Reka tumenye byinshi kuri Asherman's Syndrome. Ese iyi ndwara ishobora kukugiraho ingaruka?

Ese ufite ibibazo bijyanye n'imihango yawe? Wenda ni ngufi cyane, cyangwa bisa nkaho imihango yawe yahagaze burundu? Cyangwa utegereje umwana kandi biratinda? Imwe mu mpamvu zibitera ni indwara yitwa Asherman's Syndrome. Reka tubiganireho birambuye uyu munsi.

Ese mu by'ukuri indwara ya Asherman ni iki?

Muri make, Asherman syndrome ni indwara aho inkovu , izwi kandi nka adhesions, ziyongera mu mura wawe. Tekereza ko umura wawe ari icyumba gito. Iyi nkovu ituma inkuta z'icyo cyumba zikomera. Hanyuma se bigenda bite? Umwanya uri imbere mu mura uragabanuka.

Iyo nyababyeyi ibaye nto cyane, ushobora kugira ububabare mu kibuno, kuva amaraso mu kibuno ku buryo budasanzwe, ndetse n'ibibazo byo kubyara. Inkuru nziza ni uko hari uburyo bwo kuvura bushobora kugufasha kugabanya ibimenyetso by'indwara.

Indwara ya Asherman ikunze kugaragara gute?

Indwara ya Asherman mu by’ukuri ifatwa nk'indwara idakunze kugaragara . Biragoye kuvuga neza umubare w'abantu bayirwaye, kuko rimwe na rimwe ntimenyekana. Ibyo biterwa nuko hari abantu badafite ibimenyetso. Niba rero udafite ibimenyetso, ntiwajya kwa muganga, sibyo?

Ni nde ufite amahirwe menshi yo kurwara indwara ya Asherman?

Ibi ni ingenzi. Indwara ya Asherman si indwara iterwa n'ingirabuzimafatizo . Ibi bivuze ko hari ikintu kiba ku mura wawe gituma iyi nkovu ivuka. Hari impamvu nyinshi zishobora kubitera. Urugero, kubagwa, kwandura indwara, no kuvura kanseri.

Ushobora kuba ufite ibyago byinshi byo kurwara iyi ndwara mu bihe nk'ibi:

• Niba warabazwe nyababyeyi yawe: Urugero, kubagwa hysteroscopy, D&C (Dilation and Curettage) kubera inda cyangwa indi mpamvu, cyangwa kubagwa C-section.
• Niba warigeze kugira indwara zo mu kibuno.
• Niba waravuwe kanseri.

Ese indwara ya Asherman iterwa n'uturemangingo?

Oya. Indwara ya Asherman akenshi si indwara iterwa n'uturemangingo . Ni ukuvuga ko idakwirakwira mu miryango. Nkuko byavuzwe mbere, ishobora kubaho nk'ingaruka zo kubagwa, kuvurwa, cyangwa kwandura indwara.

Ni ibihe bimenyetso by'indwara ya Asherman?

Niba ufite indwara ya Asherman, ushobora kugira ibimenyetso bitandukanye. Ibi birimo:

• Isuku mu gihe cy'imihango iba mu rugero ruto cyane.(`(hypomenorrhea)`).
• Guhagarika burundu imihango (amenorrhea) cyangwa kuva amaraso mu buryo butunguranye.
• Kubabara cyane cyangwa kubabara mu kibuno.
• Kugorwa no gusama umwana cyangwa, iyo utwite, kurera umwana.

Ariko ibuka ko hari ubwo iyi ndwara ishobora kubaho nta bimenyetso. Nanone, ishobora kugaragara ku bantu bafite imihango isanzwe. Niba wumva utameze neza mu nda yo hasi, cyangwa niba hari impinduka zidasanzwe mu mihango yawe, menya neza ko wagiye kwa muganga.

Kuki indwara ya Asherman ibaho? Ni izihe mpamvu?

Indwara ya Asherman ibaho iyo inkovu (adhesions) zikomeje kwiyongera mu mura, zigafunga umwanya mu mura ndetse rimwe na rimwe zigafunga umura. Hari impamvu nyinshi zibitera, ariko impamvu nyamukuru ni ukubagwa mu mura cyangwa mu mura .

Reka turebe impamvu nyamukuru:

• Gupima igitsina (hysteroscopy): Muri ubu buryo, muganga ashyira igikoresho gifite kamera mu mura agakoresha icyuma gikoresha amashanyarazi kugira ngo agabanye udukoko two mu mura. Ibi bishobora gusiga inkovu.
• Kubaga `D&C - Kwagura no Gucurettage`: Ibi bikubiyemo gufungura (`(kwagura)`) umura no gukuramo ingingo mu mura. Iyi ngingo ishobora kuba igice cy'urukuta rw'imbere rw'umura (`(endometrium)`), cyangwa ishobora kuba ingingo yasigaye ku `(gukuramo inda)` cyangwa `(gukuramo inda)`. Kubera ko ingingo yakuweho, akenshi inkovu nke ziba zihari keretse iyo hari ubwandu (`(ubwandu)`) icyo gihe. Ariko, hari ibyago byo gukomereka mu gihe D&C ikorewe hamwe n'ubwandu.
• Kubagwa C-section: Hari igihe inkovu zishobora kuvuka nyuma y'uku kubagwa kugira ngo habyarwe umwana. Izi ngaruka ziba nyinshi cyane cyane iyo imisumari ikoreshwa mu guhagarika kuva amaraso (`(kuva amaraso menshi)`) mu gihe cyo kubagwa C-section yanduye. Bitabaye ibyo, Asherman syndrome iba gake cyane nyuma yo kubagwa C-section gusa.
• Indwara: Indwara zonyine ntabwo akenshi zitera Asherman syndrome. Ariko, niba ufite ubwandu mu gihe cyo kubagwa D&C cyangwa C-section, ushobora kurwara Asherman syndrome. Urugero, niba ubaye indwara nka cervicitis cyangwa indwara yo kubyimba mu kibuno (PID), uba uri mu kaga.
• Kuvura imirasire: Hari igihe, kuvura indwara nka kanseri hakoreshejwe imirasire bishobora no gutuma inkovu zivuka mu mura. Urugero, kuvura kanseri y'inkondo y'umura hakoreshejwe imirasire bishobora gutera indwara ya Asherman bitewe n'inkovu itera.

Ese IUD ishobora gutera Asherman syndrome?

Igikoresho cyo mu nda (IUD) ni uburyo bwo kuboneza urubyaro igihe kirekire. Kisigara mu nda y'umura imyaka myinshi. Iyo igikoresho nk'icyo kishyizwe mu mubiri, hari ibyago byo kwandura no gukomeretsa ingirangingo. Ariko, ntabwo byagaragaye ko IUD itera Asherman syndrome . Nanone, nta sano rigaragara hagati ya IUD n'iki kibazo.

Indwara ya Asherman ipimwa ite?

Indwara ya Asherman ikunze kumenyekana iyo ufite ibimenyetso nko kubabara mu nda yo hasi, kubura amaraso, kuva amaraso adasanzwe, cyangwa kugorwa no gutwita cyangwa kubyara umwana. Amateka yawe y'ubuvuzi nayo ashobora kugufasha kuyisuzuma. Muganga wawe ashobora gukeka ko ufite Asherman syndrome niba warigeze kuba warakorewe D&C, kubagwa mu kibuno, kuvurwa hakoreshejwe imirasire, cyangwa kwandura indwara yo mu kibuno.

Iyo ugiye kwa muganga, azabaza amateka yawe yose y’uburwayi. Niba warakorewe kubagwa mu kibuno kitari mu nyandiko zawe z’ubuvuzi, menya neza ko wabibwiye muganga wawe. Aya makuru ni ingenzi cyane mu gusuzuma indwara ya Asherman. Nyuma yaho muganga azakora isuzuma ry’umubiri. Ariko kugira ngo arebe neza ibirimo kuba mu mura wawe, muganga azakora ikizamini cyitwa sonohysterogram. Ibi bikubiyemo gutera umuti muto wa saline mu mura wawe ukoresheje catheter nto. Hanyuma, hifashishwa ultrasound ya transvaginal kugira ngo harebwe ingingo iyo ari yo yose ifunga umura cyangwa umura.

Ni ibihe bipimo bindi byo gupima bikoreshwa mu gusuzuma indwara ya Asherman?

Ibi bizamini byo gufata amashusho byemerera muganga kubona ingingo ziri mu mubiri wawe. Ibizamini bitandukanye bishobora gutanga ibisobanuro bitandukanye.

Dore bimwe mu bipimo byo gupima bishobora gufasha gusuzuma indwara ya Asherman:

• Gupima hakoreshejwe ikoranabuhanga rya Ultrasound: Ibi bikoresha amajwi kugira ngo bikore amashusho y'ingingo z'imbere. Ibi bishobora gukorwa binyuze mu ruhu, cyangwa bigakorwa binyuze mu gitsina nka ultrasound ikoreshwa mu gitsina. Ibi bisaba gushyira igikoresho gito mu gitsina.
• Hysteroscopy: Muri ubu buryo, muganga akoresha igikoresho gito (hysteroscope) gifite kamera ifatanye na cyo kugira ngo arebe imbere mu mura. Iyi mashini inyuzwa mu gitsina cy'umugore ikajya mu mura inyuze mu mura. Ibi bituma imbere mu mura hagaragara neza cyane. Ubu buryo bwa hysteroscopy bunakoreshwa mu kuvura indwara ya Asherman.
• Isuzuma ry'imiti iterwa n'umunyu:Iki kizamini gikoresha umuti wa saline (uruvange rw'umunyu n'amazi) hamwe na scan ya ultrasound kugira ngo haboneke ishusho isobanutse y'imbere mu mura. Iki gipimo gituma umura waguka gato, bigatuma muganga abona imiterere y'umwobo w'umura n'ibindi bintu bidasanzwe.

Indwara ya Asherman ivurwa ite?

Hari uburyo bwinshi bwo kuvura indwara ya Asherman. Iyo uganiriye na muganga wawe, ni byiza kuganira ku buryo iyo ndwara ikutera kumva - ibintu nk'ububabare ufite - ndetse niba uteganya kubyara mu gihe kizaza. Hari igihe, niba umugore nta bimenyetso afite, kutabivura ni amahitamo. Ariko, niba uteganya kubyara mu gihe kizaza, hari uburyo bwo kuvura bushobora gufasha gukuraho inkovu. Nanone, niba ufite ububabare mu nda cyangwa mu nda yo hepfo, ubu buryo bwo kuvura bushobora gufasha.

Intego nyamukuru yo kuvura ni ugukuraho inkovu no gusubiza nyababyeyi ku bunini n'imiterere yayo bisanzwe. Kuvura indwara ya Asherman bishobora gufasha muri ibi bikurikira:

• Kugabanya ububabare.
• Gusubizaho imihango isanzwe ya buri kwezi (imihango).
• Niba utari hafi gucura, byongerera amahirwe yo kongera gusama.

Muganga ashobora gukoresha uburyo bwitwa hysteroscopy kugira ngo akureho ibisebe (adhesions) mu mura. Nkuko byavuzwe mbere, igikoresho gito cyitwa hysteroscope gikoreshwa mu kureba imbere mu mura no gukuraho ibisebe. Ubu buryo ni bworoshye cyane. Ariko, kimwe mu byago ni uko ibisebe byiza biri mu mura bishobora kwangirika mu gihe cyo gukuraho ibisebe.

Nyuma yo kubagwa, katheta nto (catheter yo mu nda) ishobora gushyirwa mu mura mu gihe cy'iminsi mike, hamwe n'imiti igabanya ubukana bwa estrogen. Ibi bikorwa kugira ngo bigabanye ibyago byo kongera kurema inkovu. Mu by'ukuri, estrogen ituma igice cy'imbere cy'umura gikira (endometrium). Katheta ikora nk'uruzitiro rufatika rubuza inkuta z'imbere n'inyuma z'umura gufatana. Iyo katheta imaze gushyirwamo, hatangwa imiti yica udukoko kugira ngo hakumirwe indwara zishobora kwandura.

Ese indwara ya Asherman ishobora kwirindwa?

Inkovu zigaragara muri Asherman syndrome zishobora kubaho nk'ingaruka mbi z'ubundi buryo butandukanye bwo kwa muganga. Kenshi na kenshi, ntushobora kuzirinda kuko uburyo bwo kuzivura ari ngombwa. Ariko, ni ngombwa buri gihe kuganira n'umuganga wawe ku ngaruka zose mbere yo kujya kwa muganga. Muganga wawe ashobora gutegura ibizamini byo gukurikirana nyuma yo kubagwa kugira ngo arebe niba hari inkovu zibaho no gukurikirana niba Asherman syndrome ishobora kuba.

Ese indwara ya Asherman ishobora gukira burundu?

Iyo ubuvuzi bwa Asherman syndrome bugenze neza, ibimenyetso byawe bigomba kugabanuka. Uko igihe kigenda gihita, muganga wawe azakurikirana ikibazo cyawe kugira ngo arebe neza ko nta gisebe gishya cyavutse.

Ese nzashobora kubyara nyuma yo kuvurwa indwara ya Asherman?

Kenshi na kenshi, yego, ushobora gusama umwana nyuma yo kuvurwa indwara ya Asherman. Ubugumba buragoye gato, kuko impamvu idahora yoroshye kuyibona. Ariko, niba muganga wawe yasanze Asherman syndrome ari yo mpamvu nyamukuru itera ubugumba bwawe, kuvurwa bishobora kongera amahirwe yawe yo gusama no kubyara umwana muzima.

Ese indwara ya Asherman ishobora gutera ubugumba?

Hari impamvu nyinshi zishobora gutuma habaho ubugumba. Hari igihe ibintu byinshi bishobora kugira ingaruka icyarimwe. Niba umaze amezi 12 ugerageza (cyangwa amezi 6 niba urengeje imyaka 35) kandi utarabasha gusama cyangwa kubyara, muganga wawe azakora ibizamini byinshi kugira ngo amenye icyateye ubugumba bwawe. Muri ibi bizamini, muganga wawe ashobora gusanga ufite inkovu mu nda yawe. Kugira inkovu nyinshi mu nda yawe bishobora kuba imwe mu mpamvu zituma ugira ubugumba.

Ese indwara ya Asherman ishobora gutera gukuramo inda?

Ushobora gutwita niba ufite Asherman syndrome. Ariko, Asherman syndrome ituma nyababyeyi iba nto cyane ku mwana uri gukura. Ibi bishobora guteza ibibazo mu gihe cyo gutwita kuko umwana uri gukura aba akeneye umwanya imbere muri nyababyeyi. nyababyeyi irakura mu gihe cyose cyo gutwita. Nanone, gufata nyababyeyi ku rukuta rw'inkondo y'umura ni ingenzi mu mikurire y'umwana uri gukura.

Ingorane ziterwa na Asherman syndrome zirimo kwiyongera k'ibyago byo gukuramo inda, kubyara umwana wapfuye, cyangwa kuba umwana atarabyara neza mu gihe cyo gutwita. Kuba umwana atarabyara neza mu gihe cyo gutwita ni indwara aho placenta ifata hasi cyane ku rukuta rw'umura. Ibi bishobora kuziba umura, bigatuma umwana atava mu mura. Iyi ndwara kandi ifitanye isano no kuva amaraso menshi no gukenera kubagwa.

"Niba ufite ububabare mu nda, ububabare bwo mu nda yo hasi, cyangwa ibibazo byo kutabyara, ni byiza kuvugana na muganga. Indwara ya Asherman ni indwara ivurwa. Ibimenyetso byawe bikunze kumera neza iyo uvuwe."

Reka twibuke ibintu by'ingenzi cyane (Ubutumwa bwo kujyana mu rugo)

Sawa, rero ukurikije ibyo twaganiriyeho, ndizera ko wasobanukiwe neza indwara ya Asherman. Dore ibintu by'ingenzi ugomba kwibuka:

• Indwara ya Asherman ni indwara aho inkovu zitangira kwibasira nyababyeyi, bigatuma nyababyeyi iba nto.
• Impamvu nyamukuru ibitera ni ukubagwa mu mura,Cyane cyane D&C, hysteroscopy, ndetse rimwe na rimwe no kubagwa (niba hari ubwandu).
• Ibimenyetso bishobora kuba birimo imihango idahoraho cyangwa itabaho, kubabara mu nda yo hasi, no kugorwa no gutwita. Hari abantu bashobora kuba badafite ibimenyetso.
• Iyi si indwara y’uturemangingo.
• Ibizamini by'ubuvuzi birakenewe kugira ngo umuntu amenye neza indwara. Ikizamini cyitwa "Hysteroscopy" gikoreshwa haba mu gusuzuma no kuvura indwara.
• Ubuvuzi bushobora gukuraho inkovu, kugabanya ibimenyetso, no kongera uburumbuke.
• Niba ufite ibi bimenyetso, cyangwa ukaba warabazwe nyababyeyi, ni ngombwa gushaka inama kwa muganga. Kubimenya hakiri kare biroroshye kuvura.

Rero, ni ingenzi cyane kwita ku mubiri wawe n'ubuzima bwawe. Niba ufite ikibazo cyangwa gushidikanya, ntugatinye kuvugana na muganga. Ni bwo gusa dushobora gukomeza kugira ubuzima bwiza.

Indwara ya Asherman , inkovu zo mu mura, D&C, kubagwa muri cesarean, imihango, ubugumba, hysteroscopy