Ngaba ukhe waphawula ukuba ixesha lakho lenyanga liye lehla kakhulu okanye laphela ngokupheleleyo emva kokuba wenze i-D&C, okanye i-hysterectomy? Ngaba uziva iintlungu zesisu eziqatha kakhulu kunesiqhelo ngexesha lakho lexesha? Ngaba usaphupha ngokuba nomntwana? Sihlala sicinga ngezi zinto njengezinto eziqhelekileyo, mhlawumbi utshintsho lweehomoni, size sizilibale. Kodwa le isenokuba yimeko efuna unyango ngokwenene. Sithetha ngenye yezi meko namhlanje. Leyo yi -Asherman's Syndrome .
Ngamafutshane, yintoni i-Asherman's Syndrome?
Ngamafutshane, i-Asherman syndrome kukukhula kwezicubu ezinamathelayo okanye ukunamathela ngaphakathi kwesibeleko sakho kunye/okanye umlomo wesibeleko. Oogqirha ngamanye amaxesha babiza oku ngokuthi "ukunamathela ngaphakathi kwesibeleko".
Cinga ngesibeleko sakho njengebhaluni encinci. Ngokwesiqhelo, iindonga zangaphakathi zale bhaluni ziyahamba ngokukhululekileyo, ngaphandle kokunamathelana. Kodwa kwenzeka ntoni ukuba ngesizathu esithile ezi ndonga zangaphakathi zenzakala, kwaye njengoko ezo zingozi ziphola, kuvela amanxeba, kwaye iindonga ziqala ukunamathelana? Yiloo nto eyenzekayo nalapha. Ezi ntambo zinciphisa ubungakanani besithuba ngaphakathi kwesibeleko. Oku kunokubangela iingxaki ezifana neentlungu, ukuya exesheni okungaqhelekanga, kunye nokungabi nabantwana.
Uziva kamnandi ngomzimba wakho. Ukuba ubona utshintsho kumjikelo wakho wokuya exesheni okanye intlungu entsha, kungcono ukuthetha nogqirha endaweni yokucinga ukuba, "Oku kuqhelekile."
Uyazi njani ukuba unesifo i-Asherman syndrome? Zithini iimpawu?
Ayingabo bonke abantu abafumana iimpawu ezifanayo. Abanye abantu basenokungabi nazo kwaphela iimpawu. Kodwa kukho iimpawu ezimbalwa eziqhelekileyo. Makhe sijonge ukuba ziyintoni na.
| Uphawu | Ingcaciso elula |
|---|---|
| I-Hypomenorrhea (ukuhamba kwegazi okuncinci kakhulu kokuya exesheni) | Kutheni umntu obenexesha elithatha iintsuku ezi-4-5 ngoku efumana amabala osuku olunye okanye ezimbini kuphela? |
| Ukuyeka ngokupheleleyo ukuya exesheni (i-Amenorrhea) | Ngequbuliso ndingayi exesheni kangangeenyanga ngaphandle kwesizathu. |
| Intlungu ebuhlungu esezantsi kwesisu (iDysmenorrhea) | Intlungu enganyamezelekiyo kwiintsuku ezikhokelela exesheni okanye xa kufuneka ukuba sexesheni. |
| Ubunzima bokukhulelwa umntwana (Ukungazali) | Ukungakwazi ukukhulelwa nangona uzama ixesha elide ngaphandle kwendlela yokulawula inzala. |
| Ukuphuma Kwesisu Okuphindaphindiweyo | Nokuba ukhulelwe, i-embryo ayikhuli kakuhle kwisibeleko, nto leyo ebangela ukuba isisu siphume. |
Ngamanye amaxesha, nangona ungenaxesha lokuya exesheni, usenokuziva uxinezelekile xa ixesha lakho lifikile. Oku kuthetha ukuba ixesha lakho liyenzeka, kodwa izicubu zesilonda zisenokuba zivale indlela engaphakathi kwesibeleko sakho kwaye zithintele ukuphuma kwegazi.
Kutheni le nto ezi ntlobo zokunamathela zenzeka? Zithini izizathu eziphambili?
Isizathu esiphambili sokuba ezi zinto zinamathele kukwenzakala okanye ukwenzakala kwingaphakathi lesibeleko, i-"Endometrium." Ingakumbi ukuba iindawo ezimbini zodonga lwangaphakathi lwesibeleko ezijongeneyo zenzakele ngaxeshanye, amathuba okuba zinamathelene njengoko ziphila aphezulu.
Oogqirha bahlula izizathu zoku zibe ziindidi ezimbini eziphambili.
1. Izizathu ezinxulumene nokukhulelwa
Uphando lufumanise ukuba ngaphezulu kwe-90% yeemeko ze-Asherman syndrome zibangelwa yinkqubo ye-D&C (Dilation and Curettage) eyenziwa ngexesha lokukhulelwa. I-D&C yinkqubo nje esusa kwaye icoce ingaphakathi lesibeleko. Ezi ziimeko apho i-D&C inokwenziwa khona:
- Ukuphelisa ukukhulelwa.
- Susa iindawo eziseleyo zesibeleko emva kokuphuma kwesisu okungaphelelanga.
- Ukuba kukho naliphi na ilungu le-placenta elisele esibelekweni emva kokuba umntwana ezelwe, lisuse.
Isibeleko sinobuthathaka kakhulu emva kokukhulelwa. Ngamaxesha anjalo, nokuba umonakalo omncinci kwi-"endometrium" unokukhokelela ekwakhiweni kwezicubu ezinkulu zesilonda. Amaxesha amaninzi, le meko inokwenzeka nasemva kotyando lwe-cesarean (C-section).
2. Izizathu ezingahambelani nokukhulelwa
Nangona i-D&C idla ngokwenziwa ngezizathu ezinxulumene nokukhulelwa, i-D&Cs kunye nezinye iindlela zotyando nazo zenziwa ngezinye izizathu.
- Ukuba ukrokrela ukuba unomhlaza wesibeleko, fumana isampuli yezicubu (i-biopsy).
- Susa iipolyps esibelekweni.
- I-Hysteroscopy yindlela yotyando yokususa ii-fibroids zesibeleko.
- Utyando lokususa isibeleko esisecaleni.
Ukongeza koku,
- Usulelo oluqatha lwe-pelvic
- Izinto ezifana nonyango lwe-radiation kwindawo ye-pelvic nazo zinokubangela oku.
Ifunyaniswa njani le meko? Zeziphi iimvavanyo ezenziwayo?
Xa uxelela ugqirha wakho ngeempawu zakho, uza kukubuza ngembali yakho yezonyango, ingakumbi naluphi na utyando lwangaphambili (njenge-D&C). Emva koko, baya kucebisa uvavanyo oluninzi ukuqinisekisa imeko.
Uvavanyo olungcono noluchanekileyo koku yi-diagnostic hysteroscopy. Oku kuquka ukufaka ityhubhu encinci kakhulu enekhamera eqhotyoshelweyo kwilungu lobufazi kunye nomlomo wesibeleko kwaye uhlolisise ingaphakathi lesibeleko sakho. Oku kuvumela ugqirha ukuba abone ngokucacileyo ukuba zingaphi ii-adhesions ngaphakathi kwesibeleko kunye nokuba zinjani na.
Ukongeza, i-"Transvaginal Ultrasound Scan" nayo inokwenziwa. Ngamanye amaxesha, ngexesha lolu vavanyo, kufakwa isixa esincinci sesisombululo setyuwa esibelekweni, nto leyo ebangela ukuba isibeleko sidumbe kancinci ngaphambi kovavanyo. Oku kuvumela ukuba kufunyanwe umfanekiso ongcono wangaphakathi kwesibeleko kunye naluphi na uncamathelo, ukuba lukhona.
Ngaba kukho amanqanaba obunzima be-Asherman syndrome?
Ewe, le meko inokwahlulwahlulwa ibe ngamanqanaba ahlukeneyo ngokuxhomekeke kubunzima bayo. Oku kuya kukunceda wena nogqirha wakho ukuba niyiqonde ngcono imeko.
| Iqonga | Inkcazo |
|---|---|
| Isifo Esincinci | Kukho izincamathelo ezimbalwa ezibhityileyo, ezifana ne-membrane ngaphantsi kwesithathu sesibeleko. Ukuya exesheni kunokuba yinto eqhelekileyo okanye kunciphe kancinci. |
| Isifo Esiphakathi | Phakathi kwesithathu nesibini kwisithathu sesibeleko kukho umxube wemixokelelwane ebhityileyo netyebileyo. Ukuya exesheni kuncitshiswa kakhulu. |
| Isifo Esibi | Ngaphezulu kwesibini kwisithathu sesibeleko sigqunywe ziingcingo eziqinileyo. Amaxesha amaninzi, ukuya exesheni kuye kwaphela. |
Zithini iindlela zonyango zoku?
Kukho unyango loku. Injongo ephambili yonyango kukususa izicubu ezibuhlungu nokubuyisela isibeleko kwimo yaso eqhelekileyo. Ukuba awuziva ntlungu kwaye awufuni ukuba nabantwana, usenokungadingi naluphi na unyango. Nangona kunjalo, ukuba uneempawu, unyango lungabandakanya:
- Intlungu ingathomalaliswa.
- Umjikelo wokuya exesheni unokubuyiselwa.
- Amandla okukhulelwa umntwana anokubuyiselwa.
Unyango oluphambili yi -Operative Hysteroscopy. Oku kufana ne-diagnostic hysteroscopy. Nangona kunjalo, kule nkqubo, kufakwa ikhamera kunye nesikere esincinci kakhulu okanye i-laser kwisibeleko kwaye ukunamathela kuyasikwa ngononophelo. Le nkqubo inokufuneka yenziwe ngaphezu kwesinye, kuxhomekeke kubukhulu bemeko.
Izinto ekufuneka uzinyamekele emva kotyando
Eyona ngxaki inkulu emva kolu tyando kukubuyela kwengozi yokunamathela. Ugqirha wakho uza kuthatha amanyathelo aliqela ukuthintela oku.
- Ukunika amayeza eehomoni: Ukunika ihomoni i-estrogen kunceda ukuba ulwelo lwesibeleko (i-endometrium) lukhule ngokukhawuleza nangokufanelekileyo.
- Ukufakwa kwesithintelo kwisibeleko: Ibhaluni encinci (ibhaluni yangaphakathi kwesibeleko) okanye i-catheter inokufakwa ngaphakathi kwesibeleko kangangeentsuku ezimbalwa emva kotyando ukuthintela udonga lwesibeleko ukuba lunganamatheli.
- Ukunika amayeza okubulala iintsholongwane: La mayeza anikwa ukuthintela usulelo ngelixa kukho into efana nebhaluni.
Ungaphinda uhlolwe malunga neveki okanye ezimbini emva kotyando ukuze kubonwe ukuba kukho ukunamathelana okutsha okuqalileyo na.
Ngaba kunokwenzeka ukuba nomntwana one-Asherman syndrome?
Lo ngumbuzo omkhulu kubantu abaninzi. Kunzima ukuphendula ngokuthe ngqo ngokuthi “ewe, unako” okanye “hayi, awukwazi.” Kuxhomekeke ekubeni imeko yakho imbi kangakanani na kunye nempumelelo yonyango lwakho.
Ngokubanzi, abantu abane-Asherman syndrome ephakathi ukuya kweqatha banethuba eliphantsi lokukhulelwa nokugcina ukukhulelwa okunempilo nokuba emva konyango.
Ngokutsho kophando olunye:
- Kwabo bane-adhesion encinci, ama-60.7% akhulelwe emva konyango.
- Kwabo bane-adhesion ephakathi , ama-53.4% akhulelwe emva konyango.
- Ama-25% abo bane-adhesion enzima baye bakhulelwa emva konyango.
Musa ukoyika ngezi zibalo. Ugqirha wakho uza kukunika ukuqonda okungcono ngemeko yakho. Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo nangokunyaniseka nogqirha wakho malunga neenjongo zakho zokuzala.
Ukuba umfazi one-Asherman syndrome ukhulelwa, kuthathwa njengokukhulelwa okunobungozi obukhulu. Ugqirha wakho uza kukubeka esweni wena nomntwana wakho ngokusondeleyo kuba kukho ithuba elincinci leengxaki ezifana nokubeleka ngaphambi kwexesha kunye ne-placenta previa.
Umyalezo Wokuya Ekhaya
- I-Asherman syndrome kukwakheka kwezicubu zesilonda (ukunamathela) ngaphakathi kwesibeleko.
- Le meko idla ngokuvela emva kotyando olufana notyando lwe-D&C (ukwandiswa kunye nokulungiswa kwezicubu).
- Iimpawu eziphambili kukuncipha okanye ukungabikho kwexesha lokuya exesheni, iintlungu eziqatha, kunye nobunzima bokukhulelwa.
- Le meko ingachongwa ngokuchanekileyo nge-hysteroscopy.
- Ezi adhesions zinokunyangeka ngotyando ukuze zisuswe. Nangona kunjalo, kukho umngcipheko wokuba adhesions ziphinde zenzeke.
- Le meko inokuchaphazela ukuzala kwakho, ngoko ke kubalulekile ukuthetha ngokukhululekileyo nogqirha wakho malunga nezicwangciso zakho zexesha elizayo.
- Awuwedwa. Le meko ingalawulwa ngonyango olufanelekileyo kunye nesikhokelo.
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