Syndrome o Asherman: take, tohu, whakaahuatanga, te tātaritanga me te maimoatanga

Nga tamariki i roto i te faaipoiporaa - ko reira tetahi o nga raruraru pāpori tino nui. Kua kï pūtaiao te taua tūranga o ia o nga matua pea kāore i roto i te whakatau i tenei take. Heoi, kei te whanau te whanautanga tamariki, me te tuku i te whaea. Te mahi taea enei mahi paari anake tinana wahine. I roto i te tau torutoru whakamutunga kua kite tatou i te tupu o uri whēkau mate e whakapataritari me te pākoko. I roto i to tatou whenua noho he tūranga ārahi i roto i te endometritis ma'i. Ko tētahi o ona mau faaiteraa he syndrome o Asherman. Ahakoa he taea hapūtanga i roto i tenei mate?

Whakaahuatanga māuiuitanga

I raro i syndrome o Asherman e pā ana ki te huru pathological i roto i nei te kōpū i hanga adhesions. arahina ratou ki te kanohi oti ranei imperforate tona kōhao. ka te mate tona ingoa i te ingoa o Hohepa Asherman rata mātai. syndrome Tuatahi whakaahuatia i roto i te taipitopito i roto i te 1894 Genrih Fritch. I roto i te tuhinga hauora i reira e rave rahi taitara o tenei mate: adhesions intrauterine, atrophy ngaukino me sclerosis o te endometrium.

pāngia syndrome o Asherman te i roto i nga wahine ahakoa o ratou tau, me te mana pāpori. adhesions Intrauterine tohu miia a tūhonohono, i waenganui i meinga i te taiepa tūhoto tinana me ratou deformation. Ka rite ki te hua o te tukanga pathological whakawhanake i te whānuitanga o disorders e arahi ki te paheketanga pōrearea. E faaite te tohu matua o te syndrome i te puka o mâtutuhia māhorahora me te pākoko.

Ko nga tatauranga i runga i te tohatoha o te mate? I muri tīwani i roto i nga wahine nulliparous te mōrea o te whakawhanake i te syndrome ko 25%. A, no te kore-ka taea hapūtanga tūponotanga o te hanganga o adhesions me piki ki runga ki te 30% o te wā. tata fakamanamanai materoto kūpapa hauora o te wahine. I roto i tenei take, te mōrea o te mate e papaki ana neke atu i te 7%.

Ko te take matua

Ko te kōpū Ko te okana uaua tuwhera. Waho e taupokina ai a reira e te peritoneum. Kapi katoa ana te roto i te endometrium, i ngā o rua ngā papa - te basal me mahi. Tei runga i te wāhanga o te huringa mate wahine me raro i te mana o te sex hormones te endometrium te whakamamaetia huringa huringa. Ofi ki te wa o te kano, ka te tupono o hapu te tamaiti te Runga Rawa, thickens te endometrium. Ko te pūtau endometrial ko te hanga kaha o matū kaha biologically. I muri i te kikiritanga, te hua manu tomo te reira i te kōpū, i reira te implantation. Whakapā kiriuhi fetal ki te endometrium hauora - ko te huru matua mō te haputanga angitu. Ki te kore i puta te kikiritanga, haea te paparanga mahi te atu, rite kitea e te marama. Ki te timatanga o ia huringa, tupu ano te endometrium.

Adhesions - outgrowths reira adhesions o te kahu ā-o te kōpū e ofati te whaiaroaro o te membrane mucous ranei. whakawhanake tika ki te kino wharanga ranei ki te kahu basal o te endometrium i roto i ngā tukanga gynecological syndrome o Asherman. Ka taea e waiho he hāro i muri fakatōtamá, wāhanga cesarean, ranei tetahi atu mahi tenei. Ko tētahi atu take noa o te mate - endometritis. Adhesions e hanga e runga i te papamuri o maha aronga o mumura i roto i te membrane mucous o te kōpū.

Ko te pikitia haumanu o te syndrome

E meinga e tukanga piripiri me ona pānga i runga i te mahi o te pūnaha whakaputa uri Tohu o te mate. Ko ratou i roto i te noa tino ko:

• whakararuraru, paheketanga (taimaha / wehenga kikokore, he mamae kaha);
• materoto ;
• whakaiti i te maha me te roa o te waipara;
• pākoko tuarua;
• haaputuputuraa o secretions toto i roto i te kōhao uterine.

Aha atu he tohumate o te syndrome o Asherman? maha mate tahi endometriosis pakeke rerekē. huru no te māuiuitanga e tupu mōwaho o te kahu mahi o te endometrium tera taha te hōkai o te kōpū. Tenei huinga o te pā tōraro i runga i te outlook me amanaki mo maimoatanga.

E toru nga nekehanga o te pakeke

Homai te kino ki te kahu basal o te endometrium, tākuta whakaaro te whakarōpū whai ake o te syndrome o Asherman:

• ngawari (adhesions noho kaua e nui ake te 25% o te rōrahi o te kōpū, ngāwari whakangaromia e kino aunoa);
• tohu toharite (tui paiherea piri ki nga mucous o te kōpū);
• tohu nui (adhesions ngā nuinga o te kiko tūhonohono sclerosed, ārai te mangai o te kōpū, me ngongo tinana raro).

Ka taea e hohoro faaotiraa wā o te tohu o te tukanga pathological whakaora syndrome o Asherman.

He taea hapūtanga?

Reviews o rata tohu e te tūponotanga o hapu te tamaiti ki tenei mate, tei runga i te take me te atamira. A, no te te tino pāngia syndrome o Asherman pūnaha whakaputa uri. Ko te taiepa o te rakau kōpū, pakaru ripeka-putorino. Ka rite ki te hua, e kore e taea te kaiwhakato o te ira. I tua atu, ngaro te endometrium tona kaha ki te urupare ki ngā huringa i roto i te tohu estrogen. Āta whakawhanake pākoko tuarua, a ki reira, me te amenorrhea. Adhesions i roto i te rohe waha whakapataritari popoketanga me te whakaroa o te waipara. huringa Tūkinotanga te tikanga tohu he mate kino. Pregnancy ko he manakohia, ki te kore wā ora syndrome o Asherman te ara tūturu.

Ko taea ranei IVF? Reviews o rata whakaū e i roto i te kikiritanga vitro he whai hua ina ko te mate i te wā wawe o te whanaketanga. Ko te maha o adhesions kore e taea nui 25% o te rōrahi o te kōpū, me paetata ratou i roto i te iti te wāhi o te kōhao.

E kore e taea ki te hoatu i te whakahoki kotahi ki te pātai tuku, no te mea he rerekē ia take. Tei runga i te pakeke o te tukanga pathological, i reira e rave rahi rerekē o te hapūtanga. Ētahi wahine e mau ana o take e pā ana raruraru, i haere tahi ano hoki etahi e maha pōauautanga. He toru kōwhiringa - materoto noa, materoto, pākoko tuarua. Ko Ko te aha kia titiro i muri i to ratou hauora katoa wahine, mamae hi'opo'araa wā i te rata mātai, rongoa wā mate katoa.

whakamātautau Medical

tikanga mauhaa ki sioloto te kōpū e whakamahia ana ki te tātari i te mate. Te kore kore te tākuta tirohia hītori obstetric o te manawanui (tokomaha o hapūtanga, mâtutuhia, whakatahe, me te pera atu.). whakaaro Ultrasound whakamātautau te ki hei te utu tino me i te wa ano minimally tikanga urutomo o te tātaritanga o whekau papatoiake. Ka taea e syndrome o Asherman kia whakapumautia e te ultrasound, engari ki te whiwhi hua tika, me faahiti koe te tukanga i te wa torutoru i roto i te huringa.

Ko te paerewa koura mo te rapunga o adhesions whakaaro hysteroscopy. Ko tā te rangahau kōpū taua te whakamahi o te pūrere motuhake. Kei te whakahaerea te reira i roto i te awa waha, kia ai taea te aromatawai i te huru tinana i roto i te wā tūturu i runga i te mata rorohiko. Hysteroscopy ki te whakatau i te pakeke o te tukanga pathological, te rahi me te localization o adhesions. tūroro me ngā hua whakamātautau oti ki hītori obstetric me ngana mua i te maimoatanga. Taua huarahi e āhei ki te matapae pai akiaki therapy.

whakaora

He ngawari ki te whakaōrite pakeke whakautu pai ki te maimoatanga te mate. He hotokore momo matatau o te mate, me te hapū. I roto i te take taua mai ki te surrogacy faaora. A, no te e kei nga titaha i runga i te iti wahi o te kōpū, tauturu IVF. Heoi, i roto i tenei take ki te tamata i runga i te tūranga o te whaea e taea kore wahine katoa ki te tātaritanga o "syndrome o Asherman."

Treatment Ko tā tango o adhesions i te tikanga o te hysteroscopy. titau mahi kahore rehunga whānui, kahore pōauautanga. Tū, Ko te tukanga kaua uaua tenei. Tangohanga o adhesions whakahaere moroiti-kutikuti no o te tūponotanga nui o anō-whara. I roto i te wā whakaritea paturopi postoperative ki te ārai i pōauautanga hopuhopu. hiahiatia Drug therapy te ki fakalahi te taiki. Ko te whakamahi o estrogens me progestins whakaaturia ki te whakaongaonga tipu endometrial.

outlook

kitea Ngawari tukanga mate me te hapū wā o te therapy e i roto i 93% o tūroro, ki te toharite - 78 anake%. maimoatanga tika o te wahine ki te mate matatau hanga reira taea ki te hapu i te tamaiti i roto i 57% o te wā. Heoi, e kore e hapūtanga angitu ki syndrome o Asherman kī te whanautanga o te tamaiti, kahore pathologies. Kei te mau ano hoki tau o te tūroro ki pūkete i roto i te matapae. Hei tauira, 66% o tūroro muri atu i 35 tau pāngia ki te syndrome o nui taea ki te hapu. I te takoto ataahua i runga i 35 tau, e papaki nui tenei ahua 24%.

āraihia

He reira taea ki te ārai i syndrome o Asherman? Tīwani korehau ranei wawata - mahi te mātanga ngā tukanga e rua tata matapo, te ti'aturi anake i runga i to ratou ake wheako. Kiko o te endometrium i roto i te hapū ngohengohe, kia ngāwari whara. Ka rite ki te hua, tahi tonu tetahi hāro tātaritanga rapaauraa ranei e wharanga ki te paparanga basal.

He rerekē ki enei ngā tukanga kei i mâtutuhia materoto hauora. fakahu'unga te reira i te oxytocic i whakamahi o taero. Heoi, ko te whai huatanga o tenei tikanga, ko te 80 anake%. I roto i te 10% o ngā take i muri i kite materoto hauora mate o kiriuhi e titau hāro. Ko te kupu, ki te ārai i syndrome o Asherman taea, ki te hoki take hauora ki te whiriwhiri materoto hauora. I te tahi atu te ringa, e kore e tenei tikanga hoatu i te 100% taurangi o te hua pai.