Ingaba i-vaginal yakho ayikakhiwa ngokupheleleyo? Masithethe nge-vaginal agenesis.

Ngamanye amaxesha intombi yethu, okanye mhlawumbi nawe ngokwakho, unokuba nengxaki yokuba akaqali ukuya exesheni lakhe lenyanga nasemva kokuba efikelele ekufikiseni. Okanye usenokuba nezinye iingxaki zesini. Esinye sezizathu zoku kusenokuba yimeko ebizwa ngokuba yi-'vaginal atrophy'. Oku kusenokuvakala kuyinkimbinkimbi kancinci, kodwa masithethe ngayo ngokulula, ngendlela onokuyiqonda.

Yintoni le nto kuthiwa yi-vaginal agenesis?

Ngamafutshane, oku kungenxa yokuba isini somntwana obhinqileyo asiphuhli kakuhle xa esesibelekweni. Ngokwezonyango, oku kukungaqheleki kokuzalwa . Isini sisenokuba singekho kwaphela, okanye inxalenye yaso kuphela inokuba senziwe. Khumbula ukuba nokuba le meko ikhona ekuzalweni, isenokungabonwa de kube lixesha lokufikisa. Oku kungenxa yokuba uninzi lwexesha isini sangaphandle sibonakala siqhelekile.

Uninzi lwabantu lufumanisa oku kuphela xa befikelela kwiminyaka yobudala emncinci, oko kukuthi, xa bengekaqali ukuya exesheni ngenyanga (oko sikubiza ngokuba yi-menstruation) nangona sele bemalunga neminyaka eli-15 ubudala.

Kunye nale meko ibizwa ngokuba yi-anovulation, ngamanye amaxesha kunokubakho iingxaki kwezinye iindawo zenkqubo yokuzala. Umzekelo, isibeleko, apho umntwana akhula khona, okanye iityhubhu ze-fallopian, ezithwala amaqanda ukusuka kuma-ovari ukuya kwisibeleko, zisenokuba azikhulanga kakuhle. Kwakhona, kunokubakho iingxaki ngezintso okanye umqolo.

Kodwa akukho nto inokubangela ixhala. Kukho unyango lwale meko. Ilungu lobufazi linokukhuliswa kancinci kancinci kusetyenziswa izixhobo zonyango. Ngamanye amaxesha, utyando oluncinci (`(utyando)`) lunokwenziwa ukuze kwenziwe ilungu lobufazi. Yinyani le nto, ngamanye amaxesha le meko inokwenza kube nzima ukuba nabantwana, kuxhomekeke kwizitho zokuzala ezichaphazelekayo. Nangona kunjalo, ngonyango, abafazi abaninzi banokuphila ubomi obusempilweni kwaye babe nobomi obuqhelekileyo besondo.

Ixhaphake kangakanani le meko?

Le meko ayiqhelekanga ngokwenene. Ngokwezibalo, ichaphazela malunga nomnye wabasetyhini abangama-5,000. Kufunyenwe ukuba malunga nesithathu sabasetyhini abanolu hlobo lwe-vaginal prolapse nabo baneengxaki zezintso. Kwakhona, malunga ne-12% banokubona iingxaki ngamathambo omqolo, iimbambo, okanye amalungu omzimba.

Kutheni oku kusenzeka? Yintoni unobangela?

Oogqirha abakayazi eyona nto ibangela oku . Kwenzeka xa umntwana ongekazalwa ekhula esibelekweni. Ngokwesiqhelo kwenzeka xa inkqubo yokuzala yomfazi ingakhuli kakuhle kwiiveki ezingama-20 zokuqala zokukhulelwa. Kunokubangela iingxaki ekuphuhlisweni kwesini, isibeleko, iityhubhu ze-fallopian, okanye umlomo wesibeleko.

Kukholelwa ukuba izinto ezingqongileyo, ezinje ngokuchatshazelwa ziikhemikhali ezinobungozi ngexesha lokukhulelwa, nazo zinokudlala indima . Okanye,Kusenokuba kukho izizathu zemfuza. Ezinye iimeko ezinxulumene nokuqhekeka kwesibeleko zisenokufunyanwa njengelifa.

Ukungakwazi ukusebenza kakuhle kwesini luphawu, okanye lunokwenzeka kunye nezinye iimeko ezininzi. Ezi zibizwa ngokuba ziingxaki zokwahluka kwesini (DSD). Ezimbini kwezi meko ziphambili zezi:

• Isifo sikaMayer-Rokitansky-Küster-Hauser (MRKH): Esi sisifo esingaqhelekanga kakhulu. Sibangela ukungaqheleki kwizitho zokuzala. Isifo sikaMRKH sesona sifo sixhaphakileyo esinxulunyaniswa nokukhula kwesibeleko. Kule meko, isibeleko kunye nesibeleko azikhuli kakuhle, okanye azikhuli kwaphela. Ngokuxhomekeke kuhlobo kunye nobunzima besi sifo, ezinye iingxaki zinokwenzeka nakwisibeleko, umqolo, kunye nemilenze. Abanye abantu banokufumana ukulahleka kokuva, isifo sentliziyo, kunye neengxaki zezintso.
• I-Androgen insensitivity syndrome (AIS): Le yimeko yemfuza. Kule meko, isibeleko somntwana, umlomo wesibeleko, iityhubhu ze-fallopian, kunye nenxalenye yelungu lobufazi azikhuli. Kwezinye iimeko, ilungu lobufazi lisenokungakhuli konke konke.

Zithini iimpawu zale meko?

Kukho iimpawu ezibalulekileyo zesi sifo ekufuneka uzazi:

• I-Amenorrhea : Oku kuthetha ukuba ukuya exesheni akukaqali xa uneminyaka eli-15 ubudala. Olu luphawu lokuqala oludla ngokuba lulo. Ukuba oku kuyenzeka kwintombi yakho, bonana nogqirha.
• I-Cryptomenorrhea : Oku kuxa igazi lokuya exesheni, ekufuneka likhutshwe inyanga nenyanga, liqokelelana ngaphakathi emzimbeni ngaphandle kwendlela yokuphuma. Khawuthelekelele, igazi lokuya exesheni liveliswa inyanga nenyanga, kodwa akukho ndlela yokuba liphume. Emva koko liqokelelana ngaphakathi kwaye linokubangela izinto ezifana neentlungu zesisu kunye neentlungu zomqolo. Oku kunokuba buhlungu kakhulu.
• Umnyango welungu lobufazi usenokuba yi-dimple encinci okanye kungabikho mnyango konke konke.
• Intlungu ngexesha lokwabelana ngesondo. Oku kunokwenzeka ukuba i-vagina imfutshane kakhulu.

Uyibona njani le nto? Zeziphi iimvavanyo ezenziwayo?

Ngamanye amaxesha, oogqirha bayayibona le meko besebancinci okanye besebancinci. Nangona kunjalo, idla ngokubonwa xa usekwishumi elivisayo. Abantu abaninzi bafumanisa ukuba banale meko xa besiya kugqirha kuba bengekaqali ukuya exesheni labo lenyanga xa beneminyaka eli-15 ubudala.

Ukuze kufunyaniswe imeko ebizwa ngokuba yi-vaginal prolapse, ugqirha wakho (okanye ugqirha womntwana wakho) uya kwenza uvavanyo olufana nolu:

• Okokuqala, kwenziwa uvavanyo lomzimba . Oku kuthetha ukuhlola indawo yelungu lobufazi kunye nendawo ejikeleze i-anus.
• Kwenziwa iskeni ye-ultrasound (`(Ultrasound)`) . Oku kuvumela ukuba i-vagina ibe ngaphezuluImifanekiso yamalungu angaphakathi kwi-pelvic cavity (njenge-uterus kunye nama-ovari) inokubonwa.
• I-MRI scan (MRI) nayo inokwenziwa . Oku kunokuvelisa imifanekiso ecacileyo neneenkcukacha zelungu lobufazi kunye namanye amalungu okuzala.
• Ukongeza, ugqirha wakho unokucebisa ukuba kwenziwe uvavanyo lwegazi ukuze kuhlolwe ukungasebenzi kakuhle kwe-chromosome. Uvavanyo lwegazi lwe-DNA lunokuqinisekisa ukuba unesifo semfuza, esifana ne-MRKH syndrome, kuba ngamanye amaxesha i-vaginal prolapse inokunxulunyaniswa nezi meko zemfuza.

Ngaba le meko inganyangwa?

Ewe, kukho unyango loku. Ungathetha nogqirha wakho okanye ugqirha wezingane womntwana wakho ukuze agqibe ukuba leliphi ixesha elifanelekileyo lokuqala unyango. Abanye abantu baqala unyango besebancinci. Abanye baqala unyango emva kokuba befikise ebusheni okanye besabelana ngesondo. Esi sisigqibo sobuqu kakhulu.

Iindlela ezimbini eziphambili zonyango lokomisa isini yile:

1. Ukuzikhulisa kwelungu lobufazi

Ukuba unomngxuma welungu lobufazi okanye umngxuma omncinci apho kufuneka ukuba uvulwe khona, ugqirha wakho uya kukuxelela ukuba usebenzise i-dilator ukuze wenze ilungu lobufazi lakho libe banzi. Oku kuquka ukusebenzisa umbhobho omncinci, obhityileyo ukuze wandise kancinci umngxuma. Oku kuya kwenziwa kancinci kancinci kwiintsuku ezimbalwa. Oku kudla ngokuthatha malunga nemizuzu engama-20 ngosuku. Usenokuziva ungakhululekanga ngexesha lokuvulwa, kodwa akufuneki kube buhlungu. Kungcono ukusebenzisa i-dilator xa ulusu lwakho luthambile kwaye luthambile, njengasemva kokuhlamba.

2. Utyando (`(Utyando)`)

Ngamanye amaxesha, ugqirha wakho unokucebisa inkqubo ebizwa ngokuba yi-vaginoplasty ukwenza i-vaginoplasty. Ugqirha uya kugqiba ukuba yeyiphi indlela omawuyisebenzise ngokusekwe kwindawo yomzimba wakho kunye nezinye izinto. Oogqirha banokusebenzisa isixhobo sokutsala ukwenza i-vagina apho kungekho -vagina, okanye banokusebenzisa i-skin graft (evela esidleleni sakho okanye kwiqhekeza lamathumbu). Emva kotyando, ugqirha wakho uya kufaka i-insert ukunceda ukugcina i-vagina ikwimo entle. Thetha nogqirha wakho malunga nokuba ungasisusa nini esi si-insert.

Kuthatha ixesha elingakanani ukuchacha emva kolu nyango?

Ukuba ukhe watyandwa, buza ugqirha wakho ukuba ulindele ntoni ngexesha lokuchacha kwakho. Ngokuqhelekileyo uza kuhlala ebhedini kangangeveki. Ugqirha wakho angakuxelela nokuba ugcine i-dilator (isixhobo esinokufakwa kwilungu lobufazi bakho) endaweni yaso kangangeenyanga eziliqela. Ungayisusa i-dilator ngexesha lokwabelana ngesondo, xa usiya kwigumbi lokuhlambela, okanye xa uhlamba.

Ngaba umntu ongakwaziyo ukulala ngesondo kwilungu lobufazi?

Le yingxaki eqhelekileyo kubantu abaninzi. Buza ugqirha wakho ukuba kukhuselekile na ukulala ngesondo emva konyango lwe-prolapse yesini. Ngokwesiqhelo, ungaqala ukulala ngesondo malunga nenyanga emva kotyando. Nangona kunjalo, ixesha lokuchacha liyahluka ukusuka kumntu ukuya komnye. Kusenokufuneka usebenzise i-lubricant yokwenziwa ukuze kube lula ukulala ngesondo kumanqanaba okuqala.

Emva konyango, abantu abaninzi baphila ubomi obunelisayo ngokwesondo. Iqabane lakho lisenokungazi nokuba unengxaki yokungavuki okanye ukuba unyangelwe loo nto.

Ndingaba nabantwana emva konyango?

Lo ngumbuzo obaluleke kakhulu. Buza ugqirha wakho ukuba uza kukwazi na ukuba nabantwana emva konyango. Ukuba isibeleko sakho, iityhubhu ze-fallopian, kunye ne-cervix zikhule ngendlela eqhelekileyo, usenokukwazi ukuba nabantwana.

Nangona kunjalo, ukuba awunaso isibeleko (okanye ukuba sincinci kakhulu), oko kuthetha ukuba une-uterine factor yokungazali, usenokungakwazi ukuzala umntwana ixesha elide. Kodwa ungalahli ithemba. Usenokukwazi ukuba nomntwana ngokuthatha umntwana wabanye abantu usebenzisa amaqanda akho. Ugqirha wakho uza kukuthumela kwingcali yokuzala ukuze kuxoxwe ngokuqhubekayo ngale nto.

Ngaba ukoma kwelungu lobufazi kungathintelwa?

Ukuqhekeka kwesibeleko sisifo esingaqhelekanga esizalwa naso/isiphene esizalwa naso . Oko kukuthi, yinto ekhoyo xa umntwana ezalwa, into eyenzekayo ngelixa umntwana esakhula esibelekweni. Ngoko ke, akukho ndlela yokuyithintela. Asiyonto eyenzeka ngempazamo yomntu.

Ndingazi njani ukuba umntwana wam usemngciphekweni wokufumana le meko?

Ukuba kukho umntu kusapho lwakho onembali ye-disorders of sex differentiation (DSD), kungcono ukuthetha nogqirha wakho ngaphambi kokuba uqalise usapho. Ungadibana nomcebisi wezemfuza ngaphambi kokuba ukhulelwe ukuze uvavanye umngcipheko wakho wokudlulisela imeko yemfuza kumntwana wakho.

Ukuba ndine-prolapse yesini, ndimele ndilindele ntoni?

Imbono yakho ixhomekeke kwizinto ezininzi. Luluphi unyango olufumeneyo kunye namacandelo enkqubo yakho yokuzala achaphazelekileyo zibalulekile. Nangona kunjalo, ngonyango, uninzi lwabantu luphila ubomi bokwabelana ngesondo obanelisayo. Abanye abantu banokufumana i-vaginal stenosis (ukuncitshiswa kwe-vaginal) emva kwe-vaginoplasty. Ukuba oku kuyenzeka, kunokufuneka uqhubeke usebenzisa i-dilator okanye wenze olunye utyando.

Ndifanele ndimbone nini ugqirha?

Ziqaphele ezi zinto:

• Ukuba wena okanye umntwana wakho anikaqali ukuya exesheni xa eneminyaka eli-15 ubudala, bonana nogqirha ngoko nangoko. Kubalulekile ukufumana uvavanyo olupheleleyo kunye nokuhlolwa komzimba.
• Kwakhona, ukuba unesisu esibuhlungu okanye umqolo obuhlungu ngaphandle kokuya exesheni, bonana nogqirha ngokukhawuleza.
• Ukuba ubona into engaqhelekanga kwindawo yesini, bona ugqirha ukuze akuhlole.

Yintoni enye endifanele ndiyibuze ugqirha wam malunga nokoma kwelungu lobufazi?

Ukuze uyiqonde ngcono le meko, ungabuza ugqirha wakho imibuzo efana nale:

• Yeyiphi indlela yonyango engcono kum?
• Ungandidibanisa neqela lenkxaso elinceda abantu abakule meko?
• Ndingabuyela nini kwimisebenzi yam yesiqhelo emva konyango?
• Ndingalala nini emva konyango?
• Ukuba kukho abantu kusapho lwam abane-vaginal prolapse, ingakanani ingozi yokuba nomntwana wam abe nale meko?

Ukuba wena okanye umntwana wakho ninayo nayiphi na kwezi mpawu, thetha nogqirha wakho ngokukhululekileyo nangokunyanisekileyo. Ukungoneli kakuhle kwesini kunokubangela iingxaki zokuya exesheni, impilo yokuzala , kunye nokusebenza ngokwesondo. Nangona kunjalo, unyango lunokunceda. Ukuba ufuna ukuba nabantwana emva konyango, thetha nogqirha wakho malunga neendlela onokukhetha kuzo. Abantu abaninzi banobomi bokwabelana ngesondo obonwabisayo emva konyango.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Nangona i-vaginal agenesis yimeko yokuzalwa, khumbula kuqala ukuba awuwedwa ojongene nayo. Ayilotyala lomntu.

• Ukuxilongwa ngokufanelekileyo kubaluleke kakhulu. Ukuba awukaqali ukuya exesheni uneminyaka eli-15 ubudala, okanye ukuba uneengxaki zokuya exesheni ezihamba nentlungu yesisu, funa ingcebiso kagqirha ngokukhawuleza.
• Kukho unyango. Ukuzikhulisa okanye utyando lunokuphumelela.
• Abantu abaninzi bayakwazi ukuba nobomi bokwabelana ngesondo obanelisayo emva konyango.
• Thetha nogqirha wakho malunga nokuzala kwakho kwaye ufunde ngeendlela onokukhetha kuzo.
• Inkxaso yengqondo nayo ibaluleke kakhulu ngeli xesha lohambo. Ukuba kuyimfuneko, funa iingcebiso kwaye uqhagamshelane namaqela enkxaso.

"Musa ukoyika, kukho oogqirha nabantu obathandayo abanokukunceda. Ngolwazi oluchanekileyo nenkxaso , ungamelana nale meko ngempumelelo."

I- Vaginal Agenesis, i-MRKH Syndrome, i-AIS, iziphene zokuzalwa, i-Amenorrhea, impilo yokuzala, i-Gynecology