Asherman ta ciwo: haddasawa, cututtuka, description, bincike da kuma magance

Childlessness a cikin aure - shi ne daya daga cikin mafi muhimmanci matsalolin zamantakewa. Masana kimiyya sun tabbatar da wannan rawar da kowane daga cikin m iyaye m, a warware wannan batu. Duk da haka, haihuwa da kuma isar da aka haifa da mahaifiyarsa. Yi wadannan ayyuka za su iya kawai girma mace jiki. A karshe 'yan shekaru da muka gani da girma da haihuwa gabobin cututtuka da cewa tsokana da kuma rasa haihuwa. A kasar mu bautar wani abu matsayi a kullum endometritis. Daya daga cikin manifestations ne Asherman ta ciwo. Ko ciki ne yiwu a wannan cuta?

Pathology Description

Karkashin Asherman ta ciwo tana nufin wani pathological yanayin a cikin abin da ya zauna cikin mahaifa kafa adhesions. Sun kai ga m ko cikakken imperforate ta kogo. Da cutar samu da sunan da sunan Yusufu Asherman likitan mata. Da farko ciwo aka bayyana a cikin daki-daki, a 1894 Genrih Fritch. A likita wallafe-wallafen akwai da dama lakabi da wannan cuta: intrauterine adhesions, traumatic atrophy da sclerosis na endometrium.

Asherman ta ciwo ne kamu a mata ko da kuwa su shekaru da kuma zamantakewa matsayi. Intrauterine adhesions wakiltar connective splice, tsakanin wanda wani solder jiki bango da kuma sa su nakasawa. A sakamakon da pathological aiwatar tasowa da dama cuta da kai ga hailar tabarbarewa. Babban bayyanar cututtuka na ciwo suna bayyana a cikin hanyar kwatsam abortions da kuma rasa haihuwa.

Cewa statistics a kan rarraba da cuta? Bayan curettage a nulliparous mata da hadarin bunkasa ciwo ne 25%. Lokacin da ba mai yiwuwa ciki Yiwuwar samuwar adhesions, kuma Yanã ƙãra zuwa 30% na lokuta. Baruwan ashara kusan barazanar mace ta kiwon lafiya. A wannan yanayin, haɗarin cuta kawai fiye da 7%.

Babban dalilai

Ya zauna cikin mahaifa ne m murdede sashin jiki. Waje an rufe ta peritoneum. A cikin an yi liyi tare da endometrium, wanda ya kunshi biyu yadudduka - muhimmi da aikin. Dangane da lokaci na hailar sake zagayowar da kuma ƙarƙashin rinjayar jima'i hormones da endometrium shigarsu cyclic canje-canje. Kusa da lokacin ovulation, a lokacin da damar conceiving yaro mafi m, da endometrium thickens. A endometrial Kwayoyin ne wani aiki da samar da ilimin aiki abubuwa. Bayan hadi, kwai shi shiga cikin mahaifa, inda da kafawa. Saduwa da fetal membranes da lafiya endometrium - shi ne babban sharadin nasara ganewa. Idan hadi bai faru, da aikin Layer an tsãge ta tafi, kamar yadda evidenced da wata-wata. Tare da farkon kowane sake zagayowar, da endometrium tsiro a sake.

Adhesions - shi outgrowths ko adhesions na ciki Layer na zauna cikin mahaifa da cewa karya da Physiology na mucous membrane. Asherman ta ciwo tasowa saboda lalacewa ko rauni zuwa muhimmi Layer na endometrium a lokacin gynecological hanyoyin. Wannan na iya zama wani scraping bayan zubar da ciki, cesarean sashe, ko kuma wani aiki. Wani kowa hanyar da cuta - endometritis. Adhesions aka kafa a kan bango na da yawa foci na kumburi a mucous membrane na mahaifa.

The asibiti hoto na ciwo

Bayyanar cututtuka da cutar suna lalacewa ta hanyar m aiwatar da sakamako a kan aiki na da haihuwa tsarin. Daga cikin su sun fi na kowa ne:

• hailar cuta (m / ramammu rabuwa, mai karfi zafi).
• ashara .
• rage yawan da tsawon sananniya.
• secondary rashin haihuwa.
• jari na jini secretions a cikin igiyar ciki rami.

Me kuma yana da bayyanar cututtuka na Asherman ta ciwo? Cuta sau da yawa tafiya tare endometriosis sãɓãwar launukansa mai tsanani. A Pathology ne halin da ectopic girma na aikin Layer na endometrium bayan da ikon yinsa, daga cikin mahaifa. Wannan hade da mummunan tasiri a kan mahanga da kuma yiwuwa ga magani.

Uku digiri na tsanani

Ganin lalacewar muhimmi Layer na endometrium, likitoci bayar da shawarar da wadannan rarrabuwa na Asherman ta ciwo:

• m (adhesions zauna ba fiye da 25% na girma daga cikin mahaifa, sauƙi halaka su da inji lalacewar).
• talakawan digiri (kabu welded tam tare da mucous daga cikin mahaifa).
• m digiri (adhesions kunshi yawanci na sclerosed connective nama, tarewa da bakin cikin mahaifa da kuma shambura kasa jiki).

Dace tabbatar da dalilin da mataki na pathological tsari zai iya sauri warkar Asherman ta ciwo.

Shin ciki zai yiwu?

Reviews na likitoci nuna cewa yiwuwar samun conceiving wani yaro da wannan cuta dogara a kan hanyar da mataki. Lokacin da Asherman ta ciwo mai tsanani shafi haihuwa tsarin. Ganuwar da mahaifa itace, karya giciye-bututu. A sakamakon haka, da tayi ba za a iya shukakkun. Bugu da kari, da endometrium hasarar da ikon amsa ga canje-canje a estrogen Manuniya. A hankali tasowa sakandare rasa haihuwa, da kuma tare da shi, da kuma amenorrhea. Adhesions a cikin mahaifa yankin tsokane cunkoso da kuma bata lokaci na sananniya. Take hakkin sake zagayowar kullum ya nuna wani mai tsanani cuta. Pregnancy ne na halitta hanya ne m, idan ba dace warke Asherman ta ciwo.

ko IVF ne zai yiwu? Reviews na likitoci tabbatar da cewa a cikin vitro hadi da amfani a lokacin da cutar ne a wani wuri mataki na ci gaba. Yawan adhesions ba zai iya wuce 25% na girma daga cikin mahaifa, su dole ne a sarrafa a cikin wata iyaka yankin na kogo.

Ba shi yiwuwa a bayar da guda amsar tambayoyin da ƙaddamar, domin kowane hali ne daban-daban. Dangane da tsananin daga cikin pathological tsari, akwai da dama da bambance-bambancen karatu na ciki. Wasu mata dauke da na haddasawa da alaka da matsaloli, yayin da wasu ma tare da m rikitarwa. A uku wani zaɓi - maras wata-wata zubar da ciki, ashara, secondary rasa haihuwa. Wannan shi ne dalilin da ya sa kowace mace ya kamata duba bayan su kiwon lafiya, sha na lokaci-lokaci checkups a likitan mata, dace magani duk cututtuka.

Medical jarrabawa

instrumental hanyoyi don ganin ya zauna cikin mahaifa ana amfani da su gane asali cutar. Ba tare da kasa da likita na nazarin haƙuri ta obstetric tarihi (yawan haihuwa, abortions, rashin da sauransu.). Duban jarrabawa aka dauke su mafi araha kuma a lokaci guda minimally cin zali Hanyar ganewar asali na pelvic gabobin. Asherman ta ciwo za a iya tabbatar da duban dan tayi, sai dai ga samun cikakken sakamakon, dole ne ka maimaita hanya 'yan sau a lokacin sake zagayowar.

A zinariya misali ga ganewa na adhesions dauke hysteroscopy. Irin mahaifa bincike ya shafi yin amfani da wani musamman na'urar. An gudanar da ta hanyar da mahaifa canal, don haka cewa jiki yanayin za a iya kiyasta a cikin real lokaci a kan wani kwamfuta allo. Hysteroscopy domin sanin mai tsanani daga cikin pathological tsari, size da kuma sarrafawa da adhesions. marasa lafiya da cikakken jarrabawa sakamakon dole ne a hade tare da obstetric tarihi da suka gabata a yunkurin magani. Irin m damar hango ko hasashen m kuzarin kawo cikas far.

kwantar da hankali

A cuta ne m zuwa matsakaici mai tsanani amsa da kyau zuwa magani. Advanced siffofin cuta da kuma ciki ne m. A irin wannan yanayi zo zuwa ga ceto surrogacy. Lokacin da zangarniya suna located a kan wata iyaka rabo daga cikin mahaifa, na taimaka IVF. Duk da haka, a cikin wannan yanayin gwada a kan rawar da uwa iya ba duk mata da ganewar asali "Asherman ta ciwo."

Jiyya ya shafi kau na adhesions a Hanyar hysteroscopy. Operation bukatar wani janar maganin sa barci, babu rikitarwa. A zahiri, wannan shi ne wani wajen rikitarwa hanya. Kau da adhesions gudanar da micro-almakashi saboda high yiwuwar sake rauni. A cikin postoperative zamani wajabta maganin rigakafi don hana cututtuka rikitarwa. Drug far ake bukata don kari da hormone. A amfani da estrogens da progestins nuna a ta endometrial girma.

Outlook

M cuta tsari da kuma dace ciki na far an lura a 93% da marasa lafiya, da wani talakawan - kawai 78%. Proper lura da mata tare da m cuta sa ya yiwu a yi ciki a jariri a 57% na lokuta. Duk da haka, nasara ciki tare da Asherman ta ciwo bai da garantin haihuwar jariri ba tare da pathologies. Age na marasa lafiya kuma an ɗauke shi zuwa lissafi a cikin forecast. Alal misali, 66% da marasa lafiya, matasa, fiye da shekaru 35 kamu da wani ciwo mai tsanani iya yi ciki. A gaskiya jima'i a kan shekaru 35, wannan adadi kawai ya wuce 24%.

m matakan

Shin yana yiwuwa a hana Asherman ta ciwo? Curettage ko injin tsammãni - biyu hanyoyin gwani aikin kusan imuwa, dogaro kawai a kan nasu kwarewa. Nama na endometrium a lokacin daukar ciki taushi, don haka sauƙi suka ji rauni. A sakamakon haka, duk wani bincike ko warkewa scraping da yaushe tare da raunin da ya faru ga muhimmi Layer.

An madadin to wadannan hanyoyin shi ne a abortions likita zubar da ciki. Yana nufin wani oxytocic ta yin amfani da kwayoyi. Duk da haka, da tasiri na wannan hanya ne kawai 80%. A 10% na lokuta bayan likita da zubar da ciki kiyaye kamuwa daga membranes cewa bukatar scraping. Saboda haka, su hana Asherman ta ciwo zai iya, idan na likita dalilai to zabi likita zubar da ciki. A daya hannun, wannan hanya ba ya bayar da 100% garanti na wani sakamakon tabbatacce.