E aʻo hou kākou e pili ana i ka Asherman's Syndrome. Hiki i kēia maʻi ke hoʻopilikia iā ʻoe?

Ke pilikia nei ʻoe i kou wā ʻōpiopio? Malia paha he pōkole loa ia, a i ʻole me he mea lā ua pau loa kou wā ʻōpiopio? A i ʻole ke kali nei ʻoe i kahi pēpē a ke lohi nei? ʻO kekahi o nā kumu o kēia, he maʻi i kapa ʻia ʻo Asherman's Syndrome. E kamaʻilio kākou e pili ana i kēia i kēia lā.

He aha maoli ka Asherman's Syndrome?

I ka ʻōlelo maʻalahi, ʻo ka maʻi Asherman kahi kūlana kahi e kūkulu ai ka ʻiʻo ʻeha , i ʻike ʻia hoʻi he adhesions, i loko o kou uterus. E noʻonoʻo i kou uterus e like me kahi lumi liʻiliʻi. ʻO kēia ʻiʻo ʻeha ke kumu o ka mānoanoa o nā paia o kēlā lumi. He aha ka mea e hana ʻia a laila? Hoʻemi ʻia ka hakahaka i loko o ka uterus.

Ke liʻiliʻi loa ka ʻōpū, hiki iā ʻoe ke ʻike i ka ʻeha pelvic, ke kahe koko ʻana o ka ʻōpū, a me nā pilikia hānau keiki. ʻO ka nūhou maikaʻi, aia nā lāʻau lapaʻau e hiki ke kōkua i ka hōʻoluʻolu ʻana i kāu mau hōʻailona.

Pehea ka maʻamau o ka maʻi Asherman?

Ua manaʻo ʻia ʻo Asherman syndrome he maʻi laha ʻole . He mea paʻakikī ke ʻōlelo pololei i ka nui o ka poʻe i loaʻa iā ia, no ka mea, i kekahi manawa ʻaʻole i ʻike ʻia. ʻO ia no ka mea, ʻaʻohe o kekahi poʻe i loaʻa i nā hōʻailona. No laila, inā ʻaʻohe ou hōʻailona, ​​ʻaʻole ʻoe e hele i ke kauka, ʻeā?

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o ka maʻi Asherman?

He mea nui kēia. ʻAʻole he maʻi i loaʻa ka maʻi Asherman. ʻO ke ʻano kēia, aia kekahi mea i loko o kou ʻōpū e hana ai i kēia ʻiʻo ʻeha. Hiki ke nui nā kumu no kēia. No ka laʻana, ke ʻoki kino, nā maʻi, a me nā lāʻau lapaʻau maʻi kanesa.

Hiki paha iā ʻoe ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i kēia ʻano ma nā kūlana e like me:

• Inā ua hana ʻia ke ʻoki kino ma kou ʻōpū: No ka laʻana, he hysteroscopy operative, he D&C (Dilation and Curettage) no ka hāʻule ʻana o ka hāpai keiki a i ʻole kekahi kumu ʻē aʻe, a i ʻole he C-section.
• Inā ua loaʻa iā ʻoe nā maʻi pelvic ma mua.
• Inā ua mālama ʻia ʻoe no ka maʻi kanesa.

He maʻi hoʻoilina anei ka Asherman syndrome?

ʻAʻole. ʻAʻole maʻamau ka maʻi Asherman he maʻi hoʻoilina . ʻO ia hoʻi, ʻaʻole ia e holo i loko o nā ʻohana. E like me ka mea i ʻōlelo ʻia ma mua, hiki ke hana ʻia ma ke ʻano he hopena ʻaoʻao o ke ʻoki ʻana, ka mālama ʻana, a i ʻole ka maʻi.

He aha nā hōʻailona o ka maʻi Asherman?

Inā loaʻa iā ʻoe ka maʻi Asherman, hiki iā ʻoe ke ʻike i nā ʻano hōʻailona like ʻole. ʻO kēia mau mea:

• ʻIke ʻia ka maʻemaʻe o ka menstruation ma nā ʻāpana liʻiliʻi loa.(`(hypomenorrhea)`).
• ʻO ka pau ʻana o ke kahe koko (amenorrhea) a i ʻole ke kahe ʻana o ke koko ma ke ʻano kūpono ʻole.
• ʻEha nui a ʻeha paha o ka pelvis.
• Ka paʻakikī i ka hāpai ʻana i kahi keiki a, inā hāpai ʻia, mālama i kahi keiki.

Akā e hoʻomanaʻo, i kekahi mau hihia, hiki ke loaʻa kēia ʻano me ka ʻole o nā hōʻailona. Eia kekahi, hiki ke loaʻa i nā poʻe i loaʻa nā pōʻaiapuni menstrual maʻamau. Inā manaʻo ʻoe i kekahi ʻeha ma kou ʻōpū haʻahaʻa, a inā he loli ʻē aʻe i kāu pōʻaiapuni menstrual, e ʻike pono i ke kauka.

No ke aha e kū mai ai ka maʻi Asherman? He aha nā kumu?

ʻO ka maʻi Asherman ke hōʻiliʻili ʻia nā ʻiʻo ʻeha (adhesions) i loko o ka ʻōpū, e kaupalena ana i ka hakahaka i loko o ka ʻōpū a i kekahi manawa e ālai ana i ka cervix. Nui nā kumu no kēia, akā ʻo ke kumu nui ka ʻoki ʻana i ka ʻōpū a i ʻole ka cervix .

E nānā kākou i nā kumu nui:

• Hysteroscopy hana: Ma kēia kaʻina hana, hoʻokomo ke kauka i kahi mea hana i lako me ke kāmela i loko o ka ʻōpū a hoʻohana i kahi mea uila e ʻoki i nā fibroids i loko o ka ʻōpū. Hiki i kēia ke waiho i nā ʻeha.
• ʻO ke ʻoki ʻana i ka ʻōpū `D&C - Dilation and Curettage`: Pili kēia i ka wehe ʻana (`(dilate)`) o ka cervix a me ka wehe ʻana i nā ʻiʻo mai ka uterus. Hiki i kēia ʻiʻo ke lilo i mau ʻāpana o ka paia o loko o ka uterus (`(endometrium)`), a i ʻole he ʻiʻo i koe mai ka `(miscarriage)` a i ʻole `(abortion)`. Ma muli o ka ʻoki ʻia ʻana o ka ʻiʻo, ʻaʻohe ʻeha iki ke ʻole he maʻi (`(infection)`) i kēlā manawa. Eia nō naʻe, aia kahi pilikia o ka ʻeha inā hana ʻia kahi D&C me kahi maʻi.
• ʻOki C-section: Hiki ke ulu aʻe nā ʻiʻo ʻeha ma hope o kēia ʻoki ʻana e hānau ai i kahi pēpē. Kiʻekiʻe loa kēia pilikia inā loaʻa ka maʻi i nā humuhumu i hoʻohana ʻia e hoʻōki i ke kahe koko (`(hemorrhages)`) i ka wā o ka ʻoki C-section. A i ʻole, he mea kakaikahi loa ka maʻi Asherman ma hope o ka ʻoki C-section wale nō.
• Nā Maʻi: ʻAʻole maʻamau nā maʻi wale nō ke kumu o ka maʻi Asherman. Eia nō naʻe, inā loaʻa iā ʻoe kahi maʻi i ka wā o ka D&C a i ʻole C-section, hiki iā ʻoe ke loaʻa i ka maʻi Asherman. No ka laʻana, inā loaʻa iā ʻoe ke ʻoki ʻana me nā kūlana e like me ka cervicitis a i ʻole ka maʻi pelvic inflammatory (PID), aia ʻoe i ka pilikia.
• Lapaʻau radiation: I kekahi manawa, hiki i ka lāʻau radiation no nā kūlana e like me ke kanesa ke hana i nā ʻiʻo ʻeha i loko o ka ʻōpū. No ka laʻana, hiki i ka lāʻau radiation no ke kanesa cervical ke hana i ka maʻi Asherman ma muli o ke ʻeha i hana ʻia.

Hiki i kahi IUD ke hoʻoulu i ka maʻi Asherman?

He ʻano hana hoʻomalu hānau lōʻihi ka mea hana intrauterine (IUD). Waiho ʻia ia i loko o ka ʻōpū no kekahi mau makahiki. Ke hoʻokomo ʻia kēlā ʻano mea hana i loko o ke kino, aia mau ka pilikia o ka maʻi a me nā ʻiʻo ʻeha. Eia naʻe, ʻaʻole i hōʻoia ʻia kahi IUD e hoʻoulu ai i ka maʻi Asherman . Eia kekahi, ʻaʻohe pilina koʻikoʻi ma waena o nā IUD a me kēia maʻi.

Pehea e ʻike ʻia ai ka maʻi Asherman?

ʻIke pinepine ʻia ka maʻi Asherman inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha o ka ʻōpū ma lalo, amenorrhea, ke kahe koko kūpono ʻole, a i ʻole ka paʻakikī i ka hāpai ʻana a i ʻole ka hāpai ʻana i kahi pēpē. Hiki i kāu mōʻaukala olakino ke kōkua i ka ʻike ʻana. Manaʻo paha kāu kauka i ka maʻi Asherman inā ua loaʻa iā ʻoe kahi D&C, kahi ʻoki cesarean, radiation therapy, a i ʻole kahi maʻi pelvic.

Ke ʻike ʻoe i ke kauka, e nīnau ʻo ia e pili ana i kāu mōʻaukala lapaʻau piha. Inā ua loaʻa iā ʻoe kekahi ʻoki pelvic ʻaʻole i loko o kāu mau moʻolelo lapaʻau, e hōʻoia e haʻi i kāu kauka e pili ana i ia mea. He mea nui loa kēia ʻike i ka ʻike ʻana i ka maʻi Asherman. A laila e hana ke kauka i kahi hoʻokolokolo kino. Akā no ka ʻike pono ʻana i ka mea e hana nei i loko o kou uterus, e hana ke kauka i kahi hoʻokolohua i kapa ʻia he sonohysterogram. Pili kēia i ka hoʻokomo ʻana i kahi liʻiliʻi o ka wai saline i loko o kou uterus ma o kahi catheter liʻiliʻi. A laila, hoʻohana ʻia kahi ultrasound transvaginal e nānā i kekahi ʻiʻo e ālai ana i ka uterus a i ʻole ka cervix.

He aha nā hoʻokolohua kiʻi ʻē aʻe i hoʻohana ʻia e hōʻoia i ka maʻi Asherman?

ʻAe kēia mau hoʻokolohua kiʻi i ke kauka e ʻike i nā ʻōkana i loko o kou kino. Hiki i nā hoʻokolohua like ʻole ke hāʻawi i nā pae kikoʻī like ʻole.

Eia kekahi mau hoʻokolohua kiʻi e hiki ke kōkua i ka ʻike ʻana i ka maʻi Asherman:

• ʻO ke scan ultrasound: Hoʻohana kēia i nā nalu kani e hana i nā kiʻi o nā ʻōpū o loko. Hiki ke hana ʻia kēia ma o ka ʻili, a i ʻole hiki ke hana ʻia ma o ka vagina ma ke ʻano he ultrasound transvaginal. Pili kēia i ke kau ʻana i kahi mea lahilahi i loko o ka vagina.
• Hysteroscopy: Ma kēia kaʻina hana, hoʻohana ke kauka i kahi mea lahilahi (hysteroscope) me kahi kāmela i hoʻopili ʻia iā ia e nānā i loko o ka uterus. Hoʻokomo ʻia kēia ma o ka vagina a i loko o ka uterus ma o ka cervix. ʻAe kēia i ka ʻike maopopo ʻia o loko o ka uterus. Hoʻohana ʻia kēia ʻano hana hysteroscopy e mālama i ka maʻi Asherman.
• ʻO ke sonography o ka hoʻokomo ʻana o ka saline:Hoʻohana kēia hoʻāʻo i kahi wai saline (kahi hui ʻana o ka paʻakai a me ka wai) me kahi scan ultrasound e hana i kahi kiʻi maopopo o loko o ka ʻōpū. Hoʻonui iki kēia wai i ka ʻōpū, e ʻae ana i ke kauka e ʻike i ke ʻano o ka lua ʻōpū a me nā mea ʻē aʻe.

Pehea e mālama ʻia ai ka maʻi Asherman?

Aia kekahi mau ala e mālama ai i ka maʻi Asherman. Ke kamaʻilio ʻoe me kāu kauka, he manaʻo maikaʻi e kamaʻilio e pili ana i ke ʻano o ka maʻi e hoʻopilikia nei iā ʻoe - nā mea e like me ka ʻeha āu e loaʻa nei - a inā ʻoe e hoʻolālā nei e loaʻa nā keiki i ka wā e hiki mai ana. I kekahi mau hihia, inā ʻaʻohe hōʻailona o ka wahine, ʻo ka mālama ʻole ʻana he koho ia. Eia nō naʻe, inā ʻoe e hoʻolālā e loaʻa nā keiki i ka wā e hiki mai ana, aia nā lāʻau lapaʻau e hiki ke kōkua i ka wehe ʻana i ka ʻiʻo ʻeha. Eia kekahi, inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū a i ʻole ka ʻōpū haʻahaʻa, hiki i kēia mau lāʻau lapaʻau ke kōkua.

ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ka wehe ʻana i nā ʻiʻo ʻeha a hoʻihoʻi i ka ʻōpū i kona nui a me ke ʻano maʻamau. Hiki i ka mālama ʻana no ka maʻi Asherman ke kōkua me:

• Hoʻopau ʻeha.
• Hoʻihoʻi hou i nā pōʻaiapuni menstrual maʻamau o kēlā me kēia mahina.
• Inā ʻaʻole ʻoe e kokoke ana i ka menopause, e hoʻonui ana i kou manawa e hāpai hou ai.

Hiki i ke kauka ke hoʻohana i kahi kaʻina hana i kapa ʻia ʻo hysteroscopy e wehe i nā ʻiʻo ʻeha (adhesions) i loko o ka ʻōpū. E like me ka mea i ʻōlelo ʻia ma mua, hoʻohana ʻia kahi mea lahilahi i kapa ʻia ʻo hysteroscope e nānā i loko o ka ʻōpū a wehe i nā ʻiʻo ʻeha. He kaʻina hana akahele loa kēia. Eia nō naʻe, ʻo kahi pilikia, ʻo ia ka hōʻino ʻia ʻana o nā ʻiʻo olakino i loko o ka ʻōpū i ka wā e wehe ai i nā ʻiʻo ʻeha.

Ma hope o ke ʻoki ʻana, hiki ke kau ʻia kahi catheter liʻiliʻi (intrauterine catheter) i loko o ka ʻōpū no kekahi mau lā, me ka lāʻau lapaʻau hormone estrogen. Hana ʻia kēia e hōʻemi i ka pilikia o ka hana hou ʻana o nā ʻiʻo ʻeha. ʻO ka ʻoiaʻiʻo, hoʻoulu ka estrogen i ka ho'ōla ʻana o ka uhi o loko o ka ʻōpū (endometrium). Hana ka catheter ma ke ʻano he pale kino e pale ai i nā paia mua a me hope o ka ʻōpū mai ka pipili ʻana. Ke hoʻokomo ʻia ka catheter, hāʻawi ʻia nā antibiotics e pale aku i nā maʻi hiki.

Hiki ke pale ʻia ka maʻi Asherman?

Hiki ke loaʻa ka ʻiʻo ʻeha i ʻike ʻia ma ka maʻi Asherman ma ke ʻano he hopena ʻaoʻao o kekahi mau kaʻina hana lapaʻau ʻē aʻe. I ka hapanui o nā hihia, ʻaʻole hiki iā ʻoe ke pale aku no ka mea he mea pono ke kaʻina hana. Eia nō naʻe, he mea nui mau e kūkākūkā i nā pilikia āpau me kāu kauka ma mua o ka hana ʻana i kahi kaʻina hana lapaʻau. Hiki i kāu kauka ke hoʻonohonoho i nā hoʻokolohua hahai ma hope o ke ʻoki ʻana e nānā i ka ʻiʻo ʻeha a e nānā i ka hiki ke loaʻa i ka maʻi Asherman.

Hiki ke ho'ōla loa ʻia ka maʻi Asherman?

Inā holomua ka lāʻau no ka maʻi Asherman, pono e hoʻomaikaʻi kāu mau hōʻailona. I ka hala ʻana o ka manawa, e nānā kāu kauka i kou kūlana e hōʻoia ʻaʻohe ʻiʻo ʻeha hou i hana ʻia.

E hiki anei iaʻu ke hānau keiki ma hope o ka mālama ʻia no ka maʻi Asherman?

I ka hapanui o nā hihia, ʻae, hiki paha iā ʻoe ke hāpai i kahi keiki ma hope o ka mālama ʻana no ka maʻi Asherman. He ʻoi aku ka paʻakikī o ka hānau ʻole ʻana, ʻoiai ʻaʻole maʻalahi ke loaʻa ke kumu. Eia nō naʻe, inā ua hoʻoholo kāu kauka ʻo ka maʻi Asherman ke kumu nui o kou hānau ʻole ʻana, hiki i ka mālama ʻana ke hoʻonui i kou manawa e hāpai a hānau i kahi pēpē olakino.

Hiki i ka maʻi Asherman ke hoʻoulu i ka hānau ʻole?

Nui nā kumu no ka hānau ʻole ʻana. I kekahi manawa, hiki ke pāʻani kekahi mau kumu i ka manawa like. Inā ʻoe e hoʻāʻo nei no 12 mau mahina (a i ʻole 6 mau mahina inā ʻoi aku ʻoe ma mua o 35) a ʻaʻole hiki iā ʻoe ke hāpai a loaʻa paha kahi pēpē, e hana kāu kauka i kekahi mau hoʻokolohua e ʻike ai i ke kumu o kou hānau ʻole ʻana. I loko o kēia mau hoʻokolohua, ʻike paha kāu kauka he ʻiʻo ʻeha kou (i kapa ʻia ʻo Asherman syndrome) i loko o kou ʻōpū. ʻO ka loaʻa ʻana o ka nui o ka ʻiʻo ʻeha i loko o kou ʻōpū hiki ke lilo i hoʻokahi kumu no kou hānau ʻole ʻana.

Hiki i ka maʻi Asherman ke hoʻoulu i ka hāʻule ʻana o ka naʻau?

Hiki nō iā ʻoe ke hāpai inā loaʻa iā ʻoe ka maʻi Asherman. Eia nō naʻe, ʻo ka maʻi Asherman ke kumu o ka liʻiliʻi o ka ʻōpū no ka pēpē e ulu ana. Hiki i kēia ke hana i nā pilikia i ka wā hāpai no ka mea pono ka pēpē e ulu ana i kahi ākea i loko o ka ʻōpū. Hoʻonui ka ʻōpū i ka wā hāpai. Eia kekahi, he mea nui ka hoʻopili ʻana o ka placenta i ka paia o ka ʻōpū no ka ulu ʻana o ka pēpē e ulu ana.

ʻO nā pilikia mai ka maʻi Asherman e pili ana i ka hoʻonui ʻia o ka pilikia o ka hāʻule ʻana o ka hāpai keiki, ka hānau ʻana o ka pēpē, a i ʻole ka placenta previa i ka wā hāpai. ʻO ka Placenta previa kahi kūlana kahi e hoʻopili ai ka placenta i lalo loa i ka paia o ka uterus. Hiki i kēia ke ālai i ka cervix, e ālai ana i ke ala o ka pēpē i waho o ka uterus. Pili pū kēia kūlana me ke kahe koko nui a me ka pono no ka ʻoki cesarean.

"Inā loaʻa iā ʻoe ka ʻeha ʻeha o ka ʻōpū, ka ʻeha o ka ʻōpū ma lalo, a i ʻole nā ​​pilikia hānau ʻole, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka. He maʻi hiki ke mālama ʻia ka maʻi Asherman. E hoʻomaikaʻi pinepine ʻia kāu mau hōʻailona me ka mālama ʻana."

E hoʻomanaʻo kākou i nā mea nui loa (Leka Lawe-Home)

ʻAe, mai nā mea a mākou i kūkākūkā ai, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi ʻike maikaʻi aʻe no ka Asherman's Syndrome. Eia kekahi mau mea nui e hoʻomanaʻo ai:

• ʻO ka maʻi Asherman kahi kūlana e hana ʻia ai nā ʻiʻo ʻeha i loko o ka ʻōpū, e lilo ai ka ʻōpū i mea haiki.
• ʻO ke kumu nui o kēia, ʻo ia ke ʻoki ʻana o ka uterine,ʻOi aku ka D&C, hysteroscopy, a i kekahi manawa ka ʻoki cesarean (inā hele pū me kahi maʻi).
• Hiki i nā hōʻailona ke komo pū me nā wā menstruation kūpono ʻole a ʻaʻohe paha, ka ʻeha o ka ʻōpū ma lalo, a me ka paʻakikī o ka hāpai ʻana. ʻAʻole paha i loaʻa i kekahi poʻe kekahi mau hōʻailona.
• ʻAʻole kēia he maʻi hoʻoilina.
• Pono nā hoʻokolohua lapaʻau no ka ʻike pololei. Hoʻohana ʻia kahi hoʻokolohua i kapa ʻia ʻo "Hysteroscopy" no ka ʻike a me ka mālama ʻana.
• Hiki i ka lāʻau lapaʻau ke wehe i nā ʻiʻo ʻeha, hoʻomaha i nā hōʻailona, ​​a hoʻonui i ka hānau keiki.
• Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​a i ʻole ua hana ʻia ke ʻoki ʻana o ka ʻōpū, he mea nui e ʻimi i ke aʻo lapaʻau. ʻOi aku ka maʻalahi o ka mālama ʻana i ka ʻike mua ʻana.

No laila, he mea nui loa ka mālama ʻana i kou kino a me kou olakino. Inā he mau nīnau a kānalua paha kāu, mai hilahila a makaʻu paha e kamaʻilio me ke kauka. A laila wale nō e hiki ai iā kākou ke noho olakino.

ʻO ka maʻi Asherman, ka ʻeha o ka ʻōpū, D&C, ka ʻoki ʻana o ka cesarean, ke kaʻina hana menstrual, ka hānau ʻole ʻana, ka hysteroscopy