Muchemberero Inobatwa Sei
Iwe unogona kunge wakamboudzwa kuti une chibereko cheunicornuate, kana kuti panzvimbo iyo, iwe ungangodaro wakabatwa nepamuviri uye unonetseka kuti chiropa chinonzi unicornuate chinogona kuva chakakosha. Ndeipi chaiyo iyi mamiriro ezvinhu uye inogona kuita sei pakuzvitakura nekupererwa?
Tsanangudzo
Chirwere chinonzi unicornuate chirwere chepenital uterine chisina kuchena (müllerian duct risinganzwisisiki).
Icho chiduku kudarika chimiro chechibereko (kazhinji kacho chinenge hafu yekukura kwemazuva ose uye kazhinji kacho kune imwe chete inoshandisa fallopian tube (panzvimbo peviri ).Umwe rumwe rutivi rwechibereki runogona kuva neanonzi runyanga runyanga.
Chibereko chinonzi unicornuate is congenital, zvinoreva kuti iwe wakaberekerwa nawo, asi vakadzi vakawanda havana kuziva vane chirwere chacho kusvikira vasvika pamuviri.
Chii Chine Nyanga Dzakawirwa?
Runyanga rune ruzivo rwuri "runyanga" rusati rwagadziriswa kune rimwe rutivi rwechibereko chinonzi unicornuate. Inenge 65 muzana yevakadzi vane chiberekero cheunicornuate vane runyanga rukuru. Runyanga rukuru rungave kana rusingabatanidzi (rinonzi "runyanga rwokukurukurirana") pamwe chete nemubereki pamwe nemukadzi.
Zviratidzo zveNyeredzi
Kana ruyo runyanga rusingabatanidzi kune rumwe rutivi rwechibereki nemukadzi, ipapo mukadzi anogona kunetseka nguva nokuti ropa rekuenda kumwedzi rinowirirana (sezvo risingakwanisi kuderera nemudzimai.) Kana runyanga rwuri rwuri kubatana kune imwe yose yebereki nevakadzi, kana kana mukadzi asina runyanga rukuru, ipapo mukadzi angave asina zviratidzo chero zviratidzo muupenyu hwake hwose kusvikira atanga kuedza kubata pamuviri.
Panguva iyoyo, angave akaomerwa nekuwana uye / kana kugara musikana (kukurukurwa pasi).
Unicornuate Uterus Statistics
Madzimai ane nhoroondo dzakanaka dzekuberekwa, anenge maviri kana mana kubva muzana anofungidzirwa kuti ane mamwe marudzi eukenine uterine asingakanganisi, ane chibereko chinonzi unicornuate chinowanikwa mune imwechete muvakadzi vechi1000.
Madzimai vane nhoroondo yezvekucheka kwepamusoro, chiitiko chemuviri unicornuate yakakwirira kwazvo, kubva pa5 kusvika ku30 muzana.
Zvinenge zviviri kusvika pa8 kubva muzana zvevakadzi vanoongororwa zvekusapera zvinowanikwa kuva nechirwere cheunicornuate.
Kuziva
Chirwere chinonzi unicornuate chingafungidzirwa zvichibva munhoroondo yekusabereka, kupererwa kwemazuva mashoma, kana kuberekwa nguva isati yasvika. Kazhinji yenguva, haisi kuonekwa pamisangano yepelvic yenguva dzose.
Kufungidzira zvidzidzo, zvakadai se hysterosalpingogram ( HSG ) kana kuti ultrasound, zvinogona kuratidza kuti mukadzi anowanzove nechirwere chinonzi unicornuate. Mune hysterosalpingogram, dhayi inowanikwa kuburikidza nemukati mutezo mukati mechiberekero uye x-ray dzinotorwa kuti dzione sechibereko chekuberekwa uye chetropian tubes.
A hysteroscopy (muedzo umo chiremba anowedzera teresikopu duku kuburikidza nomukatiku kuti aonekwe mukati mechibereko), matatu-dimensional ultrasound, kana kuti laparoscopy inogona kushandiswawo kusimbisa kuongororwa.
Treatment Options
Vatsvakurudzi vari kuedza nzira dzokuvhiya dzokuvhiya kwechirwere chinonzi unicornuate asi iye zvino, iyo chete inogamuchirwa kurapwa ndiko kubviswa kushandiswa kwegadziri runyararo kana zvichidikanwa (ona pasi apa) uye kunyatsongwarira kutakura pamuviri kunoitika.
Kusununguka uye Kubata
Kuva nechirwere chinonzi unicornuate, zvinosuruvarisa, kunounza ngozi yakawanda yekuvirira kwekuita pamuviri uye kutanga kwebasa, pamwe ne ectopic pamuviri (iyo ndiyo inoberekwa mazai kunze kwechibereko-kazhinji mumatropian tubes-uye inofanira kupedzwa). Inofanirwa kusiyanisa nekudzidza, asi matambudziko ekutora nguva yakazara yemwana ane utano inenge 50 muzana. Kubuda kunze kunoita sokuti kunoitika inenge chikamu chimwe chete muzvitatu zvepamuviri. Dambudziko rekuberekwa kwepabonde rinowedzerawo, kubva pa10 kusvika ku20 muzana.
Vanachiremba vanotenda kuti kukwirira kwepabonde kunokonzerwa nekuparara kwepabonde kunokonzera kusakanganiswa muropa reunicornuate chibereko chinogona kupindira nekushanda kwepentecenta (kana kuwedzera maitiro ekugadziriswa mu fallopian tubes.)
Zvimwe zvinetso zvekudzivirira zvinowedzera neuterine anomalies zvinosanganisira:
- Chimiro (zvakadai sokuperesa mharidzo kana nhema dzinopfurikidza )
- Kusati kwatanga kuputika kwemuviri (izvo zvinowanzoendesa mberi kwebasa)
- Intrauterine kukura kunonoka
- C-chikamu
- Placenta previa
- Placental abruption
- Intrauterine fetal break (kuberekwa)
Preterm Labor
Iyo ngozi yakakwirira yepamberi yebasa iripo nekuda kwemiganhu yepakati; sezvo chibereko chinonzi unicornuate chikamu chiduku kudarika chimiro chemuviri, kukura kwecheche kunogona kutangisa kushanda kwekutanga. Vanachiremba vanogona kukurudzira chirongwa chinonzi chirclage chevakadzi vari panjodzi yekugadzirira kushanda-ndiyo nzira iyo muromo wechibereko unovharwa pawakabata pamuviri.
Jira Rakaiswa muRupupuri Rurefu
Vakadzi vane runyanga runyararo runobatanidza nehumwe hutumbu hunotarisana nedambudziko rinowedzera. Sezvo runyanga rukuru rwechirwere chinonzi unicornuate rine zviremera zvakakura zvepakati, mazai anogadzirwa anowanikwa ipapo anotarisana nemukana wokuparara (wakafanana ne ectopic pregnancies inowanikwa mu fallopian tube). Iyi njodzi yekuparara kweutachiona inogona kunge yakareba se50 muzana kana kuve nekudzivirira pamuviri mune runyanga rukuru. Nokuda kwechikonzero ichi, vanachiremba dzimwe nguva vanokurudzira kuvhiyiwa kuti vabvise runyanga rukuru.
Pasi Pasi
Kana iwe uchangobva kudzidza kuti une chibereko cheunicornuate, unenge uchitya uye uchinetseka. Kuverenga pamusoro pezvikwereti kunogona kukuvadza iyo kutya, asi zvakakosha kunzwisisa zvauri kutarisana nacho.
Ramba uri mupfungwa, zvisinei, kuti pane zvakawanda zvakasiyana-siyana kune chikwata che unicornuate-hazvisi zvose zvakafanana. Runyanga rune ruzivo rungave kana rusingabviri, runogona kana kuti harungatauri, uye ukuru hwechibereko chinogonawo kusiyana.
Kuva nechirwere chinonzi unicornuate kunogona kuwedzera mungozi yekushaya mwana, uye kutanga kuberekwa, pamwe nekuendesa kuEctopic pamuviri kana kuvharirwa kana mwana akabatwa mukati mehwamanda. Iko kunezve zvimwe zvinetso zvekuzvitakura zvinogona kuitika.
Kune rumwe rutivi, zvakakosha kusimbisa kuti inenge iine yevakadzi mune zvidzidzo zvishomanana zvakaenderera mberi kuti iwane nguva yakazara vana vane utano hwakanaka (uye vamwe vakadzi vakatotora mapatya ane utano pasinei nechibereko chinonzi unicornuate.)
Kana iwe wakabatwa nechirwere cheunicornuate, iva nechokwadi chekubvunza mibvunzo yakawanda. Kumbira pamusoro penyanga inoparadza. Kana uchinge wapona pamuviri, bvunza chiremba wako zvaanogona kutarisira kana iwe uchatorazve pamuviri, uchiyeuka kuti kune zvakawanda zvakasiyana-siyana zvechiitiko chacho. Bvunzurudza kuti sei kubata kwako kwaizoongororwa kana ukasarudza kuva nepamuviri. Zvinowanzokurudzirwa kuti vakadzi vane uterine kusakanganiswa kunoteverwe ne-perinatologist kana chiremba wezvipfeko anonyanya kutakura pamuviri.
Kazhinji kese, sangana neramangwana rako nenzira yauri kuzviitira iwe pachako, kwete kukudza maonero eumwe munhu. Vakadzi vakawanda vanosarudza kuva nepamuviri kunyange kana kune ngozi dzakawedzerwa dzinobatanidzwa, uye zvinetso zvakawanda zvinogona kudziviswa kana kuderedzwa nekuchengetedzwa kwekurapa kwakarinda uye kwakarinda.
Sources
- Caserta, D., Mallozzi, M., Meldolesi, C. et al. Kuberekwa muUterus Unicornuate: A Case Report. Zvinyorwa zveZvenyaya Dzepfungwa Mhosva . 2014. 8: 130.
- Chan, Y., Jayaprakasan, K., Tan, A. et al. Migumisiro inobereka muvakadzi neConital Uterine Anomalies: Ongororo Yakarongeka. Ultrasound in Obstetrics uye Gynecology . 2011. 38 (4): 371-82.
- Heinonen, P. Twin Kuberekwa muC Congenital Inorasika Uterus. Nyaya yeOstetrics uye Gynecology . 2016. 36 (5): 571-3.
- Hiersch, L., Yeoshoua, E., uye H. Miremberg. Sangano Iri pakati peMilerian Anomalies uye Mhedziso Yenguva Pfupi Yokuberekwa. Zvinyorwa zveMaternal-Fetal uye Neonatal Medicine . 2016. 29 (16): 2573-8.