Yiyiphi i-Short Cervix kwaye Yenzelwa njani?
Umlomo wesibeleko , inxalenye yenkqubo yokuzala, inxalenye engaphantsi kwesibeleko. Umlomo wesibeleko ubude kwaye ubukhulu kwaye kufuneka uhlale ixesha elide kunye nobunzima ngexesha lokukhulelwa. Ngamanye amaxesha, nangona kunjalo, umlomo wesibeleko uqala ukunciphisa iinyanga ngaphambi kokuba umntwana azalwe. Oku kuthiwa ngumfutshane wesibeletho.
Umlomo wesibeleko unezivulo ezimbini ezibalulekileyo. Ukuvulwa kwangaphakathi, okanye i-os yangaphakathi, ingaphezulu kwintsholongwane, esondeleyo kwisibeletho.
Ukuvula kwangaphandle, okanye i-os yangaphandle, isezantsi komlomo wesibeleko. Ngamanye amaxesha xa umlomo wesibeleko uqala ukufutshane, i-os yangaphakathi iqala ukunyuka kwaye utshintsho lwe-cervix luvela "v" ukuya ku "u". Oku kubizwa ngokuba ngumlomo wesibeleko.
Isibeleko somlomo wesibeleko, okanye umlomo wesibeleko ongenakulungele, unokubangela ukuba umlomo wesibeletho unciphise kwaye emva kokuzalwa kwangaphambi kokuzalwa. Ngomlomo wesibeleko esaneleyo, umlomo wesibeleko unobuthakathaka kwaye uqala ukuphucula ixesha elide ngaphambi kokuba umntwana adeke.
Ukuba Ndibe ne-Short Cervix, Ingaba Umntwana Wami Uya Kuqala?
Abasetyhini abanomhlaza wesibeleko omfutshane, kunye okanye abangenakho ukuxhamla, banokuba banomntwana ongaphantsi kwintsapho kunabesetyhini abahlala bengamaxesha amade kunye nobunzima ngexesha lokukhulelwa kwabo. Kodwa i-cervix emfutshane ayithethi ukuba umntwana wakho uya kuqala! Oogqirha bezona ndlela zingcono ekuphatheni umlomo wesibeletho esifutshane-ngaloo ndlela ukuthintela abasebenzi basebantwini - kunokuba beyekile ukuyeka abasebenzi ngaphambi kokuqala.
I-Short Cervix ifunyenwe njani?
Indlela efanelekileyo yokufumanisa umlomo wesibeleko esifutshane unesistim.
Oogqirha abakwazi ukuxilonga umlomo wesibeleko esifutshane okanye ukuxoxisana nokuhlolwa kweencwadi; kuphela i-ultrasound inokuthenjwa.
Xa ukhulelwe ngokusemgangathweni, umlomo wesibeleko uvama phakathi kwe-30 no-50 mm (3 no-5 cm) ubude. Uphando lubonisa ukuba umngcipheko wokuzalwa ngaphambi kokubeleka ngowona mkhulu xa umlomo wesibeleko ungaphantsi kwama-25 mm ubude.
Ukuba unemingcipheko yokubeleka ngaphambi kokuzalwa , cela udokotela wakho malunga nokuba ne-ultrasound yakho yomlomo wesibeleko.
Xa bekufumanwe kusenokwenzeka, kukho unyango olunokukunceda ukukhusela ukuzalwa kwangaphambili kubasetyhini abanomlomo wesibeleko omfutshane okanye umlomo wesibeleko somlomo wesibeleko.
I-Short Cervix ithathwa njani?
Ngenxa yokuba i-cervix emfutshane inokunyusa umngcipheko womama wabasebenzi bokuqala, oogqirha baya kunika unyango kubafazi abanempilo abanomhlaza omfutshane. Unyango lwe-cervix emfutshane ungabandakanya:
- Iprogesterone: Iprogesterone yonyango eye yaboniswa ukunciphisa umngcipheko wokubeleka kwangaphambi kokubeleka kwabasetyhini abanomhlaza omfutshane. Iprogesterone inokunikezwa njengeprato nganye okanye njengemishanguzo yansuku zonke.
- I-cerclage yomlomo wesibeletho: I-cerclage yinto yokumisa ebeka kwisibeletsheni ukuze uncede uhlale uvaliwe. Iingxola zingasetyenziselwa kwabasetyhini abanomhlaza wesibeleko omfutshane okanye umlomo wesibeleko esaneleyo.
- I-pessary yomlomo wesibeleko: I-pessary yesibeleko ibhande le-silicone eligcina umlomo wesibeleko uvaliwe. I-pessary yesibeleko yongenelelo olutsha, kodwa uphando lubonisa ukuba lusebenza kakuhle ukuthintela umsebenzi wokuba ngumsebenzi wabasetyhini abanomhlaza wesibeletho esifutshane. Ngokungafani ne-cerclage, ukufakwa kwe-pessary akuyona inkqubo yokucanda.
- Ukuphumla kwebhedlele : Ukuthintela komsebenzi, kuquka ukuphumla kwebhedlele , kunokucetyiswa kubafazi abasengozini yokuzalwa ngaphambi kokuzalwa. Nangona kunjalo, uphando lubonisa ukuba ukuthintelwa komsebenzi akuthinteli umsebenzi wokuba ngumsebenzi wabasetyhini abanomhlaza wesibeletho esifutshane.
Ukuba ufumene ukuba unomhlaza omfutshane, awuyedwa. Iindaba ezilungileyo kukuba oogqirha baya kuphucula ngakumbi xa bexilongwa kwaye baphatha umlomo wesibeleko omfutshane ngaphambi kokuqala komsebenzi, ukuncedisa ukuthintela ukuzalwa ngaphambi kokuzalwa. Kubalulekile ukufumana ukunakekelwa kwangaphambi kokubeleka kwangaphambili ukuze i-cervix emfutshane kunye nezinye iingxaki zokukhulelwa zifumaneke kwaye ziphathwe kusasa.
Imithombo:
Abdel-Aleem, H., Shaaban, O., & Abdel-Aleem, M. (3013). "Pessary Cervical for Preventing Preterm Birth". I-Cochrane Database yeeNkcazo eziPhezulu , Inkcazo yesi-5.
I-Crane, J., ne-Hutchens, D. (2008). "Ukugqithiswa kweNdodana yoNyaka kweeNtsholongwane zokuBala ukuQala ukuQala kwangaphambi kokuzalwa kwabesifazane kwi-Women's Asymptomatic Ingozi eyongeziweyo: Uhlolo lokuHlola." I-Obset Ultrasound Gynecol 31: 579-587.
Conde-Agudelo, A. et. al. (NgoJanuwari 2013). "I-Progesterone yeVaginal ne-Cervical Cercical Yokukhusela Ukuqala Kwokuzalwa Kwabesetyhini kunye ne-Sonographic Short Cervix, i-Singleton Gestation kunye no-Preterm Birth: Uhlolo lokuHlola kunye nokuThekeliswa ngokuthe ngqo kwe-Meta-Analysis." I-American Journal ye-Obstetrics ne-Gynecology 208 (1) 42.e1-42.e18.
Grobman, W. et. al. (NgoJuni 2013). "Ukuthintela umsebenzi phakathi kwabasetyhini abane-short Cervix." I-Obstetrics & Gynecology 121 (6) 1181-1186.