A Bicornuate Uterus Dzimwe nguva Zvinokonzera Matambudziko Panguva Yokuberekwa
Bicornuate chiberekedzo rudzi rweukama hune uterine hunoita kana müllerian duct anomalies umo chibereko chinenge chichiita semoyo. Bicornuate uteri ane mazamu maviri akabatanidzwa asi chimiro chechiropa chinongova chimwe chete.
Müllerian duct anomalies, kusanganisira bicornuate uteri, kukura nguva pfupi pakukura kwepabonde. Paunenge uri mutero, kubereka kwenzira yemadzimai emufudzi.
Pakutanga, kuberekwa kune mice maviri müllerian iyo inobatanidza kugadzira chiberekero chimwe. Muchiitiko chebicornuate uterus, madhawi aya haatauri zvakakwana. Izvi zvinogona kuitika kuvadzimai avo vanaamai avo vakatora mishonga inonzi diethylstilbestrol (DES) pavakanga vane pamuviri kana kune dzimwe, zvikonzero zvisingazivikanwi.
Bicornuate uterus ndeimwe yemhando dzakasiyana dze müllerian duct anomalies. Mimwe mhando inosanganisira chibereki didelphys , maviri uteri yakasiyana; unicornuate uterus -inongova imwe chete yemarara inowanikwa-inokonzera mudiki-kupfuura-chiyero chekuberekwa; uye hutachiona hutatu , hunoita chibereko chinoparadzaniswa nerusvingo kana septum. Bicornuate uteri ndiyo inowanzova yakawanda yemarara yakashata.
Unoziva Sei kana Une Bicornuate Uterus?
Vanachiremba vanogona kuwana pfungwa yekuti mukadzi ane bicornuate chiberekero kuburikidza nehutachiona hwechidimbu kana kushandisa hysterosalpingogram (HSG) kana kuti hysteroscopy. Mune zvimwe zviitiko, kuongororwa kunogona kudikanwa kusimbiswa uchishandisa matatu-dimensional ultrasound kana laparoscopy.
Vazhinji vakadzi havazivi kuti vane bicornuate chibereko kusvikira vati vete pamuviri kana kuedza kutora pamuviri. Mwedzi, muzviitiko zvakawanda, ndeyezvakanaka.
Bicornuate Uteri uye Kuberekwa Kwekuberekwa
Zvinonyanya kukanganisa zvinosanganisira bicornuate chibereko chinotanga kushanda uye zvinogona kuitwa nekervical kusakwana. Kuva nehupachiviri bicornuate hazvikonzeri kutanga-trimester miscarriages.
Kervical insufficiency uye kutengesa kutangira kunogona kukonzera kuparara kwechipiri-trimester kana kutapurika pamuviri pakuberekwa kana mwana akaberekwawo vasati vasvika - musati mavira masvondo maviri kana makumi maviri nemashanu ekuberekwa, pfungwa iyo mwana asati azvarwa angagona kupona . Nokuda kwekunyora kwepamusoro kwechibereko, mwana anowedzera arikurera angave asina nzvimbo yakawanda yekukura, iyo inogona kuguma nekuita basa rekutanga.
Kunyange zvazvo zvinetso izvi zvingaitika, vakadzi vakawanda vane bicornuate uteri vanotakura mimba dzavo pasina matambudziko. Kana iwe unonetseka kuti bicornuate uterus yako inogona kukonzera kushungurudzika kwepamuviri, taura nechirwere chekuvhara mungozi kana kuti nyanzvi yekuberekera uyo anogona kuongorora nhoroondo yako yezvokurapa uye ngozi yako pachako.
Kurapa Bercornuate Uterus
Muzviitiko zvizhinji, vanachiremba havatauri kurapwa, kunyange zvazvo vamwe vangakurudzira kuvandudza chirongwa chekurapa. Kana iwe uri nepamuviri, ungada chironga chekervical-stitch yakagadzirirwa mumuviri wechivi kuti urege kushanduka nguva isati yakwana. Iyi nzira inodzivisa kusununguka nguva isati yasvika uye zvichibvira nguva yekupedzisira-pamuviri kurasikirwa. Utano hwako huchavimba nechiremba wako uye mamiriro ekukomberedza kwako pamuviri.
Kana uri kutarisana nemakumbo , iwe unogona kuva neuta uteri kusiyana ne bicornuate uteri.
Izvo zviviri zvehupenital uterine dzisina kufanana zvinogona kutarisa zvakafanana nekuongorora kwekufungidzira, zvakadai seHSG kana ultrasound. Chirwere chepakati chepamusoro chakakomberedza kumusoro nechemberi imwe uye bicornuate uterus dips kumusoro, kuumba mwoyo wakagadzikana nemakumbo maviri.
Bicornuate uterus inogona kusabatwa, kunze kwekutarisa zviratidzo zvekudzivirira kwemudzimai. Kana ikarapwa chirwere, kuvakazve kuchaitwa kuburikidza nekuvhiyiwa kweparoscopic. Chiberekero chinomwe chinowanzorapwa kuburikidza nekuvhiyiwa kwehutano. Kunyange zvazvo bicornuate uterus isingawanzoonekwa sechinhu chinokonzerwa nemakumbo emakumbo, chirwere chinomwe chinonyatsozivikanwa kuti chiwedzere kupererwa kwepamuviri.
Kana iwe uchinge uchinge uchinge uchinge uchinetseka uye chiremba wako asarudza kuti une bicornuate uterus, funga kuona muongorori rwechipiri pfungwa kuti uone kuti iwe unorwara uye ugokurukura zvirongwa zvekurapa.
Sources
Ata, Pedro. "Kubereka kubereka kwevakadzi vane uterine kusagadzikana." Kuberekwa kwevanhu muna 1993. 122-126.
Herbert, Carl. "3D Ultrasound Enhances Kuziva." Sayenzi Pulse . 2006. Pacific Fertility Centre. > Licciardi, Fred. "Saka Uterus Yenyu Bicornuate? Tarisaizve, uye zvakare." Infertility Blog 28 Jan 2007.
Lin, Paul C. "Zvibereko Zvekubereka Muvakadzi neUterine Anomalies." Nhoroondo yevakadzikadzi Health 2004. 33-39.
Proctor, Jon A., uye Arthur F. Haney. "Kurasikirwa kwekutanga kwekutatura pamuviri kunosanganiswa neutterine septum asi kwete ne bicornuate uterus." Kubereka uye Kusimba Nov 2003. 1212-1215.
Reuter, KL, DC Daly naSm Cohen, "Shandisai bicornuate uteri: zvikanganiso mukufungidzira kufungidzira." Radiology. 1989. 749-752.
Sheth, SS, uye R. Sonkawde. "Uterine septum isingazivikanwi pane hysterosalpingogram." International Journal of Gynecology & Obstetrics June 2000. 261-263.
Penn Medicine. Müllerian Anomalies (Kuberekwa Kwematambudziko Matambudziko). (2016).