Adhesions intrauterine - waa maxay?

adhesions intrauterine, ama, sida ay u yeedheen, "Asherman ee syndrome" - dalool ah, makaanka qayb ahaan ama gebi imperforate. Tani ma aha cudur ee dibnaha, wax badan oo halis ah. In dadka lab jirto wax dhibaato ah oo la mid ah - ee adhesions buuryadiisii.

Waxaa argagaxa leh, cudurrada faafa iyo aragti neuro-visceral ee asalka ah ee dhibaatada. Arrinta ugu weyn ee - lakabka asalka dhaawaca oo siiban dhaca ka dib markii ilmo iska soo ridid ama bixinta, iyo farsamo. Caabuqa - taasi waa arrin sare ah. The ugu argagaxa waa muddada afarta toddobaad ee ugu horreeya ilmo iska soo ridid ama dhalmada ka dib.

Marar badan, adhesions intrauterine dhacaan bukaanka qaba uurka la qaboojiyey. Waxa ay, inta badan dadka kale waa, ka dib markii xoqid adhesions saabka minka dhibaatada uu yeesho. Tan waxa u sabab xaqiiqada ah in hadhay ee unugyada mandheerta keeni karaan hawshooda u ah formation of collagen oo fibroblasts ka hor inta siiban si buuxda u soo cusboonaadeen. adhesions intrauterine dhacaan 5-40 boqolkiiba bukaannada qaba dhicinta soo noqnoqonaysa.

Intaa waxaa dheer, dhibaatada waxaa laga yaabaa in ay dhacaan ka dib qalitaanka uurka: metroplasty, myomectomy ama xoqid xabka ujeedooyin cudur-aqoonsiga. Sidoo kale cadhaysiinina adhesions intrauterine laga yaabaa xataa uurka intrauterine.

calaamadaha

Iyada oo ku xidhan galeenka zaraschena sida badan, muujin kartaa syndrome hypomenstrual, amenorrhea iyo cawaaqib - dhalmo la'aan, dhicin. In kiiska halkaas oo zaraschivaetsya kaliya qaybta hoose ee ilmo-galeenka, iyo qaybta sare ee siiban caadiga shaqaynaya, horumarin karaan hemometra. imperforate makaanka Strong iyo la'aanta ah ee shaqada ee caadiga ah xuub- waxay keeni kartaa dhibaatooyin la rakibida ugxanta. Xataa in yar oo ah ka muujiyay adhesions intrauterine - Sababaha labka iyo karti.

Mid ka mid ah saddex-meelood meel ka mid ah haweenka ay dhibaatadu ka adhesions intrauterine heli dhicin, weli tiro isku mid ah - dhalashada, Dhicis, iyo kan saddexaad oo kale - cudurada ee mandheerta (previa ama lifaaqa dhagan). Taas macnaheedu waa in aad uur leedahay in bukaanka qaba adhesions waa in la tixgeliyaa sida halis badan ee dhibaatooyinka ay suurtagal tahay inta ay uurka leedahay, umusha iyo muddada dhalmada.

daaweynta

Si aad u taariikhda, sida kaliya ee lagu daweeyo dhibaatadan la odhan karaa dissection adhesions hoos muuqaal hysteroscopy gacanta toos ah. Isla mar ahaantaana waa in dhaawac u lahayn in ay xuub- si ay u soo celin caadada caadiga ah iyo bacriminta. Hawlgalka ayaa, hufnaanta iyo la filayaa natiijada ay ku xirnaan karaa oo keliya on nooca iyo baaxadda adhesions qabsamin ee saabka minka.

Synechia ku yaalla bartamaha, la kala saari karaan by beesho by guryaha ee hysteroscope ah. Intaas waxaa sii dheer, isticmaali birqabato endoscopic iyo maqas, koronto hysteroresectoscopy.

adhesions Small si sahal ah jebiyey qabato, maqas ama hysteroscope jirka. Adhesions la cufnaanta sare waa la jaray maqas si tartiib tartiib ah, ilaa la joogo aad marka ilmo-galeenka waa lay soo celiyey si ay qaab caadi ah.

Si ay uga takhalusi adhesions buunshada ku cufan, inta badan isticmaalaan koronto hysteroresectoscopy ama laser kaari. Si looga hortago daloolin ee ilmo-galeenka (taas oo ah mid aad u suurto gal ah) hawlgalka waxaa sida ugu wanaagsan fuliyay gacanta ugu ultrasound la isugu qabsamin makaanka la sheegin oo ay gacanta ku laparoscopically, marka qabsamin waxaa si weyn u muujiyay.

Ka dib markii dissection of adhesions intrauterine, haweenka uurka leh waxay halis ugu jiraan. Dhab ahaantii, ka sokow awood la'aanta joogtada ah inuu qaado ilmo, waxaa weli khatar ku ah hemorrhage dhalmada.