El isibeletho se-bicornuate Kuwukukhubazeka kokuzalwa okuthinta ukwakheka kwesibeletho futhi kungathonya ukuzala nokuthuthukiswa kokukhulelwa. Ibonakala ngokuba khona komfantu engxenyeni engenhla yesibeletho ehlukanisa phakathi imigodi emibili, esikhundleni sokuveza isimo esivamile sepheya lesibeletho esivamile.
Iyini i-bicornuate uterus?
I-Bicornuate uterus iyi-anomaly ekuthuthukisweni kwesimiso sokuzala sowesifazane okwenzeka ngesikhathi sokubunjwa kwe-embryonic. Kungenxa yokwehluleka ekuhlanganisweni kwe- Amapayipi e-Mullerian, izakhi zombungu ezibangela isibeletho, amashubhu e-fallopian, nengxenye yesitho sangasese sowesifazane. Kulokhu kuguqulwa, isibeletho sihlukaniswe izingxenye ezimbili, okungenzeka ihlukaniswe ngokwengxenye noma ngokuphelele.
Izinkinga zesibeletho se-bicornuate
Izimbangela eziyinhloko ze-bicornuate uterus zihlanganisa:
- Factores geneticos: I-Hereditary predisposition ingase ibe nomthelela ekubunjweni okungavamile kwesibeletho.
- Izici zeHormonal: Ukungalingani kwamahomoni ngesikhathi se-embryonic kungathinta ukuhlanganiswa okufanele kwemigudu ye-Müllerian.
- Izici zemvelo: Ukuchayeka emisebeni noma emithini ethile ngesikhathi sokukhulelwa kungaphazamisa ukuthuthukiswa kwesibeletho.
Izinhlobo ze-bicornuate uterus
Kukhona izinhlobo ezimbili eziyinhloko i-bicornuate uterus:
- Ingxenye yesibeletho se-bicornuate: Ukuhlukana kwesibeletho akufinyeleli emlonyeni wesibeletho futhi kuthinta ingxenye engenhla kuphela.
- Qedela isibeletho se-bicornuate: Ukuhlukana kufinyelela emlonyeni wesibeletho futhi kungaphazamisa nakakhulu ukufakwa kwe-embryo.
Izimpawu kanye nezinkinga
Abesifazane abaningi abane-bicornuate uterus abanazo izimpawu, kodwa kwezinye izimo bangase baqaphele:
- Ubuhlungu obukhulu bokuya esikhathini: Ngenxa yokuma okungajwayelekile kwesibeletho.
- Ukopha okungavamile kokuya esikhathini: Kungase kube nemijikelezo yokuya esikhathini engavamile noma amabala phakathi nokuya esikhathini.
- Ubunzima bokukhulelwa: Ukufakwa kwe-embryo kungase kungabi kuhle.
- Ukuphuphuma kwezisu noma ukuzalwa ngaphambi kwesikhathi: Ukuntuleka kwesikhala esanele sokuthuthukiswa komntwana kungaholela ekulahlekelweni kokukhulelwa.
- Okungavamile endaweni ye-fetus: Ingane ingase ibe ngebreche noma indawo ephambene.
Ukuxilongwa kwe-bicornuate uterus
Ukuxilongwa kwesibeletho se-bicornuate kwenziwa kusetshenziswa amasu e-imaging afana nalawa:
- I-ultrasound ye-Transvaginal: Ivumela ukutholwa kwesimo esingavamile sesibeletho.
- I-Hysterosalpingography: I-agent ehlukile ijova esibelethweni bese kuthathwa i-X-ray.
- I-Magnetic resonance: Inikeza isithombe esinemininingwane eminingi yesistimu yokuzala yabesifazane.
- I-Hysteroscopy: Ukwethulwa kwekhamera esibelethweni ukuze ubuke ingaphakathi layo.
Ukwelashwa Kwenzalo Nezinketho
Ukwelashwa kuncike ezingeni lokubandakanyeka kanye nezimpawu zesiguli:
- Ukuqapha kwezokwelapha: Ezimeni ezincane, ukuhlolwa okuvamile kwanele.
- Ukuhlinzwa kokulungiswa (metroplasty): Inconyelwe abesifazane abaphuphunyelwa yizisu ngokuphindaphindiwe noma abazalwe ngaphambi kwesikhathi.
- Izindlela zokukhiqiza ezisizwayo: I-in vitro fertilization ingaba enye indlela ezimeni ezinzima zokukhulelwa.
Ukukhulelwa ngesibeletho se-bicornuate
Nakuba ukukhulelwa ngesibeletho se-bicornuate kungenzeka, kudinga ukuqapha okuqinile kwezokwelapha ukuvimbela izinkinga. Kufanele kwenziwe ukuhlolwa kwe-ultrasound njalo qapha ukukhula kanye nokuma kwe-fetus, futhi ezimweni eziningi ukuhlinzwa kokuhlinzwa kuzohlelwa ukuze kuqinisekiswe ukubeletha okuphephile.
Abesifazane abaningi abanalesi simo baye bazuza ukukhulelwa okuphumelelayo ngokulandelwa okufanele. Uma kutholakale ukuthi unesibeletho se-bicornuate futhi ufisa ukukhulelwa, kungcono ukuxhumana nodokotela. uchwepheshe wokuzala ukuhlola uhlelo lokwelapha olungcono kakhulu lwecala lakho elithile.
Kubalulekile ukuqonda ukuthi nakuba isibeletho se-bicornuate singaletha izinselele, ukulandelwa okufanele kwezokwelapha nokusekelwa kungaba nomthelela ekuhlangenwe nakho kokukhulelwa okuphephile.
Intuthuko emithini yokuzala inikeza izinketho ezingasiza ukukhulelwa kwabesifazane abanalokhu kuphazamiseka. Uma uneminye imibuzo mayelana nokuthi "kusho ukuthini ukuba nesibeletho se-bicornuate", sicela ungangabazi ukufuna iseluleko sochwepheshe.
