Ngaba wakha weva ngento efana nale emva kotyando lotyando? (Isthmocele / Cesarean Scar Defect)

Uyazi, xa sithetha ngotyando lwe-C-section, asisoloko sithethe ngeengxaki ezinokubakho emva kwalo. Ngokufanayo, abanye abantu banokuhlangabezana nengxaki encinci emva kotyando lwe-C-section ukuba utyando lwesibeleko alupholi kakuhle. Oku kubizwa ngoogqirha ngokuba yi-Isthmocele okanye i-Cesarean Scar Defect. Ungakhathazeki, oku akwenzeki kuwo wonke umntu, kodwa kubalulekile ukukwazi oku, ingakumbi ukuba utyando lwe-C-section okanye uceba ukwenza olunye kwixesha elizayo.

Ngoko ke, yintoni le isthmocele?

Ngamafutshane, isthmus sisingxobo esincinci okanye ukuxinana eludongeni lwesibeleko sakho apho ubunotyando lotyando. Ngokuchanekileyo, kwenzeka kulwelo lwesibeleko. Olu 'tyando lwesibeleko' lwenzeka xa utyando olwenziwe ngexesha lotyando lotyando lungapholi ngokupheleleyo. Oku ngamanye amaxesha kunokukhokelela ekubunzimeni bokukhulelwa (ukungazali), iingxaki ngexesha lokukhulelwa kwixesha elizayo, kunye nezinye iingxaki ezininzi.

Ngubani osengozini enkulu yokuba ne-isthmus defect (i-Cesarean Scar Defect)?

Nangona le meko inokwenzeka nakubani na oye wabelekwa ngotyando, abanye abantu basengozini enkulu kancinci. Makhe sijonge ukuba bangoobani:

• Ukuba utyebile kakhulu /utyebile kakhulu ngaphambi okanye ngexesha lokukhulelwa.
• Ukuba uneengxaki zempilo eziphazamisana nokuphola kwenxeba.
• Utyando lotyando lwenziwa njengesigqibo esingxamisekileyo, emva kwexesha elide umntwana ezelwe (utyando lwe-c-bection olungacetywanga lwagqitywa emva kwexesha lokuzala).
• Ukuba unesifo seswekile okanye ukuba unesifo seswekile ngexesha lokukhulelwa (isifo seswekile sokukhulelwa).
• Ukuba ubelethwe ngotyando izihlandlo ezininzi .
• Ukuba utshaya okanye usebenzisa ezinye iimveliso zecuba .

Ukuba enye okanye ezingaphezulu kwezi ziyasebenza kuwe, kulungile ukuba uqaphele kancinci. Kodwa khumbula, nangona kukho ezi zinto zinobungozi, ayinguye wonke umntu oza kuba nazo.

Ixhaphake kangakanani le meko ye-isthmus?

Ngokweengxelo zophando, phakathi kwama-24% nama-70% abasetyhini abaye benza utyando olunye lotyando banesifo esinjalo. Njengoko inani lotyando lotyando lisanda kwihlabathi liphela, esi sifo ngoku sixhaphake kakhulu. Umzekelo, malunga nama-30% eentsana ezizalwa eMelika zizalwe ngotyando lotyando. Ngoko ke kubalulekile ukuba uqaphele esi sifo.

Kutheni le nto kukho esi siphene sotyando (Isthmocele)?

Khawuthelekelele, ngexesha lotyando lotyando, kwenziwa imingxunya emibini. Omnye esiswini, omnye esibelekweni. Ukuba umngxunya wesibeleko awupholi kakuhle,Kulungile, okanye mhlawumbi xa usikeka izihlandlo ezininzi kwindawo enye, izicubu ezikuloo ndawo zinokuba buthathaka. Kulapho kuvela khona indawo efana nengxowa, njengaleyo uyikhankanyileyo, ize iqale ukugcwala lulwelo negazi.

Ngamanye amaxesha, indawo yokusika ngexesha lotyando lotyando nayo inokuchaphazela oku. Ukuba utyando lwenziwe lusezantsi kakhulu esibelekweni, kukho ithuba elikhulu lokuba kubekho isilonda esikhulu. Ngokwesiqhelo, olu hlobo lotyando olusezantsi lwenziwa xa kwenziwa utyando lotyando emva kwexesha elide emva kokuzalwa. Kuthiwa kwakhona ukuba kusetyenziswa umaleko omnye kuphela we-sutures xa kuvalwa utyando lotyando lotyando endaweni yezimbini , umngcipheko wokwakheka kwe-isthmus unokwanda.

Ngaba isilonda sotyando singabangela ukungazali?

Ewe, ngamanye amaxesha esi silonda sotyando sinokubangela ukungazali . Kodwa iindaba ezimnandi zezokuba ngonyango olufanelekileyo, abantu abaninzi banokuqhubeka nokukhulelwa okunempilo kwakhona. Ukuba uziva ngathi uneempawu ze-isthmus, okanye ukuba ubuzama ukukhulelwa unyaka wonke (okanye iinyanga ezintandathu ukuba ungaphezulu kweminyaka engama-35) kwaye awukwazanga ukukhulelwa, qiniseka ukuba ubona ugqirha wakho kwaye uthethe ngako.

Zithini iimpawu zale meko ye-isthmus?

Nangona kungengabo bonke abantu abanokuba neempawu, abanye abantu banokuba nazo:

• Ukuya exesheni okungaqhelekanga .
• Ukuya exesheni okubuhlungu (iDysmenorrhea).
• Intlungu ngexesha lokwabelana ngesondo (iDyspareunia).
• Intlungu yesinqe .
• Ukopha okuphuma kwilungu lobufazi okanye kwisibeleko phakathi kwemijikelo emibini yokuya exesheni.
• Ukukhupha ulwelo olungaqhelekanga kwilungu lobufazi .

Ukuba uqhubeka nokuba nenye okanye ngaphezulu kwezi mpawu, kungcono ukuthetha nogqirha ngayo.

Ziziphi iingxaki ezinokubakho ze-isthmus cyst?

Ukuba le meko ayinyangwanga kakuhle, ezinye iingxaki zingavela. Ezi ziquka:

• Umngcipheko okhulayo weengxaki ngexesha leenkqubo ze-gynecological.
• I-Placenta accreta ( i-placenta enamathela kakhulu eludongeni lwesibeleko ).
• I-Placenta previa.
• Ukukhulelwa kwamanxeba - Olu luhlobo lokukhulelwa okubangelwa kukungakhuli kakuhle kwesibeleko, apho iqanda elivundisiweyo lifaka khona isilonda esibelekweni.
• Ukungazali kwesibini - Oku kuthetha ukungakwazi ukukhulelwa kwakhona emva kokukhulelwa okuphumeleleyo kwangaphambili.
• Ukukrazula okanye ukukrazula isibeleko kwindawo apho kukho khona inxeba lesibeleko .

Ezi ngxaki zinokuba yinto eyoyikisayo ukuva ngazo. Kodwa khumbula, azenzeki kuwo wonke umntu. Ukuxilongwa kwangoko kunye nonyango kunokunciphisa kakhulu ezi ngozi.

Uyibona njani le meko ye-isthmus?

Chonga i-IsthmusUvavanyo olukhethekileyo lwemifanekiso yeyona nto isebenzayo. Elona xesha lifanelekileyo lokwenza olu vavanyo kusemva kokuba umjikelo wakho wokuya exesheni uphelile. Oku kungenxa yokuba indawo engaphakathi isenokuzaliswa ligazi ngelo xesha, nto leyo eyenza kube lula ukubona kuvavanyo.

Ugqirha wakho angacebisa iimvavanyo ezifana nezi:

• I-Hysteroscopy: Oku kubandakanya ugqirha ukufaka umbhobho omncinci, okhanyayo kwilungu lobufazi bakho aze ahlole ingaphakathi lomlomo wesibeleko sakho kunye nesibeleko. Oku kunokujonga naziphi na izibazi, izicubu ezingaqhelekanga, okanye ezinye iingxaki.
• I-sonohysterography ye-saline infusion: Oku kunika iinkcukacha ezingaphezulu kune-ultrasound eqhelekileyo ye-transvaginal. Apha, ugqirha uzalisa isibeleko sakho nge-saline (amanzi anetyuwa ahlanjululweyo) aze enze i-ultrasound. Njengoko 'ingxowa' izaliswe ngamanzi, izinto ezinje ngobukhulu bayo kunye nobukhulu bodonga zinokubonakala ngokucacileyo kwimifanekiso.
• I-ultrasound edluliselwa kwisini: Oku kuquka ukufaka i-ultrasound probe kwi-vaginal ukuze kukhangelwe inxeba kunye 'nendawo' esibelekweni. Ingavavanya nobukhulu benxeba.

Zinyangwa njani izibazi zotyando lotyando?

Kukho iindlela ezahlukeneyo zonyango lwe-isthmus cysts. Ugqirha wakho uya kugqiba ukuba loluphi unyango olukulungeleyo ngokusekwe kwimeko yakho, ubukhali beempawu zakho, kunye nokuba ufuna na ukuba nabantwana kwakhona.

• Izithinteli zokukhulelwa ezithathwa ngomlomo: Ezi ziipilisi zokulawula ukuzala. Zinika iidosi eziphantsi zeehomoni. Ezi homoni zinokulawula umjikelo wakho wokuya exesheni kwaye zinciphise ukopha kokuya exesheni. Ngamanye amaxesha olu nyango lunokunciphisa ubukhulu 'bendawo' kangangokuba utyando alufuneki.
• Ukususwa kwe-Hysteroscopic (HR): Ngexesha le-hysteroscopy, ugqirha unokususa izicubu zesilonda esibelekweni. Angavula namacala 'e-niche' ukuvumela igazi kunye nolwelo ukuba luphume. Oku akudingi naluphi na ukusika esiswini.
• Ukulungiswa kweLaparoscopic: Kule nkqubo, ugqirha wenza umngxuma omnye okanye ngaphezulu esiswini sakho aze afake ityhubhu encinci, ekhanyisiweyo (i-laparoscope) ngayo ukuze ijonge ngaphakathi kwesibeleko sakho. Emva koko izicubu zesilonda kunye nezicubu ezigqithisileyo ezijikeleze 'indawo' ziyasuswa. Olu lutyando olungenamsebenzi kakhulu lwezilonda zotyando lwe-cesarean section. Oku kunokukunceda ululame ngokukhawuleza kwaye uzive iintlungu ezincinci.
• Ukususwa kwesibeleko:Oku kuthetha ukususwa kwesibeleko sonke. Oku kudla ngokwenziwa kubantu abaneempawu ze-isthmus ezinzima kakhulu kwaye abangafuni ukuphinda babe nabantwana. Usenokukwazi ukwenza i-laparoscopic hysterectomy. Le yinkqubo engaphantsi kakhulu, oko kuthetha ukuba ungaphila ngokukhawuleza kwaye ube neentlungu ezincinci ngaphandle kokwenza imingxunya emikhulu.

Sikuthintela njani ukwakheka kwe-isthmus?

Enyanisweni, indlela ekuphela kwayo yokuthintela ngokupheleleyo i-isthmus kukuphepha ukwenza i-cesarean section. Kodwa ayinguye wonke umntu onokukwenza oko. Ukuba ukhulelwe kwaye uceba ukwenza i-cesarean section, thetha nogqirha wakho malunga nomngcipheko wokuba ne-cesarean scar (isthmus). Unganciphisa umngcipheko wakho ngokwenza oku kulandelayo:

• Gcina ubunzima obusempilweni ngaphambi nangexesha lokukhulelwa.
• Ukulawula isifo seswekile .
• Ukuphepha ukutshaya nokusebenzisa ezinye iimveliso zecuba .

Injani imeko yempilo yabantu abanezibazi zotyando?

Iindaba ezimnandi zezokuba isilonda sotyando (isthmus) sisifo esinokunyangeka. Uninzi lwabantu luyakwazi ukukhulelwa kwakhona emva konyango, ngoko ke musa ukuphelelwa lithemba.

Ndifanele ndimbone nini ugqirha?

Ukuba une-isthmus ngexesha lokukhulelwa, usengozini yokuqhekeka kwesibeleko . Le yingxamiseko yezonyango . Oku kwenzeka xa isilonda sesibeleko sahlukana kwaye isibeleko sikrazuka. Oku kunokubangela iingozi ezinkulu kwimpilo yakho nakumntwana wakho.

Ukuba ufumana iintlungu eziqatha zesinqe, iintlungu apho kwakukho khona isilonda sakho sotyando, okanye ukopha kakhulu kwesibeleko , ezi zinokuba ziimpawu zokuqhekeka kwesibeleko. Ukuba oku kuyenzeka, funa ingcebiso kagqirha ngokukhawuleza.

I-isthmus yipokotho encinci, okanye 'i-niche,' eyakheka eludongeni lwesibeleko sakho. Ibangelwa kukunqunyulwa kwe-cesarean section okungaphili kakuhle. Oku kunokubangela ukopha okungaqhelekanga kwilungu lobufazi, iintlungu zesinqe, kunye neengxaki zokuya exesheni. Inokubangela nokungazali okanye iingxaki zokukhulelwa kwixesha elizayo. Unyango oluqhelekileyo kukuhlinzwa okungafunekiyo ukususa izicubu ezingaphezulu kwesilonda kunye nokudala 'i-niche.' Uninzi lwabantu lunokukhulelwa okunempilo emva konyango.

Khumbula eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)

• I-isthmocele 'sisingxobo' esincinci esibakho xa utyando lwesibeleko lungapholi kakuhle emva kotyando.
• Nangona kungengabo bonke abantu abafumana oku, abanye abantu banokuba neengxaki zokungazali, iingxaki zokuya exesheni, kunye neengxaki ngexesha lokukhulelwa kwixesha elizayo.
• Ukuba uneempawu ezifana nokopha okungaqhelekanga okanye iintlungu zesinqe, bona ugqirha.
• Le meko inokufunyanwa kwaye inyangwe . Kwiimeko ezininzi, ukukhulelwa okuphumelelayo kunokufikelelwa emva konyango.
• Ukuba ukhe wabelekwa ngotyando, kubaluleke kakhulu ukuqaphela oku. Akukho nto yokoyika, thetha nogqirha wakho ngalo mba.

Ukuba uneminye imibuzo malunga noku, ungoyiki ukubuza ugqirha wakho wezifo zabesifazane. Baza kukunceda.

Isthmocele , Isiphene seCrearean Scar, utyando lwe-C, isibeleko, impilo yabasetyhini, ukungazali, utyando lwe-cesarean