He aha te Uterus Rua? Tohutohu, Take, me te Maimoatanga

Ko te uterus rua, e kiia ana ko te uterus didelphys i roto i te reo rongoa, he āhuatanga onge ka whānau mai koe me ngā uteri rua kāhore he kotahi. Ka puta mai tēnei ina wehe atu ngā pūkaha e hono tahi ana i te wā o te whānautanga o te pēpi, ka hangaia ai e rua ngā ruma uterine motuhake.

Ahakoa ka rongo pea tēnei he āwangawanga, he tokomaha ngā tāngata e ora ana i tēnei āhuatanga i roto i te oranga noa, ā, ka taea te whānautanga hauora. He huarahi rerekē noa iho te hanganga o tō pūnaha whakaū i mua i te whānautanga, ā, mā te tiaki hauora tika, ka taea te whakahaere pai i te nuinga o ngā wero.

He aha te uterus rua?

Ka puta te uterus rua ina rua ngā tinana uterine motuhake, ia kotahi me tōna cervix ake, ā, i etahi wā, me tōna kauhanga whakaū ake. Whakaarohia he rua ngā uteri iti kei te taha o tetahi, kāhore he kotahi te nui.

Ko tēnei āhuatanga e pā ana ki te 1 i roto i ngā wāhine 2,000 ki te 1 i roto i ngā 3,000 i te ao katoa. He wāhanga tēnei o te rōpū o ngā āhuatanga e kiia nei ko ngā āhuatanga o te pūkaha Müllerian, e puta mai ana ina kore te pūnaha whakaū e whānau mai i te huarahi noa i te wā o te hapu.

Ko ia uterus i roto i tēnei āhuatanga he iti ake i te uterus kotahi noa. Heoi, ka mahi motuhake rātou, arā, ka taea e koe te hapu i roto i tētahi o rātou.

He aha ngā tohu o te uterus rua?

He tokomaha ngā tāngata e kore e kite i ngā tohu o te uterus rua, ā, ka kite noa i te āhuatanga i te wā o ngā tirotiro hauora wahine noa, i te wā rānei o te hapu. Ina puta mai ngā tohu, ka hono tahi rātou ki ngā huringa marama, ki ngā raruraru hapu rānei.

Ko ēnei ngā tohu tino noa ka kite pea koe:

• Ngā wā marama roa, nui rawa atu rānei
• Ngā mamae o te marama kaha e kore e pai te whakautu ki ngā rongoā mamae noa
• Te toto i waenganui i ngā wā marama noa
• Te mamae i te wā o te moe wahine
• Te ngaro hapu, te ngaro pēpi rānei
• Te mahi whānau wawe, te tū o te pēpi rānei i te wā o te hapu

Ka rongo pea etahi i te pehanga i te rohe o te upoko. Ki te rua ngā kauhanga whakaū, ka kite pea koe kaore ngā tampons e mutu te rere o te toto marama, ka waiho pea tēnei hei whakapohehe kia tae ra ano ki te whakatau i te āhuatanga.

Kia mahara, ko te whai i ēnei tohu kāhore e tikanga tonu kei a koe te uterus rua, i te mea he maha atu ngā āhuatanga ka puta mai ngā raruraru rite. Ko te mea nui ko te whiwhi i te aromatawai tika i tō kaiwhakarato hauora.

He aha ngā take o te uterus rua?

Ka whānau te uterus rua i ngā wā tino tīmatanga o te hapu, i te 6 ki te 22 o ngā wiki o te whānautanga o te pēpi. Ko te take ko te kore o te hononga o ngā pūkaha e rua e rite ana ki ngā pūkaha, e kiia ana ko ngā pūkaha Müllerian.

I te nuinga, ka hui tahi ēnei pūkaha, ka hono ki te hanga i tō uterus, ngā pūkaha fallopian, me te wahi o runga o tō kauhanga whakaū. Ina kore tēnei mahi hononga e tino puta, ka mutu ki te rua ngā ruma uterine kāhore he kotahi.

Kāhore tēnei i puta nā te mea i mahi, i kore rānei e mahi tō whaea i te wā o te hapu. He rerekētanga noa iho tēnei i te whānautanga o tō pūnaha whakaū, rite tonu ki te whānautanga o ētahi tāngata me ngā tae kanohi rerekē, me ngā teitei rānei.

Kāhore e tino mōhiotia e ngā kairongoā te take i kore ai tēnei mahi hononga i te wā. Kāhore he mōhiohio e whakaatu ana ko ngā take taiao, ngā rongoā, ngā whiringa noho rānei i te wā o te hapu te take o tēnei āhuatanga.

Nōhea te haere ki te taote mō te uterus rua?

Me whakapiri atu koe ki tō kaiwhakarato hauora ki te kite koe i ngā wā marama nui rawa atu, te mamae o te marama kaha, te ngaro hapu rānei. Ko ēnei tohu e hiahia ana ki te rangahau ahakoa te take.

Ki te ngana koe ki te hapu, ā, he raruraru, ki te maha rānei ngā ngaro pēpi, he mea nui kia kōrero koe ki tētahi tohunga whakaū. Ka taea e rātou te aromatawai mena he uterus rua, he take hanganga rānei ētahi atu te take.

I tua atu, ki te rongo koe i te mamae i te wā o te moe wahine, ki te kite rānei koe i te toto i waenganui i ngā wā, ko ēnei tohu e hiahia ana ki te tiaki hauora. Ka taea e te whakatau wawe te āwhina i a koe ki te mōhio pai ki tō tinana, ki te whakarite rānei i te tiaki tika.

Kaua e whakaroa ki te rapu tiaki ki te rongo koe he rerekē te mea mō tō huringa marama, tō hauora whakaū rānei. He nui ngā whakaaro o tō tinana, ā, kei reira ngā kaiwhakarato hauora hei āwhina i a koe ki te mōhio he aha te mea noa mōu.

He aha ngā take tūpono mō te uterus rua?

I te mea he āhuatanga whānau te uterus rua e whānau mai ana i mua i te whānautanga, kāhore he take tūpono noa penei i ngā whiringa noho, ngā whakaū taiao rānei e whakapiki ana i ō tūpono ki te whai i tēnei.

Heoi, he maha ngā hononga kua kitea e ngā kairongoā:

• Te hītori whānau o ngā āhuatanga o te pūkaha Müllerian, ngā āhuatanga rānei o te pūnaha whakaū
• Te whai i ētahi atu āhuatanga whānau, ina koa ngā āhuatanga e pā ana ki te whānautanga o te whatukuhu
• Ngā āhuatanga ira tino e pā ana ki ngā pūnaha maha

Mo te 25% ki te 50% o ngā tāngata e whai ana i ngā āhuatanga o te pūkaha Müllerian, he āhuatanga whatukuhu anō hoki. Kei reira tēnei hononga i te mea ko ngā mahi whānautanga e hanga ana i tō pūnaha whakaū te whakauru ki te hanganga o te whatukuhu.

He mea tika te kōrero kāhore ēnei hei "take tūpono" i te tikanga noa. Engari, he tauira kua kitea e ngā taote, ka taea te āwhina i ngā aromatawai hauora, ngā kōrero whakarite whānau rānei.

He aha ngā raruraru pea o te uterus rua?

Ahakoa he tokomaha ngā tāngata e ora ana me te uterus rua kāhore he raruraru, ka pa pea etahi ki ngā wero e pā ana ki te hapu, ki te hauora marama rānei. Ka taea e te mōhio ki ēnei wāhi te āwhina i a koe ki te mahi tahi me tō rōpū hauora ki te tirotiro, ki te whakahaere rānei i tō āhuatanga.

Ko ngā raruraru tino noa ko ēnei:

• Te piki o te tūpono o te ngaro pēpi, ina koa i te tīmatanga o te toru marama
• Te mahi whānau wawe, te whānautanga rānei
• Te tū o te pēpi, penei i te tū o te hope
• Te iti o te tipu o te pēpi nā te iti o te wāhi o te uterus
• Ngā raruraru o te placenta, tae atu ki te hononga rerekē
• Te piki o te tūpono o te whānautanga caesarean

Ko ngā raruraru iti ake, engari pea, ko te mamae o te marama kaha e kore e whakautu ki te maimoatanga, me te raruraru ki te whai uri, ahakoa he tokomaha ngā tāngata e hapu ana i tēnei āhuatanga.

I etahi wā onge, ki te rua ngā kauhanga whakaū, ka aukati pea tētahi, ka puta mai ai te kohikohi toto, te mate rānei. Ko tēnei āhuatanga, e kiia ana ko te hematocolpos, e hiahia ana ki te maimoatanga pokanga, engari he onge rawa.

Ko te rongo pai ko te nuinga o ēnei raruraru ka taea te whakahaere pai mā te tirotiro tika, te tiaki rānei. He tokomaha ngā tāngata e whai ana i ngā uteri rua e whai ana i ngā haputanga hauora, ngā whānautanga rānei.

Me pēhea te whakatau i te uterus rua?

Ko te whakatau i te uterus rua e whakauru ana ki ngā rangahau whakaahua e taea ai e ngā taote te kite i te hanganga o ō pūnaha whakaū. Ko te tukanga e tīmata ana i te tirotiro o te upoko, ahakoa kaore tēnei e taea te whakatau i te āhuatanga.

Ka tūtohutia pea e tō taote tētahi, ētahi rānei o ēnei whakamātautau whakatau:

• Te ultrasound o te upoko hei whiwhi i ngā whakaahua tīmatanga o te hanganga o tō uterus
• MRI (magnetic resonance imaging) mō ngā whakaahua taipitopito o ō pūnaha whakaū
• HSG (hysterosalpingography), e whakamahi ana i te tae whakakā hei whakakā i ō ruma uterine
• Hysteroscopy, kei reira te kamera iti e tirotiro ana i roto i tō uterus
• Laparoscopy, he mahi pokanga iti te whakauru hei tirotiro i ō pūnaha upoko

Ko te MRI te mea tino pai mō te whakatau i ngā āhuatanga o te uterus i te mea e whakarato ana i ngā whakaahua tino marama, tino taipitopito. Heoi, ka tīmata pea tō taote me ngā whakamātautau iti ake i mua.

I etahi wā, ka kitea te uterus rua i te wā o ngā ultrasound hapu, ngā tirotiro hauora wahine noa rānei. Ki te hapu koe i te wā o te whakatau, ka aro tonu tō rōpū hauora ki te tirotiro i tō hapu i te wahi atu i te mahi i ngā whakamātautau whānui.

He aha te maimoatanga mō te uterus rua?

Ko te maimoatanga mō te uterus rua e whakawhirinaki ana ki ō tohu, me te mea rānei kei te whakaaro koe ki te whai tamariki. He tokomaha ngā tāngata e kore e hiahia ki tetahi maimoatanga, ina koa ki te kore e kite i ngā raruraru.

Ki te mamae nui o te marama, te toto nui rānei, ka tūtohu pea tō taote i ngā maimoatanga hormonal penei i ngā pire whakahaere whānau hei āwhina i te whakahaere i ō huringa. Ka taea hoki e ngā rongoā mamae, ngā rongoā anti-inflammatory te āwhina i te whakahaere i te kore ngāwari.

Mō ngā tāngata e whai ana i te ngaro hapu, he whiringa pokanga kei reira, engari ka whakaarohia marietia. Ka taea e te mahi e kiia nei ko te metroplasty te hono i ngā ruma uterine e rua, ahakoa kāhore tēnei pokanga i te tūtohutia i te mea he tokomaha ngā tāngata e whai ana i ngā uteri rua e taea ana te hapu angitu kāhore he whakauru.

Ki te aukati tō kauhanga whakaū e puta mai ai te kohikohi toto, he mea tika te whakatika pokanga, ā, he tino whai hua. Ka hangaia e tēnei mahi te whakaheke tika, ka ārai hoki i ngā raruraru.

I te wā o te hapu, ka aro te maimoatanga ki te tirotiro ata i te wahi atu i te whakatika i te hanganga o te uterus. Ka tirotiro tō rōpū hauora mō ngā tohu o te mahi whānau wawe, ka tirotiro hoki i te tipu o tō pēpi, me tōna tū i te wahi atu i ngā haputanga noa.

Me pēhea te whakahaere i te uterus rua i te kāinga?

Ko te whakahaere i te uterus rua i te kāinga e whakauru ana ki te tiaki i tō hauora whakaū, ki te mōhio rānei ki ngā tauira o tō tinana. Ka taea e te pupuri i ngā huringa marama te āwhina i a koe, i tō kaiwhakarato hauora rānei ki te kite i ngā huringa, ngā āwangawanga rānei.

Mō te kore ngāwari o te marama, ka taea e ngā papa whakamahana, ngā kaukau mahana, ngā mahi whakakori ngāwari te whakarato i te whakaora. Ka taea e ngā rongoā mamae penei i te ibuprofen te whakaiti i te mamae, te mumura rānei i ngā wā marama.

Ki te ngana koe ki te hapu, ko te pupuri i te noho hauora me te kai pai, te whakakori noa, te whakahaere ahotea rānei ka tautoko i tō hauora whakaū. He mea tūtohutia te tango i ngā huaora i mua i te hapu me te waikawa folic mō te tangata e whakaaro ana ki te hapu.

Kia aro ki ngā huringa i ō tohu, penei i te piki o te mamae, te toto nui ake, ngā momo kore ngāwari hou rānei. Ka taea e te pupuri i te rārangi tohu te āwhina mō ngā kōrero me tō kaiwhakarato hauora.

Ki te hapu koe me te uterus rua, he mea nui rawa te whai i tō kaupapa tiaki i mua i te whānautanga. Okioki ina hiahiatia, ā, kaua e whakaroa ki te whakapiri atu ki tō rōpū hauora ki te whai koe i ngā āwangawanga.

Me pēhea te whakarite mō tō whakatau taote?

I mua i tō whakatau, tuhia katoa ō tohu, tae atu ki te wā i tīmata ai rātou, me te āhua o te pānga ki tō oranga o ia rā. Whakauruhia ngā kōrero mō ō huringa marama, penei i te nui o te rere, te roa, me ngā taumata mamae.

Mauria he rārangi o ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā taapiri me ngā rongoā kore-tūtohu. Huihuia hoki ngā kōrero mō te hītori hauora o tō whānau, ina koa ngā raruraru whakaū, whatukuhu rānei.

Whakaritea ngā pātai e hiahia ana koe ki te ui ki tō taote. Ka hiahia pea koe ki te mōhio mō ngā pānga o te whai uri, ngā tūpono hapu, ngā whiringa maimoatanga rānei. Kaua e manukanuka ki te maha rawa o ngā pātai – e hiahia ana tō kaiwhakarato hauora ki te āwhina i a koe ki te mōhio ki tō āhuatanga.

Ki te whai koe i ngā rangahau whakaahua o mua, ngā rēkōta hauora rānei e pā ana ki te hauora whakaū, mau mai ngā kōpe, kia taea rānei e tō taote te whakamahi i aua kōrero. Ka taea e tēnei kōrero te āwhina i te karo i ngā whakamātautau koretake.

Whakaarohia te mau mai i tētahi hoa whakawhirinaki, mema whānau rānei mō te tautoko, ina koa ki te manukanuka koe mō te whakatau. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā kōrero nui, ki te whakarato rānei i te tautoko ngākau.

He aha te mea nui mō te uterus rua?

He āhuatanga onge, engari ka taea te whakahaere te uterus rua e ora ana he tokomaha i roto i te angitu. Ahakoa ka puta mai ētahi wero, ina koa e pā ana ki te hapu, ka taea e te nuinga o ngā tāngata e whai ana i tēnei āhuatanga te whai i ngā oranga whakaū pai mā te tiaki hauora tika.

Ko te mea nui kia mahara ko te whai i te uterus rua kāhore e tikanga tonu ka whai koe i ngā raruraru. He tokomaha ngā tāngata e kite ana kei a rātou tēnei āhuatanga i ngā tirotiro noa, i ngā haputanga angitu rānei.

Ki te whakatauhia koe me te uterus rua, he mea nui te mahi tata me tō rōpū hauora. Ka taea e rātou te āwhina i a koe ki te mōhio ki tō āhuatanga motuhake, ki te whakawhanake rānei i te mahere tiaki e whakautu ana ki ō hiahia, ō whāinga motuhake.

Kia mahara kei te piki tonu te mōhiotanga hauora mō tēnei āhuatanga, ā, he huarahi whai hua kei reira hei whakahaere i ngā wero pea e puta mai ana. Kāhore koe i te kotahi i roto i tēnei haerenga, ā, kei reira te tautoko.

Ngā pātai e ui pinepinetia ana mō te uterus rua

Ka taea te hapu me te uterus rua?

Ae, he tokomaha ngā tāngata e whai ana i te uterus rua e taea ana te hapu i te āhua noa. Ahakoa pea he nui ake te tūpono o ētahi raruraru hapu, he mea tino taea ngā haputanga angitu, ngā pēpi hauora rānei. Ka hiahia pea koe ki te tirotiro auau ake i te wā o te hapu, engari kāhore tēnei e tikanga kaore e taea e koe te whai tamariki.

Me whai whānautanga caesarean rānei ahau ki te whai ahau i te uterus rua?

Kāhore rawa. Ahakoa pea he nui ake te tūpono o te hiahia ki te whānautanga caesarean nā ngā take penei i te tū o te pēpi, te mahi whānau wawe rānei, he tokomaha ngā tāngata e whai ana i ngā uteri rua e whānau ana i te āhua noa. Ka whakawhirinaki tō huarahi whānautanga ki tō āhuatanga motuhake, me te āhua o te haere o tō hapu.

E pā ana rānei te whai i te uterus rua ki tō huringa marama?

He tāngata e whai ana i ngā uteri rua e whai ana i ngā wā marama nui ake, mamae ake rānei, ētahi atu e whai ana i ngā huringa marama noa. He rerekē te pānga mai i te tangata ki te tangata. Ki te whai koe i ngā tohu marama kaha, he maimoatanga kei reira hei āwhina i te whakahaere pai i aua mea.

He mea tika te pokanga mō te uterus rua?

Kāhore, kāhore te pokanga i te mea tika tonu. He tokomaha ngā tāngata e whai ana i ngā uteri rua e kore rawa e hiahia ki te maimoatanga pokanga. Ko te pokanga e whakaarohia ana noa ina whai koe i ngā ngaro hapu e hono pea ana ki te hanganga o te uterus, ki te aukati rānei tō kauhanga whakaū e puta mai ai ngā raruraru.

Ka taea te kite i te uterus rua i te wā o te tirotiro upoko noa?

I etahi wā ka whakaaro pea tētahi kaiwhakarato hauora he āhuatanga rerekē o te uterus i te wā o te tirotiro upoko, engari ko te whakatau tino e hiahia ana ki ngā rangahau whakaahua penei i te ultrasound, MRI rānei. He tokomaha ngā take o te uterus rua e kitea ana i te wā o ngā rangahau whakaahua noa mō ētahi take atu.