Sinthani zam'kati mwachindunji - ndi chiyani?

Zovuta zamtundu wa synechia kapena, monga zimatchedwa, "Asherman's syndrome" - matenda osakwanira kapena amphumphu a chiberekero cha uterine. Si matenda a abambo, ndizovuta kwambiri. Mu chiwerengero cha abambo muli vuto lomwelo - sinhia wa chikopa.

Pali zifukwa zomvetsa chisoni, zopatsirana komanso zokhudzana ndi matenda a chiyambi cha vutoli. Chinthu chachikulu ndizovuta kwambiri pamsana wa endometrium omwe amachokera pambuyo pochotsa mimba kapena kubereka komanso omwe ali ndi mawonekedwe. Matenda ali kale kachiwiri. Nthawi yovuta kwambiri ndi nthawi ya masabata anayi oyambirira kuchotsa mimba kapena kubereka.

Nthawi zambiri intrauterine synechiae imawonekera kwa odwala omwe ali ndi pakati. Ndiwo, mochuluka kuposa ena, atayambitsa chiberekero amayamba vuto la synechia. Izi ndi chifukwa chakuti minofu yotsalayo ingayambitse kupanga mapangidwe a collagen ndi fibroblasts ngakhale kuti endometrium yonse isasinthidwe. Matenda oterewa amapezeka mu 5-40 peresenti ya odwala omwe asokonezeka mobwerezabwereza.

Kuwonjezera pamenepo, vutoli likhoza kuchitika pambuyo pochita opaleshoni mu chiberekero: metroplasty, myomectomy kapena scraping ya mucosa pofuna kuganizira. Komanso, kulera kwa intrauterine kungapangitse intrauterine synechia.

Zizindikiro

Malinga ndi kuchuluka kwa chiberekero cha uterine , matenda a hypomenstrual, amenorrhea ndi zotsatira zake - kusabereka, kuperewera kwa pakati pathu - kungawonetsere . Pakakhala pamene chiberekero cha m'mimba chili ndi kachilombo, ndipo endometrium nthawi zambiri imagwira ntchito, hematometer ikhoza kukhalapo. Matenda amphamvu a chiberekero ndi kusowa kwa endometrium kawirikawiri zimayambitsa mavuto ndi kukhazikitsidwa kwa dzira la fetal. Ngakhalenso pang'ono kutchedwa intrauterine synechia ndi chifukwa cha kusagwira bwino kwa feteleza.

Gawo limodzi mwa atatu mwa amayi omwe akudwala intrauterine synechia adzalandira mimba yokhazikika, nambala ina - kubadwa msanga, ndi gawo limodzi mwa magawo atatu - chiwonetsero chodziwika bwino . Izi zikutanthauza kuti kutenga mimba kwa odwala ndi synechia kuyenera kuonedwa kuti ndiwopseza kwambiri, mavuto angayambe panthawi ya mimba, kubadwa komanso posakhalitsa.

Chithandizo

Mpaka pano, njira yokhayo yothetsera vutoli ikhoza kutchedwa dissection ya synechia pansi pa zowonetseratu mwachindunji ndi hysteroscope. Pankhaniyi, payenera kukhala zopweteka kwa endometrium kuti abwezeretse msambo wokha msambo komanso kubereka. Ntchitoyi, mphamvu zake komanso zotsatira zake zimadalira kokha mtundu wa synechia ndi mlingo wa kuchotsedwa kwa uterine.

Pakati pa syechia akhoza kugawidwa ndi thupi losaoneka bwino la hysteroscope. Kuwonjezera apo, gwiritsani ntchito mphamvu zamakono ndi zumo, hysteroresectoscope ndi electrode.

Nkhono yaing'ono imangowonongeka mosavuta ndi mphamvu, mkasi kapena chigoba cha hysteroscope. Synechia ndi nkhwangwa yambiri imayambitsidwa pang'onopang'ono ndi lumo mpaka mchiberekero cha uterine chibwezeretsedwe ku mawonekedwe abwino.

Pofuna kuchotsa nthenda yotchedwa fibrous synechia, nthawi zambiri amagwiritsa ntchito hysteroresectoscope ndi electrode kapena laser conductor. Pofuna kuteteza chiberekero cha chiberekero (chomwe chiri chotheka kwambiri), ndi bwino kugwira ntchito pansi pa mphamvu ya ultrasound ndi kutuluka kosadziwika kwa chiberekero ndi pansi pa laparoscopic control, pamene kutchulidwa kumatchulidwa kwambiri.

Pambuyo pa kusokonezeka kwa intrauterine synechia, atsikana omwe ali ndi pakati ali pangozi. Kuwonjezera pa kulephera kubereka mwana nthawi zambiri, pakadalibe chiopsezo cha kutsekemera kwa m'mimba.