Iyini i-Cervix emfushane futhi iphathwa kanjani?
I- cervix , ingxenye yesistimu yokuzala, isigaba esingaphansi kwesibeletho. Umlomo wesibeletho ubude futhi ubukhulu futhi kufanele uhlale isikhathi eside futhi ubukhulu ngesikhathi ukhulelwe. Ngezinye izikhathi, umlomo wesibeletho uqala ukunciphisa izinyanga ngaphambi kokuba umntwana azalwe. Lokhu kubizwa ngokuthi isibeletho esifushane.
Umlomo wesibeletho unezivulo ezimbili eziyinhloko. Ukuvula kwangaphakathi, noma i-os yangaphakathi, ingaphezulu kwesibeletho, esiseduze nesibeletho.
Ukuvula kwangaphandle, noma i-os yangaphandle, ingaphansi komlomo wesibeletho. Ngezinye izikhathi lapho umlomo wesibeletho uqala ukufinyeza, i-os yangaphakathi iqala ukuhlanza futhi isandulela ngculazi isuka ku- "v" kuya ku "u". Lokhu kubizwa ngokuthi ukuvuthwa komlomo wesibeletho.
Isibeletho esinganele, noma isisu somlomo wesibeletho esingenakutholakali, singabangela ukunciphisa umlomo wesibeletho ngakho-ke ukubeletha ngaphambi kwesikhathi. Ngomlomo wesibeletho okwanele, umlomo wesibeletho ubuthakathaka futhi uqala ukuhlanza isikhathi eside ngaphambi kokuthi ingane idingeke.
Uma Ngine-Cervix Emfushane, Ingabe Ingane Yami Iyobe Isengaphambili?
Abesifazane abanomlomo wesibeletho omfushane, noma ngaphandle kokuxolisa, cishe banomntwana ongakabi usana kunabesifazane ababelethi babo abahlala isikhathi eside futhi banzima ngenkathi bekhulelwe. Kodwa umlomo wesibeletho omfushane awusho ukuthi ingane yakho izoba ekuqaleni! Odokotela bangcono kakhulu ekwelapheni umlomo wesibeletho esifushane - ngaleyo ndlela bavimbele umsebenzi wokuqashwa - kunokuba basuke beyeka ukusebenza ngaphambi kwesikhathi uma kuqala.
I-Cervix encane ikhonjiswe kanjani?
Indlela engcono kakhulu yokuthola umlomo wesibeletho esifushane unesifo se-ultrasound.
Odokotela abakwazi ukuxilonga umlomo wesibeletho esifushane noma ukuxuba ngokuhlolwa komuntu; kuphela i-ultrasound inokwethenjelwa.
Uma ukhulelwe kahle, umlomo wesibeletho uvame ukuphakathi kuka-30 no-50 mm (3 no-5 cm) ubude. Ucwaningo lubonisa ukuthi ingozi yokuzalwa ngaphambi kokubeletha inkulu kakhulu uma umlomo wesibeletho ungaphansi kuka-25 mm ubude.
Uma unezinto eziyingozi zokubeletha ngaphambi kwesikhathi , cela udokotela wakho ukuthi une-ultrasound yomlomo wesibeletho sakho.
Lapho kutholakala kusenesikhathi, kunamaphilisi angasiza ekuvimbeleni ukuzalwa kwangaphambi kokubeletha kwabesifazane abanomlomo wesibeletho omfushane noma ukuvuthwa komlomo wesibeletho.
Kanjani i-Short Cervix ephathwayo?
Ngenxa yokuthi umlomo wesibeletho omfushane ungandisa ingozi yomama yokusebenza ngaphambi kwesikhathi, odokotela bayokwenzela ukwelashwa kwabanye abesifazane abanempilo enesandulela ngculaza. Ukwelashwa kwesibeletho esifushane kungafaka:
- I-progesterone: I-Progesterone imithi eye yaboniswa ukunciphisa ingozi yokuzalwa ngaphambi kwesikhathi kwabesifazane abanomlomo wesibeletho esifushane. I-progesterone inganikezwa njengokudubula masonto onke noma njengemithi yokwelapha yansuku zonke.
- I-cerclage yomlomo wesibeletho: I-cerclage iyisitembu esibekwe esibelethweni ukuze usize ukuba ihlale ivaliwe. Amacillargi angase asetshenziswe kwabesifazane abane-cervix emfushane noma umlomo wesibeletho esanele.
- I-pessary yomlomo wesibeletho: I-pessary yomlomo wesibeletho ibhande le-silicone eligcina umlomo wesibeletho uvaliwe. I-pessary yomlomo wesibeletho ingenelelo elisha, kodwa izifundo zibonisa ukuthi kusebenza kahle ukuvimbela umsebenzi wokubeletha kubesifazane abanesifo somlomo wesibeletho esifushane. Ngokungafani ne-cerclage, ukufakwa kwe-pessary akuyona inqubo yokuhlinzwa.
- Ukuphumula kombhede : Ukuvinjelwa komsebenzi, kuhlanganise nokuphumula kombhede , kunganconywa abesifazane abasengozini yokuzalwa ngaphambi kwesikhathi. Kodwa-ke, ucwaningo lubonisa ukuthi ukuvinjelwa komsebenzi akuvimbeli umsebenzi wokubeletha kwabesifazane abanomlomo wesibeletho esifushane.
Uma uthola ukuthi unekhondomu encane, awuwedwa. Izindaba ezinhle ukuthi odokotela bahamba kangcono ekuhloleni nasekutholeni umlomo wesibeletho esifushane ngaphambi kokuqala komsebenzi, okusiza ukuvimbela ukuzalwa ngaphambi kwesikhathi. Kubalulekile ukuthola ukunakekelwa kokubeletha okusheshayo nokujwayelekile ukuze umbelevuza omfushane nezinye izinkinga zokukhulelwa zingatholakala futhi ziphathwe kusenesikhathi.
Imithombo:
Abdel-Aleem, H., Shaaban, O., & Abdel-Aleem, M. (3013). "Pessary Cervical for Preventing Preterm Birth." Database Cochrane Yokuhlolwa Okuhlelekile , Issue 5.
I-Crane, J., & Hutchens, D. (2008). "I-Transvaginal Sonographic Measurement of Ubude be-Cervical Ukubikezela Ukuzalwa Kwangaphambi Kokubeletha Kwabesifazane Abanamathuba Emngciphekweni Okhulayo: Ukubuyekezwa Okuhlelekile." I-Ultrasound Obstet Gynecol 31: 579-587.
Conde-Agudelo, A. et. al. (Januwari 2013). "I-Progesterone yama-vaginal ne-Cervical Cercical Yokuvimbela Ukuzalwa Kwangaphambi Kwokuzalwa Kwabesifazane Ne-Sonographic Short Cervix, Singest Gestation, kanye Nokuzalwa Kwangaphambi Kokuqala: Ukubuyekezwa Okuhlelekile Nokuqhathaniswa Okungaqondile Meta-Analysis." I-American Journal ye-Obstetrics and Gynecology 208 (1) 42.e1-42.e18.
Grobman, W. et. al. (Juni 2013). "Ukuvimbela umsebenzi phakathi kwabesifazane abane-Cervix emfushane." I-Obstetrics & Gynecology 121 (6) 1181-1186.