Ingaba isibeleko sakho naso simile okwentliziyo? Masithethe nge (Bicornuate Uterus)!

Kukho izinto ezithile emizimbeni yethu esingazicingi kakhulu kubomi bethu bemihla ngemihla, akunjalo? Ingakumbi njengomfazi, amalungu angaphakathi emzimbeni wakho afana nesibeleko sakho. Kodwa ngamanye amaxesha kubaluleke kakhulu ukuzazi ezi zinto. Namhlanje siza kuthetha ngemeko ekhethekileyo abantu abaninzi abasenokuba abazange bayive, kodwa enokuchaphazela abanye abafazi. Oko kukuthi, isibeleko simile njengentliziyo. Oogqirha babiza oku ngokuthi `(Bicornuate Uterus)`.

Yintoni le ntsholongwane imile okwentliziyo (Bicornuate Uterus)?

Ngamafutshane, ukuba nesibeleko esineembombo ezimbini kuthetha ukuba isibeleko sakho simile njengentliziyo endaweni yesimo esiqhelekileyo esijikelezileyo. Cinga ngesibeleko esiphilileyo njengento efana nepeya ejonge phantsi. Umphezulu obanzi, ojikelezileyo wepeya yintloko yesibeleko (ekwabizwa ngokuba yi-fundus). Kodwa kumntu one-uterus eneembombo ezimbini, umphezulu wesibeleko ujike ngaphakathi, njengentliziyo. Yiyo loo nto ibizwa ngokuba "sisibeleko esineembombo ezimbini."

Ngokwesiqhelo, isibeleko sisingxobo esinegumbi elinye esinokukhula njengoko umntwana ekhula. Nangona kunjalo, kwisibeleko esineekona ezimbini, inxalenye ephezulu yesibeleko yahlulwe yaba ziinxalenye ezimbini ngomaleko wezicubu. Ngokuxhomekeke kubungakanani bolu hluko, ezinye iingxaki zinokwenzeka ngexesha lokukhulelwa. Oku kungenxa yokuba isibeleko asikwazi ukwanda kakuhle.

Le yimeko yokuzalwa . Oku kuthetha ukuba isibeleko simile ngolu hlobo ngaphambi kokuba uzalwe, ngelixa usesesibelekweni sikamama wakho. Uninzi lwexesha, oku akuyongxaki inkulu. Nangona kunjalo, ukuba ukhulelwe isibeleko esineembombo ezimbini, umngcipheko wokuphuma kwesisu kunye nokubeleka ngaphambi kwexesha uphezulu kancinci. Abantu abaninzi abazi nokuba banaso esi sibeleko, kuba akukho zimpawu zithile. Nangona kunjalo, abanye abantu banokuba neentlungu ezinzima ngexesha lokuya exesheni okanye ukuphuma kwesisu okungapheliyo.

Ixhaphake kangakanani le meko?

I-Bicornuate Uterus sisifo esingaqhelekanga sesibeleko, kodwa asiqhelekanga ngokubanzi. Sichaphazela ngaphantsi kwe-0.5% yabasetyhini. Uninzi lwabasetyhini lufumanisa kuphela ukuba isibeleko sabo simile ngendlela engaqhelekanga emva kokuba bekhulelwe kwaye bephunyelwe zizisu ezininzi.

Ingaba kubi ukuba nesibeleko esimile okwentliziyo?

Hayi, ayimbi kangako okanye ayiyingozi kangako. Uninzi lwexesha, awuyazi nokuba unayo, kuba akukho zimpawu zibonakalayo. Nangona kunjalo, imo engaqhelekanga yesibeleko inokubangela iingxaki ezithile ngexesha lokukhulelwa. Ukuba ugqirha ukuxelela ukuba une-`(Bicornuate Uterus)`, kungcono ukuyiqonda kwaye uthethe naye malunga nendlela echaphazela ngayo ubomi bakho.

Zithini iimpawu ze-(Bicornuate Uterus)?

Ukuba uneempawu zesibeleko esineembombo ezimbini, ezi zingabandakanya:

• Ukuphuphuma kwesisu rhoqo (ngesiqhelo ngaphezulu kwezihlandlo ezithathu).
• Ukopha okungaqhelekanga kwilungu lobufazi.
• Intlungu ebuhlungu ngexesha lokuya exesheni.
• Intlungu ngexesha lokwabelana ngesondo (i-dyspareunia).
• Intlungu yepelvic (`(Intlungu yepelvic)`).

Kodwa khumbula, ngamanye amaxesha unokuba nale meko ngaphandle kweempawu. Ngenxa yokuba yinto ozalwa nayo, iimpawu ozifumanayo zinokubonakala ngathi zizinto "eziqhelekileyo". Uninzi lwexesha, ufumanisa ngayo kuphela emva kokuba ukhulelwe okanye uphunyelwe zizisu ezininzi.

Yintoni isizathu soku?

Njengoko bekutshiwo ngaphambili, isibeleko esineembombo ezimbini yimeko ekhoyo xa umntwana ezalwa (ezalwa nayo). Isibeleko senzeka xa umntwana ongekazalwa ekhula esibelekweni - phakathi kweeveki ezili-10 nezingama-20.

Ngexesha lophuhliso, kukho iityhubhu ezimbini ezibizwa ngokuba yiMullerian ducts . Ngokwesiqhelo, ezi tyhubhu zimbini ziyadibana ukuze zenze umngxuma omnye wesibeleko. Nangona kunjalo, kumntu one-bicornuate uterus, ezi tyhubhu zimbini azihlangani ngokupheleleyo. Ke ngoko, isibeleko siba njengemingxuma emibini. Olu qhekeko lunokuba nzulu kakhulu, okanye lube luncinci kangangokuba alunakubangeli ngxaki.

Into ebalulekileyo kukuba esi sibeleko esimile okwentliziyo asizuzisi. Oku akuthethi ukuba ngenxa yokuba unale meko, nabantwana bakho baya kuba nayo.

Ifunyanwa njani le meko (iBicornuate Uterus)?

Abantu abaninzi bafumanisa oku kuphela emva kokuba bephunyelwe zizisu ngokuphindaphindiweyo. Xa oku kusenzeka, oogqirha bahlola imo yesibeleko. Kulapho ke oku kungaqhelekanga kufumaneka khona. Ngamanye amaxesha kunokufunyanwa ngengozi, nokuba ngexesha le-ultrasound scan eqhelekileyo ngexesha lokukhulelwa okanye xa befuna unyango lweentlungu ezinzima zokuya exesheni.

Okokuqala, kwenziwa uvavanyo lwe-pelvic, aze emva koko ugqirha wakho asebenzise iindlela ezahlukeneyo zokuthatha imifanekiso ukuqinisekisa ukuba unesibeleko esineembombo ezimbini. Oku kwenzelwa ukulinganisa ubunzulu bokukhula kwaso kunye nokusahlula kwezinye iingxaki zesibeleko.

• I-Ultrasound: Olu luvavanyo lokuqala olusetyenziselwa ukufumanisa isibeleko esimile okwentliziyo. Nje ukuba imeko ifunyaniswe, ugqirha angasebenzisa ezinye iimvavanyo eziphambili ukuze afumane umfanekiso ocacileyo. Uvavanyo lwe-ultrasound olunemilinganiselo emithathu (3D ultrasound) nalo luluncedo kakhulu koku.
• I-MRI (iMagnetic Resonance Imaging): Le yeyona ndlela ineenkcukacha zokufumana imifanekiso yesibeleko kuba sinokubona isibeleko kwiikona ezahlukeneyo kunye nobukhulu obahlukeneyo.

Ngaba kukho iintlobo ezahlukeneyo zesibeleko esineembombo ezimbini?

Ugqirha wakho uza kukuxelela ukuba isibeleko sakho esineembombo ezimbini asiphelelanga okanye asiphelelanga .Ingachazwa ngolu hlobo: La magama abhekisa kwindlela umlomo wesibeleko oye wehla ngayo ukusuka phezulu kwesibeleko.

• Isibeleko esineekona ezimbini ezipheleleyo: Kule meko, ulwahlulo phakathi kwezi ngxunya zimbini luncinci kancinci. Isibeleko simile okwentliziyo, kodwa umngxuma owahlula isibeleko awunzulu kangako.
• Isibeleko esipheleleyo esineembombo ezimbini: Kule meko, umngxuma ophezulu wesibeleko unzulu kakhulu. Ke ngoko, ukwahlukana phakathi kwezi mbombo zimbini zesibeleko kucacile kakhulu.

Ngaba isibeleko seBicornuate singalungiswa?

Kwiimeko ezininzi, le meko ayifuni unyango lotyando.

Nangona kunjalo, kwezinye iimeko ezikhethekileyo, kwenziwa utyando olubizwa ngokuba yiMetroplasty . Nangona kunjalo, kukho izimvo ezahlukeneyo malunga nolu tyando, ngoko ke ayinguye wonke umntu olwenzayo. Olu tyando luzama ukubumba isibeleko sibe yimo eqhelekileyo efana nepeya. Olu tyando lungenziwa nge-laparoscopically . Oko kuthetha ukuba lutyando olwenziwa ngokusikwa okuncinci, ngaphandle kokusikwa okukhulu. Olu tyando lubandakanya ukususa izicubu ezibangela ukuba isibeleko sitshone okanye senze intliziyo.

Ukuba wenze utyando lwe-"Metroplasty", kufuneka ulinde ubuncinane iinyanga ezintathu ngaphambi kokuba uzame ukuba nomntwana kwakhona, kuba kungenjalo kukho umngcipheko wokuba isibeleko siqhume ngexesha lokubeleka.

Zithini iingxaki zolu tyando?

Utyando lokulungisa isibeleko esineembombo ezimbini lunokuba neengozi ezilandelayo:

• Ukopha kakhulu (`(Ukopha igazi)`).
• Usulelo (`(Usulelo)`).
• Ukunamathela/ukuvaleka kwesibeleko.

Ukuba ucetyiswa ukuba wenze olu hlobo lotyando, ugqirha wakho uya kukuchazela ngokupheleleyo ngenkqubo, iingozi zayo, kunye namathuba akho okukhulelwa ngempumelelo.

Ngaba isibeleko esineembombo ezimbini singathintelwa?

Hayi. Akukho nto unokuyenza ukuthintela isibeleko esimile okwentliziyo. Yimeko yokuzalwa. Ayibangelwa yinto eyenziwe okanye engenziwanga ngabazali bakho.

Ukuba ndine (Bicornuate Uterus), andinakuba nomntwana?

Ewe! Ungafumana umntwana nokuba une-`(Bicornuate Uterus)`. Nangona kunjalo, kukho umngcipheko ophezulu kancinci weengxaki ngexesha lokukhulelwa. Isizathu esiphambili soku kukuba isibeleko sakho asinakukhula sikhulu njengoko kufuneka ukuze umntwana akhule. Ugqirha wakho uza kuthetha nawe malunga namanyathelo omele uwathathe ngexesha lokukhulelwa kunye nendlela le meko eya kuyichaphazela ngayo ukukhulelwa kwakho kunye nokuzala.

Isibeleko esineekona ezimbini sichaphazela njani ukukhulelwa kwam?

Isibeleko esineekona ezimbini asidli ngokuchaphazela amandla akho okukhulelwa. Nangona kunjalo, imilo yesibeleko ikubeka emngciphekweni omkhulu weengxaki zokukhulelwa, ezifana nezi:

• Ukuphuma Kwesisu (`(Ukuphuma Kwesisu)`).
• Ukuzalwa ngaphambi kwexesha kunye nokuzala kwangethuba.
• Ubunzima obuphantsi bomntwana ozelweyo (ngenxa yokungoneli kwendawo yokukhula esibelekweni).
• Ukopha okungaqhelekanga kwilungu lobufazi.
• Umntwana ongekazalwa ukwindawo yokurhoxa, ejijekileyo, okanye kwenye indawo ngaphandle kwentloko ezantsi.
• Amathuba aphezulu okuba ne-cesarean beginner (`(ukuhanjiswa kwe-cesarean)`).
• Ukopha kakhulu emva kokubeletha (`(Ukopha emva kokubeletha)`).
• I-Placenta previa (ukuqhawuka kwe-placenta) okanye ezinye iingxaki nge-placenta.
• Uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa.
• Umlomo wesibeleko ongasebenzi kakuhle.

Xa ukhulelwe isibeleko esineembombo ezimbini, eyona nto iphambili ekulawuleni kukuba ulandelelwe ngakumbi (ukubeka esweni) . Kuya kufuneka wenze iiskeni ze-ultrasound ezingaphezulu kokukhulelwa kunesiqhelo. Oku kwenzelwa ukuba ugqirha wakho ajonge ubungakanani kunye nokuma kwesibeleko sakho kunye nendawo yomntwana wakho kunye ne-placenta. Ukuma okungaqhelekanga kwesibeleko sakho kuthetha ukuba umntwana wakho unokuba ne-breech, ngoko ke unokuba notyando lwe-C-section.

Kodwa khumbula, abantu abanesibeleko esineembombo ezimbini banokuba nokukhulelwa okunempilo kunye nokuzala okuqhelekileyo. Zonke ezi zinyathelo zithathwa ukukhusela wena nomntwana wakho ngexesha lokukhulelwa kunye nokuzala.

Ngaba isibeleko esineekona ezimbini siya kuyichaphazela indlela endibeleka ngayo kunye nokuzala kwam?

Ewe, ukuzala kwakho kunokuchaphazeleka yile ntliziyo. Ngenxa yokuba isibeleko asinasimo sifanelekileyo, sisenokungabi sikhulu ngokwaneleyo ukuba singathwala umntwana oza kuzalwa kwixesha elizeleyo. Oku kuthetha ukuba umntwana wakho usenokuba kwimeko engaqhelekanga okanye eqinileyo kakhulu esibelekweni. Xa ene-`(Bicornuate Uterus)` , umntwana unokuba kwindawo `(breech)`. Ngenxa yesi sizathu, oogqirha badla ngokucebisa `(C-section)`.

Ukuba ndine-uterus enamacala amabini, ngaba umntwana wam uza kuba neziphene zokuzalwa?

Hayi. Ukuba nje une-uterus ene-cornuate akuthethi ukuba umntwana wakho uza kuba nesiphene sokuzalwa. Kodwa usengozini enkulu yokuzala ngaphambi kwexesha (ngaphambi kweeveki ezingama-37 zokukhulelwa). Oku kuthetha ukuba umntwana wakho unokuzalwa ngaphambi kwexesha, okanye ngaphambi kokuba amanye amalungu okanye iinkqubo zikhule ngokupheleleyo.

Ngaba kukho ezinye iingozi zempilo ezinxulumene nesibeleko esineembombo ezimbini?

Ukuba awukhulelwanga okanye awunathemba lokukhulelwa, akukho mingcipheko mikhulu kwimpilo omele uyixhalabele. Nangona kunjalo, abo bane-bicornuate uterus basengozini enkulu ye -endometriosis kunye nokuphuphuma kwesisu okuphindaphindiweyo .

Ukuba ukhulelwe, iingozi eziphambili ezinxulumene nesibeleko esineembombo ezimbini zezi:

• Ukuphuphuma kwesisu.
• Ukubeletha kwangethuba.
• Abantwana abazalwa benobunzima obuphantsi.
• Usana lukwindawo yokugquma okanye yokujika esibelekweni.

Ndifanele ndimbone nini ugqirha wam?

Ukuba uphuma igazi ngendlela engacwangciswanga kwisini, okanye ukuba ufumana iintlungu ezisezantsi kwesisu ngexesha lokuya exesheni okanye ngexesha lokwabelana ngesondo, bona ugqirha wakho ngokukhawuleza. Ezi zinokuba ziimpawu ze-"Bicornuate Uterus".

Ukuba ukhulelwe kwaye ufunyenwe unesibeleko esineembombo ezimbini, kwaye uneempawu zokuzala kwangaphambili (ezifana nokubhitya kwesibeleko okanye ukuqhekeka kwamanzi), yazisa ugqirha wakho ngoko nangoko.

Yeyiphi imibuzo endifanele ndiyibuze ugqirha wam malunga neBicornuate Uterus?

Nantsi eminye imibuzo onokuyibuza ugqirha wakho ngale meko:

• Ngaba kufuneka ndityandwe ukuze kulungiswe i-`(Bicornuate Uterus)` yam?
• Ziziphi iingxaki zempilo ezinokubakho ngenxa ye-`(Bicornuate Uterus)`?
• Zithini iingozi zokukhulelwa `(Isibeleko seBicornuate)`?
• Ndingakhulelwa na?
• Oku kuza kuyichaphazela njani indlela endizisa ngayo?
• Ngaba umntwana wam uza kuzalwa esempilweni?

Ngaba kunokwenzeka ukuba namawele anesibeleko esineembombo ezimbini?

Oku kunqabile kakhulu, kodwa akunakwenzeka. Ukukhulelwa kwamawele kunye nesibeleko esineekona ezimbini kunxulunyaniswa neengozi ezininzi, kuquka ukuzalwa ngaphambi kwexesha, ukuzalwa komntwana obunzima obuphantsi, ukuphuphuma kwesisu, kunye nokuzala okungekho sempilweni. Ukuzala okungekho sempilweni kuxa umntwana ekwindawo engeyiyo intloko ezantsi esibelekweni ngaphambi kokuzalwa.

Ukuba ufunyenwe une-bicornuate uterus, thetha nogqirha wakho malunga neengxaki zempilo ekufuneka uzazi. Uza kukuchazela iingozi ngokusekelwe kwimbali yakho yempilo kunye neempawu. Nangona abantu abane-bicornuate uterus besengozini enkulu yeengxaki zokukhulelwa, uninzi lwabantu luzala abantwana abasempilweni.

Umyalezo Wokuya Ekhaya

Kulungile, ngoku uyiqonda ngcono i-`(Bicornuate Uterus)` okanye isibeleko esimile okwentliziyo esithethe ngaso. Nazi izinto ezibalulekileyo ekufuneka uzikhumbule:

• Le yimeko yokuzalwa , ayilotyala lakho.
• Abantu abaninzi banokuba nale meko ngaphandle kwempawu .
• Abanye abantu basenokuba neengxaki zokuphuma kwesisu rhoqo kunye neentlungu zokuya exesheni.
• Le ayisiyongxaki, kodwa ifuna unonophelo olukhethekileyo kunye nokubekwa esweni ngexesha lokukhulelwa.
• Kunokwenzeka ukuba nomntwana ophilileyo nokuba une-"Bicornuate Uterus".
• Ukuba unemibuzo okanye amathandabuzo malunga noku, eyona nto ingcono onokuyenza kukuthetha nogqirha wakho wezifo zabesifazane. Yena uza kukunika icebiso elifanelekileyo.

Musa ukoyika, qaphela. Okukhona usazi ngakumbi ngomzimba wakho, kokukhona unokuba sempilweni!

"Isibeleko esineembombo ezimbini, Isibeleko esimile okwentliziyo, Ukungaqheleki kwesibeleko, Ukuphuma kwesisu, Ukuzalwa ngaphambi kwexesha, Impilo yabasetyhini, Ukukhulelwa