Indlela Ukukhulelwa Kuchaphazeleka ngayo
Unokuba watshelwa ukuba unesibeletho sokungabonakaliyo, okanye endaweni yoko, unokufumana ukukhulelwa kwesisu kwaye unomdla wokuba i-unicornuate uterus ingaba nexanduva. Iyintoni na le meko kwaye yintoni inokuyidlala ngayo ekukhupheni nasekuphumuleni?
Inkcazo
I-unicornuate uterus luhlobo lwesifo sokubeleka esingavamile (umthamo wesifo se-müllerian).
Incinci kunobumba obuqhelekileyo (ngokuphindaphindiweyo malunga nesiqingatha sesayizi esiqhelekileyo kwaye ngokuqhelekileyo sinomsebenzi omnye kuphela we- fallopian tube (ngaphezu kwembini).
I-unicornuate uterus yintsapho yokuzalwa, oku kuthetha ukuba uzalwe nayo, kodwa abaninzi abafazi abazi ukuba banayo imeko baze bakhulelwe.
Yintoni Iphondo Eliyingozi?
Uphondo oluphangaleleyo lulo "uphondo" olungaphantsi kophuhliso olubhekiselele kwicala le-unicornuate uterus. Phantse ama-65 ekhulwini kwabasetyhini abanesibindi esingenayo i-unicornuate uterus. Uphondo oluhlaziyiweyo lunokuthi okanye aludibaniswanga (olubizwa ngokuba "uphondo oluxubushayo") kunye nezinye izibeleko kunye nesisu.
Iimpawu zePhondo eliMdaka
Ukuba uphondo olungamarhaqa aluxhunyekanga kuyo yonke indawo yesisu kunye nesondo, ke umfazi unokufumana ixesha elibuhlungu kakhulu ngenxa yokuba igazi lemihla liyaxhaswa (ekubeni likwazi ukuphuma kumfazi.) Ukuba uphondo oluxhasayo luxhunyiwe kuyo yonke into yesisu kunye nesondo, okanye ukuba umfazi akanalo uphondo oluphangaleleyo, ngoko umfazi angenakufumana iimpawu kwixesha lokuphila kwakhe ade aqale ukuzama ukukhulelwa.
Ngelo xesha, unokufumana ubunzima bokufumana kunye / okanye ukuhlala ukhulelwe (kuxutyushwa ngezantsi).
Unicornuate Uterus Statistics
Kubabhinqa abaneembali eziqhelekileyo zokuzala, malunga neepesenti ezimbini ukuya kwezine zicingelwa ukuba zinezinye iintlobo ze-uterine ezingabonakaliyo, kunye ne-unicornuate uterus ekhoyo malunga nabafazi abangama-1000.
Kuyabasetyhini abanembali yokulahleka kwamathambo aphindaphindiweyo, iziganeko zesibindi se-unicornuate ziphezulu, ukusuka kwi-5 ukuya kwi-30 ekhulwini.
Amaphesenti amabini ukuya kwisibhozo ekhulwini lwabasetyhini abavavanyelwe ukungabikho kwempilo kufumaneka ukuba ne-unicornuate uterus.
Ukuxilongwa
I-unicornuate uterus inokukrokra ngokusekelwe kwimbali yokungabikho kwengqondo, ukulahleka kwamathambo okuphindaphindiweyo, okanye ukuzalwa kwangaphambili. Ininzi yexesha, ayifumaneki kwiimvavanyo eziqhelekileyo zeplavic.
Izifundo zokucinga, ezifana ne- hysterosalpingogram (i- HSG ) okanye i-ultrasound, ingabonisa ukuba ibhinqa linokwenzeka ukuba linesibeletho esingenayo i-unicornuate. Kwi-hysterosalpingogram, idayi ifakwe kwi-cervix ukuya kwisibeleko kwaye i-ray-ray iyathathwa ukuze ibonise izibilini ze-uterus ne-fallopian tubes.
I-hysteroscopy (uvavanyo apho ugqirha ufaka i-telescope encinci ngomlomo wesibeleko ukujonga ngeso lwangaphakathi kwesibeletho), i-ultra-dimensional ultrasound, okanye i-laparoscopy ingasetyenziselwa ukuqinisekisa ukuxilongwa.
Izinyango Zonyango
Abaphandi bazama iindlela zonyango zokunyanga kwi-unicornuate uterus kodwa okwangoku, unyango oluphela kuphela olwamkelekileyo lukhutshwa ngophondo oluphangaleleyo xa lufuneka (jonga ngezantsi) kunye nokuhlola ngokucophelela ukukhulelwa okwenzekayo.
Ukutshatyalaliswa kunye nokukhulelwa
Ukuba nesisu se-unicornuate, ngelishwa, kubangela umngcipheko omkhulu wokulahleka nokukhulelwa komsebenzi, kunye nokukhulelwa kwe-ectopic (yilapho izilwanyana ezinamaqanda ezichumayo ngaphandle kwesibeletho-ngokuqhelekileyo kwi-tublopian tubes-kwaye kufuneka zipheliswe). Uqikelelo luyehluka ngokufundisisa, kodwa iingxaki zonikezelo lwexesha elipheleleyo lomntwana ophilileyo ziba ngama-50 ekhulwini. Ukutshatyalaliswa kwempahla kubonakala ngathi kwenzeka kwi-third to pregnancy. Umngcipheko wokuzalwa kwangaphambi kokubeleka unyuke kakhulu, ukususela kuma-10 ukuya kuma-20 ekhulwini.
Oogqirha bakholelwa ukuba umngcipheko ophezulu wokukhulelwa komzimba ungenxa yokungaqhelekanga kwi-blood supply ye-unicornuate uterus engaphazamisa ukusebenza kwe-placenta (okanye ukwandisa imilinganiselo yokufakelwa kwimiba ye-fallopian.)
Ezinye izixazululo zokukhulelwa ezonyuka ngeemeko zomzimba zibandakanya:
- Ukubonakaliswa (njengentetho ye- breech okanye amanga ajikelezayo )
- Ukuqhekeka kwangaphambili kweembrane (eziqhelekileyo zikhokelela kubasebenzi bokuqala)
- Ukukhawuleza kokukhula kwe-intrauterine
- Icandelo leC
- Placenta previa
- Ukuphazamiseka kwePlacental
- Ukuphelelwa ngumntwana wesisu (ukuzalwa komntwana)
Umsebenzi wokuqala
Umngcipheko ophezulu wokuba ngumsebenzi wokuqala ungabikho ngenxa yemimiselo yendawo; ukususela kwi-unicornuate uterus yincinci kune-uterus eqhelekileyo, ukukhula komntwana kungabangela ukuqala kwebasebenzi. Oogqirha banokucetyisa inkqubo yokuhlinzwa ebizwa ngokuba yi- cerclage yabasetyhini abasemngciphekweni womsebenzi wokuqala-yinkqubo apho umlomo wesibeleko ugcotshwe ngexesha lokukhulelwa.
I-Egg efakwe kwiPhondo leMveli
Abasetyhini abanophondo oluphangaleleyo oludibanisa nayo yonke imbilini bajongene nobungozi obongezelelweyo. Ekubeni uphondo olubi lwe-unicornuate uterus lunezithintelo ezinkulu zendawo, iqanda elikhulayo elifakwe apho lijongene nokupheka (okufana nokukhulelwa kwe-ectopic efaka ityhupi ye-fallopian). Lo mngcipheko wokuphuka kwesifo sangasese ungaba ngaphezu kwama-50 ekhulwini xa uphumelele ukukhulelwa kwiphondo elincinci. Ngenxa yoko, oogqirha ngamanye amaxesha bacebisa ukuhlinzwa ukuba kususwe uphondo oluphangaleleyo.
Okukwintsusa
Ukuba usanda kufunda ukuba unesibindi esingenayo i-unicornuate, mhlawumbi unesivalo kwaye udidekile. Ukufunda malunga neenombolo kunokubangela ukonakalisa ukwesaba, kodwa kubalulekile ukuqonda oko ujongene nakho.
Hlalani nikhumbule, nangona kunjalo, ukuba kukho ukuhlukahluka okungafaniyo kwi-unicornuate uterus-ayenjalo. Uphondo oluphangaleleyo lunokuthi okanye lungabi khona, luvumeleke okanye lukwazi ukudibanisa, kwaye ubungakanani besisu buyahlukahluka.
Ukuba nesibindi sesisu esingenayo i-unicornuate sinokunyusa umngcipheko wokukhulelwa kwesisu, kunye nokuzalwa kwangaphambili, kunye nokukholelwa ekukhulelweni kwe-ectopic okanye umngcipheko wokuphuka xa umntwana efaka impondo. Kukho ukukhulelwa okongezelelweyo kokukhulelwa okungenzeka.
Ngakolunye uhlangothi, kubalulekile ukugxininisa ukuba phantse ukuba nawabesetyhini kwizifundo ezimbalwa ezithe gqolo ukuhambisa iintsana eziphilileyo ezisempilweni (kunye nabanye abafazi baye bahambisa amawele aphilileyo naphezu kwesibeletho esingenayo i-unicornuate.)
Ukuba ufumene unyango lwe-unicornuate, qiniseka ukuba ubuze imibuzo eninzi. Buza malunga nophondo oluthile. Ukuba unesisu, cela udokotela wakho into enokuyilindela ukuba uza kuphinda ukhulelwe, ukhumbule ukuba kukho ukuhlukahluka kwemeko. Cinga malunga nokuba ukhulelwe njani ukuba ukhulelwe ukuba ukhetha ukukhulelwa. Ngokuqhelekileyo kunconywa ukuba abafazi abanokukhubazeka kwezilonda balandelwe ngumntu ongu-perinatologist okanye umgqirha ogqirha ukukhulelwa kakhudlwana.
Uninzi lwazo zonke, jongana nekamva lakho ngendlela oweyinyani kuwe, ungayihloniphi imbono yomnye umntu. Abasetyhini abaninzi bakhetha ukuba bakhulelwe nangona kukho ingozi eyongeziweyo ebandakanyekayo, kwaye ezininzi iingxaki zingasuswa okanye zinciphise ngononophelo olunyamekileyo nolulindile.
Imithombo
- Caserta, D., Mallozzi, M., Meldolesi, C. et al. Ukukhulelwa kwi-Unicornuate Uterus: Ingxelo yeNgxelo. Umbhalo weeNgxelo zonyango lwezoNyango . 2014. 8: 130.
- Chan, Y., Jayaprakasan, K., Tan, A. et al. IziPhumo ezizalanayo kumaBhinqa anamaqabane angamaqabane angamaqabane: Uhlolo lokuHlola. I-ultrasound kwi-Obstetrics ne-Gynecology . 2011. 38 (4): 371-82.
- UHeinonen, uP. Twin Ukukhulelwa kwi-Uterus engekho ebantwini. Umbhalo we-Obstetrics kunye neGynecology . 2016. 36 (5): 571-3.
- Hiersch, L., Yeoshoua, E., no H. Miremberg. Umbutho Phakathi kwama-Anomalies akwa-Mullerian kunye neSiphumo soKhulelwa kwexesha elifutshane. Umbhalo weMithi kaMatern-Fetal ne-Neonatal Medicine . 2016. 29 (16): 2573-8.