Yu vagina nɔ fulɔp fɔm? Lɛ wi tɔk bɔt vagina agenesis.

Sɔntɛnde, wi gyal pikin, ɔ sɔntɛm yusɛf, kin gɛt prɔblɛm usay i nɔ kin bigin fɔ gɛt mɔnt ivin afta i dɔn rich di tɛm we i fɔ bɔn. Ɔ i kin gɛt ɔda prɔblɛm dɛn we kin mek i nɔ fil fayn na in vagina. wan rizin fכ dis kin bi wan kכndyushכn we dεn kכl ‘vaginal atrophy’. Dis kin tan lɛk se i kɔmplikt smɔl, bɔt lɛ wi tɔk bɔt am simpul wan, di we we yu go ɔndastand.

wetin na dis we dεn kכl vagina agenesis?

Fɔ tɔk am simpul wan, dis na bikɔs uman pikin in vagina nɔ de divɛlɔp fayn we i de na di bɛlɛ. We wi de tɔk bɔt mɛrɛsin, dis na tin we pɔsin kin bɔn wit . di vagina kin nכ de kכmplit, כ na wan pat pan am nכmכ kin fכm. Yu fɔ mɛmba se ilɛksɛf dis sik de we dɛn bɔn am, dɛn nɔ go no am te i yɔŋ. dis na biכs bכku tεm di εksternal jεnitalia dεm de sho nכmal.

Bɔku pipul dɛn kin jɔs no bɔt dis we dɛn rich yɔŋ ej, dat na we dɛn nɔ bigin fɔ gɛt mɔnt (we wi kin kɔl bak mɔnt) ivin afta dɛn dɔn ol lɛk 15 ia so.

Along wit dis kכndyushכn we dεn kכl anovuleshכn, sכmtεm prכblεm kin de wit כda pat dεm na di rεprכdaktiv sistεm. fכ egzampl, di uterus, usay di pikin de gro, כ di fallopian tubes, we de kכri eg frכm di ovaria to di uterus, kin nכ de divεlכp fayn. Dɔn bak, prɔblɛm kin de wit di kidni ɔ di spayna.

Bɔt natin nɔ de fɔ wɔri bɔt. Tritmɛnt dɛn de fɔ dis sik. di vagina kin big sכmtεm bay we dεn yuz mεdikal divays dεm. sכmtεm, dεn kin du sכm כpεrayshכn (`(sכjεri)`) fכ mek wan vagina. Na tru se sɔntɛnde dis sik kin mek i nɔ izi fɔ bɔn pikin, i kin dipen pan di ɔgan dɛn we de ambɔg di pikin. Bɔt if dɛn gɛt tritmɛnt, bɔku uman dɛn kin liv fayn layf ɛn gɛt nɔmal sɛks layf.

Aw dis sik kin kɔmɔn?

Dis kɔndishɔn rili nɔ kin apin so ɔltɛm . Statistikin sho se i kin afɛkt lɛk wan pan ɛvri 5,000 uman dɛn. Dɛn dɔn si se lɛk wan pat pan tri uman dɛn we gɛt dis kayn vagina prolaps kin gɛt prɔblɛm wit dɛn kidni bak. כlso, lεk 12% kin si prכblεm wit di bon dεm na di spayna, rib, כ limb dεm.

Wetin mek dis de apin? Wetin na di rizin?

Dɔktɔ dɛn stil nɔ no di rayt tin we mek i apin . i kin apin we di pikin we de insay di bεlε de divεlכp. i kin apin we uman in riprodaktiv sistεm nכ de divεlכp fayn insay di fכs 20 wik dεm we i bεlε. i kin mek di vagina, di uterus, di fallopian tubes, כ di sεviks de divεlכp nכmal tin.

Dɛn tink se tin dɛn we de apin na di envayrɔmɛnt, lɛk we pɔsin gɛt pɔyzin kemikal dɛn we i gɛt bɛlɛ, kin ɛp bak . Ɔ,Sɔntɛm bak, tin dɛn we kin mek pɔsin gɛt jɛnɛtiks. Sɔm kɔndishɔn dɛn we gɛt fɔ du wit di vagina prolaps kin kɔmɔt frɔm am.

di vagina insufficiency na wan sayn fכ, כ i kin apin wit, sεvεra כda kכndyushכn dεm. Dɛn kɔl dɛn tin ya dizayd fɔ difrɛns bitwin man ɛn uman (DSD). Tu pan di men tin dɛn we kin apin na:

• Mayer-Rokitansky-Küster-Hauser (MRKH) sindrom: Dis na wan sik wae nɔr kin bɔrku. I kin mek di ɔgan dɛn we de mek uman bɔn nɔ fayn. MRKH sεndrכm na di mכst kכmכn kכndyushכn we de asai wit vagina agenesis. pan dis kכndyushכn, di vagina εn di uterus nכ de divεlכp fayn, כ nכ de divεlכp atכl. dipכnt pan di kayn εn di kayn we aw dis sik de, כda abnכmal tin dεm kin apin bak na di sεviks, spayna, εn di limb dεm. Sɔm pipul dɛn kin gɛt prɔblɛm bak wit dɛn yay, dɛn kin gɛt at sik, ɛn dɛn kin gɛt prɔblɛm wit dɛn kidni.
• Androgen insensitivity syndrome (AIS): Dis na wan sik we de mek pɔsin gɛt jɛnɛtiks. pan dis kכndyushכn, di pikin in uterus, sεviks, fallopian tכb, εn pat pan di vagina nכ de divεlכp. Sɔntɛnde, di vagina nɔ kin divɛlɔp atɔl.

Wetin na di sayn dɛm fɔ dis sik?

Bɔrku impɔtant tin dɛm de fɔ dis sik wae yu fɔ no bɔt:

• Amenorrhea : Dis min se di menstrueshɔn nɔ dɔn bigin we i ol 15. Bɔku tɛm dis na di fɔs sayn. If dis de apin to yu gyal pikin, go to dɔktɔ.
• Cryptomenorrhea : Dis na we di blɔd we de kɔmɔt na di mɔnt, we dɛn se de kɔmɔt ɛvri mɔnt, de gɛda insay di bɔdi we nɔ gɛt we fɔ kɔmɔt. Imajin, di blɔd we pɔsin kin gɛt we i de in mɔnt kin kɔmɔt ɛvri mɔnt, bɔt no we nɔ de fɔ mek i kɔmɔt. Dɔn i kin gɛda insay ɛn i kin mek tin dɛn lɛk bɛlɛ at ɛn bak pen. Dis kin rili mek yu fil pen.
• di opin we di vagina opin kin bi sכm sכm dimple כ i kin bi se i nכ opin atכl.
• Pen we yu de du mami ɛn dadi biznɛs. Dis kin apin if di vagina tu shɔt.

Aw yu no dis? Us tɛst dɛn dɛn kin du?

Sɔntɛnde, dɔktɔ dɛn kin no dis sik we dɛn smɔl ɔ we dɛn smɔl. Bɔt bɔku tɛm, dɛn kin no am we yu yɔŋ. Bɔrku pipul kin kam fɔ no se dɛn gɛt dis sik we dɛn go si dɔktɔ bikɔs dɛn nɔr dɔn bigin dɛn mɔnt we dɛn ol 15 ia.

Fɔ no if yu gɛt wan sik we dɛn kɔl vagina prolaps, yu dɔktɔ (ɔ yu pikin in dɔktɔ) go du tɛst dɛn lɛk dɛn wan ya:

• Fɔs, dɛn kin du wan ɛgzam pan pɔsin in bɔdi . dis min se fכ egzamin di vagina εria εn di εria we de rawnd di an.
• Dɛn kin du wan ɔltra saund skan (`(Ultrasound)`) . dis de mek di vagina bi mכryu kin si imej dεm fכ di כgan dεm we de insay di bכdi (lεk di uterus εn di ovaria).
• Dɛn kin du MRI skan (MRI) bak . dis kin mek rili klia, ditayl imej dεm fכ di vagina εn כda riprodaktiv כgan dεm.
• Apat frɔm dat, yu dɔktɔ kin tɛl yu bak fɔ du blɔd tɛst fɔ chɛk if di kromozom dɛn nɔ de wok fayn. DNA bכdi tεst kin kכnfכm if yu gεt jεnεtik kכndyushכn, lεk MRKH sεndrכm, biכs sכmtεm di vagina prolaps kin kכmכt wit dεn jεnεtik kכndyushכn ya.

Dɛn kin trit dis sik?

Yɛs, tritmɛnt dɛn de fɔ dis. Yu kin tɔk to yu dɔktɔ ɔ yu pikin in pikin dɛn fɔ disayd ustɛm na di bɛst tɛm fɔ bigin tritmɛnt. Sɔm pipul dɛn kin bigin fɔ trit dɛn we dɛn yɔŋ. Ɔda wan dɛn kin bigin fɔ trit dɛn afta dɛn dɔn rich dɛn yɔŋ pipul dɛn ɔ we dɛn dɔn bigin fɔ du mami ɛn dadi biznɛs. Dis na tin we pɔsin kin disayd fɔ du.

di tu men tritmεnt dεm fכ vagina dray na:

1. Self-dilayshכn fכ di vagina

If yu gɛt vagina opin ɔ smɔl ol usay di opin fɔ de, yu dɔktɔ go tɛl yu fɔ yuz dilator fɔ mek yu vagina wayd. Dis min se yu fɔ yuz wan smɔl tin we tan lɛk tiub fɔ mek di say we de opin big smɔl smɔl. Dɛn go du dis smɔl smɔl fɔ sɔm dez. Dis kin tek lɛk 20 minit so ɛvride. Yu kin fil sɔm kayn diskɔmfɔt we yu de dilay, bɔt i nɔ fɔ mek yu fil pen. I bɛtɛ fɔ yuz di dilator we yu skin soft ɛn pliable, lɛk afta yu dɔn shaw.

2. Ɔpreshɔn (`(Ɔpreshɔn)`) .

Sɔntɛnde, yu dɔktɔ kin tɛl yu fɔ du wan tin we dɛn kɔl vaginoplasty fɔ mek yu gɛt vagina. Di dɔktɔ go disayd us we fɔ yuz bay aw yu bɔdi de ɛn ɔda tin dɛn. Dɔktɔ dɛn kin yuz trakshɔn divays fɔ mek vagina usay vagina nɔ de, ɔ dɛn kin yuz skin graft (frɔm yu yon chɛst ɔ wan pat pan intestin). Afta di ɔpreshɔn, yu dɔktɔ go put wan insay fɔ ɛp fɔ mek di vagina kɔntinyu fɔ fayn. Tɔk to yu dɔktɔ bɔt ustɛm yu kin pul dis insɛt.

Aw lɔng e kin tek fɔ wɛl afta dɛn tritmɛnt ya?

If dɛn dɔn du ɔpreshɔn pan yu, aks yu dɔktɔ wetin fɔ ɛkspɛkt we yu de wɛl. Bɔku tɛm, yu go de na bed fɔ lɛk wan wik so. Yu dɔktɔ kin tɛl yu bak fɔ kip dilator (wan tin we dɛn kin put insay yu vagina) fɔ sɔm mɔnt. Yu kin pul di dilator we yu de du mami ɛn dadi biznɛs, we yu de go na bafa, ɔ we yu de shaw.

Pɔsin we gɛt vagina insufficiency kin du mami ɛn dadi biznɛs?

Dis na prɔblɛm we bɔku pipul dɛn kin gɛt. Aks yu dɔktɔ ustɛm i sef fɔ du mami ɛn dadi biznɛs afta yu dɔn trit yu vagina prolaps. Bɔku tɛm, yu kin bigin fɔ du mami ɛn dadi biznɛs lɛk wan mɔnt afta dɛn dɔn du di ɔpreshɔn. Bɔt di tɛm we pɔsin kin wɛl kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Yu kin nid fɔ yuz atifishal lɔbrik fɔ mek i izi fɔ du mami ɛn dadi biznɛs di fɔs tɛm.

Afta tritmɛnt, bɔku pipul dɛn kin gɛt satisfay layf fɔ du mami ɛn dadi biznɛs. Yu patna nɔ go ivin no se yu gɛt prɔblɛm wit di uman we yu de sidɔm ɔ dɛn dɔn trit yu fɔ dat.

A kin bɔn pikin dɛn afta dɛn dɔn trit mi?

Dis na kwɛstyɔn bak we rili impɔtant. Aks yu dɔktɔ if yu go ebul fɔ bɔn pikin afta dɛn dɔn trit yu. If yu uterus, fallopian tubes, ɛn cervix dɔn divɛlɔp nɔmal wan, yu kin stil ebul fɔ bɔn pikin.

Bɔt if yu nɔ gɛt uterus (ɔ if i rili smɔl), we min se yu gɛt uterine factor infertility, yu nɔ go ebul fɔ kɛr pikin to tɛm. Bɔt nɔ giv ɔp fɔ gɛt op. Yu kin ebul fɔ bɔn pikin tru sɔrogɛt mama we yu de yuz yu yon eg. Yu dɔktɔ go rifer yu to wan spɛshal pɔsin we de stɔdi bɔt aw fɔ bɔn pikin fɔ tɔk mɔ bɔt dis.

Yu tink se dɛn kin mek di vagina nɔ dray?

di vagina prolaps na wan abnכmaliti / bכn difεkt we dεn bכn am . dat min se na sכmtin we de de we dεn bכn am, sכmtin we de apin we di pikin de divεlכp na di bεlε. So, no we nɔ de fɔ mek i nɔ apin. I nɔto sɔntin we kin apin tru ɛnibɔdi in fɔlt.

Aw a go no if mi pikin de pan denja fɔ gɛt dis sik?

If pɔrsin na yu famili gɛt histri bɔt disorder of sex differentiation (DSD), i fayn fɔ tɔk to yu dɔktɔ bifo yu bigin famili. Yu kin mit bak wit wan jenɛtik kɔlnɔ bifo yu gɛt bɛlɛ fɔ asɛs yu risk fɔ pas wan jenɛtik kɔndishɔn to yu pikin.

If a gɛt vagina prolaps, wetin a fɔ ɛkspɛkt?

Di we aw yu de si tin dipen pan bɔku tin dɛn. Us tritmɛnt yu bin gɛt ɛn us pat pan yu riprodaktiv sistɛm bin afɛkt impɔtant. Bɔt wit tritmɛnt, bɔku pipul dɛn kin gɛt satisfay mami ɛn dadi biznɛs. Sɔm pipul dɛn kin gɛt vagina stenosis (we kin mek di vagina smɔl) afta dɛn dɔn du vaginoplasty. If dis apin, yu go nid fɔ kɔntinyu fɔ yuz dilator ɔ du ɔda ɔpreshɔn.

Ustɛm a fɔ go to dɔktɔ?

Una fɔ no bɔt dɛn tin ya:

• If yu ɔ yu pikin nɔ bigin fɔ gɛt mɔnt we i ol 15 ia, go to dɔktɔ wantɛm wantɛm. I impɔtant fɔ gɛt ful evalueshɔn ɛn fyzikal ɛgzam.
• Dɔn bak, if yu bɛlɛ de at ɔ yu bak de pen we yu nɔ gɛt prɛgnɛshɔn, go to dɔktɔ wantɛm wantɛm.
• If yu notis ɛnitin we nɔ kɔmɔn na di vagina eria, go to dɔktɔ fɔ mek dɛn chɛk yu.

Wetin bak a fɔ aks mi dɔktɔ bɔt di vagina dray?

Fɔ ɔndastand dis sik fayn fayn wan, yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us tritmɛnt we bɛtɛ fɔ mi?
• Yu kin kɔnɛkt mi to sɔpɔt grup we de ɛp pipul dɛn we gɛt dis kɔndishɔn?
• Ustɛm a kin go bak to mi nɔmal tin dɛn afta a dɔn gɛt tritmɛnt?
• Ustɛm a kin du mami ɛn dadi biznɛs afta dɛn dɔn trit mi?
• If pipul dɛn de na mi famili we gɛt vagina prolaps, wetin na di risk fɔ mek mi pikin sɛf gɛt dis sik?

If yu ɔ yu pikin gɛt ɛni wan pan dɛn sik ya, tɔk to yu dɔktɔ opin wan ɛn ɔnɛs wan. If yu nɔ gɛt bɛtɛ vagina, dat kin mek yu gɛt prɔblɛm wit di we aw yu de gɛt mɔnt, we yu de bɔn pikin , ɛn we yu de du mami ɛn dadi biznɛs. Bɔt, tritmɛnt kin ɛp. If yu want fɔ bɔn pikin afta dɛn dɔn trit yu, tɔk to yu dɔktɔ bɔt di tin dɛn we yu go ebul fɔ du. Bɔrku pipul kin gɛt gladi at fɔ du mami ɛn dadi biznɛs afta dɛn dɔn gɛt tritmɛnt.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Pan ɔl we vagina agenesis na wan sik we dɛn bɔn wit, fɔs mɛmba se nɔto yu wan de fes am. Nɔto ɛnibɔdi in fɔlt.

• Fɔ no di sik fayn fayn wan rili impɔtant. If yu nɔ bigin fɔ gɛt mɔnt we yu ol 15 ia, ɔ if yu gɛt prɔblɛm wit yu bɛlɛ we de mek yu gɛt pen na yu bɛlɛ, go to dɔktɔ wantɛm wantɛm.
• Tritmɛnt dɛn de. If pɔsin daylayt insɛf ɔ we i du ɔpreshɔn, i kin wok fayn.
• Bɔrku pipul kin ebul fɔ gɛt satisfay sɛks layf afta dɛn dɔn trit dɛn.
• Tɔk to yu dɔktɔ bɔt aw yu go ebul fɔ bɔn pikin ɛn lan bɔt di tin dɛn we yu go ebul fɔ du.
• Saikɔlɔjik sɔpɔt bak rili impɔtant insay dis joyn. If nid de, aks fɔ advays ɛn kɔnɛkt wit sɔpɔt grup dɛn.

"Nɔ fred, dɔktɔ ɛn pipul dɛn we yu lɛk de fɔ ɛp yu. If yu gɛt di rayt infɔmeshɔn ɛn sɔpɔt, yu kin ebul fɔ bia wit dis sityueshɔn fayn fayn wan."

` Vaginal Agenesis, MRKH Syndrome, AIS, Bɔn Difɛkt, Amenɔria, Riprodaktiv Ɛlth, Gaynekɔlɔji