ʻElua ʻōpū? E kamaʻilio kākou e pili ana iā (Uterus Didelphys)!

I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi olakino kakaʻikahi akā maʻamau loa e hiki ke hoʻopilikia i kekahi mau wahine. Ua lohe anei ʻoe e hiki i ka wahine ke loaʻa ʻelua mau ʻōpū? ʻAʻole anei he mea kupaianaha? ʻO kēia ka mea a mākou e kapa nei i ka lāʻau lapaʻau (Uterus Didelphys) . E noʻonoʻo e pili ana i ia mea, hoʻokahi wale nō ʻōpū o mākou. No laila, i kēia lā e kamaʻilio mākou ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo i ke ʻano o ka loaʻa ʻana o ʻelua mau ʻōpū, nā mea hiki ke hana iā ia, a inā he mea ia e makaʻu ai.

He aha ka Uterus Didelphys?

I ka ʻōlelo maʻalahi, (Uterus Didelphys) he maʻi kakaikahi kahi i loaʻa ai i ka wahine ʻelua mau ʻōpū. He ʻano hānau ʻole kēia, ʻo ia hoʻi, aia ia i ka wā hānau. I kēia manawa, e nānā, ma ke ʻano maʻamau, i kou wā i loko o ka ʻōpū o kou makuahine ma ke ʻano he fetus, hoʻomaka ka ʻōpū ma ke ʻano he ʻelua mau paipu. I ka hala ʻana o ka manawa, hui pū kēia mau paipu ʻelua e hana i hoʻokahi ʻōpū. ʻO ke ʻano o ka ʻōpū maʻamau e like me ka pea i hoʻohuli ʻia i lalo, ākea ma luna a haiki ma lalo.

Eia nō naʻe, i ke ʻano o (Uterus Didelphys), ʻaʻole hui pono nā ʻōmole ʻelua i ʻōlelo ʻia ma mua. Akā, ʻelua mau ʻōpū kaʻawale e hana ʻia mai kēlā mau ʻōmole ʻelua. A laila loaʻa iā ʻoe ʻelua mau ʻōpū. ʻOi aku ka liʻiliʻi a me ka haiki o kēia mau ʻōpū ʻelua ma mua o ka ʻōpū maʻamau. Ua like ko lākou ʻano me ʻelua maiʻa. I kekahi manawa, hiki i ka poʻe me ʻelua mau ʻōpū ke loaʻa i ʻelua mau cervix a me ʻelua mau kahawai vaginal. Loaʻa i kēlā me kēia ʻōpū kahi ʻōmole fallopian a me ka ovary kaʻawale.

Pehea ka maʻamau o kēia ʻano?

He maʻi laha ʻole ka Uterus Didelphys. Hoʻopilikia wale ia i ka 0.3% o ka heluna kanaka. ʻO ke ʻano kēia, ʻaʻole i loaʻa i ka hapa nui o ka poʻe kēia maʻi. ʻO ia kekahi o nā ʻano ʻē ʻole o ka uterus i maʻamau ʻole ʻia.

He aha ka ʻokoʻa ma waena o ka uterus bicornuate a me ka uterus me ʻelua mau uterus (uterus didelphys)?

He mau ʻano ʻē kēia ʻelua i loaʻa i ka wā hānau i loko o ka ʻōpū, akā he ʻokoʻa iki nō.

ʻO ka ʻōpū bicornuate he ʻōpū i like ke ʻano me ka puʻuwai. Hoʻokahi nō hoʻi kona ʻōpū, akā ua piholo ka ʻaoʻao o luna i loko i waenakonu, e hana ana i ke ʻano puʻuwai.

Eia nō naʻe, ma Uterus Didelphys , ʻaʻole kēia ka hihia; aia ʻelua mau uterus kaʻawale loa .

ʻOi aku ka maʻamau o ka uterus bicornuate ma mua o ka uterus me ʻelua mau uterus (uterus didelphys). Hiki i nā kūlana ʻelua ke hoʻoulu i nā pilikia i ka wā hāpai.

Ke hoʻopilikia nei kēia i ka hāpai ʻana?

ʻAe, hiki i ka Uterus Didelphys ke hoʻopilikia i ka hāpai ʻana. ʻOi aku ka nui o ka pilikia o ka hāʻule ʻana o ka hāpai keiki a me ka hānau mua ʻana i nā wāhine me ʻelua mau ʻōpū.ʻOi aku ka kiʻekiʻe o ka pilikia ma mua o nā mea ʻē aʻe. ʻO ke kumu o kēia, ʻoi aku ka liʻiliʻi o ka ʻōpū, ʻo ia hoʻi, ʻaʻohe wahi no ka pēpē e ulu ai.

Akā, ʻaʻole kēia manaʻo ʻaʻole ʻoe e loaʻa i kahi pēpē olakino. Ua hānau maikaʻi nā wāhine he nui me Uterus Didelphys i nā pēpē olakino. ʻO ka mea nui loa, ʻo ke kamaʻilio ʻana me kāu kauka a noho kiaʻi pono ʻia i kou wā hāpai.

He aha nā hōʻailona o kēia?

ʻO ka mea kupanaha, ʻaʻole ʻike ka nui o nā wahine he Uterus Didelphys ko lākou. ʻO kēia no ka mea ʻaʻole ia e hōʻike pinepine i nā hōʻailona . ʻIke pinepine ʻia ia i ka wā o ka hoʻokolokolo pelvic no kekahi kumu ʻē aʻe, a i ʻole ke hana ʻia nā hoʻokolohua e ʻike ai i ke kumu o nā hāʻule hou ʻana a i ʻole ka ʻeha o ka menstrual hiki ʻole ke hoʻomanawanui.

Eia nō naʻe, hiki i kekahi poʻe ke loaʻa nā hōʻailona. Inā pēlā, hiki iā lākou ke ʻike:

• Ke ʻeha nui nei i ka wā e moe ai me kāu kāne a hoa paha.
• ʻO nā ʻeha nui a me ka ʻeha ma mua a i ka wā o ka menstruation.
• Ka nui o ke kahe koko i ka wā o ka menstruation.
• Ke kahe ʻana o ke koko i ka wā e hoʻohana ai i ka tampon (hiki ke hana ʻia kēia ma muli o ka hoʻokomo ʻia ʻana o ka tampon i loko o hoʻokahi vagina a me ke kahe ʻana o ke koko mai kekahi, inā he ʻelua ou vagina).
• Nā hāʻule pinepine ʻana .
• Ka hānau mua ʻana .

He aha ke kumu o kēia?

ʻO ke kumu nui o Uterus Didelphys, ʻo ia ka hui pono ʻole ʻana o nā ducts Mullerian ʻelua e hana ana i ka uterus i ka wā embryonic. ʻO ka maʻamau, hui pū kēia mau ducts ʻelua e hana i hoʻokahi uterus. Eia nō naʻe, i loko o ke kanaka me Uterus Didelphys, ʻaʻole hui pū kēia mau ducts ʻelua, a hana kēlā me kēia duct i kahi uterus kaʻawale. E like me ka mea i ʻōlelo ʻia ma mua, hiki i kekahi poʻe ke loaʻa i ʻelua mau vaginas a me ʻelua cervixes.

ʻAʻole hiki i nā kauka ke loaʻa kahi kumu kūpono no ke kumu e hui pono ʻole ai nā ala Mullerian o kekahi poʻe.

Pehea ka hopena o kēia i ka menstruation?

Hiki i kekahi kanaka me Uterus Didelphys ke ʻike i kekahi mau loli i ko lākou pōʻaiapuni menstrual mahina. Hiki iā lākou ke ʻike i nā mea e like me:

• Ke kahe koko nui a ʻano ʻē paha i ka wā o ka menstruation.
• ʻEha loa ka menstruation .
• Ke ʻano o ka ʻūmiʻi a me ke kaomi ma ka ʻōpū lalo.
• Ka paʻakikī i ka hoʻohana ʻana i nā tampons (ʻoiai inā he ʻelua ou vaginas).

Pehea ʻoe e ʻike ai i kēia?

I ka manawa pinepine, kānalua paha kāu kauka i kēia inā ʻike ʻo ia i ʻelua cervixes a i ʻole ʻelua vaginas i ka wā o ka hoʻokolokolo pelvic maʻamau. A laila wale nō e ʻōlelo ʻo ia i nā hoʻokolohua kiʻi kūikawā hou aʻe e hōʻoia i ke kūlana (Uterus Didelphys).

He aha ke ʻano o nā hoʻokolohua e hana ʻia?

No ka hōʻoia ʻana i ke kūlana o Uterus Didelphys a no ka ʻike ʻana i ka nui a me ke ʻano kikoʻī o ka uterus, hiki ke hana ʻia kekahi mau hoʻokolohua:

• Ultrasound: Hiki ke hana ʻia kēia ma o ka ʻōpū (ultrasound ʻōpū) a i ʻole ma o ka vagina (ultrasound transvaginal). Lawe kēia i nā kiʻi maopopo o kou uterus.
• ʻO ke kiʻi MRI (Magnetic Resonance Imaging): Hoʻohana kēia i kahi kahua magnetic a me nā nalu lekiō e hana i nā kiʻi maopopo loa o ka ʻōpū.
• Sonohysterogram: Ma kēia hoʻokolohua, hoʻokomo kāu kauka i kahi ʻōmole lahilahi (catheter) i loko o kēlā me kēia o kou mau ʻōpū a hoʻokomo i kahi liʻiliʻi o ka wai saline i loko. A laila, hana ʻia kahi ultrasound transvaginal e ʻike pehea e neʻe ai ka wai ma o ka cervix a i loko o ka ʻōpū.
• Hysterosalpingography (HSG): Ma kēia hoʻāʻo, hoʻokomo ʻia kahi waihoʻoluʻu kūikawā i loko o ka ʻōpū a lawe ʻia nā kiʻi X-ray. ʻAe kēia i kahi ʻike maopopo o ka waihoʻoluʻu e neʻe ana ma o ka cervix, ka ʻōpū, a me nā ʻōpū fallopian.

Hiki ke ho'ōla ʻia kēia maʻi?

ʻAʻole pinepine nā kauka e ʻōlelo i ka mālama ʻana no ka Uterus Didelphys, ʻoiai inā ʻaʻohe ou hōʻailona . Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi, e like me ka nalowale pinepine ʻana o ka hāpai ʻana ma hope o ka hāpai ʻana, hiki ke noʻonoʻo ʻia ke ʻoki ʻana. Eia nō naʻe, hiki i ke ʻoki ʻana e hoʻohui i nā ʻōpū ʻelua ke hoʻonāwaliwali i ke koena o ka ʻōpū.

Inā ʻeha ʻoe i ka wā o ka moekolohe no ka mea he ʻelua ou vaginas, hiki iā ʻoe ke hoʻomaha ma ka wehe ʻana i ka paia ma waena o nā vaginas ʻelua (longitudinal vaginal septum).

Hiki ke pale ʻia kēia?

ʻAʻole, ʻaʻohe ala e pale aku ai i kahi maʻi i kapa ʻia ʻo (Uterus Didelphys). No ka mea, he mea hānau kēia. ʻO ia hoʻi, he maʻi e kū mai ana i kou wā e ulu ana ma ke ʻano he fetus i loko o ka ʻōpū o kou makuahine. ʻAʻole hiki i nā kauka ke hoʻomaopopo pono i ke kumu e kū mai ai kēlā mau ʻano ʻē o ka ʻōpū i kekahi poʻe wale nō, a inā paha he hoʻoilina.

Hiki i kēia ke kumu i ka hānau ʻole ʻana?

Hiki i kekahi mau wahine ke pilikia i ka hāpai ʻana, a i ʻole ka hānau ʻole ʻana , ma muli o kahi kūlana i kapa ʻia ʻo Uterus Didelphys. Eia nō naʻe, i ka hapanui o nā hihia, ʻaʻole pale loa ke ʻano o ka ʻōpū iā ʻoe mai ka hāpai ʻana. Eia naʻe, e like me ka mea i ʻōlelo ʻia ma mua,ʻOi aku ka nui o ka pilikia o ka hāʻule ʻana ma mua o ka maʻamau.

E hāʻule anei kaʻu keiki?

ʻAʻole maopopo e hāʻule ana kāu keiki ma muli wale nō o kou Uterus Didelphys. Eia nō naʻe, ʻoi aku ka kiʻekiʻe o ka pilikia o ka hāʻule ʻana i ka keiki ma mua o nā keiki ʻē aʻe. Aia kekahi mau kumu nui no kēia:

• Ma muli o ka liʻiliʻi o kou mau ʻōpū ʻelua ma mua o ka ʻōpū maʻamau, ua kaupalena ʻia ka hakahaka e pono ai no ka pēpē e ulu ana.
• Hiki i ke ʻano ʻē o ka ʻōpū ke pale i ka placenta mai ke hoʻokomo pono ʻana a keakea i ka lako koko i ka ʻōpū.

Inā loaʻa mau iā ʻoe nā hāʻule ʻana o ka hāpai ʻana i ka hopena o ka trimester ʻelua, hiki i kāu kauka ke ʻōlelo i ke ʻoki kino e hoʻoponopono i nā ʻōpū ʻelua. Hiki i kēia lāʻau ke hoʻonui i kou manawa e hāpai ai i kāu hāpai ʻana.

Hiki i kekahi kanaka me nā ʻōpū ʻelua ke hānau keiki?

ʻAe, hiki nō! ʻO ka hapa nui o nā wāhine me Uterus Didelphys e hānau i nā pēpē olakino. Eia nō naʻe, i kou hāpai ʻana, e nānā pono kāu kauka iā ʻoe a me kāu pēpē e hōʻoia i ke olakino ʻolua. ʻO kēia no ka mea, ʻoi aku kou pilikia o ka loaʻa ʻana o kekahi mau pilikia i ka wā hāpai ma mua o nā mea ʻē aʻe.

He aha nā pilikia e hiki ke loaʻa i ka wā hāpai?

ʻO ka loaʻa ʻana o ʻelua mau uterus e hoʻonui i ka pilikia o nā pilikia i ka wā hāpai, e like me:

• Ka hāʻule ʻana o ka hāpai keiki.
• Ka hānau mua ʻana / Ka hānau mua ʻana.
• ʻO nā pēpē breech , ʻo ia hoʻi, ke huli nei ke poʻo i luna.
• Hoʻonui ʻia ka manawa kūpono o ka hānau ʻana o ke keiki ma o ka ʻoki cesarean .
• Kaumaha hānau haʻahaʻa.
• Ka palena o ka ulu ʻana o ka pēpē.
• I ka wā hānau maʻamau, inā he ʻelua mau vagina, e haehae paha ka septum vaginal.

Akā, mai hopohopo ke lohe ʻoe i kēia mau mea. Ua hānau nā makuahine he nui me kēia maʻi i nā pēpē olakino me ka ʻole o nā pilikia. ʻO ka mea nui loa, ʻo ia ke kamaʻilio ākea me kāu kauka e pili ana i nā hopohopo a i ʻole nā ​​makaʻu āu e loaʻa ai. Ma kēlā ala, hiki iā ʻoe ke maopopo e loaʻa iā ʻoe ke kākoʻo a me ka mālama āu e pono ai.

Aia kekahi mau pilikia olakino ʻē aʻe?

ʻO ka hapa nui o nā wāhine me Uterus Didelphys e ola olakino a maʻamau. He mea kākaʻikahi nā pilikia olakino nui. Eia nō naʻe, he mea maikaʻi ke makaʻala i kekahi o nā pilikia, e like me:

• E like me ka mea i kūkākūkā ʻia ma mua, nā pilikia i ka wā hāpai (e like me ka hāʻule ʻana, ka hānau mua ʻana).
• Hoʻonui ʻia ka pilikia o ka hana ʻoki cesarean ma muli o ke kūlana o ka pēpē (ʻaʻole i kūpono ke kūlana no ka hānau ʻana).
• Ka nui o ke kahe koko i ka wā o ka menstruation o kēlā me kēia mahina.
• I kekahi manawa, aia paha kahi puʻupaʻa ma kahi kūpono ʻole, a i ʻole ua nalowale paha kekahi puʻupaʻa (ʻike pinepine ʻia kēia i ka wā o kahi scan i hana ʻia no kekahi kumu ʻē aʻe).

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Inā haʻi aku ke kauka iā ʻoe he Uterus Didelphys kou, e nīnau iā lākou i nā mea āpau āu e noʻonoʻo nei. Eia kekahi laʻana, hiki iā ʻoe ke nīnau i nā nīnau e like me:

• "No ke aha lā i loaʻa ai iaʻu kēia mau ʻōpū ʻelua?"
• "He aha ke ʻano o ka lāʻau lapaʻau āu e ʻōlelo mai nei noʻu?"
• "Hiki iaʻu ke hāpai olakino?"
• "He aha kaʻu e hana ai e hoʻonui i koʻu manawa kūpono no ka hāpai ʻana?"
• "He mea maikaʻi anei ke hana ʻoki kino no kēia ma mua o koʻu hāpai ʻana?"
• "Aia kekahi mau pilikia olakino ʻē aʻe e pono iaʻu e ʻike?"

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻAʻole kēia maʻi i kapa ʻia ʻo (Uterus Didelphys) i hana ʻia e kekahi hewa o ʻoe a i ʻole kekahi mea āu i hana ai. He maʻi hānau ia e kū mai ana ma mua o kou hānau ʻana, i ka wā o ka fetal . Inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai, e kamaʻilio me kāu kauka e pili ana i kou kūlana a loaʻa i nā ʻōlelo aʻoaʻo a me ke alakaʻi e pono ai no ka hāpai palekana. Hiki i kāu kauka ke kuhikuhi i kekahi mau koho lapaʻau e pili ana i kou kūlana.

ʻO ka mea nui e hoʻomanaʻo ai, ʻo ka hapa nui o nā wāhine me kēia maʻi e loaʻa iā lākou nā hāpai keiki olakino a kūleʻa. No laila, mai makaʻu, e noho ikaika!

---

ʻElua ʻōpū, Uterus Didelphys, ʻōpū pālua, Hāpai keiki, Hāʻule keiki, ʻEha o ka maʻi ʻōpū, Ola kino o nā wāhine