{"id":13492,"date":"2021-12-15T16:34:25","date_gmt":"2021-12-15T16:34:25","guid":{"rendered":"https:\/\/fivclinic.es\/?p=3789"},"modified":"2024-12-22T17:46:43","modified_gmt":"2024-12-22T17:46:43","slug":"cesaria-anterior-pot-ser-motiu-infertilitat","status":"publish","type":"post","link":"https:\/\/fivclinic.es\/ca\/cesaria-anterior-pot-ser-motiu-infertilitat\/","title":{"rendered":"Ces\u00e0ria anterior: pot ser motiu d\u2019infertilitat?"},"content":{"rendered":"\r\n

Una ces\u00e0ria, com qualsevol procediment quir\u00fargic, pot comportar uns riscos. Es tracta d\u2019una cicatriu uterina que en el postpart immediat pot complicar-se en forma d\u2019hemorr\u00e0gia o b\u00e9 d\u2019infecci\u00f3 i posteriorment, en un futur embar\u00e0s, pot provocar risc obst\u00e8tric per la ruptura uterina o acretisme placentari. Despr\u00e9s d\u2019una ces\u00e0ria s\u2019ha descrit tamb\u00e9, tot i que de manera molt poc freq\u00fcent, una reducci\u00f3 de la fertilitat. En parlem amb Anna Goday, especialista en reproducci\u00f3 assistida de FIVCl\u00ednic.<\/strong><\/h4>\r\n\r\n\r\n\r\n

Qu\u00e8 \u00e9s un istmocel? <\/strong><\/h4>\r\n\r\n\r\n\r\n

Un istmocel \u00e9s una petita entrada o impromptu a la paret de l\u2019\u00fater que es coneix com a miometri, i que es produeix sobre la cicatriu d\u2019una ces\u00e0ria anterior. La seva prevalen\u00e7a \u00e9s desconeguda i la seva simptomatologia \u00e9s molt variable, des de dones que s\u00f3n totalment asimptom\u00e0tiques, fins a d’altres que poden tenir problemes de sagnat o de fertilitat.<\/p>\r\n\r\n\r\n\r\n

Com es diagnostica un istmocel?<\/strong><\/h4>\r\n\r\n\r\n\r\n

Hi ha diverses proves d\u2019imatge que permeten diagnosticar un istmocel. Una d’elles \u00e9s la resson\u00e0ncia magn\u00e8tica. Tamb\u00e9 es podria fer el diagn\u00f2stic mitjan\u00e7ant una histerosc\u00f2pia, que permet una visi\u00f3 directa de l\u2019interior de la cavitat uterina, per\u00f2 no permet prendre mesures del defecte de la paret. I finalment, hi ha proves d\u2019imatge com l\u2019ecografia transvaginal en 3 dimensions o la sonohisterografia<\/a>. Aquestes proves diagn\u00f2stiques, sempre que es realitzin en mans d\u2019un expert, s\u00f3n molt sensibles i accessibles, i permeten prendre mesures del defecte.<\/p>\r\n\r\n\r\n\r\n

\r\n

A FIVCl\u00ednic ens basem sobretot en l\u2019ecografia en 3 dimensions<\/a> i en la sonohisterografia<\/a> per realitzar el diagn\u00f2stic, sempre en mans de professionals experts en la t\u00e8cnica.<\/p>\r\n<\/blockquote>\r\n\r\n\r\n\r\n

Quin tractament es pot fer en el cas de tenir un istmocel?<\/strong><\/h4>\r\n\r\n\r\n\r\n

L\u2019evid\u00e8ncia cient\u00edfica sobre com tractar l’istmocel produ\u00eft per una ces\u00e0ria anterior \u00e9s molt controvertida. Dependr\u00e0 molt de si la dona t\u00e9 s\u00edmptomes o no, o de si t\u00e9 desig gen\u00e8sic. S\u2019han descrit tractaments hormonals per intentar reduir un possible sagnat. I tamb\u00e9 tractaments quir\u00fargics amb abordatges a trav\u00e9s de diferents vies. En moltes ocasions, si no genera s\u00edmptomes, no cal fer cap tractament.<\/p>\r\n\r\n\r\n\r\n

El que \u00e9s important recordar \u00e9s que quan hi ha l’antecedent d’una ces\u00e0ria pr\u00e8via cal fer un estudi ecogr\u00e0fic 3D<\/a> per descartar la pres\u00e8ncia d’un istmocel en la cicatriu de la ces\u00e0ria.<\/p>\r\n\r\n\r\n\r\n

Si desitgeu m\u00e9s informaci\u00f3, aqu\u00ed teniu la refer\u00e8ncia d’un article publicat recentment sobre l’istmocel pel nostre equip: Istmocele y fertilidad: revisi\u00f3n de la literatura a prop\u00f3sito de un caso<\/a>, a la revista Cl\u00ednica e Investigaci\u00f3n en Ginecolog\u00eda y Obstetricia<\/em>.<\/p>\r\n\r\n\r\n\r\n

Anna Goday. <\/strong>Ginec\u00f2loga especialista en reproducci\u00f3 assistida de FIVcl\u00ednic.<\/em><\/p>\r\n","protected":false},"excerpt":{"rendered":"

Una ces\u00e0ria, com qualsevol procediment quir\u00fargic, pot comportar uns riscos. Es tracta d\u2019una cicatriu uterina que en el postpart immediat pot complicar-se en forma d\u2019hemorr\u00e0gia o b\u00e9 d\u2019infecci\u00f3 i posteriorment, en un futur embar\u00e0s, pot provocar risc obst\u00e8tric per la ruptura uterina o acretisme placentari. Despr\u00e9s d\u2019una ces\u00e0ria s\u2019ha descrit tamb\u00e9, tot i que de… Continueu llegint Ces\u00e0ria anterior: pot ser motiu d\u2019infertilitat?<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[254],"tags":[],"autores":[],"tipo_de_blog":[],"class_list":["post-13492","post","type-post","status-publish","format-standard","hentry","category-diagnostic","entry"],"acf":[],"yoast_head":"\nCes\u00e0ria anterior: pot ser motiu d\u2019infertilitat? - fivcl\u00ednic | barnacl\u00ednic+<\/title>\n<meta name=\"description\" content=\"En un futur embar\u00e0s, una ces\u00e0ria anterior pot provocar risc obst\u00e8tric per ruptura uterina o acretisme placentari. 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