Asherman ka maʻi pale: mea, lalau mai, symptoms, ano,ʻike, a me ka lapaʻau

Childlessness ma ka mare - ka mea, o kekahi o ka mea nui ka nohona pilikia. Epekema ai i ka ia kūlana o kela a me keia o na Loaʻaʻia makua pomaikai ole oe ma ka manao paa keia pukana. Eia naʻe, ka hanau keiki ana a me ka haawi i hanau ma ka makuwahine. Hana hiki wale i kēia mau hana oo wahine kino. Ma ka hope mau makahiki ua ike mākou i ka ulu ana o reproductive nā loko mai i ka hoʻonāukiukiʻana a me ka infertility. I ko kakou aupuni ninoaaeyao he alakai nā hana i ka maʻi endometritis. Kekahi o kona hoike ana mai o Asherman ka maʻi pale. Ina hāpai keiki i hiki i kēia maʻi?

pathology Description

Ma lalo o Asherman ka maʻi pale pili i ka pathological ana i loko i ka uterus hana adhesions. i ka helehelena a piha imperforate kona lua e alakai. Ka maʻi loaʻa kona inoa ma ka inoa o Joseph Asherman gynecologist. First maʻi pale i ho'ākāka 'ia ma ka au mamuli o 1894 Genrih Fritch. Ma ka 'inikua moʻokalaleo ka mea, he mau aʻe o kēia maʻi: intrauterine adhesions, traumatic atrophy a me sclerosis o ka endometrium.

Asherman ka maʻi pale ua diagnosed i loko o nā wāhine nānā 'ole o ko lākou mau makahiki a me ka nohona kūlana. Intrauterine adhesions ho i connective splice, ma waena o a he solder kino pā pōhaku, a i kā lākou deformation. E like me ka hopena o ka pathological kaʻina e hoʻomōhala ana i keʻano o kāna hana e alakai i ka menstrual dysfunction. I ka papa kuhikuhiE symptoms o ka maʻi pale hoʻohikiʻia i loko o ka palapala o ka noho'na makaainana i ulu abortions a me infertility.

I ka 'ikepili helu ma ka puunaue ana o ka maʻi? Ma hope o curettage ma nulliparous wahine i ka pilikia o ka ulu i ka maʻi pale, he 25%. Ka wā 'ole-viable hāpai keiki pahiki o ke kahua o adhesions, a piʻi pū mai i ka 30% o ka hihia. 'ākilikai miscarriageʻaneʻane Hoʻoweliweli 'o ia i kekahi wahine o ka ola. Ma keia hihia, no ka pilikia o ka maʻi māhunehune oi ma mua o 7%.

Ke kumu nui

Ke uterus mea he puha muscular hui,. Mawaho ka mea, ua uhi ia e ka peritoneum. Ka loko ua hoalaala ia me ka endometrium, a he mau papa - ka basal a me ka iaea ooieoeiiaeuiiai. Ke kaumaha ma muli o ka pae o ka menstrual kalapona, a ma lalo o ka aoao o ke keka hormones ka endometrium undergoes cyclic loli. Kokoke i ka manawa o ka ovulation, i ka wa o ka manawa o ka i kō ai ke keiki i ka loa kiʻekiʻe, ka endometrium thickens. Ke endometrial keena o kaʻeleu? Iecaianoaaiiuo o biologically hana waiwai. Ma hope o fertilization, o ka hua manu ka mea, komo ka uterus, ma ka implantation. Hoʻokaʻaʻike fetal membranes me ke olakino endometrium - o ka nui ana no ka holomua hapai ana. Inā fertilization i ole ana, ka loiloi, ahu iho ua haehae aku, e like me ka mea e hoikeike ma ka malama. Me ka hoʻomaka o kēlā me kēia pōʻaiapuni, ka endometrium ulu hou.

Adhesions - ia outgrowths paha adhesions o ke kipi, ahu iho o ka uterus e kue ana i ka physiology o ka mucousʻili lahilahi. Asherman ka maʻi pale e hoʻomōhala ana i aie i ka poho a poino i ka basal, ahu iho o ka endometrium ma gynecological kaʻina hana. Kēia hiki ia i hamoʻia ma hope o abortion, cesarean pauku, a me kekahi 'ē hana. Kekahi, he pono ole ke kumu o ka maʻi - endometritis. Adhesions e hana ma luna o ke kāʻei kua o ka lehulehu foci o ka li nui i loko o ka mucousʻili lahilahi o ka uterus.

Ka lapaʻau kiʻi o ka maʻi pale

Symptoms o ka maʻi i ke kumu ma ka lina kaʻina a me kona kanawai ma o ka hana o ka reproductive nenoaiu. I waena o lākou nō i ka loa, he pono ole i:

• menstrual kāna hana (kaumaha / wīwī kaawale ana, he ikaika eha);
• miscarriage ;
• hoemi i ka helu a me ka lōʻihi like 'ole o ka menses;
• haumāna infertility;
• hoʻomāhuahua o ke koko secretions i loko o ka uterine lua.

He aha hou aʻe i symptoms o Asherman ka maʻi pale? Maʻi pinepine accompanies endometriosis e loli iki oolea. Ke pathology Ua wehewehe aku ma ectopic ulu o ka iaea ooieoeiiaeuiiai, ahu iho o ka endometrium ma kela aoao o ka laulā o ka uterus. Keia hui malu pu ana o ka hopena maikaʻi 'ole ma luna o ka Outlook a me ka manaʻolana' ia no ka hana.

Ekolu degere o ka oolea

Ua haawiia i ka poino i ka basal, ahu iho o ka endometrium, kauka paipai i ka kēia Mea Maluna o Asherman ka maʻi pale:

• mehana (adhesions kūlana 'i hou aku 25% o ka buke o ke uterus, hoopuni lukuʻia me mechanical poino);
• awelike ka papahelu (ulana welded paa i me na mucous o ka uterus);
• loa ka papahelu (adhesions komo puleʻAmelika, o sclerosed connective'aʻaʻa, ka paleʻana i ka waha o ka uterus a me ka paipu lalo kino).

'Eleu hoʻoholo o ka degere o pathological kaʻina hiki koke hoola Asherman ka maʻi pale.

Ua hāpai keiki hiki?

Reviews o ka lapaau hōʻike i ka pahiki o i kō ai ke keiki me keia maʻi hilinaʻi nui ma luna o ke kumu a me ke kahua. A lohe o Asherman ka maʻi pale ua seriously loli reproductive kahua. Nā paia o ka uterus koʻokoʻo, nahaha iho kea-ʻohe. E like me ka hopena, i ka embryo hiki ole ke kanu pū. Eia hou, i ka endometrium haalele i kona hiki e pane i ka loli ma ka estrogen nā hoailona. Ke kiʻekiʻe o ka ulu ' haumāna infertility, a me ia, a me ka amenorrhea. Adhesions ma ka cervical aina hoonaukiuki congestion, a kali hou aku; o menses. 'Aʻe' kalapona nui Hōʻike he nui maʻi. Hāpai keiki o ke ano maoliʻaoʻao meaʻoluʻolu, ināʻaʻole manaʻoi hoʻokoe 'ola Asherman ka maʻi pale.

ina paha IVF mea hiki ia? Reviews o ka lapaau hōʻoia ana i ka lūmaua fertilization mea pono i ka wa a ka maʻi mea ma ka kakahiaka kahua o ka? Acaeoey. Ka helu o nā adhesions hiki ole mamua o 25% o ka buke o ke uterus, ka mea pono e IIeEeAIEUIeXAIIUE i loko o ka kaupalena wahi o ka lua.

He mea hiki ole ke haawi aku i ka hookahi pane i nā nīnau i hoʻouna 'ia, no ka mea, kēlā me kēia hihia, he okoa. Ke kaumaha ma muli o ka oolea o ka pathological kaʻina, loaʻa nō kekahi mau Lolina o ka hāpai keiki. Kekahi wahine e lawe ana i nā mea pili pilikia, oiai kekahi poe pu aku la keia ma ka lehulehu complications. A kolu koho - noho'na makaainana i ulu abortion, miscarriage, haumāna infertility. I mea no ke aha la i na wahine e nana ma hope o kā lākou ola, undergo papa'āweʻaweʻa kemika checkups ma ka gynecologist, 'eleu hoolaia a pau mai.

Lapaʻau o keia hookolokolo ana

vocal ano e visualize i ka uterus e hoʻohana i ka diagnose i ka maʻi. , Aole ka ole i ke kauka hoʻokolokolo ai ke hoʻomanawanui i ka obstetric mōʻaukala (helu o pregnancies, abortions, miscarriages, a pela aku.). Ultrasound keia hookolokolo ana ua manaoia e ia i ka loa affordable, a ma ka mea ia manawa minimally invasive iaoia o kaʻike, o pelvic nā loko. Asherman ka maʻi pale hiki ke hookupaa iho la ia ma ka ultrasound, akā, no ka loaa pololei hualoaʻa, e pono 'oe i ke kaʻina hana i kekahi mau manawa iloko o ka pōʻaiapuni.

Ke gula hae no ka loaʻaʻana o nā adhesions noʻonoʻo hysteroscopy. Oia uterus noiʻi komo ai i ka hoʻohana 'ana o kekahi kūikawā mea. Ua Ua lawelawe ma ka cervical Canal, no laila, i ke kino ke ano hiki ke auhau i maoli manawa ma kekahi kamepiula pale. Hysteroscopy e hooholo i ka oolea o ke pathological kaʻina, ka nui a me ka IIeEeAIEUAA o adhesions. e hoomanawanui i piha ninaninau hualoaʻa pono e hui me ka obstetric mōʻaukala a me ka mua ho'āʻo i lapaau. Oia kokoke apono 'e kilokilo maikaʻiʻano Inc.

therapies

Ka maʻi Ua mehana ke hoʻokanahaʻi oolea pane aku ai pono i ka lapaau. Pae holomua Lālā paʻa ano o ka maʻi a me ka hāpai keiki i incompatible. Ma ia kekahi hihia ke hele mai i ka hoʻopakeleʻana surrogacy. I ka wā o nā spike in i aia ma luna o ke kaupalena hapa o ka uterus, e kokua IVF. Naʻe, i loko o keia hihia, e ho'āʻo i ka kūlana o ka makuahine e hiki ole a pau wahine me kaʻike, o "Asherman ka maʻi pale."

Iapaau ana kŰia wehe 'ana o adhesions ma ke ano o ke hysteroscopy. Hana pono ole mau anesthesia,ʻaʻohe complications. Technically, keia mea heʻano huikau ina hana. Removal o adhesions mālama 'anakahi iki-'ūpā no ka mea, o ka pahiki kiʻekiʻe o ka hou-eha. Ma ka postoperative manawa i hoakaka ia antibiotics e ole infectious complications. Uluwehi O Inc Ua koi 'ia e pakuʻi ai i ka hōmona. I ka hoʻohana ana o estrogens a me progestins hōʻike e hoʻoulu ulu endometrial.

Outlook

Mehana mai kaʻina hana a me ka 'eleu hāpai keiki o ka Inc ua malama i ka 93% o nā mea maʻi, a me ka awelika - wale 78%. Kupono wale i nā wāhine me ka holomua maʻiʻo ia ka mea hiki ke hapai i kekahi kamaiki i loko o 57% o ka hihia. Eia naʻe, holomua hāpai keiki me Asherman ka maʻi pale 'aʻole i kumu hoʻomalu i ka hanau ana o ke keiki me ka pathologies. Makahiki o ka hoʻomanawanui iki mai e hoi ia i moolelo i loko o ka kēla. No ka laʻana, 66% o nā mea maʻi kaikaina ma mua o 35 makahiki diagnosed me ka maʻi pale o ka loa hiki ke hāpai. Ma ka anal maikai no 35 makahiki, keia huahelu māhunehune aku i 24%.

kāohi ana

Ua mea hiki ke pale aku Asherman ka maʻi pale? Curettage a holo wehena - na mau kaʻina hana hoʻomalu hanaʻia kokoke blindly, e hilinai wale ma luna o lākou iho ka hoao ana. 'aʻaʻa o ka endometrium i hāpai keiki palupalu, hoopuni poino. E like me ka hopena, i kekahi PalekanaEND_LINK a pākōlea hamo mau pu ma nā palapū i ka basal, ahu iho.

I kekahi koho i kēia mau kaʻina hana mea ma abortions 'inikua abortion. Ua hoʻohuʻu he oxytocic ma ka hoʻohana 'ana ai'. Eia naʻe, ma ka laulā o keia iaoia mea wale 80%. I ka 10% o nā hihia ma hope o 'inikua abortion malama maʻiʻaʻai o membranes e pono hamoʻia. Pela, e pale aku Asherman ka maʻi pale hiki, ina no ka 'inikua kumu, e koho' inikua abortion. Ma ka kekahi lima, keia hana, aole ia e haawi i ka 100% kumu hoʻomalu o ka maikaʻi hopena.