Isibeletho esingavamile ngezinye izikhathi singase sibe yingozi ebangelwa ukukhulelwa kwesisu futhi, kwezinye izimo, kuyimbangela yezimo eziphuthumayo eziphindaphindiwe. Izinhlobo ezimbalwa zezinyosi zebele zikhulisa ingozi yokukhulelwa kwesisu futhi zidinga ukwelashwa; abanye bangase bangabangeli izinkinga ngokukhulelwa nhlobo. Kucatshangwa ukuthi amaphesenti ayisishiyagalombili kuya kuma-23 amaphesenti abesifazane asezintweni eziphuthumayo zinezinhlobo ezithile zobunqunu obungavamile.
Ezinye izifo ezingalungile zikhona kusukela ekuzalweni, kuyilapho ezinye zikhula ngenkathi zikhulile. Ngokuvamile, abesifazane abanezinyosi ezibelethwayo abanalo izimpawu futhi abazi ukuthi lezi zinkinga zingakhulumi. Ukuxilongwa kwezifo ezinamazinyo okubeletha okubeletha kuvame ukuza emva kwe-hysteroscopy noma hysterosalpingogram .
Funda kabanzi mayelana nezinhlobo ezahlukene zezinkinga ze-uterine, ngezansi.
Isibeletho se-Septum
I-septum ye-uterine (i- septate uterus ) iyisifo esivame kakhulu sokubeletha esibelethweni, esihlanganisa cishe ingxenye eyodwa kwezintathu zezifo ezingavamile. Njengoba isimo sesisu, lokho kusho ukuthi ukhona lapho uzalwa.
I-septum ye-uterine iyinqwaba yezicubu ezinomzimba ezihlukanisa noma zihlukanisa ngokuphelele isibeletho, ngokuvamile ngaphandle kokunikezelwa kwegazi okuhle. Uma amaqanda afakwe emanzini athola i-septum, i- placenta ayikwazi ukukhula ngendlela efanele nokuphuphuma kwesisu.
Kulabo besifazane abanesibeletho se-septate, ingozi yokukhulelwa kwesisu iphakathi kwamaphesenti angu-25 namaphesenti angama-47 (uma kuqhathaniswa nengozi yamaphesenti angu-15 kuya kuma-20 emaphesenti abesifazane abangenayo isisu sangasese.) Kwabesifazane abangaphili kahle, isibeletho se-septate singanda ingozi yokuzalwa ngaphambi kokuzalwa.
Ukulashwa kuvame ukuhlinzwa okuncane okwenziwe ngesikhathi se-hysteroscopy, futhi kuhilela ukukhipha izicubu ezingavamile. Lokhu kuvame ukusebenza kahle kakhulu ekuxazululeni inkinga futhi kuvumele abesifazane ukuba baphumelele ngokukhulelwa isikhathi esigcwele.
I-Bicornuate Isibeletho
Isibeletho se-bicornuate iyimbumba enesimo senhliziyo-ngokuyinhloko isisu esiswini. I-bicornuate uteri (kanye ne-unicornuate kanye ne-uteri ye-didelphic) ibhekwa njengendlela engavamile yokudoba. Ukungajwayelekile komgwaqo we-mullerian uhlobo lokungajwayelekile kokuzalwa kwesisu.
Abaningi besifazane abanesibeletho sokuphuza amabhayisikili abanakho izinkinga, kepha kwezinye, isibeletho singabangela ingozi eyengeziwe yokuqashwa kwabasebenzi. Isibeletho se-bicornuate asikholelwa ukuthi sandisa ingozi yokukhulelwa kwesisu sokuqala komzimba kodwa ingangandisa ingozi yokukhulelwa kwesisu kwesibili .
Ukwelashwa akudingi njalo, ngaphandle kwe-cerclage yomlomo wesibeletho kulabo abasengozini yokungaqiniseki komlomo nokubeletha ngaphambi kwesikhathi. Abaningi besifazane abazi ukuthi banesibindi sokukhukhuka baze bakhulelwe.
Unicornuate Isibeletho
Isibeletho se-unicornuate yisisu esihlotshaniswa nophondo esenza imbangela ibe yincane kunejwayelekile. Kuyinto engalungile yokuzalwa lapho uhlangothi olulodwa lwesibindi aluhambanga kahle.
Isibeletho se-unicornuate sandisa ingozi yokukhulelwa kwe-ectopic , ukukhulelwa kwesisu, nokudilizwa kwangaphambi kwesikhathi. Okunye ukubuyekezwa kwezincwadi kutholakale ukuthi ingozi yokukhulelwa kwesisu kwakungamaphesenti angu-37 kanti ingozi yokuzalwa kwangaphambi kokubeletha yayingamaphesenti angu-17.
Ngokungafani nabesifazane abanesibeletho sokuqhakaziza, abesifazane abanesibeletho se-unicornuate bangase babe nezibonakaliso eziphakamisayo ze-anomaly ngaphambi kokuba bakhulelwe. Emaphesenti angama-65 abesifazane abanobuchopho obungenayo i-unicornuate banezinto ezibizwa ngokuthi uphondo oluphuthumayo. Uma lokhu kukhona, abesifazane bangase babe nezikhathi ezibuhlungu kakhulu ngoba igazi lixhaswa uphondo ngesikhathi sezinyanga.
Kanye nokungajwayelekile kwesibeletho, abesifazane abanesibeletho se-unicornuate bavame ukuba nomunye owodwa osebenza nge-fallopian tube (ngokuphambene nobili). Lokhu, ngaphezu kwezinye izici, kungenza kube nzima ukukhulelwa okokuqala (ukungabi nalutho okuyinhloko).
Ukuphela kokwelashwa okwamanje okwakwamukelwa yilesi simo ukukhipha uphondo oluphuthumayo futhi ngezinye izikhathi i-cerclage ukunciphisa ingozi yokudilizwa kwangaphambi kwesikhathi .
Isibeletho se-Didelphic
Isibeletho se "didelphic" noma "double" yisimo lapho uteri ezimbili khona khona, futhi ngezinye izikhathi nazo izibeletho ezimbili namaginja amabili. Lesi simo asivamile futhi sibonakala sinezakhi zofuzo (kugijima emindenini). Abaningi besifazane abanazo izimpawu ngaphambi kokuba bakhulelwe, nakuba abanye banesikhathi esinzima sokuya esikhathini.
Ukwengeza ukwandisa ingozi yokukhulelwa kwesisu, isisu esibizwa ngokuthi i-didelphic sandisa ingozi yokudilizwa kwangaphambi kwesikhathi. Kunconywa ukuthi abesifazane abaphila nalesi sifo futhi bafuna ukukhulelwa babheke uchwepheshe okhulelwe ngokukhulelwa.
Isibeletho esenziwe nge-T
Isibeletho esenziwe yi-T ngenye indlela yokwelapha okubelethayo kwesibeletho esihlotshaniswa nokuhlukunyezwa okuphindaphindiwe kanye nobungozi obandayo bokuqashwa kwabasebenzi. Abanye besifazane abanesibeletho esifana ne-T ababhekana nezinkinga, kanti abanye benza.
Le nkinga ethize ngezinye izikhathi itholakala kubesifazane abanina omama abamba isantigen ebizwa ngokuthi i-diethylstilbestrol (DES), eyabekwa kwabanye besifazane abakhulelwe phakathi kuka-1938 no-1971. I-DES ingabangela ingozi eyengeziwe yezinye izinkinga zokukhulelwa.
Ukuntuleka komlomo wesibeletho
Ukungaqiniseki komlomo wesibeletho , noma isisu somlomo wesibeletho esingafaneleki , kusho ukuthi umlomo wesibeletho wesifazane uqala ukuphuza kakhulu ekukhulelweni-okuholela ekutheni ukubelethwa kwangaphambi kwesikhathi futhi ngezinye izikhathi ukukhishwa kokukhulelwa kokubili kwesibili. Ukungaqiniseki komlomo akuyona into ebangelwa ukukhulelwa kwesisu sokuqala. Kungaba nokuhlobene nezinkinga ezingenasifo sangasese noma ezingase zithuthuke ngesikhathi sezikhulile.
Lesi simo singase sibe njengengxenye yokungajwayelekile kokubeletha kwesibeletho njengesibeletho se-bicornuate noma se-unicornuate, noma isibeletho esifushane . Izimbangela ezitholakalayo zihlanganisa izinqubo ezifana neLeEP, i-cone biopsy, nokuphindaphindiwe kweD no-C.
Abaningi besifazane abanazo izimpawu ngaphambi kokuqala umsebenzi. Lapho ibanjwa ngesikhathi, futhi ekukhulelweni okulandelayo, ukukhishwa kwesibeletho somlomo wesibeletho kungacatshangwa.
Ama-fibroid
Amaphesenti angama-30 kuya kwangu-50 abesifazane aphethe i- uterine fibroids . Ezinye izinhlobo ze-fibroids zingabangela ukuphuma kwesisu noma ezinye izinkinga zokukhulelwa. Ngokuvamile ama-fibroid akhula ngesikhathi ekhulile.
Ithuba lokuthi i-fibroid ingaholela ekukhulelweni kwesisu kuxhomeke endaweni yayo ngaphakathi kwesibeletho. I-fibroids enomsoco (lezo zakhiza emgodini wesibindi futhi zishintshe umumo wayo) kanye ne-intracavitary fibroids (lezo ezingaphakathi kwesikhumba se-uterine) cishe zingabangela ukukhulelwa kwesisu kunama-fibroids angaphakathi (fibroids ngaphakathi kodonga lwe-uterine) noma i-subserosal fibroids (fibroids ngaphandle kwe-uterine udonga). Ama-fibroid alala eduze kwesibeletho nawo maqondana nokunye, kanye nalawo amancane ngobubanzi.
Nakuba imithi ingasetshenziswa futhi i-hysterectomy ngezinye izikhathi iyadingeka, ukwelashwa okukhethwa yi-myomectomy, inqubo lapho kususwa khona ama-fibroids.
Isibeletho esiboshwe
Abesifazane abaningi bakhathazekile ukuzwa ukuthi banesibeletho esixubile noma "esiphundukile," kodwa abukho ubufakazi bokuthi isibeletho esihlotshisiwe sandisa ingozi yokukhulelwa kwesisu sokuqala.
Ezingxenyeni ezingamaphesenti angu-20 zabantu abanesibeletho esithile, abanye banabuhlungu ngesikhathi bezocansi. Isibeletho esinomuthi singenza kube nzima nakakhulu ukuthola isibeletho ngesikhathi se- ultrasound yokuqala.
Cishe njalo, isibeletho esizibophezelayo sizilungisa ngesikhathi sokukhulelwa. Ezimweni ezingavamile, isifo sesisu singabangela into ebizwa ngokuthi "isibeletho esiboshiwe" ngesikhathi sesigamu sesibili sokukhulelwa, isimo esibangela ubuhlungu besisu, ubuhlungu bomzimba, kanye nokuvimbela umchamo.