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Sept Isibeletho

Abesifazane abaningi bathola ukuthi bane-septate isibeletho kuphela ngemva kokubhekana nezinkinga zokukhulelwa noma ukuphuphunyelwa yizisu okuningi. Lokhu kungavamile okujwayelekile kwesibeletho kuthinta cishe owesifazane oyedwa kwabangama-200 emhlabeni wonke. Lo mhlahlandlela obanzi uchaza konke mayelana nesibeletho se-septate - kusukela kuzimbangela nezimpawu zaso kuya ezindleleni zokuxilonga nezindlela zokwelashwa. 

Iyini i-Septate Uterus?

I-septate isibeletho yisimo sokuzalwa lapho ulwelwesi oluncane, olubizwa ngokuthi i-septum, luhlukanisa isibeletho sibe amagumbi amabili ahlukene. Ngenkathi ibonakala ijwayelekile ngaphandle, njengepheya elibheke phansi, ingaphakathi langaphakathi liyahlukana, lidale isakhiwo esimise okwenhliziyo esihlukile.

Lesi simo simelela ukungahambi kahle kwesibeletho okuvame kakhulu, okubalelwa cishe ku-55% wakho konke ukukhubazeka kwesibeletho. I-septum ingahluka kukho kokubili ukushuba kanye nobude, okungenzeka ukuthi idlulele ukusuka phezulu kwesibeletho yehle iye emlonyeni wesibeletho.

Izici eziyinhloko zesibeletho se-septate zihlanganisa:

  • Isimo esivamile sesibeletho sangaphandle
  • Ukuhlukaniswa kwangaphakathi- ukudala izimbotshana ezimbili ezincane
  • Ubukhulu be-septum nobude obuhlukile
  • Ukunwetshwa okungenzeka komlomo wesibeletho futhi ngezikhathi ezithile ukuya esithweni sangasese
  • Kungaba okungaphelele (i-partial septate uterus) noma ukuhlukana okuphelele

Septate Isibeletho Izimpawu

Abantu abaningi bangase baphathe lesi simo ngaphandle kokubona izimpawu eziphawulekayo ekuphileni kwabo kwansuku zonke.

Kodwa-ke, lapho izimpawu zivela, ngokuvamile zihlanganisa:

  • Ukuphuphuma kwezisu njalo - Ngokuvamile inkomba yokuqala yesimo
  • Ukuya esikhathini okubuhlungu (dysmenorrhea)
  • Ubuhlungu be-pelvic obuqhubekayo
  • Ukopha okungavamile kokuya esikhathini okungenzeka kungaqukethwe ngempumelelo ama-tampons

Izinkinga ze-Septate Uterus

Ukuthuthukiswa kwesibeletho se-septate kuqala isikhathi eside ngaphambi kokuzalwa, phakathi nezigaba zokuqala zokukhula kwengane. Lesi simo sokuzalwa siphumela ekuhlanganisweni okungaphelele kwemigudu ye-Müllerian, okuyizakhiwo ezibalulekile ekukhuleni kokuzala kwabesifazane.

Inqubo yokwakheka kwenzeka phakathi nesonto lesikhombisa lokukhula kombungu lapho izakhiwo ezimbili ezibizwa ngokuthi i-paramesoneric ducts ziqala uhambo lwazo olubalulekile lokukhula. Le mibhobho inesibopho sokwenza ingxenye engaphezulu yesitho sangasese sowesifazane, isibeletho, isibeletho, namashubhu e-fallopian.

Lawa mapayipi kufanele ahlangane aqonde ngqo evikini lesishiyagalombili, enze i-septum yomugqa omaphakathi. Ngokuvamile, le septum iyanyamalala ngeviki lama-20 lokukhula kwe-embryonic ngenqubo ebizwa ngokuthi i-resorption. Kodwa-ke, lapho le nqubo yokubuyisela i-resorption iphazamiseka, kuvela isibeletho esihlukile.

Izinkinga ze-Septate Uterus

Ukuba khona kwe-septum kungaholela eziningana izinkinga ezihlobene nokukhulelwa:

  • Ukukhula komntwana okukhawulelwe kanye nesisindo sokuzalwa esiphansi
  • Ukuzalwa ngaphambi kwesikhathi kanye nokubeletha ngaphambi kwesikhathi
  • Isethulo se-breech esidinga ukubeletha ngokuhlinzwa
  • Ukulahlekelwa kokukhulelwa kwe-trimester yesibili

I-Septate Uterus Ukuxilongwa

Izindlela zokuxilonga zesimanje zincike kakhulu kumathuluzi ahlukahlukene wokuthwebula izithombe ukuze ubone ngeso lengqondo indawo ye-septum nokuqina kwayo. Izindlela zokuxilonga ezisetshenziswa kakhulu zihlanganisa:

  • I-Septate Uterus Ultrasound: I-3D Ultrasound iyindlela ekhethwayo ngenxa yezindleko zayo ezisebenzayo kanye nokunemba ekuhlukaniseni phakathi kwe-anomalies ehlukene yesibeletho.
  • I-MRI (I-Magnetic Resonance Imaging): Inikeza izithombe ezinemininingwane yesakhiwo sesibeletho ngokunemba okungu-100%.
  • I-Hysteroscopy: Inikeza ukubonwa okuqondile kwesibeletho ngekhamera encane
  • I-Laparoscopy: Ivumela odokotela ukuthi bahlole ukwakheka kwesibeletho sangaphandle

Septate Uterus Ukwelashwa

Izinketho zokwelapha zesibeletho esizimele ziye zavela ngokuphawulekayo phakathi neminyaka edlule, ukungenelela kokuhlinzwa okuyindlela eyinhloko yalabo abahlangabezana nezinselele zokuzala noma ukuphuphuma kwezisu okuphindelelayo.

IHysteroscopic Metroplasty: Le nqubo evame ukusetshenziswa ezigulini ezilaliswayo ezingavami kakhulu ithatha cishe ihora elilodwa futhi ihilela ukukhipha i-septum ngomlomo wesibeletho, kudala imbobo yesibeletho esisodwa. Ucwaningo lubonisa ukuthi ngemva kwale nqubo, izinga lokukhulelwa lingafinyelela ku-65%.

Inqubo inikeza izinzuzo eziningana:

  • Akukho ukusikwa okubonakalayo
  • Ukukhishwa kosuku olufanayo
  • Isikhathi sokululama esisheshayo
  • Ingozi encishisiwe yezinkinga
  • Amathuba okubeletha kwesitho sangasese sowesifazane ekukhulelweni kwesikhathi esizayo

Nakuba ukuhlinzwa kungadingeki ngaso sonke isikhathi, ikakhulukazi kwabesifazane abangenazimpawu, kuba semqoka kulabo ababhekana nokulahlekelwa ukukhulelwa okuphindaphindiwe. Ngemuva kokulungiswa kokuhlinzwa, ingozi yokukhulelwa kwesisu iyancipha kakhulu.

Ochwepheshe bokukhulelwa ngokuvamile batusa ukulinda izinyanga ezimbili ngemva kokuhlinzwa ngaphambi kokuzama ukukhulelwa. 

Nini Ukubona a Doctor

Abesifazane ababhekana nokulahlekelwa kokukhulelwa okuphindaphindiwe kufanele babonane nochwepheshe wezenzalo, njengoba isibeletho esizimele singase singatholakali phakathi nokuhlolwa okuvamile. Kwabesifazane abakhulelwe abane-septate isibeletho, izimpawu ezithile zidinga ukunakekelwa kwezokwelapha ngokushesha:

  • I-pelvic cramping noma ukufinyela
  • Ukuqhekeka kwama-membrane
  • Ukusuka kwamagciwane
  • Izimpawu zokubeletha ngaphambi kwesikhathi

Prevention

Nakuba ukuvimbela kungenakwenzeka, njengoba kuyisimo sokuzalwa, abesifazane abatholakala bene-septate uterus bangathatha izinyathelo ezimbalwa zokulawula ukukhulelwa kwabo futhi banciphise izingozi ezihlobene.

Odokotela batusa ukuguqulwa kwendlela yokuphila okuningana ukusiza ukuphatha ukukhulelwa ngesibeletho esihlukile:

Isiphetho

Isibeletho esihlukile sinikeza izinselele eziyingqayizivele kwabesifazane phakathi nohambo lwabo lokukhulelwa. Nakuba lesi simo sokuzalwa sithinta abesifazane abaningi emhlabeni wonke, intuthuko yezokwelapha yenze kwaba nokwenzeka ukusixilonga nokwelapha ngempumelelo. Izindlela zesimanje zokuhlinza njenge-hysteroscopic metroplasty zinikeza ithemba kwabesifazane ababhekana nokulahlekelwa ukukhulelwa okuphindelelayo.

Abesifazane abatholakala benesibeletho se-septate kufanele bakhumbule ukuthi ukukhulelwa okuphumelelayo kungenzeka ngokunakekelwa okufanele kwezokwelapha. Ukuhlolwa okuvamile, ukungenelela kusenesikhathi, nokuguqulwa kwendlela yokuphila kuthuthukisa kakhulu imiphumela yokukhulelwa. 

Imibuzo Evame Ukubuzwa

1. Sibi kangakanani isibeletho eseceleni?

Isibeletho se-septate sidinga ukunakekelwa ngokucophelela kwezokwelapha ngenxa yomthelela waso emiphumeleni yokukhulelwa. Ucwaningo luveza ukuthi abesifazane abanalesi sifo babhekana nezinga lokuphuphunyelwa yizisu elilinganiselwa ku-35%. Ukwengeza, kunamathuba angu-26% kuya kwangu-94% okuphuphuma kwesisu ngokukhulelwa ngakunye okuvela ngaphakathi kwesibeletho se-septate.

2. Sivame kangakanani isibeletho esihlukile?

Lesi simo simelela ukungahambi kahle kwesibeletho okuvame kakhulu, okubalelwa cishe ku-55% wakho konke ukukhubazeka kwesibeletho. Ukusabalala kulinganiselwa ukuthi kufike ku-1.5% kwabesifazane abaseminyakeni yokuzala.

3. Ingabe ukuba nesibeletho esihlukile kubi?

Ukuba nesibeletho esihlukile akusho ukuthi kuyingozi empilweni yonke, kodwa kungathinta imiphumela yokuzala. Ngenkathi abanye besifazane bengenazinkinga, abanye bangabhekana:

  • Ingozi eyengeziwe yokuphuphuma kwesisu
  • Amathuba aphezulu okulethwa ngaphambi kwesikhathi
  • Izinkinga ezingenzeka ngesikhathi sokukhulelwa

4. Isibeletho esizimele sizithinta kanjani izikhathi zokuya esikhathini?

Isibeletho esizimele ngokuvamile asinamthelela ophawulekayo wokuya esikhathini, nakuba abanye besifazane bengase babone ukopha okukhulu ngenxa yokwanda kwendawo ye-endometrial. Abanye abantu bangase babe nobuhlungu bokuya esikhathini, kuyilapho abanye bengenazo nhlobo izimpawu.

5. Ingabe isibeletho esihlukene singakhula futhi?

Cha, lapho sesikhishiwe ngokuhlinzwa, isibeletho esihlukile asikwazi ukuphinde sikhule. I-septum iqala ngesikhathi sokubunjwa kwe-fetus, futhi umzimba awukwazi ukuyivuselela ngemva kokususwa kokuhlinzwa.

6. Uwandisa kanjani usayizi wesibeletho ngokwemvelo?

Izindlela ezimbalwa zemvelo zingasekela impilo yesibeletho:

  • Ukugcina ukudla okulinganiselayo okucebile ngamavithamini namaminerali
  • Ukuzivocavoca njalo, ikakhulukazi imisebenzi egxile ezinqeni
  • I-hydration eyanele
  • Amasu okunciphisa ukucindezeleka

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