Nrapado

Adhesions bụ agbụ nke anụ ahụ yiri akwa nke na-etolite n'etiti elu abụọ n'ime ahụ ma mee ka ha rapara n'otu.

Site na mmegharị ahụ, akụkụ ahụ dị ka eriri afọ ma ọ bụ akpanwa na-enwekarị ike ịgbanwe ma na-agafere ibe ha. Nke a bụ n'ihi na anụ ahụ na akụkụ ndị a n'ime oghere afọ nwere ebe dị ụtọ, na-amị amị. Mbufụt (ọzịza), ịwa ahụ, ma ọ bụ mmerụ ahụ nwere ike ime ka adhesions mepụta ma gbochie mmegharị a. Adhesions nwere ike ime ihe fọrọ nke nta ka ọ bụrụ n'ime ahụ, gụnyere:

• Nkwonkwo, dị ka ubu
• Anya
• N'ime afọ ma ọ bụ pelvis

Adhesions nwere ike ibu ma ọ bụ sie ike karịa oge. Nsogbu nwere ike ime ma ọ bụrụ na njigide na-eme ka akụkụ ahụ ma ọ bụ akụkụ ahụ:

• Ighikota
• Wepu ọnọdụ gị
• Enweghi ike ịkwaga ọ bụla

Ihe ize ndụ nke ịmalite adhesions dị elu mgbe ọnyá afọ ma ọ bụ nke nwanyi. Surwa ahụ n'iji laparoscope eme ihe nwere ike ime ka adhesions ghara ịwa ahụ.

Ihe ndi ozo na adhesions na afo ma obu pelvis gunyere:

• Appendicitis, ọtụtụ mgbe mgbe mgbakwunye gbariri (ruptures)
• Ọrịa cancer
• Endometriosis
• Ọrịa na afọ na pelvis
• Ọgwụ radieshon

Adhesions gburugburu nkwonkwo nwere ike ime:

• Mgbe ịwa ahụ ma ọ bụ trauma
• Na ụdị ụfọdụ nke ogbu na nkwonkwo
• Iji oke nkwonkwo ma ọ bụ akaị

Nrapado na nkwonkwo, akwara, ma ọ bụ njikọta na-eme ka o sie ike ịmegharị nkwonkwo ahụ. Ha nwekwara ike ịkpata ihe mgbu.

Nrapado n'ime afọ (afọ) nwere ike ibute mkpọchi nke eriri afọ. Mgbaàmà gụnyere:

• Bloating ma ọ bụ ọzịza nke afọ gị
• Afọ ntachi
• Ọgbọ na ọgbụgbọ
• Agaghị enwe ike ịgafe gas
• Mgbu n'ime afọ nke siri ike na mgbochi

Nrapado na pelvis nwere ike ibute mgbu pelvic ogologo oge (ala ala).

Ọtụtụ oge, enweghị ike ịhụ adhesions site na iji ụzarị ọkụ ma ọ bụ nyocha eserese.

• Hysterosalpingography nwere ike inye aka ịchọpụta adhesions n'ime akpanwa ma ọ bụ tublopian tubes.
• X-ray nke afọ, nchọpụta barium dị iche, na nyocha CT nwere ike inyere aka ịchọpụta mkpọchi nke eriri afọ nke adhesions kpatara.

Endoscopy (ụzọ nke na-ele n'ime ahụ site na iji tube na-agbanwe agbanwe nke nwere obere igwefoto na njedebe) nwere ike inyere aka ịchọpụta adhesions:

• Hysteroscopy na-ele anya n'ime akpanwa
• Laparoscopy na-ele anya n'ime afọ na pelvis

Enwere ike ịwa ahụ iji kewaa adhesions. Nke a nwere ike ịhapụ ka akụkụ ahụ nwetaghachị mmegharị ahụ ma belata mgbaàmà. Otú ọ dị, ihe ize ndụ maka inwekwu adhesions na-arị elu karịa ịwa ahụ.

Dabere na ọnọdụ nke adhesions ahụ, enwere ike itinye ihe mgbochi n'oge ịwa ahụ iji nyere aka belata ohere nke adhesions na-alọghachi.

Nsonaazụ dị mma n'ọtụtụ ọnọdụ.

Adhesions nwere ike ibute nsogbu dị iche iche, dabere na anụ ahụ emetụta.

• Na anya, adhesion nke iris na lens nwere ike ibute glaucoma.
• Na eriri afọ, adhesions nwere ike ibute ngọngọ ma ọ bụ zuru ezu.
• Adhesions n'ime oghere nke akpanwa nwere ike ibute ọnọdụ a na-akpọ ọrịa Asherman. Nke a nwere ike ime ka nwanyị nwee oge ịhụ nsọ ya na enweghị ike ịtụrụ ime.
• Pelvic adhesions nke gunyere ịkọ tubes nke fallopian nwere ike ibute infertility na nsogbu ịmụ nwa.
• Afọ na pelvic adhesions nwere ike ibute mgbu na-adịghị ala ala.

Kpọọ onye nlekọta ahụike gị ma ọ bụrụ na ịnwee:

• Ime mgbu
• Enweghị ike ịgafe gas
• Nausea na agbọ agbọ na-anaghị agabiga
• Mgbu n'ime afọ nke siri ike na mgbochi

Pelvic adhesion; Intraperitoneal adhesion; Intrauterine adhesion

• Pelvic adhesions
• Ovarian ahu otutu

Kulaylat MN, Dayton MT. Nsogbu ịwa ahụ. Na: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Akwụkwọ Sabiston nke gerywa Ahụ. Agba nke 20. Philadelphia, PA: Elsevier; 2017: isi 12.

Kuemmerle JF. Ọrịa inflammatory na anatomic nke eriri afọ, peritoneum, mesentery, na omentum. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 133.

Ebe nrụọrụ weebụ National Institute of Diabetes and Digestive and Kidney Disease. Afọ adhesions. www.niddk.nih.gov/health-information/digestive-diseases/abdominal-adhesions. Emelitere June 2019. Nabata March 24, 2020.