Ingabe isitho sakho sangasese sowesifazane asikakhiwa ngokugcwele? Ake sixoxe ngokuvela kwesitho sangasese sowesifazane.

Ngezinye izikhathi indodakazi yethu, noma mhlawumbe wena ngokwakho, ingaba nenkinga lapho ingaqali ukuya esikhathini ngisho nangemva kokufika esikhathini sokuthomba. Noma ingase ibhekane nokunye ukungakhululeki kwesitho sangasese sowesifazane. Esinye isizathu salokhu kungaba yisimo esibizwa ngokuthi 'i-vaginal atrophy'. Lokhu kungase kuzwakale kuyinkimbinkimbi kancane, kodwa ake sixoxe ngakho kalula, ngendlela ongayiqonda.

Kuyini lokhu okubizwa ngokuthi i-vaginal agenesis?

Kalula nje, lokhu kungenxa yokuthi isitho sangasese somntwana wesifazane asikhuli kahle uma esesibelethweni. Ngokwezokwelapha, lokhu kuyisimo esingavamile sokuzalwa . Isitho sangasese sowesifazane singase singabi khona nhlobo, noma ingxenye yaso kuphela ingakheka. Khumbula ukuthi noma ngabe lesi simo sikhona ekuzalweni, singase singabonwa kuze kube yilapho sithomba. Lokhu kungenxa yokuthi isikhathi esiningi izitho zangasese zangaphandle zibonakala zijwayelekile.

Iningi labantu lithola lokhu kuphela lapho lifika ebudaleni obuncane, okungukuthi, lapho bengakaqali ukuya esikhathini (lokho esikubiza nangokuthi ukuya esikhathini) ngisho noma sebeneminyaka engaba ngu-15 ubudala.

Kanye nalesi simo esibizwa ngokuthi i-anovulation, ngezinye izikhathi kungaba nezinkinga ngezinye izingxenye zesimiso sokuzala. Isibonelo, isibeletho, lapho umntwana ekhula khona, noma amashubhu e-fallopian, athwala amaqanda esuka kuma-ovari aye esibelethweni, kungenzeka ukuthi awakhulanga kahle. Futhi, kungase kube nezinkinga ngezinso noma umgogodla.

Kodwa akukho okufanele ukhathazeke ngakho. Kunezindlela zokwelapha lesi simo. Isitho sangasese sowesifazane singakhuliswa kancane kancane kusetshenziswa amadivayisi ezokwelapha. Ngezinye izikhathi, ukuhlinzwa okuncane (`(ukuhlinzwa)`) kungenziwa ukuze kudalwe isitho sangasese sowesifazane. Yiqiniso, lesi simo ngezinye izikhathi singenza kube nzima ukuthola abantwana, kuye ngezitho zokuzala ezithintekile. Kodwa-ke, ngokwelashwa, abesifazane abaningi bangaphila impilo enempilo futhi babe nokuphila okuvamile kocansi.

Sivame kangakanani lesi simo?

Lesi simo empeleni asivamile kakhulu . Ngokwezibalo, sithinta cishe owesifazane oyedwa kwabangu-5,000. Kutholakale ukuthi cishe ingxenye yesithathu yabesifazane abanalolu hlobo lwe-vaginal prolapse nabo banezinkinga zezinso. Futhi, cishe u-12% angabona izinkinga ngamathambo omgogodla, izimbambo, noma imilenze.

Kungani lokhu kwenzeka? Iyini imbangela?

Odokotela abakayazi imbangela eqondile . Kwenzeka lapho umbungu ukhula esibelethweni. Ngokuvamile kwenzeka lapho uhlelo lokuzala lowesifazane lungakhuli kahle phakathi namasonto okuqala angu-20 okukhulelwa. Kungabangela ukukhubazeka ekukhuleni kwesitho sangasese sowesifazane, isibeletho, amashubhu esibeletho, noma umlomo wesibeletho.

Kucatshangwa ukuthi izici zemvelo, njengokuchayeka kumakhemikhali anobuthi ngesikhathi sokukhulelwa, nazo zingadlala indima . Noma,Kungase kube nezimbangela zofuzo. Ezinye izimo ezihlobene nokuncipha kwesisu zingase zizuzwe njengefa.

Ukungakwazi ukusebenza kahle kwesitho sangasese sowesifazane kuwuphawu, noma lungenzeka kanye nezinye izimo eziningana. Lezi zibizwa ngokuthi izifo zokwehluka kobulili (DSD). Ezimbili zezimo eziyinhloko yilezi:

• I-Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome: Lesi yisimo esingavamile kakhulu. Sibangela ukukhubazeka ezithweni zokuzala. I-MRKH syndrome yisimo esivame kakhulu esihlotshaniswa nokukhula kwesitho sangasese sowesifazane. Kulesi simo, isitho sangasese sowesifazane kanye nesibeletho akukhuli kahle, noma akukhuli nhlobo. Kuye ngohlobo kanye nobunzima balesi sifo, ezinye izinkinga zingase zenzeke nasesibelethweni somlomo wesibeletho, emgogodleni, nasemalungeni. Abanye abantu bangase babe nokulahlekelwa ukuzwa, isifo senhliziyo, kanye nezinkinga zezinso.
• I-Androgen insensitivity syndrome (AIS): Lesi yisimo sofuzo. Kulesi simo, isibeletho sengane, umlomo wesibeletho, amashubhu e-fallopian, kanye nengxenye yesitho sangasese sowesifazane akukhuli. Kwezinye izimo, isitho sangasese sowesifazane singase singakhuli nhlobo.

Ziyini izimpawu zalesi simo?

Kunezici eziningana ezibalulekile zalesi simo okufanele uziqaphele:

• I-Amenorrhea : Lokhu kusho ukuthi ukuya esikhathini akukaqali lapho umuntu eneminyaka engu-15. Lokhu kuvame ukuba uphawu lokuqala. Uma lokhu kwenzeka endodakazini yakho, bona udokotela.
• I-Cryptomenorrhea : Lokhu kwenzeka lapho igazi lokuya esikhathini, okufanele likhishwe njalo ngenyanga, liqongelela ngaphakathi emzimbeni ngaphandle kwendlela yokuphuma. Cabanga nje, igazi lokuya esikhathini likhiqizwa njalo ngenyanga, kodwa ayikho indlela yokuphuma. Bese liqongelela ngaphakathi futhi lingabangela izinto ezifana nobuhlungu besisu nobuhlungu bomhlane. Lokhu kungaba buhlungu kakhulu.
• Imbobo yesitho sangasese sowesifazane ingaba yi-dimple encane noma ingabi khona nhlobo imbobo.
• Ubuhlungu ngesikhathi socansi. Lokhu kungenzeka uma isitho sangasese sowesifazane sifushane kakhulu.

Ukubona kanjani lokhu? Yiziphi izivivinyo ezenziwayo?

Ngezinye izikhathi, odokotela bakuthola lokhu besebancane noma besebancane. Kodwa-ke, ngokuvamile kutholakala usemusha. Abantu abaningi bathola ukuthi banalesi simo lapho beya kudokotela ngoba abakaqali ukuya esikhathini sabo sanyanga zonke lapho beneminyaka engu-15.

Ukuze axilonge isimo esibizwa ngokuthi i-vaginal prolapse, udokotela wakho (noma udokotela wengane yakho) uzokwenza izivivinyo ezinjengalezi:

• Okokuqala, kwenziwa ukuhlolwa ngokomzimba . Lokhu kusho ukuhlola indawo yesitho sangasese sowesifazane kanye nendawo ezungeze indunu.
• Kwenziwa ukuskena kwe-ultrasound (`(Ultrasound)`) . Lokhu kuvumela isitho sangasese sowesifazane ukuba sibe ngaphezuluIzithombe zezitho ezingaphakathi komgodi we-pelvic (njengesibeletho nama-ovari) zingabonakala.
• Kungenziwa ne-MRI scan (MRI) . Lokhu kungaveza izithombe ezicacile nezinemininingwane zesitho sangasese sowesifazane kanye nezinye izitho zokuzala.
• Ngaphezu kwalokho, udokotela wakho angase futhi ancome ukuhlolwa kwegazi ukuze kuhlolwe ukukhubazeka kwe-chromosome. Ukuhlolwa kwegazi kwe-DNA kungaqinisekisa ukuthi unesifo sofuzo, njenge-MRKH syndrome, ngoba ngezinye izikhathi ukuncipha kwesitho sangasese sowesifazane kungahlotshaniswa nalezi zimo zofuzo.

Ingabe lesi simo singelashwa?

Yebo, kunezindlela zokwelapha lokhu. Ungakhuluma nodokotela wakho noma udokotela wezingane wengane yakho ukuze unqume ukuthi yisiphi isikhathi esingcono sokuqala ukwelashwa. Abanye abantu baqala ukwelashwa besebancane. Abanye baqala ukwelashwa ngemva kokufika eminyakeni yokuthomba noma sebeqala ukuya ocansini. Lesi yisinqumo somuntu siqu.

Izindlela ezimbili eziyinhloko zokwelapha ukoma kwesitho sangasese sowesifazane yilezi:

1. Ukuzikhulisa kwesitho sangasese sowesifazane

Uma unembobo yesitho sangasese sowesifazane noma imbobo encane lapho kufanele kube khona imbobo, udokotela wakho uzokutshela ukuthi usebenzise i-dilator ukuze wenze isitho sangasese sowesifazane sakho sibe banzi. Lokhu kuhilela ukusebenzisa ipayipi elincane, elincane ukuze wandise kancane kancane imbobo. Lokhu kuzokwenziwa kancane kancane phakathi nezinsuku ezimbalwa. Lokhu kuvame ukuthatha cishe imizuzu engama-20 ngosuku. Ungase uzizwe ungakhululekile ngesikhathi sokukhulisa, kodwa akufanele kube buhlungu. Kungcono ukusebenzisa i-dilator lapho isikhumba sakho sithambile futhi sithambile, njengangemva kokugeza.

2. Ukuhlinzwa (`(Ukuhlinzwa)`)

Ngezinye izikhathi, udokotela wakho angase ancome inqubo ebizwa ngokuthi i-vaginoplasty ukudala isitho sangasese sowesifazane. Udokotela uzonquma ukuthi iyiphi indlela okufanele ayisebenzise ngokusekelwe endaweni yomzimba wakho kanye nezinye izici. Odokotela bangasebenzisa idivayisi yokudonsa ukudala isitho sangasese sowesifazane lapho kungekho sitho sangasese sowesifazane, noma bangasebenzisa i-graft yesikhumba (esivela esihlathini sakho noma engxenyeni yamathumbu). Ngemva kokuhlinzwa, udokotela wakho uzofaka i-insert ukusiza ukugcina isitho sangasese sowesifazane sisesimweni esihle. Khuluma nodokotela wakho ngokuthi ungasisusa nini lesi sitho sangasese sowesifazane.

Kuthatha isikhathi esingakanani ukululama ngemva kwalokhu kwelashwa?

Uma uke wahlinzwa, buza udokotela wakho ukuthi yini ongayilindela ngesikhathi sokululama kwakho. Ngokuvamile uzolala embhedeni cishe isonto lonke. Udokotela wakho angase akutshele nokuthi ugcine i-dilator (idivayisi engafakwa esithweni sakho sangasese) endaweni yayo izinyanga eziningana. Ungasusa i-dilator ngesikhathi socansi, lapho uya endlini yangasese, noma lapho ugeza.

Ingabe umuntu ongakwazi ucansi ngesitho sangasese sowesifazane?

Lena inkinga evamile kubantu abaningi. Buza udokotela wakho ukuthi kuphephile yini ukuya ocansini ngemva kokwelashwa kwe-prolapse yesitho sangasese sowesifazane. Ngokuvamile, ungaqala ukuya ocansini cishe inyanga ngemva kokuhlinzwa. Kodwa-ke, isikhathi sokululama siyahlukahluka kumuntu nomuntu. Kungadingeka usebenzise i-lubrication yokwenziwa ukuze wenze ucansi lube lula ezigabeni zokuqala.

Ngemva kokwelashwa, abantu abaningi baba nokuphila kocansi okwanelisayo. Umlingani wakho angase angaqapheli nokuthi unenkinga yokungavuki noma ukuthi uke welashwa ngakho.

Ngingaba nezingane ngemva kokwelashwa?

Lona futhi umbuzo obaluleke kakhulu. Buza udokotela wakho ukuthi uzokwazi yini ukuthola abantwana ngemva kokwelashwa. Uma isibeletho sakho, amashubhu e-fallopian, kanye nomlomo wesibeletho sekukhule kahle, ungase ukwazi ukuthola abantwana.

Kodwa-ke, uma ungenaso isibeletho (noma sincane kakhulu), okusho ukuthi unesifo sokungazali ngenxa ye-uterine factor, ungase ungakwazi ukubeletha umntwana kuze kube yisikhathi sokukhulelwa. Kodwa ungalilahli ithemba. Ungase ukwazi ukuthola umntwana ngokuba ngumama we-surrogate usebenzisa amaqanda akho. Udokotela wakho uzokudlulisela kuchwepheshe wezakhi zokuzala ukuze axoxe ngalokhu kabanzi.

Ingabe ukoma kwesitho sangasese sowesifazane kungavinjelwa?

Ukwehla kwesisu esibelethweni kuyinto engavamile/iphutha lokuzalwa . Okusho ukuthi, kuyinto ekhona lapho kuzalwa, into eyenzeka ngesikhathi umntwana esakhula esibelethweni. Ngakho-ke, ayikho indlela yokukuvimbela. Akuyona into eyenzeka ngephutha lomuntu.

Ngingazi kanjani ukuthi ingane yami isengozini yokuthola lesi simo?

Uma othile emndenini wakho enomlando wezinkinga zokwahlukaniswa kobulili (DSD), kungumqondo omuhle ukukhuluma nodokotela wakho ngaphambi kokuqala umndeni. Ungaphinde uhlangane nomeluleki wezakhi zofuzo ngaphambi kokuba ukhulelwe ukuze uhlole ingozi yakho yokudlulisela isimo sofuzo enganeni yakho.

Uma nginesifo sokuvuvukala kwesitho sangasese sowesifazane, yini okufanele ngiyilindele?

Umbono wakho uncike ezintweni eziningi. Ukuthi ukwelashwa okutholile nokuthi yiziphi izingxenye zesimiso sakho sokuzala ezithintekile kubalulekile. Kodwa-ke, ngokwelashwa, abantu abaningi baba nokuphila kocansi okwanelisayo. Abanye abantu bangase babe ne-vaginal stenosis (ukuncipha kwesitho sangasese sowesifazane) ngemva kwe-vaginoplasty. Uma lokhu kwenzeka, kungadingeka uqhubeke nokusebenzisa i-dilator noma wenze okunye ukuhlinzwa.

Kufanele ngimbone nini udokotela?

Qaphela lezi zinto:

• Uma wena noma ingane yakho ningakaqali ukuya esikhathini lapho nineminyaka engu-15, bonana nodokotela ngokushesha. Kubalulekile ukuthola ukuhlolwa okuphelele nokuhlolwa ngokomzimba.
• Futhi, uma unezinhlungu zesisu noma ubuhlungu emhlane ngaphandle kokuya esikhathini, bonana nodokotela ngokushesha.
• Uma ubona noma yini engavamile endaweni yesitho sangasese sowesifazane, bheka udokotela ukuze akuhlole.

Yini enye okufanele ngiyibuze udokotela wami mayelana nokoma kwesitho sangasese sowesifazane?

Ukuze uqonde kangcono lesi simo, ungabuza udokotela wakho imibuzo efana nale:

• Iyiphi indlela yokwelapha engcono kakhulu kimi?
• Ungangixhumanisa neqembu lokusekela elisiza abantu abanalesi simo?
• Ngingabuyela nini emisebenzini yami evamile ngemva kokwelashwa?
• Ngingaya nini ocansini ngemva kokwelashwa?
• Uma kukhona abantu emndenini wami abane-prolapse yesitho sangasese sowesifazane, ingakanani ingozi yokuthi ingane yami nayo ibe nalesi simo?

Uma wena noma ingane yakho ninezinye zalezi zimpawu, khuluma nodokotela wakho ngokukhululekile nangokwethembeka. Ukungakwazi ukusebenza kahle kwesitho sangasese sowesifazane kungabangela izinkinga ngokuya esikhathini, impilo yokuzala , kanye nokusebenza kocansi. Kodwa-ke, ukwelashwa kungasiza. Uma ufuna ukuba nezingane ngemuva kokwelashwa, khuluma nodokotela wakho ngezinketho zakho. Abantu abaningi baphila impilo yocansi ejabulisayo ngemva kokwelashwa.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Nakuba ukuzalwa kabusha kwesitho sangasese sowesifazane kuyisimo sokuzalwa, khumbula kuqala ukuthi awuwedwa obhekene naso. Akulona iphutha lomuntu.

• Ukuxilongwa okufanele kubaluleke kakhulu. Uma ungakaqali ukuya esikhathini uneminyaka engu-15, noma uma unezinkinga zokuya esikhathini ezihambisana nobuhlungu besisu, funa iseluleko sikadokotela ngokushesha.
• Kunezindlela zokwelapha. Ukuzikhulisa noma ukuhlinzwa kungaphumelela.
• Abantu abaningi bayakwazi ukuba nempilo yocansi eyanelisayo ngemva kokwelashwa.
• Khuluma nodokotela wakho mayelana nokuzala kwakho futhi ufunde ngezinketho zakho.
• Ukusekelwa kwengqondo nakho kubaluleke kakhulu phakathi nalolu hambo. Uma kudingeka, funa ukwelulekwa futhi uxhumane namaqembu okusekela.

"Ungesabi, kukhona odokotela nabantu obathandayo abazokusiza. Ngolwazi olufanele kanye nokusekelwa, ungabhekana nalesi simo ngempumelelo."

I- Vaginal Agenesis, i-MRKH Syndrome, i-AIS, Ukukhubazeka Kokuzalwa, i-Amenorrhea, Impilo Yokuzala, I-Gynecology