Isibeletho se-saddle yi-pathology yesakhiwo sayo, lapho i-uterine fundus inesimo sombhede. Leli fomu lesibeletho sivame ukubhekwa njengezinhlobonhlobo zezibeletho ezimbili . Ezinkingeni zokubeletha nangokwezinkinga zokubeletha zalokhu kunakekelwa ngenxa yokuthi ukushintsha okunjalo ngesimo sesisu ngesikhathi sokukhulelwa kungabangela ukukhulelwa kwesisu nokuphazamisa inqubo yokulethwa kwezidingo. Kulesi sihloko, sibheka izimbangela kanye nezimpawu zokungasebenzi komzimba wesibindi, kanye nendlela ukukhulelwa kwesibindi nokukhulelwa kuhlanganisiwe.
Isikhwama se-uterine siyimbangela
Ukwakhiwa kwesibeletho se-saddle kuhlotshaniswa nokuphulwa kwe-embryogenesis ye-fetus yesifazane esikhathini esingamaviki angu-10-14. Phakathi nalesi sikhathi, i-septum emgodini we-uterine kufanele iphele futhi isakhiwo sayo sigcwele. Ngakho-ke, isimo esijwayelekile sesibeletho sakhiwe - sihlotshisiwe.
Uma inqubo ye-embryogenesis iphazamiseka, lesi sibeletho singaba seminwe emibili noma e-saddle-shaped, kanye namakamelo amabili (uma i-septum ehlukanisa igumbi lesibindi emakamelweni amabili lingapheli). Izimbangela ze-disembriogenesis yizimbangela embungu wezinto ezimbi:
- imikhuba emibi (utshwala, ukubheja izidakamizwa, ukubhema);
- izifo ezithathelwanayo (izifo ezithathelwanayo zokuphefumula, isirabelisi, i-rubella, izifo ezingelapheki kwezitho zokuzala);
- ukuthatha imithi;
- i-endocrine pathology (ukungasebenzi komzimba we-thyroid, isifo sikashukela);
- ukucindezeleka ngokomzwelo;
- i-beriberi.
Isho ukuthini isibeletho?
Ngokujwayelekile, isibeletho sihlotshaniswa, sihlelwe kancane kamuva futhi sinomdwebo we-convex. Ake sibone manje ukuthi isifo sesisu sibheke kanjani. Ngakho-ke, ngesibindi se-saddle isici se-concave u-uterus ngesimo se-saddle, kanye nokungabi khona kwe-flattening ngaphambili nangemuva. Nge-bending ekhonjisiwe yomsindo wesibeletho kanye nokukhuphuka kwezingxenyeni zayo ezingenhla, kuthiwa ngezibeletho ezimbili. Ngaphambi kokuqala kokukhulelwa, isibeletho se-saddle angeke sibonakale emitholampilo ngokwayo. Ngokuvamile, izimpawu zesibindi se-saddle ziyisifo sokuthola izifo ngesikhathi sokuhamba kwe-ultrasound, ukukhipha isisu somzimba, kanye nokukhulelwa nokubeletha.
Uhlobo lwesibhakela lesibindi nokukhulelwa
Isibeletho esifana nesibhedlele asiphazamisi ukuqala kokukhulelwa, ngoba ngesakhiwo esinjalo, azikho izithiyo zokuthi umdlwane ungene emgodini wesibindi. Ukukhulelwa kule hlobo lwesisu kungaba nzima ngenxa yokuphazamiseka kusengaphambili, isikhundla sokuthinta okungenalutho, ukunamathiselwe okuphansi kwe-placenta noma isethulo sayo. I-placenta previa ephelele - enye yezinkinga ezinkulu kakhulu, ezifihla isongo sokuphuma kwegazi elikhulu. Ngama-placenta previa ephelele, ukulethwa okulindelekile akuvunyelwe, ngakho-ke ku-100% wabesifazane abanjalo, ukuzalwa kuyenziwa ngokusebenza okuhleliwe yi-cache .
Isikhwama nokudiliva
Kulabo besifazane abanezikhwama zesikhumba, abasebenzi bangakwazi ukuhamba kahle, ngaphandle kwezinkinga. Kodwa, ungakhohlwa ukuthi ngalokhu okungahambi kahle, ingozi yokwelapha okuphuthumayo yokwelashwa yanda ngenxa yokuthi:
- ubuthakathaka bokusebenza komsebenzi;
- ukutholakala kwemisebenzi;
- ukuphazamiseka kwe-placental ngaphambi kwesikhathi.
Izinkinga zomzimba ze-postpartum period: okunamathiselwe okuqinile kokuzalwa kokuzalwa (kudinga ukwehlukana kwebhuku) kanye nokuphuma kwe-postpartum hypotonic, okuhlobene nokuqhekeka kwe-uterine ebuthakathaka ngenxa yesimo sayo esingavamile.
Sihlolisise imbangela yokwakhiwa kwesibeletho se-saddle kanye nokubonakaliswa kwayo kwemitholampilo. Njengoba ubona, owesifazane angase angazi ngalezi zifo, kuze kufike ukukhulelwa futhi kungabikho izinkinga ezivamile. Ezimweni ezinjalo, kubalulekile ukuba ubhalise ngesikhathi esifanele futhi uhlole zonke izidingo ezidingekayo udokotela azoziqoka.