Kua whakaaro kē koe me pēhea te whanaketanga o te kōpū, ngā ngongo fallopian, me te cervix, arā, ngā whekau motuhake ki ngā wāhine, i ngā wā tino tīmatanga o te oranga o te pēpi? He tukanga whakamiharo, he uaua hoki. Ka tīmata katoa ki ngā ngongo iti e rua, tino ātaahua, e hangaia ana i te wā o te kukune. I roto i te rongoā, ka kiia ēnei ko ngā 'Müllerian ducts'. Kāore pea koe i rongo i tēnei ingoa i mua. Engari mō te hauora uri o te wahine, he mea nui kia mōhio koe ki tēnei pūnaha ngongo. Nō reira, i tēnei rā, me kōrero tātou mō tēnei mea mā te ngāwari me te mārama.
He whakarāpopototanga noa iho, he aha ēnei Awaawa Müllerian?
Ko ngā awaawa Müllerian he ngongo takirua e rua e hangaia ana i roto i te tamaiti i a ia e whanake ana i roto i te kōpū o te whaea. Ka kiia hoki ēnei awaawa he awaawa paramesonephric. Heoi, ko te ingoa awaawa Müllerian te mea e whakamahia whānuitia ana.
Ko tā rātou mahi matua he hanga i ngā okana matua o te pūnaha whakaputa uri o te wahine. Ina koa, ko ēnei ngongo e rua ka whanake hei okana i muri mai:
- Kōpū: Ko te whekau whakamiharo e kawe ana, e whāngai ana i te pēpi mō te iwa marama.
- Ngā ngongo whēkau: Ngā ngongo e rua e kawe ana i te hua manu mai i ngā ovaries ki te kōpū.
- Te kōpū: Ko te wāhanga o raro o te kōpū e hono ana ki te tara.
- Te wāhanga o runga o te tenetene.
Whakaarohia, ko ēnei ngongo iti e rua ka tupu hei ngā whekau nui e hiahiatia ana hei whaea, hei whānau tamariki hoki ā muri ake nei.
Ko te mea whakamiharo ko ēnei awaawa Müllerian kei roto i ngā kukune katoa, ahakoa te ira tangata, i ngā wāhanga tōmua o te whanaketanga. Nā te aha rā te korenga o te pēpi tāne e whanake he kōpū, engari he pēpi wahine anake?
Ko te take o tēnei ko te rerekētanga ira tangata, arā, te tukanga e whanake ai ngā whekau ira tangata. I roto i te kukune tāne, ka tukuna he homoni motuhake e kiia nei ko te homoni anti-Müllerian (AMH) . Ka aukatihia e tēnei homoni te whanaketanga o ngā awa Müllerian, ā, ka memeha haere. Nō reira, kāore te kukune tāne e whanake i ngā whekau pērā i te kōpū.
Heoi, i roto i te kukune wahine, kāore tēnei homoni AMH i te kitea. Nō reira, ka whanake ngā awaawa Müllerian me te kore he arai, ā, ka hangaia ngā whekau whakaputa uri wahine kua whakahuatia ake nei.
Nā, he aha ngā Wolffian Ducts? He aha te rerekētanga i waenganui i ngā mea e rua?
Haunga ngā awaawa Müllerian, ko tētahi atu pūnaha awaawa kei roto i ngā kukune tuatahi katoa ko ngā awaawa Wolffian. Ka kiia hoki ēnei ko ngā awaawa mesonephric. He rerekē rawa ngā mahi a ēnei awaawa e rua tetahi i tetahi. Kia mārama ai tēnei, tirohia te ripanga i raro nei.
| Huanga | Ngā awaawa Müllerian | Ngā awaawa o Wolffian |
|---|---|---|
| Mahi matua | Te whanaketanga ki roto i ngā okana o te pūnaha whakaputa uri wahine. | Te whanaketanga ki roto i ngā okana o te pūnaha whakaputa uri tāne. |
| I roto i te kopu wahine | Ka pai te whanake, ka hanga i te kōpū, ngā ngongo fallopian, me ētahi atu. | Ka pirau haere, ka waiho iho ētahi kongakonga iti noa iho. |
| I roto i te kukune tāne | Ka mutu te tipu me te memeha haere o te Hormone Anti-Müllerian (AMH). | Ka tupu pai i raro i te mana o te homoni testosterone. |
| Ngā whekau e whanake ana, e hanga ana | Kōpū, ngā ngongo fallopian, te kaki ure, te wāhanga o runga o te tara. | Ngā pūkahukahu, ngā epididymis, me ngā vesicles seminal. |
Ki te kī ngāwari, ahakoa kei roto i te kukune kotahi ēnei pūnaha toto e rua, i raro i te mana o ngā homoni, ka whanake tetahi, ka memeha tetahi. Koinei te taurite whakamiharo o te taiao.
Me pēhea te whanaketanga o ēnei ngongo, ā, kei hea rātou e tū ana?
Ka tīmata tēnei tukanga i te wā tino wawe o te hapūtanga. Ka hapu te pēpi i roto i te kōpū i muri i te 3-4 wiki o te whānautanga.Ka tīmata tēnei kōrero i te wā e hapu ana. I taua wā, ka tīmata te whanake o ēnei awa Müllerian i te taha o ngā whatukuhu tuatahi (ngā whatukuhu mesonephric) i roto i te kukune. He wā poto ēnei whatukuhu tuatahi, ā, ka whanake ngā whatukuhu tuturu i muri mai.
Ka tipu haere ēnei awaawa ki raro hei pūnga roa, rite tonu ki ngā maihao. I waenganui i te 8 me te 12 wiki o te hapūtanga, ka honoa ngā pito o ngā awaawa e rua e heke ana ki raro, arā, ko Müllerian. Mā tēnei hononga ka hanga he pūtake mō ngā okana pērā i te kōpū me te tara. E rua ngā momo pūtau motuhake o ēnei awaawa.
- Ngā pūtau epithelial: He rite ēnei ki te uhi tiaki mō ō tātou whekau, ā, ka āwhina hoki ki te mimiti me te huna i ngā matū nui.
- Ngā pūtau mesenchymal: He momo pūtau take ēnei. Ko te tikanga ka taea e ēnei pūtau te whanake hei momo pūtau rerekē e hiahiatia ana.
Ka taea te puta he rerekētanga o te awaawa Müllerian?
Ae, i ētahi wā kāore ēnei awaawa Müllerian e whanake tika, e kore rānei e hono tetahi ki tetahi, ka hua ake he maha ngā hapa me ngā āhuatanga rerekē. He maha ngā wā he mate whānau mai ēnei.
Ko te mea nui, kāore pea koe e mōhio kei a koe tēnei mate tae noa ki tō pakeketanga, ki te mea kua moe tāne koe, ā, e tatari ana kia whānau he tamaiti. Nā te mea, kāore pea he tohu o waho. Ka kitea noa e ētahi wāhine tēnei mate ina rapu ana rātou i ngā take o te kore tamariki.
Kei te ripanga i raro nei ētahi o ngā hapa o te awaawa Müllerian e tino kitea ana.
| Ingoa o te āhuatanga rerekē | He aha te mea e tupu noa ana? |
|---|---|
| Te agenesis Müllerian, te hypoplasia rānei | Kāore te kōpū i te whānautanga (agenesis) he iti rawa rānei, kāore anō kia whanake (hypoplasia) . Ko te tauira tino kitea o tēnei ko te mate ira Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome . |
| Te septum tara (he kiriuhi i roto i te tara) | Ki te kore e hono pai ngā ngongo e rua i te wā e honoa ai ki raro, ka puta he kiriuhi puta noa i te tara. Ka āraia pea te tara, ka āraia katoatia rānei, ka hangaia rānei he tara e rua. |
| Te mate pūmau o te awaawa Müllerian (PMDS) | He mate ira onge tēnei e pā ana ki ngā tama tāne. Nā te kore e mahi tika te homoni AMH, ka puta he kōpū me ngā ngongo whēkau me ngā whekau whakaputa uri tāne noa. Tērā pea ka pāngia ēnei tāne e ngā raruraru pēnei i te kore e heke iho ngā hua manu. |
| Ngā āhuatanga rerekē o te kōpū | Ka taea e ngā raruraru o te whanaketanga o ngā ngongo te huri i te āhua o te kōpū. Hei tauira, ko te kōpū bicornuate, ko te kōpū didelphys, ko te kōpū septate, me te kōpū āhua-T. |
Tērā pea ka pāngia ētahi o te hunga whai i ēnei hapa e ngā raruraru o ō rātou whatukuhu. Nā te mea ka tino tata te whanaketanga o ēnei okana e rua i te wā e whānau ana te tamaiti, ā, ka pāngia tētahi okana e tētahi hapa.
He mea noa ēnei momo hapa?
Kāo. Kāore koe e manukanuka ki tēnei. He tino onge ēnei mate. E ai ki ngā tatauranga, he iti noa te ōrau o ngā whānautanga ora ka puta tēnei momo hapa, i waenga i te 0.1% me te 3.0% . Ko te tikanga he tino iti te tūponotanga o tēnei mea.
He aha ngā pātai me pātai atu koe ki te tākuta?
Ki te kitea he hapa o te awaawa Müllerian i tō tamaiti, he mea noa te maha o ngā pātai i roto i tō hinengaro. I taua wā, kaua e huna i tetahi mea, pātai atu ki tō tākuta i ēnei pātai.
- Ka pā tēnei āhuatanga ki taku āheinga ki te whānau tamariki?
- Ka pā tēnei ki aku homoni?
- He aha ngā maimoatanga mō tēnei? Me mahi pokanga?
- Ka puta noa rānei taku pakeketanga me taku paheketanga i ngā wā katoa?
Ka hoatu e tō tākuta ngā whakautu mārama ki ēnei pātai katoa, ā, ka hoatu hoki ki a koe te aratohu e hiahiatia ana e koe.
Ka taea te ārai i ēnei momo hapa i te wā e hapu ana?
He raruraru tēnei e pā ana ki te tini tāngata. Ki te pono, kāore he huarahi hei ārai katoa i ngā hapa o te awaawa Müllerian.Nā te mea he maha ngā wā ka puta mai ēnei i ngā take ira, i tētahi hapa tūpono rānei i te whanaketanga o te kukune i roto i te kōpū.
Engari, ehara i te mea kāore he mea e taea e tātou. Hei whaea e hapu ana, ka taea e koe te whai i tētahi momo oranga hauora hei whakaiti i tō tupono ki te whānautanga mai o ngā hapa . He mea nui tēnei, ehara i te mea mō ēnei momo hapa anake, engari mō te hauora whānui o tō pēpi.
- Āta karohia rawatia ngā raau taero me te mariuana.
- Āta karohia te momi hikareti me te waipiro. He tino kino ēnei ki te tamaiti kei roto i te kōpū.
- Me whakarite kia whiwhi koe i ngā tohutohu hauora tika me te tiaki hapūtanga i te wā e hapu ana.
- Mena kei a koe ngā mate mau tonu pēnei i te mate huka, te toto toto tiketike rānei, me whakahaere wawe i mua i te hapūtanga.
- Tangohia ngā huaora hapūtanga kei roto te waikawa folic kia rite ki ngā taunakitanga a tō tākuta.
- Kia mau tonu te taumaha hauora.
- Kai i tētahi kai taurite, me te whakakori tinana i ia rā.
Mā ēnei mea ngāwari noa iho, ka taea e koe te waihanga i te taiao pai rawa atu mō te tipu hauora o tāu pēpi kāore anō kia whānau.
Karere Tangohia ki te Kāinga
- Ko ngā awaawa Müllerian he pūnaha awaawa e hangaia ana i te wā e whānau ana, ā, he mea nui ki te whanaketanga o ngā whekau whakaputa uri o te wahine, pērā i te kōpū me ngā ngongo fallopian.
- Kei te whānau mai ēnei hapa whanaketanga, ā, kāore pea e kitea kia pakeke rā anō, kia tae rā anō ki te wā e tika ana kia whānau he tamariki.
- He tino onge ēnei hapa, ā, he maha ngā maimoatanga me ngā tikanga whakahaere kei te nuinga o ēnei.
- Mena he āwangawanga, he ruarua rānei āu mō tēnei mea, he mea tino nui kia kōrero noa koe ki tō tākuta mō tēnei mea, kia whiwhi ai hoki i ngā tohutohu tika.
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