Isibeletho esijikeke phambili no-esijikeke emuva: Ukuqonda izikhundla zesibeletho
Ingabe uyayazi indawo yesibeletho sakho? Wake wazibuza ukuthi lokho kungase kuthinte kanjani ukukhulelwa kwakho? Isibeletho yithambo lokuzala elenza imisebenzi eminingi emzimbeni wakho. Libhekelela imihlamo (ukuya esikhathini), ukukhulelwa, ukuhlinzwa kwengane (labor), kanye nokubeletha. Isibeletho ngokuvamile silele ngezindlela ezahlukene esinqeni (pelvis), futhi lezi zindawo ziyahlukahluka kowesifazane oyedwa kuya komunye.
Amagama anjenge-anteverted uterus (isibeletho esigobile phambili) ne-retroverted uterus (isibeletho esigobile emuva) asetshenziswa kakhulu ekuchazeni isakhiwo sesibeletho. La magama achaza nje indawo yesibeletho ngaphakathi esinqeni. Iningi labesifazane linokuba nesibeletho esiguqa phambili (anteverted) noma esiguqa emuva (retroverted), kodwa umehluko kulezi zindawo uvame ukungathinti kakhulu impilo noma ikhono lokukhulelwa. Ake sibheke kabanzi incazelo yalezi zindawo zesibeletho futhi sifunde ukuthi zahlukana kanjani komunye nomunye.
Kuyini i-Anteverted Uterus?
I-anteverted uterus ibhekisela esibelethweni esigoba phambili, sibheke ebhumbeni. Lena yindawo evamile kakhulu yesibeletho, cishe amaphesenti angama-50 abesifazane banesibeletho esisesimeni esinjalo. Uma isibeletho si-anteverted, sihlala ngokwemvelo esinqeni, siphumule phezu kwebhumbu, sibheke odongeni lwesisu [1].
Uma uzibuza ukuthi, kuyini i-anteverted uterus? Lokho kusho nje ukuthi isibeletho sigoba phambili esikhundleni sokuma sime mpo noma sigobe emuva. Ezimweni eziningi, isibeletho esiguqa phambili (anteverted womb) asibangeli zimpawu noma izinkinga zempilo. Abesifazane abanalesi simo sesibeletho bavame ukungazi ngaso kuze kutholakale ngesikhathi sokuhlolwa kwesinqe (pelvic exam) noma ngesikhathi se-ultrasound. I-anteverted anteflexed uterus iyindlela encane ehlukile lapho isibeletho singagobi phambili kuphela kodwa siphinde sisoname noma sigobe phezu kwaso uqobo, okwandisa ukugoba phambili.
I-Anteverted Uterus: Ukuvama Nokuchaza
Incazelo ye-anteverted uterus ibhekisela nje ekugobeni phambili. Ivame ukubizwa ngokuthi yindawo eyisisekelo (default) yesibeletho futhi ibhekwa njengokuvamile. Ngesikhathi sokuhlolwa kwesinqe, umhlinzeki wezempilo angakutshela ukuthi isibeletho sakho si-anteverted ngesimo, futhi lokho ngokuvamile akuyona imbangela yokukhathazeka.
Indawo yesibeletho ebizwa ngokuthi i-anteverted ihlotshaniswa nezimpawu ezimbalwa kakhulu, yize abanye besifazane bengase bazwe ukwanda kwengcindezi ebhumbeni. Kodwa, iningi labesifazane abanesibeletho esibheke phambili (anterior uterus) ababi nezinguquko ezinkulu zempilo noma izimpawu ezihlobene nendawo yesibeletho sabo.
Kuyini i-Retroverted Uterus?
Ngokuphambene nalokho, i-retroverted uterus yigoba emuva ibheke emathunjini amakhulu (rectum). Lesi simo, kwesinye isikhathi esibizwa ngokuthi “tipped uterus”, sitholakala cishe kumaphesenti angu-20–25 wabesifazane. Kulesi simo, isibeletho sibheke emgogodleni esikhundleni sokubheka ebhumbeni, okuyinto ephambene nesikhundla esiguqa phambili (anteverted) [2].
I-retroverted uterus ingaba ngumkhuba owazalwa nawo (congenital) noma yenteke kamuva empilweni ngenxa yezifo ezithile ezifana nokulimala okunesibazi esinqeni (pelvic scarring), i-endometriosis, noma ama-fibroids. Kwabesifazane abaningi, i-retroverted uterus ayibangeli zinkinga, nakuba abanye bengase bazwe ukungakhululeki, ikakhulukazi ngesikhathi socansi noma ngesikhathi sokuhlamuzeka (menstruation).
I-Anteverted vs Retroverted Uterus: Umehluko Oyinhloko
Uma siqhathanisa i-anteverted ne-retroverted uterus, umehluko oyinhloko usemqondweni isibeletho esigoba kuwo. Ku-anteverted uterus, isibeletho sigoba phambili, kanti ku-retroverted uterus, sigoba emuva. Lezi zindawo ngokuvamile azithinti ikhono lokukhulelwa noma ukukhulelwa uqobo. Zombili lezi zindawo zibhekwa njengokuhlukahluka okuvamile kwesakhiwo sesibeletho.
Nokho, kwezinye izimo, i-retroflexed uterus uma iqhathaniswa ne-retroverted uterus ingesinye isimo okufanele sicatshangelwe. I-retroflexed uterus ifana ne-retroverted uterus kodwa igoba kakhulu, lapho isibeletho sigoba emuva kakhulu. Lesi simo kwesinye isikhathi singadala ukungakhululeki noma kukhulise ubungozi bobuhlungu esinqeni (pelvic pain).
Izimpawu Nemithelela Empilweni
Iningi labesifazane abanesibeletho esiguqa phambili (anteverted) ngeke babone zimpawu. Isibeletho esigobile phambili ngokuvamile asiphazamisi impilo yokuzala noma imisebenzi ejwayelekile yomzimba. Eqinisweni, sithuthukisa amathuba okukhulelwa njengoba sike sasho ngaphambili. Ngakolunye uhlangothi, abanye besifazane abanesibeletho esiguqa emuva (retroverted) bangase bazwe ukungakhululeki, ikakhulukazi ngesikhathi sokuchama (ukuya endlini enkulu), ngesikhathi socansi, noma ngesikhathi sokuhlamuzeka. Ezimweni ezinzima, i-retroverted uterus ingadala ubuhlungu emhlane noma ingcindezi emathunjini amakhulu (rectum).
Uma izimpawu zivele kowesifazane onoma yisiphi isikhundla sesibeletho, ngokuvamile zingalawuleka ngemithi ethengwa emakhisini (over-the-counter) noma ngokushintsha indlela yokuphila. Okubalulekile, kokubili isikhundla se-anteverted ne-retroverted asikuthinti kakhulu ikhono lokukhulelwa ngaphandle uma kuhlotshaniswa nezifo ezisemva kwaso ezifana ne-endometriosis noma isifo sokuvuvukala kwezitho zokuzala esinqeni (pelvic inflammatory disease, PID).
Indawo Yesibeletho Nokukhulelwa
Ngakho ake sixoxe ngomqondo obaluleke kakhulu – ukuthi i-anteverted uterus ihlobene kanjani nokukhulelwa kwakho? Noma ukuthi i-retroverted uterus ingakuthinta kanjani? Omunye umbono ovamile mayelana nezindawo zesibeletho ukuthi zingathinta ukukhulelwa ngokuthile. Indawo yesibeletho ayithinti ikhono lesidoda ukufinyelela eqandeni. Nokho, uma unesibeletho esigobe kakhulu ngokweqile (tilted uterus kakhulu), lokho kungaphazamisa ukunyakaza kwesidoda.
Abesifazane abanesibeletho esiguqa phambili (anteverted uterus) noma i-anteverted anteflexed uterus ngokuvamile bangakhulelwa ngaphandle kwezinkinga ezengeziwe. Lokhu kugoba phambili kusiza ngokwemvelo ukuvumelanisa isibeletho namashubhu ama-fallopian kanye nama-ovari, okwenza ukukhulelwa kube lula kwabesifazane abaningi.
Ngakolunye uhlangothi, abesifazane abanesibeletho esiguqa emuva (retroverted uterus) nabo bangakhulelwa ngokujwayelekile, kodwa abanye bangase babhekane nezinselelo uma indawo yesibeletho yenza kube nzima ukuthi isidoda singene. Kodwa-ke, njengoba ukukhulelwa kuqhubeka, isibeletho sivame ukuzilungiselela ukukhula kombungu, sihambe sibuyele endaweni evamile kakhulu. Ezimweni ezingavamile, i-retroverted uterus ingadala ukungakhululeki kumasonto okuqala okukhulelwa (first trimester), kodwa lezi zinkinga ngokuvamile ziyaphela njengoba ukukhulelwa kuqhubeka [3].
Ukutholakala Nokwelashwa
Indawo yesibeletho, kungaba i-anteverted noma i-retroverted, ivamise ukutholakala ngesikhathi sokuhlolwa okuvamile kwesinqe (pelvic exam) noma ngesikhathi se-ultrasound. Iningi labesifazane aludingi ukwelashwa nganoma yisiphi salezi zimiso ngaphandle uma izimpawu zinzima. Ezimweni ezingavamile lapho i-retroverted uterus idala ubuhlungu obukhulu noma izinkinga zokuzala, ukwelashwa okungafaka ukuzivocavoca kwesinqe, ama-pessary, noma ukuhlinzwa kunganconywa.
Imicabango Yokugcina: Izindawo Zesibeletho Nempilo
Ukuqhathanisa i-anteverted ne-retroverted uterus kukhombisa ukuthi zombili lezi izindawo ezivamile futhi ezijwayelekile zesibeletho. Nakuba i-anteverted uterus ivamile kakhulu, i-retroverted uterus iyindlela nje ehlukile yokwakheka futhi ayivamisile ukudala izinkinga ezinkulu zempilo. Noma ngabe isibeletho sakho si-anteverted noma si-retroverted, kubalulekile ukuqonda ukuthi lezi zindawo ngokuvamile azibangelwa ukukhathazeka.
Uma unomuzwa wokufuna ukwazi indawo yesibeletho sakho noma uzizwa unezimpawu, kungcono uxhumane nochwepheshe bezempilo. Ukubonisana nochwepheshe be-reproductive endocrinology kungakunikeza imininingwane eyenzelwe wena mayelana nendlela indawo yesibeletho sakho engase ithinte ngayo ikhono lokukhulelwa. Ukuhlolwa okuvamile nokuhlolwa kwesinqe kuzokusiza ukunquma indawo yesibeletho sakho futhi kuqondise noma yiluphi ukwelashwa oludingekayo. Ngaphezu kwalokho, ukuthatha izithasiselo ezisekela ukuzala eziqukethe izithako ezifana ne-folic acid, i-CoQ10, ne-L-arginine kungasiza ukuthuthukisa impilo yokuzala.
Imithombo
- Ameer MA, Fagan SE, Sosa-Stanley JN, nabanye. Anatomy, Abdomen and Pelvis: Uterus. [Updated 2022 Dec 6]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Kutholakala ku- https://www.ncbi.nlm.nih.gov/books/NBK470297/
- Cuete D, Hacking C, Elfeky M, nabanye. Retroverted uterus. Reference article, Radiopaedia.org (Kufinyelelwe ngomhlaka 20 Sep 2024) https://doi.org/10.53347/rID-23069
- Divya Jacob, Pharm. D., Pallavi Suyog Uttekar, MD. What Is the Normal Uterus Position? Medicinenet[Internet]. Kutholakala ku- https://www.medicinenet.com/what_is_the_normal_uterus_position/article.htm
