I-uterus engavumelekanga ngamanye amaxesha ingabangela umngcipheko wokukhulelwa kwesisu kwaye, kwezinye iimeko, iyona nto ibangela ukulahleka kwamathambo okuphindaphindiweyo. Kuphela iindidi zobunzima be-uterine zandisa umngcipheko wokuphuphuma kwesisu kwaye zidinga unyango; abanye abanakho ukubangela iingxaki zokukhulelwa kwabo bonke. Kucingelwa ukuba ama-8 ekhulwini ukuya kuma-23 ekhulwini kwabasetyhini abanobuchopho obuphindaphindiweyo banalo uhlobo oluthile lwesifo esingaqhelekanga.
Ezinye izilwanyana ezinobungozi zikhona ukusuka ekuzalweni, ngelixa ezinye zikhula ngexesha lomdala. Ngokuqhelekileyo, abafazi abanamaqanda azinziwayo abanayo nayiphi na impawu kwaye abaqapheli le ngxaki ngaphambi kokuba bakhulelwe. Ukuxilongwa kweentlungu zesifo sofuba ngokubeletha ngokuqhelekileyo kuza emva kwe-hysteroscopy okanye hysterosalpingogram .
Funda kabanzi malunga neentlobo ezahlukeneyo zokungalungi kwamanzi, ngezansi.
ISterine Septum
I-septum yester (i- uterus uterus ) yiyona nto ixhaphakileyo ye-uterine malformation, equkethe ubuncinane kwisithathu se-uterine engaqhelekanga. Ekubeni yimeko yokuzalwa, oko kuthetha ukuba ukhona ngexesha lokuzalwa.
I-septum ye-uterine ibhanti leethambo ezinobumba ezihlukileyo okanye zihlula ngokupheleleyo isibeleko, ngokuqhelekileyo ngaphandle kwegazi elifanelekileyo. Ukuba ukufakelwa kweqanda oluchumayo kwi-septum, i- placenta ayikwazi ukukhula kakuhle kunye nokukhulelwa komzimba.
Kwababhinqileyo abanesibeleko sesisu, umngcipheko wokuphuphuma kwesisu uphakathi kweepesenti ezingama-25 kunye neepesenti ezingama-47 (xa kuthelekiswa nomngcipheko we-15% ukuya kuma-20 ekhulwini kubafazi abangenalo isisu esisisigxina.) Kubasetyhini abangenzi ukuphulukana, isibeletho sinokunyusa umngcipheko wokuzalwa kwangaphambi kokuzalwa.
Utyando luvame ukuhlinzwa okwenziwe ngethuba ngexesha le-hysteroscopy, kwaye libandakanya ukususwa kweethambo ezingaqhelekanga. Oku kusebenza ngokugqithiseleyo ukulungisa ingxaki kwaye uvumele abafazi ukuba baphumelele ukukhulelwa kwexesha elipheleleyo.
Bicornuate Uterus
Isibeleko sokuqhayisa i-uterus e-heart-formally-uterus nge-dip in top. I-bicornuate uteri (kunye ne-unicornuate kunye ne-uteri ye-heliel) zibhekwa njengezinto eziqhelekileyo zokuhamba. Indlela yokungaqhelekanga yimizila ye-mullerian yindlela yokuzalwa engafaniyo kwesibeleko.
Uninzi lwabasetyhini abanezibilini ezinobuncwane abukho ubunzima, kodwa kwezinye iindawo, i-uterus bicornuate ingakhokelela ekungciphekweni komsebenzi wokuqala. I-uterus bicornuate ayikholelwa ukuba inokwandisa umngcipheko wokukhulelwa kwesisu sokuqala, kodwa inokwandisa umngcipheko wokukhulelwa kwesibini .
Unyango aluyidingi, ngaphandle kwe-cerclage yesibeleko kulabo abasengozini yokungakwazi ukuvalelwa kwintsholongwane kunye nokuhanjiswa kwangethuba. Uninzi lwabasetyhini alukwazi ukuba banesibindi sokuqhaqhaqhaqhaqhaqa baze ba khulelwe.
Unicornuate Uterus
I- uterusate uterus yintsholongwane ejikelezayo eyenza ukuba isibeletho sibe sisincinane kunesiqhelo. Ingxaki yokuzalwa engaphantsi kwesinye isibeleko sesisu esingazi kakuhle.
I-unicornuate uterus yandisa umngcipheko wokukhulelwa kwe- ectopic, ukukhulelwa kwesisu kunye nokuhanjiswa kwangaphambili. Olunye uphando lweencwadi lufumanise ukuba umngcipheko wokukhulelwa kwesisu, ngokwesilinganiso, iipesenti ezingama-37 kunye nomngcipheko wokuzalwa kwangaphambi kokuzalwa, kwakukho i-17 ekhulwini.
Ngokungafani nabafazi abanesibindi sokubhinqa, abafazi abanesibindi esingaba ne-unicornuate bangaba neempawu ezibonisa ukukhubazeka ngaphambi kokukhulelwa. Phantse iipesenti ezingama-65 zabasetyhini abane-unicornuate uterus banezinto ezibizwa ngokuba uphondo oluphangaleleyo. Xa le nto ikhona, abafazi banokuba namaxesha amaninzi gqitha ngenxa yokuba igazi lixhaswa uphondo ngelixa linye.
Ngaphandle kwesibeleko esingavumelekanga, abafazi abanesibindi sokubambisa i-unicornuate i-often often have a single fallopian tube (ngokuchasene neyesibini). Oku, ngaphezu kweminye imiba, kunokukwenza kube nzima ukukhulelwa kwindawo yokuqala (ukungabikho kolwazi lokuqala).
Kuphela okwamkelekileyo unyango lwelo mqathango kukususwa kwephondo lokuphanga kwaye ngamanye amaxesha i-cerclage ukunciphisa umngcipheko wokunikezelwa kwangaphambili .
Utyalo lwe-Didelphic
I- hazelli okanye "isibini" sesibindi yimeko apho kukho i-uteri ezimbini, ngamanye amaxesha kunye neentsimbi ezimbini kunye ne-vaginas ezimbini. Le meko ayinqabile kwaye ibonakala inemvelaphi yemfuza (ihamba kwiintsapho). Uninzi lwabasetyhini abanalo naziphi iimpawu ngaphambi kokukhulelwa, nangona abanye banesisindo esinzima.
Ukongezelela ukwanda komngcipheko wokukhulelwa kwesisu, i-uterus ye-didelphic yandisa umngcipheko wokunikezelwa kwangaphambili. Kucetyiswa ukuba abafazi abahlala nale mqathango kwaye bafuna ukukhulelwa bacebise ingcali ekhuselekileyo yokukhulelwa.
I-Uterus ene-T
I-uterus ene-T yinto enye uhlobo lwesifo sokubeletha esiswini esinobudlelwane kunye neengcambu zexesha eliphindaphindiweyo kunye nomngcipheko ophezulu wokuba ngumsebenzi wokuqala. Abanye abesifazana abanesibeleko esifana ne-T abafumana iingxaki, ngelixa abanye benza.
Ngamanye amaxesha i-malformation ethile ifunyanwe kubafazi abanomama abathatha isantigen ebizwa ngokuthi i-diethylstilbestrol (DES), enqunyelwe kwabanye abafazi abakhulelweyo phakathi ko-1938 no-1971. IINGC zinokubangela ingozi eyongezelelweyo yezinye iingxaki zokukhulelwa.
Ukungafezeki komlomo wesibeleko
Ukungafezeki komlomo wesibeleko , okanye umlomo wesibeleko esingafanelekiyo , kuthetha ukuba umlomo wesibeleko wentombazana uqala ukuxhoma kakhulu ekukhulelwe-kubangelwa ukuhanjiswa kwangaphambi kokuqala kwaye ngezinye izihlandlo zokukhulelwa kweyesibini. Ukungafezeki komlomo akuyona into ebangela ukukhulelwa kwe-first-trimester. Iyakwazi ukuhambelana nokungazalwanga komntwana okanye inokuphuhliswa ngexesha lomdala.
Iimeko zingenzeka njengenxalenye yokungaqhelekanga kokuzalwa kwesibindi njenge-bicornuate okanye i-unicornuate uterus, okanye i- cervix emfutshane . Izizathu ezifunyenweyo zibandakanya iinkqubo ezifana ne-LEEP, i-cone biopsy, kunye no-D no-C ngokuphindaphindiweyo.
Ininzi la mabhinqa ayinayo impawu phambi kokuqala komsebenzi. Xa ibanjwa ngexesha, kwaye ekukhulelweni okulandelayo, i-cerclage yesibeleko ingaqwalaselwa.
Fibroids
Ama-30 ukuya kuma-50 ekhulwini kwabasetyhini abane- uterine fibroids . Ezinye iintlobo ze-fibroids zingabangela ukuphuphuma kwesisu okanye ezinye izixazululo zokukhulelwa. Ngokuqhelekileyo amaFibroid akhula xa ekhulile.
Ithuba lokuba i-fibroid ingakhokelela ekuphumuleni kokuxhomekeka kuxhomekeke kwindawo yalo ngaphakathi kwesibeleko. Ii-fibroids ezincinci (ezo zeprojekthi kwi-uterine kunye nokutshintsha indlela yayo) kunye ne-intracavid fibroids (ezo ngaphakathi kwendawo yomzimba) zinokubangela ukungaphambuki komzimba ngaphandle kwe-fibroids yangaphakathi (fibroids ngaphakathi kwodonga lwe-uterine) okanye i-fibroids e-subserosal (i-fibroid ngaphandle kwe-uterine udonga). Ama-Fibroid ahlala kufuphi nombindi we-uterus ayeninzi ngokuphathelele, kunye nalawo awona mkhulu ububanzi.
Nangona amayeza angasetyenziswa kwaye i-hysterectomy ngezinye iimfuneko, unyango olukhethiweyo yi-myomectomy, inkqubo apho i-fibroids isuswa khona.
Utsho i-Uterus
Abasetyhini abaninzi banomdla wokuva ukuba banesibindi esicacile okanye "siphucukisiwe" , kodwa abukho ubungqina bokuba ubele olususwe lukhuphula umngcipheko wokukhulelwa kwesisu sokuqala.
Kwama-20 ekhulwini abantu abanesibindi esiswini, abanye banentlungu ngexesha lokulala. Isibeleko esinomthi singenza kube nzima nakakhulu ukufumana isibeleko ngexesha le- ultrasound yokuqala.
Phantse njalo, i-uterus ephucukileyo ilungisa ngokwayo ngexesha lokukhulelwa. Kwiimeko ezinqabileyo, nangona kunjalo, i-uterus ekhunjulwayo inokubangela into ethiwa "i-uterus eboshiweyo" ngexesha lesibini lokukhulelwa, imeko edala intlungu yesisu, intlungu yomzimba kunye nokukhutshwa komchamo.