He āhua ngākau anō hoki tō kōpū? Me kōrero tāua mō (Bicornuate Uterus)!

Tērā ētahi mea o roto i ō tātou tinana kāore e tino whakaarohia ana e tātou i roto i ō tātou oranga o ia rā, tika? Ina koa he wahine, ko ngā whekau o roto i tō tinana he rite ki tō kōpū. Engari i ētahi wā he mea tino nui kia mōhio ki ēnei mea. I tēnei rā ka kōrero tātou mō tētahi āhuatanga motuhake kāore pea i te nuinga o te tangata i rongo, engari ka pā ki ētahi wāhine. Arā, he rite te āhua o te kōpū ki te ngākau. Ka karangahia tēnei e ngā tākuta ko '(Bicornuate Uterus)'.

He aha tēnei kōpū āhua ngākau (Bicornuate Uterus)?

Ki te kī ngāwari, ko te tikanga he kōpū bicornuate te āhua o tō kōpū, he rite ki te ngākau, kaua ki te āhua porowhita noa. Whakaarohia he kōpū hauora he rite ki te pea e hurihia ana. Ko te tihi whānui, porowhita o te pea te tihi o te kōpū (e kiia ana ko te fundus). Engari mō te tangata he kōpū bicornuate tōna, ka hurihia te tihi o te kōpū ki roto, he rite ki te ngākau. Koia i kiia ai he "kōpū āhua ngākau."

I te nuinga o te wā, he pēke kotahi-rūma te kōpū, ka taea te whakawhanui i te tipu o te pēpi. Heoi, i roto i te kōpū bicornuate, ka wehea te wāhanga o runga o te kōpū kia rua ngā wāhanga e tētahi paparanga kiko. I runga i te whānuitanga o tēnei wehenga, ka puta ētahi raruraru i te wā e hapu ana. Nā te mea kāore e taea e te kōpū te whakawhanui tika.

He mate whānau tēnei. Ko te tikanga, kua pēnei te āhua o te kōpū i mua i tō whānautanga, i a koe e noho tonu ana i roto i te kōpū o tō whaea. I te nuinga o te wā, ehara tēnei i te raruraru nui. Heoi, ki te hapu koe me te kōpū bicornuate, he paku teitei ake te mōrearea o te materoto me te whānautanga wawe. He tokomaha te hunga kāore e mōhio kei a rātou tēnei kōpū, nā te mea kāore he tohu motuhake. Heoi, ka pāngia pea ētahi e te mamae nui i te wā paheketanga, i te materoto tonu rānei.

He pēhea te noa o tēnei āhuatanga?

He momo rerekētanga noa te kōpū rua-kōrōnati, engari he onge noa iho . E pāngia ana e te iti iho i te 0.5% o ngā wāhine. Ko te nuinga o ngā wāhine ka kitea he āhua rerekē te kōpū i muri i te haputanga me te maha o ngā whakatahe.

He kino te whai kōpū āhua ngākau?

Kāo, ehara i te mea kino rawa, i te mea morearea rānei. I te nuinga o te wā, kāore koe e mōhio kei a koe tētahi, nā te mea kāore he tohu e kitea ana. Heoi, ko te āhua koretake o te kōpū ka pā mai ētahi raruraru i te wā e hapu ana. Ki te kī atu te tākuta he `(Bicornuate Uterus)` tōu, he pai ake kia mārama koe ki tēnā, kia kōrero ki a ia mō tōna pānga ki tō oranga.

He aha ngā tohu o te (Bicornuate Uterus)?

Mena kei a koe ngā tohu o te kōpū bicornuate, ko ēnei pea:

• Ngā materoto maha (neke atu i te toru ngā wā).
• Te toto koretake o te tara.
• Te mamae nui i te wā o te paheketanga.
• Te mamae i te wā o te moe tāne me te wahine (dyspareunia).
• Mamae o te hope (`(Mamae hope)`).

Engari kia maumahara, i ētahi wā ka pāngia koe e tēnei mate, kāore he tohu. Nā te mea he mea whānau mai koe, tera pea ka rite ngā tohu ki ngā mea "noa". I te nuinga o te wā, ka kitea noa i muri i tō haputanga, i muri rānei i te maha o ngā materoto.

He aha te take mō tēnei?

E ai ki te kōrero i mua ake nei, he āhua whānau te kōpū bicornuate. Ka hangaia te kōpū i te wā e whanake ana te kukune i roto i te kōpū – i waenga i te 10 me te 20 wiki.

I tēnei whanaketanga, e rua ngā ngongo e kiia nei ko ngā awaawa Mullerian . I te nuinga o te wā, ka honoa ēnei ngongo e rua hei hanga i te kōhao kotahi o te kōpū. Heoi, i roto i te tangata he kōpū bicornuate tōna, kāore ēnei ngongo e rua e honoa katoa. Nō reira, ka rite te kōpū ki ngā kōhao e rua. Ka taea e tēnei wehenga te tino hohonu, ka taea rānei te iti rawa, kāore e puta he raruraru.

Ko te mea nui, ehara tēnei kōpū āhua ngākau i te tuku iho. Ehara i te mea nā te mea kei a koe tēnei mate, ka pāngia anō hoki ō tamariki.

Me pēhea te tautuhi i te mate (Bicornuate Uterus)?

He tokomaha ngā tāngata ka kitea tēnei āhuatanga i muri i tā rātou whānautanga maha. Ina tupu tēnei, ka tirohia e ngā tākuta te āhua o te kōpū. Koinā te wā ka kitea ai tēnei āhuatanga rerekē. I ētahi wā ka kitea noa iho, i te wā o te matawai ultrasound i te wā e hapu ana, i te wā rānei e rapu maimoatanga ana mō ngā mamae nui o te paheketanga.

Tuatahi, ka mahia he whakamātautau pelvis, kātahi ka whakamahia e tō tākuta ngā tikanga whakaahua hei whakaū mēnā he kōpū bicornuate tōu. Ka mahia tēnei hei ine i te hohonutanga o te whakawhānui me te wehewehe i tēnei mai i ētahi atu āhuatanga rerekē o te kōpū.

• Ultrasound: Koinei te whakamātautau tuatahi e whakamahia ana hei kite i te kōpū āhua ngākau. Kia tautuhia te mate, ka whakamahia pea e te tākuta ētahi atu whakamātautau matatau hei tiki pikitia mārama ake. He tino whai hua hoki ngā whakamātautau ultrasound toru-ahu (ultrasound 3D) mō tēnei.
• MRI (Whakaahua Āhua Aukume): Koinei te huarahi tino taipitopito ki te tango pikitia o te kōpū nā te mea ka taea te kite i te kōpū mai i ngā koki me ngā rahi rerekē.

He rerekē ngā momo kōpū bicornuate?

Mā tō tākuta koe e kī atu mēnā he wāhanga (wāhanga) tō kōpū bicornuate, he oti rānei (kāore i oti).Ka taea te whakaahua penei: E pā ana ēnei kupu ki te tawhiti o te hekenga o te kaki o te kōpū mai i te tihi o te kōpū.

• Kōpū rua-kōrōne wāhanga: I tēnei wā, he paku iti ake te wehenga i waenganui i ngā kōhao e rua. He āhua ngākau te kōpū, engari kāore i te tino hohonu te awaawa e wehewehe ana i te kōpū.
• Te kōpū rua-kōrōne katoa: I tēnei wā, he tino hohonu te pūaha i te tihi o te kōpū. Nō reira, he tino mārama te wehenga i waenganui i ngā kōhao kōpū e rua.

Ka taea te whakatika i te kōpū bicornuate?

I te nuinga o te wā, kāore tēnei āhuatanga e hiahiatia he maimoatanga pokanga.

Heoi, i ētahi wā motuhake, ka mahia he pokanga e kiia nei ko te Metroplasty . Heoi, he rerekē ngā whakaaro mō tēnei pokanga, nō reira kāore te katoa e mahi. E ngana ana tēnei pokanga ki te hanga i te kōpū kia rite ki te āhua pea. Ka taea te mahi i tēnei pokanga mā te laparoscopic . Arā, he pokanga e mahia ana mā roto i ngā tapahi iti, kāore he tapahi nui. Ko te pokanga he tango i te kiko e totohu ai te kōpū, e hanga rānei i te ngākau.

Ki te pokanga "Metroplasty" tāu, me tatari koe kia toru marama te iti rawa i mua i te whakamātau anō ki te whānau pēpi, nā te mea ki te kore, kei te tūpono ka pakaru te kōpū i te wā e whānau ana.

He aha ngā raruraru o tēnei pokanga?

Tērā pea ka whai ake ngā mōrearea o te pokanga hei whakatika i te kōpū bicornuate:

• Te toto nui rawa (`(Hemorrhage)`).
• Mate urutā (`(Pango)`).
• Ngā piri/ngā whara o te kōpū.

Mena ka tūtohutia koe kia mahia tēnei momo pokanga, ka whakamāramahia e tō tākuta te tikanga, ōna mōrearea, me ō tuponotanga kia angitu tō hāputanga.

Ka taea te ārai i te kōpū bicornuate?

Kāo. Kāore he mea ka taea e koe te mahi hei ārai i te kōpū āhua ngākau. He mate whānau mai tēnei. Ehara i te mea nā ō mātua i mahi, i kore rānei i mahi.

Mena he (Bicornuate Uterus) tōku, kāore e taea e au te whānau pēpi?

Ae! Ka taea e koe te whānau pēpi ahakoa he `(Bicornuate Uterus)` tōu. Heoi, he nui ake te mōrearea o ngā raruraru i te wā e hapu ana. Ko te take matua mō tēnei he kore e taea e tō kōpū te tipu kia rite ki te nui e hiahiatia ana kia tipu ai te pēpi. Ka kōrero tō tākuta ki a koe mō ngā mahi whakatūpato me mahi e koe i te wā e hapu ana, me pēhea hoki te pānga o tēnei āhuatanga ki tō haputanga me tō whānautanga.

He aha te pānga o te kōpū bicornuate ki taku hāputanga?

Ko te kōpū bicornuate kāore e pā ki tō kaha ki te hapu. Heoi, ko te āhua o te kōpū ka nui ake te mōrearea o ngā raruraru haputanga, pēnei i:

• Te Mate Hapūtanga (`(Te Mate Hapūtanga)`).
• Te whānautanga wawe me te whānautanga wawe.
• Te taumaha iti o te pēpi i te whānautanga (nā te kore e ranea te wāhi mō te tipu i roto i te kōpū).
• Te toto koretake o te tara.
• Kei te tū te kukune i te taha whakamuri, i te taha whakararo rānei, i tētahi atu tūnga rānei ehara i te pane ki raro.
• Te nui ake o te tūponotanga kia whānau he pēpi (`(Whānau pēpi)`).
• Te toto nui i muri i te whānautanga (`(Postpartum hemorrhage)`).
• Te whakapōrearea o te ira whānau (te whakapōrearea o te ira whānau) me ētahi atu raruraru rānei ki te ira whānau.
• Te toto toto tiketike i te wā e hapu ana.
• Te kaki pūkahukahu koretake.

Ina hapu koe me te kōpū bicornuate, ko te mea nui o te whakahaere ko te whai i te aroturukitanga (aroturukitanga) . Me whai koe i ngā matawai ultrasound prenatal kia nui ake i te tikanga. Ko te tikanga o tēnei kia taea ai e tō tākuta te tirotiro i te rahi me te āhua o tō kōpū me te tūranga o tō pēpi me te whenua whānau. Ko te āhua rerekē o tō kōpū te tikanga he nui ake te tūponotanga ka whānau tō pēpi i te kōpū, nō reira he nui ake te tūponotanga ka whānau koe i te C-section.

Engari kia maumahara, ko te hunga he kōpū rua-kōrōnati te whānautanga , ka taea e rātou te whānau hauora me te whānau noa. Ka mahia ēnei mahi ārai katoa hei tiaki i a koe me tō pēpi i te wā e hapu ana, e whānau ana hoki.

Ka pāngia taku whānautanga e te kōpū bicornuate?

Ae, ka pāngia tō whānautanga e tēnei kōpū āhua ngākau. Nā te mea he āhua rerekē te kōpū, kāore pea i te rahi hei whakauru i tētahi pēpi kua whānau. Ko te tikanga tēnei kei roto pea tō pēpi i tētahi tūranga tauhou, kei te piri rawa rānei i roto i te kōpū. Ki te `(Bicornuate Uterus)` , he nui ake te tūponotanga ka noho te pēpi i roto i tētahi tūranga `(breech)`. Nā tēnei take, he maha ngā tākuta e taunaki ana kia `(C-section)`.

Mena he kōpū bicornuate tōku, ka whānau mai he hapa i roto i taku pēpi?

Kāo. Ahakoa he kōpū bicornuate tōu, ehara i te mea ka whānau mai he hapa i tō pēpi. Engari he nui ake te tūponotanga o te whānautanga wawe (i mua i te 37 wiki o te hāputanga). Ko te tikanga o tēnei, ka whānau wawe pea tō pēpi, i mua rānei i te whanaketanga katoa o ētahi okana, o ētahi pūnaha rānei.

He ētahi atu tūponotanga hauora e pā ana ki te kōpū bicornuate?

Mena kāore koe i te hapu, kāore rānei he tūmanako kia hapu koe, kāore he mōrearea nui ki te hauora hei manukanuka. Heoi, ko te hunga he kōpū bicornuate kei te nui ake te mōrearea ki te endometriosis me te materoto anō hoki .

Mena kei te hapu koe, ko ngā mōrearea matua e pā ana ki te "Bicornuate Uterus" ko:

• Ngā mate pāwera.
• Te whānautanga wawe.
• Ngā tamariki he iti te taumaha i te whānautanga.
• Kei roto te pēpi i te tūnga whakamuri, whakararo rānei i roto i te kōpū.

Āhea ahau me toro atu ki taku tākuta?

Mena he toto tara koretake tōu, he mamae rānei tō puku o raro i te wā paheketanga, i te wā moe tāne rānei, me toro atu ki tō tākuta tonu. He tohu pea ēnei o te "Uterus Bicornuate".

Mena kei te hapu koe, ā, kua tāpaetia he kōpū bicornuate tōu, ā, kua puta mai ētahi tohu o te whānautanga o mua (pēnei i te whakahekenga o te kōpū, te pakaru rānei o te wai), me whakamōhio tonu atu ki tō tākuta.

He aha ngā pātai me pātai atu ki taku tākuta mō te Uterus Bicornuate?

Anei ētahi pātai ka taea e koe te pātai atu ki tō tākuta mō tēnei mate:

• Me pokanga ahau hei whakatika i taku `(Bicornuate Uterus)`?
• He aha ngā raruraru hauora ka pā mai i te `(Bicornuate Uterus)`?
• He aha ngā mōrearea o te haputanga me te `(Bicornuate Uterus)`?
• Ka taea tonu e au te hapu?
• He aha te pānga o tēnei ki taku tuku?
• Ka whānau hauora taku pēpi?

Ka taea te whānau māhanga me te kōpū bicornuate?

He tino onge tēnei, engari kāore e kore e taea. He maha ngā tūponotanga e pā ana ki ngā hāputanga māhanga me te kōpū rua-kōniu, tae atu ki te whānautanga wawe, te taumaha iti i te whānautanga, te materoto, me te āhua hē o te pēpi. Ko te āhua hē o te pēpi ko te tūnga o te pēpi i tua atu i te upoko ki raro i roto i te kōpū i mua i te whānautanga.

Mena kua tāpaetia koe he kōpū bicornuate tōu, kōrero ki tō tākuta mō ngā raruraru hauora me mōhio koe. Māna e whakamārama ngā mōrearea ki a koe i runga i tō hītori hauora me ngā tohu. Ahakoa he nui ake te mōrearea o te hunga he kōpū bicornuate tō rātou ki ngā raruraru hāputanga, he maha ngā tāngata ka whānau he pēpi hauora.

Karere Tangohia ki te Kāinga

Āe, kua mārama ake koe inaianei ki te `(Bicornuate Uterus)`, arā, te kōpū āhua-ngākau i kōrerotia e tātou. Anei ētahi mea nui hei maumahara:

• He mate whānau tēnei, ehara i te he nōu.
• He tokomaha ngā tāngata ka pāngia e tēnei mate , kāore he tohu .
• Tērā pea ka pāngia ētahi tāngata e ngā materoto maha me ngā mamae o te paheketanga.
• Ehara tēnei i te mate mōrearea, engari me tino tiaki me te aroturuki i te wā e hapu ana.
• Ahakoa he "Bicornuate Uterus" te kōpū, ka taea tonu te whānau mai he pēpi hauora.
• Mena he pātai, he ruarua rānei āu mō tēnei mea, ko te mea pai ko te kōrero ki tō tākuta wahine. Māna koe e hoatu ki te tohutohu tika.

Kaua e wehi, kia tūpato. Mā te nui ake o tō mōhio ki tō tinana, ka ora ake koe!

`Kōpū Āhua-rua, Kōpū Āhua-Ngākau, Ngā Āhua rerekē o te Kōpū, Te Mate Hapūtanga, Te Whānautanga Wawe, Hauora o ngā Wahine, Te Hapūtanga