Njani ukubunjwa kobunikazi bomzimba?
Ngaphantsi kwempembelelo yezinto eziphathekayo kukho ukuphulwa kwenkqubo yokubeka izitho zomzimba kwisigaba se-embryogenesis. Ngoko, umzekelo, ii-vaginas ezi-2 zenziwe ngenxa yokufutha okungazalwanga kwezi fomathi njengezithuthi zikaMeller ezibini.
Njengomthetho, oogqirha bakuthola kunzima ukunika impendulo engabonakaliyo kumbuzo ngezizathu zokuphulwa okunjalo. Nangona kunjalo, ngokuqinisekileyo malunga ne-100%, kungathiwa uphuhliso lwalo hlobo lwe-anomaly luququzelelwe ngu:
- nefuthe kwikamva elizayo lemicimbi engqongileyo;
- izifo zentsholongwane (i-rubella, i-influenza, i- toxoplasmosis ngexesha lokukhulelwa);
- iziyobisi ezinobuthi ngexesha lokuqala kwesantya (iiveki ezi-8-16).
Ziziphi iintlobo zesibini zokuphindwa kabini?
Ngoko, ngokuqhelekileyo phakathi kwezinto ezifanayo ezinobunzima bomzimba kubhalwa ngokuphindaphindiweyo ngokuphindaphindiweyo kwesibeleko nesisu (iimbumba ezimbini kunye ne-vaginas ezimbini). Kwiimeko ezinje, xa isigulane sihlolwe, ugqirha ufumana i-uterus epheleleyo yodwa, enye leyo ine-tube fallopian kunye ne-ovary 1. Kule meko, ubukho beentsholongwane ezimbini ze-uterine kunye nama-vaginas a-2 aqoshiwe. Kwezinye iimeko, zombini i-uterus kunye ne-vaginas zombini iyakwazi ukwahlukana ngengubo okanye i-rectum, kwaye ngezinye izihlandlo zidibene. Kwiimeko ezininzi, iimbini zombini zesini azisebenzi kakuhle kwaye zizalisekile ngokusemthethweni, kaninzi omnye wabo uphuthukisiwe ngakumbi.
Ifom yesibili yale ngxaki yinto ephindwe kabini yesisu, kunye nesisini esisodwa (ibicorne, i-uterus-shaped uterus, i-intrauterine septum).
Njengomthetho, ukuphindwe kabini kwimbumba kunye nesisini kudibene nezinye iimeko ezingalunganga ze-genitourinary system. Ngoko, umzekelo, xa uphindwe kabini ngesibindi nge-aplasia enye ye-vaginas, phantse rhoqo i-kidney isifo. Kwakhona ngokuqhelekileyo kwizigulane ezinezondo ezimbini zikhona i-atresia ye-hymen.
Njani ukuxilongwa kwalo mthetho?
Ukuba khona kwe-2 i-vaginas ehlukileyo kwintombazana ayikwazi ukubangela nayiphi na imbonakalo yekliniki. Ngako oko, amaxesha amaninzi izigulane malunga neziganeko zesimo sazo zokuzala, zifumanisa xa zivakatye i-gynecologist.
Nangona kunjalo, ngokuphindaphinda ngokuphindaphindiweyo kwesibeleko nesisu, esidibaniswe ne-atresia enye yezintambo zangasese, izibonakaliso zingabonakala emva kweenyanga ezi-3-6 emva kwexesha lokuhamba. Ngelo xesha, intombazana encinci ikhononda ngeentlungu eziqinileyo, ezinomtsalane kwisisu esezantsi, ezithi, emva kokuthatha izidakamizwa ze-antispasmodic, zinyamalale.
Kuloo matyala xa kukho i-fistulous pass passage kwi-septum yangaphakathi, kunokuphuma ukuphuma kwegazi nge-vaginal. Kule meko, intombazana ihlala ibhala ukubonakala kwegazi, ingabandakanywa nokuya esikhathini, okufumana isicatshulwa.
Zingaphi i-vaginas ezimbini zenzeka?
Kubalulekile ukuba uqaphele ukuba lolu hlobo lokuphulaphulwa alufaneki lubhalwe. Yingakho abasetyhini abaninzi bengakholelwa loo nkcazo, kwaye bahlala bebuza oogqirha ukuba ngaba bafazi ababini banama-vaginas.
Ukuphulwa okunjalo kwenzeka. Ngoko, umzekelo, uHazel Jones wamfumana i-vaginas ezimbini kuphela kwiminyaka eyi-18 ubudala. Ngaphambi kokuba aphendule ugqirha, akazange akrokre. Kule meko, into yokuqala yile nto yabonwa yintombazana yentombazana, eyamxelela ukuba "unento engalunganga", njengoko kufanelekile.