Azikhuli intrauterine - ntoni na?

azikhuli intrauterine, okanye, njengoko ibizwa, "syndrome Asherman kaThixo" - lokunye okanye epheleleyo zesibeleko kwisisu imperforate. Oku akuthethi ukuba isifo esi kwiLibia, into embi kakhulu. Kubemi inkunzi kukho ingxaki efanayo - ezi azikhuli yokwaluswa.

Kukho kubuhlungu, izifo ezosulelayo kunye neuro-visceral theory ngemvelaphi le ngxaki. The main factor - maleko carcinomas le yokwenzakala endometrium kwenzeka emva isisu okanye iinkonzo, nokuba mechanical. Usulelo - lo ngumba yesibini. Eyona nto ibuhlungu kukuba ixesha kwiiveki zokuqala ezine emva isisu okanye zokubeleka.

Lidla azikhuli intrauterine kwenzeka izigulane ekukhulelweni zibambene. Ngoko ke, kaninzi ngaphezu kwabanye, emva ukukrwela kokuba azikhuli lweHo- zesibeleko ingxaki kuphuhliswa. Oku kubangelwa yinto yokuba amasalela izihlunu placental kunokubangela ukusebenzisa ukubunjwa collagen kunye fibroblasts phambi kokuba endometrium ezivuselela ngokupheleleyo. azikhuli intrauterine kwenzeka 5-40 ekhulwini lezigulane kunye kwezisu yomhla nezolo.

Ukongeza, le ngxaki ukuze kwenzeke emva kokuba utyando esizalweni: metroplasty, myomectomy okanye bazi- le isifo ngeenjongo yoxilongo. Kwakhona ukubangela azikhuli intrauterine bangaze intrauterine ukukhulelwa.

iimpawu

Kuxhomekeka wesibeleko indlela zaraschena, ngazo syndrome hypomenstrual, amenorrhea kunye nomphumela wayo - nenzalo, kwezisu. Kwimeko apho zaraschivaetsya kuphela inxalenye esezantsi wesibeleko, yaye inxalenye engentla ukusebenza endometrium eqhelekileyo, unokuba hemometra. Obomeleleyo wesizalo imperforate kunye nokungabikho yokusebenza okuqhelekileyo endometrium kungakhokelela kubunzima kunye umzila we iqanda. Nokuba kancinci wavakalisa azikhuli intrauterine - Oonobangela zokungasebenzi kakuhle isichumiso.

Isinye kwisithathu yabafazi abaphethwe azikhuli intrauterine kufumana kwesisu, kusekho inani elifanayo - ukuzalwa, waphuma isisu, kwaye enye inxalenye esisithathu - le ngezifo ze ngumkhaya (previa okanye attachment tight). Oku kuthetha ukuba ukukhulelwa xa izigulane kunye azikhuli kufuneka luthathwe nengozi enkulu ingxaki enokwenzeka ngexesha lokukhulelwa, ngexesha lokubeleka kunye nexesha Kukudandatheka.

unyango

Ukuza kuthi ga ngoku, le ndlela kuphela ukunyanga le ngxaki ngokuba azikhuli asike phantsi ezibonwayo ngqo kolawulo hysteroscopy. Ngelo xesha ke kufuneka kungabikho ukulimala endometrium ukuze ukubuyisela umjikelo oluqhelekileyo sexesheni nokuchuma. Lo msebenzi, iziphumo zayo ukusebenza kulindeleke kungaxhomekeka kuphela kwi uhlobo kunye nobungakanani azikhuli occlusion le lweHo- zesibeleko.

Synechia nendawo, ingahlulwa blunt yi izindlu le hysteroscope. Ngaphezu koko, sebenzisa forceps endoscopic kunye isikere, electrode hysteroresectoscopy.

azikhuli Small kakhulu lula uwaphule forceps, isikere okanye hysteroscope umzimba. Azikhuli nge ezininzi, banqunyulwe kunye isikere ngcembe, kude kube kanye nje xa isibeleko ubuyiselwa imilo yayo yesiqhelo.

Ukuze ukuphelisa azikhuli ashinyeneyo ezinezikhondo, badla hysteroresectoscopy electrode okanye umqhubi laser. Ukuthintela perforation le isibeleko (leyo kunokwenzeka kakhulu) nokusebenza kakuhle wenziwa phantsi kolawulo ultrasound kunye engavezwanga zesibeleko occlusion kwaye ilawulwe laparoscopically, xa occlusion kubonakaliswa kakhulu.

Emva asike of azikhuli intrauterine, abasetyhini abakhulelweyo basengozini. Enyanisweni, ngaphandle ukungakwazi rhoqo ukuthwala umntwana, kusekho nokoyikiswa Kukudandatheka legazi.