Ingabe une-septum esibelethweni sakho? (Isibeletho Esincane) Ake sifunde ngayo.

Ngezinye izikhathi singase sibe nezinguquko ezahlukahlukene emizimbeni yethu singaqapheli. Enye into enjalo `(Isibeletho Esiyindilinga)`. Mhlawumbe awukaze uzwe ngaleli gama ngaphambili, noma mhlawumbe ubheka lokhu ngemuva kokuba udokotela ekushilo. Kodwa-ke, ungakhathazeki uma uzwa lokhu. Ake sixoxe ngalokhu kalula, ngendlela ongayiqonda.

Kuyini lokhu `(Isibeletho Esincane)`?

Kalula nje, i-`(Septate Uterus)` iyisimo esingavamile sokuzalwa sesibeletho. Odokotela bakubiza lokhu ngokuthi `(Congenital Anomaly).` Lokhu kusho ukuthi lesi simo sikhona ngenkathi usesesibelethweni.

Ngokuvamile, isibeletho esinempilo simise okwepheya elibheke phansi, elinembobo eyodwa kuphela ngaphakathi. Kodwa kumuntu one-`(Septate Uterus)`, isibeletho sinesakhiwo esifana nembobo, noma kunalokho imbobo yezicubu (ebizwa nangokuthi i-`septum`). Lembobo idala imbobo emibili ngaphakathi kwesibeletho. Cabanga sengathi igumbi lihlukaniswe kabili ngodonga.

Lolu lwelwesi luqala phezulu kwesibeletho luze ludlulele phansi emlonyeni wesibeletho, okuyingxenye engezansi yesibeletho, futhi ngezinye izikhathi luze lungene ngisho nasesithweni sangasese sowesifazane. Ubukhulu nobude balolu lwelwesi bungahluka kuye ngomuntu nomuntu.

Ingabe lokhu kuyinto eyenzeka kubantu abaningi?

Cha, '(Isibeletho Esincane)' yisimo esingavamile . Kodwa-ke, singenye yezinto ezingavamile kakhulu esibelethweni. Cishe, phakathi kuka-35% no-90% wabesifazane abanohlobo oluthile lwe-anomaly yesibeletho banalesi simo '(Isibeletho Esincane)'. Ngokuvamile, kuthiwa cishe abesifazane abangu-4 kwabayi-100 abanesibeletho bangaba nohlobo oluthile lwe-anomaly yokuzalwa.

Ingabe kuyingozi ukuba ne-`(Septate Uterus)`?

Ukuba nesibeletho esine-septate akubangeli izinkinga ezinkulu zempilo zesikhathi eside. Okusho ukuthi, akubanga izinkinga ezinkulu zempilo. Kodwa-ke, kunezingozi ezithile ngesikhathi sokukhulelwa . Ikakhulukazi, ingozi yokuphuphuma kwesisu iphakeme kancane ngalesi simo.

Isibonelo, uma owesifazane onesibeletho esivamile enethuba lokuphuphuma kwesisu eliyi-10% kuya ku-20%, ezinye izifundo zibonisa ukuthi ingozi kowesifazane onesibeletho esingu-`(Septate Uterus)` ingaba phezulu ngo-35%. Kodwa lokhu akuvamile kuwo wonke umuntu . Kunabesifazane abaningi abanesibeletho esingu-`(Septate Uterus)` futhi abazale umntwana onempilo ngaphandle kwezinkinga. Ngakho ungakhathazeki.

Ziyini izimpawu zalokhu?

Esikhathini esiningi, abantu abane-`(Septate Uterus)` ababi nazo izimpawu . Lokhu kusho ukuthi ungase ungazizwa izinguquko noma ukungakhululeki empilweni yakho yansuku zonke. Abantu abaningi bathola lokhu kuphela uma bephuphunyelwe yisisu ngokuphindaphindiwe futhi behlolwa ukuze bathole imbangela.

Kodwa-ke, ezimweni ezingavamile, umuntu angase abe nezimpawu ezifana nalezi:

• Ukuphuphuma kwesisu njalo (ikakhulukazi ezinyangeni zokuqala zokukhulelwa).
• Ubuhlungu obukhulu ngesikhathi sokuya esikhathini (ubuhlungu obungaphezu kobuvamile).
• Ubuhlungu be-pelvic.

Kungani lokhu kwenzeka? Iyini imbangela?

Njengoba sishilo ngaphambili, `(Isibeletho Esincane)` yisimo sokuzalwa . Uma usakhula njengomntwana osesiswini sikamama wakho, isibeletho siqala ukwakheka kusuka kumapayipi amabili (abizwa ngokuthi `ama-Mullerian ducts`) ahlangana ndawonye. Ngokuvamile, la mapayipi amabili ayahlangana ukuze akhe umgodi owodwa wesibeletho.

Kodwa-ke, kumuntu one-`(Septate Uterus)`, la mapayipi amabili awahlangani ngokuphelele, futhi ungqimba lwezicubu luhlala phakathi kwawo. Leyo ngqimba yi-`septum` ehlukanisa isibeletho sibe yizibili. Lokhu akulona iphutha lakho, futhi akuyona into oyenzile.

Ingabe lokhu kuyawuthinta umjikelezo wokuya esikhathini?

Ngokuvamile, i-`(Septate Uterus)` ayinawo umthelela omkhulu emjikelezweni wokuya esikhathini. Lokhu kusho ukuthi ukuya esikhathini akushintshi noma kunyamalale. Kodwa-ke, abanye abantu bangase babe nobuhlungu obuthe xaxa ngesikhathi sokuya esikhathini . Kodwa-ke, njengoba lesi simo sizalwa naso, ungase uzizwe sengathi ubuhlungu "buvamile" ngoba ubuzwa nsuku zonke.

Ukuthola kanjani lokhu? / Odokotela bakuqinisekisa kanjani lokhu?

Uma uphuphunyelwa yisisu njalo noma ezinye izimpawu, udokotela uzoqala ngokukwenza ukuhlolwa kwe-pelvic. Kodwa-ke, ngaphandle kokuthi ulwelwesi ludlulele esithweni sangasese sowesifazane, kunzima ukuthola ukujula kanye nendawo ngqo yolwelwesi ngalokhu kuhlolwa kuphela.

Ngakho-ke, odokotela basebenzisa izivivinyo ezikhethekile zezithombe ukuze bahlole ngokunembile lesi simo. Lokhu kwenziwa ukuze kuhlolwe ukujiya, ubude, kanye nendawo eqondile yolwelwesi esibelethweni.

Kunezinhlobo ezimbili eziyinhloko ze-'Septate Uterus':

1. Isibeletho esiphelele esinobuthi: Kulokhu, ulwelwesi ludlulela kulo lonke ubude besibeletho, kuze kufike emlonyeni wesibeletho. Ngezinye izikhathi, lungadlulela emlonyeni wesibeletho luye esithweni sangasese sowesifazane.

2. Isibeletho esine-septate engaphelele: Kulokhu, ulwelwesi aludluli lonke luye emlonyeni wesibeletho.

Ukuhlolwa okuyinhloko okusetshenziselwa ukuxilonga lesi simo yile:

• Ukuskena nge-ultrasound: Lokhu kuvame ukuba ukuhlolwa kokuqala okwenziwayo.
• Iskeni se-MRI (Magnetic Resonance Imaging): Lokhu kunganikeza isithombe esicacile sesibeletho kanye nolwelwesi.
• I-Hysteroscopy: Lokhu kuhilela ukufaka ithuluzi elincane elifakwe ikhamera ngesitho sangasese sowesifazane liye esibelethweni ukuze libheke ngqo ngaphakathi kwesibeletho.

Ngezinye izikhathi lolu lwelwesi lungadidaniswa nenye inkinga yesibeletho, ``Bicornuate Uterus`` (isibeletho esihlukaniswe kabili). Yingakho kudingeka ukuhlolwa okukhethekile okunjalo.

Yiziphi izindlela zokwelapha lokhu? / Ngingayelapha kanjani le nto?

Akuwona wonke umuntu one-septate umbungu ozodinga ukuhlinzwa. Ngezinye izikhathi odokotela benza lokho okubizwa ngokuthi "ukuphathwa kokulindela." Okusho ukuthi, uma kungekho nkinga enkulu, bayalinda isikhashana.

Kodwa-ke, okuwukuphela kwendlela yokususa lolu lwelwesi kungokuhlinzwa . Lokhu kuhlinzwa kuhilela ukusika nokususa ulwelwesi oluphakathi kwesibeletho. Bese isibeletho siba yimbobo eyodwa, njengesibeletho esivamile.

Ukwelashwa okuyinhloko kwalokhu ukuhlinzwa okubizwa ngokuthi i-Hysteroscopic Metroplasty .

Lokhu ngokuvamile akuyona inqubo enkulu yokuhlinzwa. Kuyinqubo yokulaliswa esibhedlela ethatha cishe ihora futhi ikuvumela ukuthi uye ekhaya ngalolo suku.

Lokhu kuhilela ukudlulisa i-hysteroscope (ithuluzi elifakwe ikhamera) ngesibeletho lingene esibelethweni, lisike futhi lisuse ulwelwesi. Ngemva kwalokhu kuhlinzwa, ingozi yokuphuphuma kwesisu incishiswa kakhulu .

Abantu abaningi, ngisho nangemva kokuphuphuma kwezisu kaningi, bakwazile ukukhulelwa ngempumelelo futhi baba nomntwana onempilo ngemva kwalokhu kuhlinzwa. Ucwaningo olulodwa lubonise ukuthi izinga lempumelelo lokukhulelwa ngemva kwalokhu kuhlinzwa licishe libe ngu-65%. Kodwa-ke, odokotela abaningi bacebisa ukulinda cishe izinyanga ezimbili ngemva kokuhlinzwa ngaphambi kokuzama ukukhulelwa futhi.

Yiziphi izinkinga ezingaba khona ngemva kokuhlinzwa?

Njenganoma yikuphi ukuhlinzwa, ukuhlinzwa kokususwa kwe-septum kungaba nezingozi ezincane. Lokhu kufaka phakathi:

• Ukopha okungavamile.
• Ukutheleleka.
• Ukubhoboka kwesibeletho (okungavamile kakhulu).
• Ukulimala komlomo wesibeletho.

Lezi ngokuvamile azibalulekile, kodwa kuhle ukuzazi. Udokotela wakho uzokuchazela lokhu ngokuningiliziwe.

Ingabe lokhu kungenzeka futhi?

Cha , ulwelwesi olusesibelethweni sika-`(Septate Uterus)` alukhuli futhi ngemva kokususwa ngokuhlinzwa. Lokhu kungenxa yokuthi lolu lwelwesi lwakheka lapho amapayipi amabili engaxhumani kahle ngesikhathi sokukhulelwa. Uma selususiwe ngokuhlinzwa, umzimba awukwazi ukukhulisa lolo hlobo lwelwesi futhi.

Ingabe ikhona indlela yokuvimbela lokhu ukuthi kungenzeki?

Ngeshwa, akukho ongakwenza ukuvimbela ukukhula kwesibeletho esinobuthi. Lokhu kungenxa yokuthi kuyinto ekhona lapho kuzalwa. Akukho bufakazi obucacile bokuthi iyizakhi zofuzo.

Kungenzeka yini ukukhulelwa okuphumelelayo nge-`(Septate Uterus)`?

Yebo, kungenzeka ngempela! Abesifazane abaningi abane-`(Septate Uterus)` bakhulelwa kahle futhi bazala izingane ezinempilo. Kodwa-ke, uma ukhulelwe futhi une-`(Septate Uterus)`, kunezingozi ezithile okufanele uziqaphele:

• Ukukhula okulinganiselwe/isisindo esiphansi sokuzalwa.
• Ukuphuphuma kwesisu.
• Ukuzalwa ngaphambi kwesikhathi (ukuzalwa ngaphambi kwamasonto angu-37).
• Ukubeletha ngaphambi kwesikhathi.
• Ingane isesimweni sokuphuma komoya.

Ngenxa yalesi sizathu, udokotela wakho uzohlukanisa ukukhulelwa kwakho njengobungozi obukhulu , akuhlole wena nomntwana wakho njalo, futhi aqaphelisise ukukhula komntwana wakho.

Ingabe kungenakugwenywa ukuthi uphuphunyelwe yisisu uma une-`(Septate Uterus)`?

Cha, akwenzeki ngempela. Ukuba nesibeletho esinezinhlayiya noma ezinye izinkinga zesibeletho kwandisa ingozi yokuphuphuma kwesisu, kodwa abantu abaningi bakhulelwa kahle ngaphandle kwezinkinga, ngisho noma ulwelwesi lungaphelele. Ukuba nesibeletho esinezinhlayiya ngokuvamile akunawo umthelela omkhulu ekukhulelweni noma ekuzaleni.

Lokhu kuthinta kanjani ukubeletha?

Izingane ezizalwa omama abanesibeletho esine-septate zisengozini enkulu yokuzalelwa endaweni yokukhwehlela . Lokhu kungenxa yokuthi ukuma kwesibeletho kuhlukile kancane, okwenza kube nzima ukuthi ingane ibe sesimweni sokukhwehlela. Uma ingane ine-breech, odokotela bavame ukuncoma ukuhlinzwa kwesisu (C-section).

Ingabe ingane yami ingaba nezinkinga zokuzalwa?

Uma une-`(Septate Uterus)`, ingane yakho isengozini enkulu yokuzalwa ngaphambi kwesikhathi (`ukubeletha ngaphambi kwesikhathi`) . Uma ingane izalwa ngaphambi kosuku lwayo lokuzalwa, ezinye izitho nezinhlelo zingase zingakhuli ngokugcwele. Lokhu ngezinye izikhathi kungabangela ukukhubazeka kokuzalwa kwengqondo noma ngokomzimba (`ukukhubazeka kokuzalwa`).

Kodwa-ke, lokhu akusho ukuthi wonke umuntu one-septate uterus, noma wonke umntwana ozelwe ngaphambi kwesikhathi, uzoba nokukhubazeka. Iningi labantu lizala izingane ezinempilo neziphelele.

Kungenzeka yini ukukhulelwa ngemva kokulungiswa kwe-Septate Uterus?

Yebo, ungakwazi. Ungakhulelwa ngokujwayelekile ngemva kokuhlinzwa. Kodwa-ke, njengoba sishilo ekuqaleni, odokotela abaningi batusa ukulinda okungenani izinyanga ezimbili ngemva kokuhlinzwa ukuze uzame ukukhulelwa futhi. Udinga ukunikeza umzimba wakho isikhathi sokululama.

Zikhona yini ezinye izingozi zempilo ezihlobene nesibeletho esinobuthi?

Ezinye izifundo zisikisela ukuthi abantu abanesibeletho esinezinsika bangase babe nengozi eyengeziwe kancane yokuthola isimo esibizwa ngokuthi i-endometriosis. Ngaphandle kwalokho, ngaphandle kokuthi ukhulelwe, ukuba nesibeletho esinezinsika akubeki zingozi ezinkulu empilweni.

Izingozi ezinkulu zempilo ezihlobene nalokhu zivela ngesikhathi sokukhulelwa. Lezi yizi:

• Ukukhipha isisu (ikakhulukazi ku-trimester yesibili).
• Ukuzalwa ngaphambi kwesikhathi.
• Isisindo esiphansi sokuzalwa.
• Ingane isesimweni 'sokukhwehlela' noma 'sokujika'.
• Amathuba aphezulu okuthi kudingeke kwenziwe ukuhlinzwa.

Ngingayibona nini udokotela?

Uma ukhulelwe futhi wazi ukuthi une-`(Septate Uterus)`, kufanele ubone udokotela ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo:

• Ukuqaqamba kwe-pelvic noma ukufinyela.
• Ama-membrane aqhekeka.
• Ukopha kwangasese.

Ngaphandle kokuthi ukhulelwe, lesi simo cishe ngeke sibangele izinkinga ezinkulu zempilo. Kodwa-ke, uma une-`(Septate Uterus)`, khuluma nodokotela wakho ngalokho okufanele ukuqaphele.

Yimiphi imibuzo okufanele uyibuze udokotela wakho?

Uma uthola ukuthi une-`(Septate Uterus)`, kuvamile ukuba nemibuzo eminingi. Nansi eminye imibuzo ongayibuza udokotela wakho ngaleso sikhathi:

• Ngingakwazi yini ukukhulelwa okunempilo?
• Iyini ingozi yami yokuphuphuma kwesisu?
• Ingabe ngidinga ukuhlinzwa ukuze ngilungise isibeletho sami esibuhlungu?
• Angakanani amathuba ami okukhulelwa okuphumelelayo ngemva kokwelashwa?
• Ingabe ukukhulelwa kwami ​​kubhekwa njengengozi enkulu?

Uma kutholakale ukuthi une-`(Septate Uterus)` khuluma nodokotela wakho mayelana nezinketho zakho zokwelapha. Uzobuyekeza umlando wakho wezokwelapha futhi achaze ukuhlinzwa kanye namathuba akho okukhulelwa okuphumelelayo.

Ngakho-ke, yiziphi izinto okufanele sizikhumbule kule ndaba?

Kulungile, sesikhulume kakhulu nge-`(Septate Uterus)` manje. Okokugcina, nazi izinto ezibaluleke kakhulu okudingeka uzikhumbule:

• Isibeletho esinobuthi yisici esizalwa naso esibelethweni.
• Isikhathi esiningi azikho izimpawu .
• Inkinga enkulu yizinkinga ezingaba khona ngesikhathi sokukhulelwa , ikakhulukazi ingozi yokuphuphuma kwesisu.
• Kukhona ukwelashwa kwalokhu (ngokuvamile okubizwa ngokuthi ukuhlinzwa kwe-'Hysteroscopic Metroplasty'), futhi lokho kwelashwa kuyaphumelela.
• Ngisho noma une-`(Septate Uterus)` kungakhathaliseki ukuthi uthola ukwelashwa noma cha, ungaba nokukhulelwa nokubeletha okunempilo .
• Uma unemibuzo noma ukungabaza ngalokhu, into engcono kakhulu ongayenza ukukhuluma nodokotela wakho .

Ungesabi noma ukhathazeke. Ngokuqaphela kanye nezinyathelo ezidingekayo, lesi simo singaphathwa ngempumelelo.

Isibeletho Esinezinsika, Ulwelwesi Lwesibeletho, Ukukhubazeka Kwesibeletho, Ukuphuphuma Kwesisu, Ukukhulelwa, I-Gynecology, I-Hysteroscopy