Ingxaki ihlala ingabonwa ngabasetyhini ngokulahleka kokukhulelwa
Isibeletho esisisiswini sisifo esingumntwana esiluncinci apho umlenze omncinci obizwa ngokuba yi-septum uhlula i-uterus ngokukodwa okanye ngokupheleleyo. Yinto engafaniyo yokuzalwa ngokwemvelo yowesifazane ozelweyo kodwa enye inokunyangwa ngonyango, ukuba kuyimfuneko, ukuphucula amathuba okukhulelwa okuphumelelayo.
Sibanzi
I-uterus ephakathi iphakamisa umngcipheko wokukhulelwa kwesisu kwaye ingaba yinto ebalulekileyo kwiimfucuza eziphindaphindiweyo.
Nangona iifomati zihluka, izinga lokuphuphuma kwesisu phakathi kwabasetyhini abane-uteri elincinci likholelwa ukuba lihamba ukusuka kuma-25 ukuya kuma-47 ekhulwini. Ngokwahlukileyo, izinga lokuphuphuma kwesisu kwindawo ebanzi liphakathi kwama-10 ekhulwini kunye nama-25 ekhulwini.
Ngaphezu koko, izinga lokuphuphuma kwesisu ngokuphindaphindiweyo kwabasetyhini abane-malter malformation liphakathi kweepesenti ezisibhozo kunye nama-23 ekhulwini. Phantse kwisithathu salezi ziza kuba ne-septate uterus.
Izizathu
Ngoxa i-uterus eyisixhenxe ayichaphazeli amandla omfazi wokukhulelwa, ingaba nzima ukukhulelwa. I-septum ngokwayo yinyama enobumba engenawo amaninzi egazi. Ngoko ukuba iqanda elikhulayo lifakwe kwi-septum, linethuba elincinane lokukhula ngokuqhelekileyo ekubeni umthombo wesondlo uya kunqunyulwa.
Enye into engavumelekanga yesibeletho esisisigxina kukuba ukuphuphuma kwesisu kungahle kwenzeke kakuhle kwi- trimester yesibini . Ngokwahlukileyo, ubuninzi bezinto ezilahlekileyo zenzeke ngethuba lekota yokuqala kwaye kaninzi bengenabhinqa besazi.
Abasetyhini abane-uteri abangamalungu angama-6 abaye baphuphutheka nabo bakholelwa ukuba ngumngcipheko wokwenza umsebenzi wokuqala.
Ukuxilongwa
Isibeleko esisisigxina sisoloko singakhange sifumaneke phambi kokuba ibhinqa libuhlungu ngokuphindaphindiweyo. Ngamanye amaxesha, ugqirha unokukhubeka ngawo ngexesha lokuhlola rhoqo. Oku kungenxa yokuba isibeleko esisisigxina sihlala sihamba kunye neengxaki ezingafaniyo zomlomo wesibeleko kunye nesisu.
Ngokuqhelekileyo ibizwa ngokuba "umlomo wesibeleko" kunye "nesibini," ezi zihlandlo zokuqala eziqhelekileyo kwi-uterus.
Oogqirha baya kuqalisa uphando malunga ne-ultrasound okanye i-imagination magnetic resonance (MRI). Ukuxilongwa ngokuqinisekileyo kunokufuna kwi-hysterosalpingogram (inkqubo ye-X ebonisa ukuba ubele) kunye / okanye i-hysteroscopy (uvavanyo olubonakalayo usebenzisa umda okhanyisiweyo).
Ngaphandle kwezi ziviwo, i-uterus i-septate ihlawulwa ngamanye amaxesha njenge- bicornuate uterus , eyaziwa nangokuthi "i-uterus enesimo senhliziyo." Nangona i-malformation ayinakuqwalaselwa ngokuqhelekileyo, ayinokwandisa umngcipheko wokukhulelwa kwesisu.
Unyango
I-uterus eyisixhenxe iphathwa ngokuhlinzwa, ngokuqhelekileyo ngokususa i-septum ngexesha le-hysteroscopy. Le nkqubo yincinci imiselwe ngokuqhelekileyo kwisigulana sokugula.
Inkqubo, ebizwa ngokuthi i-metroplasty, iyancinci kwaye iquka ukufakwa kwesicatshulwa seyeza kwi-cervix kunye nesisu ukuze unqande izicubu ezingaphezulu. Oku kunokwenziwa rhoqo phakathi kwemizuzu engama-30 no-60. I-antibiotics kunye ne-estrogen inokumiselwa emva koko ukukhusela intsholongwane kunye nokunceda ekuphiliseni.
I-hysteroscopic metroplasty inokuphucula amathuba okukhulelwa ngokuphumelelayo kwabasetyhini abanokukhulelwa ngokuphindaphindiweyo ngama-53.5 ekhulwini, ngokubhekiselele kuhlalutyo olubanzi lwezifundo ezingama-29 ezenziwe ngo-1986 ukuya ku-2011.
Akuyinto engadingekile kubasetyhini abane-uteri esinezintlu ezingenayo injongo yokukhulelwa. Ngokwakhe, i-uterus ye-septate ayikho ingozi yomhlaza.
> Umthombo:
> Valle, R. kunye ne-Ekpo, G. "Hysteroscopic Metroplasty kwi-Septate Isibeletho: Ukuhlaziywa kunye nokuhlaziywa kweMeta." I-Journal ye-Gynecology encinci. 2013; 20 (1): 22-42.