Lesi simo ngokuvamile sivele sitholakale ngemuva kokuthi sephuzile kakhulu
Ukwehluleka komlomo wesibeletho, obizwa nangokuthi umlomo wesibeletho ongenakulungile, kusho ukuthi umlomo wesibeletho wesifazane usuke ukhululekile futhi uqala ukuhlenga nokuvulwa kakhulu ekuqaleni kokukhulelwa, okungabangela ukukhulelwa kwesisu.
Uma lokhu kuphuthuma ngaphambi kwesikhathi kungatholakali ngesikhathi, ukungakwazi ukusebenza komlomo kungaholela ekulahlekelweni kokubeletha noma ukuzalwa kwengane yangaphambi kwesikhathi. Umphumela wokuhlinzekwa kwangaphambi kokuzalwa kuncike ekuzalweni kwengane, kanti ukubeletha kwangaphambili kungase kube nomphumela wokukhulelwa kokukhulelwa.
Izimbangela
Ukwehluleka komlomo wesibeletho kungabangela ukulimala kwangaphambili komlomo wesibeletho, njengokungathi ube nokuhlangenwe nakho okulukhuni noma ezinye izinhlobo zenqubo yomlomo wesibeletho, njenge-LEEP, ukukhishwa kwe-laser ablation nokubandayo kommese. (I-biopsy ejwayelekile yomlomo wesibeletho ayibangeli ukungasebenzi.)
Kungaba khona nakwabesifazane abanezinkinga zokubeletha ezibelethwe njengamazinyo, njenge- bicornuate uterus noma i- unicornuate uterus , nakwabesifazane abanina omama abathatha i-DES. Olunye ucwaningo lubonisa ukuthi ukungaqiniseki komlomo wesibeletho kungase kwenzeke kakhulu kwabesifazane abaye babe nezinqubo eziningi ze- D & C.
Izimpawu
Ngeshwa, ukungaqiniseki komlomo wesibeletho ngokuvamile akunazibonakaliso ekukhulelwe kokuqala okuthintekile. Umlomo wesibeletho ugaxa ngaphandle komfazi ngokuqaphela ukuthi yiziphi izinqamuzana, bese amanzi ephuka futhi ingane izalwa - ngezinye izikhathi kusenesikhathi kakhulu ukuba nethuba lokusinda. Abesifazane bangaba nokubona noma ukuphaphaza, kepha ngokuvamile, ngesikhathi isimo sitholakale, sekwephuzile kakhulu ukuyeka ukuzalwa kwangaphambi kwesikhathi.
Izindlela zokuxilonga
Ukuntuleka komlomo wesibeletho akuvamile futhi odokotela abavamile ukuhlola lesi simo ngesikhathi sokukhulelwa, ngaphandle kwabesifazane abanezici ezinobungozi obukhulu (njengokwazi ukulimala kwebele noma ukubeletha kwesisu kwesibili). Kwabesifazane abasengozini enkulu, odokotela bangakwazi ukuqapha umlomo wesibeletho ngokusebenzisa i-ultrasound yamagciwane, kodwa i-ultrasound ayitholi njalo ngokunembile ushintsho lomlomo wesibeletho.
Ukubhekana
Akukaze kube lula ukubhekana nanoma yikuphi ukulahleka kokukhulelwa, kodwa ekuphusheni ngenxa yokungakwazi ukusebenza komlomo wesibeletho, kungenzeka ukuthi ingane yakho izalwa isaphila ngaphambi kokudlula. Ungase uzithole ulwa nomqondo wokuthi ukulahlekelwa kwakho kungenzeka kuvinjelwe uma bekutholiwe ngesikhathi.
Melana nesifiso sokuzibeka icala noma ukuphinda uphinde uphinde uhlole isipiliyoni sakho ukuze ubone ukuthi kukhona yini izimpawu ezingabanjwanga, futhi ukhumbule ukuthi ukungaqiniseki komlomo wesibeletho akuvamile ukuthi kutholakale kusengaphambili ukulahlekelwa kokuqala kwesikhathi. Cabanga ukuthola iqembu lokusekela lokukhuluma nabanye ababhekana nokungaqiniseki komlomo, noma bafune usizo lomeluleki.
Ukwelashwa Ekukhulelweni Okulandelayo
Ngemuva kokulahlekelwa ukukhulelwa noma okunye ukucindezeleka ngenxa yokungakwazi ukusebenza komlomo wesibeletho, kunengozi eqondile yokuthi le nkinga izokwenzeka futhi ngesikhathi sokukhulelwa okulandelayo. Ngenxa yalesi sizathu, kufanele uqiniseke ukuthi uthintana nodokotela okhulelwe ngokukhulelwa noma omunye owaziwa yi-OB / GYN ekuqaleni kokukhulelwa kwakho okulandelayo futhi kahle ngaphambi kokuba ukhulelwe.
Udokotela wakho uzokunika imiyalelo ekhethekile ekukhuleleni kwakho okulandelayo. Kungase kudingeke uhlolwe njalo ukubeletha ngaphambi kokubeletha ukuhlola umlomo wakho wesibeletho, futhi ungase ululekwe ukuba ugweme ukuzivocavoca okunzima noma ubulili.
Uma umlomo wakho wesibeletho ubonakala sengathi uqala ukukhuphuka ngaphambi kokukhulelwa kwakho okulandelayo, udokotela wakho angase anikeze iseluleko sokuphumula kombhede futhi angase enze i-cerclage yomlomo wesibeletho.
Odokotela bangasebenzisa i-cerclage njengendlela yokuqapha kwabesifazane abacatshangwa ukuthi banengozi enkulu yokukhulelwa.
I-cerclage yomlomo wesibeletho uhlobo oluthile lokuhlinzeka lapho udokotela ebeka khona ukugxila emgodini wesibeletho ekuqaleni kokukhulelwa bese uyisusa lapho ukukhulelwa kuqhubekile kakhulu kangangokuba umntwana kufanele azalwe.
Abacwaningi abakaqapheli iziqondiso ezifanele iziguli ezingase zizuze ku-cerclage futhi uma i-cerclage ingase iphumelele ekuvimbeleni ukukhulelwa kokukhulelwa.
Imithombo:
U-Ahn, uJennifer T. noJudith U. Hibbard, "Umlomo wesibeletho omfushane ekukhulelwe: Yimuphi ukwelashwa okunciphisa ukuzalwa kwangaphambi kokuzalwa?" I-OBG Management Aug 2003.
March of Dimes, "Ukuntuleka Kwesibeletho (Incompetent Cervix) noCerclage". Isikhungo semfundo yezeMpilo . Juni 2006.
Ressel, Genevieve W., "I-ACOG ikhishwa i-Bulletin ekuphatheni ukuphelelwa komlomo wesibeletho." I-American Family Physician 15 Jan 2004.
I-University of Illinois Medical Center, "Incompetent Cervix." Okthoba 2006.