Unamathele

Ukuncamathela yimigca yethishu ezinjengezikwere ezenzeka phakathi kwendawo ezimbini ngaphakathi komzimba kwaye zibangele ukuba zinamathele kunye.

Ngokuhamba komzimba, amalungu angaphakathi anje ngamathumbu okanye isibeleko aqhele ukukwazi ukushenxisa kunye nokutyibilika kudlulile. Kungenxa yokuba ezi zihlunu kunye namalungu esisu esiswini anendawo egudileyo, emtyibilizi. Ukudumba (ukudumba), utyando, okanye ukwenzakala kunokubangela ukuba ukubambelela kwenziwe kwaye kuthintele le ntshukumo. Ukuncamathela kwenzeka phantse naphi na emzimbeni, kubandakanya:

• Amalungu, afana negxalaba
• Amehlo
• Ngaphakathi kwesisu okanye isinqe

I-Adhesion inokuba nkulu okanye iqine ekuhambeni kwexesha. Iingxaki zinokwenzeka ukuba ukunamathela kubangela ukuba ilungu okanye ilungu lomzimba:

• Ukujija
• Ukukhupha kwindawo
• Ayikwazi ukuhamba ngesiqhelo

Umngcipheko wokwenza ukubambelela uphezulu emva koqhaqho lwesisu okanye kotyando lwababhinqileyo. Utyando usebenzisa i-laparoscope kunqabile ukuba lubangele ukunamathela kunotyando oluvulekileyo.

Ezinye izizathu zokubambelela esiswini okanye kwi-pelvis zibandakanya:

• Isihlomelo, amaxesha amaninzi xa isihlomelo siqhekeka (sivuleka)
• Umhlaza
• Endometriosis
• Usulelo esiswini kunye nesinqe
• Unyango ngemitha

Ukubambelela kumalungu ngokudibeneyo kunokwenzeka:

• Emva kotyando okanye umothuko
• Ngeentlobo ezithile ze-arthritis
• Ngokusetyenziswa gwenxa kwendibaniselwano okanye imisipha

Ukubambelela kumalungu, imisipha, okanye iigaments kwenza kube nzima ukuhambisa ngokudibeneyo. Zingabangela intlungu.

Ukudibana esiswini (esiswini) kunokubangela ukuvaleka kwamathumbu. Iimpawu zibandakanya:

• Ukudumba okanye ukudumba kwesisu sakho
• Ukuqunjelwa
• Isicaphucaphu nokugabha
• Andisakwazi ukudlulisa igesi
• Intlungu esiswini esiqatha kunye necrampy

Ukubambelela kwi-pelvis kunokubangela iintlungu zangasese (zexesha elide) ezingapheliyo.

Uninzi lwexesha, ukunamathela akunakubonwa kusetyenziswa i-x-reyi okanye uvavanyo lwe-imaging.

• IHysterosalpingography inokunceda ekufumaneni ukunamathela ngaphakathi kwesibeleko okanye kwimibhobho yesibeleko.
• I-X-ray yesisu, izifundo zokuthelekisa i-barium, kunye nokuvavanywa kwe-CT kunokunceda ekufumaneni ukuvaleka kwamathumbu okubangelwe kukunamathela.

I-Endoscopy (indlela yokujonga ngaphakathi komzimba usebenzisa ityhubhu eguqukayo enekhamera encinci ekugqibeleni) inokunceda ukufumanisa ukubambelela:

• IHysteroscopy ijongeka ngaphakathi kwesibeleko
• I-Laparoscopy ijonge ngaphakathi kwesisu kunye ne-pelvis

Utyando lunokwenziwa ukwahlula ukubambelela. Oku kunokuvumela ilungu ukuba liphinde lifumane intshukumo yesiqhelo kunye nokunciphisa iimpawu. Nangona kunjalo, umngcipheko wokudityaniswa ngakumbi uyenyuka kunye notyando olungakumbi.

Kuxhomekeka kwindawo yokubambelela, isithintelo sinokufakwa ngexesha lotyando ukunceda ukunciphisa amathuba okubuyela.

Isiphumo sihle kwiimeko ezininzi.

Ukubambelela kunokubangela ukuphazamiseka okuhlukeneyo, kuxhomekeke kwizicubu ezichaphazelekayo.

• Emehlweni, ukubambelela kwiris kwiilensi kungakhokelela kwiglaucoma.
• Emathunjini, ukubambelela kunokubangela ukuvalwa kwamathumbu ngokungaphelelanga okanye ngokupheleleyo.
• Ukubambelela ngaphakathi kwisibeleko kunokubangela imeko ebizwa ngokuba yi-Asherman syndrome. Oku kunokubangela ukuba umfazi abe nemijikelezo yokuya exesheni ngokungaqhelekanga kwaye angakwazi ukukhulelwa.
• Ukunamathela kwepelvic okubandakanya ukunqunyulwa kwamathambo e-fallopian kunokukhokelela ekungabikho komntwana kunye neengxaki zokuzala.
• Ukuncamathela kwesisu kunye ne-pelvic kunokubangela iintlungu ezingapheliyo.

Shayela umboneleli wakho wezempilo ukuba unayo:

• Intlungu zesisu
• Ukungakwazi ukudlulisa igesi
• Isihlunu kunye nokuhlanza okungapheliyo
• Intlungu esiswini esiqatha kunye necrampy

Ukubambelela kwepelvic; Ukubambelela kwangaphakathi; Ukubambelela kwangaphakathi

• Ukubambelela kwepelvic
• Umhlaza wesibeleko

I-Kulaylat MN, iDayton MT. Iingxaki zotyando. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 12.

IKuemmerle JF. Ukudumba kunye nezifo ze-anatomic zamathumbu, i-peritoneum, i-mesentery kunye ne-omentum. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 133.

IZiko leLizwe leSwekile kunye neWebhusayithi kunye neZifo zeZintso. Ukubambelela esiswini. www.niddk.nih.gov/health-information/digestive-diseases/abdominal-adhesions. Ukuhlaziywa ngoJuni 2019. Ifikeleleke ngo-Matshi 24, 2020.