Le meko isoloko ifunyenwe emva kokuba ihambe kakhulu
Ukungaqiniseki komlomo, okubizwa ngokuba ngumlomo wesibeleko ongenakulungileyo, kuthetha ukuba umlomo wesibeleko wesifazane unobuthakathaka kwaye uqala ukuxubusha nokuvula ngokukhawuleza ekukhulelweni, oku kunokukhokelela ekuphumuleni komzimba.
Xa le ntlupheko engapheliyo ingabonakali ngexesha, ukungaqiniseki komlomo kungabangela ukulahleka okanye ukuzalwa kwintsana yokuqala. Isiphumo sokunikezelwa kwangaphambi kokuxhomekeka kuncike xa umntwana ezalwa, ngokuzalwa kwangaphambili kubangelwa ukulahleka kokukhulelwa.
Izizathu
Ukungafezeki komlomo kungabangela umonakalo ongaphambili wesibeleko, njengokuba unamava okuzalwa okunzima okanye ezinye iintlobo zeenkqubo zomlomo wesibeleko, njenge-LEEP, i-laser ablation kunye ne-cold knife conization. (Umgangatho osemgangathweni wesibeleko somlomo wesibeleko awubangeli ukungakwazi.)
Ikwafumaneka nakwabasetyhini abanezifo ezinobungozi bokuzalwa, ezifana nesibindi sokubhinqa okanye i- unicornuate uterus , kunye nabasetyhini abanomama abathatha i- DES. Olunye uphando lubonisa ukuba ukungaqiniseki kwintsholongwane kungabonakala kunabesifazane abaye bafumana iinkqubo ezininzi ze- D & C.
Iimpawu
Ngelishwa, ukungafezeki komlomo wesibeleko akunakunalo iimpawu kokukhulelwa kokuqala okuchaphazelekayo. Umlomo wesibeleko uyancipha ngaphandle kokuba umfazi aqaphele ukuba yiyiphi na into eyahlukileyo, kwaye emva koko amanzi aphule kwaye usana luzalwe-ngamanye amaxesha lusekudala ukuba lunethuba lokusinda. Abasetyhini banokubonakala okanye ukuphaphaza, kodwa ngokuqhelekileyo, ngelixesha ixesha le meko lifunyenwe, lixesha elide ukuyeka ukuzalwa kwangaphambili.
Ukuxilongwa kweendlela
Ukungafezeki komlomo wesiqhelo akuqhelekanga kwaye oogqirha abayifuni rhoqo isikrini ngexesha lokukhulelwa, ngaphandle kwabesetyhini abaneengxaki ezinobungozi (njengento eyaziwayo ye-uterine okanye i-second-trimester loss). Kubasetyhini abasemngciphekweni omkhulu, oogqirha banokubeka iliso kwi-cervix ngokusebenzisa i-ultrasound ye-vaginal, kodwa i-ultrasound ayisoloko ichaneke ngokuchanekileyo utshintsho lwentsholongwane.
Ukujamelana
Akunakuze kube lula ukujamelana nayo nayiphi na ilahleko yokukhulelwa, kodwa kwiimfucuza ngenxa yokungaqiniseki komlomo, umntwana wakho unokuzalwa esaphila ngaphambi kokudlula. Unokufumana ulwa nombono wokuthi ukulahlekelwa kwakho kuyenqatshelwe ukuba bekufunyenwe ngexesha.
Melana neqhinga lokuzigxeka okanye ukuphinda uphinde uphawule amava akho ukubona ukuba kukho nayiphi na imiqondiso ephosakeleyo, kwaye ukhumbule ukuba ukungafezeki komlomo akuqhelekanga kufumaneka kwangaphambili kwilahleko zokuqala. Cinga ukufumana iqela lokuxhasa ukuthetha nabanye abajongene nokungaqiniseki komlomo, okanye ufuna uncedo lomcebisi.
Unyango kwiNgqungquthela yokuQala
Emva kokulahleka kokukhulelwa okanye enye inkxalabo ngenxa yokungaqiniseki komlomo, kunomngcipheko ocacileyo ukuba ingxaki iya kuphinda iphinde ikhulelwe. Ngenxa yeso sizathu, kufuneka uqiniseke ukuba uqhagamshelana noxinzelelo olukhuselekileyo lokukhulelwa kwengqondo okanye olunye u-OB / GYN owaziwayo ngaphambili ekukhulelweni kwakho okuzayo kwaye ngokufanelekileyo ngaphambi kokuba ukhulelwe.
Ugqirha wakho uza kukunika imiyalelo ekhethekileyo ekukhulelweni kwakho okulandelayo. Unokudinga ukuhlola rhoqo ngaphambi kokubeletha ukuba uqaphele umlomo wakho wesibeleko, kwaye unokucetyiswa ukuba ugweme ukuzivocavoca okanye ukulala ngesondo.
Ukuba umlomo wakho wesibeleko ubonakala uqala ukuxubusha ekuqaleni kokukhulelwa kwakho okuzayo, ugqirha wakho unokucebisa ukuphumla kombhede kwaye angenza i-cerclage yomlomo wesibeleko.
Oogqirha bangaphinda basebenzise i-cerclage njengendlela yokuqapha kwabasetyhini abacingelwa ukuba banengozi enkulu yokukhulelwa.
I-cerclage yomlomo wesibeleko uhlobo lotyando apho ugqirha ebeka khona ukutshitshiswa kwintsholongwane ngaphambi kokukhulelwa aze asuse xa ukukhulelwa kuye kwaqhubela phambili kangangokuba umntwana kufuneka azalwe.
Abaphandi abazange banikele izikhokelo ezifanelekileyo kwizigulane ezinokuzuza kwi-cerclage kwaye xa i-cerclage inokusebenza ngokukhusela ukukhusela ukulahleka.
Imithombo:
UAhn, uJennifer T. noJudith U. Hibbard, "Umlomo omfutshane wesibeleko ekukhulelweni: Liliphi unyango elinciphisa ukuzalwa kwangaphambi kokuzalwa?" UBG Management Aug 2003.
NgoMatshi weDimes, "Ukungafezeki komlomo wesibeleko (Incompetent Cervix) kunye neCerclage". IZiko lezeMpilo . Juni 2006.
Ressel, u-Genevieve W., "I-ACOG ikhupha i-Bulletin ekulawuleni ukungaqiniseki komlomo wesibeleko." I-American Family Physician 15 Jan 2004.
IYunivesithi yase-Illinois yeZonyango, "Incompetent Cervix." Oktobha 2006.