Imperforate hymen

Iyo hymen inhengo yakatetepa. Kazhinji kazhinji inovhara chikamu chekuvhurika kwemukadzi. Imperforate hymen ndipo apo iyo hymen inovhara kuvhura kwese kwemukadzi.

Hymen isina kukwana ndiyo mhando yakajairika yekuvharika kwemukadzi.

Imperforate hymen chimwe chinhu musikana anozvarwa nacho. Hapana anoziva kuti sei izvi zvichiitika. Hapana chakaitwa naamai kukonzeresa.

Vasikana vanogona kuongororwa vane husina kukwana hymen chero zera. Inowanzoonekwa pakuzvarwa kana mushure mekuyaruka.

Pakuzvarwa kana paudiki hudiki, mutapi wezvehutano anogona kuona kuti hapana kuvhurika muiyo hymen panguva yekuongorora kwemuviri.

Panguva yekuyaruka, vasikana kazhinji havana matambudziko kubva kuimba isina kukwana kusvikira vatanga kumwedzi. Iyo isina kukwana hymen inovharidzira ropa kubva kuyerera kubuda. Sezvo ropa rinotsigira kumashure, rinokonzera:

• Misa kana kuzara muchikamu chezasi chedumbu (kubva pakuwanda kweropa risingakwanise kubuda)
• Dumbu kurwadziwa
• Kutambudzika shure
• Matambudziko nekuita weti uye ura

Iye mupi achaita bvunzo dzechiuno. Iye mupi anogona zvakare kuita pelvic ultrasound uye yekufungidzira zvidzidzo zveitsvo. Izvi zvinoitirwa kuti uve nechokwadi chekuti dambudziko iri rakashata hymen pane rimwe dambudziko. Iye mupi anogona kukurudzira kuti musikana aone hunyanzvi kuti ave nechokwadi chekuti kuongororwa hakuna kunaka hymen.

Kuvhiya kudiki kunogona kugadzirisa hymen isingaite. Chiremba anovhiya anoita kucheka kana kucheka uye anobvisa imwe hymen membrane.

• Vasikana vanoonekwa kuti vane hymen isina kukwana sevacheche kazhinji vanovhiyiwa kana vakura uye vachangotanga kuyaruka. Kuvhiya kunoitwa mukutanga kuyaruka kana kukura kwemazamu nekukura kwebvudzi repachivambo kwatanga.
• Vasikana vanoonekwa kuti vakura vanovhiyiwa zvakafanana. Kuvhiya kwacho kunotendera kuchengetwa kweropa rekuenda kumwedzi kubuda mumuviri.

Vasikana vanopora kubva pakuvhiya uku mumazuva mashoma.

Mushure mekuvhiyiwa, musikana angafanirwa kuisa dilator mukati memukadzi kwemaminetsi gumi nemashanu pazuva. Iyo dilator inoita kunge tampon. Izvi zvinochengeta iyo incision kubva pakuzvivhara pachayo uye inochengeta nyinyo yakavhurika.

Mushure mekunge vasikana vapora kubva pakuvhiyiwa, vanozove nenguva dzakajairika. Vanogona kushandisa matamponi, kuita zvepabonde zvakajairika, uye kuita vana.

Fonera mupiki kana:

• Pane zviratidzo zvehutachiona mushure mekuvhiyiwa, senge kurwadziwa, pus, kana fever.
• Buri mumukadzi rinoratidzika kunge riri kuvhara. Iyo dilator haizopinde mukati kana kuti kune marwadzo mazhinji kana yaiswa.

Kaefer M. manejimendi yekusagadzikana kweiyo genitalia muvasikana. Mune: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh Urology. 12th ed. Philadelphia, PA: Elsevier; 2021: chitsauko 47.

Sucato GS, Murray PJ. Chiremba uye kuyaruka gynecology. Mune: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli naDavis 'Atlas yePediatric Panyama Kuongorora. 7th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 19.

• Vaginal Zvirwere