He aha ka Asherman Syndrome?

Anter

• Nā ʻōuli
• Pehea ka hopena o ka maʻi Asherman i ka momona?
• Nā Kumu
• Kānāwai
• Lapaʻau
• Kāohi
• Outlook

He aha ka maʻi ʻo Asherman?

ʻO ka Asherman syndrome kahi mea maʻamau, loaʻa ke ʻano o ka uterus. I nā wahine me kēia ʻano, ʻili nā aila a i ʻole adhesions i loko o ka kōpū ma muli o kekahi ʻano o ka trauma.

I nā hihia koʻikoʻi, hiki i nā paia āpau o mua a i hope hoʻi o ka uterus ke hui pū. I nā hihia momona, hiki i nā adhesions ke hōʻike i nā wahi liʻiliʻi o ka kōpū. Hiki ke lahilahi a lahilahi paha nā adhesions, a liʻiliʻi paha kahi a hui pū ʻia paha.

Nā ʻōuli

ʻO ka hapa nui o nā wahine i loaʻa iā Asherman syndrome he mau manawa a ʻaʻole paha. Loaʻa i kekahi mau wahine ka ʻeha i ka manawa e pono ai kā lākou wā, akā ʻaʻohe o lākou kahe koko. Hiki i kēia ke hōʻike he menstruating ʻoe, akā ʻaʻole hiki i ke koko ke haʻalele i ka kōpū no ka mea ua ālai ʻia ka puka e nā ʻaʻa maka.

Inā kolohe kou mau wā, kūlike ʻole, a i ʻole e hele, ma muli paha o kekahi kūlana, e like me:

• hāpai keiki
• hoʻoluhi
• pohō kaumaha hikiwawe
• momona
• ma luna o ka hoʻoikaika kino
• lawe ana i ka lāʻau pale
• menopause
• polycystic ovary syndrome (PCOS)

E ʻike i kāu kauka inā kū kou mau wā a hele a pinepine ʻole paha. Hiki iā lākou ke hoʻohana i nā hoʻokolohua diagnostics e ʻike i ke kumu a hoʻomaka i ka lāʻau.

Pehea ka hopena o ka maʻi Asherman i ka momona?

ʻAʻole hiki i kekahi mau wahine me ka maʻi Asherman e hāpai a i ʻole hana hewa hou paha. ʻO ia is hiki ke hāpai inā loaʻa iā ʻoe ka maʻi Asherman, akā hiki i nā adhesions i loko o ka kōpū ke hoʻoweliweli i ka fetus ulu. ʻOi aku kou kiʻekiʻe o ka hāʻule a me ka hānau hānau ma mua o nā wahine me ka ʻole o kēia ʻano.

Hoʻonui pū ʻo Asherman Syndrome i kou makaʻu i ka wā hāpai o:

• placenta previa
• placenta increta
• kahe nui ke koko

Makemake kāu mau kauka e nānā pono i kou hāpai ʻana inā loaʻa iā Asherman Syndrome.

Hiki ke mālama i ka maʻi ʻo Asherman me ke kahakaha. Hoʻonui pinepine kēia ʻoki ʻana i kāu manawa e hāpai ai a loaʻa i kahi hāpai hāpai maikaʻi. Paipai nā kauka e kali ana i hoʻokahi makahiki ma hope o ke kahakaha ʻana ma mua o kou hoʻomaka ʻana e hoʻāʻo.

Nā Kumu

Wahi a ka International Asherman's Association, ma kahi o 90 pākēneka o nā hihia āpau o Asherman syndrome e kū nei ma hope o ka dilation a me curettage (D a me C) kaʻina. Hana ʻia ʻo D a me C ma hope o ka hāʻule ʻole ʻana o ka hāpai ʻole ʻana, ka placenta i mālama ʻia ma hope o ka hānau ʻana, a i ʻole he abort elective.

Inā hana ʻia kahi D a me C ma waena o 2 a 4 mau pule ma hope o ka lawe ʻana no kahi placenta paʻa, a laila aia he 25 pākēneka manawa kūpono e ulu ai ka Asherman syndrome. Hoʻonui ka makaʻu o ka hoʻomohala ʻana i kēia ʻano i nā kaʻina D a me C i loaʻa i ka wahine.

I kekahi manawa hiki ke hoʻopili ʻia ma ke ʻano he hopena o nā ʻoki pelvic ʻē aʻe, e like me ka ʻāpana caesarean a i ʻole ka hemo ʻana o fibroids a polyps paha.

Kānāwai

Inā kānalua kāu kauka ʻo Asherman syndrome, lawe mua lākou i nā laʻana koko e kāpae i nā kūlana ʻē aʻe i hiki ke kumu i kāu mau ʻōuli. Hiki iā lākou ke hoʻohana i kahi ultrasound e nānā i ka mānoanoa o ka uhi ʻana o ka uterine a me nā follicle.

ʻO Hysteroscopy paha ke ʻano ʻoi loa e hoʻohana ai i ka hōʻailona o Asherman Syndrome. I kēia kaʻina hana, e hoʻonui kāu kauka i kou cervix a laila hoʻokomo i kahi hysteroscope. ʻAno ka hysteroscope me kahi teleskopa liʻiliʻi. Hiki i kāu kauka ke hoʻohana i ka hysteroscope e nānā i loko o kou ʻōpū a ʻike inā aia kekahi scarring.

Koi paha kāu kauka i kahi hysterosalpingogram (HSG). Hiki ke hoʻohana ʻia kahi HSG e kōkua i kāu kauka e ʻike i ke ʻano o kou kōpū a me nā paipu fallopian. I loko o kēia kaʻina hana, ua hoʻokomo ʻia kahi kala kūikawā i loko o ka kōpū e maʻalahi ai i ke kauka e hoʻomaopopo i nā pilikia me ka lua o ka uterine, a i ʻole nā ​​ulu a i ʻole nā ​​palaka i nā paipu fallopian, ma kahi X-ray.

E kamaʻilio me kāu kauka e pili ana i ka hoʻāʻo ʻana no kēia ʻano inā:

• ua loaʻa ʻoe i kahi ʻoki mua o ka uterine a ua kūleʻa a kū paha kāu mau wā
• ke loaʻa nei iā ʻoe nā hana hewa hou ʻole
• ke pilikia nei ʻoe i ka hāpai ʻana

Lapaʻau

Hiki ke mālama ʻia ka maʻi ʻo Asherman me ka hoʻohana ʻana i kahi ʻoki lāʻau i kapa ʻia he hysteroscopy operative. Hoʻopili nā mea hana ʻoki liʻiliʻi i ka hopena o ka hysteroscope a hoʻohana ʻia e wehe i nā adhesions. Lawe mau ʻia ke kaʻina hana ma lalo o ka anesthetic ākea.

Ma hope o ke kaʻina hana, hāʻawi ʻia ʻoe i nā lāʻau antibiotic e pale ai i ka maʻi a me nā papa estrogen e hoʻomaikaʻi ai i ka maikaʻi o ka uhi ʻana o ka uterine.

E hana hou ʻia kahi hysteroscopy hou ma kahi lā hope e nānā ai ua kūleʻa ka hana a ua kaʻawale kou uterus mai nā adhesions.

Hiki i nā adhesions ke hana hou ma hope o ka mālama ʻana, no laila ke paipai nei nā kauka e kali i hoʻokahi makahiki ma mua o ka hoʻāʻo ʻana e hāpai e hōʻoia ʻole ʻaʻole kēia.

ʻAʻole paha ʻoe e pono i ka lāʻau lapaʻau inā ʻaʻole ʻoe e hoʻolālā i ka hāpai ʻana a ʻaʻole ke ʻano o ke ʻeha iā ʻoe.

Kāohi

ʻO ke ala ʻoi loa e pale aku ai i ka maʻi ʻo Asherman e hōʻalo i ka hana D a C. I ka hapanui o nā hihia, pono e koho i ka haʻalele ʻana i ka lāʻau ma hope o ka hāʻule ʻana o kahi hāʻule ʻana i hala a piha ʻole paha, ka placenta paʻa, a i ʻole ka hemorrhage ma hope o ka hānau ʻana.

Inā koi ʻia kahi D a me C, hiki i ke kaukipō ke hoʻohana i kahi ultrasound e alakaʻi iā lākou a hoʻēmi i ka makaʻu no ka pohō o ka kōpū.

Outlook

Hiki i ka Asherman syndrome ke paʻakikī a i kekahi manawa hiki ʻole iā ʻoe ke hāpai. Hiki iā ia ke hoʻonui i kou makaʻu no nā pilikia koʻikoʻi i ka wā hāpai. Hiki ke pale a mālama ʻia ke ʻano.

Inā loaʻa iā ʻoe ka maʻi Asherman a ʻaʻole hiki ke hoʻihoʻi i kāu momona, e noʻonoʻo e kiʻi i kahi hui kākoʻo, e like me ka National Fertility Support Center. Aia nā koho no nā wahine makemake i nā keiki akā ʻaʻole hiki ke hāpai. Hoʻopili kēia mau koho i ka hakahaka a me ka hoʻokama.