Ake sifunde kabanzi nge-Asherman's Syndrome. Ingabe lesi simo singakuthinta?

Ingabe unezinkinga ngesikhathi sakho sokuya esikhathini? Mhlawumbe sifushane kakhulu, noma kubonakala sengathi isikhathi sakho sokuya esikhathini sesiphelile ngokuphelele? Noma ingabe ulindele umntwana futhi sekuyaphuza? Esinye sezizathu zalokhu yisimo esibizwa ngokuthi i-Asherman's Syndrome. Ake sixoxe ngalokhu ngokuningiliziwe namuhla.

Iyini ngempela i-Asherman's Syndrome?

Kalula nje, i-Asherman syndrome yisimo lapho izicubu zesilonda , ezaziwa nangokuthi ukunamathela, ziqongelela ngaphakathi kwesibeletho sakho. Cabanga ngesibeletho sakho njengegumbi elincane. Lezi zicubu zesilonda zibangela ukuthi izindonga zalelo gumbi zibe zinkulu. Kwenzekani-ke? Isikhala ngaphakathi kwesibeletho siyancipha.

Uma isibeletho siba sincane kakhulu, ungase uzwe ubuhlungu be-pelvic, ukopha okungavamile kwesibeletho, kanye nezinkinga zokuzala. Izindaba ezinhle ukuthi kunezindlela zokwelapha ezingasiza ekunciphiseni izimpawu zakho.

Ivame kangakanani i-Asherman syndrome?

I-Asherman syndrome empeleni ibhekwa njengesifo esingavamile . Kunzima ukusho ukuthi bangaki abantu abanaso, ngoba ngezinye izikhathi asitholakali. Lokho kungenxa yokuthi abanye abantu abanazo izimpawu. Ngakho uma ungenazo izimpawu, ngeke uye kudokotela, akunjalo?

Ubani onamathuba amaningi okuthola i-Asherman syndrome?

Lokhu kubalulekile. I-Asherman syndrome akuyona into eyenzeka esibelethweni sakho ebangela ukwakheka kwalesi silonda. Kungaba nezizathu eziningana zalokhu. Isibonelo, ukuhlinzwa, izifo, kanye nokwelashwa komdlavuza.

Ungase ube sengozini enkulu yokuthola lesi simo ezimweni ezifana nalezi:

• Uma uke wahlinzwa esibelethweni sakho: Isibonelo, i-hysteroscopy yokuhlinzwa, i-D&C (Dilation and Curettage) ngenxa yokuphuphuma kwesisu noma esinye isizathu, noma i-C-section.
• Uma uke waba nokutheleleka kwe-pelvic ngaphambilini.
• Uma uke welashwa umdlavuza.

Ingabe i-Asherman syndrome iwufuzo?

Cha. I-Asherman syndrome ngokuvamile ayisona isimo sofuzo . Okusho ukuthi, ayisebenzi emindenini. Njengoba kushiwo ngaphambili, ingaba umphumela ongemuhle wokuhlinzwa, ukwelashwa, noma ukutheleleka.

Ziyini izimpawu ze-Asherman syndrome?

Uma une-Asherman syndrome, ungase ube nezimpawu ezahlukahlukene. Lezi zimpawu zifaka:

• Ukuhlanzeka kokuya esikhathini kwenzeka ngamanani amancane kakhulu.(`(hypomenorrhea)`).
• Ukuyeka ngokuphelele ukuya esikhathini (i-amenorrhea) noma ukopha okungajwayelekile.
• Ubuhlungu obukhulu noma izinhlungu zesinqe.
• Ubunzima bokukhulelwa umntwana noma, uma ekhulelwe, ukunakekela umntwana.

Kodwa khumbula, kwezinye izimo, lesi simo singaba khona ngaphandle kwezimpawu. Futhi, singaba khona nakubantu abanemijikelezo evamile yokuya esikhathini. Uma uzizwa ungakhululekile esiswini sakho esingezansi, noma uma kukhona ushintsho olungavamile emjikelezweni wakho wokuya esikhathini, qiniseka ukuthi ubona udokotela.

Kungani i-Asherman syndrome yenzeka? Ziyini izimbangela?

I-Asherman's syndrome yenzeka lapho izicubu zesilonda (ukunamathela) zinqwabelana ngaphakathi kwesibeletho, zivimbela isikhala esibelethweni futhi ngezinye izikhathi zivimba ngisho nomlomo wesibeletho. Kunezimbangela eziningana zalokhu, kodwa imbangela eyinhloko ukuhlinzwa kwesibeletho noma umlomo wesibeletho .

Ake sibone ukuthi yiziphi izizathu eziyinhloko:

• I-hysteroscopy yokuhlinzwa: Kule nqubo, udokotela ufaka ithuluzi elifakwe ikhamera esibelethweni bese esebenzisa idivayisi kagesi ukusika noma yimaphi ama-fibroids esibelethweni. Lokhu kungashiya izibazi.
• Ukuhlinzwa kwe-`D&C - Dilation and Curettage`: Lokhu kuhilela ukuvula (`(dilate)`) umlomo wesibeletho nokususa izicubu esibelethweni. Lezi zicubu zingase zibe izingxenye zodonga lwangaphakathi lwesibeletho (`(endometrium)`), noma kungaba izicubu ezisele `(ukuphuphuma kwesisu)` noma `(ukukhipha isisu)`. Ngenxa yokuthi izicubu ziyaklwebheka, ngokuvamile kuba nezibazi ezincane ngaphandle kokuthi kukhona ukutheleleka (`(ukutheleleka)`) ngaleso sikhathi. Kodwa-ke, kunengozi yokuqhekeka kwezibazi uma kwenziwa i-D&C ngokutheleleka.
• Ukuhlinzwa kwe-C: Izicubu zezibazi ngezinye izikhathi zingavela ngemva kwalokhu kuhlinzwa ukuze kubelethwe umntwana. Le ngozi iphezulu kakhulu uma imithungo esetshenziselwa ukuvimba ukopha (`(ukopha)`) ngesikhathi sokuhlinzwa kwe-C itheleleka. Ngaphandle kwalokho, i-Asherman syndrome ayivamile kakhulu ngemva kokuhlinzwa kwe-C kuphela.
• Ukutheleleka: Ukutheleleka kuphela akuvamile ukubangela i-Asherman syndrome. Kodwa-ke, uma unesifo ngesikhathi sokuhlinzwa kwe-D&C noma i-C-section, ungase ube ne-Asherman syndrome. Isibonelo, uma uhlinzwa ngezimo ezifana ne-cervicitis noma isifo sokuvuvukala kwe-pelvic (PID), usengozini.
• Ukwelashwa ngemisebe: Ngezinye izikhathi, ukwelashwa ngemisebe yezimo ezinjengomdlavuza kungabangela nokwakheka kwezicubu zesilonda esibelethweni. Isibonelo, ukwelashwa ngemisebe yomdlavuza wesibeletho kungabangela i-Asherman syndrome ngenxa yezibazi ezibangelwa yiyo.

Ingabe i-IUD ingadala i-Asherman syndrome?

Idivayisi yangaphakathi kwesibeletho (i-IUD) iyindlela yokulawula inzalo yesikhathi eside. Ishiywa esibelethweni iminyaka eminingana. Uma idivayisi enjalo ifakwa emzimbeni, kuhlale kunengozi yokutheleleka kanye nezicubu ezibomvu. Kodwa-ke, i-IUD ayikabonakali ukuthi ibangela i-Asherman syndrome . Futhi, akukho ubudlelwano obubalulekile phakathi kwama-IUD nalesi simo.

I-Asherman syndrome itholakala kanjani?

I-Asherman syndrome ivame ukutholakala uma unezimpawu ezifana nobuhlungu besisu esingezansi, i-amenorrhea, ukopha okungavamile, noma ubunzima bokukhulelwa noma ukuthwala umntwana. Umlando wakho wezokwelapha ungasiza futhi ekuxilongeni. Udokotela wakho angase asole i-Asherman syndrome uma uke waba ne-D&C, ukuhlinzwa, ukwelashwa ngemisebe, noma ukutheleleka kwe-pelvic.

Uma ubona udokotela, uzobuza ngomlando wakho wezokwelapha ophelele. Uma uke wahlinzwa i-pelvic okungekho kumarekhodi akho ezokwelapha, qiniseka ukuthi utshela udokotela wakho ngakho. Lolu lwazi lubaluleke kakhulu ekuxilongweni kwe-Asherman syndrome. Udokotela uzobe esehlola umzimba. Kodwa ukuze abone ukuthi kwenzekani ngaphakathi kwesibeletho sakho, udokotela uzokwenza ukuhlolwa okubizwa ngokuthi i-sonohysterogram. Lokhu kuhilela ukufaka inani elincane lesisombululo se-saline esibelethweni sakho nge-catheter encane. Ngemuva kwalokho, kusetshenziswa i-ultrasound ye-transvaginal ukubheka noma yiziphi izicubu ezivimba isibeletho noma umlomo wesibeletho.

Yiziphi ezinye izivivinyo zezithombe ezisetshenziswa ukuxilonga i-Asherman syndrome?

Lezi zivivinyo zokuthwebula izithombe zivumela udokotela ukuthi abone izitho zomzimba wakho. Izivivinyo ezahlukene zinganikeza amazinga ahlukene emininingwane.

Nazi ezinye izivivinyo zezithombe ezingasiza ekuxilongeni i-Asherman syndrome:

• Ukuskena nge-Ultrasound: Lokhu kusebenzisa amaza omsindo ukudala izithombe zezitho zangaphakathi. Lokhu kungenziwa ngesikhumba, noma kungenziwa nge-vaginal ultrasound njenge-transvaginal ultrasound. Lokhu kuhilela ukufaka ithuluzi elincane esithweni sangasese ...
• I-Hysteroscopy: Kule nqubo, udokotela usebenzisa ithuluzi elincane (i-hysteroscope) elinekhamera enamathiselwe kulo ukuze abheke ngaphakathi kwesibeletho. Lokhu kufakwa ngesitho sangasese sowesifazane bese kungena esibelethweni ngomlomo wesibeletho. Lokhu kuvumela ukuthi ingaphakathi lesibeletho libonakale ngokucacile. Le ndlela ye-hysteroscopy isetshenziswa futhi ekwelapheni i-Asherman syndrome.
• I-sonography yokufakwa kwe-saline:Lokhu kuhlolwa kusebenzisa isisombululo se-saline (ingxube kasawoti namanzi) kanye ne-ultrasound scan ukudala isithombe esicacile sengaphakathi lesibeletho. Lesi sixazululo sibangela ukuthi isibeletho sikhule kancane, okuvumela udokotela ukuthi abone ukuma kwesibeletho kanye nanoma yikuphi ukukhubazeka.

Iphathwa kanjani i-Asherman syndrome?

Kunezindlela eziningana zokwelapha i-Asherman syndrome. Uma ukhuluma nodokotela wakho, kungumqondo omuhle ukukhuluma ngendlela lesi simo esikwenza uzizwe ngayo - izinto ezifana nobuhlungu obuzwayo - nokuthi uhlela yini ukuba nabantwana esikhathini esizayo. Kwezinye izimo, uma owesifazane engenazo izimpawu, ukungazilaphi kuyindlela engcono. Kodwa-ke, uma uhlela ukuba nabantwana esikhathini esizayo, kunezindlela zokwelapha ezingasiza ekususeni izicubu zesilonda. Futhi, uma unobuhlungu besisu noma besisu esingezansi, lezi zindlela zokwelapha zingasiza.

Umgomo oyinhloko wokwelashwa ukususa izicubu zesilonda nokubuyisela isibeletho kusayizi waso ojwayelekile kanye nesimo saso. Ukwelashwa kwe-Asherman syndrome kungasiza ngalokhu:

• Ukuqeda ubuhlungu.
• Ukubuyisela imijikelezo evamile yokuya esikhathini yanyanga zonke (ukuya esikhathini).
• Uma ungakafiki esikhathini sokunqamuka kokuya esikhathini, kwandisa amathuba akho okukhulelwa futhi.

Udokotela angase asebenzise inqubo ebizwa ngokuthi i-hysteroscopy ukususa izicubu zesibazi (ukunamathela) esibelethweni. Njengoba kushiwo ngaphambili, ithuluzi elincane elibizwa ngokuthi i-hysteroscope lisetshenziswa ukubheka ngaphakathi kwesibeletho nokususa izicubu zesibazi. Lena inqubo ebucayi kakhulu. Kodwa-ke, ingozi eyodwa ukuthi izicubu ezinempilo esibelethweni zingase zonakale ngenkathi kususwa izicubu zesibazi.

Ngemva kokuhlinzwa, i-catheter encane (i-intrauterine catheter) ingafakwa ngaphakathi kwesibeletho izinsuku ezimbalwa, kanye nokwelashwa ngama-hormone e-estrogen. Lokhu kwenzelwa ukunciphisa ingozi yokwakheka kwezicubu zesilonda futhi. Eqinisweni, i-hormone ye-estrogen ikhuthaza ukuphulukiswa kwengqimba yangaphakathi yesibeletho (i-endometrium). I-catheter isebenza njengesivikelo esingokoqobo esivimbela izindonga zangaphambili nezangemuva zesibeletho ukuthi zinganamatheli ndawonye. Uma le catheter isifakiwe, kunikezwa ama-antibiotic ukuvimbela izifo ezingaba khona.

Ingabe i-Asherman syndrome ingavinjelwa?

Izicubu zesilonda ezibonakala ku-Asherman syndrome zingaba umphumela ongemuhle kwezinye izinqubo eziningana zezokwelapha. Ezimweni eziningi, awukwazi ukuzivimbela ngoba inqubo iyadingeka. Kodwa-ke, kubalulekile njalo ukuxoxa ngazo zonke izingozi nodokotela wakho ngaphambi kokuba nenqubo yezokwelapha. Udokotela wakho angase ahlele ukuhlolwa okulandelayo ngemva kokuhlinzwa ukuze ahlole izicubu zesilonda nokuqapha ukuthi kungenzeka yini i-Asherman syndrome.

Ingabe i-Asherman syndrome ingelapheka ngokuphelele?

Uma ukwelashwa kwe-Asherman syndrome kuphumelele, izimpawu zakho kufanele zithuthuke. Ngokuhamba kwesikhathi, udokotela wakho uzoqapha isimo sakho ukuqinisekisa ukuthi akukho zicubu ezintsha zesilonda ezivele.

Ngizokwazi yini ukuba nomntwana ngemva kokwelashwa kwe-Asherman syndrome?

Ezimweni eziningi, yebo, ungase ukwazi ukukhulelwa umntwana ngemva kokwelashwa kwe-Asherman syndrome. Ukungazali kuyinkimbinkimbi kakhulu, njengoba imbangela ingekho lula ngaso sonke isikhathi ukuyithola. Kodwa-ke, uma udokotela wakho ethole ukuthi i-Asherman syndrome iyimbangela eyinhloko yokungazali kwakho, ukwelashwa kungandisa amathuba akho okukhulelwa nokubeletha umntwana onempilo.

Ingabe i-Asherman syndrome ingadala ukungazali?

Kungaba nezizathu eziningi zokungazali. Ngezinye izikhathi, kunezici eziningana ezingaba nomthelela ngesikhathi esisodwa. Uma ubulokhu uzama izinyanga ezingu-12 (noma izinyanga ezingu-6 uma uneminyaka engaphezu kuka-35) futhi ungakakwazi ukukhulelwa noma ukuthola umntwana, udokotela wakho uzokwenza izivivinyo eziningana ukuthola imbangela yokungazali kwakho. Phakathi nalezi zivivinyo, udokotela wakho angathola ukuthi unezicubu zesilonda (ezibizwa ngokuthi i-Asherman syndrome) ngaphakathi kwesibeletho sakho. Ukuba nezicubu zesilonda eziningi ngaphakathi kwesibeletho sakho kungaba esinye sezizathu zokungazali kwakho.

Ingabe i-Asherman syndrome ingabangela ukuphuphuma kwesisu?

Usengakhulelwa uma une-Asherman syndrome. Kodwa-ke, i-Asherman syndrome ibangela ukuthi isibeletho sibe sincane kakhulu kumntwana okhulayo. Lokhu kungabangela izinkinga ngesikhathi sokukhulelwa ngoba umntwana okhulayo udinga isikhala ngaphakathi kwesibeletho. Isibeletho siyakhula phakathi nokukhulelwa. Futhi, ukunamathela kwe-placenta odongeni lwesibeletho kubalulekile ekukhuleni komntwana okhulayo.

Izinkinga ezivela ku-Asherman syndrome zifaka phakathi ingozi enkulu yokuphuphuma kwesisu, ukuzalwa kwengane isishonile, noma i-placenta previa ngesikhathi sokukhulelwa. I-placenta previa yisimo lapho i-placenta inamathela khona phansi kakhulu odongeni lwesibeletho. Lokhu kungavimba umlomo wesibeletho, kuvimbele ukuphuma komntwana esibelethweni. Lesi simo sihlotshaniswa nokopha okukhulu kanye nesidingo sokuhlinzwa.

"Uma unezinhlungu zesisu ezibuhlungu, ubuhlungu besisu esingezansi, noma izinkinga zokungabi nabantwana, kungcono njalo ukukhuluma nodokotela. I-Asherman syndrome iyisimo esingelapheka. Izimpawu zakho zivame ukuthuthuka ngokwelashwa."

Masikhumbule izinto ezibaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke kulokho esikuxoxile, ngithemba ukuthi usuyitholile ukuqonda okungcono i-Asherman's Syndrome. Nazi ezinye izinto ezibalulekile okufanele uzikhumbule:

• I-Asherman syndrome yisimo lapho izicubu zesilonda zakheka khona ngaphakathi kwesibeletho, okubangela ukuba isibeletho sibe sincane.
• Isizathu esiyinhloko salokhu ukuhlinzwa kwesibeletho,Ikakhulukazi i-D&C, i-hysteroscopy, futhi ngezinye izikhathi ukuhlinzwa (uma kuhambisana nokutheleleka).
• Izimpawu zingase zihlanganise ukuya esikhathini okungajwayelekile noma ukungabikho, ubuhlungu besisu esingezansi, kanye nobunzima bokukhulelwa. Abanye abantu bangase bangabi nazimpawu.
• Lokhu akusona isimo sofuzo.
• Ukuhlolwa kwezokwelapha kuyadingeka ukuze kutholakale ukuxilongwa okunembile. Ukuhlolwa okubizwa ngokuthi ``Hysteroscopy`` kusetshenziselwa kokubili ukuxilongwa kanye nokwelashwa.
• Ukwelashwa kungasusa izicubu ezibomvu, kunciphise izimpawu, futhi kwandise ukuzala.
• Uma unalezi zimpawu, noma uke wahlinzwa isibeletho, kubalulekile ukufuna iseluleko sikadokotela. Ukutholwa kusenesikhathi kulula ukukwelapha.

Ngakho-ke, kubaluleke kakhulu ukunakekela umzimba wakho kanye nempilo yakho. Uma unemibuzo noma ukungabaza, ungabi namahloni noma wesabe ukukhuluma nodokotela. Kulapho kuphela lapho singahlala siphilile khona.

I- Asherman syndrome, izibazi zesibeletho, i-D&C, ukuhlinzwa, umjikelezo wokuya esikhathini, ukungazali, i-hysteroscopy