Ukuba ngumama kuyiphupho labesifazane abaningi. Kodwa ngezinye izikhathi lelo phupho liza nezingqinamba. Ukungakwazi ukukhulelwa umntwana, noma ukungazali , kuyinto edabukisayo futhi ewumthwalo. Kungaba nezizathu eziningi zokungazali. Namuhla sizokhuluma ngesinye sezizathu eziqondile kakhulu. Lokho ukungazali okubangelwa izinkinga ezihlobene nesibeletho .
Kuyini lokhu okubizwa ngokuthi ukungazali kwe-uterine factor?
Kalula nje, lesi yisimo lapho ungakwazi ukukhulelwa umntwana ngoba isibeletho sakho asikho noma isibeletho sakho asisebenzi kahle. Njengoba sazi, umntwana uyazalwa futhi akhule izinyanga eziningi esibelethweni sikanina, okungukuthi, ngaphakathi kwesibeletho. Kufana nekhaya lokuqala lomntwana. Ngakho-ke uma leli khaya lingekho, noma uma leli khaya lingalungiselelwanga kahle umntwana, kunzima ukukhulelwa.
Kunezinhlobo ezimbili eziyinhloko zalesi simo.
Ukungazali kwesibeletho kungahlukaniswa ngezigaba ezimbili eziyinhloko, kuye ngokuthi lesi simo senzeka kanjani.
| Uhlobo lwekhwalithi | Kalula nje... |
|---|---|
| Isimo sokuzalwa | Lokhu kusho ukuthi wazalwa ungenaso isibeletho noma isibeletho esisebenzayo. Lokhu kwenzeka ngenxa yoshintsho olwenzeka ngenkathi ukhula njengomntwana osesiswini. |
| Isimo esitholiwe | Lokhu kwenzeka lapho uzalwa unesizalo esinempilo, kodwa ngesizathu esithile empilweni yakho, isizalo sonakele noma kufanele sisuswe. |
Yiziphi izimbangela zezimo ezitholwayo?
Ake sithi unesibeletho, kodwa ngenxa yezinkinga ezithile ngaso, ukukhulelwa akunakwenzeka. Kungaba nezizathu eziningana zalokhu.
- Ukususwa kwesibeletho :Lesi simo senzeka lapho isibeletho sisuswa ngokuphelele ngenxa yesimo sezokwelapha.
- Ama-Fibroid noma ama-Polyps esibelethweni : Lawa ama-growth avamile akheka odongeni lwesibeletho. Ngezinye izikhathi, angaphazamisa ukufakwa kombungu esibelethweni.
- Izicubu Zezibazi: Izicubu zezibazi esibelethweni nazo zingaphazamisa ukukhulelwa. Lokhu kuyiqiniso ikakhulukazi esimweni esingavamile esibizwa ngokuthi i-Asherman's syndrome . Izicubu zezibazi zingabangelwa ukutheleleka kwesibeletho noma ukuhlinzwa okufana ne-D&C.
- Ukwelashwa ngemisebe : Ukwelashwa ngemisebe yezifo ezifana nomdlavuza kungalimaza isibeletho.
Yiziphi izimpawu zalesi simo?
Izimpawu ziyahlukahluka kuye ngokuthi imbangela iyini. Isibonelo, abanye besifazane abasebasha abakaze baye esikhathini . Uphawu lokuqala abalubonayo ukuthi abaqali ukuya esikhathini ngisho nangemva kokufika esikhathini sokuthomba. Abanye bangase bezwe ubuhlungu noma ingcindezi esiswini esingezansi. Ngokuvamile, lesi simo sitholakala lapho bezama ukukhulelwa kodwa bengaphumeleli.
Ake sibheke ngokujulile izimbangela eziyinhloko zokungazali okuhlobene nesibeletho.
Ake sibheke izizathu eziyinhloko eziwela ngaphansi kwezigaba ezimbili esixoxe ngazo ekuqaleni ngemininingwane ethe xaxa.
1. Ukungabikho kwesibeletho esizalwa naso
Lokhu kubizwa ngokuthi i-Mayer-Rokitansky-Küster-Hauser syndrome (MRKH) . Lesi yisimo esingavamile kakhulu, esizalwa naso. Kulokhu, isibeletho nengxenye yesitho sangasese sowesifazane akukhuli noma akukhuli ngokuphelele. Kodwa into emangalisayo ukuthi kubantu abaningi abanalesi simo , ama-ovari asebenza kahle. Okusho ukuthi, ama-ovari akhiqiza ama-hormone ngokuvamile. Ngakho-ke, nakuba kunezinto ezifana nokushintsha kwemizwa okuhlobene nomjikelezo wokuya esikhathini, akukho ukuphuma kwegazi, okungukuthi, ukuya esikhathini, ngoba akukho sibeletho. Lesi simo sivame ukutholakala esemncane, okungukuthi, lapho ukuya esikhathini kungakaqali eneminyaka engu-15-16.
Ukufunda into efana nale kungaba yinto eshaqisayo kakhulu enganeni encane kanye nabazali. Kodwa-ke, kubaluleke kakhulu ukuqonda isimo ngendlela efanele, ukukhuluma nodokotela, bese unquma izinyathelo ezilandelayo.
2. Ukususwa Kwesisu
Owesifazane kungadingeka ahlinzwe isisu ngezizathu ezahlukene. Ezimweni ezinjalo, angase angakwazi ukukhulelwa ngemva kwalokho.
| Izizathu zokuhlinzwa kwe-hysterectomy | Incazelo |
|---|---|
| Ukopha kwegazi | Ngezinye izikhathi, uma kukhona ukopha okungalawuleki, njengasesikhathini sokuhlinzwa, isibeletho singase sidingeke sisuswe njengesisombululo sokugcina ukuze kusindiswe impilo. Lesi yisimo esingavamile kakhulu. |
| Umdlavuza Wesibeletho | Ukususa isibeletho kuyindlela engcono kakhulu yokwelapha ukuvimbela amangqamuzana omdlavuza ukuthi angasabalali kwezinye izingxenye zomzimba. |
| I-endometriosis enzima, i-fibroids, noma i-adenomyosis | Lezi zimo zibangela izimpawu ezinzima, njengobuhlungu obukhulu kanye nokopha kakhulu. Uma ezinye izindlela zokwelapha zingaphumeleli, isibeletho siyasuswa ukuze kulawulwe izimpawu. |
Udokotela usithola kanjani lesi simo?
Uma kuyisimo sokuzalwa, ngokuvamile uzobona udokotela uma ungakaqali ukuya esikhathini usemncane. Udokotela uzoqala ngokuskena nge-ultrasound ukuhlola uhlelo lwakho lokuzala. Uma kudingeka, kungase kwenziwe ne -MRI scan. Lokhu kuhlolwa kungahlola ukuthi isibeletho singekho, sincane, noma sinesimo esingajwayelekile.
Esimweni esitholakele, udokotela uzofunda ngokucophelela umlando wakho wezokwelapha ophelele, okuhlanganisa nokuhlinzwa kwangaphambilini kanye nezimo zezokwelapha, bese efinyelela esiphethweni.
Ingabe ikhona indlela yokwelapha lokhu? Ingabe ikhona ithemba?
Isikhathi eside, okuwukuphela kwendlela umuntu ongenaso isibeletho ayengathola ngayo umntwana kwakuwukuthatha ingane noma ukukhulelwa.Kuphela.
Kodwa ngentuthuko yakamuva kwezesayensi yezokwelapha, kuvele ithemba elisha: Ukufakelwa Kwesibeletho .
Lokhu akulona ukuhlinzwa okuvamile emhlabeni, kodwa uma kuphumelele, kuzovumela owesifazane ongenasibeletho ukuba athwale futhi azale umntwana wakhe.
Kwenzeka kanjani ukufakelwa kwesibeletho?
Lokhu ukuhlinzwa, njengokufakelwa kwezinso noma inhliziyo. Isibeletho, esithathwe kumnikeli, sitshalwa kumuntu odinga usizo. Kunezinhlobo ezimbili zabanikeli:
- Abanikeli Abaphilayo: Laba bantu bangaba yilungu lomndeni (umama, udadewabo) noma umuntu ongamazi ozimisele ukunikela ngesibeletho sakhe.
- Abanikeli Abashonile: Isibeletho esitholwe kumuntu oveze ukuzimisela kwakhe ukunikela ngezitho zakhe zomzimba ngaphambi kokuba afe.
Ngaphambi kwalokhu kuhlinzwa, ama-embryo adalwa kusetshenziswa amaqanda wesifazane kanye nesidoda somlingani wakhe ngokusebenzisa ubuchwepheshe be-IVF (In Vitro Fertilization) bese egcinwa efrijini. Ngemva kokuba isibeletho sitshalwe futhi umzimba usujwayelene naso, omunye wama-embryo adalwe ufakwa kulesi sibeletho esisha.
Into ebalulekile ukuthi lesi sibeletho esifakwe kabusha asigcinwa emzimbeni unomphela. Ngokuvamile, ngemva kokuzalwa kwengane eyodwa noma ezimbili, kwenziwa olunye ukuhlinzwa ukuze kususwe isibeletho esifakwe kabusha. Isizathu salokhu ukuthi umzimba udinga ukuqhubeka nokuthatha imithi yokucindezela amasosha omzimba ukuvimbela umzimba ekwenqabeni isitho esifakwe kabusha. Njengoba le mithi ingeyona enhle kakhulu emzimbeni isikhathi eside, isibeletho siyasuswa ngemva kokuba amandla okuzala esefinyelelekile.
Ingabe lesi simo singavinjelwa?
Ayikho indlela yokuvimbela isimo sokuzalwa ngoba senzeka ngaphambi kokuba sizalwe.
Kodwa-ke, ezinye izimo ezitholakele zingavinjelwa. Isibonelo, ngaphambi kokuhlinzwa kokususwa kwesibeletho, uma unethemba lokuba nezingane esikhathini esizayo, qiniseka ukuthi ukhuluma ngokukhululekile nodokotela wakho ngakho. Xoxa ngazo zonke izinketho, kufaka phakathi izinzuzo nezingozi. Kodwa-ke, kunezimo eziphuthumayo lapho kudingeka khona ukuhlinzwa kwesibeletho ukuze kusindiswe impilo. Ezimweni ezinjalo, kungase kungabi nesikhathi sokuxoxa ngakho.
Imibuzo efika engqondweni yakho kanye nezimpendulo zayo
Kuvamile ukuthi kuphakame imibuzo eminingi engqondweni yakho uma ufunda into efana nale.
Ngeke ngikwazi yini ukuba nomntwana?
Uma ungenaso isibeletho kodwa ama-ovari akho esebenza, kunezinketho zokuthola umntwana. Ukutholwa, ukufakelwa isibeletho, kanye nokufakelwa isibeletho nakho kuyizinketho. Khuluma nodokotela wakho mayelana nenketho efanele wena.
Ngeke ngiphinde ngiye esikhathini?
Ngaphandle kwesibeletho, ukuya esikhathini akwenzeki. Lokhu kungenxa yokuthi igazi liyachitheka ngesikhathi sokuya esikhathini njengoba ulwelwesi lwesibeletho luphela. Kodwa-ke, uma kukhona ama-ovari, ezinye izimpawu ezihlobene nomjikelezo wokuya esikhathini (ukuqaqamba kwesisu, ukushintshashintsha kwemizwa) zingase zenzeke ngezinga elithile ngenxa yomsebenzi wama-hormone.
Ingabe ukuba nesibeletho ngeke kuthinte ezinye izingxenye zomzimba wami?
Ukususa isibeletho kuzoholela ekulahlekelweni kokuzala. Kodwa-ke, uma ama-ovari engasuswa, ukukhiqizwa kwama-hormone kuzoqhubeka kwenzeka ngendlela evamile, ngakho-ke eminye imisebenzi yomzimba ngeke ithinteke kakhulu.
Kungakhathaliseki ukuthi iyini imbangela yalesi simo, ukuthola ukuxilongwa okufana nalokhu kungaba nzima ngokomzwelo. Kodwa khumbula ukuthi awuwedwa. Kukhona odokotela nabeluleki abangakusiza futhi baphendule imibuzo yakho. Into ebaluleke kakhulu ukuba nolwazi olufanele futhi wenze isinqumo esinolwazi mayelana nezinketho zakho zokwandisa umndeni wakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukungabi namntwana kwe-Uterine Factor ukungakwazi ukukhulelwa ngenxa yokungabikho kwesibeletho noma inkinga yokusebenza kwaso.
- Lokhu kungaba yinto yokuzalwa noma etholwe ngenxa yokuhlinzwa noma ezinye izimo zezokwelapha ngesikhathi sokuphila.
- Esinye sezimpawu eziyinhloko zalesi simo kungaba ukwehluleka ukuqala ukuya esikhathini naphezu kokukhula.
- Ngisho noma isibeletho singekho, uma ama-ovari esebenza kahle, kunezindlela zokuthola umntwana, njengokutholwa kanye nokutholwa kwengane.
- Ukufakelwa isibeletho kuyindlela yesimanje yezokwelapha eletha ithemba elisha kulabo abanalesi simo, kodwa akuvamile.
- Uma unezinkinga noma ukungabaza ngalokhu, ungesabi, futhi nakanjani khuluma nodokotela wakho.
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