I-Bicornuate Uterus Ngamanye amaxesha kunokubangela iingxaki ngexesha lokukhulelwa
I-uterus ye-bicornuate uhlobo oluthile lwe-uterine malformation okanye i-müllerian imuct anomalies apho ububele bubonakala bubunjengentliziyo. I-uteri ye-bicornuate inezibini ezibini ezidibeneyo kanti i-uterus yesiqhelo inomtya omnye.
Iziphulo ze-Müllerian zokuziphatha, kuquka uteri bicornuate, ukuphuhliswa kwangethuba ngexesha lokukhula kokubeleka. Ngexa u-utero, inkqubo yokuzala yeefom zefesibus.
Ekuqaleni, iifestile zineemitha ezimbini ze-müllerian ezidibanisa ukwakha isibeletho esisodwa. Kwimeko yesikhumba se-bicornuate, la maqatha ahlangani ngokupheleleyo. Oku kunokukwenzeka kubasetyhini abanomama bathabatha imithi ebizwa ngokuthi i-diethylstilbestrol (DES) ngelixa bekhulelwe okanye kwezinye, izizathu ezingaziwa.
I-uterus bicornuate enye yeendidi ezininzi ze-müllerian imuct anomalies. Ezinye iintlobo ziquka i- uterus didelphys , i-uteri ehlukeneyo; i-unicornuate uterus-- kuphela kwendlela yokuhamba-ekhoyo-kubangelwa i-uterus encinci kune-average; kunye nesibindi esisiswini , esenzeka i-uterus ihlukaniswe ngodonga okanye i-septum. I-bicornuate uteri yiyona ndlela eqhelekileyo ye-müllerian disuct anomaly.
Uyazi Njani Ukuba Unayo Isibeletho Sobuncwane?
Oogqirha banokufumana ingcamango enoba umfazi unesibindi sokuqhawula i-bicornuate nge-standard ultrasound okanye ngokusebenzisa i-hysterosalpingogram (HSG) okanye i-hysteroscopy. Kwezinye iimeko, ukuxilongwa kungadinga ukuqinisekiswa usebenzisa i-ultrasound ultrasound okanye i-laparoscopy.
Ininzi la mabhinqa ayazi ukuba banesibindi sokuqhaqhaqhawulayo baze bakhulelwe okanye bazame ukukhulelwa. Ukuya esikhathini, kwiimeko ezininzi, kuqhelekile.
I-Bicornuate Uteri kunye nokulahleka kokukhulelwa
Izingozi eziphambili ezinxulumene nesisu se-bicornuate ziyi-preterm zabasebenzi kwaye kungenzeka ukuba unakho ukukhubazeka komlomo wesibeleko. Ukuba ne-bicornuate uterus ayibangeli i-trimester miscarriages yokuqala.
Ukungakwazi ukusebenza komlomo wesibeleko kunye nokuhanjiswa kwangaphambili kwangaphambili kungahle kubangele ukukhulelwa komzimba okanye ukulahleka kokuzalwa xa umntwana ezalwa kungekudala - phambi kweentsuku ezingama-24 okanye ezingama-25 zokukhulelwa, inqaku apho umntwana osengaphambi kwintsholongwane angaphila khona . Ngenxa yesigxina esiphambili sesisu, umntwana okhulayo akanako ukufumana indawo eyaneleyo yokukhula, enokubangela ukuba umsebenzi we-preterm.
Nangona ezi ngxaki zinokuthi zenzeke, abaninzi abafazi abane-uteri bicornuate bathwala ukukhulelwa kwabo ngaphandle kweengxaki. Ukuba unenkxalabo yokuba ubunqunu bakho bangela ukuba ukhulelwe, khuluma nomgqirha ophezulu wokubeka ingozi okanye ingcali yokuzala onokuyivavanya imbali yakho yonyango kunye nobungozi bomntu.
Ukwelapha isibeletho seBicornuate
Kwiimeko ezininzi, oogqirha abakucetyanga unyango olwenziwe ngonyango, nangona abanye banokuthabatha uphando olwenziwe nge-laparoscopic. Ukuba ukhulelwe, unokudinga i-cerclage yomlomo wesibeleko - isityiweyo esisetyenziswe kwisibeleko sokuyeka ukuhlalisa. Le nkqubo inqanda ukuhanjiswa kwangethuba kwangaphambili kunye nokulahleka kwexesha lokukhulelwa kwexesha elide. Unyango lwakho luya kuxhomekeka kumgqirha wakho kunye neemeko ezungeze ukukhulelwa kwakho.
Ukuba ufumana ukulahleka kwezinto eziphambeneyo, unako u-uteri uhlalutye ngokuchasene nokuqhekeza uteri.
Iingxaki ezimbini zobunzima bokubeleka zingabonakala zifana nezifundo zokucinga, ezifana ne-HSG okanye i-ultrasound. Isibeletho esisisigxina sijikeleze phezulu kunye nesigxina esisodwa kunye ne-bicornuate uterus dips phezulu, ukwakha isimo senhliziyo kunye nezibini ezimbini.
I-uterus bicornuate ayinakuphathwa, ngaphandle kokubukela iimpawu zokwehliswa komlomo. Ukuba uphathwa unyango, ukulungiswa kwakhona kuya kwenziwa nge-laparoscopic. Isibeleko esisisigxina sivame ukuphathwa ngophengululo lwe-hysteroscopic. Ngoxa i-uterus ye-bicornuate ayidlalwa njengento ebangelwa ngamathambo aphindaphindiweyo, i-uterus i-seate isaziwa kwandisa ingozi yokukhulelwa komzimba.
Ukuba unamaqhekeza aphindaphindiweyo kwaye ugqirha wakho uzimisele ukuba unobumba obuqhekezayo, cinga ukuba ubone ingcali yombono wesibini ukuqinisekisa ubungqina bakho kunye nokuxoxa ngezicwangciso zonyango.
Imithombo
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