Daure cikin mahaifa wani rikitarwa ne na obstetrical ta yadda mahaifar da ke tasowa ta koma cikin ƙashin ƙugu bayan farkon watanni uku na ciki .[1]

Shigar mahaifa
Description (en) Fassara
Iri uterine disease (en) Fassara
rikitarwa na ciki
Specialty (en) Fassara Obstetrics
Sanadi retroverted uterus (en) Fassara
Identifier (en) Fassara
ICD-10 O34.5
ICD-9 654.3 da 654.30
mahaifa

Yawancin yanayi na iya tsoma baki tare da tsarin halitta wanda zai hana mahaifar da aka dawo da ita yayin daukar ciki. Irin waɗannan yanayi sun haɗa da adhesions na pelvic, endometriosis, rashin lafiyar mahaifa, leiomyomata, da kuma ciwon pelvic .[2]

Lokacin da mahaifar ta koma baya, ana ganin ta koma baya; wannan yanayin na kowa ne kuma ana ɗaukar saɓanin al'ada. An kiyasta cewa kusan kashi 15% na masu juna biyu suna farawa ne a cikin mahaifar da ta koma baya.[3] A al'ada, a cikin farkon trimester na farko, mahaifar da ke girma takan canza ba zato ba tsammani zuwa matsayi mara kyau, don haka yana ba da damar fadada mahaifar cikin ciki. Sa'an nan mahaifar mahaifa ya zama ƙasa da jikin mahaifa. Don haka, kasancewar ciki da wuri a cikin mahaifar da aka dawo ba a la'akari da matsala ba.

A lokuta da ba kasafai mahaifar ba ta kasa jurewa, kuma ciki na ci gaba da fadada mahaifar da aka koma a cikin iyakokin ƙashin ƙugu. Da kimanin makonni 14 girman mahaifa ya cika mafi yawan ƙashin ƙugu, yana tura mahaifar mahaifa. A wannan lokaci mahaifa na iya samun tarko a ƙarƙashin sacral promontory da symphysis. Tare da ci gaba da girma mace mai ciki na iya fuskantar ƙananan ciwon ciki da ƙwanƙwasa, ciwon baya, da wahala, har ma da rashin iyawa, kamar yadda mafitsara ya tura sama kuma fitar da shi ya zama cikas. Ana iya fuskantar maƙarƙashiya. An yi kiyasin yawan wannan rikitarwa ya kai kusan 1 cikin 3,000 masu juna biyu.[4]

 
A transvaginal ultrasonography nuna wani retroverted mahaifa a lokacin daukar ciki. Ciwon mahaifa yana kwance a baya zuwa mafitsara na fitsari, kuma mahaifar takan wuce sama da ita, amma alkiblar jikin tayin yana nuna cewa mahaifar tana komawa baya.

A cikin mace mai ciki wanda ke shiga cikin uku na biyu, haɗuwa da matsalolin fitsari da ciwon ƙwanƙwasa na iya faɗakar da likita don yin la'akari da shigar da mahaifa a matsayin mai yiwuwa. A gwajin jiki, an tura cervix sama da gaba, kuma ƙashin ƙugu gaba ɗaya ya cika da tattausan jikin mahaifa mai ciki. Sonography na iya nuna koma-baya na mahaifar mahaifa, duba yiwuwar yuwuwar tayin, da kuma nuna wurin da ake tura mafitsara da wuya kuma ba za a iya fitar da shi ba. Hakanan an gano hoton maganadisu yana taimakawa wajen gano yanayin.[5]

Manazarta

gyara sashe
  1. https://pubmed.ncbi.nlm.nih.gov/7991232
  2. https://doi.org/10.1186%2F1752-1947-3-103
  3. https://pubmed.ncbi.nlm.nih.gov/19561753
  4. Fernandes DD, Sadow CA, Economy KE, Benson CB (April 2012). "Sonographic and magnetic resonance imaging findings in uterine incarceration". J. Ultrasound Med. 31 (4): 645–50. doi:10.7863/jum.2012.31.4.645. PMID 22441922. S2CID 8626943.
  5. Hachisuga N, Hidaka N, Fujita Y, Fukushima K, Wake N (2012). "Significance of pelvic magnetic resonance imaging in preoperative diagnosis of incarcerated retroverted gravid uterus with a large anterior leiomyoma: a case report". J Reprod Med. 57 (1–2): 77–80. PMID 22324275.