Intrauterine adhesions - chii?

Intrauterine adhesions, kana, sezvo vari kunzi, "Asherman kuti chirwere" - zvishomanana kana zvakakwana uterine mhango imperforate. Iyi haisi chirwere ari labia, zvakawanda zvakakomba. In gono vakawanda pane zvakafanana dambudziko - chikanda chepamberi adhesions.

Pane zvinotyisa, zvirwere uye neuro-visceral dzidziso Nezvekwakabva dambudziko. The chikuru chinhu - basal rukoko of endometrium kukuvara yokuvamba pashure pamuviri kana delivery, uye kuva nomuviri. Chirwere - iri yechipiri chikonzero. Chinonyanya zvinorwadza ndiyo nguva vhiki mana okutanga pashure pamuviri kana pakusununguka.

Kazhinji, intrauterine adhesions kuitika varwere nechando pamuviri. Zviri ivo, kakawanda kupfuura vamwe, pashure tichibvisa ari uterine mhango adhesions dambudziko hwapedyo. Izvi imhaka yokuti vakasara placental zvinyama zvingakonzera activation kuti paumbwe collagen uye fibroblasts vasati kuva zvachose regenerated endometrium. Intrauterine adhesions kuitika muna 5-40 muzana varwere idzokororo kupfupfudzika.

Uyezve, dambudziko iri kunogona kuitika mushure kuvhiyiwa mudumbu: metroplasty, myomectomy kana tichibvisa kuti mucosa kuti chirwere zvinangwa. Uyewo vakatsamwisa intrauterine adhesions vangatonyengetera intrauterine pamuviri.

zviratidzo

Zvichienderana sei zvikuru zaraschena dumbu, anogona kuratidza hypomenstrual urwere, amenorrhea uye mugumisiro wayo - kushaya mbereko, kubva kwepamuviri. Kana apo zaraschivaetsya chete rezasi chikamu dumbu, uye yokumusoro chikamu kwagara kushanda endometrium, anogona kuva hemometra. Strong uterine imperforate uye kushaya dzose nekubata endometrium kunogona kukonzera matambudziko pamwechete muchibereko yacho ovum. Kunyange zvishoma akaratidza intrauterine adhesions - Zvinokonzera inefficiency muchangosangana.

Mumwe pavatatu vakadzi vanotambura intrauterine adhesions vanogamuchira zvinoguma nokupfupfudzika, angori nhamba - kusununguka, akashaya, uye mumwe wechitatu - the zvokurwara pakati ari placenta (previa kana zvakasimba kuda). Izvi zvinoreva kuti pamuviri vari varwere adhesions dzinofanira kuzokurukurwa sezvo rebei mukana zvichiita zviome panguva pamuviri, mwana uye postpartum nguva.

mabatiro

Kusvika panguva chete nzira kubata dambudziko iri rinogona kunzi adhesions kwetsinga pasi kutarisana kudzora hysteroscopy. Panguva iyoyowo parege kuva zvinokuvadza kuti endometrium kuti azodzikamisa zvakajairika kumwedzi uye kubereka. The oparesheni, ayo kushanda zvakanaka uye kutarisirwa nemigumisiro kungaenderana chete pamusoro mhando uye kukura adhesions occlusion yacho uterine mhango.

Synechia yaiva centrally, unogona kuparadzaniswa ne kungopotsera kubudikidza dzimba pamusoro hysteroscope. Uyezve, shandisa endoscopic forceps uye chigero, hysteroresectoscopy electrode.

adhesions Small zvikuru nyore kuputswa forceps, chigero kana muviri hysteroscope. Adhesions pamwe yakakwirira arambe achirema dzinobviswa pamwe chigero zvishoma nezvishoma, kusvikira panguva apo dumbu anodzorerwa zvarakanga chimiro.

Kuti kubvisa fibrous gobvu adhesions, dzinowanzotaura hysteroresectoscopy electrode kana kondakita Laser. Kudzivirira perforation pamusoro dumbu (ndiro zvinogoneka kwazvo) oparesheni yakanakisisa kuitwa kutongwa Ultrasound pamwe unexpressed uterine occlusion uye kudzorwa laparoscopically, kana occlusion iri yekudyidzana akaratidza.

Pashure kwetsinga pamusoro intrauterine adhesions, vakadzi vane pamuviri vari pangozi. Kutaura zvazviri, kunze kugara nekusagona mwana, pachine ngozi postpartum ropa.