I-Bicornuate Uterus Ngezinye izikhathi Kungabangela Ukucindezeleka Phakathi Nokukhulelwa
Isibeletho se-bicornuate uhlobo oluthile lwe-uterine malformation noma ukuhlukunyezwa kwe-müllerian yokudoba lapho lesi sizalo sibonakala sinesimo senhliziyo. I-bicornuate uteri inezinhlangothi ezimbili ezihlangene kodwa isibindi esivamile sinomunye owodwa.
Ama-anomalies angama-Müllerian, kuhlanganise ne-bicornuate uteri, athuthuke ekuqaleni kokuthuthukiswa kokubeletha. Ngesikhathi ku-utero, uhlelo lokuzala lwefomu yama-fetus wesifazane.
Ekuqaleni, ama-fetus anamakhodi amabili e-müllerian ahlangene nokwakha isisu esisodwa. Endabeni yesibeletho se-bicornuate, la madada awahlanganisi ngokugcwele. Lokhu kungenzeka kubafazi abanina omama abathatha imithi ebizwa ngokuthi i-diethylstilbestrol (DES) ngenkathi bekhulelwe noma kwezinye, izizathu ezingaziwa.
Isibeletho se-bicornuate singenye yezinhlobo eziningana ze-anomalies yokudoba kwama-müllerian. Ezinye izinhlobo zifaka i- didelphys yesibeletho , i-uteri ehlukene; Isibeletho se-unicornuate- indawo eyodwa kuphela ekhona-okuholela ekubelethweni okuncane-kune-isilinganiso; kanye nesisu esisodwa , okwenzeka kwesibeletho sihlukaniswe udonga noma i-septum. I-bicornuate uteri yiyona ejwayelekile kunazo zonke ze-müllerian duct anomaly.
Uyazi kanjani uma unesibeletho se-Bicornuate?
Odokotela bangathola umqondo wokuthi owesifazane unesibindi se-bicornuate nge-standard ultrasound noma ngokusebenzisa i-hysterosalpingogram (HSG) noma i-hysteroscopy. Kwezinye izimo, ukuxilongwa kungadingeka kuqinisekiswe ukusebenzisa i-ultrasound noma i-laparoscopy yesithathu.
Iningi labesifazane abazi ukuthi banesibindi sokukhukhuka baze bekhulelwe noma bezama ukukhulelwa. Ukuya esikhathini, ezimweni eziningi, kuvamile.
Bicornuate Uteri nokukhulelwa Ukukhulelwa
Izingozi ezinkulu ezihlobene nesibindi se-bicornuate ziyi-preterm yomsebenzi kanye nokuntuleka komlomo wesibeletho. Ukuba nesisu sesibindi kungabangeli ukuhlukumeza kokuqala kwe-trimester.
Ukungaqiniseki komlomo wesibeletho nokubeletha kwangaphambi kokubeletha kungase kubangele ukukhulelwa kwesisu noma ukukhulelwa kokubeletha uma umntwana ezalwa ngaphambi kwesikhathi - ngaphambi kokubeletha okungama-24 noma angu-25, iphuzu lapho ingane engakafiki ingakwazi khona ukusinda . Ngenxa yokungeniswa kwesibindi esibelethweni, isisu esisathuthuka singase singabi nendawo eyanele yokukhula, okungabangela umsebenzi wokuqala.
Nakuba lezi zinkinga zingenzeka, abesifazane abaningi abane-uteri bicornuate baphatha ukukhulelwa kwabo ngaphandle kwezinkinga. Uma ukhathazekile ukuthi isibeletho sakho sokubeletha singabangela ukucindezeleka kokukhulelwa, khuluma nomchwepheshe wesifo esibucayi noma isazi sokuzala, ongakwazi ukuhlola umlando wakho wezokwelapha kanye nobungozi bomuntu siqu.
Ukwelapha isibeletho se-Bicornuate
Ezimweni eziningi, odokotela abangeke basikhulule ukwelashwa, nakuba abanye bangase batusa ukuhlinzwa okuhlinzekwa ngokulahla kwe-laparoscopic. Uma ukhulelwe, ungase udingeke i-cerclage yomlomo wesibeletho - isiteji esibekwe emgodini wesibeletho ukuyeka ukuhlanza ngaphambi kwesikhathi. Le nqubo ivimbela ukulethwa ngaphambi kwesikhathi futhi kungenzeka ukuphumula kokukhulelwa kwesikhathi sekwephuzile. Ukwelashwa kwakho kuzoxhomeka kudokotela wakho nezimo ezungeze ukukhulelwa kwakho.
Uma uhlangabezana nokulahlekelwa okungajwayelekile , ungase ube ne-uterate uter ngokuphambene no-bicornuate uteri.
Lezi zimo ezimbili ezinamazinyo okubeletha zingabonakala njengezifundo zokucabangela, ezifana ne-HSG noma i-ultrasound. Isibeletho esisodwa siphezulu phezulu ngesigxobo esisodwa kanye nesibindi se-bicornuate dips phezulu, ekwakheni isimo senhliziyo ngamacu amabili.
Isibeletho se-bicornuate angeke siphathwe, ngaphandle kokubuka izimpawu zokuhlunga komlomo wesibeletho. Uma uphathwa ngokuhlinzwa, ukwakhiwa kabusha kuzokwenziwa nge-laparoscopic ukuhlinzwa. Isibeletho esisodwa sivame ukuphathwa ngokuhlinzwa okwenziwe nge-hysteroscopic. Ngenkathi isibeletho sokuphuza i-bicornuate ngokuvamile singabhekwa njengento ebangelwa ukukhulelwa kwamaphutha okuphindaphindiwe, isisu esisodwa siyaziwa ukwandisa izingozi zokukhulelwa komzimba.
Uma unesisu esiphuthumayo futhi udokotela wakho uzimisele ukuthi unesibeletho sesisu, cabanga ukubona ochwepheshe ngemibono yesibili ukuqinisekisa ukuthi uhlolisise futhi uxoxe ngezinhlelo zokwelashwa.
Imithombo
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