He ʻano puʻuwai nō hoʻi kou ʻōpū? E kamaʻilio kākou e pili ana i (Bicornuate Uterus)!

Aia kekahi mau mea i loko o ko kākou kino a kākou e noʻonoʻo nui ʻole ai i ko kākou ola o kēlā me kēia lā, ʻeā? ʻOiai he wahine, ʻo nā ʻōpū i loko o kou kino e like me kou ʻōpū. Akā i kekahi manawa he mea nui loa ia e makaʻala i kēia mau mea. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana kūikawā i lohe ʻole ʻia e ka poʻe he nui, akā hiki ke hoʻopilikia i kekahi mau wahine. ʻO ia hoʻi, ua like ke ʻano o ka ʻōpū me ka puʻuwai. Ua kapa ʻia kēia e nā kauka ʻo '(Bicornuate Uterus)'.

He aha kēia ʻōpū puʻuwai (Bicornuate Uterus)?

I ka ʻōlelo maʻalahi, ʻo ka loaʻa ʻana o ka uterus bicornuate ʻo ia hoʻi ke ʻano o kou uterus e like me ka puʻuwai ma kahi o ke ʻano poepoe maʻamau. E noʻonoʻo i kahi uterus olakino e like me ka pea i luna. ʻO ka piko poepoe ākea o ka pea ka piko o ka uterus (i kapa ʻia hoʻi ʻo fundus). Akā i loko o kekahi me ka uterus bicornuate, ua hoʻohuli ʻia ka piko o ka uterus i loko, e like me ka puʻuwai. ʻO ia ke kumu i kapa ʻia ai he "uterine ʻano puʻuwai."

ʻO ka maʻamau, he ʻeke keʻena hoʻokahi ka ʻōpū e hiki ke hoʻonui i ka wā e ulu ana ka pēpē. Eia nō naʻe, i loko o ka ʻōpū bicornuate, ua māhele ʻia ka ʻaoʻao o luna o ka ʻōpū i ʻelua ʻāpana e kahi papa o nā ʻiʻo. Ma muli o ka nui o kēia mahele ʻana, hiki ke loaʻa kekahi mau pilikia i ka wā hāpai. ʻO kēia no ka mea ʻaʻole hiki i ka ʻōpū ke hoʻonui pono.

He maʻi hānau kēia. ʻO ke ʻano kēia, ua hoʻohālikelike ʻia ka ʻōpū ma kēia ʻano ma mua o kou hānau ʻia ʻana, ʻoiai ʻoe i loko o ka ʻōpū o kou makuahine. I ka hapa nui o ka manawa, ʻaʻole kēia he pilikia nui. Eia nō naʻe, inā hāpai ʻoe me ka ʻōpū bicornuate, ʻoi aku ka nui o ka pilikia o ka hāʻule ʻana o ka ʻōpū a me ka hānau mua ʻana. ʻAʻole ʻike ka nui o ka poʻe he ʻōpū ko lākou, no ka mea, ʻaʻohe hōʻailona kikoʻī. Eia nō naʻe, hiki i kekahi poʻe ke ʻeha nui i ka wā o ka menstruation a i ʻole nā ​​hāʻule mau ʻana o ka ʻōpū.

Pehea ka maʻamau o kēia ʻano?

He ʻano maʻamau ka Bicornuate Uterus, akā he mea kakaikahi ia ma ke ʻano holoʻokoʻa. Ma lalo o 0.5% o nā wahine ka hopena. ʻIke ka hapa nui o nā wahine he ʻano ʻē ke ʻano o ko lākou uterus ma hope o ko lākou hāpai ʻana a ua loaʻa i nā keiki hāʻule he nui.

He mea ʻino anei ka loaʻa ʻana o kahi ʻōpū puʻuwai?

ʻAʻole, ʻaʻole ia he mea ʻino a weliweli paha. ʻO ka hapa nui o ka manawa, ʻaʻole ʻoe i ʻike he loaʻa iā ʻoe kekahi, no ka mea, ʻaʻohe hōʻailona i ʻike ʻia. Eia nō naʻe, hiki i ke ʻano ʻē o ka ʻōpū ke hana i kekahi mau pilikia i ka wā hāpai. Inā haʻi aku ke kauka iā ʻoe he `(Bicornuate Uterus)` kou, ʻoi aku ka maikaʻi o ka hoʻomaopopo ʻana iā ia a kamaʻilio me ia e pili ana i kona hopena i kou ola.

He aha nā hōʻailona o ka ʻōpū bicornuate (ʻōpū ʻelua)?

Inā loaʻa iā ʻoe nā hōʻailona o kahi uterus bicornuate, hiki i kēia mau mea ke komo pū me:

• Nā hāʻule pinepine ʻana (ʻoi aku ma mua o ʻekolu manawa).
• Ke kahe koko ʻana o ka ʻōpū ma ke ʻano kūpono ʻole.
• ʻEha nui i ka wā o ka menstruation.
• ʻEha i ka wā o ka moekolohe (dyspareunia).
• ʻEha Pelvic (`(ʻEha Pelvic)`).

Akā e hoʻomanaʻo, i kekahi manawa hiki iā ʻoe ke loaʻa i kēia maʻi me ka ʻole o nā hōʻailona. No ka mea he mea ia i hānau ʻia me ʻoe, ʻo nā hōʻailona āu e ʻike ai e like me nā mea "maʻamau". ʻO ka hapa nui o ka manawa, ʻike wale ʻoe e pili ana i ia mea ma hope o kou hāpai ʻana a i ʻole he nui nā hāʻule ʻana.

He aha ke kumu o kēia?

E like me ka mea i ʻōlelo ʻia ma mua, ʻo ka uterus bicornuate kahi kūlana i loaʻa i ka wā hānau (congenital). Hoʻokumu ʻia ka uterus i ka wā e ulu ana kahi fetus i loko o ka ʻōpū - ma waena o 10 a me 20 mau pule.

I loko o kēia ulu ʻana, aia ʻelua mau ʻōmole i kapa ʻia ʻo Mullerian ducts . ʻO ka maʻamau, hui pū kēia mau ʻōmole ʻelua e hana i hoʻokahi lua uterine. Eia nō naʻe, i loko o kekahi kanaka me ka uterus bicornuate, ʻaʻole hui piha kēia mau ʻōmole ʻelua. No laila, lilo ka uterus e like me ʻelua mau lua. Hiki i kēia mahele ke hohonu loa, a i ʻole hiki ke liʻiliʻi loa ʻaʻole ia e hoʻoulu i kekahi pilikia.

ʻO ka mea nui, ʻaʻole kēia ʻōpū puʻuwai he mea hoʻoilina. ʻAʻole kēia manaʻo no ka mea wale nō ua loaʻa iā ʻoe kēia maʻi, e loaʻa pū ana hoʻi i kāu mau keiki.

Pehea e ʻike ʻia ai ke ʻano (Bicornuate Uterus)?

ʻIke wale ka poʻe he nui i kēia ma hope o ko lākou hāʻule ʻana i ka hāpai keiki. Ke hana ʻia kēia, nānā nā kauka i ke ʻano o ka ʻōpū. ʻO ia ka manawa e ʻike ʻia ai kēia ʻano ʻē. I kekahi manawa hiki ke ʻike ʻia me ka ulia pōpilikia, i ka wā o ka ultrasound maʻamau i ka wā hāpai a i ʻole i ka wā e ʻimi nei i ka lāʻau no nā ʻehaʻeha koʻikoʻi o ka menstruation.

ʻO ka mea mua, hana ʻia kahi hoʻokolohua pelvic, a laila e hoʻohana kāu kauka i nā ʻano hana kiʻi like ʻole e hōʻoia inā he uterus bicornuate kou. Hana ʻia kēia e ana i ka hohonu o ka dilation a e hoʻokaʻawale iā ia mai nā ʻano ʻē aʻe o ka uterine.

• Ultrasound: ʻO kēia ka hoʻāʻo mua i hoʻohana ʻia e ʻike i kahi ʻōpū puʻuwai. Ke ʻike ʻia ke ʻano, hiki i ke kauka ke hoʻohana i nā hoʻokolohua holomua ʻē aʻe e kiʻi i kahi kiʻi maopopo. He mea pono loa nō hoʻi nā hoʻokolohua ultrasound ʻekolu-dimensional (3D ultrasound) no kēia.
• MRI (Magnetic Resonance Imaging): ʻO kēia ke ala kikoʻī loa e kiʻi ai i nā kiʻi o ka ʻōpū no ka mea hiki iā ia ke ʻike i ka ʻōpū mai nā kihi a me nā ana like ʻole.

Aia kekahi mau ʻano like ʻole o ka uterus bicornuate?

E haʻi aku kāu kauka iā ʻoe inā he hapa (hapa) a i ʻole piha ʻole (piha) kāu uterus bicornuate.Hiki ke wehewehe ʻia penei: Pili kēia mau huaʻōlelo i ka mamao o ka iho ʻana o ka cervix mai luna mai o ka uterus.

• ʻUterus bicornuate hapa: I kēia hihia, ʻoi aku ka liʻiliʻi o ka māhele ʻana ma waena o nā lua ʻelua. He ʻano puʻuwai ke ʻano o ka uterus, akā ʻaʻole hohonu loa ke awāwa e hoʻokaʻawale ana i ka uterus.
• ʻUterus bicornuate piha: I kēia hihia, ua hohonu loa ka puka ma luna o ka ʻōpū. No laila, ua maopopo loa ka hoʻokaʻawale ʻana ma waena o nā lua ʻelua o ka ʻōpū.

Hiki ke hoʻoponopono ʻia ka ʻōpū bicornuate?

I ka hapanui o nā hihia, ʻaʻole pono kēia ʻano i ka lāʻau lapaʻau.

Eia nō naʻe, i kekahi mau hihia kūikawā, hana ʻia kahi ʻoki kino i kapa ʻia ʻo Metroplasty . Eia nō naʻe, aia nā manaʻo like ʻole e pili ana i kēia ʻoki kino, no laila ʻaʻole hana nā kānaka a pau. Hoʻāʻo kēia ʻoki kino e hoʻohālike i ka ʻōpū i ke ʻano maʻamau o ka pea. Hiki ke hana ʻia kēia ʻoki kino ma ke ʻano laparoscopically . ʻO ia hoʻi, he ʻoki kino ia i hana ʻia ma o nā ʻoki liʻiliʻi, me ka ʻole o kahi ʻoki nui. Pili ka ʻoki kino i ka wehe ʻana i ka ʻiʻo e hoʻopōʻino ai ka ʻōpū a i ʻole e hana i kahi puʻuwai.

Inā loaʻa iā ʻoe kahi ʻoki "Metroplasty", pono ʻoe e kali ma ka liʻiliʻi he ʻekolu mahina ma mua o ka hoʻāʻo ʻana e loaʻa hou kahi pēpē, no ka mea, inā ʻaʻole, aia kahi pilikia o ka haki ʻana o ka ʻōpū i ka wā hānau.

He aha nā pilikia o kēia ʻoki kino?

Hiki i ke ʻano hana e hoʻoponopono ai i kahi uterus bicornuate ke loaʻa i kēia mau pilikia:

• Ke kahe nui ʻana o ke koko (`(Hemorrhage)`).
• Maʻi (`(Maʻi)`).
• Nā pipili/kahakaha o ka ʻōpū.

Inā ʻōlelo ʻia ʻoe e hana i kēia ʻano ʻoki kino, e wehewehe pono kāu kauka i ke kaʻina hana, kona mau pilikia, a me kou kūlana o ka hāpai ʻana holomua.

Hiki ke pale ʻia ka ʻōpū bicornuate?

ʻAʻole. ʻAʻohe mea hiki iā ʻoe ke hana e pale aku i ka ʻōpū puʻuwai. He maʻi hānau ia. ʻAʻole ia i hana ʻia e kekahi mea a kou mau mākua i hana ai a i ʻole i hana ʻole ai.

Inā loaʻa iaʻu kahi (Bicornuate Uterus), ʻaʻole hiki iaʻu ke loaʻa kahi pēpē?

ʻAe! Hiki iā ʻoe ke loaʻa kahi pēpē ʻoiai inā he `(Bicornuate Uterus)` kāu. Eia nō naʻe, aia kahi pilikia kiʻekiʻe iki o nā pilikia i ka wā hāpai. ʻO ke kumu nui o kēia, ʻaʻole hiki i kou ʻōpū ke ulu nui e like me ka mea e pono ai no ka ulu ʻana o ka pēpē. E kamaʻilio kāu kauka me ʻoe e pili ana i nā hana palekana āu e lawe ai i ka wā hāpai a pehea e pili ai kēia ʻano i kāu hāpai ʻana a me ka hānau ʻana.

Pehea ka hopena o ka uterus bicornuate i koʻu hāpai ʻana?

ʻAʻole maʻamau ka hoʻopilikia ʻana o ka ʻōpū bicornuate i kou hiki ke hāpai. Eia nō naʻe, ʻo ke ʻano o ka ʻōpū e kau iā ʻoe i kahi pilikia kiʻekiʻe iki o nā pilikia hāpai, e like me:

• Hāʻule ka hāpai keiki (`(Haʻule ka hāpai keiki)`).
• Ka hānau mua ʻana a me ka hānau mua ʻana.
• Haʻahaʻa ke kaumaha o ka pēpē i ka wā hānau (ma muli o ka lawa ʻole o ka wahi no ka ulu ʻana i loko o ka ʻōpū).
• Ke kahe koko ʻana o ka ʻōpū ma ke ʻano kūpono ʻole.
• Aia ke keiki i ke kūlana breech, ke kūlana transverse, a i ʻole kekahi kūlana ʻē aʻe ma mua o ke poʻo i lalo.
• Hoʻonui ʻia ka manawa kūpono o ka ʻoki ʻana i kahi cesarean (`(Hānau ʻana ma ke ʻano Cesarean)`).
• Ke kahe nui ʻana o ke koko ma hope o ka hānau ʻana (`(Postpartum hemorrhage)`).
• Placenta previa (placental abruption) a i ʻole nā ​​​​pilikia ʻē aʻe me ka placenta.
• Ke koko kiʻekiʻe i ka wā hāpai.
• Ka ʻōpū o ka ʻōpū hiki ʻole.

Ke hāpai ʻoe me kahi ʻōpū bicornuate, ʻo ka mea nui i ka hoʻokele ʻana, ʻo ia ka loaʻa ʻana o nā hahai hou aku (nānā ʻana) . Pono ʻoe e loaʻa i nā scan ultrasound prenatal hou aʻe ma mua o ka maʻamau. ʻO kēia i hiki i kāu kauka ke nānā i ka nui a me ke ʻano o kou ʻōpū a me ke kūlana o kāu pēpē a me ka placenta. ʻO ke ʻano ʻē o kou ʻōpū, ʻo ia hoʻi, ʻoi aku ka nui o ka pēpē e breech, no laila ʻoi aku ka nui o ka loaʻa ʻana o kahi C-section.

Akā e hoʻomanaʻo, hiki i ka poʻe me ka ʻōpū bicornuate ke loaʻa kahi hāpai olakino a me ka hānau maʻamau. Lawe ʻia kēia mau hana āpau e pale aku iā ʻoe a me kāu pēpē i ka wā hāpai a me ka hānau ʻana.

E hoʻopilikia anei kahi ʻōpū bicornuate i kaʻu hana a me ka hānau ʻana?

ʻAe, hiki ke hoʻopilikia ʻia kāu hānau ʻana e kēia ʻōpū puʻuwai. No ka mea, ʻaʻole like ke ʻano o ka ʻōpū, ʻaʻole paha i lawa ka nui e hoʻokipa i kahi pēpē piha. ʻO ke ʻano kēia, aia paha kāu pēpē i kahi kūlana ʻē a paʻa loa paha i loko o ka ʻōpū. Me kahi `(Bicornuate Uterus)` , ʻoi aku ka nui o ka pēpē i kahi kūlana `(breech)`. No kēia kumu, paipai pinepine nā kauka i kahi `(C-section)`.

Inā he ʻōpū bicornuate koʻu, e loaʻa anei i kaʻu pēpē nā kīnā hānau?

ʻAʻole. ʻOiai he ʻōpū bicornuate kou, ʻaʻole ia he manaʻo e loaʻa i kāu pēpē kahi kīnā hānau. Akā , ʻoi aku kou pilikia o ka hānau mua ʻana (ma mua o 37 mau pule o ka hāpai ʻana). ʻO ke ʻano kēia, hiki ke hānau mua ʻia kāu pēpē, a i ʻole ma mua o ka ulu piha ʻana o kekahi mau ʻōkana a i ʻole nā ​​​​​​ʻōnaehana.

Aia kekahi mau pilikia olakino e pili ana me kahi uterus bicornuate?

Inā ʻaʻole ʻoe hāpai a ʻaʻohe ou manaʻolana e hāpai, ʻaʻohe pilikia olakino nui e hopohopo ai. Eia nō naʻe, ʻo ka poʻe me ka uterus bicornuate e piʻi aʻe ka pilikia o ka endometriosis a me ka hāʻule hou ʻana o ka hāpai keiki .

Inā hāpai ʻoe, ʻo nā pilikia nui e pili ana me ka uterus bicornuate:

• Nā hāʻule keiki.
• Ka hānau mua ʻana.
• Nā keiki me ke kaumaha hānau haʻahaʻa.
• Aia ke pēpē ma ke kūlana breech a transverse paha i loko o ka ʻōpū.

Āhea wau e ʻike ai i kaʻu kauka?

Inā he kahe koko ʻole kou ma ka ʻōpū, a inā paha e ʻeha ana kou ʻōpū ma lalo i ka wā o ka menstruation a i ʻole i ka wā o ka moekolohe, e ʻike koke i kāu kauka. He mau hōʻailona paha kēia o ka "Bicornuate Uterus".

Inā hāpai ʻoe a ua ʻike ʻia he uterus bicornuate, a loaʻa iā ʻoe kekahi mau hōʻailona o ka hana mua (e like me nā ʻaelike uterine a i ʻole ka haki ʻana o ka wai), e hoʻomaopopo koke i kāu kauka.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka e pili ana i ka Bicornuate Uterus?

Eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka e pili ana i kēia maʻi:

• Pono anei au e hana ʻoki kino e hoʻoponopono ai i kaʻu `(Bicornuate Uterus)`?
• He aha nā pilikia olakino e hiki ke kū mai ma muli o kahi `(Bicornuate Uterus)`?
• He aha nā pilikia o ka hāpai ʻana me kahi `(Bicornuate Uterus)`?
• Hiki iaʻu ke hāpai?
• Pehea e pili ai kēia i kaʻu lawe ʻana?
• E hānau maikaʻi ʻia anei kaʻu pēpē?

Hiki ke loaʻa nā māhoe me ka uterus bicornuate?

He mea kākaʻikahi loa kēia, akā ʻaʻole hiki ʻole. Pili nā hāpai māhoe a me ka ʻōpū bicornuate me kekahi mau pilikia, me ka hānau mua ʻana, ke kaumaha hānau haʻahaʻa, ka hāʻule ʻana o ka pēpē, a me ka hōʻike hewa ʻana. ʻO ka hōʻike hewa ʻana ke kū nei ke pēpē ma kahi kūlana ʻē aʻe ma mua o ke poʻo i lalo i loko o ka ʻōpū ma mua o ka hānau ʻana.

Inā ua ʻike ʻia ʻoe me ka uterus bicornuate, e kamaʻilio me kāu kauka e pili ana i nā pilikia olakino āu e makaʻala ai. E wehewehe ʻo ia i nā pilikia iā ʻoe ma muli o kou mōʻaukala olakino a me nā hōʻailona. ʻOiai ʻoi aku ka nui o ka pilikia o ka poʻe me ka uterus bicornuate i nā pilikia hāpai, hānau ka hapa nui o ka poʻe i nā pēpē olakino.

Leka Lawe-Home

ʻAe, i kēia manawa ua ʻoi aku kou maopopo i ka `(Bicornuate Uterus)` a i ʻole ka uterus puʻuwai a mākou i kamaʻilio ai. Eia kekahi mau mea nui e hoʻomanaʻo:

• He maʻi hānau ʻia kēia, ʻaʻole na ʻoe ka hewa.
• Hiki i nā poʻe he nui ke loaʻa i kēia maʻi me ka ʻole o nā hōʻailona .
• Hiki i kekahi poʻe ke loaʻa i nā hāʻule pinepine a me nā ʻeha o ka menstruation.
• ʻAʻole kēia he kūlana weliweli, akā pono ka mālama kūikawā a me ka nānā ʻana i ka wā hāpai.
• Hiki ke loaʻa kahi pēpē olakino me ka "Bicornuate Uterus".
• Inā he mau nīnau a kānalua paha kāu e pili ana i kēia, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio me kāu kauka wahine. E hāʻawi ʻo ia iā ʻoe i ka ʻōlelo aʻoaʻo kūpono.

Mai makaʻu, e makaʻala. ʻO ka nui o kou ʻike e pili ana i kou kino, ʻo ka nui o kou olakino!

`ʻUterus Bicornuate, ʻUterus ʻAno Puʻuwai, Nā ʻAno ʻē o ka ʻUterine, Hāʻule Ka Hānau, Hānau Mua, Ola Kino Wahine, Hāpai Keiki