Umqathango udibene nenye yezinto eziphambili zexesha elide emva kwexesha elide
Enye yezinto ezimbalwa ezibonakalayo ezibangela ukulahleka kwexesha lokugqibela lokukhulelwa yimeko eyaziwa ngokuba yinto engapheliyo yentsholongwane , iphinda ibhekiswe njengomlomo wesibeleko ongekho mfuneko . Le meko ibonakaliswe ukuhlanjululwa kwangaphambi kwexesha kunye nokunciphisa umlomo wesibeleko ngaphambi kokukhulelwa kufikelele kwixesha.
Xa oko kwenzeka, ibhinqa lingafumana ukuzalwa kwangaphambi kokuzalwa okanye ukulahleka kokukhulelwa njengoko umlomo wesibeleko unzima kakhulu ukunyamezela uxinzelelo olusakhulayo ngaphakathi kwesibeleko.
Ukungafezeki komlomo kubangelwa yizitenxo kwi-cervix okanye kwisibeletho. Ezi zitenxo zingabakho ukuzalwa (okwangoku ngexesha lokuzalwa) okanye ngenxa yexinzelelo kumlomo wesibeleko (kuquka iinkqubo zokugonywa ezifana ne-cone biopsies).
Nangona i-80 ekhulwini nganye yokulahleka kokukhulelwa kwenzeka ngexesha lekota yokuqala , iqela elincinci labasetyhini liya kulahleka kwi-trimester yesibini okanye yesithathu. Kule miba yexesha elide, ininzi enye kwisine iya kuba ngumphumo wesibeleko esingafanelekiyo.
Amanyathelo angenelelo ngoncedo angancedisa ukuba ingxaki ibanjwe kusenokwenzeka.
Iimpawu zokungabi Nokholo lwesibeleko
Umlomo wesibeleko ongenakunceda unokuba ngumngeni ekufumaneni ukuxilonga ngenxa yokuba kudla ngokuqhelana ngokupheleleyo (intsingiselo ngaphandle kwempawu). Iyakwazi ukuvela ngaphandle kwentlungu okanye ukuphambana okubonakalayo kwezinye iintlobo zokukhulelwa komzimba okanye iziganeko zangaphambili.
Ukuba iimpawu zikhona, zivame ukuba zinyameko kwaye zingaquka:
- Uxinzelelo lwepelvic
- Ukuqhawula
- Backache
- Utshintsho kwimiqulu, umbala, okanye ukuhambelana kokukhulelwa kwesisu
- Ulwaphulo olunzulu
Ukungafezeki komlomo kubangelwa emva kweveki ezili-14 zesisu kwaye akuthathwa njengento ebangelwa yimithwalo yokulahleka kokuqala .
Ukuqaphela ukungaqiniseki komlomo wesibeleko
Ukungaqiniseki komlomo kungatholakala kuphela ngexesha lokukhulelwa kwaye ke kunzima ukuqinisekisa.
Kwiimeko ezininzi, kunokufunyanwa kuphela xa kukho ubungqina obubonakalayo bokuhlengahlengeka obuvela ngaphandle kweempazamo ezibuhlungu, ukuphaphaza ngamanzi, ukuphaphaza kwamanzi, ukuphulwa kwamanzi okanye ukusuleleka.
Ukuphelelwa kwintsholongwane yesibeleko kuvame ukuphandwa kwabasetyhini ababenayo imbali yokungaqiniseki komlomo okanye imbali yokusebenza kancinci kwaye ihamba ngokukhawuleza. Ukuba kukho ukukhankanywa komlomo wesibeleko, ugqirha unokuqhuba iimvavanyo ezininzi zokuhlola, kubandakanywa:
- Ukuhlolwa kwepelvic ukubona ukuba kukho izicubu zomntwana ezithandayo kumgca wesibeleko somlomo wesibeleko
- I-ultrasound ye-Transvaginal , ifakwe ngenyameko kwisini, ukucacisa ubude bomlomo wesibeleko kunye nobukhulu balo naluphi na ukuhluthwa
- Amniocentesis (ukususwa kwesampula yamniotic fluid) ukulawula ukhuseleko
Nangona kungekho zivivinyo ezingasetyenziselwa ukukhulelwa ngaphambi kokukhulelwa komlomo wesibeleko, kukho ezinye zikwazi ukubona ukungaqhelekanga kwezilwanyana ezihambelanayo nemeko. Ezi zivanyo zivame ukuqhutyelwa kubasetyhini abaye baphinda bahlaselwa ngokuphindaphindiweyo okanye nembali yokuzalwa kwangaphambili.
Ukunyanga Ukungasebenzi
Xa ubhekane nokungaqiniseki komlomo, unyango lwezokwelapha luyahluka kakhulu ukusuka kwelinye ugqirha ukuya kutsho.
Oku kungenxa yokuba akukho nanye inkqubo eboniswe ukuba ingaphantsi okanye ingasebenzi kakuhle ekukhuseleni ukuzalwa kokuzalwa kunabanye. Ngaloo ndlela, izinketho zingaquka:
- Vala ukuqapha ngaphandle kwonyango ngaphandle kokuba ukhulelwe
- I-cerclage yomlomo wesibeleko , ukufakwa kwe-suture ukunceda ukuqinisa umlomo wesibeleko
- I-pessary yomlomo wesibeleko, isistim seyeza esisisigxina esisetyenziselwa ukuxhasa umlomo wesibeleko
- Iprogesterone izongezelo zokuncedisa ukukhutshwa kwangethuba
> Umthombo:
> Ikholeji yase-American College of Obstetricians kunye neGynecologists. "I-ACOG Yenza i-Bulletin ngo-No.142: I-coerclage yokulawula ukungaqiniseki komlomo." I-Obstetrics kunye neGynecology . 2014; 123 (2); 372-9.