I-synechia ye-intrauterine (i-Asherman's syndrome) - izinguquko ezixhumene nezicubu emgodini we-uterine oholela ekuhlanganyeleni okugcwele noma okuncane.
Izimbangela ze-Synechia
Isizathu esiyinhloko sokwakheka kwe-synechia ukulimala kocingo lwesisekelo se-endometrium, esitholwe isenzo somshini. Ngokuvamile, ukwephulwa okunjalo kuwumphumela wokwehla emva kokubeletha nokukhipha isisu. Into edabukisayo kakhulu amaviki amane okuqala emva kwezinqubo ezinjalo.
Futhi, ukubukeka kwesi-synechia esibelethweni kungenziwa lula ngezinye izindlela zokuhlinza (metroplasty, myomectomy, ukuphazamiseka kokuxilongwa kwe-mucosal) nokuphathwa kwe-intrauterine kwemithi, kuhlanganise nokukhulelwa kwemithi.
Izici zesibili zithola ukutheleleka nokuvuvukala.
Ukuvela kwe-intrauterine synechia kuthinteka kakhulu yiziguli ezinokukhulelwa okufayo. Izinsalela zezicubu zomzimba ziyakwazi ukugqugquzela ukusebenza kwe-fibroblasts futhi kukhuthazwe ukwakhiwa kwe-collagen ngisho nangaphambi kokuvuselelwa kwe-endometrium. Ngezimo eziphuthumayo eziphindaphindiwe, amathuba okuthuthukisa i-synechi akhula.
Kulabo besifazane abangazange baphoqelelwe yi-intrauterine esikhathini esidlule, imbangela ye-synechia iba i-endometritis engapheli.
I-Synechia esibelethweni - izimpawu
Ngokuvamile, izimpawu zithinta izinga lokutheleleka kwesibeletho. Kukhona ukuhlukaniswa okucacile kwe-synechia, ukufanisa lesi sifo, ngokuya ngesilinganiso sokusakazwa kanye nesimo sokuqina kwesibeletho.
- I-degree - cishe i-1/4 yevolumu yesikhumba se-uterine ihlala, ama-sinus ancane, umlomo wamapayipi kanye phansi kukhona mahhala;
- I-II degree - 1/4 - 3/4 yesigqila se-uterine ihlala, akukho ukunamathela kwezindonga, kukhona ukunamathela kuphela, umlomo wamapayipi kanye nephansi akuvalwanga ngokuphelele;
- I-III degree - okungaphezu kuka-3/4 komthamo wesigqila se-uterine sithathwe.
Izimpawu eziyinhloko ubuhlungu esiswini esingaphansi, okuyinto phakathi nokuya esikhathini ukuqinisa. Imvelo yokuphuma kwayo ibuye ishintshe, iba yindlala futhi ihlala isikhathi esifushane.
Ukuzwa okubuhlungu kuncike endaweni ye-synechiae. Uma lezi zibhamu ziyingxenye engezansi yesibeletho esifundeni somsele womlomo wesibeletho, zivimbela ukugeleza kwegazi okuvamile futhi umuzwa wobuhlungu ikakhulukazi unzima. Ngakho-ke, kungenzeka ukudala ama-hematomas nokuphela kokuphela kokuya esikhathini. Lapho ukuya esikhathini kungenazo izinkinga, abesifazane cishe abahlupheki. Imiphumela emibi kunazo zonke ye-synechia iwukuphela kwesisu nokukhulelwa kwesisu. Ukuhlanganiswa okuphawulekayo komgodla we-uterine kuvimbela ukuhamba kwesidoda kuqanda. Futhi, i-endometrium ethintekile ayivumeli iqanda elikhuliswe ukuba lihambelane nodonga lwe-uterine, ngoba i-mucosa ithathelwa yizicubu ezixhunyiwe.
Ukuxilongwa kwe-synechia emgodini we-uterine kwenziwa nge-hysterosalpingography, i-hysteroscopy ne-ultrasound.
I-synechia ye-intrauterine - ukwelashwa
Indlela kuphela esetshenziselwa namuhla ukungenelela kokuhlinzeka, ngoba kungenzeka ukuphatha kahle i-synechia mhlawumbe
Imvelo yokusebenza nemiphumela yayo incike ekutheni izinga lokusakazwa kwe-synechia esibelethweni nokunamathela kwayo kunjani. Ukukhishwa kwe-synechia encane kungenzeka ngomzimba we-hysteroscope noma ngezikhisi kanye ne-forceps. Ama-spikes anamandla asuswa kancane kancane ngomshini we-electron noma umqhubi we-laser.
Njengoba ukulungiswa kwangaphambili kokusebenza kanye nokuzivumelanisa kokusebenza ngemuva kokuphathwa kwe-synechi emgodini we-uterine, izidakamizwa zokwelapha zisetshenziselwa ukudala i-atrophy eguquguqukayo yezicubu ze-endometrial ngokukhula okuncane ngaphambi kokusebenza, bese ubuyisela nokukhuthaza ukuphulukiswa.