Ukuphazamiseka kuvame ukungatholakali kwabesifazane abakhulelwe ukukhulelwa
Isibeletho esisodwa sisifo esingenasifo sokubeletha lapho i-membrane encane ebizwa ngokuthi i-septum ihlukanisa isibeletho noma ingxenye eyodwa. Kuyinto engavamile yokuzalwa ngokobulili owesifazane ozelwe naye kepha engelashwa ngokuhlinzwa, uma kudingeka, ukuthuthukisa amathuba okukhulelwa okuphumelelayo.
Sibutsetelo
Isibeletho esisodwa siyakwandisa ingozi yokukhulelwa kwesisu futhi singase sibe yisici esiyinhloko emithanjeni ephindaphindiwe.
Ngenkathi izibalo zihluka, izinga lokuphuphuma kwesisu phakathi kwabesifazane abane-uteri eliyisithupha likholelwa ukuthi lihamba kusukela ngamaphesenti angu-25 kuya ku-47%. Ngokuphambene nalokho, isilinganiso sokukhulelwa kwesisu emphakathini jikelele siphakathi kwamaphesenti ayishumi namaphesenti angu-25 kuphela.
Ngaphezu kwalokho, isilinganiso sokukhulelwa kwesisu okuphindaphindiwe kwabesifazane abanezinkinga zesifo sofuba singamaphesenti ayisishiyagalombili namaphesenti angama-23. Cishe ingxenye yesithathu yalezi zizoba nesibindi se-septate.
Izimbangela
Nakuba isibindi esisodwa singathinti ikhono lomfazi lokukhulelwa, kungenza kube nzima ukukhulelwa. I-septum ngokwayo iyisisindo esinezintambo ezingenayo iningi legazi. Ngakho-ke uma iqanda elikhulelwe lifakwa endaweni ye-septum, linethuba elincane lokukhula ngokujwayelekile ngoba umthombo wokudla okunomsoco uzoqedwa kakhulu.
Isici esisodwa esingavamile sesibeletho se-septate siwukuthi ukukhulelwa kwesisu kungahle kwenzeke kahle ku- trimester yesibili . Ngokuphambene nalokho, iningi lezinkinga zokukhubazeka zenzeka phakathi nenyanga yokuqala futhi kanengi ngaphandle kowesifazane ngisho nokukwazi.
Abesifazane abane-uteri esinezintathu abangenalo ukulimala nabo bakholelwa ukuthi kuyingozi yokunyuka komsebenzi .
Ukuxilongwa
Isibeletho esisodwa sihlale singatholakali kuze kube yilapho owesifazane ezwa ngokuphindaphindiwe. Ngezinye izikhathi, udokotela angase akhubeke kuso ngesikhathi sokuhlolwa komzimba njalo. Lokhu kungenxa yokuthi isisu esisodwa sivame ukuhambisana nezinkinga ezifanayo zomlomo wesibeletho kanye nesiswini.
Ngokuvamile okuthiwa "umlomo wesibeletho" futhi "ubulili obubili," lezi zivame ukuqala ukungafani okufanayo kwesibeletho.
Odokotela bazoqala uphenyo nge-scan ye-ultrasound noma i-magnetic resonance imaging (MRI). Ukuxilongwa okucacile kungadinga ku-hysterosalpingogram (inqubo ye-X eveza isigciwane) kanye / noma i-hysteroscopy (ukuhlolwa okubukwayo usebenzisa ukukhanya okukhanyayo).
Ngisho nalezi zivivinyo, isibeletho esisodwa singase singabhekwa njenge- bicornuate uterus , esaziwa nangokuthi " isisu esihlotshaniswa nenhliziyo." Nakuba le nkinga ingabhekwa njengento evamile, ayivame ukukhulisa ingozi yokukhulelwa kwesisu.
Ukwelapha
Isibeletho esisodwa siphathwa ngokuhlinzwa, ngokuvamile ngokususa i-septum ngesikhathi se-hysteroscopy. Lena inqubo encane enhle ngokuvamile eyenziwa ngesineke.
Le nqubo, ebizwa ngokuthi i-metroplasty, iyancipha kancane futhi ihilela ukungena kwedijithali yezokwelapha ngaphakathi kwesibeletho nasesibelethweni ukuze kunqunywe izicubu ezidlulele. Lokhu kungenziwa ngokuvamile phakathi kwamaminithi angu-30 no-60. Ama-antibiotic kanye ne-estrogen kungenzeka abekwe ngemuva kwalokho ukuvimbela ukutheleleka nokusiza ekuphulukisweni.
I-metroplasty yama-hysteroscopic ingathuthukisa amathuba okukhulelwa okuphumelelayo kwabesifazane abanokukhulelwa okuphindaphindiwe ngamaphesenti angu-53.5, ngokuhlaziywa okubanzi kwezifundo ezingu-29 ezenziwa ngo-1986 kuya ku-2011.
Akudingekile kwabesifazane abane-uteri elilodwa abangenaso injongo yokukhulelwa. Ngokwakhe, isisu esisodwa asibekela ingozi yomdlavuza.
> Umthombo:
> Valle, R. kanye no-Ekpo, G. "I-Hysteroscopic Metroplasty ye-Isibeletho Se-Septate: Ukubukeza nokuhlaziywa kwe-Meta." I-Journal ye-Gynecology encane encane. 2013; 20 (1): 22-42.