Yog vim li cas muaj adhesions nyob rau hauv lub tsev me nyuam?

Adhesions - ib tug fusion ntawm qhov chaw ntawm lub tib lub cev los yog lwm tus tej chaw uas muaj ntau yam kabmob.

Asherman lub syndrome (synechia nyob rau hauv lub tsev me nyuam) - ib leeg uterine phab ntsa. Qhov ua rau ntawm tus kab mob no yog feem ntau cov neeg kho tshuab pab thiab ua txhaum ntawm lub sam xeeb ntawm lub basal txheej ntawm cov endometrium uas feem ntau tshwm sim raws li ib tug tshwm sim ntawm rho me nyuam tawm los yog tom qab tau me nyuam. Gynecologists hais tias tus kab mob no - yog ib theem zoo tshaj, uas ua rau yus qhov tshwm sim ntawm adhesions.

Feem ntau, adhesions zaum yuav tshwm sim ntau zaus nyob rau hauv cov poj niam laus thaum lub fetus tuag. Tom qab ntxuav lub tsev me nyuam nyob rau hauv cov ntaub ntawv no tsub kom kev pheej hmoo ntawm kev tsim adhesions. Qhov no yog vim lub fact tias cov seem ntawm lub tsev me nyuam qhib fibroblasts thiab collagen tsim dua tshiab lub endometrium. Yog hais tias cov neeg mob muaj cai recurrent ncuav me nyuam tau, adhesions nyob rau hauv lub tsev me nyuam muaj nyob rau hauv txog 30% ntawm lawv.

Tab sis muaj lwm yam yog vim li cas, raws li ib tug tshwm sim ntawm uas tsim adhesions nyob rau hauv lub uterine kab noj hniav. Feem ntau, nws tshwm sim:

1. Tom qab lub myomectomy thiab metroplasty.
2. Raws li ib tug tshwm sim, diagnostic curettage uterine hauv ob sab phlu thiab lub tsev me nyuam conization.
3. Adhesions tej zaum yuav raug los ntawm kev siv ntawm intrauterine contraceptive.

Feem ntau, cov tsos mob ntawm tus kab mob nyob rau theem ntawm lub tsev menyuam leeg. Tsis tas li ntawd, yog hais tias muaj yog overgrowing hauv qab ntawm lub cev rau hauv lub Upper feem tej zaum yuav tsim nyob rau tom qab hemometra. Yog hais tias synechia nyob rau hauv lub tsev me nyuam yus muaj los ntawm ib tug tseem ceeb degree ntawm overgrowth, qhov no yuav ua tau kom muaj teeb meem nrog lub tsos ntawm hnub los yog ntxiv lawm tshob.

Cov poj niam uas pib tsim adhesions nyob rau hauv lub uterine kab noj hniav, tej zaum yuav tsis txaus siab ntawm qhov mob nyob rau hauv lub qis lub plab, uas tshwj xeeb tshaj yog thaum lub sij hawm intensified ua poj niam. Cov kev siv cov kev mob nyob rau hauv lub chaw ntawm adhesions. Yog hais tias lawv muaj nyob rau hauv qab ntawm lub tsev me nyuam los yog nyob rau hauv lub tsev me nyuam kwj dej, tus mob yog muaj zog, vim hais tias nws tiv thaiv adhesions nyob rau hauv rooj plaub no tus ncaim ntawm menses. Yog hais tias poj niam tshwm sim tsis muaj teeb, mob yog yuav luag negligible.

Feem ntau, adhesions nyob rau hauv lub tsev me nyuam ib txwm ua nce nyob rau hauv kev mob thaum lub sij hawm ntawm qhov pib ntawm poj niam. Thiab hloov qhov ntawm poj niam: kev rho tawm yog tsis raws li tshaj, nrog sib cog lus thiab lawv ntev. Yog hais tias endometrial txhab tseem ceeb, ces lawv yog cov spreadable, thaum cov theem ntawm tus kab mob yog heev loj heev (nyob rau hauv cov ntaub ntawv ntawm ua kom tiav overgrowing lub ncauj tsev menyuam los yog tsev me nyuam), poj niam disappears kiag li.

Rau hnub tim, lub tsuas txoj kev ntawm kev kho mob siv nyob rau hauv tus kab mob no yog phais: txiav adhesions nyob rau hauv cov kev tswj ntawm lub hysteroscope. Lub lag luam yog nqa tawm yam tsis tau raug mob ntxiv endometrium. Nta ntawm lub lag luam yog nyob ntawm raws li ntawm tus kab mob thiab complexity ntawm nws hom.

Kev qhia tau hais tias qhov kev kho no yog ib co zoo. Txawm li cas los, qhov ntau fusion, lub qis lub efficiency. Feem ntau, qhov loj tshaj plaws raug rau kho tshiab ntawm lub cev ntas, deev muaj nuj nqi thiab kab mob tsis tshua mob heev tshwm sim rau cov kev kho mob ntawm intrauterine adhesions, nrog tuberculous etiology.

Nco ntsoov hais tias muaj kev pheej hmoo yog cov poj niam uas mob tom qab yug tus me nyuam (cov thawj lub hlis) thiab tom qab lub rho menyuam. Yog hais tias cov neeg mob no tsim teeb meem nyob rau hauv daim ntawv ntawm cov disruptions ntawm lub cev ntas, koj yuav tsum siv ib tug hysteroscopy nyob rau hauv lub mob thiab puas tsuaj ntawm adhesions (yog tias pib lawv txoj kev kawm). Yog hais tias muaj yog ib tug suspicion ntawm lub xub ntiag ntawm seem ntawm lub ovum, nws yog tsim nyog los tuav tsis tau tsuas yog lub uterine curettage, hysteroscopy tab sis kuj (hais tus tsom xam ntawm pathology thiab nws cov kev tshem tawm).