ʻO ka'ōnaehana o ke kino wahineʻaʻole ia e like me nā kaha kaulike. No kekahi mau wāhine, no nā kumu likeʻole, hiki ke kaʻawale i nā leka o ka hanana anatomical, a he mea maʻamau a maʻalahi wale paha nā hiʻohiʻona o ka hale o ke kino.
ʻO kekahi o kēia mau kuhiʻana,ʻo ia ka mea i kapaʻia heʻano bicorne o ka'ōpū -ʻo kahi anomaly o ka'ōnaehana hānau, kahi e loaʻa ai i ka 0.5-1% o nā wāhine. No laila, e nänä i ka mea "o ka pöpö üpiopio" ka wehewehe, pehea kona ÿike a me ke ÿano o ka pilikia.
Nā hōʻailona o ka 2-ohua
I loko o ke kiʻi,ʻikeʻoeʻekolu mauʻano likeʻole o ka uluʻana o ka pūpū:
- pololei;
- pūpū me septum;
- nā pūmoleʻelua.
ʻO ka koho mua -ʻo ka'ōpū maʻamau - he loko i loko o keʻano o kahi triangle. ʻO ka lua o ka mea e hōʻike i ka hikiʻana o kahi pale i waena,ʻaʻole e hiki i ka hopena. I kekahi'ōlelo'ē aʻe, ua kapaʻiaʻo iaʻaʻole i hoʻopihaʻia (ʻo ia hoʻi,ʻaʻole e pili ana i ka hopena o ka pilina), a inā e'ōlelo ikiʻia ke septum, a ma ka kumu o ka triangle, he wahi liʻiliʻi wale nō -ʻo kēia ka noho noho. Hiki i kekahi wahine ke aʻo e loaʻa iā ia he pūpū bicornic me kahi septum, e kuhikuhi ana i kahi kaukahonua me nā hōʻailona:
- kaʻikeʻole;
- ka hele maʻamau o ka maʻamau, ma ka ulu mua o ka hāpai (2-3 manawa aʻoi aʻe paha);
- kahe o ka uterine;
- nā wā pilikia.
Hoʻokumuʻia ka weheweheʻana ma keʻano o ka hoʻonalohua gynecological, e ho'āʻo ana i ka'ōpū uterine a me ka ultrasound. Eia naʻe,ʻaʻole hiki i ka pūpū bicornate ke hōʻike iā ia iho (ʻoiai i ka hāpaiʻana a me ka hānauʻana). He kanaka kūʻokoʻa a hilinaʻi i ke kino o kēlā wahine kēia wahine.
ʻO ka'ōpū pūnū lua: nā kumu o ke kahua
Hoʻomumuʻia ka'ōnaehana hānauʻana o ke kaikamahine i ka hopena o ka lā mua mua o ka'ōpū o kona makuahine, mai ka hola 10 a me ka 12. Inā i kēia wā ua hana ka wahine i ka waiʻona a me ka nicotine, mea lāʻau narcotic, mau lāʻau ikaika, a me nā mea'ē aʻe, ua loaʻa i kahi maʻi koʻikoʻi koʻikoʻi, a laila ua piʻi nui loa ka hemahema o nā hanaʻino o ke keiki. I kēiaʻano, hiki ke hoʻohuiʻia nā pilikino o ka uluʻana o ka pūpū me nāʻano anomalies o ka'ōnaehana urinary. ʻAʻoheʻaʻohe hopenaʻeha e endocrine (thyrotoxicosis, diabetes mitusitus) a me nā maʻi pupule (ʻepa,ʻeha, mīkini pox, etc.) i nā wā maʻi.
ʻO ka'ōpū pukaʻelua: mau kiko
Ma muli o nā hōʻailona i hōʻikeʻia nei, hiki i nā wāhine me kahi kōpū lua-wāwae ke paʻakikī i ka hoʻohuaʻana a me ka hānauʻana o nā keiki. Hiki i nāʻano likeʻole ke hiki. Eia kekahi laʻana, ināʻelua mau pepeiaohao o ka'ōpū like me nāʻano likeʻole o ka nui a me keʻano like, hiki ke hoʻopaʻa i ka pēpē i kekahi o ia mau mea, a he wahiʻuʻuku paha no kona uluʻana (me ka hopena o nā'ōlohelohe manawa). Akā, me ka lawa kūpono o kēia'ōpū hanuʻana e hiki ke hana me kaʻole o nā hewa.
No nā hiʻohiʻona'ē aʻe o ka olaʻana o kekahi wahine me ka mea likeʻole eʻikeʻia ai,ʻo ka manawa kūpina manawa me ka pūpū i piha iʻelua mau momona heʻoi aku kaʻeha aʻoi aku ka nui ma mua o nā mea maʻamau. Ma ka manawa like,ʻaʻole heʻokoʻa ke ola o ka wahine, ma keʻano he mea'ē aʻe, koe naʻe, i ka manawa o ka'ōpūʻana: me ka pūpūʻelua a me keʻano noho o ka wahine i ka wā o ka hāpaiʻana.
Hanaʻia o ka'ōpū lua-ʻelua
Hoʻomaopopoʻia ka hana maʻamau o ka pūpū me ka mīkini lua i loko o nā wāhine i loaʻa ka moʻolelo o nā hana maleʻole i ka lālani. I kēiaʻano, ua "pili" ka pūkea uterine me ke kelepaʻi, pinepine pinepine ma ka hoʻoweliweli a me ka weheʻana i ka septum (Strassmannʻoihana). Ināʻo kekahi o nā pepeiao o ke kōpū o kahi kīʻaha,ʻo ia, he emi iho, liʻiliʻi, ua weheʻia. ʻO ke kumu o ia hanaʻana,ʻo ia hoʻi e hoʻihoʻi i hoʻokahi wahi uterine i hiki ai i ka wahine ke hāpai a hānau i ke keiki.