Lɛ wi lan mɔ bɔt Asherman’s Syndrome. Yu tink se dis sik kin afɛkt yu?

Yu gɛt prɔblɛm wit yu prɛgnɛshɔn? Sɔntɛm i rili shɔt, ɔ i tan lɛk se yu prɛgnɛshɔn dɔn stɔp kpatakpata? Ɔ yu de ɛkspɛkt pikin ɛn i de let? Wan pan de rizin fɔ dis na wan sik wae dɛn kɔl Asherman’s Syndrome. Lɛ wi tɔk bɔt dis ditayli tide.

Wetin rili na di sik we dɛn kɔl Asherman’s Syndrome?

Fɔ tɔk am simpul wan, Asherman syndrome na wan sik we di ska tisu , we dɛn kin kɔl bak adhesions, kin gɛda insay yu uterus. Tink bɔt yu uterus lɛk smɔl rum. Dis ska tisu kin mek di wɔl dɛn na da rum de tik. Wetin kin apin da tɛm de? di spes insay di uterus de dכn.

we di uterus tu sכm, yu kin gεt pen na di bכdi, yu kin gεt bכdi we nכ de bכn di uterus, εn yu kin gεt fεtiliti. Di gud nyus na dat, tritmɛnt dɛn de we go ɛp fɔ mek yu nɔ gɛt di sik.

Aw kɔmɔn tin na di sik we dɛn kɔl Asherman syndrome?

Dɛn kin rili tek di sik we dɛn kɔl Asherman syndrome as sik we nɔ kin apin so ɔltɛm . E tranga fɔ tɔk ɔmɔs pipul dɛn gɛt am, bikɔs sɔm tɛm dɛn nɔ kin no se i gɛt am. Dat na bikɔs sɔm pipul dɛn nɔr kin gɛt ɛni sayn. So if yu nɔ gɛt di sik, yu nɔ go go to dɔktɔ, nɔto so?

Udat dɛn kin gɛt di sik we dɛn kɔl Asherman syndrome?

Dis impɔtant. Asherman syndrome nɔto wan sik we pɔsin kin gɛt . dis min se sכmtin de apin to yu uterus we de mek dis ska tisu fכm. Bɔku rizin dɛn kin de fɔ dis. Fɔ ɛgzampul, ɔpreshɔn, infɛkshɔn, ɛn tritmɛnt fɔ kansa.

Yu kin gɛt bɔrku risk fɔ gɛt dis sik pan tin dɛm lɛk:

• If yu dɔn du ɔpreshɔn pan yu uterus: Fɔ ɛgzampul, ɔpreshɔn hysteroscopy, D&C (Dilation and Curettage) fɔ miscarriage ɔ ɔda rizin, ɔ C-section.
• If yu bin dɔn gɛt pelvik infɛkshɔn bifo tɛm.
• If dɛn dɔn trit yu fɔ kansa.

Yu tink se Asherman syndrome na jenɛtiks?

Nɔ. Asherman syndrome nɔto ɔltɛm wan sik we pɔsin kin gɛt frɔm in jɛnɛtiks . Dat min se, i nɔ de rɔn na famili. As wi bin dɔn tɔk, i kin apin as sayd ɛfɛkt fɔ ɔpreshɔn, tritmɛnt, ɔ infɛkshɔn.

Wetin na di sayn dɛm wae de sho se yu gɛt Asherman syndrome?

If yu gɛt Asherman syndrome, yu kin gɛt difrɛn kayn sayn dɛm. Dɛn tin ya na:

• di klin we di mεnstral klin kin apin insay sכm sכm tin dεm.(`(haypomɛnɔria)`).
• Fɔ stɔp fɔ gɛt mɔnt kɔmplit wan (amenorrhea) ɔ fɔ blɔd we nɔ de kɔmɔt ɔltɛm.
• Sivɛri kramp ɔ pelvik pen.
• I nɔ izi fɔ gɛt bɛlɛ fɔ pikin ɔ if dɛn gɛt bɛlɛ, fɔ mɛn pikin.

Bɔt mɛmba se, sɔm tɛm, dis sik kin de wit yu ɛn nɔr gɛt ɛni sayn. Dɔn bak, i kin apin to pipul dɛn we gɛt nɔmal mɔnt saykl. If yu fil ɛni prɔblɛm na yu bɛlɛ we de dɔŋ, ɔ if chenj de we nɔ kɔmɔn na yu mɔnt, mek shɔ se yu go to dɔktɔ.

Wetin mek di sik we dɛn kɔl Asherman syndrome kin apin? Wetin na di tin dɛn we kin mek i apin?

di asherman in sεndrכm kin apin we di ska tisu (adhesions) de bכlכp insay di uterus, we de rεstrikt di spεs na di uterus εn sכmtεm i kin ivin blכk di sεviks. Bɔku tin dɛn de we kin mek dis apin, bɔt di men tin we kin mek i apin na we dɛn kin du ɔpreshɔn pan di uterus ɔ di sɛviks .

Lɛ wi si wetin na di men rizin dɛn:

• Operative hysteroscopy: We dɛn de du dis, di dɔktɔ kin put wan tin we gɛt kamɛra insay di uterus ɛn yuz ilɛktrik tin fɔ kɔt ɛni fibroid we de na di uterus. Dis kin lɛf skata.
• `D&C - Dilation and Curettage` כpεrayshכn: dis involv fכ opin (`(dilate)`) di sεviks εn pul tisu frכm di uterus. dis tisu kin bi pat dεm na di insay wכl na di uterus (`(endometrium)`), כ i kin bi tisu we lεf frכm `(miscarriage)` כ `(abortion)`. biכs dεn dכn skrap di tisu kכmכt, sכmtεm sכmtεm de skata pas infεkshכn (`(infεkshכn)`) de da tεm de. Bɔt, risk de fɔ mek yu gɛt skata if dɛn du D&C wit infɛkshɔn.
• C-section: sכmtεm ska tisu kin divεlכp afta dis כpεrayshכn fכ bכn pikin. dis risk kin bכku if di stich dεm we dεn yuz fכ stכp bכdi (`(hεmorrhages)`) we dεn de du C-sεkshכn, dεn gεt infεkshכn. If nɔto dat, Asherman syndrome nɔ kin bɔku afta dɛn dɔn du C-section nɔmɔ.
• Infεkshכn: Infεkshכn nכmכ nכ kin mek yu gεt Asherman syndrome. Bɔt if yu gɛt infekshɔn we yu de du D&C ɔ C-section, yu kin gɛt Asherman syndrome. Fɔ ɛgzampul, if dɛn du yu ɔpreshɔn wit tin dɛn lɛk sɛvisaytis ɔ pelvik inflammatory disease (PID), yu de pan denja.
• rεdyushכn tritmεnt: sכmtεm, rεdyushכn tritmεnt fכ kכndishכn lεk kεnsar kin mek bak ska tisu fכm na di uterus. fכ egzampl, rεdyushכn tritmεnt fכ sεvikal kεnsar kin mek Asherman syndrome bikoz fכ di skata we i de mek.

Yu tink se IUD kin mek pɔsin gɛt Asherman syndrome?

Intrauterine device (IUD) na wan we fɔ kɔntrol di pikin fɔ lɔng tɛm. Dɛn kin lɛf am na di uterus fɔ sɔm ia. We dɛn put dis kayn tin na di bɔdi, ɔltɛm i kin gɛt infɛkshɔn ɛn ska tisu. Bɔt dɛn nɔ dɔn pruv se IUD kin mek pɔsin gɛt Asherman syndrome . Dɔn bak, no big tin nɔ de we gɛt fɔ du wit IUD ɛn dis sik.

Aw dɛn kin no se pɔsin gɛt di sik we dɛn kɔl Asherman syndrome?

Dɛn kin no se yu gɛt di sik we dɛn kɔl Asherman syndrome if yu gɛt sɔm sayn dɛn lɛk we yu gɛt pen na yu bɛlɛ, we yu nɔ gɛt bɛlɛ, we yu nɔ de blɔd, ɔ i nɔ kin izi fɔ gɛt bɛlɛ ɔ fɔ kɛr pikin. Yu mɛdikal histri kin ɛp bak fɔ no bɔt am. Yu dɔktɔ kin sɔprayz se yu gɛt Asherman syndrome if yu dɔn gɛt D&C, sizarian sɛkshɔn, redyushɔn tɛrapi, ɔ yu dɔn gɛt infekshɔn na yu bɛlɛ.

We yu go to dɔktɔ, i go aks yu bɔt yu kɔmplit mɛdikal istri. If yu dɔn du ɛni ɔpreshɔn pan yu bɛlɛ we nɔ de na yu mɛdikal rɛkɔd, mek shɔ se yu tɛl yu dɔktɔ bɔt am. Dis infɔmeshɔn rili impɔtant fɔ no if pɔsin gɛt di sik we dɛn kɔl Asherman syndrome. Dɔn di dɔktɔ go du wan ɛgzam fɔ di bɔdi. Bɔt fɔ si di rayt tin we de apin insay yu uterus, di dɔktɔ go du wan tɛst we dɛn kɔl sonohysterogram. dis involv f injekt sכm salin sכlushכn insay yu uterus tru wan sכm kateshכn. afta dat, dεn kin yuz transvaginal ultrasound fכ luk fכ eni tisu we de blכk di uterus כ sεviks.

Us ɔda imej tɛst dɛn kin yuz fɔ no if pɔsin gɛt di sik we dɛn kɔl Asherman syndrome?

Dɛn imej tɛst ya kin mek di dɔktɔ si di ɔgan dɛn we de insay yu bɔdi. Difrɛn tɛst dɛn kin gi difrɛn lɛvul dɛn fɔ di ditel.

Na sɔm imej tɛst dɛm wae kin ɛp fɔ no if yu gɛt Asherman syndrome:

• Ultrasound scan: Dis de yuz sawnd wev fɔ mek pikchɔ dɛn fɔ di ɔgan dɛn we de insay. dis kin bi tru di skin, כ i kin bi tru di vagina as transvaginal ultrasound. dis involv fכ put wan tin instrכmεnt insay di vagina.
• Hysteroscopy: Insay dis prosidur, di dɔktɔ de yuz wan tin inschrumɛnt (hysteroscope) we gɛt kamɛra we dɛn tay pan am fɔ luk insay di uterus. dis de insay di vagina εn insay di uterus tru di sεviks. dis de mek dεn kin si di insay pat pan di uterus klia wan. dis mεtכd fכ hysteroscopy dεn kin yus bak fכ trit Asherman syndrome.
• Salin infuzhɔn sonografi: .dis tεst de yuz salin (we miks sכl εn wata) sכlushכn wit כltra saund skan fכ mek klia imej fכ di insay pat pan di uterus. dis sכlushכn de mek di uterus pan sכmtεm, we de mek di dכkta si di shep fכ di uterus cavity εn εnitin we nכ de.

Aw dɛn kin trit di sik we dɛn kɔl Asherman syndrome?

Bɔku we dɛn de fɔ mɛn di sik we dɛn kɔl Asherman syndrome. We yu de tɔk to yu dɔktɔ, i fayn fɔ tɔk bɔt aw di sik de mek yu fil – tin lɛk di pen we yu de gɛt – ɛn if yu de plan fɔ bɔn pikin tumara bambay. Sɔntɛnde, if uman nɔ gɛt ɛni sik, nɔ fɔ trit am na opshɔn. Bɔt if yu plan fɔ bɔn pikin tumara bambay, tritmɛnt dɛn de we go ɛp fɔ pul di skata. Dɔn bak, if yu gɛt pen na yu bɛlɛ ɔ yu bɛlɛ we de dɔŋ, dɛn tritmɛnt ya kin ɛp.

di men gol fכ tritmεnt na fכ pul di ska tisu εn mek di uterus kam bak to in nכmal saiz εn shep. Tritmɛnt fɔ Asherman syndrome kin ɛp fɔ:

• Fɔ mek pɔsin nɔ fil pen.
• fכ mek di nכmal mεnstral saykl dεm (pεriכd dεm) kam bak.
• If yu nɔ de nia fɔ mek yu gɛt bɛlɛ, fɔ mek yu gɛt bɛlɛ bak.

di dכkta kin yuz wan prכsidכm we dεn kכl hysteroscopy fכ pul di ska tisu (adhesions) dεm na di uterus. As wi bin dɔn tɔk, dɛn kin yuz wan tin we dɛn kɔl hysteroscope fɔ luk insay di uterus ɛn pul di skata tisu. Dis na wan we we rili izi fɔ du. Bɔt wan prɔblɛm na dat di wɛlbɔdi tisu na di uterus kin pwɛl we dɛn de pul di ska tisu.

Afta di ɔpreshɔn, dɛn kin put smɔl kateta (intrauterine catheter) insay di uterus fɔ sɔm dez, wit ɛstrojen ɔmon tɛrapi. dis kin du fכ ridyus di risk fכ ska tisu fכ fכm bak. infakt, εstrojen de mek di insay layn na di uterus (εndometrium) hεl. di kateshכn de wok lεk fכshal barεri we de mek di fכnt εn bak wכl dεm na di uterus nכ de stik togeda. We dɛn dɔn put di kateshɔn, dɛn kin gi dɛn antibayɔtik fɔ mek dɛn nɔ gɛt di sik dɛn we pɔsin kin gɛt.

Yu tink se dɛn go ebul fɔ protɛkt di sik we dɛn kɔl Asherman syndrome?

di ska tisu we dεn si pan Asherman sεndrכm kin apin as sayd ifekt fכ sεvεra כda mεdikal prכsidכm dεm. Bɔrku tɛm, yu nɔr kin ebul fɔ stɔp am bikɔs di prɔsidyu nid fɔ de. Bɔt i impɔtant ɔltɛm fɔ tɔk to yu dɔktɔ bɔt ɔl di prɔblɛm dɛn we kin apin to yu bifo yu du mɛrɛsin. Yu dɔktɔ kin schedul fɔ fala di tɛst afta dɛn dɔn ɔpreshɔn fɔ chɛk fɔ ska tisu ɛn fɔ wach if i pɔsibul fɔ gɛt Asherman sindrom.

Yu tink se dɛn kin mɛn di sik we dɛn kɔl Asherman syndrome kpatakpata?

If di tritmɛnt fɔ Asherman syndrome wok fayn, yu sayn dɛm fɔ bɛtɛ. As tɛm de go, yu dɔktɔ go wach yu kɔndishɔn fɔ mek shɔ se nɔ nyu ska tisu dɔn fɔm.

A go ebul fɔ bɔn pikin afta dɛn dɔn trit mi fɔ di sik we dɛn kɔl Asherman syndrome?

Bɔrku tɛm, yes, yu kin ebul fɔ gɛt bɛlɛ afta yu dɔn gɛt tritmɛnt fɔ Asherman syndrome. Infεtiliti kin at smɔl, bikɔs i nɔ kin izi fɔ fɛn di tin we kin mek i bɔn pikin. Bɔt if yu dɔktɔ dɔn si se Asherman syndrome na di men tin we de mek yu nɔ ebul fɔ bɔn pikin, di tritmɛnt kin mek yu gɛt mɔ chans fɔ gɛt bɛlɛ ɛn bɔn pikin we gɛt wɛlbɔdi.

Yu tink se di sik we dɛn kɔl Asherman syndrome kin mek pɔsin nɔ ebul fɔ bɔn pikin?

Bɔku rizin dɛn kin de we mek pɔsin nɔ ebul fɔ bɔn pikin. Sɔntɛnde, sɔm tin dɛn kin apin di sem tɛm. If yu dɔn de tray fɔ 12 mɔnt (ɔ 6 mɔnt if yu pas 35 ia) ɛn yu nɔ ebul fɔ gɛt bɛlɛ ɔ bɔn pikin, yu dɔktɔ go du bɔku tɛst fɔ no wetin mek yu nɔ ebul fɔ bɔn pikin. We dɛn de du dɛn tɛst ya, yu dɔktɔ go si se yu gɛt ska tisu (we dɛn kɔl Asherman syndrome) insay yu uterus. If yu gɛt bɔku bɔku skata insay yu uterus, dat kin bi wan rizin we mek yu nɔ ebul fɔ bɔn pikin.

Yu tink se di sik we dɛn kɔl Asherman syndrome kin mek uman gɛt bɛlɛ?

Yu kin stil gɛt bɛlɛ if yu gɛt Asherman syndrome. Bɔt di sik we dɛn kɔl Asherman syndrome kin mek di uterus smɔl fɔ di pikin we de gro. dis kin mek prכblεm we uman bεlε biכs di pikin we de gro nid spεs insay di uterus. di uterus de εkspכnd tru di bεlε. כlso, di atachmεnt fכ di plasεnta to di uterin wכl imכtant fכ di growth fכ di pikin we de gro.

di kכmplikεshכn dεm we de kכmכt frכm Asherman sεndrכm inklud di risk fכ bכku pikin, bכn pikin we dεn day, כ plasεnta previa we i bεlε. di plasεnta prεvia na di kכndyushכn we di plasεnta de atak bכku bכku wan pan di wכl na di uterus. dis kin blok di sεviks, blok di pikin in pasεj kכmכt na di uterus. Dis sik kin gɛt fɔ du bak wit bɔku blɔd ɛn nid fɔ mek dɛn du sizarian sɛkshɔn.

"If yu gɛt pen na yu bɛlɛ, yu gɛt pen na yu bɛlɛ we de dɔŋ, ɔ yu nɔ ebul fɔ bɔn pikin, i go fayn ɔltɛm fɔ tɔk to dɔktɔ. Asherman syndrome na sik we yu kin trit. Bɔku tɛm yu simptom dɛn go bɛtɛ wit tritmɛnt."

Lɛ wi mɛmba di tin dɛn we impɔtant pas ɔl (Take-Home Message)

Okay, so frɔm wetin wi dɔn tɔk bɔt, a op se yu dɔn gɛt bɛtɛ ɔndastandin bɔt Asherman’s Syndrome. Na sɔm impɔtant tin dɛn we yu fɔ mɛmba:

• Asherman syndrome na wan kכndyushכn we di ska tisu de fכm insay di uterus, we de mek di uterus sכmtεm sכmtεm.
• di men rizin fכ dis na di uterin כpεrayshכn, .εspεshali D&C, hysteroscopy, εn sכmtεm sizarian sεkshכn (if infεkshכn de kam wit am).
• Di sayn dɛm kin bi we i nɔ kin gɛt bɛlɛ ɔltɛm ɔ we i nɔ kin gɛt am, i kin fil pen na in bɛlɛ, ɛn i nɔ kin izi fɔ gɛt bɛlɛ. Sɔm pipul dɛn nɔ kin gɛt ɛni sayn.
• Dis nɔto tin we pɔsin kin gɛt we i kam pan jɛnɛtiks.
• Dɛn nid fɔ du mɛdikal tɛst fɔ no di sik kɔrɛkt wan. wan tεst we dεn kכl ``Hysteroscopy`` dεn de yuz fכ כl tu diagnosis εn tritmεnt.
• Di tritmɛnt kin pul di ska tisu, i kin mek di sik nɔ kam, ɛn i kin mek i ebul fɔ bɔn pikin mɔ.
• If yu gɛt dɛn sik ya, ɔ yu dɔn du ɔpreshɔn pan yu uterin, i impɔtant fɔ go to dɔktɔ. If yu no am kwik kwik wan, i izi fɔ trit.

So, i rili impɔtant fɔ tek kia ɔf yu bɔdi ɛn yu wɛlbɔdi. If yu gɛt ɛni kwɛstyɔn ɔ dawt, nɔ shem ɔ fred fɔ tɔk to dɔktɔ. Na da tɛm de nɔmɔ wi go ebul fɔ gɛt wɛlbɔdi.

` Asherman sindrom, uterin ska, D&C, sizarian sekshכn, mεnstral saykl, infεliti, histεroskopi