Chirwere chisina kujairika dzimwe nguva chinogona kuisa njodzi yekuparara kwepamuviri uye, pane dzimwe nguva, chinokonzera kuora mwoyo kwemashure. Imwe mhando dzehutachiona hwehutachiona hunowedzera dambudziko rekusiya pamuviri uye rinoda kurapwa; vamwe vangave vasina kukonzera matambudziko nekudzivirira zvachose. Zvinofungidzirwa kuti 8 muzana kusvika 23 kubva muzana yevakadzi avo vanowanzochera matambudziko vane uterine husina kunaka.
Zvimwe uterine kusagadzikana zviripo kubva pakuberekwa, asi vamwe vanokura munguva yevanhu vakuru. Kazhinji kacho, vakadzi vane uterine vasina kukwana havana zviratidzo uye havasi kuziva nezvekusawirirana uku kusati vava nemimba. Kuongororwa kwepenital uterine kusagadzikana kunowanzoitika mushure mekunyengedza kana hysterosalpingogram .
Dzidza zvakawanda pamusoro pemhando dzakasiyana-siyana dzehutachiona husina kunaka, pasi apa.
Uterine Septum
A uterine septum ( septate uterus ) ndiyo inowanzobatana nehutachiona hwehutachiona, huine chikamu chimwe chetatu chekushaya uterine. Sezvo iri kuberekwa mumamiriro ezvinhu, izvi zvinoreva kuti iripo pakuberekwa.
A uterine septum ibhande rezvipembenene zvinoparadzanisa zvishoma kana zvakakwana chikamu, kazhinji pasina ropa rakanaka. Kana mazai evha anogadzirwa pa septum, placenta haikwanise kukura zvakanaka uye kupererwa nemimba zvinogona kunge.
Kune vakadzi vane chibereko chepabonde, mukana wekuparara kwepakati uri pakati pe25 muzana uye 47 muzana (zvichienzaniswa nehutano hwe15% kusvika 20 muzana yevakadzi vasina chibereko chepakati.) Kumadzimai asina kukanganisa , chirwere chinomwe chinogona kuwedzera njodzi yekuberekwa kwekutanga.
Mishonga inowanzoitwa chirwere chinowanzoitwa panguva yehutorikopu, uye inosanganisira kubviswa kwezvisikwa zvisingawanzoitiki. Izvi zvinowanzoshanda zvakanaka kwazvo kugadzirisa dambudziko uye kubvumira vakadzi kuti vabudirire kutakura nguva yakazara yekuzvitakura.
Bicornuate Uterus
Bicornuate uterus chirumbu chakafanana nemoyo-chinokonzera chiberekedzo nekuvhara kumusoro. Bicornuate uteri (pamwe chete neunicornuate uye didelphic uteri) inofungidzirwa sechikwata chemullerian chisina kunaka. Chirwere chemullerian chisina kumira chimiro chekuzvarwa kusina kuchena kwechibereko.
Vazhinji vakadzi vane bicornuate chibereko hachina matambudziko, asi mune dzimwe, bicornuate chibereko chinogona kutungamirira kune ngozi yakawanda yekutanga kwebasa. Bicornuate uterus haitendi kuti inowedzera dambudziko rekuparara kwepakutanga kwetatu asi inogona kuwedzera njodzi yekuparara kwechipiri chetatu .
Mishonga haisi inowanzodiwa, kunze kwechikwata chechibereki kune avo vari panjodzi yekushaya chibereki uye kusununguka nguva isati yapera. Vakadzi vakawanda havazivi kuti vane bicornuate chibereko kusvikira vava nepamuviri.
Unicornuate Uterus
Chibereko chinonzi unicornuate chibereko chinogadzirwa nemakumbo chinoita kuti chibereko chive chiduku kudarika chinowanzoitika. Icho chikwata chekusangana chinoputika umo rumwe rutivi rwechibereko harukure zvakanaka.
Chirwere chinonzi unicornuate chinowedzera mukana we ectopic pamuviri , kupererwa kwepamuviri, uye kutanga kutangira. Imwe nyanzvi yekuongororwa kwemabhuku yakawana kuti njodzi yekuparara pamuviri yaive, pamwero wega, 37 muzana uye mungozi yekuberekwa kwekutanga, paivereji, 17 muzana.
Kusiyana nevakadzi vane bicornuate chibereko, vakadzi vane unicornuate chiberekedzo vangave vane zviratidzo zvinofanirwa nevanalysa vasati vava nepamuviri. Inenge 65 kubva muzana yevakadzi vane chibereko cheunicornuate vane izvo zvinonzi runyanga runyanga. Apo izvi zviripo, vakadzi vanogona kunge vane nguva dzinorwadza nokuti ropa rinotsigirwa mukati mehwamanda panguva yavanenge vachiita.
Pamwe pamwe nechibereko chisina kunaka, vakadzi vane chibereko chinonzi unicornuate vanowanzova nemumwe chete anoshandisa fallopian tube (kusiyana neviri). Izvi, kuwedzera kune zvimwe zvikonzero, zvinogona kuita kuti zvive zvakaoma kuva nepamuviri panzvimbo yekutanga (kuberekwa kusakwanisa).
Imwe chete yakagamuchirwa kurapwa kwechiitiko ichi ndiko kubviswa kwehwamanda inoputika uye dzimwe nguva checlage kuderedza dambudziko rekuendeswa kwekutanga .
Didelphic Uterus
A didelphic kana kuti "kaviri" chibereko chinenge chiripo mairi uteri maviri, uye dzimwe nguvawo mapiro maviri uye vaginas maviri. Izvi zvinenge zvisingawanzoonekwi uye zvinoratidzika kuva nehutachiona (inotanga mumhuri). Vakadzi vakawanda havana zviratidzo zvekare vasati vava nepamuviri, asi vamwe vane nzara.
Mukuwedzera pakuwedzera dambudziko rekusiya pamuviri, chirwere chinonzi didelphic chinowedzera mukana wekutangira kutangira. Zvinokurudzirwa kuti vakadzi vari kurarama nehutano ichi uye vanoda kubata vatsva imwe nyanzvi yekuzvitakura zvakanyanya.
T-Akaumbwa Uterus
Chibereko chinonzi T chakafanana nechimwe chimiro chekuberekwa kwechirwere chechibereko chinosanganiswa nemakumbo emakumbo uye chiitiko chinowedzera chekutanga kwebasa. Vamwe vakadzi vane chibereko chemuviri wakafanana neT vane matambudziko, asi vamwe vanoita.
Izvi zvinonyanya kuwanikwa mumadzimai avo vanaamai vakabata maitiro eestrogen anonzi diethylstilbestrol (DES), iyo yakanyorerwa kune vamwe vakadzi vane pamuviri pakati pa1938 na191. DES inogonawo kukonzera njodzi yeimwe matambudziko ekuzvitakura.
Cervical Insufficiency
Kervical insufficiency, kana chirwere chemuviri chisina kukwana , zvinoreva kuti chibereko chemuviri wechikadzi chinotanga kuwedzera pakudengenyeka kwepamuviri-zvichikonzera kusununguka kwekutanga kwekutanga uye dzimwe nguva yechipiri-trimester pamuviri kurasikirwa. Cervical insufficiency haisi chinhu chekutanga kutapudza mimba. Ingave yakabatana nekuzvarwa kwekusagadzikana kana kuti inogona kukura munguva yehukuru.
Mamiriro acho anogona kuitika sechikamu chekusazvarwa kwechibereko chechibereko chinenge bicornuate kana unicornuate chiberekero, kana chirwere chepfupi . Zvinokonzerwa zvinokonzera zvinosanganisira nzira dzakadai seLeEP, cone biopsy, uye anodzokorora D neC.
Vakadzi vakawanda havana zviratidzo zvekare vasati vatanga basa. Kana yakabatwa munguva, uye mumatambudziko anotevera, chirwere chinonzi cervical cerclage chinogona kufungwa.
Fibroids
Inenge 30 kusvika ku50 muzana yevakadzi vane uterine fibroids . Mimwe mhando dze fibroids dzinogona kukonzera kusununguka kwemimba kana zvimwe zvinetso zvekuzvitakura. Fibroids inowanzokura pahukuru.
Mukana wekuti fibroid inogona kutungamirira kumapfupa ekudarika kunobva pane nzvimbo iyo mukati mechiberekero. Submucous fibroids (iyo inoshandura mumumvuri werinterine uye inoshandura maitiro ayo) uye intracavitary fibroids (iyo iri mukati mehutachi uterine) inogona kukonzera kupererwa kwepamuviri pane intramural fibroids (fibroids mukati meganda re uterine) kana subserosal fibroids (fibroids kunze kweukterine rusvingo). Fibroids inorara pedyo nepakati pemubereki inowedzerawo pamusoro, pamwe chete neyo yakareba pakureba.
Kunyange zvazvo mishonga inogona kushandiswa uye hysterectomy dzimwe nguva inodiwa, kurapwa kwesarudzo inonzi myomectomy, iyo nzira iyo fibroids inobviswa chirwere.
Uterus yakasungwa
Vakadzi vakawanda vanonetseka kuti vanonzwa kuti vane chibereko chekuvhara kana "chibvumirano" , asi hapana humwe uchapupu hwokuti chibereko chinokonzera huwandu hwehutatu hwematatu.
Pamusoro pevanhu makumi maviri kubva muzana yevanhu vane chibereko chechibereko, vamwe vanorwadziwa munguva yepabonde. Chiberekwa chinoputika chinogonawo kuita kuti zvive zvakaoma kuwana chibereko mukati mekutanga-trimester ultrasound .
Kakawanda nguva dzose, chirwere chinogadziriswa chinogadzirisa pachavo panguva yekuzvitakura. Muzviitiko zvisingawanzoitiki, zvakadaro, chirwere chinokonzerwa nehutachiona chinogona kukonzera chimwe chinhu chinonzi "chiberekero chakavharirwa" munguva yechipiri chetatu yekudzivirira, chiitiko chinokonzera marwadzo emimba, kurwadziwa kwepakadzika, uye kuvhiringidza kwekuvhota.