Uterusi olukhombekile uhlobo lwe-umbo lombeletho olunezimpumputhe encane phezulu. Lesi simo siwela ngaphansi kwezinkinga zombeletho, ezihlanganisa izinguquko ezahlukene embonini nasesakhiweni sombeletho. Uterusi olukhombekile ngokuvamile ubhekwa njengohlobo oluthambile lalezi zinkinga. Uhlukile ezimweni ezinzima njengombeletho ohlukanisiwe noma omibili, ongawuqeda kakhulu impilo yokuzala.
Bobabili odokotela nabantu kufanele baqonde lesi simo uma bebheka impilo yokuzala. Abesifazane abaningi abane-uterusi olukhombekile bangaba nokukhulelwa okujwayelekile, kodwa ukwazi ngalesi simo kungasiza ekwenzeni izinqumo mayelana nohlelo lokuzalwa komndeni nokuqonda izingozi ezingaba khona.
Uterusi olukhombekile yinto engajwayelekile yombeletho lapho umkhumbi wombeletho une-indentation encane phezulu, udala umumo oqondile, onqunu. Lesi simo sibhekwa njengelinye lama-anomalies angathandeki kakhulu e-Müllerian duct.
Uterusi olukhombekile uphawulwa yi-indentation ephansi engxenyeni engaphezulu yomkhumbi wombeletho. Le indentation ayicaci kunezinye izinto ezingajwayelekile njengombeletho ohlukanisiwe noma omibili. Umumo wangaphandle wombeletho ubonakala ujwayelekile, ngaphandle kokungahambi kahle okukhulu kwangaphandle.
Le anomali ivela ngesikhathi sokuhlanganiswa kwe-Müllerian ducts ekuthuthukisweni kwesisu. Ukuhlanganiswa okungaphelele kwama-ducts kuholela e-indentation encane, ephakathi komkhumbi wombeletho, kwenze kube nomumo olukhombekile.
Uterusi olukhombekile uvame kakhulu, uthinta cishe i-10% yabesifazane. Uvame ukuxilongwa ngezindlela zokuthwebula izithombe njenge-hysterosalpingography (HSG) noma i-ultrasound, lapho umumo wombeletho ubonakala khona.
Ngenkathi abesifazane abaningi abane-uterusi olukhombekile bengenazo izinkinga zokuzala, lesi simo ngezinye izikhathi singabangela izinkinga ezinjengokuphindaphinda kokulahlekelwa izingane noma ukubeletha kwangaphambi kwesikhathi. Noma kunjalo, izimo eziningi azinawo umphumela futhi azidingi ukwelashwa.
Uterusi olukhombekile ngokuvamile awunazo izimpawu, okusho ukuthi abesifazane abaningi abanesimo ababoni noma yiziphi izimpawu ezibonakalayo. Noma kunjalo, kwezinye izimo, kungahlotshaniswa nokuthi:
Ukuphindaphinda kokulahlekelwa izingane: Abesifazane abanye abane-uterusi olukhombekile bangase babe nokuphindaphinda kokulahlekelwa izingane, nakuba lokhu kungelona njalo icala.
Ukubeletha kwangaphambi kwesikhathi: Kukhona ingozi encane yokubeletha kwangaphambi kwesikhathi noma ukulethwa kwabesifazane abane-uterusi olukhombekile.
Ubunzima bokuqala: Nakuba kunqabile, abesifazane abanye bangase babe nobunzima bokuqala ngenxa yomumo wombeletho.
Uterusi olukhombekile ngokuvamile uxilongwa ngezindlela zokuthwebula izithombe ezinjengalezi:
I-Ultrasound: I-ultrasound ejwayelekile ye-pelvic ingaveza umumo wombeletho, ibonise i-indentation enqunu engxenyeni engaphezulu yomkhumbi wombeletho.
Hysterosalpingography (HSG): Le nqubo ye-X-ray ihilela ukuqhafaza idayi embelethweni ukuze ikhanyise umumo wayo futhi ithole noma yikuphi ukungahambi kahle.
Magnetic Resonance Imaging (MRI): I-MRI inikeza izithombe ezinemininingwane yombeletho futhi ngokuvamile isebenziselwa ukuhlola ubukhulu be-anomalies yombeletho.
Isici |
Uterusi olukhombekile |
Uterusi ohlukanisiwe |
Uterusi omibili |
---|---|---|---|
Ukujula kwe-Indentation |
<10–15 mm |
>15 mm |
Iyahlukahlukana |
I-Endometrial Angle |
>75° |
<75° |
Iyahlukahlukana |
Umumo wangaphandle |
Jwayelekile |
Jwayelekile |
Akulona olujwayelekile |
Ukubaluleka kwezokwelapha |
Elincane |
Elikhulu |
Elikhulu |
Uterusi olukhombekile ngokuvamile uqondwa njengento engajwayelekile yombeletho futhi ngokuvamile awubangeli izinkinga ezinkulu zokuzala. Noma kunjalo, kungaba nemiphumela ethile ekukhulelweni:
Abesifazane abaningi abane-uterusi olukhombekile bangase baqale ngaphandle kokubanzima. Lesi simo ngokuvamile asivimi ukufakwa kwesisu noma ikhono lokuthwala ukukhulelwa kuze kube sekupheleni. Noma kunjalo, kwezinye izimo, umumo wombeletho ungase ube nomthelela ekubeni nobunzima bokuqala.
Ezinye izifundo ziqondisa ingozi encane yokulahlekelwa izingane okuphindaphindayo kwabesifazane abane-uterusi olukhombekile, ikakhulukazi ekuqaleni kwesigaba sokuqala. I-indentation emkhumbini wombeletho ingase ibe nomthelela ekubopha kweplacenta noma ekugelezeni kwegazi, okuholela ezinkingeni ekuqaleni kokukhulelwa.
Ngenkathi ingozi iphansi, kunethuba lokubeletha kwangaphambi kwesikhathi noma ukulethwa kwabesifazane abane-uterusi olukhombekile. Lokhu kungase kube ngenxa yomumo wombeletho onikezi indawo eyanele yengane ekhulayo noma mhlawumbe uthinta umsebenzi we-cervical.
Kwabesifazane abaningi, uterusi olukhombekile awudingi ukwelashwa. Noma kunjalo, uma izinkinga zokuzala noma ukukhulelwa zivela, izinketho ezinjengokuhlinzwa ukuqondisa umumo wombeletho noma ukulandelela eduze ngesikhathi sokukhulelwa kungase kunconywe.
Uterusi olukhombekile yinto engajwayelekile yombeletho lapho ingxenye engaphezulu yomkhumbi wombeletho inenxande encane. Ngokuvamile awunazo izimpawu futhi uxilongwa ngezindlela zokuthwebula izithombe ezinjenge-ultrasound noma i-hysterosalpingography. Ngenkathi abesifazane abaningi abanesimo bengase baqale futhi bathwale ukukhulelwa kuze kube sekupheleni, kungase kube khona ingozi encane yokulahlekelwa izingane okuphindaphindayo noma ukubeletha kwangaphambi kwesikhathi.
Umumo wombeletho ungase ube nomthelela ekufakweni noma ekubophweni kweplacenta kwezinye izimo. Ezimweni eziningi, akukho ukwelashwa okudingekayo, kodwa ukulandelela eduze noma ukulungiswa okuhlinzwayo kungase kunconywe kulabo abanezinkinga zokuzala noma ukukhulelwa.
Ingabe uterusi olukhombekile lungathinta ukuzala?
Uterusi olukhombekile ngokuvamile awuthinti ukuzala, nakuba kwezinye izimo kungase kube nobunzima.
Ingabe ukwelashwa kuyadingeka nge-uterusi olukhombekile?
Abesifazane abaningi abane-uterusi olukhombekile abadingi ukwelashwa ngaphandle uma izinkinga zivela, njengokuphindaphinda kokulahlekelwa izingane.
Ingabe uterusi olukhombekile lungabangela ukubeletha kwangaphambi kwesikhathi?
Ngenkathi ingozi iphansi, uterusi olukhombekile lungase likhulise kancane amathuba okubeletha kwangaphambi kwesikhathi.
Uterusi olukhombekile uxilongwa kanjani?
Uterusi olukhombekile ngokuvamile uxilongwa ngezindlela zokuthwebula izithombe ezinjenge-ultrasound, HSG, noma MRI.
Ingabe uterusi olukhombekile wandisa ingozi yokulahlekelwa izingane?
Kukhona ukwanda kancane kengozi yokulahlekelwa izingane, ikakhulukazi ekuqaleni kwesigaba sokuqala, kwabesifazane abanye abane-uterusi olukhombekile.