Kungani kukhona ukuvuvukala esibelethweni?

Ukuvuvukala - Fusion evele zomzimba owodwa noma evele ezizungezile kwezitho ahlukahlukene.

Asherman Syndrome (synechia esibelethweni) - umthungo lesizalo izindonga. Imbangela sifo ngokuvamile kokungenela mechanical kokunikezwa kwe-ubuqotho ungqimba basal we endometrium ukuthi ngokuvamile kwenzeka ngenxa isisu noma ngemuva kokubeletha. Gynecologists bathi ukutheleleka - kuyisici yesibili, okuholela okuvela ukuvuvukala.

Ngokuvamile, ukuvuvukala zingavela esiningi abesifazane abadala lapho umbungu ufe. Ngemva elihlanza kwesibeletho kulokhu kwandisa ingozi ukuvuvukala asathuthuka. Lokhu kungenxa yokuthi izinsalela placenta kusebenze fibroblasts collagen yokuvuselela endometrium. Uma iziguli kuyagcinwa izisu yansukuzonke, ukuvuvukala esibelethweni eba ngu-30% wabo.

Kodwa zikhona nezinye izizathu, ngenxa okuyinto ukuthuthukisa ukuvuvukala kule ingaphakathi lesizalo. Ngokuvamile, kwenzeka:

1. Ngemva myomectomy futhi metroplasty.
2. Ngenxa yalokho, zokuxilonga curettage lesizalo ulwelwesi kanye conization wesibeletho.
3. Ukuvuvukala bungase ukusetshenziswa umuthi intrauterine.

Ngokuvamile, izimpawu zesifo incike ezingeni umphetho kwesibeletho. Futhi, uma kukhona overgrowing phansi umzimba engxenyeni engenhla kungenzeka kamuva kwamiswa hemometra. Uma synechia esibelethweni elinesimo degree abalulekile overgrowth, lokhu kungase kuholele ezinkingeni nge ukubukeka sokukhulelwa noma kulungiswe inkinga yokungabi nenzalo.

Abesifazane abakhipha bacale kutfutfukisa ukuvuvukala kule ingaphakathi lesizalo, kungase esekhala ubuhlungu esiswini engezansi, okuyinto ikakhulukazi kwaqina esesikhathini. Amandla ubuhlungu incike kwasendaweni ukuvuvukala. Uma zitholakala ezansi kwesibeletho noma umsele wesibeletho, ubuhlungu kunamandla, ngoba ukuvimbela ukuvuvukala kulesi simo Ukuhamba menses. Uma ukuya esikhathini kwenzeka ngaphandle thuthuva, ubuhlungu cishe azinakwa.

Ngokuvamile, ukuvuvukala esibelethweni ngaso sonke isikhathi ukuba ukwanda ubuhlungu ngesikhathi ukuqala kokuya esikhathini. Nokushintsha imvelo zokwehlukaniswa: ngabodwa akuzona njengoba ziyinsada, izivumelwano kanye nesikhathi sabo. Uma unezilonda endometrial abalulekile ngalesosikhathi they are spreadable, lapho nesigaba lesi sifo kuyingozi kakhulu (esimweni okuphelele overgrowing wesibeletho noma kwesibeletho), esikhathini ubalekela ngokuphelele.

Kuze kube manje, indlela kuphela ukwelashwa esetshenziswa kule sifo ukuhlinzwa: usike ukuvuvukala ngaphansi kokulawulwa hysteroscope. Ukusebenza Kwenziwa ngaphandle ukulimala asele endometrium. Izici ukusebenza kuxhomeke ezingeni esiphakamisa lesi sifo futhi eyinkimbinkimbi inhlobo yayo.

Okuhlangenwe nakho kubonisa ukuthi le ndlela yokwelapha iphumelela kakhulu. Nokho, i-fusion ngaphezulu, ephansi nekusebenta. Ngokuvamile, onalesi sifo olunzima wokubuyiselwa nomjikelezo wokuya esikhathini, umsebenzi zokuzala nezifo Ukuphinda ukhona ekwelapheni ukuvuvukala intrauterine, nge omsakazo tuberculous.

Khumbula ukuthi ingozi bangabesifazane nge yezinkinga emva kokuzalwa (ezinyangeni zokuqala) futhi ngemva kokukhipha izisu. Uma lezi iziguli ziba yezinkinga ngesimo izenzo eziphazamisa nomjikelezo wokuya esikhathini, udinga ukuchitha hysteroscopy e uphethwe nokubhujiswa ukuvuvukala (uma waqala imfundo yabo). Uma kukhona izinsolo khona izinsalela we esibelethweni, kubalulekile ukuba ubambe hhayi kuphela lesizalo curettage, hysteroscopy kodwa futhi (ukucacisa focus zokugula futhi isuswe).