ʻO ka maʻi Asherman

ʻO Asherman Syndrome ka hoʻokumu ʻia ʻana o nā ʻili maka ma ka lua o ka uterine. Hoʻonui pinepine ka pilikia ma hope o ke kahakaha ʻana o ka uterine.

ʻO Asherman maʻi maʻi kahi ʻano laha ʻole. I ka hapanui o nā hihia, kū ia i nā wahine i loaʻa i nā kaʻina hana dilatation a me curettage (D & C).

ʻO kahi maʻi pelvis nui e pili ʻole i ka ʻoki ʻana hiki ke alakaʻi ʻia i ka maʻi Asherman.

Hiki ke hana ʻia nā adhesions i loko o ka lua uterine ma hope o ka maʻi ʻana me ka tuberculosis a i ʻole schistosomiasis. ʻAno ʻole kēia mau maʻi i ʻAmelika Hui Pū ʻIa. ʻOi aku ka liʻiliʻi o nā pilikia Uterine e pili ana i kēia mau maʻi.

Hiki i nā adhesions ke kumu:

• Amenorrhea (nele o nā menstrual period)
• Nā hana hewa hou ʻole
• Hoʻoipo

Eia nō naʻe, hiki ke pili i kēlā mau hōʻailona i nā ʻano he nui. Hōʻike paha lākou iā Asherman Syndrome inā kū koke lākou ma hope o kahi D & C a i ʻole kahi ʻoki uterine ʻē aʻe.

ʻAʻole hōʻike kahi hōʻike pelvic i nā pilikia i ka hapanui o nā hihia.

E komo pū paha nā hoʻāʻo:

• Hysterosalpingography
• Hysterosonogram
• Ninaninau ultrasound transvaginal
• ʻO nā hoʻokolohua koko e ʻike i ka maʻi puʻupuʻu a i ʻole schistosomiasis

Hoʻopilikia ka mālama ʻana i ka ʻoki ʻana e ʻoki a hemo ai i nā adhesions a i ʻole nā ​​ʻili scar. Hiki ke hana pinepine ʻia kēia me ka hysteroscopy. Hoʻohana kēia i nā mea kani liʻiliʻi a me kahi kāmela i hoʻokomo ʻia i loko o ka kōpū ma o ka cervix.

Ma hope o ka hemo ʻana o kaʻiʻo makaʻu, pono e hāmama ka ʻōpū uterine i ka wā e hoʻōla ai e pale i ka hoʻopili ʻana mai ka hoʻi ʻana. Kau paha kāu mea mālama ola i kahi baluna liʻiliʻi i loko o ka kōpū no kekahi mau lā. Pono paha ʻoe e lawe i ka estrogen ʻoiai ke hoʻōla nei ka uhi ʻana o ka uterine.

Pono paha ʻoe e lawe i nā lāʻau ʻalopika inā loaʻa kahi maʻi.

Hiki ke kōkua pinepine i ke koʻikoʻi o ka maʻi e ke komo ʻana i kahi hui kākoʻo. I loko o ia mau hui, kaʻana like nā lālā i nā ʻike a me nā pilikia maʻamau.

Hiki ke hoʻōla pinepine ʻia ka maʻi ʻo Asherman me ke kahakaha. I kekahi manawa e pono hou aku i hoʻokahi o nā kaʻina hana.

Hiki i nā wahine i hānau ʻole ma muli o ka Asherman Syndrome hiki ke loaʻa i kahi pēpē ma hope o ka mālama ʻana. Ma muli o ka paʻakikī o ka Asherman Syndrome a me ka paʻakikī o ka mālama ʻana e hāpai ai ka hāpai ʻana. ʻO nā kumu ʻē aʻe e pili i ka momona a me ka hāpai ʻana e pili pū paha.

Kūleʻa ʻole nā ​​pilikia o ke kahakaha hysteroscopic. Ke hiki mai lākou, komo pū paha lākou i ke kahe ʻana, ka perforation o ka kōpū, a me ka maʻi pelvic.

I kekahi mau hihia, ʻaʻole mālama ka mālama ʻana iā Asherman Syndrome i ka infertility.

Kāhea i kāu mea hāʻawi inā:

• ʻAʻole hoʻi i kāu manawa menstrual ma hope o kahi gynecologic a i ʻole kahi ʻoki lāʻau.
• ʻAʻole hiki iā ʻoe ke hāpai ma hope o 6 a 12 mau mahina o ka hoʻāʻo ʻana (E ʻike i ka loea no ka loiloi infertility).

ʻAʻole hiki ke wānana a pale ʻia paha ka hapa nui o nā maʻi ʻo Asherman.

Uterine synechiae; Hoʻopaʻa Intrauterine; Infertility - Asherman

• Uterus
• Anatomy uterine maʻamau (ʻoki ʻoki)

Brown D, Levine D. Ka ʻōpū. I: Rumack CM, Levine D, eds. ʻIkioma ultrasound. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 15.

ʻO Dolan MS, Hill C, Valea FA. Nā lehele wahine gynecologic Benign: ʻāpau, ʻōpua, ʻehaʻeha, uterus, oviduct, ovary, kiʻi ultrasound o nā pelvic. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 18.

Keyhan S, Muasher L, Muasher SJ. ʻO ka hāpai keiki kūlohelohe a me ka nalo ʻana o ka hāpai hāpai hou ʻana: etiology, diagnose, lapaʻau. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 16.

ʻO Williams Z, ʻo Scott JR. ʻO ka lilo hou o ka hāpai ʻana. I: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, eds. ʻO Medicine a Maternal-Fetal a Creasy a me Resnik: Nā Manaʻo a me ka Hoʻomeheu. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 44.