Yu dɔn notis se yu mɔnt dɔn go dɔŋ bad bad wan ɔ i dɔn stɔp kpatakpata afta yu dɔn du D&C, ɔ yu dɔn pul di bɛlɛ? Yu de gɛt mɔ bɛlɛ pen pas aw yu kin gɛt we yu de gɛt prɛgnɛshɔn? Yu stil de drim fɔ bɔn pikin? Bɔku tɛm wi kin tink bɔt dɛn tin ya as nɔmal tin, sɔntɛm na di ɔmon chenj, ɛn fɔgɛt bɔt dɛn. Bɔt dis kin bi wan sik we rili nid fɔ go to dɔktɔ. Wi de tɔk bɔt wan pan dɛn kayn tin dɛn de tide. Dat na di sik we dɛn kɔl Asherman’s Syndrome .
Fɔ tɔk am simpul wan, wetin na di sik we dɛn kɔl Asherman’s Syndrome?
fכ simpul wan, Asherman sεndrכm na di divεlכpmεnt fכ ska tisu כ adheshon dεm insay yu uterus εn/כ sεviks. sכmtεm dכkta dεn kin kכl dis ``intrauterine adhesions''.
Tink bɔt yu uterus lɛk smɔl balyɔn. Nɔmal wan, di insay wɔl dɛn na dis balyɔn kin flɔ fri wan, ɛn dɛn nɔ kin stik togɛda. Bɔt wetin go apin if fɔ sɔm rizin dɛn insay wɔl dɛn ya wund, ɛn as dɛn wund dɛn de wɛl, skata dɛn kin kam, ɛn di wɔl dɛn kin bigin fɔ stik togɛda? Na dat de apin na ya bak. dis adheshon dεm de ridyus di amoun fכ di spεs insay di uterus. Dis kin mek yu gɛt prɔblɛm lɛk pen, we yu nɔ kin gɛt bɛlɛ ɔltɛm, ɛn we yu nɔ kin ebul fɔ bɔn pikin.
Yu kin fil fayn bɔt yu bɔdi. If yu notis chenj na yu menstrual saykl ɔ nyu pen, i bɛtɛ fɔ tɔk to dɔktɔ instead fɔ tink se, "Dis na nɔmal tin."
Aw yu go no if yu gɛt Asherman syndrome? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
Nɔto ɔlman kin gɛt di sem kayn sik. Sɔm pipul dɛn nɔ kin gɛt ɛni sayn atɔl. Bɔt sɔm tin dɛn de we kin apin we pipul dɛn kin gɛt dis sik. Lɛ wi tek wan luk pan wetin dɛn bi.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| Hypomenorrhea (di smɔl smɔl blɔd we de kɔmɔt na di mɔnt) . | Wetin mek pɔsin we bin de gɛt prɛgnɛshɔn we bin de las 4-5 dez naw go jɔs gɛt spat fɔ lɛk wan ɔ tu dez? |
| Fɔ lɛf fɔ gɛt mɔnt kɔmplit wan (Amenorrhea) . | Wantɛm wantɛm we yu nɔ gɛt wan mɔnt fɔ lɔng tɛm ɛn nɔ gɛt ɛni rizin. |
| Siriɔs pen na yu bɛlɛ (Dysmenorrhea) . | Pen we yu nɔ go ebul fɔ bia insay di de dɛn bifo yu gɛt mɔnt ɔ we yu fɔ gɛt mɔnt. |
| I nɔ izi fɔ gɛt bɛlɛ fɔ pikin (Infertility) . | I nɔ ebul fɔ gɛt bɛlɛ pan ɔl we i dɔn tray fɔ lɔng tɛm we i nɔ gɛt ɛni we fɔ kɔntrol di pikin. |
| Miscarriages we kin apin ɔltɛm | ivin if yu gεt bεlε, di εmbrayo nכ de implant εn divεlכp fayn fayn wan na di uterus, we kin mek di bεlε kכmכt. |
Sɔntɛnde, pan ɔl we yu nɔ gɛt prɛgnɛshɔn, yu kin stil fil kramp we yu prɛgnɛshɔn fɔ kam. Dis min se yu prɛgnɛshɔn de rili apin, bɔt di ska tisu kin de blok di rod we de insay yu uterus ɛn mek di blɔd nɔ kɔmɔt.
Wetin mek dɛn kayn adheshon ya kin apin? Wetin na di men rizin dɛn?
di men rizin fכ dεn adheshon dεm ya fכ fכ m na sכm damej כ injuri to di insay layn na di uterus, di ``Endometrium.`` εspεshali if tu pat dεm na di insay wכl na di uterus we de fכs wan injuri di sem tεm, di chans fכ dεn stik tכgeda as dεn de hεl de hכy.
Dɔktɔ dɛn kin sheb di rizin dɛn fɔ dis to tu men grup dɛn.
1. Di tin dɛn we kin mek pɔsin gɛt bɛlɛ
Risach dɔn sho se pas 90% pan di Asherman syndrome kes dɛm na D&C (Dilation and Curettage) prosidur we dɛn kin du we dɛn gɛt bɛlɛ. D&C na jɔs wan we fɔ pul ɛn klin di insay pat pan di uterus. Dis na di situeshɔn dɛn we dɛn kin du D&C:
- Fɔ mek dɛn nɔ gɛt bɛlɛ.
- Rimov di rεst pat dεm na di uterus afta yu bכn we nכ kכmplit.
- if eni pat pan di plasεnta stil de na di uterus afta di pikin bכn, pul dεm.
di uterus kin rili sεnsitiv afta di bεlε. na dεn tεm dεm ya, ivin sכm sכm damej pan di ``εndometrium`` kin mek big ska tisu fכm. Na sכm tεm, dis kכndyushכn kin apin bak afta sizarian sεkshכn (C-sekshכn).
2. Kɔz dɛm we nɔ gɛt natin fɔ du wit bɛlɛ
Pan ɔl we dɛn kin du D&C fɔ rizin dɛn we gɛt fɔ du wit bɛlɛ, dɛn kin du D&C ɛn ɔda ɔpreshɔn dɛn bak fɔ ɔda rizin dɛn.
- If yu tink se yu gɛt kansa na di uterin, tek wan tisu sɛmpul (bayɔpsi).
- Rimov di polip dɛn we de na di uterus.
- Hysteroscopy na ɔspitul we dɛn kin du fɔ pul di uterin fibroids.
- Ɔpreshɔn fɔ pul wan septate uterus.
Apat frɔm dis, .
- Sivεr infεkshכn dεm na di bכdi
- Tin dεm lεk rεdyushכn tεrapi to di pεlvik εria kin mek dis bak.
Aw dɛn kin no dis sik? Us tɛst dɛn dɛn kin du?
We yu tɛl yu dɔktɔ bɔt yu sik, i go aks bɔt yu mɛdikal histri, mɔ ɛni ɔpreshɔn we yu bin dɔn du bifo (lɛk D&C). Dɔn, dɛn go se dɛn fɔ du sɔm tɛst fɔ no if pɔsin gɛt di sik.
di bεst εn akכrd tεst fכ dis na diagnostik hysteroscopy. dis involv fכ put wan tכb we rili tכn wit kεmεra we dεn tay tru yu vagina εn sεviks εn fכ egzamin insay yu uterus. dis kin mek di dכkta si klia wan aw כl di adheshon dεm de insay di uterus εn wetin na dεn nature.
pan tap dat, dεn kin du ``Transvaginal Ultrasound Scan'' bak. sכmtεm, we dεn de du dis skan, dεn kin injεkt sכm salin sכlushכn insay di uterus, we kin mek di uterus swel sכmtεm bifo di skan. dis de mek dεn ebul fכ gεt bεtε pikchכ fכ di insay pat pan di uterus εn εni adheshon dεm, if i de.
Yu tink se stej dɛn de we kin mek pɔsin gɛt di sik we dɛn kɔl Asherman syndrome?
Yes, dis kכndyushכn kin sheb to difrεn stej dεm dipכnt pan aw i siriכs. Dis go ɛp yu ɛn yu dɔktɔ fɔ ɔndastand di sik fayn fayn wan.
| Stej | Tɔk bɔt |
|---|---|
| Sik we nɔ at fɔ ɔndastand | fכ tכn tin dεm de we lεk mεmbran adheshon dεm na less dan wan tכd pan di uterus. Menstrueshɔn kin bi nɔmal ɔ i kin ridyus smɔl. |
| Modaret Sik we pɔsin kin gɛt | bitwin wan tכd εn tu tכd pan di uterus gεt miksכp fכ tin εn tik adheshon dεm. Di mɔnt we dɛn kin gɛt kin ridyus bad bad wan. |
| Sik we Gɛt bad bad sik | mכr dan tu tכd pan di uterus de kכba wit tik adheshon dεm. Bɔku tɛm, di mɔnt dɔn stɔp kpatakpata. |
Wetin na di tritmɛnt dɛm fɔ dis?
Tritmɛnt dɛn de fɔ dis. di men gol fכ tritmεnt na fכ pul di ska tisu εn mek di uterus kam bak to in nכmal shep. If yu nɔ de fil pen ɛn yu nɔ want fɔ bɔn pikin, yu nɔ go nid ɛni tritmɛnt. Bɔt if yu gɛt sɔm sayn dɛn, di tritmɛnt kin inklud:
- Di pen kin kɔmɔt.
- Di saykl we uman kin gɛt kin kam bak.
- Di ebul fɔ gɛt bɛlɛ kin gɛt pikin bak.
Di men tritmɛnt na Operative Hysteroscopy. Dis na di sem tin lεk diagnostik hysteroscopy. Bɔt we dɛn de du dis, dɛn kin put kamɛra ɛn wan rili fayn siza ɔ lɛsa insay di uterus ɛn dɛn kin tek tɛm kɔt di tin dɛn we de adhe. Dis prosidur kin nid fɔ du pas wan tɛm, i kin dipen pan aw di sik tranga.
Tin dɛn we pɔsin fɔ tek kia ɔf afta dɛn dɔn du di ɔpreshɔn
Di big chalenj afta dis ɔpreshɔn na di risk fɔ mek di adheshon dɛn kam bak. Yu dɔktɔ go du sɔm tin dɛn fɔ mek dis nɔ apin.
- fכ gi כmon mεdikeshכn: fכ gi di כmon εstrojen de εp di layn na di uterus (εndometrium) fכ gro kwik εn fayn.
- we dεn put barεri insay di uterus: dεn kin put sכmכl balכn (intrauterine balloon) כ kateta insay di uterus fכ fכ fכ de afta dεn כpεrayshכn fכ mek di uterin wכl dεm nכ stik togeda.
- Gi antibayɔtik: Dɛn kin gi dɛn tin ya fɔ mek yu nɔ gɛt di sik we sɔntin lɛk balyɔn de insay.
Dɛn kin chɛk yu bak lɛk wan ɔ tu wiks afta dɛn dɔn du di ɔpreshɔn fɔ si if nyu adheshon dɛn dɔn bigin fɔ fɔm.
I pɔsibul fɔ gɛt pikin we gɛt Asherman syndrome?
Dis na big kwɛstyɔn fɔ bɔku pipul dɛn. I at fɔ gi wan stret "yes, yu kin" ɔ "nɔ, yu nɔ ebul." I dipen pan aw yu sik tranga ɛn aw yu tritmɛnt go wok fayn.
in jεnarכl, pipul dεm we gεt mכdarεt to siriכs Asherman syndrome gεt sכm lכw chans fכ bεlε εn mεnten bεlε we gεt hεlth ivin afta dεn trit dεm.
Wan risach sho se:
- Fɔ di wan dɛn we gɛt mild adhesions, 60.7% bin gɛt bɛlɛ afta tritmɛnt.
- Fɔ di wan dɛn we gɛt mɔdaret adheshon , 53.4% bin gɛt bɛlɛ afta tritmɛnt.
- 25% pan di wan dεm we gεt siriכs adheshon dεm dכn bεlε afta dεn trit dεm.
Nɔ mek yu fred wit dɛn statystik ya. Yu dɔktɔ go gi yu di bɛst ɔndastandin bɔt yu sityueshɔn. Di tin we impɔtant pas ɔl na fɔ tɔk klia wan ɛn ɔnɛs to yu dɔktɔ bɔt yu gol dɛn fɔ bɔn pikin.
If uman we gɛt Asherman syndrome gɛt bɛlɛ, dɛn kin tek am se na bɛlɛ we gɛt bɔku prɔblɛm. yu dכkta go de wach yu εn yu pikin gud gud wan biכs sכm chans de fכ kכmplikεshכn lεk di pikin we dεn bכn bifo di tεm εn di plasεnta prεvia.
Mɛsej we dɛn kin kɛr go na os
- di asherman sεndrכm na di fכmeshכn fכ ska tisu (adhesions) insay di uterus.
- dis kכndyushכn kin apin bכku tεm afta dεn du כpεrayshכn lεk D&C (dilation εn curettage).
- Di men sayn dɛm na we i nɔ de gɛt bɛlɛ ɔ i nɔ de gɛt bɛlɛ, i kin fil pen bad bad wan, ɛn i nɔ kin izi fɔ gɛt bɛlɛ.
- dis kכndyushכn kin kכrekt wan tru wan hysteroscopy.
- Dɛn kin trit dɛn adhesion ya wit ɔpreshɔn fɔ pul dɛn. Bɔt, risk de fɔ mek di adheshon dɛn kam bak.
- Dis sik kin afɛkt yu fεtiliti, so i impɔtant fɔ tɔk opin wan wit yu dɔktɔ bɔt yu plan fɔ du tumara bambay.
- Nɔto yu wan de. Dɛn kin ebul fɔ mɛn dis sik wit di rayt mɛrɛsin ɛn gayd.
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