Ingozi ehambisana nenqubo evamile yokuhlinzwa
I-Asherman's syndrome, ebonakala ngokugaya esibelethweni, yisimo esivame ukuhlotshaniswa nenqubo evamile yokuhlinzwa ebizwa ngokuthi i- dilation kanye ne-curettage (D & C) . I-D & C ingasetshenziselwa ukususa izicubu ezidlula zonke izizathu, kufaka phakathi:
- Ukuxazulula ukuphuma kwe-uterine okungavamile
- Uma izicubu zigcinwe ngendlela engavamile njengoba kungenzeka kubantu besifazane abane- polycystic ovary syndrome (PCOS)
- Ukuze ususe izicubu ezingaxoshwa ngokuphelele emva kokushiyeka kwesisu okulahlekile, ukukhulelwa kwesisu okuphelele, noma ukulethwa
Ukulandela i-D & C, izicubu ze-uterine ngezinye izikhathi zingabamba ndawonye ngendlela engavamile futhi ifomu. I-Fibrosis, ukuqina nokwehlukaniswa kwezicubu ezixhunyiwe, kuhilelekile. Ngokwezinga nobukhulu be-scarring, i-Asherman's syndrome ingase ibangele ukukhulelwa kwesisu , ukungabi namntwana , ubuhlungu obangelwa yizigaxa zegazi, nezinye izinkinga ezithintekayo.
Nakuba i-D & C iyimbangela eyinhloko ye-Asherman's syndrome, ezinye izimo zingaholela ekuqotheni kwesibeletho, kuhlanganise nemisebe ye-pelvic kanye nokusetshenziswa kwamadivayisi we-intrauterine (IUDs).
Izimpawu zika-Asherman's Syndrome
I-Asherman's syndrome ngokuvamile ayibangeli izibonakaliso ngaphandle kobunzima bokukhulelwa noma ukugcina ukukhulelwa. Ukwakhiwa kokunamathela kanye ne-fibrosis ngokuvamile kunciphisa ukugeleza kwegazi esibelethweni. Uma lokhu kwenzeka, abanye besifazane bangase babe nezikhathi zokukhanya kakhulu noma bangabi nesikhathi (amenorrhea).
Uma i-blockages ikhula, ingase idale ubuhlungu phakathi nokuvuthwa noma ukuya esikhathini.
Ukuxilongwa kwe-Asherman's Syndrome
I-standard yegolide yokuhlola i-Asherman's syndrome yinkqubo ebizwa ngokuthi i-hysteroscopy lapho kutholakala khona umthamo omncane, okhanyayo emgodini ukuhlola umlomo wesibeletho nesisu. Odokotela bangase bahlele i-X-rays, i- ultrasound yangaphandle , ne-biopsy ukuhlola ubunzima nobukhulu bokunqotshwa nokusiza ukunquma inkambo yokwelashwa.
Izingozi Nezimo Zingozi
Ingozi ka-Asherman's syndrome ngokuvamile ihlotshaniswa nenani lezinqubo zeD & C owesifazane owela kuyo. Ngokusho kocwaningo, ingozi yokunyuka kuka-Asherman kusuka kumaphesenti angu-14 ngemuva kwe-D & C eyodwa noma amabili kuya kwamaphesenti angama-32 emva kwezintathu. Ezinye izinto zingandisa amathuba okuthuthukisa i-Asherman:
- I-D & C elandela ukulahlekelwa kwesisu okulahlekile (ingozi yamaphesenti angu-30)
- I-D & C yenze amasonto amane emva kokulethwa (ingozi yamaphesenti angu-25)
Ukweqa nokubambelela kungavimbela ukukhulelwa ngokuvimbela ukugeleza kwegazi nokunakekelwa kumntwana okhulayo. Ngenxa yalokho, abesifazane abanamathele embelethweni bahamba ngamaphesenti angama-40 kuya kwangu-80 ithuba lokukhulelwa kwesisu kanye nengozi emine yokuzalwa ngaphambi kwesikhathi. Uma amacala ahlukumezayo, ukubhuka kungaholela ekukhulelweni okukhululekile kwe-ectopic (ukukhulelwa kwe-tubal) .
Ukwelapha i-Asherman's Syndrome
Ukususwa kokukhishwa kokubambisana kungathuthukisa kakhulu ukubhekana nokukhulelwa okuphumelelayo. Uma kuthiwa, kungaba yinkambiso enzima kakhulu futhi kudingeka kwenziwe ngokucophelela ukuvimbela ukwakhiwa kwezibazi ezengeziwe. I-hysteroscopy ngokuvamile ihilelekile. I-laparoscopy (evame ukubizwa ngokuthi ukuhlinzwa okuyisisekelo esibucayi) ingasetshenziswa futhi kumacala azinzima kakhulu.
Ngemuva kokuhlinzwa, odokotela abathile bayotusa ukubekwa kwebhola le-intrauterine ukugcina izicubu zingabambisani. I-estrogen yomlomo ingahle ibekwe ukuze kusize ukuvuselela izicubu ze-uterine nokukhuthaza ukuphulukiswa.
> Umthombo:
> Conforti, A .; I-Alviggi, iC .; Mollo, A. et al. "Abaphathi be-Asherman syndrome: ukubuyekezwa kwezincwadi." I-Reprod Biol Endocrinol. 2013; 11:18.