Asherman lefu

Asherman syndrome ke sebopeho sa lisele tse bohale ka mpeng ea popelo. Hangata bothata bo hlaha kamora 'opereishene ea popelo.

Asherman syndrome ke boemo bo sa tloaelehang. Maemong a mangata, e etsahala ho basali ba bileng le lits'ebetso tse ngata tsa ho hlapolla le ho phekola (D&C).

Tšoaetso e matla ea pelvic e sa amaneng le ho buuoa e ka lebisa ho lefu la Asherman.

Mekhomaretsi ka mokokotlong oa popelo le eona e ka hlaha kamora ho tšoaetsoa ke lefuba kapa schistosomiasis. Ts'oaetso ena ha e fumanehe hangata United States. Mathata a popelo a amanang le tšoaetso ena ha a atisehe le ho feta.

Li-adhesion li ka baka:

• Amenorrhea (khaello ea linako tsa ho ilela khoeli)
• Ho senyeheloa hangata
• Ho hloka thari

Leha ho le joalo, matšoao a joalo a ka amana le maemo a 'maloa. Ba na le monyetla oa ho bonts'a lefu la Asherman haeba le ka hlaha ka tšohanyetso kamora D&C kapa opereishene e 'ngoe ea popelo.

Tlhahlobo ea sefuba ha e senole mathata maemong a mangata.

Liteko li ka kenyelletsa:

• Hysterosalpingography
• Hysterosonogram
• Tlhahlobo ea Transvaginal ultrasound
• Liteko tsa mali ho fumana lefuba kapa schistosomiasis

Kalafo e kenyelletsa ho buuoa ho khaola le ho tlosa likhomaretsi kapa lisele tse bohale. Hangata sena se ka etsoa ka hysteroscopy. Sena se sebelisa lisebelisoa tse nyane le kh'amera e kenngoeng ka popelong ka popelo.

Kamora hore 'mele o tlositsoeng o tlosoe, sekoti sa popelo se tlameha ho bolokoa se butsoe ha se ntse se fola ho thibela likhomaretsi ho khutla. Mofani oa hao oa tlhokomelo ea bophelo a ka beha balune e nyane ka popelong matsatsi a 'maloa. U kanna ua hloka ho nka estrogen ha lesela la popelo le fola.

U kanna ua hloka ho noa lithibela-mafu haeba ho na le tšoaetso.

Matšoenyeho a bokuli hangata a ka thusoa ka ho kenela sehlopha sa ts'ehetso. Lihlopheng tse joalo, litho li arolelana liphihlelo le mathata a tšoanang.

Asherman syndrome e ka phekoloa hangata ka ho buuoa. Ka linako tse ling ho tla hlokahala mekhoa e fetang e le 'ngoe.

Basali ba hlokang thari ka lebaka la lefu la Asherman ba ka khona ho ba le ngoana kamora kalafo. Ho ima ka katleho ho latela matla a Asherman syndrome le bothata ba kalafo. Lintho tse ling tse amang kemolo le bokhachane le tsona li ka ameha.

Mathata a ho buuoa ka hysteroscopic a tloaelehile. Ha li hlaha, li ka kenyelletsa ho tsoa mali, pherekano ea popelo le tšoaetso ea pelvic.

Maemong a mang, kalafo ea lefu la Asherman e ke ke ea folisa thari.

Bitsa mofani oa hau haeba:

• Linako tsa hau tsa ho ilela khoeli ha li khutle kamora 'opereishene ea basali kapa ea pelehi.
• U ke ke ua ima ka mor'a likhoeli tse 6 ho isa ho tse 12 tsa ho leka (Sheba setsebi bakeng sa tlhahlobo ea ho hloka thari).

Maemo a mangata a lefu la Asherman a ke ke a boleloa esale pele kapa a thibeloa.

Popelo synechiae; Ho khomarela li-intrauterine; Ho hloka thari - Asherman

• Sebete
• Sebopeho se tloaelehileng sa popelo (khaola karolo)

Brown D, Levine D. popelo. Ka: Rumack CM, Levine D, eds. Tlhahlobo ea Ultrasound. La 5th. Philadelphia, PA: Elsevier; 2018: khaolo ea 15.

Dolan MS, Hill C, Valea FA. Likokoana-hloko tsa Benign gynecologic: bosaling, botšehali, popelo, popelo, oviduct, ovary, imaging ea ultrasound ea mehaho ea pelvic. Ka: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Kakaretso ea mafu a basali. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 18.

Keyhan S, Muasher L, Muasher SJ. Ho ntša mpa ka boithaopo le tahlehelo ea bokhachane e etsahalang khafetsa: etiology, tlhahlobo ea meriana, kalafo. Ka: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Kakaretso ea mafu a basali. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 16.

Williams Z, Scott JR. Ho lahleheloa ke bokhachane khafetsa. Ka: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, li-eds. Creasy le Resnik's Maternal-Fetal Medicine: Melao-motheo le Tloaelo. La 8th. Philadelphia, PA: Elsevier; 2019: khaolo ea 44.