kushandiswa kwezvinonzi intrauterine (IUDs).
Zviratidzo zveAsherman's Syndrome
Asherman's syndrome inowanzokonzera zviratidzo kunze kwekuoma pakubata kana kuchengetedza pamuviri. Maumbirwo ekubatanidza uye fibrosis anowanzoita kuti kuderedza ropa kuve mumucheturo. Kana izvi zvikaitika, vamwe vakadzi vanogona kunge vane nguva dzakanyanya kupenya kana vasina nguva (amenorrhea).
Kana zvivharoka zvikawanda, zvinogona kuisa marwadzo panguva yekuvhuvhuta kana kuenda kumwedzi.
Kuongororwa kweAsherman's Syndrome
Nzira yegoridhe yekuongororwa neAsherman's syndrome ndiyo nzira inonzi hysteroscopy iyo inenge yakaonda, yakajeka yakaiswa mukati mechikadzi kuti iongorore chibereko chechivharo uye chibereko. Vanachiremba vanogonawo kuronga X-rays, transvaginal ultrasound , uye biopsy kuti vaongorore kusimba uye kuwanda kwekucheka uye kubatsira kutora nzira yekurapa.
Zvinokonzera Njodzi neMigumisiro
Ngozi yeAsherman's syndrome inowanzobatanidzwa nehuwandu hweD & C hutsika iyo mukadzi anotarisana nayo. Maererano nekutsvakurudza, dambudziko rekuwedzera kwaAsherman kubva ku14 muzana mushure mekunge imwe kana maviri D & C kusvika 32 muzana mushure mhatu. Zvimwe zviitiko zvinogona kuwedzera maitiro ekuvandudza Asherman's:
- D & C inotevera kukanganisa kunokanganisa (30 muzana yengozi)
- D & C yakaitwa kwemavhiki mana shure kwekuberekwa (25 muzana mukana)
Kusvibisa uye kubatisisa zvinogona kudzivirira kubata nekudzivirira ropa nekuyerera uye kunwisa kumucheche anowedzera. Somugumisiro, vakadzi vane uterine zvakanamatira vanobva kune 40 kubva kuzana kusvika 80 muzana yekana yekusununguka kwepamuviri uye imwe muhutano hwekuberekwa musati wasvika. Kana zviitiko zvakakomba, kupora kunogona kutungamirira kuEctopic pregnancy ( potentially pregnancy pregnancy) .
Kurapa Asherman's Syndrome
Kuvhiyiwa kubviswa kwekubatanidza kunogona kuchinja zvakanyanya matambudziko ekuva nemimba yekubudirira. Nezvo izvo zvataurwa, zvinogona kuva nzira inowanzooma yakaoma uye inofanira kuitwa nekuchenjerera kudzivirira kuumbwa kwezviyo zvinowedzera. Hysteroscopy inowanzobatanidzwa. Laparoscopy (inowanzonzi inonzi chironga chinokosha) inogona kushandiswawo mumatambudziko akaoma.
Mushure mekuvhiyiwa, vamwe vanachiremba vanokurudzira kuiswa kwebhokisi re intrauterine kuchengetedza mishonga kuti igare pamwe chete. Chirongwa chetrogen chinogonawo kugadziriswa kuti chibatsire kusimbisa kuberekwa kwehutachiona uye kukurudzira kuporesa.
> Kwakabva:
> Conforti, A .; Alviggi, C ;; Mollo, A. et al. "Vatungamiri veAsherman syndrome: kuongorora mabhuku." Reprod Biol Endocrinol. 2013; 11:18.