Awukwazi ukuthola umntwana ngenxa yenkinga yesibeletho? Ake sixoxe nge-(Ukungabi Nenzalo Kwesici Sesibeletho)

Uma sizama ukwenza iphupho lokuba nomntwana lifezeke, ngezinye izikhathi kufanele sibhekane nezinkinga ezingalindelekile. Mhlawumbe udokotela wakho ukutshelile ukuthi inkinga isesibelethweni? Kuvamile ukuzizwa udabuke kakhulu futhi ushaqekile uma uzwa into efana nale. Kodwa ungakhathazeki. Masiqonde kahle lokhu, ngoba ukuqwashisa kuyisinyathelo sokuqala kulolu hambo.

Kuyini Ukungabi Nanzalo Kwe-Uterine Factor?

Kalula nje, lokhu kwenzeka lapho umuntu engakwazi ukukhulelwa. Isizathu salokhu ukuthi isibeletho sakhe asisekho kusukela ekuzalweni noma, noma ngabe sikhona, asisebenzi kahle. Sonke siyazi ukuthi umntwana uyazalwa futhi ukhulela esibelethweni sikanina, okungukuthi, esibelethweni. Ngakho-ke uma kukhona inkinga kulesi sibeletho, kuthinta ngqo ukukhulelwa.

Kunezinhlobo eziyinhloko zalesi simo.

Lesi simo singahlukaniswa ngezigaba ezimbili eziyinhloko: kuye ngokuthi senzeka kanjani.

Yiziphi izizathu zalokhu? Ake sibheke ngokujulile.

Ake sixoxe kabanzi ngokuthi kungani lokhu kwenzeka.

Ukuzalwa ungenaso isibeletho

Lesi yisimo esingavamile kakhulu sokuzalwa. Ngokwezokwelapha, sibizwa ngokuthi `(Mayer-Rokitansky-Küster-Hauser syndrome - MRKH)`. Umuntu onalesi simo une-vagina kanye nesibeletho okungakakhuli ngesikhathi sokuzalwa, noma okuncane kakhulu. Kodwa ngokumangazayo, ama-ovari avame ukuba nempilo enhle.Ngenxa yokuthi ama-ovari ayasebenza, ama-hormone akhishwa ngendlela evamile, ngakho-ke izinto ezifana nokushintshashintsha kwemizwa okuhlobene nomjikelezo wokuya esikhathini kungenzeka. Kodwa-ke, ngenxa yokuthi asikho isibeletho, akukho ukuphuma kwegazi kokuya esikhathini. Lesi simo sivame ukutholakala esemncane, okungukuthi, lapho ukuya esikhathini kungakaqali eneminyaka engu-15-16.

Ukususwa kwesisu

Isizathu esikhulu salokhu ukuthi ngesikhathi esithile empilweni, isibeletho kuzodingeka sisuswe ngokuhlinzwa. Kungaba nezizathu eziningana zokuhlinzwa okunjalo.

• Ukopha kakhulu (ukopha): Ngezinye izikhathi, uma kukhona ukopha okukhulu okungenakuvinjelwa ngesikhathi sokuhlinzwa kwe-C-section noma okunye ukuhlinzwa, isibeletho kungadingeka sisuswe njengesisombululo sokugcina ukuze kusindiswe impilo. Lokhu akuvamile kakhulu.
• Umdlavuza wesibeletho: Isibeletho siyasuswa ukuze kuvinjelwe amangqamuzana omdlavuza ukuthi angasabalali kwezinye izingxenye zomzimba.
• Ezinye izimo ezibucayi: Lapho ubuhlungu obukhulu besisu kanye nokopha okukhulu okubangelwa yizimo ezifana ne-endometriosis, i-uterine fibroids, noma i-adenomyosis kungenakulawuleka ngezinye izindlela zokwelapha, odokotela batusa ukususa isibeletho njengendlela yokuqeda ubuhlungu.
• Ukushaqeka kwesibeletho: Ukutheleleka okuthile, ukwelashwa ngemisebe, noma ukuhlinzwa kokuhlanza isibeletho (i-Dilation and Curettage - D&C) kungabangela ukwakheka kwezicubu zesibeletho ngaphakathi kwesibeletho futhi kubangele ukunamathela. Lesi simo sibizwa ngokuthi i-Asherman's syndrome. Lokhu shaqeka kwenza kube nzima ngombungu ukuthi ufakwe odongeni lwesibeletho.

Ungasibona kanjani lesi simo?

Udokotela wakho uzolandela izinyathelo eziningana ukuze axilonge lesi simo.

• Umlando wezokwelapha: Okokuqala, uzobuzwa ngomjikelezo wakho wokuya esikhathini, ukuhlinzwa kwangaphambilini, kanye nezinye izimo zezokwelapha.
• Ukuhlolwa komzimba: Indawo yesisu iyahlolwa.
• Ukuskena: Ukuskena nge-ultrasound kungabona ngokucacile ukuma, usayizi, ngisho noma isibeletho sikhona. Ngezinye izikhathi ukuskena nge-MRI kungenziwa ukuze kuqinisekiswe okwengeziwe.

Yiziphi izindlela zokwelapha kanye nezinketho zalokhu?

Isikhathi eside, okuwukuphela kwendlela umuntu ongenaso isibeletho ayengathola ngayo umntwana kwakuwukuthatha ingane noma ukukhulelwa.

Kodwa muva nje, ngokuthuthuka kwesayensi yezokwelapha, kuvele ithemba elisha: ukufakelwa kwesibeletho .

Lokhu akusona isenzo esivamile emazweni amaningi emhlabeni jikelele, kodwa kube nezimo eziningana lapho kuye kwaphumelela khona.

Kwenzeka kanjani ukufakelwa kwesibeletho?

Lokhu futhi kuyindlela yokuhlinzwa eyinkimbinkimbi, njengokufakelwa isitho esinjengesibindi noma izinso.

• Ukufakelwa kwesibeletho: Isibeletho esinempilo sitshalwa sisuka kumuntu ophilayo (isib., isihlobo esiseduze njengomama noma udadewabo) noma kumuntu oshonile (umnikeli ofile ubuchopho).
• Ukulungiswa kombungu: Ngaphambi kokuba isibeletho sidluliselwe, ama-embryo adalwa kusetshenziswa ubuchwepheshe be-IVF kusetshenziswa amaqanda wesifazane othola isidoda kanye nesidoda somlingani wakhe, bese eqandisiwe.
• Ukufakelwa: Ngemva kokuhlinzwa, uma umzimba usujwayele isibeletho esisha, ama-embryo alungiselelwe ngaphambilini afakwa esibelethweni ngasinye.
• Ukufakelwa kwesikhashana: Lena akuyona inqubo yokuphila konke njengokunye ukufakelwa kwezitho zomzimba. Ngokuvamile, ngemva kokuzalwa kwengane eyodwa noma ezimbili, isibeletho esifakwe kabusha siyasuswa ngokuhlinzwa.
• Kungani isuswa futhi?: Ukuze uvimbele umzimba ukuthi wenqabe isitho esisanda kutshalwa, udinga ukuthatha imithi yokuphila konke (ama-immunosuppressants). Le mithi inemiphumela emibi. Ngakho-ke, ngemva kokufezwa komgomo wokuba nezingane, isibeletho esitshalwe kabusha siyasuswa ngale ndlela ukuze kuncishiswe ingozi yokuqhubeka nokuphuza le mithi.

Ingabe lesi simo singavinjelwa?

Ayikho indlela yokuvimbela lesi simo sokuzalwa, njengoba senzeka ngesikhathi umntwana esesesibelethweni. Asikwazi ukutholakala kusenesikhathi ngokusebenzisa ama-scan ngesikhathi sokukhulelwa.

Kodwa singaqaphela kancane ngezimo esizitholayo ngesikhathi sokuphila. Isibonelo, ngaphambi kokususwa kwesibeletho ngenxa yesimo esifana ne-uterine fibroids, kubalulekile ukukhuluma ngokukhululekile nodokotela wakho ngamaphupho akho esikhathi esizayo. Ngemuva kwalokho, singaxoxa ngokuthi kukhona yini ezinye izindlela zokwelapha ezingadingi ukususwa kwesibeletho.

Kodwa khumbula, ngezinye izikhathi ukususwa kwesibeletho kuyindlela ephuthumayo esindisa impilo. Esimweni esinjalo, kungase kungabi nesikhathi sokucabanga ngezinye izindlela.