Septate Uterus

Anter

• Pehea ka septate uterus i ka hāpai ʻana?
• Nā ʻōuli o ka uterus septate
• Nā Kumu
• Pehea ia ʻike?
• Lapaʻau
• Outlook

Hōʻike Overview

ʻO ka uterus septate kahi deformity o ka kōpū, i hana ʻia i ka ulu ʻana o ka fetal ma mua o ka hānau ʻana. ʻO kahi membrane i kapa ʻia ka septum e hoʻokaʻawale i ka ʻāpana o loko o ka kōpū, ma ka waena. ʻO kēia septum hoʻokaʻawale kahi fibrous a me ka paʻa muscular o nā mea i hiki ke mānoanoa a lahilahi paha.

ʻO nā wahine me ka utate septate e hoʻonui i ka pilikia o ka hāpai keiki ʻole. ʻAʻole maopopo loa ke kumu o kēia hanana. ʻO kahi kumumanaʻo maʻamau ʻaʻole hiki i ka septum ke hāʻawi i ke kākoʻo kūpono e pono ai no kahi hāpai hāpai olakino. Hoʻopilikia paha ka septum i ka hāpai keiki ma nā ʻano ʻano ʻē aʻe. Hiki ke mālama ʻia ke ʻano me ke ʻoki kino i hōʻike e hoʻomaikaʻi maikaʻi i nā hopena.

Hiki ke kuhi hewa ʻia ka uterus septate ma ke ʻano he uterus bicornuate. ʻO ka pūpū bicornuate kahi ʻano naʻau. I kēia kūlana, ʻo ka ʻāpana kiʻekiʻe o ka kōpū, a i ʻole fundus, e kū i loko o ka midline o ka kōpū. Hiki i kēia kūpenu ke pae mai kahi papaʻu a hohonu.

ʻAʻole pili ka ʻōpū bicornuate i ka manawa o ka wahine hāpai kūleʻa, ke ʻole ka luʻu keu loa. Aia kekahi mau hihia kakaikahi o ka uterus bicornuate a me kahi utate septate e kū nei.

Pehea ka septate uterus i ka hāpai ʻana?

ʻAʻole pili ka uterus septate i ka hiki i ka wahine ke hāpai, akā hoʻonui ia i ka nui o ka pilikia o ka hānau hānau ʻole. Hiki i nā wahine me ka septate uteri ke hele i kahi hana hewa hou ʻole.

ʻO ka helu o ka hāʻule ʻole i ka heluna lehulehu e kokoke ana i nā wahine ʻike he hāpai lākou. ʻO ka helu kuhi o ka hāʻule ʻole o nā wahine me ka septate uteri i manaʻo ʻia aia ma waena o 20 a 25 pākēneka. Hōʻike kekahi noiʻi e like paha me ke kiʻekiʻe.

Manaʻo ʻia ʻo ka uterus septate ka ʻano maʻamau o ka ulu ʻana o ka uterine maʻamau. Ua manaʻo ʻia aia ma kahi o ka hapalua o nā pilikia hoʻomohala o ka kōpū e pili ana i.

ʻO nā wahine me ka utate septate i hoʻonui i ka makaʻu o ka hāʻule ʻole o ka wahine a me ka hāʻule pinepine ʻana. ʻO nā hāpai i kū i loko o kahi kōpū me kekahi ʻano o ka hoʻomohala kino ʻole e hoʻonui i ka makaʻu no:

• hana paakiki
• nā kūlana breech
• Hāʻawi C-ʻāpana (cesarean)
• kahe koko ma hope o ka hānau ʻana

Nā ʻōuli o ka uterus septate

ʻO nā mea ʻē aʻe ma mua o ka hāʻule ʻana o ka hāpai a i ʻole ka hāʻule pinepine ʻana, ʻaʻohe mau ʻōuli o ka utate septate. Hoʻomaopopo pinepine wale ʻia ia ma hope o ka hoʻokolokolo ʻana i ke kumu o ka hāʻule ʻana o ka hāpai keiki. I kekahi manawa hiki ke kiʻi ʻia i ka wā o ka hoʻokolohua pelvic maʻamau inā hoʻonui ka septum ma waho o ka uterus e hoʻopili pū i ka cervix a me ka ʻōpū.

Nā Kumu

ʻO ka uterus Septate kahi mea like ʻole. ʻAʻole maopopo i ke kumu o ka hopena. Hana ʻia ke ulu nei ka embryo. Hoʻomaka ka ulu ʻana o nā mea hana āpau ma ke ʻano he ʻelua mau paipu i hope a fuse a lilo i hoʻokahi kōpū ma ka midline o ke kino. I loko o ka uterus septate, ʻaʻole pili pono kēia mau paipu ʻelua.

Pehea ia ʻike?

ʻIke ʻia kahi ʻōpū septate ma kahi ultrasound pelvic pelvic 2-maʻamau. Hiki i kahi MRI ke ala pololei e ʻike ai i nā pilikia o ka kōpū.

Ma hope o ka hōʻike ʻana i kahi pelvic, e hoʻomaka ana paha kāu kauka i kā lākou hoʻokolokolo me kekahi o kēia mau hoʻāʻo. I mea e hōʻoia ai i ka hōʻoia, hoʻohana paha lākou i kahi hysterosalpingogram a i ʻole ka hysteroscopy. ʻO kahi hysterosalpingogram kahi ʻano o X-Ray e hōʻike ana i ka ʻōpū o loko a me nā paipu fallopian.

I ka wā o ka hysteroscopy, ua hoʻokomo kāu kauka i mea kani i loko o ka ʻōpala a ma o ka cervix e hāʻawi iā lākou i kahi ʻike maopopo o ka pūpū. Ke hoʻomau nei ka noiʻi ʻana e pili ana i ke ʻano o 3-D ultrasound i ka ʻike ʻana i nā hanana ʻē aʻe o ka kōpū.

Lapaʻau

Hiki ke mālama ʻia kahi ʻōpū septate me kahi ʻoki i kapa ʻia he metroplasty. Lawe ʻia nā kaʻina hana i kēia manawa me ka hysteroscopy. ʻO ke kaʻina hana hysteroscopic e ʻae no ka mālama ʻana i loko o ka kōpū me ka ʻole o ka ʻoki ʻana o ka ʻōpū o waho.

I loko o kahi metroplasty hysteroscopic, hoʻokomo ʻia kahi mea kukui i loko o ka ʻōpū, ma o ka cervix a i loko o ka kōpū. Hoʻokomo ʻia kekahi mea kani e ʻoki a hemo i ka septum.

Hoʻokomo iki kēia ʻano, a ma kahi o hoʻokahi hola ka lōʻihi. ʻO nā wahine e koho ana i kahi metroplasty hysteroscopic e hoʻi pinepine i ka home i ka lā like e like me ke kaʻina hana.

Ma hope o ke kahakaha ʻana, ma waena o kanalimakū a kanawalu pākēneka o nā wahine me ka mōʻaukala o ka hāpai keiki hou ʻana e loaʻa i kahi hāpai maikaʻi e hiki mai ana. I nā wahine i hiki ʻole i ka hāpai mua, hiki ke hāpai ʻia ma hope o kēia kaʻina hana.

Outlook

ʻO ka uterus septate ka malformation ʻoi loa o ka uterus. ʻO ka pilikia nui o ke ʻano ka piʻi nui o ka hāʻule ʻole a me ka hāʻule pinepine ʻana.

Inā makemake ʻole ka wahine e hānau keiki, ʻaʻohe pono e mālama ʻia ke ʻano. Ma kāna iho, ʻaʻole ia e hoʻokau i kahi olakino olakino. Eia naʻe, inā makemake ka wahine me ka utate septate e hānau keiki, a laila hiki iā ia ke koho e ʻoki ʻia. E hoʻonui nui ana ke ʻoki kino i nā manawa kūpono o ka hāpai hāpai kūleʻa.