Uthumbu lwebele lomzimba oluyimbili? Izimpawu, Izimbangela, Nokwelashwa

Uthumbu lwebele lomzimba oluyimbili, olukwaziwa ngokuthi yi-uterus didelphys, yisimo esingavamile lapho uzalwa khona unezithumbu zebele ezimbili ezihlukile kunokuba lunye. Lokhu kwenzeka lapho imiqhele ehlanganisa ngokujwayelekile ngesikhathi sokuthwala ingane ingalokothi ihlangane, idale izindlu zebele ezimbili ezihlukile.

Nakuba lokhu kungase kubonakale kukhathazayo, abantu abaningi abanesimo esinjalo baphila impilo evamile futhi bangaba nokukhulelwa okunempilo. Kuyindlela nje ehlukile yokwakheka kwesistimu yakho yokuzala ngaphambi kokuzalwa, futhi ngokunakekelwa okufanele kwezokwelapha, izinselele eziningi zingaphathwa kahle.

Uthumbu lwebele oluyimbili luyini?

Uthumbu lwebele oluyimbili lwenzeka lapho unezithumbu zebele ezimbili ezihlukile, ngayinye ine-cervix yayo futhi ngezinye izikhathi ine-vaginal canal yayo. Cabanga ngakho njengokuba nezithumbu zebele ezincane ezimbili ezibekwe eceleni kunokuba lunye olukhulu.

Lesi simo sithinta cishe owesifazane oyedwa ku-2,000 kuya koyedwa ku-3,000 emhlabeni jikelele. Yingxenye yeqembu lezimimo ebizwa ngokuthi yi-Müllerian duct anomalies, eyenzeka lapho indlela yokuzala ingathuthuki ngendlela evamile ngesikhathi sokukhulelwa.

Uthumbu ngalunye kulesi simo luvamise ukuba luncane kunokuthumbu olulodwa olujwayelekile. Kodwa-ke, lisebenza ngokuzimela, okusho ukuthi ungase ukhulelwe kunoma yiluphi uthumbu.

Ziyini izimpawu zothumbu lwebele oluyimbili?

Abantu abaningi abanothumbu lwebele oluyimbili abanawo nhlobo izimpawu futhi bathola lesi simo kuphela ngesikhathi sokuhlolwa okujwayelekile kwe-gynecological noma ngesikhathi sokukhulelwa. Uma izimpawu zikhona, ngokuvamile zihlangene nezikhathi zenyanga noma izinselele zokukhulelwa.

Nazi izimpawu ezivamile ongaziqaphela:

• Izikhathi zenyanga ezinzima noma ezihlala isikhathi eside
• Ubuhlungu obukhulu besikhathi senyanga obungaphenduli kahle ekwelapheni okujwayelekile kobuhlungu
• Ukuphuza igazi phakathi kwezikhathi zenyanga eziqondile
• Ubuhlungu ngesikhathi socansi
• Ukulahlekelwa okubuyelela kokukhulelwa noma ukuphulukiswa
• Ukubeletha ngaphambi kwesikhathi noma isikhundla esingavamile sesitho esikhulelwayo ngesikhathi sokukhulelwa

Abanye abantu bangase baphethe futhi umuzwa wokucindezela endaweni yomhlane. Uma une-vaginal canals ezimbili, ungase uqaphele ukuthi ama-tampons awabonakali emisa yonke imifula yesikhathi senyanga, okungase kube yinto ephazamisayo kuze kube yilapho lesi simo sitholakala.

Khumbula, ukuba nalezi zimpawu akusho ukuthi unethumbu lwebele oluyimbili, njengoba izimo eziningi zingabangela izinkinga ezifanayo. Okubalulekile ukuhlolwa okuqondile odokotela bakho.

Iyini imbangela yothumbu lwebele oluyimbili?

Uthumbu lwebele oluyimbili luthuthuka ezingxenyeni zokuqala zokukhulelwa, cishe ngesonto lesi-6 kuya kwelesi-22 sokuthwala ingane. Kubangelwa ukuhlangana okungaphelele kwemizimba emibili efana nemiqhele ebizwa ngokuthi yi-Müllerian ducts.

Ngokuvamile, le miqhele ihlangana futhi ihlangane ukwakha uthumbu lwakho, ama-fallopian tubes, kanye nengxenye engaphezulu ye-vagina yakho. Uma le nqubo yokuxuba ingapheli ngokuphelele, uqeda unezindlu zebele ezimbili ezihlukile kunokuba lunye.

Lokhu akuyona into eyenzeka ngenxa yanoma yini umama wakho ayenza noma angayenzi ngesikhathi sokukhulelwa. Kuyindlela nje ehlukile yokuthuthuka kwesistimu yakho yokuzala, kufana nendlela abanye abantu abazalwa ngayo ngemibala ehlukile yamehlo noma ubude.

Oosayensi abayiqondi ngokuphelele ukuthi kungani le nqubo yokuxuba ngezinye izikhathi ingapheli kahle. Alikho ubufakazi bokuthi izinto ezingaphandle, imithi, noma izinqumo zokuphila ngesikhathi sokukhulelwa zibangela lesi simo.

Nini okufanele ubona udokotela ngenxa yothumbu lwebele oluyimbili?

Kufanele uxhumane nodokotela wakho uma uhlushwa yizikhathi zenyanga ezinzima kakhulu, ubuhlungu besikhathi senyanga obukhulu, noma ukulahlekelwa kokukhulelwa okubuyelela. Lezi zimpawu zidinga ukuhlolwa kungakhathaliseki imbangela yazo.

Uma uzama ukuthola ingane futhi kunzima, noma uma uhlushwe ukuphulukiswa okuningi, kubalulekile ukuxoxa ngalezi zinkathazo nodokotela wezokuzala. Bangahlola ukuthi uthumbu lwebele oluyimbili noma ezinye izinkinga zokwakheka zingase zibe yizimbangela.

Ngaphezu kwalokho, uma uhlushwa ubuhlungu ngesikhathi socansi noma uqaphela ukuphuza igazi phakathi kwezikhathi zenyanga, lezi zimpawu zidinga ukunakekelwa kwezokwelapha. Ukutholakala kwangaphambi kwesikhathi kungakusiza uqonde umzimba wakho kangcono futhi uhlele ukunakekelwa okufanele.

Ungangabazi ukufuna ukunakekelwa uma kukhona okubonakala kuhlukile ngesikhathi sakho senyanga noma impilo yakho yokuzala. Imizwa yakho ngomzimba wakho iyigugu, futhi odokotela bakhona ukuze bakusize uqonde ukuthi yini evamile kuwe.

Ziyini izimbangela zengozi zothumbu lwebele oluyimbili?

Njengoba uthumbu lwebele oluyimbili luyisimo esizalwa naso esithuthuka ngaphambi kokuzalwa, azikho izimbangela zengozi ezivamile njengokuziphatha noma ukukhishwa kwemvelo okwandisa amathuba akho okuba nalo.

Kodwa-ke, kunezinto ezithile abacwaningi abazitholile:

• Umlando womndeni we-Müllerian duct anomalies noma ukungalungi kwesistimu yokuzala
• Ukuba nezinye izimo ezingavamile, ikakhulukazi lezo ezithinta ukuthuthuka kwesibindi
• Ezinye izimo ze-genetic ezithinta izinhlelo eziningi zomzimba

Cishe u-25% kuya ku-50% yabantu abane-Müllerian duct anomalies banesifo sesibindi. Lo xhumano likhona ngoba izinqubo ezifanayo zokuthuthuka ezakha isistimu yakho yokuzala zithinta futhi ukwakheka kwesibindi.

Kubalulekile ukuqaphela ukuthi lezi azilona “izimbangela zengozi” ngomqondo ovamile. Kunalokho, ziyizindlela abaguli abazibonile, ezingasiza ukuqondisa ukuhlolwa kwezokwelapha nezingxoxo zokuhlela umndeni.

Ziyini izinselele ezingase zenzeke ngenxa yothumbu lwebele oluyimbili?

Nakuba abantu abaningi abanothumbu lwebele oluyimbili baphila ngaphandle kwezinselele, abanye bangase bahlangabezane nezinselele ezihlobene kakhulu nokukhulelwa nempilo yesikhathi senyanga. Ukuqonda lezi zinto ezingase zenzeke kungakusiza usebenze neqembu lakho lokunakekelwa kwezokwelapha ukuze uqaphele futhi uphathe isimo sakho kahle.

Izinselele ezivamile kakhulu zihlanganisa:

• Ukungena engozini enkulu yokulahlekelwa kokukhulelwa, ikakhulukazi ekuqaleni kokukhulelwa
• Ukubeletha ngaphambi kwesikhathi nokulethwa
• Isimo esingavamile sesitho esikhulelwayo, njengokubekwa kwesitho esikhulelwayo
• Ukuthuthuka okuncane kwesitho esikhulelwayo ngenxa yendawo encane yothumbu lwebele
• Izinkinga ze-placenta, kufaka phakathi ukubopha okungavamile
• Amathuba amaningi okubeletha ngokuhlukumeza

Izinselele ezingavamile kodwa ezingase zenzeke zihlanganisa ubuhlungu besikhathi senyanga obukhulu obungaphenduli ekwelapheni nobunzima bokukhulelwa, nakuba abantu abaningi abanesimo esinjalo bakhulelwa ngokwemvelo.

Ezimweni ezingavamile, uma une-vaginal canals ezimbili, enye ingase ivalwe, iholele ekubuthweni kwegazi nokutheleleka. Lesi simo, esibizwa ngokuthi yi-hematocolpos, sidinga ukwelashwa okuhlinzayo kodwa asivamile.

Izindaba ezinhle ukuthi ngokuqapha nokukhathalela okufanele, izinselele eziningi zingaphathwa kahle. Abantu abaningi abanothumbu lwebele oluyimbili banokukhulelwa okunempilo nokubeletha.

Uthumbu lwebele oluyimbili lutholakala kanjani?

Ukutholakala kothumbu lwebele oluyimbili ngokuvamile kuhilela izifundo zokuthola izithombe eziyivumela odokotela ukubona ubukhulu bezitho zakho zokuzala ngokucacile. Inqubo ngokuvamile iqala ngokuhlolwa komhlane, nakuba lokhu kudwa ngokuvamile kungakwazi ukuqonda lesi simo.

Udokotela wakho cishe uzokuncoma enye noma ngaphezulu yalezi zivivinyo zokuxilonga:

• I-pelvic ultrasound ukuthola izithombe zokuqala zokwakheka kothumbu lwakho lwebele
• I-MRI (magnetic resonance imaging) yezithombe ezinemininingwane yezitho zakho zokuzala
• I-HSG (hysterosalpingography), esebenzisa umbala wokuphambana ukuze ibonise izindlu zakho zebele
• I-Hysteroscopy, lapho ikhamera encane ihlola ingaphakathi lothumbu lwakho lwebele
• I-Laparoscopy, inqubo yokwelapha engathinteki kakhulu yokubuka izitho zakho zomhlane

I-MRI ngokuvamile ithathelwa ingqondo njengendlela engcono kakhulu yokuxilonga ukungalungi kothumbu lwebele ngoba inikeza izithombe ezicacile kakhulu, ezinemininingwane.

Ngezinye izikhathi, uthumbu lwebele oluyimbili lutholakala ngengozi ngesikhathi sokuhlolwa kokukhulelwa noma ukuhlolwa okujwayelekile kwe-gynecological. Uma usekhulelwe lapho utholakala khona, iqembu lakho lokunakekelwa kwezokwelapha lizosebenzela ukuqapha ukukhulelwa kwakho ngokwengeziwe kunokwenza ukuhlolwa okuningi.

Iyini indlela yokwelapha yothumbu lwebele oluyimbili?

Ukwelashwa kothumbu lwebele oluyimbili kuncike ezimpawini zakho nokuthi uhlela yini ukuba nezingane. Abantu abaningi abanesimo esinjalo abadingi nhlobo ukwelashwa, ikakhulukazi uma abanawo ubunzima.

Uma uhlushwa ubuhlungu besikhathi senyanga obukhulu noma ukuphuza igazi okunzima, udokotela wakho angase akuncome ukwelashwa kwe-hormonal njengezitho zokulawula ukubeletha ukuze akusize ulawule izikhathi zakho. Imithi yokuhlanza ubuhlungu ne-anti-inflammatory drugs zingakusiza futhi ulawule ubuhlungu.

Kubantu abalahlekelwa kokukhulelwa okubuyelela, kukhona izinketho zokwelapha okuhlinzayo kodwa zicatshangelwa ngokucophelela. Inqubo ebizwa ngokuthi yi-metroplasty ngezinye izikhathi ingaxuba izindlu zebele ezimbili, nakuba lokhu kusebenza okuhlinzayo kungelona njalo okuconyiwe njengoba abantu abaningi abanothumbu lwebele oluyimbili bangaba nokukhulelwa okuphumelelayo ngaphandle kokusebenza.

Uma une-vaginal canal evaliwe ebangela ukubutha kwegazi, ukulungiswa okuhlinzayo ngokuvamile kuyadingeka futhi kuphumelela kakhulu. Le nqubo idala ukopha okuqondile futhi ivikela izinselele.

Ngesikhathi sokukhulelwa, ukwelapha kugxile ekuqapheni okucophelelayo kunokulungisa ubukhulu bothumbu lwebele. Iqembu lakho lokunakekelwa kwezokwelapha lizokuqapha izimpawu zokubeletha ngaphambi kwesikhathi futhi liqaphe ukuthuthuka kwengane nendawo yayo ngokwengeziwe kunokukhulelwa okujwayelekile.

Ungalulamisa kanjani uthumbu lwebele oluyimbili ekhaya?

Ukuphatha uthumbu lwebele oluyimbili ekhaya ngokuyinhloko kuhilela ukunakekela impilo yakho yokuzala ngokujwayelekile nokuqaphela izindlela zomzimba wakho. Ukugcina irekhodi lezikhathi zakho zenyanga kungakusiza wena nodokotela wakho ukuthi niqonde noma yiziphi izinguquko noma izinkathazo.

Ngobuhlungu besikhathi senyanga, ama-heating pads, ukugqoka amanzi afudumele, nokuzivocavoca okulula kungakusiza. Imithi yokuhlanza ubuhlungu ethenywa ngaphandle komthetho njenge-ibuprofen ingakusiza ukunciphisa ubuhlungu nokutheleleka ngesikhathi sezikhathi zakho zenyanga.

Uma uzama ukuthola ingane, ukugcina impilo enempilo ngokudla okuhle, ukuzivocavoca okujwayelekile, nokuphatha ukucindezeleka kungase kusize impilo yakho yokuzala. Ukuthatha amavithamini okukhulelwa ane-folic acid kunconywa kunoma ubani ohlela ukukhulelwa.

Qaphela noma yiziphi izinguquko ezimpawini zakho, njengokwanda kobuhlungu, ukuphuza igazi okunzima, noma izinhlobo ezintsha zobuhlungu. Ukugcina idayari yezimpawu kungaba usizo ekuxoxeni nodokotela wakho.

Uma ukhulelwe unethumbu lwebele oluyimbili, ukulandela isimiso sakho sokunakekelwa kokukhulelwa kubalulekile kakhulu. Phumula uma kudingeka futhi ungangabazi ukuxhumana neqembu lakho lokunakekelwa kwezokwelapha uma unezinhlungu.

Kufanele ulungiselele kanjani i-appointment yakho nodokotela?

Ngaphambi kwe-appointment yakho, bhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi zikuthinta kanjani impilo yakho yansuku zonke. Faka imininingwane ngezikhathi zakho zenyanga, njengokuthi ukwanda kokuthi, isikhathi, kanye nobuhlungu.

Letha uhlu lwemithi yonke oyithathayo, kufaka phakathi izithasiselo nemithi ethenywa ngaphandle komthetho. Buye uqoqe ulwazi ngomlando wezokwelapha womndeni wakho, ikakhulukazi noma yiziphi izinkinga zokuzala noma zesibindi.

Lungiselela imibuzo ofuna ukuyibuza udokotela wakho. Ungase ufune ukwazi ngezinselele zokukhulelwa, izingozi zokukhulelwa, noma izinketho zokwelapha. Ungakhathazeki ngokubuza imibuzo eminingi kakhulu – udokotela wakho ufuna ukukusiza uqonde isimo sakho.

Uma uke waba nezifundo zokuthola izithombe noma amarekhodi ezokwelapha ezihlobene nempilo yokuzala, letha amakhophi noma uqinisekise ukuthi udokotela wakho angafinyelela kuwo. Lolu lwazi lungasiza ukugwema ukuphinda izilingo ezingadingekile.

Cabanga ngokuletha umngani noma ilungu lomndeni omethembayo ngesekelo, ikakhulukazi uma uzizwa ukhathazekile nge-appointment. Bangakusiza ukuba ukhumbule ulwazi olukhulu futhi banikeze ukwesekwa ngokomzwelo.

Iyini into ebalulekile ngokuthumbu lwebele oluyimbili?

Uthumbu lwebele oluyimbili luyisimo esingavamile kodwa esilawuleka esiningi sabantu abaphila ngaso ngempumelelo. Nakuba kungase kube nezinselele ezithile, ikakhulukazi ezihlobene nokukhulelwa, abantu abaningi abanesimo esinjalo bangaba nempilo yokuzala eanelisayo ngokunakekelwa okufanele kwezokwelapha.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuba nothumbu lwebele oluyimbili akusho ukuthi uzoba nezinselele. Abantu abaningi bathola ukuthi banalesi simo kuphela ngesikhathi sokuhlolwa okujwayelekile noma ukukhulelwa okuphumelelayo.

Uma uke watholwa unethumbu lwebele oluyimbili, ukusebenza eduze neqembu lakho lokunakekelwa kwezokwelapha kubalulekile. Bangakusiza uqonde isimo sakho esithile futhi bakhe uhlelo lokunakekelwa oluqondene nezidingo zakho nemigomo yakho.

Khumbula ukuthi ukuqonda kwezokwelapha ngalesi simo kuyaqhubeka nokukhula, futhi kunezindlela ezisebenzayo zokulawula noma yiziphi izinselele ezingase zenzeke. Awuwedwa kule ndlela, futhi ukwesekwa kukhona.

Imibuzo evamile ebuzwa ngokuthumbu lwebele oluyimbili

Ungakhulelwa yini unethumbu lwebele oluyimbili?

Yebo, abantu abaningi abanothumbu lwebele oluyimbili bangakhulelwa ngokwemvelo. Nakuba kungase kube nengozi encane yezinselele ezithile zokukhulelwa, ukukhulelwa okuphumelelayo nezingane ezinezinhlungu kungenzeka ngokuqinisekile. Ungase udinga ukuqapha okuvamile ngesikhathi sokukhulelwa, kodwa lokhu akusho ukuthi awukwazi ukuba nezingane.

Ingabe ngizodinga ukubeletha ngokuhlukumeza uma nginothumbu lwebele oluyimbili?

Akunjalo ngokuqinisekile. Nakuba amathuba okudingela ukubeletha ngokuhlukumeza angase aphakeme ngenxa yezinto ezinjengokubekwa kwengane okungavamile noma ukubeletha ngaphambi kwesikhathi, abantu abaningi abanothumbu lwebele oluyimbili babeletha ngokwemvelo. Indlela yakho yokubeletha izoncika esimweni sakho esithile nendlela ukukhulelwa kwakho okuqhubekayo.

Ingabe ukuba nothumbu lwebele oluyimbili kuthinta isikhathi sami senyanga?

Abanye abantu abanothumbu lwebele oluyimbili bahlushwa yizikhathi zenyanga ezinzima noma ezibuhlungu, kanti abanye banesikhathi senyanga esijwayelekile ngokuphelele. Ithonya liyahluka kakhulu kumuntu ngamunye. Uma uhlushwa yizimpawu ezinkulu zesikhathi senyanga, kukhona ukwelashwa okukhona ukuze kusize ukuphatha kahle.

Ingabe ukusebenza okuhlinzayo kudingeka njalo ngenxa yothumbu lwebele oluyimbili?

Cha, ukusebenza okuhlinzayo akudingekile njalo. Abantu abaningi abanothumbu lwebele oluyimbili abadingi nhlobo ukwelashwa okuhlinzayo. Ukusebenza okuhlinzayo ngokuvamile kucabangelwa kuphela uma uhlushwa ukulahlekelwa kokukhulelwa okubuyelela okungase kuhlangene nobukhulu bothumbu lwebele, noma uma une-vaginal canal evaliwe ebangela izinselele.

Ingabe uthumbu lwebele oluyimbili lungatholakala ngesikhathi sokuhlolwa okujwayelekile komhlane?

Ngezinye izikhathi udokotela angase athole ukungalungi kothumbu lwebele ngesikhathi sokuhlolwa komhlane, kodwa ukutholakala okuqinisekile ngokuvamile kudinga izifundo zokuthola izithombe njenge-ultrasound noma i-MRI. Izimo eziningi zothumbu lwebele oluyimbili zitholakala ngengozi ngesikhathi sokuhlolwa okujwayelekile kwezinye izizathu.