Agenesis Yeveginal
Pfupiso
Agenesis yevechidzi (a-JEN-uh-sis) chirwere chisingawanzoitika umo vechidzi haikure, uye chisu (uterus) chingangoerekana chakura zvishoma kana kuti chisingakuri zvachose. Iyi nyaya iripo usati wazvarwa uye inogona zvakare kusanganiswa nematambudziko emuitsvo kana mapfupa.
Iyi nyaya inozivikanwawo se mullerian agenesis, mullerian aplasia kana Mayer-Rokitansky-Kuster-Hauser syndrome.
Agenesis yevechidzi kazhinji inoonekwa panguva yekukura apo musikana haatangi kuenda kumwedzi. Kushandisa vaginal dilator, chishandiso chakafanana netube chinogona kuwedzera vechidzi kana chaishandiswa kwenguva yakareba, kazhinji kunobudirira pakugadzira vechidzi. Muzvimwe zviitiko, kuvhiya kunogona kudiwa. Kurapa kunoita kuti zvikwanise kuita zvepabonde.
Zviratidzo
'Agenesis ye tsinga kazhinji haionekwi kusvika vakadzi vasvika paudiki hwavo, asi havazoiti mwedzi (amenorrhea). Zvimwe zviratidzo zvekuyaruka kazhinji zvinotevera kukura kwemukadzi. Agenesis ye tsinga inogona kuva nezvinhu izvi: Zviberekero zvinoita semukadzi akajairwa. Tsinga inogona kunge yakapfupikiswa pasina cervix kumagumo, kana kuti isina uye yakaratidzwa chete nekucheka kwakanyanya kwaizove kuvhurwa kwetsinga. Kungava kusina chisu kana kuti chimwe chisingakurire zvizere. Kana paine tishu inofukidza chisu (endometrium), kurwadziwa kwemwedzi nemwedzi kana kurwadziwa kwenguva refu kwemudumbu kunogona kuitika. Ovaries kazhinji dzakakura zvizere uye dzinoshanda, asi dzinogona kunge dziri munzvimbo isingawanzoitika mudumbu. Dzimwe nguva maviri etubhu mazai anofamba kuburikidza nazvo kuti aende kubva ku ovaries kuenda kuchisu (fallopian tubes) haasipo kana kuti haakurire zvakajairwa. Agenesis ye tsinga inogona zvakare kusanganiswa nedzimwe nyaya, dzakadai se: Matambudziko ekukura kweitsvo ne urinary tract Kugadziriswa kwemafupa emutsipa, mapapiro nemaoko Matambudziko ekunzwa Zvimwe zvirwere zvakazvarwa nazvo zvinosanganisirawo moyo, gastrointestinal tract nekukura kwemaoko Kana usati wambova nemwedzi nemakore gumi nemashanu, ona chiremba wako.'
Nguva yekunoona chiremba
Kana usina kuwana mwedzi wako usati wazadzisa makore gumi nemashanu, enda kuna chiremba wako.
Zvinokonzera
Hazvina kujeka kuti chii chinokonzera agenesis yeveginal, asi panguva imwe chete mukati memavhiki makumi maviri ekutanga nepamuviri, matumbo anonzi mullerian ducts haakuri zvakanaka.
Kazhinji, chikamu chepasi chematumbo aya chinokura kuva chibereko nevagina, uye chikamu chepamusoro chinova matumbo e fallopian. Kusakurira kwakanaka kwe mullerian ducts kunoguma nekusavapo kana kuvhara kwevagina, kusavapo kana chibereko chisingaperi, kana zvose zviri zviviri.
Matambudziko
Agenesis yevechidzi inogona kukanganisa hukama hwako hwepamoyo, asi mushure mekurapwa, vechidzi vako kazhinji vanoshanda zvakanaka pabonde.
Vakadzi vane chisu chisingawanikwi kana kuti chisina kukura zvizere havazivi kubata pamuviri. Zvisinei, kana uine maovari ane hutano, zvinogona kuva zvichibvira kuva nembabwa kuburikidza nekusimudzira kwembeu. Embryo inogona kuiswa muchisu chemumwe munhu kuti aite pamuviri (mutariri wekuzvitakura). Kurukura nezvekuzvara nehutano hwako.
Kuongorora
Chiremba wenyu wevana kana chiremba wevakadzi achazobvunza nezvekusavapo kwevhunjinyo zvichienderana ne nhoroondo yenyu yezvokurapa nekuongororwa kwemuviri.
Kusavapo kwevhunjinyo kunowanzoonekwa panguva yekukura apo mwedzi yenyu haiuye, kunyange mushure mekunge mava nemazamu uye mune bvudzi pasi pemabvi nepamabvi. Dzimwe nguva kusavapo kwevhunjinyo kunogona kuonekwa kare panguva yekuongororwa kwezvimwe zvinetso kana vabereki kana chiremba vakaona kuti mwana haana kuvhura kwevhunjinyo.
Chengetedzo yenyu yehutano inogona kukurudzira bvunzo, kusanganisira:
- Kuongororwa kweropa. Kuongororwa kweropa kuongorora machromosomes ako nekuyera mahomoni ako kunogona kusimbisa chirwere chako uye kubvisa zvimwe zvirwere.
- Ultrasound. Mifananidzo ye ultrasound inoratidza chengetedzo yenyu yehutano kana mune chisu ne ovaries uye inoziva kana paine matambudziko neitsvo dzako.
- Magnetic resonance imaging (MRI). MRI inopa chengetedzo yenyu yehutano mufananidzo wakadzama wezvikamu zvako zvekuzvara neitsvo.
- Kuongororwa kwakasiyana. Chengetedzo yenyu yehutano inogona kukurudzirawo mamwe bvunzo kuongorora kunzwa kwako, mwoyo nemapfupa.
Kurapa
Kurapa agenesis yevechidiki kazhinji kunoitika pakati pemakore gumi nemasere kusvika makore makumi maviri, asi unogona kumirira kusvika wakura uye unonzwa wakakurudzirwa uye wakagadzirira kubatanidzwa mukurapa.
Iwe neanokupa utano wenyu munogona kukurukura nezve nzira dzekurapa. Zvichienderana nechirwere chako, sarudzo dzinogona kusanganisira kurapa kusina kana kusika nhengo yekuberekera nekuzviwedzera kana kuvhiya.
Kuzviwedzera kazhinji kunokurudzirwa sesarudzo yekutanga. Kuzviwedzera kunogona kukubvumira kuti ugadzire nhengo yekuberekera pasina kuvhiya. Chinangwa ndechekurebesa nhengo yekuberekera kusvika pakukura kunofadza pabonde.
Kurukurai maitiro ekuzviwedzera neanokupa utano wenyu kuitira kuti muzivi kuti chii chaunofanira kuita uye kutaura nezve sarudzo dze dilator kuti uwane chinokushandira zvakanaka. Kushandisa kuzviwedzera panguva dzakakurudzirwa neanokupa utano wenyu kana kuva nebonde kazhinji kunodiwa nekufamba kwenguva kuchengetedza kureba kwenhengo yako yekuberekera.
Vamwe varwere vanoshuma matambudziko ekubuda mvura uye ropa kubva munhengo yekuberekera uye kurwadziwa, kunyanya pakutanga. Kugadzirisa kwemvura uye kuedza rudzi rwakasiyana rwe dilator zvinogona kubatsira. Ganda rako rinotendeuka nyore nyore mushure mekushambira kwemvura inodziya saka icho chingave nguva yakanaka yekuwedzera.
Kuwedzera nhengo yekuberekera kuburikidza nebonde kazhinji inzira yekuzviwedzera ye vakadzi vane vadyidzani vanoda. Kana uchida kuedza nzira iyi, taura neanokupa utano wenyu nezve nzira yakanakisa yekuenderera mberi.
Kana kuzviwedzera kukasa, kuvhiya kugadzira nhengo yekuberekera inoshanda (vaginoplasty) kunogona kuva sarudzo. Marudzi ekurapa kwe vaginoplasty anosanganisira:
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Kushandisa graft yetsinga. Chiremba wenyu anogona kusarudza kubva kune akasiyana-siyana e grafts achishandisa tishu yako kugadzira nhengo yekuberekera. Nzvimbo dzinogona kusanganisira ganda kubva pakumbo rekunze, matako kana dumbu riri pasi.
Chiremba wenyu anoita incision kugadzira kuvhurwa kwenhengo yekuberekera, anoisa graft yetsinga pamusoro pemodeli kugadzira nhengo yekuberekera uye anoisa mukati mechiteshi chakagadzirwa. Modeli inoramba iripo kwevhiki imwe chete.
Kazhinji, mushure mekuvhiya unochengeta modeli kana dilator yenhengo yekuberekera iripo asi unogona kuibvisa paunoshanyira imba yekugezera kana kuva nebonde. Mushure menguva yekutanga yakakurudzirwa nachiremba wenyu, uchashandisa dilator usiku chete. Bonde nekuwedzera kwemvura uye kuwedzera kazhinji kunokubatsira kuchengetedza nhengo yekuberekera inoshanda.
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Kuisa mudziyo wekurapa we traction. Chiremba wenyu anoisa mudziyo une chimiro che olive (Vecchietti procedure) kana mudziyo webhaluni (balloon vaginoplasty) pakuvhurwa kwenhengo yako yekuberekera. Achishandisa chishandiso chakanyoroveswa, chine chiedza chekuona (laparoscope) semuenzaniso, chiremba anobatanidza mudziyo kune mudziyo wakasiyana we traction padumbu rako riri pasi kana kuburikidza ne navel yako.
Unosunga mudziyo we traction zuva nezuva, uchikwevera mudziyo mukati kugadzira chiteshi chenhengo yekuberekera kwevhiki imwe chete. Mushure mekunge mudziyo wabviswa, uchashandisa modeli yehukuru hwakasiyana kwemavhiki matatu. Mushure memavhiki matatu, unogona kushandisa kuwedzera kuzviwedzera kana kuva nebonde kazhinji kuchengetedza nhengo yekuberekera inoshanda. Bonde rinogona kuda kuwedzera kwemvura.
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Kushandisa chikamu chekoloni yako (bowel vaginoplasty). Mukurapa kwe bowel vaginoplasty, chiremba anofambisa chikamu chekoloni yako kuvhurwa munzvimbo yako yekuberekera, achigadzira nhengo itsva yekuberekera. Chiremba wenyu anozobatanidza zvakare koloni yako yasara. Hauzofanire kushandisa dilator yenhengo yekuberekera zuva nezuva mushure mekuvhiya uku, uye hauna mukana wekuda kuwedzera kwemvura kwebonde.
Kushandisa graft yetsinga. Chiremba wenyu anogona kusarudza kubva kune akasiyana-siyana e grafts achishandisa tishu yako kugadzira nhengo yekuberekera. Nzvimbo dzinogona kusanganisira ganda kubva pakumbo rekunze, matako kana dumbu riri pasi.
Chiremba wenyu anoita incision kugadzira kuvhurwa kwenhengo yekuberekera, anoisa graft yetsinga pamusoro pemodeli kugadzira nhengo yekuberekera uye anoisa mukati mechiteshi chakagadzirwa. Modeli inoramba iripo kwevhiki imwe chete.
Kazhinji, mushure mekuvhiya unochengeta modeli kana dilator yenhengo yekuberekera iripo asi unogona kuibvisa paunoshanyira imba yekugezera kana kuva nebonde. Mushure menguva yekutanga yakakurudzirwa nachiremba wenyu, uchashandisa dilator usiku chete. Bonde nekuwedzera kwemvura uye kuwedzera kazhinji kunokubatsira kuchengetedza nhengo yekuberekera inoshanda.
Kuisa mudziyo wekurapa we traction. Chiremba wenyu anoisa mudziyo une chimiro che olive (Vecchietti procedure) kana mudziyo webhaluni (balloon vaginoplasty) pakuvhurwa kwenhengo yako yekuberekera. Achishandisa chishandiso chakanyoroveswa, chine chiedza chekuona (laparoscope) semuenzaniso, chiremba anobatanidza mudziyo kune mudziyo wakasiyana we traction padumbu rako riri pasi kana kuburikidza ne navel yako.
Unosunga mudziyo we traction zuva nezuva, uchikwevera mudziyo mukati kugadzira chiteshi chenhengo yekuberekera kwevhiki imwe chete. Mushure mekunge mudziyo wabviswa, uchashandisa modeli yehukuru hwakasiyana kwemavhiki matatu. Mushure memavhiki matatu, unogona kushandisa kuwedzera kuzviwedzera kana kuva nebonde kazhinji kuchengetedza nhengo yekuberekera inoshanda. Bonde rinogona kuda kuwedzera kwemvura.
Mushure mekuvhiya, kushandiswa kwemodeli, kuwedzera kana bonde kazhinji kunodiwa kuchengetedza nhengo yekuberekera inoshanda. Vanokupa utano kazhinji vanononoka kurapwa kwekuvhiya kusvika unonzwa wakagadzirira uye unokwanisa kubata kuzviwedzera. Pasina kuwedzera kazhinji, chiteshi chenhengo yekuberekera chakagadzirwa chitsva chinogona kukurumidza kuoma uye kupfupika, saka kuva wakakura mupfungwa uye wakagadzirira kutevedzera kutarisirwa mushure mekuvhiya zvakakosha kwazvo.
Taura neanokupa utano wenyu nezve sarudzo yakanakisa yekuvhiya inokutarisira, uye njodzi nekutarisirwa kunodiwa mushure mekuvhiya.
Kudzidza kuti une vaginal agenesis kunogona kuva kwakaoma. Ndosaka anokupa utano wenyu achanyanya kukurudzira kuti nyanzvi yepfungwa kana mushandi wemagariro ave chikamu chechikwata chako chekurapa. Aya mapoka ekutarisira hutano hwepfungwa anogona kupindura mibvunzo yako uye kukubatsira kubata nemamwe mativi akaoma ekukura vaginal agenesis, senge kushaya simba rekubereka.
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