Asherman syndrome

Asherman syndrome yog qhov tsim ntawm qhov caws pliav nyob rau ntawm txoj kev ua kab ntawm menyuam. Qhov teeb meem feem ntau tshwm sim tom qab phais mob uterine.

Asherman syndrome yog ib yam mob tsawg. Feem ntau, nws tshwm sim rau cov poj niam uas muaj ntau txoj kev ua kom nqaij tawv thiab kho mob (D&C).

Mob pelvic heev uas tsis muaj feem cuam nrog kev phais mob kuj tseem tuaj yeem ua rau Asherman syndrome.

Cov kab mob hauv lub uterine kab noj hniav tseem tuaj yeem tsim tau tom qab kis tau mob tuberculosis lossis schistosomiasis. Cov mob no muaj tsawg heev hauv Asmeskas. Txoj kev mob Uterine uas ntsig txog cov mob no tseem tsawg dua.

Qhov nplaum yuav ua rau:

• Amenorrhea (tsis muaj poj niam coj khaub ncaws)
• Rov qab deev me me
• Ntxiv lawm tshob

Txawm li cas los xij, cov tsos mob no tuaj yeem cuam tshuam nrog ntau yam mob. Lawv ntxim yuav qhia tau Asherman syndrome yog tias lawv tshwm sim sai li sai tau tom qab tau pom D & C lossis lwm yam kev phais mob hauv lub tsev menyuam.

Kev kuaj mob hu ua pelvic tsis qhia teeb meem feem ntau.

Kev ntsuam xyuas yuav muaj xws li:

• Hysterosalpingography
• Hysterosonogram
• Kev kuaj ntshav transvaginal
• Kuaj ntshav mus kuaj txhawm rau paub kab mob ntsws lossis schistosomiasis

Txoj kev kho yog koom nrog kev phais kom txiav thiab tshem tawm qhov nplaum lossis caws pliav. Qhov no feem ntau tuaj yeem ua tiav nrog hysteroscopy. Qhov no siv cov twj me me thiab lub koob yees duab tso rau hauv lub tsev me nyuam los ntawm lub ncauj tsev menyuam.

Tom qab caws pliav tshem tawm, tshem tawm cov uterine kab noj hniav yuav tsum tau qhib thaum nws kho kom tsis txhob nplaum los rov qab. Koj tus kws kho mob yuav tso lub pob me me nyob hauv tsev rau ob peb hnub. Koj yuav tsum tau siv cov tshuaj estrogen thaum lub tsev menyuam nyob qis qis kho.

Koj yuav tsum tau noj tshuaj tiv thaiv yog tias muaj mob.

Kev ntxhov siab ntawm kev muaj mob tuaj yeem pab tau los ntawm kev koom nrog pab pawg txhawb nqa. Hauv cov pab pawg no, cov tswvcuab sib koom ua ke ntau yam thiab teeb meem.

Asherman syndrome feem ntau tuaj yeem kho nrog kev phais mob. Qee lub sij hawm ntau dua ib txheej txheem yuav tsim nyog.

Cov poj niam muaj me nyuam hauv plab vim yog Asherman syndrome yuav tuaj yeem muaj menyuam tom qab kho tas. Kev xeeb tub kom ua tiav yog nyob ntawm qhov mob hnyav Asherman syndrome thiab qhov nyuaj ntawm kev kho. Lwm qhov cuam tshuam rau kev muaj menyuam thiab cev xeeb tub kuj tseem yuav koom tau.

Lwm yam kev phais mob hysteroscopic tsis zoo li cas. Thaum lawv tshwm sim, lawv yuav suav nrog los ntshav, txhaws ntawm lub tsev menyuam, thiab mob pelvic.

Hauv qee kis, kev kho mob Asherman syndrome yuav tsis kho tus mob ntxiv lawm tshob.

Hu rau koj tus kws khomob yog:

• Koj lub cev ntas tsis rov qab los tom qab kev mob caj dab lossis phais mob.
• Koj tsis tuaj yeem cev xeeb tub tom qab 6 txog 12 hlis ntawm kev sim (Saib tus kws tshaj lij rau kev ntsuas tus mob ntxiv lawm).

Feem ntau ntawm cov tsos mob Asherman syndrome tsis tuaj yeem kwv yees los yog tiv thaiv.

Tus mob synechiae; Intrauterine nplaum; Ntxiv lawm tshob - Asherman

• Uterus
• Tej cev nqaij daim tawv (ntu txiav)

Xim av D, Levine D. Lub tsev menyuam. Hauv: Rumack CM, Levine D, eds. Kev kuaj mob UltrasoundCov. Thib 5 ed. Philadelphia, PA: Elsevier; 2018: chap 15.

Dolan MS, Toj C, Valea FA. Cov txhab txhab ua haujlwm rau lub ntsej muag: lub chaw mos, lub paum, lub ncauj tsev menyuam, lub tsev menyuam, oviduct, zes qe menyuam, ultrasound duab ntawm pelvic lug. Hauv: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Saib Hluag Tshaj Lij HlawvCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 18.

Keyhan S, Muasher L, Muasher SJ. Kev rho menyuam yam tsis tu ncua thiab kev muaj menyuam ploj: muaj mob ua paug, kuaj mob, kho mob. Hauv: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Saib Hluag Tshaj Lij HlawvCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 16.

Williams Z, Scott JR. Rov qab muaj me nyuam hauv plab. Hauv: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Nyiaj RM, eds. Kev Tsim Nyog thiab Resnik Cov Tshuaj Tiv Thaiv Leej Niam: Cov Ntsiab Cai thiab Kev UaCov. 8 tus ed. Philadelphia, PA: Elsevier; 2019: cha 44.