Uke waphawula ukuthi ukuya kwakho kwanyanga zonke kuye kwehla ngokuzumayo kakhulu noma kwaphela ngokuphelele ngemva kokuhlinzwa kwe-D&C, noma ukususwa kwesibeletho? Ingabe uzwa ubuhlungu obukhulu besisu kunokuvamile phakathi nesikhathi sakho sokuya esikhathini? Ingabe usaphupha ngokuba nomntwana? Ngokuvamile sicabanga ngalezi zinto njengezivamile, mhlawumbe izinguquko zamahomoni, bese sizikhohlwa. Kodwa lokhu kungaba yisimo esidinga ngempela ukunakekelwa kwezokwelapha. Sikhuluma ngesinye sezimo ezinjalo namuhla. Leso yi -Asherman's Syndrome .
Kalula nje, iyini i-Asherman's Syndrome?
Kalula nje, i-Asherman syndrome ukuvela kwezicubu zesilonda noma ukunamathela ngaphakathi kwesibeletho sakho kanye/noma emlonyeni wesibeletho. Odokotela ngezinye izikhathi bakubiza lokhu ngokuthi “ukunamathela ngaphakathi kwesibeletho”.
Cabanga ngesibeletho sakho njengebhaluni elincane. Ngokuvamile, izindonga zangaphakathi zaleli bhaluni ziyageleza ngokukhululeka, ngaphandle kokunamathelana. Kodwa kwenzekani uma ngesizathu esithile lezi zindonga zangaphakathi zilimala, futhi njengoba lezo zingozi ziphola, kwakheka izibazi, futhi izindonga ziqala ukunamathelana? Yilokho okwenzekayo nalapha. Lokhu kunamathelana kunciphisa inani lesikhala ngaphakathi kwesibeletho. Lokhu kungabangela izinkinga ezifana nobuhlungu, ukuya esikhathini okungajwayelekile, kanye nokungabi nabantwana.
Uzizwa kahle ngomzimba wakho. Uma ubona ushintsho emjikelezweni wakho wokuya esikhathini noma ubuhlungu obusha, kungcono ukukhuluma nodokotela esikhundleni sokucabanga ukuthi, "Lokhu kujwayelekile."
Wazi kanjani ukuthi unesifo i-Asherman? Ziyini izimpawu?
Akuwona wonke umuntu obhekana nezimpawu ezifanayo. Abanye abantu bangase bangabi nazo nhlobo izimpawu. Kodwa kunezimpawu ezimbalwa ezivamile. Ake sibheke ukuthi ziyini.
| Isibonakaliso | Incazelo elula |
|---|---|
| I-Hypomenorrhea (ukuhamba kwegazi okuncane kakhulu kokuya esikhathini) | Kungani umuntu owayevame ukuba nesikhathi esithatha izinsuku ezingu-4-5 manje esenesikhathi sosuku olulodwa noma ezimbili kuphela? |
| Ukuyeka ngokuphelele ukuya esikhathini (i-Amenorrhea) | Kungazelelwe ngiphuthelwe ukuya esikhathini izinyanga ngaphandle kwesizathu. |
| Ubuhlungu obukhulu besisu esingezansi (i-Dysmenorrhea) | Ubuhlungu obungabekezeleleki phakathi nezinsuku eziholela esikhathini noma lapho sekufanele kube khona ukuya esikhathini. |
| Ubunzima bokukhulelwa umntwana (Ukungazali) | Ukungakwazi ukukhulelwa naphezu kokuzama isikhathi eside ngaphandle kwanoma yiluphi uhlobo lokuvimbela inzalo. |
| Ukukhishwa Kwesisu Okuphindaphindiwe | Ngisho noma ukhulelwa, umbungu uyehluleka ukumila nokukhula kahle esibelethweni, okuholela ekuphuphumeni kwesisu. |
Ngezinye izikhathi, noma ungenayo isikhathi sokuya esikhathini, ungase uzizwe uzizwa ubuhlungu lapho kufika isikhathi sokuya esikhathini. Lokhu kusho ukuthi ukuya kwakho esikhathini kuyenzeka ngempela, kodwa izicubu zesilonda zingase zivale indlela engaphakathi kwesibeletho sakho futhi zivimbele igazi ukuthi liphume.
Kungani lezi zinhlobo zokunamathela zenzeka? Yiziphi izizathu eziyinhloko?
Isizathu esiyinhloko sokwakheka kwalokhu kunamathelana ukulimala noma ukulimala kolwelwesi lwangaphakathi lwesibeletho, i-"Endometrium." Ikakhulukazi uma izingxenye ezimbili zodonga lwangaphakathi lwesibeletho ezibhekene zilimele ngesikhathi esisodwa, amathuba okuthi zinamathele ndawonye njengoba ziphola aphezulu.
Odokotela bahlukanisa izizathu zalokhu ngezigaba ezimbili eziyinhloko.
1. Izimbangela ezihlobene nokukhulelwa
Ucwaningo luthole ukuthi amacala angaphezu kuka-90% e-Asherman syndrome abangelwa inqubo ye-D&C (Dilation and Curettage) eyenziwa ngesikhathi sokukhulelwa. I-D&C imane nje inqubo esusa futhi ihlanze ingaphakathi lesibeletho. Lezi yizimo lapho i-D&C ingenziwa khona:
- Ukuqeda ukukhulelwa.
- Susa izingxenye ezisele zesibeletho ngemva kokukhipha isisu okungaphelele.
- Uma kukhona izingxenye ze-placenta ezisele esibelethweni ngemva kokubeletha umntwana, zisuse.
Isibeletho sinozwela kakhulu ngemva kokukhulelwa. Ngaleso sikhathi, ngisho nokulimala okuncane kwe-"endometrium" kungabangela ukwakheka kwezicubu ezinkulu zesilonda. Akuvamile kakhulu, lesi simo singavela nangemva kokuhlinzwa (ukuhlinzwa kwe-C).
2. Izimbangela ezingahlobene nokukhulelwa
Nakuba i-D&C ivame ukwenziwa ngezizathu ezihlobene nokukhulelwa, i-D&Cs kanye nokunye ukuhlinzwa kwenziwa nangezinye izizathu.
- Uma kusolwa ukuthi umdlavuza wesibeletho ukhona, thola isampula yezicubu (i-biopsy).
- Susa ama-polyp esibelethweni.
- I-Hysteroscopy inqubo yokuhlinzwa yokususa ama-fibroids esibelethweni.
- Ukuhlinzwa kokususa isibeletho esinobuthi.
Ngaphezu kwalokhu,
- Ukutheleleka okukhulu kwe-pelvic
- Izinto ezifana nokwelashwa ngemisebe endaweni ye-pelvic nazo zingabangela lokhu.
Sitholakala kanjani lesi simo? Yiziphi izivivinyo ezenziwayo?
Uma utshela udokotela wakho ngezimpawu zakho, uzobuza ngomlando wakho wezokwelapha, ikakhulukazi noma yikuphi ukuhlinzwa kwangaphambilini (njengokuhlinzwa kwe-D&C). Ngemuva kwalokho, bazoncoma ukuhlolwa okuningana ukuqinisekisa isimo.
Ukuhlolwa okungcono kakhulu nokunembile kwalokhu yi-hysteroscopy yokuxilonga. Lokhu kuhilela ukufaka ithubhu elincane kakhulu elinekhamera exhunywe ngesitho sakho sangasese sowesifazane kanye nomlomo wesibeletho bese kuhlolwa ingaphakathi lesibeletho sakho. Lokhu kuvumela udokotela ukuthi abone ngokucacile ukuthi zingaki izinti ezinamathelayo ngaphakathi kwesibeletho nokuthi ziyini.
Ngaphezu kwalokho, i-"Transvaginal Ultrasound Scan" nayo ingenziwa. Ngezinye izikhathi, phakathi nalokhu kuskena, inani elincane lesisombululo sikasawoti lifakwa esibelethweni, okwenza isibeletho sivuvuke kancane ngaphambi kokuskena. Lokhu kuvumela isithombe esingcono sengaphakathi lesibeletho kanye nanoma yikuphi ukunamathela, uma kukhona, ukuthi kutholakale.
Ingabe zikhona izigaba zobunzima be-Asherman syndrome?
Yebo, lesi simo singahlukaniswa ngezigaba eziningana kuye ngokuthi sibucayi kangakanani. Lokhu kuzokusiza wena nodokotela wakho ukuba niqonde kangcono lesi simo.
| Isiteji | Incazelo |
|---|---|
| Isifo Esincane | Kunezinhlayiya ezimbalwa ezincane, ezifana nolwelwesi ngaphansi kwengxenye yesithathu yesibeletho. Ukuya esikhathini kungaba okuvamile noma kuncishiswe kancane. |
| Isifo Esimaphakathi | Phakathi kwengxenye eyodwa kwezintathu nezingxenye ezimbili kwezintathu zesibeletho kunengxube yokunamathelana okuncane nokujiyile. Ukuya esikhathini kuncishiswe kakhulu. |
| Isifo Esibi Kakhulu | Ingxenye engaphezu kwezingxenye ezimbili kwezintathu zesibeletho imbozwe yizinti ezinamathelayo. Ngokuvamile, ukuya esikhathini kusuke kume ngokuphelele. |
Yiziphi izindlela zokwelapha lokhu?
Kukhona ukwelashwa kwalokhu. Umgomo oyinhloko wokwelashwa ukususa izicubu zesilonda nokubuyisela isibeletho esimweni saso esijwayelekile. Uma ungenabuhlungu futhi ungafisi ukuba nezingane, ungase ungadingi ukwelashwa. Kodwa-ke, uma unezimpawu, ukwelashwa kungafaka:
- Ubuhlungu bungadamba.
- Umjikelezo wokuya esikhathini ungabuyiselwa.
- Ikhono lokukhulelwa ingane lingabuyiselwa.
Ukwelashwa okuyinhloko yi -Operative Hysteroscopy. Lokhu kufana ne-diagnostic hysteroscopy. Kodwa-ke, kule nqubo, kufakwa ikhamera kanye nesikele esincane kakhulu noma i-laser esibelethweni bese kunqunywa ngokucophelela ukunamathela. Le nqubo ingadinga ukwenziwa izikhathi ezingaphezu kwesisodwa, kuye ngokuthi isimo sibucayi kangakanani.
Izinto okufanele uzinakekele ngemva kokuhlinzwa
Inselele enkulu ngemva kwalokhu kuhlinzwa ingozi yokubuya kwe-adhesion. Udokotela wakho uzothatha izinyathelo eziningana ukuvimbela lokhu.
- Ukunikeza imithi yamahomoni: Ukunikeza i-hormone i-estrogen kusiza ukuthi ulwelwesi lwesibeletho (i-endometrium) lukhule ngokushesha futhi kahle.
- Ukufakwa kwesithiyo esibelethweni: Ibhaluni elincane (ibhaluni langaphakathi kwesibeletho) noma i-catheter ingafakwa ngaphakathi kwesibeletho izinsuku ezimbalwa ngemva kokuhlinzwa ukuze kuvinjelwe izindonga zesibeletho ukuthi zinganamatheli ndawonye.
- Ukunikeza ama-antibiotic: Lawa anikezwa ukuvimbela ukutheleleka ngenkathi kukhona into efana nebhaluni.
Ungase uhlolwe kabusha cishe isonto noma amabili ngemva kokuhlinzwa ukuze kubonakale ukuthi kukhona yini ukunamathela okusha okuqalile ukwakheka.
Kungenzeka yini ukuba nomntwana one-Asherman syndrome?
Lona umbuzo omkhulu kubantu abaningi. Kunzima ukusho ngokuqondile ukuthi “yebo, ungakwazi” noma “cha, awukwazi.” Kuncike ebunzimeni besimo sakho kanye nempumelelo yokwelashwa kwakho.
Ngokuvamile, abantu abane-Asherman syndrome ephakathi nendawo kuya kwenzima banethuba eliphansi lokukhulelwa nokugcina ukukhulelwa okunempilo ngisho nangemva kokwelashwa.
Ngokusho kocwaningo olulodwa:
- Kulabo abanezinkinga ezincane zokunamathela, abangu-60.7% bakhulelwa ngemva kokwelashwa.
- Kulabo abane-adhesion ephakathi nendawo , abangu-53.4% bakhulelwa ngemva kokwelashwa.
- Ama-25% alabo abanamathele kakhulu bakhulelwa ngemva kokwelashwa.
Ungakhathazeki ngalezi zibalo. Udokotela wakho uzokunikeza ukuqonda okungcono kakhulu ngesimo sakho. Into ebaluleke kakhulu ukuvuleleka nokwethembeka kudokotela wakho mayelana nemigomo yakho yokuzala.
Uma owesifazane one-Asherman syndrome ekhulelwa, kubhekwa njengokukhulelwa okuyingozi kakhulu. Udokotela wakho uzokuqapha wena nomntwana wakho eduze kakhulu ngoba kunethuba elincane lezinkinga ezifana nokubeletha ngaphambi kwesikhathi kanye ne-placenta previa.
Umlayezo Wokuya Nawe Ekhaya
- I-Asherman syndrome ukwakheka kwezicubu zesilonda (ukunamathela) ngaphakathi kwesibeletho.
- Lesi simo sivame ukwenzeka ngemva kokuhlinzwa okufana nokuhlinzwa kwe-D&C (ukwanda kanye nokususwa kwezicubu).
- Izimpawu eziyinhloko ukuncipha noma ukungabikho kokuya esikhathini, ubuhlungu obukhulu, kanye nobunzima bokukhulelwa.
- Lesi simo singahlolwa ngokunembile nge-hysteroscopy.
- Lokhu kunamathela kungelashwa ngokuhlinzwa ukuze kususwe. Kodwa-ke, kunengozi yokuthi ukunamathela kuphinde kwenzeke.
- Lesi simo singathinta ukuzala kwakho, ngakho-ke kubalulekile ukukhuluma ngokukhululekile nodokotela wakho ngezinhlelo zakho zesikhathi esizayo.
- Awuwedwa. Lesi simo singaphathwa ngokwelashwa okufanele kanye nesiqondiso.
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