Syndrome Ashermana

Ashermana syndrome is the formation of the uterine cavity walls connective tissue, called adhesions or synechia. They arise as a result of mechanical injury to the endometrium, and as a result of inflammation – endometrytu.Poshkodzhennya endometrium may occur during medical manipulations such as curettage for abortion or diagnosis of endometrial dilation or curettage to stop postpartum bleeding, and reduction in beating vahitnosti.Krim that similar effects occur after cesarean section, konizatsiyi cervical surgery on the removal of uterine fibroids, polyps, endometrial defects, including bicornual uterus.
Development of inflammation of the mucous membrane contribute to genital infections, obstructed labor, abortion, wearing an intrauterine device (IUD). Can play a negative role in the penetration of the uterus agents of tuberculosis, and radiation therapy of cancer sex orhaniv.Vysokyy risk of adhesions in patients with non-developing pregnancy due to the fact that remnants of the placenta triggers rapid growth of connective tissue before time to recover endometriy.Dosyt Often these factors are combined with each other, ie the mechanical damage of tissue attached inflammatory process.
Adhesions syndrome Ashermana resulting proliferation of connective tissue bands and seam them together soboyu.Chym thickness of education, the higher the probability of the presence of blood vessels and muscle fibers, which increases the difficulty removing synechia. This normal endometrium partially or completely vytisnyayetsya.Pry small intensity of this process the presence of adhesions does not cause complaints from patients, their detection occurs accidentally during hysteroscopy. Large-scale proliferation of connective tissue leads to various disorders of the menstrual cycle. Difficult brain bleeding, menses become more scarce, up until their termination in full substitution of endometrial connective tissue.
One of the most serious consequences for women adhesions in the uterus is infertility and miscarriage. The reason for this is considerable difficulty in the penetration of sperm to the egg after ovulation which migrates to the uterine truby.Krim that created serious obstacles to the fertilized egg implants in the uterine wall, due to displacement of the mucous membrane connecting tkanynoyu.Tsomu contributes to cell damage basal layer of the endometrium, resulting in what it loses the ability to heal itself, and reduced levels of estrogen.
There are three degrees of the syndrome Ashermana.Persha requires a thin connective tissue bands that hold no more than a quarter of uterine cavity, and the bottom of the mouth of the uterus and fallopian tubes are free. In the second phase they partially closed by adhesions, in the pathological process involved no more than three quarters of oral matky.Tretya stage is characterized by the fact that the merger hold almost all the uterine cavity, its walls stick together with each other. Diagnosis of the disease includes pelvic ultrasound, blood test for hormones, X-ray study of the uterus and fallopian tubes, Hidrosonohrafiya, histeroskopiyu.Ostanniy method is particularly informative as to assess the extent of adhesions, identify the number and location of synechia.