Koj puas tau pom tias koj lub hlis twg tau txo qis lossis nres tag nrho tom qab koj tau ua D&C, lossis hysterectomy? Koj puas mob plab hnyav dua li niaj zaus thaum koj muaj hli? Koj puas tseem npau suav txog kev muaj menyuam? Feem ntau peb xav tias cov no yog qhov ib txwm muaj, tej zaum kev hloov pauv hormonal, thiab tsis nco qab txog lawv. Tab sis qhov no yuav yog ib qho mob uas xav tau kev kho mob tiag tiag. Peb tab tom tham txog ib qho mob zoo li no hnub no. Ntawd yog Asherman's Syndrome .
Hais yooj yim xwb, Asherman's Syndrome yog dab tsi?
Hais yooj yim xwb, Asherman syndrome yog qhov tshwm sim ntawm cov nqaij caws pliav lossis cov nplaum hauv koj lub tsev menyuam thiab/lossis lub qhov ncauj tsev menyuam. Cov kws kho mob qee zaum hu qhov no tias "cov nplaum hauv tsev menyuam".
Xav txog koj lub tsev menyuam zoo li lub pob me me. Feem ntau, cov phab ntsa sab hauv ntawm lub pob no ntws dawb, tsis lo ua ke. Tab sis yuav ua li cas yog tias muaj qee qhov laj thawj uas cov phab ntsa sab hauv no raug mob, thiab thaum cov kev raug mob ntawd kho, cov qhov txhab tsim, thiab cov phab ntsa pib lo ua ke? Qhov ntawd yog qhov tshwm sim ntawm no thiab. Cov kev sib txuas no txo qhov chaw hauv lub tsev menyuam. Qhov no tuaj yeem ua rau muaj teeb meem xws li mob, lub sijhawm tsis tu ncua, thiab tsis muaj menyuam.
Koj xav tias koj lub cev zoo. Yog tias koj pom muaj kev hloov pauv hauv koj lub voj voog ntawm kev coj khaub ncaws lossis mob tshiab, nws yog qhov zoo tshaj plaws los tham nrog kws kho mob es tsis txhob xav tias, "Qhov no yog qhov ib txwm muaj."
Koj yuav paub li cas yog tias koj muaj tus mob Asherman syndrome? Cov tsos mob yog dab tsi?
Tsis yog txhua tus neeg muaj cov tsos mob zoo ib yam. Tej zaum ib txhia neeg yuav tsis muaj cov tsos mob li. Tab sis muaj ob peb yam tsos mob uas pom ntau. Cia peb saib seb lawv yog dab tsi.
| Cov tsos mob | Ib qho lus piav qhia yooj yim |
|---|---|
| Hypomenorrhea (tsawg heev ntshav ntws los ntawm lub sijhawm) | Vim li cas ib tug neeg uas muaj ib hlis uas kav ntev li 4-5 hnub tam sim no tsuas muaj cov ntshav tawm li ib lossis ob hnub xwb? |
| Kev tsis muaj hli tag nrho (Amenorrhea) | Ua rau tsis muaj hli li lawm ntau lub hlis yam tsis muaj laj thawj. |
| Mob plab qis heev (Dysmenorrhea) | Mob tsis taus thaum hnub ua ntej muaj hli lossis thaum yuav muaj hli. |
| Muaj teeb meem xeeb tub (Infertility) | Tsis muaj peev xwm xeeb tub txawm tias tau sim ntev heev yam tsis muaj txoj kev tswj kom yug me nyuam. |
| Rov qab muaj menyuam tsis taus | Txawm tias koj cev xeeb tub los xij, lub qe menyuam tsis tuaj yeem cog thiab loj hlob zoo hauv lub tsev menyuam, ua rau rho menyuam. |
Qee zaum, txawm tias koj tsis muaj hli los xij, koj tseem yuav mob plab thaum koj lub hli yuav los txog. Qhov no txhais tau tias koj lub hli yeej tab tom tshwm sim tiag tiag, tab sis cov nqaij caws pliav yuav thaiv txoj kev nkag mus hauv koj lub tsev menyuam thiab tiv thaiv cov ntshav kom tsis txhob tawm los.
Vim li cas cov kab mob no thiaj li tshwm sim? Cov laj thawj tseem ceeb yog dab tsi?
Qhov laj thawj tseem ceeb rau cov kab no yog qee qhov kev puas tsuaj lossis kev raug mob rau sab hauv ntawm lub tsev menyuam, "Endometrium." Tshwj xeeb tshaj yog tias ob feem ntawm phab ntsa sab hauv ntawm lub tsev menyuam uas ntsib ib leeg raug mob tib lub sijhawm, qhov yuav tshwm sim ntawm lawv lo rau ua ke thaum lawv kho tau zoo.
Cov kws kho mob faib cov laj thawj rau qhov no ua ob pawg tseem ceeb.
1. Tej yam uas cuam tshuam nrog cev xeeb tub
Kev tshawb fawb pom tau tias ntau dua 90% ntawm cov neeg mob Asherman syndrome yog los ntawm kev phais D&C (Dilation thiab Curettage) thaum cev xeeb tub. D&C tsuas yog ib qho txheej txheem uas tshem tawm thiab ntxuav sab hauv ntawm lub tsev menyuam. Cov no yog cov xwm txheej uas D&C yuav raug ua:
- Txhawm rau xaus kev xeeb tub.
- Tshem tawm cov seem ntawm lub tsev menyuam tom qab rho menyuam tsis tiav.
- Yog tias muaj ib feem ntawm lub placenta tseem nyob hauv tsev menyuam tom qab yug tus menyuam tas, muab tshem tawm.
Lub tsev menyuam muaj kev rhiab heev tom qab cev xeeb tub. Thaum lub sijhawm zoo li no, txawm tias me ntsis kev puas tsuaj rau "endometrium" tuaj yeem ua rau muaj cov nqaij caws pliav loj. Tsis tshua muaj, qhov xwm txheej no kuj tuaj yeem tshwm sim tom qab phais cesarean (C-section).
2. Cov ua rau tsis muaj feem cuam tshuam nrog kev xeeb tub
Txawm hais tias D&C feem ntau ua rau muaj teeb meem ntsig txog cev xeeb tub, D&Cs thiab lwm yam kev phais kuj raug ua rau lwm yam.
- Yog tias koj xav tias muaj mob qog nqaij hlav hauv tsev menyuam, mus kuaj cov ntaub so ntswg (biopsy).
- Tshem tawm cov polyps hauv lub tsev menyuam.
- Hysteroscopy yog ib txoj kev phais mob kom tshem tawm cov fibroids hauv tsev menyuam.
- Phais kom tshem tawm lub tsev menyuam uas muaj septate.
Ntxiv rau qhov no,
- Kab mob hauv lub duav hnyav heev
- Tej yam xws li kev kho mob hluav taws xob rau thaj chaw hauv lub duav kuj tuaj yeem ua rau qhov no.
Yuav kuaj mob li cas? Yuav kuaj li cas?
Thaum koj qhia koj tus kws kho mob txog koj cov tsos mob, nws yuav nug txog koj keeb kwm kev mob nkeeg, tshwj xeeb tshaj yog tej kev phais mob yav dhau los (xws li D&C). Tom qab ntawd, lawv yuav pom zoo kom kuaj ntau zaus kom paub meej tias koj muaj mob dab tsi.
Qhov kev kuaj mob zoo tshaj plaws thiab raug tshaj plaws rau qhov no yog kev kuaj mob hysteroscopy. Qhov no suav nrog kev ntxig ib lub raj nyias nyias nrog lub koob yees duab txuas rau hauv koj lub qhov chaw mos thiab lub qhov ncauj tsev menyuam thiab kuaj sab hauv ntawm koj lub tsev menyuam. Qhov no tso cai rau tus kws kho mob pom tseeb tias muaj pes tsawg qhov txuas hauv lub tsev menyuam thiab lawv tus cwj pwm yog dab tsi.
Ntxiv rau qhov ntawd, kuj tseem ua tau "Transvaginal Ultrasound Scan". Qee zaum, thaum lub sijhawm scan no, yuav muab me ntsis saline solution txhaj rau hauv lub tsev menyuam, ua rau lub tsev menyuam o me ntsis ua ntej scan. Qhov no ua rau pom tau daim duab zoo dua ntawm sab hauv ntawm lub tsev menyuam thiab tej qhov txuas, yog tias muaj, kom tau txais.
Puas muaj cov theem mob hnyav ntawm Asherman syndrome?
Yog, tus mob no muaj peev xwm muab faib ua ntau theem nyob ntawm seb qhov mob hnyav npaum li cas. Qhov no yuav pab koj thiab koj tus kws kho mob nkag siab zoo dua txog tus mob.
| Theem | Kev piav qhia |
|---|---|
| Kab Mob Me Me | Muaj ob peb qhov nplaum nyias nyias zoo li daim nyias nyias nyob rau hauv tsawg dua ib feem peb ntawm lub tsev menyuam. Kev coj khaub ncaws tej zaum yuav zoo li qub lossis txo qis me ntsis. |
| Kab Mob Nruab Nrab | Nruab nrab ntawm ib feem peb thiab ob feem peb ntawm lub tsev menyuam muaj cov nplaum nyias thiab tuab sib xyaw. Kev coj khaub ncaws raug txo qis heev. |
| Kab Mob Hnyav | Ntau tshaj ob feem peb ntawm lub tsev menyuam yog npog nrog cov nplaum tuab. Feem ntau, kev coj khaub ncaws tau nres tag nrho. |
Cov kev kho mob rau qhov no yog dab tsi?
Muaj kev kho rau qhov no. Lub hom phiaj tseem ceeb ntawm kev kho mob yog tshem tawm cov nqaij caws pliav thiab kho lub tsev menyuam kom zoo li qub. Yog tias koj tsis mob thiab tsis xav muaj menyuam, tej zaum koj yuav tsis tas yuav kho mob dab tsi. Txawm li cas los xij, yog tias koj muaj cov tsos mob, kev kho mob yuav suav nrog:
- Qhov mob yuav raug txo kom tsawg.
- Lub voj voog ntawm lub hli tuaj yeem rov qab tau.
- Lub peev xwm xeeb tub tau tuaj yeem rov qab tau.
Txoj kev kho mob tseem ceeb yog Operative Hysteroscopy. Qhov no zoo ib yam li kev kuaj mob hysteroscopy. Txawm li cas los xij, hauv txoj kev kho mob no, lub koob yees duab thiab ib rab txiab me me lossis lub laser raug ntxig rau hauv lub tsev menyuam thiab cov nplaum raug txiav tawm kom zoo. Txoj kev kho mob no yuav tsum tau ua ntau dua ib zaug, nyob ntawm qhov mob hnyav npaum li cas.
Tej yam yuav tsum tau saib xyuas tom qab phais
Qhov teeb meem loj tshaj plaws tom qab phais no yog qhov kev pheej hmoo ntawm kev sib txuas rov qab los. Koj tus kws kho mob yuav ua ob peb kauj ruam los tiv thaiv qhov no.
- Kev muab tshuaj hormones: Kev muab tshuaj hormones estrogen pab kom daim ntaub ntawm lub tsev menyuam (endometrium) loj hlob sai thiab zoo.
- Ntxig ib qho thaiv rau hauv lub tsev menyuam: Ib lub npas me me (intrauterine balloon) lossis catheter yuav raug muab tso rau hauv lub tsev menyuam rau ob peb hnub tom qab phais kom tiv thaiv cov phab ntsa ntawm lub tsev menyuam kom tsis txhob lo ua ke.
- Muab tshuaj tua kab mob: Cov no yog muab los tiv thaiv kev kis kab mob thaum muaj ib yam dab tsi zoo li lub npas nyob rau hauv qhov chaw.
Tej zaum yuav rov kuaj xyuas koj dua li ib lossis ob lub lis piam tom qab phais kom pom tias puas muaj cov nplaum tshiab pib tsim.
Puas muaj peev xwm muaj menyuam yaus uas muaj Asherman syndrome?
Qhov no yog ib lo lus nug loj rau ntau tus neeg. Nws nyuaj rau hais ncaj qha tias "yog, koj ua tau" lossis "tsis yog, koj ua tsis tau." Nws nyob ntawm seb koj tus mob hnyav npaum li cas thiab kev kho mob zoo li cas.
Feem ntau, cov neeg uas muaj tus mob Asherman syndrome nruab nrab mus rau hnyav muaj feem tsawg dua me ntsis los cev xeeb tub thiab tswj tau cev xeeb tub kom noj qab nyob zoo txawm tias tom qab kho tas lawm los xij.
Raws li ib qho kev tshawb fawb:
- Ntawm cov neeg uas muaj cov kab mob me me, 60.7% tau cev xeeb tub tom qab kho mob.
- Ntawm cov neeg uas muaj qhov sib txuas nruab nrab , 53.4% tau cev xeeb tub tom qab kho mob.
- 25% ntawm cov neeg uas muaj cov kab mob sib txuas loj heev tau cev xeeb tub tom qab kho mob.
Tsis txhob ntshai cov ntaub ntawv no. Koj tus kws kho mob yuav muab kev nkag siab zoo tshaj plaws rau koj txog koj qhov teeb meem. Qhov tseem ceeb tshaj plaws yog qhib siab thiab ncaj ncees nrog koj tus kws kho mob txog koj lub hom phiaj kev xeeb tub.
Yog ib tug poj niam uas muaj tus mob Asherman syndrome cev xeeb tub, ces suav tias nws yog ib qho kev xeeb tub uas muaj kev pheej hmoo siab. Koj tus kws kho mob yuav saib xyuas koj thiab koj tus menyuam ze heev vim tias muaj feem me me ntawm cov teeb meem xws li yug ntxov thiab lub placenta previa.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Asherman syndrome yog qhov ua rau cov nqaij caws pliav (cov nplaum) hauv lub tsev menyuam.
- Qhov mob no feem ntau tshwm sim tom qab phais xws li D&C (dilation thiab curettage).
- Cov tsos mob tseem ceeb yog txo qis lossis tsis muaj hli, mob heev, thiab muaj teeb meem xeeb tub.
- Tus mob no tuaj yeem kuaj pom tseeb los ntawm kev siv hysteroscopy.
- Cov kab mob sib txuas no kho tau los ntawm kev phais kom tshem tawm. Txawm li cas los xij, muaj kev pheej hmoo tias cov kab mob sib txuas yuav rov tshwm sim dua.
- Tus mob no tuaj yeem cuam tshuam rau koj txoj kev muaj menyuam, yog li nws yog ib qho tseem ceeb uas yuav tsum tham nrog koj tus kws kho mob txog koj cov phiaj xwm yav tom ntej.
- Koj tsis yog tib tug xwb. Qhov mob no tuaj yeem tswj tau nrog kev kho mob thiab kev taw qhia zoo.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus