I-uterus ye-saddle yi-pathology yesakhiwo sayo, apho i-uterine fundus inesimo somtya. Le fom yesibeleko ibhekwa njengento ehlukahlukeneyo yesibindi esiswini . Kwizintsholongwane kunye nomzimba wesifo sengqondo kuhlawulwa ngenxa yesizathu sokuba olo tshintsho olumfanekiso wesisu ngexesha lokukhulelwa lunokubangela ukuphuphuma kwesisu nokuphazamisa inkqubo yokuhambisa. Kule nqaku, sibheka izizathu kunye neempawu zentsholongwane ye-uterine ukungasebenzi, kunye nendlela i-uterus ye-saddle nokukhulelwa kudibene ngayo.
Isibhedlele se-uterine sisona sizathu
Ukwakhiwa kwesibeletho se-saddle kudibaniswa nokuphulwa kwe-embryogenesis yesisu somntwana kwisithuba seveki ezi-10-14. Ngeli xesha, i-septum kwisibilini se-uterine kufuneka ilahleke kwaye i-arch yayo ijikelezwe. Ngaloo ndlela, uhlobo oluqhelekileyo lwesisu luyakheka - ifom.
Ukuba inkqubo ye-embryogenesis iyaphazamiseka, isibeleko sinokuba yimpondo emibini okanye i-saddle-shaped, kunye nekamelo lamibini (ukuba i-septum ehlula i-uterine cavity ibe ngamagumbi a-2 ayichithekanga). Iimbangela ze-disembriogenesis zichaphazela kwimibungu yezinto ezimbi:
- imikhwa emibi (utywala, ukutshaya iziyobisi, ukutshaya);
- izifo ezithathelwanayo (izifo eziphefumulayo zentsholongwane, imasisi, i-rubella, izifo ezingapheliyo zamalungu okuzala);
- ukuthatha amayeza;
- i-endocrine pathology (i-thyroid i-dysfunction, isifo sikashukela);
- ukukhathazeka ngokwemvakalelo;
- beriberi.
Uthetha ukuthini i-saddle-uterus?
Ngokuqhelekileyo, i-uterus ifakwe ngophawu, iphathwe ngokukhawuleza kamva kunye ne-arch convex. Makhe sibone ngoku ukuba yintoni into ebonakalayo. Ngaloo ndlela, i-uterus ye-saddle i-concave i-arch ye-uterus ngesimo se-saddle, kunye nokungabikho kwe-flattering front and behind. Ngendlela yokubhinqa kwebhokisi le-uterus kunye nokukhutshwa kwamagumbi ayo angaphezulu, kuthethwa ngesibindi esinezikhwebu ezimbini. Ngaphambi kokuqala kokukhulelwa, i-uterus ye-saddle iyakwazi ukuzibonakalisa ngokwabo. Ngokuqhelekileyo, iimpawu zesibindi se-saddle zifumana ukufumanisa i-diagnostic ngexesha lokuhamba kwe-ultrasound, ukutshitshiswa kwesigxina se-uterine, kunye nokukhulelwa nokubeletha.
Ubumba be-uterus kunye nokukhulelwa
I-uterus enamaqabunga ayinakuphazamisa ukuqala kokukhulelwa, ekubeni isakhiwo esinjalo, akukho mithintelo yesidoda sokungena kwisigxina se-uterine. Ukukhulelwa kweli hlobo lentsholongwane linokuba nzima ukuphazanyiswa kwangethuba, isikhundla sokutshatyalaliswa komntwana, isinamathiselo esiphantsi kwepentecenta okanye intetho yayo. I-placenta ephambili ye-previa-enye yeengxaki ezinzima kakhulu, ezifihla ingozi yokuphuma kwegazi. Nge-placenta previa epheleleyo, ukuhanjiswa okulondoloziweyo kungavunyelwe, ngoko kwi-100% yabasetyhini abanjalo, ukuzalwa kuqhutyelwa ngocwangciso olucwangcisiweyo ngecandelo lalo .
I-Saddle nokuhanjiswa
Kwimabhinqa eneempahla zokugaya, abasebenzi bangakwazi ukuhamba kakuhle, ngaphandle kweengxaki. Kodwa, musa ukulibala ukuba ngale ndlela engafanelekiyo, umngcipheko wonyango oluphuculweyo unyango luyanda ngenxa:
- ubuthathaka bomsebenzi wabasebenzi;
- ukufumanisa abasebenzi;
- ukuchithwa kweplacental premature .
Iimpawu ezinzima zexesha lokuhamba emva: ukuqhotyoshelana okunamandla kokuzalwa emva kokuzalwa (kudinga ukuhlukana kweencwadi) kunye nokuphuma kwe-hypotonic emva kokuphuma kwegazi, ezihambelana nokuqhekeka kwe-uterine ebuthakathaka ngenxa yesimo esingavumelekanga.
Sasihlolisise imbangela yokuveliswa kwesibindi sesisu kunye nezibonakaliso zayo zekliniki. Njengoko uyakubona, umfazi angenakukwazi malunga nale ntsholongwane, de kube kufike ukukhulelwa kwaye akukho ziintlobo ezibonakalayo. Kwiimeko ezinjalo, kubalulekile ukuba ubhalise ngexesha elifanelekileyo kwaye ufumane zonke iimviwo eziyimfuneko ukuba ugqirha uza kuqesha.