Basa reD & Cs mukupararira kweUterus
Intrauterine adhesions inzvimbo dzechivara chechivara pamadziro echibereko chinowanzokura mushure mekunge mukadzi ane kuvhara nekugadziriswa (D & C) -gadziriro yekubvisa chibereko chekuita mimba dzisina pamuviri dzisina kudzingwa panguva yekuparara. Chidzidzo chegore ra2014 chakawana kuti kana mumwe wevakadzi vashanu vanotanga kusuruvara pashure pokunge aenda pamba. Zvishoma nezvishoma, kunyanya kweprauterine kunokonzerwa nehutachiona, zvakadai sepabonde chetachiona (zvinowanzoonekwa munyika dzinokura kupfuura kuUnited States).
Chero chii chinokonzera, intrauterine adhesions dzimwe nguva inobatanidza kune zvimwe zviratidzo, zvakadai se:
- kusabereka
- Matambudziko okuenda kumwedzi kusanganisira amenorrhea (asina nguva)
- cyclic pelvic kurwadziwa
- kugara uchiita pamuviri kurasikirwa
Apo intrauterine zvakanamatira zvinokonzera zviratidzo zvakadai, izvi zvinonzi mukadzi ane Asherman syndrome . Kune nzira dzakawanda dzekuona ruvara rwemavara pamadziro echibereko, kusanganisira hysteroscopy, hysterosonography, hysterosalpingogram , transvaginal ultrasound , kana kusanganiswa. Chimwe nechimwe chezviedzo chinobvumira chiremba kuti aone zvakanamatira. Icho chakanyatsonaka ndechekunyora.
Kurapa Intrauterine Adhesions
Kana iwe uchikura kukura kweutano hwako huchaenderana nemamiriro ezvinhu. Somuenzaniso, kana uri kurwadziwa kana zvimwe zviratidzo, hapana chikonzero chekurapwa. Izvozvowo ndezvechokwadi kana iwe usingafungi kuva nevana.
Chirwere chinonyanya kuwaniswa kweprauterine adhesions inonzi hysteroscopic resection, umo maronda anobviswa.
Mushure mekunge, chiremba wenyu anogona kukurudzira nguva pfupi yekugadzirirwa kwecatheter ye Foley kuderedza dambudziko rekuti kusungwa kuchadzoka. Iwe unogonawo kupiwa isrogen therapy kukurudzira regrowth ye uterine tissue. Kana wakanga uchiedza kushaya kubudirira kubata pamuviri uye unofungidzirwa kuti kupera chikonzero, iwe unogona kukwanisa kutora pamuviri mushure mekuita izvi.
Mudzimai Anofanira Kudzivirira D & C Mushure mekunge Uchinyorwa?
Kana iwe ukarasikirwa nepamuviri uye chiremba wako akakurudzira kuti uve neD & C, unganetseka kuti nzira yacho ichasiya zvikwere uye ichidzivirira kuti urege kubata zvakare. Tsvaga chikonzero nei chiremba wako achiona zvichikosha kuti uve neD & C, zive kuti vakadzi vakawanda havasati vava nekubatana zvakanyanya mushure mekunge vaine imwe, uye voyera kuipa nekubatsirana nemutarisiri wako.
Zvakadini neD & C dzakawanda? Kuva nechiitiko ichi kanopfuura kamwe kunowedzera kuwedzera kungozi yekukudziridza uterine zvakanamatira, saka iwe unogona kuvhara kudarika D & C imwe chete kana isiri mishonga inokosha. Kune rumwe rutivi, kana chiremba wako akakukurudzira kuti uve neD & e inotevera uye inonyatsojeka hutano hwako hunoenderana nayo, iwe unofanirwa kuifunga, kana kuti kuwana kuwana pfungwa yechipiri.
Sources:
AAGL Inofamba Zvishoma Inowedzera Gynecology Munyika Yose. AAGL Practice Report: Dzidzira Mirayiridzo Yekutungamirirwa kweIntrauterine Synechiae. J Minim Inopinda Gynecol. 2010 Jan-Feb; 17 (1): 1-7.
Cedars, MI. (2016). Intrauterine Adhesions. Mu: UpToDate, Barbieri RL (Ed), UpToDate, Waltham, MA.
> Hooker AB et al. Kuongorora kwakarongeka uye kuongorora maitiro eIntrauterine Adhesions mushure mekusununguka: Kuwandisa, Njodzi Dambudziko, uye Zvigumisiro Zvakare Zvokubereka. Hum Kudzorerwa. 2014 Mar-Apr; 20 (2): 262-78.