Synechia (Asherman's syndrome) - mawonekedwe othandizira mu chiberekero cha uterine chomwe chimayambitsa kusakanizidwa kwathunthu kapena pang'ono.
Zifukwa za Synechia
Chifukwa chachikulu chokonzekera synechia ndi kuvulala kwa basal wosanjikiza wa endometrium, wopangidwa ndi makina. Kawirikawiri, kuphwanya kotereku kumabwera chifukwa chowombera pakubereka ndi kuchotsa mimba. Chokhumudwitsa kwambiri ndi masabata anayi oyambirira pambuyo pake.
Komanso, maonekedwe a synechia mu chiberekero amathandizidwa ndi njira zina zopangira opaleshoni (metroplasty, myomectomy, mucosal diagnostic curettage) ndi ma intrauterine madokotala, kuphatikizapo kulera.
Zinthu zachiwiri zimapezeka ndi matenda ndi kutupa.
Kuyamba kwa intrauterine synechia kumakhudzidwa kwambiri ndi odwala omwe ali ndi mimba yakufa. Zotsala za minofu zimatha kupanga pulogalamu yamtunduwu ndikulimbikitsanso kupanga collagen ngakhale kubwezeretsedwa kwa endometrium. Ndikumangobwereza mobwerezabwereza, mwayi wokhala synachia ukuwonjezeka.
Amayi omwe sankagwiritsidwa ntchito ndi intrauterine m'mbuyomo, chifukwa cha synechia amakhala odwala endometritis.
Synechia mu chiberekero - zizindikiro
Kawirikawiri zizindikiro zimadalira kukula kwa chiberekero. Pali tsatanetsatane yeniyeni ya synechia, yomwe imalongosola nthendayi, malingana ndi kuchuluka kwa kufalikira ndi mkhalidwe wolimba wa chiberekero.
- Ndiyeso - pafupifupi 1/4 ya voliyumu ya uterine imagwira ntchito, ziphuphuzo ndizochepa, pakamwa pa mapaipi ndi pansi ndi mfulu;
- Dipatimenti ya II - 1/4 - 3/4 ya chiberekero chachitetezo chagwiritsidwa ntchito, palibe kumangiriza kwa makoma, pamangomangirira, pakamwa pamipope ndi pansi sizimatsekedwa;
- III digiri - zopitirira 3/4 za buku la uterine zimatengedwa.
Zizindikiro zikuluzikulu zimakhala zopweteka m'mimba pamunsi, zomwe zimakhala zikupita msambo. Chikhalidwe cha matendawa chimasinthidwanso, amakhala osowa komanso osakhalitsa.
Zowawa zimadalira malo a synechiae. Ngati nkhunizo ziri m'munsi mwa chiberekero m'dera lachikhomo cha mimba, amapewa kuthamanga kwa magazi ndikumva kupweteka kwambiri. Choncho, n'zotheka kupanga ma mahemfa ndi kutha kwa msambo. Pamene msambo umakhala wopanda mavuto, amayi samamva ululu. Zotsatira zovuta kwambiri za synechia ndi kusabereka komanso kuperewera kwa mayi. Kusakanikirana kwakukulu kwa chiberekero cha uterine kumalepheretsa kayendedwe ka umuna ku dzira. Komanso, endometrium yomwe imakhudzidwa imalola kuti dzira la umuna lisamangidwe ndi khoma la uterine, chifukwa mucosa imalowetsedwa ndi minofu yogwirizana.
Kuzindikira kwa synechia mu chiberekero cha uterine kumachitika ndi hysterosalpingography, hysteroscopy ndi ultrasound.
Synechia - mankhwala
Njira yokhayo yogwiritsiridwa ntchito masiku ano ndi opaleshoni yotsegulira, chifukwa n'zotheka kuti muzisamalira bwino mawuwa
Mtundu wa opaleshoniyo ndi zotsatira zake zimadalira kukula kwa synechia mu chiberekero ndi kumatira kwake. Kuchotsedwa kwa thupi lochepa kumatheka ndi thupi la hysteroscope kapena ndi lumo ndi mphamvu. Miphika yowopsya imachotsedwa pang'onopang'ono ndi mpeni wa electron kapena laser conductor.
Pokonzekera kukonzekera ndi kusinthika pambuyo poyendetsa mankhwala a synechia mu chiberekero cha uterine, mankhwala osokoneza bongo amagwiritsidwa ntchito omwe amapanga chiwonongeko chosinthika cha minofu ya endometrial chifukwa cha kuchepa kwazing'ono kusanayambe kugwira ntchito, ndiyeno kubwezeretsa ndi kulimbikitsa machiritso.