Kodi nyini yanu sinapangidwe bwino? Tiyeni tikambirane za kupangika kwa nyini.

Nthawi zina mwana wathu wamkazi, kapena mwina inuyo, mungakhale ndi vuto loti sayamba kusamba ngakhale atakwanitsa msinkhu. Kapena angakumane ndi vuto lina la kumaliseche. Chifukwa chimodzi cha izi chingakhale vuto lotchedwa 'vaginal atrophy'. Izi zingamveke zovuta pang'ono, koma tiyeni tikambirane mwachidule, m'njira yomwe mungamvetse.

Kodi izi zotchedwa vaginal agenesis ndi chiyani?

Mwachidule, izi zili choncho chifukwa chakuti nyini ya mwana wamkazi siimakula bwino ali m'mimba. Malinga ndi zamankhwala, ichi ndi vuto lobadwa nalo . Nyini ikhoza kukhala kuti palibe konse, kapena gawo lake lokha lingapangidwe. Kumbukirani kuti ngakhale vutoli litakhalapo pobadwa, silingadziwike mpaka munthu atakula msinkhu. Izi zili choncho chifukwa nthawi zambiri ziwalo zoberekera zakunja zimawoneka bwino.

Anthu ambiri amadziwa izi akafika msinkhu wachinyamata, kutanthauza kuti, asanayambe kusamba mwezi uliwonse (zomwe timazitchanso kusamba) ngakhale atakwanitsa zaka pafupifupi 15.

Pamodzi ndi vuto limeneli lotchedwa anovulation, nthawi zina pangakhale mavuto ndi ziwalo zina za ziwalo zoberekera. Mwachitsanzo, chiberekero, komwe mwana amakulira, kapena machubu a fallopian, omwe amanyamula mazira kuchokera m'mazira kupita ku chiberekero, mwina sanakule bwino. Komanso, pakhoza kukhala mavuto ndi impso kapena msana.

Koma palibe chodetsa nkhawa. Pali mankhwala a vutoli. Nyini imatha kukulitsidwa pang'onopang'ono pogwiritsa ntchito zipangizo zachipatala. Nthawi zina, opaleshoni yaying'ono (`(opaleshoni)`) ikhoza kuchitika kuti ipange nyini. Zoona, vutoli nthawi zina lingapangitse kuti zikhale zovuta kukhala ndi ana, kutengera ziwalo zoberekera zomwe zakhudzidwa. Komabe, ndi chithandizo, akazi ambiri amatha kukhala ndi moyo wathanzi komanso kukhala ndi moyo wabwinobwino wogonana.

Kodi vutoli ndi lofala bwanji?

Matendawa ndi osowa kwambiri . Malinga ndi ziwerengero, amakhudza pafupifupi mkazi m'modzi mwa akazi 5,000. Zapezeka kuti pafupifupi gawo limodzi mwa magawo atatu a akazi omwe ali ndi mtundu uwu wa matenda a m'mimba amakhala ndi mavuto a impso. Komanso, pafupifupi 12% amatha kuwona mavuto ndi mafupa a msana, nthiti, kapena miyendo.

Chifukwa chiyani izi zikuchitika? Chifukwa chake ndi chiyani?

Madokotala sakudziwabe chomwe chimayambitsa vutoli . Zimachitika mwana wosabadwa akakula m'mimba. Nthawi zambiri zimachitika pamene njira yoberekera ya mkazi sikukula bwino mkati mwa masabata 20 oyambirira a mimba. Zingayambitse matenda m'mimba, chiberekero, machubu a fallopian, kapena khomo lachiberekero.

Akuti zinthu zachilengedwe, monga kukhudzana ndi mankhwala oopsa panthawi ya mimba, zingathandizenso . Kapena,Pakhoza kukhalanso zifukwa za majini. Matenda ena okhudzana ndi kufalikira kwa nyini amatha kukhala obadwa nawo.

Kulephera kugwira ntchito bwino kwa nyini ndi chizindikiro cha, kapena chingachitike ndi matenda ena angapo. Matendawa amatchedwa matenda osiyanitsa amuna ndi akazi (DSD). Matenda awiri akuluakulu ndi awa:

• Matenda a Mayer-Rokitansky-Küster-Hauser (MRKH): Uwu ndi matenda osowa kwambiri. Umayambitsa matenda m'ziwalo zoberekera. Matenda a MRKH ndi omwe amapezeka kwambiri chifukwa cha kupangika kwa nyini. Pa vutoli, nyini ndi chiberekero sizikukula bwino, kapena sizikukula konse. Kutengera mtundu ndi kuopsa kwa matendawa, matenda ena amathanso kuchitika m'chiberekero, msana, ndi miyendo. Anthu ena amathanso kudwala matenda a kumva, matenda a mtima, komanso mavuto a impso.
• Matenda a Androgen insensitivity (AIS): Uwu ndi matenda a majini. Pa vutoli, chiberekero cha mwana, khomo lachiberekero, machubu a fallopian, ndi gawo lina la nyini sizimakula. Nthawi zina, nyini singakule konse.

Kodi zizindikiro za vutoli ndi ziti?

Pali zinthu zingapo zofunika kwambiri za vutoli zomwe muyenera kudziwa:

• Kusasamba : Izi zikutanthauza kuti kusamba sikunayambe ali ndi zaka 15. Ichi nthawi zambiri chimakhala chizindikiro choyamba. Ngati izi zikuchitika kwa mwana wanu wamkazi, pitani kwa dokotala.
• Cryptomenorrhea : Apa ndi pamene magazi a msambo, omwe amayenera kutulutsidwa mwezi uliwonse, amasonkhana mkati mwa thupi popanda njira yotulukira. Tangoganizirani, magazi a msambo amapangidwa mwezi uliwonse, koma palibe njira yoti atulukire. Kenako amasonkhana mkati ndipo angayambitse zinthu monga kupweteka m'mimba ndi kupweteka kwa msana. Izi zitha kukhala zopweteka kwambiri.
• Pakamwa pa nyini pakhoza kukhala kachidutswa kakang'ono kapena pakhoza kukhala palibe potseguka konse.
• Ululu panthawi yogonana. Izi zitha kuchitika ngati nyini ndi yayifupi kwambiri.

Kodi mumazindikira bwanji izi? Ndi mayeso ati omwe amachitidwa?

Nthawi zina, madokotala amazindikira vutoli ali aang'ono kapena ali ana aang'ono. Komabe, nthawi zambiri limapezeka ali achinyamata. Anthu ambiri amapeza kuti ali ndi vutoli akapita kukaonana ndi dokotala chifukwa chakuti sanayambe kusamba ali ndi zaka 15.

Kuti adziwe matenda otchedwa vaginal prolapse, dokotala wanu (kapena dokotala wa mwana wanu) adzachita mayeso monga awa:

• Choyamba, kuyezetsa thupi kumachitika. Izi zikutanthauza kufufuza malo obisika a m'mimba ndi malo ozungulira thako.
• Kujambula kwa ultrasound (`(Ultrasound)`) kumachitika . Izi zimathandiza kuti nyini ikhale yolimba kwambiri.Zithunzi za ziwalo zomwe zili mkati mwa chiuno (monga chiberekero ndi mazira) zitha kuwonedwa.
• Kujambula MRI (MRI) kungachitikenso . Izi zingapangitse kuti pakhale zithunzi zomveka bwino komanso zatsatanetsatane za nyini ndi ziwalo zina zoberekera.
• Kuphatikiza apo, dokotala wanu angakulangizeninso kuti muyesedwe magazi kuti muwone ngati pali zolakwika mu chromosome. Kuyezetsa magazi kwa DNA kungatsimikizire ngati muli ndi vuto la majini, monga MRKH syndrome, chifukwa nthawi zina kufalikira kwa vaginal kumatha kugwirizanitsidwa ndi matenda awa a majini.

Kodi vutoli lingachiritsidwe?

Inde, pali njira zochizira izi. Mutha kulankhula ndi dokotala wanu kapena dokotala wa ana a mwana wanu kuti mudziwe nthawi yabwino yoyambira chithandizo. Anthu ena amayamba chithandizo ali aang'ono. Ena amayamba chithandizo atafika msinkhu wokhwima kapena atayamba kugonana. Ichi ndi chisankho chaumwini kwambiri.

Mankhwala awiri akuluakulu a kuuma kwa nyini ndi awa:

1. Kudzikulitsa kwa nyini

Ngati muli ndi thumba la nyini kapena dzenje laling'ono pomwe thumbalo liyenera kukhala, dokotala wanu adzakuuzani kuti mugwiritse ntchito dilator kuti muwonjezere nyini yanu. Izi zimaphatikizapo kugwiritsa ntchito chubu chaching'ono, chopyapyala kuti muwonjezere pang'onopang'ono thumbalo. Izi zidzachitika pang'onopang'ono kwa masiku angapo. Izi nthawi zambiri zimatenga pafupifupi mphindi 20 patsiku. Mungamve kusasangalala pang'ono mukakulitsa, koma siziyenera kukhala zopweteka. Ndi bwino kugwiritsa ntchito dilator pamene khungu lanu lili lofewa komanso lofewa, monga mutatha kusamba.

2. Opaleshoni (`(Opaleshoni)`)

Nthawi zina, dokotala wanu angakulangizeni njira yotchedwa vaginoplasty kuti mupange nyini. Dokotalayo adzasankha njira yogwiritsira ntchito kutengera momwe thupi lanu lilili ndi zinthu zina . Madokotala angagwiritse ntchito chipangizo chokokera kuti apange nyini pomwe palibe nyini, kapena angagwiritse ntchito chopachika pakhungu (chochokera pa tsaya lanu kapena chidutswa cha m'mimba). Pambuyo pa opaleshoni, dokotala wanu adzayika chopachika kuti chithandize nyini kukhalabe bwino. Lankhulani ndi dokotala wanu za nthawi yomwe mungachotse chopachikachi.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa chithandizochi?

Ngati mwachitidwa opaleshoni, funsani dokotala wanu zomwe mungayembekezere mukachira. Nthawi zambiri mumakhala pabedi kwa pafupifupi sabata imodzi. Dokotala wanu angakuuzeninso kuti musunge dilator (chipangizo chomwe chingalowetsedwe mu nyini yanu) m'malo mwake kwa miyezi ingapo. Mutha kuchotsa dilator panthawi yogonana, mukapita kuchimbudzi, kapena mukamasamba.

Kodi munthu amene ali ndi vuto la kugonana m'mimba mwake angathe kugonana?

Ili ndi vuto lofala kwa anthu ambiri. Funsani dokotala wanu nthawi yomwe kuli kotetezeka kugonana mutalandira chithandizo cha matenda a nyini. Nthawi zambiri, mutha kuyamba kugonana pafupifupi mwezi umodzi mutachita opaleshoni. Komabe, nthawi yochira imasiyana malinga ndi munthu. Mungafunike kugwiritsa ntchito mafuta opangidwa kuti muchepetse kugonana pachiyambi.

Pambuyo pa chithandizo, anthu ambiri amakhala ndi moyo wogonana wokhutiritsa. Mwina mnzanu sangadziwe kuti muli ndi vuto la kusowa maliseche kapena kuti mwalandira chithandizo.

Kodi ndingathe kukhala ndi ana pambuyo pa chithandizo?

Funso ili ndi lofunika kwambiri. Funsani dokotala wanu ngati mudzatha kukhala ndi ana mutalandira chithandizo. Ngati chiberekero chanu, machubu a fallopian, ndi khomo lachiberekero zakula bwino, mungathebe kukhala ndi ana.

Komabe, ngati mulibe chiberekero (kapena ngati ndi chaching'ono kwambiri), zomwe zikutanthauza kuti muli ndi vuto la kusabereka chifukwa cha uterine factor, simungathe kubereka mpaka nthawi yobereka. Koma musataye mtima. Mutha kukhala ndi mwana kudzera mu kukhala mayi woberekera pogwiritsa ntchito mazira anu. Dokotala wanu adzakutumizani kwa katswiri wodziwa za kubereka kuti akakambirane zambiri za izi.

Kodi kuuma kwa nyini kungapewedwe?

Kutuluka kwa nyini m'mimba ndi vuto lobadwa nalo / vuto lobadwa nalo . Izi zikutanthauza kuti, ndi chinthu chomwe chimapezeka pobadwa, chomwe chimachitika mwana akamakula m'mimba. Chifukwa chake, palibe njira yopewera izi. Si chinthu chomwe chimachitika chifukwa cha kulakwitsa kwa wina aliyense.

Ndingadziwe bwanji ngati mwana wanga ali pachiwopsezo chotenga matendawa?

Ngati wina m'banja mwanu ali ndi mbiri ya matenda a kugonana (DSD), ndi bwino kulankhula ndi dokotala wanu musanayambe banja. Muthanso kukumana ndi mlangizi wa majini musanayambe kutenga mimba kuti muwone ngati muli pachiopsezo chopatsira mwana wanu matenda a majini.

Ngati ndili ndi vuto la kutsekula m'mimba, kodi ndiyenera kuyembekezera chiyani?

Maganizo anu amadalira zinthu zambiri. Chithandizo chomwe mudalandira komanso ziwalo zina za ziwalo zanu zoberekera zomwe zakhudzidwa ndizofunikira. Komabe, ndi chithandizo, anthu ambiri amakhala ndi moyo wogonana wokhutiritsa. Anthu ena amatha kukhala ndi vuto la vaginoplasty (kuchepa kwa vaginoplasty). Ngati izi zitachitika, mungafunike kupitiliza kugwiritsa ntchito dilator kapena opaleshoni ina.

Kodi ndiyenera kupita kwa dokotala liti?

Dziwani zinthu izi:

• Ngati inu kapena mwana wanu simunayambe kusamba ali ndi zaka 15, pitani kwa dokotala nthawi yomweyo. Ndikofunikira kuti mufufuze bwino ndikuyesedwa thupi lonse.
• Komanso, ngati muli ndi kupweteka m'mimba kapena kupweteka kwa msana popanda kusamba, pitani kwa dokotala nthawi yomweyo.
• Ngati muwona chinthu chachilendo m'malo obisika, pitani kwa dokotala kuti akakufufuzeni.

Ndiyenera kufunsa dokotala za chiyani china chokhudza kuuma kwa nyini?

Kuti mumvetse bwino vutoli, mutha kufunsa dokotala mafunso monga awa:

• Ndi njira iti yothandizira yomwe ndi yabwino kwa ine?
• Kodi mungandilumikize ku gulu lothandizira lomwe limathandiza anthu omwe ali ndi vutoli?
• Kodi ndingabwerere liti ku zochita zanga zachizolowezi nditalandira chithandizo?
• Kodi ndingachite liti zogonana nditatha kulandira chithandizo?
• Ngati m'banja mwanga muli anthu omwe ali ndi vuto la kutsekeka kwa m'mimba, kodi chiopsezo cha mwana wanga ndi chiyani kuti nayenso akhale ndi vutoli?

Ngati inu kapena mwana wanu muli ndi zizindikiro izi, lankhulani ndi dokotala wanu momasuka komanso moona mtima. Kusakwanira kwa ukazi kungayambitse mavuto okhudzana ndi msambo, thanzi la kubereka , komanso kugonana. Komabe, chithandizo chingathandize. Ngati mukufuna kukhala ndi ana mutalandira chithandizo, lankhulani ndi dokotala wanu za zomwe mungasankhe. Anthu ambiri amakhala ndi moyo wogonana wosangalala mutalandira chithandizo.

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Ngakhale kuti kufalikira kwa nyini ndi vuto lobadwa nalo, choyamba kumbukirani kuti simuli nokha amene mukukumana nalo. Si vuto la wina aliyense.

• Kuzindikira matenda moyenera n'kofunika kwambiri. Ngati simunayambe kusamba muli ndi zaka 15, kapena ngati muli ndi mavuto a msambo omwe amabwera chifukwa cha kupweteka m'mimba, funsani dokotala nthawi yomweyo.
• Pali mankhwala. Kudzikulitsa kapena opaleshoni kumatha kupambana.
• Anthu ambiri amatha kukhala ndi moyo wogonana wokhutiritsa atatha kulandira chithandizo.
• Lankhulani ndi dokotala wanu za kubereka kwanu ndipo phunzirani za zomwe mungasankhe.
• Chithandizo chamaganizo ndi chofunikira kwambiri paulendowu. Ngati kuli kofunikira, funsani uphungu ndi kulumikizana ndi magulu othandizira.

"Musachite mantha, pali madokotala ndi okondedwa anu oti akuthandizeni. Ndi chidziwitso choyenera ndi chithandizo, mutha kuthana ndi vutoli bwino."

` Vaginal Agenesis, MRKH Syndrome, AIS, Zilema Zobadwa Nazo, Amenorrhea, Thanzi Lobereka, Matenda a Chikazi