Ngezinye izikhathi ehhovisi lika-gynecologist noma i-ultrasound, owesifazane uzwa nge-anomaly engavamile emithonjeni yokubeletha - isisu esibelethwe ngamagciwane amabili. Ngokwemvelo, angase abe nemibuzo yokuthi ingaba nengane futhi ngokuvamile ibelethe ingane.
Ubukeka kanjani njengesibeletho se-bicornic?
Ngokuvamile lesi sizalo singumzimba we-muscular ngendlela yepey ephikisiwe enegumbi elilodwa ngaphakathi. Uphondo olulodwa lubizwa ngokuthi isibeletho ngezinkinga zokuthuthukiswa, lapho ilungu lihlukaniswa khona izingxenye ezimbili nge-septum, okuthiwa izimpondo ezimbili ezihlangene nomunye owodwa. Kunezinhlobo eziningana ze-anomaly enjalo:
- okugcwele kabili. Isibeletho sihlukaniswe ngamacu amabili, axhunyiwe yi-septum;
- engaphelele izindlela ezimbili. Izikhala zihlukaniswa kancane, kanti ukuvulwa phakathi kwazo kuncane;
- isibeletho sesisu . I-degree of branching iyona encane kunazo zonke, kukhona ukucindezeleka okuncane kuphela engxenyeni engenhla yelungu, okwenza kubonakale njengesihlalo.
Ngokuqondene nokuvela kwesibeletho esinamahloni amabili, izimbangela zaleli phutha ziphulwa ekubunjweni kwezitho zokubeletha ezitholakala ekuthuthukisweni kokubeletha.
Isibeletho sesifuba esisodwa: izimpawu
I-symptomatology yalesi sifo ilula kancane. Ngokuvamile umjozi wesifo somzimba unomsolo wesibindi esisodwa semilenze ngenxa yezikhalazo zesiguli ngokungabikho kokuya esikhathini, ukuphaphazeka kwamakhemikhali angenasifo, ukukhulelwa kwesisu noma ukungabi namntwana. Ukuxilongwa kuvame ukuqinisekiswa ehhovisi le-ultrasound, nakwezinye izivivinyo ezifana ne-laparoscopy, i-hysteroscopy.
Ukukhulelwa nge-2-nd uterus
Ukuba khona kwalowo wesifazane obunzima kangaka kubangela ubunzima ekufezeni umsebenzi wokubeletha. Azikho izinkinga ezikhethekile zendlela yokukhulelwa kwesibeletho esinama-double. Iqanda elikhulelwe lingakwazi ukuzihlanganisa kalula nomgodla wesibindi. Kodwa-ke, ukungavamile kwe-endocrine kanye nezinguquko ohlelweni lwe-genitourinary oluhambisana nalesi siphambeko kungavimbela ukukhulelwa ekuthwaleni. Ukulahleka okungahle kwenzeke kanye nokubeletha ngaphambi kwesikhathi. Ngokuvamile, ngezibeletho ezimbili ezinemilenze, izimbangela ezihlukahlukene zezinto eziphilayo zibhekwa. Ukukhula njalo ngosayizi, i-fetus ingacindezelwa yi-septum yesibeletho. Ngenxa yakhe, ingane ngokuvamile ithatha isethulo esingalungile. Esibelethweni semigqa emibili, ukusakazwa kwe-placental kanye ne-placenta previa kuphulwa. Kukhona ukungakwazi ukusebenza kwesi-istmiko-komlomo. Zonke lezi zixazululo ngokuvamile zithinta ukukhulelwa, ngakho-ke, ukungaziphathi kahle kungenzeka.
Ngaphezu kwalokho, ngesibindi sokubeletha nokubeletha kungahamba nezinkinga. Abesifazane abakhulelwe abanokuxilongwa okunjalo bavame ukushiwo isigaba se-cearean. Iqiniso liwukuthi, ngenxa yesakhiwo esingavamile sesibeletho, ukulethwa kwemvelo kubeka ingozi kumama nengane: ukuhlukunyezwa kokuzalwa kungenzeka.
Uma owesifazane onesibeletho esinamahloni amabili esengozini yokuqeda ukukhulelwa, kusukela kumaviki angu-26 kuya ku-28, lapho ingane ikwazi ukukwazi ukukwazi ukukwazi ukuyenza, isigaba esiphuthumayo sokuqeda ingane sinqunyelwe ukugcina ingane.
Ukuze ugweme izinkinga nezingozi ezibalwe ngenhla, owesifazane okhulelwe onesibeletho esinamagciwane amabili kufanele abhaliswe ngokushesha ngangokunokwenzeka ukuze alawule isimo sakhe. Umama wesikhathi esizayo kufanele alandele yonke imiyalelo kanye nezincomo zesiguli sezinzwa zesifunda. Uma kukhona izimpawu zokuxwayisa, owesifazane kufanele afune usizo lwezokwelapha ngokushesha.
Uma ukuxilongwa kwe "bicorne uterus" kwalethwa ngaphambi kokukhulelwa, owesifazane anganikezwa ukuhlinzekwa kweplastiki - i-metroplasty. Ngenxa yokulungiswa okuhlinzekwa ukuhlinzwa, isakhi esisodwa sizokwenziwa esibelethweni. Ngemva kwesikhathi esithile, ukuhlela ukukhulelwa kuzokwenzeka. Amathuba okuhlukumeza amakhono azokhungulwa kakhulu, futhi inkambo yokukhulelwa ayinakunqotshwa yizinkinga.