Kia ako tātou i ētahi atu kōrero mō te Mate Asherman. Tērā pea ka pāngia koe e tēnei mate?

He raruraru tō paheketanga? He poto rawa pea, he āhua kua mutu rawa rānei tō paheketanga? Kei te hapu koe, ā, kua roa te wā? Ko tētahi o ngā take o tēnei he mate e kiia nei ko te Asherman's Syndrome. Me kōrero taipitopito tātou mō tēnei i tēnei rā.

He aha tonu te mate a Asherman?

Ki te whakarapopoto, ko te mate Asherman he āhua e hangai ai te kiko whara , e mōhiotia ana ko te piri, ki roto i tō kōpū. Whakaarohia tō kōpū he rūma iti. Mā tēnei kiko whara ka matotoru ai ngā pakitara o taua rūma. Ka ahatia i muri mai? Ka iti haere te wāhi i roto i te kōpū.

Ina iti rawa te kōpū, ka pāngia pea koe e te mamae o te hope, te toto kōpū rerekē, me ngā raruraru whakawhānau. Ko te rongo pai, kei reira ngā maimoatanga hei āwhina i te whakamamae i ō tohumate.

He pēhea te noa o te mate Asherman?

E kiia ana te mate Asherman he mate onge . He uaua ki te kī tika e hia ngā tāngata e pāngia ana e tēnei mate, nā te mea i ētahi wā kāore e kitea he mate. Nā te mea kāore he tohu o ētahi tāngata. Nō reira, ki te kore he tohu, e kore koe e haere ki te tākuta, tika?

Ko wai te mea ka nui ake te tūponotanga ka pāngia e te mate Asherman?

He mea nui tēnei. Ehara te mate Asherman i te mate kua riro mai . Ko te tikanga tēnei ka pā he mea ki tō kōpū e puta ai tēnei kiko whara. He maha ngā take mō tēnei. Hei tauira, he pokanga, he mate pāwera, he maimoatanga matepukupuku rānei.

Tērā pea ka nui ake tō tūponotanga ki te whakawhanake i tēnei mate i roto i ngā āhuatanga pēnei i:

• Mena kua pokangahia tō kōpū: Hei tauira, he hysteroscopy pokanga, he D&C (Dilation and Curettage) mō te mate whānau, mō tētahi atu take rānei, he C-section rānei.
• Mena kua pāngia koe e ngā mate pukupuku o te hope i mua.
• Mena kua rongoatia koe mō te mate pukupuku.

He take ira te mate Asherman?

Kāo. Ehara te mate Asherman i te mate ira . Arā, kāore e puta i roto i ngā whānau. E ai ki te kōrero i mua ake nei, ka puta pea hei pānga taha o te pokanga, te maimoatanga, te mate pāwera rānei.

He aha ngā tohu o te mate Asherman?

Mena kei a koe te mate Asherman, tera pea ka pāngia koe e ngā momo tohu. Ko ētahi o ēnei ko:

• He iti noa te nui o te parakore o te paheketanga.(`(te korenga o te hāora i te wā e hapu ana)`).
• Te mutunga katoa o te paheketanga (amenorrhea) te toto koretake rānei.
• Te mamae nui o te hope, te kōpiri rānei.
• Te uaua ki te hapu, ki te hapu rānei, te pupuri i te tamaiti.

Engari kia maumahara, i ētahi wā, ka kitea pea tēnei āhuatanga me te kore he tohu. Waihoki, ka pā mai pea ki te hunga he auau noa ō rātou paheketanga. Ki te pāngia koe e te mamae i tō puku o raro, ki te rerekē rānei tō huringa paheketanga, me toro atu ki te tākuta.

He aha te take e puta ai te mate Asherman? He aha ngā take?

Ka puta te mate a Asherman ina hanga ngā kiko kiri (piripiri) ki roto i te kōpū, ka whakawhāiti i te wāhi i roto i te kōpū, ā, i ētahi wā ka ārai i te cervix. He maha ngā take mō tēnei, engari ko te tino take ko te pokanga ki te kōpū, ki te cervix rānei .

Kia tirohia tātou he aha ngā take matua:

• Hysteroscopy pokanga: I roto i tēnei tikanga, ka whakaurua e te tākuta he taputapu kei roto he kāmera ki roto i te kōpū, ā, ka whakamahia he taputapu hiko hei tapahi i ngā fibroid i roto i te kōpū. Tērā pea ka waiho he koha.
• Pokanga `D&C - Whakawhanui me te Whakatōtō`: Kei roto i tēnei ko te whakatuwheratanga (`(whakawhanui)`) o te kaki me te tango i te kiko mai i te kōpū. Tērā pea he wāhanga o te pakitara o roto o te kōpū (`(endometrium)`) tēnei kiko, he kiko rānei i toe mai i te `(whakatōtō)`, i te `(whakatahe)` rānei. Nā te mea kua waruhia te kiko, he iti noa te whara mēnā kāore he mate (`(mate)`) i taua wā. Heoi, tera pea he tūponotanga o te whara mēnā ka mahia he D&C me te mate.
• Wāhanga-C: Ka puta pea he kiko whara i muri i tēnei pokanga hei whānau i te pēpi. He nui rawa atu tēnei mōrearea mēnā ka pangia ngā tuitui i whakamahia hei aukati i te toto (`(hemorrhages)`) i te wā e Wāhanga-C. Ki te kore, he tino onge te mate Asherman i muri i te Wāhanga-C anake.
• Ngā Mate Pukupuku: Kāore ngā mate puku anake e puta ai te mate Asherman. Heoi, ki te pāngia koe e te mate i te wā e hapu ana, e mahi ana rānei i te wā e hapu ana, ka pāngia pea koe e te mate Asherman. Hei tauira, ki te pokanga koe me ngā āhuatanga pēnei i te cervicitis, te mate mumura pelvic rānei (PID), kei te tūpono koe.
• Maimoatanga irahiko: I ētahi wā, ka taea hoki e te maimoatanga irahiko mō ngā āhuatanga pēnei i te mate pukupuku te whakaputa i te kiko whara i roto i te kōpū. Hei tauira, ka taea e te maimoatanga irahiko mō te mate pukupuku kōpū te whakaputa i te mate Asherman nā te whara e puta mai ana.

Ka taea e te IUD te whakaputa i te mate Asherman?

He tikanga whakahaere whānau roa te taputapu intrauterine (IUD). Ka waihotia ki roto i te kōpū mō ngā tau maha. Ina whakauruhia tētahi taputapu pēnei ki roto i te tinana, kei reira tonu te tūponotanga o te mate me te kiko whara. Heoi, kāore anō kia whakamātauhia he take o te mate Asherman te IUD . Waihoki, kāore he hononga nui i waenga i ngā IUD me tēnei mate.

Me pēhea te tautuhi i te mate Asherman?

Ko te mate Asherman ka kitea i te nuinga o te wā mēnā kei a koe ngā tohu pēnei i te mamae o raro o te puku, te korenga o te hāputanga, te toto rerekē, te uaua rānei ki te hapu, ki te whānau rānei i tētahi pēpi. Ka āwhina hoki tō hītori hauora ki te tautuhi i tēnei mate. Tērā pea ka whakapae tō tākuta kei te mate Asherman koe mēnā kua whai D&C koe, kua pokanga tākihi, kua rongoā irahiko, kua pangia rānei te hope.

Ina kite koe i tētahi tākuta, ka pātai ia mō tō hītori hauora katoa. Mena kua pokangahia tō hope kāore i roto i ō pūkete hauora, kia mōhio koe ki te kōrero ki tō tākuta mōna. He mea nui rawa atu ēnei mōhiohio hei tātaritanga i te mate Asherman. Kātahi ka tirotirohia e te tākuta te tinana. Engari kia kitea ai te āhua o roto o tō kōpū, ka tirotirohia e te tākuta te sonohysterogram. Ko te werohanga o tētahi wai tote iti ki roto i tō kōpū mā roto i tētahi catheter iti. Kātahi ka whakamahia he ultrasound transvaginal hei tirotiro i tētahi kiko e ārai ana i te kōpū, i te cervix rānei.

He aha atu ngā whakamātautau whakaahua e whakamahia ana hei tautuhi i te mate Asherman?

Mā ēnei whakamātautau whakaahua ka taea e te tākuta te kite i ngā whekau o roto i tō tinana. Ka taea e ngā whakamātautau rerekē te whakarato i ngā taumata taipitopito rerekē.

Anei ētahi whakamātautau whakaahua hei āwhina i te tautuhi i te mate Asherman:

• Matawai Ultrasound: Ka whakamahia ngā ngaru oro hei hanga whakaahua o ngā whekau o roto. Ka taea tēnei mā te kiri, mā te tara rānei hei matawai transvaginal. Ko te whakauru i tētahi taputapu angiangi ki roto i te tara.
• Hysteroscopy: I tēnei tikanga, ka whakamahia e te tākuta tētahi taputapu angiangi (hysteroscope) me tētahi kāmera e piri ana ki roto hei tirotiro i roto i te kōpū. Ka whakaurua tēnei mā te tara, ā, ki roto i te kōpū mā te cervix. Mā tēnei ka kitea mārama te roto o te kōpū. Ka whakamahia hoki tēnei tikanga hysteroscopy hei rongoā i te mate Asherman.
• Te sonography o te werohanga tote:Ka whakamahia e tēnei whakamātautau he otinga tote (he ranunga tote me te wai) me te matawai ultrasound hei hanga i tētahi āhua mārama o roto o te kōpū. Mā tēnei otinga ka paku whānui te kōpū, ka taea e te tākuta te kite i te āhua o te kōhao kōpū me ngā āhuatanga rerekē katoa.

Me pēhea te rongoā i te mate Asherman?

He maha ngā huarahi hei rongoā i te mate Asherman. Ina kōrero koe ki tō tākuta, he mea pai kia kōrerohia te āhua o te mate ki a koe – ngā mea pēnei i te mamae e pā ana ki a koe – me te mea kei te whakamahere koe ki te whānau tamariki ā muri ake nei. I ētahi wā, ki te kore he tohu o te wahine, he kōwhiringa te kore rongoā. Heoi, ki te whakamahere koe ki te whānau tamariki ā muri ake nei, kei reira ngā maimoatanga hei āwhina i te tango i te kiko whara. Waihoki, ki te mamae tō puku, tō puku raro rānei, ka taea e ēnei maimoatanga te āwhina.

Ko te whāinga matua o te maimoatanga he tango i te kiko whara me te whakahoki i te kōpū ki tōna rahi me tōna āhua noa. Ka taea e te maimoatanga mō te mate Asherman te āwhina i:

• Whakamamae mamae.
• Te whakahoki mai i ngā huringa paheketanga o ia marama.
• Ki te kore koe e tata ki te paheketanga, ka nui ake te tūponotanga ka hapu anō koe.

Tērā pea ka whakamahia e te tākuta tētahi tikanga e kīia nei ko te hysteroscopy hei tango i ngā kiko whara (ngā piri) i roto i te kōpū. E ai ki te kōrero i mua ake nei, ka whakamahia he taputapu angiangi e kīia nei ko te hysteroscope hei tirotiro i roto i te kōpū, hei tango i te kiko whara. He tikanga tino ātaahua tēnei. Heoi, ko tētahi mōrearea ko te pakaru pea o te kiko hauora i roto i te kōpū i te wā e tangohia ana te kiko whara.

I muri i te pokanga, ka taea te whakanoho i tētahi catheter iti (intrauterine catheter) ki roto i te kōpū mō ētahi rā, me te rongoā homoni estrogen. Ka mahia tēnei hei whakaiti i te tūponotanga o te hanganga anō o te kiko whara. Inaa, ka whakatairanga te estrogen i te whakaora o te arai o roto o te kōpū (endometrium). Ka mahi te catheter hei ārai tinana e ārai ana i te piri o ngā pakitara o mua me muri o te kōpū. Kia whakauruhia te catheter, ka hoatu he paturopi hei ārai i ngā mate pea.

Ka taea te ārai i te mate Asherman?

Ko te kiko koha e kitea ana i te mate Asherman ka puta hei pānga taha o ētahi atu tikanga hauora. I te nuinga o te wā, kāore e taea te ārai i tēnei nā te mea he mea tika te tikanga. Heoi, he mea nui tonu kia kōrerohia ngā mōrearea katoa ki tō tākuta i mua i te whai tikanga hauora. Ka whakaritea pea e tō tākuta he whakamātautau whai muri i te pokanga hei tirotiro i te kiko koha me te aroturuki i te tūponotanga o te mate Asherman.

Ka taea te whakaora katoa i te mate Asherman?

Mena ka angitu te maimoatanga mō te mate Asherman, ka pai ake pea ō tohu. I roto i te wā, ka aroturukihia tō āhua e tō tākuta kia kore ai he kiko hou e puta mai.

Ka taea e au te whānau tamariki i muri i te maimoatanga mō te mate Asherman?

I te nuinga o te wā, āe, tera pea ka taea e koe te hapu i tētahi tamaiti i muri i te maimoatanga mō te mate Asherman. He uaua ake te kore tamariki, nā te mea he uaua ki te kimi i te pūtake. Heoi, ki te mea kua whakatauhia e tō tākuta ko te mate Asherman te tino take o tō kore tamariki, ka taea e te maimoatanga te whakanui ake i tō tupono ki te hapu me te whānau i tētahi pēpi hauora.

Ka taea e te mate Asherman te whakararu i te kore tamariki?

He maha ngā take mō te kore tamariki. I ētahi wā, he maha ngā āhuatanga ka pā ki te wā kotahi. Mena kua 12 marama koe e ngana ana (6 marama rānei mena kua neke atu koe i te 35 tau) ā, kāore anō kia taea e koe te hapu, te whānau rānei i tētahi pēpi, ka whakahaerehia e tō tākuta ētahi whakamātautau hei kimi i te take o tō kore tamariki. I roto i ēnei whakamātautau, ka kitea pea e tō tākuta he kiko whara kei roto i tō kōpū (e kiia nei ko te mate Asherman). Ko te nui o te kiko whara kei roto i tō kōpū tētahi o ngā take mō tō kore tamariki.

Ka taea e te mate Asherman te whakawhanau tamariki?

Ka taea tonu e koe te hapu mēnā kei a koe te mate Asherman. Heoi, ka iti rawa te kōpū mō te pēpi e tipu ana i te mate Asherman. Ka raru pea tēnei i te wā e hapu ana nā te mea me whai wāhi te pēpi e tipu ana i roto i te kōpū. Ka whānui te kōpū i te wā e hapu ana. Waihoki, he mea nui te piri o te whenua ki te pakitara kōpū mō te tipu o te pēpi e tipu ana.

Ko ngā raruraru o te mate Asherman ko te pikinga ake o te mōrearea o te mate whānau, te whānautanga mate, te placenta previa rānei i te wā e hapu ana. Ko te placenta previa he āhuatanga e piri ana te placenta ki raro rawa ki te pakitara o te kōpū. Ka ārai pea tēnei i te cervix, ka aukati i te putanga o te pēpi ki waho o te kōpū. E pā ana hoki tēnei āhuatanga ki te toto nui me te hiahia mō te pokanga cesarean.

"Mēnā he mamae tō puku, he mamae tō puku o raro, he raruraru rānei mō te kore tamariki, he mea pai tonu kia kōrero koe ki te tākuta. He mate ka taea te rongoā i te mate Asherman. Ka pai ake pea ō tohu i te nuinga o te wā mā te rongoā."

Kia maumahara tātou ki ngā mea tino nui (Karere hei kawe ki te kāinga)

Āe, mai i ngā mea kua kōrerohia e tātou, ko te tumanako kua mārama ake koe ki te mate Asherman. Anei ētahi mea nui hei maumahara māu:

• Ko te mate Asherman he āhuatanga e puta ai he kiko koha i roto i te kōpū, ka whaiti haere te kōpū.
• Ko te take matua mō tēnei ko te pokanga kōpū,Tērā pea ko te D&C, te hysteroscopy, ā, i ētahi wā ko te cesarean section (mēnā kei te haere tahi mai te mate).
• Ko ngā tohu pea ko te paheketanga koretake, te kore rānei o te paheketanga, te mamae o te puku o raro, me te uaua ki te hapu. Tērā pea kāore he tohu o ētahi tāngata.
• Ehara tēnei i te mate ira.
• He mea tika ngā whakamātautau hauora hei tautuhi tika i te mate. Ka whakamahia he whakamātautau e kīia ana ko te "Hysteroscopy" hei tautuhi me te maimoatanga.
• Ka taea e te maimoatanga te tango i te kiko koha, te whakamamae i ngā tohu, me te whakanui ake i te momonatanga.
• Mena kei a koe ēnei tohu, kua pokanga kōpū rānei, he mea nui kia rapu tohutohu hauora. He māmā ake te rongoā i te kitenga wawe.

Nō reira, he mea tino nui te tiaki i tō tinana me tō hauora. Mēnā he pātai, he ruarua rānei āu, kaua e whakamā, kaua hoki e mataku ki te kōrero ki te tākuta. Mā reira anake ka taea ai e tātou te noho hauora.

Te mate Asherman, te whara o te kōpū, te D&C, te pokanga cesarean, te huringa paheketanga, te kore tamariki, te hysteroscopy