Nzira yeUterus Echitanhatu Inowedzera Kuparadzana Kwengozi

Dambudziko rinowanzowanikwa mune zvevakadzi vane pamuviri kurasikirwa

Chirwere chepakati chinokonzerwa nehutachiwana hunoita kuti chipfupa chine simba chinonzi septum chinoparadzanisa hutumbi kana zvishoma kana zvakakwana. Icho chimiro chechimiro chakakonzerwa nemukadzi chinoberekwa asi chinogona kurapwa chirwere, kana zvichidiwa, kuvandudza mikana yekuzvitakura zvakabudirira.

Overview

Chirwere chepakati chinonyanya kuwedzera mukana wekuparara kwepamuviri uye inogona kuva chinhu chinonyanya kukosha mumashure emakumbo.

Kunyange zvazvo nhamba dzichisiyana, chiyero chekuparadzana kwevakadzi muine uteri inotendwa inotenderera kubva kune 25 muzana kusvika 47 muzana. Kusiyana neizvi, uwandu hwekuparara kwepakati muhuwandu hwevanhu huri pakati pe10 muzana uye 25 muzana chete.

Uyezve, chiyero chekuperevedza kwevakadzi kune uterine malformation chiri pakati pe8% uye 23 muzana. Inenge chikamu chimwe chete pazvikamu zvitatu zveizvi chichava nechiropa chinomwe.

Zvinokonzera

Kunyange zvazvo chibereko chepakati chisina kukanganisa kukwanisa kwemukadzi kubata pamuviri, kunogona kukonzera kubata kwake. Iyo yeeum pachayo inhengo yehutachi husingave neropa rakawanda. Saka kana mazai anogadzirwa akaiswa pa septum, ane mikana shoma yekudzidzira kazhinji sezvo chikafu chekudya chichanyanya kubviswa.

Chimwe chinhu chisingawanzwisisiki chechiberekero che septate ndechokuti kupererwa kwepamuviri kunogona kuitika zvakanaka mumutambo wechipiri . Kusiyana neizvi, huwandu hwakawanda hwekusavhiringidzika hunoitika mukati mekutanga kwetatu uye kazhinji pasina mukadzi kana kuchiziva.

Vakadzi vane uteri yeheteri vasingatambudzi vanotendwawo kuti inowedzera dambudziko rokutanga basa .

Kuziva

Chiberekero chinomwe chinowanzosara chisingazivikanwi kusvikira mukadzi achiona kubuda kwepamuviri. Pane dzimwe nguva, chiremba angagumburwa pairi panguva yekuongorora nguva dzose. Ichi ndechokuti chiropa chinomwe chinowanzosangana nemafungiro akafanana emuviri wechivi nemukadzi.

Kazhinji inonzi "chiviri chechipiri" uye "double vagina," idzi inowanzova mazano ekutanga ezvisina kufanana mukati mechibereko.

Vanachiremba vachabva kutsvaga kutsvakurudza neye ultrasound kana magnetic resonance imaging (MRI) scan. A definitive diagnosis ingada pane hysterosalpingogram (inonzi X-ray inoratidzira chibereko) uye / kana hysteroscopy (kuongorora kunoonekwa uchishandisa chiedza chakajeka).

Kunyange nemisangano iyi, chiropa chinokwana dzimwe nguva chinogona kusarudzwa zvisina kufanana sechibereko chinonzi bicornuate , chinozivikanwawo se "chibereko chakafanana nemoyo." Kunyange zvazvo kushanduka kwechirwere hakusi kutorwa kwakanaka, hazviwanzowedzere ngozi yekuparara.

Kurapa

Chirwere chinomwe chinorapwa nekuvhiyiwa, kazhinji kacho nekubvisa septum panguva yehutorikopu. Iyi ndiyo nzira isina kunyanya kushandiswa inowanzoitwa pamusana pepfungwa.

Nzira iyi, inonzi metroplasty, inowanzosavhiringidza uye inosanganisira kuiswa kwechigadzirwa chechipatara kuburikidza nemukati uye mukati mechibereko kuti ucheke mishonga yakawandisa. Izvi zvinogona kuwanzoitwa mukati memaminitsi makumi matatu nemakumi matanhatu. Mishonga inorwisa mabhakitiriya uye isrogen inogona kurongerwa mushure mekudzivirira utachiona uye rubatsiro mukurapa.

Hysteroscopic metroplasty inogona kuvandudza mikana yekuberekwa kwakabudirira kuvakadzi vane pamuviri wekare nekusvika 53.5 muzana, maererano nekuongorora kwakakwana kweongororo makumi maviri nemaviri yakaitwa kubva muna 1986 kusvika muna 2011.

Hazvina basa kune vakadzi vane uite hutatu vasina vavariro yekuita pamuviri. Pamusoro payo, chiropa chinomwe hachiiti mungozi yekenza.

> Kwakabva:

> Valle, R. uye Ekpo, G. "Hysteroscopic Metroplasty yeUterus Septate: Ongororo uye Meta-Kuongorora." Nyaya Yechidiki Chinovhiringidza Gynecology. 2013; 20 (1): 22-42.