Ukuthi ukukhulelwa kuthinteka kanjani
Kungenzeka ukuthi utshelwe ukuthi unesibeletho esingenayo i-unicornuate, noma esikhundleni salokho, kungenzeka ukuthi ube nesisu sokuphumula futhi ukhathazekile ngokuthi isisu sangasese singasetshenziswa. Iyini ngempela lesi simo futhi iyiphi indima engayidlala ngayo ekukhupheni nasekukhulelweni kwesisu?
Incazelo
Isibeletho se-unicornuate uhlobo olungajwayelekile lwe- uterine olungavamile ( ukungajwayelekile komzila wama-müllerian).
Kuncane kunesibeletho esivamile (ngokuvamile esingaba yingxenye yesayizi evamile futhi ngokuvamile kunomsebenzi owodwa kuphela osebenza nge- fallopian tube (kunezingxenye ezimbili). Ngenye ingxenye yesisu kungenzeka ukuthi kube nokuthi uphondo oluphuthumayo.
Isibeletho esingenayo i-unicornuate sizalwa ngokuzalwa, okusho ukuthi uzalwa nayo, kodwa abesifazane abaningi abazi ukuthi banesimo baze bakhulelwe.
Uyini Uphondo Oluphuthumayo?
Uphondo oluhlelekile lukhona "uphondo" lwangaphasi kakhudlwana kolunye uhlangothi lwesisu esingenayo i-unicornuate. Amaphesenti angaba ngu-65 wabesifazane abanesibeletho se-unicornuate banophondo oluhlelekile. Uphondo oluvuthiwe lungase luxhumeke noma aluxhumeke (olubizwa ngokuthi "uphondo lokuxhumana") nalo lonke ubele nesisu.
Izimpawu Zophondo Oluphuthumayo
Uma uphondo olungenalutho luxhunyiwe kuzo zonke izibeletho namasondo, owesifazane angase abe nezikhathi ezibuhlungu kakhulu ngoba igazi lokuya esikhathini liyekelwa isiphakamiso (njengoba lingakwazi ukugeleza ngaphakathi kwesifazane.) Uma uphondo oluhlelekile luxhunyiwe kuzo zonke izibeletho kanye nesiswini, noma uma owesifazane engenaso uphondo oluyinkimbinkimbi, khona-ke owesifazane angase angaboni nanoma yiziphi izimpawu phakathi nesikhathi sokuphila kwakhe aze aqale ukuzama ukukhulelwa.
Ngaleso sikhathi, angase athole ubunzima bokuthola / noma ukuhlala ukhulelwe (okuxoxwe ngezansi).
Izibalo ze-Unicornuate Izibeletho
Kulaba besifazane abanemlando evamile yokubeletha, cishe amaphesenti amabili kuya kwangu-4 acatshangwa ukuthi anesifo esithile sokubeletha esiswini sangasese, nesisu esisodwa se-unicornuate sibonakala cishe esisodwa kubafazi abangu-1000.
Kulabo besifazane abanomlando wokukhulelwa kwamaphutha okuphindaphindiwe, izigameko zesibindi se-unicornuate ziphakeme kakhulu, kusukela kumaphesenti ayisihlanu kuya kwangu-30.
Cishe amaphesenti amabili kuya kwangu-8 abesifazane abahlolwe ukungabi nabantwana atholakale ukuthi banezibeletho ze-unicornuate.
Ukuxilongwa
I-unicornuate isibeletho singase sikhohlwe ngokusekelwe emlandweni wokungabikho komzimba, ukukhulelwa kwamaphutha okuphindaphindiwe, noma ukubeletha ngaphambi kwesikhathi. Esikhathini esiningi, ayitholakali emiviveni evamile ye-pelvic.
Ucwaningo lokucwaninga, njenge- hysterosalpingogram ( HSG ) noma i-ultrasound, lungabonisa ukuthi owesifazane cishe unesibeletho esingenayo i-unicornuate. Ku-hysterosalpingogram, idayi ifakwa emgodini wesibeletho singena esibelethweni bese kuthiwa ama-x ayenziwa ukuze acabange ngesibindi nesibhubhu.
I-hysteroscopy (isivivinyo lapho udokotela efaka khona isibonelo esincane emgodini wesibeletho ukubona ngeso lengaphakathi ngaphakathi kwesibeletho), i-ultra-dimensional ultrasound, noma i-laparoscopy ingase isetshenziswe futhi ukuqinisekisa ukuxilongwa.
Izinketho zokwelapha
Abacwaningi bazama izindlela zokwelapha zokwelashwa kwesibeletho se-unicornuate kodwa okwamanje, ukwelashwa okuvame ukwemukelwa kuphela ukukhishwa kokuhlinzwa kwecilongo lapho kudingeka (bheka ngezansi) nokuqapha ngokucophelela kokukhulelwa okwenzekayo.
Ukukhipha isisu nokukhulelwa
Ukuba nesisu esibelethwayo, ngeshwa, kuletha ingozi enkulu kokubili ukukhulelwa nokukhulelwa komzimba, kanye nokukhulelwa kwe-ectopic (yilapho iqanda elikhulile lifaka ngaphandle kwesibeletho-ngokuvamile kuvamise amathambo-futhi kufanele kuqedwe). Ukulinganiswa kuyahluka ngokucwaninga, kodwa ukungahambisani nokulethwa kwesikhathi esigcwele kwengane enempilo kungama-50%. Ukushada indiva kubonakala sengathi kwenzeka cishe ingxenye yesithathu yokukhulelwa. Ingozi yokuzalwa ngaphambi kokubeletha iphinde ikhuphuke kakhulu, kusukela kumaphesenti angu-10 ukuya kwangu-20.
Odokotela bakholelwa ukuthi ubungozi obuphezulu bokukhulelwa kwesisu bubangelwa ukungavamile ekuhlinzekeni kwegazi lwesibindi esingazange sikwazi ukuphazamisa ukusebenza kwe-placenta (noma ukwandisa izinkinga zokufakelwa kwamatayipi wezintambo.)
Okunye ukucindezeleka kokukhulelwa okwenyuka nge-anomalies ye-uterine kufaka:
- Ukumelwa (njengokwethulwa kwe- breech noma amanga ahambayo )
- Ukuqhekeka kwangaphambili kwezingqimba (okuvame ukuholela emsebenzini wokuqala)
- Ukunciphisa ukukhula kwe-intrauterine
- Isigaba C
- I-Placenta previa
- Ukuphazamiseka kwamapulazi
- Ukushona komntwana ongathandwayo (ukubeletha)
Umsebenzi wokuqala
Ingozi ephezulu yokuqashwa komsebenzi kuqala ngenxa yemingcele yesikhala; ngoba isisu esibelethwayo singaphansi kwesibindi esivamile, ukukhula kwengane kungase kubangele ukuqala komsebenzi. Odokotela bangase batuse inqubo yokuhlinzekwa okuthiwa i- cerclage yabesifazane abasengozini yokuqashwa komsebenzi-yiyona inqubo lapho umlomo wesibeletho uvalelwe khona ngesikhathi sokukhulelwa.
I-Egg Isungulwe Ngophondo Oluphuthumayo
Abesifazane abanophondo oluphuthumayo oluxhuma nalo lonke ubele babhekana nengozi eyengeziwe. Njengoba uphondo oluqhekekile lwesibindi esingenayo i-unicornuate luba nemingcele enkulu yesikhala, iqanda elivundisiwe elifakwe lapho libhekene nokuthi kungenzeka ukuphuka (okufana nokukhulelwa kwe-ectopic okufakelwa emthonjeni wezintambo). Le ngozi yokukhulelwa kwesisu ingaba ngamaphesenti angama-50 uma izimpembezo zokukhulelwa kuphondo oluphuthumayo. Ngenxa yalesi sizathu, odokotela ngezinye izikhathi bancoma ukuhlinzekwa ukukhipha uphondo oluphuthumayo.
Ngaphansi
Uma usanda kufunda ukuthi unesibeletho esingenayo i-unicornuate, cishe uzwa ukwesaba futhi ucindezelekile. Ukufunda mayelana nezibalo kungalimaza lezo zimo, kodwa kubalulekile ukuqonda lokho okubhekene nakho.
Khumbula, noma kunjalo, ukuthi kunezinhlobonhlobo eziningi ezihlukahlukene ezivela esibelethweni se-unicornuate-azifani nhlobo. Uphondo oluvuthiwe lungase lube khona noma olungase lungabi khona, lungase luhlangane noma alukwazi ukuxhuma, futhi ubukhulu besibeletho bungabuye buyehluka.
Ukuba nesibindi se-unicornuate kungandisa ingozi yokukhulelwa kwesisu, nokuzalwa kwangaphambi kokubeletha, kanye nokuholela ekukhulelweni kwe-ectopic noma ingozi yokuphuka uma i-fetus ifakazela uphondo oluthile. Kukhona nezinye izinkinga zokukhulelwa ezingase zenzeke.
Ngakolunye uhlangothi, kubalulekile ukugcizelela ukuthi cishe kwabesifazane kulezi zifundo ezimbalwa eziqhubekayo ukuqhubeka nokuletha abantwana abanempilo enhle (futhi abanye besifazane baye bahambisa amawele angempilo naphezu kwesibeletho esingenayo i-unicornuate.)
Uma uthola ukuthi unesibindi se-unicornuate, qiniseka ukuthi ubuza imibuzo eminingi. Buza mayelana nophondo oluphuthumayo. Uma uke waphumula, cela udokotela wakho lokho angakulindela uma uzokhulelwa futhi, ukhumbule ukuthi kunezinhlobo eziningi zesimo. Buza ukuthi ukukhulelwa kwakho kuzolindelwa kanjani uma ukhetha ukukhulelwa. Kuvame ukuphakanyiswa ukuthi abesifazane abanomdlavuza we-uterine balandelwe yi-perinatologist noma isazi sezidakamizwa esibhekene nokukhulelwa okuphezulu.
Ngaphezu kwakho konke, ubhekane nekusasa lakho ngendlela oyiqiniso ngayo, hhayi ukuhlonipha umbono womunye umuntu. Abesifazane abaningi bakhetha ukukhulelwa ngisho noma kunezingozi ezengeziwe ezihilelekile, futhi izinkinga eziningi zinganqatshwa noma zinciphe ngokunakekelwa kokunakekelwa okuqaphile nokulindile.
Imithombo
- Caserta, D., Mallozzi, M., Meldolesi, C. et al. Ukukhulelwa ku-Unicornuate Isibeletho: Umbiko Wezehlakalo. Imibiko Yezindaba Zezinkinga Zezokwelapha . 2014. 8: 130.
- Chan, Y., Jayaprakasan, K., Tan, A. et al. Imiphumela Yokukhiqiza Kwabesifazane abanezinkinga zokubeletha ezibelethwayo: Ukubuyekezwa okuhlelekile. I-Ultrasound ku-Obstetrics ne-Gynecology . 2011. 38 (4): 371-82.
- U-Heinonen, uP. Twin Ukukhulelwa Kwesibeletho Esibuhlungu Esingabazali. I-Journal ye-Obstetrics ne-Gynecology . 2016. 36 (5): 571-3.
- Hiersch, L., Yeoshoua, E., no H. Miremberg. I-Association phakathi kwama-Anomalies aseMellieri kanye nomphumela wokukhulelwa kwesikhathi esifushane. Umagazini weMithi yamaMama-Fetal ne-Neonatal . 2016. 29 (16): 2573-8.