Cia peb kawm ntxiv txog Asherman's Syndrome. Qhov mob no puas yuav cuam tshuam rau koj?

Koj puas muaj teeb meem nrog koj lub hlis? Tej zaum nws luv heev, lossis nws zoo li koj lub hlis twb tsis muaj lawm? Los yog koj puas yuav muaj menyuam thiab nws lig lawm? Ib qho ntawm cov laj thawj rau qhov no yog ib qho mob hu ua Asherman's Syndrome. Cia peb tham txog qhov no kom meej hnub no.

Asherman's Syndrome yog dab tsi tiag?

Hais yooj yim xwb, Asherman syndrome yog ib qho mob uas cov nqaij caws pliav , tseem hu ua adhesions, sib sau ua ke hauv koj lub tsev menyuam. Xav txog koj lub tsev menyuam zoo li ib chav me me. Cov nqaij caws pliav no ua rau phab ntsa ntawm chav ntawd tuab. Tom qab ntawd yuav ua li cas? Qhov chaw hauv lub tsev menyuam yuav txo qis.

Thaum lub tsev menyuam me dhau lawm, koj yuav mob plab mog, los ntshav hauv tsev menyuam tsis zoo li qub, thiab muaj teeb meem txog kev xeeb tub. Qhov xov xwm zoo yog tias muaj kev kho mob uas tuaj yeem pab txo koj cov tsos mob.

Asherman syndrome no muaj ntau npaum li cas?

Asherman syndrome yeej suav tias yog ib yam kab mob tsis tshua muaj . Nws nyuaj rau hais tias muaj pes tsawg tus neeg muaj nws, vim tias qee zaum nws tsis raug kuaj pom. Qhov ntawd yog vim qee tus neeg tsis muaj tsos mob dab tsi. Yog li ntawd, yog tias koj tsis muaj tsos mob, koj yuav tsis mus ntsib kws kho mob, puas yog?

Leej twg yuav muaj feem mob Asherman syndrome ntau dua?

Qhov no tseem ceeb heev. Asherman syndrome tsis yog ib yam mob uas tau txais los . Qhov no txhais tau tias muaj qee yam tshwm sim rau koj lub tsev menyuam uas ua rau cov nqaij caws pliav no tsim. Muaj ntau yam ua rau qhov no. Piv txwv li, phais, kis kab mob, thiab kev kho mob qog noj ntshav.

Tej zaum koj yuav muaj feem yuav mob no ntau dua hauv cov xwm txheej xws li:

• Yog tias koj tau phais koj lub tsev menyuam: Piv txwv li, kev phais hysteroscopy, D&C (Dilation thiab Curettage) rau kev rho menyuam lossis lwm yam laj thawj, lossis C-section.
• Yog tias koj tau muaj kab mob hauv plab yav dhau los.
• Yog tias koj tau kho mob qog noj ntshav.

Puas yog Asherman syndrome yog los ntawm noob caj noob ces?

Tsis yog. Feem ntau Asherman syndrome tsis yog ib yam mob uas muaj los ntawm noob caj noob ces . Yog li ntawd, nws tsis yog los ntawm tsev neeg. Raws li tau hais ua ntej lawm, nws tuaj yeem tshwm sim los ntawm kev phais, kev kho mob, lossis kev kis kab mob.

Cov tsos mob ntawm Asherman syndrome yog dab tsi?

Yog koj muaj tus mob Asherman syndrome, koj yuav muaj ntau yam tsos mob sib txawv. Cov no suav nrog:

• Kev huv ntawm lub hli tshwm sim me me heev.(`(mob ntshav qab zib tsawg)`).
• Kev tsis muaj hli tas li (amenorrhea) lossis kev los ntshav tsis tu ncua.
• Mob plab hnyuv loj heev los yog mob hauv plab.
• Muaj teeb meem xeeb tub lossis, yog tias xeeb tub lawm, ces yuav tsum yug menyuam.

Tiam sis nco ntsoov, qee zaum, tus mob no tuaj yeem tshwm sim yam tsis muaj tsos mob. Tsis tas li ntawd, nws tuaj yeem tshwm sim rau cov neeg uas muaj lub voj voog ib txwm muaj. Yog tias koj xav tias tsis xis nyob hauv koj lub plab qis, lossis yog tias muaj kev hloov pauv txawv txawv hauv koj lub voj voog ib txwm muaj, nco ntsoov mus ntsib kws kho mob.

Vim li cas thiaj muaj tus mob Asherman syndrome? Dab tsi yog cov ua rau muaj tus mob no?

Asherman's syndrome tshwm sim thaum cov nqaij caws pliav (cov nplaum) sib sau ua ke hauv lub tsev menyuam, ua rau qhov chaw hauv lub tsev menyuam txwv thiab qee zaum txawm tias thaiv lub qhov ncauj tsev menyuam. Muaj ntau yam ua rau qhov no, tab sis qhov ua rau tseem ceeb yog phais rau lub tsev menyuam lossis lub qhov ncauj tsev menyuam .

Cia peb saib seb cov laj thawj tseem ceeb yog dab tsi:

• Kev phais hysteroscopy: Hauv txoj kev kho mob no, tus kws kho mob muab lub cuab yeej uas muaj lub koob yees duab ntxig rau hauv lub tsev menyuam thiab siv lub cuab yeej hluav taws xob los txiav cov fibroids hauv lub tsev menyuam. Qhov no yuav ua rau muaj qhov txhab.
• Kev phais mob `D&C - Kev nthuav thiab Curettage`: Qhov no suav nrog kev qhib (`(dilate)`) lub qhov ncauj tsev menyuam thiab tshem tawm cov ntaub so ntswg ntawm lub tsev menyuam. Cov ntaub so ntswg no yuav yog ib feem ntawm phab ntsa sab hauv ntawm lub tsev menyuam (`(endometrium)`), lossis nws yuav yog cov ntaub so ntswg seem los ntawm `(kev rho menyuam)` lossis `(kev rho menyuam)`. Vim tias cov ntaub so ntswg raug khawb tawm, feem ntau yuav muaj qhov caws pliav me ntsis tshwj tsis yog tias muaj kev kis kab mob (`(kev kis kab mob)`) thaum lub sijhawm ntawd. Txawm li cas los xij, muaj kev pheej hmoo ntawm kev caws pliav yog tias D&C raug ua nrog kev kis kab mob.
• C-section: Tej zaum cov nqaij caws pliav yuav tshwm sim tom qab phais mob no kom yug me nyuam. Qhov kev pheej hmoo no yog qhov siab heev yog tias cov xov siv los txwv tsis pub los ntshav ('(hemorrhages)') thaum lub sijhawm C-section kis kab mob. Txwv tsis pub, Asherman syndrome tsis tshua muaj tom qab C-section ib leeg xwb.
• Kev kis kab mob: Kev kis kab mob ib leeg feem ntau tsis ua rau muaj Asherman syndrome. Txawm li cas los xij, yog tias koj muaj kev kis kab mob thaum lub sijhawm D&C lossis C-section, koj yuav muaj Asherman syndrome. Piv txwv li, yog tias koj phais nrog cov mob xws li mob cervicitis lossis mob pelvic inflammatory disease (PID), koj muaj kev pheej hmoo.
• Kev Kho Mob Hluav Taws Xob: Qee zaum, kev kho mob hluav taws xob rau cov mob xws li mob qog noj ntshav kuj tuaj yeem ua rau cov nqaij caws pliav hauv lub tsev menyuam. Piv txwv li, kev kho mob hluav taws xob rau mob qog noj ntshav hauv lub tsev menyuam tuaj yeem ua rau muaj mob Asherman syndrome vim yog qhov caws pliav uas nws ua rau.

Puas yog IUD ua rau muaj Asherman syndrome?

Ib lub cuab yeej intrauterine (IUD) yog ib txoj kev tswj kev xeeb tub mus sij hawm ntev. Nws nyob hauv lub tsev menyuam tau ntau xyoo. Thaum ib lub cuab yeej zoo li no raug ntxig rau hauv lub cev, yeej ib txwm muaj kev pheej hmoo ntawm kev kis kab mob thiab cov nqaij caws pliav. Txawm li cas los xij, IUD tsis tau raug pov thawj tias ua rau muaj Asherman syndrome . Tsis tas li ntawd, tsis muaj kev sib txuas tseem ceeb ntawm IUDs thiab tus mob no.

Yuav kuaj mob Asherman syndrome li cas?

Feem ntau yuav kuaj pom tias muaj tus mob Asherman syndrome yog tias koj muaj cov tsos mob xws li mob plab qis, tsis muaj hli, los ntshav tsis zoo, lossis nyuaj rau xeeb tub lossis yug menyuam. Koj keeb kwm kho mob kuj tuaj yeem pab kuaj pom. Koj tus kws kho mob yuav xav tias muaj tus mob Asherman syndrome yog tias koj tau muaj D&C, phais cesarean, kho mob hluav taws xob, lossis muaj kab mob hauv plab.

Thaum koj mus ntsib kws kho mob, nws yuav nug txog koj keeb kwm kev kho mob tag nrho. Yog tias koj tau phais mob plab uas tsis nyob hauv koj cov ntaub ntawv kho mob, nco ntsoov qhia rau koj tus kws kho mob txog nws. Cov ntaub ntawv no tseem ceeb heev rau kev kuaj mob Asherman syndrome. Tus kws kho mob mam li kuaj lub cev. Tab sis kom pom tseeb tias muaj dab tsi tshwm sim hauv koj lub tsev menyuam, tus kws kho mob yuav ua qhov kev kuaj hu ua sonohysterogram. Qhov no suav nrog kev txhaj me me ntawm cov kua saline rau hauv koj lub tsev menyuam los ntawm lub catheter me me. Tom qab ntawd, siv transvaginal ultrasound los nrhiav cov ntaub so ntswg uas thaiv lub tsev menyuam lossis lub qhov ncauj tsev menyuam.

Muaj lwm yam kev kuaj duab dab tsi siv los kuaj mob Asherman syndrome?

Cov kev kuaj duab no tso cai rau tus kws kho mob pom cov kab mob hauv koj lub cev. Cov kev kuaj sib txawv tuaj yeem muab cov ntsiab lus sib txawv.

Nov yog qee qhov kev kuaj duab uas tuaj yeem pab kuaj pom Asherman syndrome:

• Kev kuaj mob ultrasound: Qhov no siv cov suab nthwv dej los tsim cov duab ntawm cov kabmob sab hauv. Qhov no tuaj yeem ua tiav los ntawm daim tawv nqaij, lossis nws tuaj yeem ua tiav los ntawm qhov chaw mos ua transvaginal ultrasound. Qhov no suav nrog kev ntxig ib lub cuab yeej nyias nyias rau hauv qhov chaw mos.
• Kev Siv Lub Tshuab Saib Xyuas Me Nyuam Yaus: Hauv txoj kev kho mob no, tus kws kho mob siv ib lub cuab yeej nyias nyias (hysteroscope) uas muaj lub koob yees duab txuas rau nws los saib sab hauv lub tsev menyuam. Qhov no raug ntxig los ntawm qhov chaw mos thiab nkag mus rau hauv lub tsev menyuam los ntawm lub qhov ncauj tsev menyuam. Qhov no tso cai rau sab hauv ntawm lub tsev menyuam kom pom tseeb heev. Txoj kev siv lub tshuab saib xyuas me nyuam yaus no kuj siv los kho Asherman syndrome.
• Kev kuaj mob ultrasound ntawm cov hlab ntsha saline:Qhov kev kuaj no siv cov kua saline (sib tov ntawm ntsev thiab dej) nrog rau kev ntsuas ultrasound los tsim kom pom tseeb sab hauv ntawm lub tsev menyuam. Cov kua no ua rau lub tsev menyuam nthuav me ntsis, cia tus kws kho mob pom cov duab ntawm lub tsev menyuam thiab txhua yam tsis zoo.

Yuav kho tus mob Asherman li cas?

Muaj ntau txoj kev kho mob Asherman syndrome. Thaum koj nrog koj tus kws kho mob tham, nws yog ib lub tswv yim zoo los tham txog seb tus mob ua rau koj xav li cas - tej yam xws li qhov mob uas koj muaj - thiab seb koj puas npaj yuav muaj menyuam yav tom ntej. Qee zaum, yog tias tus poj niam tsis muaj tsos mob, tsis kho nws yog ib qho kev xaiv. Txawm li cas los xij, yog tias koj npaj yuav muaj menyuam yav tom ntej, muaj kev kho mob uas tuaj yeem pab tshem tawm cov nqaij caws pliav. Tsis tas li ntawd, yog tias koj mob plab lossis mob plab qis, cov kev kho mob no tuaj yeem pab tau.

Lub hom phiaj tseem ceeb ntawm kev kho mob yog tshem tawm cov nqaij caws pliav thiab rov qab ua rau lub tsev menyuam rov qab zoo li qub. Kev kho mob rau Asherman syndrome tuaj yeem pab tau rau:

• Txo qhov mob.
• Rov qab kho cov voj voog ib txwm muaj txhua hli (lub sijhawm).
• Yog tias koj tsis tau yuav txog hnub tas sij hawm, ua rau koj muaj feem yuav xeeb tub dua.

Tus kws kho mob yuav siv ib txoj kev kho mob hu ua hysteroscopy los tshem tawm cov nqaij caws pliav (cov nplaum) hauv lub tsev menyuam. Raws li tau hais ua ntej, siv ib lub cuab yeej nyias nyias hu ua hysteroscope los saib sab hauv lub tsev menyuam thiab tshem tawm cov nqaij caws pliav. Qhov no yog ib txoj kev kho mob uas nyuaj heev. Txawm li cas los xij, ib qho kev pheej hmoo yog tias cov nqaij noj qab haus huv hauv lub tsev menyuam yuav raug puas tsuaj thaum tshem tawm cov nqaij caws pliav.

Tom qab phais lawm, yuav muab ib txoj catheter me me (intrauterine catheter) tso rau hauv lub tsev menyuam tau ob peb hnub, nrog rau kev kho mob estrogen hormone. Qhov no yog ua los txo qhov kev pheej hmoo ntawm cov nqaij caws pliav dua. Qhov tseeb, estrogen txhawb kev kho mob ntawm sab hauv ntawm lub tsev menyuam (endometrium). Lub catheter ua haujlwm ua ib qho thaiv uas tiv thaiv cov phab ntsa pem hauv ntej thiab tom qab ntawm lub tsev menyuam kom tsis txhob lo ua ke. Thaum lub catheter raug ntxig, cov tshuaj tua kab mob raug muab los tiv thaiv kev kis kab mob.

Puas tiv thaiv tau tus mob Asherman syndrome no?

Cov nqaij caws pliav uas pom hauv Asherman syndrome tuaj yeem tshwm sim los ntawm ntau yam kev kho mob. Feem ntau, koj tsis tuaj yeem tiv thaiv nws vim tias kev kho mob yog qhov tsim nyog. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum tham txog txhua yam kev pheej hmoo nrog koj tus kws kho mob ua ntej muaj kev kho mob. Koj tus kws kho mob yuav teem sijhawm kuaj mob tom qab phais kom paub seb puas muaj cov nqaij caws pliav thiab saib xyuas seb puas muaj Asherman syndrome.

Puas kho tau Asherman syndrome kom zoo tag nrho?

Yog tias kev kho mob Asherman syndrome ua tiav, koj cov tsos mob yuav tsum zoo dua. Raws li lub sijhawm dhau mus, koj tus kws kho mob yuav saib xyuas koj tus mob kom paub tseeb tias tsis muaj cov nqaij caws pliav tshiab tshwm sim.

Kuv puas yuav muaj peev xwm muaj menyuam tom qab kho mob Asherman syndrome?

Feem ntau, yog lawm, koj yuav muaj peev xwm xeeb tub tau tom qab kho mob Asherman syndrome. Kev tsis muaj menyuam yog qhov nyuaj me ntsis, vim tias qhov ua rau tsis yooj yim nrhiav. Txawm li cas los xij, yog tias koj tus kws kho mob tau txiav txim siab tias Asherman syndrome yog qhov ua rau koj tsis muaj menyuam, kev kho mob tuaj yeem ua rau koj muaj feem yuav xeeb tub thiab yug menyuam noj qab haus huv.

Puas yog Asherman syndrome ua rau muaj menyuam tsis taus?

Muaj ntau yam ua rau koj tsis muaj menyuam. Tej zaum, muaj ntau yam ua rau koj tsis muaj menyuam tib lub sijhawm. Yog tias koj tau sim ua menyuam tau 12 lub hlis (lossis 6 lub hlis yog tias koj hnub nyoog tshaj 35 xyoos) thiab tsis tau xeeb tub lossis muaj menyuam, koj tus kws kho mob yuav ua ntau yam kev kuaj mob kom paub qhov ua rau koj tsis muaj menyuam. Thaum lub sijhawm kuaj mob no, koj tus kws kho mob yuav pom tias koj muaj cov nqaij caws pliav (hu ua Asherman syndrome) hauv koj lub tsev menyuam. Muaj ntau cov nqaij caws pliav hauv koj lub tsev menyuam tuaj yeem yog ib qho laj thawj rau koj tsis muaj menyuam.

Puas yog Asherman syndrome ua rau rho menyuam?

Koj tseem tuaj yeem xeeb tub tau yog tias koj muaj Asherman syndrome. Txawm li cas los xij, Asherman syndrome ua rau lub tsev menyuam me dhau rau tus menyuam uas tab tom loj hlob. Qhov no tuaj yeem ua rau muaj teeb meem thaum cev xeeb tub vim tias tus menyuam uas tab tom loj hlob xav tau qhov chaw hauv lub tsev menyuam. Lub tsev menyuam nthuav dav thoob plaws lub sijhawm cev xeeb tub. Tsis tas li ntawd, qhov kev txuas ntawm lub placenta rau phab ntsa tsev menyuam yog qhov tseem ceeb rau kev loj hlob ntawm tus menyuam uas tab tom loj hlob.

Cov teeb meem los ntawm Asherman syndrome muaj xws li kev pheej hmoo ntawm kev rho menyuam, menyuam tuag, lossis placenta previa thaum cev xeeb tub. Placenta previa yog ib qho mob uas placenta txuas qis heev rau phab ntsa ntawm lub tsev menyuam. Qhov no tuaj yeem thaiv lub qhov ncauj tsev menyuam, thaiv tus menyuam txoj kev tawm ntawm lub tsev menyuam. Qhov mob no kuj tseem cuam tshuam nrog kev los ntshav ntau thiab qhov xav tau kev phais cesarean.

Yog tias koj mob plab heev, mob plab qis, lossis muaj teeb meem txog kev tsis muaj menyuam, nws yog qhov zoo tshaj plaws los tham nrog kws kho mob. Asherman syndrome yog ib qho mob uas kho tau. Koj cov tsos mob feem ntau yuav zoo dua yog tias kho.

Cia peb nco ntsoov tej yam tseem ceeb tshaj plaws (Cov Lus Coj Mus Tsev)

Zoo, yog li ntawm qhov peb tau tham txog, kuv vam tias koj tau nkag siab zoo dua txog Asherman's Syndrome. Nov yog qee yam tseem ceeb uas yuav tsum nco ntsoov:

• Asherman syndrome yog ib qho mob uas cov nqaij caws pliav tsim nyob rau hauv lub tsev menyuam, ua rau lub tsev menyuam nqaim dua.
• Qhov laj thawj tseem ceeb rau qhov no yog kev phais mob uterine,Tshwj xeeb tshaj yog D&C, hysteroscopy, thiab qee zaum cesarean section (yog tias muaj kev kis kab mob nrog).
• Tej zaum yuav muaj cov tsos mob xws li tsis tu ncua lossis tsis muaj hli, mob plab qis, thiab nyuaj rau xeeb tub. Ib txhia neeg yuav tsis muaj tsos mob dab tsi li.
• Qhov no tsis yog ib qho mob caj ces.
• Kev kuaj mob yog qhov tsim nyog rau kev kuaj mob kom raug. Kev kuaj mob hu ua "Hysteroscopy" yog siv rau kev kuaj mob thiab kev kho mob.
• Kev kho mob tuaj yeem tshem tawm cov nqaij caws pliav, txo cov tsos mob, thiab ua rau muaj menyuam ntxiv.
• Yog tias koj muaj cov tsos mob no, lossis tau phais lub tsev menyuam, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob. Kev kuaj pom thaum ntxov yooj yim dua rau kev kho.

Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum saib xyuas koj lub cev thiab koj txoj kev noj qab haus huv. Yog tias koj muaj lus nug lossis kev tsis ntseeg, tsis txhob txaj muag lossis ntshai tham nrog kws kho mob. Tsuas yog thaum ntawd peb thiaj li noj qab nyob zoo.

Asherman syndrome, qhov txhab ntawm lub tsev menyuam, D&C, cesarean section, lub caij muaj hli, tsis muaj menyuam, hysteroscopy