Intrauterine synechia (Asherman's syndrome) - inogadzirisa mishonga inoshandiswa muhutachi uterine inotungamirira mukukanganiswa kwayo kwakakwana kana kusarura.
Zvinokonzera S synechia
Chikonzero chikuru chekugadzirwa kwechichiaa ndiko kukuvadzwa kwebhaalid yepamusoro ye endometrium, yakagadzirwa nemaitiro ekugadzirisa. Kazhinji kacho, kukanganisa kwakadaro kunokonzerwa nekuchera mushure mekubereka nekubvisa pamuviri. Icho chinonyanya kuora mwoyo ndeye mavhiki mana ekutanga mushure mekuita kwakadaro.
Uyewo, kuonekwa kwechichiaa mubereki kunogona kushandiswa nemamwe magwaro ekuvhiya (metroplasty, myomectomy, mucosal diagnostic curettage) uye intrauterine maitiro emishonga, kusanganisira kubata pamuviri.
Secondary factors anowanikwa chirwere uye inflammation.
Kubuda kwe-intrauterine synechia kunowanzobatwa nevarwere vane pamuviri wakafa. Zvisara zvezvipembenene zvinokonzera kukonzera kushandiswa kwe fibroblasts uye kukurudzira kuumbwa kwegogenjini kunyange kusati kwatanga kugadzirwa kwe endometrium. Nokudzokorora kusapedzisira, mikana yekuvandudza synechia inowedzera.
Madzimai avo vasina kuiswa muchirwere chinonzi intrauterine munguva yakapfuura, chikonzero che synechia chinova chisingagumi endometritis.
Synechia muchibereko - zviratidzo
Kazhinji, zviratidzo izvi zvinoenderana nehutachiona hwehutachiona. Ikoko kune tsanangudzo yakakwana ye synechia, inoratidzira chirwere, zvichienderana nehuwandu hwekupararira uye mamiriro ekusimbisa kwechibereko.
- I degree - inenge 1/4 yehuwandu hwehutachi uterine inobatanidzwa, zvivi zviduku zvakanyanya, muromo wemipopu uye pasi zviri pachena;
- Dhigirii 2 - 1/4 - 3/4 yehutachi uterine inobatanidzwa, hakuna kumira kwemasvingo, pane kungoomerera chete, muromo wemapapiro uye pasi hazvisi zvachose zvakavharwa;
- III degree - kupfuura 3/4 yehuwandu hweuterine cavity inotorwa.
Idzo zviratidzo zvikuru zvinorwadza mudumbu rezasi, izvo panguva yekuenda kumwedzi kunowedzera. Chimiro chekuyerera chinoshandukawo, vanove vasina kusimba uye vapfupi.
Zvinorwadza zvinorwadza zvinoenderana nenzvimbo ye synechiae. Kana zvipembenene zviri muchikamu chezasi chechibereko mukati memharaunda yemudumbu, inodzivisa kutenderera kweropa kwemazuva ose uye manzwiro ekurwadziwa anonyanya kuoma. Nokudaro, zvinokwanisika kugadzira hematomas uye kupera kwekuguma kwemwedzi. Kana kuenda kumwedzi kunopinda pasina matambudziko, vakadzi vanenge vasingatambudzi. Migumisiro yakaipisisa ye synechia inoberekwa uye kupererwa kwepamuviri. Kukanganiswa kunokosha kwechibereko chemukati kunodzivirira kufamba kwehuta kuaii. Uyewo, endometrium inobatwa haibvumiri mazai anogadzirwa kuti asungirire rusvingo rwehutachi, sezvo mucosa inotsiviwa nehutano hunobatana.
Kuongororwa kwema synechia muuterine cavity inoitwa ne hysterosalpingography, hysteroscopy uye ultrasound.
Intrauterine synechia - kurapa
Nzira chete inoshandiswa mazuva ano kupindira kwekuvhiya, sezvo zvichibvira kubata zvakasimba synechia zvichida
Chimiro chekushanda pamwe nemigumisiro yaro kunobva pauwandu hwekupararira kwechireda muchibereko uye kubata kwayo. Kubviswa kwechinyama chechichea kunogoneka nehutachiona hwemuviri kana nekasi uye simba. Tsvina yakasimba inobviswa zvishoma nezvishoma neaya ye electron kana laser conductor.
Sekugadzirira kwekugadzirira uye kushandiswa kwemashure maitiro ekurapwa kwe synechia muuterine cavity, mishonga yemishonga inoshandiswa iyo inoita kuti pave nehutachiona huripo huripo hwemakumbo endometrial nokuda kwekukura kuduku vasati vashanda, uyezve kudzorera uye kukurudzira kuporesa.