Iimpawu eziqhelekileyo ezingamaqhekeza ezinqamlekileyo ezihlangene kunye namalungu okanye iinxalenye zezitho ezingavunyelwanga ngokuqhelekileyo kunye. Bangabangela ukusuleleka, ezinye izifo, okanye ukuhlinzwa kwangaphambili.
Ukuxhaswa kungabangela ukungabikho komntwana ...
- Ukukhusela iqanda kunye nesidoda ekuhlanganisweni
- Ukungena kwi-ovulation
- Ukwenza isibeleko singenakulungeleka kumbungu okhulelweyo
I-Adhesions iyona nto ibangela isizathu se- tublopian tubes .
I-Endometriosis kunye nesifo se-pelvic (infidmatory disease) (PID) kunokubangela ukuxhasana okuphazamisa ukukwazi kwakho ukukhulelwa.
I-Asherman's syndrome, okanye i-uterine synechiae, yilapho kufakwa ifom ephakathi kwesibeletho. Kungabangela ukungabikho komntwana okanye ukuphuphuma kwesisu ngokuphindaphindiweyo.
Ukuxhamla kungabangela intlungu, kubandakanywa iintlungu zesikhumba okanye intlungu ngexesha lesini. Ukuxhamla kungabangela ukuphuma kwindoda engaqhelekanga, ukuhamba kwexesha eliqhelekileyo, okanye ukungabi nako kokuphuma kwimihla.
Nangona kunjalo, kunokwenzeka ukuba akukho mpawu ebonakalayo.
Izizathu
Ukuxhamla kunokwenzeka xa inkqubo yokuphulukiswa yendalo ihamba kancane.
Ngokuqhelekileyo, iindawo zomzimba zesisu, isisu esiswini, kunye nezigulane ze-fallopian ziyancipha. Oku kwenza ukuba izitho zihambele ngokulula.
Nangona kunjalo, xa kukho ukulimala-nokuba ngaba usulelo, ukuhlinzwa kwangaphambili, okanye idiphozithi ye-endometrial - ummandla unokuba "unamathele." Oku kunokubangela ukuba izitho zihlangane kunye.
Izicubu ze-Scar zingenza kwaye zibambe iziko kwindawo engavumelekanga. Isiqwenga somzimba singenza kwakhona izikhonkco ezinjengewebhu phakathi kwezitho.
Ezi mbambano zinokuba zininzi kwaye zinamandla. Amalungu akho angathatyathwa ngokusemthethweni. Oku kunokubangela intlungu, ngakumbi ngexesha lokwebelana ngesondo okanye ngexesha lokuya esikhathini.
Kwimeko ye-Asherman's syndrome, ukuxhamla kwenzeka ngaphakathi kwesibeleko.
Ukubambelela kungabambalwa, okanye, kwiimeko ezinzima, zinokubangela ukuba izindonga ze-uterine zihlangane kunye ngokuphantse.
Ukubambisana kwe-intrauterine kuthintela i-endometrium enempilo ekubeni yenziwe. Oku kunokuthintela ukufakelwa kwempilo embryo.
Okanye, ukuba ukufakelwa kombungu kwenzeka, umngcipheko wokukhulelwa kwesisu ungaba phezulu.
Kwimeko yesifo esivuthayo seplavic , okanye naluphi na olunye unyango lwephepha lokuzala, iibhubhu ze-fallopian ziya kutshiswa. Imihlaba evulekileyo inokuvelisa izicubu ezinqabileyo okanye ukuxhamla kwiibhubhu.
Ezi zinto zithintela iqanda kunye nesidoda ukuba zingabi kunye.
Izidalwa ezibangelwa yi- endometriosis ngokuqhelekileyo zivela kwintlambo ye-pelvic. Basenokuthi babekho kufuphi namathambo okanye ama-ovari. Ukubambelela kwe-Endometrial kunokuphazamisa ukuvuthwa.
Ngamanye amaxesha, ukunamathela kwe-endometrial kukuthintela ithubhu ye-fallopian ukuba ihambe ngokuqhelekileyo.
I-ovari ayiqhotyoshelwanga ngokuthe ngqo kwiibhulo zomzimba. Ngexesha lokuhamba, xa iqanda likhishwa kwi-ovary, kufuneka lifumane indlela yalo kwi-tube fallopian.
Ukuba ukunyamezela kukuphazamisa ukuhamba kwezinto eziphilayo, iqanda lingenakuyenza kwiphubhu ye-fallopian.
Oku kunciphisa ukuzala.
Ukuxilongwa
Kukho iindlela ezintathu eziphambili zokuxilongwa:
- HSG (hysterosalpingogram)
- Hysteroscopy
- Laparoscopy
I-HSG yinto ekhethekileyo ye-x-ray engasetyenziselwa ukufumana ingcamango yombumba wesisu kunye nokuba iibhubhu ze-fallopian zicacile. Izigulane ezivaliweyo ezingavunyelwayo zingabonwa ngokuba ne-HSG.
Nge-hysteroscopy, iteksi elincinci, elikhanyayo elibizwa ngokuba yi-hysteroscope lifakwe kwisibeletho nge-cervix. Oku kunceda ugqirha ukuba abone ngaphakathi kwendawo yomzimba kunye nokuvulelwa kwiibhulo ezikhohlakeleyo.
I-hysteroscope ingasetyenziselwa ukuxilonga iingxaki ngesigxina se-uterine, kuquka uAsherman's Syndrome.
Inqubo efanayo ingasetyenziselwa ukususa nokuphulukana nokubambisana kwe-intrauterine.
I-laparoscopy yinkqubo apho ukukhangela okuncinci kwenziwa kwisisu. Emva koko, ityhubhu encinane, ekhanyisiweyo enefayile yekhamera ifakwe, kunye nezixhobo.
Ukuhlinzwa ngoparoscopic yindlela kuphela yokufumanisa i-endometriosis.
Unokufumana iziphumo eziqhelekileyo kwi-HSG kunye ne-hysteroscopy, kodwa unesifo se-endometriosis esichukumisayo.
Phantse i-50% yezinye izigulane eziqhelekileyo ezingenasifo zifumaneke ukuba zixhaswe nge-pelvic okanye i-endometriosis emva kwe-laparoscopy. Ngamanye amaxesha, "ukungachazwanga" ukungabikho kwengqondo kubangelwa nje ukuxhaswa kweplavic okanye i-endo.
Ukuhlinzwa okufanayo okusetyenziselwa ukuxilongwa kwe-endometriosis okanye ukuxhaswa kwe-pelvic kungasetyenziselwa ukunyanga nokususa iminyango. Ngaloo ndlela, akudingeki ukuba uqhutywe ngophenyo kabini.
Thetha ugqirha wakho phambi kokuba wenze inkqubo.
Unyango lweZonyango
Ukuba ukuxhamla kungaphakathi kwimiba ye-fallopian, ukulungiswa kocwangco kunokwenzeka. Nangona kunjalo, unyango lwe-IVF lunokuphumelela ngakumbi kwaye lubiza imali.
Ukuba i-Asherman's syndrome yimbangela yokungasebenzi, ukuxhaswa kungasuswa ngexesha le-hysteroscopy yokusebenza. Unokwazi ukukhulelwa ngokwemvelo emva koko, okanye unokufuna unyango lwezityalo ngaphezu kokuhlinzwa.
Kwimeko yokubambisana kwe-pelvic okanye i-endometriosis, ukukhutshwa kwamanyathelo kunokunciphisa intlungu kwaye kunokuphucula imiphumo yokuphumelela ukukhulelwa. Nangona kunjalo, kuxhomekeke kwimeko, usenokufuna i-IVF okanye unyango lwezityalo emva kokuhlinzwa.
Soloko uthetha nogqirha wakho malunga nazo zonke iinketho zakho. Buza into enokulindela emva kokuhlinzwa.
Imithombo:
Iimfuno: Ziziphi na zona kwaye zinokuthintela njani? Umbutho waseMelika weMithi yokuzala.
Yintoni i-Hysteroscopy? Unyango kunye neenkqubo. Kliniki yaseCleveland.
Tsui KH1, Lin LT2, Cheng JT3, Teng SW4, Wang PH5. "Ulwaphulo olupheleleyo lwabasetyhini abanezifo ezingenabantwana abane-Asherman Syndrome. "Taiwan J Obstet Gynecol. 2014 Sep; 53 (3): 372-5. i-doi: 10.1016 / j.tjog.2014.04.022.