Kaore He Kaupapa Wahine

Ko te agenesis waha (a-JEN-uh-sis) he mate onge kaore te waha e whanake, a, tera pea kaore ranei te kopu (uterus) e whanake katoa. Kei te noho tenei ahuatanga i mua i te whanautanga, a, tera pea ka hono atu ki nga raruraru whatukuhu, i nga wheua ranei.

E mohiotia ana ano tenei ahuatanga ko te agenesis mullerian, ko te aplasia mullerian, ko te mate Mayer-Rokitansky-Kuster-Hauser ranei.

I te nuinga o te wa ka kitea te agenesis waha i te wa o te pakehatanga ina kore te wahine e timata te haerenga. Ko te whakamahinga o te kaiwhakawhanake waha, he taputapu rite ki te poipoi ka taea te whakawhānuitia te waha ina whakamahia mo tetahi wa, he angitu i te hanga i tetahi waha. I etahi wa, tera pea ka hiahiatia te pokanga. Ma te maimoatanga ka taea te moe wahine.

Ko te agenesis waha e kore nei e kitea wawe kia tae ra ano ngā wāhine ki o rātou tau taiohi, engari kāore e puta te uterine (amenorrhea). Ko ētahi atu tohu o te pakeketanga e whai ana i te whanaketanga o te wahine noa. Ka taea e te agenesis waha ēnei āhuatanga: Ko ngā ira tangata e rite ana ki te wahine noa. Ka poto pea te waha, kāore he cervix i te pito, kāore rānei, ā, ko te tohu noa iho te iti o te kōpeketanga kei hea te tuwhera o te waha. Pea kāore he kopu, kāore rānei he kopu kua whanake noa iho. Ki te mea he kiko e whakakapi ana i te kopu (endometrium), ka puta pea te mamae o te marama, te mamae rānei o te kopu. Ko ngā ovaries e whanake ana, e mahi ana, engari kei tetahi wāhi ke pea i roto i te kopu. I etahi wā, ko te tokorua o ngā tūpū e haere ana ngā hua i roto i te haere mai i ngā ovaries ki te kopu (ngā tūpū fallopian) kāore rānei e whanake noa. Ka hono pea te agenesis waha ki ētahi atu take, pēnei i: Ngā raruraru ki te whanaketanga o ngā whatukuhu me te ara mimi Ngā huringa whanaketanga i ngā wheua o te tuaiwi, ngā riu me ngā ringaringa Ngā raruraru whakarongo Ētahi atu āhuatanga whānau e pā ana ki te ngakau, te ara kai me te tipu o ngā waewae Ki te kore koe i whiwhi i te wa uterine i te tau 15, tirohia tō kaiwhakarato hauora.

Ki te kore koe i whiwhi i te wa o te marama i te tau 15, tirohia tō kaiwhakarato hauora.

Kāore i te mārama he aha te take o te kore o te weronga, engari i tētahi wā i roto i ngā wiki 20 tuatahi o te hapu, kāore ngā tūpū e kiia nei ko ngā ducts mullerian i whanake tika.

I te nuinga, ka whanake te wāhanga raro o ēnei ducts hei kopu me te weronga, ā, ka waiho te wāhanga runga hei ngā tūpū fallopian. Ko te kore o te whanaketanga o ngā ducts mullerian ka puta he weronga kaore rānei he wāhanga kua kati, he kopu kaore rānei he wāhanga, kāore rānei ngā rua.

Kaore he uauatanga

Ka pā pea te kore o te weronga ki ō whānau taangata, engari i muri i te maimoatanga, ka mahi pai te weronga mō te taangata.

Ka kore e taea e ngā wāhine e ngaro ana te kopu, te whānau tamariki. Ki te pēhea rawa ō ovaries, ka taea pea te whānau tamariki mā te whakawhānui in vitro. Ka taea te whakanoho i te embryo ki te kopu o tētahi atu tangata hei kawe i te haputanga (kaihapu whānau). Kōrerohia ngā kōwhiringa whakawhānau ki tō kaiwhakarato hauora.

Kaore he uauatanga

Ka whakatau to tākuta tamariki, te tohunga wahine rānei i te kore o te weronga, i runga i tō hītori hauora me te whakamātau tinana.

E kitea ana te kore o te weronga i te tekau tau, ina kore e tīmata ngā wā, ahakoa kua whānuitia ngā u me te huruhuru i raro i ngā ringa me te ihu. I etahi wā, ka kitea te kore o te weronga i te tau iti ake i te whakamātau mō ētahi atu raruraru, te kitenga rānei e ngā mātua, te tākuta rānei, kāore he tuwhera o te weronga.

Ka taea e tō kaiwhakarato hauora te tūtohutia te whakamātau, tae atu ki:

• Ngā whakamātau toto. Ka whakau ngā whakamātau toto i ō kromosoma me te ine i ngā taumata o ō homoni i tō whakatau, ā, ka whakakore i ētahi atu āhuatanga.
• Ultrasound. Ka whakaatu ngā whakaahua ultrasound ki tō kaiwhakarato hauora mēnā kei a koe tētahi kopu me ngā ovaries, ā, ka taea te kite mēnā he raruraru kei ngā whatukuhu.
• Whakaahua pūkaha whatu (MRI). Ka homai e te MRI ki tō kaiwhakarato hauora tētahi whakaahua taipitopito o tō ara whakaputa uri me ngā whatukuhu.
• Ētahi atu whakamātau. Ka taea hoki e tō kaiwhakarato hauora te tono i ētahi atu whakamātau hei tirotiro i tō rongonga, ngā ngākau me te koiwi.

Ko te rongoā mo te kore o te weronga wahine e puta ana i te nuinga o te wā i ngā tau tekau mā iwa o muri, i ngā tau rua tekau o mua rānei, engari ka taea e koe te tatari kia pakeke ake koe, ā, ka mōhio koe, ā, ka rite ki te whakauru ki te rongoā.

Ka taea e koe me tō kaiwhakarongo hauora te kōrero mō ngā whiringa rongoā. Kei runga i tō āhuatanga takitahi, ka uru pea ngā whiringa ki te kore rongoā, ki te hanga i te weronga mā te whakangūngū ake, mā te pokanga rānei.

Ko te whakangūngū ake te tikanga e tūtohutia ana hei whiringa tuatahi. Ka taea pea e te whakangūngū ake te whakaputa i tētahi weronga mōu, kāore he pokanga. Ko te whāinga ko te whakaroa i te weronga ki te rāhi e pai ana mō te moe wahine.

Kōrerotia te tukanga o te whakangūngū ake ki tō kaiwhakarongo hauora kia mōhio koe ki te mahi me te kōrero mō ngā whiringa whakangūngū kia kitea he aha te mea pai mōu. Ko te whakamahinga o te whakangūngū ake i ngā wā e tūtohuhia ana e tō kaiwhakarongo hauora, te moe wahine pinepine rānei e hiahiatia ana i te wā roa hei pupuri i te roa o tō weronga.

E kōrero ana etahi o ngā turoro mō ngā raruraru ki te mimi me te toto weronga me te mamae, ina koa i te tīmatanga. Ka āwhina pea te hinu whakakapi me te whakamātautau i tētahi momo whakangūngū rerekē. Ka tō te kiri i te ngāwari ake i muri i te kaukau wera, no reira ka pai pea tēnā hei wā mō te whakangūngū.

Ko te whakangūngū weronga mā te moe wahine pinepine he whiringa mō te whakangūngū ake mō ngā wāhine he hoa tokorua kei a rātou. Ki te hiahia koe ki te whakamātautau i tēnei tikanga, kōrero atu ki tō kaiwhakarongo hauora mō te huarahi pai ki te haere tonu.

Ki te kore te whakangūngū ake e mahi, ka taea pea te pokanga hei hanga i tētahi weronga mahi (vaginoplasty). Ko ngā momo pokanga vaginoplasty ko:

• Te whakamahi i te hononga kiko. Ka whiriwhiri pea tō taote i ngā momo hononga maha mā te whakamahi i ō kiko ake hei hanga i tētahi weronga. Ko ngā puna pea ko te kiri mai i te huha o waho, ngā hope, te puku raro rānei.

  Ka hanga e tō taote tētahi wahi tapahi hei hanga i te tuwhera weronga, ka whakanoho i te hononga kiko ki runga i tētahi tauira hei hanga i te weronga, ka whakanoho ki te awa hou i hangaia. Ka noho tonu te tauira mo te wiki kotahi.

  I te nuinga, i muri i te pokanga ka pupuri koe i te tauira, i tētahi whakangūngū weronga rānei, engari ka taea te tango ina whakamahi koe i te ruuma, i te moe wahine rānei. I muri i te wā tuatahi e tūtohuhia ana e tō taote, ka whakamahi koe i te whakangūngū i te pō anake. Ko te moe wahine me te hinu whakakapi me te whakangūngū i etahi wā ka āwhina i a koe ki te pupuri i tētahi weronga mahi.

• Te whakauru i tētahi taputapu toia hauora. Ka whakanoho e tō taote tētahi taputapu rite ki te oriwa (tukanga Vecchietti) i tētahi taputapu porowhita rānei (balloon vaginoplasty) ki tō tuwhera weronga. Mā te whakamahi i tētahi taputapu tirohanga mārama angiangi (laparoscope) hei aratohu, ka hono e te taote te taputapu ki tētahi taputapu toia motuhake kei runga i tō puku raro, i roto rānei i tō pito.

  Ka whakamātoa e koe te taputapu toia i ia rā, ka toia haere tonu te taputapu ki roto hei hanga i tētahi awa weronga mo te wiki tata. I muri i te tango i te taputapu, ka whakamahi koe i tētahi tauira o ngā rāhi rerekē mo te toru marama tata. I muri i te toru marama, ka taea e koe te whakamahi i te whakangūngū atu, te moe wahine noa rānei hei pupuri i tētahi weronga mahi. Ko te moe wahine pea ka hiahia ki te hinu whakakapi.

• Te whakamahi i tētahi wāhanga o tō kōroke (bowel vaginoplasty). I roto i te bowel vaginoplasty, ka nekehia e te taote tētahi wāhanga o tō kōroke ki tētahi tuwhera kei tō rohe ira tangata, hei hanga i tētahi weronga hou. Ka hono anō e tō taote tō kōroke toenga. Kāore koe e hiahia ki te whakamahi i tētahi whakangūngū weronga i ia rā i muri i tēnei pokanga, ā, he iti ake te tūpono ka hiahia koe ki te hinu whakakapi mō te moe wahine.

Te whakamahi i te hononga kiko. Ka whiriwhiri pea tō taote i ngā momo hononga maha mā te whakamahi i ō kiko ake hei hanga i tētahi weronga. Ko ngā puna pea ko te kiri mai i te huha o waho, ngā hope, te puku raro rānei.

Ka hanga e tō taote tētahi wahi tapahi hei hanga i te tuwhera weronga, ka whakanoho i te hononga kiko ki runga i tētahi tauira hei hanga i te weronga, ka whakanoho ki te awa hou i hangaia. Ka noho tonu te tauira mo te wiki kotahi.

I te nuinga, i muri i te pokanga ka pupuri koe i te tauira, i tētahi whakangūngū weronga rānei, engari ka taea te tango ina whakamahi koe i te ruuma, i te moe wahine rānei. I muri i te wā tuatahi e tūtohuhia ana e tō taote, ka whakamahi koe i te whakangūngū i te pō anake. Ko te moe wahine me te hinu whakakapi me te whakangūngū i etahi wā ka āwhina i a koe ki te pupuri i tētahi weronga mahi.

Te whakauru i tētahi taputapu toia hauora. Ka whakanoho e tō taote tētahi taputapu rite ki te oriwa (tukanga Vecchietti) i tētahi taputapu porowhita rānei (balloon vaginoplasty) ki tō tuwhera weronga. Mā te whakamahi i tētahi taputapu tirohanga mārama angiangi (laparoscope) hei aratohu, ka hono e te taote te taputapu ki tētahi taputapu toia motuhake kei runga i tō puku raro, i roto rānei i tō pito.

Ka whakamātoa e koe te taputapu toia i ia rā, ka toia haere tonu te taputapu ki roto hei hanga i tētahi awa weronga mo te wiki tata. I muri i te tango i te taputapu, ka whakamahi koe i tētahi tauira o ngā rāhi rerekē mo te toru marama tata. I muri i te toru marama, ka taea e koe te whakamahi i te whakangūngū atu, te moe wahine noa rānei hei pupuri i tētahi weronga mahi. Ko te moe wahine pea ka hiahia ki te hinu whakakapi.

I muri i te pokanga, ko te whakamahinga o te tauira, te whakangūngū, te moe wahine pinepine rānei e hiahiatia ana hei pupuri i tētahi weronga mahi. Ko te nuinga o ngā kaiwhakarongo hauora ka whakaroa i ngā rongoā pokanga kia tae ra ano koe ki te whakarite me te kaha ki te whakahaere i te whakangūngū ake. Me te kore o te whakangūngū noa, ka taea e te awa weronga hou i hangaia te whakaiti me te whakapoto tere, no reira he tino nui te whāinga o te hinengaro me te rite ki te whakarite ki te tiaki muri.

Kōrero atu ki tō kaiwhakarongo hauora mō te whiringa pokanga pai rawa atu hei whakatutuki i ō hiahia, me ngā tūponotanga me te tiaki e hiahiatia ana i muri i te pokanga.

Ka uaua pea te ako kei a koe te kore o te weronga wahine. Koia te take ka tūtohu tō kaiwhakarongo hauora kia whakauruhia he tohunga hinengaro, he kaimahi whānau rānei ki tō rōpū rongoā. Ka taea e ēnei kaiwhakarato hauora hinengaro te whakautu i ō pūrongo me te āwhina i a koe ki te whakahaere i ētahi o ngā āhuatanga uaua o te kore o te weronga wahine, pēnei i te kore tamariki pea.

Ka pai pea koe ki te hono atu ki tētahi rōpū tautoko o ngā wāhine e haere ana i te mea kotahi. Ka taea pea e koe te kimi i tētahi rōpū tautoko i runga i te ipurangi, ka ui rānei koe ki tō kaiwhakarongo hauora mēnā e mōhio ana ia ki tētahi rōpū.

Kaore he uauatanga