ʻAʻole anei i hoʻokumu piha ʻia kou ʻōpū? E kamaʻilio kākou e pili ana i ka agenesis vaginal.

I kekahi manawa, loaʻa paha i kā mākou kaikamahine, a i ʻole ʻoe iho paha, kahi pilikia kahi ʻaʻole ia e hoʻomaka i kona wā mahina ma hope o ka hiki ʻana i ka wā ʻōpio. A i ʻole e loaʻa paha iā ia kekahi ʻano ʻeha ʻē aʻe o ka vaginal. ʻO kekahi kumu no kēia he ʻano i kapa ʻia ʻo 'vaginal atrophy'. He mea paʻakikī paha kēia, akā e kamaʻilio maʻalahi kākou e pili ana i ia mea, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha kēia mea i kapa ʻia ʻo ka agenesis vaginal?

I ka ʻōlelo maʻalahi, ʻo kēia no ka mea ʻaʻole i ulu pono ka ʻōpū o ka pēpē wahine i kona wā i loko o ka ʻōpū. Ma ke ʻano lapaʻau, he ʻano ʻē kēia i hānau ʻia . Hiki ke nalowale loa ka ʻōpū, a i ʻole he hapa wale nō paha i hana ʻia. E hoʻomanaʻo ʻoiai inā loaʻa kēia ʻano i ka wā hānau, ʻaʻole paha e ʻike ʻia a hiki i ka wā ʻōpiopio. ʻO kēia no ka mea i ka hapa nui o ka manawa, ʻike ʻia nā ʻāpana o waho he mea maʻamau.

ʻIke wale ka hapa nui o ka poʻe i kēia ke hiki lākou i ka wā ʻōpiopio, ʻo ia hoʻi, i ka wā ʻaʻole lākou i hoʻomaka i ko lākou wā mahina (ka mea a mākou e kapa nei he menstruation) ʻoiai ma hope o ko lākou mau makahiki he 15.

Me kēia kūlana i kapa ʻia ʻo anovulation, hiki i kekahi manawa ke loaʻa nā pilikia me nā ʻāpana ʻē aʻe o ka ʻōnaehana hānau. No ka laʻana, ʻo ka uterus, kahi e ulu ai ke pēpē, a i ʻole nā ​​​​tubes fallopian, e lawe ana i nā hua mai nā ovaries i ka uterus, ʻaʻole paha i ulu pono. Eia kekahi, aia paha nā pilikia me nā puʻupaʻa a i ʻole ka iwi kuamoʻo.

Akā, ʻaʻohe mea e hopohopo ai. Aia nā lāʻau lapaʻau no kēia ʻano. Hiki ke hoʻonui mālie ʻia ka ʻōpū me ka hoʻohana ʻana i nā mea lapaʻau. I kekahi manawa, hiki ke hana ʻia kahi hana liʻiliʻi (`(ʻoki kino)`) e hana i kahi ʻōpū. ʻOiaʻiʻo, hiki i kēia ʻano ke paʻakikī i ka loaʻa ʻana o nā keiki, ma muli o nā ʻōpū hānau i hoʻopilikia ʻia. Eia naʻe, me ka lāʻau lapaʻau, hiki i nā wahine he nui ke ola olakino a loaʻa kahi ola moekolohe maʻamau.

Pehea ka maʻamau o kēia ʻano?

He mea kākaʻikahi loa kēia ʻano. Wahi a nā helu helu, hoʻopilikia ia i hoʻokahi o 5,000 mau wahine. Ua ʻike ʻia he hapakolu o nā wahine me kēia ʻano prolapse vaginal he mau pilikia puʻupaʻa nō hoʻi. Eia kekahi, ma kahi o 12% hiki ke ʻike i nā pilikia me nā iwi o ka iwi kuamoʻo, nā iwi ʻaoʻao, a i ʻole nā ​​​​lālā.

No ke aha lā kēia e hana nei? He aha ke kumu?

ʻAʻole ʻike nā kauka i ke kumu kikoʻī . Hana ʻia ia i ka wā e ulu ai kahi fetus i loko o ka ʻōpū. Hana pinepine ia i ka wā ʻaʻole ulu pono ka ʻōnaehana hānau o ka wahine i nā pule 20 mua o ka hāpai ʻana. Hiki iā ia ke hana i nā ʻano ʻē i ka ulu ʻana o ka vagina, uterus, fallopian tubes, a i ʻole cervix.

Ua manaʻo ʻia he kuleana ko nā kumu o ke kaiapuni, e like me ka ʻike ʻia ʻana o nā kemika ʻawahia i ka wā hāpai . A i ʻole,Aia paha he mau kumu hoʻoilina. Hiki ke hoʻoilina ʻia kekahi mau kūlana e pili ana i ka prolapse vaginal.

ʻO ka hemahema o ka vaginal he hōʻailona ia o, a i ʻole hiki ke hana me, kekahi mau kūlana ʻē aʻe. Ua kapa ʻia kēia mau mea he mau maʻi o ka hoʻokaʻawale ʻana o ke kāne (DSD). ʻElua o nā kūlana nui:

• ʻO ka maʻi Mayer-Rokitansky-Küster-Hauser (MRKH): He ʻano laha ʻole kēia. Hoʻoulu ia i nā ʻano ʻē i loko o nā kino hānau. ʻO ka maʻi MRKH ka maʻi maʻamau e pili ana me ka agenesis vaginal. I kēia ʻano, ʻaʻole ulu pono ka vagina a me ka uterus, a ʻaʻole paha e ulu iki. Ma muli o ke ʻano a me ke koʻikoʻi o kēia syndrome, hiki ke loaʻa nā ʻano ʻē aʻe i loko o ka cervix, ka iwi kuamoʻo, a me nā lālā. Hiki i kekahi poʻe ke loaʻa i ka nalowale o ka lohe, ka maʻi puʻuwai, a me nā pilikia puʻupaʻa.
• ʻO ka maʻi insensitivity Androgen (AIS): He kūlana hoʻoilina kēia. Ma kēia kūlana, ʻaʻole e ulu ka ʻōpū o ke keiki, ka cervix, nā fallopian tubes, a me kahi ʻāpana o ka vagina. I kekahi mau hihia, ʻaʻole paha e ulu iki ka vagina.

He aha nā hōʻailona o kēia maʻi?

Aia kekahi mau ʻano koʻikoʻi o kēia maʻi e pono ʻoe e makaʻala:

• ʻAmenorrhea : ʻO ke ʻano kēia, ʻaʻole i hoʻomaka ka menstruation i ka piha ʻana o 15 mau makahiki. ʻO kēia ka hōʻailona mua. Inā pili kēia i kāu kaikamahine, e ʻike i ke kauka.
• Cryptomenorrhea : ʻO kēia ka manawa e hōʻiliʻili ai ke koko menstrual, ka mea i manaʻo ʻia e hoʻokuʻu ʻia i kēlā me kēia mahina, i loko o ke kino me ka ʻole o kahi ala e puka ai. E noʻonoʻo, hana ʻia ke koko menstrual i kēlā me kēia mahina, akā ʻaʻohe ala e puka ai i waho. A laila hōʻiliʻili ia i loko a hiki ke hana i nā mea e like me ka ʻeha o ka ʻōpū a me ke kua. Hiki ke ʻeha loa kēia.
• He lua liʻiliʻi paha ka puka o ka vagina a ʻaʻohe puka iki paha.
• ʻEha i ka wā moe. Hiki ke hana kēia inā pōkole loa ka ʻōpū.

Pehea ʻoe e ʻike ai i kēia? He aha nā hoʻokolohua e hana ʻia?

I kekahi manawa, ʻike nā kauka i kēia maʻi i ka wā kamaliʻi a i ʻole ka wā kamaliʻi. Eia naʻe, ʻike pinepine ʻia i kou wā ʻōpio. ʻIke ka poʻe he nui i loaʻa iā lākou kēia maʻi ke hele lākou e ʻike i ke kauka no ka mea ʻaʻole lākou i hoʻomaka i ko lākou wā mahina i ka piha ʻana o 15 mau makahiki.

No ka hoʻomaopopo ʻana i kahi maʻi i kapa ʻia ʻo ka prolapse vaginal, e hana kāu kauka (a i ʻole ke kauka o kāu keiki) i nā hoʻokolohua e like me kēia:

• ʻO ka mea mua, hana ʻia kahi hoʻokolokolo kino . ʻO ke ʻano kēia o ka nānā ʻana i ka ʻāpana vaginal a me ka ʻāpana a puni ka anus.
• Hana ʻia kahi scan ultrasound (`(Ultrasound)`) . ʻAe kēia i ka vagina e ʻoi aku ka nuiHiki ke ʻike ʻia nā kiʻi o nā ʻōpū i loko o ka lua pelvic (e like me ka uterus a me nā ovaries).
• Hiki ke hana ʻia kahi MRI scan (MRI) . Hiki i kēia ke hana i nā kiʻi maopopo loa a kikoʻī o ka vagina a me nā ʻōpū hānau ʻē aʻe .
• Eia kekahi, hiki i kāu kauka ke ʻōlelo aku i kahi hoʻāʻo koko e nānā i nā ʻano chromosomal. Hiki i kahi hoʻāʻo koko DNA ke hōʻoia inā he maʻi genetic kou, e like me ka maʻi MRKH, no ka mea, i kekahi manawa hiki ke pili ka vaginal prolapse me kēia mau maʻi genetic.

Hiki ke mālama ʻia kēia maʻi?

ʻAe, aia nā lāʻau lapaʻau no kēia. Hiki iā ʻoe ke kamaʻilio me kāu kauka a i ʻole ke kauka pediatric o kāu keiki e hoʻoholo i ka manawa kūpono loa e hoʻomaka ai i ka lāʻau lapaʻau. Hoʻomaka kekahi poʻe i ka lāʻau lapaʻau i ka wā ʻōpiopio. Hoʻomaka kekahi i ka lāʻau lapaʻau ma hope o ko lākou hiki ʻana i ka wā ʻōpio a i ʻole ka moekolohe. He hoʻoholo pilikino loa kēia.

ʻO nā lāʻau lapaʻau nui ʻelua no ka maloʻo o ka vaginal:

1. Hoʻonui ponoʻī ʻana o ka vagina

Inā he puka kou ma ka ʻōpū a i ʻole he lua liʻiliʻi kahi e pono ai ka puka, e haʻi aku kāu kauka iā ʻoe e hoʻohana i kahi dilator e hoʻonui i kou ʻōpū. Pili kēia i ka hoʻohana ʻana i kahi ʻōmole liʻiliʻi a lahilahi e hoʻonui mālie i ka puka. E hana mālie ʻia kēia i loko o kekahi mau lā. ʻO ka maʻamau, he 20 mau minuke kēia i ka lā. Hiki paha iā ʻoe ke manaʻo i kahi ʻoluʻolu ʻole i ka wā o ka hoʻonui ʻana, akā ʻaʻole pono e ʻeha. ʻOi aku ka maikaʻi o ka hoʻohana ʻana i ka dilator i ka wā palupalu a palupalu kou ʻili, e like me ma hope o ka ʻauʻau ʻana.

2. ʻOki kino (`(ʻOki kino)`)

I kekahi manawa, e ʻōlelo paha kāu kauka i kahi kaʻina hana i kapa ʻia ʻo vaginoplasty e hana i kahi vagina. Na ke kauka e hoʻoholo i ke ʻano e hoʻohana ai ma muli o ke kūlana o kou kino a me nā kumu ʻē aʻe . Hiki i nā kauka ke hoʻohana i kahi mea huki e hana i kahi vagina kahi ʻaʻohe vagina, a i ʻole e hoʻohana paha lākou i kahi graft ʻili (mai kou papālina ponoʻī a i ʻole kahi ʻāpana o ka ʻōpū). Ma hope o ke ʻoki ʻana, e hoʻokomo kāu kauka i kahi mea hoʻokomo e kōkua i ka mālama ʻana i ke ʻano o ka vagina. E kamaʻilio me kāu kauka e pili ana i ka wā e hiki ai iā ʻoe ke wehe i kēia mea hoʻokomo.

Pehea ka lōʻihi e hoʻōla ai ma hope o kēia mau lāʻau lapaʻau?

Inā ua hana ʻia ʻoe i ke ʻoki kino, e nīnau i kāu kauka i ka mea e manaʻo ai i kou wā e hoʻōla ai. ʻO ka maʻamau, e hoʻopaʻa ʻia ʻoe i ka moe no hoʻokahi pule. Hiki i kāu kauka ke haʻi aku iā ʻoe e mālama i kahi dilator (kahi mea hiki ke hoʻokomo ʻia i loko o kou vagina) no kekahi mau mahina. Hiki iā ʻoe ke wehe i ka dilator i ka wā moe, i kou hele ʻana i ka lua, a i ʻole i kou ʻauʻau ʻana.

Hiki i kekahi me ka lawa ʻole o ka vagina ke moe?

He pilikia maʻamau kēia no nā poʻe he nui. E nīnau i kāu kauka i ka wā palekana e moe ai ma hope o ka mālama ʻana no ka prolapse vaginal. ʻO ka maʻamau, hiki iā ʻoe ke hoʻomaka e moe ma kahi o hoʻokahi mahina ma hope o ke ʻoki ʻana. Eia nō naʻe, ʻokoʻa ka manawa hoʻōla mai kēlā kanaka a kēia kanaka. Pono paha ʻoe e hoʻohana i ka lubrication artificial e maʻalahi ai ka moe i nā pae mua.

Ma hope o ka lāʻau lapaʻau, nui ka poʻe e loaʻa i kahi ola moekolohe maikaʻi. ʻAʻole paha e ʻike kāu hoa he erectile dysfunction kou a i ʻole ua mālama ʻia ʻoe no ia mea.

Hiki iaʻu ke hānau keiki ma hope o ka mālama ʻana?

He nīnau koʻikoʻi nō hoʻi kēia. E nīnau i kāu kauka inā hiki iā ʻoe ke loaʻa nā keiki ma hope o ka mālama ʻana. Inā ua ulu maʻamau kou ʻōpū, nā ʻōpū fallopian, a me ka cervix, hiki nō paha iā ʻoe ke loaʻa nā keiki.

Eia nō naʻe, inā ʻaʻohe ou ʻōpū (a inā he liʻiliʻi loa ia), ʻo ia hoʻi he infertility factor kou, ʻaʻole paha ʻoe e hiki ke hāpai i kahi pēpē a hiki i ka manawa. Akā, mai hoʻokuʻu i ka manaʻolana. Hiki paha iā ʻoe ke loaʻa kahi pēpē ma o ka surrogate motherhood me ka hoʻohana ʻana i kāu mau hua ponoʻī. E kuhikuhi aku kāu kauka iā ʻoe i kahi loea hānau e kūkākūkā hou aku i kēia.

Hiki ke pale ʻia ka maloʻo o ka ʻōpū?

He ʻano ʻē ka vaginal prolapse / kīnā hānau . ʻO ia hoʻi, he mea ia e kū nei i ka wā hānau, kahi mea e hana ʻia ana i ka wā e ulu ana kahi pēpē i loko o ka ʻōpū. No laila, ʻaʻohe ala e pale aku ai. ʻAʻole ia he mea e hana ʻia ma muli o ka hewa o kekahi.

Pehea e ʻike ai inā pilikia kaʻu keiki i ka loaʻa ʻana o kēia maʻi?

Inā loaʻa i kekahi o kou ʻohana kahi moʻolelo o nā maʻi o ka hoʻokaʻawale ʻana o ke kāne a me ka wahine (DSD), he manaʻo maikaʻi e kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i kahi ʻohana. Hiki iā ʻoe ke hālāwai me kahi kākāʻōlelo genetic ma mua o kou hāpai ʻana e loiloi i kou pilikia o ka hoʻoili ʻana i kahi maʻi genetic i kāu keiki.

Inā loaʻa iaʻu ka prolapse vaginal, he aha kaʻu e manaʻo ai?

Aia kou manaʻo i nā kumu he nui. He mea nui ka lāʻau lapaʻau āu i loaʻa ai a me nā ʻāpana o kāu ʻōnaehana hānau. Eia nō naʻe, me ka lāʻau lapaʻau, loaʻa i ka hapa nui o ka poʻe kahi ola moekolohe maikaʻi. Hiki i kekahi poʻe ke loaʻa ka stenosis vaginal (ka ʻūlū ʻana o ka vagina) ma hope o ka vaginoplasty. Inā hana kēia, pono paha ʻoe e hoʻomau i ka hoʻohana ʻana i kahi dilator a i ʻole e hana i kahi ʻoki ʻē aʻe.

Āhea wau e ʻike ai i ke kauka?

E makaʻala i kēia mau mea:

• Inā ʻaʻole ʻoe a i ʻole kāu keiki i hoʻomaka i ka menstruation i ka piha ʻana o 15 mau makahiki, e ʻike koke i ke kauka. He mea nui e loaʻa kahi loiloi piha a me ka hoʻokolokolo kino.
• Eia kekahi, inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū a i ʻole ke kua me ka ʻole o kou wā, e ʻike koke i ke kauka.
• Inā ʻike ʻoe i kekahi mea ʻē aʻe ma ka ʻāpana vaginal, e ʻike i ke kauka no ka hoʻokolokolo ʻana.

He aha hou aʻe kaʻu e nīnau aku ai i kaʻu kauka e pili ana i ka maloʻo o ka ʻōpū?

I mea e maopopo ai i kēia kūlana, hiki iā ʻoe ke nīnau i kāu kauka i nā nīnau e like me kēia:

• He aha ke ʻano lapaʻau kūpono loa iaʻu?
• Hiki iā ʻoe ke hoʻohui iaʻu i kahi hui kākoʻo e kōkua ana i nā poʻe me kēia maʻi?
• Āhea e hiki ai iaʻu ke hoʻi i kaʻu mau hana maʻamau ma hope o ka mālama ʻana?
• Āhea e hiki ai iaʻu ke moe ma hope o ka mālama ʻana?
• Inā he poʻe o koʻu ʻohana i loaʻa i ka vaginal prolapse, he aha ka pilikia e loaʻa pū ai i kaʻu keiki kēia maʻi?

Inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi o kēia mau hōʻailona, ​​e kamaʻilio me kāu kauka me ka wehe a me ka ʻoiaʻiʻo. Hiki i ka lawa ʻole o ka vaginal ke hoʻopilikia i ka menstruation, ke olakino hānau hou , a me ka hana moekolohe. Eia nō naʻe, hiki i ka lāʻau lapaʻau ke kōkua. Inā makemake ʻoe e loaʻa nā keiki ma hope o ka lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana i kāu mau koho. He nui ka poʻe e hauʻoli i ka moekolohe ma hope o ka lāʻau lapaʻau.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻOiai he maʻi hānau ʻia ka vaginal agenesis, e hoʻomanaʻo mua ʻaʻole ʻoe hoʻokahi i ke alo ʻana iā ia. ʻAʻole ia he hewa o kekahi.

• He mea nui loa ka loaʻa ʻana o kahi hōʻailona kūpono . Inā ʻaʻole ʻoe i hoʻomaka i ka menstruation i ka piha ʻana o kou mau makahiki he 15, a inā he mau pilikia menstruation kou e hele pū ana me ka ʻeha o ka ʻōpū, e ʻimi koke i ke kōkua lapaʻau.
• Aia nā lāʻau lapaʻau. Hiki ke holomua ka hoʻonui ponoʻī ʻana a i ʻole ke ʻoki ʻana.
• Hiki i nā poʻe he nui ke loaʻa kahi ola moekolohe maikaʻi ma hope o ka mālama ʻana.
• E kamaʻilio me kāu kauka e pili ana i kou momona a aʻo e pili ana i kāu mau koho.
• He mea nui loa ke kākoʻo noʻonoʻo i kēia huakaʻi. Inā pono, e ʻimi i ke aʻo ʻana a hoʻopili me nā hui kākoʻo.

"Mai makaʻu, aia nā kauka a me nā poʻe aloha e kōkua iā ʻoe. Me ka ʻike kūpono a me ke kākoʻo, hiki iā ʻoe ke hoʻoponopono i kēia kūlana me ka holomua."

ʻO ka Agenesis Vaginal, MRKH Syndrome, AIS, Nā kīnā hānau, Amenorrhea, Ola hānau, Gynecology