Intrauterine adhesions - abin da yake da shi?

Intrauterine adhesions, ko, kamar yadda aka kira su, "Asherman ta ciwo" - wani m ko cikakken igiyar ciki rami imperforate. Wannan ba wata cuta daga cikin labia, shi yafi tsanani. A namiji yawan akwai irin wannan matsala - kame adhesions.

Akwai zafi, cututtuka da kuma neuro-visceral ka'idar asalin matsalar. Babban factor - muhimmi Layer na endometrium rauni faruwa bayan zubar da ciki ko bayarwa, da kuma ciwon inji. Kamuwa - wannan shi ne wani sakandare factor. A mafi zafi ne lokaci na farko da hudu makonni bayan wani zubar da ciki ko haihuwa.

Popular sau da yawa, intrauterine adhesions faruwa a marasa lafiya tare da daskararre ciki. Yana da su, mafi sau da yawa fiye da wasu, bayan scraping da igiyar ciki rami adhesions matsalar tasowa. Wannan shi ne saboda cewa da saura na placental nama iya sa kunnawa da samuwar collagen da fibroblasts kafin kasancewa gaba daya sake halitta endometrium. Intrauterine adhesions faruwa a 5-40 bisa dari na marasa lafiya da maimaita rashin.

Bugu da kari, wannan matsala na iya faruwa bayan da tiyata a cikin mahaifa: metroplasty, myomectomy ko scraping da mucosa domin bincike dalilai. Har ila yau tsokane intrauterine adhesions yiwu ko da intrauterine maganin hana haifuwa.

cututtuka

Dangane da nawa zaraschena mahaifa, iya tabbatar da hypomenstrual ciwo, amenorrhea da sakamako - rasa haihuwa, ashara. A cikin akwati inda zaraschivaetsya kawai ƙananan ɓangare na mahaifa, da kuma a cikin sama ɓangare na al'ada aiki endometrium, zai iya ci gaba hemometra. Strong igiyar ciki imperforate da rashin al'ada aiki na endometrium iya kai ga matsaloli tare da kafawa da ovum. Ko kadan bayyana intrauterine adhesions - Sanadin gazawar hadi.

Daya bisa uku na mata da suke fama da intrauterine adhesions sami ashara, har yanzu wannan lambar - haihuwa, prematurely, da kuma wani na uku - da Pathology na mahaifa (previa ko m abin da aka makala). Wannan yana nufin cewa ciki a marasa lafiya tare da adhesions kamata a yi la'akari a matsayin wani babba hadarin yiwu rikitarwa a lokacin daukar ciki, haihuwa da kuma zubar lokaci.

magani

Don kwanan wata, hanyar kaɗai da za mu bi da wannan matsala za a iya kira adhesions dissection karkashin gani kai tsaye iko hysteroscopy. A lokaci guda akwai kamata ba rauni zuwa endometrium domin maido da hailar sake zagayowar da kuma haihuwa. The aiki, ta yadda ya dace da kuma sa ran sakamakon iya dogara ne kawai a kan irin, kuma har na adhesions occlusion na igiyar ciki rami.

Synechia dake tsakiya, za a iya raba ta m da gidaje na hysteroscope. Bugu da ƙari kuma, yi amfani da endoscopic forceps da almakashi, hysteroresectoscopy lantarki.

Kananan adhesions quite sauƙi karya forceps, almakashi ko jiki hysteroscope. Adhesions da hakan yawa ana yanka da almakashi a hankali, har sai da sosai, lokacin da ya zauna cikin mahaifa ne a mayar da ta al'ada siffar.

Domin rabu da m fibrous adhesions, sau da yawa amfani hysteroresectoscopy lantarki ko shugaba Laser. Don hana perforation na zauna cikin mahaifa (wanda mai yiwuwa ne) aiki ne mafi kyau da za'ayi karkashin iko na duban dan tayi tare da unexpressed igiyar ciki occlusion da kuma sarrafawa laparoscopically, a lokacin da occlusion aka muhimmanci bayyana.

Bayan dissection na intrauterine adhesions, mata masu juna biyu a hadarin. A gaskiya, kuma da m rashin iyawa to kai yaro, har yanzu akwai barazana da zubar hemorrhage.