Yintoni i-MRKH syndrome (iMayer-Rokitansky-Küster-Hauser Syndrome)? Singathetha ngale nto?

Ngaba intombi yakho, okanye umntwana omncinci omaziyo, akakaqali ukuya exesheni ngesantya esifanelekileyo seminyaka? Okanye, ngaba ngamanye amaxesha uziva iintlungu okanye ukungakhululeki xa ezama ukulala nomntu? Namhlanje siza kuthetha ngemeko ekhethekileyo yempilo enokubangela ezi zinto, kodwa ayiqhelekanga kakhulu kwaye abantu abaninzi abakaze beve ngayo. Oku kubizwa ngokuba yiMeyer-Rokitansky-Küster-Hauser syndrome , okanye ``MRKH syndrome'' ngamafutshane. Nangona igama lisenokubonakala lide kancinci, le yimeko yemfuza engaqhelekanga echaphazela abafazi. Masithethe ngayo ngokulula, ngendlela onokuyiqonda.

Yintoni kanye kanye i-MRKH syndrome?

Ngamafutshane, i-MRKH syndrome yimeko apho isini somfazi kunye nesibeleko zingaphuhli kakuhle okanye zingakhekanga ngokupheleleyo ekuzalweni. Cinga ngayo njengendlu eyakhiweyo enamagumbi athile angakhekanga kakuhle. Nangona kunjalo, kwiimeko ezininzi, ama-ovari kunye nemibhobho ye-fallopian yabantu abanesi sifo isebenza ngokuqhelekileyo . Kwakhona, isini sangaphandle, oko kukuthi, inxalenye esezantsi yesini, ukuvulwa kwesini, i-labia, i-clitoris, kunye nokukhula kweenwele ezijikeleze zona, ziqhelekile. I-urethra ayichaphazeleki, ngoko akukho ngxaki yokuchama.

Nangona kunjalo, kwezinye iintlobo ze-MRKH syndrome, kunokubakho iingxaki ezithile zokukhula kwamanye amalungu omzimba, njengezintso kunye nomqolo.

Amaxesha amaninzi, le meko ifunyanwa ebuntwaneni, oko kukuthi, xa uneminyaka eli-15-16 ubudala, xa ungaqali ukuya exesheni. Oku kungenxa yokuba isibeleko asikakhuli ngokupheleleyo, ngoko ke ukuya exesheni akwenzeki. Ngamanye amaxesha, xa uzama ukulala nomntu, isini singavakala sibuhlungu okanye sinzima kuba sifutshane kwaye sincinci.

Ngenxa yokuba isibeleko asikakhuli ngokupheleleyo okanye asikho, akunakwenzeka ukuba ukhulelwe kwaye ubelethe umntwana ngaphandle koncedo lwezonyango kule meko. Nangona kunjalo, ukuba ama-ovari ayasebenza kwaye amaqanda eveliswa , iindlela ezifana ne-"IVF - in vitro fertilization" kunye ne-"surrogacy" zinokuqwalaselwa. Ukuba unethemba lokuba nabantwana, kubaluleke kakhulu ukuthetha nogqirha wakho ngayo. Banokukunika iingcebiso ngeendlela ezifanelekileyo kuwe.

Amanye amagama aliqela asetyenziswa kwi-`(MRKH syndrome)`:

• Ukungabikho kwesibeleko kunye nelungu lobufazi (CAUV) ekuzalweni
• Ukuzala kweVaginal
• I-Müllerian agenesis
• I-Müllerian aplasia (MA)
• I-Genital Renal Ear Syndrome (GRES)

Ngaba kukho iintlobo ze-MRKH syndrome?

Ewe, kukho iintlobo ezimbini eziphambili ze-`(MRKH syndrome)`:

• Uhlobo 1:Kolu hlobo, ii-ovari kunye neetyhubhu ze-fallopian zisebenza ngokuqhelekileyo, kodwa inxalenye ephezulu yesini, umlomo wesibeleko, kunye nesibeleko ivaliwe okanye ayikho endaweni yayo. Nangona kunjalo, oku akuchaphazeli naziphi na ezinye izitho emzimbeni.

• Uhlobo 2: Kolu hlobo, ukongeza ekubeni inxalenye ephezulu yesini, umlomo wesibeleko, kunye nesibeleko ivalekile okanye ingekho endaweni yayo, kunokubakho neengxaki ezithile ngemibhobho ye-fallopian, ama-ovari, umqolo, izintso, okanye amanye amalungu omzimba.

Ixhaphake kangakanani le meko?

I-MRKH syndrome yimeko engaqhelekanga kakhulu . Ichaphazela malunga nentombazana enye kuphela kwi-4,500. Ngoko ke akumangalisi ukuba asikaziva kangako ngayo.

Zithini iimpawu ze-MRKH?

Iimpawu ze-MRKH syndrome zinokwahluka ngokuxhomekeke kuhlobo onalo.

Kwiimeko ezininzi, uphawu oluphambili kukungabikho kokuya exesheni (i-amenorrhea) xa uneminyaka eli-16 ubudala. Olu luphawu lokuba isibeleko okanye i-vagina ayikaphuhli kakuhle. Nangona kunjalo, ngenxa yokuba ama-ovari asebenza kakuhle, ezinye iimpawu ezinxulumene nokuya exesheni, ezinje ngokudumba kunye nokutshintsha kweemvakalelo, zinokwenzeka nokuba akukho gazi.

Ngenxa yokuba unee-chromosomes kunye nee-hormones zabasetyhini, ufumana ukukhula okuqhelekileyo ngokwesondo, njengokukhula kwamabele kunye nokukhula kweenwele emakhwapheni nakwindawo yangasese. Nangona kunjalo, unokufumana iintlungu okanye ukungakhululeki xa uqala ukuzama ukulala ngesondo. Oku kungenxa yokuba isini sakho sincinci, sincinci, kwaye sifutshane kunesiqhelo.

Ukuba une-Type 2 MRKH, unokufumana ezinye iimpawu ezifana nezi:

• Iingxaki zezintso, okanye ukungasebenzi kakuhle kwenye yezintso okanye zombini.
• Iingxaki ngamathambo omqolo okanye ezinye iingxaki zenkqubo yamathambo.
• Ukuphazamiseka kokuva.
• Ezinye iingxaki zentliziyo.

Yintoni ebangela i-MRKH?

Abaphandi abakayazi eyona nto ibangela i-MRKH syndrome. Nangona kunjalo, bayazi ukuba ibandakanya iingxaki ezithile ngee-genes kunye nee-chromosomes. Nangona kunjalo, abakwazanga ukuyichaza njenge-gene enye ethile. Into ebalulekileyo kukuba ayisiyonto eyenziwe okanye engenziwanga ngumama ngexesha lokukhulelwa . Ngoko ke ungakhathazeki ngayo.

Inkqubo yokuzala yebhinqa iqala ukuphuhliswa kwiiveki zokuqala zokukhulelwa. Iityhubhu ze-fallopian, isibeleko, umlomo wesibeleko, kunye nenxalenye ephezulu yesini zenziwe ngento ebizwa ngokuba yi-Müllerian ducts . Kubantu abane-MRKH syndrome, ezi ducts ze-Müllerian azikhuli ngokupheleleyo. Akukaziwa okwangoku ukuba kutheni oku kwenzeka kwabanye abantu. Nangona kunjalo, ngenxa yokuba ii-ovari zikhula ngokwahlukileyo kwezinye iinkqubo zokuzala, ii-ovari zihlala zingachaphazeleki.

Ungazi njani ngokuqinisekileyo ukuba une-MRKH?

Oogqirha badla ngokuxilonga i-MRKH syndrome xa intombazana encinci ingaphumeleli ukuya exesheni okokuqala.

Inyathelo lokuqala ekuxilongeni le meko kukuhlolwa ngokomzimba . Ugqirha wakho uza kufaka umnwe ogqunywe iglavu kwisini sakho aze alinganise ubunzulu nobubanzi baso. Olu vavanyo lunokufumanisa i-MRKH kuba isini sifutshane. Emva koko, unokucelwa ukuba wenze iimvavanyo zomfanekiso, ezinje nge-ultrasound scan okanye i-MRI (magnetic resonance imaging), ukuze kubonwe ukuba isibeleko sakho, iityhubhu ze-fallopian, izintso, okanye ezinye izitho zomzimba ziyachaphazeleka na. Ngamanye amaxesha, uvavanyo lwegazi lunokwenziwa ukujonga amanqanaba e-hormone yakho.

Ziziphi iindlela zonyango ze-MRKH?

Unyango lwe-MRKH syndrome luyahluka ngokuxhomekeke kwiinjongo zakho kunye neempawu zakho. Kukho unyango lotyando nolungenalo utyando. Ezinye zezi ziquka i-vaginoplasty, i-vaginal dilation, kunye nokufakelwa kwesibeleko.

Ukwandiswa kwesisu

Enye indlela oogqirha abayisebenzisayo ukolula isini kukusebenzisa izixhobo ezibizwa ngokuba zii-vaginal dilators . Ezi zenziwe ngeplastiki okanye i-silicone kwaye ziza ngobude nobubanzi obahlukeneyo. Ezi zixhobo zifana netyhubhu zinceda ekwandiseni nasekuwoluleni isini ukusuka ngaphakathi. Ugqirha wakho uza kukuchazela eyona ndlela ilungileyo yokusebenzisa i-vaginal dilator kwimeko yakho.

I-Vaginoplasty (ukwakhiwa ngokutsha kwelungu lobufazi ngotyando)

I-Vaginoplasty yindlela yotyando yokwenza i-vagina . Oogqirha botyando baneendlela ezininzi zokwenza le nkqubo. Amaxesha amaninzi, benza umngxuma baze bawugqume ngezicubu ezithathwe kwenye inxalenye yomzimba wakho. Oku kukuvumela ukuba ube neentlobano zesini eziqhelekileyo.

Ukufakelwa kwesibeleko

Ukufakelwa kwesibeleko kunokunika umfazi onesifo se-MRKH ithuba lokuthwala umntwana. Olu lutyando olukhulu. Lubandakanya ukufakelwa isibeleko kumntu onikelayo ukuya kumfazi ongenaye. Oku kunika abantu abane-MRKH ithuba lokuthwala nokuzala umntwana wabo. Ukufakelwa kwesibeleko akukasetyenziswa kakhulu kuzo zonke iindawo zehlabathi, kodwa kunokuba lunyango olunempumelelo kakhulu kwixesha elizayo.

Ngaba le meko ingathintelwa?

Hayi, akukho ndlela yokuthintela i-MRKH syndrome . Inokwenzeka kubantu abangazange babe nayo ngaphambili, okanye inokuba yimfuza. Njengoko bekutshiwo ngaphambili, ayibangelwa yimfuza enye ethile.

Ngaba abantu abane-MRKH banokuba nomntwana?

Ewe, abantu abane-`(MRKH syndrome)` banokuba nomntwana!Ukuba amaqanda akho ayasebenza, amaqanda akho anokudityaniswa nesidoda aze atyandwe kusetyenziswa i-in vitro fertilization (IVF). Emva koko i-embryo idluliselwa kumama okhulelweyo/umama oza kuzala umntwana . Oku kuthetha ukuba uza kuba nomntwana onezakhi zofuzo zakho, okhula esibelekweni somnye umfazi ophilileyo.

Zeziphi ezinye iingxaki zempilo ezinokubangelwa yi-MRKH?

Ngaphambili besikhe sathetha ngokuba abantu abane-"Type 2`` MRKH banokuba neengxaki nakwezinye izitho zomzimba, njengezintso, umqolo, okanye intliziyo. Ukongeza, ezinye iingxaki zempilo eziqhelekileyo kubantu abane-"Type 2`` MRKH zezi:

• Iingxaki ezinxulumene namathambo omqolo.
• I-Scoliosis.
• Ukukhubazeka kwezintso, njengokudityaniswa kwezintso okanye ukungabikho kwentso enye okanye zombini (i-renal agenesis).
• Umngcipheko ophezulu wamatye ezintso, usulelo lwendlela yomchamo, kunye nokuvaleka kwendlela yomchamo.
• Ukuphazamiseka kokuva.
• Isifo sentliziyo.

Iingxaki zenkqubo yokuzala zixhaphakile kubantu abane-MRKH. Ukongeza ekungakwazini ukukhulelwa okanye ukuba nomntwana wabo, abo banesibeleko esingakhulanga kakuhle banokuba neemeko ezifana ne-endometriosis.

Ngenxa yako konke oku, kuyinto eqhelekileyo ukuziva uxinezelekile ngokweemvakalelo . Ugqirha wakho unokucebisa ukuba ujoyine iqela lenkxaso okanye ufumane inkonzo yokunika iingcebiso ngengqondo, efana nonyango lokuziphatha kwengqondo (i-CBT), ukukunceda ujongane nale meko. Ezi zinto zinokuba luncedo kakhulu.

Akumangalisi ukuba ukufumanisa ukuba unesifo iMayer-Rokitansky-Küster-Hauser (MRKH) kunokuba yinto eyoyikisayo kakhulu. Ukuba uzalwe unesibeleko okanye i-vagina engakhulanga kakuhle, usenokungazi de ube mncinci kwaye usandul' ukuqala ukuya exesheni. Nangona ingeyonto isongela ubomi, inokubangela uxinzelelo olukhulu, ichaphazele amandla omfazi okukhulelwa nokwenza isondo. Kwezinye iimeko, inokuchaphazela amanye amalungu omzimba kwaye yonyuse umngcipheko weengxaki ezithile zempilo.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoku uyaqonda ngcono into ebesithetha ngayo, "i-MRKH syndrome." Eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba awuwedwa . Kukho abanye abantu emhlabeni abaphila nezi meko.

• Ukuba uneempawu ezinje, kubaluleke kakhulu ukubona ugqirha olungileyo uze ufumane ukuxilongwa ngokuchanekileyo .
• Kukho unyango olufumanekayo. Thetha nogqirha wakho uze ukhethe unyango olukulungeleyo.
• Musa ukulahla ithemba ngabantwana. Ngeteknoloji efana ne-'(IVF)' kunye ne-'(surrogacy)', kukho amathuba okwenza elo phupha libe yinyaniso.
• Nyamekela impilo yakho yengqondo.Ukuba kuyimfuneko, funa iingcebiso kwaye ujoyine amaqela enkxaso nabantu abaye baba namava afanayo. Oku kuya kukunika amandla amaninzi.
• Asikuko oku okubangela ingxaki. Le yimeko yendalo enokwenzeka nakubani na.

Ugqirha wakho, mhlawumbi neqela leengcali, baya kukunika inkxaso kunye nesikhokelo osidingayo ukuze uqhubele phambili nale `(MRKH syndrome)`. Bathembe. Ukuba uneminye imibuzo malunga noku, ungoyiki ukubabuza. Yiba sempilweni!

I- MRKH syndrome, iMayer-Rokitansky-Küster-Hauser Syndrome, i-vaginal agenesis, i-uterine agenesis, impilo yabasetyhini, impilo yokuzala, i-amenorrhea