Ngatidzidzei zvakawanda nezveAsherman's Syndrome. Dambudziko iri rinogona kukukanganisa here?

Uri kusangana nematambudziko nemwedzi wako here? Pamwe ipfupi kwazvo, kana kuti zvinoita sekunge mwedzi wako wamira zvachose? Kana kuti uri kutarisira mwana uye wava kunonoka? Chimwe chezvikonzero zveizvi chirwere chinonzi Asherman's Syndrome. Ngatikurukurei nezvazvo zvakadzama nhasi.

Chii chaizvo chinonzi Asherman's Syndrome?

Zvichitaurwa zviri nyore, Asherman syndrome chirwere apo mavanga , anozivikanwawo sekunamatira, anoungana mukati mechibereko chako. Funga nezvechibereko chako sekamuri kadiki. Mavanga aya anoita kuti madziro ekamuri iroro akobvu. Chii chinoitika ipapo? Nzvimbo iri mukati mechibereko inoderera.

Kana chibereko chava chidiki zvakanyanya, unogona kunzwa kurwadziwa muchiuno, kubuda ropa muchibereko zvisina kujairika, uye matambudziko ekushaya mbereko. Mashoko akanaka ndeekuti kune mishonga inogona kubatsira kuderedza zviratidzo zvako.

Chirwere cheAsherman chakajairika zvakadii?

Chirwere cheAsherman chinoonekwa sechirwere chisingawanzoitiki . Zvakaoma kutaura kuti vangani chaizvo vane chirwere ichi, nekuti dzimwe nguva hachionekwi. Izvi zvinodaro nekuti vamwe vanhu havana zviratidzo. Saka kana usina zviratidzo, haungaendi kuna chiremba, handiti?

Ndiani ane mukana mukuru wekuwana chirwere cheAsherman?

Izvi zvakakosha. Asherman syndrome haisi chirwere chinongoitika . Izvi zvinoreva kuti pane chimwe chinhu chinoitika kuchibereko chako chinoita kuti mavanga aya aumbe. Panogona kuva nezvikonzero zvakawanda zveizvi. Semuenzaniso, kuvhiyiwa, hutachiona, uye kurapwa kwegomarara.

Unogona kuva panjodzi yakakura yekuva nechirwere ichi mumamiriro ezvinhu akadai se:

• Kana wakambovhiyiwa chibereko chako: Semuenzaniso, kuvhiyiwa kwechibereko, kuvhiyiwa kweD&C (Dilation and Curettage) nekuda kwekubvisa pamuviri kana chimwe chikonzero, kana kuvhiyiwa kweC-section.
• Kana wakambova nezvirwere zvemuchiuno.
• Kana wakamborapwa gomarara.

Chirwere cheAsherman chinokonzerwa nemajini here?

Kwete. Asherman syndrome haisi chirwere chemajini . Kureva kuti, haiitike mumhuri. Sezvambotaurwa, inogona kuitika semhedzisiro yekuvhiyiwa, kurapwa, kana hutachiona.

Ndezvipi zviratidzo zveAsherman syndrome?

Kana uine Asherman syndrome, unogona kusangana nezviratidzo zvakasiyana-siyana. Izvi zvinosanganisira:

• Kuchena kwemwedzi kunoitika zvishoma.(`(hypomenorrhea)`).
• Kurega kuenda kumwedzi zvachose (amenorrhea) kana kubuda ropa zvisina kurongeka.
• Kurwadziwa kwakanyanya kana kurwadziwa muhudyu.
• Kuomerwa nekubata pamuviri kana, kana pamuviri, kuchengetedza mwana.

Asi yeuka, mune dzimwe nguva, chirwere ichi chinogona kuitika pasina zviratidzo. Zvakare, chinogona kuitika kune vanhu vane nguva yekuenda kumwedzi yakajairika. Kana uchinzwa kusagadzikana mudumbu rako rezasi, kana kana paine shanduko isingawanzoitika mumwedzi wako, iva nechokwadi chekuona chiremba.

Sei chirwere cheAsherman chichiitika? Ndezvipi zvikonzero?

Chirwere cheAsherman chinoitika kana mavanga (kunamatira) akaungana mukati mechibereko, zvichideredza nzvimbo muchibereko uye dzimwe nguva kutovhara chibereko. Pane zvikonzero zvakawanda zveizvi, asi chikonzero chikuru kuvhiyiwa kwechibereko kana chibereko .

Ngationei kuti zvikonzero zvikuru ndezvipi:

• Kuvhiya kwe hysteroscopy: Mukuita uku, chiremba anoisa chinhu chine kamera muchibereko uye anoshandisa mudziyo wemagetsi kucheka chero fibroids muchibereko. Izvi zvinogona kusiya mavanga.
• Kuvhiyiwa kwe`D&C - Dilation and Curettage`: Izvi zvinosanganisira kuvhura (`(dilate)`) muromo wechibereko uye kubvisa nyama kubva muchibereko. Nyama iyi inogona kunge iri chikamu chemadziro emukati mechibereko (`(endometrium)`), kana kuti inogona kunge iri nyama yasara kubva pakubviswa kwemimba kana `(kubvisa pamuviri)`. Nekuti nyama yacho yakakweshwa, kazhinji pane mavanga mashoma kunze kwekunge paine hutachiona (`(hutachiona)`) panguva iyoyo. Zvisinei, pane njodzi yekukuvadzwa kana D&C ikaitwa nehutachiona.
• Kuvhiyiwa kweC-section: Dzimwe nguva mavanga anogona kubuda mushure mekuvhiyiwa uku kuti mwana asununguke. Njodzi iyi inonyanya kukwira kana misono inoshandiswa kumisa kubuda ropa (`(kubuda ropa)`) panguva yekuvhiyiwa kweC-section ikabatwa nehutachiona. Zvikasadaro, Asherman syndrome haiwanzoitiki mushure mekuvhiyiwa kweC-section chete.
• Utachiona: Utachiona hwega hahuwanzo kukonzera Asherman syndrome. Zvisinei, kana uine hutachiona panguva yeD&C kana C-section, unogona kutanga Asherman syndrome. Semuenzaniso, kana ukavhiyiwa une zvirwere zvakaita secervicitis kana pelvic inflammatory disease (PID), uri panjodzi.
• Kurapwa nemwaranzi: Dzimwe nguva, kurapwa nemwaranzi yezvirwere zvakaita sekenza kunogona kukonzerawo mavanga muchibereko. Semuenzaniso, kurapwa nemwaranzi yekenza yemuromo wechibereko kunogona kukonzera Asherman syndrome nekuda kwemavanga ainokonzera.

Ko IUD inogona kukonzera Asherman syndrome here?

Chishandiso chemukati mechibereko (IUD) inzira yekudzivirira pamuviri kwenguva refu. Chinosiyiwa muchibereko kwemakore akati wandei. Kana chishandiswa chakadaro chikaiswa mumuviri, pane njodzi yehutachiona uye mavanga. Zvisinei, IUD haisati yaonekwa kuti inokonzera Asherman syndrome . Zvakare, hapana hukama hwakakosha pakati peIUDs nemamiriro ezvinhu aya.

Chirwere cheAsherman chinoonekwa sei?

Asherman syndrome inowanzoonekwa kana uine zviratidzo zvakaita sekurwadziwa mudumbu, amenorrhea, kubuda ropa zvisina kujairika, kana kuoma kubata pamuviri kana kutakura mwana. Nhoroondo yako yezvekurapa inogonawo kubatsira pakuongorora chirwere ichi. Chiremba wako anogona kufungidzira Asherman syndrome kana wakamboitwa D&C, cesarean section, radiation therapy, kana hutachiona hwechiuno.

Kana ukaona chiremba, achakubvunza nezvenhoroondo yako yese yezvekurapa. Kana wakambovhiyiwa pelvic isiri muzvinyorwa zvako zvekurapa, iva nechokwadi chekuudza chiremba wako nezvazvo. Ruzivo urwu rwakakosha zvikuru pakuongorora chirwere cheAsherman. Chiremba achaita bvunzo yemuviri. Asi kuti aone zviri kuitika mukati mechibereko chako, chiremba achaita bvunzo inonzi sonohysterogram. Izvi zvinosanganisira kubaya mushonga mudumbu mako nekatheta kadiki. Zvadaro, transvaginal ultrasound inoshandiswa kutsvaga chero nyama inovhara chibereko kana muromo wechibereko.

Ndezvipi zvimwe zviedzo zvemifananidzo zvinoshandiswa kuongorora chirwere cheAsherman?

Kuongororwa uku kunoita kuti chiremba akwanise kuona nhengo dziri mumuviri wako. Kuongororwa kwakasiyana kunogona kupa ruzivo rwakasiyana.

Heano mimwe miedzo yekufungidzira inogona kubatsira kuongorora Asherman syndrome:

• Kuongororwa kweUltrasound: Izvi zvinoshandisa mafungu eruzha kugadzira mifananidzo yenhengo dzemukati. Izvi zvinogona kuitwa nepaganda, kana kuti zvinogona kuitwa nepanhengo yemukati se ultrasound ye transvaginal. Izvi zvinosanganisira kuisa chinhu chitete munhengo yemukati.
• Hysteroscopy: Mukuita uku, chiremba anoshandisa mudziyo mutete (hysteroscope) une kamera yakabatanidzwa pairi kuti atarise mukati mechibereko. Izvi zvinopinzwa nepanhengo yemukadzi uye muchibereko kuburikidza nemuromo wechibereko. Izvi zvinoita kuti mukati mechibereko muonekwe zvakajeka. Nzira iyi yehysteroscopy inoshandiswawo kurapa Asherman syndrome.
• Kuongororwa kwekushandiswa kwesaline infusion:Bvunzo iyi inoshandisa mushonga we saline (musanganiswa wemunyu nemvura) pamwe chete ne ultrasound scan kuti pave nemufananidzo wakajeka wemukati mechibereko. Mushonga uyu unokonzera kuti chibereko chikure zvishoma, zvichiita kuti chiremba aone chimiro chedumbu rechibereko uye chero dambudziko ripi zvaro.

Chirwere cheAsherman chinorapwa sei?

Kune nzira dzakawanda dzekurapa Asherman syndrome. Paunotaura nachiremba wako, zvakanaka kutaura nezvekuti chirwere ichi chiri kukukonzera sei kunzwa - zvinhu zvakaita sekurwadziwa kwauri kuita - uye kana uri kuronga kuva nevana mune ramangwana. Mune dzimwe nguva, kana mukadzi asina zviratidzo, kusazvirapa isarudzo. Zvisinei, kana uchironga kuva nevana mune ramangwana, kune mishonga inogona kubatsira kubvisa mavanga. Uyewo, kana uine kurwadziwa mudumbu kana pasi pedumbu, mishonga iyi inogona kubatsira.

Chinangwa chikuru chekurapa kubvisa mavanga uye kudzorera chibereko kuhukuru hwacho nechimiro chacho. Kurapa Asherman syndrome kunogona kubatsira ne:

• Kurerutsira marwadzo.
• Kudzoreredza nguva yekuenda kumwedzi (kuenda kumwedzi) yakajairika.
• Kana usiri pedyo nekuguma kuenda kumwedzi, mikana yako yekubata pamuviri zvakare inowedzera.

Chiremba anogona kushandisa nzira inonzi hysteroscopy kubvisa mavanga (adhesions) muchibereko. Sezvambotaurwa, chishandiso chitete chinonzi hysteroscope chinoshandiswa kutarisa mukati mechibereko nekubvisa mavanga. Iyi inzira yakaoma zvikuru. Zvisinei, imwe njodzi ndeyekuti nyama ine hutano muchibereko inogona kukuvara panguva yekubvisa mavanga.

Mushure mekuvhiyiwa, katheta kadiki (intrauterine catheter) kanogona kuiswa mukati mechibereko kwemazuva mashoma, pamwe chete nekurapwa neestrogen hormone. Izvi zvinoitirwa kuderedza njodzi yekuumbwa kweganda remavanga zvakare. Kutaura zvazviri, estrogen inokurudzira kuporeswa kwemukati mechibereko (endometrium). Katheta inoshanda sechidziviriro chemuviri chinodzivirira madziro epamberi neekumashure echibereko kuti asanamatirane. Kana katheta yaiswa, mishonga inorwisa mabhakitiriya inopiwa kudzivirira hutachiona hunogona kuitika.

Chirwere cheAsherman chinogona kudzivirirwa here?

Mavanga anoonekwa muAsherman syndrome anogona kuitika semhedzisiro yemamwe maitiro ekurapa akati wandei. Kazhinji, haugone kudzivirira nekuti maitiro acho anodiwa. Zvisinei, zvakakosha nguva dzose kukurukura njodzi dzese nachiremba wako usati waita oparesheni yekurapa. Chiremba wako anogona kuronga bvunzo dzekutevera mushure mekuvhiyiwa kuti aongorore mavanga uye kuti aone kana paine mukana weAsherman syndrome.

Chirwere cheAsherman chinogona kurapwa zvizere here?

Kana kurapwa kweAsherman syndrome kukabudirira, zviratidzo zvako zvinofanira kuvandudzika. Nekufamba kwenguva, chiremba wako achatarisa mamiriro ako ezvinhu kuti ave nechokwadi chekuti hapana mavanga matsva aumbwa.

Ndichakwanisa here kuva nemwana mushure mekurapwa kweAsherman syndrome?

Kazhinji, hongu, unogona kukwanisa kubata pamuviri mushure mekurapwa kweAsherman syndrome. Kushaya mbereko kwakaoma zvishoma, sezvo chikonzero chacho chisiri nyore kuwana nguva dzose. Zvisinei, kana chiremba wako akaona kuti Asherman syndrome ndiyo inonyanya kukonzera kusabereka kwako, kurapwa kunogona kuwedzera mikana yako yekubata pamuviri nekubereka mwana ane hutano.

Chirwere cheAsherman chinogona kukonzera kusabereka here?

Panogona kuva nezvikonzero zvakawanda zvekusabereka. Dzimwe nguva, zvinhu zvakawanda zvinogona kukanganisa panguva imwe chete. Kana wave uchiedza kwemwedzi gumi nemiviri (kana mwedzi mitanhatu kana wapfuura makore makumi matatu nemashanu) uye usina kukwanisa kubata pamuviri kana kuva nemwana, chiremba wako achaita bvunzo dzakawanda kuti aone chikonzero chekusabereka kwako. Munguva yekuyedzwa uku, chiremba wako anogona kuona kuti une mavanga (anonzi Asherman syndrome) mukati mechibereko chako. Kuva nemavanga akawanda mukati mechibereko chako kunogona kuva chimwe chezvikonzero zvekushaya mbereko.

Chirwere cheAsherman chinogona kukonzera kupfupfudzika kwepamuviri here?

Unogona kuramba uine pamuviri kana uine Asherman syndrome. Zvisinei, Asherman syndrome inoita kuti chibereko chive chidiki zvakanyanya kuti mwana ari kukura. Izvi zvinogona kukonzera matambudziko panguva yekuzvitakura nekuti mwana ari kukura anoda nzvimbo mukati mechibereko. Chibereko chinokura panguva yekuzvitakura. Zvakare, kubatana kweplacenta kumadziro echibereko kwakakosha pakukura kwemwana ari kukura.

Matambudziko anokonzerwa neAsherman syndrome anosanganisira kuwedzera kwenjodzi yekubuda pamuviri, kubereka mwana akafa, kana placenta previa panguva yekuzvitakura. Placenta previa chirwere apo placenta inonamira pasi zvakanyanya kumadziro echibereko. Izvi zvinogona kuvhara muromo wechibereko, zvichivhara kubuda kwemwana muchibereko. Chirwere ichi chinobatanidzwawo nekubuda ropa rakawanda uye kudiwa kwechikamu checesarean.

"Kana uine kurwadziwa mudumbu, kurwadziwa mudumbu rezasi, kana matambudziko ekushaya mbereko, zvakanaka kutaura nachiremba. Asherman syndrome chirwere chinorapika. Zviratidzo zvako zvinowanzovandudzika nekurapwa."

Ngatiyeukei zvinhu zvinonyanya kukosha (Mharidzo Yekuenda Kumba)

Zvakanaka, kubva pane zvatakurukura, ndinovimba wanzwisisa zviri nani nezveAsherman's Syndrome. Heano zvimwe zvinhu zvakakosha zvekurangarira:

• Asherman syndrome chirwere chinotapukira apo mavanga anoumbwa mukati mechibereko, zvichiita kuti chibereko chiite diki.
• Chikonzero chikuru cheizvi kuvhiyiwa kwechibereko,Kunyanya D&C, hysteroscopy, uye dzimwe nguva cesarean section (kana ichiperekedzwa nehutachiona).
• Zviratidzo zvinogona kusanganisira kuenda kumwedzi zvisina kurongeka kana kusaenda kumwedzi, kurwadziwa mudumbu, uye kuoma kubata pamuviri. Vamwe vanhu vanogona kunge vasina zviratidzo.
• Ichi hachisi chirwere chemajini.
• Kuongororwa kwechiremba kunodiwa kuti chirwere chiongororwe nemazvo. Kuongororwa kunonzi ``Hysteroscopy`` kunoshandiswa pakuongorora chirwere pamwe nekurapa.
• Kurapa kunogona kubvisa mavanga, kuderedza zviratidzo, uye kuwedzera kubereka.
• Kana uine zviratidzo izvi, kana kuti wakambovhiyiwa chibereko, zvakakosha kutsvaga mazano kubva kuna chiremba. Kuonekwa kwechirwere ichi nekukurumidza kuri nyore kurapa.

Saka, zvakakosha zvikuru kuchengetedza muviri wako nehutano hwako. Kana uine mibvunzo kana kusava nechokwadi, usanyara kana kutya kutaura nachiremba. Ndipo chete patinogona kuramba tiine hutano hwakanaka.

Chirwere cheAsherman , mavanga emuchibereko, D&C, kubviswa kwepamuviri panguva yekuzvitakura, kutenderera kwemwedzi, kusabereka, hysteroscopy