Ọrịa Asherman

Ọrịa Asherman bụ nhazi anụ ahụ dị na oghere akpanwa. Nsogbu a na - etolite mgbe etachara ịwa ahụ.

Ọrịa Asherman bụ ọnọdụ dị ụkọ. N'ọtụtụ ọnọdụ, ọ na-eme na ụmụ nwanyị ndị nwere ọtụtụ usoro dilatation na curettage (D&C).

Ọrịa pelvic siri ike na-enweghị njikọ ịwa ahụ nwekwara ike ibute ọrịa Asherman.

Nrapado n'ime oghere nke akpanwa nwekwara ike ịmalite mgbe ibute ọrịa ụkwara nta ma ọ bụ schistosomiasis. Ọrịa ndị a dị obere na United States. Nsogbu akpanwa metụtara ọrịa ndị a bụkarịrị ihe a na-ahụkebe.

Na adhesions nwere ike ime ka:

• Amenorrhea (enweghị oge ịhụ nsọ)
• Mmeghari ugboro ugboro
• Enweghi ike

Otú ọ dị, ihe mgbaàmà dị otú ahụ nwere ike ịdaba n'ọtụtụ ọnọdụ. O yikarịrị ka ha ga-egosi ọrịa Asherman ma ọ bụrụ na ha emee na mberede mgbe D&C ma ọ bụ ịwa ahụ nke akpanwa ọzọ.

Nyocha nke pelvic anaghị ekpughe nsogbu n'ọtụtụ ọnọdụ.

Ule nwere ike ịgụnye:

• Hysterosalpingography
• Hysterosonogram
• Nnyocha nyocha nke transvaginal
• Nyocha ọbara iji chọpụta ụkwara nta ma ọ bụ schistosomiasis

Ọgwụgwọ gụnyere ịwa ahụ iji bepụ ma wepu adhesions ma ọ bụ anụ ahụ. Nke a nwere ike ịmekarị hysteroscopy. Nke a na-eji obere ngwa na igwefoto etinye n'ime akpanwa site na cervix.

Mgbe ewepụsịchara anụ ahụ, a ga-emeghe oghere nke akpanwa ka ọ na-agwọ iji gbochie adhesions ịlaghachi. Onye na-ahụ maka ahụike gị nwere ike itinye obere balloon n’ime akpanwa ọtụtụ ụbọchị. Nwekwara ike ịchọrọ iji estrogen mgbe eriri akpa nwa na-agwọ ọrịa.

Nwere ike ị takeụ ọgwụ nje ma ọ bụrụ na enwere ọrịa.

Enwere ike inyere aka nrụgide nke ọrịa site na isonyere otu ndị na-akwado nkwado. N'etiti ndị otu a, ndị otu na-ekerịta ahụmihe na nsogbu.

Ọrịa Asherman nwere ike ịwa ahụ mgbe mgbe. Mgbe ụfọdụ ihe karịrị otu usoro ga-adị mkpa.

Womenmụ nwanyị ndị na-anaghị amụ nwa n'ihi ọrịa Asherman nwere ike ịmụ nwa mgbe ha gwọchara ya. Ime afọ ime na-adabere n'ịdị njọ nke ọrịa Asherman na nsogbu nke ọgwụgwọ ahụ. Ihe ndị ọzọ na-emetụta ọmụmụ na afọ ime nwekwara ike itinye aka.

Nsogbu nke ịwa ahụ hysteroscopic bụ ihe a na-adịghị ahụkebe. Mgbe ha mere, ha nwere ike ịgụnye ọbara ọgbụgba, perforation nke akpanwa, na ọrịa pelvic.

N'ọnọdụ ụfọdụ, ịgwọ ọrịa nke Asherman agaghị agwọ infertility.

Kpọọ onye na-eweta gị ma ọ bụrụ:

• Oge ịhụ nsọ gị anaghị alọghachi mgbe ịwa ahụ gynecologic ma ọ bụ obstetrical.
• Gaghị enwe ike ịtụrụ ime mgbe ọnwa isii ruo 12 gachara (Lee onye ọkachamara maka nyocha infertility).

Ọtụtụ ikpe nke ọrịa ọrịa Asherman enweghị ike ibu amụma ma ọ bụ gbochie ya.

Ọrịa syterchi; Intrauterine adhesions; Enweghi ike - Asherman

• Akpankpu
• Nkịtị Eriri akpa nwa na anatomi (bee ngalaba)

Brown D, Levine D. Eriri akpa nwa. Na: Rumack CM, Levine D, eds. Diagnostic Ultrasound. Nke 5. Philadelphia, PA: Elsevier; 2018: isi 15.

Dolan MS, Ugwu C, Valea FA. Benign gynecologic ọnya: vulva, ikpu, cervix, akpanwa, oviduct, ovary, ultrasound imaging nke pelvic owuwu. Na: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology zuru ezu. Nke 7. Philadelphia, PA: Elsevier; 2017: isi 18.

Keyhan S, Muasher L, Muasher SJ. Ime na-enweghi ogwe aka na ime afọ ime ọzọ: etiology, nchoputa, ọgwụgwọ. Na: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology zuru ezu. Nke 7. Philadelphia, PA: Elsevier; 2017: isi 16.

Williams Z, Scott JR. Ntughari afọ ime. Na: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, eds. Nkà Mmụta Nne na Nwa nke Creasy na Resnik: Prinkpụrụ na Omume. 8th ed. Philadelphia, PA: Elsevier; 2019: isi 44.