Intrauterine adhesions - yog dab tsi?

Intrauterine adhesions, los yog, raws li lawv yog hu ua, "Asherman lub syndrome" - ib tug ib nrab los yog tiav uterine kab noj hniav imperforate. Qhov no yog tsis yog ib tug kab mob ntawm cov labia, yog ntau npaum li cas loj. Nyob rau hauv tus txiv neej pejxeem muaj yog ib tug teeb meem zoo li - lub foreskin adhesions.

Muaj kev puas, mob kab mob thiab Neuro-visceral kev tshawb xav ntawm lub keeb kwm ntawm qhov teeb meem. Lub ntsiab zoo tshaj - basal txheej ntawm cov endometrium raug mob tshwm sim tom qab rho menyuam los yog tus me nyuam, thiab muaj txhua yam. Kab mob - qhov no yog ib theem zoo tshaj. Qhov tseem puas yog lub sij hawm ntawm cov thawj plaub lub lis piam tom qab ib qho kev rho me nyuam los yog tau me nyuam.

Heev feem ntau, intrauterine adhesions tshwm sim nyob rau hauv cov neeg mob uas khov uas cev xeeb tub. Nws yog lawv, ntau dua lwm tus, tom qab scraping lub uterine kab noj hniav adhesions teeb meem. Qhov no yog vim lub fact tias lub qhov seem ntawm placental cov ntaub so ntswg yuav ua rau kom cov tsim ntawm collagen thiab fibroblasts ua ntej kiag li regenerated endometrium. Intrauterine adhesions tshwm sim nyob rau hauv 5-40 feem pua ntawm cov neeg mob nrog recurrent ncuav me nyuam tau.

Nyob rau hauv tas li ntawd, qhov teeb meem no tej zaum yuav tshwm sim tom qab phais nyob rau hauv lub tsev menyuam: metroplasty, myomectomy los yog scraping lub mucosa rau diagnostic hom phiaj. Tsis tas li ntawd ntxias intrauterine adhesions yuav txawm intrauterine contraceptive.

cov tsos mob

Nyob ntawm seb yuav ua li cas npaum li cas zaraschena lub tsev me nyuam, yuav manifest hypomenstrual syndrome, amenorrhea thiab nws tsim nyog tau - ntxiv lawm tshob, nchuav menyuam. Nyob rau hauv lub rooj plaub uas zaraschivaetsya tsuas yog tus qis ib feem ntawm lub tsev me nyuam, thiab nyob rau hauv sab qaum kev ib ntawm lub cev tau hauj lwm endometrium, muaj peev xwm tsim hemometra. Muaj zog uterine imperforate thiab cov tsis muaj dab tsi ua hauj lwm ntawm lub endometrium yuav ua tau kom kev nyuaj nrog kev implantation ntawm lub ovum. Txawm tias ib tug me ntsis qhia intrauterine adhesions - Ua inefficiency fertilization.

Ib feem peb ntawm cov poj niam uas raug kev txom nyem los ntawm intrauterine adhesions tau txais nchuav menyuam, tseem zoo li qub xov tooj - yug, prematurely, thiab lwm thib peb - cov pathology ntawm lub tsho me nyuam (previa los yog nruj Symptoms). Qhov no txhais tau tias cev xeeb tub nyob rau hauv cov neeg mob uas adhesions yuav tsum tau yuav tau li ib tug txiav txim uas yuav muaj tau teeb meem thaum lub sij hawm cev xeeb tub, yug menyuam thiab lub postpartum lub sij hawm.

kev kho mob

Rau hnub tim, lub tsuas yog txoj kev los kho qhov teeb meem no yuav tsum tau hu ua adhesions phais nyob rau hauv nrig txog kev pom direct tswj hysteroscopy. Nyob rau tib lub sij hawm yuav tsum muaj tsis muaj kev raug mob rau lub endometrium nyob rau hauv kev txiav txim los li qub cev ntas thiab fertility. Lub lag luam, nws ua hauj lwm zoo thiab yuav tsum tau tej zaum yuav nyob ntawm seb xwb nyob rau hauv lub hom thiab raws li ntawm adhesions occlusion ntawm lub uterine kab noj hniav.

Synechia nyob centrally, yuav tau muab cais los ntawm blunt los ntawm lub vaj tse ntawm lub hysteroscope. Tsis tas li ntawd, siv endoscopic ncais thiab txiab, hysteroresectoscopy electrode.

Me adhesions heev yooj yim tawg ncais, txiab los yog lub cev hysteroscope. Adhesions nrog ntau dua ceev yog txiav nrog txiab maj, kom txog thaum lub sij hawm thaum lub tsev menyuam yog rov qab los rau qhov qub lawm.

Nyob rau hauv thiaj li yuav tau tshem ntawm tuab fibrous adhesions, feem ntau siv hysteroresectoscopy electrode los yog neeg xyuas pib laser. Yuav kom tiv thaiv perforation ntawm lub tsev me nyuam (uas yog heev tau) lag luam yog zoo tshaj plaws nqa tawm nyob rau hauv cov kev tswj ntawm ultrasound nrog unexpressed uterine occlusion thiab tswj laparoscopically, thaum lub occlusion yog ho qhia.

Tom qab phais ntawm intrauterine adhesions, cev xeeb tub cov poj niam muaj teeb meem. Nyob rau hauv qhov tseeb, dhau li ntawm tus nquag tsis muaj peev xwm los ua tim ib tug me nyuam, tseem muaj kev hem thawj ntawm postpartum hemorrhage.