Masifunde ngakumbi nge-Asherman's Syndrome. Ngaba le meko ingakuchaphazela?

Ngaba uneengxaki ngexesha lakho lokuya exesheni? Mhlawumbi lifutshane kakhulu, okanye kubonakala ngathi ixesha lakho liphelile ngokupheleleyo? Okanye ulindele umntwana kwaye sele lihambile? Esinye sezizathu zoku yimeko ebizwa ngokuba yi-Asherman's Syndrome. Makhe sithethe ngoku ngokweenkcukacha namhlanje.

Yintoni kanye kanye i-Asherman's Syndrome?

Ngamafutshane, i-Asherman syndrome yimeko apho izicubu zesilonda , ezaziwa ngokuba kukunamathela, ziqokelelana ngaphakathi kwesibeleko sakho. Cinga ngesibeleko sakho njengegumbi elincinci. Esi silonda sibangela ukuba iindonga zelo gumbi zibe nkulu. Kwenzeka ntoni emva koko? Isithuba esingaphakathi kwesibeleko siyancipha.

Xa isibeleko siba sincinci kakhulu, unokuba neentlungu zesinqe, ukopha okungaqhelekanga kwesibeleko, kunye neengxaki zokuzala. Iindaba ezimnandi zezokuba kukho unyango olunokukunceda uthomalalise iimpawu zakho.

Ixhaphake kangakanani i-Asherman syndrome?

I-Asherman syndrome ithathwa njengesifo esingaqhelekanga . Kunzima ukutsho ukuba bangaphi abantu abanaso, kuba ngamanye amaxesha asifumaneki. Kungenxa yokuba abanye abantu abanazo iimpawu. Ngoko ke ukuba awunazo iimpawu, ubungayi kugqirha, akunjalo?

Ngubani onokuba nethuba elikhulu lokufumana isifo sika-Asherman?

Oku kubalulekile. I-Asherman syndrome ayisiyonto ifunyanwayo . Oku kuthetha ukuba kukho into eyenzekayo kwisibeleko sakho ebangela ukuba kubekho esi silonda. Kunokubakho izizathu ezininzi zoku. Umzekelo, utyando, usulelo, kunye nonyango lomhlaza.

Usenokuba sengozini enkulu yokuhlaselwa yile meko kwiimeko ezifana nezi:

• Ukuba ukhe wenziwa utyando kwisibeleko sakho: Umzekelo, i-hysteroscopy yotyando, i-D&C (Dilation and Curettage) ngenxa yokuphuphuma kwesisu okanye esinye isizathu, okanye i-C-section.
• Ukuba ukhe waba nosulelo lwe-pelvic ngaphambili.
• Ukuba ukhe wanyangwa umhlaza.

Ngaba i-Asherman syndrome ibangelwa lufuzo?

Hayi. I-Asherman syndrome ayisoloko ibangelwa yimfuza . Oko kukuthi, ayisebenzi kwiintsapho. Njengoko bekutshiwo ngaphambili, inokubakho njengesiphumo esingesihle sotyando, unyango, okanye usulelo.

Zithini iimpawu ze-Asherman syndrome?

Ukuba une-Asherman syndrome, unokufumana iimpawu ezahlukeneyo. Ezi ziquka:

• Ukucoceka kwexesha lokuya exesheni kwenzeka ngamanani amancinci kakhulu.(`(hypomenorrhea)`).
• Ukuyeka ngokupheleleyo ukuya exesheni (i-amenorrhea) okanye ukopha okungaqhelekanga.
• Ukuqaqamba okukhulu okanye iintlungu zesinqe.
• Ubunzima bokukhulelwa umntwana okanye, ukuba ukhulelwe, ukugcina umntwana.

Kodwa khumbula, kwezinye iimeko, le meko inokubakho ngaphandle kweempawu. Kwakhona, inokwenzeka nakubantu abanemijikelo eqhelekileyo yokuya exesheni. Ukuba uziva ungakhululekanga esiswini sakho esisezantsi, okanye ukuba kukho utshintsho olungaqhelekanga kumjikelo wakho wokuya exesheni, qiniseka ukuba ubona ugqirha.

Kutheni i-Asherman syndrome isenzeka? Zithini izizathu?

I-Asherman's syndrome yenzeka xa izicubu ezinamathelayo (ii-adhesions) ziqokelelana ngaphakathi kwesibeleko, zithintela indawo kwisibeleko kwaye ngamanye amaxesha zide zivale umlomo wesibeleko. Zininzi izizathu zoku, kodwa eyona nto iphambili kukutyandwa kwesibeleko okanye umlomo wesibeleko .

Makhe sibone ukuba zeziphi izizathu eziphambili:

• I-hysteroscopy yotyando: Kule nkqubo, ugqirha ufaka isixhobo esifakwe ikhamera esibelekweni aze asebenzise isixhobo sombane ukusika naziphi na ii-fibroids esibelekweni. Oku kunokushiya amanxeba.
• Utyando lwe-`D&C - Dilation and Curettage`: Oku kubandakanya ukuvula (`(dilate)`) umlomo wesibeleko kunye nokususa izicubu kwisibeleko. Ezi zicubu zinokuba yinxalenye yodonga lwangaphakathi lwesibeleko (`(endometrium)`), okanye zisenokuba zizicubu ezisele kwi-`(miscarriage)` okanye `(outbreaking)`. Ngenxa yokuba izicubu zikhuhliwe, zihlala zincinci izilonda ngaphandle kokuba kukho usulelo (`(infection)`) ngelo xesha. Nangona kunjalo, kukho umngcipheko wokulimala ukuba i-D&C yenziwe ngosulelo.
• Utyando lwe-C: Izicubu ezinamanxeba ngamanye amaxesha zinokuvela emva kolu tyando ukuze kubelekwe umntwana. Lo mngcipheko uphezulu ngakumbi ukuba imithungo esetyenziselwa ukunqanda ukopha (`(ukuvuza kwegazi)`) ngexesha lotyando lwe-C iyasuleleka. Ngaphandle koko, i-Asherman syndrome ayifumaneki rhoqo emva kotyando lwe-C kuphela.
• Iintsholongwane: Iintsholongwane zodwa azisoloko zibangela i-Asherman syndrome. Nangona kunjalo, ukuba unosulelo ngexesha lotyando lwe-D&C okanye lwe-C-section, usenokuba ne-Asherman syndrome. Umzekelo, ukuba utyando oluneemeko ezifana ne-cervicitis okanye isifo sokudumba kwe-pelvic (PID), usemngciphekweni.
• Unyango ngemitha: Ngamanye amaxesha, unyango ngemitha kwiimeko ezifana nomhlaza lunokubangela ukuba kubekho izicubu zesilonda esibelekweni. Umzekelo, unyango ngemitha yomhlaza wesibeleko lunokubangela i-Asherman syndrome ngenxa yamanxeba abangelwa yiyo.

Ngaba i-IUD ingabangela i-Asherman syndrome?

Isixhobo sangaphakathi kwesibeleko (i-IUD) yindlela yokulawula ukuzala ixesha elide. Sishiywa esibelekweni iminyaka eliqela. Xa isixhobo esinjalo sifakwa emzimbeni, kusoloko kukho umngcipheko wokosuleleka kunye nezicubu ezibomvu. Nangona kunjalo, i-IUD ayikabonakali ukuba ibangela i-Asherman syndrome . Kwakhona, akukho nxulumano lubalulekileyo phakathi kwe-IUDs nale meko.

I-Asherman syndrome ifunyaniswa njani?

I-Asherman syndrome idla ngokufunyaniswa ukuba uneempawu ezifana nentlungu esezantsi kwesisu, i-amenorrhea, ukopha okungaqhelekanga, okanye ubunzima bokukhulelwa okanye ukuthwala umntwana. Imbali yakho yezonyango inokukunceda ukuyifunyaniswa. Ugqirha wakho unokurhanela i-Asherman syndrome ukuba ukhe wane-D&C, wabelekwa ngotyando, wasebenzisa i-radiation therapy, okanye usulelo lwe-pelvic.

Xa ubona ugqirha, uza kukubuza ngembali yakho epheleleyo yezonyango. Ukuba ukhe wenziwa utyando lwe-pelvic olungekho kwiirekhodi zakho zonyango, qiniseka ukuba uxelela ugqirha wakho ngalo. Olu lwazi lubaluleke kakhulu ekuxilongeni i-Asherman syndrome. Ugqirha uza kwenza uvavanyo lomzimba. Kodwa ukuze abone ukuba kwenzeka ntoni ngaphakathi kwesibeleko sakho, ugqirha uza kwenza uvavanyo olubizwa ngokuba yi-sonohysterogram. Oku kuquka ukufaka isixa esincinci sesisombululo se-saline kwisibeleko sakho nge-catheter encinci. Emva koko, kusetyenziswa i-ultrasound ye-transvaginal ukujonga nayiphi na izicubu ezivala isibeleko okanye umlomo wesibeleko.

Ziziphi ezinye iimvavanyo zokujonga imifanekiso ezisetyenziswayo ukuxilonga i-Asherman syndrome?

Olu vavanyo lwemifanekiso luvumela ugqirha ukuba abone amalungu omzimba wakho. Uvavanyo olwahlukeneyo lunokubonelela ngamanqanaba ahlukeneyo eenkcukacha.

Nazi ezinye iimvavanyo zokujonga imifanekiso ezinokunceda ekuxilongeni i-Asherman syndrome:

• I-ultrasound scan: Oku kusebenzisa amaza esandi ukwenza imifanekiso yezitho zangaphakathi. Oku kungenziwa ngesikhumba, okanye kungenziwa nge-vaginal ultrasound njenge-transvaginal ultrasound. Oku kubandakanya ukufaka isixhobo esincinci kwi-vaginal.
• I-Hysteroscopy: Kule nkqubo, ugqirha usebenzisa isixhobo esincinci (i-hysteroscope) esinekhamera eqhotyoshelweyo kuso ukuze sijonge ngaphakathi kwesibeleko. Esi sifakwa nge-vagina size singene kwisibeleko nge-cervix. Oku kuvumela ukuba ingaphakathi lesibeleko libonakale ngokucacileyo. Le ndlela ye-hysteroscopy ikwasetyenziswa ukunyanga i-Asherman syndrome.
• I-sonography yokufakwa kwetyuwa:Olu vavanyo lusebenzisa isisombululo se-saline (umxube wetyuwa namanzi) kunye ne-ultrasound scan ukwenza umfanekiso ocacileyo wangaphakathi kwesibeleko. Esi sisombululo sibangela ukuba isibeleko sande kancinci, nto leyo evumela ugqirha ukuba abone imilo yesibeleko kunye nazo naziphi na iingxaki.

Iphathwa njani i-Asherman syndrome?

Kukho iindlela ezahlukeneyo zokunyanga i-Asherman syndrome. Xa uthetha nogqirha wakho, licebo elihle ukuthetha ngendlela le meko ekwenza uzive ngayo - izinto ezifana nentlungu onayo - kunye nokuba uceba ukuba nabantwana kwixesha elizayo. Kwezinye iimeko, ukuba umfazi akanazo iimpawu, ukunganyangi lukhetho. Nangona kunjalo, ukuba uceba ukuba nabantwana kwixesha elizayo, kukho unyango olunokunceda ukususa izicubu ezibuhlungu. Kwakhona, ukuba unentlungu esiswini okanye esezantsi kwesisu, olu nyango lunokunceda.

Eyona njongo yonyango kukususa izicubu ezibomvu nokubuyisela isibeleko kubukhulu baso obuqhelekileyo kunye nokuma kwaso. Unyango lwe-Asherman syndrome lunokunceda nge:

• Ukuphelisa iintlungu.
• Ukubuyisela imijikelo yenyanga eqhelekileyo yokuya exesheni (ukuya exesheni).
• Ukuba awukafiki kwixesha lokuyeka ukuya exesheni, kwandisa amathuba akho okukhulelwa kwakhona.

Ugqirha angasebenzisa inkqubo ebizwa ngokuba yi-hysteroscopy ukususa izicubu zesilonda (ukuncamathela) esibelekweni. Njengoko bekutshiwo ngaphambili, kusetyenziswa isixhobo esincinci esibizwa ngokuba yi-hysteroscope ukujonga ngaphakathi kwesibeleko nokususa izicubu zesilonda. Le yinkqubo ebuthathaka kakhulu. Nangona kunjalo, enye ingozi kukuba izicubu eziphilileyo esibelekweni zinokonakala ngelixa kususwa izicubu zesilonda.

Emva kotyando, i-catheter encinci (i-intrauterine catheter) inokufakwa ngaphakathi kwesibeleko kangangeentsuku ezimbalwa, kunye nonyango lwe-estrogen hormone. Oku kwenzelwa ukunciphisa umngcipheko wokwakheka kwakhona kwezicubu ezibomvu. Enyanisweni, i-estrogen ikhuthaza ukuphiliswa kolwelo lwangaphakathi lwesibeleko (i-endometrium). I-catheter isebenza njengomqobo obonakalayo othintela udonga lwangaphambili nolwangasemva lwesibeleko ukuba lunganamatheli kunye. Nje ukuba i-catheter ifakiwe, kunikwa ii-antibiotics ukuthintela usulelo olunokwenzeka.

Ngaba i-Asherman syndrome ingathintelwa?

Izicubu ezibonakala kwi-Asherman syndrome zinokwenzeka njengemiphumo emibi yezinye iinkqubo zonyango ezininzi. Kwiimeko ezininzi, awunakuyithintela kuba inkqubo iyimfuneko. Nangona kunjalo, kubalulekile ukuxoxa ngazo zonke iingozi nogqirha wakho ngaphambi kokuba wenze inkqubo yezonyango. Ugqirha wakho unokuhlela uvavanyo olulandelayo emva kotyando ukujonga izicubu ezifileyo kunye nokujonga ukuba i-Asherman syndrome inokwenzeka na.

Ngaba isifo sika-Asherman singanyangeka ngokupheleleyo?

Ukuba unyango lwe-Asherman syndrome luphumelele, iimpawu zakho ziya kuba ngcono. Ekuhambeni kwexesha, ugqirha wakho uya kujonga imeko yakho ukuqinisekisa ukuba akukho zicubu zintsha eziye zenzeka.

Ngaba ndiza kukwazi ukuba nomntwana emva konyango lwe-Asherman syndrome?

Kwiimeko ezininzi, ewe, unokukwazi ukukhulelwa umntwana emva konyango lwe-Asherman syndrome. Ukungazali kuyinkimbinkimbi ngakumbi, njengoko unobangela ungasoloko ufumaneka. Nangona kunjalo, ukuba ugqirha wakho ufumanise ukuba i-Asherman syndrome yeyona nto iphambili ekungazali kwakho, unyango lunokwandisa amathuba akho okukhulelwa nokuzala umntwana osempilweni.

Ngaba isifo sika-Asherman singabangela ukungazali?

Kunokubakho izizathu ezininzi zokungazali. Ngamanye amaxesha, izinto ezininzi zinokuba negalelo ngaxeshanye. Ukuba ubuzama iinyanga ezili-12 (okanye iinyanga ezi-6 ukuba ungaphezulu kweminyaka engama-35) kwaye awukwazanga ukukhulelwa okanye ukuba nomntwana, ugqirha wakho uya kwenza uvavanyo oluninzi ukuze afumane unobangela wokungazali kwakho. Ngexesha lovavanyo, ugqirha wakho unokufumanisa ukuba unezicwili zesilonda (ezibizwa ngokuba yi-Asherman syndrome) ngaphakathi kwesibeleko sakho. Ukuba nezicwili ezininzi zesilonda ngaphakathi kwesibeleko sakho kunokuba sesinye sezizathu zokungazali kwakho.

Ngaba isifo sika-Asherman singabangela ukuphuphuma kwesisu?

Usenokukhulelwa ukuba une-Asherman syndrome. Nangona kunjalo, i-Asherman syndrome ibangela ukuba isibeleko sibe ncinci kakhulu kumntwana okhulayo. Oku kunokubangela iingxaki ngexesha lokukhulelwa kuba umntwana okhulayo ufuna indawo ngaphakathi kwesibeleko. Isibeleko siyakhula kulo lonke ixesha lokukhulelwa. Kwakhona, ukunamathela kwe-placenta eludongeni lwesibeleko kubalulekile ekukhuleni komntwana okhulayo.

Iingxaki ezivela kwi-Asherman syndrome ziquka umngcipheko ophezulu wokuphuphuma kwesisu, ukuzalwa komntwana eswelekile, okanye i-placenta previa ngexesha lokukhulelwa. I-placenta previa yimeko apho i-placenta inamathela khona eludongeni lwesibeleko. Oku kunokuvala umlomo wesibeleko, kuthintele ukuphuma komntwana esibelekweni. Le meko ikwanxulunyaniswa nokopha kakhulu kunye nesidingo sotyando lwe-cesarean.

"Ukuba unentlungu yesisu ebuhlungu, iintlungu zesisu esisezantsi, okanye iingxaki zokungazali, kungcono ukuthetha nogqirha. I-Asherman syndrome yimeko enokunyangwa. Iimpawu zakho zihlala ziphucuka ngonyango."

Masikhumbule ezona zinto zibalulekileyo (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke ngokwezinto esizithethileyo, ndiyathemba ukuba ufumene ukuqonda okungcono nge-Asherman's Syndrome. Nazi izinto ezibalulekileyo ekufuneka uzikhumbule:

• I-Asherman syndrome yimeko apho izicubu zesilonda zenzeka ngaphakathi kwesibeleko, nto leyo ebangela ukuba isibeleko sibe mncinci.
• Isizathu esiphambili soku lutyando lwesibeleko,Ingakumbi i-D&C, i-hysteroscopy, kwaye ngamanye amaxesha i-cesarean section (ukuba ihamba nosulelo).
• Iimpawu zingabandakanya ukuya exesheni okungacwangciswanga okanye ukungabikho rhoqo, iintlungu zesisu esisezantsi, kunye nobunzima bokukhulelwa. Abanye abantu basenokungabi nazo naziphi na iimpawu.
• Le ayisiyongxaki yemfuza.
• Uvavanyo lwezonyango luyimfuneko ukuze kufunyanwe isifo ngokuchanekileyo. Uvavanyo olubizwa ngokuba yi-``Hysteroscopy``` lusetyenziselwa ukuxilongwa nonyango.
• Unyango lunokususa izicubu ezibuhlungu, lunciphise iimpawu, kwaye lonyuse ukuzala.
• Ukuba unezi mpawu, okanye ukhe wenza utyando lwesibeleko, kubalulekile ukufuna iingcebiso zonyango. Ukufunyaniswa kwangoko kulula ukunyanga.

Ngoko ke, kubaluleke kakhulu ukunyamekela umzimba wakho kunye nempilo yakho. Ukuba unemibuzo okanye amathandabuzo, ungabi nazintloni okanye ungoyiki ukuthetha nogqirha. Kulapho kuphela apho sinokuhlala siphilile khona.

I- Asherman syndrome, amanxeba esibeleko, i-D&C, utyando lotyando, umjikelo wokuya esikhathini, ukungazali, i-hysteroscopy