Ngamanye amaxesha sinokuba notshintsho olwahlukeneyo emizimbeni yethu singaqondanga. Enye into enjalo yi-`(Septate Uterus)`. Mhlawumbi awukaze uve ngeli gama ngaphambili, okanye mhlawumbi ujonge oku emva kokuba ugqirha ekukhankanyile. Nangona kunjalo, ungothuki xa usiva oku. Masithethe ngale nto ngokulula, ngendlela onokuyiqonda.
Yintoni le `(Isibeleko esiNcinci)`?
Ngamafutshane, i-`(Septate Uterus)` kukungaqheleki kwesibeleko. Oogqirha bakubiza oku ngokuthi yi-`(Congenital Anomaly).` Oku kuthetha ukuba le meko ikhona ngelixa usesesibelekweni.
Ngokwesiqhelo, isibeleko esisempilweni simile okwepeya ejonge phantsi, sinomngxuma omnye ngaphakathi. Kodwa kumntu one-`(Septate Uterus)`, isibeleko sinesakhiwo esifana ne-membrane, okanye i-tissue membrane (ekwabizwa ngokuba yi-`septum`). Le membrane idala imingxunya emibini ngaphakathi kwesibeleko. Khawuthelekelele ngokungathi igumbi lahlulwe kabini ludonga.
Olu hlobo lwe-membrane luqala phezulu kwesibeleko luze lufikelele emlonyeni wesibeleko, oyinxalenye esezantsi yesibeleko, kwaye ngamanye amaxesha lude luye nakwilungu lobufazi. Ubukhulu nobude balo luhlobo lwe-membrane bungahluka kumntu nomntu.
Ngaba le yinto eyenzeka kubantu abaninzi?
Hayi, `(Septate Uterus)` sisifo esingaqhelekanga . Nangona kunjalo, sesinye sezona zifo zixhaphakileyo zesibeleko. Xa sithetha ngokufutshane, phakathi kwama-35% nama-90% abafazi abanohlobo oluthile lwesibeleko abanale ngxaki `(Septate Uterus)`. Ngokubanzi, kuthiwa malunga nama-4 kwabasetyhini abali-100 abanesibeleko banokuba nohlobo oluthile lwesibeleko esingaqhelekanga.
Ingaba kuyingozi ukuba ne-`(Septate Uterus)`?
Ukuba nesibeleko esine-septate akubangeli naziphi na iingxaki zempilo ezinkulu ixesha elide. Oko kukuthi, akubangeli naziphi na iingxaki zempilo ezinkulu. Nangona kunjalo, kukho iingozi ezithile ngexesha lokukhulelwa . Ngokukodwa, umngcipheko wokuphuphuma kwesisu uphezulu kancinci kule meko.
Umzekelo, ukuba umfazi onesibeleko esiqhelekileyo unethuba eliyi-10% ukuya kwi-20% lokukhulelwa, ezinye izifundo zibonisa ukuba umngcipheko kumfazi onesibeleko esincinci (iSeptate Uterus)` unokuba phezulu ukuya kwi-35%. Kodwa oku akuqhelekanga kuye wonke umntu . Kukho abafazi abaninzi abanesibeleko esincinci (iSeptate Uterus)` kwaye bazale umntwana ophilileyo ngaphandle kweengxaki. Ngoko ke ungakhathazeki.
Zithini iimpawu zoku?
Uninzi lwexesha, abantu abane-`(Septate Uterus)` abanazo naziphi na iimpawu . Oku kuthetha ukuba usenokungaziva naluphi na utshintsho okanye ukungakhululeki kubomi bakho bemihla ngemihla. Abantu abaninzi bafumanisa oku kuphela xa bephunyelwe zizisu ngokuphindaphindiweyo kwaye besenza uvavanyo lwezonyango ukuze kufunyanwe unobangela.
Nangona kunjalo, kwiimeko ezingaqhelekanga, umntu unokufumana iimpawu ezifana nezi:
- Ukuphuphuma kwesisu rhoqo (ingakumbi kwiinyanga zokuqala zokukhulelwa).
- Intlungu egqithisileyo ngexesha lokuya exesheni (iintlungu ezingaphezu kweqhelekileyo).
- Intlungu yesinqe.
Kutheni oku kusenzeka? Yintoni unobangela?
Njengoko besitshilo ngaphambili, `(Septate Uterus)` yimeko yokuzalwa . Xa usakhula njengomntwana ongekazalwa esibelekweni sikamama wakho, isibeleko siqala ukwakheka kwiityhubhu ezimbini (ezibizwa ngokuba yi`Mullerian ducts`) ezidibanayo. Ngokwesiqhelo, ezi tyhubhu zimbini ziyadibana ukuze zenze umngxuma omnye wesibeleko.
Nangona kunjalo, kumntu one-`(Septate Uterus)`, ezi tyhubhu zimbini azidibani ngokupheleleyo, kwaye umaleko wezicubu uhlala phakathi kwazo. Loo maleko yi-`septum` eyahlula isibeleko sibe zimbini. Asikuko ukuba unetyala, kwaye asikuko nokuba wenze into ethile.
Ngaba oku kuyayichaphazela indlela yokuya exesheni?
Ngokwesiqhelo, i-`(Septate Uterus)` ayinampembelelo ingako kumjikelo wokuya exesheni. Oku kuthetha ukuba ukuya exesheni akusoloko kusenzeka okanye kuphele. Nangona kunjalo, abanye abantu banokufumana iintlungu ezingakumbi ngexesha lokuya exesheni . Nangona kunjalo, ekubeni le meko izalwa nayo, ungaziva ukuba iintlungu "ziqhelekile" kuba uziva yonke imihla.
Uyifumana njani le nto? / Oogqirha bayiqinisekisa njani le nto?
Ukuba uphunyelwa sisisu rhoqo okanye ezinye iimpawu, ugqirha uya kuqala enze uvavanyo lwe-pelvic. Nangona kunjalo, ngaphandle kokuba i-membrane iye yanda yaya kutsho kwilungu lobufazi, kunzima ukufumanisa ubunzulu kunye nendawo ye-membrane ngolu vavanyo lodwa.
Ngoko ke, oogqirha basebenzisa uvavanyo olukhethekileyo lwemifanekiso ukuze bafumanise ngokuchanekileyo le meko. Oku kwenzelwa ukujonga ubukhulu, ubude, kunye nendawo echanekileyo ye-membrane esibelekweni.
Kukho iintlobo ezimbini eziphambili ze-'Septate Uterus':
1. Isibeleko esipheleleyo esisecaleni: Kule meko, i-membrane isasazeka kulo lonke ubude besibeleko, ukuya kuthi ga kwi-cervix. Ngamanye amaxesha, inokudlula kwi-cervix iye kwi-vaginal.
2. Isibeleko esincinci esisecaleni: Kule nto, i-membrane ayidluli ukuya emlonyeni wesibeleko.
Iimvavanyo eziphambili ezisetyenziswayo ukufumanisa le meko zezi:
- Iskeni ye-ultrasound: Olu luvavanyo lokuqala oluyenziwa.
- Iskeni se-MRI (Magnetic Resonance Imaging): Oku kunokubonelela ngomfanekiso ocacileyo wesibeleko kunye neenwebu.
- I-Hysteroscopy: Oku kuquka ukufaka isixhobo esincinci esinekhamera ngaphakathi kwesibeleko ukuze sijonge ngqo ngaphakathi kwesibeleko.
Ngamanye amaxesha olu hlobo lwe-membrane lunokubhidaniswa nolunye uhlobo olungaqhelekanga lwesibeleko, ``Bicornuate Uterus`` (isibeleko esahlulwe kabini). Yiyo loo nto kufuneka uvavanyo olunjalo olukhethekileyo.
Zithini iindlela zokunyanga oku? / Ndingayinyanga njani le nto?
Ayingabo bonke abantu abanesibeleko esine-septate abaya kufuna utyando. Ngamanye amaxesha oogqirha benza into ebizwa ngokuba "lulawulo olulindelekileyo." Oko kukuthi, ukuba akukho ngxaki inkulu, bayalinda ixesha elithile.
Nangona kunjalo, indlela ekuphela kwayo yokususa olu lwelwesi kukuhlinzwa . Olu tyando lubandakanya ukusika nokususa ulwelwesi oluphakathi kwesibeleko. Emva koko isibeleko siba ngumngxuma omnye, njengesibeleko esiqhelekileyo.
Unyango oluphambili loku lutyando olubizwa ngokuba yiHysteroscopic Metroplasty .
Olu ayilotyando olukhulu. Lutyando oluthathwa ngaphandle oluthatha malunga neyure kwaye lukuvumela ukuba ugoduke ngaloo mini inye.
Oku kuquka ukudlulisa i-hysteroscope (isixhobo esifakwe ikhamera) ngesibeleko ukuya esibelekweni, ukusika nokususa ulwelo. Emva kolu tyando, umngcipheko wokuphuphuma kwesisu uyancipha kakhulu .
Abantu abaninzi, nangona bephunyelwe zizisu izihlandlo ezininzi, baye bakwazi ukukhulelwa ngempumelelo baze babe nomntwana osempilweni emva kolu tyando. Olunye uphando lubonise ukuba izinga lempumelelo lokukhulelwa emva kolu tyando limalunga nama-65%. Nangona kunjalo, uninzi loogqirha lucebisa ukuba ulinde malunga neenyanga ezimbini emva kotyando ngaphambi kokuba uzame ukukhulelwa kwakhona.
Ziziphi iingxaki ezinokwenzeka emva kotyando?
Njengalo naluphi na utyando, utyando lokususa i-septum lunokuba neengozi ezincinci. Ezi ziquka:
- Ukopha okungaqhelekanga.
- Usulelo.
- Ukugqobhoka kwesibeleko (kunqabile kakhulu).
- Ukonakala komlomo wesibeleko.
Ezi azisoloko zibalulekile, kodwa kulungile ukuzazi. Ugqirha wakho uza kukuchazela oku ngokweenkcukacha.
Ngaba oku kungenzeka kwakhona?
Hayi , i-membrane kwi-`(Septate Uterus)` ayikhuli kwakhona emva kokuba isusiwe ngotyando. Oku kungenxa yokuba le membrane yenziwa xa iityhubhu ezimbini zingadibani kakuhle ngexesha lesigaba sokuzalwa. Nje ukuba isusiwe ngotyando, umzimba awunakuphinda ukhule olo hlobo lwe-membrane.
Ngaba ikho indlela yokuthintela oku ukuba kungenzeki?
Ngelishwa, akukho nto unokuyenza ukuthintela ukukhula kwesibeleko esisecaleni. Oku kungenxa yokuba yinto ekhoyo xa izalwa. Akukho bungqina bucacileyo bokuba singumzimba.
Ngaba kunokwenzeka ukuba ukhulelwe ngempumelelo nge-`(Septate Uterus)`?
Ewe, ngokuqinisekileyo kunokwenzeka! Abafazi abaninzi abane-`(Septate Uterus)` bakhulelwe kakuhle kwaye bazala abantwana abasempilweni. Nangona kunjalo, ukuba ukhulelwe kwaye une-`(Septate Uterus)`, kukho iingozi ezithile ekufuneka uzazi:
- Ukukhula okulinganiselweyo/ubunzima obuphantsi bokuzalwa.
- Ukuphuma kwesisu.
- Ukuzalwa ngaphambi kwexesha (ukuzalwa ngaphambi kweeveki ezingama-37).
- Ukuzala kwangethuba.
- Usana lukwimo yokurhoxa kwesisu.
Ngenxa yesi sizathu, ugqirha wakho uza kuhlela ukukhulelwa kwakho njengomngcipheko ophezulu , akuhlole rhoqo wena nomntwana wakho, aze ajonge ngokusondeleyo ukukhula komntwana wakho.
Ingaba akunakwenzeka ukuba uphunyelwe sisisu ukuba une-`(Septate Uterus)`?
Hayi, akwenzeki rhoqo. Ukuba nesibeleko esine-septate okanye ezinye iingxaki zesibeleko kwandisa umngcipheko wokuphuma kwesisu, kodwa abantu abaninzi bakhulelwa kakuhle ngaphandle kweengxaki, nokuba ii-membranes azikho. Ukuba nesibeleko esine-septate kudla ngokuba nefuthe elikhulu ekukhulelweni okanye ekuzaleni.
Oku kuyichaphazela njani into yokuzala umntwana?
Iintsana ezizelwe ngoomama abanesibeleko esine-septate zisengozini enkulu yokuzalelwa kwindawo ene-breech . Oku kungenxa yokuba imo yesibeleko yahlukile kancinci, nto leyo eyenza kube nzima ukuba umntwana abe kwindawo enentloko ezantsi. Ukuba umntwana une-breech, oogqirha badla ngokucebisa ukuba umntwana abelekwe ngotyando (C-section).
Ngaba umntwana wam unokuba neziphene zokuzalwa?
Ukuba une-`(Septate Uterus)`, umntwana wakho usemngciphekweni omkhulu wokuzalwa ngaphambi kwexesha (`preterm delivery`) . Xa umntwana ezalwa ngaphambi komhla wokuzalwa kwakhe, amanye amalungu omzimba kunye neenkqubo zisenokungakhuli ngokupheleleyo. Oku ngamanye amaxesha kunokubangela iziphene zokuzalwa ngokwengqondo okanye ngokwasemzimbeni (`congenital disabilities`).
Nangona kunjalo, oku akuthethi ukuba wonke umntu one-septate uterus, okanye wonke umntwana ozelwe ngaphambi kwexesha, uya kuba nokukhubazeka. Uninzi lwabantu luzala abantwana abasempilweni nabapheleleyo.
Ngaba kunokwenzeka ukuba ukhulelwe emva kokulungiswa kwe-Septate Uterus?
Ewe, unako. Ungakhulelwa ngokuqhelekileyo emva kokususwa kwesibeleko. Nangona kunjalo, njengoko besitshilo ngaphambili, uninzi loogqirha bacebisa ukuba ulinde ubuncinane iinyanga ezimbini emva kotyando ukuze uzame ukukhulelwa kwakhona. Kufuneka unike umzimba wakho ixesha lokuphola.
Ngaba kukho ezinye iingozi zempilo ezinxulumene nesibeleko esisecaleni?
Ezinye izifundo zibonisa ukuba abantu abanesibeleko esine-septate banokuba nomngcipheko okhulayo wokuba nesifo esibizwa ngokuba yi-endometriosis. Ngaphandle koko, ngaphandle kokuba ukhulelwe, ukuba nesibeleko esine-septate akubeki mngcipheko omkhulu kwimpilo.
Ezona ngozi ziphambili kwimpilo ezinxulumene noku zivela ngexesha lokukhulelwa. Nazi:
- Ukuphuma kwesisu (ingakumbi kwikota yesibini).
- Ukuzalwa ngaphambi kwexesha.
- Ubunzima obuphantsi bokuzalwa.
- Usana lukwindawo ethi ``breech`` okanye ``transverse``.
- Amathuba aphezulu okuba kwenziwe utyando ngotyando.
Ndifanele ndibonane nogqirha nini?
Ukuba ukhulelwe kwaye uyazi ukuba une-`(Septate Uterus)`, kufuneka ubone ugqirha ngokukhawuleza ukuba ufumana naziphi na kwezi mpawu zilandelayo:
- Ukuqaqamba okanye ukushwabana kwepelvic.
- Iinwebu ziyaqhekeka.
- Ukopha kwamalungu esini.
Ngaphandle kokuba ukhulelwe, le meko ayinakubangela iingxaki ezinkulu zempilo. Nangona kunjalo, ukuba une-`(Septate Uterus)`, thetha nogqirha wakho malunga noko kufuneka ukwazi.
Yeyiphi imibuzo omele uyibuze ugqirha wakho?
Xa ufumanisa ukuba une-`(Septate Uterus)`, kuyinto eqhelekileyo ukuba nemibuzo emininzi. Nazi ezinye zemibuzo onokuyibuza ugqirha wakho ngelo xesha:
- Ngaba ndisenokukhulelwa okusempilweni?
- Ingakanani ingozi yokuphuphuma kwesisu kwam?
- Ngaba kufuneka ndityandwe ukuze ndilungise isibeleko sam seSeptate?
- Angakanani amathuba am okukhulelwa ngempumelelo emva konyango?
- Ngaba ukukhulelwa kwam kuthathwa njengomngcipheko ophezulu?
Ukuba ufunyaniswe une-`(Septate Uterus)` thetha nogqirha wakho malunga neendlela zonyango lwakho. Uza kujonga imbali yakho yezonyango aze achaze utyando kunye namathuba akho okukhulelwa okuphumelelayo.
Ngoko ke, zeziphi izinto esifanele sizikhumbule kweli bali?
Kulungile, sithethe kakhulu nge-`(Septate Uterus)` ngoku. Okokugqibela, nazi izinto ezibalulekileyo ekufuneka uzikhumbule:
- I-Septate Uterus sisiphene sokuzalwa kwesibeleko.
- Ixesha elininzi akukho zimpawu .
- Ingxaki ephambili ziingxaki ezinokubakho ngexesha lokukhulelwa , ingakumbi umngcipheko wokuphuphuma kwesisu.
- Kukho unyango loku (oludla ngokubizwa ngokuba lutyando lwe-'Hysteroscopic Metroplasty'), kwaye olo nyango luyaphumelela.
- Nokuba une-`(Septate Uterus)` nokuba ufumana unyango okanye akunjalo, unokuba nokukhulelwa okunempilo kunye nokuzala .
- Ukuba unemibuzo okanye amathandabuzo malunga noku, eyona nto ingcono onokuyenza kukuthetha nogqirha wakho .
Musa ukoyika okanye ukoyika. Ngokwazi kunye namanyathelo afunekayo, le meko inokulawulwa ngempumelelo.
Isibeleko esinamaqhuqhuva, ulwelwesi lwesibeleko, ukungaqheleki kwesibeleko, ukuPhumla, ukukhulelwa, i-Gynecology, i-Hysteroscopy











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