Isimo sixhunywe kwesinye sezikhathi ezine eziphuthumayo zokuphela kwesikhathi
Enye yezimbalwa ezimbalwa ezibonakalayo zokulahleka kokukhulelwa kwesikhathi eside yisimo esaziwa ngokuthi awukwazi ukuhlinzeka ngomlomo wesibeletho , futhi ubizwa ngokuthi umlomo wesibeletho esingenakuthola. Lesi simo sibonakala ngokuhlanjululwa kwangaphambi kwesikhathi nokunciphisa umlomo wesibeletho ngaphambi kokukhulelwa sekufinyeleleke ngesikhathi.
Uma lokhu kwenzeka, owesifazane angase azwe ukuzalwa kwangaphambi kokubeletha noma ukulahlekelwa ukukhulelwa njengoba umlomo wesibeletho ubuthakathaka kakhulu ukubekezela ukucindezela okukhulayo okuvela ngaphakathi kwesibeletho.
Ukwehluleka komlomo wesibeletho kubangelwa ukungahambi kahle komlomo wesibeletho noma isisu. Lezi zingalungile zingase zibe yintsana (okwamanje ngesikhathi sokuzalwa) noma umphumela wokuhlukunyezwa komlomo wesibeletho (kuhlanganise nezinqubo zokuhlinza ezifana ne-cone biopsies).
Nakuba cishe amaphesenti angama-80 azo zonke ukukhulelwa ezikhulelwe ezenzeka ngesikhathi sokuqala kwekota , ingxenye encane yabesifazane izolahlekelwa yi-trimester yesibili noma yesithathu. Kulezi zenzakalo ezedlule-sikhathi, eziningi ezikodwa ezine ziyoba umphumela wesibeletho esingenakuthola.
Ukungenelela kwezokwelapha kungasiza uma inkinga ibanjwa ngokushesha.
Izimpawu Zokuntuleka Kwezibeletho
Isibeletho esingenakulinganiswa singaba yinselele ekuxilongeni ngoba ngokuvamile kuvumelana ngokuphelele (okusho ngaphandle kwempawu). Kungaba njalo ngaphandle kobuhlungu noma ukuchotshozwa okuvame ukubonakala kwezinye izinhlobo zokungahambisani nesisu noma izenzakalo zangaphambili.
Uma izimpawu zikhona, zivame ukuba mnene futhi zingabandakanya:
- Ukucindezela komzimba
- Ukugubha
- I-Backache
- Izinguquko kumthamo, umbala, noma ukuguquguquka kwesisu
- Iziphazamiso ezincane
Ukungakwazi ukusebenza komlomo wesibeletho kwenzeka emva kwamasonto angu-14 okubeletha futhi akubhekwa njengento ebangelwa ukuhlukunyezwa kokuqala kwe-trimester .
Ukuqaphela Ukuntuleka Kwezibeletho
Ukungafinyeleleki kwesibeletho kungatholakala kuphela ngesikhathi sokukhulelwa futhi ngisho kunzima ukuyiqinisekisa.
Ezimweni eziningi, itholakala kuphela uma kukhona ubufakazi obubonakalayo bokukhuphuka okuvela ngaphandle kokuphazamiseka okubuhlungu, ukuphuma kwegciwane lesisu, ukubhujiswa kwamagciwane (ukuphulwa kwamanzi), noma ukutheleleka.
Ukwehluleka komlomo wesibeletho kuvame ukuphenywa kwabesifazane abaye banomlando wokungaqiniseki komlomo wesibeletho noma umlando wemisebenzi emifushane nokudiliva okuqhubekayo ngaphambili. Uma kungenakulinganiswa komlomo wesibeletho, udokotela angase enze izivivinyo eziningi zokuhlola, kubandakanya:
- Ukuhlolwa kwepelvic ukubona ukuthi kukhona yini izicubu ze-fetal ezingena emgodini wesibeletho somlomo wesibeletho
- I-ultrasound eguquguqukayo , ifakwa kahle ngobunini, ukucacisa ubude bomlomo wesibeletho kanye nobukhulu balobuphi ukukhipha
- Amniocentesis (ukususwa kwesampula ka-amniotic fluid) ukulawula ukutheleleka
Ngenkathi kungekho zivivinyo ezingasetshenziswa ngaphambi kokukhulelwa ukubikezela isandulela ngculaza engenakutholakali, kukhona abanye abakwazi ukubona ukungajwayelekile kwezibeletho ezihambisana nesimo. Lezi zivivinyo zivame ukuqhutshwa abesifazane abaye bahlaselwa ngokuphindaphindiwe noma umlando wokuzalwa kwangaphambi kokuzalwa.
Ukwelapha Ukuntuleka Kwesibeletho
Uma ubhekene nokungaqiniseki komlomo wesibeletho, imikhuba yokwelashwa ingashintsha ngokuphawulekayo kusuka kudokotela kuya kwesinye.
Lokhu kungenxa yokuthi akukho nqubo eyodwa ekhonjiswe ukuthi iyasebenza kangcono ekuvikeleni ukuzalwa kokuzalwa kunabanye. Njengoba kunjalo, izinketho zingafaka:
- Vala ukuqapha ngaphandle kokwelashwa ngaphandle kokuthi ukukhulelwa kubonakale kusongelwa
- I-cerclage yomlomo wesibeletho , ukufakwa kwe-suture ukusiza ukuqinisa umlomo wesibeletho
- I-pessary yesibeletho, i-intravaginal device yezokwelapha esetshenziselwa ukusekela umlomo wesibeletho
- Izithako ze-progesterone ukusiza ukuvimbela ukulethwa kokuqala
> Umthombo:
> I-American College of Obstetricians kanye namaGynecologists. "I-ACOG Practice Bulletin No.142: Ukugcoba ukuphathwa kwe-insufficiency yomlomo wesibeletho." I-Obstetrics ne-Gynecology . 2014; 123 (2); 372-9.