Haukwanise kuva nemwana nekuda kwedambudziko rechibereko? Ngatitaurei nezve (Uterine Factor Infertility)

Patinenge tichiedza kuita kuti hope dzekuva nemwana dzizadzike, dzimwe nguva tinosangana nematambudziko asingatarisirwi. Pamwe chiremba wako akakuudza kuti dambudziko riri muchibereko? Zvakajairika kunzwa kusuruvara uye kushamisika paunonzwa chimwe chinhu chakadai. Asi usazvidya mwoyo. Ngatinzwisise izvi zvakanaka, nekuti kuziva ndicho chinhu chekutanga parwendo urwu.

Chii chinonzi Uterine Factor Infertility?

Zvichitaurwa zviri nyore, izvi zvinoitika kana munhu asingakwanise kubata pamuviri. Chikonzero cheizvi ndechekuti chibereko chake hachipo kubva pakuzvarwa kana, kunyangwe chiripo, hachishande zvakanaka. Tese tinoziva kuti mwana anozvarwa uye anokura mudumbu raamai vake, kureva kuti, mudumbu. Saka kana paine dambudziko mudumbu iri, rinokanganisa zvakananga pamuviri.

Kune mhando huru dzechirwere ichi.

Dambudziko iri rinogona kukamurwa kuita zvikamu zviviri zvikuru: zvichienderana nekuti rinoitika sei.

Ndezvipi zvikonzero zveizvi? Ngationgororei zvakadzama.

Ngatitaurei zvakadzama kuti sei izvi zvichiitika.

Kuzvarwa usina chibereko

Ichi chirwere chisingawanzoitiki chekuzvarwa nacho. Pakurapa, chinonzi `(Mayer-Rokitansky-Küster-Hauser syndrome - MRKH)`. Munhu ane chirwere ichi ane nhengo yemukadzi nechibereko zvisina kukura pakuzvarwa, kana kuti zvidiki kwazvo. Asi zvinoshamisa kuti maovari anowanzova akanaka..Nekuti maovari ari kushanda, mahormone anoburitswa zvakajairika, saka zvinhu zvakaita sekuchinja-chinja kwemanzwiro zvine chekuita nemwedzi zvinogona kuitika. Zvisinei, nekuda kwekuti chibereko hachina, hapana kubuda ropa panguva yekuenda kumwedzi. Chirwere ichi chinowanzoonekwa pazera diki, ndiko kuti, kana kuenda kumwedzi kusati kwatanga pazera remakore 15-16.

Kuvhiyiwa kweHysterectomy

Chikonzero chikuru cheizvi ndechekuti pane imwe nguva muhupenyu, chibereko chichafanira kubviswa nekuvhiyiwa. Panogona kuva nezvikonzero zvakawanda zvekuvhiyiwa kwakadaro.

• Kubuda ropa zvakanyanya (kubuda ropa zvakanyanya): Dzimwe nguva, kana paine kubuda ropa kwakanyanya kusingagone kumisa panguva yekuvhiyiwa kweC-section kana kumwe kuvhiyiwa, chibereko chingada kubviswa senzira yekupedzisira kuponesa hupenyu. Izvi hazviwanzoitiki.
• Gomarara rechibereko: Chibereko chinobviswa kudzivirira masero egomarara kuti asapararire kune dzimwe nhengo dzemuviri.
• Zvimwe zvirwere zvakakomba: Kana kurwadziwa kwakanyanya mudumbu uye kubuda ropa kwakawanda kunokonzerwa nezvirwere zvakaita se endometriosis, uterine fibroids, kana adenomyosis zvisingagoni kudzorwa nedzimwe nzira dzekurapa, vanachiremba vanokurudzira kubvisa chibereko senzira yekuzorora.
• Mavanga echibereko: Zvimwe zvirwere, kurapwa nemwaranzi, kana kuvhiyiwa kwekuchenesa chibereko (Dilation and Curettage - D&C) zvinogona kukonzera mavanga mukati mechibereko uye kukonzera kunamira. Chirwere ichi chinonzi Asherman's syndrome. Mavanga aya anoita kuti zviomere mwana ari mudumbu kuisa mudumbu.

Ungaziva sei chirwere ichi?

Chiremba wako achatevera matanho akati wandei kuti aongorore chirwere ichi.

• Nhoroondo yezvekurapa: Kutanga, muchabvunzwa nezvemwedzi yenyu, kuvhiyiwa kwamakamboita, nezvimwe zvirwere.
• Kuongororwa kwemuviri: Nzvimbo yedumbu inoongororwa.
• Kuskena: Kuskena kwe ultrasound kunogona kuona zvakajeka chimiro, saizi, uye kunyangwe chibereko chiripo. Dzimwe nguva MRI scan inogona kuitwa kuti isimbiswe zvakanyanya.

Ndezvipi zvirongwa uye nzira dzekurapa izvi?

Kwenguva yakareba, sarudzo dzega dzemunhu asina chibereko dzaive dzekutora mwana dzaive dzekumutora kana kumuberekera mwana nepamuviri.

Asi munguva pfupi yapfuura, nekufambira mberi kwesainzi yezvekurapa, tariro itsva yakabuda: kuisirwa chibereko .

Izvi hazvisati zvamboitwa munyika dzakawanda pasi rose, asi kwave nezviitiko zvakawanda apo zvakabudirira.

Kuisirwa chibereko kunoitika sei?

Uku kuvhiyiwa kwakaomawo, sekuisira nhengo yakaita sechiropa kana itsvo.

• Kuisirwa chibereko: Chibereko chine hutano chinoisirwa kubva kumunhu mupenyu (semuenzaniso, hama yepedyo yakaita saamai kana hanzvadzi) kana kubva kumunhu akafa (mupi wepfungwa akafa).
• Kugadzirira mazai emwana asati aberekwa: Mwana asati aberekwa, mazai emwana anogadzirwa achishandisa tekinoroji yeIVF achishandisa mazai emukadzi anogamuchira mazai nembeu yemumwe wake, uye anoomeswa nechando.
• Kuisirwa: Mushure mekuvhiyiwa, kana muviri wajaira chibereko chitsva, mazai akange agadzirwa kare anoiswa muchibereko chimwe nechimwe.
• Kuisirwa nhengo kwenguva pfupi: Iyi haisi nzira yehupenyu hwese semamwe maitiro ekuisirwa nhengo. Kazhinji, mushure mekuzvarwa kwemwana mumwe kana vaviri, chibereko chakaisirwa nhengo chinobviswa nekuvhiyiwa.
• Sei ichibviswa zvakare?: Kuti muviri usarambe nhengo itsva yakasimwa, unofanirwa kutora mishonga yehupenyu hwese (immunosuppressants). Mishonga iyi ine migumisiro yakaipa. Saka, mushure mekunge chinangwa chekuva nevana chazadzikiswa, chibereko chakasimwa chinobviswa nenzira iyi kuderedza njodzi yekuramba uchitora mishonga iyi.

Mamiriro ezvinhu aya anogona kudzivirirwa here?

Hapana nzira yekudzivirira chirwere ichi chekuzvarwa nacho, sezvo chichiitika mwana achiri mudumbu. Hachigone kuonekwa pachine nguva kuburikidza nekuongororwa panguva yekuzvitakura.

Asi tinogona kungwarira zvishoma nezvezvirwere zvinouya muhupenyu hwedu. Semuenzaniso, usati wavhiyiwa chibereko chechibereko chemwana nekuda kwechirwere chakadai se uterine fibroids, zvakakosha kutaura pachena nachiremba wako nezvezviroto zvako zveramangwana. Zvadaro, tinogona kukurukura kana paine dzimwe nzira dzekurapa dzisingade kubviswa kwechibereko.

Asi yeuka, dzimwe nguva kubviswa kwechibereko (hysterectomy) kuvhiyiwa kwekukurumidzira kunoponesa hupenyu. Mumamiriro ezvinhu akadaro, panogona kunge pasina nguva yekufunga nezvedzimwe nzira.