Intrauterine adhesions - He aha ka mea?

Intrauterine adhesions, paha, e like me ka mea i kapaia, "Asherman ka maʻi pale" - he hapa 'a piha uterine lua imperforate. He He maʻi o ka labia ole, ka mea 'ē aʻe hoʻoponopono. Ma ke kane heluna he mea he like pilikia - ka'ōmaka adhesions.

Aia traumatic, infectious maʻi a me ka neuro-visceral pähola 'ana o ke kumu o ka pilikia. Na ka papa kuhikuhiE ololi - basal papa o ka endometrium ino 'ia ma hope o abortion a haawi, a me ka mechanical. Maʻiʻaʻai - keia mea he haumāna ololi. Ka loa traumatic o ka wā o ka mua eha pule ma hope o ka abortion paha ka nahunahu hanau.

Muli o kona kulana pinepine, intrauterine adhesions ana i loko o nā mea maʻi me ka paʻahau hāpai keiki. He mea, oi ma mua o kekahi pinepine, ma hope o hamoʻia i ka uterine lua adhesions pilikia e hoʻomōhala ai. O ke kumu ho i ka mea i ke koena o ka placental'aʻaʻa hiki i ho'ā hope o ka ho okumu ana o collagen a me fibroblasts mua i loa regenerated endometrium. Intrauterine adhesions ana i loko o 5-40 pakeneka o nā mea maʻi me ka recurrent miscarriages.

Eia hou kekahi, ua pilikia ke'ākoʻakoʻa ma hope o kaʻoki kino i loko o ka opu: metroplasty, myomectomy a hamoʻia i ka mucosa no PalekanaEND_LINK hana. I hoʻonāukiuki intrauterine adhesions e hiki intrauterine contraceptive.

symptoms

Ke kaumaha ma muli pehea ka nui o zaraschena uterus, ke hoike hypomenstrual maʻi pale, amenorrhea a me kona no - infertility, miscarriage. Ma ka hihia kahi zaraschivaetsya wale ka malalo o ka uterus, a ma ka luna o ka maʻamau functioning endometrium, hiki hoʻomōhala hemometra. Ikaika uterine imperforate a me ka nele o ka maʻamau hana o ka endometrium ke alakai i ka pilikia a me ka implantation o ka ovum. O kona wahi i hoike intrauterine adhesions - 'ehaʻeha ka o inefficiency fertilization.

One-hapakolu o ka wahine i hana eha iaʻi mai intrauterine adhesions loaa miscarriage, no ka mea ua helu - hanau, prematurely, a me kekahi kolu - ka pathology o ke keiki (previa ole pilipaa IeIIeYOA). Kēia 'o ia hoʻi i hāpai keiki i loko o nā mea maʻi me adhesions e e noʻonoʻo me ka nui pilikia o hiki complications i hāpai keiki, ka nahunahu hanau, a me ka postpartum wā.

lapaʻau

I ka lā, hiki ke kapa i ke ala wale, e hana i kēia pilikia adhesions dissection ma lalo o pilikia makapō pololei e hooponopono hysteroscopy. I ka Ia manawa aole loa no auanei he poino i ka endometrium ma ka mea maʻamau menstrual kalapona a me ka fertility e hoʻihoʻi aku. Ke hana, kona ka hoʻokōʻana a me ka manaʻo i nā hualoaʻa e hilinaʻi wale ma luna o ka 'ano a me ka nui o adhesions occlusion o ka uterine lua.

Synechia ke aupuni 'manaʻo nui, hiki ke hoʻokaʻawaleʻia ma kūmūmū ma ka hale noho o ke hysteroscope. Eia kekahi, hana endoscopic forceps a me nā'ūpā, hysteroresectoscopy'ūholo uila.

Small adhesions muli o kona kulana hoopuni haihaiia forceps,'ūpā a kino hysteroscope. Adhesions me kiekie ae nuʻa eʻoki me'ūpā ke kiʻekiʻe, a me ka loa manawa, i ka wa o ka uterus ua hoihoi hou ia i kona maʻamau shape.

I mea e pakele o anuanu fibrous adhesions, pinepine hoʻohana hysteroresectoscopy'ūholo uila a alakaʻi mele kukuna. E pale aku perforation o ka uterus (i ka loa e hiki) ana ua maikai lawe mai ma lalo o ka mana o ka ultrasound me ka unexpressed uterine occlusion a me ka lāʻau laparoscopically, i ka wa a ka occlusion ua me ka nui loa i olelo ia.

Ma hope o dissection o intrauterine adhesions, hapai na wahine i ma kamepiula. I ka mea, he okoa ka pinepine hikiʻole, e halihali i kekahi keiki, he mea no ka make māinoino o ka postpartum hemorrhage.