Hysterectomy hnuah i period a tawp em? Hei hi Asherman’s Syndrome a ni thei!

D&C, emaw, hysterectomy emaw i neih hnuah thla tin i period chu nasa takin a tlahniam nghal emaw, a tawp vek emaw tih i hmu em? I period chhung hian a tlangpui aia nasa zawkin pum na i nei em? Naute neih hi i la mumang a ni em? Vawi tam tak chu heng thilte hi thil pangngai angin kan ngai a, hormone inthlak danglamna pawh a ni thei a, kan theihnghilh thin. Mahse hei hi damdawi lam pan ngai tak tak dinhmun a ni thei. Vawiin hian chutiang dinhmun pakhat kan sawi a ni. Chu chu Asherman’s Syndrome a ni .

A awlsam zawngin, Asherman’s Syndrome hi eng nge ni?

A awlsam zawngin, Asherman syndrome chu i uterus leh/ emaw cervix chhunga scar tissue emaw adhesions lo awm hi a ni. Doctor-te chuan hei hi ``intrauterine adhesions'' an ti \hin.

I nausen pum chu balloon te tak te angin ngaihtuah rawh. A tlangpuiin he balloon chhung lam bang hi zalen takin a luang a, a inzawm khawm lo. Mahse, eng emaw chhan vanga heng chhungril bangte hi hliam a nih a, chu hliamte chu a dam chhoh zel chuan hliam a lo awm a, bangte chu a inzawm khawm tan a nih chuan eng nge thleng ang? Hetah pawh hi chutiang chu a ni. Heng adhesions te hian nausen pum chhunga hmun awm zat a ti tlem a ni. Hei hian natna, period mumal lo, leh nau pai theih lohna ang chi harsatna a thlen thei a ni.

Engtin nge Asherman syndrome i vei tih i hriat theih ang? Eng nge a lan chhuah dan?

Mi zawng zawng hian symptom inang an nei vek lo. Mi thenkhat chuan symptom engmah an nei lo mai thei. Mahse a lan chhuah dan tlangpui tlemte a awm. Eng nge an nih i han thlir teh ang.

A châng chuan period nei lo mah la, i period hun a thlen hunah cramping i la nei thei tho. Hei hian i period a thleng tak tak tihna a ni a, mahse scar tissue hian i uterus chhunga kalna kawng a tikhawlo thei a, thisen a chhuak thei lo thei bawk.

Engvangin nge heng adhesion chi hrang hrang hi a lo awm? A chhan berte chu engte nge ni?

Heng adhesions te hi a lo awm chhan ber chu nausen chhungril lining, ``Endometrium`` tihchhiat emaw hliam emaw a awm vang a ni.A bik takin nausen chhungril bang hmun hnih inhmachhawn chu a ruala hliam a nih chuan an dam chhoh zel chuan an inzawm khawm theihna chance a sang hle.

Doctor-te chuan a chhan hi chi hnih lian takah an ṭhen a.

1. Naupai nena inzawm chhan

Research atanga a lan dan chuan Asherman syndrome vei zinga 90% aia tam chu naupai laiin D&C (Dilation and Curettage) procedure tih vang a ni. D&C chu nausen pum chhung lam lakchhuah leh tihfai dan mai a ni. Hengte hi D&C tih theihna tur dinhmunte chu a ni:

• Naupai tihtawp nan.
• Nau pai kim loh hnuah nausen pum chhunga a la awmte chu la chhuak rawh.
• Nausen piang hnua nausen (placenta) hmun thenkhat chu nausen pum chhungah a la awm chuan paih chhuak tur a ni.

Naupai hnuah nausen pum hi a sensitive hle. Chutiang hunah chuan ``endometrium`` tihchhiat tlemte pawh hian scar tissue lian tak tak a siam thei a ni. A tlem hle a, cesarean section (C-section) hnuah pawh he natna hi a awm thei bawk.

2. Naupai nena inzawm lo chhan

D&C hi naupai kaihhnawih thila tih fo ni mah se, D&C leh surgery dangte pawh chhan dang vangin tih a ni bawk.

• Uterine cancer i rinhlelh chuan tissue sample (biopsy) la rawh.
• Nausen pum chhunga polyp awmte chu paih chhuak rawh.
• Hysteroscopy hi surgery hmanga uterine fibroids te paih chhuah a ni.
• Surgery hmanga septate uterus lakchhuah a ni.

Hei bakah hian, .

• Pelvic infection na tak tak a awm thei
• Pelvic area-a radiation therapy ang chi thilte pawhin hetiang hi a thlen thei bawk.

Engtin nge he natna hi hriat chhuah a nih? Eng test nge tih thin?

I doctor hnenah i symptoms i hrilh hian i medical history a zawt ang a, a bik takin a hmaa surgery i neih tawh zawng zawng (D&C ang chi) a zawt ang. Tichuan, a natna hriat chian nan test eng emaw zat neih an rawt ang.

Hei hi test tha ber leh dik ber chu diagnostic hysteroscopy a ni. Hei hian tube te tak te tak, i vagina leh cervix kaltlangin camera dahin i uterus chhung lam enfiah a ngai a ni. Hei hian doctor chuan nausen pum chhungah adhesion engzat nge awm tih leh an nihna chu chiang takin a hmu thei a ni.

Tin, ``Transvaginal Ultrasound Scan'' pawh tih theih a ni bawk. A chang chuan he scan chhung hian saline solution tlem te te in uterus ah an inject a, scan hmain uterus chu a lo hring deuh thin. Hei hian nausen pum chhung leh adhesion eng pawh, a awm a nih chuan, a thlalak tha zawk a siam thei a ni.

Asherman syndrome hi a nasat dan tur stage a awm em?

Ni e, he natna hi a nasat dan azirin stage hrang hrangah then theih a ni. Hei hian nang leh i doctor chu thil awmdan hriatthiamna tha zawk nei turin a pui ang.

Hei hi eng enkawlna nge ni?

Hei hi enkawl dan tur a awm. Enkawlna tum ber chu scar tissue lakchhuah a, nausen pum chu a pianphung pangngaia siam leh hi a ni. Natna i neih loh a, fa neih i duh loh chuan enkawlna engmah i mamawh lo mai thei. Mahse, symptom i neih chuan enkawlnaah hian:

• A natna chu a reh thei.
• Menstrual cycle hi a lo awm leh thei a ni.
• Nau pai theihna chu siam ṭhat leh theih a ni.

Enkawlna ber chu Operative Hysteroscopy a ni. Hei hi diagnostic hysteroscopy nen a inang hle. Mahse, he procedure-ah hian camera leh scissors emaw laser emaw pair nalh tak tak chu uterus chhungah dahin uluk takin adhesions te chu an cut chhuak thin. Hetiang tih dan hi vawi khat aia tam tih a ngai thei a, chu chu natna nasat dan azirin a ni.

Operation hnua enkawl tur thil

He surgery hnua harsatna lian ber chu adhesions lo kir leh theihna a ni. I doctor chuan chutiang a nih loh nan hma engemaw zat a la ang.

• Hormone damdawi pek: Hormone estrogen pek hian nausen pum chhunga lining (endometrium) chu rang tak leh tha takin a lo thang lian thei a ni.
• Nausen pum chhunga inkharkhip dah: Nausen bangte a inzawm khawm loh nan operation hnuah ni engemaw zat chhung chu nausen chhungah balloon te tak te (intrauterine balloon) emaw catheter emaw dah theih a ni.
• Antibiotics pek: Hengte hi balloon ang chi thil a awm laiin natna kai loh nan pek thin a ni.

Operation hnu kar khat emaw kar hnih vel hnuah adhesion thar a lo awm tan em tih enfiah leh theih a ni.

Asherman syndrome nei fa neih theih a ni em?

Hei hi mi tam tak tan chuan zawhna lian tak a ni. "Ni e, i ti thei" emaw "ni lo, i ti thei lo" emaw tih dik tak pek a harsa hle. I dinhmun nasat dan leh i enkawlna hlawhtlinnaah a innghat.

A tlangpuiin Asherman syndrome na tak leh na tak nei te hian enkawl hnuah pawh naupai leh naupai hrisel tak an neih theihna chance a hniam deuh hlek a ni.

Zirchianna pakhatin a sawi dan chuan:

• Mild adhesions nei zinga 60.7% chu enkawl hnuah nau an pai a ni.
• Moderate adhesions nei zinga 53.4% ​​chu enkawl hnuah naupai an ni.
• Adhesions na tak nei zinga 25% chu enkawl hnuah nau an pai tawh a ni.

Heng statistics te hian hlauthawng suh. I doctor chuan i dinhmun hriatthiamna tha ber a pe ang che. A pawimawh ber chu i doctor hnena i fertility goal chungchangah inhawng leh rinawm taka sawi hi a ni.