سندرم آشرمن چیست؟ + راه درمان
سندرم آشرمن وضعیتی است که با چسبندگی یا فیبروز آندومتر رحم مشخص میشود که اغلب بدنبال کورتاژ رحم ایجاد میشود .علل
اصولاً سندرم آشرمن بیماری نادری است و اغلب در افرادی رخ می دهد که سابقه چندین بار کورتاژ و سقط داشته اند.همچنین ممکن است ناشی از جراحی های داخل رحمی دیگر باشد.
درمان
تشخیص با هیستروسکوپی یا هیستروسالپنگوگرافی است. اگر موجب آمنوره سقط و ناباروری شود درمان با جراحی و برداشتن چسبندگی است.
Asherman"s syndrome (AS), is an acquired uterine condition that occurs when scar tissue (adhesions) form inside the uterus and/or the cervix. It is characterized by variable scarring inside the uterine cavity, where in many cases the front and back walls of the uterus stick to one another. AS can be the cause of menstrual disturbances, infertility, and placental abnormalities. Although the first case of intrauterine adhesion was published in 1894 by Heinrich Fritsch, it was only after 54 years that a full description of Asherman syndrome was carried out by Joseph Asherman. A number of other terms have been used to describe the condition and related conditions including: uterine/cervical atresia, traumatic uterine atrophy, sclerotic endometrium, and endometrial sclerosis.
There isn"t any one cause of AS. Risk factors can include myomectomy, Cesarean section, infections, age, genital tuberculosis, and obesity. Genetic predisposition to AS is being investigated. There are also studies that show that a severe pelvic infection, independent of surgery may cause AS . AS can develop even if the woman has not had any uterine surgeries, trauma, or pregnancies. While rare in North America and European countries, genital tuberculosis is a cause of Asherman"s in other countries such as India.
There isn"t any one cause of AS. Risk factors can include myomectomy, Cesarean section, infections, age, genital tuberculosis, and obesity. Genetic predisposition to AS is being investigated. There are also studies that show that a severe pelvic infection, independent of surgery may cause AS . AS can develop even if the woman has not had any uterine surgeries, trauma, or pregnancies. While rare in North America and European countries, genital tuberculosis is a cause of Asherman"s in other countries such as India.