I-synechia ye-intrauterine (i-Asherman's syndrome) - iinguqu ezinxulumene nezicubu kwi-uterine cavity ekhokelela ekuhlanganiseni kwayo ngokupheleleyo okanye okuyingxenye.
Izizathu zeS Synechia
Isizathu esiyinhloko sokwakhiwa kwe-synechia kukulimala komgca we-basal we-endometrium, efunyenwe ngenyathelo lomatshini. Ngokuqhelekileyo, ukuphulwa okunjalo kuyiphumo lokutshiza emva kokubeleka nokukhipha isisu. Eyona nto inzima kukuba iiveki zokuqala emva kweenkqubo ezinjalo.
Kwakhona, ukubonakala kwe-synechia kwisibeleko kunakhokelwa ngamanyathelo angenelelo (i-metroplasty, i-myomectomy, i-mucosal diagnostic curettage) kunye nokulawulwa kwamanzi ngamayeza, kubandakanywa nokukhulelwa komzimba.
Izinto eziqhelekileyo zifumane ukusuleleka kunye nokuvuvukala.
Ukuvela kwe-synechia ye-intrauterine kuchaphazeleka kakhulu kwizigulane ezikhulelwe. Iingxowanxu zeetekisi zentsimbi ziyakwazi ukwenza ukuba kusebenze i-fibroblast kwaye kukhuthazwe ukwakha i-collagen nangaphambi kokuhlaziywa kwe-endometrium. Ngokuzilahleka ngokuphindaphindiweyo, amathuba okuphuhlisa i-synechia iyanda.
Kuyabasetyhini abangazange baxhomekeke kwi-intrauterine yokudluba kwixesha elidlulileyo, imbangela ye-synechia iba yinto engapheliyo ye-endometritis.
I-Synechia kwiimpawu zesisu
Ngokuqhelekileyo, iimpawu zixhomekeke kwisantya sosulelo lwesisu. Kukho uluhlu olucacileyo lwe-synechia, ukubonakalisa isifo, ngokuxhomekeka kwinqanaba lokusasazeka kunye nombuso wokuqiniswa kwesibeleko.
- I-degree - malunga ne-1/4 yomthamo wesigxina se-uterine ihlala, iimonsi zincinci, umlomo weepayipi kunye nezantsi zikhululekile;
- I-II degree - 1/4 - 3/4 yesigxina se-uterine ihlala, akukho ukunamathela kweendonga, kukho ukuhambelana kuphela, umlomo wemibhobho kunye nezantsi akuvalwanga ngokupheleleyo;
- I-III degree - ngaphezu kwe-3/4 yomthamo wesigxina se-uterine sithathwe.
Iimpawu eziphambili zintlungu kwisisu esezantsi, ebudeni bexesha lokuya esikhathini. Ubume bokutshatyalaliswa kwakhona buyashintsha, banqabile kwaye banokufutshane.
Iintlungu ezibuhlungu zixhomekeke kwindawo yendawo yesi-synechiae. Ukuba izifungo zikwindawo engezantsi yesisu kwindawo yomlomo wesibeleko, ziyakuthintela ukuhamba kwegazi ngokuqhelekileyo kwaye intlungu yesifo ibuhlungu ngakumbi. Ngaloo ndlela, kunokwenzeka ukwenza i-hematomas kunye nokupheliswa kokuphela kwesimo. Xa isisu singenazo iingxaki, abafazi abaphantse bangabandezeleka. Imiphumo emibi kakhulu ye-synechia yintlungu nokungabikho komzimba. Ukuhlanganiswa okuphawulekayo kwesigxina se-uterine kuvimbela ukuhamba kwesidoda kwiqanda. Kwakhona, i-endometrium echaphazelekayo ayivumeli iqanda elichumayo lihambelane nodongeni lwe-uterine, kuba i-mucosa ithathelwa indawo yesikhumba esisebenzayo.
Ukuxilongwa kwe-synechia kwisibilini se-uterine kwenziwa nge-hysterosalpingography, hysteroscopy kunye ne-ultrasound.
Intrauterine synechia - unyango
Inye kuphela indlela esetyenziswa ngayo namhlanje ukungenelelo ngoncedo, kuba kunokwenzeka ukuphatha kakuhle i synechia
Ubume bomsebenzi kunye neziphumo zawo kuxhomekeke kumlinganiselo wokusasazeka kwe-synechia kwisibeleko kunye nokunamathela kwayo. Ukususwa kwe-synechia encinci kunokwenzeka nge-body hysteroscope okanye nge-scissors kunye ne-forceps. Iipenki ezininzi zisuswa ngokuthe ngcembe nge-electron knife okanye i-laser conductor.
Njengokulungiselelwa kwangaphambili kunye nokulungelelaniswa kwithuba emva kokunyanga kwe-synechia kwisigxina se-uterine, kusetyenziswa iziyobisi ezinokwenziwa kwemithi eyenza i-atrophy ye-endometriyamu yokukhula okuncinci ngaphambi kokusebenza, kwaye ubuyisele iphinde iphromothe ukuphulukisa.